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Dr. R Gnanam

Gynaecologist, Chennai

120 at clinic
Dr. R Gnanam Gynaecologist, Chennai
120 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. R Gnanam
Dr. R Gnanam is one of the best Gynaecologists in Virugambakkam, Chennai. You can visit him at Ponni Nursing Home in Virugambakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. R Gnanam on Lybrate.com.

Lybrate.com has a number of highly qualified 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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Ponni Nursing Home

No 28, A V M Street Venkatesa Nagar, Virugambakkam,Landmark:Near Seva Mandir 2nd GateChennai Get Directions
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Sir pls muje detail. Me batao ye. Me ek female hu. Me agar me week me 4 times mere husband ka mouth masturbation karti hu means ke mere mouth me unka penis leti hu to muje disease ho sakta hai? Pls say me if he is normal to muje kuch ho sakta hai.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Sir pls muje detail. Me batao ye. Me ek female hu.
Me agar me week me 4 times mere husband ka mouth masturbation kart...
Le sakti hai. Agar unko kuch infection ho to aapko lag sakta hai aur agar aapko muhme kuch special infection ho to unhe lag sakta hai.
1 person found this helpful
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Thyroid During Pregnancy - What to do?

PG in Assisted Reproductive Technology, MD - Obstetrics & Gynaecology, DGO, MBBS
Gynaecologist, Mumbai
Thyroid During Pregnancy - What to do?

Nothing can be more gratifying than welcoming your bundle of joy into this world. Care needs to be taken during pregnancy to ensure that the developing foetus is healthy. Many pregnant women suffer from Thyroid problems. Thyroid Stimulating Hormone (TSH) is an important hormone produced by the Pituitary gland. TSH regulates the production and action of the Thyroid Hormones (T3 and T4). Estrogen and Human Chorionic Gonadotropin also affects the production of the thyroid hormones. Abnormal level of thyroid hormones in the body can result in Hyperthyroidism (increased production of thyroid hormones) or Hypothyroidism (decreased production of thyroid hormones by the thyroid gland). These conditions, if left untreated, can prove to be fatal for the mother and the baby.

Hyperthyroidism is greatly affected by an autoimmune disease, the Graves disease. The Thyroid Stimulating Immunoglobulin (TSI), produced during Graves disease, interferes with the production of the thyroid hormones. The TSI mimics the TSH to a great extent. This triggers the thyroid gland to produce the thyroid hormones in excess. A woman with hyperthyroidism may complain of increased heart rate, fatigue and increased blood pressure. There may be heat intolerance, tremor, sudden weight loss and Hyperemesis Gravidarum.

Untreated Hyperthyroidism can result in heart ailments, premature child birth, foetal Tachycardia, Preeclampsia (a pregnancy complication characterised by an abnormal rise in blood pressure) and miscarriage. In case of foetal and neonatal Hyperthyroidism, there is low birth weight, heart ailments, irritability and poor brain development.

Blood tests, whereby the levels of T3, T4, TSH and TSI are examined, can help in the diagnosis of Hyperthyroidism. Women with Graves disease should be extra careful. Antithyroid drugs can provide great relief. Most antithyroid drugs successfully cross the placenta and effectively regulate the production of the foetal thyroid hormone. Propylthiouracil (PTU) and Methimazole are effective anti-thyroid drugs.
Most doctors recommend Methimazole during the first trimester and PTU during the last two trimesters.
In case of Hypothyroidism, Hashimoto disease is the main wrecker in chief. This autoimmune disease results in considerable decrease in the production of thyroid hormones. Hypothyroidism can also be aggravated by Thyroidectomy (surgical removal of thyroid gland). Like hyperthyroidism, hypothyroidism during pregnancy can result in serious health complications. There may be stillbirths, congestive heart failure, miscarriage, anaemia, poor brain development of the newborn and Preeclampsia. Symptoms like cold intolerance, muscle cramps, concentration problems, fatigue or constipation should not be taken lightly.

Blood tests (T4 and TSH) go a long way to detect Hypothyroidism. A synthetic Thyroid hormone, Thyroxine, is effectively used to treat hypothyroidism. Including iodine supplements in your diet prove to be helpful in hyperthyroidism treatment.

Thyroid problems, though serious, can be successfully treated. A little alertness during pregnancy can shield both the mother and the newborn from the harmful consequences.

3 people found this helpful

I had ipill within 15 minutes and having a lot of side effect what should I do also I have missed my period for more than a word Doctor please tell in detail please help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had ipill within 15 minutes and having a lot of side effect what should I do also I have missed my period for more ...
Hello, if there was no bleed following ipill and its been a week mor ethan missed period then you may be pregnant, get a serum beta hcg test done.
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I have strong doubt. Husband and wife will do sex no. Of times. But they will not pregnant at all time but only few times. How? How to have sex without condom and how to reduce pregnancy without condom.

MBBS
General Physician, Cuttack
I have strong doubt. Husband and wife will do sex no. Of times. But they will not pregnant at all time but only few t...
Pregnancy can occur only if there is sex during period of ovulation (mid cycle) not always. Avoid sex during mid cycle preferably between 10th-20th day of period counting 1st day of period as day 1.
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Hi Sir Me and my wife are planning for a baby since last 3months and we were unsuccessful. Both me and wife are having thyroid and vitamin b12 deficiency. But we take thyronorm tab and for both the thyroid is in control now. We request you to please advice us with the fastest way to give a birth to the healthy child. I am stressing up for the baby.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi Sir Me and my wife are planning for a baby since last 3months and we were unsuccessful. Both me and wife are havin...
You need not panic and in a few months you can have pregnancy and if you are too doubtful do a semen analysis and send to me personally in this site
1 person found this helpful
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Last month Fingered with precum during ovulation, got period 15 days later. No sexual activity after that Now, for this month, no periods. Breasts feel heavier Possibly pregnant?

MBBS
General Physician, Chandigarh
Last month Fingered with precum during ovulation, got period 15 days later. No sexual activity after that
Now, for th...
You can not get pregnant if there is no semen in the vagina in that case if you didn't have sexual activity during this month then you can't be pregnant be sure about it.
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HI I am 28 years old tomm I arise with a new prbm. My problem is I gt a red discharge. My periods are over 15 days back. What should I do?

BHMS
Homeopath, Faridabad
HI I am 28 years old tomm I arise with a new prbm. My problem is I gt a red discharge. My periods are over 15 days ba...
Hi, is the colour of the discharge is light red or dark red? Any smell from that? Itching/ burning/ pain of the parts? Is it continuous or on and off? Any recent history of injury to the part? Write me down the details.
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I'm 24 years. I had sex on 3rd Oct and taken unwanted 72 around 3 hours of sex. My last periods was on 15 th September. This month I was expecting periods on 13th but I didn't get my periods. How long my periods can be delayed and am I pregnant?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I'm 24 years. I had sex on 3rd Oct and taken unwanted 72 around 3 hours of sex. My last periods was on 15 th Septembe...
Hello, if you did not get your withdrawal bleed by 10th october then please get a serum beta hcg test done and rule out pregnancy.
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Diabetes- Everyone should know about (Dos And Don'ts)

MD - Homeopathy
Homeopath, Vadodara
Diabetes- Everyone should know about (Dos And Don'ts)

While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.

There are a few things that matters the most which are as follows:

1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.

The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.

E. G. Rice, potatos, bananas, or over ripen fruits.

And advice is to take them in minimum quantity instead of completely banning them.

Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.

2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.

In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.

3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.

If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.

So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.

And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.

4) general prevention of complication and specific cares:

By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:

Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.

Out of these one that I care the most and patients ingnore the most is foot care: 

Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.

How?

Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap. 

Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.

These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.

Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.

There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:

E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.

Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.

1 person found this helpful

Hi Arcuate uterus noted single live intrauterine pregnancy of 6to7 weeks tiny synchronic hemorrhage noted what does it means this is my scan report please answer me is there any emergency.

BHMS PGCGO
Homeopath, Hubli-Dharwad
your uterus is abnormal in size and baby is well growing even after that but you must have had slight bleeding that is got accumulated behind your membranes so you have to do bed rest
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Hello Doctors, My friend wife is pregnant with 37 Weeks and baby weight is around 2.9 Kg and the recent scan report, we observed as under" Fetal Kidney" report, they mentioned as" Left Lower renal pelvis dilated measuring 25 mm. Suggested Post natal follow up. Kindly suggest this may have any impact to the baby/mother and what suppose to be the general impact on this. Kindly suggest as on priority. Thanks.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Hello Doctors,
My friend wife is pregnant with 37 Weeks and baby weight is around 2.9 Kg and the recent scan report, ...
Please dont feel anxious,, a lot of these reports turn out to be a false alarm. As suggested by ur doc, go for a ultrasound of the baby as soon as it is born.. if at all there is a kidney problem, take a paediatric urologist's opinion.. there is nothing to worry, it has a solution if at all there is a positive diagnosis..
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Period was due on 10th February 2015 but come seven days before on 3rd February ended on 10 and today on 15 th February started bleeding again.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If this has happened for the first time, just wait for over a month, it will get regularised on its own. If not then u need to take 2-3 months of oral pills to regularise
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Hi! I am taking homeopathy medicine for infertility from 4 months I am having low amh and do not ovulate on time. I want to know is it possible to ovulate and conceive just 3 days before period if yes then will the period come or will it skip. After taking treatment I am noticing changes in my menstrual cycle. I get brown discharge before period for 3 days I also feel like nausea during brown discharge and get fever according to my Dr. that is the time I ovulate. Is it possible to ovulate before periods .should I try using ovulation kit.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi! I am taking homeopathy medicine for infertility from 4 months I am having low amh and do not ovulate on time. I w...
According to books ovulation time is around 14 th day of cycle but pregnancy can occur during earlier or later parts of the cycle you are under ayurveda get investigation done for brown discharge yes it's possible to have a period ontime despite conception taking place just three days earlier Allopathic medicines have to be correlated with investigation like ultrasound get checked by ultrasound for proof of pregnancy do blood test for pregnancy and urine test for pregnancy get back here with reports for more guidance.
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Feels tired after little sessions of work and get I'll very easily. Sometimes faint too if undertake a lot of physical work.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
Feels tired after little sessions of work and get I'll very easily. Sometimes faint too if undertake a lot of physica...
Eat a lot of good things Protein = building block for your muscles Carbs will help you put on weight, but it won’t be muscle Keep track of everything you eat Compound exercises are your friend Appearance is a consequence of fitness Let your muscles rest Sleep Make it part of your routine Realize you will put on some fat U need to take a high protein high calorie diet Drink plenty of water.

I am 30 years old and have one son of 7 years and my husband wanted second child and I was not ready. I also have lower back pain problem that I have consulted with physician and certain exercises are asked to follow. I am a teacher and confused of second babies responsibility with all other responsibilities and I have a joint family so will this decision of second child be right or not and is it safe for my body as I have lower back pain.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You issue of lower back pain can be sorted out before you plan of conceiving again, if you describe your clinical condition in detail I can advise you certain tests and then maybe suggest you management for that so that your back pain issues become better. Also your lower back pain should not be an issue for your second pregnancy if you work up for your back properly. Do not hesitate to contact me if you need any further assistance.
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Good morning sir. Somebody is saying that using contraceptive pills within 72 hrs after sexual attachment, we can prevent pregnancy, how is it possible and which age group can use this, can 16+use this or anyone can use this? Kindly suggest me the answer sir.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Good morning sir. Somebody is saying that using contraceptive pills within 72 hrs after sexual attachment, we can pre...
Hi Matsya. yes one can prevent pregnancy if taken the correct contraceptive pills within a specified time. But its most effective within 72 hours, thought earlier the better. Anyone who is sexually active can use this. But it is always advised to use them under medical supervision as at times they can have side effects and problems which can become to handle.
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I am a 26 year old, female. I got pregnant two times but each time my baby got aborted. First pregnancy was molar. And there is no issue in second it got aborted naturally. What to do.

MBBS
Sexologist, Panchkula
You got pregnant two times but end in abortion. I advise you to do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning. Take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily. Avoid garlic and red chilly at home and avoid non veg and eggs. Follow this.
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Gud evng Dr. My 9th month of pregnancy is going to complete on 8th March. Earlier my BP was OK, but now it's coming higher. What should I do and not.

Diploma in Cardiology
Cardiologist, Kathua
Gud evng Dr. My 9th month of pregnancy is going to complete on 8th March. Earlier my BP was OK, but now it's coming h...
Report to your gynaecologist and follow the advise need not to worry. Hypertension during pregnancy is a common phenomenon.
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