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Dr. P.B.Premalatha

Gynaecologist, Chennai

Dr. P.B.Premalatha 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. P.B.Premalatha
Dr. P.B.Premalatha is one of the best Gynaecologists in Mylapore, Chennai. You can consult Dr. P.B.Premalatha at Chennai Meenakshi Multispecality Hospital in Mylapore, Chennai. You can book an instant appointment online with Dr. P.B.Premalatha on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 36 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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Is I pill safe for her for avoiding pregnancy she also used protection & it was her first time so is it ok?

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
I pill is safe. It should b taken as soon as possible after unprotected intercourse. It doesn't have any long term side effects. It can cause some irregular menses or pain abdomen or nausea following intake.
1 person found this helpful
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Dear madam please tel me safe period for sex with my wife to avoid pregnancy She has periods on every month 7 only One day.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
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. That is UNSAFE PERIOD. Period other than this fertile period in a menstrual cycle is considered as SAFE PERIOD.
1 person found this helpful
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My name is ANJALI SHARMA. Age-18 I have irregular mensuration. Every month date shifts upto 15 days. Help.

BHMS
Homeopath, Delhi
Hello, you can take homoeopathic medicine Jonesia Ashoka Q ( 10 drops in half cup of water) and take it three times in a day for 15 days and revert.
1 person found this helpful
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Yellow Pepper

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Yellow Pepper

Just one yellow pepper has 500% of potassium of the daily recommended intake.

Start using yellow pepper in your food. A very rich potassium diet.

5 people found this helpful

Her LMP is 12 Dec 2015. After taking her latest ultrasound Dr. told that her placenta is only 3cm above. It should b minimum 5 cm above. Is it a serious issue?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
No need to worry as pregnancy progresses the placenta will go up. Just avoid doing heavy work. The follow up scan. At 34 weeks of pregnancy will help.
2 people found this helpful
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Sex After Menopause

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Sex After Menopause

Sexuality in all its forms can be an important part of our health and identity. However, in the indian society sexuality is often considered the domain of the young, and the idea of older women having and enjoying sex sits uncomfortably with many people. The ideas of older women’s sexuality often stem from Victorian times, where the woman was passive in her sex life, and sex was mainly for reproductive purposes Hence, the idea was that sex would stop after the menopause.

The menopause is often described as a very negative time for women, especially in medical literature. On the other hand, many feminists celebrate the menopause and subsequent years as a time of positive change, without the commitment to childrearing, and a time to find new fulfilment. The experience for each individual woman is probably somewhere in the middle. 

Hormonal changes in the menopause, such as a drop in oestrogen levels within the body, can bring about physical changes such as vaginal dryness, which can affect the sex life. But at the same time, there are many ways of adjusting to these bodily changes that can lead to new ways of lovemaking.


 

Physical complaints and sexuality:

Vulval discomfort -
When you get older, your body produces less oestrogen. This can cause vaginal dryness, which means that sex might become less enjoyable or even painful. 


 

Urinary Tract Infections (UTIs)-

When a woman’s vaginal walls become thinner because of lower levels of oestrogen in her body after menopause, penetrative sex can not only cause vaginal discomfort, it can also cause urinary irritation or urinary tract infections. This is because the urethral passage also thins. Penetration might irritate the bladder and the urinary tract through the thin walls of the vagina. This irritation can lead to infections.


 

Sexually Transmitted Infections (STI) and AIDS-
Articles and books on STIs hardly ever talk about older women specifically, but STIs as well as HIV/AIDs are on the increase in older women. This might partly be because women after the menopause do not need to use birth control, and therefore also do not use protection such as condoms anymore. If you have had the same partner for many years, and your partner has also not had any other sexual partners, the risk of getting a sexually transmitted infection is low. But if either you or your partner has unprotected sex with anyone else, the risk is increased. There are many different STIs, and some of them do not have any symptoms. However, if you notice any unusual or smelly discharge from the vagina, bleeding, blisters, itches, pains or sores, you should go to a sexual health clinic.


 

Pelvic Cramps-
Sometimes women may experience pelvic cramps during or after sex, especially women who have penetrative sex. It is more likely to happen if you do not have orgasms very often, and is generally nothing to worry about. Just like any muscle in the body, it can ache if it doesn’t get used very much and then gets a lot of exercise.


 

Psychological changes:
Sometimes, changes in the family can be difficult to adjust to when getting older, for example if your children leave home or you stop working and retire. It can help to talk with your friends and your partner about these changes and how they make you feel.
Because of the physical changes that occur as part of the aging process, it is possible that you may feel less comfortable with your body and that you lose some of your self-esteem. But again, these changes happen gradually, and many women adjust well to them.
However, if fatigue or psychological illnesses such as chronic depression or anxiety develop, they can interfere with your libido and sex life.


 

Medications and sexuality:
As women get older, they are more likely to need long-term medications. Often, these medicines have side effects that influence libido, for instant blood pressure medications, and tranquillisers. However, alternative therapies might be available, and if you think that medication impacts negatively on your sex drive, speak to your doctor and ask if there is an alternative. Antihistamines and other drugs can cause drying of the vagina, and although this might not influence your libido, it might curb your enjoyment of sex.

 

Final thoughts
Many women actually enjoy sex more in later life, maybe because they are more experienced, and know what they want. In addition, there may be more opportunity for spontaneous sex, for instance if you have children who have now left home. Overall, women in their late 40s are said to be much more likely to have fulfilling sex lives and multiple orgasms than women half their age 5.Women’s sexual response is different from men, and many women do not have ‘spontaneous desire’, meaning it may not be until starting to engage in some sort of sexual activity that they start to feel sexual desire, and many women do not have any sexual feelings or thoughts, unless engaging in sexual activity. Because women’s sexuality is so complex, it might actually be more appropriate to try and solve occurring problems with counselling and medication.

11 people found this helpful

I am suffering from ovarian cysts. Kindly suggest me some medication or treatment as I don't want to do surgery.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Most of the ovarian cysts are functional cysts which do not require treatment. They are absorbed automatically within 3 months. Just repeat the scan after 3 months. If it is increasing in size, or causeing lot of pain then only it should be removed
1 person found this helpful
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I'm 22 years old female. I have little bleeding in periods this month. I have checked pregnancy test is negative. Please suggest me any blood test. So that I will confirm that i'm not pregnant. Please help me.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There are various causes affecting menstruation. You need to immediately consult me privately. I can prescribe some tests to identify the causes and treat accordingly.
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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.
3792 people found this helpful

Hey, today my girlfriend was on top of me with nothing on and we were humping. I had a condom on but it tore. And immediately After that she got up. But we both were wet at the time. Is there anything to worry about? Is there any chance of getting pregnant? Please help. She also have a cyst.

MSc-Psychology, MHSc-Reproductive and Sexual Medicine, MD - Obstetrtics & Gynaecology, MBBS
Sexologist, Hyderabad
Have you ejaculated inside the condom or inside her. Without ejaculation there is no chance of pregnancy. Very very rarely the liquid that comes before ejaculation can result in pregnancy. It is so rare that you can ignore it
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Can you suggest me which day is more powerful for play in sex for getting pregnant.

MBBS
General Physician, Chennai
Hi tenth day to the seventeenth day is ideal for fertilisation this is in gereral only if you give your cycle details can give dates.
4 people found this helpful
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Online Dating - Is It Good or Bad For You?

M.Sc - Applied Psychology, Advanced diploma in counselling psychology
Psychologist, Mumbai
Online Dating - Is It Good or Bad For You?

Technology affects every aspect of our lives including how we date. Today, the first interaction a couple has isn’t over a cup of coffee, but through the internet. While some people swear by online dating others are still vary of it. Like a coin, online dating has two sides; pros and cons. Here are some of the advantages and disadvantages of online dating.

Pros

  1. Easier way of meeting people: If you’re new to the city, online dating can be a great way of introducing yourself to new people. Even if you don’t find a relationship, you might end up with a number of new friends. Online dating can help you meet new people even if you’ve lived in the same city all your life. It broadens your search and introduces you to people outside your friend circle. You might even meet someone who can help you network better professionally.
  2. Convenient: Careers can be very demanding and leave a person almost no time to socialise. Online dating helps people who have no time to socialise in person, meet people virtually. Today, most online dating websites and apps have filters through which you screen people. hence unlike when a friend sets you up on a blind date, you already know something about the other person and have something in common with them. Online dating also makes optimal use of time; taking a ten-minute break between work - you can easily scan through dating profiles and find someone you’d like to meet.

Cons

  1. Dishonest profiles: Unfortunately, the internet makes it easy to lie and pretend to be someone you are not. While small white lies like pretending to like outdoor activities when you don’t really care for them are okay, some people may put up profiles that are nothing like their actual personalities. This can make online dating slightly unsafe and hence whenever you meet someone from our online dating world, it is best to do so in a place where there will be other people as well.
  2. Different understanding of relationships: Not everyone who makes a dating profile is interested in a long term relationship. For some people, this may just be a way of meeting people to have a fling with or to simply make new friends. Online dating makes it difficult to understand a person’s true personality and hence you may not realise that you and the other person have a different opinion about relationships until quite late. If you wish to discuss about any specific problem, you can consult a doctor.
4397 people found this helpful

My age 19 am feeling that am pregnant from last 5 months I didn't get period And am feeling vomit sensation and vaginal smell also coming In case if I am confirmly pregnant after 4 months is there any way to stop pregnancy without abortion I need help and suggestion is there any natural way or medical way without abortion to stop pregnancy after 4 months.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
Abortion is legal only up to 20 weeks I.e 5 months. It is also difficult to do the abortion now. You have delayed taking a decision. There is no 'natural' way to end the pregnancy. Please consult a gynecologist for further advice.
2 people found this helpful
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I have a right ovary retention cyst should it be operated or it will go on its own I am 45 yrs old now still having regular periods. Or this problem is common for woman of my age due to menopause what precautions and treatment I should take for this

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Cysts come on their own, but don' t go on their own. Like dust comes of its own but doesn' t go of its own - I have to clean it. Take homeopathic medicines to dissolve the cyst for at your age it can do nasty things. Consult for medication.
3 people found this helpful
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Hi doctor we get recanalisation done about 1 and half year back my wife is now 40 yrs we are trying to have a baby her periods are normal but not conceiving can I know the reson please.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Conception depends on so many factors. First of all ensure that tube is really patent. Then find out whether she is ovulating. At 40 ovarian reserve becomes less and there is less frequency of ovulation. Get in touch with a gynaecologist for review of your case and if needed ivf.
5 people found this helpful
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My weight is 69 kg my height is 5.3 my now my weight is stuck. I having a pcod problem pls suggest me diet chart. Regards.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, You should have green leafy vegetables, fruits and protein rich food. Consume vitamin C-rich food by eating plenty of fruits like orange, lemon, sweet lime, grape fruit, and grapes. Eat wholegrain foods instead of processed, refined foods such as wheat flour (maida). Also, whole fruit instead of fruit juice will maintain insulin and blood sugar levels. Avoid cakes, pastries, junk food, colas, jams and pickles. Eat foods that are high in fiber as they will also cause a slower, more controlled rise in blood sugar and insulin levels. Incorporate legumes and vegetables in your diet as they’re high in fiber and nutrients and will manage your sugar levels. Combine protein and carbohydrates as protein helps to regulate the blood sugar spike caused by the carbs. Eat small, healthy meals more frequently to manage cravings and hunger pangs and NEVER miss breakfast! Corn, soy, cottonseed, and grapeseed oils should be avoided. Avoid soy products. Also avoid chemical preservatives, additives, artificial sweeteners and colorings. At last, you should consult a nutritionist for better guidance.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
In health parameter like maternal and infant mortality india is behind nepal and bangladesh.

7 Incredible Cashew Nut Benefits: From Heart Health to Gorgeous Hair

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
7 Incredible Cashew Nut Benefits: From Heart Health to Gorgeous Hair

1. Heart Health

The National Centre for Biotechnology Information (NCBI) in its case study points out that nuts are likely to be beneficial for health, keeping a check on various ailments, such as heart disease. Studies consistently show that nut intake has a cholesterol-lowering effect, in the context of healthy diets, and there is emerging evidence of beneficial effects on oxidative stress, inflammation, and vascular reactivity. Cashews help lower LDL and increase the carrying capacity for HDL. HDL is responsible to absorb the cholesterol from the heart and take it to the liver where it can be broken down.

In 2003, the Food and Drug Administration had stated that a fistful of nuts a day as part of a low-fat diet may reduce the risk of heart disease. The heart association recommends four servings of unsalted, unoiled nuts a week and warns against eating too many, since they are dense in calories. Another study, published in the New England Journal of Medicine (NEJM), also establishes a significant association between the consumption of nuts and a lower incidence of death due to heart diseases, cancer and respiratory diseases. The study stated that nutrients in nuts, such as unsaturated fatty acids, protein, fiber, vitamins, minerals and antioxidants may confer heart-protective, anti-carcinogenic and anti-inflammatory properties.

2. Prevents Blood Disease

The consumption of cashews on a regular basis and limited manner may help in avoiding blood diseases. Cashew nuts are rich in copper, which plays an important role in the elimination of free radicals from the body. Copper deficiency can lead to iron deficiencies such as anemia. Hence our diet should contain recommended quantity of copper. And cashew nuts are a good source.

3. Protects the Eye

In the urban environment matched with its excessive pollution, our eyes often suffer from various infections. Cashews contains a powerful antioxidant pigment called Zea Xanthin. This pigment is readily and directly absorbed by our retina, says nutritionist Anju Sood. This then forms a protective layer over our retina which prevents the harmful UV rays. Dr Anshul Jaibahrat Bhatnagar says small quantities of Zea Xanthin helps prevent age related macular degeneration in elderly and hence helps maintain eyehealth.

Highlights

The nut and the fruit, both have multiple uses
Cashew nuts are rich in copper, zinc, magnesium, iron and phosphorous
Cashews help lower LDL and increase the carrying capacity for HDL
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7 Incredible Cashew Nut Benefits: From Heart Health To Gorgeous Hair
7 Incredible Cashew Nut Benefits: From Heart Health to Gorgeous Hair

Simran Kapur  |  Updated: September 06, 2016 18:58 IST

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A popular ingredient finding its way into many Indian gravies, cashew - a plant originating from Brazil, is a nut high in minerals. Brought to India by traders, the cashew tree grows up to exceptional heights having a rather irregular trunk. Hanging from the branches are large juicy apples at the bottom of which are attached the cashew nut. Made available round the year, the nut has a great shelf life if stored properly.

(Buttery and Organic Cashews, Only One Click Away)

The nut and the fruit, both have multiple uses. The nut, often known as the poor man s plantation although now it is sold for steep prices, is used to make delectable and rich curries and also roasted and eaten dry. Back when nomads had no idea how to consume the fruit, the nut was discarded while the fruit was given more importance. A book written by SP Malhotra, World Edible Nuts Economy, points out, "Natives also knew of many medicinal uses for the apple juice, bark and caustic seed oil that were later exploited by the Europeans. 

Contrary to the popular belief that it can make you gain fat, a considerable amount of cashews in your diet can provide you with many health benefits -

1. Heart Health

The National Centre for Biotechnology Information (NCBI) in its case study points out that nuts are likely to be beneficial for health, keeping a check on various ailments, such as heart disease. Studies consistently show that nut intake has a cholesterol-lowering effect, in the context of healthy diets, and there is emerging evidence of beneficial effects on oxidative stress, inflammation, and vascular reactivity. Cashews help lower LDL and increase the carrying capacity for HDL. HDL is responsible to absorb the cholesterol from the heart and take it to the liver where it can be broken down.

(Food that's Good for the Heart: Get it Here)

In 2003, the Food and Drug Administration had stated that a fistful of nuts a day as part of a low-fat diet may reduce the risk of heart disease. The heart association recommends four servings of unsalted, unoiled nuts a week and warns against eating too many, since they are dense in calories. Another study, published in the New England Journal of Medicine (NEJM), also establishes a significant association between the consumption of nuts and a lower incidence of death due to heart diseases, cancer and respiratory diseases. The study stated that nutrients in nuts, such as unsaturated fatty acids, protein, fiber, vitamins, minerals and antioxidants may confer heart-protective, anti-carcinogenic and anti-inflammatory properties.

2. Prevents Blood Disease

The consumption of cashews on a regular basis and limited manner may help in avoiding blood diseases. Cashew nuts are rich in copper, which plays an important role in the elimination of free radicals from the body. Copper deficiency can lead to iron deficiencies such as anemia. Hence our diet should contain recommended quantity of copper. And cashew nuts are a good source.


3. Protects the Eye

In the urban environment matched with its excessive pollution, our eyes often suffer from various infections. Cashews contains a powerful antioxidant pigment called Zea Xanthin. This pigment is readily and directly absorbed by our retina, says nutritionist Anju Sood. This then forms a protective layer over our retina which prevents the harmful UV rays. Dr Anshul Jaibahrat Bhatnagar says small quantities of Zea Xanthin helps prevent age related macular degeneration in elderly and hence helps maintain eyehealth.


4. Good for the Skin

Derived from the cashew seeds,  cashew oil does wonders for your skin,  says Gargi Sharma, Manager Weight Management, Aayna. Cashew nut oil is rich in selenium, zinc, magnesium, iron and phosphorous. Also, they are great sources of phytochemicals, proteins and antioxidants. The high percentage of selenium in cashews is not only good for your skin but  helps prevent cancer as well,  says nutritionist Anju Sood. 

5. Weight Loss

In comparison to diets excluding the intake of nuts, people consuming nuts on a moderate and regular basis lose weight faster. Based on the evidence from epidemiological and controlled clinical studies, nut consumption is not associated with higher body weight. The study done by the Journal of Nutrition states that the epidemiological evidence indicates consistently that nut consumers have a lower BMI than non-consumers. With respect to clinical studies, the evidence is nearly uniform that their inclusion in the diet leads to little or no weight gain. Moreover, nuts like cashews are  packed with Omega 3 fatty acids that contribute to giving a boost to the metabolic process to burn excess fat,  says Delhi-based nutritionist Shilpa Arora. Nuts are a great snack for those who are looking to lose weight as they are nutritious and tend to keep you full for a longer time.  Nuts should always be eaten raw and unsalted, so they are beneficial for weight loss efforts,  adds Shilpa.

6. Source of Dietary Fibres

According to studies, cashew nuts have a great percentage of dietary fibers. The two essential dietary fibres required by our body are, oleic acid and palmitic acid.  These fibers are not produced by our body hence they need to be consumed externally,  says nutritionist Anju Sood. Cashew nuts are good sources of these fibers. Dietary fibers help digest food better, however excessive consumption may cause bloating and significant intestinal gas production. Consumption of nuts like cashews have been related to decreased incidences of several digestive diseases.

7. Healthy and Shiny Hair

Experts say that the consumption of cashews as well as the application of cashew oil on your scalp ensures healthy hair.  Copper present in cashew nut oil helps in the production of skin and hair pigment called melanin,  says nutritionist Gargi Sharma. It also enhances hair colour and can provide a silky-smooth texture due to the presence of linoleic and oleic acids.

11 people found this helpful

I did unprotected sex after two days of monthly circulation with my girlfriend and she took unwanted 72 after it, but a day after tomorrow she suffer from bleeding again. What should I do now?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
It may be due to i-pill. Therefore I would advice to wait over the next 4 weeks and see what happens. Also I would advice condoms interim to avoid any unwanted pregnancy.
15 people found this helpful
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I am suffering frim high level of insulin in my hormone. Due to this my periods irregular. what natural way to reduce it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Let me know how can you know your insulin level is high. Your menstrual period are irregular means it will be so many other causes but not due to insulin. Ok.
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