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Dr. Nanda

Gynaecologist, Chennai

200 at clinic
Dr. Nanda Gynaecologist, Chennai
200 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. Nanda
Dr. Nanda is an experienced Gynaecologist in Poonamallee, Chennai. You can visit him/her at VeeCare Sundar Hospital - Poonamallee in Poonamallee, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Nanda on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 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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VeeCare Sundar Hospital - Poonamallee

No.186, Trunk Road, poonamallee. Landmark: Poonamallee Bus Depot & Government General Hospital, ChennaiChennai Get Directions
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Hello Doctor! My age is 31 years and my weight is 59 kg I am trying to conceive for more than 2 years but no luck. I had 4 follicle cycles but follicles do not rupture even with Hcg Injections my follicle only grow in size I was asked to undergo Hysteroscopy which was done last month on 7th Jan. The report says Uterine cavity normal with Endometrial polyp Subseptum noted. Endometrial polyp noted at fundus1.5cm* 1.5cm. Endometrial polyp resection done with scissors. Spectrum resection polypectomy was performed with Scissor. Good voluminous cavity obtained. Both ostia were well visualized. Endometrium normal. Cervix dilated upto no 7 Hegars dilate. Procedure was uneventful. Endometrium sent for TMA RNA TB-PCR. Then the Lab report said TB Not detected. After that I was given some antibiotics for 5 days and tablets Valest-2 for 20 days and gynaset for 5 days. As my Amh level is low <0.30 but there are follicles Are there any medicines to increase egg quality and AMH level. My Tubes are open and Husbands Count is also ok. I have started walking early morning for half an hour and I am doing some yoga exercises for fertility and self fertility massage.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hello Doctor! My age is 31 years and my weight is 59 kg I am trying to conceive for more than 2 years but no luck. I ...
As you have already received 4 cycles of clomiphene, next step in the treatment is iui which will go for 3 months cycle. You have mentioned that tubes are open (probably hsg report). Your laparoscopy was not done, which should have been combined with the hysteroscopy. Amh level can not increase. As your follicles are there and you r getting almost regular menses there should not be any issues with getting pregnant. But you need to continue treatment and ask for iui treatment in next cycle, to get the optimum results out of treatment.
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I think I'm pregnant but I have already took all types of precaution. Can you please help. I have check with preganews it's telling me negative but still not sure.

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
I think I'm pregnant but I have already took all types of precaution. Can you please help. I have check with preganew...
To be sure do a blood test for pregnancy. That is serum bhcg. If it is negative, it is not pregnancy.
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Digestion & Ayurveda

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
Digestion & Ayurveda
When our digestive ability, or Agni, is strong, we create healthy tissues, eliminate waste products efficiently, and produce a subtle essence called Ojas. Ojas, which is a Sanskrit word that means strength, can be envisioned as the innermost vital essence. According to Ayurveda, Ojas is the basis for clarity of perception, physical strength, and immunity. On the other hand, if our Agni is weakened through improper eating, lack of activity, negative emotional energy or unhealthy daily routine, our digestion will be hampered and we produce toxins that get stored in the body. According to Ayurveda, this toxic residue, known as Ama, is the root cause of disease.

Whether we are coping with weight issues or uncomfortable GI symptoms such as bloating, gas, or indigestion, often the underlying root problem is weak Agni, or poor digestion. When a patient goes to a health care provider trained in conventional allopathic medicine, the treatment options for digestive issues are typically medications, which serve to control symptoms, but do not treat the underlying cause.

Even when a provider’s approach includes testing and the elimination of offending foods, this is still only addressing part of the problem. While this treatment addresses the agent (or food) being ingested, it doesn’t look at why it is not being digested properly. Although eliminating foods that are bothersome can often alleviate symptoms, it is often difficult for patients to continually avoid those foods. It can often begin to disrupt their quality of life.

The Ayurvedic concept of Agni allows us to expand the conversation into answering the most important questions: “Why did the body begin to improperly digest, or not tolerate, this food?” and “How can we both eliminate the offending agent and concurrently increase Agni or digestive power?” This approach opens up the possibility of re-introducing the food at a future time, allowing the person to fully experience foods again.

Ayurveda recommends a variety of practical techniques for keeping our digestive fire strong. Incorporating these practices into your daily life can strengthen Agni and, in turn, facilitate weight loss, improve the metabolism of food, and minimize uncomfortable GI symptoms.

Advices for you!

1. Meditate on a regular basis—welcome are increasingly confirming the genetic changes that occur with regular meditation, which can help restore the body’s homeostasis, including the processes controlling digestion. To achieve maximum benefit, meditate for 20 to 30 minutes, twice daily, once in the morning and once in the evening.
2. Do some form of daily movement, whether it is a little yoga every morning, or a daily walk - a short 15-minute walk after each meal helped to control sugar spikes after eating. These short post-meal walks were more effective than taking a longer, 45-minute walk once daily.
3. Don’t overeat—When we eat more food than our stomach can accommodate, we cannot properly break it down. We also tend to produce more acid, thus causing reflux and indigestion. In addition, the amount of digestive enzymes produced may not be able to completely break down the volume of food ingested, which leads to more gas formation, discomfort, or bloating. Recommends that we leave one-third to one-quarter of our stomach empty to allow space for our body to easily digest our meal.

Here is a simple way to gauge an ideal portion of food for a meal based on your body size: Cup your hands together with your fingertips touching, forming the shape of a bowl. The recommended amount of food for a meal is the equivalent of two of these handfuls of food. Of course, you can eat less than two handfuls if your appetite is smaller.

Sip on ginger tea throughout the day, and with meals. Ginger is known as the “universal remedy” due to its many benefits for the body, and it has been used for more than 2,000 years to treat digestive issues. Ginger can relax the smooth muscle of the intestines, thereby relieving symptoms of gas and cramping.

Ginger stimulates digestion by speeding up the movement of food from the stomach into the small intestine, and helps eliminates digestive discomfort after eating. In addition, ginger can stimulate saliva, bile, and gastric enzymes to aid in digestion of the food that has been ingested (beneficial effects are a result of phenolic compounds, primarily gingerly and shoals, and various other volatile oils that are present in ginger).

Ginger tea is refreshing and easy to make. Just add one teaspoon of grated or sliced fresh ginger root to a cup of hot water. You can prepare a larger batch and keep it with you in a thermos bottle to sip throughout the day.

4. Eat your largest meal at lunchtime - our bodies are most able to digest food at midday, when we are active. Our digestive system secretes the highest concentration of “digestive juices” around noon, making this the best time to eat our largest meal. In the evening, our bodies are slowing down and preparing for sleep. If we eat our biggest meal at dinner, when our digestive fire is weaker, we will feel heavy and bloated and will be more likely to have difficulty falling asleep.
5. Focus on releasing negative emotions—you’ve no doubt noticed that your emotions influence your digestion. You may get heartburn when you’re under stress, lose your appetite when you feel sad, or become nauseated or even throw up before a big exam or presentation. The stress associated with unprocessed negative emotions can inhibit the natural digestive process and lead to chronic digestive issues.

Learn how to release emotional pain!

As we now know, a complex, independent nervous system called the enteric nervous system (ENS) lines the gastrointestinal tract (contains many of the major neurotransmitters that are found in the brain, including serotonin, dopamine, glutamate, norepinephrine, and nitric oxide) - in fact, about 95% of the serotonin contained in the body at any given time is in the ENS.

This second brain controls our digestion and can work both independently and in conjunction with the brain in our head. Without getting bogged down in the details of this intricate system, we can briefly state that there is an intimate relationship between our brain and our gut, and our digestion responds to the thoughts and emotions.

When we experience a situation that we interpret as stressful, signals from the brain can alter nerve function between the stomach and oesophagus, resulting in heartburn. With extreme stress, the brain sends signals to the gut immune cells that release chemicals leading to inflammation. This inflammation can then lead to malabsorption and even food sensitivities if the stress becomes chronic. By learning how to manage stress and release emotional turbulence, we help our digestive tract to work naturally and efficiently.

Proper digestion, with a strong Agni, plays a central role in our physical and emotional wellbeing. As recognizes, we are not what we eat, but “we are what we digest.” By making choices that strengthen our digestive ability, we form the foundation for good health and vitality.

I am suffering pain in my left side of left breast. No lumps and redness some times the pain spread all over the breast and feeling heaviness type pain because of this I am too tensed also. Kindly give the breast cancer signs and symptoms.

MBBS
General Physician, Cuttack
I am suffering pain in my left side of left breast. No lumps and redness some times the pain spread all over the brea...
Symptoms of Breast cancer 1.A lump or thickening in an area of of Breast 2.A change in shape,size or feel of Breast 3.Dimpling of skin over Breast 4.Change in shape of nipple and it is retracted 5.Blood stained Discharge from nipple 6.A rash in nipple or surrounding area 7.A swelling or lump in Armpit Get your self examined by gynecologist and follow the advice and treatment
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How Exercise Can Help In Keeping Your Bones Healthy?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
How Exercise Can Help In Keeping Your Bones Healthy?

Did you know that in addition to your diet, exercise is one of the best ways to make sure that you never lie on a hospital bed with a surgeon treating you for a bone disorder? Medical expertise has constantly pointed out to the fact that regular exercise makes your bones less likely to suffer from wear and tear during old age.

As you exercise, your muscles become stronger, your bone density increases and your balance improves. Of course, it goes without saying that you need to follow certain precautions before you exercise to avoid certain injuries.

Before starting any exercise program, make sure that you prepare your body for exercise. A brief warm up helps you to get your muscles ready for exercise. It also makes sure that your chances of injury are drastically reduced.

Here are some tips to keep your bones healthy:

  1. Weight lifting: Weight lifting is a type of exercise that, if done correctly, will be extremely beneficial for your bones. You can opt for simple bodyweight exercises such as pushups and squats, which build muscle as well as strength. Avoid using very heavy weights as it causes back-related problems such as slipped disk.

  2. Yoga: Yoga is another method of exercise which is very beneficial for bones and joints. The premise of yoga is static strength building wherein you hold a pose or an exercise for a certain period of time; this helps in strengthening your muscles. Along with your muscles, your bones also become stronger as you get fitter. Yoga is repetitive stress which is good for flexibility and hence keeps your joints supple and muscles in good shape. There are certain asanas which are weight bearing and anti-gravity postures can strengthen your bones. 

  3. Swimming: Swimming again is a good aerobic exercise and is good for back and over all fitness but doesn't strengthen bone per se. It is a way to keep you healthy. Swimming is a cardiovascular exercise, which is also known for its calorie burning capabilities. It is also very effective is incinerating fat and keeping your skeletal system healthy. Whereas walking and jogging and running certainly build your bones as they are weight bearing exercises.

  4. Pilates: Pilates is a new form of exercise that has been gaining a lot of steam lately. It does not require much equipment, as you can get started with just a mat. It is very effective in working your spine and the hips, thus keeping your lower back strong. A weak lower back increases the chances of bone disorders drastically. If you wish to discuss about any specific problem, you can consult an orthopedist.

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I am aged 57yrs having sweetening,thrusting,tension, hypertension,BP90/140,using Tab Telvas-40 & Tab Nebicard 10 also attain Menopause 12 years back

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
You are suffering from uncontrolled malignant hypertension & i guess you also have alot of life stress. you need full counselling on stress management & treatment.Please call 09730111107 if interested [Automatically added by Lybrate] Click "Consult Dr. Rashmi Shukla" below to consult privately with the doctor.
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I want to know that my periods have come always late around 35 days, I have hypothyroidism also. But my tsh level is now less then. 01. Please tell me the reason as early as possible.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I want to know that my periods have come always late around 35 days, I have hypothyroidism also. But my tsh level is ...
there are many cause for irregular menses..do usg for pelvis, and tsh level is going down ..A number of conditions, including Graves' disease, toxic adenoma, Plummer's disease (toxic multinodular goiter) and thyroiditis, can cause hyperthyroidism. Your thyroid is a butterfly-shaped gland situated at the base of your neck, just below your Adam's apple. Although it weighs less than an ounce, the thyroid gland has an enormous impact on your health. Every aspect of your metabolism is regulated by thyroid hormones. Your thyroid gland produces two main hormones, thyroxine (T-4) and triiodothyronine (T-3), that influence every cell in your body. They maintain the rate at which your body uses fats and carbohydrates, help control your body temperature, influence your heart rate, and help regulate the production of protein. Your thyroid also produces calcitonin, a hormone that helps regulate the amount of calcium in your blood. How it all works The rate at which T-4 and T-3 are released is controlled by your pituitary gland and your hypothalamus — an area at the base of your brain that acts as a thermostat for your whole system. Here's how the process works: The hypothalamus signals your pituitary gland to make a hormone called thyroid-stimulating hormone (TSH). Your pituitary gland then releases TSH — the amount depends on how much T-4 and T-3 are in your blood. If you don't have enough T-4 and T-3 in your blood, your TSH will rise; if you have too much, your TSH level will fall. Finally, your thyroid gland regulates its production of hormones based on the amount of TSH it receives. If the thyroid gland is diseased and is releasing too much thyroid hormone on its own, the TSH blood level will remain below normal; if the diseased thyroid gland cannot make enough thyroid hormone, the TSH blood level will remain high. Reasons for too much thyroxine (T-4) Normally, your thyroid releases the right amount of hormones, but sometimes it produces too much T-4. This may occur for a number of reasons, including: Graves' disease. Graves' disease, an autoimmune disorder in which antibodies produced by your immune system stimulate your thyroid to produce too much T-4, is the most common cause of hyperthyroidism. Normally, your immune system uses antibodies to help protect against viruses, bacteria and other foreign substances that invade your body. In Graves' disease, antibodies mistakenly attack your thyroid and occasionally attack the tissue behind your eyes (Graves' ophthalmopathy) and the skin, often in your lower legs over the shins (Graves' dermopathy). Scientists aren't sure exactly what causes Graves' disease, although several factors — including a genetic predisposition — are likely involved. Hyperfunctioning thyroid nodules (toxic adenoma, toxic multinodular goiter, Plummer's disease). This form of hyperthyroidism occurs when one or more adenomas of your thyroid produce too much T-4. An adenoma is a part of the gland that has walled itself off from the rest of the gland, forming noncancerous (benign) lumps that may cause an enlargement of the thyroid. Not all adenomas produce excess T-4, and doctors aren't sure what causes some to begin producing too much hormone. Thyroiditis. Sometimes your thyroid gland can become inflamed for unknown reasons. The inflammation can cause excess thyroid hormone stored in the gland to leak into your bloodstream. One rare type of thyroiditis, known as subacute thyroiditis, causes pain in the thyroid gland. Other types are painless and may sometimes occur after pregnancy (postpartum thyroiditis).
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Before 6 months I aborted my first pregnancy because of no growth within 2 months. I am currently working in IT field. What all things should be care before conceiving and after conceiving.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Before 6 months I aborted my first pregnancy because of no growth within 2 months. I am currently working in IT field...
You should avoid next pregnancy for 6 months from the last abortion which you already did. Chances of repeat abortion or pretem delivery increases if one becomes pregnant within 6 months of miscarriage. No special treatment or tests are needed if you had only one miscarriage or spontaneous abortion.
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My amh is low 0.68.is there any medicine to increase amh level. And improve egg quality. .married life 4 years. Not even conceived once in 4 year married life. Very worried about that.

BHMS
Homeopath, Chennai
My amh is low 0.68.is there any medicine to increase amh level. And improve egg quality. .married life 4 years. Not e...
Anti-Müllerian Hormone, or 'AMH' as it is often called, is a hormone which is given off by developing follicles, which are egg sacs containing immature eggs.  AMH naturally decreases with age as the ovarian reserve is depleted, and women in their 40s frequently have low AMH results. IVF Will be painful and expensive too ,a homoeopathic constitutional treatment whereas will give you a permanent cure in minimum dose itself , You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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Hi Missing periods from 1 month. Negative in pregnancy test after 21 days and 25 days of missing period. Still no periods. Is there any chance of pregnancy still?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi Missing periods from 1 month. Negative in pregnancy test after 21 days and 25 days of missing period. Still no per...
Hello, You are not pregnant. you may opt for a withdrawal bleed with progetsetrones to resume your menses.
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I'm Having severe burning sensation in vagina during urination, and have got little fever, also feeling vomiting, my periods are due in next 24 hrs. I had sex with my husband yesterday.

MBBS
General Physician, Cuttack
I'm Having severe burning sensation in vagina during urination, and have got little fever, also feeling vomiting, my ...
It could be due to urinary tract infection 1. Drink plenty of water with ors (8-10 glass) daily 2. Do urine examination for re/me, culture and sensitivity 3. Consult doctor with report for advice and treatment.
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Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Allahabad
Always take water before half hour from lunch nd dinner or after half hour of lunch nd dinner.
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I missed my periods which was on 17th March, on 10th march I had unprotected sex. 24th March I did test which was negative. Every time before periods I get white discharge, which is continuing till now. Last time I had my periods on Feb 16th. Please help me out.

DHMS (Hons.)
Homeopath, Patna
I missed my periods which was on 17th March, on 10th march I had unprotected sex. 24th March I did test which was neg...
Hello, Lybrate user, It's leucorrhoeal discharge You are facing with period. Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow.  * go for meditation to reduce your stress, anxiety to calm your nerve, 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 30-6 pills, thrice. @ Sepia200 -6 pills at bed time. * 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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Related to sex .Kya aap bta sakte hai ki shaadi ki first night ko direct sex krr sakte hai kya ? Aur pahli brr krte time kin kin baato ka dhyan rakhna chaiye ?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate user. I can understand. Yes. Pehli raath ko direct sex kar sakte hai. Magar saath mein dekh leejiye ki aapki wife thayyaar hai ya nahi. Zabardasthi math keejiye. Unko daraana math. Aaraam se bathein karke sex approach keejiye. Jalde bhi math dikhaayiye. Take care.
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I'm scared of making any physical relations with any girl. Because I'm scared of losing my virginity. My friends told me that it hurts a lot.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Why are you so afraid of it. I think a girl is most concerned over loosing virginity. Your fear is baseless. You may freely involve in sexual relation. Wish you good health.
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I am working in night shift from past 10 months. My weight has gone from 50 kgs to 46 kgs. Even the blood vessels on my face are becoming visible. I usually don't have breakfast due to the shift. Only have lunch and dinner and in the evening I have a glass of milk and some fruits as well. Please advise how to improve my diet so that my body remains fit, my face also glows and my weight is also balanced.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am working in night shift from past 10 months. My weight has gone from 50 kgs to 46 kgs. Even the blood vessels on ...
staying up nights upsets body's normal diurnal rhythm badly. please try to avoid long time night work. Eat carbohydrates, limited fats, green veg, fruits in plenty, drink fluids esp water, fruitjuice, chhach, lassi, milk.
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When Is the Right Time to Have a Fruit? And Why You Should Avoid It After a Meal?

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
When Is the Right Time to Have a Fruit? And Why You Should Avoid It After a Meal?

Undoubtedly eating fruits contribute to good health and provides a range of other benefits for your body. Nevertheless, you must follow some simple guidelines so that you eat fruits the right way. Eating fruits as and when you like doesn't do much good. Therefore, it is essential to know when and how to consume fruits in order to fully benefit from it. 

Right time to eat fruits:

  1. Eating fruits first thing in the morning is preferable as you gain all the nutrients your body requires, which keeps you nourished and energized. Eating fruits on an empty stomach promotes good health and helps you shed the extra kilos. Additionally, it also prevents digestive problems and keeps you in good shape as your body fully absorbs all the vitamins, good carbohydrates and fiber present in the fruits.
  2. Eating fruits between breakfast and lunch is also an option that can help you maintain a proper diet. If you choose to have your fruit helping after breakfast, it is essential to adjust the proportion and time of both the meals accordingly. A fruit helping after breakfast should keep you full for at least two hours, thereby ensuring proper digestion. Make sure you balance your meals accordingly and do not end up overeating. 

Why fruits should be avoided after meals:

  1. Even though fruits have high nutrition value, it also contains calories. If you consume a bowl of fruits just after your meal, chances are that your body may get more calories than it requires. No matter how healthy fruits are, eating them after meals can cause significant weight gain. Also, it is essential to keep in mind to not make your diet fruit heavy as then your body is deprived of nutrition present in meats, vegetables, dairy products and whole grains.
  2. It is of utmost importance that you avoid eating fruits just before going to bed. Fruits contain a lot of sugar which can, in turn, increase your energy levels thereby, keeping you awake when you need to sleep instead.
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Hi doctor. I had sex with my wife on 11 day after her menstrual. Will it be possible for pregnancy?

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
Hi doctor. I had sex with my wife on 11 day after her menstrual. Will it be possible for pregnancy?
Hello its actually ovulation time is womens in 28 days periods 1-14 days. If in this days done it may be possibly depending on the active.
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Hi Dr. I am 36 years old. My first baby is 6 months old now. Breastfeeding is still going. I want to conceive soon for second baby. Please suggest regarding breastfeeding and how I can know that my body is ready for 2nd baby. I have pcod also.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi Dr. I am 36 years old. My first baby is 6 months old now. Breastfeeding is still going. I want to conceive soon fo...
Better wait for 2 years before next pregnancy. Good for health of both children. Gradually replace breast feed with weaning food.
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