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Dr. T. P. Rekha

Gynaecologist, Bangalore

500 at clinic
Dr. T. P. Rekha Gynaecologist, Bangalore
500 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. T. P. Rekha
Dr. T. P. Rekha is a renowned Gynaecologist in Malleshwaram, Bangalore. You can meet Dr. T. P. Rekha personally at Northside Manipal Hospital in Malleshwaram, Bangalore. Book an appointment online with Dr. T. P. Rekha on

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Northside Manipal Hospital

#71, 11th Main, Malleshwaram. Landmark: Opp. Malleshwaram Railway StationBangalore Get Directions
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I am 28 year old women Mujhe ek ladki hui hai Jo 2 mahine ki hai Mai use dud pila rahi thi To mujhe mere boobs mai dard hone laga To mujhe pata chala ki mere ek boobs mai ganth si ho rahi hai jisse mujhe dard hai Ye kis Baje se hai Or mai kya karu.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Get your self checked by obstetrician to ascertain cause of Ganth. Aise aapako sahee pata chal jayega aur uchit upchar ho jayga. Bachche ko dusare boob se dudh pilate rahe aur yadi dard sahan karane layak hai to ganth walee boob se bhee dudh playe. Doctor ko avashay dikhale.
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I am a 24 year old girl and since twenty days I have been experiencing pain, inflammation and discomfort in vagina and it pronounced during urination. This happened 2 days after I had intercourse. The Dr. prescribed me levomac 500, becosules, allegra 120 and quadriderm RF cream (I couldn't get how to apply this) for 5 days. However, since a week I started experiencing very slight inflammation and discomfort again which increased after starting the course again since yesterday. I hope it's nothing very serious Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
Ms. lybrate-user As you asked about your problems related to your Vaginitis after sex I would like to advise you it is not very serious. You just wash with warm saline water or warm water boiled with fitakari and give fomentation with warm cotton over your vagina. You should continue it for 3-6 days twice daily. Make sure easy during sex. If you feel pain or uncomfortable stop it otherwise maybe serious injuries. You may use light paste of Haldi and water, warm it and mix little oil or Ghee and paste over vagina ,keep it up to dry and then wash it with warm water. It will help you.
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I had an intercourse on 3.7.16 unprotected. My period date was due on 14.7.16. On 13.7.14 I had spotting followed by bleeding next day without any period symptoms and cramps. Am I pregnant?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Yes you could be pregnant. Please get a urine pregnancy test to rule out pregnancy. This type of period pattern could be implantation bleeding.
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I am 24 unmarried I have period problem since it start. Many times it takes a gap of 2 to 3 months. Last date of my period was 11 feb, on 24 april I had pain in night and had only clotted blood only for few hour. I am totally confused what was it? please help me sir.

Homeopath, Surat
No need to be worry. It is due to hormonal changes. Anovulatery cycle leads to late period and scanty menses. Start homoeopathic treatment. You can consult me on private chat.
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Do menstrual painful every time in thirties for ladies. What is the cure for this to get rid the pains. Are they related to psychological stress? or because of cyst/s in the uterus? any cure for this or precautions that is required?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
Dear patient, kindly rule out some internal pathology first so that we can conclude accordingly. Undergo ultrasonography for pelvis during your next menstrual cycle during 5-7th day of periods and get back to me. Homeopathy has treatment and cure for this problem.
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I have a wife and she delivered a baby for us, can I suck her breast milk and drink? Is there any risk in doing so? And can the milk give me health or effect my body and our baby?

General Physician, Jajpur
you should not. Breast milk contains essential nutrients for the growing baby. You drinking it means less for the baby which will affect his/her growth.
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Some doctor told my wife that if you feel pain while sex and monthly cycle you should conceive faster. Is it true? What is correct time to conceive.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Not correct... best time is fertile period of her cycle.. that is if you count her first day of menses as day1, Day7 to Day 17 is her fertle period when you should have relationship atleast on alternate days
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My wife diagnosed with lichen planus. She is being medicated for various skin specialist but there is not any relief yet. In summer lot of skin itching takes place in leg and under arm. There is now mark for itching. Pl suggest permanent solution.

MBBS, Diploma in Cardiac Emergencies in General Practice
General Physician,
There is no quick cure for lichen planus. However, it is likely to clear in time. Treatment aims to relieve itching and improve the appearance of the rash until it goes away. No treatment - is an option if symptoms are mild. Antihistamine medicines - may help to ease the itch. An antihistamine that makes you sleepy, taken at bedtime, may help you to sleep if the itch keeps you awake at night. Emollients - are often also given to provide moisture to your skin. These can also help to reduce the itching. A steroid cream or ointment - is commonly advised. Steroids reduce inflammation. The effect of steroid creams and ointments is variable. They work in many cases to ease itch but may not actually clear the rash. Steroid pastes or mouth washes - may help to ease painful mouth ulcers. A course of steroid tablets - may be advised if lichen planus is severe. This may clear, or greatly reduce, the rash. Steroid tablets taken for longer than a few weeks are not usually advised due to possible side-effects. Therefore, the rash may reappear after the tablets are stopped. However, a course of steroid tablets may help to tide you over a particularly bad spell. Immune modulators - such as imiquimod and levamisole may be advised by a specialist if lichen planus is severe. These work with the body's immune system to help fight damage to the skin. Skin irritation, headache, nausea and tiredness can be side-effects. Puva - this is a special light therapy that may be advised by a skin specialist if you have extensive and severe lichen plants. Laser treatment - low-dose lasers are sometimes used to treat lichen planus in the mouth. In general outlook is good as it is most of the times self limiting and goes away with time in around 6 months to 2 years.
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Yoga During Pregnancy

Ayurveda, Delhi
Yoga During Pregnancy

How to start:

If you have been practising yoga already, you can continue during your pregnancy. However, if you are planning to start yoga as a form of exercise during pregnancy, it is ideal to do so in the second trimester. Yoga can be performed once a week or every day. The duration can range from 5 to 60 minutes per session. Follow these guidelines while practising yoga:

✓ Listen to your body carefully. If you feel any discomfort, stop. You will probably need to modify each pose as your body changes.

✓ Avoid lying on your back after the first trimester; it can reduce blood circulation to the uterus.

✓ Avoid poses that stretch the muscles too much. You are more at risk for strains, pulls and other injuries right now because of the pregnancy hormone relaxin, which softens and relaxes joints and connective tissue.

✓ From the second trimester – when your centre of gravity starts to shift – do all standing poses with your heel against the wall or use a chair for support, to avoid losing your balance and risking injury to yourself or your baby. Here is the most comprehensive second trimester dos and don’ts for you to follow.

✓ While twisting, move from the shoulders and back, rather than the waist, to avoid putting pressure on your abdomen. Twist only as far as it feels comfortable – deep twists are not advisable in pregnancy. Here are three simple exercises that can boost blood circulation during pregnancy.

1. Palm tree

Imagine you are a palm tree swaying in the wind.

Benefit: This pose stretches and strengthens the torso

Stand upright, raise your arms overhead and interlock your fingers.

Now stretch slowly and gently to the right and then the left, imitating the swaying movement of a palm tree.

2. Modified triangle pose

Can you position your body in such a way that it forms three triangles?

Benefit: This pose regulates the digestive system and massages internal organs like the liver.

Stand with your feet wide apart and arms extended at shoulder level parallel to the floor.

Stretch your left hand overhead and bend down to the right side and touch your knee. Look up at your left hand.

Return to starting position and switch sides.

3. Modified forward bend

Reach forward with your hands, with a chair for support.

Benefit: This pose stretches the back and legs.

Stand tall in front of a chair.

Lift your arms and reach towards the chair; press your palms on the chair. Keep your back straight and bend from your hips. Hold.

Return to standing position.

4. Seated twist

Twist to the right and then to the left, to improve the mobility of the spine.

Benefit: This pose stretches the spine, improves digestion and relieves constipation.

Sit with your legs stretched out in front of you. Bend your right knee and take the right foot over the left knee.

Bring the left arm and elbow over the right knee. Keep your right hand behind you on the fl oor for support. Now twist your torso to the right and turn your head back.

Return to starting position and switch sides.

5. Cat-camel pose

 Imitate a cat and then a camel. Arch your spine like a cat and then lift it up like the hump of a camel.

Benefit: releases spinal stress

Get down on all fours on your mat. Place your hands directly below your shoulders. Now lift your tailbone up towards the ceiling so that your lower back is concave. As you do this your head will lift up naturally towards the ceiling.

Now round your back like the hump of a camel and roll your head towards your chest. Make the movements as fluid as possible.

6. Butterfly pose

Imitate a butterfly.

Benefit: Increases mobility of the hip joints and stretches the inner thigh.

Sit with your legs outstretched on the mat. Bend your knees and bring your feet in as close as possible, towards you. Bring the soles of your feet together.

Keep your spine straight and gently move your legs down and up, resembling the movement of a butterfly as it flaps its wings.

7. The modified corpse

You need to relax in order to feel rejuvenated.

Lie on your left side; place a pillow between your legs and below your head for support.

Close your eyes and relax your mind.

To make the poses more comfortable, use blankets, pillows, cushions and chairs for support if you need them. For instance, you can perform seated positions on a folded blanket. If maintaining an erect spine is difficult, lean against a wall for support. Also, breathing the correct way during pregnancy is vital, here are a few breathing exercises you can practise for better oxygen intake.

Follow these tips while performing the yoga asanas:

•             Yoga can be practised anywhere – indoors or outdoors. Just make sure it is a calm and quiet environment with adequate ventilation.

•             Yoga gear should be comfortable, convenient and simple. All you need is loose, comfortable clothing and a yoga mat, rug, blanket or carpet.

•             Hold each yoga pose for 10 to 60 seconds.

•             Set aside a fixed time for yoga.

•             If you have never tried yoga before, first learn the different poses under supervision. Start slowly and relax for 2 to 3 minutes after every asana if required.

•             Yoga can be performed once a week or every day. The duration can range from 5 minutes to 60 minutes per session.

•             Never force your body into a stretch or pose. Regular practice will make seemingly impossible poses more accessible.

•             If you feel any pain or nausea, stop and contact your doctor immediately.

Doctor, my baby is 5 months old, before getting pregnant my weight is 47.9kg, during pregnancy I gained 15 kg more, my baby is 3 kg when I delivered, it is an normal delivery, now I checked my weight, it is only 48kg, ayurveda doctor told me that my breast milk is thick than others, baby needs milk only 3 hrs gap, now I am taking calcium tablets daily, what should I do now for gaining weight? Please answer me.

M.Sc - Dietitics / Nutrition, Diploma in Diet and Nutrition, Certificate Of Diabetes Education , Ph.D.Nutrition
Dietitian/Nutritionist, Indore
it s good thing , u are nor put on u weight after delivery. just eat nutritious diet. it s good for u and u baby also.
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Septoplasty: All You Need To Know

ENT Specialist, Faridabad
Septoplasty: All You Need To Know

The nasal septum divides the nose into two nostrils or airways. When this septum is defective in structure or position, it can cause several physical difficulties like breathing problems, sleep apnea, bleeding, sinusitis, etc. The surgery to correct the nasal septum is known as septoplasty. The surgery is very common and has a high rate of success.
Reason: When the bone and cartilage separating the two chambers is crooked and deformed, it prevents the air from flowing properly through either one of the nostrils. People suffering from this condition often breathe through their mouth and this leads to respiratory tract infections. So, the septum is fixed with the help of septoplasty.

  1. First, your medical history is taken. A thorough physical examination is conducted and the nose is photographed from the inside and the outside. You may also be asked to avoid medication like ibuprofen, naproxen and aspirin for a few days since these can increase the bleeding after surgery.
  2. Septoplasty is performed under general or localized anesthesia and takes about 90 minutes. Incisions are made on the inside of the nose and the mucus membrane is lifted.
  3. Then, the pieces of cartilage that are affecting normal functioning are repositioned or removed.
  4. If the nasal bone is causing the septum to be wrongly aligned, then cuts are made on the bone and it is positioned correctly.
  5. Sometimes, cartilage grafts (called spreader grafts) are put in between the upper nose cartilage and the septum to widen the narrow nostril.
  6. After this, the mucus membrane is put back in place and stitched.

Post- surgical care: A nasal support is put inside the nose to help it heal and keep it straight. The support is removed after two days but there may be swelling and occasional nasal discharge for a few days. The tissues and cartilage become stable within 4 to 6 months. You are asked not to blow your nose or cough and sneeze too much as these might displace the nasal support. The head is to be kept at a higher level than the rest of the body while sleeping and physically demanding exercises are to be avoided in order to prevent nosebleeds.
Risks: Septoplasty is not performed if the patient had high level of blood sugar or high blood pressure. It is also delayed in case of any kind of infection in the nose, mouth or in the respiratory tract.

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Hello doc I had sex with ma partner dat too without precaution last month like 29th I have taken ipill too but still didn't get the periods. Today morning I did pregnancy test result was negative but I am worried so please suggest me and help me out weather I have to take ipill or any other medicine again please suggest me. Please suggest the tablet.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Pregnancy is not there. Now more than 5 days have elapsed, so no use of I pilll. Just wait for period to come by next month.
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At 7 month pregnancy AFI 10.5m and placenta grade 2 lying middle fetal heart rate 140/min fetal weight 1082 gms please suggest precaution and solution how to recover from this.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Your report is absolutely normal. Following is the normal weight as per weeks of pregnancy. Fetal weight gain starts after 28 weeks. Afi is also normal. 27 weeks- 875 grams 28 weeks- 1005 grams 29 weeks- 1153 grams 30 weeks- 1319 grams.
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My wife is seven months pregnant. She is34 years old. Our elder daughter is 11 years old. My wife is second pregnant. Since she started 4 month her feet started swelling. Dr. suggested shelcal HD and Autrin since she is felling well but swelling exist yet. After 11 years my wife is pregnant does that matter.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Amit, she has to check her BP first most important she has to keep watch on BP even it is normal. Normally their is swelling of the legs in pregnancy. Please ask her to have salt restrictions in diet, rest leg elevation.
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Five Things That The Body Goes Through During Orgasm

Diploma in Paediatrics, MBBS
Sexologist, Dehradun
Five Things That The Body Goes Through During Orgasm

Also known as sexual climax, orgasm is the sudden ejection of stored sexual excitement during the process of having sex. It involves the rhythmic flexing of the muscles near the pelvic area resulting in an immensely pleasurable experience. Considered an involuntary action, it is experienced by both men and women, though they occur due to different circumstances.

While the sexual stimulation of the penis is responsible for orgasm in males, it is the stimulation of the clitoris that causes the same in women. In both the sexes the body undergoes certain changes during orgasm.

Few of them are:

  1. Effect on genitals: Though orgasm results in a pleasurable experience in both men and women, their genitals do not react in a similar way. Women experience a heady rush as the blood flow to the clitoris and vagina. Subsequently, the vagina secretes lubricants and increases in size. On the other hand, men experience a feeling of contraction and throbbing in their penis and prostate region. Despite the differences, the genitals in the cases release powerful sexual energy during orgasm.
  2. Increase in blood rate and rapid breathing: This condition is common to both men and women. Due to the dilation of the blood vessels, both the sex experience an increase in heart rate, contraction of muscles and rapid breathing during orgasm.
  3. Release of hormones: During orgasm, there is an excessive discharge of oxytocin in both men and women. When this hormone floods the brain, it creates feelings of intimacy and a sense of warm bond. However, in males another hormone called testosterone is released which operates as a counter to the effects of oxytocin.
  4. Effects on brain during orgasm: The brain of men and women operate differently. The periaqueductal gray also known as PAG, an area responsible to control fights, is activated in women. At the same time, women also experience a sudden decrease in apprehension and fear. However, the same does not happen in the case of men.
  5. Stimulation of nerve endings: During orgasm, millions of nerve endings on the penis, vaginal opening, testes and clitoris are triggered and stimulated. This consequently produces the feeling of an arousal.
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Age 45 female attained menopause. Diagonised PCO. Thin structure. Medium built. Advice required routine health check up for prophylaxis treatment. Thanking u in anticipation. Regards.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
In our country, majority of people don't go for routine health check up. But it is especially required in menopausal women. To have basic check up, screening for cancer and to decide whether they need hormone replacement therapy or not.
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I got my periods on 7 th this month Nd it got over on 10th. I got physical on 14th with protection. Actually did not reached the climax (both of us). Any chance of pregnancy?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
No there is no chance of pregnancy as he did not ejaculate and the sex was far away from the ovulation date and he was wearing the protection. You can not get pregnant with the act you described and there is no need to worry.
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maintaining a healthy outlook

General Physician, Hyderabad
maintaining a healthy outlook
Women today have busy, demanding lives. You may feel pulled in different directions and experience stress from dealing with work, family and other matters, leaving little time for yourself. Learning to balance your life with some time for yourself will pay off with big benefits — a healthy outlook and better health.

Steps you can take:
1)Stay in touch with family and friends.
2)Be involved in your community.
3)Maintain a positive attitude and do things that make you happy.
4)Keep your curiosity alive. Lifelong learning is beneficial to your health.
5)Healthy intimacy takes all forms but is always free of coercion.
6)Learn to recognize and manage stress in your life. Signs of stress include trouble sleeping, frequent headaches and stomach problems; being angry a lot; and turning to food, drugs and alcohol to relieve stress.
7)Good ways to deal with stress include regular exercise, healthy eating habits and relaxation exercises, such as deep breathing or meditation.
8) Talking to trusted family members and friends can help a lot. Some women find that interacting with their faith community is helpful in times of stress.
9)Get enough sleep and rest.
10)Adults need around eight hours of sleep a night.
11)Talk to your health care provider if you feel depressed for more than a few days; depression is a treatable illness. Signs of depression include feeling empty and sad, crying a lot, loss of interest in life, and thoughts of death or suicide. If you or someone you know has thoughts of suicide, get help right away.

I am pregnant last 20 days. Can you please tell me what type of food will I eat and how I care myself.

DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Kolkata
Eat healthier food like green leafy vegetables, protein containg foods like egg, soyabeans pulses and meat or fish. Use less spices in food preparations. Take food frequently but not too haevy at a time.
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Things To Know About Spinal Stenosis Treatment!

MD - General Medicine
Sexologist, Delhi
Things To Know About Spinal Stenosis Treatment!

Spinal Stenosis is basically the narrowing of the spaces in the spine that further causes pressure on the spinal cord as well as nerves. It has been observed that nearly 75% of cases, mainly occur in the low back that requires lumbar spine treatment. The type of spinal stenosis treatments received for this problem may vary, as it totally depends on the location of the stenosis and the severity of your signs as well as symptoms.

Here are some treatments offered by a spine specialist:

1. Medications 
Sometimes, medications are prescribed by spine physicians to control the pain associated with spinal stenosis. Some of the common medicines prescribed are mentioned below.

• NSAIDs (Onsteroidal anti-inflammatory drugs that help to ease the pain and reduce the inflammation. These mainly include ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve), that are easily available without prescription.

• Muscle relaxants help to calm the muscle spasms that occasionally occur and these medicines includes cyclobenzaprine (Amrix, Fexmid).

• Antidepressants like amitriptyline are recommended to be given as tricyclic nightly doses to ease chronic the pain.

• Anti-seizure drugs are commonly used to reduce pain caused by damaged nerves and these medicines include names like gabapentin (Neurontin, Gralise, Horizant) and pregabalin (Lyrica).

2. Therapy 
People suffering from stenosis tend to become less active to reduce the pain caused by physical activities. This further leads to weakness in the muscles that is even more painful. Therefore a physiotherapist teaches some exercises to build up the strength, maintain stability as well as flexibility in the spine and improvement in maintaining balance.

3. Steroid injections 
Because of this ailment nerve roots become a little irritated the spots that are pinched gets swollen. Thus injecting corticosteroid around that constriction that reduces the inflammation and gives relief to the pressure. Theses injections sometimes don't work for everyone and if they are repetitive, they can cause weakness in the nearby bones as well as the connective tissue. Therefore, only a few injections per year are suggested.

4. Surgery 
Surgery is considered, only if the other treatments don't work or a patient is disabled by its symptoms. The main aim of a surgery is to relieve the pressure on the spinal cord or nerve roots which is done by creating more space within the spinal canal. The main examples of surgeries suggested includes Laminectomy, Laminotomy and Laminoplasty.

In most cases, these space-creating operations help in the reduction of the symptoms of spinal stenosis. But sometimes the symptoms do not fully disappear or even get worse after surgery. Surgery even includes some risks like infections, blood clot in a leg vein, neurological deterioration or even a tear in the membrane that covers the spinal cord.


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