Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 36 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.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. FlorenceYour feedback matters!
Sir on 29/10/16 I have done sex with my boyfriend. My date was on 3rd of nov. But it got delayed. We uses condom during sex. I took pillow for early mensuration on 8th and 2 dose on 9th. My test for pregnancy is negative on 9th. But still no mensuration please help and suggest.
I want to get pregnant I have one 5 year son what should I do my periods are also irregular my hormones test are also normal anf I do not have any pco bit I have gallstone does it effect in my pregnancy.
Nipple discharge is a common part of breast functioning, which normally occurs during breast-feeding or pregnancy. It is often associated with the changes of menstrual hormone. The milky discharge post breast-feeding usually continues for up to two years after stopping nursing. The condition normally gets resolved on its own but if the situation persists for a long time resort to medical assistance.
The following are some of the causes of normal nipple discharge:
- Stimulation: Normal nipple discharge can arise due to stimulation; chafing of your breast skin due to tight bras or vigorous exercises.
- Pregnancy: Most women tend to witness clear nipple discharge in the early stages of their pregnancy. Towards the later stages, this discharge usually turns watery and becomes milky in color
- Stopped Breast-feeding: In some cases, nipple discharge continues for some time after the mother has stopped breast-feeding her newborn
- Hormonal Imbalance: Some women notice tenderness in breasts and nipple discharge during their menstrual cycle
What is an abnormal nipple discharge?
An abnormal nipple discharge is usually bloody in color and is accompanied with tenderness of the breast. Papilloma is a non-cancerous tumor that is often responsible for bloody nipple discharge. Continuous nipple discharge from one of the breasts or nipple discharge that arises without any stimulation or external irritation is abnormal in nature.
The possible causes of abnormal nipple discharge include:
1. Abscess- It is an assortment of pus that get accumulated within the tissues of your body. It is usually accompanied by redness, pain and swelling. Boils and carbuncles are types of abscess. Formation of abscess in breasts may result in nipple discharge.
2. Breast cancer- Breast cancer often results in bloody nipple discharge and is often found with a presence of lump in one of the breasts.
4. Ductal carcinoma in situ (DCIS)- Normally characterized by the growth of cancerous cells in the milk ducts of your breasts, it is generally identified through mammography screening.
5. Fibroadenoma- In this situation most young women witness an appearance of solid, tumor like structure
6.Galactorrhea- Galactorrhea is nipple discharge of milk when not pregnant or breastfeeding. The discharge can vary in color and can be expressed from either or both breasts.
What Causes Galactorrhea?
Galactorrhea is commonly caused by hyperprolactinemia, especially when it is associated with amenorrhea. Hyperprolactinemia is most often induced by medication or associated with pituitary adenomas or other sellar or suprasellar lesions.
The release of prolactin from the pituitary is held in check by dopamine from the hypothalamus. Prolactin release is encouraged by serotonin and thyrotropin-releasing hormone. This balance can be disrupted by medication (ie. antipsychotics), underactive thyroid function, pituitary tumors, hypothalamic tumors, damage to the pituitary stalk, nipple stimulation, chest trauma, herpes zoster, and emotional stress as well as a variety of other factors. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
I am 41 years old . I am not pregnant. But my period suddenly stops for a month. What medicine should be taken?
Fast Food Facts
What is fast food and why is it so popular?
Fast food, junk food, processed food, ready-meals - Whatever label you give it, it all comes down to the same thing - food that's been through the factory and had much of its goodness removed. Fast food is quick, convenient and usually inexpensive and hence children, teenagers and busy youngsters are easy target. However, it is little known that fast food is inexpensive because it is usually made with cheaper ingredients such as high saturated fat meat, refined grains with added sugar and fats, etc
Is fast food bad?
There is no such thing as a 'bad' food. All foods can fit into a healthy meal plan. It's true that fast food is usually high in fat, calories, cholesterol and sodium, but eating fast food every once in a while is not going to cause problems. If we eat too much fast food over a long period of time, though, it can lead to health problems like high blood pressure, heart disease and obesity.
If you are having fast food more than once a week, try to make healthier choices. Here are some tips:
- Choose foods that are boiled over fried, such as a grilled chicken sandwich instead of fried chicken or chicken nuggets
- Choose soups that are not cream based. If the name of the soup includes the word cream, such as 'Creamy Tomato Soup', avoid ordering it
- Have low-fat salad dressings instead of the full-fat kind
- Have a salad or soup instead of fries
- Use yoghurt, mustard or ketchup instead of mayonnaise
- Order smaller portions - the smaller the portion size, the lesser the calories
- When ordering a burger or sandwich, select leaner meats like grilled chicken instead of fried items such as burgers or steak and avoid adding cheese
- Choose water, low-fat milk, or diet sodas instead of regular sodas, fruit drinks, milkshakes or whole milk
- When ordering pizza, add veggies instead of meat, and get thin crust instead of deep dish
- If fruits and veggies are available, try to add them into your meal. For example, have lettuce and tomato on sandwiches or burgers
- Vegetable items are usually lower in fat than the meat dishes but can still be high in total calories
- Most appetizers are deep fried and some can hold more oil resulting in excessive calories. Switch to soups instead
- Stir-fry dishes are the best choice for lower calories
Essential Fast Food facts
- Laden with additives and unhealthy ingredients
A quick look at any food label will show you a long list of ingredients. We need to improve our ability to read and interpret food labels, which will help us make informed choices. More often than not, these foods are loaded with fats, sugar, salt and artificial additives. Many of these food additives, can have serious effects on long-term health. The fact that many children have diets high in processed foods underlies in the massive increase in childhood obesity
- Essential nutrients are missing
It's not just what's in fast food, which is alarming. What fast foods leave out, has just as bad an impact on health. Fast foods usually do not contain the following:
- Fiber, which is essential to keep the gut working properly. Processing methods remove most of the fiber originally present in the food. Long term low fiber intake can lead to serious health problems
- Vitamins and minerals in fast foods are lost due to processing and refining, which is often carried out at high temperatures. Some processed foods have added vitamins and minerals - often because those that were there to start with have been lost in processing. Others have very little or even non-existent nutritional value
- Bad for health
The dire effects of diets which rely too much on fast and processed foods are listed below:
- Lethal diseases - cancer, heart diseases, diabetes - are linked with poor diet and overweight
- Obesity in children and adults has reached a record high and continues to increase
- Lack of certain essential nutrients (like iron) can cause behavioural problems in children and can affect their ability to learn
- Long term fast/processed food (ab)use can lead to numerous other problems in children - caries prone teeth, dry skin, bad breath, constipation, digestive problems, headaches, poor concentration, depression, tiredness, anaemia - the list goes on and on
- Lacking flavour and texture
Junk foods are bland because processing wipes out subtle differences in flavour, appetizing fragrances and aromas. You have a well-flavoured meal in front of you, little knowing that this is due to added artificial flavours, colors and aromas. Yet the flavours never taste like food freshly prepared, from fresh and simple ingredients
- Not as fresh as they seem
Some processed foods pretend to be fresh - salads, which are doused in chlorinated water before packing. It's kept looking good, maybe for days and days on end, by added preservatives
What can you do?
Healthy eating and fast food can't exist side by side. As you switch to a healthy diet, one by one the fast foods must go:
- Learn to understand food labels. If you're looking for healthy food, labels hold the key. Read them and start seeking for healthier alternatives
- If you can't always avoid eating junk food, learn to choose the more healthy fast foods
- As you gradually eradicate unhealthy foods from your diet, replace them with simple, fresh foods and encourage your friends to do the same
- Help your family to start shopping differently, buying fresh foods more frequently, relying less on foods which have a long shelf life because they're full of artificial preservatives and buying for just few meals, at a time. Over a few months, you'll find that it's not that time-consuming and you and your family is actually enjoying planning and eating healthier meals
- In time, processed foods that used to seem appetizing will lose their appeal, as your palate becomes attuned to fresher, purer flavours
-Be realistic. Sometimes with friends you'll still have a burger or a ready-meal. Relax. Healthy eating is all about balance. As long as most of the time you're eating good, nutritious food, that's fine
Once you know the fast food facts, you'll never the feel the same about the foods in junk food joints again. Start gradually changing the way you eat and you'll enjoy food more and feel better, as well as give yourself, your family and friends massive health benefits which are long-term. You're not alone in this. Half the world is trying to do the same. But remember you can make it happen, only if you try. Your time starts NOW
Hlw Dr. My friend is lose her virginity. In a rape case. 2-3 months se uske Sath Ye ho rha tha. Nd rapist is her relative. Is wajah se nd badnaami k Dar se koi action na le k her parents r fix her marriage in February. Now she is worried. 1st night uske husband ko pta chal jaega or wo use chod dega. She wants tighten hr vagina. Give her some advice. She is very depressed.
My wife is pregnant she is having frequent vomits and pukes what is medicines suggested and iron supplements.
Multigrain foods will be high in complex carbohydratesand protein. Complex carbs are great for energy production, and this can help with exercise and losing weight.
They break down slower so they can provide energy over a longer period of time.
The levels of protein will aid the body in tissue repair and production of antibodies that will help fight sickness or infection.
In addition, they will contain nutrients, fiber and essential minerals like magnesium, copper and iron.
Multigrains that contain whole grains will be filled with essential fatty acids, b-vitamins, starch and fiber. Magnesium will help build strong bones and teeth. It will also help with metabolism. Fiber is great in helping the body stay regular and maintaining a healthy colon.
Adding multigrains to a diet
Now that you see some of the benefits, it is now time to see how you can fit in these healthy foods to your diet.
Multigrains can be added to any meal throughout the day. At breakfast you could start with a multigrain gruel or idli or dosa with sprouts or egg whites mixed in. At lunch you could have multigrain roti, veggies, dal. And then at dinner you could have a healthy portion of multigrains porridge or kichidi right next to a chicken breast or paneer.
The full history of a patient's health can now be captured electronically using EMR (Electronic-Medical-Records). In this case, you do not have to save the records on papers and maintain them in files. Instead, they can be automatically stored using a software, so that in times of need, they can be easily accessed without any inconvenience.
What are the major benefits of EMR?
- Easy tracking: The recorded data can be easily tracked and thus the chances of data misplacement can be completely curtailed.
- Proper identification: The patients can be easily identified by tracking their records or past history. This is how due screenings and preventive measures can be conveniently tracked.
- Improved care: With the increased usage of EMR, medical care and assistance are improving like anything.
- Monitoring: Patients' health condition can be properly tracked and monitored so that certain parameters can be measured, especially blood-pressure readings and vaccinations.
Best solutions of EMR:
If you make a detailed survey, then you will come across different popular EMR models that are currently popular. Look at the features and facilities so that the best one can be chosen as per your purpose, requirement and affordability. Some of the most popular solutions for EMR are as follows:
- CareCloud: This is nothing but cloud-based software that can make accurate recordings and storage of all kinds of healthcare records so that you can access them even after a long time. In this case, storage is made in a systematic manner. Consultation records and record-keeping regulations are found in the software.
- Practice Fusion: the most improved technology for maintaining medical records is found in the software. It's easy to access and this is the main reason behind the highest popularity of the same.
- AthenaHealth: The health care providers can now get the advantage of tracking all their records in a proper manner with regular usage of this software. The most interesting part is that these providers can access the details at any point of time and from anywhere.
- Greenway: A wide range of EMR services are getting provided by these software such as storage services, maintenance services and record creation. This is why the software is treated as versatile.
- EclinicalWorks: This software has won several awards for offering accurate and perfect maintenance of different kinds of medical records, and this is why it is so popular.
What will be the basic cause and treatment of secondary amenorrhoea with no ovarian cyst and normal reports of thyroid and prolactin?
My wife is 4 months pregnant. She is 27 years old. She was complaining of pain in the lower abdomen. When I called the gynaecologist, she advised for a USG. USG study reveals as follows. 1) Single live fetus at 14 wks gestation. 2) mobile presentation this time. 3) liquor is adequate largest cord free pocket is 3.9 cms. 4) PLACENTA IS ANTERIOR LOW LYING, LOWER EDGE REACHING INT OS, NOT COVERING IT, GRADE O MATURITY. 5) NO GROSS STRUCTURAL ANOMALY SEEN. The Gynaecologist advised for a complete bed rest and even suggested that my wife should not move even a little. And if she did She would bleed. And advised to take Michelle (Progesterone) tabs twice a day, ISR 40 (Isoxsuprine Hydrochloride, AqSusten 25 (Progesterone) injections. I went to another Gynaecologist, the one who well he is F.C.R.O.G. (UK) he said that don't give any medicines except Folic Acid, and that bed rest at this situation does nothing. Kindly advice me what to do. My wife is very tensed and cried a lot.
I and my girlfriend had protected sex on 2nd Feb. But I rubbed her without protection for 5-10 seconds. She had an ipill for safety under 24 hours. She had her withdrawal bleeding on 8th of February for 4 days. Now it is 15 April and she has not got her periods. Done urine test thrice with 7 days interval. All are negative. Please help. We are very tensed. Is she pregnant?
I am 22 years old. My weight is 69 kg. Due to overweight, my periods are irregular. My periods last date was 19 feb. Please tell me the remidies to reduce weight and also regulate the periods.
Hi! Im 28 yrs. Im having PCOS pblm for the past 2 yrs. I have regular periods (30 to 33 days). But spotting starts before 3 days frm my period due. I have 4 years old kid. Nw I'm trying to get conceive for past 5 months. Bt results came negative. Did I'm able to get pregnant again with the PCOS without any treatment? Is there any possibilities? I'm just scared n tensed. please help me.
I am married 33. One year has complete to my marriage. In the beginning during the intercourse my wife's vagina become wet in the foreplay. But now a days though full sensation is in body. But her vagina not became wet and naturally lubricate. What is the reason. Please help me to find the solution.
My wife 44 years old she adopt to copper t last five year, yet she removed. Nowadays what we should care about pregnancy.
Madam my daughter age 16 this getting regular periods every month, this month her bleeding going on 10th day, not too much but iam fearing kindly advice what to do.
Diet plan for DM and HTN
Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable.
As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats.
General instructions to be followed:
Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed.
Whole grain cereals are better, preferred for their fibre content and satiety value.
Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water.
When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it.
Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious.
Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided.
Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking.
Egg yolk has to be avoided by individuals with hyperlipidemia.
Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption.
Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.
Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition.
Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list.
Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc.
Use of coconut and its products must be minimized.
Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally.
It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged.
Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets.
Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases.
Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart.
Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account.
Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels.
Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed.
Include foods from all the different food groups and thus consume a balanced diet.
Regular exercise is most useful but physical strain after a meal should be avoided.
Free foods (can be included liberally)
Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc.
Foods to be used in moderation.
Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc.
Foods to be avoided by diabetics.
Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc.
Roots and tubers like potato, tapioca, yam etc
Butter, ghee, dalda and fried preparations.
Horlicks, bournvita, boost etc
Fruits like jackfruit, banana, mango, sapota etc.
Dry fruits and nuts
Barley water, rice water etc.
Cholesterol rich foods (to be avoided by cardiac patients)
Whole milk and milk products
Shellfishes like prawn, crab, lobster etc.
Organ meats like kidney, liver, brain etc.
Chicken, duck with skin.
Sweet like pastries, ice creams etc.
Butter, ghee, dalda, coconut oil, palmoil
Fried foods like vada, chips, pappads, samosa etc.
Alcoholic drinks, creams soups etc.
Fiber rich foods
Whole wheat, parboiled, sago, oats etc.
Fenugreek and sesame foods
Vegetables and fruits (with skin)
Fresh coconut etc.
Sodium rich foods (to be avoided by hypertensive patients)
Salt (avoid extra salt in food and table)
Baking powder, baking soda, ajinomoto etc
Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc.
Salted chips, nuts, popcorn etc
Pappads, pickles, dried fish etc
Canned and salt preserved foods
Sauces, soup cubes
Sausages, lobsters, meat and yeast extracts
Readymade foods like cornflakes, noodles, fast foods etc.
Proprietary drinks eg. Horlicks, complan, bournvita etc