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Dr. Karthick Gunasekaran

Gynaecologist, Chennai

Dr. Karthick Gunasekaran Gynaecologist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Karthick Gunasekaran
Dr. Karthick Gunasekaran is one of the best Gynaecologists in T.Nagar, Chennai. You can visit him at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Book an appointment online with Dr. Karthick Gunasekaran on Lybrate.com.

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.

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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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Salad for good health

MSc
Dietitian/Nutritionist, Lucknow
Salad for good health

We can make a green salad at home in 5 minutes, armed with a bag of pre-washed salad greens, a few carrots or other veggies, and a bottle of light salad dressing.
Not only that, but salads are cool, crunchy, and fun to eat (lots of textures, colors, and flavors).They are full of fiber, Minerals, Vitamins, and Antioxidants.

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I am try for my first baby from last 3-4 months. Then we consult Dr. She did all blood test n sperm test. All test r normal. Now she given me 2 tables 1) folvite n 2) meprate I searched in Google about meprate. Its for delay the periods or what. Is it right table which I m taking? Plz Just tell me about this table properly.

MBBS
General Physician, Faridabad
I am try for my first baby from last 3-4 months. Then we consult Dr. She did all blood test n sperm test. All test r ...
Try if your cycle is regular then take chance on mid of cycle, say your cycle start on 1st then try help between 12-17. During this period you have maximum chance. Or do sex alternate day, more chances but it may happen at any time. Thanks.
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My sister is 22 yr old had slight pv bleeding in 1 st month of pregnancy (prime gravidum) associated with abdominal pain andshe consulted doctor who gave hormone injections and baby growth is normal. Now she is 6 weeks pregnant. Is there any risk of baby being born with congenital defects.

Advanced Aesthetics
Ayurveda, Gulbarga
My sister is 22 yr old had slight pv bleeding in 1 st month of pregnancy (prime gravidum) associated with abdominal p...
Not to worry not any abnormality or any congeniatal diffect on baby. Harmone injectn is safe at that time 3-5 doses r necessary.
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Hi, I want to know more about 'Salt therapy which is a new boom in india to cure ENT issues, skin deceases & autoimmune disorders. Can I know how it is performed on a patient?

MBBS
General Physician, Mumbai
Hi, I want to know more about 'Salt therapy which is a new boom in india to cure ENT issues, skin deceases & autoimmu...
We have to sit naked in a prepared salt room where the walls are covered with salt for an hour and in this process we automatically inhale the crystals of salt and also our skin gets in contact with salt directly.
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Hi. I am 25 years female. I have lost my virginity at the age of 17 and have been very active in sex till now. I am not married and neither have been pregnant. Since I am very active in sex, my vagina is loosen and I also fear that this will create problem when I get married. Is there a way to restore the virginity and tighten the vagina.

MSc-Psychology, MHSc-Reproductive and Sexual Medicine, MD - Obstetrtics & Gynaecology, MBBS
Sexologist, Hyderabad
After eight years of active sex, vagina may become lax. With first sex at the age of seventeen, you lost virginity. Usually, you don`t have any problem after marriage. But if somebody feels that future husband may identify that she is not a virgin then there is a way out. Hymenoplasty is an operation to repair hymen to make you a virgin again. It is a simple, day care operation. If interested, consult personally or online.
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I am 21 yr old my last period was 15days earlier and this month' s periods are 8 days late what is a reason and I am done with pregnancy tests and all are negative and last month I was hospitalized for viral fever and cold please and I losy my 4 kg weight also help me I am worried what to do

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
It can be due to anaemia. Sometimes low hb blood levelss nd weakness due to viral fever can be the main cause. Just wait for next expected date nd try to take rich iron diet. Everything will be ok.
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Hello doctor sry its a lengthy ques but I wanted to know that my girlfriend is pregnant or not & we had unprotected intercourse on 25th of October but she has taken i-pill tablet within the minute when I ejected inside her but she felt it might not work she has taken another i-pill in the same day & in mrng when we woke up we just cuddled & I ejected on top of her vagina not inside of vagina or on vagina & her last periods was started on 20th ended in 23rd of October she got bleeding on 8th September she thought it was her periods but her last period was just stopped before 10 days so please help.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Hello doctor sry its a lengthy ques but I wanted to know that my girlfriend is pregnant or not & we had unprotected i...
lybrate-user YOU DO UNPROTECTED SEX ON 25 th OCT. LMP WAS 20 OCT. THE DAY YOU DID INTERCOURSE WAS FULLY SAFE. NO CHANCE OF PREGNANCY. AS YOU HAVE TAKEN IPILL. NO CHANCE OF PREGNANCY AT ALL. BE RELAX. BE CAREFUL.
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Is it necessary to take contraceptive pills to avoid pregnancy, if just after sex periods started? Please guide.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Is it necessary to take contraceptive pills to avoid pregnancy, if just after sex periods started?
Please guide.
If period has started and normal, not required. But do decide which family planning method you want to use for future.
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Hi doctor, while having sex with my wife she got wounded cut in the bottom portion of the vaginal skin, it was bleeding for the first day and now 2nd day bleeding stopped, but she is in pain, is there any problem or any medications to be taken, kindly advise the medicine names doctor. It's a slight cut at bottom portion of the vagina.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
It appears she has a tear or abrasion. As with other parts of the body let it heal gradually and prevent any further trauma. If there is no further bleeding you can wait. No specific ointment is needed other than pain killers. But keep the area clean and dry and avoid local soaps there. If persistent or any signs of infection please consult a doctor.
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Hi Doctor, I'm 35 years old. Mujhe fever hua tha one week pehle. Fever 100 tha but usme meri puri bones me not tolerable pain thi but abhi mai kafi theek hu but ab sirf arms ki bones me dard hota h but jab raat ko soti hu to aisa lagta h mai subah udh nhi paungi kafi weakness lagti h please mujhe guide kre mai kya kru kafi pareshan hu.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi Doctor, I'm 35 years old. Mujhe fever hua tha one week pehle. Fever 100 tha but usme meri puri bones me not tolera...
Take a high protein soft diet like toned milk ,eggs , soy and some fruits and vegetables ,pulses + carbs like wheat/rice. Take a multivitamin tablet like Becosule 1 /day and gradually increase your day to day activities so that you retain your stamina and are able to build it slowly. Take more of liquid diet and less of fats , take some beverage + diluted toned milk every 2 hourly.
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Why in case of ovarian cyst ac 125 test is suggested?

MS - Obstetrics and Gynaecology
Gynaecologist,
Hi, ca-125 (cancer antigen 125) is tumour marker used to diagnose some specific type of ovarian cancers. About 90% of women with advanced ovarian cancer have elevated levels of ca-125 so it is used for screening of cancer patients.
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Hypertension In Pregnancy

MBBS, PGDCC
Cardiologist, Delhi
Hypertension In Pregnancy

High blood pressure, or hypertension, is defined as blood pressure higher than 140/90 mm hg. Hypertensive disorders in pregnancy are a major cause of maternal, fetal and neonatal morbidity and mortality, both in developing and developed countries. Hypertension is the most common medical problem in pregnancy.
If high blood pressure continues after 20 weeks of pregnancy, preeclampsia and other complications can develop.

What causes high blood pressure during pregnancy?
According to the national heart, lung, and blood institute (nhlbi), there are several possible causes of high blood pressure during pregnancy.
These include:
- being overweight or obese
- failing to stay active
- smoking
- drinking alcohol
- first-time pregnancy
- a family history of pregnancy-related hypertension
- carrying more than one child
- assistive technology (such as ivf)
- maternal age is also a factor, with pregnant women over the age of 40 being more at risk.

BP measurement:
# use a sitting or semi-reclining position so that the arm to be used is at the level of the heart.
# do not take the bp in the upper arm with the woman on her side, as this will give falsely lower readings.

What are the complications of high blood pressure during pregnancy?
- if high blood pressure continues after 20 weeks of pregnancy, there can be complications. Preeclampsia can develop.

What is preeclampsia?

This condition can cause serious damage to your organs, including your brain and kidneys. Preeclampsia is also known as toxemia or pregnancy-induced hypertension. Preeclampsia with seizures becomes eclampsia. This can be fatal.

Thorough prenatal care, including regular doctor’s visits, should be able to address preeclampsia symptoms. Symptoms include:

@protein in a urine sample
Abnormal swelling in hands and feet
@persistent headaches

Preventing high blood pressure during pregnancy:
Common risk factors for high blood pressure, such as obesity and a history of high blood pressure, can be minimized through diet and exercise. Of course, during pregnancy, it is inevitable that you will gain some weight. It’s recommended that pregnant women consult with their doctor to identify a weight gain target that is healthy for them.

Dietary guidelines for pregnant women vary from person to person. Speak with a nutritionist who will keep your specific height and weight in mind when creating a nutrition plan for you.

The nhlbi emphasizes that it’s important to take steps to lessen your risk of high blood pressure. You should steer clear of smoking and drinking alcohol, both of which have been known to raise blood pressure.

Pregnancy causes hormone shifts, as well as psychological and physical changes. This can bring on stress, which can make high blood pressure harder to manage. Try stress reduction techniques such as yoga and meditation.

 

Management:
Management depends on the woman's bp, gestational age and blood flow in the placenta. Non-pharmacological management is recommended for many women but is not recommended when there is the presence of associated maternal and fetal risk factors. Non-pharmacological management includes close supervision, limitation of activities, and some bed rest in the left lateral position.

All pregnant women should receive antenatal education so that they are aware of the symptoms associated with pre-eclampsia, its importance, and the need to obtain medical advice.


Such symptoms include:
Severe headache.
Visual problems: blurred vision or flashing before the eyes.
Severe epigastric pain.
Vomiting.
Sudden swelling of the face, hands or feet.
 

Women who are at high risk of pre-eclampsia are recommended to take 75 mg aspirin daily from 12 weeks of gestation to delivery. Such women are those with:

- hypertension or pre-eclampsia/eclampsia in a past pregnancy.
- chronic kidney disease.
- autoimmune disease (eg, systemic lupus erythematosus (sle) or antiphospholipid syndrome).
- diabetes mellitus (both type 1 or 2).
- chronic hypertension.


Women should also take 75 mg aspirin daily from the 12th week if they have any two of the following features:- in their first pregnancy.
- aged ≥40 years.
- previous pregnancy >10 years ago.
- body mass index (bmi) of ≥35 kg/m2 at booking.
- family history of pre-eclampsia.
- multiple pregnancy.

Medication for high blood pressure during pregnancy:
Some traditional blood pressure medications can cause problems in pregnant women should be avoided when you are pregnant:

-ace inhibitors
-renin inhibitors
-angiotensin receptor blockers
These drugs in particular will be passed through the bloodstream to the developing baby. They can negatively impact the baby’s health. These medications may also cause blood to thin, which can compromise the mother’s ability to carry the baby to term.

Methyldopa and labetalol are both drugs that have been deemed safe for use to manage blood pressure during pregnancy.

Talk to your doctor about how to control your blood pressure if you develop hypertension during pregnancy.

Summary:
High blood pressure during pregnancy doesn’t usually lead to serious problems. However, if it goes untreated, hypertension can become life-threatening for both mother and baby.

4 people found this helpful

I had sex on 6th day (6/01/16) of my period and the next day night (7/01/16) I had taken unwanted 72 after taking that pill on (9/01/16) I vomited and again on (11/01/16) I had sex and on (13/01/16) I had bleeding from my vagina and it lasted till four days and now I am suffering from white discharge everyday which is very bright in colour from normal discharge. So doctor I am pregnant or not please help. And when I will get my next period.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)and Dip inYoga and Naturopathy
Ayurveda, Ludhiana
I had sex on 6th day (6/01/16) of my period and the next day night (7/01/16) I had taken unwanted 72 after taking tha...
Hi do not panic. What happened is not going to b back. Bleeding is due to tb 72. Did you vomit out the tb also or just had vomiting. Wait till your actual periods date. After that consult me.
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Getting an Abortion Done - Is It Right or Wrong?

MBBS
Gynaecologist, Chennai
Getting an Abortion Done - Is It Right or Wrong?

Opting for an abortion can often be immensely emotionally exhausting on your part. The emotional stress, guilt and confusion might become over bearing. To make this decision something you don’t regret, equip yourself with all the knowledge and help available.

Here are 5 of the top tips before choosing to terminate the life growing inside you:

  1. Being certain of your pregnancy: It is critical to know that you are actually pregnant before proceeding with a surgical or medical abortion. Getting a test done from a reputed hospital is way more accurate than home tests which might not always be able to give you a correct reading. A sonogram is the best way to confirm your pregnancy.

  2. Get an accurate idea: 1 out of every 5 pregnancies results in a miscarriage. Thus, getting all the information possible from a doctor helps you make an informed choice. You should be aware of all the consequences. At the same time, get facts, such as whether the foetus has a heartbeat, right. An ultrasound helps in determining this as well as whether the foetus is located in the uterus.

  3. Know about your health: You should get yourself checked up thoroughly, primarily for any STD’s. Knowing whether or not you have an STD is important as abortion in a person with an STD increases the likelihood of complications and infection.

  4. Legality: In India, abortion is illegal, as one of the main reasons for doing so is sex selective abortion wherein, the male child is preferred over the female. Certain provisions however, allow the termination of a foetus. If the pregnancy is up to 20 weeks and the birth would result in serious mental trauma or health complications for either mother or the unborn child, then an abortion is permissible. A trained government professional will be able to answer all your questions in regard to your choice of terminating the foetus. Sex determination of the foetus is illegal in India.

  5. Get informed about the risks involved: Getting an abortion can be quite strenuous both physically and emotionally. It is a medical procedure that is irreversible in nature. There are multiple abortion options based on how far your pregnancy has progressed. Each of these procedures has side effects and medical risks involved. Often a counsellor or a psychologist is needed to provide support as women might become fragile or emotionally unstable after opting for an abortion.

3 people found this helpful

I'm 30 years, unmarried. Suffering from white discharge for 3 day. Please advice what will I do for her ?

BHMS
Homeopath, Faridabad
Hello, take sepia 30 ch, 3 drops, once daily in the morning. Bc no. 13, 5 tabs twice daily. Revert after 10 days. Thanks.
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I am 28 years old and married for 1.5 years. This year beginning, I had a chemical pregnancy. Then we waited for a couple of months and then became pregnant again by May. But the scan showed that there's no growth for the baby and aborted using tablet in July. Now we are planning to get pregnant next year beginning. We did some blood tests and scans. But the results were all fine. I do not have pcod and my periods is almost regular. Now my doctor gave me siphene 100 mg to take on the 4th day of my periods and continue taking it for 5 days. Is there any problem in taking this tablet for 5 months continuously? What could be the possible reason for my repeated miscarriages? Please help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 28 years old and married for 1.5 years. This year beginning, I had a chemical pregnancy. Then we waited for a co...
Hi Divya, their are multiple reasons for abortion like genetic defect, blood coagulation defect, abnormalities of the uterus or some infection. You need to go through screening for all this before planning for baby. I wont advice you to have siphene for 5cycles how many cycles will depend upon your response and follicular study.
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I have taken abortion pills after that my vagina has become so loose. Is there any medicine for tightening it।

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
First of all you want to know that it is not the Vagina that is loose, it is your Pelvic Floor Muscles. It is important to know when going about looking for a natural way to fix a loose vagina that you target the correct area. The pelvic floor muscle is what surrounds both the vagina and vaginal wall muscle. When the pelvic floor muscle is tight everything else will be nicely held and supported in place. The reason the vaginal wall muscle becomes loose is because it sort of looks and acts like a folded, very elastic and stretchy accordion. So when the pelvic floor muscle stretches, the vaginal wall muscle can’t help itself and will unfold more and more with it to.------------------------------------------ 1 Have an Orgasm – the fun part about toning your pelvic floor muscles When you have an orgasm – that is actually your pelvic floor muscle contracting. So the more you orgasm the more you start toning up your pelvic floor muscle. As your pelvic floor muscle becomes stronger, so will your orgasms. 2. Kegel Exercises are also known as pelvic floor exercises because they specifically target this area and prevent weakness in the pelvic floor area. The pelvic floor is often referred to as a “hammock” of muscles that hold all of the pelvic organs in place. Kegel exercises are a great place to start treating vaginal looseness, especially if you are struggling to reach climax temporarily. Plus, they can be done in the privacy of your own home, when no one is around, so no one has to know you are doing them. Kegel exercises can only help though if they are done on a regular basis. Pelvic floor muscle training exercises can help strengthen the muscles under the uterus, bladder, and bowel (large intestine). And Vaginal looseness.--------------------------- PERFORMING PELVIC FLOOR EXERCISES: 1.Begin by emptying your bladder. 2.Tighten the pelvic floor muscles and hold for a count of 10.3.Relax the muscles completely for a count of 10.4.Do 10 repetitions, 3 to 5 times a day (morning, afternoon, and night). You can do these exercises at any time and place. Most people prefer to do the exercises while lying down or sitting in a chair. After 4 to 6 weeks, most people notice some improvement. It may take as long as 3 months to see a major change. After a couple of weeks, you can also try doing a single pelvic floor contraction at times when you are likely to leak (for example, while getting out of a chair). A word of caution: Some people feel that they can speed up the progress by increasing the number of repetitions and the frequency of exercises. However, over-exercising can instead cause muscle fatigue and increase urine leakage. If you feel any discomfort in your abdomen or back while doing these exercises, you are probably doing them wrong. Breathe deeply and relax your body when you do these exercises. Make sure you are not tightening your stomach, thigh, buttock, or chest muscles. When done the right way, pelvic floor muscle exercises have been shown to be very effective at improving Vaginal looseness.------------------------ 3. Exercise, Sweat, Exercise, Sweat Do explore other forms of exercise too, like yoga for strengthening your core muscles which together will help keep your pelvic floor muscles tighter for longer. 4. A Healthy Diet – Fruits, Vegetables, Juices, Smoothies To keep the muscles in your body strong, you don’t just need exercise, you also need to feed the muscle correctly daily to ensure its correct growth and repair. So, ensure you get a healthy diet full of wholegrain organic carbohydrates, organic lean animal protein (excellent muscle builder), and organic fruits and vegetables if you wish to keep your vaginal muscle healthy and strong. To all the women out there who currently have vaginal looseness, don’t fret, there is so much you can do about it starting today.
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Im having pain in my vagina as it use to pain in my periods bt I hve yet 12 days to come in my periods what is the reason behind it nd what should I do.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Im having pain in my vagina as it use to pain in my periods bt I hve yet 12 days to come in my periods what is the re...
Hello, there is a possibility that yu may have developed vaginitis or a possible infection, so please get a high vaginal swab culture and per speculum exam done to establish the cause.
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I am 22 years old. My sonography report says that I am having pcos. I used to vaccine on my face to remove hair on neck and cheeks. They starts growing after 15-20 days and due to it my face become very dry and acne are coming out, whole face become red for some days. What should I do to cure pcos completely and acne? my mc is also irregular. It hasn't came from 3 months.

BHMS
Alternative Medicine Specialist, Vadodara
Hello,facial hair & irregular period, acne all are due to pcos. So first you do the permanent treatment for it. Homoeopathy will give you good results. For better management consult privately. Thanks.
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