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Dr. Prasanna Kumari

Gynaecologist, Chennai

Dr. Prasanna Kumari Gynaecologist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Prasanna Kumari
Dr. Prasanna Kumari is a renowned Gynaecologist in Tharamani, Chennai. She is currently practising at Alamelu Ladies Hospital in Tharamani, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Prasanna Kumari on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 28 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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No 17, Opposite Corporation School, Peeliamman Koil Street, Tharamani, ChennaiChennai Get Directions
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I am 42 years old. I have a problem of fluid cysts on both left and right ovaries.

PDDM, MHA, MBBS
General Physician, Nashik
Dear, are you overweight along with it. Kindly consult privately for personalised management. Also refer to my article on pcod.
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I am 34 year female with past record of pcod. Now after ultrasound I have found that my endometrial thickness is 12 mm. Doctor suggested dns. What should I do?

MD, DGO, MBBS
Gynaecologist, Chennai
Dear , good afternoon! 2 mm endometrial thickness is normal after 14 days of menstruation. What was the day of menstruation on scan day? what was the reason for scan? what is dns? is it d& c?
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I am 36 years old, my height is 4. 9 and my weight is 66kg. Due to overweight I dont want to go for second child. Some suggestion for me?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
What exactly is your doubt and what do you want suggestion for? I do not see the relationship between being overweight and having a second child. Did someone tell you overweight women should not have second child?
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I have pcos, my periods were 2. Months late but now today is 13 day of my period with heavy flow.

PDDM, MHA, MBBS
General Physician, Nashik
Menstrual cycles are irregular in pcod. Kindly consult further for detailed assessment and treatment.
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Hi Doctor, Will anal sex give good feel and satisfaction to my girlfriend cause I like anal sex much but I don't know it will satisfy her. Please inform me.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
no it is painful plus this unnatural sex is not legally permitted. i suggest do not have premarital sex , some day both of u may be in trouble. concentrate on ur work and built good future. do not exploit her sex urge for ur satisfaction
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I had unprotected sex with my girlfriend on 12th day of her menstruation cycle. I gave her ipill within 15 hours, will she get pregnant? Would having sex on 12th day means ipill will not work? She has a 30 day cycle though.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
I had unprotected sex with my girlfriend on 12th day of her menstruation cycle. I gave her ipill within 15 hours, wil...
I pill should work in most cases. But it has its own small failure rate. Best to go for a pregnancy test 2 weeks later.
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Plz tell me how to get rid from pcos naturally. Is there any medicine in Ayurveda. My periods is not regular from 3month.

MBBS
General Physician, Mumbai
Exercise regularly and also start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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Hi I am a 31 years women with 101 kg weight. I have pcod problem. I have 2 yes kid. Just now I have started taking garcinia fruit extract to lose weight. Can I take it and pl suggest me good diet sheet to reduce my weight and solve my pcod.

MBBS
General Physician, Mumbai
Hi I am a 31 years women with 101 kg weight. I have pcod problem. I have 2 yes kid. Just now I have started taking ga...
Few tips on diet say no to maida items like toast, khaari, naan, white bread. Can drink tea but without sugar say no to buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati, bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water and do exercise regularly till you sweat.
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Sir, sex karne ke safe day's kis date ko hote h because female pregnant na ho but female ke period ke safe days kaunsa se hote h.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Very good question and one should follow it. It will be calculated on the basis of duration and gap in menstrual cycle. Pl. Send info for correct calculation.
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When a girl can be pregnant while unprotected sex? And when it is totally safe naturally to have unprotected sex?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
There is nothing like totally safe but in a girl having regular periods at 28 days interval days 1 to 10 and 17-28 are considered safe. In a girl with irregularity days are unpredictable.
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If I had done unprotected sex with my pheonsi during her period's second day and then we go for Emergency Contraceptive Pills Unwanted 72, So can you tell me this tablet hurt the period or not? We can take or not? Please help me as soon as possible.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
If I had done unprotected sex with my pheonsi during her period's second day and then we go for Emergency Contracepti...
The tablet which you have consume will make some effect on menstruation but don't worry it will be short term
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Last week (29th of may) I took ipill within 72 hours still I did not get ma periods is it necessary to checkup or consult doc? I am worried. N m periods suppose to start aftr 7th of june.

MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
Last week (29th of may) I took ipill within 72 hours still I did not get ma periods is it necessary to checkup or con...
Just wait till 10th june. If you don't get your periods do urine pregnancy test. Nothing can be done at present.
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A hypoechoeic mass seen on both sides uterus. How much time its treatment should of?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
It depends on the size/ age of the patient and the scan impression together with any additional investigations if needed.
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I am not getting pregnent and we consult a gynacologist and she advised me to take fertisure f for 1 month from my second day of my periods and susten 100 tablet from 17 th day after my period date. By this there is any chance of becoming pregnant next month. Waiting for your needfull reply.

MBBS; M.S.
Gynaecologist, Sri Ganganagar
When you got married. What is your husband semen report. Plan for sex between 11 to 17 days if your period is of 28 days and regular. Good chance to get pregnancy if everything is normal.
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I am a lady 43 years I have Fibroid in uterus, and I will get pain during period now it is paining more in lower abdomen portion. I do not want to undergo surgery but shall I go for Laser treatment? If it burns by Laser no Painful it is? Suggest.

BHMS
Homeopath, Delhi
I am a lady 43 years I have Fibroid in uterus, and I will get pain during period now it is paining more in lower abdo...
Hi laser treatment is not advisable as it will not solve the problem completely. I will not even advocate surgery at all. The best treatment for you will be to go for homoeopathic medicines. We have excellent result for fibroids in utero. Search for a good homoeopath nearby your area if possible otherwise you can also contact me over here for the same. Within 2 weeks treatment you will not feel any pain during periods and depending on the size of fibroids it make take 3-6 months for complete cure.
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Hello .I am 23 years old and I didn't had my period since 3 months. Really worried .I am not masturbating not. I am virgin. Can you guide me what to do In order to have regular periods? Help m plz.

MD - Psychiatry, BHMS
Homeopath, Amravati
Hello .I am 23 years old and I didn't had my period since 3 months. Really worried .I am not masturbating not. I am v...
Irregular periods can have various reasons like anemia, hypothyroidism, p cos etc. So cause need to treated to get regular periods.
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I had sex with my girlfriend today evening. Before I could cum in her, I withdrew my penis from her vagina and ejaculated outside. But as we both were not sure if I have ejaculated in her, I gave her an I-pill to consume. This is after 10 mins of sex. Her last period ended on 30th may. The problem is now she is feeling vomiting sensation n tiredness. Pls let me know what is the cause of it. Urgent.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I had sex with my girlfriend today evening.
Before I could cum in her, I withdrew my penis from her vagina and ejacul...
This is probably because of side effects of I pill. Fo not get panic, as chance of pregnancy is extremely low. Wait for next period to come and if delayed, consult doctor.
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Hi my wife is pregnant & her last period date is 15 Jan 2016 almost 3 months but in sonography it's showing 7 weeks so please advice is it normal? Note:- her period was irregular. Almost 60 days cycle.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi my wife is pregnant & her last period date is 15 Jan 2016 almost 3 months but in sonography it's showing 7 weeks s...
Yes this is normal if ultrasound is showing heart beat. As her menses were irregular, ovulation is always delayed causing this situation. You have to consider her last menses date as 7 weeks minus the date on which ultrasound is performed, for future calculations of date.
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PDDM, MHA, MBBS
General Physician, Nashik
PolyCystic Ovarian Disease (PCOD)


PolyCystic Ovarian Disease (PCOD) जिसे PolyCystic Ovarian Syndrome (PCOS) की कहा जाता है, एक महिलाओ में पाया जाने वाला सामान्य विकार है। अनुमान किया जाता है की प्रजनन की उम्र वाली 90 लाख से ज्यादा महिलाओ को PCOD है तथा इनमे से 60 % से ज्यादा महिलाओ को पता नहीं है की उन्हें यह विकार है। कुछ सालो पहले यह समस्या 30 से 35 साल के ऊपर की महिलाओ में ही आम होती थी परन्तु अब कम उम्र की लड़कियों में भी यह ज्यादा प्रमाण में दिखाई दे रही है।

PCOD क्या है ?

महिलाओ में Sex Hormones के असंतुलन के कारण अंडाशय (Ovary) में छोटी-छोटी गाठ या cyst तैयार हो जाती है जिस कारण महिलाओ के मासिक धर्म (Menstrual Cycle) के साथ प्रजनन क्षमता (Fertility) पर भी असर पड़ता है।

महिलाओ में अंडाशय में सामान्य से अधिक मात्रा में Androgen Hormones की निर्मिति होने पर अंडाशय में छोटी-छोटी तरल पदार्थयुक्त cyst तैयार हो जाती है जो धीरे-धीरे आकार में बढ़ने लगती है। इससे महिलाओ में प्रजनन क्षमता कम हो जाती है और महिला गर्भधारणा करने में असमर्थ हो जाती है।

PCOD के लक्षण क्या है ?

PCOD से पीड़ित महिलाओ में निम्नलिखित लक्षण पाए जाते है :

अनियमित मासिक धर्म (Menstrual cycle) चेहरे / शरीर पर अधिक बाल मुंहासे (Acne) Dandruff पेटदर्द गर्भधारणा में मुश्किल आना यौन इच्छा में अचानक कमी आना गर्भ में छोटी-छोटी गांठ जो की Ultra Sound Scan करने पर दिखाई देती है  बार बार गर्भपात सिर के बालो का अधिक झड़ना त्वचा पर डाग मोटापा 


PCOD के क्या कारण है ?


PCOD होने की मुख्य वजह महिलाओ में Hormones की सामान्य से ज्यादा प्रमाण में निर्मति होना है। स्त्रीरोग विशेषज्ञों का कहना है की पिछले 10 से 15 वर्षो में महिलाओ में PCOD के प्रमाण में 50 से 60 प्रतिशत वृद्धि हुई है। इस असामान्य वृद्धि के कुछ खास कारण है :

असंतुलित आहार (Diet): पिज़्ज़ा, बर्गर जैसे शरीर के लिए हानिकारक junk food। ज्यादा तेलयुक्त, वसायुक्त और मीठा आहार।

 रोग (Diseases) : PCOD होने के पीछे मधुमेह (Diabetes) और उच्च रक्तचाप (Hypertension) जैसे रोग भी एक बड़ी वजह है। अगर परिवार में किसी को PCOD का ईतिहास है तो अनुवांशिकता यह भी एक कारण है। Cholesterol का बढ़ना, HDL कम होना या उच्च Triglycerides के वजह से भी PCOD हो सकता है। 

मोटापा (Obesity) : अत्यधिक junk food का सेवन और व्यायाम के अभाव के कारण आज की युवा पीढ़ी में मोटापा एक बहोत बड़ी समस्या के रूप में उभरा है। ऐसे तो मोटापा कई बीमारियो का घर है परन्तु मोटापे में शरीर में बढ़ी हुई अत्याधिक चर्बी के कारण Estrogen hormone की निर्मिति सामान्य से ज्यादा होती है, जो की अंडाशय में cyst बनाने के लिए जिम्मेदार माना जाता है।

 तनाव (Stress) : आज के दौड़भाग के युग में बढ़ रहे तनाव के कारण लोगो का खानपान और दिनचर्या बिगड़ चुकी है। धूम्रपान, शराब, देर रात का खाना इत्यादि कारणों से भी hormonal imbalance होता है।    


PCOD का निदान (Diagnosis) कैसे किया जाता है ?


PCOD  का निदान करने के लिए निम्नलिखित परिक्षण किया जाता है :

Ultra Sound Scan of Pelvis / Vagina 
Serum LH 
Serum FSH 
LH : FSH ratio 
DHEA-S Level 


PCOD का उपचार कैसे किया जाता है ?

दवा (Medicine) : डॉक्टर द्वारा दी हुई दवा समय पर डॉक्टर के निर्देशानुसार लेना चाहिए। दवा से अंडाशय में ovulation induction कर गर्भधारणा में मदद की जा सकती है। अगर आप मुंहासो के लिए इलाज करे तो अपने डॉक्टर को PCOD होने की जानकारी अवश्य दे।

 वजन कम करना (Weight loss) : अगर आपका वजन बढ़ा हुआ है तो उसे कम करने का प्रयास करे। कई PCOD के मरीजों में केवल वजन कम करने से ही बेहद फायदा होते देखा गया है।

 व्यायाम (Exercise) : व्यायाम करने से आपका वजन नियंत्रण में रहेगा और PCOD की वजह से होने वाली insulin resistant की समस्या भी कम हो जाएंगी। आप अपने उम्र और शरीर अनुसार चलना, दौड़ना, तैराकी या aerobic व्यायाम कर सकता है। 

  संतुलित आहार (Balanced Diet) : खाने में पिज़्ज़ा, बर्गर जैसे शरीर के लिए नुकसानकारी आहार लेने की जगह हरे पत्तेदार सब्जी और फल का समावेश करे। 

जीवनशैली (Lifestyle) : चिंता, शोक, भय, क्रोध इत्यादि तनाव बढ़ाने वाली चीजो से दूर रहे। योग और प्राणायाम करे। हमेशा सकारात्मक विचार रखे।

 शल्यक्रिया (Surgery) : जरुरत पड़ने पर PCOD के उपचार में शल्य क्रिया या operation भी किया जाता है जिसे Laproscopic Ovarian Drilling (LOD) या Laparoscopic Electrocauterisation of Ovarian Stroma (LEOS) कहा जाता है। इस Operation में Laser या Cautery से अंडाशय के cyst में छेद किया जाता है।  

PCOD से पीड़ित महिलाओ में मधुमेह, उच्चरक्तचाप और कर्करोग होने का खतरा रहता है। जल्द उपचार आदि कार्यवाही करने से PCOD के दीर्घकालीन जाखिमो से बचाव किया जा सकता है। 

Dr surbhi agrawal
consultant physician and diabetologist
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