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Dr. Nirmala

Gynaecologist, Chennai

Dr. Nirmala Gynaecologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nirmala
Dr. Nirmala is a renowned Gynaecologist in Royapettah, Chennai. Doctor is currently associated with Crescent Hospital in Royapettah, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Nirmala on Lybrate.com.

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No.91, DR Besant Road, Royapettah. Landmark: Near ICE House Police Station, ChennaiChennai Get Directions
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You?ve got Osteopenia, If You Got a Fracture! Find Facts

DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedist, Delhi
You?ve got Osteopenia, If You Got a Fracture! Find Facts
6 lesser known symptoms of osteopenia

Deficiency or loss of calcium and phosphorus in the bones among other minerals causes the bones to go weak. With passage of time, some people develop a bone condition where the bone mineral density (bmd) goes very low. This condition is called osteopenia and it is now a very common problem. When the bone density goes even below than what it is in osteopenia, then the person develops osteoporosis. Although it is not mandatory that whoever has osteopenia will end up with osteoporosis as well. Fact is, it is very difficult to notice the signs of osteopenia. Just like osteoporosis, it could be present in your body for years, before your find out that you got the problem. Although we call all weakness of bone as osteoporosis, weakness of bone due to deficiency of calcium and vitamin d are clinically called osteomalacia. To label it as osteoporosis, bone should be weak with a normal blood calcium and vitamin d levels.

The symptoms of osteopenia are:
1. Extreme pain when fracture: this condition doesn't cause any physical pain in normal life. The only time one will experience immense pain is, if there is a fracture in the bone. On the flipside, a lot of fractures occur because of osteoporosis.

2. Receding gums: this symptom is quite a surprise and one we don't usually imagine it to be. While receding gums could be the symptom for many problems, it is one of the symptoms of osteopenia.

3. Brittle nails: if you have weak and brittle fingernails, this is a direct indication of your bone health.

4. Shrinking with age: as we age, we tend to lose height. This happens to those with vertebral fractures and poor postures. In both the conditions, this could be a symptom of osteopenia.

5. Dehydration: in some very rare cases, extreme dehydration has been a silent cause. So if you are suffering from side effects of dehydration, keep a check on your bones too.

6. Pcos: irregular periods in women is also something that could be a symptom for many irregularities, but pcos can also lead to osteopenia as are eating disorder or over exercising.

Earliest symptoms of osteopenia is generalised tiredness, easy fatiguability and vague body or joint pain.

If you would like to consult with me privately, please click on'consult.

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3440 people found this helpful

I am due on 16th april1 but got brown discharge on 12th a bit more. After that I dint get any period b ut on 27th April I got some bleeding little and now I can see spotting now and then of bleeding. Pls explain.

MS, MBBS
Gynaecologist, Delhi
I am due on 16th april1 but got brown discharge on 12th a bit more. After that I dint get any period b ut on 27th Apr...
It can be due to many possible reasons Like perimenopausal menstrual disturbance hormonal lmbalance Fibroiduterus or remote possibility of pregnancy.
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I am 32 years old, my wife is also 32 years of age, I have two children, we don't need more, my wife's last period was on 2 and Jan 2016 and we have unsafe sex on 22 Jan, what are the chances of pregnancy. Tilltoday she has no mc, please help me or advice me any medicines for this. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Nashik
I am 32 years old, my wife is also 32 years of age, I have two children, we don't need more, my wife's last period wa...
Hello lybrate-user. An menstrual period comes every 28days. Your wife's last mc was on second jan. I would suggest to wait for few days till 5th feb. If still she doesn't get her periods then kindly do a urine pregnancy test. If negative wait for mc again for a few days. If positive then you can consult a gynaec and get an mtp done. For prevention of pregnancy, I m sorry to inform but no medicines can b taken at the moment. Wait and watch is the only available option.
6 people found this helpful
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Doctor I have pcos since two months. I have a regular menstrual period and are on time even after pcos. When is my ovulation day? Please suggest me the correct timing of intercourse. Do I ovulate. My eggs are gud gone through follicular study also but do not know whether it gets ruptured or bot.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Doctor I have pcos since two months. I have a regular menstrual period and are on time even after pcos. When is my ov...
Pcos is not a disease like typhoid, but its a lifestyle disease, and it is possible to treat it. From what you have sugegsted, if you have done ovulation studies, the doctor will know whether you have ovulated or not. By ovulation I mean whether the ovum has come out of the ovary, through rupture of the dominant follicle. This is seen on sonography as a ruptured follicle with free fluid. So that itself will show ovulation. In patients with pcos the ovulation day varies, depending on what medicines you are given, so it is different for each month. Generally if you are ovulating each month on medicines, it also means you will conceive, just give yourself time and keep treatment regular.
1 person found this helpful
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What should I do to take out from this pregnancy. 3 hours ago I do a sex With my husband.

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
What should I do to take out from this pregnancy. 3 hours ago I do a sex With my husband.
I am not clear whether you are pregnant and had intercourse or had intercourse and want to avoid pregnancy.
3 people found this helpful
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I've been engaged in physical relationship with my partner. We've been having oral sex a couple of times but each time I experience a slight pain in my throat. We both are healthy otherwise and we haven't experienced any discharge but I was a little worried if it is harmful to either of our health? Is it harmful or unhealthy to me or her? Or can it cause any STD? If yes, then how and what precautions can be taken or we should quit oral sex?

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 user. Vagina is a storehouse of many germs which could cause many diseases. You should understand that vagina cannot be cleaned completely. Therefore it is not advised to lick or suck vagina. Though you can always do that if you can ensure that it is perfectly clean and hygienic. Take care.
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Hello Doctor, I got married 4 yrs. But still now I am not pregnant, I have Hypothyroid.please help

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hello Doctor, I got married 4 yrs. But still now I am not pregnant, I have Hypothyroid.please help
To get pregnant you need to have fallopian tubes patent which is checked by hsg test and semen should be adequate quality which is checked by semen analysis. These both tests are done before the treatment of any infertile couple. Once the above tests are normal, then treatment with clomiphene citrate is started with monitoring of egg. You need to consult a good gynecologist who would start proper treatment for u.
1 person found this helpful
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My friend is 20 years old and Her periods are getting delayed every month by 2-3 days. And she has done sex before 1 month but condom was used during sex and now her periods are delayed by 20 days. She is with period now so does it mean she is not pregnant? How can he minimize this delay of her period dates.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Pune
My friend is 20 years old and Her periods are getting delayed every month by 2-3 days. And she has done sex before 1 ...
Starting of periods means no pregnancy, do not worry, delay in periods is due to hormonal imbalance. Take proper diet, fresh fruits, sound sleep, avoid late night work, overexertion,keep watch on weight. Best luck.
2 people found this helpful
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My friend have done sex without condom but not with vagina he hv Done it with the other hole with any female and he leaved his sperm inside the body of that female so is their any problem in this .I know that she will not get pregnant but is their any other problem.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My friend have done sex without condom but not with vagina he hv Done it with the other hole with any female and he l...
plenty of problems including unwanted pregnancy hole will get loose and woman will suffer due to no control over passing stools nature has made holes giving each one of 9 holes in body with a Purpose
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I'm suffering from bleeding in urine since last four days. Whenever I'm urinate some blood and skin flows with urine and lots of pain n itching. I have UTI history. I'm on home made medicine but no any improvement occur. Is there any serious ? please suggest some medication.

BHMS, DEMS
Homeopath, Pune
I'm suffering from bleeding in urine since last four days. Whenever I'm urinate some blood and skin flows with urine ...
take a cantharis 30 ( 4 pills) 3 times / day for 8 days after 8 days give me feedback advise = take a personal hygiene drinks lots of water 10 glass / day
1 person found this helpful
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I had period after 5 months. And it is continues bleeding from 20 days. Is it good for health r bad. I have hypothyroidism.

BHMS
Homeopath, Faridabad
I had period after 5 months. And it is continues bleeding from 20 days. Is it good for health r bad. I have hypothyro...
Hi, Heavy or prolonged menstrual bleeding, which is also called menorrhagia, can occur to any menstruating woman. It can also cause serious health problem such as iron-deficiency anemia. In order to stop heavy menstrual bleeding naturally, you can try different types of home remedies and making changes to your diet. Home remedies: -Cinnamon, which you may use in cooking or baking, is also a well-known spice that may provide relief from heavy bleeding. Incorporate more cinnamon into your diet or take it alone to help calm the uterus and prevent heavy bleeding. Try mixing one cup of hot water with three teaspoon of powdered cinnamon and take it every thirty minutes during your menstrual cycle. -Wash 2 cups of raspberry leaves and bring 2 cups of water to a boil. Strain and enjoy one cup up to three times a day. -Placing an ice pack on your abdomen may reduce bleeding (no more than 20 minutes). It may also alleviate pain and swelling. -Choose healthy and nutrient dense foods such as proteins including nuts, iron rich foods like dark green leafy vegetables, and dairy products like yogurt or cheese for calcium. Green beans contain high fiber and are enriched with vitamin B, which prevents abdominal cramps. Choose breads and grains that are fortified with iron, Vitamin B, fiber and protein. Eat vegetables such as broccoli, kale, sweet potatoes, and spinach to help you get iron, calcium, and Vitamin C. Eat fruits such as oranges and strawberries for Vitamin C. Prunes and dried apricots are a good source of iron. Medication: Take Hamamelis Q/ 10 drops in 1/2 cup of water every 2 hrly during the menses.
1 person found this helpful
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My gf is 19 years old she is 2 weeks pregnant we can't consult to anyone we don't want pregnancy can anyone please help us.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
My gf is 19 years old she is 2 weeks pregnant we can't consult to anyone we don't want pregnancy can anyone please he...
For her safety you have to go to a good gynecologist who will first confirm by ultrasound and could prescribe the medicines needed for termination. Other methods are quackery and prone to incomplete expulsion, infection, excessive bleeding and grave risks in future fertility.
1 person found this helpful
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What to take as a withdrawal pill in case when the period is delaying? And how many days a period can normally delay? Any medicine for bringing periods faster?

DHMS (Hons.)
Homeopath, Patna
What to take as a withdrawal pill in case when the period is delaying? And how many days a period can normally delay?...
Hello, Lybrate user, Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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My problem is irregular periods, well I gone to hospital and took tests. Everything is normal but the problem is hormonal imbalance. So the doctor said, even after completing tablets for hormonal imbalance you can't treat permanent solution. Is that true? What should I do now?

MBBS
General Physician, Jalgaon
My problem is irregular periods, well I gone to hospital and took tests. Everything is normal but the problem is horm...
Please It is not true. Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Do perineal and pelvic exercises daily Take salads and fruits more Take carrots and beet root juice daily Avoid oily spicy and fast food, non veg food, processed food Take Cap evecare by Himalaya 2 2 for 6 mths Lohasav 10 ml twice a day for 6 mths Ashokarishta 20 ml twice a day for 6 mths Do sonography of abdomen, hormonal assays after 3 months Send me report on Lybrate.
1 person found this helpful
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I am 17 days late and today I got spotting. Is this implantation bleeding or my period. what to do?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
I am 17 days late and today I got spotting. Is this implantation bleeding or my period. what to do?
Hi . Hv yu till now done any urine or blood test to know whether there is a pregnancy or not. Pls do a serum b-hcg blood test and a sonography. And tell me the report.
1 person found this helpful
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A 43 years female sonography of pelvis result says Presence of fungal hypoechoic focal lesion measuring 16x15mm Whats this please suggest & Help.

MSc
Dietitian/Nutritionist, Chandigarh
A 43 years female sonography of pelvis result says
Presence of fungal hypoechoic focal lesion measuring 16x15mm
Whats...
The key is to eat in moderation at regular intervals, and not to starve yourself. Start your day with a good and healthy breakfast like a cereal and milk combination for e. G oats/ dalia porridge with low fat milk or curd. Between your lunch and breakfast you can have a light mid-morning snack, i. E, a fruit perhaps, and follow this by a balanced meal in moderate quantity for lunch. Have plenty of vegetables which will keep you full and cut down on the amount of rice/ chapatis that you are having. Also cut down on your fat intake and reduce oil in cooking. Avoid fast food, junk food, sugary food and soft drinks. Along with this, do not forget to exercise regularly. For a detailed diet plan, click on private consultation.
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My menstrual date is 3rd. So when will b my ovulation date and what are the fertile days?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My menstrual date is 3rd. So when will b my ovulation date and what are the fertile days?
It is highly unlikely that you would get pregnant with sex immediately after menses as ovulation occurs much later. To calculate fertile period you can use following calender method. If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26days) minus18days=8th day. The longest cycle (31days) minus 10days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period.
1 person found this helpful
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Had pid earlier. Taken oflox oz and doxycycline courses. Again after 20 days. Having intense vaginal hole itching with yellowish White discharge. We are using condoms. Husband is not having any symptoms. What is this? Have taken anti fungals also. Having weakness and joint pains too!

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, yellowish white discharge indicates mixed vaginosis , so get it confirmed with a vaginal culture and then anti fungal pessaries and oral antibiotics can be started after sensitivity testing.
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My wife is in her 6th month of pregnancy. We planned for a day trip by car considering that she have been diagnosed with low lying placenta. Is it advisable to have a long trip by car?

MD - Clinica Biodicity, MBBS
Cardiologist, Delhi
My wife is in her 6th month of pregnancy. We planned for a day trip by car considering that she have been diagnosed w...
Please consult a gynaecologist. With a low lying placenta long trips by car and stress are normally not recommended.
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