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Dr. Palaniappan

Doctor of Arts (DA)

Gynaecologist, Chennai

39 Years Experience
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Dr. Palaniappan Doctor of Arts (DA) Gynaecologist, Chennai
39 Years Experience
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Palaniappan
Dr. Palaniappan is one of the best Gynaecologists in Kilpauk, Chennai. Doctor has been a practicing Gynaecologist for 39 years. Doctor studied and completed Doctor of Arts (DA) . Doctor is currently practising at MIRACLE ADVANCED REPRODUCTIVE CENTRE in Kilpauk, Chennai. Book an appointment online with Dr. Palaniappan and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 33 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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Doctor of Arts (DA) - madras medical college - 1978
Languages spoken
English

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I am 24, newly married for 6months and I had sex with my husband 2days prior to my periods. I took the i-pill right in the morning and I take oral contraceptive on a regular basis. Can I get pregnant?

MICOG, MS, MBBS
Gynaecologist, Delhi
I am 24, newly married for 6months and I had sex with my husband 2days prior to my periods. I took the i-pill right i...
If already on regular contraceptive pills then you don't require ipill, only hormonal imbalance is created, chances of pregnancy are very low.
7 people found this helpful
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Prevent Gum Disease

BDS
Dentist, Panchkula
Prevent Gum Disease
A diet that is rich in vitamins, minerals, fresh fruit and vegetables can help to prevent gum disease.

My wife is not getting her periods as her periods have been delayed already by 5 days. What's the matter? We're so much worried. Pregnancy test is negative. What to do now.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My wife is not getting her periods as her periods have been delayed already by 5 days. What's the matter? We're so mu...
Pregnancy test will come positive only after 7 days of missed period and feb had 29 days only so 9 days. Even faint second line is positive and you have to read the results within 5 min. Menses can naturally get delayed by hormonal changes or stress. If it comes negative the keep repeating it every week till next menses comes.
2 people found this helpful
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As I am pregnant from last 3.5 month and I m not aware about it now I don't want to carry this child please suggest me the best solution to avoid the child from yesterday I had taken one medicine name emptkop kit to avoid the child so please suggest me is this right or not as soon as possible

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
The kit does not work beyond 9 weeks of pregnancy. Now, you have taken it. So, you should consult your gynaecologist to undergo MTP, if you want.
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I am 21 n having recurrent boils folliculitis in vaginal area and labia minora swelling since five years. It get relived aftr treatment bt again relapse. I am virgin. please tell mi the diagnosis. I have taken almost all antibiotics. Bt not got permanent relief.

BAMS, YIC, DEC
Ayurveda,
Hi hygien is very improtant wast your pervite organs properly, use lose panty, and change every day, lose pants, use triphala kashya to wash the area.
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I am thirty years old women, I am very stressful as I did not get my periods of this month. It has been 33 days of my last periods. Now I am afraid of pregnancy. Pls tell me to stop my pregnancy quickly.

DHMS (Hons.)
Homeopath, Patna
I am thirty years old women, I am very stressful as I did not get my periods of this month. It has been 33 days of my...
Hi, first, go for home, pregnancy- test to confirm, pregnancy. Disappearance of period is due to anaemia, stress, anxiety, loss of sleep, malnutrition & pregnancy. Tk, plenty of water to dilute your blood and to eliminate toxins. Donot skip your meal, it should b easily digestible on time. Ensures sound sleep in d night. Avoid, dust, caffiene, junkfood. Tk, homoeo medicines: @ pulsatilla 20-6 pills, thrice. A day. @ five phos 6x-4 tabs, thrice a day. Revert after 7 days. Tk, care.
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What Is Polycystic Ovary Syndrome (PCOS)?

Ayurveda, Delhi
What Is Polycystic Ovary Syndrome (PCOS)?

What is Polycystic Ovary Syndrome (PCOS)?

Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's:

  • Menstrual cycle
  • Ability to have children
  • Hormones
  • Heart
  • Blood vessels
  • Appearance

With PCOS, women typically have:

  • High levels of androgens (AN-druh-junz). These are sometimes called male hormones, though females also make them.
  • Missed or irregular periods (monthly bleeding)
  • Many small cysts (sists) (fluid-filled sacs) in their ovaries

How many women have PCOS?

Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. As many as 5 million women in the United States may be affected. It can occur in girls as young as 11 years old.

What causes PCOS?

The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.

A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.

Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels can lead to:

  • Acne
  • Excessive hair growth
  • Weight gain
  • Problems with ovulation

What are the symptoms of PCOS?

The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:

  • Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
  • Infrequent, absent, and/or irregular menstrual periods
  • Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
  • Cysts on the ovaries
  • Acne, oily skin, or dandruff
  • Weight gain or obesity, usually with extra weight around the waist
  • Male-pattern baldness or thinning hair
  • Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
  • Skin tags — excess flaps of skin in the armpits or neck area
  • Pelvic pain
  • Anxiety or depression
  • Sleep apnea — when breathing stops for short periods of time while asleep

Why do women with PCOS have trouble with their menstrual cycle and fertility?

The ovaries, where a woman's eggs are produced, have tiny fluid-filled sacs called follicles or cysts. As the egg grows, the follicle builds up fluid. When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.

In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. The follicles may start to grow and build up fluid but ovulation does not occur. Instead, some follicles may remain as cysts. For these reasons, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Plus, the ovaries make male hormones, which also prevent ovulation.
 

Does PCOS change at menopause?

Yes and no. PCOS affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.

How do I know if I have PCOS?

There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.

Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.

Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.

Pelvic exam. Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.

Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.

Vaginal ultrasound (sonogram). Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.

How is PCOS treated?

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:

Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:

  • Limiting processed foods and foods with added sugars
  • Adding more whole-grain products, fruits, vegetables, and lean meats to your diet

This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.

Birth control pills. For women who don't want to get pregnant, birth control pills can:

  • Control menstrual cycles
  • Reduce male hormone levels
  • Help to clear acne

Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). But, progesterone alone does not help reduce acne and hair growth.

Diabetes medications. The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.

Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets). Treatment options include:

  • Clomiphene (KLOHM-uh-feen) (Clomid, Serophene) — the first choice therapy to stimulate ovulation for most patients.
  • Metformin taken with clomiphene — may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins (goe-NAD-oh-troe-pins) — given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.

Another option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, IVF is very costly.

Surgery. "Ovarian drilling" is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.

Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills.  These medications should not be taken if you are trying to become pregnant.

Before taking Aldactone, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia.

Other options include:

  • Vaniqa (van-ik-uh) cream to reduce facial hair
  • Laser hair removal or electrolysis to remove hair
  • Hormonal treatment to keep new hair from growing

Other treatments. Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.

Researchers continue to search for new ways to treat PCOS. To learn more about current PCOS treatment studies, visit ClinicalTrials.gov. Talk to your doctor about whether taking part in a clinical trial might be right for you.

How does PCOS affect a woman while pregnant?

Women with PCOS appear to have higher rates of:

  • Miscarriage
  • Gestational diabetes
  • Pregnancy-induced high blood pressure (preeclampsia)
  • Premature delivery

Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).

Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.

Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.

Does PCOS put women at risk for other health problems?

Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:

  • More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
  • The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
  • Women with PCOS are at greater risk of having high blood pressure.
  • Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
  • Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.

Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.

Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

I have PCOS. What can I do to prevent complications?

If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include:

  • Eating right
  • Exercising
  • Not smoking

How can I cope with the emotional effects of PCOS?

Having PCOS can be difficult. You may feel:

  • Embarrassed by your appearance
  • Worried about being able to get pregnant
  • Depressed

Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.

 

 

 

9 people found this helpful

She had a sex with her boy friend. On 28 march and she is not having period till now. She is having doubt about she is pregnant or not. And she is having vomiting. So please suggest me. What I should do.

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
It is very much possible that she is already pregnant. If this is an unwanted pregnancy, you should take your decision whether or not you want to continue it and approach you gynaecologist before she completes 6 weeks after her last menstrual period.
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I have cyst in both breast and it is painful . mammography done previous year . Radiologist says go for prolactin test . I took cabergoline and belong tablets from last 1 year. Getting relief during treatment of cabergoline . But what about cyst . How can it be removed . How long cabergoline should be taken . I have tested prolactin 3 to 4 times it level is below 5 now now. 15 days before menses breasts gets bulky with pain and it regularly increases and during menses it increase in size and increased pain. After menses breast relax and pain also decreases. Please help doctor. Abdominal and pelvic region increased now . Cabergoline helps in everything. Now how to cure it completely.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help. Hormonal changes from monthly menstruation can trigger cysts as well as transient inflammation/ swelling of the breasts. However, breast cysts are usually benign. Usually, before the onset of menses, the breast tissue with the larger breast often tends to swell with some amount of tenderness/ pain. But, this is often temporary and resolves automatically. Should the pain be unbearable, you may apply an alternating heat and cold treatment for couple of minutes that may alleviate pain. Do stay well hydrated and take'amla churna' (patanjali) &'bael churna (patanjali- 1/2 tsp each with warm water, preferably before lunch daily for next 1 month. Simultaneously, keep your diet and lifestyle streamlined, you can take tomato soup to which fresh herbs like garlic, turmeric, black pepper, ginger, coriander leaves and oregano has been added, once daily. Just make sure that you keep at least 2 hours gap between any of your present allopathic medications and the natural remedies as suggested above. Its advisable that you check with your doc on how long he/ she wants you to continue with cabergoline medication. Hope this helps. Take care and all the very best. Sincerely,
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I am 33 years old and ny husband is 37 years old. I had fibroid in my uterine lining but it was removed successful. From past 1 and 1/2 years we have been trying to conceive but it was unsuccessful. Then my doctors told me to do IUI treatment just for 2 cycles but we have done in 1 cycle but it was again unsuccessful. Now my doctor is saying to do IVF treatment continuously for 2 cycles. And my AHM is 1.23 and egg reserves is low.

MBBS, DNB Obs &Gynae, Diploma in Reproductive Medicine (Germany), Fellowship in Laparoscopy
IVF Specialist, Delhi
I am 33 years old and ny husband is 37 years old. I had fibroid in my uterine lining but it was removed successful. F...
Considering your age to be 33 with very low ovarian reserve I would suggest you to go for ivf reason being your biological clock is increasing so with time your reserve will go down and then it would be difficult for you to conceive with your own egg and would require egg donors so I think you should go for it now instead of going for iui.
2 people found this helpful
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I'm disturbed as my wife shows less interest in sex. I want to know if its her physical problems or she is not excited with me. I also want to understand if she has any sexual feelings in her which she is unable to express with me every night she comes to bed and dozzes off. Bug when I pester her she cooperates but does not involve much. What k observed is she is always wet in her pussy. K feel that she might be thinking about sex in mind .but not readily coming to indulge in sex. She rarely says no go sex but every time I have to keep on asking kindly suggest is their a way to understand if she needs sex with man why is she not showing sex interest I am depressed and want sex life for both of us happily. I open even to know if she is having an urge go sleep with other man also Please suggest me.

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
I'm disturbed as my wife shows less interest in sex. I want to know if its her physical problems or she is not excite...
Dear user. I can understand. There are many reasons why women is not having sexual urge with her husband. the basic could be psychological issues like stress, dislike, fear etc. Second could be due to vaginal pain and problems related to vaginal infection. You should consult a gynecologist with your wife to determine and diagnose. Take care.
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Hi, I am 27 years old. In few month my vagina itching and white discharge. Vagina's color is deep red. From two days, I am feeling irrited. Alway feel irritation. Please solve my problem. If you tell me some homeopathy medicine and some cream, I am thankful to you

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi mam, you can take kreo. 12 c 2 hourly alternates with puls 12c for 5 days. Inform me after wk. There is no use of cream etc actually according to classical homeopathy we needs detail case than we prescribe constitutional remedy which will much benefit u, according to me. Take care mam. Thanks.
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Hello sir I just want to she has bicornute sub septed uterus. Can she pregnant normally? There was 3 miscarriage with 3 pregnancy. Please tell me.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hello sir I just want to she has bicornute sub septed uterus. Can she pregnant normally? There was 3 miscarriage with...
A hysteroscopy may be needed to remove septum..any good laparo- hystero gynae surgeon in a good hospital will do this
1 person found this helpful
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Dear Sir/Madam I got married 9 months ago. Since first month we r doing unprotected sex for caring child BT still now she iz not getting pregnant. Is their specific time to do or how many times? Or there is some other reason may be? I tried by every mean as per my understanding but still failed.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Dear Sir/Madam
I got married 9 months ago. Since first month we r doing unprotected sex for caring child BT still now...
U need to have regular sex in order to get pregnant i. E. 3-4 times a week and you need to wait for full one year before you seek medical help in this matter. You can follow calender method to find out when you can get pregnant. 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.
2 people found this helpful
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I have breast pain which increases at the time of onset of my menstrual cycle and otherwise it pains when I touch my breasts. But I am unable to figure out any lumps. So should I consult a doctor or its just a hormone imbalance.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I have breast pain which increases at the time of onset of my menstrual cycle and otherwise it pains when I touch my ...
There is nothing to worry about. Take Vit E and Folic acid supplements for a month. Take proper care of balanced diet. For further queries you may contact.
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Dr. mam I had confirmed my pregnancy this is my 1st month of pregnancy mam can I have sex during pregnancy and if yes till how many months I can have sex during pregnancy plz mam help it by clarifying my doubt.

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
Dr. mam I had confirmed my pregnancy this is my 1st month of pregnancy mam can I have sex during pregnancy and if yes...
sex during pregnancy is not contraindicated,unless you have symptoms of pain ,bleeding ,a low lying placenta or any other risk factor. for a normal low risk pregnancy its ok to have sex with due gentleness. precautions r suggested in early 3m and last 2m.
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Would yoga help with gerd? also, can gerd have any effect on the menstrual cycle? mine have been unusually light the last couple of times (i've also checked for pregnancy though i've never had unprotected sex - it was negative). I have extremely random joint pains that aren't static - often in the limbs but no specific side. I feel difficulty in swallowing (mucus in throat). I also have dizziness post-prandial, which I find very strange. I'd appreciate an easy diet plan for keeping gerd in check because I am in a high-pressure job and I suspect the health issues are stressing me out making it a horrible feedback loop. Please help!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, good that you know what Dr. Shared about your health issue, though your in stressful job but this is not d age u'd land. I assure you that authentic ayurveda serves better if you choose to consult, till then have warm buttermilk 2-4 times a day/pomegranate juice/10-20 resins dipped into warm water for 2hrs, revert after 5-7 days, with all investigations.
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I just recently discovered cunnilingus, pls tell is it safe sex, what precautions do we take before doing it.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Cunnilingus is safe kind of sex as compared to vaginal or anal sex. Chlamydia, human papillomavirus (hpv), gonorrhea, herpes, hepatitis (multiple strains), and other sexually transmitted infections (stis/stds), can be transmitted through oral sex if the partner is infected with any one of these. But carrying these kind of diseases in a known partner is extremely rare. Risk of sti infection, however, is generally considered significantly lower for oral sex than for vaginal or anal sex, with hiv transmission considered the lowest risk with regard to oral sex.
1 person found this helpful
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My wife 26 years old had ectopic surgery and left tube was removed this month. Can you please suggest when can we try pregnancy in future.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
My wife 26 years old had ectopic surgery and left tube was removed this month. Can you please suggest when can we try...
Their are good chance of you to getting pregnant because age is on your side. Live healthy and stress free lifestyle and you can start folic acid if you are planning, even after one year of efforts you fail to conceive then you might need medication but till then just relax and keep on trying.
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