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Dr. Vijay Kumar C R

Gynaecologist, Bangalore

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Dr. Vijay Kumar C R Gynaecologist, Bangalore
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Vijay Kumar C R
Dr. Vijay Kumar C R is a trusted Gynaecologist in RT Nagar, Bangalore. You can visit him at Gyne Care in RT Nagar, Bangalore. Book an appointment online with Dr. Vijay Kumar C R on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 42 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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Chronic Pain - Can Underlying Disorders be the Reason Behind it?

MD, MBBS
Pain Management Specialist, Vadodara
Chronic Pain - Can Underlying Disorders be the Reason Behind it?

Persistence of pain even after full healing of an affected area after injury or ailment is known as chronic pain. Chronic pain can also occur due to an undiagnosed underlying condition within the body. Any form of pain which lasts for more than 6 months can be categorized as chronic pain. Chronic pain might be continuous or episodic, excruciating or mild, totally incapacitating or merely inconvenient.

Symptoms of Chronic Pain include:
1. Light to severe pain that keeps occurring from time to time and cannot be relieved easily.
2. Occurrence of pain that can be described as burning, shooting, aching or even, electrical.
3. Constant feelings of discomfort. This includes stiffness, tightness or soreness in the affected area.

Chronic pain usually does not occur alone and is often accompanied by other problems such as:
1. Lack of sleep
2. Fatigue
3. Weakened Immune System
4. Disability
5. Mood Swings that include depression, fear, hopelessness, anxiety, stress, irritability, etc.

Reasons behind it
There are a number of different factors that can cause chronic pain. Some of them are:

  1. Aging: Common conditions associated with normal aging can have an effect on joints and bones, giving rise to chronic pain.
  2. Incorrect treatment and improper healing: Bad diagnosis or incorrect medications or procedures may cause improper healing of injuries as well as damage to nerves leading to chronic pain.
  3. Underlying disorders or diseases: Diseases are also capable of causing chronic pain. Conditions like osteoarthritis, rheumatoid arthritis and fibromyalgia are some well-known diseases that cause chronic pain. However, persistent and chronic pain might occur due to sicknesses like multiple sclerosis, cancer, AIDS, stomach ulcers as well as gallbladder disease.

In most of the cases, the reasons behind chronic pain can be rather complex. Sometimes, even though the chronic pain begins with an illness or an injury, the ongoing pain is capable of developing into a psychological aspect even after the physical issues have been healed, thus making treatment tricky.

Treatment
Chronic pain is usually managed using a combination of physical therapy, medications and exercises, which helps in reducing the pain. Examples of pain relieving medications include ibuprofen and aspirin. Day-to-day activities can be performed only if this pain is adequately controlled. Additional techniques include:

  1. Radiofrequency Ablation (RFA): The target of this technique to address the nerves that are responsible for sending pain signals to the brain. This is achieved by placing the heated tip of a needle in a region which is extremely close to the nerve. The heat renders the nerve incapable of sending the pain signal.
  2. Pain Shots: This is used to deliver medications to the exact site of the pain. Nerve blockers are also used to block signals from reaching the brain.
  3. Alternative approach: These include acupuncture, massages and yoga along with other treatments from alternative medicine.
2567 people found this helpful

I got married since 10 months back, As my weight is increasing. Will that effect in getting pregnant? I wanna get pregnant as early as possible. Please suggest me something.

MSc
Dietitian/Nutritionist, Hyderabad
I got married since 10 months back, As my weight is increasing. Will that effect in getting pregnant? I wanna get pre...
Hi - incorporate more fruits, vegetables, and whole grains into your diet while eliminating unhealthy foods. - if you are working or studying away from home, try to pack healthy lunch and snacks for yourself to avoid eating unhealthy food daily. - don't eat straight from the packet - use a plate or bowl to control how much you eat. - don't delay or skip meals. - cut down your consumption of aerated drinks and sodas. - drink at least 8 glasses of water every day. Drink water after waking up and before sleeping. Being dehydrated may make you feel like you're hungry, so it is important to stay hydrated. - have homemade fruit and vegetable juices - eat 5-6 small healthy meals every 2-3 hours, every day, instead of having a few big ones. This regulates your blood sugar level and your metabolism. - don't skip breakfast, instead, make it rich with complex carbohydrates and proteins, so it can provide you with energy to get through the day. Try to include the following as your morning breakfast, oats porridge, eggs on multigrain toast or daliya with sprouts. - avoid artificial sweeteners in processed foods. - eat slowly as it takes about 20 minutes for your brain to register if you're full or not. Eating too fast leads to overeating, so chew slowly to digest your food better and control how much you eat. - use a smaller plate to control your portion sizes and avoid overeating. - know your cravings and do not snack when you're emotional. It is said that you crave crunchy and savory food when you're stressed, frustrated or lonely. Figure out what you crave and replace them with healthier alternatives. - do not eat mindlessly; concentrate on your food instead of watching tv or playing with your phone to avoid overeating.
1 person found this helpful
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It's my 6th month. And am expecting twins. But sometimes it happens that one baby responds and the other dont. 3-4 times i was taken to hospital thinking its a risk. Can you explain why ?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
What is the problem with response? Often in twin, there is difficulty to understand which baby is not moving
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I have an ovarian cyst. Is this a big problem? And is this the reason of weight gain?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Wt gain and PCOD is connected. 'Aartav Shuddhi' is the Ayurveda safe procedure to address it. It is non surgical, non toxic, simple. Success rate is high. Takes four months generally
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Hi, Is it safe to have sex without any safety measure after 19 or 20 days after first day of monthly periods?

MBBS
General Physician, Delhi
Hi, Is it safe to have sex without any safety measure after 19 or 20 days after first day of monthly periods?
Its always advisable to use barrier method before you have any sexual encounter, if you are not planning to conceive children.
1 person found this helpful
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Hello doctor. I am 23 years married girl. My menstrual cycle is normal of 30 days & bleeding for 4 days. My lmp was 12 june. Since last 6-7 days i'm getting cramping pain in my lower abdomen. What will be the reason?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hello doctor. I am 23 years married girl. My menstrual cycle is normal of 30 days & bleeding for 4 days. My lmp was 1...
You can lower abdomen crampy pain for bowel and urine related problems as well. Drink lots of fluids and have plain curd daily. See if it is of any help. In the event you miss your period this month please get a pregnancy test done.
1 person found this helpful
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Assuming my wife and I are both normal. Then what what are the possible reasons of not getting pregnant. Please suggest remedies. Please explain in some detail.

MBBS
General Physician, Chandigarh
Assuming my wife and I are both normal.
Then what what are the possible reasons of not getting pregnant.
Please sugge...
If you had regular intercourse and staying together for atleast one year and not conceiving then it is better to get both of you investigated for infertility to know the reason for not conceiving and then take appropriate recommendations and treatment for it.
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Dalchini

BAMS
Ayurveda, Zirakpur
Dalchini

Dalchini:

  • Dalchini is a wonderful herb for healthy heart and diabetes.
  • It maintain blood sugar levels within normal range and improves the pumping action of heart. Taking dalchini on daily basis can prevent you from high cholesterole level.
  • Take 1 pinch of powdered dalchini in a cup of boiling water and drink it daily. It is a wonderful herb for weight loss.
7 people found this helpful

I want to adopt a child and feed my breast without getting pregnant, is there any medicine or any process. please suggest.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
There is no process by which we can start milk production in woman without delivering a child. You will need to give formula milk to the adopted baby.
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I have been married for a years. My wife is elder than me by 3 years and she does have thyroid she is having thyronorm 88 tabs. We had relation from long time but she is not able to conceive. Is there a problem with her or should I go through any tests. I have to go through a fertility test for myself how much does it costs?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I have been married for a years. My wife is elder than me by 3 years and she does have thyroid she is having thyronor...
Hello, as told by you, your wife is 3 years elder ie she is 40 years now. The age is not very favorable for good fertility. However, both of you should get a detailed checkup done without wasting time. If cost is a factor, go to a government hospital for the purpose.
10 people found this helpful
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Hello, I had sex with my wife on June 18. She's period on June 1st . Till date she not get pain for periods. How to confirm she is carrying or not please help.

MBBS
General Physician, Chandigarh
Hello, I had sex with my wife on June 18. She's period on June 1st . Till date she not get pain for periods. How to c...
Use pregnancy test kit available with chemists by the name of preganews test her urine with that kit to confirm whether she is pregnant or not.
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I am 29 yrs old, married last year in march, i am having pcod problem, will I get any problem in conceiving, I want to conceive soon.

PDDM, MHA, MBBS
General Physician, Nashik
pcod decrease chances of conceiving... kindly start treatment and consult further.. Dr surbhi agrawal consultant physician and diabetologist
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I got married recently. While trying to have the very first intercourse with my husband, I got pain and the penis entered slightly inside vagina. Now I am very much afraid to have full insertion of penis inside my vaginas but I have become very much anxious to do so. Please suggest a comfortable method of continuing intercourse. Thanks and looking forward to hearing your suggestion.

MBBS
Sexologist, Panchkula
I got married recently. While trying to have the very first intercourse with my husband, I got pain and the penis ent...
You got pain while doing the first intercourse. Don't worry, I advice you to do foreplay of 15 to 20 minutes before going for sex. Use some lignocaine gel before sex. For better guidance, consult privately.
1 person found this helpful
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Acupuncture - Why Should You Use it to Combat Pain?

MD - Acupuncture, Ph.D Advance Course in Acupunctre
Acupuncturist, Chennai
Acupuncture - Why Should You Use it to Combat Pain?

Conventional medicine treats pain with the help of medications; by either blocking the transmission of pain signals in the body or by correcting the underlying problems caused by the pain in the first place. However, traditional and alternative forms of medicine such as acupuncture manage pain issues within the body through the means of redirecting disrupted energy flows. One of the very few forms of alternative treatments used in conjunction with conventional treatments, acupuncture is seen as a mercurial rise in popularity in the past few decades.

What is acupuncture?
Acupuncture dates back to ancient China, about 2500 years ago. It has been widely practiced there for a number of millennia, not only pain relief, but also for treating many ailments. Acupuncture isn’t just considered a form of therapy, but a holistic form of medicine. Acupuncture works on the principle of the flow of energy within the body, also known as ‘Qi’, in traditional Chinese medicine. Acupuncture strives to correct the disruptions in ‘Qi’ that may cause pain by manipulating over 2000 of the specific pressure points within the body with the help of specially created needles.

Where is acupuncture effective?
Acupuncture is very effective in treating a host of ailments, especially in relieving the associated pain. Some of the areas where acupuncture has proven its effectiveness are:
1. Treating nausea and vomiting caused due to chemotherapy treatment for cancer patients
2.  Very useful in treating post-operative pain caused due to dental procedures
3.  Rehabilitating patients who have suffered strokes
4.  Fibromyalgia (musculo-skeletal pain with fatigue accompanied by sleep and memory issues) 
5.  Effective in combating withdrawal symptoms caused due to addiction
6.  Pain from menstrual cramps
7.  Tennis elbow
8.  Osteoarthritis (a type of arthritis caused due to the erosion of tissues present at the ends of one’s bones)
9.  Pain of the lower vertebrae within the spinal column
10. Asthma

How does acupuncture work within the body?
According to modern medicine, the specific pressure points utilized by acupuncture within the body help in releasing chemicals that can block or at least reduce pain. It encourages the flow of chemicals from the brain, which act as nerve and pain blockers. It also helps stimulate the muscles and nerve endings, which can lessen inflammation and thus help in reducing pain. If you wish to discuss about any specific problem, you can consult an acupuncturist.

3512 people found this helpful

I am diabetic and i am 20 years old. Married 2 years ago. Is there any complication to get pregnancy my sugar level 250.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am diabetic and i am 20 years old. Married 2 years ago. Is there any complication to get pregnancy my sugar level 250.
Please do not get pregnant when your blood sugar levels are uncontrolled. It's always best to first control them, get pregnant & continue to keep them controlled throughout pregnancy. This way, you will decrease the risks to both you & your baby.
1 person found this helpful
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Virya Badhane Ke Gharelu Upay Hindi Me - वीर्य बढ़ाने के घरेलू उपाय

B.Sc - Dietitics / Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Virya Badhane Ke Gharelu Upay Hindi Me - वीर्य बढ़ाने के घरेलू उपाय

कम शुक्राणु की संख्या पुरुष की एक सामान्य समस्या है और गर्भाधान में कठिनाई का कारण बनती है। कम शुक्राणु की संख्या एक अवस्था है जिसे ओलिगोस्पर्मिया कहा जाता है। यह ऐसी स्थिति है जिसमें शुक्राणु की मात्रा 15 मिलियन शुक्राणु प्रति एम.एल से कम हो जाती है। यदि वीर्य के नमूने में कोई शुक्राणु नहीं हैं, तो स्थिति को एजोस्पर्मिया कहा जाता है। 
अपर्याप्त शुक्राणु उत्पादन और गुणवत्ता पुरुष बांझपन के लिए सबसे आम कारणों में से एक है। लगभग 15 प्रतिशत जोड़ों ने गर्भाधान समस्याओं का अनुभव किया है, और यह प्रतिशत बढ़ रहा है। 
कम शुक्राणु का कारण क्या है?
कभी-कभी एक आंतरिक कारक, जैसे कि वैरिकोसेले, शुक्राणुओं की संख्या कम कर सकता है। लेकिन धूम्रपान, नशीली दवाओं के उपयोग, खराब भोजन और व्यायाम की कमी जैसे कई बाहरी कारक हैं जो शुक्राणुओं की संख्या को कम कर सकते हैं। कुछ बाहरी कारक जो आपके शुक्राणुओं को प्रभावित कर सकते हैं:
- सामान्य शुक्राणु उत्पादन पर गर्मी का एक हानिकारक प्रभाव हो सकता है। सौना या गर्म टब के लगातार उपयोग, लंबे घंटों तक बैठना, टाइट अंडरवियर, मोटापा आदि अंडकोष के तापमान को बढ़ा सकते हैं।
- अत्यधिक धूम्रपान और शराब पीने से भी शुक्राणुओं की संख्या कम हो सकती है।
- हार्मोन संतुलन पर तनाव का एक बड़ा प्रभाव हो सकता है जो बदले में शुक्राणु उत्पादन को प्रभावित कर सकता है।
- अत्यधिक संसाधित सोया खाद्य पदार्थ (सोया दूध, सोया बर्गर, आदि) में आइसोफ्लावान्स की केंद्रित मात्रा होती है, टेस्टोस्टेरोन के लिए आवश्यक एस्ट्रोजेन रिसेप्टर साइटों को ब्लॉक करने वाला एक फाईटोस्ट्रोजन।
- यहां तक कि विद्युतचुंबकीय आवृत्तियों और रेडियो आवृत्ति तरंगों से शुक्राणुओं की संख्या में कमी आ सकती है
शुक्राणुओं की संख्या बढ़ाने के लिए घरेलू उपचार
विभिन्न प्राकृतिक उपचार और अन्य युक्तियां आपके शुक्राणुओं की संख्या बढ़ाने और शुक्राणु की गुणवत्ता में सुधार करने में सहायता कर सकती हैं।
1. माका रूट:
काला किस्म का माका मूल शुक्राणु उत्पादन और गतिशीलता को बेहतर बनाने में मदद कर सकता है। माका की नियमित खपत से कामेच्छा, मौखिक मात्रा और स्खलन प्रति शुक्राणुओं की संख्या में वृद्धि, और शुक्राणु गतिशीलता में सुधार देखा गया है। कुछ महीने तक इस जड़ी बूटी के 1 से 3 चम्मच दिन में दो बार लें।
2. अश्वगंधा:
अश्वगंधा जड़ अर्क शुक्राणुओं की संख्या, वीर्य की मात्रा और शुक्राणु गतिशीलता को काफी बढ़ा सकते हैं। अश्वगंधा संपूर्ण हार्मोनल संतुलन के लिए अंतःस्रावी प्रणाली का समर्थन करता है। यह आपके समग्र स्वास्थ्य में सुधार लाता है, जीवन शक्ति को बढ़ाता है और तनाव और चिंता को कम करता है। गर्म दूध के गिलास में अश्वगंधा पाउडर का आधा चम्मच मिलाएं। कुछ महीनों के लिए इसे दिन में दो बार पिएं।
3. लहसुन:
लहसुन एक प्राकृतिक कामोद्दीपक के रूप में कार्य करता है और शुक्राणु उत्पादन बढ़ाता है। इसमें एलिसिन नामक यौगिक शामिल है, जिससे शुक्राणुओं की धीरज को बढ़ाया जाता है और रक्त परिसंचरण में भी सुधार होता है। इसके अलावा, लहसुन में खनिज सेलेनियम शुक्राणु गतिशीलता को बेहतर बनाने में मदद करता है। बस अपने दैनिक आहार में 1 या 2 लहसुन के टुकड़े शामिल करें।
4. ट्रायबुलस:
ट्रायबुलस टेरेस्ट्रिस शुक्राणु स्वास्थ्य के लिए एक आयुर्वेदिक उपाय है। यह सेक्स हार्मोन उत्पादन को सहायता करने, पुरुषों में ल्यूटिनकारी हार्मोन (एल.एच), डी.एच.ई.ए और टेस्टोस्टेरोन का उत्पादन बढ़ाने में प्रभावी है। इसके उपयोग के बारे मे अपने चिकित्सक से सलाह लें।
5. व्यायाम:
नियमित व्यायाम और एक स्वस्थ आहार सामान्य स्तर पर शरीर के वजन को बनाए रख कर और तनाव और चिंता से राहत दे कर, प्रजनन क्षमता को बढ़ाता है। लेकिन ध्यान रखें कि अत्यधिक मात्रा में व्यायाम (जैसे मैराथन और संबंधित प्रशिक्षण) बांझपन का कारण हो सकता है क्योंकि यह महिलाओं में रजोरोध (माहवारी का अभाव) और पुरुषों में कम शुक्राणुओं की संख्या को जन्म दे सकता है। 
6. एक स्वस्थ आहार योजना को अपनाना:
यौन स्वास्थ्य में सुधार के लिए उचित आहार आवश्यक है। भरपूर ताजे फल, सब्जियां, साबुत अनाज और फलियां लेने से उर्वरता को बढ़ाने में मदद मिल सकती है। परिष्कृत कार्बोहाइड्रेट, कॉफी, चाय, और कृत्रिम योजक के साथ खाद्य पदार्थ आदि से बचने की भी कोशिश करें। 
7. तंग अंडरवियर पहनना बंद करें:
जैसा कि पहले उल्लेख किया गया है, तंग अंडरगैरमेंट जो आपके शरीर के करीब अंडकोष को पकड़ते हैं, वह उनका तापमान बढ़ा सकते हैं और शुक्राणुओं की संख्या और गुणवत्ता को प्रभावित कर सकते हैं। 

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Can Being Overweight Cause Infertility

MBBS, PGDUS, Fellowship In Aesthetic Medicine, Advance Course In Diabetes - USA, MD - Medicine
Aesthetic Medicine Specialist, Delhi
Can Being Overweight Cause Infertility

Being overweight can be as problematic as being underweight. Both the situations can have an effect on the infertility in a woman. Usually, the body stores the sex hormones in the fat layers. That is why, if a person is underweight, she can have infertility issues, as there is not enough storage space for the hormones. In the same way if a person is overweight, then there is an excess of fat tissues and the amount of the hormone estrogen released is usually more than that the body can handle. This leads to a disruption of the chemicals and proteins, leading to adverse reactions and infertility.

Common Weight Related Infertility Reasons

Being overweight is somewhat linked with the Polycystic Ovary Syndrome (PCOS) and an increase in estrogen hormone. Also, there is a greater chance of a luteal phase defect. Let us see how these can affect a woman:

  1. Estrogen: This hormone is produced by the fat cells, and if there is too much of estrogen production, then the body reacts to it in a similar manner when birth control pills are taken. Ovulation may or may not occur, and if it does, it might be inadequate. And the inadequate ovulation leads to luteal phase defect.
  2. Polycystic Ovary Syndrome (PCOS): This is basically an endocrine disorder with a combination of many symptoms. Symptoms are pain, irregular cycles, ovulatory pain, ovarian cysts, excessive body hair and heavy menstrual bleeding. Diagnosis for PCOS helps in determining the treatment for weight loss.
  3. Luteal Phase Defect: The luteal phase refers to the phase between the ovulation and the menses. The ideal time period for this phase is 14 days. LPD is generally caused by improper ovulation, and thus improving the quality of the follicles is necessary to correct the situation.

How Does Being Overweight Affect Conception Rate

As per a study which was published in the British Medical Journal, if women are too lean or too obese, they can have difficulty in conceiving and that fat distribution has an effect on the body. Women who have a large waist-hip ratio have difficulty in conceiving, and apple shaped women also face the same trouble. Usually, women who have PCOS have an apple shaped body.

Risk of Miscarriage Due To Being Overweight

Women suffering from PCOS and obesity have more chances of miscarriage as compared to others. The reason is that women with PCOS have increased LH, which tends to affect the pregnancy. However, it is noticed that even if excess fat does not play any role in pregnancy, women with PCOS have excess weight which creates high risk as compared to the others.

Finding Help for Overweight Issues is a Good Idea

Seeking help if you are overweight is always advisable. Consulting a good gynecologist can help along with weight management and fertility treatment. You shouldn't have any hesitations, and all the questions should be asked freely so as to get a holistic idea of the treatment. The doctor might suggest some tests and also conduct a physical examination of the lymph nodes and the abdomen, to check the ovaries and the uterus. Post physical examination, an internal examination of the cervix to check for infections is done, and if need be, a pap smear might be collected and sent to the lab for culture. At times, a trans-vaginal or an abdominal ultrasound might also be done to rule out the possibilities of abnormalities or others cysts. Tests to check the levels of hormones are also done.

It is always a wise decision to know how being overweight can impact the chances of becoming pregnant. Working towards losing weight and getting it under healthy BMI levels, can lead to the restoration of the hormones and in turn make you healthier.

3026 people found this helpful

Sir m 22 year old girl. I have thyroid problem last two year as well as period problem. And I want gain weight so what should I do.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Sir m 22 year old girl. I have thyroid problem last two year as well as period problem. And I want gain weight so wha...
As your weight is 34 kg, then your bmi is 17 which is way below limit of normal range of 18-25. This is called as anorexia nervosa and in this case your hormones are not secreted in enough amount to bring menses in good quantity. You can take syrup aristozyme 1 tsf 1 hour before each meal to increase hunger and thereby weight and will solve many of your hormonal issues.
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