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Dr. Renuka David

Gynaecologist, Chennai

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Dr. Renuka David Gynaecologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Renuka David
Dr. Renuka David is a popular Gynaecologist in T.Nagar, Chennai. She is currently practising at RADIANT WELLNESS CENTRE in T.Nagar, Chennai. You can book an instant appointment online with Dr. Renuka David on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 27 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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English

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RADIANT WELLNESS CENTRE

#28, Parathasarathypuram, North Usman Road,Landmark:Opp. Reliance Fresh, T. Nagar, ChennaiChennai Get Directions
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Hello this is carol. I had unprotected sex with my husband in the month of november. And there after we didn't have sex. I had my regular periods for two months i. E, in December and in Jan. But this month which is Feb, I dint get my periods yet. Is there any chances of getting pregnancy now.? I really wanted to know. please help me with your suggestions. Thank you.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Hello this is carol. I had unprotected sex with my husband in the month of november. And there after we didn't have s...
If the periods you got in dec and jan were in time and flow was also normal, it is not due to pregnancy. If delay is more than 7 days you have to think again if there was any chance of pregnancy which you have overlooked. If not, then you can wait for the normal period.
7 people found this helpful
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M seven week pregnant hu. Bt kuch dino se blood clots ho raha hn. Isse pahlevi m pregnant hui thei that tym maine abortion pills khaya tha. Kya m firse pregnant ho skti hu.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
M seven week pregnant hu. Bt kuch dino se blood clots ho raha hn. Isse pahlevi m pregnant hui thei that tym maine abo...
Hello lybrate-user, First, please get an ultrasound for the present pregnancy first. Then you can get some tests done to detect snd prevent miscarriages in the future.
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PolyCystic Ovarian Disease (PCOD)

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 
 

18 people found this helpful

Health Checkup - Why Is It Useful?

MBBS
General Physician, Jabalpur
Health Checkup - Why Is It Useful?

“An apple a day keeps the doctor away” however, while one may commend you on an excellent diet schedule, keeping the doctor away might not always seem to be too favourable an option, especially in recent times when unforeseen circumstances and complications pertaining to lifestyle irregularities always keep creeping up.

While proper diet and regular workouts may keep you remarkably fit, genetic constraints might easily overrule such efforts to maintaining good health. Frequent checkups are especially recommended for those who share a family history of a number of diseases, infections, any type of cancer, hypertension, or sleep disorders, since problems might grow quietly and steadily when left unchecked for a longer span of time.

Most people usually visit their doctor or physician when they face an emergency. This should not be the scenario, as is advised by most health experts. It has been widely accepted that the average visit to the clinic must be at the least, four times a year. However, uniformity isn’t to be maintained by everyone in this regard. Infants see a doctor for at least eight times a year while six to eight year olds visit their physician twice a year.

It is important to have a number of crucial matters looked into and tested periodically in order to keep track of any unfavourable developments:

  1. Dental check-up every six months
  2. Annual pap smears
  3. Semi-annual HIV tests
  4. Eye examinations once every two years, once a year for those patients with current vision problems
  5. Biennial skin cancer screening
  6. Full physical examination once a year
  7. Breast examination once a month
  8. Pelvic examination every few months
  9. Thyroid tests every five years
  10. Check blood pressure level every month

It is imperative to understand that not one particular check-up schedule is capable of fitting in the necessities of all individuals. This makes it all the more clear that, while the requirement of physical attention isn’t the same for everyone, once a year physical check-up is a must for any individual. In case you have a concern or query you can always consult an expert & get answers to your questions!

3249 people found this helpful

Neck Pain

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Neck Pain

For some instant relief in neck pain, try gently stretching your neck in whichever direction the pain allows.

5 people found this helpful

I am 32 year female. kuch dono se mujhe white fluid aa rha hvsex krte tym bhi fluid aata that h meri ek daughter h me an second baby plan krna chahte hu kuch problem to nhi hogi can you suggest me koi problem to nhi hogi conceive krne me.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
I am 32 year female. kuch dono se mujhe white fluid aa rha hvsex krte tym bhi fluid aata that h meri ek daughter h me...
Hello Lybrate user white discharge ovulation periods k time thoda hota h to normal h.but agar white discharge me smell h ya itching bhi ho rhi h to phle Doctor se personally consult kro. Agar koi itching ya smell nhi discharge me to chinta nhi kro.
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I am 38 weeks pregnant today, from past 4/5 days my left feet is paining and swelling, ankle is also paining, thats y I am unable to stand or walk properly, is their any home remedy? Or any problem? Mujhe thyroid bhi hai mai ELTROXIN 70 mp tablet leti hu roj suba.

MBBS, MS(Obstetrics and Gynaecology)
Obstetrician, Delhi
I am 38 weeks pregnant today, from past 4/5 days my left feet is paining and swelling, ankle is also paining, thats y...
Hello lybrate-user Mild swelling in feet at end of day can occur physiologically in pregnancy because of obstruction of blood vessel by enlarged womb. But if you find swelling even when you wake up in morning or if associated with pain-it is a warning sign that you should talk to your Obstetrician immediately. It can be indicative of clot in vein of your leg (Deep vein thrombosis) which require examination followed by doppler studies to confirm the diagnosis. Secondly swelling can also occur because of high blood pressure, which needs immediate evaluation.
1 person found this helpful
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My wife and we both are planning for pregnancy but how should I do pls tell me what is the sex cycle.

MBBS
Gynaecologist, Chennai
My wife and we both are planning for pregnancy but how should I do pls tell me what is the sex cycle.
Dear Kamakshi, Thanks for your enquiry, Have regular sex on alternative days from Day 6 upto your wife get periods.
1 person found this helpful
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I am 18 years old I have sex with my bf but slightly only he inserted but bloodcomes. I need to know whether hymns tissue hasturnedor not. Or how to check whether I am virginity or not.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 18 years old I have sex with my bf but slightly only he inserted but bloodcomes. I need to know whether hymns ti...
Hello, virginity is lost by definition if there is a slightest penetration of penis inside the vagina, so if there was an intercourse then you are no more a virgin. Hymen is just an indicator and may break during first attempt but is not directive of virginity.
4 people found this helpful
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