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Dr. Naveen Alexander

Gynaecologist, Chennai

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Dr. Naveen Alexander Gynaecologist, Chennai
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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. Naveen Alexander
Dr. Naveen Alexander is a trusted Gynaecologist in Chetpet, Chennai. You can consult Dr. Naveen Alexander at Mehta Hospitals Pvt Ltd in Chetpet, Chennai. You can book an instant appointment online with Dr. Naveen Alexander on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 29 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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Mehta Hospitals Pvt Ltd

#2, McNichols Road, 3rd Lane, Chetpet. Landmark: Near Shoppers Stop, ChennaiChennai Get Directions
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I got married 3 months back. I experience a lot of pain when my husband tries to penetrate during intercourse. Actually m not yet able to have sex.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Actually you are not enjoying your sexual life and are not prepared for it.Just talk to your husband about your problem and spend more time in foreplay.Only you both can find an answer to your problem and if there is an understanding between you then things will be much better.
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I have delivered a child 5 month back through c section. Now i have gained a lot of weight .What can i do to reduce my weight?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Brisk walk or jogging for 4-5 km per day and increase ur fruit and protein diet. It will reduce ur tummy also. Most important is to keep feeding the baby, which helps most.
1 person found this helpful
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I am 18 year old female and am having problems with menstruation since 2 yrs. They occur at a gap of 15 days to 1 month. Give me homeopathic advise.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
I am 18 year old female and am having problems with menstruation since 2 yrs. They occur at a gap of 15 days to 1 mon...
U need treatment for at least 2 months. Take natrum mur 200 single dose morning / reckweg german co. 4-5 drops. Fresh fruit juice daily 1 glass for 2 months.
1 person found this helpful
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Poly Cystic Ovarian Disease - How It Influences Your Life?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Poly Cystic Ovarian Disease - How It Influences Your Life?

A rising number of teenage girls in the country are getting affected with Poly Cystic Ovarian Disease or PCOD. Though an advanced menarche has become very rampant these days, there are many young women who are suffering from a delay in menarche which in turn is leading to PCOD as opined by gynaecologists. Obesity and sedentary lifestyle among young people have caused a rapid doubling of PCOD cases in the past five to eight years.

Occurrence and Symptoms:

Gynaecologists report that they get at least 15 fresh instances of PCOD cases, and a considerable number of teenagers aged 16-17 are not getting their menarche. Such patients are recommended to take a strictly balanced diet which will help them to lose weight. Initially, their mothers think that they would experience their menarche in proper time, but some girls are diagnosed with PCOD when taken to a family gynaecologist. Even worse, they could never imagine that their obesity can pave the way for such a grave health issue. PCOD can cause numerous other problems like delayed and irregular menses, rapid weight gain and tremendous difficulty in losing weight, developing acne and blocked skin pores.

Furthermore, it leads to thinning of hair and excessive growth of hair on chest, back and face. Infertility, continual miscarriage, high blood pressure and high blood sugar are also common with PCOD.

Help yourself with the right diet:

There is no proven evidence regarding the cause of PCOD though gynaecologists are of the opinion that some females possess a predisposition to this disease, and it may run hereditarily in the family. You can alleviate your PCOD symptoms to a considerable extent by regulating your diet properly.

Have loads of fruits and green leafy vegetables and try to abstain from dairy products as many experts believe that dairy products are a direct cause of an increase in insulin levels, which can aggravate skin troubles along with other PCOD symptoms. Avoiding red meat and eating lean meat instead will help the condition and reduce the chances of infertility. It is always recommended to avoid hydrogenated and saturated fats, which are normally found in animal and dairy-based food. Try to put a stop to cheese, cottage cheese, clarified butter, pork, lamb, beef, etc. and certain baked products like cookies, cakes and fudges as they will trigger a rise in your blood sugar and cholesterol levels.

PCOD is such a condition which you can never afford to overlook. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

4926 people found this helpful

Hi I am 24 years I am feeding milk to my child from the next day of delivery ,after 2 months the milk is not coming what shall I do.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
There should be any reason of decreasing of milk if you had been exclusively breast milk to the satisfaction of baby. Continue exclusive breast feeding till either breast is emptied or baby is satisfied. In case if after emptying of breast, baby remains hungry, give him top feed kept ready in hand. This practice may increase milk production provided you are taking good nourishing diet. Else you may consult obstetrician.
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Problem start from 22 March to my wife. Please tell at which date I do sex with my wife so she can become pregnant. We want one baby.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Problem start from 22 March to my wife. Please  tell at which date I do sex with my wife so she can become pregnant. ...
The best day for conceiving are 4 days before nd 4 days after your ovulation.Now how do we calculate this ovulation day.It is 14 days minus expected date of your next periods.
1 person found this helpful
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How Healthy is Your Lifestyle

B.Sc, BHMS
Homeopath, Lucknow
How Healthy is Your Lifestyle

HOW HEALTHY IS YOUR LIFESTYLE?

CHANGING TO A HEALTHIER lifestyle will improve your chances of living longer and enhance your quality of life. To find out exactly how healthy your current lifestyle choices about diet, exercise, alcohol, smoking, and stress.

Identify those aspects of your life that you want to change, then set yourself realistic targets to help boost your future health and wellbeing. To help your achieve your personal targets, turn to the pages listed where more detailed information and advices on that particular issue is provided.

ARE YOU EATING A HEALTHY DIET?

  • Do you eat a lot of processed, convenience foods?
  • Do you treat yourself to sweet snacks such as chocolate or cookies?.
  • Do you skip meals?
  • Do you eat late-night snacks?
  • Do you go on diets, then gain the weight back in a few weeks?
  • Do you usually choose white bread and pasta instead of the whole wheat varieties?
  • Do you eat in restaurants more than three times a week?
  • Do you need to take mutrient supplements?
  • Do you often eat on the run?

Lastly Opt Homoeopathy for your family health......

Future Scope Of Homoeopathy

  It will be the second most sought after system , second to allopathy.

  • After superb conquest of bacterial infection by antibiotics , in future viral infections will rule and homeopathy is best with viral infections.
  • With increasing medicinal costs , for poor it will be the only option left.
  • Increase in stress and psychiatric diseases and allergic diseases , it will be an ideal choice.
  • In prevention of diseases , it will be used more. It will be a drug of choice in veterinary field.
  • Agriculture and fertilizers will use it more .And so on.
  • Pregnancy with jaundice has high risk . Hom served well.
  • Threatened abortion has best treatment success rate in homoeopathy.
  • PCOD has excellent results.
  • Homeopathy has helped secondary infertility in high numbers.

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Pediatrics and Homeopathy

  • Mumps / chickenpox / measles / URI / acute tonsillitis / malnutrition / teething / diarrhea / infective hepatitis / primary complex – Homeopathy is better than Allopathy.
  • Height problems.
  • Autism / dyslexia / cerebral palsy – Homeopathy is the only answer.
  • Delayed speech / delayed milestones

 

Orthopedics

  • Homeopathy helps Injuries / fractures / muscle or tendon injury / sprains / rheumatoid arthritis.
  • Osteoporosis and stress fractures Homoeopathy is the best.
  • Sciatica and cervical spondylosis & spondylitis –Homoeopathy gives wonderful results.

 

Ophthalmology

Wonderful results in conjunctivitis ,glaucoma ,recurrent stye or hordeolum. etc

 

ENT

Allergic rhinitis ,recurrent tonsillitis ,pharyngitis, epistaxis,adenoiditis,chronic discharge from ear, pain in ear ,sinusitis ,nasal polyp,laryngitis and many more problems.

 

Homoeopathy and female problems

“Homoeopathy helps with the entire gamut of women’s problems.” This includes menstrual disorders,infertility, and pregnancy complaints to menopausal hot flushes,night sweats, headaches,fatigue,anxiety and depression . Homoeopathy can enhance pre-pregnancy health, improve chances of conception,reduce morning sickness,remove post-partum bruising of mother and newborn, smoother breast feeding problems and relieve postnatal depression.”              

Child Birth

Homoeopathy can reduce labour and birth complications. Women when given homoeopathy during their 9th month experienced a shorter labour and less complications than other.

 

Neurological disorders

Homoeopathy   Homoeopathy gives wonderful results in migraine, cluster headache, epilepsy, brain trauma, hemiplegia, paraplegia , quadriplegia, prosopalgia, trigeminal neuralgia and many more diseases.

 

Cognitive and Behavioral Disorders

  • Delirium ,Dementia
  • Psychosis – Schizophrenia ,Mania , Depression , Compulsive neurosis
  • Personality disorders
  • Neurosis – Anxiety , Hysteria
  • Anxiety Disorders ,Phobic anxiety disorders
  • Agoraphobia ,Social phobias ,Specific phobias
  • Generalized anxiety disorder
  • Panic disorders

 

Lifestyle disorders

Corporate Lifestyle: Stress, Anxiety, Health Problems like hypertension, diabetes, insomnia and many more…..Homeopathy Does Help.

 

Endocrinal disorders

Hypothyroidism and hyperthyroidism , diabetes and adrenal problems.

 

DO YOU EXERCISE ENOUGH?

  • Can you climb three flights of stairs without becoming breathless and exhausted?
  • Do you sometimes walk or cycle instead of driving or talking the bus or train?
  • Do you exercise three times a week?
  • When exercising do you always warm up properly?
  • Do you wear all the necessary safety equipment when exercising or playing a sport?

If you answered No to the first there questions, you are out of shape. To keep fit, you should exercise vigorously for 20 minutes, three times a week . it is easy to start. Answering No to the last two questions means you are not exercising safely and could injure yourself. Learn to exercise safely.

ARE YOU ABUSING YOUR BODY?

  • Do you smoke cigarettes?
  • Do you smoke cigars or a pipe?
  • Have you tried to stop smoking and failed?
  • Do you regularly drink more than the recommended limits for alcohol intake?
  • Do you drink when you are alone?
  • Do you have trouble remembering what happened the night before when you have been out drinking?

If you answered YES to the first two questions you should stop smoking. If your answered YES to any of the last three questions, you need to cut down on your drinking.

ARE U UNDER STRESS?

  • Do you feel that your never have enough time to do all the things you have to do?
  • Is your home life a source of stress and conflict?
  • Is your job highly stressful?
  • Do you worry all the time?
  • Do you find it hard to relax?
  • Do you have trouble falling asleep at night?

 

If you answered YES to any of these questions, you may not be dealing with stress very well. Find out how to cope with stress better, see if you have any of the early signs of too much stress, discover how stress can make you ill, and learn what to do if stress is making you anxious or depressed.

12 people found this helpful

Sex during pregnancy is safe or not. If yes then for how many month can have sex?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
hello, If you are not having any pregnancy complications like low lying placenta then you can have intercourse as per comfort.
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I am 40 years old female. I am suffering fro leukoria from 6 months and have no baby. My uterus is normal said the test reports. Please help me.

DGO, MBBS
Gynaecologist, Pune
At 40 its difficult to conceive. And for your leucorria its better to get a pap smear done and also antibiotic course could be helpful.
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My period date is 5 may and now these days my legs, lower back and around uterus little pain. I cnt sleep at night properly. Feeling tired all the day. What I do? Pls answer me soon.

MD in Gynaecology, MBBS
Gynaecologist, Delhi
My period date is 5 may and now these days my legs, lower back and around uterus little pain. I cnt sleep at night pr...
Can take rest and calcium and vitamin supplements for general body aches. Should get a urine test to rule out infection which can cause pain around uterus.
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What is safe timing for sex during pregnancy means how many month and which month.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
There is no evidence to show that sex is unsafe in pregnancy as long as there are no issues with vaginal bleeding, ruptured membranes or low lying placenta. As the pregnancy advances there are mechanical issues that may make it practically difficult.
1 person found this helpful
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Tubal Scarring and Infertility

M.B.B.S, M.S Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, Fellowship in Minimal Access Surgery, Diploma in Advanced Modern Cosmetic - Plastic Gynaecology, Diploma in Minimal Invasive Surgery(Germany), Fellowship of International College of Robotic Surgeons
Gynaecologist, Chennai
Tubal Scarring and Infertility

The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. 

Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories. 

  1. Blocked fallopian tubes
  2. One blocked and one open fallopian tube
  3. Tubal scarring

The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:

  1. STDs such as chlamydia trachomatis and neisseria gonorrhea
  2. Adhesions caused by ruptured ovarian cysts
  3. Appendicitis
  4. Peritonitis
  5. A history of ectopic pregnancies

Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.

  1. Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however, does not say much about tubal scarring.
  2. Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes. 

Treatment for infertility caused by tubal scarring is of two types:

  1. Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. He may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
  2. In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.
3793 people found this helpful

I'm really in need of help. Okay so on 11 February I had an ipill and had the ipill period on 16 I guess. I'm supposed to get my period on 1st of every moths. I missed my period in March. Like I don't get it at all and had a urine test which shows negative results. I had a lot of bloating and abdominal cramping. Nowadays I'm having back ache and lot of pain in the ovaries. I also had a few white discharges. I'm panicking and I really need a doctor to help. The previous Doctor I was chatting with closed the conversation just without giving the proper guidance can someone please help me. I'm really feeling depressed I need help. I'm just 18.

MBBS
General Physician, Chandigarh
After taking ipill your regular cycle sometime gets disturbed so if your pregnancy test was negative don't panic wait for your next cycles uour abdominal cramps could be an indicatio of uour coming periods and if they don't come then repeat the pregnancy test for white discharge little bit of it is normal but if in excess then contact me in private questions section on lybrate I will clear your doubts and help you.
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Hi, My friend's girlfriend has missed her period and it has been 16 days. He told me that she is virgin and when he and she got physical he tries to insert his penis but she told not and hence he was just able to touch the vagina. He was not able to insert properly not even he has inserted properly. He has fear that because of pre-cum may be she got fertilised. He never released the cum. He had pre-cum He is in lot of tension please help.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi,
My friend's girlfriend has missed her period and it has been 16 days.
He told me that she is virgin and when he a...
Hi Nishant. It is indeed possible to get pregnant with precum as it has enough sperms to make a woman pregnant. However fertilisation depends on a lot of things such as ovulation. It would be a good ides to do a pregnancy test and check.
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Hi Meri normal delivery huyi hai. Par thora sa stitch pari hai. Udhar bohut pain ho raha hai. please help me. Ke pain thora jaldi thik ho jaye.

MBBS
General Physician, Cuttack
Hi Meri normal delivery huyi hai. Par thora sa stitch pari hai. Udhar bohut pain ho raha hai. please help me. Ke pain...
Do Anti septic dressing daily, take a course of antibiotic after consulting doctor and a pain killer like Paracetamol 1 tablet 2-3 times daily after food.
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The 4 Stages Of Endometriosis

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
The 4 Stages Of Endometriosis

Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time. 

Here is everything you need to know about this ailment.

Symptoms:

Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period. 

Stages: There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.

  1. Minimal Stages: In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.
  2. Mild Stage: In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.
  3. Moderate Stage: In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.
  4. Severe Stage: As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.

Treatment:

Non-Medical Treatments

  1. Eliminate nonorganic dairy products, beef, and chicken – because organic foods contain no added growth hormones. Increase nutrient-rich foods, especially cruciferous vegetables (broccoli cauliflower, Brussels sprouts, kale, cabbage, and bok choy), soy, cold-water fish (small fish when possible) and fiber.
  2. Limit alcohol intake. Remember to eat protein at each meal and at each snack to keep the hormones more stable.
  3. Maintain healthy levels of body fat to limit endogenous estrogen production.
  4. Supplement with vitamins and minerals (especially calcium and magnesium) to make up for what is lacking in your daily food intake – pharmaceutical grade is the best.
  5. Supplement with omega–3 essential fatty acids as a natural anti-inflammatory.

Medical Treatments

There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone, 

Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases. A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed. 

One must discuss all risks and complications before going in for a certain form of treatment for this ailment. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4503 people found this helpful

Is pocd curable .if yes pl tell me the ways for it .My daughter she is 17 was suffering from irregular cycles. Recently we found that she has cysts in her ovaries .kindly help.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Is pocd curable .if yes pl tell me the ways for it .My daughter she is 17 was suffering from irregular cycles. Recent...
Hello, You should consult a gynecologist and follow the medications as prescribed to get relief from PCOS. Also, ask your daughter to have a well-nourished diet and do regular exercise. Maintaining a healthy body weight is important.
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We are married since 32 months now, trying to conceive but getting failed. All tests are done of my wife and mine and almost all are normal. Follicular study test of my wife says only one side of egg is getting matured, what can be the reason that only one side of the egg is getting matured, and what is the cure? Please suggest diet and medicines? My wife age 30 ,i m 33.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
We are married since 32 months now, trying to conceive but getting failed.
All tests are done of my wife and mine and...
sometimes eggs mature in one ovary it doesn't mean that the woman will not get pregnant she can be given medicines for follicles maturation under supervision of doctors and ultrasound for follicular studies there's no special diet to get pregnant she should eat healthy and exercise and reduce stress stay relaxed it will help the tubes to open up
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PMS: Don't Suffer in Silence

MS, MBBS
Gynaecologist, Noida
PMS: Don't Suffer in Silence

What is premenstrual syndrome (PMS)? In a layman's language, it is that time of the month you don't really want to unnecessarily bother a woman or you might have to face the brunt of an emotional outburst. In medical terms, it is a combination of emotional, physical, psychological changes that occur in a woman after ovulation and culminates with the ending of her menstrual flow. The most common mood-related symptoms are irritability, depression, crying, oversensitivity, and mood swings.

The most common physical symptoms are fatigue, bloating, breast tenderness, acne, and appetite changes with food cravings. In severe cases, anger, irritability, anxiety and tension leads to loss of the functioning ability of a woman. If you've been there or are suffering, you are not alone. There are scores of women around the world who experience these symptoms. Here are ways to minimize and get rid of PMS.

1. Control PMS with diet changes: Certain food types in general are not a healthy choice but can cause more harm than good during PMS. Depending on what factor affects you the most, cut down on these types of food.

  • Salt: Excess salt can lead to bloating
  • Caffeine: Can lead to anxiety, sleeplessness and irritability
  • Alcohol: The concoction for depression
  • Sugar: Can cause mood swings

As always, eating more fruits, veggies and grains at the right time can keep you healthy and prepared for those dreaded days.

2. Exercise: Exercise is a mood lifter. It gets you into shape, adds to your stamina and slowly but steadily boosts your confidence to become slimmer, stronger, and fitter. The trick is to pick up on an exercise you love. Hit the road and run free with your thoughts or turn on the music and dance with aerobics.

3. Stock up on vitamins: Hormonal imbalances are the primary cause behind PMS. Though it is not proven, stocking up on some essential vitamins like calcium, potassium and minerals can give you more strength to fight the symptoms.

4. Herbal remedies: They've been around for hundreds of years and you are likely to have an aunt or grandma swear by one of these cures. From ginger to primrose oil, these cures can balance your hormonal activity in a natural way. You will need to experiment to see what really suits your need.

5. Take a break: No matter what physical or emotional trauma you go through, it can double up because of stress and lack of sleep. Knowing your 'off' days, it's best you find a way to take some time off for yourself at a spa or try meditation and deep breathing. Do what you love to do to. Keep your mind calm and clear. Listen to music, take a walk with your dog or simply read a good book.

To start with, change your diet, take a few supplements and herbs, and start exercising, and you should see the change in the first few cycles itself.

Related Tip: "7 Ways To Deal With Pms"

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I am 16 weeks pregnant, what ever I have eat I am vomIting. Day by day am losing weight. Please advice me.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am 16 weeks pregnant, what ever I have eat I am vomIting. Day by day am losing weight. Please advice me.
Hye. See your doctor and get a routine blood test and sonography done to rule out some intestinal issues or infection.
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