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Dr Nanda Kumar's Clinic

Gynaecologist Clinic

No 5, Chruch Street, Madipakkam,Landmark:Kanniamman Koil, Chennai Chennai
1 Doctor · ₹200
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Dr Nanda Kumar's Clinic Gynaecologist Clinic No 5, Chruch Street, Madipakkam,Landmark:Kanniamman Koil, Chennai Chennai
1 Doctor · ₹200
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Dr Nanda Kumar's Clinic
Dr Nanda Kumar's Clinic is known for housing experienced Gynaecologists. Dr. Sankitha Nanda Kumar, a well-reputed Gynaecologist, practices in Chennai. Visit this medical health centre for Gynaecologists recommended by 81 patients.

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MON-SAT
06:00 PM - 09:00 PM

Location

No 5, Chruch Street, Madipakkam,Landmark:Kanniamman Koil, Chennai
Madipakkam Chennai, Tamil Nadu
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Lemon (Neembu) - Reasons Why You Should Use it in Your Diet?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Fazilka
Lemon (Neembu) - Reasons Why You Should Use it in Your Diet?

A lime may be one of the smallest things when you go shopping for fruits and vegetable shopping, but it is one of the richest. The health benefits that a lime carries are just too many, and it packs in too much of goodness. While the vitamin C is what immediately comes to our mind, there is more to it. Read on to know some of the most common benefits of the small, powerful lemon.

  1. A powerhouse of essential vitamins and minerals: A lime is a source of various vitamins and minerals, including potassium which is essential for heart health, good nerve function, and maintaining blood pressure levels. It also reduces cancer as it contains antioxidants and bioflavonoids.
  2. Fights infection: We all know lime to be very good at fighting cold and cough. Not just that. It even is useful in more severe infections like cholera and E.coli infections. As cholera is transmitted by food, adding lime to foods helps prevent this transmission.
  3. Heart healthy: Lime is rich in antioxidants which keep the arteries healthy and improve blood circulation. They also reduce the buildup of plaque in the walls of the arteries. This also reduces hardening of the arteries, reduces the onset of blood pressure, and improves overall heart health. Including lime peel and lime oil in the diet can provide these benefits.
  4. Drink to your health: Starting the morning with a glass of lime juice (with some honey added to taste) can be the best way to start the day. It provides energy and boosts you to begin the day like nothing else can.
  5. Glowing skin and hair: After squeezing out the juice from the lime, rub the lime onto your face and see the skin glowing. If that sounds not feasible, apply lime oil to your face to keep the skin elastic and youthful. Applying lime to the hair is a natural way to keep the hair shiny and black.
  6. Moving the joints: Uric acid can accumulate in the joints and cause bone pain and discomfort. Citric acid from the lime ensures this uric acid accumulation is reduced, thereby reducing gout and inflammation.
  7. Weight loss: The citric acid is an excellent fat burner, and drinking two glasses of warm lime water per day can show obvious results in a week’s time.
  8. Add fragrance to your food: Lemon oil which is made from the peel can be used as a good flavouring agent to many dishes including curries and pickles. While the tanginess is not considerable like using a full lime, it still gives the fragrance and flavour of a lime.

With these benefits, the next time you go vegetable shopping, don’t forget to throw in a couple of lemons.

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Modes of Treatment for a Dry Vagina

M.D.MEDICINE , Diploma in Diabetology
Sexologist, Jaipur
Modes of Treatment for a Dry Vagina

What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.

Treatment: The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).

Usually, women mostly use one of the three types of vaginal oestrogen listed below:

  1. Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.
  2. Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.
  3. Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.

Side effects and aftercare: Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.

1 person found this helpful

Intercourse and Vaginal Bleeding - When is it Serious?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Intercourse and Vaginal Bleeding - When is it Serious?

One of the common complaints associated with sexual intercourse, is vaginal bleeding. This bleeding can occur during the course of intimacy or after it. Post intercourse bleeding is also termed as post-coitus bleeding. This is known as post costal bleeding. Doctor should be consulted immediately as it may be a sign of hidden cervical cancer.

Reasons behind vaginal bleeding
1. In most cases, the bleeding is risk free. It could be due to extreme friction, causing damage to superficial blood vessels in the cervix. It is important to use adequate lubrication; otherwise the consequences could be annoyingly painful.
2. If your period dates are nearby, the source of the blood could be from your uterus.
3. Benign growths, cysts, polyps on the cervix can cause bleeding. They are small fragile growths that rupture easily.
4. There can also be bleeding due to inflammations that occur as a reaction to a condom or a diaphragm.

When can vaginal bleeding be difficult?

  1. Vaginal bleeding after sex can often be a warning sign of ectopic pregnancy. Ectopic pregnancy is when implantation of an embryo takes place outside the uterus, commonly inside the fallopian tubes.
  2. Bleeding every time after intercourse is also a common symptom of endometriosis. It occurs when the inner lining of the uterus, called the endometrial tissue, appears outside it. Endometrial tissue can attach itself to other surrounding organs in the pelvic region, generally, the abdomen, causing searing pain. It is also a major cause of infertility.
  3. Another cause of vaginal bleeding is atrophic vaginitis, a health condition mostly affecting older women, especially those who have reached menopausal age. This is due to the massive decline in the levels of estrogen that causes vaginal dryness and irritation.
  4. Sexually transmitted diseases could be a serious cause of vaginal bleeding. It is generally accompanied by several other symptoms such as vaginal odour, discharge, pelvic pain, inflammations. It should receive immediate medical attention.
  5. Vaginal bleeding could be a sign of cancer. It could be vaginal, ovarian, uterine or cervical cancer. It requires medical attention without any delay.

Most of the time, the reasons for post coitus bleeding is harmless. However, if it persists, you must pay a visit to your gynaecologist as soon as possible and get a thorough evaluation done. This could save the condition from worsening and also diagnose any other underlying medical condition at an early, curable stage. 

3 people found this helpful

Irregular Menses

BHMS
Homeopath, Lucknow
Irregular Menses

Most women have started menstrual periods in 11 to 13 years of age, that is called as" menarche. That time period may be irregular because of menarche or hormonal imbalance, menstrual periods also may be irregular at the other end of the menstrual years that is called as" menopause"

 

Causes of irregular period:

1- Excessive weight loss or gain, obesity is also a very common cause of irregular period

2- Emotional stress

3- Illness

4- Travel

5- Medicines such as birth control methods, which may cause lighter, less frequent, more frequent, or skipped periods or no periods at all

6- Hormone problems. This may cause a change in the levels of the hormones that the body needs to support menstruation

7- Problems with the pelvic organs, such as imperforate hymen, polycystic ovary syndrome

8- Breastfeeding

9- Hypo or hyperthyroidism

10- Improper diet

 

Treatment for this:

1- Relax after work and make time to de-stress. Try yoga, a hot bath or reading a book

2- Take proper diet

3- The warming properties of turmeric improve the hormonal imbalance and regulate the menstruation cycle, its anti-inflammatory and antispasmodic properties reduce the cramping. Take a ¼ teaspoon of turmeric powder and add it to the lukewarm milk, take it every day.

4- Carrots are the good source of iron and regulate proper functioning of the hormone, drink carrot juice in daily basis.

1 person found this helpful

Homoeopathy for All

BHMS, MD - Homoeopathy
Homeopath, Lucknow
Homoeopathy for All

Suppressing your disease problems with large, harmful and raw chemical doses or external creams causes them to reappear them with more intensity, or can lead to several other problems involving internal organs like respiratory, digestive or cardiovascular.
 

These chemical drugs are not only causes several side-effects, but also, do not cure the problem from internal root, and just make them to suppress, which causes greater problems later.
 

Homoeopathy offers you side-effect free treatment and permanent cure to many diseases, which are thought to be untreatable or only manageable by taking life-long medication.

 

In homoeopathic mode of treatment medicines are not chosen just according to your disease only, but whole physical and mental constitution (make-up) is considered, and this type of selection causes permanent cure of the disease and the doses are so minute that there is no any side-effect, even to pregnant ladies.
 

Moreover, this type of treatment removes disease from its root instead of suppressing it.

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Why placenta previa occurred and why breech presentation occurs in first pregnancy? And why low laying placenta presentation in pregnancy and how to avoid these conditions?

MBBS, MD - Obstetrics & Gynaecology , Diploma in General Nutrition
Gynaecologist, Delhi
Why placenta previa occurred and why breech presentation occurs in first pregnancy? And why low laying placenta prese...
Low lying placenta is a mechanical defect. Cannot avoid it. Matter of chance. Breech can be due to low lying placenta or misfit between baby and pelvis.
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My wife is having dry hymen. Tried sex many times, but couldn't break into her hole. She is experiencing a lot of pain. What should I do?

MBBS, DGO, MRSH, DGO,
Gynaecologist, Gurgaon
Vaginismus or rigid hymen sometimes is difficult to break, it can also be due to less lubrication .dryness which makes it further difficult. You can get the hymen ruptured by a minor surgery under local or general anaesthesia and see for the desired results, or use some lubricant cream or moisturiser to try break open the hymen, we will be able to assist you for the first option
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This month I get my periods bt just 2 ,3 drops in six hours. what's could be the reason.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
This month I get my periods bt just 2 ,3 drops in six hours. what's could be the reason.
Hello lybrate-user you should go for thyroid profile test n HB it will help to rule out the cause. You should take healthy diet n iron supplements. U can also opt for menstrual disorders package for treatment if something comes in test. U can ask for further assistance.
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Every time my date use to come 6 days early n I use to get so much pain in stomach n full body and my urine is to pass less in periods time but this time it's came 2 days before and I'm not getting any pain in body n stomach. Why like this? And 6 month back same thing happened to me and after a period I came to know that I was pregnant n it's got miscarriage. Can I do pregnancy test or no.

DHMS (Hons.)
Homeopath, Patna
Every time my date use to come 6 days early n I use to get so much pain in stomach n full body and my urine is to pas...
Hello, Lybrate user, of course, you should go for home pregnancy test. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 30-6 pills, thrice. @ Sepia200 -6 pills at bed time. * Ensure, sound sleep in d night for at least 7 hrs. • Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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I have masturbated my partner and during that time he touches my vagina .does it cause pregnancy.

MBBS, DGO, MRSH, DGO,
Gynaecologist, Gurgaon
No, masturbation does not cause pregnancy, but it can excite you to indulge in sexual activity like intercourse which in turn can lead to pregnancy.
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My wife is 24 years old and 9 weeks pregnant. When we can resume sexual intercourse?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
My wife is 24 years old and 9 weeks pregnant. When we can resume sexual intercourse?
We usually advise the couple for abstinence for first 3 months in pregnancy as it increases the chances of abortion. After 3 months, you can ask your gynaecologist and if your ultrasound report shows that the placental/ chorionic plate position is ok, then you can have sexual intercourse.
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Interstitial Cystitis - How Ayurveda Can Treat it?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Bhavnagar
Interstitial Cystitis - How Ayurveda Can Treat it?

Interstitial Cystitis is also known as painful bladder syndrome. It is characterized by the inflammation of the bladder wall. It is the chronic inflammation of the bladder. The exact cause has not been identified yet, though some believe that it might be due to the defect in the bladder lining or an autoimmune disorder. Interstitial cystitis is believed to resemble a bacterial infection, but the short term antibiotics have been found to be of no or less use.
The symptoms of interstitial cystitis are:

  1. Frequency of urination during the day and night
  2. Urgency of urinating
  3. Pain associated with urinating or pain in the abdomen, vaginal and urethral area

Ayurvedic Treatment for Interstitial Cystitis

  1. Chanderprabha Vati: This is a blend of 23 natural ingredients. This herbal remedy is useful in patients who are suffering from excess urination problem. This formulation has properties, which are helpful in the urine retention and reduce the inflammation in the pelvic areas. Dosage of this is two tablets twice a day with lukewarm water.
  2. Chandanadhi Vati: This consist natual ingredients like Shweta chandana (Santalum album), Maricha (Piper cubeba), Gandha biroja satva (Pinus longifolia sap), Kattha (Acacia catechu), Amalaki (Emblica officinalis), Rala (Vateria indica extract), Karpura (Cinnamomum camphora), Chandana taila (Sandal wood oil) and Daruharidra (Berberis aristata). The product helps to resolve interstitial cystitis by controlling urination, reduces inflammation and burning sensation. Two tablets twice a day with lukewarm water are taken.
  3. Punarnava Mandur: This is a pack of the herbal remedies and has quite satisfactory results in the patients. This balances the vata and pitta, the major dosha and causes of interstitial cystitis. Two tablets twice a day with lukewarm water is the ideal dosage.
  4. Varunadi Vati: This is a blend of natural products like Varun (Crataeva nurvala), Punarnava (Boerhavia diffusa), Gokshur (Tribulus terrestris) and Shuddha guggulu (Comniphera mukul). The ingredients have the property to treat the symptoms of interstitial cystitis. This is helpful in urine retention and reducing inflammation. Dosage of this is two tablets twice a day with lukewarm water.
  5. Boswellia Curcumin: This is prepared by the extracts of Shallaki (Boswellia serrata) and Curcumin (Curcuma longa). This herbal product has anti-inflammatory properties and provides relief from inflammation in the pelvic area and other symptoms associated of interstitial cystitis. The dosage of this herbal product is one capsule twice a day with plain water. Also, if had after meals then it is very effective.
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Vaginal Rashes - What Do They Indicate?

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Vaginal Rashes - What Do They Indicate?

What is a vaginal rash?

Although vaginal rashes can be identified with non infectious conditions, for example, hypersensitive responses and contact dermatitis, many are because of sexually transmitted diseases. The zone around the vagina might be blushed with sores or blisters or it might hold its typical shading yet have bumps. Different side effects, for example, discharge, burning sensation during urination, pain or tingling, may likewise happen.

Not all sexually transmitted diseases cause vaginal rashes; the ones that most regularly do are syphilis, genital herpes and human papillomavirus (HPV). Genital herpes normally causes groups of excruciating red blisters that might be irritated. Syphilis might be connected with a lone, painless, red sore on the vulva that might be followed by a rash on the hands and feet. Genital warts may develop as an after effect of HPV disease.

What is it caused by?

It can happen as a result of rubbing against the skin, like from uncomfortable underwear or rough sanitary napkins. These are not harmful and non-contagious. Also, these are usually minor and get cured with home remedies.

  1. Contact Dermatitis: This can be caused when you come in contact with a substance that can cause irritation or an allergy. This is called contact dermatitis. It can be very itchy, but it is not serious very often.

  2. Pubic lice: These are caused by tiny parasites, such as insects that survive by sucking on blood from humans.

  3. Candidiasis (yeast infections): This can cause rashes in the moist folds of the vaginal skin.

  4. Scabies: It is a skin condition, which can get very itchy and is caused due to little mites digging into your skin.

  5. Psoriasis: These are characterised by little red or wine red coloured bumps with silvery scaly skin on top of that. It is commonly found on the knees, elbow or scalp, but it can occur on any part of the body.

2 people found this helpful

Top Ways To Treat Overactive Bladder Post-Pregnancy

DNB (Urology), MS, MBBS
Urologist, Delhi
Top Ways To Treat Overactive Bladder Post-Pregnancy

There are certain changes that are noticed in the body post-pregnancy. One such change that might affect you is an overactive bladder. Usually, depending on the amount of liquid that goes into the body, an individual urinates eight to ten times a day. But post-pregnancy this statistic might increase to around ten to twelve times a day. While urinating helps the body to get rid of excessive body wastes, extreme urinating would also get rid of the necessary minerals and liquid that the body requires for its proper functioning. However, overactive bladders are quite common in women who have delivered and can be treated smoothly. Here are some of the top ways in which you can treat your overactive bladder post your pregnancy:

  1. Losing Weight: A woman gains a lot of weight post pregnancy. This weight needs to be reduced through simple exercises and a proper balanced diet. Reduction of the post pregnancy weight helps in controlling the overactive bladder to a certain extent.

  2. Avoiding Alcohol, Spicy and Acidic Food: Alcohol, spicy and acidic food actually creates havoc in the excretory system. Their compounds are such that these enable the body to get rid of water and necessary elements from the body. In fact, the power of urine itself is reduced, making discharging urine with high water content. This would make you more thirsty resulting in over-urinating at times. Similar conditions arise in the body when you consume coffee which contains caffeine and chocolate. Although, having a little bit of chocolate now and then does not really affect the system to quite an extent.

  3. Exercises: Each exercise is carefully tuned to help a particular part of the body. For reducing the over activeness of your bladder, pelvic exercises are the best that you can carry out even for thirty minutes a day. Exercises would help you to remain active, shed the excess weight as well as manage your urination.

  4. Avoid Smoking: Out of the many health hazards that arise out of smoking, one of them is the extreme urge to urinate often after pregnancy. Thus, to avoid over urination it is advised to refrain from smoking for some time.

Thus, these are some of the easiest ways to control the situation. In case you are embarrassed to go out in the public like this, you can always use incontinence pads. However, if the problem persists even after trying out all the said methods, then it would be in your best interest to take expert advice from the doctors.

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Know How to Prevent Blood Clots in Legs!

M. Ch. (Orthopedic), MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Gurgaon
Know How to Prevent Blood Clots in Legs!

A blood clot in the leg is termed as Deep Vein Thrombosis or DVT. This blood clot can be fatal, because it usually blocks the passage of blood to the heart by damaging the one way valves of the veins. This can also reach other organs like the lungs, in which situation the case becomes complicated and may also lead to death. There are various ways of preventing the onset of these clots. Follow these points to know more.

  1. Blood thinners: Prolonged hospital stay and a major surgery like joint replacement can lead to blood clots in the legs or DVT. Therefore, it is imperative to ask your doctor about a prescription for blood thinners, which can help in better blood flow despite minimal motion in the legs or stiffness. 
  2. Compressions stockings: If you have been in the hospital for a prolonged period or suffering from leg paralysis, then the risk of blood clots is greater than most others. You can make use of compression stockings, which will help in preventing clots by holding the area tight so that the blood is forced to pump and flow. These should be used every time you are admitted to the hospital. 
  3. Exercise: It is important to keep moving in case you are travelling in a long flight that is over four hours long. Also, you can try certain mild exercises, in case you have a long standing condition of pain or cramping in the leg muscles and joints. From simple toe flexes to muscle strengthening exercises like the heel or towel hook, you can ensure that the tightening action makes your muscle firm so that the blood clots do not have a chance to form. You may also need to lose weight in case you are overweight so that you can alleviate the risk of these clots.
  4. Water: Staying hydrated is something that we all need to follow in any case, but it is especially important if you are risk of developing blood clots in the legs. Drinking plenty of fluids is a natural way of thinning the blood, especially if you have been in bed or travelling for prolonged periods. 
  5. Loose fitting clothing: You may want to wear loose fitting clothing when you are travelling or in the hospital so that you do not end up unnecessarily compressing an area in a way that will be detrimental for the blood flow there. Wearing loose clothing ensures that the blood flow carries on as per its normal routine without any blockages.

It is important to remember the above points so that you keep blood clots in the legs at bay.

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I have cramping like pain in my pelvic vagina and thigh but my period ends. What should i do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kottayam
I have cramping like pain in my pelvic vagina and thigh but my period ends. What should i do?
drink barley water at lease 1.5 litre daily for two days if still pain exist go for ultrasound pelvis
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Menopause - How It Affects Your Body?

MBBS, DGO, MD - Obstetrics & Gynaecology
Gynaecologist, Mumbai
Menopause - How It Affects Your Body?

Menopause is characterized as the absence of menstrual periods for 12 months. It is the time in a woman’s life when the ovaries stop functioning. The periods then stop forever. The normal period of menopause is 51 years of age, however, menopause may happen as ahead of schedule i.e. as early as 30s or as late as the 60s. There is no solid lab test to determine when a lady will encounter menopause. Here are a few ways in which menopause affects a woman’s body:

  1. Skin: Consequences of menopause include dryness, loss of flexibility, thinning of the skin and expanded wrinkling. These symptoms result in poor recovery from injuries, hair loss and pigmentary changes. Unwanted hair growth and acne may likewise happen. Wrinkling is caused by excessive smoking and sun exposure. One should stay away from smoking and sun exposure.
  2. Hair: Hormonal changes incorporate hirsutism (undesirable facial hair) or alopecia. Most ordinarily noted is the loss of scalp hair. Lower leg, pubic and axillary hair loss may also take place. Hirsutism is commonly noted on the face. Oral Hormone Replacement Therapy (HRT) may control facial hair in a few ladies. Medicines for expanded facial hair incorporate suing depilatory creams, delicate techniques for hair removal, laser treatment andante-testosterone medicines. Scalp alopecia might be treated with minoxidil.
  3. Teeth: Menopause has been a cause for various dental/oral issues, including dry mouth and desquamative gingivitis. IHRT might be of advantage as a consequence of the part it plays in influencing oral bone and preventing the loss of teeth. The impacts of HRT seem to incorporate a reduction in bleeding and enhancing the flow of saliva.
  4. Vulva and vagina: The genital tract is exceptionally dependent on estrogen and body changes during the menopausal time and post-menopause may incorporate vaginal and vulvar dryness. Vulval dryness may worsen other vulval skin conditions (e.g. dermatitis) bringing about aggravation. Staying away from cleansers and body washes on the vulva can dial down the aggravation and dryness. Contrasting options to cleanser incorporate sorbolene with glycerine or low-aggravation purifying balms and lotions.
  5. Bladder: Urinary frequency and cystitis are very common around the time of menopause. Local estrogen creams may enhance incontinence in the short term, however, don't seem to do as such after treatment is stopped. Treatment for incontinence includes physiotherapy and even surgery.
  6. Joints and muscles: Joint and muscle pain are regular symptoms during menopause. Exercise is vital to get rid of these side effects. Joint and muscle pain may improve with the utilization of HRT.
  7. Weight changes: Between ages 45 and 55, ladies will gain a large portion of a kilo a year. This weight gain cannot be blamed on menopause entirely. The changes in hormonal status are connected with expanded body and stomach fat. This weight addition is connected with increased cardiovascular and metabolic hazard and changes in quality of life and sexual functioning.
  8. Lifestyle measures: Your diet and eating routine need to be established to keep up a solid body weight and to have a healthy lifestyle.
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Pregnancy - 5 Things You Must Ensure!

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Noida
Pregnancy - 5 Things You Must Ensure!

So you have just found out that you are pregnant and you and your partner are over the moon about it! While congratulations are in order, so are a host of tips which will help you settle into the pregnancy. It is important to remember that the first trimester of your pregnancy is a crucial phase where you may not change that much physically, but will be prone to many emotional changes. It is also a phase where you will make way for the changes that will inevitably come in the next two trimesters and for a long time after delivery of the baby too.

Read on to unravel our first trimester guide.

  1. Pregnancy Test: You must ensure that you know you are pregnant by monitoring your menstrual cycles closely so that even one missed period points at the possibility of pregnancy. This test can be a home based kit available at the chemists' or can even be conducted with a lab test based on a urine sample. Despite the results that you may get on a home pregnancy test, it is best to get a professional opinion as well.
  2. Finding the Right Doctor: In this phase of your pregnancy itself, it is imperative to home in on a gynaecologist who will put you ease. Take care to pick someone who may be recommended by family and friends. Have a talk with the doctor a few times to see how well he or she engages you as a patient and if you are suitably convinced with the sessions and appointments.
  3. Activity: While heavy activities may not be recommended by all doctors as the foetus needs to latch on, one can indulge in plenty of walks and a normal routine as well. Ensure that your pregnancy is a normal one and ask your doctor about any precautions that you may need to take with the progressing trimesters. Also, find ways to deal with any morning sickness with the help of the doctor. 
  4. Supplements: In this crucial phase, ensure that your doctor gives you plenty of folic acid supplements that you must ingest on a regular basis. This will keep any risk of neural tube birth defects at bay. 
  5. Other Medication: Find out more about over the counter drugs or any medication that you may have been taking as this may have to be stopped or adjusted for the pregnancy. The doctor should be able to guide you on this aspect too.

The other activities during the first trimester include taking pre natal appointments and choosing and interacting with your caregiver who will also be a support after you have had the baby.

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Kegel Exercises - How Beneficial They are in Pregnancy?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Kegel Exercises - How Beneficial They are in Pregnancy?

Kegel is named after renowned gynaecologist Arnold Kegel. Kegel exercises are for the strengthening the pelvic floor muscles. You must continue doing Kegel exercises multiple times for several days, to begin to see changes and benefits.

Benefits 
1. It is a highly recommended treatment for urinary incontinence
2. Works well in case of decreased bladder control
3. Strengthens pelvic muscles
4. Relieves abdominal cramps
5. Helps in pelvic toning
6. Prevents organ prolapse
7. Beneficial to those with constipation as kegel exercises help regulate bowel movements

Kegel exercises during pregnancy
During pregnancy, most women suffer from problems related to constipation, which can be kept in check by regular practice of kegel exercises. The strengthening of pelvic muscles is of utmost need during this time, as weakened muscles can lead to a major prolapse if they are unable to bear the weight of a baby. Strong pelvic muscles are required to have a healthy pregnancy. These exercises are useful in preparing the muscles for labour and childbirth. If you notice occasional leakage of urine during the third trimester, it is a warning sign of losing bladder control, which, if left untreated, can worsen during the post partum period. Regularly exercising can help prevent complications occurring due to pregnancy.

How To Do Kegel Exercise During Pregnancy?

Try to stop the flow of urine when you are sitting on the toilet without tightening your abdominal, buttock, or thigh muscles. When you're able to successfully start and stop urinating, or you feel the vaginal muscle contract, you are using your pelvic floor muscle, the muscle you should be contracting during Kegel exercises.

You can do Kegel exercises two ways: either by holding or quickly contracting the pelvic floor muscle. To do slow Kegels, contract the pelvic floor muscle and hold for three to 10 seconds. Then relax and repeat up to 10 times. To do fast Kegels, quickly contract and relax your pelvic floor muscle 25 to 50 times. Relax for 5 seconds and repeat the set up to four times.

Squatting: Squatting is helpful during labor because it opens the pelvic outlet an extra quarter to half inch, allowing more room for the baby to descend. But squatting is tiring, so you should practice it frequently during pregnancy to strengthen the muscles needed.

How to do Squatting? An exercise called a wall slide is especially helpful. Stand with your back straight against a wall, place your feet shoulder width apart and about six inches from the wall, and keep your arms relaxed at your sides. Slowly and gently slide down the wall to a squatting position (keeping your back straight) until your thighs are parallel to the floor. Hold the position for five to 10 seconds, slowly slide back to a standing position. Repeat five or 10 times.

Pelvic Tilt: What is it? Pelvic tilts strengthen abdominal muscles, help relieve backache during pregnancy and labor, and ease delivery. This exercise can also improve the flexibility of your back, and ward off back pain.

How to do Pelvic Tilt? You can do pelvic tilts in various positions, but down on your hands and knees is the easiest way to learn it. Get comfortabe on your hands and knees, keeping your head in line with your back. Pull in your stomach and arch your back upward. Hold this position for several seconds. Then relax your stomach and back, keeping your back flat and not allowing your stomach to sag. Repeat this exercise three to five times. Gradually work your way up to 10 repetitions.

These exercises can yield great benefits with minimal effort. The exercises require no special equipment except comfortable clothes, and a little space to do them.

Do not worry if you are not close to the goal when you begin. Pelvic muscles are like any other muscles in your body. They will become stonger only with time, consistency and mindful work.

Beware: If you sense any pain in your back or abdomen after doing a Kegel set, it is a sign of you not doing them properly.

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