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Dr. Prema Thiraviaraj

Gynaecologist, Chennai

300 at clinic
Dr. Prema Thiraviaraj Gynaecologist, Chennai
300 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Prema Thiraviaraj
Dr. Prema Thiraviaraj is a popular Gynaecologist in Velachery, Chennai. You can visit her at Athipathi Hospital & Research Centre in Velachery, Chennai. Book an appointment online with Dr. Prema Thiraviaraj on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 29 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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Athipathi Hospital & Research Centre

No.4,Tansi Nagar, Taramani 100 Feet Road, Velacheri. Landmark: Near To Velacheri Bus Stop, ChennaiChennai Get Directions
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Can I take ovigyn dsr 75 mg once a day and coq10 100 mg twice a day and folsafe plus once a day.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Kanpur
Can I take ovigyn dsr 75 mg once a day and coq10 100 mg twice a day and folsafe plus once a day.
This concoction is used in women with diminished ovarian reserve to improve oocyte quality. There is some evidence that DHEAS and Co enzyme Q improves oocyte quality and may improve chances of pregnancy . You can take them only after doctors advice
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BODY TYPES & NUTRITION

PG diploma in clinical nutrition and hospital food service, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
BODY TYPES & NUTRITION

Not everybody’s created equal. Before you start your nutrition regimen, its always a good idea to figure out your Body Type. This will help you tailor your diet better and set realistic and attainable goals.


There are 3 basic human body types:

Ectomorph: They are distinguished by a lack of much fat or muscle tissue.

Mesomorph : This is marked by a well developed musculature.

Endomorph :  This is characterized by a preponderance of body fat.

This is how the 3 body types look like:


Everybody is different since we all have different genetic and cultural traits. If everyone ate the same things and started exercising similarly, we would not look the same. This is because each person’s genetic inheritance influences their bone structure, body size, shape, and weight differently.

Thus, every body type should eat differently as per what appeals to them. This will not only maintain one’s healthy weight but also prevent any kind of eating disorders.


ECTOMORPHS:

Ectomorphs are individuals characterized by smaller bone structures and thinner limbs. They are characterized by:

Narrow hips and clavicals
Small joints (wrists and ankles)
A thin build
Stringy muscle bellies
Long limbs
Proper nutrition is very important, especially for those who consider themselves as “Ectomorphs”. It typically means that they have a faster metabolism , a tough time gaining body weight and higher overall caloric needs.

An ectomorph must typically start his or her diet plan by following the main principles for big gains in muscle size and strength.

As an Ectomorph, your ideal nutrition consists of about 55% of complex carbohydrates , 30% good quality proteins and 15% healthy fats.

Ectomorphs’ Ideal Body Type Diet

Avoid fatty foods, especially animal fat, cold cuts, mayonnaise, full-fat dairy, rich desserts, packaged foods, chips.

As an Ectomorph, the ideal nutrition consists of about 55% of complex carbohydrates (whole grains, rice, nuts all vegetables), approx. 30% quality proteins (whey, chicken, eggs), and up to 15% healthy fats cold-pressed virgin olive oil, flaxseed oil and good omega 3 sources like fish and sea food.


MESOMORPHS

Mesomorphs have a medium sized bone structure and athletic body, and if they’re active, they usually have a considerable amount of lean mass. They are characterized as follows:

Wide clavicles
A narrow waist
Thinner joints
Long and round muscle bellies
As a mesomorph, you are likely to put on muscle easily and also easy to gain and lose body weight. However,  mesomorphs yet need a targeted diet plan that helps them avoid fat gain and improve overall health.

BALANCE  is very important for a mesomorph, who falls between an ectomorph and an endomorph. A typical diet for mesomorphs should comprise of 45% complex carbohydrates, 35% good quality proteins and up to 20% healthy fats.

Mesomorphs’ Ideal Body Type Diet

Avoid fatty foods (full-fat dairy, fatty meats, cold cuts, mayonnaise, very rich desserts,) and minimize as much as possible refined carbohydrates (sugars and white flour products), as they cause rapid weight gain triggering a fat-storage metabolism.

As a Mesomorph, you should eat 3 smaller meals favoring foods high in quality protein (whey, chicken, eggs) and complex carbohydrates (leafy greens and non starchy vegetables).

Approx. 45% complex carbohydrates, 35% quality proteins and up to 20% healthy fats; use cold-pressed virgin olive oil and flaxseed oil in salads and get used to cooking with rice bran oil.

Include fish and seafood, as they are good omega 3 sources-omega 3 and weight loss connection is well-known.

In between meals get a healthy snack: fruits (except the sweet ones, like bananas, pineapple, grapes, mango, watermelon), raw almonds, plain yogurt or various smoothies with the right foods for you, as above.

ENDOMORPHS

Endomorphs have a larger bone structure with higher amounts of total body mass and fat mass. They tend to be naturally less active and thus have more tendency to store energy as fat. Thus, they have a particularly easy time gaining weight but hard to shed kilos. The main characteristics of a Endomorph is:

They look blocky
Wider and thicker joints
Wider hips than the clavicles
Shorter limbs
Out of all the three body types, Endomorphs have the greatest tendency towards roundness. Being an endomorph, obesity is very common in males in females.

“Apple shaped obesity” is more commonly seen in males where there is excess fat in and around the belly, while “Pear shaped obesity” is commonly seen in females with excess fat on the hips and buttocks.

Endomorphs’ Ideal Body Type Diet

As an Endomorph, your nutrition for losing weight should be roughly up to 30% complex carbohydrates (starchy vegetables, brown rice, whole grains), about 45% quality protein (chicken breast, whey protein) and about 25% healthy fats: omega 3 sources (fish, seafood) and ricebran oil, which helps to increase your sluggish metabolism. Also, to keep your metabolic rate up, divide your daily meals into smaller portions so that you have something to eat handy every 2-3 hours.

Avoid as much as you can all types of sugar (including all fruits except berries) and simple carbohydrates like white flour products and pasta, white rice, potatoes, because they cause a rapid rise of your blood sugar level, which, in turn triggers the release of insulin, the fat-storage hormone. Never end your meals feeling completely full.

Endomorphs typically do best on a higher fat and protein intake with carbohydrate intake being controlled and properly timed (e.g., after exercise). More fat and protein, less carbohydrate.

A nutrient distribution for this body type might be around 25% carbs, 35% protein, and 40% fat.

KNOW YOUR BODY TYPE – YOUR DAILY NEEDS ARE AS IMPORTANT AS YOU ARE !!

24 people found this helpful

Sodium Deficiency - Signs You Are Suffering From It

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Sodium Deficiency - Signs You Are Suffering From It

Sodium deficiency or hyponatraemia refers to the low sodium concentration in the body of an individual. As other minerals, Sodium also plays essential roles in the human body. It is required for many of the functions of the body, including blood pressure management, fluid balance and the proper functioning of the nervous system. It may also sometimes lead to neurological impairments which affect walking and attention and could also result in bone fracture. Hyponatremia can be caused due to drinking too much of water, without enough replacement of sodium from the body. However, consuming too much of sodium can increase the volume of blood in the body, resulting in various health problems and can sometimes lead a person to coma.

The symptoms of sodium deficiency or hyponatraemia aren’t usually always specific. They can differ from person to person and depend on how rapid the fall in the sodium concentration of the body is. However, some of the common symptoms that are usually seen in the affected persons are as follows:

  1. Gastrointestinal distress: One of the symptoms of hyponatraemia includes gastrointestinal distress. It may cause a decrease in the appetite of an individual and also result in nausea and vomiting. However, if a person suffering from sodium deficiency experiences vomiting, then their problem may continue to worsen.
  2. Cognitive Impairment: Deficiency in sodium level can also result in abnormal mental status. Hyponatremia causes expanding of the tissue cells in the body. However, maximum tissues in the body can handle this change but the brain cannot. It is not capable of compensating for the increased size of the cells and as a result, the brain starts to dysfunction and causes a headache, confusion, lethargy and the problem of fatigue. With the worsening of the conditions, the person can experience hallucinations, decrease in consciousness and may also lead to coma.
  3. Muscular Problems: Due to the drop in Sodium concentration, a person can experience various muscular problems including spasms or cramps. He/She may also suffer from fatigue. The weakness in the muscles and seizures are some of the additional symptoms of sodium deficiency.

The severity of these symptoms depends on the speed i.e., on how fast the fall in the blood salt level is. A gradual, low-level drop can be tolerated if it lasts for a few days or weeks, but the deficiency of sodium in the body can be fatal if not treated as early as possible. It may even lead to the death of a person. If you wish to discuss about any specific problem, you can consult a general physician.

7871 people found this helpful

Is missed periods are always a sign of pregnancy even if test is negative. In such a case should we wait or consult doctor and what can be reasons for missed periods.

MBBS
Sexologist, Panchkula
Is missed periods are always a sign of pregnancy even if test is negative. In such a case should we wait or consult d...
Missed periods are not always the sign of pregnancy. You can wait for the periods. Reasons for missed periods could be stress, faulty dietary habits or hormonal imbalance or pregnancy.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Secondhand exposure to smoking in the first trimester of pregnancy is hazardous to fetal health
Smoking in pregnancy is harmful to both the mother as well as her unborn child. Women who smoke or are exposed to secondhand smoke during pregnancy are at greater risk for spontaneous pregnancy losses, preterm births, preterm premature rupture of membranes, placenta previa, abruptio placentae and still births.

Most of these risks can be reduced by avoiding secondhand smoking,

The IMA campaign on Tobacco cessation will continue till 31st May, 2015 with a Tableau, which will go around Delhi/NCR to create awareness on how to quit smoking.

Quitting smoking during pregnancy has beneficial aspects but most benefits occur if one quits smoking or avoids exposure to secondhand smoke during the first three months of pregnancy.

In pregnancy, there is nothing like reducing or cutting down on smoking. It has to be a ?Zero Smoking Policy.? For women who cannot quit, drugs are not contraindicated.

About 50% of women who quit, restart within 2 months. Therefore, continuing counselling is required.
2 people found this helpful

I have pcos problem. Does it cure by taking pills for an year? or else can I go for homeopathic medicine for permanent solution.

BHMS
Homeopath, Hyderabad
Pcod nowadays is common problem. Taking pills is not permanent solution. As soon as you stop again it will start. You need to treat it internally through safe medicine as it willact directly on the ovaries. There are many medicines in homoeopathy which can treated safely. Along with it do regularly exercise and avoid high carbohydrate food.
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I am having period irregular due to thyroid. Having tablet for thyroid prescribed by doctor. Any option that make my period regular.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having period irregular due to thyroid. Having tablet for thyroid prescribed by doctor. Any option that make my ...
due thyroid irregular period may occurs .for it you can take..tab. ovral-L X 21 DAYS..WAIT FOR 7 DAYS AND START AGAIN FROM 6 TH DAY OF MENSES..TILL 3 CYCLE OF MENSES.. SYP. AMYCORDIAL 15 ML TDS AFTER MEAL..REGULAR FOR 3 CYCLE OF MENSES.Lifestyle changes. Some women have changes in their period because they exercise too much. Reducing the frequency and intensity of your workouts may help your period return to normal. Stress leads to many body changes, including irregular periods. Relaxation techniques and counseling may be helpful. Extreme changes in your weight can affect your periods. Weight gain can interfere with the body's ability to ovulate, which controls your menstrual cycle. Losing weight may help resolve irregular periods. Extreme sudden weight loss can also lead to infrequent or irregular periods. Hormone therapy (HT). An irregular menstrual cycle is often due to a lack or imbalance of certain hormones in the body. Birth control pills (oral contraceptives) often containing the hormones estrogen and progesterone are commonly prescribed to help control irregular periods. A hormone medication called progestin can also help trigger periods in women who do not get them. Other hormone treatments may be prescribed to women with irregular periods who are having difficulty getting pregnant. Surgery. Sometimes, scarring or structural problems in the uterus (womb) or fallopian tubes may lead to irregular periods. Surgery may be done to correct any structural problems or birth defects, particularly in women who want to have children. It may also be done to remove severe scar tissue (adhesions) in the reproductive tract.
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I am 20 years old. And my period started when I was 14 years old. But from the time it started, it happens after 40 42 days interval. So is it normal?

BAMS
Ayurveda, Bangalore
I am 20 years old. And my period started when I was 14 years old. But from the time it started, it happens after 40 4...
Hi, If you have a regular fixed cycle of 40-42 days always, you need not worry. But if it is very irregular, then better get treated.
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I am unable to have sex with my partner as I always get severe pain and my vagina size is very small. My partner has tried several time but we couldn't make it. Can you please help me out.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am unable to have sex with my partner as I always get severe pain and my vagina size is very small. My partner has ...
Hello- If you do experience discomfort, communicate with your partner and make sure you are fully aroused, have enough lubrication — both her own or some extra — and are as relaxed as possible. If the problem still persist you might be suffering from Vaginismus (a condition that affects a woman's ability to engage in vaginal penetration, including sexual intercourse, manual penetration, insertion of tampons or menstrual cups, and the penetration involved in gynecological examinations (pap tests). ). You need to start medications in order to recover from the condition.
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I am married. My wife has some problem with getting pregnant. Its been 5 years we have got married. Please advice an appropriate doctor with low budget treatment.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am married.
My wife has some problem with getting pregnant. Its been 5 years we have got married.
Please advice an ...
As you r married since more than a year with regular sex (3-4 times a week) that is the time you should seek medical help. There r 2 basic tests which r needed in such case. Semen analysis (15 million/ml is normal count) and hsg to find out about the fallopian tube potency. If both r normal which is usually the case next treatment is with climiphene citrate for 5 days with follicular monitoring. If you want to delay the treatment then you can try calender method: 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.
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I have pain in my left breast there is no lump can you tell me how to differentiate between heart problem or breast cancer and their symptoms.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
breastfeeding cancer is painless heart problem will have pain .heart pain will be onside breastfeeding pain will be in the breast outside
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My wife is 45 years old. Weight about 55 Kg. Two children both by cesarean section (Dec 1997 & Jan 2003). Tubectomy done in Jan 2003. Hypothyroid patient for approx 5 yrs now (on 75mcg dosage of thyroxine). Recently underwent ATT treatment from Dec 2014 to July 2015 for Pleural Effusion. Since last 20 days heavy menstrual bleeding with about 1 inch diameter clots intermittently. Some days it subsided but spotting was still there. USG report says uterus anteverted & normal size. Normal myometrial echotexture. Endometrial echo central & is 8.5 mm. Ovaries normal. No adnexal mass. No collection in pouch of Douglas. Please advise.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
My wife is 45 years old. Weight about 55 Kg. Two children both by cesarean section (Dec 1997 & Jan 2003). Tubectomy d...
Hi Continuing her treatment of thyroid her histopathology of endometrial lining should be done to rule out disease of endometrium. Ideally hysteroscopy may be added but that is your choice. After histopatology treatment can be given. Histopathology will be done by gynaecologist and pathologist combined.
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I was diagnosed with pregnancy 2 months ago but yesterday while urinating I seen some blood. So as per gynecologist prescribed me injection As system 25 for 5 days with complete bed rest. Now after taking this injection nothing found during urination But doctor also advised for ultrasound test to know the exact position. So kindly advise if there is any adverse effect cause with regard to pregnancy & what need to be followed thereafter to avoid such situations.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
I was diagnosed with pregnancy 2 months ago but yesterday while urinating I seen some blood. So as per gynecologist p...
there can be spotting in pregnancy in some women..! since you ve been started on medication continue the same..! you shud just avoid lifting heavy weight or indulging in sex..!
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Benefits of Ginger For Sexual Health

RMP
Sexologist, Delhi
Benefits of Ginger For Sexual Health

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

Improved Circulation

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

Aroma and Flavor

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

Ginger Moxa

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

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My mother is 45 years old. She is having continuous menses from past 2 months. She consulted doctor's took medicines also but it is not stopping. Some days have heavy flow. What is the reason. Suggest any remedy.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
My mother is 45 years old. She is having continuous menses from past 2 months. She consulted doctor's took medicines ...
She must consult a gynecologist immediately. Get a usgscan done to rule out fibroids endometrial hyperplasia etc and treat accordingly.
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Hi, my wife is 31 yrs old, we are trying since last 5 years for a baby but could not succeeded. Even we tried artificial insemination but no luck. Now doctor told that there is a fabriod in uterus of size 4cms so we should remove it. Does fabriod could cause infertility issues?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Fibroid rarely causes infertility. Artificial insemination one cycle has success rate of only 25%. So, it al depends how many cycles you have done.
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