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Dr. Karpagam

Gynaecologist, Chennai

100 at clinic
Dr. Karpagam Gynaecologist, Chennai
100 at clinic
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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. Karpagam
Dr. Karpagam is an experienced Gynaecologist in Ambikapuram, Chennai. You can consult Dr. Karpagam at Dr.Sowri Varma Clinic in Ambikapuram, Chennai. Book an appointment online with Dr. Karpagam on has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 28 years of experience on 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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Remedies for a Blocked Nose

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Remedies for a Blocked Nose

A blocked nose is not only annoying, but extremely discomforting. Several reasons can be held responsible for it and common cold is certainly not the only one. Some other reasons include:

  1. Flu
  2. Allergy
  3. Sinus

Therefore, the remedial measures for blocked nose vary, depending on the cause that led to it. Some of the ways by which you can redress this problem are:

  1. Use a humidifier: Sinusitis is often held responsible for a clogged nose, a condition that is almost always accompanied by severe pain. In such a situation, placing a humidifier in a room proves to be extremely beneficial. This machine treats blocked nose by converting the water to moisture. This fills up the room and significantly increases the humidity of the room. Therefore, when you breathe, the humid air soothes the inflamed blood vessels in the nose and helps you to breathe properly.
  2. Take a hot shower: When you find it difficult to breathe, a quick hot shower can go a long way in curing the discomfort. The logic that operates is the steam generated from the hot shower thins the mucus and also considerably reduces the inflammation in the nose, allowing you to breathe normally.
  3. Drink lots of water: Though the suggestion may seem incredible, drinking water actually helps in unblocking that blocked nose. When you drink a lot of water, the mucus in the nostrils is thinned, at the same time it pushes back the accumulated fluids, thereby curbing the condition of blocked nose.
  4. Using a saline spray: This is one of the most ancient and trusted ways of treating blocked nose. By administering a saline or a nasal spray, the moisture in your nostrils increases and radically diminishes the inflammation.
  5. Use warm compresses: Using a warm compress has been the most reliable form of medication in times of high temperature and also at times of blocked nose. The compress that was dipped in hot water, when placed on the nose and forehead helps to unblock the nasal passages. The soothing effect of the warm compresses reduces the inflammation and facilitates the process of breathing.
4326 people found this helpful

Hi, I am 33 year old female, having 3 children, my youngest child is 9 years old. My question is that my monthly period is not on time, this time it has been 1 and half month completed but no period yet, am having coper T for last 10 years. Please advise what could be the reason?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Copper T for last 10 years, if it is the same one, then first do a pregnancy test. If negative, wait for another week to get spontaneous periods, if still its not coming, repeat the pregnancy test. If again negative, medicines can be given to get the periods. Once the periods are over, have Copper T replaced by a fresh one.
1 person found this helpful
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Hi my wife give birth to a girl baby and baby Is healthy. But my wife has changed​ a lot in her weight, black marks on face, breast is very big. Pls suggest me what is the solution for this.

C.S.C, D.C.H, M.B.B.S
General Physician,
Breast can be reduced by exercises or surgery. To lose weight, you must burn more calories than you consume a day from your diet, if you burn 3000 calories, you’ll lose a pound a week. People who lose weight slowly, about 1 to 2 pounds per week, are more successful at keeping the weight off. You'll also burn additional calories if you increase your physical activity. You weight-loss plan should do all of the following: •Emphasize fruits, vegetables, whole grains, and fat-free or low-fat dairy products. •Include lean meats, poultry, fish, beans, eggs, and nuts. •Contain foods low in saturated fats, avoid trans fats, and limit cholesterol and salt (sodium). •Avoid refined sugars and processed foods. Some tips to help you lose weight: •Keep a food diary. Writing down everything you eat is critical! Noting how you feel when you eat will help you identify emotional triggers that may cause you to overeat. Emotional eaters tend to overeat. •Eat when you're truly hungry rather than when you're tired, anxious or stressed. •Eat slowly. If you eat too fast, you eat more than you need to satisfy your hunger. Your brain needs time to catch up with your stomach. •Plan your meals ahead of time so you make healthy choices. When dining out, check the menu online and decide what you will order before you sit down. Ask for dressings on the side. Opt for foods that are baked, broiled or steamed versus fried or swimming in creamy sauces. Avoid chips and bread baskets—they add unnecessary calories. •Stay hydrated. People often mistake thirst for hunger. •Eat breakfast. If you skip this meal, you'll be starving by lunchtime. You'll have more difficulty making healthy choices throughout the day. Find resources to help you keep track of your food choices and nutritional values and that can offer additional support when you need it. Exercise for Belly Fat Not only females but also males desire to have flat belly. Read on and find about the best exercises for losing belly fat. Fight your belly fat with the right kind of exercise and the right diet. Belly fat can be effectively reduced with abdominal exercises. They help you to tone the abdominal area apart from enhancing the flexibility of the area. The most important point is that they resist the accumulation of fat around the belly region. The only thing that you must keep in mind is that you must regularly perform these exercises and be patient as nothing happens overnight. Exercises for Losing Belly Fat Some very simple but effective exercises to Lose Belly Fat Stretch 1 – Lie down on a floor mat. Position your legs vertically up and stay in this position for 5 to 15 seconds. This can be repeated thrice. Stretch 2 – Lie down on a floor mat. Stretch your legs straight. Place your hands behind your head and lock your fingers. Now raise your torso and bring it towards your knees. Stay in this position for 5 to 10 seconds and slowly return to your lying position. Repeat this for 15 times in sets of 5. Stretch on Chair – Lie down on a floor mat and position yourself with a chair so as to raise your legs on the chair. Your legs should be at 90 degree to the rest of your body. Place your hands behind your head and clasp your fingers. Now lift your torso and rise up as if you want to touch the knees. Continue for 15 minutes and repeat in sets of 3 or 4. Cycling – Lie down on a floor mat. Raise your legs and rotate them as if you are pedalling a cycle vigorously. Repeat the exercise for five minutes in sets of three. Breathing Exercises to Lose Belly Fat Let us briefly understand on how these work. Oxygen acts as fuel for the body. The extra oxygen that you inhale while performing the breathing exercises result in certain chemical reactions that in turn burns up more calories than you actually take in. You lose extra fat. Pavanmuktasan – for practising Pavanmuktasan, take a deep breath as you lie on your back. Bend you left knee, hold your toes and pull it towards your stomach. Simultaneously lift your head and touch your bent knee. Your other leg must be straight. Breathe in and count ten. Return to your original position and breathe out. Repeat the set with your right leg. Bhujangasan – for practising Bhujangasan lie on your stomach and place your hands under your shoulders. Lift your torso backwards using only the back muscles and not your hands. Hold your breath for 5-10 seconds and slowly return to your original position as you breathe out. Dhanurasan – Lie on your stomach and bend your knees. Hold your ankles as you breathe in. Push your body outwards in the shape of a bow and pull your head back as much as possible. Hold this position for 10 seconds and release the posture as you slowly breathe out. Apart from these there are aerobics that also help you to lose belly fat. Regular simple workouts, like jogging, walking up and down through the stairs fast also helps to shed those stubborn belly fat. But remember, it is always advisable to seek the advice of a fitness instructor before you decide as exercise regimen for yourself in order to get the maximum results.
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I am 28 years old female. My menstrual cycle was regular till last month. And I am trying to get pregnant. But this month I had my period on 18th day. I have it for 2 days as usual. Is it a regular period or just spotting. Is there any chance of getting pregnant this month.

Homeopath, Hyderabad
It might be as you said as you periods were regular earlier till last month, once have your spot test done and for confirmation of pregnancy undergo urine for HCG.
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Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot

February month me period nhi Hui kyn ki medicine like period extension Kiya Tha. March me 2 bar period Hui So February XXX (period nhi Hui) March me 2 nd March & Fir March k last me 28 th March March month me 2 bar period hua 2 nd March 28th March Period length 4 din ovulation date kab hogi?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, you can use ovulation kits from day 10 of cycle each day till positive result. Once positive then in next 36 hrs, she would ovulate.
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Hello sir/mam, My friend is 7 month pregnant now she is having cold and cough. But suddendly breathing problem came from yesterday night. Is this a major problem? Or nothing to worry?

MD - Maternity & Child Health
Gynaecologist, Bangalore
Its not a major problem but still needs to b visited to a nearby doctor to keep your wife n baby in safe health.
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Give me a contraceptive method which is other than a loop, a condom, pills, injection and which is effective to me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Best contraceptive for any women are pills and copper t or loop as it has maximum rate of protection. There are other methods like safe period or calendar method, coitus interruptus or withdrawal method but they are highly unreliable ans less effective.
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Homoeopathy Good Limitations

Homeopath, Lucknow
Homoeopathy Good Limitations

As for any other medical system, homeopathy has its specific range and limitations. It is true that we cannot deal with all situations. Recognize the limitations of homeopathy. It will only strengthen you.

Homeopathy is not a ‘panacea’. Homeopath is not an ‘all-healer’. Homeopathy is a specialized branch of therapeutics with its specialized area of application. Homeopathy is a ‘method of treating diseases using molecular imprints forms of drugs’. Nothing more, nothing less.

We should be always conscious about our limitations in practicing homeopathy. Mainly, they belong to three classes:

Limitations of homeopathy-

a) Homeopathy cannot cure diseases arising from genetic abnormalities;

b) Homeopathy cannot cure diseases arising from primary nutritional deficiency;

c) Homeopathy cannot cure diseases that require mechanical interventions.

Limitations of individual homeopaths-

a) Limitations of knowledge;

b) Limitations of skills;

c) Limitations of experience in applying homeopathy.

3. Limitations related with our tools-

a) We have no any idea regarding what are the active principles of potentized drugs, or how they actually work;

b) There is no way to know whether medicines we use are genuine regarding its identity, purity or potency- we have to simply believe the labels;

c) We do not have exact knowledge about factors that deactivate or diminish the actions of potentized drugs, and hence we cannot take precautions against them.

Therapeutic range of homeopathy is limited to the treatment of diseases arising from molecular errors caused by exogenous or endogenous pathogenic molecules binding to various biological molecules and producing their inhibitions.

Molecular imprints contained in the potentized homeopathic preparations bind to ligands or biological molecules merely due to their complementary configurations without any charge affinity, whereas natural ligands bind to their biological target molecules in capacity of their appropriate spacial configurations as well as charge affinities. So, the bindings of molecular imprints with biological molecules or their ligands will be very temporary and cannot stay long. Such bindings of molecular imprints cannot replace the natural ligand-target interactions happening as part of vital processes.

Molecular imprints cannot compete with natural ligands in binding to their natural biological targets. Hence it is obvious that potentized homeopathic preparations cannot interfere in biological ‘ligand-target’ processes such as ‘substrate-enzyme’, ‘antigens-antibodies’, ‘signal-receptor’ etc. As such, chances of potentized homeopathic medicines acting as pathological agents are very rare even if used indiscriminately. Molecular imprints can interfere only in interactions between pathogenic molecules and biological molecules, as well as off-target bindings of ligands with biological molecules, where only configurational affinity is involved. Obviously, molecular imprints can act upon only the molecular blocks created by exogenous or endogenous foreign pathological molecules.

Exogenous pathogenic molecules may be coming from environment through food, water, air, drugs, toxins, alien proteins, infectious agents and the like. Endogenous pathogenic molecules may be off-target actions of metabolic byproducts, free radicals, various biological substrates and ligands, endocrine secretions, neuro transmitters, deformed proteins, antibodies (miasms), immune bodies etc etc.

Molecular imprints contained in potentized drugs selected as similimum can bind to these pathogenic molecules in capacity of their complementary conformational affinity and deactivate them, thereby removing the molecular inhibitions they produced.

When modern life supporting facilities are required, homeopath should refer the case to a modern hospital, instead of himself trying to use allopathic drugs. I had had many occasions when I had to consult allopaths for myself as well as my family members, when homeopathy did not help.

Same way, in many chronic cases where allopathy has nothing to do, homeopathy will solve the problem like a magic wand. We should be well aware of the strengths and limitations of homeopathy.

Surgery is another specialization, which should be done by surgeons- not homeopaths. Even in modern medicine, a medical specialist will not do surgery. He will send his patients to surgeons, when surgery is required. A cardiologist will not do surgery, but send his patient to a cardiac surgeon. An interventional cardiologist will not do a bye-pass surgery. Every specialization has its special field, and its limitations.

Potentized homeopathic drugs cannot be produce anaesthesia.

Potentized drugs cannot prevent pregnancy or cause abortion. It is ridiculous to talk about 'homeopathic' contraceptives. CONCEPTION and PREGNANCY are natural PHYSIOLOGICAL processes. Molecular imprints contained in potentized drugs cannot prevent normal interactions between biological molecules and their natural ligands.

Even though potentized drugs can provide short term prophylaxis during epidemics and in acute infectious diseases, but cannot be used for life long immunizations, as molecular imprints get deactivated within our body with in a short period.

Diseases arising from ‘inherited’ genetic abnormalities cannot be cured by homeopathy. Diseases caused by ‘new mutations or changes to the DNA’ could be ‘prevented’, cured, or at least ‘relieved’ by homeopathic treatment. Potentized drugs cannot create epigenetic errors, but can prevent it, and deal with pathologies arising from epigenetic causes.

A ‘genetic disorder’ is an illness caused by abnormalities in genes or chromosomes, especially a condition that is present from before birth. Most genetic disorders are quite rare and affect one person in every several thousands or millions.

A ‘genetic disorder’ may or may not be a heritable disorder. Some genetic disorders are passed down from the parents’ genes, but others are always or almost always caused by new mutations or changes to the DNA. In other cases, the same disease, such as some forms of cancer, may be caused by an inherited genetic condition in some people, by new mutations in other people, and by nongenetic causes in still other people.

At the same time, these molecular imprints can effectively deal with the pathogenic actions of deformed proteins that may result from genetic errors, thereby preventing them from creating cascading of pathological molecular blocks at various targets. As such, homeopathic medicines can play a great role even in the treatment of certain diseases of genetic origin, at least as palliatives.

Moreover, potentized homeopathic medicines can safeguard genetic material from dangerous mutations that may be caused the by inhibitory actions of endogenous or exogenous pathogenicl agents such as toxic drugs, heavy metals, super-oxides etc., on enzymes related with nucleic acid synthesis and genetic expressions.

In any genetic disorder, there would be a cascading of molecular errors, which are caused by the absence or abnormalities of some essential proteins or enzymes. Secondary diseases arising from such cascading actions resulting from genetic disorders could be treated by homeopathy, even though the basic abnormality of genes will remain untouched by such a treatment. We can say, we cannot cure genetic disorders, but can give relief to many complaints associated with such disorders.

Potentized drugs are effective in treating various 'injuries' and their after-effects. A physical INJURY means a DAMAGE to any tissue. It may be burns, scalds, sprains, strains, fractures, cuts, contusions, bruises, abrasions etc etc. BURNS may be caused by chemicals, heat, radiations or many factors.

In any injury, there is DAMAGE to tissues. CELLS are damaged, resulting in release of of various catecholamines, cytokines, histamines and various CHEMICAL MOLECULES that initiate INFLAMMATORY processes, depending upon the nature of injury and the tissue affected. Various normal conversions and transportation of metabolites are obstructed, and they accumulate in various locations where they inhibit other biological molecules. PAIN, BURNING, SWELLING, NUMBNESS- all abnormal sensations are the effects of INHIBITIONS these ENDOGENOUS molecules produce in different biochemical pathways.

NO doubt, INJURIES are associated with MOLECULAR ERRORS. There cannot be an injury without any molecular error.

Regarding MENTAL or EMOTIONAL injury, they are molecular level errors produced by various ENDOGENOUS neurochemicals released in excess into the brain, by the action of various PHYSICAL influences such as auditory, tactile, visual, or olfactory stimuli.

9 people found this helpful

My husband (29) sperm volume-3.4 ml, concentration-7.23,total count-24.58, progressive motility-19.53. We did scan and the impression was bilateral varicocele. We have been married for 1 year but not yet get pregnancy. He is having past 3 months a tablet of ultra co Q10 one a day. And addyzio four for a day. Is there a chance of normal pregnancy? How long can we wait?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Varicoele is a surgically correctable cause of infertility. It can be done by general surgeon. After surgery chances of concieving are good.
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I am 23 years old and I weigh 78 kg. I am having polystic ovarian syndrome. My periods are normal. Will it affect my fertility? If so can the issue be over come by loosening the weight.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
All health problems start due to excessive rich food habits. All such problems can be solved if we decide to drastically change our eating habits. PCOS aggravates due to weight and also weight increases due to PCOS. Unless you break this cycle your problems won't end. The only medicine for Weight loss is Simple Diet + Daily exercise. Cut down Oils/Sugar/Maida stuff. Add more fruits /Salads/Proteins to your diet. Eat slowly and mindfully. Exercise daily for 40-60 mins. This is essential for good health. Love yourself and respect your body. Respect laws of nature. This is the best path towards good health and happiness.
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My friend tell me that his male sex organ size is just 2inch in normal & when he was excited about sex that time size is 4-4.5 inches. He is 24 years old. So tell me that in future there was any problem occur during the sex. Or any complications for his marriage life or not?

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
This is normal. When you get excited with sex penis size will increase. No problem will arise after marriage.
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What is rh antibodytitre test and y it is done for men? For one of my relative doctor has suggested for the test may I know for what is it done.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, An antibody titer is prescribed to assess the immunity & to investigate problems regarding: •frequent bacterial or viral infectionslow •levels of white blood cellsliver disease. •flu-like symptoms.•suspected viral diseases.•auto immune disorder. •suspected parasite infection.•to determine if a repeat vaccination or booster is needed. Tk, care.
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I have done all the things wat d doc says like sonography IUI test n for hormones I hve check for so many times bt stil not conceived.

MS - Obstetrics and Gynaecology
Gynaecologist, Agra
Thats is not enough. A proper workout is necessary. See for vaginal, cervical, utrine, tubal factors. With hemogram for cbc est tsh and hormonal profile. See for specific infections like pelvic t b for unexplained infertility. Check for patency of tubes and post coital test.
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I'm 21 years old and i've got irregular periods for the past 5 years. I scared to take medicines because of side effects. Can you help me out?

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
Take m2tone liquid twice daily. Purely ayurvedic no side effects. For further assistance you can concern me privately.
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7 Reasons Why Papaya Is So Good For You

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
7 Reasons Why Papaya Is So Good For You

7 reasons why papaya is so good for you

The gift of Mexicans to the world, papaya or papita is a native of central America. Christopher Columbus nicknamed it as 'fruit of the angel' owing to its heavenly taste and out of the world aroma.

Papaya is loaded with several nutrients such as vitamin a, e, c and folic acid which make it beneficial for our health. It is easily available in the market throughout the year. Here are some of the health benefits that the fruit has to offer:

1. Lowers cholesterol

Papaya is rich in vitamin c, which prevents the accumulation of cholesterol in arteries. Vitamin c is an excellent reducing agent, therefore, blocks the oxidation of cholesterol. The oxidation leads to cholesterol deposition in arteries. High cholesterol is linked to higher risks of heart attack. Eat a combination of papaya and oatmeal in the morning for a healthy breakfast.

2. Improves digestion

The fruit contains an enzyme called papain, which facilitates protein breakdown in the stomach allowing proper absorption of nutrients. Eating papaya after a meal will keep your tummy fit and fine as it prevents bloating and indigestion.

3. Helps in weight loss

To lose the extra kilos, the digestive system must function properly and this is where papaya proves to be beneficial. As stated above the digestive properties of the fruit makes it an excellent fat burner. You can have papaya smoothie for your breakfast. Just mix mashed papaya with milk and drink. Add some fruits to the shake to make it yummy.

4. Delays ageing

This attribute of papaya might have forced Columbus to name it as the fruit of the angel. Eating half a papaya daily delays the aging process. The antioxidant beta-carotene present in it plays the role of the anti-aging agent. To bring a glow on your skin you can use the papaya- honey mask. Mash half a papaya and mix it with 4 spoons of honey to make a paste. Now apply this on your face and neck and leave it for 15-20 minutes. Finally, rinse it with cold water.

5. Boosts immunity

Since it is rich in vitamin c, it is an excellent immunity booster. A medium sized papaya contains more than 100% of the daily requirement of vitamin c. So, it's a must have fruit for those suffering from fever or flu.

6. Improves vision

Papaya being rich in carotenoids, the fruit is excellent eye insurance. Carotenoids, help against age-related eye disease such as macular degeneration- a condition that causes blindness. Try to eat at least 3 or more servings of papaya to reap maximum benefits.

7. Fights cancer

Red-fleshed papayas contain a high dose of lycopene, an antioxidant that reduces the risk of cancer and heart disease. One cup of it contains over 2500 micrograms of lycopene. So, have a cup of red fleshed papayas every day to fight cancer.

Plz tell me sir what will my breast fibroadenoma finally remove from homeopathic treatment and how much time for remove fibroadenoma please sir tell me because i'm get afraid cause off my problem.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Hmeopathic cannot remove fibroadenoma. it can be removed through surgery for best and speedy results.
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I got off my period on Saturday. My general cycle is of 31 days but the last month was 45 days. After I got off my period I had unprotected sex but took an emergency pill. On Wednesday, that is today, I'm bleeding medium again. My periods have been regular before this. Is it something I should worry about?

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
It seems you have occasional delayed menstrual periods. Normally periods should commence from 23-35th day of the last menstrual date. If you have irregular or delayed pds chances are you have hormone imbalance. Unless we take proper history ; do a thorough checkup and run certain tests we can't ascertain a diagnosis. However ipill intake can sometimes leads to bleeding after 2-7 days. That is not normal period scenario but its withdrawal bleed. You are advised not to overuse intake of ipill. It is an emergency contraceptive and is not to be used more than once in three months and sparingly.
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