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Dr. Shashikala

Gynaecologist, Bangalore

250 at clinic
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Dr. Shashikala Gynaecologist, Bangalore
250 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Shashikala
Dr. Shashikala is a popular Gynaecologist in Richmond Road, Bangalore. She is currently practising at St. Philomena's Hospital in Richmond Road, Bangalore. Book an appointment online with Dr. Shashikala and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 41 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English

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St. Philomena's Hospital

1, Mother Theresa Rd, Xavier Layout, 4, Campbell Road, Viveknagar. Landmark: Near Life Style Shopping MallBangalore Get Directions
250 at clinic
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BHMS
Allergist/Immunologist, Jaipur
When steroid tablets are taken for many months or years, harmful side effects are likely and almost inevitable. The list of possible effects is long; it includes mood changes, forgetfulness, hair loss, easy bruising, a tendency toward high blood pressure and diabetes, thinning of the bones (osteoporosis), suppression of the adrenal glands, muscle weakness, weight gain, cataracts, and glaucoma. After being swallowed, these tablets are absorbed from the stomach into the bloodstream and taken not only to the bronchial tubes (to treat asthma) but also to every other part of the body. Their effects are widespread.

On the other hand, only miniscule amounts of steroid medication enter the bloodstream after inhaling it. The reasons for this difference include the following. First, steroids used for inhalational treatment of asthma are designed not cross well from the surface of the bronchial tubes into the bloodstream. Somewhat like applying a steroid cream to the skin, they are poorly absorbed from the surface into the blood. Second, only very small amounts of steroid medication are delivered from the inhalers with each dose or "puff" Less medicine is needed when it can be directly applied to the affected area. We measure the amounts of steroids inhaled in micrograms, which are units one thousand times smaller than the milligrams by which we measure prednisone or Medrol® tablets.

When breathed in, some steroid medicine remains in the mouth and can be swallowed into the stomach and from there absorbed into the bloodstream. You can minimize any effect from steroids left behind in your mouth in two ways. First, use a spacer tube with your steroid spray. (A spacer can not be used with budesonide [Pulmicort®] dry powder inhaler.) Medicine that would otherwise land on your tongue and mouth stays in the spacer chamber. The part of the spray that passes through the spacer also tends to pass through your mouth and proceed down onto the bronchial tubes. Second, rinse your mouth with water after inhaling the steroid spray. Rinsing removes any medicine residue from your mouth. The portion of the medicine that helps your asthma remains undisturbed on your bronchial tubes.

So much for the theory; what about the actual experience with steroids in inhaled form? The current generation of steroid inhalers first began to be used in the mid 1960s. For more than three decades they have been prescribed for millions of people with asthma and other lung diseases worldwide. No serious long-term adverse effects have emerged. For adults, given in the usual doses, they do not cause degeneration (atrophy) of the normal tissues of the respiratory passageway. They do not predispose to lung infections. They do not cause cancer, diabetes, or high blood pressure.

We need to look more carefully at the two phrases used above: "for adults" and "in the usual doses" Children's bones may be sensitive to the very small amounts of steroids that can enter the bloodstream after inhalation. There is currently debate ? and considerable on-going research ? to determine whether in children inhaled steroids might slow bone growth and reduce a child's ultimate height.

Also, when given in very large doses (many puffs from a high-concentration steroid inhaler), the amount of steroid medicine that spills over into the bloodstream can become significant. Although the effect is small, like a very small dose of prednisone, over the years this small effect can potentially add up to serious harmful effects. High doses of inhaled steroids taken for a long time can probably predispose to cataracts, glaucoma, and thinning of the skin and bones. As a result, your doctor will probably only have you take high doses of inhaled steroids as a means to avoid steroid tablets. And he/she will constantly work with you to attempt to reduce the dose of inhaled steroids to a more conventional and safer range.

Remember that not taking inhaled steroids for fear of side effects may have real consequences that are far worse than potential effects in the future; namely, asthma symptoms and risk of asthma attacks now. Severe asthma attacks are usually treated with steroid tablets, which all agree have the worst side effects.

Endometriosis.. Does It Mean The End of Pregnancy

MBBS,MD,FMAS,DMAS,FICRS
Gynaecologist, Bangalore
Endometriosis.. Does It Mean The End of Pregnancy

Patients with endometriosis, a condition in which there is ovarian cyst filled with blood, usually think that they can't become pregnant.
This is totally wrong information infact a myth. Yes in the past these patient s had less treatment options and we're sometimes ended up not becoming pregnant left with only option of adoption.
But now in this era, there are alot of latest treatment modalities which include laparoscopic resection, harmonal injections and ivf for patients willing to conceive. 
So I request people with this condition to consult the nearest infertility consultant and get treated and lead a normal happy family life.
Please feel free to contact me for any help. God bless you all.

My query is related to unwanted pregnancy. I was being intimate with my girlfriend. I had never penetrated her and she is still a virgin. But some of my pre ejaculate was on my fingers and I rubbed my fingers on her genitals but does not penetrated my fingers either. This incident took place 13 days ago on october 29. Her last periods started on 20th of october and ends on 23rd october. Again 3 days ago on 7th november we again have a moment and some of my pre ejaculate was on her hand. She fingered herself with that hand but again did not penetrated herself. After that we realised that there are some chances of pregnancy from pre ejaculate. Now we do not know should we take some preventive measures or not. Is there any chance of pregnancy or not? Please guide us through this situation. I studied online about this and came across following drugs: misoprostol. Should I give it to her or not? Please tell me about its side effects and precautions while taking it, or any other thing that might help. My girlfriend also have diagnosed PCOS and have irregular periods from starting. She is also complaining about backache and have observed white fluid coming from her vagina.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
My query is related to unwanted pregnancy. I was being intimate with my girlfriend. I had never penetrated her and sh...
no need to take medicines..chances are very very low near zero percent...she is already suffering from irrecgular periods ..these tablets will further disturb cycle... dont take stress..eat raw papaya during period expected dates.. consult for further help.
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I am married woman .l have pcod problem. I am trying for conceiving. My doctor suggest me to take folisurge 300 iu injection for 6 days. After 6 days doctor told me that there is no ovulation. So doctor said me to take folisurge 75 iu injection for another 3 days. Is it any possibility for ovulation after 3rd days.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
I am married woman .l have pcod problem. I am trying for conceiving. My doctor suggest me to take folisurge 300 iu in...
Hello Lybrate user ovulation period is start normally from 11th 18th day of menses is regular. With folisurge injection which is a follicular stimulating hormone which help to increase more follicle and help to release egg. So,inject injection according to advice by Doctor. May be it will help. All the best for future.
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Are you too busy with your schedule and can't spare time for your physical exercise?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Are you too busy with your schedule and can't spare time for your physical exercise?
Include some physical activity within your schedule. Like-
*if you are speaking to someone on mobile, you can keep moving around while talking.
*if you are on laptop, take breaks from time to time and move around.
* take stairs instead of going by lift.
*park your vehicle some distance away from your destination point and walk the short distance to and fro.
*spend part of your weekend time in physical exercise and any other physical activity.
Most important- realise that your efficiency will go down soon if you neglect your health.

Care before Pregnancy (Pre-conceptional Care)

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Care before Pregnancy (Pre-conceptional Care)
Most of us have an idea that the couple should go to gynecologist only after they fall pregnant or when there is difficulty in conceiving. But we all know that prevention is better than cure. Then why should not we take precaution to avoid complications in pregnancy so that we can have healthy mother and healthy baby.

Some of the diseases can manifest during pregnancy, like some diseases of heart, blood pressure, blood sugar etc. But if the couple comes to doctor when they are planning pregnancy, then we can diagnose it and start treatment so that pregnancy can be safe to both the mother and the baby.

On the other hand, some pre-existing disease may turn serious during pregnancy and endanger life of both mother and baby. This includes thyroid disease, hypertension, epilepsy, renal disease, cardiac disease etc. If taken care of properly, the disease can be controlled before pregnancy so that the risk can be reduced. Again all the drugs are not safe for the baby. So, if treated before pregnancy, the mother can be put on safer but effective drugs before pregnancy.

Some diseases may run in family and often goes undetected and can affect the baby. Thlassaemia, hemophilia etc are the best examples. So, if the couple comes to us before pregnancy, we can screen them to diagnose whether they are bearer of the disease or not and then we can take care to prevent birth of defective baby.

Some diseases indicate that there may be problems in having pregnancy, like problems in periods or abdominal pain in female, sexual problems in male and female etc. If treated properly, it will avoid unnecessary time wastage for trying for pregnancy.

The woman can be instructed how to remain healthy to have normal baby, before pregnancy. She can be advised some drugs (like folic acid), can be asked to avoid harmful drugs and substances (like drugs, excessive vitamin a, excessive vitamin d, excessive caffeine, smoking etc). Even the husband can be asked how to improve his fertility (by avoiding heat exposure to his scrotum).

Again some infections can be dangerous for the baby. So, before pregnancy we can treat the women for the infections and in some cases we can vaccinate her to prevent infection.

"a stitch in time saves nine. So, why don't you consult your gynecologist when you are planning for pregnancy? have smooth journey throughout pregnancy and enjoy parenthood.
2 people found this helpful

I am 20 years old. During the time of periods I never used to have pain in my stomach. But from few months back I am having a severe stomach pain during periods. What's the reason behind it? What are the measures need to be followed? Earlier I used to have bleeding from 5 to 7 days but now it's completely reduced, not even for one day. Would you plzz help me with the problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
I am 20 years old. During the time of periods I never used to have pain in my stomach. But from few months back I am ...
Dysmenorrhoea is because of so many reasons if you feel pain before 2or 3 days it might you r having infection n if bleeding is less than go for haemoglobin examination n sonography to rule out possible reason start skipping not on periods time take care of hygiene n also start taking ashokaristha.
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I am 26 year working girl I have suffering white discharge problem last 8 month. Please give me solution.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. The following may be the causes of LEUCORRHOEA: Improper or bad eating habits. Eating spicy and fried foods and lots of carbohydrates. Accumulation of toxins in the body. Unhygienic living conditions. Wounds produced by itching. Bacterial Infection. Anaemia and diseases like diabetes etc, Hormonal disturbances. Please consult your gynecologist for determination of the cause and for further treatment. Take care.
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