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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.
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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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Tobacco - 7 Ways it Affects Your Dental Health

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Tobacco - 7 Ways it Affects Your Dental Health

Tobacco has many ill effects on the health and dental health is one of them. From dark stains to poor gum health to increased incidence of decay to the more severe oral cancer, tobacco has a very detrimental effect on your dental health. Read on know more about how harmful tobacco can be on the dental system.

  1. Brown teeth and tongue: One of the tell-tale signs of a smoker are the brown teeth and stained tongue. A dentist need not even be told that the person smokes, it just shows!! What is interesting is that these stains do not go away with a scaling, they just continue to form as long as tobacco is being put into the system.
  2. Gum disease: The oral health of a smoker is definitely not at its best. With the stains on the teeth, the gums are more prone for irritation and infection. This leads to grayish, unhealthy gums. The periodontal fibers are also affected, leading to bad breath, pocket formation and even tooth mobility in severe cases. The mouth is generally drier in comparison and so bacterial growth is more favored, further accelerating the process of gum disease and teeth decay.
  3. Dental caries: The increased amount of bacteria leads to greater incidence of dental decay. Chances of cervical decay (around the gum line) and root decay are higher in smokers.
  4. Bad breath: There are two reasons to it one is the tobacco per se and the second is the dry mouth, which leads to reduced saliva and increased bacterial growth.
  5. Impaired taste: The tongue has a constant coating too, leaving the taste buds unable to completely taste food substances. Ask any smoker a couple of questions and you would realize how they never get to enjoy and taste the food as it should be.
  6. Poor healing: Whether it is a gum disease, a tooth removal or a root canal therapy, smokers who go for dental treatment need a longer time to respond compared to nonsmokers. If smoking is continued at the same pace, then the chances of developing a dry socket with an extraction or a failed root canal therapy are quite high. There are more failures reported in success of implant in smokers as compared to non smokers.
  7. Cancer: The most dangerous and the most severe of all, cancer of the cheek, gums, lips, tongue, roof of the mouth can all happen in smokers, twice more likely in comparison with non-smokers.

Now, if all these are not good enough to kick the habit, remember this list is only for the mouth and the teeth. The whole body goes through a lot more harmful effects, and that should be a good reason to quit tobacco use in any form. If you need professional help, do not be embarrassed to seek.

3211 people found this helpful

Hi doctor, I have the similar problem that is PCOD. I too get very light periods and there is a sign of hirsutism as well. I have acne problem as well. My height is 5'7" and weight is 58 kgs. Please help.

BHMS, DEMS
Homeopath, Pune
Hi doctor, I have the similar problem that is PCOD. I too get very light periods and there is a sign of hirsutism as ...
Hello .Delayed or irregular menses, absent menses for various months, prolonged menses — all these are indications of an endocrine disorder known in medical terms as Polycystic Ovarian Syndrome (PCOS. The symptoms in the syndrome are acne, irregular or absent periods, obe­sity, hirsutism (excessive growth of bod­ily hair) and infertility. Not all patients have every symptom. In fact some peo­ple are not overweight. This can cause difficulty when doctors are not inclined to refer for investigations if the patient does not fit all the categories. Polycystic ovarian syndrome is curable with the homeopathic mode of treatment. Homeopathic treatment for Polycystic ovarian syndrome is very safe and free from any side effect. Which homeopathic medicine is required to extract the disease from its roots varies from case to case consult me.
2 people found this helpful
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My dates are almost 10 days due and I am finding white vaginal thick discharge from past 2 days. What to do?

DHMS (Hons.)
Homeopath, Patna
Hello, white discharge is most normal and regular occurance. Some times it may cause due to infection in vegina i. E volvoveginitis, in this conition discharge be of yellowish color *hence, in your case it seems, every thing b normal *homoeo- medicine* @pulsatilla 30-6 pills, thrice a day. It will b advisable to ho for a test of pregnancy.
1 person found this helpful
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In Blood pregnancy test reports comes in negative or positive or in values.Please tell sir.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
In Blood pregnancy test reports comes in negative or positive or in values.Please tell sir.
Blood is tested for hcg hormone which is the pregnancy hormone and it gets positive before the period is due right after conception occurs. There is spurt in value of this hormone as pregnancy advances and there are charts to find out if weeks of pregnancy coincide with the level of hormone so that the risk of miscarriage can be explained to mother and injection hcg can be given. In tubal pregnancy, if fetus is dead the levels of this hormone keeps falling and woman can be saved surgical intervention, medical treatment can be carried out to treat a case of tubal pregnancy.
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MBBS
General Physician, Bangalore
Vaccine Schedule

Epi schedules as recommended by govt. Of india 

-birth -15 days- bcg + opv (zero dose)
-6 weeks- opv1 + dpwt1 + hep b1 + hib 1*
-10 weeks- opv2 + dpwt2 + hep b2+ hib 2*
-14 weeks- opv3 + dpwt3 + hep b3+ hib 2*
-9 months- measles vaccine
-15 months-18 months- 1st booster of opv/ dpwt + mmr*
-5 years -6 years- 2nd booster of dpwt
-10 years- tetanus toxoid
-16 years- tetanus toxoid


* these vaccines have been introduced in few states currently, hep b = hepatitis b vaccine.

Since two months I'm having short periods. Before they'd last around 3 days. Now 1n half days. I'm pretty much worried. I had unprotected sex (he didn't ejaculate in me) two months back I used to take I pills but I stopped taking pills. Now I'm having short periods. Last month 11th I had bleeding lasted upto 1half day. Now 6th June lasted again a day. I don't particularly have any symptoms. But could I be pregnant?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Since two months I'm having short periods. Before they'd last around 3 days. Now 1n half days. I'm pretty much worrie...
Hi Nafisa. Its unlikely to be pregnant if you are having regular periods, nevertheless short ones. It would be a good idea to get an ultrasound done and see if there is some obvious reason for it. In most cases such as yours its usually due to hormonal imbalance. And I pill are known to severely hamper the hormonal balance and cause abnormal periods for months afterwards. So i would recommend to avoid their use as much as possible.
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My wife 5 weeks pregnant I want to know Which test we should do And which type healthy food take for healthy pregnancy.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
My wife 5 weeks pregnant
I want to know
Which test we should do
And which type healthy food take for healthy pregnancy.
at 5 weeks pregnant the level of hcg (the pregnancy-announcer hormone) in your urine is high enough to be detected by a home pregnancy test. Clearblue advanced pregnancy test with weeks estimator. Wholemeal bread, cereals and pasta oats and grains rye bread, sourdough bread and rice cakes no-added-sugar muesli unsalted, unsweetened nuts and dried fruits low-sugar, low-fat cereal bars mixed seeds, including sunflower, pumpkin and sesame fibrous fruit and veg: pears, apples, figs, plums, apricots, peaches, broccoli, asparagus, squash, peas, greens, runner beans legumes: lentils, chickpeas, black-eye beans, borlotti beans, broad beans wholegrain rice, red rice, couscous, bulgur wheat and quinoa berries: strawberries, blueberries, raspberries, blackberries lean white meat and fish oily fish (but no more than two portions per week inpregnancy) low-fat bio yogurt and fromage frais pasteurised goats' cheese, feta and halloumi eggs (cooked thoroughly in pregnancy) salad leaves, including spinach (well washed). Ten basics of healthy eating in pregnancy superfoods in pregnancy.
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I was diagnosed with pregnancy 2 months ago but yesterday while urinating I seen some blood. So as per gynecologist prescribed me injection As system 25 for 5 days with complete bed rest. Now after taking this injection nothing found during urination But doctor also advised for ultrasound test to know the exact position. So kindly advise if there is any adverse effect cause with regard to pregnancy & what need to be followed thereafter to avoid such situations.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
I was diagnosed with pregnancy 2 months ago but yesterday while urinating I seen some blood. So as per gynecologist p...
there can be spotting in pregnancy in some women..! since you ve been started on medication continue the same..! you shud just avoid lifting heavy weight or indulging in sex..!
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Done one cycle of IVF and result was negative. Current AMH is 1.88 and age is 31. Pls suggest whether we should go for more IVF cycles or donor egg treatment directly AND will there will be any side effects on body because of medicines/injections in IVF cycle. Pls suggest practical solutions. Thank you.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Hi, the chance of success in an ivf cycle is only 40 to 50 % and the amh is also fine that is it is not too low so one the basis of amh you need not go for donor eggs, instead try again.
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Batch Flower Remedies: Emotional Group

BHMS, Master pharmaceutical medicine
Homeopath, Navi Mumbai
Batch Flower Remedies: Emotional Group

The batch flower remedies contain the life force of plant. The healing property within a flower may therefore be considered to be the outlet of the life force of that plant. They act not by attacking the disease but by flooding our bodies with the beautiful vibrations of our higher nature, in the presence disease melt away as a snow in sunshine! 

**it is always recommended to consult a specialised homeopath before you go for medication. None of these medicines should be taken without professional advice.

Emotional group flower remedies:

1. Fearful:
Rock rose, mimulus, aspen, red chestnut.

2. Uncertainty:
Cerato, gentian, gorse, wild oat.

3. A lack of interest in the world around: 
Clematis, honeysuckle, wild rose, olive.

4. Lonely:
Water voilet, heather

5. Over sensitive to others: 
Agrimony, centaury, walnut

6. Generally despondent or in despair:
Larch, pine, elm, sweet chestnut.

During sexual intercourse if wife is unable to discharge. If there is possibility of fertilization of ovum.

MBBS, MD (AIIMS, Gold Medalist), Diploma in CBT (Glasgow)
Psychiatrist, Delhi
During sexual intercourse if wife is unable to discharge. If there is possibility of fertilization of ovum.
Hi, Fertilization of ovum has nothing to do with 'discharge of wife'. If you have ejaculated during intercourse in the vagina, there is always chance of fertilization irrespective of your wife's response. Take care!
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Benefits of Ginger For Sexual Health

RMP
Sexologist, Delhi
Benefits of Ginger For Sexual Health

Male impotence, also known as erectile dysfunction, is a common condition that most frequently affects older men. Unless the problem is psychological, the inability to achieve or maintain an erection is due to insufficient blood supply to the penis, not a lack of sexual arousal. Herbs such as ginger may help. However, since impotence may signal a more serious disorder, including cardiovascular disease or diabetes, check with your doctor before pursuing self-treatment.

Improved Circulation

Kathi Keville and Peter Korn, authors of "Herbs for Health and Healing," contend that poor circulation may cause impotence in men because damaged or impaired blood vessels simply fail to fill with blood and expand. They also say that certain herbs, such as ginger, may help to increase dilation in blood vessels and improve circulation.

Aroma and Flavor

In his book, "Herbal Aphrodisiacs from Around the World," Clarence Meyer says that the same agents that lend ginger its medicinal properties are also responsible for stimulating arousal due to the warm, spicy scent and taste they impart. In fact, in Asian and Arabic cultures, the fragrance of ginger alone is regarded an aphrodisiac. Ginger is even referenced in the "Kama Sutra," the ancient Indian Hindu text dedicated to the art of giving and receiving sexual pleasure.

Ginger Moxa

Ginger moxa is a therapy used in Chinese medicine to treat impotence that marries the properties of ginger with practice of moxibustion, a technique that involves burning selected herbs at various acupuncture points along the body. Usually, the herb of choice is mugwort, the leaves of which are rolled into a "moxa stick" much like a cigar. With ginger moxa, a thick slice of ginger becomes the insulation between the moxa stick and the skin. The ginger is pierced with a few small holes into which the moxa sticks are placed, and the sticks are allowed to burn down just far enough to produce perspiration and redness on the skin. The procedure is typically repeated several times in succession.

20 people found this helpful

Hello. The monthly measures date of my wife is 13th. She has missed her date. After how many days we can test pregnancy so we can be sure of it?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hello. The monthly measures date of my wife is 13th. She has missed her date. After how many days we can test pregnan...
Hi lybrate-user. I suggest you do a pregnancy test as soon as possible to check. Though I would recommend to do the test with an early morning sample of urine as it has highest chances of detecting a pregnancy.
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Mai 25 year ki hu. Wt 55 kg. Hgt 5 ft2" pelvis report me polyctstic ovary hai. Small cysts both ovaries. Missed period 3 month tha. To medicine dydrogestrone liya tb period hua hai. Kya maj pregnant ho sakti hu. Kya bina medicine k period ho sakta hai.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Mai 25 year ki hu. Wt 55 kg. Hgt 5 ft2" pelvis report me polyctstic ovary hai. Small cysts both ovaries. Missed perio...
hi Nutan, it could be due to pregnancy or hormonal imbalance caused by PCOD. you need to get complete investigations and clinical examination for further guidance. in PCOD if you have always delayed period then you can wait for 7days, but if it is too long interval then you should start medicine to get periods.
3 people found this helpful
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Sex During Pregnancy - 5 Things You Must Know!

GAMS-AYURVEDA, MD-TCM
Sexologist, Faridabad
Sex During Pregnancy - 5 Things You Must Know!

Making love during pregnancy is a safe bet and can be carried on till one’s water breaks. Studies in the past have shown that a normal pregnancy is not related to infections and miscarriages. It has also been established that sex during pregnancy is not related to premature birth. On the contrary, a good sex life during pregnancy helps to reduce mood swings and keeps a woman healthy and cheerful. Here are five facts that you should know about sex during pregnancy:

  1. Does sex harm the baby? The womb is protected by the thick muscles of the uterus and the amniotic sac. Furthermore, the cervix is safeguarded by the mucus plug. These ensure that the baby doesn’t get hurt while making love. In the midst of an orgasm, if you get a feeling that the baby is moving, it happens primarily because of the heart pounding faster. This being said, you might have to skip sex in the following cases:
    • You have placenta praevia
    • You start bleeding
    • Your water breaks
    • You suffer from cramps and pain in the abdomen
    • Your partner is suffering from genital herpes
  2. How does sex feel during pregnancy? While an increased flow of blood in the pelvic region heightens the lovemaking experience for many, some complain that it leaves them with a bad feeling. There is yet another segment of women who complaints of a less powerful orgasm during pregnancy. At times pregnant women might feel pain if the penetration is deep. Even abdominal cramps are not uncommon during this condition. To sum up, the feeling of sex greatly varies from individual to individual.
  3. Is a complete lack of sex normal during pregnancy? Yes, it is absolutely normal. Many women suffer from nausea and tiredness during the first three months of pregnancy, limiting their urge for sex. At times pregnancy hormones become responsible for the libido. But, mostly it is the state of mind of an individual that becomes a barrier. Women suffering from relationship issues are the ones who suffer from a lack of sex.
  4. Does your husband’s libido suffer too? It is not uncommon, to say the least. Some of the common apprehension that a male partner suffers from include the following:
    • Fear of hurting the wife
    • Apprehension about the baby’s health
    • The consciousness of making love in the child’s presence
    • Apprehensions about upcoming parenthood
  5. Is there any risk involved in oral sex? Absolutely none, oral sex is considered to be one of the safest of sex options during pregnancy. If the fear of hurting the wife looms large, it is the best way to express one’s love. However, it should be ensured that your husband does not blow air in the vagina. This might lead to blood vessel blockage. If you wish to discuss about any specific problem, you can consult a Sexologist.
5299 people found this helpful

Hello sir , is there any risk beacause my first baby in segarion and that time i was suffering bp low problems and now also i have this problem please suggests me the right way and also my hubby wants to wait 1 year more for the second baby, please give me right way

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
After one Cesar, you should wait for 3 years and must consult doctor before planning for next pregnancy
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Dear doctor, my son and me engage in intercourse regularly after my divorce. My son is 22. Will it harm us, should we be careful and have precautions. Im aged 43. Which sex positions are/is safe this age.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
You are spoiling your son's life. This relation never allow such bad sex habits. There is no position to avoid pregnancy. What do you mean by safe. Always use nirodh and hygenic conditions.
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I am 40 years. I had hypothyroid 2 years back. After the treatment my reports were normal up to jan'15. Now from last few months I am having lot of health problem like psoriasis, ringworm, irregular periods, tiredness. Less sleep. At times high blood pressure and times low blood pressure. I have gone through all the above treatment but none of them have from last six to eight months.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
I am 40 years. I had hypothyroid 2 years back. After the treatment my reports were normal up to jan'15. Now from last...
You did not mentioned exactly if you are still continuing treatment! when you began this treatment? it could possibly be a side effect of same. If so, I would expect them to gradually settle as your body hormones equalise. However, it is worth getting your blood pressure checked if it has not already been recently and your doctor should be keeping an eye on your thyroid levels by doing regular blood tests too. Discuss your symptoms with your doctor rather than leaving them, since all these symptoms should always be checked out if they are an unusual occurrence in someone.
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