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Dr. Girija Subramanium

Gynaecologist, Chennai

Dr. Girija Subramanium Gynaecologist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Girija Subramanium
Dr. Girija Subramanium is one of the best Gynaecologists in Nanganallur, Chennai. She is currently associated with Margaret Sidney Hospital in Nanganallur, Chennai. You can book an instant appointment online with Dr. Girija Subramanium on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 41 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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Addiction: Signs and Symptoms

BHMS, MD-Homeopathy, PGPC - Preventive Cardiology
Homeopath, Delhi
Addiction: Signs and Symptoms

Addiction not only includes physical things we consume, such as drugs or alcohol, but also includes virtually anything, such abstract things as gambling to seemingly harmless products, such as chocolate, etc. In other words, addiction may refer to a substance dependence (e.g. drug addiction) or behavioral addiction (e.g. gambling addiction).

Causes: There is a link between the repeated uses of an addictive substance and how the human brain experience pleasure, its use has a nice reward, leading to further and more frequent use. The addictive substance, be it nicotine, alcohol or some drug actually causes physical changes in some nerve cells in the brain. After a while, the user of the potentially addictive substance does not get the same pleasure and has to increase the dose, as his/her body's tolerance to it increases. Eventually, the user no longer experiences pleasure from the substance and takes it simply to prevent withdrawal symptoms taking the substance just makes them feel normal. When tolerance increases, the risk of addiction is much greater.

Signs and Symptoms: A person starts to show symptoms when a person takes the substance, such as nicotine , alcohol etc. and has given a serious attempt to stop, but is unable to do so because of the withdrawal symptoms. The body of an addict will go in withdrawal state when once the level of the substance abused is below a certain level. When a person goes in withdrawal state it will show signs, such as craving, bouts of moodiness, bad temper, poor focus, extreme temperament, poor focus, continuous feeling of depression, emptiness, frustration, anger, bitterness and resentment. Apart from these the addict will also display symptoms such as increased appetite, insomnia, constipation,and diarrhea. Withdrawal caused by some substances can also trigger signs like violence, seizures, hallucination, sweating and trembling, etc. However, the addiction continues despite health problem awareness. An addicted person commonly feels they need their drug in order to deal with their problems.

Investigation of Addiction: Blood test is advised to determine whether the substance is still in the blood (whether the substance has been taken recently). DSM criteria for substance dependence that is a patient diagnosed with substance dependence (an addiction) must meet criteria laid out in the DSM (Diagnostic and Statistical Manual of Mental Disorders), a manual published by the American Psychiatric Association.

What you can do?: Acknowledge the problem and consult for help from an expert. Family members must be supportive in creating a congenial environment for the addicted person.

Role of Homeopathy in Management of Addiction: The first step for the addicted person is to acknowledge that there is a substance dependency problem (addiction problem). The next step is to get help. In most of the world there are several support groups and professional services available. Treatment options for addiction depend on several factors, including what type of substance it is and how it affects the patients. Typically, treatment includes a combination of inpatient and outpatient programs, counselling (psychotherapy), self-help groups, pairing with individual sponsors, and medication.

Talking of medication, Homoeopathy definitely has a major role to play in the de-addiction journey of a 'patient'. Over the years it has been seen that homeopathy has produced tremendous results in such cases. People have approached for quitting alcohol, smoking, drugs, etc. and majority of them have been wonderfully helped by Homoeopathy. Those who haven't achieved desirable results have either lacked willingness or conviction on their own part, or have had a non-congenial and non-co-operative environment at home and work place. For any de-addiction plan to be successful for a patient these 2 factors are the most important. A willing person with a co-operative and supportive environment is much more receptive and responsive to the medical treatment.

The commonest attacking area for any addictive substance is the Central Nervous System (CNS). The substance inhibits the release of neurotransmitters, which are responsible for carrying nerve impulses. Once these neurotransmitters are inhibited in their normal functioning, a person develops delayed nervous responses and irregular nerve impulses leading to addiction. It is a vicious circle. So, as the centre of attack is the CNS, a medical system that boosts and strengthens the CNS would automatically prove beneficial in such dreadful cases. Homoeopathy is that very medical science! The homoeopathic medicines are absorbed through the nerve root endings of the tongue and directly hit the CNS. There are some very powerful Homoeopathic medicines, which have the ability to shake up the CNS and work in a normal manner as it is used to be. These Homoeopathic medicines, thus have the ability to develop control and also the power to abstain from the substance in later stages of the treatment.

But the first and foremost attempt is made to manage the withdrawal symptoms. It is the fear of the withdrawal symptoms only that a patient may lose conviction and confidence in him and give in to the indulgence once again. This is where the role of family and friends also comes in. when the struggle of 1 man becomes fight for the whole team; chances are very high of coming out victorious. There are brilliant medicines in Homoeopathic science, which can help the person in managing and fighting with the withdrawal symptoms with ease. Medicines like Nux vomica, Kali phos., Arsenic Album, Coffea cruda, Aconite, Gelsemium, Argentum nitricum, Ipecac, Acid sulphurosum, Caladium, Daphna indica, Quercus, etc. have proved to be extremely effective in helping a person wean off completely of the addictive substances.

Mind the Mind: Over the past two issues, we took up the burning problem of addiction as a mental illness, explored its, nature and probable causes that go into the making of an addict. The current issue is aimed at spreading awareness about the available evidence based psychological treatments for de-addiction.

  1. Psychotherapy: Also called as 'talk therapy', is aimed at helping the patient to understand the link between their thoughts, feelings and behaviour so that the maladaptive ones can be replaced with more adaptive and productive processes. Interventions in terms of Cognitive Behaviour Therapy (CBT), Motivation Enhancement Therapy (MET) and Behaviour Therapy are efficient in the treatment of addiction behaviour.
  2. Craving control: Use of certain medicines and behavioural techniques can help a person deal with the intense feelings of craving when it seems too much to bear. It gives a sense of greater control to the person over the substance, which in turn motivates him/her to stay away from using the substance. Many people report that they tend to continue the abuse the substance since they are unable to handle the period of intense craving, which can come all of a sudden.
  3. Relapse prevention: Arguably it is the most important component of de-addiction program. Leaving the substance is not that hard, but staying away from it is the most difficult part as reported by many patients with addiction. To ensure that the person stays clean and healthy without the substance, they are taught some techniques like asking for help whenever they feel the need to do the substance or staying away from potentially, dangerous situations, like going to party where alcohol is available. With therapy, the individual gains more confidence in his/her own abilities rather than depending on the substance for facing life situations. In addition to this, they also start enjoying their life without the substance. Both the patient and his/her family play an important part in this process hence they are educated about it and are advised regarding appropriate ways of ensuring sobriety for the patient.
  4. Alcoholics Anonymous (AA): It is a self-hellp group in which ex-alcoholics come together and share their experiences, for instance how they got into drinking, how it affected their life and now how they are maintaining their sobriety. These are mostly weekly sessions and have been found to be very effective in supporting the recovery of alcoholics to stay motivated and be clean without the use of alcohol. Similar to AA, there is NA (Narcotics Anonymous for drug addicts) and Al-Anon (for the family members and friends of problem drinkers).
  5. Yoga and exercise: A healthy daily routine with yoga or regular exercise promotes feelings of general well-being and ensures healthy mind and body. It detoxifies the body faster and even helps in recovering from the damage caused due to excessive substance use.
  6. Social skill training: An important aspect for being away from drugs/alcohol is the ability to say NO to such offers from others. Assertive behaviour, healthy communication pattern and good problem solving ability are skills that are taught to assist the person to stay healthy without feeling the need to take the substance.

One of the simplest, yet very powerful principles of staying healthy is 'ONE DAY AT A TIME'! Instead of making any long-term plans for staying sober, which might seem over-whelming and extremely difficult, just plan for that very day and DECIDE to be clean without the substance.

4262 people found this helpful

I got married 10 years back still we don't have child, what to do, my wife is heavy, 85 kgs, and my weight is 60. My wife has asthma also, and take 100 MG capsules daily, will she be able to conceive.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I got married 10 years back still we don't have child, what to do, my wife is heavy, 85 kgs, and my weight is 60. My ...
Asthma has no elation with infertility. But she has to reduce weight first. Secondly, both of you should go for fertility check up by doctor to diagnose the cause and get that cause treated.
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Have menses problem since 2014. Done with an ultrasound and the reports said I m suffering from PCOD.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
You get your blood test on the second day of period and take the treatment accordingly. reduce weight by diet and exercise
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Hello doctor. M 20 year old. I have pcod and also ovarian cyst. From last 2 days m suffering from burning and irritation in my vagina. I feel as my bladder is full even after I urinate. And when the urine passes the burning sensation just triples. And today m passing urine after every 2 minutes. Also having lower abdominal pain. I had sex on 29th of August. Which was the day after my period got over on 28th. But sperms didn't enter inside me. Is it possibility of pregnancy? Wht should I do?

BHMS
Homeopath, Navi Mumbai
Hello doctor. M 20 year old. I have pcod and also ovarian cyst. From last 2 days m suffering from burning and irritat...
Hello, frequent and painful urination is called dysuria and it not a sign of pregnancy. You are probably suffering from UTI (urinary tract infection) it is advisable to postpone sexual intercourse till you are cured of thin infection. As a homeopath, I can tell you that we have efficient medicines for both PCOS as well as UTI.
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Diploma in Paediatrics, MBBS
Sexologist, Dehradun
Breast feeding is best for your baby, formula feeding is just substitution. Colostrum is the so called" witch milk" that comes out from the mother's nipple for 2-3 days after child birth. It should definately be given to the baby as it is a rich source of immunoglobulins and anti-infective factors for the baby. Burp your child everytime after a feed.Motherhood has to be enjoyed rather than a duty to fulfill.
4 people found this helpful

Sir I'm 35 week pregnant. At 33 week my infant position was OK with head down in ultrasound. But now at 35 doctor say that child is breech. Is it possible what to do now or can I go for another ultrasound. Can my child will be at right position during pregnancy.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
Sir I'm 35 week pregnant. At 33 week my infant position was OK with head down in ultrasound. But now at 35 doctor say...
Dear lybrate-user no need to worry many. Times position changes in later weeks of pregnancy. Just wait. Get ultrasound at 38weeks.
7 people found this helpful
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Hello Doc! Is it safe to have sex during 5th month of pregnancy? People around me tell me that one should have sex during pregnancy to get normal delivery is that true?

C.S.C, D.C.H, M.B.B.S
General Physician,
YOu can have sex till delivery time and it is not a rule that you should have sex for normal delivery.
1 person found this helpful
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5 Ways to Stay in Love

MD - Physician
Sexologist, Coimbatore
5 Ways to Stay in Love

As much as we take a dip in the bucket of blues and sing happy- sad songs to float and fall for the theorem of love; we are but orderlies to the emotion. We all wish if love had only been a four letter word. It, unfortunately, has multiple folds and crevices than the human mind can ever possibly think of. Nonetheless, staying in love is essential. Loving is as significant as is living; the reason being, it keeps you happy until you falter and with every faltering foothold, you emerge out as a stronger being.

A strange fact about the emotion is its tryst with wholeness. Love doesn’t necessarily need an object or receptor under its radar. It could be experienced as a self - sufficient feeling. You may be full of love for a family, for a dear friend, for your lover or you could also be in love with your passion or yourself. Irrespective of perpetual disillusionment, one must try and remain in love.

Let's take a curious peek into these few ways to stay in love:

  1. Put in efforts to look good: In any case, ‘beauty indeed lies in the eyes of the beholder’, but finding yourself pretty is extremely important. One must take care to look good in his or her own eyes. Looking good is directly proportional to the way you feel and hence spending time on yourself helps you to think positively. You see yourself in a better light and are thus, in a position to love better.
  2. Exercise to challenge your daily threshold: Exercising has multi - faceted effects on your overall health. If you exercise on daily basis, you witness your progress with every passing day. This encourages you to improve your flexibility and fitness. Exercising can lead to the release of the happy hormone - serotonin in one’s body. Direct exposure to sunlight and consumption of food items rich in carbohydrates can also increase the level of serotonin. Exercising boosts up your confidence and makes you fall in love with your body.
  3. Indulge in sweet things: As you grow up, you stop doing those little things that once gave you immense pleasure. Making a greetings card, baking a cake, making paper boats, going out on walks, teaching young children or doing whatever your heart feels like can actually make you stay in love.
  4. Pursue your passion: A passion gets the best out of you; it rather steps up the limits of your talents. Pursuing one’s passion makes one love oneself even more. It keeps you engrossed in your plus points, giving you little scope to brood over depressing factors.
  5. Try having a pet to care for: Feeling responsible for your pet is a great way to discover another side of your personality. A pet gives you the warmth you had been looking for. The bond of love with a pet has had unmatched effects on a person’s health.
3572 people found this helpful

After born my baby my belly fat and also breast's skin is loosing . So how can I maintain my figure. My age is 25 years Please tell.

MBBS
General Physician, Chandigarh
After born my baby my belly fat and also breast's skin  is loosing . So how can I maintain my figure. My age is 25 ye...
You need to take good nutrious healthy food do regular exercises and massage your body with some oil to get back to shape
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I am in depression so what to do I am getting headache daily as well as irregular periods please help me also at midnight i'm getting awake what should I do give me suggestion.

Fellowship in Clinical Research, Medical Informatics, Bio-Informatics, BHMS
Homeopath, Hyderabad
I am in depression so what to do I am getting headache daily as well as irregular periods please help me also at midn...
Do meditation daily. Take natmur-0/1 pills (homoeo medicine), add 12 pills in one glass of water and rotate anti clockwise 12 times. Take 2tsp every half an hour. Repeat daily.
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MASTURBATION

Advanced Aesthetics
Ayurveda, Gulbarga
MASTURBATION
What is masturbation?
What is masturbation?Masturbation is the stimulation of the sexual organs usually by a person himself, to obtain an orgasm. Though masturbation can be done by partners on one another, the term is more commonly used when sexual satisfaction is provided by self. Most people use their hands to masturbate, but instruments like vibrators and dildoes may also be used. These imitate the movements of the hand and provide sexual pleasure.

Masturbation is a way of releasing pent up sexual energy. Most people start masturbating at the time of puberty. With changes in an individual's hormonal profile during puberty, there is a surge of sexual energy which can be released with the help of masturbation. Masturbation is reported more in males than in females. More than a physiological difference in libido, this may be due to sociological taboos on females. Females also tend to discontinue or reduce masturbation when they form sexual relationships.
Is masturbation harmful?
Is masturbation harmful?This is the biggest myth surrounding masturbation. If indulged in moderation, masturbation, on the contrary, is a healthy practice that releases sexual energy. According to certain religious practices and beliefs, masturbation is harmful since it results in the loss of a man's "seeds" and makes him weak. Masturbation in women has largely been ignored in the religious texts. Other myths surrounding the act are that it reduces virility by making the semen less thick thereby reducing the chances of a man to bear children. This is totally untrue. Masturbation does not cause any loss of strength or virility in a person.
What are the other myths surrounding masturbation?
What are the other myths surrounding masturbation?

Only males masturbate – this is not true. Females masturbate as much as males do. However, they tend to report it less than males due to the social stigma attached to it. Also it has been observed that females tend to reduce or discontinue masturbation once they get into meaningful sexual relationships.

Masturbation is unhealthy – masturbation per se does not cause any health hazards. It is not an unhealthy habit. However, it may be mentally unhealthy if it assumes obsessive proportions and the individual is unable to think of anything else. It may also have physical repercussions if the instrument used to masturbate is dirty or infected.

Only adolescents masturbate – though the practice usually begins during adolescence, almost all adults practise it at some time or the other.

Masturbation does not provide as much satisfaction as sexual intercourse – sometimes masturbation is more satisfying than the sex act. This is because, during masturbation, an individual is in control of his own movements and can maximize the pleasure according to his or her needs. During sexual intercourse, the degree of satisfaction may, to some extent, lie with the partner.

People masturbate only if they have unfulfilling sexual relationships – people also masturbate for self satisfaction, even when they have fully satisfying sexual relationships.

Can one stop masturbating?
Can one stop masturbating?One can stop masturbating if one wants to. Just as one can live without indulging in sex, one can also stop masturbating with some will power. However, since the activity has nothing to be ashamed of and most people do it, there is no scientific reason to discontinue it. If one still wishes to discontinue, then the sexual energy may need to be channelised into alternative physical activities.

From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media
138 people found this helpful

I use to do fingering daily. Is it will responsible for any problem in my sex life in future. Should I do fingering daily. If not, how many times in what duration should I do it? And can you please suggest me suggestion to get rid of it?

MD - General Medicine
Sexologist, Nashik
I use to do fingering daily. Is it will responsible for any problem in my sex life in future. Should I do fingering d...
Fingering is female masturbation most of girls seek sexual satisfaction through fingering even after marriage also due to most male do not know how to satisfy the women. There is no upper and lower limit but see do not get addicted to it.
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Continuous white discharge one week after taking the I pill. However, there is no itching while/during discharge. Periods were due on 12th and today its 17th. Waiting still to arrive. Please comment if the white discharge normal and when can the periods be expected and does this white discharge indicates that soon periods will arrive. Thank you so much in advance for you valuable time and advice.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, ideally after ipill intake menses should arrive within next 7-10 days, if menses have not resumed then please rule out pregnancy with serum beta hcg test.
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I had intercourse first time on sept 5 and I was having periods on that day and then on sept 19 again I had intercourse and now its oct 6 I didn't have perdz. Does sex delay the periods a bit? Please help me out.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
I had intercourse first time on sept 5 and I was having periods on that day and then on sept 19 again I had intercour...
There is no proof to suggest that aex delays periods. If you had not used protection, I would suggest to go for a pregnancy test.
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At times I discharge the white fluid from my vagina and its smelly. This ia bothering me and as I feel embarrassed to b in bed wid my hubby.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, you are suffering from vaginal candidiasis and this needs to be evaluated by your gyn and then you may be prescribed antifungals.
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My mom is having lumps in breast n from few days from behind the auricle it starts paining n how there is pain in her right hand only on this side? Can you help?

Art - Advance Course Infertility, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
Tthis problem occurs by deficiency of vitamin- e, so you have to consult a surgeon or gynaecologist for treatment.
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I had unprotected sex with my girlfriend on 12th day of her menstruation cycle. I gave her ipill within 15 hours, will she get pregnant? Would having sex on 12th day means ipill will not work? She has a 30 day cycle though.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
I had unprotected sex with my girlfriend on 12th day of her menstruation cycle. I gave her ipill within 15 hours, wil...
I pill should work in most cases. But it has its own small failure rate. Best to go for a pregnancy test 2 weeks later.
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What's the reason of uneven and longer days periods for consecutive months and can PCOD be cured?

MBBS
Sexologist, Panchkula
Pcod is due to hormonal imbalance so it is to be treated properly. Uneven and longer days periods are due to hormonal imbalance.
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