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Dr. Saroja Ramanathan

Gynaecologist, Chennai

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Dr. Saroja Ramanathan Gynaecologist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Saroja Ramanathan
Dr. Saroja Ramanathan is a renowned Gynaecologist in Thiruvanmiyur, Chennai. She is currently practising at Prime Obg Fertility Centre in Thiruvanmiyur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Saroja Ramanathan on Lybrate.com.

Lybrate.com has an excellent community of 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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Prime Obg Fertility Centre

#512, Kamaraj Nagar, 1st West Street, Tiruvanmiyur. Landmark: Opposite Hyundai Showroom, ChennaiChennai Get Directions
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Sai Poly Clinic

Old No.17,New No.37,Beemasena Garden Street, Mylapore,Landmark: Near Vivekananda College, ChennaiChennai Get Directions
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St.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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Hi myself now I am 7 week week pregnant and in sonography heart beat is nt showing till only yog sac is showed what it means what should I suppose to do I am too worried. I had already one miscarriage before 6 mnth.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi myself now I am 7 week week pregnant and in sonography heart beat is nt showing till only yog sac is showed what i...
If g sac diameter is less than 25 mm then you should repeat scan after 7-10 days. Presence of yolk sac usually is a good sign for good pregnancy.
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Post Menopausal Bleeding - All You Need To Know

MBBS, DGO, DNB - Obstetrics and Gynecology
Gynaecologist, Delhi
Post Menopausal Bleeding - All You Need To Know

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women-s gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.
Postmenopausal bleeding or PMB as it is popularly called can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.


- Atrophic vaginitis - Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
- Endometrial atrophy - Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
- Polyps - Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding
- Infections - General infection of any area along the uterine tract could lead to occasional bleeding
- Cancers - Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.
Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding.  Diagnostic methods could include the following:
- Physical examination
- Transvaginal ultrasound
- Endometrial biopsy
- Hysteroscopy
- Dilatation and Curettage

 

Treatment: Needless to say, this would depend on the diagnosis.
For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy.

For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient.
Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.
Cancer - this would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases.
So, if you have had bleeding of any sort after ayear of menopause, do not ignore it. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4891 people found this helpful

Is masturbation of girls bad for health when it is only rubbing the vagina and feels pleasant during masturbate. Sometimes I feel that I m doing wrong for my health. Is any side effect in my future sexual life. Sir now I m unmarried girl. I cant share this to any one thatswhy I questioned here.

DSTD,MBBS
Sexologist, Howrah
Is masturbation of girls bad for health when it is only rubbing the vagina and feels pleasant during masturbate. Some...
Getting sexual pleasure by masterbation is not bad if you take take care of proper hygene & do it within limit i. E to do privately wash your private part & hand before & after the act. & very imp to do it not more than 2-3 times per week. Not daily.
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When it comes to intercourse, after sex I get a lot of pain and heat into my vagina for at least 15-20 min. Don't know what the problem is done when I am done with sex.

BHMS, DEMS
Homeopath, Pune
Painful spasmodic contraction of the vagina in response to physical contact or pressure (especially in sexual intercourse). When a woman has vaginismus, her vagina's muscles squeeze or spasm when something is entering her, like a tampon or a penis. It can be mildly uncomfortable, or it can be painful. Symptom 1.Painful sex is often a woman's first sign that she has vaginismus. The pain happens only with penetration. It usually goes away after withdrawal, but not always. Causes It's usually linked to anxiety and fear of having sex. But it's unclear which came first, the vaginismus or the anxiety. Other medical problems like infections can also cause painful intercourse. Women with vaginismus can do exercises, in the privacy of their own home, to learn to control and relax the muscles around the vagina. First, do Kegel exercises by squeezing the same muscles you use to stop the flow of urine when urinating: Squeeze the muscles. Hold for 2 seconds. Relax the muscles. Do about 20 Kegels at a time. You can do them as many times a day as you want to. After a few days, insert one finger, up to about the first knuckle joint, inside the vagina while doing the exercises. It's a good idea to clip your fingernails first and use a lubricating jelly. Or do the exercises in a bathtub, where water is a natural lubricant. Start with one finger and work your way up to three. You'll feel the vagina's muscles contracting around your finger, and you can always take your finger out if you're not comfortable. If you want better result consult me.
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I had sex with my wife on 4th june and on 5th june we took the unwanted 72. Firstly she did get any withdrawal bleeding and her due date was around 20 june Its 8th july she still haven't got her periods started. 1) is there any chances of her being pregnant? 2) when should we expect cycle to start? 3) what should be our next step? 4) is it normal to see this much delay in the cycle to start which is around 18 days from the normal cycle date?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
1. Yes there is a chance of her getting pregnant. There may be failure of unwanted 72. However chances are less. 2. Cycles may be irregular after emergency contraceptive. Exact date is difficult to predict. Depends on factors like what is patients menstrual cycle length. How stressed pt is. Any co morbidities etc 3. Pls get a urine pregnancy test. And if positive go to a nearby gynaecologist. Or consult me online. 4. If upt is negative and her periods are delayed for 18 days then it is not normal. She will require further evaluation.
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I am a 21 year old girl my weight is 92 kg I want to get slim and a toned body what shall I do to determine the percentage of bone density muscle mass and fats in my body how shall I have long and thick hair please suggest me thank you.

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mohali
I am a 21 year old girl my weight is 92 kg
I want to get slim and a toned body
what shall I do to determine the perce...
Hello, Eat a minimum of 3-4 cups of fresh vegetables daily. Cut out sugar from your diet completely. This means saying good bye to soft drinks, chocolates, ice-creams, jams, sauces and sugar-laden pastries. Eat whole-wheat bread instead of white read. Cutting out white bread means cutting out everything made from white flour. Be it pizza, pasta, pastries or naan. Make whole wheat bread, chapattis and brown rice a way of life. Snack on whole wheat crackers or bran biscuits instead of biscuits made from refined flour. Eat at least three meals a day. Do not skip a meal. Switch to soya milk instead of whole milk. Drink plenty of water as it eliminates the toxins and keep the system clear. If you are a non-vegetarian, eat a lot of fish. Limit your fat intake to 2-3 teaspoon a day. Eat 2-3 fruits a day.
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Meri age 25 years h.meri mrg ko 1 years ho gya h but pregnancy ni ho ri. Mrg k pehle month me hi conceive ho gya tha or 10 din bad miscarriage ho gya tha. Maine misoprstol or mifeprisron li thi. Ab mujhe conceive krne k liye kon se din sex krna chahiye or kya krna chahiye .pls help.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Meri age 25 years h.meri mrg ko 1 years ho gya h but pregnancy ni ho ri. Mrg k pehle month me hi conceive ho gya tha ...
Hello lybrate-user, You should have intercourse between 10th to 18th day of period if you have regular 28-30 day cycles.
6 people found this helpful
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Hello doctor, I am eight weeks pregnant jab mere husband mujhe hug aur kiss krtai hain aur mere ass hole mai sex krtai hai tu mera fluid nikalta hai, kiya es sai mere pregnancy per koi effect tu nhi hoga. Aur kiya hum intercourse kr Saktai hai meri es pregnancy stage mai.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello doctor, I am eight weeks pregnant jab mere husband mujhe hug aur kiss krtai hain aur mere ass hole mai sex krta...
Hello you should be very careful in intercourse at this stage of pregnancy. This can cause problems in pregnancy.
1 person found this helpful
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I'm suffering with the problem of PCOD since last one year. Im having very irregular periods and also gaining weight. Weight issue is really bothering me. How can I come out of this?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I'm suffering with the problem of PCOD since last one year. Im having very irregular periods and also gaining weight....
Weight gain in pcod patients is very common. Start doing regular exercise for weight loss, also need to take dietary measures, quit fried and canned food. Take adequate fruits and salad with meals without skipping meals. Quit coffee. Drink lots of water and juices, with less sugar. Along with the lifestyle measures take tab metformin daily once.
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I had miscarriage on 4 months back now I am pregnent is there any chances of risk and what are the things I need to take to take of care of this pregnency. Need I require bed rest for now. Please suggest. Thanks,

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, if the cause of the previous abortion is known then that has to be used and avoided. Else you have to take it as a normal pregnancy. Meet your obstetrician for a detailed list of dos and donts. Regards.
1 person found this helpful
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What will be the total cost for ivf treatment is it on low cost I belongs from middle class so I can't afford high amount treatment kindly prefer me if any low cost treatment. I am diabetic patient.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
The cost of ivf treatment can vary between 1 lakh to 2 lakhs based on where you are getting it done. IVF is not necessary for everyone. Based on your history and test results low cost procedure like IUI can be done.
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Hello, my wife has itching around the vulva and vagina. She does not have itching inside her vagina, its more like on the sides, the labia and also the clitoris. This itching problem is giving her the tendency to masturbate frequently. Please advise. Thanks.

MBBS
General Physician, Cuttack
Hello, my wife has itching around the vulva and vagina. She does not have itching inside her vagina, its more like on...
1. Let he apply panderm plus ointment twice daily for few days 2. Take one tablet of levo cetrizine at bed time 3. Consult skin specialist for further advice.
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I am 13 month pregnant I detect placenta previa. So it will be in ryt place what is precaution for this? And what's change in 13 week in me and my baby?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
I am 13 month pregnant I detect placenta previa. So it will be in ryt place what is precaution for this? And what's c...
Restrict your activity. Avoid heavy work and prolonged standing you are advised abstinence drink lots of fluid and fibre rich diet to avoid constipation Usually as pregnancy advances placenta migrates upwards.
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My marriage was in the year 2012. Till now we have no children. Husbands semen was analysed count was 60. And motility 28. I go through follicular study. Dr. told egg was not raptured. And took 3 injection per month. Is there any prblm doctor. I am totally upset. Is there any chance to carry a baby.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
My marriage was in the year 2012. Till now we have no children. Husbands semen was analysed count was 60. And motilit...
Dear lybrate-user. Welcome to lybrate. Don't worry. There seems to be little problem. You will be able to conceive with treatment. Work with your doctor. Take care.
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I am 20 years old girl. Recently on 8 january 17 I had sex with my partner. It was unprotected sex. But the semen was thrown out by my partner. It is 19 january nw. And still I do not got my periods my last period date was 8 .what should I do please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
I am 20 years old girl. Recently on 8 january 17 I had sex with my partner. It was unprotected sex. But the semen was...
1 sperm is sufficient to make you conceive. The precum also has sperms. But as you has sex on the day when periods were due, may be delay in periods is due to because of some emergency pill which you might have taken. Pregnancy is unlikely if you had sex on 8th, if your periods are regular otherwise.
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I am trying to conceive not not being able to. We are trying since last 3 4 months. But I want to ask that we are not able to sex every alternate day. Sometimes it happens two times a day and sometimes a gap of 4 or 5 days occurs. I want to know that to conceive is it necessary to do alternate day sex. Please help me.

MBBS, MS - Obstetrics and Gynaecology, FNB Reproductive Medicine
IVF Specialist, Bangalore
I am trying to conceive not not being able to. We are trying since last 3 4 months. But I want to ask that we are not...
Hi lybrate-user, It would be advisable to have sex on alternate days or even every third day around your fertile period, which in a 28-30 day cycle would be from 10th day of your period to about 20th day of your period. Do modify the days you try according to your cycle and it would be very good if you can find out the approximate time of your ovulation by doing scans for one or two cycles. Also try consulting a fertility specialist to know if eggs, sperms and tubes are ok.
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I have ringworm in my vagina side. And I have pcos. I am 20 years old. Which it mac is better for me?

BAMS
Ayurveda, Surat
I have ringworm in my vagina side. And I have pcos. I am 20 years old. Which it mac is better for me?
U have to use douche regularly, once a week. Also, take Tab. Chandraprabha vati 2 - 0 - 2 Tab. Gokshuradi Guggulu 2 - 0 - 2 Tab. Gandhak rasayan 2 - 0 - 2 syp. Ashokarishta 2 - 2 - 2.
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I am 47 years female, and now I am having my periods for nearly 15 days, and I also cannot control my urine while walking, due to my prolonged period I am getting very irritated, please suggest some medicine.

MBBS
General Physician, Mumbai
I am 47 years female, and now I am having my periods for nearly 15 days, and I also cannot control my urine while wal...
I will suggest you to get an ultrasound abdomen done to rule out any pathology and can take tablet pause 500 mg eight hourly to stop bleeding.
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I am 29 years old sexual active I have gonorrhoea or chlamydia infection in throat which doctor is suitable for check up.

ENT Specialist, Vijayawada
I am 29 years old sexual active I have gonorrhoea or chlamydia infection in throat which doctor is suitable for check...
skin. &vd doctor, meanwhile use cepodem o,2/day+betaseptic gargles thrice daily+oral his gene+avoid sex x 15 DA s+vd doc early ly, stop roaming around women,
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4 Ways To Manage Endometriosis!

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Pune
4 Ways To Manage Endometriosis!

When tissues that usually grow inside the uterus, start growing outside the organ, it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, extreme bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

  1. Age
  2. Severity of symptoms
  3. Severity of the disease
  4. Future plans for children

Depending on these the doctor might opt for any of the following treatments

  1. Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
  2. Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
    • Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
    • Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug. 
    • Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation. 
    • Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
  3. Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery. 
  4. Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
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