Dr. Ramani Sivakumar

Have you heard of emergency contraception?
Emergency contraception is postcoital contraception.
You can use either cu-t or oral pills for this purpose.
Cu-t may be tedious for you as you can not insert cu-t yourself.
Oral pills are ok.
You can use postcoital contraception within 5 days of act.
But postcoital pills are most effective when taken within 12 hours of act.
They are more effective when taken in first half of your cycle as they act by inhibiting egg formation.
If you form a habit of taking postcoital pills, they may lead to menstrual disturbance. So take them carefully.

Hi , You need not worry if it is delayed only 4 days. However,we have very good homeo treatment to regulate periods without causing adverse effects. The treatment is very much dependent on detailed description of your complaints- Please intimate? 1. Usual gap between periods 2. Are you married? You may opt for private consultation giving the particulars. To start with, take the following homoeo medicines- 1. Cimicifuga 200---one dose (6 to 7 pills) in the morning 2. Ferrum phos 6x----4 tabs once daily (These medicines are easily available at nominal rates in any nearby Homoeopathic medical shop) Stop medicine when period commences. Report response after 10 days

wake up early n have brisk walk of 3 km regularly

You should continue to take the same dose of Thyroxine throughout pregnancy, since the blood test is normal indicating that the replacement dose is ok.

A lot of patients come to me asking for advice on how to treat fever,how they contact it, and if Dengue, then is it fatal? A lot of time & money is lost due to the employees taking leaves on account of Viral Illness. It is the number one most common illness worldwide, and yet it cannot be eradicated, why?
⦁ Spread:Fever or flu or infuenza, in most cases is a communicable illness spread by water or airborne viruses called Hemophilus Influenzae a & b. From the name itself they love(-philus) blood(hemo-). Hence they need a body to attach to where they grow & thrive. They are found in air & droplets too, from where they are inhaled by us and then spread too, while sneezing or breathing close to any infected person.
⦁ The Flu Virus: By structure, viruses are a organism that can change their morphology as & when they desire. And the flu virus does this every 4-5 months, or every season change. Hence the immunity that the body develops while recovering from the previous season's flu attack is lost by the time the season changes again because the body does not recognize the new changed structure of the virus.
⦁ Flu vaccine: Hence the Flu vaccination is different every 6 month and must be taken every 6 months(with every new season) since it needs to be updated to immunize you to the latest viral strains. But even with the vaccine it offers you only 60-70% protection, since it is biologically impossible to predict the variations the virus undergoes and produce a response to it accordingly.
⦁ Dengue Virus: As with the case of the flu virus, the Dengue virus also loves blood, particularly Platelets. So the virus needs blood to live in, and flourish, and whenever the virus attacks, it affiliates to the platelets(cells which cause clotting and stop any bleeding), because they share the same morphology. Hence the Dengue virus penetrates the platelets, causing them to burst and die eventually.
⦁ Fever: (means high temperature> 37.5'c or 98.5'F)This is the response produced by the body to the flu virus. It means the White Blood Cells(cells that fight infections) in your body are activated and running around to fight a war with the Flu or Dengue Virus. It produces multiple other changes like shivering, feeling cold, generation of heat to make the virus unable to thrive, to ward off the virus.
⦁ Symptoms: Body pains, colds, sore throat, cough is usually suggestive of a Flu virus, as it damages/infects the passage where it enters from (nose, throat). However a fever with severe pain, described as deep/bone pain with red skin spots (rashes) all over the body, headache and vomiting can sometimes measure upto be a Dengue virus, or might even be just a flu virus.
⦁ Labs: When should you test yourself in fever? Though blood tests sometimes come negative for Dengue symptomatic patients, any patient with fever more than 2-3 days must be tested for a blood count & Dengue. But these can be falsely negative if done in the first 1-2 days of the illness, and sometimes even when the patient seems symptomatic of Dengue symptoms.
⦁ Treatment: The most common treatment any Physician would advise would be to take a Paracetamol tablets (500mg, 650mg, four times upto 1g thrice daily for adults), depending your fever and age. This is a symptomatic treatment for fever and also helps in all the body pains.In Dengue usually a patient tends to have thrombocytopenia(fall in platelets), hence needs monitoring closely for this, and if required a blood transfusion at later stages as platelets drop. A drop in platelets would mean inadequecy of the body to deal with bleeding, and hence patients need to be closely monitored. As the heat in the body (fever) causes body's water to lose, it may cause extreme lethargy, weakness and dizziness. This important issue must be solved by giving lots of (extra) water to the patient, either orally or in the form of drips (IV). Preparing water with a sachet of ORS (Electral powder) can enhance the body's natural composition of water better and help in speedy recovery.
Take care and do get in touch with me at www.healthist.io where you can video call and consult from anywhere and get an opinion on your health concerns. Try it for free, use doctor code 157.

Bachhe ki dhadkan 8 week par banti h aap 8 week jab pure ho jaye to check kijye or ek reason y b ho sakta h last menses ki date sahi s yad nahi ho to kam hafte hue ho or apko lag raha ho 7 hafte ho gaye h.

irregular menses and heavy bleeding may be due to poly cystic ovarian syndrome.do exercise regularly and take light diet and avoid spicy or junk foods.visit to doctor and take proper treatment for poly cystic ovarian syndrome.

Let your child learn social skills, intelligence, physical coordination, and lifelong coping mechanisms through playing.

Practise intercourse from day 10 to day 17 of the cycle regularly, especially for 48 hr after ovulation.

Piles (Hemorrhoids) Causes:
• Conditions which cause increased pressure on veins around the anus:
• Chronic constipation
• Diarrhoea
• The weight of the foetus and increase in blood flow during pregnancy
• Heavy weight-lifting jobs
• Excessive consumption of spices and condiments

Natural home remedy using radish:
1. Crush 1 radish
2. Add some milk to make a thick paste
3. Mix well
4. Apply around the anal opening
5. Wash off after 15 min
6. Repeat 2 times a day
Natural home remedy using cumin seeds:
1. Take 1 tbsp cumin seed powder
2. Add water to make a thick paste
3. Mix well
4. Apply on the affected area
5. Leave for 15 min
6. Wash off with water
7. Do this 2 times a day
Natural home remedy using ginger and mint leaves:
1. Crush some ginger (1 inch piece) and make a paste
2. Crush a handful of mint leaves and make a paste
3. Take 1 tsp ginger paste
4. Add 2 tsp mint leaves' paste
5. Mix well
6. Press the paste on a sieve and extract its juice
7. Add 2 tsp lemon juice to it
8. Add 1 tsp honey
9. Mix well
10. Consume 2 times a day

If you are HIV infected you are prone for recurrent infection and due to lack of immunity any minor infection can also flare up.Do CD count and start ART after consulting skin and VD specialist

Just 4 months have passed since your marriage. You need not worry. Sometimes it takes time. But still, here are some tips for getting conceived. Have relations on 12th, 14th and 16th day of menstrual cycle if your cycle is regular. Keep yourself lied down for half an hour after intercourse. Keep a pillow under your back while intercourse. I hope these tips help you.

hello... to conceive it is good to have sex during ovulation period... ovulation start from 14th day to 21st day from LMP.. it means if your wife's periods start on 6th then her ovulation period is 19th to 26th of the month.... this is the best time to have sex to conceive.... in some women this may vary because in some women cycle is 28 days or in some 32 days.... so note down the days according to your wife's cycle.... take online consultation for more details take care....

Hello, having similar bld grps does not cause any probleems in pregnancy. The chance of you conceiving per cycle is about 20-30% even if everything is normal, so do not stress out. Make sure you do not put on any weight. If you do not conceive in another 6 months or so you cud see a gynaec who cud then run some tests.

Very few women have completely symmetrical breasts. It is common for one breast to be slightly larger than the other. If one breast suddenly gets bigger than the other, it could signal a problem such as an infection, cyst, fibroid or even cancer. Please do a mammography and go for a physical examination to your Gynecologist.

kaushal, please avoid sex in fertile period that is from day8-18 of the period if 30days regular periods.

Only after completing Yamini LS she will get withdrawal bleeding after few days of stopping the tablet.Please wait and see.If not getting periods for two weeks after stopping the medicine consult your doctor again

Do exercise and proper diet about 1000 calories with workout for 400 calories which will give you good weight loss.

Dear lybrate user, there are some chances of getting pregnancy. You can confirm with upt at home. But it may show false negative test as this is too early. There are some definite sings and symptoms, which can indicate possibility of your pregnancy, you need to have a close look over those signs and symptoms.

After abortion few cycles may be irregular.If you had sex again chances of pregnancy is there. Otherwise you Cain wait for your periods.