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Dr. Mani Megalai

Gynaecologist, Chennai

300 at clinic
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Dr. Mani Megalai Gynaecologist, Chennai
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Mani Megalai
Dr. Mani Megalai is a renowned Gynaecologist in Perambur, Chennai. She is currently practising at G K M Hospital in Perambur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Mani Megalai on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 30 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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G K M Hospital

Door Old No.120 / Door New No.113, Perambur Barracks Road, Purasaiwalkam. Landmark: Near Bhuvaneswari Theatre, ChennaiChennai Get Directions
300 at clinic
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G K M Hospital

Door Old No.120 / Door New No.113, Perambur Barracks Road, Purasaiwalkam. Landmark: Near Bhuvaneswari Theatre.Chennai Get Directions
300 at clinic
...more
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How Safe is it to Have Artificial Sweeteners During Pregnancy?

MBBS, DGO, DNB
Gynaecologist, Delhi
How Safe is it to Have Artificial Sweeteners During Pregnancy?

How safe is it to have artificial sweeteners during pregnancy?

Ingredients that you generally come across in candies, soft drinks, desserts and so on are known as artificial sweeteners. Many women during their pregnancy include these ingredients (in the form of foods and drinks that have been artificially sweetened) in their diet so as to cut down the amount of sugar in their diet.

But before you go about including them in your diet during pregnancy, there are certain things that you need to be aware of. Artificial sweeteners are generally of two types - nutritive sweeteners and nonnutritive sweeteners, the former contains calories while the latter doesn't.

Which sweeteners are safe to have?

Nutritive sweeteners, when consumed in moderation, can be looked upon as safe to have when you're pregnant, as long as they don't add to your body weight. But if you suffer from carbohydrate intolerance like diabetes, insulin resistance or even gestational diabetes, you need to limit the consumption of nutritive sweeteners. This type of sweeteners includes the different forms of sugar sucrose, honey, corn sugar, maltose, fructose and dextrose.

On the other hand, non-nutritive sweeteners are found in small quantities in foods since their role there is to only add a certain sweetening effect to the food product. Experts are still carrying out research on the effects of this type of sweeteners on pregnant women and their babies during pregnancy. The category includes options like sucralose, aspartame, rebaudioside a or stevia and acesulfame potassium.

Which sweeteners are not safe to have during pregnancy?

Apart from certain sweeteners that you can have during this period, there are some that are a total no-go - these are saccharin and cyclamate. While insufficient data is available for the effect of cyclamate on pregnant women, several studies conducted in the past show the adverse effect of saccharin. Certain studies have revealed its effect on the bladder (it can lead to bladder cancer) as well as on fetal tissue and placenta. Contact with this form of sweeteners can cause the unborn or infants to develop muscle dysfunction and irritability

'consult'.

Related Tip: 6 Pregnancy Complications You Need to Know About

4287 people found this helpful

Hello, I am 20 years old and I want to loose my virginity with my boyfriend but I panic so much about the pain. I always stop when we reach there I am really ashamed of it. I am having doubts about myself now. Please help me be positive and give me the courage. I am not able to be mentally prepared. I am having doubts about myself and if I can ever do it. please help me overcome these negative thoughts.

MD - Psychiatry
Psychiatrist, Chennai
Don't be in a hurry to lose virginity. Take sex as it comes and more you hurry more you might feel depressed and low self esteem. If there are any medical issues consult a gyne, if psychological a psychiatrist. All the best.
2 people found this helpful
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Surgical Sperm Retrieval (TESA/PESA/MESA)

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Surgical Sperm Retrieval (TESA/PESA/MESA)

Surgical Sperm Retrieval (TESA/PESA/MESA)

The main methods of surgical sperm retrieval available include:

  • PESA: percutaneous epididymal sperm aspiration.

  • MESA: microsurgical epididymal sperm aspiration.

  • TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).

  • TESE: testicular sperm extraction.

  • Microdissection TESE.

  • Perc biopsy: percutaneous biopsy of the testis.

Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.

  • Tests required before surgical sperm retrieval

A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.

Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.

If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead

  • Surgical sperm retrieval techniques used when obstruction is the problem

When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anaesthetic. The fourth requires open surgical sperm retrieval and is usually carried out under general anaesthetic.

Some small studies have been done to compare success rates after the different types of surgical sperm retrieval. These concluded that MESA gives the highest number of sperm, with a hundred times more sperm being recovered compared to TESA and perc biopsy.

MESA also produced sperm that were better swimmers and therefore more useful for infertility treatments, including IVF and ICSI.

  • Surgical sperm retrieval techniques when there is no obstruction

Men who have no sperm in their semen, despite having clear tubes in their testicles, usually have a problem with the process of sperm production. It is unlikely that sperm are present in large numbers, so the surgical sperm retrieval techniques required are more invasive

  • TESE: Testicular sperm extraction. This involves opening up the scrotum and taking a large volume of testicular tissue, perhaps from several regions of the testicle. Sperm are then retrieved using a microscope to identify individual sperm.

    • Microdissection TESE: A similar technique but a microdissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.

1 person found this helpful

My wife is pregnant and we loss baby after 3 month I should sex after absorption or not.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi Ram ideal you should avoid sex for 1and 1/2 months. as after abortion their is risk of infections and pregnancy should be avoided for 3month so as body can recover from abortion trauma.
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Mustard oil should be heated upto it's smoking point for cooking or the food tastes bitter. Is this correct.Please tell sir

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Mustard oil should be heated upto it's smoking point for cooking or the food tastes bitter. Is this correct.Please te...
You are right, mustard oil heating point is higher than other oils like soy oil. One should use little amount of mustard oil to saute the vegetables & cook it by steaming in a thick based vessel with a tight lid, preferably made of iron, like our grannies used to cook on a slow fire. The taste remains better with full value of nutrients of minerals and vitamins. Use soy oil for frying. But do not reuse it. Do not throw it either. Use a spoon of it to make curries, oil is not reheated but mixed with home made tomato purries & spices as a gravy instead of onions which soak more oil.
1 person found this helpful
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I have done tubectomy 15 days ago what is the maximum time to reverse this process.

MBBS, MD - Obstetrics & Gynaecology , Diploma in General Nutrition
Gynaecologist, Delhi
Tubectomy can be reversed any time by another surgery, but recanalisation may not give 100% results.
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7 Fat Rich Foods That Are Actually Good For You!

MSc. Foods & Nutrition, BSc. Dietitics
Dietitian/Nutritionist, Mumbai
7 Fat Rich Foods That Are Actually Good For You!

It is a very common notion that fat is not good for your body. Most people have started opting for sugar instead of fat, which, in turn, has led to the rise in cases of diabetes. Recent studies have shown that fat is actually healthy for your body. Fat plays an important role in the body such as forming the membranes of the cell and reducing inflammation.

Here are some foods that are rich in fat and are actually good for you:

  1. Avocado: Avocadoes are different from other fruits in the way that they are rich in fats unlike other fruits, which mostly contain carbohydrates. It mostly contains oleic acid, a type of monounsaturated fat that is beneficial for the immune system. They are also rich in fiber that lowers the bad cholesterol levels in the body.
  2. Dark chocolate: As mouthwatering as it can get, dark chocolates never fall out of a foodie’s list of things he can’t do without. Studies have always attributed chocolates with all the ill effects they can possibly bring on you. However, recent researches have come up with quite contrary results, which can make all the prejudiced ones eat the humble pie. Dark chocolates, apart from their exotic varieties, come with incredible health benefits as well. It is rich in fats and antioxidants, known to improve your cardiovascular health. Chocolate is also known to lower blood pressure and improve brain function.
  3. Fish: Fish such as sardines, mackerel and salmon are rich in Omega-3 fatty acids which are very beneficial for your heart. It lowers the risk of heart disease and other cardio vascular diseases.
  4. Nuts: Nuts are rich in healthy mono-saturated fats which reduce the risk of diabetes, obesity and heart diseases. Nuts also contain magnesium and Vitamin E which are good for the body.
  5. Extra virgin olive oil: Extra virgin olive oil is rich in Vitamin K and E along with various antioxidants. These antioxidants help in preventing inflammation and free radical damage to the body.
  6. Chia seeds: Chia seeds are types of seeds which are rich in fats and fiber, thus promoting satiety. They have anti-inflammatory properties and help in lowering the blood pressure. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
6729 people found this helpful

Can apply aloe vera gel on the breast for a good breast and does it have any side effect?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Fazilka
Can apply aloe vera gel on the breast for a good breast and does it have any side effect?
Alovevera gel prevents sagging of breasts no side effects of long term use rosemary oil olive oil almond oil is also good.
1 person found this helpful
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First Trimester Exhaustion - How To Get Through?

Fellowship in Gynae Endoscopy, FMAS, DNB, DGO, MBBS
Gynaecologist, Delhi
First Trimester Exhaustion - How To Get Through?

Pregnancy is a joyous journey of surprises and new experiences. It is really hard to understand the changes that your body goes through during this beautiful period. You might have heard stories from your elders and friends. But, what it exactly feels like and what it takes or gives to be pregnant, can only be realised when you are pregnant yourself.

The most interesting part of this journey is that it’s nature and characteristics differ from one woman to the other. The symptoms experienced are completely or partially different for different expecting moms. But, one most common symptom of pregnancy is exhaustion. Almost every mother has gone through this experience during the first trimester. You might get a feeling of flu or feel as if you haven’t slept for five days. But don’t worry as this exhaustion is temporary. It vanishes as your pregnancy enters the second or third trimester or ends.

Here’s how you can cope up with the exhaustion of the first trimester:

  1. Maximise your happy or good hours: Exhaustion is not constant throughout the day. It hits hard either during the day or night. You need to identify these hours. It is best to avoid your work and social life at this time. You can use the other half of the day, when you are active, to carry out your day-to-day activities.
  2. Increase your sleep schedule: You need to get proper rest for your body and fetus. Sleeping for just seven or eight hours might not be enough. You may have to sleep for ten or eleven hours in the night to get rid of the exhaustion.
  3. Take short naps: A major way of coping up with the exhaustion is to take short naps. A power nap in between your working schedule can help you regain your lost energy. You will feel refreshed. Take the nap for 20 minutes only. Don’t take a too much longer nap. Doing so will only make you feel more lethargic.
  4. Drink water like a fish: You will have to keep your body hydrated. Make sure that you stay hydrated all the time by drinking the right amount of water. Dehydration can increase your exhaustion. A rule for drinking water is to equalise your body weight divided by two in ounces plus 8 ounces more with that
  5. Take help: You must not try to do things alone. You will have to take help from others like the house taker, relatives, family members or friends to do the housework. Also, request your employer to give you less work during this period.

Apart from these indulge in light exercise and eating a balanced diet along with small portions of healthy snacks in between meals is also a must for an expecting mother. 
 

6 people found this helpful

I'm 22years female. Married an years ago and TTC for past 8months with pcod and thyroid. Hormone tablets stopped working on my body and so I started acupuncture treatment. Acupuncture treatment was effective but now i'm having periods for past 50 days. Bleeding is not stopping even in acupuncture. Suggest me what should I do further (I don't want to take any hormone tablets or medicine)

BHMS, MD - Homeopathy
Homeopath, Lucknow
Rx hammamelis q wsi 20 drops in half cup of water 3 times a day. Millifolium q wsi 20 drops in half cup of water 3 times a day. Phosphorus 30 4 pills three times a day.
1 person found this helpful
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What will be the basic cause and treatment of secondary amenorrhoea with no ovarian cyst and normal reports of thyroid and prolactin?

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
Rule out stress and tuberculosis rule out adhesions in the uterus due to repeated curettage rule out pre-mature menopause.
1 person found this helpful
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How double marker, triple marker test results are calculated? If age risk mentioned in the report is 1: 326 and the risk of the patient who is undergoing these tests during pregnancy is, say, 1: 500, this figure of 500 is calculated purely on the basis of patient's blood or on the bases of both, patient's blood as well as her age?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
How double marker, triple marker test results are calculated? If age risk mentioned in the report is 1: 326 and the r...
More important is to know test result shows less chance compared to population at same age. However also important to understand that this gives only statistical chance not definite answer about whether this child is affected or not affected.
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Endometrial Scratching - Can It Boost Your IVF Success Rate?

Multispecilaity IVF Clinic
IVF Specialist, Gurgaon
Endometrial Scratching - Can It Boost Your IVF Success Rate?

In today’s stressful environment, many couples who are not able to conceive naturally are considering alternate solutions such as in vitro fertilisation (IVF) treatment. Trying to get pregnant through IVF treatment is a lengthy and complex process. Other techniques such as endometrial scratching or endometrial biopsy are worth learning about when it comes to such processes which can be radically life changing.

What is endometrial scratching?
As explained in high school biology textbooks, an embryo eventually gets transferred to the womb where it is embedded. Endometrial scratching is an attempt to improve the rate at which the embryos get transferred to the womb of a woman.

This is done by making a small scratch on the uterus which serves to hasten the growth of the new tissue, which is essentially the body’s reaction to the scratch. Proponents of this process believe that this growth of new tissue goes a long way in improving the degree of responsiveness of the womb to the embryo when it comes to accepting it.

How it can help?
While detractors do exist, it is to be kept in mind that there are some great potential benefits of undergoing this procedure and that is, it can possibly improve the efficacy of the IVF treatment. Taking into account the amount of effort and expense that goes into a course of treatment, it does appeal to a lot of women to go for endometrial scratching, and it can be said that it does make sense. When it comes to choosing the ideal time to undergo this procedure, a woman can schedule a slot, a week after ovulation, as this is also likely to be a week before the IVF treatment begins, if a woman plans on having it.

If a woman is interested in the prospect of endometrial scratching, she should talk to a doctor who is a specialist in the field of gynaecology and has a proven track record. The doctor would list out the benefits and risks of the same and be a good judge of whether she is a good candidate for endometrial scratching. For those women who have tried IVF a couple of times previously, but have not been able to conceive may find endometrial scratching beneficial. So, most women who are giving IVF a go for the first time do not have much of a need to sign up for endometrial scratching. If you wish to discuss about any specific problem, you can consult an IVF Specialist.

3385 people found this helpful

My prl level lowers from 30 to 12 after taking cabergoline course. Now I am taking novelon. I want to conceive now. Wat sud I do or ny pregnancy med?

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
My prl level lowers from 30 to 12 after taking cabergoline course. Now I am taking novelon. I want to conceive now. W...
You can start trying to get pregnant after you stop taking novelon. If your cycles are regular then you can try for pregnancy by having sex between Day 10 to day 18 of the period. If your cycles are not regular then suggest consulting a Fertility expert. Good luck.
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Calcium Deficiency - 3 Signs You are Suffering from it

MBBS
General Physician, Gurgaon
Calcium Deficiency - 3 Signs You are Suffering from it

Calcium is known for its role in maintaining the bone health, from keeping your teeth stronger to normal functioning of the cells.  But there are various factors, which lead to a deficiency of calcium in the human body and paves the way for several complications.

Here are the top three signs that indicate you are suffering from calcium deficiency.

  1. Difficulty in sleeping: Sleep is essential for your bone health and calcium is directly associated with your sleep cycle. The level of calcium in your bones rises and falls when you are asleep and it reaches its peak when you are in deep slumber. This indicates that when you are unable to sleep properly, it is a warning sign of calcium deficiency. There are various researches that have confirmed, that by increasing the level of calcium, it is possible to restore the normal sleep cycle of an individual. This is also related to the role that calcium plays in the production of a sleep hormone called melatonin. When the calcium content in the body is really low, this hormone is not produced, thus, making it difficult for a person to sleep.
  2. Difficulty in losing extra pounds: Yet another frustrating aspect of any individual’s life is the inability to shed off excess pounds. This issue is also linked with the lack of calcium supply in the body. The calcium that’s stored in the cells assists in the processing and storage of fat. So the fat cells with high calcium content burn faster, making you lose weight. Thus, if you have trouble losing weight in spite of having a well-regulated diet and regular workout, it’s a sign that you are suffering from low calcium.
  3. Paresthesia: Though this ailment is not much heard of, it could be a sign of calcium deficiency. Paresthesia is a nervous disorder, which causes tingling sensation, tremors, numbness and loss of sensitivity. It could also lead to poor concentration, amnesia, confusion, hearing impairment, twitches and other physical as well as neurological impairment. This is because low calcium in the blood is connected with the health of your nerves.

The deficiency of calcium can manifest itself in different intensity, ranging from the non-existent to minimal to severe levels. Chronic calcium deficiency can lead to life-threatening diseases like rickets, osteopenia, and even osteoporosis. Therefore, you shouldn’t ignore these signs and consult an expert without delay. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

8501 people found this helpful

My cousin is in serious relationship with her hubby. But she do not love to do sex with him. She tell me to fuck her and I fucked her 2 time a day without condom and she loves that her problem is that she discharge sum white liquid type when she sit alone or traveling.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, She is likely to be suffering from vaginal candidiasis or fungal infection which is causing that thick curdy white discharge per vaginum.
1 person found this helpful
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I have problem sir/mam actually near about 2 months phle maine or meri gf ne sex kia tha without condom but maine apna viria bhar release kia tha and usne urine bhi nikala tha after sex but tabse usko periods ni aare sirf blood aara hai or blood ke sath black sa kuch but periods ni hai ve aaj isne prega news se test kia tha but usme koi sign ni aaaya means ek to positive aata hai ek negative but uska koi singn ni aaya kya krna chahiye.

GAMS-AYURVEDA, MD-TCM
Sexologist, Faridabad
I have problem sir/mam actually near about 2 months phle maine or meri gf ne sex kia tha without condom but maine apn...
No tension please do urine test for prega news kit for pregnancy contact us for all sexual problem personally Dr. sheikh you can take ayurveda medicine 1 tab m 2 ton two times daily 2 cap L 7 two bd 100 / results in a one month.
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