Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 39 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.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Kupu LashmiYour feedback matters!
Hello Doctor! MY age is 32 I am trying to conceive for more than 2 years .My amh is low but I have follicles. I have started doing acupuncture 3 times a weak. Will it help me in ovulation and improving egg quality Kindly reply.
I and my gf had oral sex on 15/08. By mistake I ejaculated on her vagina. On the following day she had a yellow mucus coming out from her vagina with pain in lower abdomen. She thought she might be pregnant however we did not had sex by penetration. So she took Unwanted medicine on 17/08. Is it necessary to bleed after taking the Unwanted medicine even if she is not pregnant? If yes, when will she bleed? Also, she was on her periods from 09/08 to 14/08.
I am 28 years old and mother of two young kids 2.5 and 1 yrs after my second c section I am having shooting pain in my left heel, left bum, and back ache the pain in my heel is so severe that some times (specially after waking up) I need to walk on my toes.
A COMPREHENSIVE GUIDE ON HOW TO FIND THE BEST TREATMENT RATHER THAN DOCTOR.
You are struck by this unknown throat problem, your general physician is not very helpful, he tried his level best but still no relief. The big question “who is the best doctor, who can solve my problem”. Like a child’s play the hand slides down to cellphone and you search the best throat doctor. Little did you realize that you are unscrupulously falling in the trap of finding that nonexistent “best doctor”. Finding the best doctor is akin to say “finding the best dog “or “finding the best spouse”. Not only its purely subjective proposition but often leads to disasters if you jump blindly. In fact, if you search Ent doctors on google, almost all of them will be quoted as best ent doctors. The menace is so much widespread spread to the extent doctors have posted youtube videos (unbelievable 341,000 videos ) claiming themselves to be best doctors in india. Its more of marketing gimmick and trap in which patients often fall into. Medical council of india does not award best doctors to any one and neither is there a yard stick to judge all doctors on one scale.
Coming back to the basic question, who is the best guy to treat my throat? However badly you want to know that “name”, it would be a shocker if i tell you the truth, the name doesn’t exist. While a seemingly simple voice change can be a sign of voice exertion and may need only voice rest to cure it, it can very well be a subtle sign of malignancy that can be picked by narrow band imaging available only at the finest centers. Since the variation is so huge, it is unlikely you will ever come across “know all”, “do all” and “fix all” person.
Often the only practical solution to your problem is where can i find an honest, skillful, caring and available doctor. Your personal preference may force you to think any of the four characteristic more important and you may choose to overlook some inadequacy if your big goal is satisfied. That’s why we have mixed opinions of any doctor. Even with a very reputed doctor, your choice feels like rolling a dice in snake and ladder game.
More people than ever are now searching for a physician they can call their own. Unfortunately, it’s hard to find reliable, easy-to-understand information about specific doctors or practices. It may seem like a burden or restrictive to choose a care provider.
When you are choosing a doctor, look for someone who:
a) Treats you with respect: good doctors understand that a patient is vulnerable. Being respectful goes a long way toward helping the patient explain symptoms, take responsibility for decision-making and complying with instructions.
b) listens to your opinions and concerns:
c) encourages you to ask questions
d) explains things in ways you can understand: helps you understand what the next steps will be, and what the possible outcomes and their ramifications might be.
e) takes steps to prevent illness-for example, talks to you about quitting smoking.
It’s a known fact that doctors with better communication and interpersonal skills are able to detect problems earlier, can prevent medical crises and expensive intervention, and provide better support to their patients. This may lead to higher-quality outcomes and better satisfaction, lower costs of care, greater patient understanding of health issues, and better adherence to the treatment process
HOW TO KNOW IF YOU ARE WITH THE RIGHT DOCTOR
Make a list of the doctors you have in mind. Surf/call to learn more about them. References are usually most helpful and try calling your friends relatives to have their opinion. The answers to the following questions may help you make the best decision. Think about your experience after the first visit. Use your first visit as a litmus test. After u have seen the Doctor. Ask yourself, Did the Doctor-
1. Give me a chance to ask questions?
2. Really listen to my questions without interrupting?
3. Answer in terms I understood?
4. Show respect for me?
5. Ask me questions?
6. Make me feel comfortable?
7. Address the health problem(s) I came with?
8. Ask me my preferences about different kinds of treatments?
9. Spend enough time with me?
10. Explain the diagnosis and treatment, and specify a date for a follow-up?
If your doctor doesn’t fit in the check list and you are frustrated. It is important you should know your rights as a patient. this includes but not limited to following. so make sure you ask everything
a) Why do I need this treatment?
b) Are there any alternatives?
c) Are there any side effects?
d) What is the test for?
e) When will I get the results?
f) Will this medicine interact with medicines that I'm already taking?
HOW TO MAKE MOST OF YOUR TIME WHILE TALKING TO DOCTOR?
Since time is limited and it is unfair to expect that doctor will address your every little concern. It’s important you structure your interaction with him and get most of his time.
Ask questions. If you don't, your doctor may think you understand everything that was said.
Write down your questions before your visit. List the most important ones first to make sure they get asked and answered.
You might want to bring someone along to help you ask questions. S/he can also help you understand and/or remember the answers.
Ask your doctor to draw pictures if that might help to explain something.
Let your doctor know if you need more time. If there is no time that day, perhaps you can speak to a nurse or assistant. Or, ask if you can call later to speak with someone.
Ask for written instructions.
WHAT DOCTORS EXPECT FROM PATIENTS
1. You know important things about your symptoms and your health history. Tell your doctor what you think she/he needs to know.
2. Always bring a list of medicines you are taking (include when and how often you take them). Talk about any allergies or reactions you have had to your medicines.
3. Tell your doctor about any natural or alternative medicines or treatments.
4. Bring other medical information, such as x-ray films, test results, and medical records.
WHAT DOCTORS DISCOURAGE PATIENTS FROM DOING?
a) Talk bad about previous doctors and blaming them for everything.
b) Test the knowledge of doctor rather than getting to the problem
c) Bargain and talk how other people are offering treatment much cheaper.
d) Expect 100% results for everything while patient is busy drinking, smoking and sitting like a sloth.
e) More worried about side effects of treatment than the real problem of disease in front of them.
f) Read unedited blogs and websites which do not give peer reviewed medical information and discussing unfiltered half-baked ideas.
Ultimately it boils down to some sort of amicable agreement between doctor and patient which Leeds to success of treatment. From patient’s perspective “patient really doesn’t care how much a doctor knows till he knows how much a doctor cares”. Bottom-line finding a good doctor who can deliver the best treatment is always more practical then the searching for best doctor who may not deliver the best treatment.
source : http://www.3sensesent.com
Does it pains while having vaginal sex if I have piles and will it affect my partner or will he also get piles if I have vaginal sex with him?
For a mother, the first few months after delivery are crucial since the uterus after expanding due to delivery, shrinks back to its normal size. Moreover the tendons, ligaments and muscles connected to the uterus begin to regain the power and strength lost during labor. A lot of emphasis is put on postnatal care in Ayurveda.
Ayurveda suggested diet tips:
According to your digestive system, you must take Sesame oil i.e. Til oil and ghee i.e. clarified butter after mixing it with panchkola. Once this mixture has been digested, you must consume rice gruel and milk that is medicated with Vidharigandhadi gana or panchkola. Apart from these, you must consume jaggery water for about a week. After a week, you must eat foods that are easily digestible to help you regain your strength.
Do's and Don'ts:
1. Do massage yourself with Vatahara Oil
2. Do bathe with warm water
3. Do keep your perineum and breasts clean
4. Do urinate every 5 hours
5. Do breastfeed properly
6. Don't consume food irregularly
7. Don't have stale or cold food
8. Don't retain urine or feces
9. Don't indulge in sex or exercise
Ayurvedic medicines and herbs:
All the medicines and herbs mentioned below are never advised together. An ayurvedic specialist will usually give you a combination of a few medicines depending on your symptoms and condition.
1. Dashamoolarishtam: Dashamoolarishtam is extremely effective in boosting your immunity and keeping infections at bay. It is usually prescribed for the first few months as it also helps reduce inflammation and pain.
2. Jeerakarishtam: Jeerakarishtam is well known for inducing normal lactation, and is usually prescribed to mothers during the monsoon or winter seasons. This is because it keeps the body warm owing to its hot nature.
3. Shatavari Gulam: Improve lactation and achieve overall hormonal balance by consuming Shatavari Gulam.
4. Pulileham: Pulileham is administered to new mothers from the third week onwards for about a month and half.
5. Shatavari: Shatavari herb is mixed with boiling milk to improve the production of breast milk and avoid post partum depression. It is also useful for normal involution of the uterus.
6. Musta: Apart from improving breast milk production, musta herbs also relieves clogs in milk ducts and inflammation.
I am pregnant since 49 days but last night I had sex and after I seen blood so I am worried that is everything ok or not or I miscarriage? Kindly reply me.
Hi my age is 23 mera question tha mere periods 2/3 mahine se ho nhi rhy bich bich me 1 ya 2 din ho jate h or prega news se test kiya tha subha ke urine se to result negative tha muje smjh nhi aa rha ki muje kya hua h please help me.
I had sex on 19 feb. 2 times my wife is pregnant. Is there any method to calculate pregnancy? my wife lmp is 10 feb. My edd is 21 nov 2015. Please tell is it possible or not?
Types Of Counselling
Therapeutic counselling: Aims to help people cope with the consequences of infertility and treatment and to help resolve issues which may be caused from a diagnosis of infertility. It includes helping people adjust expectations and move towards acceptance of their individual situation.
Decision making counselling: At significant points during treatment, people may require counselling to help them make decisions involving their management of their treatment.
Supportive counselling: Provides emotional support and assistance to people at times of high stress.
Crisis counselling: Is available to people who experience a crisis or adverse outcome whilst undertaking treatment.
Implications counselling: Counselling is available to enable people to understand the implications of their treatment involving themselves, their family or children born as a result of treatment.
I am married from last 3 years with a baby of 2 years. I am not so much interested in having relation with my husband for many days. I have not any interest in sexual life. What is the reason behind this.
I tried to have sex with my boyfriend with and without protection on 9th july. We don't complete the intercourse even once as it was very painful. I got her 5 days long menstruation on 20th july and again on 13th august. I am still scared if I am pregnant as I am having symptoms like dry heaving, intermittent nausea after eating, excessive fatigue from few days. Is it possible that I can be pregnant? Should I meet a gynac in person for practical check up ? Please help. I am very worried.
In 1995, Longo described a new and innovative operative technique for hemorrhoid. This novel procedure to treat piles is not a hemorrhoidectomy. In this technique neither the anal mucosa and nor the hemorrhoidal tissue is excised. The procedure of MIPH is performed in the patient with piles on distal rectal mucosa and submucosa, proximally to the dentate line. MIPH hemorrhoidectomy includes excision of a band of excessive or loose prolapse mucosa and submucosa within the rectum, proximally to the hemorrhoidal tissue and fixation of the mucosa by stapled end to end mucosa anastomosis. This minimally invasive maneuver occlude the blood supply of the superior hemorrhoidal artery above the hemorrhoidal tissue and thus piles is cured as well as prolapsed mucosa is retracted up.
What are the indications PPH or MIPH?
Indications for PPH include patients with grade III hemorrhoids, with uncomplicated grade IV hemorrhoids that are reducible at surgery or after manipulation in the operating room. In the surgery of MIPH hemorrhoidal tissue is not excised during the procedure, and in those who failed other treatment modalities.
How it work and what are the benefits of Stapled Hemorrhoidopexy?
Stapled Hemorrhoidopexy procedure uses a special device to remove a ring of tissue from the anal canal. Removing the tissue cuts off blood supply to the hemorrhoids, causing them to shrink. The tissue ring is then secured with staples. This helps hold the tissue in place. Stapled hemorrhoidopexy is a significantly less painful operation and offers significant advantages in terms of hospital stay and symptom control in the long term, making for a significantly earlier return to work.
What are the Contraindications of Minimally Invasive Procedure for Hemorrhoid?
Complication of this surgery include:
- Active sepsis,
- Anal stenosis, and
- Full-thickness rectal prolapse
Because these conditions are not adequately treated by PPH.
What are the complications of Stapled Hemorrhoidectomy?
Although PPH is usually considered relatively safe and simple, complications still may occur and sometimes may be devastating.
Most common complication are:
- Anal stenosis
- Fistula, and
- Septic complications
Possible complications of Minimally Invasive Procedure for Haemorrhoid (MIPH) include anal stenosis, postoperative pain, urinary retention, secondary hemorrhage, anal fissure, abscess or fistula, formation of skin tags, pseudo polyps, and incontinence. Postoperative pain is a main concern after Minimally Invasive Procedure for Haemorrhoid (MIPH); none of the techniques offers the patient a completely pain-free recovery. Urinary retention can be a result of pain in some of the patient, narcotics and anticholinergic drugs, fluid overload, high ligation of the hemorrhoidal pedicle and operative trauma.
Minimally Invasive Procedure for Haemorrhoid (MIPH), serious complications have been reported and include, rectal perforation, retroperitoneal sepsis, retropneumoperitoneum, rectal stricture, rectal obstruction, and rectovaginal fistula. These benefits may appear only after surgeons have gained sufficient experience with the procedure. However, skin tags and recurrent prolapse occurred at higher rates after PPH. The meta analysis did not find significant difference in the rates of postoperative bleeding, urinary retention, anal fissure, stenosis, or difficulties in evacuation.
I m.25 years old unmarried female. I have severe vaginal itching with a little white discharge since last 6/7 days. Due to this I have pain and swelling. Please give me proper suggestion and treatment.
The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.
One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-
Disruption in the complex hormonal balance.
Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.
Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.
Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.
A rare case of premature menopause.
Problems of the follicle.
Poor functioning of fallopian tubes
Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-
Infection caused by bacteria or viruses
Abdominal diseases like colitis and appendicitis
Previous pelvic or abdominal surgeries.
A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.
Rare congenital defects in which women may be born with tube anomalies.
This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.
Other additional factors may include:
Behavioural factors like personal habits, lifestyle and health factors.
Exercise and diet- extremely overweight or underweight women may have problems in conceiving.
Cigarette smoking reduces the chances of conceiving by one-third.
Alcohol increases the chances of birth defects.
Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.