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Dr. Anbu Goutham

Gynaecologist, Chennai

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Dr. Anbu Goutham Gynaecologist, Chennai
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Personal Statement

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. Anbu Goutham
Dr. Anbu Goutham is a trusted Gynaecologist in Kotturpuram, Chennai. You can visit him/her at Srushti Fertility Hospital & Womens Clinic in Kotturpuram, Chennai. Save your time and book an appointment online with Dr. Anbu Goutham on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. Find the best Gynaecologists online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Srushti Fertility Hospital & Womens Clinic

#2 Dhandayuthapani Nagar, 2ND Street, Kotturpuram Landmark : Next to Vinayagar temple on Gandhi Mandapam RoadChennai Get Directions
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I have severe menstrual cramps on my first day of the cycle. It is so severe that I feel nauseous What is the reason behind it and what can I do to cure it? Any natural way,

BHMS
Homeopath, Faridabad
I have severe menstrual cramps on my first day of the cycle. It is so severe that I feel nauseous What is the reason ...
Hello, take BC No. 15, 5 tabs thrice daily and Mag phos Pentarken , 2 tabs twice daily. Take Sundari sakhi Syrup, 2 tsp twice daily. This is a herbal medication which will not do any side effects. Revert me after 1 month.
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This is my 8 day of my missed periods. I got the hcg test done and got 1.2 mlU/ml of hcg. But m getting fatigue and feels heavy head. Is there still any possibility that I have conceived. I usually have cycle of 34 days.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
This is my 8 day of my missed periods. I got the hcg test done and got 1.2 mlU/ml of hcg. But m getting fatigue and f...
No chance at present. Any how according wait for one week more and do final try for urine pregnancy test.
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Vaginismus - Make Sex Less Painful For Your Lady!

MD-Pharmacology, MBBS
Sexologist, Delhi
Vaginismus - Make Sex Less Painful For Your Lady!

Sexual intercourse for humans is not only a reproductive act, but is also considered to be an emotional and pleasurable act. However, statistics report that almost 30% of the women experience pain during intercourse also known as vaginismus. This not only hampers the pleasure, but is also an unhealthy sign since it is indicative of a problem.

Vaginismus / Painful intercourse could be a regular occurrence, or a sporadic one. There could be numerous reasons that cause the discomfort and pain. Though it might be an early manifestation of grave diseases such as endometriosis or fibroids, but more often, it is triggered due to conditions such as vaginal dryness, yeast infection, bacterial vaginiosis, which can be easily treated. It is pertinent to understand that it is not the physical infirmity of the entire female anatomy that causes such pain/ discomfort, but the existence of certain conditions that can be treated by a medical practitioner. 

Certain such causal factors associated with painful intercourse and the efficient ways to deal with them are discussed below:

  1. Vaginal dryness- Vaginal dryness is one of the most commonly cited causes for painful intercourse. There are various causal factors of vaginal dryness. These include, but are not limited to, consumption of certain drugs, bathing with hot water, health conditions or even lack of foreplay. Vaginal dryness due to the aforementioned causes is a short-lived condition that can be treated well with the help of a medical practitioner. Usage of lubricants that is suitable for you, as advised by a medical practitioner, could go a long way in aiding the ease of sexual intercourse. The lubricants act as an effective substitute, if the body is unable to naturally secrete vaginal fluids to ease intercourse, thereby greatly reducing the pain that is experienced.

  2. Improper vaginal expansion- The female anatomy is designed in such a way that it expands normally during intercourse. Proper foreplay enables the woman to get excited, which results in the release of vaginal fluids that aids in sexual intercourse. However, in the event that the female is not excited enough prior to the act, sexual intercourse can become a painful act, since the vagina is unable to expand in the absence of vaginal fluids. In such cases, take things slow and give your body time to comfortably go with the flow.

  3. Vaginal itching caused by infection- Vaginal infections can be caused by antibiotics, prior sexual activity that has resulted in contraction of Sexually Transmitted Diseases etc. This results in an itching or burning sensation while having sex. It is essential to rest your body instead of forcing things, and to consult your doctor as soon as possible. The doctor can correctly diagnose the causal factors behind the infection, and prescribe the necessary medicines for it.

  4. Emotional issues including fear of sex, marital issues/ disputes, etc are also leading cause of painful sex

Treatment:

However, symptoms vary from the common ones mentioned above, it is always advisable to consult a experienced doctor including a gynecologist, sexologist or sexual counselor.

Role of sexual counselor is very important, as he she can offer Sex therapy in the form of counseling, brief psychoanalysis, or behavioural therapy .This can help to address any underlying psychological issues, such as fear or anxiety, tackle any irrational beliefs that you have about sex, educate you about sex.

Also some special techniques can be taught eventually stop your vagina closing involuntarily, such as using vaginal trainers and pelvic floor exercises

If you wish to discuss about this problem, you can consult a doctor and ask a question.


 

7057 people found this helpful

Cortisone Shots - Are There Any Risks Associated with them?

MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Cortisone Shots - Are There Any Risks Associated with them?

Cortisone shots are injections that help relieve pain and inflammation. They are injected directly into the joints such as the ankle, wrist, knee, hip, shoulder, elbow or spine. These injections are a combination of corticosteroids and local anaesthetics. These corticosteroids are similar to the hormones produced by the adrenal gland. Cortisone injections are often used to treat arthritis, carpal tunnel syndrome, trigger finger, shoulder bursitis and plantar fasciitis. Though they do not cure the disease but they provide temporary relief.

These injections may be slightly painful but provide relief in a day or two that lasts for a few weeks or months at a stretch. Hence, cortisone shots provide relief faster and have longer lasting results than other forms of anti-inflammatory medication. Another benefit of cortisone injections as compared to other drugs that need to be taken in through the mouth is that it avoids side effects of anti-inflammatory medication such as an upset stomach etc. Cortisone injections can also be used to treat backaches and pain that radiates from the spine to an arm or leg.

However, cortisone injections are associated with a number of risks. These include:

  1. Infection in the joints
  2. Nerve damage
  3. Thinning of tissue and skin around the injection site
  4. Pain and inflammation in the joint
  5. Weakening or rupturing of tendons
  6. Osteoporosis or thinning of bones
  7. Lightening of skin around the injection site
  8. Osteonecrosis or death of bones in the injected area
  9. Blood sugar spikes – this is seen mostly in diabetic patients
  10. Weakening of the immune system if the person has an underlying infection

In most cases, these side effects are short-lived. Higher dosages and frequent administration can increase the body’s exposure to the corticosteroid. This increases the risk of long-term side effects such as:

  1. Acne
  2. Easy bruising
  3. Weight gain
  4. Cataract formation
  5. Puffiness of the face
  6. High blood pressure

Cortisone may also be held responsible for the deterioration of cartilage inside a joint. For this reason, doctors do not advise cortisone injections to be had more than 3-4 times a year. The minimum interval between two cortisone injections must be 6 weeks. Doctors also typically limit the number of injections given in one joint.
When used judiciously, cortisone injections can greatly improve the quality of a patient’s life. Hence it is very important to get treated only by a qualified doctor and to completely understand the pros and cons of using this form of treatment. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4219 people found this helpful

She is 28 and 42 kgs and got her period started from last two days. We had sex just before the time she got period. Now she is feeling weak, dizziness nd more blood flow than usual. Any suggestion?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
She is 28 and 42 kgs and got her period started from last two days. We had sex just before the time she got period. N...
Hello, as she resumed her menses post intercourse pregnancy is ruled out. The flow may be heavy due to increased progestins during sex close to menstrual period. This'll subside slowly and no real need to worry. Weakness due to menorrhagia can be countered by increased water intake.
1 person found this helpful
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From how many days egg will release after menses came? While in menses period isn't good to participate in sex?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
From how many days egg will release after menses came? While in menses period isn't good to participate in sex?
Hello, ovulation occurs by day 14-16 in a 28-30 day cycle. There is no contraindication that you cannot participate in sex during menses but generally chances of endometriosis is higher during such activities.
2 people found this helpful
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Immune System: 8 Foods That Supercharge it

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics , Diabetes Educator
Dietitian/Nutritionist, Mumbai
Immune System: 8 Foods That Supercharge it

The immune systems in your body are always at work trying to fend of many of the attacks that happen on it every day. Although it is able to protect the body most of the time, sometimes it fails in doing so. While medicines can help to restore the balance, it is advisable to include certain food items in your diet, which boost the immune system naturally. Let's take a look at six vegetables which can help your immune system in getting supercharged:

Ginger - This food item is very good in regulating mobility within the gut and regulating bowel movement and is also known to relieve nausea, cramping and bloating. Ginger is also known to have many anti-inflammatory properties as well as being an antioxidant and antimicrobial. All of this makes ginger very good for the immune system.

Wheatgrass - One of the most densely packed green nutritional food ingredients when consumed in the form of a juice, it helps the liver by increasing its ability to flush out toxins. This results in an improved immune system. Wheatgrass is also rich in B complex vitamins, beta carotene, chlorophyll, magnesium, potassium and many other vital nutrients.

Garlic - This vegetable has been used for centuries in home remedies such as to lower blood pressure, prevent blood clots and many others. Garlic is also known to boost healthy cholesterol. Inclusion of garlic in your diet will not only boost your immune system but it also contains 'allicin', which is known to improve the health of your heart.

Papaya - An extremely good food for digestion as well as digestion problems, the extracted enzyme from this plant known as papain, is used in many medications. Papaya is full of beta-carotene that is very well known to be good for the health of tissue, skin and the eyes as well as boosting the immune system through the production of vitamin A within the body.

Carrots - This is one vegetable which has been encouraged to be included in diets as it contains copious amounts of beta carotene and is extremely good for the eyes as well as boosting the immune system.

Turmeric - Possibly the most talked about ingredient on this list in the last few years, it is known to have almost an unending list of health benefits. Turmeric has detoxifying properties as well as being anti-bacterial, anti-inflammatory and is great for digestion along with boosting the immune system. It is a rich source of minerals, such as Zinc, Iron, B group vitamins and Manganese, turmeric is also known to have cancer preventive properties.

Spinach - Being high in fiber and loaded with Vitamin C, Folate and other powerful antioxidants it helps building strong immune response and ensure overall wellbeing. A special care is to be taken that it should not be consumed raw, as the level of oxalates is considerably high, which can lead to the partial absorption of the important nutrients.

Yogurt - Yogurt being high in probiotics, which helps food move through the gut. It also helps in improving bone health. It helps in regularising digestion and reduce the symptoms of Irritable Bowel Syndrome(IBS), since it is digested easily by human body. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4077 people found this helpful

Hi got married 2 years ago. But still I am unable to put my whole penis easily. I tried many times. If I put my penis just entrance of vagina then discharge then their is a chance for pregnancy. please let me know thanks.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
Hi got married 2 years ago. But still I am unable to put my whole penis easily. I tried many times. If I put my penis...
If you are entering inside the vagina and discharging inside the vagina than there are chances of pregnancy.
1 person found this helpful
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I and my wife has been trying for a child for almost 4 years. I think my sperm count is not up to the mark. So I want to be treated. So please help me. My age is 36.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Why do you think that it's not up to the mark. You have to test it. Now, as 4 years have elapsed, we have to concentrate on both of you- checking of both so that we can detect the exact cause and start treatment. Don't worry. Good luck.
2 people found this helpful
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25 years old female having pcod. I hv taken tab Duphaston. Lmp is 3rdjuly I start tab letrol2. 5 mg bd for 3rd to 7 day. I hav check preg test on 17th july it was negative. please suggest what I hv to do to conceive?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
25 years old female having pcod. I hv taken tab Duphaston. Lmp is 3rdjuly I start tab letrol2. 5 mg bd for 3rd to 7 d...
Start with fertlity enhancing Medicines to boost your fertlity and time your sexual contact with your ovulation timings. Also you would need pre conception Medicines to have higher success rates post your evaluation for your current state of fertlity.
2 people found this helpful
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Am in 39 weeks of pregnancy. My baby scan report says, placenta is anterior upper segment with grade 2 maturity with spine at eight side and heart beat 132 bpm during 32 weeks. I just want to know that what is the gender of my baby. Pls tell.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Am in 39 weeks of pregnancy. My baby scan report says, placenta is anterior upper segment with grade 2 maturity with ...
It is not possible to say gender by this and even not legal... There is nothing written here about gender...
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BHMS
Allergist/Immunologist, Jaipur
Calcium supplementation during pregnancy and lactation: effects on the mother and the fetus.

Calcium consumption is essential for bone development and maintenance throughout life, yet more than one half of the female population in the United States does not consume the recommended amount of calcium. Calcium intake is especially crucial during pregnancy and lactation because of the potential adverse effect on maternal bone health if maternal calcium stores are depleted. There is often a transient lowered bone mineral density and increased rate of bone resorption, with the greatest consequence during the third trimester and throughout lactation. Studies indicate that calcium consumption should be encouraged, especially during pregnancy and lactation, to replace maternal skeletal calcium stores that are depleted during these periods. Because the fetus in utero and the neonate through breast-feeding are dependent on maternal sources for the total calcium load, adequate maternal calcium intake also can affect fetal bone health positively. Proper calcium consumption can be attained through the diet by the consumption of dairy products or leafy greens (such as kale), the consumption of fortified foods, or by supplementation with widely available calcium-containing supplement products. Because many women experience heartburn during pregnancy, calcium-based antacids are ideal for providing heartburn relief, and they offer a calcium supplement to ensure maternal and fetal bone health, without the danger of adverse effects on the neonate.
4 people found this helpful

I had unprotected sex on 7th july ,after half an hour I took ipill. On 14th july I got my periods. Bt now in this month I didn't get my periods yet. Am I pregnant or this is not to worry about?

I had unprotected sex on 7th july ,after half an hour I took ipill. On 14th july I got my periods. Bt now in this mon...
It's OK due to I pill taken previously which caused artificial bleeding. Due which hormonal imbalance occurs n periods might get delay.
2 people found this helpful
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Hey, it has been diagnosed that I have fibroadenoma in my left breast. Doctors told that its happen in teen age sometimes but not dangerous at all. I just want to know if this can become cancerous or not.

MS - General Surgery
General Surgeon, Kanpur
No fibroadenoma do not become cancerous. But there is no medical management for fibroadenoma. If it is symptomatic or bothering u cosmetically then u can get it removed surgically.
1 person found this helpful
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I am having pcos and I am taking Osure m of harmonica. In that the indegrents are myo instol mecobalamin and metformin. And that too much taking it from last 5 months. I become so bulky with this. And still having irregular periods. I am unmarried.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am having pcos and I am taking Osure m of harmonica. In that the indegrents are myo instol mecobalamin and metformi...
Hello- Your weight gain is due to PCOS. According to ayurveda there is a Fat (meda dhatu) and blood (rakta dhatu) symbiosis in the body, whenever the patient indulge in practices like irregular and unhealthy diet(fast food etc.) and irregular daily schedule(late night workout ,sleeping in day time etc.) this symbiosis gets disturbed and body start making fat in excess thus minimizing the production of blood in proper quantity and quality. This is the reason why diseases like thyroid and PCOS, menopausal female etc. develops weight gain with reduced blood levels. In your case only weight loss treatment will not be beneficial for you, or you have to look out for both the aspects. Follow this ayurvedic routine and treatment to cure both weight gain and PCOS- a) Tab Kuberaksha vati 1 tab twice daily. B) Tab Hyponid 1 tab thrice daily. C) Do Basti treatment by nearby ayurvedic doctor (it is a very effective treatment in ayurveda for pcod). D) Maintain proper eating routine, avoid fast foods and spicy diet.
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I am 38 years old unmarried women having a problem of hormonal imbalance n irregular periods, two years before doctor suggested tab regestrone for 3 months n I got relief but now again I am having the same problem n I have started taking regestrone without asking doctor is there any harm of taking regestrone at this age.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am 38 years old unmarried women having a problem of hormonal imbalance n irregular periods, two years before doctor...
don't take any medicine unnecessarily it can cause harmful effect on your body and cause imbalance hormone because doctor give you medicine according to your reports and condition.but they changed your medicine if,not useful for your complaint.
2 people found this helpful
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Treat Intestinal Distress Through Ayurveda

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Treat Intestinal Distress Through Ayurveda

Intestinal distress is usually characterised by discomfort and pain in the abdomen, as well as an irritable bowel. This is generally caused when food does not move fast enough through the food pipe, to get digested in time. In Ayurvedic terms, this undigested, unprocessed food and the toxins that it causes is known as Ama. Intestinal distress includes conditions ranging from heartburn to IBS or irritable bowel syndrome. This is also known as Grahani in Ayurveda. Want to more about treating these conditions, the Ayurvedic way? Here's how!

  1. Mustakarishta: This medicine helps in the prevention and treatment of loose motions as well as indigestion that causes gas and acidity.
  2. Dadimavaleha: This is generally prescribed for patients suffering from fever along with loose motions, and bleeding, which usually points to infections in the body.
  3. Kutajarishta: This concoction is used for treating patients suffering from dysentery, loose motions and mild to severe irritable bowel syndrome. 
  4. Pushyanuga Churna: This medicine is used for treating menorrhagia, metrorrhagia, excessive bleeding during menstrual cycles and other digestive disorders.
  5. Kutajavaleha: This is usually used during treatment for conditions like irritable bowel syndrome, ulcerative colitis and piles. It also treats inflammation and bleeding issues. This medicine is also useful in treating patients suffering from anaemia.
  6. Sanjeevani Vati: This medicine can be used for treating problems associated with dyspepsia, gastro enteritis and indigestion which can lead to heartburn. 
  7. Bilwadi Gutika: Patients who have endured rodent or insect bites as well as gastro enteritis issues can use this medicine for instant relief.
  8. Jeerakarishtam: This medicine is used for mothers who have just had babies and need to control frequent stools and indigestion in the post-natal period. 

The use of Ayurvedic medicines necessarily needs the support of other measures like eating a healthy and balanced diet as well as massages and other such tools prescribed under this science. The medicines work towards healing and preventing further eruptions of the ailments. But for the successful treatment of the same, patients of intestinal distress need to remember not to overeat and to have meals on time, and in a routine manner. The meals should consist of cumin, turmeric and easy to digest food as well as plenty of water. Exercise is another important facet of relieving the discomfort felt under such situations.

3742 people found this helpful

Nipple Discharge ? Be careful.

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Nipple Discharge ? Be careful.
Nipple discharge

Discharge from your nipple without any squeezing or touching of the breast may make any women wonder. Other than breast milk, any kind of nipple discharge can be a warning sign of breast cancer.

When a tumor starts in the milk ducts just under or around the nipple, it may cause irritation and infection, leading to discharge.

If you notice any nipple discharge, particularly clear or bloody, get it checked by your doctor. Such discharge can also be due to an infection or other condition that needs treatment
14 people found this helpful

I think my wife has cysts. But I am not sure. So please tell me what to do and the symptoms. Thank you.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I think my wife has cysts. But I am not sure. So please tell me what to do and the symptoms. Thank you.
I would advise her to get a transvaginal USG done to find out. Ovarian cysts may be asymptomatic. Or they can be associated with lower abdominal pain, painful periods, pain during intercourse, pressure symptoms. Symptoms depend on the size and nature of the cyst.
1 person found this helpful
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