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Dr. Antony Josy Mira

Gynaecologist, Chennai

230 at clinic
Dr. Antony Josy Mira Gynaecologist, Chennai
230 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Antony Josy Mira
Dr. Antony Josy Mira is a trusted Gynaecologist in Mylapore, Chennai. You can consult Dr. Antony Josy Mira at Dr. Antony Josy Mira@St.Isabel's Hospital in Mylapore, Chennai. Book an appointment online with Dr. Antony Josy Mira on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 32 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai 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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St.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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I am 8 weeks pregnant I have frequent vomiting after eating every meal whatever I eat I vomit. What is the reason and what is the solution for that? I feel too tired. Pls suggest.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
What you are having are symptoms of early pregnancy. Till 3.5 - 4 months, some patients experience symptoms like headache giddiness altered taste in mouth retrosternal burning mild breast pain burning in upper part of tummy (above umbilicus) mild pain occasionally on lower tummy frequent passage of urine gaseous distension of tummy infrequent motions weakness feeling of having no energy in body, limbs feel tired feel sleepy all the time feel listless, not interested in any work, nausea vomiting feel like body has fever, but temperature on measurement is normal feel as if you are in convalescent eprios all these symptoms are normal, and are due to the body's response to the hormones released for pregnancy growth. The major symptom is due to hyperacidity, which causes most of the symptoms. This can be tackled with dietary alterations: from getting up to sleeping at night, eat every 2-3 hourly eat dry food stuffs (puffed rice, biscuits, chapati sabji, papad, peanuts, sprouted beans, khakhara, dhokla, idli, dosa, candy, chikki, sweetmeats from mithaiwala, namkeen items.) eat just a small wati full every 2-3 hours try to eat food stuff thats dry. So that it does not come out in vomits eat food stuff at normal temperature, as hot foods have strong aromas eat foods with different tastes to prevent boredom eat food stuff that is ready made, so the energy drained in making it avoided even if you vomit after every food intake, keep on eating, as food neutralizes the acid produced in the stomach avoid foods with excess chilli, spices, masala and oil avoid eating street food esp panipuri, samosas, puris etc even if a patient vomits she always retains a good part of the eaten food in her tummy. So frequent eating will fulfill her daily requirements if you have gone to a gynec for a check up she would have prescribed you some anti emetic tablets, take these anti-emetics meant for pregnant women if plain anti-emetics are not working, you can add to them, some over the counter medicines to tackle acidity like syrups and tablets to reduce acidity as acidity is main cause of vomiting frequent eating will also keep glucose levels high, and help in making you feel better avoid- powders which are put in water to make" energy drinks" like glucon-c, d etc which are finally chemicals. While all kinds of fruits can be consumed in pregnancy, except papaya, pineapple, it is best is to take fruits which are rich in water (watermelon, oranges, sweet lime) keep yourself occupied by involving yourself in activities like reading, listening to music, learning some art like knittting, sewing etc.
2 people found this helpful
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How to Get Pregnant Even if You Have Polycystic Ovary Syndrome (PCOS)?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
How to Get Pregnant Even if You Have Polycystic Ovary Syndrome (PCOS)?

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility: Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant or why it is difficult for them to maintain pregnancy are:

  1. Women who are suffering with PCOS do not ovulate normally.
  2. They have irregular periods and thus their monthly cycles are not predictable.
  3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS: There are a lot of symptoms that show the hormonal imbalance due to PCOS.

  1. Ovarian cysts
  2. Excessive amounts of male hormones
  3. High levels of insulin
  4. Fertility problems
  5. Weight gain
  6. Ovulation and menstrual problems
  7. Excess body and facial hair
  8. Acne
  9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment: The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS:

  • Metformin (Glucophage): It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.
  • Clomid (Clomiphene citrate): Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.
  • Gonadotropins: This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded and can find the symptoms mentioned above, visit your doctor and start the treatment.

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Me and my spouse are getting ready to have a baby. Please recommend diet and multivitamin tablet for both of us. Thanks.

MBBS
Sexologist, Panchkula
You are planning for baby.I advise both of you to take proper balanced vegetarian diet.Take fruits and vegetables in daily diet.Take 8 to 10 glasses of water daily.Avoid non veg and eggs.Do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning and be positive always.
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How much sleep is necessary for me? I am a housewife and my age is 27. And also I am going to plan to have a pregnancy in after 6 month. Please guide.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Sleep is neccessary for night food digestion and for removal of day time work effect sleep time changes person to person more physical work more sleep more eating or late eating during night needs more sleeping time.
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Rheumatoid Arthritis

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Rheumatoid Arthritis
Rheumatoid arthritis

Rheumatoid arthritis is an autoimmune disorder affecting the joints, symmetrically (usually). The joints become swollen, red, hot, painful & tender. The joint movement becomes limited due to pain & swelling
It starts with inflammation of the synovial membrane but may involve the joint capsule and other surrounding soft tissues.



It is a self limiting disease. But by the time it leaves, the patient is crippled due to contractures & deformities.
Acute phase can be managed with medicines.

Commonly used medicines are ibuprofen/paracetamol/aspirin in therapeutic doses. They help to control symptoms of pain and swelling of the joints in most of the cases by their anti inflammatory properties. Fever is also controlled.

Vitamins, minerals, anti oxidents & other supportive medicines are also needed. Omega 3 fatty acids have a very definite role to play in improving the response to the treatment.

Physiotherapy helps in preventing contractures & deformities.

The patient should do general exercises & keep active.

He may have to be further investigated.

In established cases of rheumatoid arthritis dmard (disease modifying drugs) e. G. Methotrexate, hcq, leflunomide, saaz etc. Have to be used.
They all are toxic drugs & can cause bone marrow depression along with other side effects. They should be taken under medical supervision.
Sometimes steroids may have to used.
The dose of these medicines should be adjusted to the minimum required, to control the symptoms.
Blood, urine tests & other investigative procedures should be done periodically to rule out any side effects.
X rays of the affected part should be done to confirm diagnosis & assess the extent of damage.
Diabetes, vitamin d deficiency or any other metabolic disorder should be ruled out. Sometimes they mimic the symptoms & create confusion in diagnosis. Associated disorders like these, most certainly affect recovery adversely.


It should be ascertained that the patient is not allergic to any of the medicines that he is going to take.

Rheumatoid arthritis is a chronic disorder that lasts over many years with acute exacerbation & remissions. The earning capacity of the family is adversely affected. The cost of medical treatment is high. If the patient needs surgery, it is further escalated. Most of the population in india is not covered by any medical insurance. All these factors put together create an atmosphere of depression in the family. Patient feels morally degraded & may even develop suicidal tendency.
In a situatation like this it becomes essential that a moral support is provided to the patient by his friends & relations. Treating doctor has a very definite role to play in keeping up the moral of patient.

I have 3 year kid .my pregnancy test showed positive I don't want to get pregnant my last period date was 23/11/2016 .so I took mifepristone on 4/1/17 morning and misoprostol 400 mg on 5/1/17 morning I got little bleeding after 5 hours of misoprost till now that means till 6/11/17 afternoon 2 pm I am getting bleeding and little cramps only when I go to bath room. .usual normal periods even I need 2 pads per day at least .but now I did not get proper bleeding I am afraid please give me correct suggestion as soon as possible I am afraid.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
It seems you have messed up your medical abortion. Who prescribed the pills? Did you consult a gynecologist? You have taken misoprostol 400 mcg (not mg) too early. It is better for you to get admitted in a gynec hospital for evaluation and further treatment.
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Hello docter. Meri gf 19 year ki h hum 2 no NE 4 to 5 time sex kiya h to usko seal judegi ya nhi and judegi to kitna time lagega pls bataiye.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Seal jodne ke liye aapki kegel exercises and vagina tightening package lena parega jis se vagina canal sukar jati hai.
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Hi Dear Sir/Madam, my mother is suffering form uterus infection, she went for urine routine test, that report shown she have some puss cells, after that we consulted one doctor she gave cream and l tablets for vagina and other tablets for her. Now my mother is so afraid of this what we can do madam. please tel me some remedy, awaiting for your reply.

Basic Life Support (B.L.S), Diploma in Diabetology, PGD ND, Diploma in Diet and Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Jalandhar
Dear she can eat normal diet. Be sure due to infection some time she may feel nausea, vomiting. One glass of lukewarm water with one piece of garlic in the early morning will help her to get ride of the infection vry soon. Give her small and frequent meals. Avoid fatty fried foods.
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Is it advisable to take black or milk coffee with Homeopath medicine. If is no Why.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
There is absolutely no problem in having coffee with homeopathic medicines. Just keep a gap of 15 mins betwwen medicine and coffee.
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M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Can't Sleep???
Natural home remedies for Insomnia

Insomnia can become a real nightmare as the clock ticks on into the night and you ’re awake to notice. Try these natural approaches to help you get some rest

Before- bed bites

• Have a slice of turkey or chicken , or a banana before heading to bed . These foods contain tryptophan , an amino acid that ’s used to make serotonin . And serotonin is a brain chemical that helps you sleep .
• Carbohydrates help trytophan enter the brain. Try a glass of warm milk (milk contains tryptophan ) and a cookie , or warm milk with a spoonful of honey .
• Avoid big meals late in the evening. You need three to four hours to digest a big meal.
• Spicy or sugary food, even at suppertime , is usually a bad idea. Spices can irritate your stomach , and when it tosses and turns, so will you . Having a lot of sugary food—especially chocolate, which contains caffeine— can make you feel jumpy .

Call on herbs for help

• Valerian helps people fall asleep faster without the “ hangover ” affect of some sleeping pills. It binds to the same receptors in the brain that tranquilizers such as diazepam bind to . Take two capsules of valerian root an hour before bed .
• Take 4 , 000 to 8, 000 milligrams of dried passionflower capsules . Passionflower is widely used as a mild herbal sedative .

Smell your way to sleep

• Lavender has a reputation as a mild tranquilizer . Simply dab a bit of the oil onto your temples and forehead before you hit the pillow . The aroma should help send you off to sleep .
• Put a drop of jasmine essential oil on each wrist just before you go to bed . In studies conducted at Wheeling Jesuit University in West Virginia, researchers discovered that
people who spent the night in jasmine -scented rooms slept more peacefully than people who stayed in unscented—or even lavender-scented— rooms .
• Try a soothing aromatic bath before bedtime. Add 5 drops lavender oil and 3 drops ylang- ylang oil to warm bathwater and enjoy a nice soak .

Be a slave to schedule

• Wake up at the same time each day, no matter how little sleep you got the night before. On weekends, follow the same schedule, so your body adheres to the same pattern all week long . You ’ll fall asleep faster.
• Every morning , go for a walk . It doesn ’t have to be a long walk, but it should definitely be outdoors. The presence of natural light (even if the day is overcast ) tells your groggy body it’ s time to wake up for the day. With your body clock set by the great outdoors, you ’ll sleep better at night .
• Try not to nap during the day, no matter how tired you feel. People who don’ t have insomnia often benefit from a short afternoon nap. However , if you ’ re napping in daytime only to turn into a wide -eyed zombie at night , there’ s a good chance that that afternoon snooze is disrupting your body clock.

Pillow tricks

• Once you get into bed , imagine your feet becoming heavy and numb . Feel them sinking into the mattress . Then do the same with your calves, and slowly work your way up your body, letting it all grow heavy and relaxed . The idea is to let yourself go, in gradual phases .
• If you’ re still awake after this progressive relaxation exercise, count sheep . The point is to occupy your mind with boring repetition , and , not to cast aspersions on sheep , there’ s nothing more boring or repetitive than counting a herd of them . Any repetitive counting activity will lull you .
• If you just can’t sleep , don’ t lie in bed worrying about it. That will only make sleep harder to attain. Get up, leave the bedroom , and grab a book or watch TV .

Prep your bedroom

• Turn your alarm clock so that you can’t see it from bed . If you ’ re glancing at the clock when you wake up— and it’s almost impossible not to —you ’ ll soon start wondering how you can function tomorrow on so little sleep tonight .
• Turn your thermostat down a few degrees before heading to bed . Most people sleep better when their surroundings are cool .
• If you share your bed , consider buying a queen - or king- size mattress so you don ’t keep one another up. Or consider sleeping in separate beds . ( Be sure to emphasize that your wish for separate beds is based on pragmatism rather than preference . )

Check the label

• Be cautious about taking an over - the -counter painkiller before bed . Some of them, like Excedrin , contain caffeine . Read the label first.
• Check labels of decongestants and cold remedies too. In addition to caffeine, they may contain ingredients , such as pseudoephedrine, that rev up your nervous system and leave you unable to fall asleep.

More " don ’ ts" for better dozing

• Avoid exercising within four hours of bedtime— it’s too stimulating. Instead , exercise in the morning or after work . An exception is yoga . A number of yoga postures are designed to calm your body and prepare you for sleep.
• Avoid caffeinated beverages, particularly within four hours of bedtime. Though people have varying ranges of sensitivity to caffeine, the stimulating effects can be long - lasting .
• Also avoid alcohol in the evenings. While a glass of sherry might help you fall asleep a bit faster than usual, the effects soon wear off , and you’ re more likely to wake up during the night .
• If you smoke within four hours of your bedtime, look no further for the cause of your insomnia . Nicotine stimulates the central nervous system, interfering with your ability to fall asleep and stay that way .
8 people found this helpful

Hi I am 26 years unmarried girl, I missed my periods last month, my last period date was 13-02-2016. After that I had intercourse on 15th and consumed ipill and again on 19 and 20th I got period for two days. I got checked myself with pregnancy test card and blood test for pregnancy from lal path lab. But both tests were negative means I am not pregnant. Then I consumed 10 tablets regestrone 5mg tablets for three days (three tablets in a day) on 11, 12, 13 april 2016 and one on 14th april 2016. But till date no periods. Kindly suggest me on this. An early reply will help me to get out of stress. Thanks in advance.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
please wait 7 days after last tab of Regesterone, withdrawl bleeding takes that amount of time esp when emergency pill wth high level of hormones also has been consumed. Stress will delay periods too, so calm down. If the preg test is negative you have nothing to worry about at all.
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Hello mam I face big problem of white discharge From last 6 months. I visit 2 doctor but no effect on this. Please advise me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, please get a vaginal swab culture and sensitivity done to isolate cause and also name sensitive antibiotics accordingly.
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I get my periods regularly. They go on for 5 days every time. This time I got on 14th evening n it ended on 16th which was 2 days. I am worried if there is any indication of health going worse.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Occcasional scanty menses is not the reason for any ailment, but rather can be stress induced and hence you should maintain a menstrual calendar for at least 3 months to analyse the pattern of bleeding hence. regards
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Hi, I am a married woman. Before marriage my breast size was very small but after marriage it was increased too much I want to reduce the size so please suggest me few remedies. My periods were irregular is this a reason for increased size of breast? How can my periods be regulated so that I can get kids. Tnq.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Bangalore
Must do regular exercise for weight loss. Weight loss will help in reducing size of breasts a little. Go to a gynaecologist to check your hormones. Hormone correction will make your cycles regular, help you concieve and help in weight loss. Wearing a well fitting bra prevents increase in size of breasts.
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My weight is 56 kg and I am not having my regular periods and I am having back pain alot.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
its dysmenorrhea ,low intensity pain is normal . 1) Do massage to back & lower abdomen with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. 2) 1 spoon caster oil with milk at bed time 3) Do stretching exercise specially hip & lower back like ardhachakrasan .
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We are in a relationship since 5 years and now it is decided by our parents and family to get married next year. In these 5 years I got pregnant 5 times, (i. E. 2 times I miscarried, 2 times I had d&c procedure done @ 3 months & 1 time I had an abortion done @ 5 months through a normal delivery procedure.) I know it's really disgusting what we did:((but all that happened without any prior notice. Means I never get to know that I am pregnant, I was on my regular periods always, no pains no any other symptoms of pregnancy recognized by the time. And that is for every 5 time. Even that last time, I didn't get to know that I was pregnant (i had my periods every 5 months, no pains, no any other symptoms of pregnancy I found, even 1st two months I checked through pregnancy kit, it showed negative result). So I didn't have any idea about getting pregnant n that so with 5 months. By the time of 5 months I felt severe pains in my pelvic muscles n back n for that I visited the gynecologist n then she told me that I am pregnant. N after ultrasound it got totally clear. Doctor made us comfortable and fine again. Thanks to her. Now. We still live together, we have regular sex and again my periods are normal. Sometimes precautions are used, sometimes not. My question is this. That 1. Please tell me if all that happened earlier can affect my future pregnancies? 2. What should we do to avoid regular pregnancies only for 1 more year? 3. Miscarriages, d&c, abortion. What effect will be on my future pregnancies? 4. Is is normal to have sex daily. With or without precautions?

MBBS
General Physician, Faridabad
if your cycles is regular, say your menses start on 1st and ends on 5th, then safe period is 6-11 and 18-to start of menses is considered to be safe. but pregnancy can happen any time. it will help you. Thank you sex should not be done more than twice a week. thanks
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How to cure irregular menstrual period ? because i have started to gain weight also.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Control weight as this will solve more than half of the problems. Have some basic tests and get the cure
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I am a girl of age 21 and I masturbate a lot whenever I am alone due to which I'm unable to concentrate on studies and I sleep alot and always tired sleepy.

DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Kolkata
This is very common at your age. If you are getting addicted to it then try to indulge yourself in some other healthy activities. Go to gym and try some workouts without giving much pressure to your body. That will help.
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My sister in law is pregnant 3 months and her weight is 39 kg only what to do for weight gain?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Vivek she should have healthy balance diet, green vegetables, dry fruits, eggs high protein diet.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

MBBS
General Physician, Mumbai
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and enlarged uterus can cause bladder prolapse as its an anatomical variation.
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