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Dr. Usha

MBBS

Gynaecologist, Bangalore

250 at clinic
Dr. Usha MBBS Gynaecologist, Bangalore
250 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Usha
Dr. Usha is a trusted Gynaecologist in Frazer Town, Bangalore. She has completed MBBS . You can consult Dr. Usha at Seventh Day Adventist Hospital in Frazer Town, Bangalore. Book an appointment online with Dr. Usha on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 34 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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MBBS - - -

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Seventh Day Adventist Hospital

#8, Spencer Road, Frazer Town. Landmark: Near Coles Park & Opp. Syndicate BankBangalore Get Directions
250 at clinic
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Seventh Day Adventist Hospital

#8, Spencer Road, Frazer Town. Landmark: Near Coles Park & Opp. Syndicate Bank.Bangalore Get Directions
250 at clinic
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Why Does Vaginal Itching Occur?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Why Does Vaginal Itching Occur?

Vaginal itching is a condition which occurs when the vagina comes in contact with irritants or because of a vaginal infection. Menopause may also lead to conditions that trigger itching in the vagina. In some cases, sexually transmitted diseases and skin allergies also lead to vaginal itching. The conditions in itself is not a major cause of concern, however, one should consult a doctor to treat the underlying condition, if any.

Causes-

The main component of vaginal itching is the trigger, as there can be many of them. The various causes of vaginal itching are-

  1. Irritants: Vaginal contact with certain irritants can be the cause behind vaginal itching. Some common substances that irritate the vagina are:

    1. Creams

    2. Ointments

    3. Detergents

    4. Harsh soaps

    5. Topical contraceptives

    6. Scented toiletries

  2. Skin Problems: Certain skin problems such as eczema and psoriasis can result in itching and redness in the genitals. Eczema is a condition which is akin to allergies. Psoriasis is a condition which is characterized by itchy, scaly and red patches on the skin. These symptoms may slowly start spreading to the vagina.

  3. Infections in the Vagina: Infections in the vagina such as bacterial vaginosis and yeast infection can lead to vaginal itching. In addition to the vaginal itching, they can also lead to a foul smelling discharge from the vagina.

  4. Menopause: During menopause, the estrogen levels in the body dip, thus resulting in a dry vagina. A dry vagina can sometimes lead to vaginal itching.

  5. Stress: Excessive stress can lead to vaginal itching as stress affects the immune system in the body. A weakened immune system makes one prone to a number of disorders, vaginal itching being one of them.

  6. Sexually Transmitted Diseases: STDs such as gonorrhea and chlamydia are disorders, symptoms of which include itching in the vagina.

Treatments-

The treatment for vaginal itching begins with a diagnosis of the underlying condition that might be causing it in the first place. The treatment for this disorder is cause specific; hence the underlying condition needs to be identified. Antibiotics and antifungal medications may be administered to treat vaginal itching. For menopause related causes, estrogen creams or tablets are required.

You can also take preventive measures such as:

  1. Avoid using scented soaps.

  2. Use protection during sex.

  3. Wear cotton based underwear.

  4. Eat plenty of yoghurt. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2569 people found this helpful

I'm suffering from repeated vaginal yeast infection. Already I consulted a doctor 2 months back. She prescribed antibiotics for oral and vaginal use. Now again I'm suffering with that. I got the same problem one year back. Now again I'm suffering. I don't have diabetes. Please suggest me the preventive measures for it.

DGO, MBBS
Gynaecologist, Delhi
always maintain good hygiene . wear cotton under garments and they should not be tight. keep your self well hydrated and take plenty of salads and vegetables. be very active physically like go for walk and do yoga .
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Can a girl get pregnant after mensuration because of the sexual intercourse she had before the mensuration period?

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
Psychologist, Palakkad
Can a girl get pregnant after mensuration because of the sexual intercourse she had before the mensuration period?
Dear user. TO CAUSE PREGNANCY on a woman, sperm should be ejaculated inside the vagina or fresh sperm should be inseminated inside the vagina with some means during the fertility period of the woman. There are many determinants of pregnancy. You should be sexually matured. Your partner should be sexually matured. The period of your partner should be in the fertile stage. Her egg and your sperm cells should be healthy enough. Then her uterus should be capable to get conceived. If all these were satisfied, the pregnancy could be a result. Semen do not pass through clothes to make pregnancy. Sex during periods does not cause pregnancy. Usually precum do not contain any sperm cells. In the given case, there are less chances of pregnancy. Take care.
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Asthma Treatment in Hindi - अस्थमा का इलाज

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Asthma Treatment in Hindi - अस्थमा का  इलाज

"अस्थमा फेफड़ों में वायुमार्ग से जुड़ी एक चिरकारी बीमारी है। इन वायुमार्गों, या ब्रोन्कियल ट्यूबों के माध्यम से, हवा फेफड़ों के अंदर और बाहर जाती है। यदि आपको अस्थमा है तो आपके वायुमार्ग हमेशा सूजे हुए होते हैं। जब कुछ आपके लक्षणों को ट्रिगर करता है, तो सूजन बढ़ जाती है, और वायुमार्ग के चारों ओर मांसपेशियों के कसने का कारण बनती है। इससे आपको साँस लेने में कठिनाई होती है, और खांसी, घरघराहट, सांस की तकलीफ़ और सीने में जकड़न जैसे लक्षणों का कारण बनता है। अस्थमा का दौरा जीवन को खतरा पैदा कर सकता है, यदि फेफड़ों में वायु प्रवाह गंभीर रूप से अवरुद्ध हो जाता है।

अस्थमा के लक्षण एक एलर्जी पैदा करने वाला तत्व (जैसे कि रैग्वीड, पराग, पशु के बालों की रूसी या धूल के कण) के संपर्क में, हवा में परेशानियों (जैसे धुएं, रासायनिक धुएं या मजबूत दुर्गन्ध) या चरम मौसम की स्थिति से शुरू हो सकते हैं। व्यायाम, सांस की बीमारी, या फ्लू भी आपको अधिक संवेदी बना सकते हैं। 

अस्थमा का प्रबंधन कैसे करें?
अस्थमा का कोई इलाज नहीं है। इसलिए इसके उपचार में, आमतौर पर आपके ट्रिगर्स को पहचानना, उनसे बचने के लिए कदम उठाना, और अपने श्वास को ट्रैक करना यह सुनिश्चित करने के लिए कि आपकी दैनिक अस्थमा दवाएं आपके लक्षणों को नियंत्रण में रख रही हैं, शामिल हैं।
अस्थमा को अच्छी तरह से प्रबंधित करने के लिए दवाएं आवश्यक हैं। अस्थमा की अच्छी देखभाल में अन्य स्वास्थ्य स्थितियों के लिए भी उपचार शामिल है जो अस्थमा को प्रभावित कर सकती हैं। एक स्वस्थ जीवनशैली, अस्थमा के लोगों को अपने लक्षणों को नियंत्रित करने में मदद करती है। 

अस्थमा के उपचार के मुख्य उद्देश्य निम्नलिखित हैं:
- लक्षण नियंत्रण में रखना
- 'हमलों' को रोकने
- फेफड़ों को यथासंभव स्वस्थ रखना
- अपने काम या दैनिक दिनचर्या के साथ दखल से अस्थमा को रोकना
- एक पूर्ण और सक्रिय जीवन का आनंद लेने में आपकी सहायता

अस्थमा का उपचार
अस्थमा के उपचार में दो प्रकार की दवाएं शामिल हैं- त्वरित राहत दवाएं और दीर्घकालिक नियंत्रण दवाएं। 

आम तौर पर दैनिक लिया जाता है, ये दवाइयां आपके वायुमार्ग में सूजन को कम करती हैं जो आपके लक्षणों का कारण बनती हैं। ये दवाएं अस्थमा को दिन-प्रतिदिन के आधार पर नियंत्रण में रखती हैं और अस्थमा का दौरा पड़ने की संभावना कम करती हैं।
दीर्घकालिक नियंत्रण दवाओं के प्रकार में शामिल हैं:

1. इन्हेल्ड कोर्टिकॉस्टिरॉइड
2. एंटिइलुकोट्रियेंस या ल्यूकोट्रिने संशोधक
3. क्रॉमोलिन सोडियम
4. लंबे समय से अभिनय करने वाली इन्हेल्ड बीटा 2-एगोनिस्ट 
5. मिथाइलक्थेंथिन
6. इम्युनो- माड्युलेटर्स

त्वरित राहत दवाएं:
त्वरित राहत दवाओं को तत्काल राहत के लिये, लक्षणों के पहले संकेत पर लिया जाता है। त्वरित राहत दवाओं के प्रकार में शामिल हैं:

1. शॉर्ट-अभिनय बीटा एगोनिस्ट्स
2. एंटीकोलिनर्जिक्स
दोनों प्रकार की दवाएं ब्रोन्कोडायलेटर्स हैं। यदि आपको अस्थमा का दौरा पड़ता है, तो एक त्वरित राहत इंहेलर तुरंत आपके लक्षणों को कम कर सकता है। वे फेफड़ों से बलगम को साफ करने में भी मदद करते हैं। 
यदि आपके पास व्यायाम प्रेरित ब्रोन्कोकन्सट्रिक्शन (ई.आई.बी) है, जिसे व्यायाम-प्रेरित अस्थमा के नाम से भी जाना जाता है, तो आपका एलर्जिस्ट सुझा सकता है कि व्यायाम से पहले इन दवाओं का उपयोग करें। 
त्वरित राहत वाली दवाएं अस्थमा के लक्षणों को रोक सकती हैं, लेकिन वे लक्षणों का कारण बनने वाले वायुमार्ग की सूजन को नियंत्रित नहीं करती हैं। अगर आपको लगता है कि आपको अस्थमा के लक्षणों के इलाज के लिए सप्ताह में दो बार से ज्यादा त्वरित-राहत दवा की ज़रूरत होती है, तो आपका अस्थमा अच्छी तरह नियंत्रित नहीं है।

एलर्जी का उपचार
यदि आपका अस्थमा एलर्जी के कारण ट्रिगर होता है या खराब होता है, तो एलर्जी दवाएं मदद कर सकती हैं। 

इसमें शामिल है:
एलर्जी शॉट्स (इम्यूनोथेरेपी): एलर्जी शॉट्स एलर्जी के लक्षणों से मुक्त होने में बहुत प्रभावी हैं और कुछ मामलों में वास्तव में आपकी एलर्जी का इलाज कर सकते हैं। आप आमतौर पर कुछ महीनों के लिए सप्ताह में एक बार, फिर तीन से पांच साल की अवधि के लिए महीने में एक बार यह शॉट्स प्राप्त करते हैं।

ओमालिज़ुम्ब: यह दवा, इंजेक्शन के रूप में दी जाती है हर दो से चार सप्ताह में। यह विशेष रूप से उन लोगों के लिए होती है जिनके एलर्जी और गंभीर अस्थमा हैं। यह प्रतिरक्षा प्रणाली को बदलकर कार्य करती है। "

1 person found this helpful

I m 27 male, during my first time of intercourse I didn't get perfect erection, is this because of nervousness or some other problem?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
It's common at first intercourse. Get relaxed, don't be nervous. If still the problem persists, consult doctor and find out the exact cause. Then we can start treatment easily
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I had my last period on 29th April and intercourse on 9th and 14th of may month wat are the chances of me getting pregnant.

BHMS
Homeopath, Faridabad
I had my last period on 29th April and intercourse on 9th and 14th of may month wat are the chances of me getting pre...
Hi, the chances of getting pregnant are high if you have regular menstrual cycle of 28 or 30 days. Get pregnancy test done after 1 week of expected menstrual date.
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I am 32 male. Married since 2 yrs. We were planning for a baby. My semen analysis report states 1 ml quantity and 25 million count. And Doctor suggested me SPERCUS tablets twice a day and Ubiphene25 once a day for 3 months. It's been 3 months now. But unfortunately my wife not conceived yet. My question is can 1 ml quantity is enough for conceive. And are these tablets useful for increasing the quantity of sperm? Can you please guide me how can improve my count and quantity of sperm. And my wife can get pregnant. Thank-you in advance. Have a great day.

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
I am 32 male. Married since 2 yrs. We were planning for a baby. My semen analysis report states 1 ml quantity and 25 ...
Please note that medicines given to you are antioxidants and they will help you to increase sperm count. Since you have already taken these medicines for 3 months, repeat your semen analysis to know if you have benefited or not. Also it will be advisable to consult a fertility specialist who can do an IUI for you in which motility of your sperms can be improved to increase the chances of pregnancy.
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Marriage life now 2 years completed . Both of us health is Good as per test (HSG, Semen) Both tubes are clear for. My Wife. Sperm count around 60millions for me. For me motility is little bit. Lower 15 instead 17. For that I'm taking tablets . What need to do for Improve the motility / Sperm counts ? Is that Homeopathy cures infertility? What is exact date of IC after period. How to identify ovulation day.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Marriage life now 2 years completed .
Both of us health is Good as per test (HSG, Semen)
Both tubes are clear for. My...
Hello, you should see an infertility specialist. In 10% of people, there is unexplained infertility. Get follicular monitoring done and try at the time of ovulation.
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Iam 30 yrs old female before 2 month I got married my first obotation is over is there any chance get second conceive.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Iam 30 yrs old female before 2 month I got married my first obotation is over is there any chance get second conceive.
Surely you will conceive in next 1-2 months if there is no any problem in you both.Just have a thorough knowledge of your unsafe period in your menstrual cycle.
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Pregnant lady can have sex during 5th month pregnancy?? Is there any harm to mother or baby if sperm go inside vagina??

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Pregnant lady can have sex during 5th month pregnancy?? Is there any harm to mother or baby if sperm go inside vagina??
Hello, You should better avoid having intercourse during pregnancy. If there are no complications in pregnancy and the placenta is on the upper side then you can have intercourse as you both are comfortable.
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore

Ayurveda and Garbha sanskar (prenatal education)



Ancient Indian medicine, i.e. Ayurveda puts emphasis on the spiritual, mental and physical preparation of the expecting mother to give birth to a healthy child. In Ayurveda, this theory is described as ‘supraja Janan’ or EU-maternity. It basically means preparing the couple in planning their pregnancy at least three months prior to the baby conception.

Pregnancy should be by choice and not by chance. The planning should firstly begin with panda shuddhi which means purification of gametes (sperm and ovum).

One should always keep in mind if the couple is not mentally fit and stable even though they are being physically healthy cannot give birth to a healthy child.

The mental calmness and firmness of mind is very much related to one’s eating habits and depends on many other factors of lifestyle. For giving birth to a healthy child, it is important to stay away from spicy food items and addictive substances during pregnancy period.

garbha sanskar

Universally it has been proven that the fetus is not just a mindless mass of flesh, but it responds and capable of understanding, receiving information from outside forces. The fetus is an evolving human being that has got full rights to receive optimistic and inspiring feedback or garbha sanskar.

Daily practices of garbha sanskar which are to be given during pregnancy period to the child in the womb are clearly prescribed in the Ayurveda. Not just daily diet taken by expecting mother is mentioned, but routine body care, yoga techniques as well as reading material and instructions are available in Ayurveda. Various subjects of discussion are written along with music and mantras that can be listened to during pregnancy period.


Development of parent-fetus bonding:

Do you know that feelings and thoughts in mind of parents affect babies in the womb on a large level. Until any thought is expressed verbally, it remains in an unexpressed form in mind. At this time, its wavelength is shortest and it has got maximum energy at this level. Selfless and unspoken thoughts bear and transfer maximum sanskar on the fetus.


Effect of music:

Scientifically, it has been proven that the fetus responds to music from 7th months of pregnancy. You would be glad to know that a foetus of 7th month starts hearing from mother’s womb and from the nearby surroundings and responds to them as well. Heartbeat of mother is the first sound the child hears when in a womb because it is the most nearest sound for the baby. This is the reason why a crying child clams down when her mother holds her close to her heart. It is believed that the child in the womb gets energy for the development of his mind and body when an expecting mother listens to the special music. You would be surprised to know that listening to sound of veena (an Indian musical instrument which is held by goddess Saraswati) and flute along with Samveda mantras are very helpful in giving birth to the healthy child at the time of childbirth. Various cassettes and CD’s like ‘Garbha Sangeet’, Garbha Sanskaar: Blessings for the new arrival” are published and can be easily brought by pregnant women from markets.


Lifestyle tips for the pregnant women:

According to Ayurveda, an expecting mother should stay away from movies depicting scenes of violence, horror and murder. This is because these kinds of stuffs can produce a negative effect on the child’s character. Also, expecting mother should live in a company of those people who throw positive influence over her. She can listen to soft music, read positive and self-inspiring books, view beautiful works of art, develop only constructive frame of mind with positive thoughts in her mind and last but not the least contemplate pleasant landscapes.

Herbal medications:

In Ayurveda, two types of ghees are recommended for mother-to-be. The name of first medicated ghee is ‘kalyanak ghrita’ to be given during 4th, 5th months of pregnancy on daily basis. One tsp of this ghee is widely given to expecting mothers, especially in southern states like Kerala in India. The herbal preparation ‘kalyanak ghrita’ is considered very effective in the development of the mental faculties of a growing fetus. Also, it is very beneficial for development of all body systems in fetal baby. ‘Kalyanak ghrita’ when taken regularly helps in fighting anemia in the mother as well as prevents any kind of congenital abnormalities. Another ghee is ‘Thanka three great’ which is to be taken during the last month of pregnancy i.e. 7th, 8th and 9th months of pregnancy. Regular intake of this ghee promotes complete developments in the fetal body and known to bring good fortunes to the newborn child. It also aids in the full term normal delivery. Both these ghee has got cow’s ghee as their base during their preparation.

IT IS IMPORTANT TO TAKE AN EXPERT ADVICE FOR GARBHA SANSKAR.

Hi doctor, I am 27 years old & 8th month pregnant. 8th month has just started. Please suggest the diet & exercise for the good health of me & baby.

DGO
Gynaecologist, Pune
Hi doctor, I am 27 years old & 8th month pregnant. 8th month has just started. Please suggest the diet & exercise for...
Mild to moderate exercise in form of walk. Good amount of fluids and veggies, fruits and also lots of salads.
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Healthy Diet For Working Women!

MSc
Dietitian/Nutritionist, Lucknow
Healthy Diet For Working Women!

Many a times, working women due to their busy schedules seem to forget to have a healthy diet and tend to munch on unhealthy food items during their work hours. This should be avoided and working women should pay a heed to what they are eating so that you can avoid complications later. So here are some healthy diet tips suggested by a working woman herself, a Lucknow dietician and the best dietician in India.

  1. Carry a healthy and homemade lunch to office: Prepare a healthy lunch at home and carry it to your office. For this, the best dietician in India says that include all the nutrients in your lunch. Include veggies, rotis, rice and dal, and a salad to your tiffin box.
  2. Avoid packed foods: If you get hungry during your work hours and feel like munching on something then do not go for processed and packed foods. Instead, Lucknow dietician, the best dietician in India suggests you to carry a fruit or some dry fruits and nuts with you to eat when you feel like munching.
  3. Limit the number of cups of coffee and tea you drink: Offices usually have coffee machines and access to tea as well. The best dietician in India says that because of this, working women tend to drink a number of cups of coffee and tea. Try to limit this amount to just one cup per day or even better, none at all.
  4. Don’t skip breakfast: No matter how much of a hurry you are in, the best dietician in India says that the most important meal of the day i.e. breakfast should not be missed. A good, healthy breakfast will help in keeping you energetic all day.
  5. Dinner: Yes, the Lucknow dietician agrees that you might get exhausted and hungry after a long day’s work. And you might put any food in your mouth that comes in front of you just to fight hunger. But the best dietician in India says that it is important to stay mindful and pay attention to what you are eating for your dinner as well. Again, eat healthy and nutrient-packed food for your dinner.

Lucknow dietician says that working women should follow this diet plan for gaining the best of health.

1 person found this helpful

If somebody have ganth in her chest. What is the treatment she can take at home ?

M.S. Genral
General Surgeon, Pune
Dear, do you mean hard swelling? whats the duration? is it painful? and so many other details? before I could help your mother to give the needed treatment at home. Please enter this info to my lybrate account. I would love to resolve your mothers ganth at home -if it is feasible and possible with in scientific limits. Thnks. Wellcome.
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I'm planning to get married in few months but my vaginal opening is too small, we tried several time's to have intercourses but all efforts are failure. We are very disappointed. Kindly help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, You need to get yourself examined and you may be offered vaginal dilatation with vaginal dilators.
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Hi my age is 23. I am taking fertility treatment from last 4 months. My hsg FSH and lh another tests all are good. I don't have thyroid, But have vitamin d deficiency. Why I didn't get pregnancy. Can you please tell me the tips to get pregnancy early. Thank you.

MS
General Surgeon, Mumbai
Has your husband been investigated, examined. He may have varicocele. Varicocele is the common cause of pain, swelling and low sperm count. For varicocele cdvl tech gives best results.
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Sir , I and my wife performed intercourse on 23-06-2016 and it was unprotected and we missed to take i-pill and she consume i-pill on 17-07-2016 and she has missed her date as it was on 17-07-2016 and till now her date is not having n we don't want a 2nd child so early n I am tensed about it please doctor suggest me as soon as possible I request you.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Sir ,
I and my wife performed intercourse on 23-06-2016 and it was unprotected and we missed to take i-pill and she c...
Ipill needs to be taken within 24-48 hrs of un-protective intercourse. With ipill period shift is normal. Eat raw papaya.
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Dear Sir / madam, How to do sex without protection with wife? How to follow calendar method. Once we ejaculate inside the vagina the seven will be there for four days. I got this from article. So if I do in the 7 th day will she get pregnant.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Dear Sir / madam, How to do sex without protection with wife? How to follow calendar method. Once we ejaculate inside...
hello, if you have sex between day 8 to 18 of her 28 day cycle she cud get pregnant.. so avoid these days if you are not looking for pregnancy..!
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Hello Dr. Am 24 year old and my husband 35 old married about 2 years not getting pregnancy my husband semen analysis report normal and mine thyroid test, complete blood test, urine test, scanning report, and yesterday hsg test taken my Dr. Told me urs all reports normal Dr. Given folic acid tablet. But why not getting pregnancy please ans me give me any advice please worried about this. please ans me.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Kanpur
Hello Dr. Am   24 year old and my husband 35 old married about 2 years not getting pregnancy my husband semen analysi...
Hi If you have regular cycles it means you are probably ovulating normally. Your other two tests, husbands semen yes and your tube test (HSG) is normal. This qualifies you for what is known as unexplained infertility. Since you are young and the duration of infertility is only 2 years you have a very good chance of conceiving. Eat healthy excerciselike well and have regular sexual intercourse at least 3-4 times per week and especially during fertile days that is 10th ton18th day of your cycle (count starting day of your periods day 1). It might be a good idea to get a day 21 progesterone level tested in your blood to see if you are ovulating normally.
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