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Dr. Kondammal R

Gynaecologist, Chennai

300 at clinic
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Dr. Kondammal R Gynaecologist, Chennai
300 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Kondammal R
Dr. Kondammal R is an experienced Gynaecologist in Teynampet, Chennai. You can consult Dr. Kondammal R at Dr. Kondammal R@Aswene Soundra Hospital And Research Centre in Teynampet, Chennai. Book an appointment online with Dr. Kondammal R on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 33 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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Aswene Soundra Hospital And Research Centre

#24, Kasthuri Ranga Road, Vijayanagar, Teynampet. Landmark: Near Chola Hotel.Chennai Get Directions
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Main cause of Unconsummation in females.

MD-Dermatology, MBBS
Sexologist, Pune
Main cause of Unconsummation in females.
UNCONSUMMATION DUE TO VAGINISMUS

Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.
Vaginismus may be mild, moderate or severe. In some females, even the anticipation of vaginal insertion may result in muscle spasm and prevention of penetration. Desire, pleasure and orgasmic capacity may not be impaired. The condition may disrupt relationship. Unconsummated marriage and infertility have been found to be associated with condition. Diagnosis is made during the routine gynecological examination when the contraction of vaginal outlet is observed. Contraction of the muscles may cause pain.
In some vaginismus cases occurs during sexual activity but not during gynecological examination. This disorder found more in younger women. Vaginismus is a psychosomatic problem. Women can experience orgasm by getting effective sexual stimulation, without penetration. Husband may become ‘impotent’ being persistently unsuccessful in penetration or because of not wanting to hurt his wife. We are treating such cases at WNHO Clinic, Pune. Detail Information help line Mob. No. 9822006427.

8 people found this helpful

I am 18 years old. I wanna know is it possible to have sex without getting pregnant and without the use of condoms or protections? If so, how and when is it the best time?

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
Safe period to catch to have unlimited sex without condom. Your ovulation happens in mid cycle meaning roughly on 14th day after you have last spotting. So 4 days prior and 6 days post ovulation is risk period but the golden period for someone who wants to get pregnancy. For you, the condom on penis is precondition for safety.
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Hi doctor. Tomorrow was my periods date but I did not got my periods. Feeling bit nausea also. What should I do.

DHMS (Hons.)
Homeopath, Patna
Hi doctor. Tomorrow was my periods date but I did not got my periods. Feeling bit nausea also. What should I do.
Hello, Lybrate user, Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs.• °Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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Period missed past 1.5 months. Suffering from lower abdomen cramp and back pain. Frequent urination and dry tongue. I am pregnant?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Period missed past 1.5 months. Suffering from lower abdomen cramp and back pain.
Frequent urination and dry tongue.
I...
Get an urine examined for pregnancy test. It is easy and can be done at home. You will come to know.
1 person found this helpful
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Know the Facts About Common STDs in Women!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Master of Hospital Administration, pg (yoga therapy)
Sexologist, Bhubaneswar
Know the Facts About Common STDs in Women!

Although STDs are capable of affecting both genders, the impact on men and women is different. In women, this problem can cause long-term issues such as infertility in women. Although most STDs can be readily treated as soon as the symptoms surface, some cases might not throw up any symptom. Some of the curable STDs that can affect women are discussed below:

  1. Gonorrhoea: This STD is caused by bacteria living in mucous membranes of the vagina, urethra, mouth, rectum and eyes and is capable of spreading through contact. The symptoms in women include excessive discharge from the vagina, abdominal cramps, pain in the pelvic region and bleeding from the vagina after sex.

  2. Chlamydia: This STD is a result of a bacterial infection of ‘Chlamydia trachomatis’. Symptoms in females include burning sensation during urination, unusual vaginal discharge and bleeding between periods. Without treatment, the infection might spread to the urinary tract which could potentially cause PID (Pelvic Inflammatory Disease) which is capable of causing problems in pregnancy and even infertility.

  3. Genital Herpes: Genital herpes is generally caused by the herpes simplex virus-2 (HSV-2) or the herpes simplex virus-1 (HSV-1). The virus is commonly known to be the chief cause of cold sores. Symptoms may appear soon after infection and usually are severe. This includes blisters, which turn into raw and painful sores that scab and heal over time. This might be accompanied by swollen lymph nodes and fever.

  4. Chancroid: This infection is caused by the bacterium ‘Haemophilus Ducreyi’. It occurs most commonly in the vulva (the female external genital organ that includes the clitoris, labia as well as the opening of the vagina). The condition starts out as a tender lump that appears during the incubation period after intercourse. The incubation period generally ranges between 3-10 days. The bump turns into an ulcer i.e. an open sore, due to the death of the cells. This is usually painful.

  5. Syphilis: It is caused by the bacterium ‘Treponema pallidum’ and the disease mainly occurs if you have sexual intercourse without any protection, that too with multiple sexual partners. The other mode of infection is blood transfusion. Symptoms of Syphilis include appearance of ulcers around the genitals or the oral region known as a chancre, severe rashes around the hand or feet coupled with other symptoms of mild fever, headache, throat pain and immense fatigue.

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I am 38 yr old. My follicle is not grown up to 18 mm. What is the solution for this?

International Academy of Classical Homeopathy, BHMS
Homeopath,
Since how many months u r having this condition ? needs detail. U can take puls303 hrly for 9 days inform me after usg. T. C.
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Iam 36 years old, I don't have any children till now due to low count, my test show as 2million, how can I increase my count and now a days I have erection problem also, only on first touch it is erected and later it difficult get it stand, please help me out with these two problems.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Iam 36 years old, I don't have any children till now due to low count, my test show as 2million, how can I increase m...
You can have child you have to go to ivf specialist they will do icsi. regarding your premature ejaculation meet andrologist
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I am suffering with breast pain which frequently comes from one month but I have this from 13 now my age is 20. Can you give me suggestions please ?

MBBS; M.S.
Gynaecologist, Sri Ganganagar
Take b long f 1daily x 30 days. Tab primrosa 1 daily x 30 days. Cap evion 1 daily x 30 days. Give me feed back.
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Hi doctor I had unprotected sex last night but he didn't cum inside me. Can I get pregnant and should I take a contraceptive?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi doctor I had unprotected sex last night but he didn't cum inside me. Can I get pregnant and should I take a contra...
No there are no chances of pregnancy if there was no internal ejaculation.... And better use condoms.. the contraceptive Pills are very harmful...
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My period dates are not fixed sometimes it succeed 5 days sometimes nearby 10 days I hav 2 children older is 7 years and younger is 3 years first delivery was normal and second was sygerian is this a matter of concern should I hav to consult a doc.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
My period dates are not fixed sometimes it succeed 5 days sometimes nearby 10 days I hav 2 children older is 7 years ...
Menstrual cycles are managed by internal hormones and influences of day-to-day life like stress, mood disturbances, work pressures, irritations, frustrations and anger definitely affect internal harmony of the body. Little bit of irregularity is common, so you work on your lifestyle, understand and accept the life has offered to you, learn to relax and enjoy life. I feel its all fine. In case even after 3-4 months of this relax period, if periods remain more irregular and erratic then you may connect the expert directly one-to-one. All the best.
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DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:

 

  •     Coughing during or right after eating or drinking
  •     Wet or gurgly sounding voice during or after eating or drinking
  •     Extra effort or time needed to chew or swallow
  •     Food or liquid leaking from the mouth or getting stuck in the mouth
  •     Recurring pneumonia or chest congestion after eating
  •     Weight loss or dehydration from not being able to eat enough

As a result, adults may have:

 

  •     Poor nutrition or dehydration
  •     Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
  •     Less enjoyment of eating or drinking
  •     Embarrassment or isolation in social situations involving eating

Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:

 

  •     Swallowing therapy
  •     Dietary changes and
  •     Feeding tubes

Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:

  1.     A nasogastric tube - a tube that is passed down your nose and into your stomach
  2.     A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach

Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes. 

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery. 

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus. 


Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
 

I am 28 year old single woman. Sometimes before 10 to 15 days of my actual period date, my stomach aches, blood comes out of vagina, two to three times, for one hour some times for 3 hours, then it stops. I feel weak. Then on my date day some times it starts on actual date sometime after one day, continue for 4 days normally. Is there any problem in my body? why it happens? I am worried, that's why I am asking you this question. Kindly help me to find the solution.

PG Diploma In Clinical Cosmetology (PGDCC), BHMS
Homeopath, Delhi
I am 28 year old single woman. Sometimes before 10 to 15 days of my actual period date, my stomach aches, blood comes...
Hello you are facing a problem of metrorrhagia. Kindly visit a gynaec for a regular checkup like ultrasound of abdomen also to rule out endometriosis. Homeopathic medicines can restore your date and regularise cycle.
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I am 28 yrs female after pregnancy before 2 years I have irregular mensulation due to disterbance of harmones what should I can do for maintaining harmones please suggest

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 am 28 yrs female after pregnancy before 2 years I have irregular mensulation due to disterbance of harmones what sh...
This is easily treated by diagnosing the hormonal imbalance in exact manner and then correcting it. It can sometimes be caused by breast feeding also.
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I am 30 years old lady. My last period date is 12 Dec. 2016.Our intercourse dates are on 13 Jan 2016 and next continues for many days. My periods are yet not come. Is there any possibility of pregnancy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
I am 30 years old lady. My last period date is 12 Dec. 2016.Our intercourse dates are on 13 Jan 2016 and next continu...
if your periods are regular,you may get pregnant if you have intercourse between 9th to 15th day of periods.Now you can calculate yourself as your question is not very clear
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Actually my wife had a regular health check up as part of it chest x ray was done, but during sonography she found 2 month pregnant. Is there any problem in pregnancy or to child due to this x ray.

M.D Physician
General Physician, Delhi
Actually my wife had a regular health check up as part of it chest x ray was done, but during sonography she found 2 ...
Yes, you might have to go for a extensive testing during pregnancy. So visit a nearby gynaecologist advise for the same.
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Which type of medicine should take to avoid unwanted pregnancy and what are the side effect after taking that medicine?

MBBS
General Physician, Mumbai
Which type of medicine should take to avoid unwanted pregnancy and what are the side effect after taking that medicine?
After clinical examination she can go for oral contraceptives and it has to be taken under observation and it can lead to fluid retention in our body.
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I am 23 years old & I have recently born my twins after two month once again I am pregnant which is unwanted & I have taken medicine for that but after taking medicine I have lots of unstoppable blooding what should I do?

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
I am 23 years old & I have recently born my twins after two month once again I am pregnant which is unwanted & I have...
I would suggest you should get one ultrasound pelvis done. Let's confirm with what we are dealing with.
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Her nipple (only nipples not entire breast) is paining from last 2-3 days. Please help me regarding same.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear lybrate user Mr. Lybrate-user, you need to get her checked if there is underneath any inflamation. If yes antibiotics taken after the consultation with the doctor will relieve her. As such there are many more causes. A check up is warranted. Dr. J. Ticku.
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