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Dr. Palaniyappan

Gynaecologist, Chennai

Dr. Palaniyappan Gynaecologist, Chennai
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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. Palaniyappan
Dr. Palaniyappan is a trusted Gynaecologist in Ambikapuram, Chennai. You can visit him/her at Chennai Medical Centre in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Palaniyappan on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 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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Chennai Medical Centre

No.51,Thiruvalluvar Salai, Nesapakkam, West K.K. Nagar. Landmark: Opp To Bharat Petrol Bunk, ChennaiChennai Get Directions
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I am trying to conceive for 4 months now. My periods are regular. 27 days. Sometimes the period starts with 1 or 2 spots and the flow begins next day or the day after. Is that ok?

BHMS
Homeopath, Delhi
get an ultrasound lower abdomen done to see if the reproductive system is working fine.. also see if your complete blood count and thyroid is okay.. also learn about the ovulation timing to conceive if everything else is alright
1 person found this helpful
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If I use JUST condoms to prevent unwanted pregnancy, is it safe enough? I would not need any other means of contraception? I don't want to be on pills.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
hello, no form of contraception is 100% safe..! but if used correctly condoms are about 98% safe.. so if u font want pills condoms is ur nest option..!
1 person found this helpful
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My wife 6 month pregnancy. Inside baby having in scanning shows" both kidneys show mild dilatation of renal pelvis and bladder appears normal" this is problem showing in scanning. Please give instructions what happens inside the after delivering baby.

MBBS, MS OBSTETRICS & GYNAECOLOGY, DNB OBSTETRICS & GYNAECOLOGY, MRCOG PART1, PGDMLS
Gynaecologist, Thane
You need to monitor size of renal pelvis in subsequent scans, if it is between 4-7 mm, it usually resolves after delivery, nothing needs to be done in pregnancy. After, delivery, do usg abdomen to look for kidneys once baby is > 10 days old, consult urologist if it still shows dilated renal pelvis. V rarely persistent cases need surgery.
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I'm suffering with irregular periods. Scanning reports confirmed that I had pcod. Doctors advice me to take pills regularly. But their is no result. When ever I stop the pills the menses will be irregular. What should I do?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
At 39 years, you are in perimenopausal age where menses are bound to be irregular. Iregular periods are not a disease, its natural to have irregular periods, especially in your age group and in teenage girls ultrasound reports nowadays mention pcod in many cases, that doesnot mean you have pcod. If you wish to have pregnancy, you can get treated by gynecologist who will help you with the medicines not only to cure your pcod but also pregnancy. If you have finished having a family and do not want anymore, then the tablets are the best treatment for you, continue them for as long as your menses are there.
4 people found this helpful
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I am 26 years old women, mujhe period time to time pe ata hai per six month ho gayi hai mujhe koi pregnancy nahi hui hai,

Advanced Aesthetics
Ayurveda, Gulbarga
If you and your partner have been having unprotected sexual intercourse for over a year and are still not able to conceive a baby, chances are that either one of you has a problem relating to fertility. There may be several causes behind this problem. In men, a low sperm count is one of the primary reasons for infertility. In women, a blockage in the fallopian tubes, uterine fibroids or cysts in the ovaries could be the cause of infertility. Also, as a woman enters her 30s, her reproductive system starts showing signs of ageing and produces lesser hormones and eggs, this could cause difficulty in conceiving. There are several sophisticated medical procedures for helping infertile couples conceive, such as artificial insemination, invitrio fertilization and test tube babies. Though the exact nature of the problem and the best way of dealing with it can be determined only by a doctor, there are a few basic rules that you should follow to increase your chances of conceiving naturally. Make sure you have sex while you are ovulating during the menstrual cycle. Using an ovulation predictor test kit to determine exactly when you start ovulating is a good idea. .
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She had an emergency pill on 3rd of Oct and bleed a lot on the 8th of oct she was due for her periods on 22nd oct but till date she is not down but suffering from pain in legs and back also she has poly cystic ovaries what can we do?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
She needs to repeat a urine pregnancy test. If negative then she can take Deviry tablets 10mg thrice daily to initiate a period.
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I am having the white discharge but no pain, no smell I am a girl now i am 25 years old what is the tablets I am used to avoid this please send me doctor.

Advanced Aesthetics
Ayurveda, Gulbarga
M2 Tone syrup and ashokarishta and tab-daizen these all r ayurvedic medicines and pushyanug churna avoid hot and more oily foods and coffee tea and cold drinks any queries inform me.
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Fallopian Tube Block In Infertility - What Can You Do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Fallopian Tube Block In Infertility - What Can You Do?

When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.

What is needed for pregnancy?

In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina.

In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm.

It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Thus, to summarise, pregnancy requires:

1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes

2.Transport of these sperms through the sperm conducting ducts from testes to penis

3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina

4.Transport of these sperms from vagina through cervix to the uterus and the tubes

5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries

6.Pick up of the eggs by the tubes

7.Approximation of eggs and the sperms to form the embryo

8.Transport of embryo from the tubes into the uterus

9.Acceptance of the embryo by the uterus and its growth

What is Infertility?

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor.

It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%.

The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage.

What causes Infertility?

Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned.

Thus the common causes may be

1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.

2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examples include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.

3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.

In general, what are the treatment options for infertility?

To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress.

In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.

What is Fallopian Tube(s)?

Fallopian tubes (commonly called “the tubes”) are the structures that are connected to the both sides of the uterus, as mentioned above. Each tube is of 10 cm length. The part attached to the uterus is called the “cornu” and the part remaining free is called the “fimbria”. It’s the fimbria, that is present near the ovary and picks up the ovum and transports it inside the tube. The cornu received the sperms from the uterus and passes it inside. Inside the tube, the sperms and the egg meet to form the embryo, which then travels down the tubes into the uterus and then the pregnancy starts.

What happens if tubes are blocked?

If both the tubes are blocked completely, anywhere along the length (cornu, fimbria or the middle), pregnancy is not possible. This is quite obvious, because either the sperm cannot enter or the egg is not picked up or they cannot meet.

However, if any of the tubes are partially blocked, then the sperms and egg can pass and meet but the embryo cannot come down into the uterus. As a result, the pregnancy continues inside the tube, which is called “Ectopic pregnancy” that is life-threatening for the mother. It’s important to remember that ectopic pregnancy can happen even if both the tubes are open.

What are the reasons for tubal blockage?

Often, the exact cause is not known. Infection is the commonest cause. The infections may be due to sexually transmitted infection (STI), particularly Chlamydia infection or infection from bowel or appendix. Tuberculosis is very common in our country and can affect the tubes, silently, without affecting any other parts (not even the lungs) of the body. Endometriosis is also a common reason for tubal blockage. Any pelvic surgery (surgery in ovaries, tubes, uterus, even appendix) can block the tubes by “adhesion”. This means the tube may be open but attached to the bowel or rotated on itself, so that the tube cannot pick up the eggs from the ovaries. Sometimes fibroid of uterus can compress the tube and cause blockage. Women, with previous history of ectopic pregnancy, are at risk. Uncommonly, some abnormalities, present since birth can block the tubes.

What are the types of tubal blockage?

Tubal block may be one sided or both sided. It may involve only a particular part of a tube or multiple parts of a tube. The site of the block may be the cornu, the fimbria or the middle portion.

Hydrosalpinx, is a thing that you must know. In this condition, the tube is blocked but the mid-portion is dilated and contains some fluid (often infected). This tube is not functional. And the problem is even if there is pregnancy by IVF inside the uterus, this fluid from the tube may trickle down, coming in contact with the embryo and can potentially kill the embryo!

How can I understand that the tubes are blocked?

Unfortunately, very few women have signs or symptoms indicating tubal block. However, if you had previous infections in pelvis, tuberculosis in any part of the body, appendicectomy or other gynaecological surgery, there is chance of tubal block. Patients with fibroid and endometriosis are also at risk of tubal block. If you feel severe pain during periods or during intercourse, there is a chance that the tubes may be blocked.

When the tubes should be tested?

As mentioned earlier, the routine investigation of infertility includes testing for the ‘open-ness’ of the tubes- “Tubal patency tests”. That means if pregnancy does not come within 12 months of regular intercourse, then we usually advise the tests. Sometimes, tests are needed, after 6 months of trying (see above). However, in some women, with low risk of tubal block (no risk factors as mentioned above), it may be appropriate to start treatment and continue it for few cycles and if no response, then tubes should be tested.

How the tubes are tested?

The method of tubal patency test depends on your risk of having blocked tubes and also your wishes, availability of resources, other fertility factors and of course the affordability.

Routine ultrasound (like TVS) cannot detect tubal patency. However, it can detect the hydrosalpinx in most of the cases.

If you do not have any risk factors (like pain during periods, endometriosis, previous infections or surgery), you can choose either HSG or SIS. These are done in out-door basis, without any need of anesthesia.

HSG (Hystero-salingogram) is a method by which, your tubes will be seen under Xray. After visualizing your cervix (mouth of the uterus) by a speculum (instrument inserted in the vagina) a small screw will be inserted inside the cervix and a contrast material (which can be seen by the X ray) will be given through it. If tubes are open, the Xray will show that the contrast material will be going through the tubes into the abdomen.

The advantage of HSG is that, a test showing open tube has good correlation with tubal patency (if HSG shows the tubes are open, it’s likely that tubes are open). It is widely available and also cheaper.

However, the problem is that most of the women feel it painful, although they are given pain-killers for it. In addition, there is small risk of infection, for which antibiotics are prescribed. The contrast material can rarely give rise to allergy in some sensitive women and it may be life-threatening in very rare cases. Another problem is the false positive result. That means if tubes are found to be blocked in HSG, in 50% cases, they will be found to be open subsequently in laparoscopy. This is mainly because of some spasm of the muscles of the tube during the test.

SIS (Saline infusion sonography) or HyCoSy (Hystero-Contrast-Sonography) is the method by which tubal patency is checked by ultrasound (TVS) along with water like material inserted inside the uterus through a small tube. If tubes are open, the passage of water can be seen going into the abdomen through the tubes, in the ultrasound.

The advantage of HyCoSy is that it’s much less painful than HSG, although mild discomfort may be there. Pain-killers and antibiotics are prescribed usually. Additionally, problems inside the uterus can be better visualized, even better than normal TVS. In addition, the false positive result is much lower, only 7%. That means if HyCoSy suggests that the tubes are blocked, in most cases, the tubes will be found to be blocked at laparoscopy.

The problem with HyCoSy is mainly the cost and it’s not available everywhere.

An important merit of doing the tubal test is that, sometimes the water or the contrast material used in these tests can open the “mild” block. That’s why we often find patients who conceive spontaneously with pregnancy inside the uterus, after apparently “blocked” tubes in HSG or HyCoSy.

Now, laparoscopy is reserved for those, who are at high risk of tubal block. This includes women with risk factors (pain, surgery, infection etc) o women having “blocked” tube in HSG or HyCoSy. Clearly, it’s done after hospitalization under general anaesthesia inside the OT. Two or three small opening (key-hole surgery) will be put inside the abdomen and through vagina a coloured material (“dye”) will be given inside the uterus. If the tubes are open, the laparoscopic camera will show that dyes coming out of the tubes inside the abdomen.

The advantage is that it’s a definitive test, can help you to make final decision. It also provides the options of treatment. If there is corneal block in HSG, we can make attempt to open the tubes using laparoscopy (see below). In addition, if there is hydrosalpinx, where the tube serves no function, the tubes can be removed (salpingectomy) or clipped (we put clips to block the tubes) to improve the chance of pregnancy if IVF is the only option left for you. In addition, laparoscopy helps us to see whether there is any other diseases that have been missed by routine tests and that may account for infertility. We can treat the cysts of PCOS (by applying current to destroy some cysts), remove any large cysts, remove any adhesion, treat endometriosis etc.

The disadvantage of laparoscopy is of course, the need of anaesthesia and associated surgical and anaesthetic risks, although in modern era, the serious complications are uncommon.

What are my options if tubes are found to be blocked in HSG?

There are simply two options. It depends on your age, fertility factors and affordability. Number one is directly, you can go for IVF. In that case, you can save time and cost. It may be a preferred option, if you are aged or have some other fertility factors (low sperm count, endometriosis etc). The chance of pregnancy per cycle of IVF is usually 40%.

Another option is that you can confirm the block by other tests, keeping in mind that you may need IVF if the tubes are found blocked ultimately. We usually advise to have laparoscopy. However, some women want to give a trial with HyCoSy, because if HyCoSy shows the tubes are open, then you can avoid laparoscopy and you can try different fertility treatment options.

In laparoscopy, first we see if tubes are open or not. If open, there is no need of further treatment in laparoscopy. However, if tubes are found blocked, especially if the block is in cornu, we can try “hysteroscopic tubal cannulation”, where we put a small catheter through hysteroscope (a telescope, like endoscope, put inside the uterus through vagina so that we can see inside the uterus using a camera) to open the tubes. If tubes can be opened, you have all options for fertility treatment open. However, if we fail to open the tubes, the only option left is IVF. In addition, if there is fimbrial block, it can be released and new opening in the fimbria can be made. The treatment of hydrosalpinx by laparoscopy has already been discussed (see above).

Having said that, there are some group of women, who conceive while waiting for IVF or laparoscopy after a blocked tube found in HSG.

What can I do if tubes are blocked in Hycosy?

In this case also, there is choice between the two- laparoscopy first and IVF directly.

What can I do if laparoscopy suggests tubal block?

Unfortunately, in that case, the only option left is IVF. As mentioned before, if hydrosalpinx is found it must be treated before IVF. However, sometimes we find hydrosalpinx in laparoscopy but cannot cut the tube of clip it, simply because you did not give consent to us for doing so. In that case, we can suck out (“aspirate”) the fluid from the hydrosalpinx under ultrasound guidance (no need of further laparoscopy) using the needle.

How tubal block is dealt in your particular centre?

We believe in patient’s autonomy. So we want to give time on discussion and presentation of facts and figures to the couples. We encourage questions from the couples and take utmost care so that no question remains unanswered.

We do not take decisions and impose it on the couples. We advise the couples to take time before taking decision on a particular treatment. If the couple decides, we respect and support their decision.

We prefer to have SIS or Hycosy, rather than HSG, to reduce the pain to the women. We discuss all the options if tubes are found blocked.

Conclusion:

Tubal factor can account for 20-25% cases of female infertility. It’s more common in secondary infertility (women who conceived earlier- whatever be the fate of the pregnancy). Tubal test is a part of infertility investigation. The choice between HSG and HyCoCy is open to you. If tubes are found blocked, the options are IVF directly or confirming the block by laparoscopy.‚Äč

9 people found this helpful

I lost my virginity with my boyfriend, i am so much worried I don't know how it happened But I'm not sure I will marry him or not How can I get again virginity?

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
Dont worry, there is no concept of virginity these days, in ur age sexual urge are very strong it is not nor your fault nor ur boy friend fault,but dont keep any expectation from ur boy friend otherwise u will feel hurt , if u r emotional type of women then dont go for any other sexual episode with ur boyfriend if he is not truthful, please dont worry about virginity stuff in these timesnobody care about it
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Today is my 15 days of periods. But since 2 days I have crampsin my back and lower abdomen. What can I do.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take puls.- 30 / 5 drops in little water thrice a day for one week. Revert back after one month with feedback.
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homoepathic treatment increase size or length of penis

BHMS
Homeopath, Sindhudurg
homoepathic treatment increase size or length of penis
In homoeopathy, there are many fruitful remedies to keep penis long and strong. The average girth for an erect penis length from 4.5 to 7 inches are enough to perform a successful sexual intercourse. When the length of the erect penis is below 4.5 or 4 inches then we call it micro penis. Some reasons are responsible for this problem such hormone, masturbation habit from childhood, infection in the prostate gland etc are very common reasons. Homeopathic remedies are very helpful to increase the size or length of the penis and make it strong. Homeopath can give good solution of that problem using proper homeopathic remedies consult for homoeopathic treatment.
195 people found this helpful

Sir, I am going to be marry with lover she is suffering from stomach pain and weakness as well pain below novel and legs while period time since she was matured .what I do for her.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello lybrate-user- pain during menses is due to improper tone of uterus muscles. Use dashmoolaristha 2 tsp twice daily for 10 days before menses. This single medicine will cure all of your menstrual problems (do not use the medicine more than ten days as the body will become habitual to it and will not respond quickly)
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Hello Dr. since a year 2012 my etopic pregnancy now I am trying more than but I am not pregnant my reports absolutely fine Dr. I don't know where is problem I am very fad up n also very sad about my pregnancy still 6 year has been completed I have only one tube I don't know can I conceive easily n not. My pregnancy normal n not I am also taking tabs becefol, fertiyzme & coenzyme Q10 used it's enough for conceiving. What you want to say that dr.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Dear please do not get disheartened and get proper inverstigations like hysteroscopy, laproscopy and tb culture to find out the cause. If these have already been done, you van think of ivf also.
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How To Get a Big Penis

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
How To Get a Big Penis

First of all, we have to define what small really means and what statistics apart from any personal impressions and taste actually say: the flaccid size is irrelevant, some men have a rather small penis growing to enormous size when erect, on the other hand there are men with a rather impressive flaccid penis that just erects itself when aroused and doesn’t grow much in girth or length. Flaccid and erect size don’t correlate.


Even in reputable studies, the statistical average varies, us median is about 5.5 inch according to the biggest study (1661 sexually active men) we could find by the well known journal of sexual medicine. Most men have an erect size between 5 and 6 inch, so below 5 inch can be considered small. Don’t be fooled by the penis sizes you often see in adult movies, all actors are selected individuals far above the average size. These movies certainly don’t depict any statistical average and also use visual tricks to make the manhood of the male actors appear even larger.


Does penis size matter for women?

The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one.

 

Good News: Too big isn’t good, if you arise hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex. 

 

Top 4 exercise to get big penis. 

1. Ultimate stretcher

The “ultimate stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out.

Here are detailed directions:

Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation. Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.


2. Thumb stretcher

The “thumb stretcher” is a slightly different technique you should add to your length boosting regime as well:

Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should pull it outwards without feeling any pain or significant discomfort. Use your other hand to place a thumb at the base of your penis (first third. Press with your thumb down in the direction of your knees. You should pull in both directions at the same time with enough force to feel a painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds between each repetition. Repeat steps 2-7 four times in one session but change the spot where you place your thumb. Take your time to go through a cool down phase.


3. Backward puller

Take your time for a proper warm-up phase. Retract your foreskin and place your thumbs on the top of your shaft one inch behind its head/glans. Place other fingers on both hands on the bottom side of your shaft to support it. Pull the skin on top of your penis with your thumbs in the direction of your body. Use enough force to feel a painless stretch and tension in your shaft. Hold that position for about 15-25 seconds. If needed, rest for 5 seconds between each repetition. Repeat steps 2-7 ten times in one session but change the spot where you place your thumbs. Take your time to go through a cool down phase.

 

4. Opposite stretch

The opposite stretch is an exercise that might make you flinch a little just reading about it! However, make no mistake, as it’s very effective and will increase your size, especially length.

All you need to do is just follow nine simple steps:

Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation. With your second hand, grip the shaft with a standard ok-grip (between thumb and index finger) an inch above the base. Pull your first hand upwards away from and your second hand downwards to your base with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 7 until you reach a desired number of repetitions. Take your time to go through a cool down phase.

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Hi, I usually have regular menstrual cycles. My last period was on 20th march then I had unprotected sex on 24th match after my period got over. I had to take emergency pills on 24th. Now suddenly I hav bleeding on april 1st. Am bleeding on my mid cycle. What should I do? I was advice to take t. Trapic. Do I need to take it?

DGO, MBBS
Gynaecologist, Bhavnagar
This bleeding is because of emergency pills that you have taken. You can take trapic. There was no need of emergency pill as you had sex on 5th day of your cycle when there was no chance of pregnancy.
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There is white liquid droplets discharge sometimes from my both breast. What is it? And why?

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 lybrate user. I can understand. Don't worry. These are normal for a matured and working woman. Even for a house wife. But please make sure there is no pain or hardness while squeezing. In that case consult a gynacologist. Take care.
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I am 25 year old married female. Actually I taken a contraceptive pills last month and I have a continuously period problem for last 2 months.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi mam, you can try lach. 200 once a day also q hamamelis 10 drops 4 hrly. For permanent cure read below carefully. You have come here to get well. We r here to select the possible medicine for you. In order to do that, we depend on your co-operation. Homeopathic medicine is mainly selected on the symptoms you give us. If we are to a successful prescription, we must know all the details of your sickness. It is also said that a case well taken is a case half cured. Giv me proper case. God bless you thnks.
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