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Dr. Gokula Rajaram

Gynaecologist, Chennai

100 at clinic
Dr. Gokula Rajaram Gynaecologist, Chennai
100 at clinic  ·  ₹ online
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Gokula Rajaram
Dr. Gokula Rajaram is one of the best Gynaecologists in Tondiarpet, Chennai. You can meet Dr. Gokula Rajaram personally at Dr Narmathas Ram Nursing Home in Tondiarpet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Gokula Rajaram on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 28 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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English

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#777,T H Road, Tondiarpet. Landmark:Near Tondiarpet Police Station, ChennaiChennai Get Directions
100 at clinic
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Sir, I am 50 years old energetic man my wife is 48 now my wife refusing sex because she is not interesting. How I solve it if any medicing for interesting sex mind developing any pls give solution.

Advanced Aesthetics
Ayurveda
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Sir, I am 50 years old energetic man my wife is 48 now my wife refusing sex because she is not interesting. How I sol...
Booster capsule works for women in great way. It increase the ultimate sex desire, speed up the arousal, help produce profuse lubricant to have better sex, assists in getting balanced sex hormons, helps in tightening vaginal muscles, getting easy and enjoyable orgasm with multiplicity, helps reduce pain while sexual intercourse and strength & energy for longer sex act every time and gives heavenly pleasure and satisfaction. The female sex power booster that we deal in is highly effective and is free from all kinds of side effects. Besides, we are the only online suppliers of female sex power booster in india. Booster for women is a clinically proven herbal formula that supports normal female sexual desire and vitality. Booster for women is non-hormonal and safe, supporting women as they face the lower libido level often associated with aging. Booster capsule supports systemic balance in the female reproductive, circulatory and hormonal system responsible for sexual arousal. It gives healthy, pleasurable orgasms with a healthy sex drive and desire in women. It helps to maintain a healthy nervous system, ongoing female sexual pleasure, optimal sexual health and vitality. It also improves general health in women.
1 person found this helpful

I am 20 years adult girl. And I suddenly have pain in my middle portion of back. What it is and how it can b treated. Should I go for medicines or not. If yes plzz recommend me some medicine.

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am 20 years adult girl. And I suddenly have pain in my middle portion of back. What it is and how it can b treated....
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
1 person found this helpful

But when I test by card it came as positive but next day my period came my husband is not here also he went abroad.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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But when I test by card it came as positive but next day my period came my husband is not here also he went abroad.
Dear consult a gyanaecologist and get ultrasound done. Either u didnt done test correctly or it can be other problem.

Dear sir, I have burning sensation in my feet and palm occasionally which makes my palm and feet red. Please tell me the reason behind it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Dear sir,
I have burning sensation in my feet and palm occasionally which makes my palm and feet red. Please tell me ...
This is an internal systemic disorder. Homoeopathy has good treatment without causing adverse effects. Take homoeopathic medicine sulphur 200 once daily in the morning and give feedback after 6 days.

Emergency Contraceptive Pill

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist
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Emergency Contraceptive Pill:

Prevention of unplanned pregnancies will go a long way in improving the reproductive health of women in India. A woman faced with the prospect of an unplanned and unwanted pregnancy can, in many cases, avoid the pregnancy by using Emergency Contraception. Emergency contraceptives act as interceptive agents i.e. ovulation, fertilization or implantation` is prevented depending on the phase of menstrual cycle.
Remember, these pills are not intended as regular forms of contraception. If you are looking for a regular contraceptive, there are many options available to you. Ask your doctor to help you find one, which works best for you.

Emergency Contraceptive Pill? Commonly available in marked with the names of I-Pill, unwanted72 etc..
Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse (sex), to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.
The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy. Also, emergency contraception does not protect against sexually transmitted infections, like HIV .

When to take ECP?
Emergency contraception offers women a last chance to prevent pregnancy after unprotected intercourse. If you are not using any other contraceptive methods and you have had intercourse. The condom broke down or came off during the act. If you have missed at-least 2 or 3 of your regular birth control pills, or if you were forced to have sex.

Side effects of emergency contraception
Side effects include nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue. These usually do not occur for more than a few days after treatment, and they generally resolve within 24 hours. There are not much evidence of long term side effects of these medicines but there are some studies or beliefs that these pills have long term effects on the women’s body like irregular menses, mastalgia and infertility.

Effects on Pregnancy
There have been no conclusive studies of births to women who were already pregnant when they took ECPs or following failure of ECPs

Whether to consult a doctor before taking ECP?
Not really! However if you suffer from high blood pressure, diabetes, previous tubal pregnancy, it's a good idea to discuss it with your doctor when going for a health check.

When to contact a doctor after taking the ECP?
If you experience the following symptoms:
• Severe abdominal pain.
• Chest pain or shortness of breath.
• Severe headache.
• Eye problems like blurring of vision.
• Severe leg or arm pain.
How long effect of ECP last?
The use of ECP is only for 1-2 acts of unprotected sex and that too within 72 hours, if you happen to have sex after 72 hours you should be looking for alternative and regular form of contraception.

When to expect periods after taking ECP?
Your next period may come sooner or later than expected, however most women get their period within 7 days of expected date. Your period may also be heavier or lighter than normal. If you do not get your period within 21 days or if you think you could be pregnant, get a pregnancy test done.

Does Weight Affect Emergency Contraception effectiveness?
Yes,if you have a body mass index (BMI) that's higher than 25, it's less effective. If you have a body mass index (BMI) that's higher than 30, it may not work at all.
Emergency Contraceptive Pill
2 people found this helpful

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Chronic fever, mild fever, heat in the soles and palms, excess sweating (haad bukhar in local language), epistaxis (blood from nose), anaemia, jaundice, hyperacidity, bleeding piles, white and bloody discharge from vagina, urinary infection, any thing else'pittaj, excess thirst can all be settled with a single herbal medicine named giloy satva (also called guduchi satva). It's made of precipitate of tinospora cordifolia) herb.

Adding giloy satva with prawal pishti, sitopaladi powder, chanderkala rasa etc and giving with different vehicles (e. G. Honey, gulkand, milk, water etc) have different kind of effects and are selected on the basis of condition and current symptoms.

Usual dose is 1/2 gm to 1 gm.

Very safe. No side effects.

My friend having a sex with her bf 3 months back .means sunday she's having a sex with her bf at that time bf used a condom next day when her husband came back to home from business trip she again have a sex with her husband now she is worried about sexual diseases.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist
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IF CONDOM IS BEING USED BY MALE PARTNER THEN IT REDUCES THE CHANCES TO BEING INFECTED FROM STD'S TO ALMOST ZERO. IF THE CONDOM HAS NOT GOT ANY RUPTURE AND WORKED WELL TILL THE END. SO NOTHING TO FEAR . WISH YOU ALL THE BEST.
10 people found this helpful

Hi doctor in clomid how much months want for conceive my egg not growing so minimum and maximum how much months want please tell me.

MD
Gynaecologist
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Hi doctor in clomid how much months want for conceive my egg not growing so minimum and maximum how much months want ...
Cloiphene should be tried for 6mths and if usg does not show growth of eggs injectable hprmones are needed arrange a audio call/consult.
1 person found this helpful

I am unmarried but have active sexual life. I suffer with rashes in my vagina. And severe itching please help.

MD - Homeopathy, BHMS
Homeopath
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Please take following homoeopathic medicines. 1. Sulphur 200/1d early morning in empty stomach (only one time) 2. Tarantula hispania 30 4 pills morning and night. (daily morning and night) for 1 week. While taking homoeopathic medicines please avoid coffee and soft drinks. Reduce oliy and non veg. Hygiene is important. Stress also increase itching. So be cool and relaxed by doing yoga, breathing exercise etc.
1 person found this helpful

I am 23 years old I drink 3 bottles (500ml) thumps up per day.Is there is any risk for baby?

MBBS, DGO (cal)
General Physician
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You mean, baby within your womb or any baby you have gave birth to earlier? In both the cases it is harmful for your baby, because drinking that amount of sugar is going to take toll upon your health and you shall become sick. So that shall affect your baby. Child of a sick mother is always pitied. Stop that practice immediately.
2 people found this helpful

Common Types Of Skin Incisions

MD - Dermatology, MBBS
Dermatologist
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Ideally, surgical incisions are primarily designed to allow easy access to the desired areas in addition to possibilities of extension, if required. Further, they should be designed to split muscles rather than cut them, with minimal scarring along with the aim of boosting regenerative and healing qualities.

Incisions can be classified under these three groups; Vertical, Transverse and Oblique incisions.

Vertical incision
1. Midline incision: Almost all abdominal incisions can be performed using this technique. Starting from the midline of the abdomen, it can extend all the way down to the umbilicus.

Advantages:
a) Minimal blood loss
b) Minimal nerve injury
c) Minimal muscle injury

Disadvantage:
a) Midline scar

2. Paramedian incision: This technique provides more laterality to midline incisions, allowing access to such lateral organs such as spleen, kidney and adrenals.

Advantages:
a) Easy access to lateral structures
b) Closure between incisions in anterior and posterior sheath is more secure
c) Rectus muscle remains undivided

Disadvantages:
a) More time consuming
b) Difficulty in extension
c) Can result in atrophy of the muscle

3. Mayo-Robson incision: This incision is typically a paramedian incision, but which bend towards the xiphoid process and consequently allows for a larger and wider opening.

Transverse incision
1. Transverse incision: This type of incision is made just above the umbilicus, and can dissect either one of the rectal muscles.

Advantages:
a) Least amount of pain and damage
b) Muscular segments can be reattached
c) Easier access to upper GI structures

Disadvantages:
a) Limited lateral access
b) Higher risk of wound infections

2. Subcostal incision: Also referred to as the Kocher subcostal incision, this type of incision starts from the midline and runs parallel to the costal margin. A double Kocher incision is known as a rooftop of Chevron incision and allows for access to the esophagus, kidney, stomach and liver. The Mercedes incision is yet another variant, characterized by a vertical incision from the rooftop incision to form the shape of a Mercedes sign.

Advantages:
a) Heals faster
b) Less risk of post-operative complications

Disadvantage:
a) Lengthy and time-consuming

Oblique incisions
They are also known as Thoracoabdominal incisions, these incisions may either be situated in the RUQ or LUQ. They provide entry to the liver, lungs and spleen, as well as to the stomach and esophagus.

Laparoscopic incision
This technique comprises of tiny cuts in the skin that allow laparoscopic tools and instrument access into the abdominal cavity
Common Types Of Skin Incisions
4519 people found this helpful

Stay Healthy

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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Health benefits of dark chocolate

1. Slow the sign of aging

2. Lower blood pressure

3. Rich of vital vitamins & minerals

4. Increase blood flow to the brain and heart

5. Contain anti depressant agent

6. Improve your mood

7. Reduce stress

8. High in potassium, copper, magnesium iron

Stay Healthy
2 people found this helpful

I am 7 week pregnant. I luv to eat mangoes. I eat 4 mangoes in 1 day it is gud 4 health or not?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist
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I am 7 week pregnant. I luv to eat mangoes. I eat 4 mangoes in 1 day it is gud 4 health or not?
if you like mango then you can eat them there is no harmful effect eat mango during pregnancy.take healthy nutritious diet like calcium,iron,follic acid and multivitamins diet.
1 person found this helpful

Hi, I am 27 year old female. But I don't conceived a baby what can I do?

Advanced Aesthetics
Ayurveda
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Hi, I am 27 year old female. But I don't conceived a baby what can I do?
Folic acid If you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. The best time to get pregnant You?re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it?s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there?s always sperm waiting in the fallopian tubes to meet the egg when it?s released.

Hello doctor. I am 5 days due to my period. Today I had a very thick cheese like discharge. And a little pink colour spotting 2 days before. I did home pregnancy test the second day I missed my period it came out negative. I am trying to conceive since 3 4 months. Am I pregnant? please help and tell me when should I do pregnancy test?

MBBS
General Physician
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Hello doctor. I am 5 days due to my period. Today I had a very thick cheese like discharge. And a little pink colour ...
It seems to be due to infection and I will suggest you to wait for few more days for your periods to arrive on its own.

I seem to have developed a bump near my vagina (not on it). My periods has not happened and has been a week since my date. Should I be worried? What does this bump mean? I am an active person, have not had sexual intercourse with anyone and have never had my periods delayed before.

MD - Obstetrtics & Gynaecology
Gynaecologist
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I seem to have developed a bump near my vagina (not on it). My periods has not happened and has been a week since my ...
Menses can be missed either because of hormonal changes or even stress or even if you have put on some weight in recent times then also menses can be missed. All these problems are temporary and menses will come on its own. You can wait for another 30 days before you can take tablet deviry to get menses. That vaginal bump is most likely to be bartholin cyst. Abscess more likely if there is pain. This need urgent attention by a gynecologist.
1 person found this helpful

Hi doctor please help me out with this, I am not getting sleep from on week it's been 6 days I dint sleep, and more over I am planning to conceive a baby becoz of this problem I am scared weather I'll get pregnant or not ! And I am very disturbed with out sleep please tell me some tipd.

DGO, MBBS
Gynaecologist
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Hi doctor please help me out with this, I am not getting sleep from on week it's been 6 days I dint sleep, and more o...
oh , take a deep breath dear. If you are so tense about getting pregnant that you don't sleep how would you conceive. You have to be physically and mentally healthy and relaxed to conceive.
1 person found this helpful

Hello doctor. I took hcg urine test and the result was negative. But I am confused why my periods are late. The dates of my previous cycles are Oct 18 (high bleeding) Nov 11 (only light bleeding for 1 hour) Now its 21 dec but It is not started yet. Kindly tell me. What is the matter going on? Is it normal? What type of diet should I take to induce periods.

MRCOG London UK GOLD MEDALLIST , DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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Hello doctor. I took hcg urine test and the result was negative. But I am confused why my periods are late. The dates...
Normal cycle length varies from 21 days to 35 days so few days here and there if fine but see a gynaecologists to rule out other causes.
5 people found this helpful

Doctor prescribed me tab medical250 for two months as I m not conceiving and have multiple follicles in the ovary.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Doctor prescribed me tab medical250 for two months as I m not conceiving and have multiple follicles in the ovary.
Hello, it is not understood as to why your doctor just prescribed you medical 250 for pcos, I don't think this is the correct approach for dealing with pcos. Please follow up with all details and reports for further detailed advise on primary infertility. Regards.

What Can Cause a Miscarriage

DGO, MBBS
Gynaecologist
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A miscarriage can have adverse effects on both physical and emotional health. The impact of one such event can last for a very long time and harm your social behavior and thus, relationships. It is important to understand that in most cases, it is no one's fault. A number of things can go wrong naturally during the development of the fetus and so, the feelings of guilt, shame and anger are best avoided. Here are the common causes responsible for miscarriages:
1. Chromosomal defects: chromosomal abnormalities are responsible for more than half of the miscarriages around the world. The development conditions like turner syndrome, cystic fibrosis, down syndrome etc. Can be detected by the system and upon detection, the system often chooses to shut itself down leading to a miscarriage. If the cause of the miscarriage is identified as a chromosomal flaw, then a maternal and fetal specialist or a genetic counsellor can help solve the problem.
2. Diabetes: pregnant women develop high levels of blood sugar even if they did not have diabetes mellitus in the past. This condition is known as gestational diabetes mellitus. It occurs primarily due the changes in the regular hormonal cycles and secretion of pregnancy hormones and can result in a variety of complications, the most severe one being a miscarriage. A miscarriage may also be caused by a chronic diabetic condition.
3. Thyroid conditions: both hypothyroidism (low production of thyroid hormones) and hyperthyroidism (high production of thyroid hormones) can be responsible for miscarriages. In case of hypothyroidism, the body produces more of the other hormones in order to make up for the deficiency and this interferes with the reproductive cycle. In case of hypothyroidism, the functionality of the estrogen hormone is compromised due to the over production of other hormones.
4. Separation of the sperm dna: the sperm dna is divided or separated due to a number of possible reasons like radiation therapy, chemotherapy, smoking, overexposure to heat etc. And it does not fertilize the egg properly i. E. The dna is not delivered efficiently. The eggs can sometimes repair the damage in the dna but this does not happen, a miscarriage is the likely outcome. The condition in males can be treated depending on the reason for the damage in the sperm.
What Can Cause a Miscarriage
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