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Dr. Anusuya M

MBBS, MS - General Surgery, DGO

Gynaecologist, Chennai

37 Years Experience  ·  0 - 300 at clinic
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Dr. Anusuya M MBBS, MS - General Surgery, DGO Gynaecologist, Chennai
37 Years Experience  ·  0 - 300 at clinic
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Personal Statement

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. Anusuya M
Dr. Anusuya M is one of the best Gynaecologists in Medavakkam, Chennai. She has been a practicing Gynaecologist for 37 years. She has done MBBS, MS - General Surgery, DGO . She is currently practising at Anjakha Hospital in Medavakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Anusuya M on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 39 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.

Info

Education
MBBS - Madurai Medical College - 1980
MS - General Surgery - Madras Medical College - 1994
DGO - Madurai Medical College - 1986
Professional Memberships
International Gynecologic Cancer Society - IGCS

Location

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Anjakha Hospital

No 23 , Medavakkam Main Road. Landmark: Near UTI Bank & Near HDFC Bank, ChennaiChennai Get Directions
300 at clinic
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Anjakha Multispeciality Hospital

23, Medavakkam Main Road Landmark : Next To Indus Ind BankChennai Get Directions
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Dr. Hariharan Diabetes & Heart Care Hospital

29th St, NCBS Colony, Nanganallur, Land Mark: Near Nanganallur Bus Stop, ChennaiChennai Get Directions
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Medico Legal Aspect of Sex Therapy

MD-Dermatology, MBBS
Sexologist, Pune
Medico Legal Aspect of Sex Therapy

 

Medico legal aspects of sex therapy

Introduction

Sex and human sexuality are sensitive subject. To deal effectively with any problem of human sexuality, one has to constantly evaluate its merits and demerits from social, scientific, moral, ethical and most importantly from the legal angle. Following are some of the guidelines for therapist to keep in mind while dealing with clients with sexual problems.

Consent

Taking informed and expressed consent is of utmost importance while managing any patient. Examining and / or treating a patient without consent would amount to assault and battery which is punishable under criminal law irrespective of absence of negligence or successful outcome of treatment. The consent should be free willed, informed, intelligent, specific and express. Person giving consent should be competent to do so, failing which, consent should be obtained from the lawful guardian of the patient (in cases of minor and/or mentally retarded).

Examinition of a female client

Besides obtaining a valid consent, in case of female patient, the therapist should always have a female assistant present when examining a female patient this is important for the therapist in order to protect himself from a possible charge of indecent behaviour molestation or even sexual offence like rape ect. Being llevelled against him. Mere presence of husband or any male companion of the female patient is not enough. A sex therapist, in particular, is most vulnerable and therefore should be most careful.

Use of surrogate partners

Use of surrogate partners for sex therapy is questionable both ethically as well as legally. Sexual involvement of the therapist is universally accepted as unethical. There have been a number of cases where the therapists themselves, having acted as surrogates, have been punished for sexual molestion of their patients. It may also invite a criminal charge of adultery in some countries, including india. There are cases on record where the therapists have been charged with and convicted of rape.

Unlike some other countries, the socio cultural set up in india is different. The laws governing sexual behaviour are neither liberal nor evolved as much as in some of the western countries. Besides, surrogacy is likened to prostitution by many. Even if one were to consider surrogate partner as a therapist, then the ethical code prevents a sexual relationship with a client. Moreover, there is every possibility of a disease being transmitted. Particularly the hiv infection, in view of sex with multiple partners by a surrogate person.

Therapist should have uppermost in mind the special values of intimacy and love that our culture teaches us to nurture.

Professional competency

It is the ethical responsibility of every sex therapist to maintain high standards of professional competence and integrity. Competence without integrity or integrity without competence is an unsatisfactory compromise of professionalism. It is most important to protect the public and the other professionals from persons who represent themselves as sex therapists who are in fact lacking in competence and intergrity.

Competence in another primary discipline such as psychology, psychiatry or counselling is not equivalent to competence in sex therapy.

A sex therapist should possess adequate knowledge of the following:

 

1. Sexual and reproductive anatomy and physiology.

2. Developmental sexuality from a psychobiological point of view.

3. Marital, family and interpersonal relationship and socio-cultural factors in sexual values

4. Physiological and medical factors that may influence sexual functions such as pregnancy, contraception and fertility, illness, disability, medications.

5. Multimodel techniques and theory of sex therapy and psychotherapy.

6. Pharmacology of the medications used to treat sexual dysfunctions particularly with respect to their adverse effects and interactions with the drugs being consumed for other ailments.

7. Ethical issues in sex therapy and principles of evaluation and referral.

8. Laws related to sexual behaviour.

 

 

Points to bear in mind

 

all forms of sex therapy which violate the local laws should be handled with care recommending oral sex as a part of therapy is violative of section 377 of the indian penal code which deal with unnatural sexual offences.

the hippocratic oath forbids the physician to take advantage of the therapeutic context in order to engage in either homosexual or heterosexual relationship.

it is a universal rule that whenever dealing with reproductive functions is involved, express consent of both the spouses should be obtained.

proof of competence is the ability to provide objective and responsible services to the clients.

there does exist a potential liability under the laws of the land prohibiting consensual conduct such as prostitution, fornication, lewd and lascivious behaviour and adultery which might arise from therapeutic or non- therapeutic sex research activities.

sex between therapist and client is always unethical. No matter how therapeutic the rationale might appear, there is no justification for a therapist having sex with a client. The purpose of sex therapy is to improve function, not to change values or beliefs of the client.

2 people found this helpful

How many times I should do sex. For making her pregnant. And when she has irregular cycle sometimes. Help me.

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
If you are planning to have a baby. The fertile period of a female starts from 14th day to 20th day considering a 30 day cycle. My suggestion would be to have sex on alternate days during these days.
5 people found this helpful
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I am 40 years. I had hypothyroid 2 years back. After the treatment my reports were normal up to jan'15. Now from last few months I am having lot of health problem like psoriasis, ringworm, irregular periods, tiredness. Less sleep. At times high blood pressure and times low blood pressure. I have gone through all the above treatment but none of them have from last six to eight months.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
I am 40 years. I had hypothyroid 2 years back. After the treatment my reports were normal up to jan'15. Now from last...
You did not mentioned exactly if you are still continuing treatment! when you began this treatment? it could possibly be a side effect of same. If so, I would expect them to gradually settle as your body hormones equalise. However, it is worth getting your blood pressure checked if it has not already been recently and your doctor should be keeping an eye on your thyroid levels by doing regular blood tests too. Discuss your symptoms with your doctor rather than leaving them, since all these symptoms should always be checked out if they are an unusual occurrence in someone.
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How to know that a girl is pregnant without use of test. Is there change in periodic cycle or any kind of change and when a girl come to know that she is pregnant.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Bangalore
How to know that a girl is pregnant without use of test. Is there change in periodic cycle or any kind of change and ...
Hello, There are various symptoms and signs you can watch for in pregnancy. However they are not confirmatory in early pregnancy. Urine pregnancy test can detect pregnancy much earlier; with very little likelihood of false positives or negative. Contact if you have any more queries.
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If cream or other lubricant affect on fertility then what should I do because I did not wet at time of intercourse and I planning to have a baby

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
For whom do you want cream? If for your husband. And he is putting his penis in your vagina? Is it hard or non moved up lower his foreskin, at that time you are getting vaginal pain? If my doubt is correct & u satisfy, so both need to apply zylocaine jelly, five minutes before Intercourse.
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Me and my fiance had intercourse and we have completed 72 hours from the time we had intercourse and now at 96 hours we planned to stop birth Control and I make her to have unwanted 72 is this works after 72 hours are is there any other pill to avoid birth control.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Me and my fiance had intercourse and we have completed 72 hours from the time we had intercourse and now at 96 hours ...
Dear Lybrate user. I can understand. Unwanted 72 will not work after 72 hours. You should consult a gynecologist for further abortion procedures. Take care.
1 person found this helpful
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I had sex before 10 days. And now my period is not coming. So I wnt to am I pregnt.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I had sex before 10 days. And now my period is not coming. So I wnt to am I pregnt.
You just go for urine pregnancy test as if your periods are regular, there is a strong possibility that you may be pregnant but it doesnot confirm this until confirmed by a urine pregnancy test.
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Hi . My age is 25 and my question is what happened if I do doggy style without using any protection . Is their any side effects or any diseases may rise like aids .

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
if your partner is having aids and you are not using protection than chances are you may also getv HIV virus no matter which ever sex position you do, there are no side effects if your partner is comfortable you can use any pose , I believe a girl should decide the sex pose so that she also enjoys it, boys are boys and they are OK with all poses, girls like soft and delicacy moves and you should understand ur partner, once you gain her confidence she will give you a better response which will give you more pleasure.
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I had unprotected sex. Following it up I took unwanted 72 within half an hour sex. After two days again I took the unwanted 72 pill. 3 days before my period was due I had a little bit bleeding which lasted for 3 days. It was not at all heavy like a period bleed. The colour of bleed was deep red and brown. Nor was there any cramps like I usually have. After it ended I took the pregnancy test it came out negative. I took the test again after 5 days and still it came negative. Am really worried. Its been a week I haven't got period and the tests are coming negative. What could this be?

MBBS, Diploma in Cardiac Emergencies in General Practice
General Physician,
I had unprotected sex. Following it up I took unwanted 72 within half an hour sex. After two days again I took the un...
It can be a case of hormone imbalance in your system. The medications like unwanted 72 have high doses of synthetic progestin, Levonorgestrel (hormone). The side effects of this medicine include the irregular menstrual bleeding that you are having. Don't worry. Get a ultrasound done if in doubt.
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I have irregular periods related issue since 4-5 months. I have taken medicines for migraine headache. My periods date gets late for 6-7 days every month. Earlier it lasts for 6-7 days now only for 2-3 days (thicker blood). Also too much acne on my face on these days. A lso feels too much weakness and body ache.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I have irregular periods related issue since 4-5 months. I have taken medicines for migraine headache. My periods dat...
Hello- irregular periods and headache accompanied with weakness shows that you might be anaemic/low haemoglobin in blood. Use herbal supplements for anemia like Dadimadi ghrita, Abhra loha etc. Your problem will be solved.
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Hello doctor. I got married 2 years Gon. Still no baby, I considered doctor they told I have pcod. Still I took treatment, 3 times doctor did IUI for me there's no use. Last month I not going to treatment but I use some neem leave medicine, now this month there's no periods now 35 days till today. Now what I have to do? When I want to check pregnancy test.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
Hello doctor. I got married 2 years Gon. Still no baby, I considered doctor they told I have pcod. Still I took treat...
Lybrate-user, first you do a upt at home. If its positive it solves your problem. If its negative you need to get medicine for bringing your periods first. As such success rate of iui is low about 15 percent. You need to consult a reproductive medicine specialist.
4 people found this helpful
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Copper T. Ka result hamesha positive rehta h. Ya iske negative signs bhi hai. Ye kis trh se achi h or kis trh se harmful. Kya ye sbke liye beneficial hai?

BHMS
Homeopath, Raebareli
Copper T. Ka result hamesha positive rehta h. Ya iske negative signs bhi hai. Ye kis trh se achi h or kis trh se harm...
Please note the following in respect to your queries: The contraceptive coil comes in two different types: copper-based intrauterine devices (IUD) and hormonal intrauterine devices (sometimes known as IUS – intrauterine system). Both are essentially made of plastic, then either "coated" with copper or hormones. Both methods of IUD contraception are inserted into the uterus to provide long-term and highly effective protection against pregnancy (above 99% effectiveness). This protection lasts for 5-10 years. They do not protect against sexually transmitted infections. A.Advantages of the Copper Contraceptive Coil The copper coil works for about 10 years. You need to attend regular check-ups to make sure that the coil is still in place. Contraception with the coil is about 98-99% effective over a period of 5 years. The biggest advantage of using a contraceptive coil is that you don't need to think about contraception every time you have sex. Except a risk of heavier periods, copper IUD contraception doesn't usually cause side effects because it doesn't rely on hormones to prevent pregnancy. B.Disadvantages of the Copper Contraceptive Coil Your doctor needs to implant the IUD. You'll need to go back to your doctor one month later, who will check whether the coil is still placed correctly. Regular follow-ups are necessary. In terms of side effects, some women experience heavier and more painful periods with the copper-based contraceptive coil. This can be a problem if you are already prone to heavy and painful periods. If that applies to you, this type of contraception might not be right for you. Other side effects are uncommon but include: Cramps Nausea Backache Vaginal discharge Inflammation of the vagina Pelvic infection (uterus), which usually happens within three weeks after insertion Ectopic pregnancy (egg implanting outside the womb) – very small risk but very serious. An absence of periods and lower abdominal pain are the main symptoms Your doctor will check for signs of infection in the 3-4 weeks after the contraceptive coil has been inserted. Another (rare) risk is that the IUD comes out or slips out of its place – which is most likely to happen during the first 3 months. If this happens, you should see your doctor as soon as possible. You can also try to check the threads that come with it to see if it is in place.
2 people found this helpful
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I did not sex but came closure, in fear I took unwanted 72 on7th September. My last period was on 28th august. It is now small bleeding on 14th September. Why?on which day my next period will occur? Any problem in future? Am I safe or pregnant?

MD - Gen Medicine
Sexologist, Delhi
I did not sex but came closure, in fear I took unwanted 72 on7th September. My last period was on 28th august. It is ...
Hello friend. There is no need to worry. After contraceptive pills there will be irregular bleeding.
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I want to know about advantage and disadvantage of garlic and onion .one female patient,(30 y) thyroid gland operation (now she has no gland. Eltroxin 150 was running 1 year but it is now stop for radio iodine ablation after one month. Now totally stop iodine food. So I want to know any problem if she take garlic and onion.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
I want to know about advantage and disadvantage of garlic and onion .one female patient,(30 y) thyroid gland operatio...
Both are potent antibacterial, antiviral, and anti-fungal.In general, onions and garlic are very health supportive foods. They have been found to help reduce cholesterol, risk of cancer, and support several other body systems that provide us with our vitality. Both foods may have the capacity to improve our diet's blood sugar-regulating ability. Both may also have special antibiotic-type properties. When it comes to our health, both onions and garlic are unique in terms of their sulfur-containing phytonutrients. You'll find unusual combinations of health supportive sulfur compounds in both of these World's Healthiest Foods. Intake of onion induces sulphur in the human body and it mixes up with the gastric juices which results into such mixtures that hamper digestion. Sulphur dioxide dissolves in the body fluid to produce Sulphuric acid. It reduces the pH of the blood lower than 7.4 thus, hindering proper blood circulation.
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Hi this is kalpana. I am 29 years old. I am married. Still now I do not get period. I went a hospital but doctor said it's miracle uterus is not there. Any treatment is there. I need children's.

DHMS (Hons.)
Homeopath, Patna
Hi this is kalpana. I am 29 years old. I am married. Still now I do not get period. I went a hospital but doctor said...
Hello, Lybrate user, Uterus is a vital part of reproductive system of a woman required to expand the pregnancy during gestation period. Hence, without Uterus pregnancy can't be expected, please. Tk, care.
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My wife had ectopic for first pregnancy. How to avoid second ectopic and what are the root causes for ectopic.

MBBS DGO PGDCC
Gynaecologist, Belgaum
My wife had ectopic for first pregnancy. How to avoid second ectopic and what are the root causes for ectopic.
Chances of repeat ectopic pregnancy are high. Causes of ectopic are due to tubal infection which destroys the cilia lining the tube. Tubes once destroyed cannot revert back. Only thing you can do is immediately after missed period confirm the pregnancy by scan whether it is intrauterine or not to avoid complications.
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Is it any side effect of unwanted 72 pills. If if eat it after sex and then after eat medicine I will do sex one more time .is there any chance of pregnancy.

MBBS
General Physician, Cuttack
Is it any side effect of unwanted 72 pills. If if eat it after sex and then after eat medicine I will do sex one more...
It can cause nausea vomiting bloating/pain abdomen, vaginal bleeding, irregular period. One tablet of I Pill can be taken within 72 hours (preferably within 24 hours) to avoid prgnancy. there is no requirement to take again I pill if you are having second time sex within 24 hours
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4 Things that Cause Vaginal Dryness

MD-Gynaecologist & Obstetrician , MBBS
Gynaecologist, Delhi
4 Things that Cause Vaginal Dryness

Vaginal dryness is an uncomfortable and painful condition that usually occurs during or after menopause. The estrogen level in your body gets reduced during this time which eventually leads to vaginal dryness. However, there are other factors that can trigger this condition including certain medications and immune disorders. This is a problem that can affect women at any age but it is visible more frequently in older women.

Here are some common factors that may lead to vaginal dryness:

1. Hormonal changes - A decrease in estrogen level that occurs during menopause is one of the most common causes of vaginal dryness. The decrease in estrogen may also occur during perimenopause, during breastfeeding or after childbirth. Radiation and chemotherapy for cancer treatment may also result in a decrease in vaginal lubrication.

2. Irritants - Chemicals present in soaps, dyes, hygiene products and perfumes may cause allergy in some women. Irritants present in underwear or towels and other allergens like objects and lubricants that are placed in the vagina may also cause vaginal dryness.

3. Insufficient arousal - Low libido or other sexual problems may also lead to vaginal dryness. Poor sexual performance and early ejaculation may also contribute to it.

4. Anxiety - Sexual desire can be affected by emotional and psychological factors such as anxiety and stress that may eventually lead to vaginal dryness. High anxiety level in women results in insufficient flow of blood, causing vaginal dryness.

How can vaginal dryness be treated?

Topical estrogen therapy is a common method of treating vaginal dryness caused by low estrogen level. Topical estrogen helps in inserting some hormone that your body is no longer producing. This controls the vaginal symptoms to a certain extent but it does not replace as much estrogen as oral hormone therapy, in your blood stream. Lubricants and moisturizers may also be applied to reduce vaginal dryness and make sex less painful and uncomfortable.

Word of Caution

Please get a PAP Smear done before starting local estrogen and keep a follow up with your doctor.

'Consult'.

Related Tip: All you need to know about infections of the Uterus, Vagina and Cervix

4858 people found this helpful

Sex with cloths on. I was wearing underwear, boxer and jeans and my girl is wearing underwear and trouser. While humping her, I cummed in my underwear but fluid did not come out from my jeans. Is entering the fluid into the vagina is mandatory for conception. Please tell.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Sex with cloths on. I was wearing underwear, boxer and jeans and my girl is wearing underwear and trouser. While hump...
Hello, There is no chance of pregnancy here.! Pregnancy occurs when the fluid enters the vagina ! It is very rare for a pregnancy to occur with semen outside the aging.!
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Meri bivi ke pet mein baccha ulta he kya ho sidha ho yajega kab tak sidha hoga pehli sonography mein or dusri sonography mein bacha ulta tha abhi use 6 month or 18 din go gaye hai kya upay karna chahiye.

BHMS
Homeopath, Hoshiarpur
Meri bivi ke pet mein baccha ulta he kya ho sidha ho yajega kab tak sidha hoga pehli sonography mein or dusri sonogra...
If there is nothing abnormal found in sonography then hopefully if everything goes fine gynae can rotate the position during delivery but it will depend upon expertise of the concerned gynae Nothing to worry as for now and enjoy this period.
1 person found this helpful
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