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Dr. Selvi

Gynaecologist, Chennai

Dr. Selvi Gynaecologist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Selvi
Dr. Selvi is a popular Gynaecologist in Chetpet, Chennai. You can visit him/her at Padmini Nursing Home in Chetpet, Chennai. Book an appointment online with Dr. Selvi on Lybrate.com.

Lybrate.com has an excellent community of 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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Weight Gain in PCOS

BHSC in Dietetics, Post Graduate Diploma in Sports Science and Nutrition
Dietitian/Nutritionist, Mumbai
Weight Gain in PCOS

Polycystic ovary syndrome (PCOS) is the most common hormonal disorder among women of reproductive age. Polycystic means “many cysts,” and PCOS often causes clusters of small, pearl-sized cysts in the ovaries. The cysts are fluid-filled and contain immature eggs. PCOS affects one in 4 women.

What are the causes behind it?
While the exact cause of PCOS is unknown, doctors believe that hormonal imbalances and genetics play a role. Women are more likely to develop PCOS if their mother or sister also has the condition.
Overproduction of the hormone androgen may be another contributing factor. Androgen is a male sex hormone that women’s bodies also produce. 

PCOS Symptoms
PCOS is a syndrome disease defined by a collection of signs and symptoms. The symptoms of PCOS that one patient experiences can be very different from the symptoms of another patient. If you have two or more of the following symptoms, you need to have a thorough checkup to determine if you need PCOS treatment:

  • Irregular or missing menstrual periods
  • Infertility
  • Excess or unwanted body or facial hair growth
  • Thinning hair on the scalp
  • Weight problems, often including weight gain around the waist
  • Skin problems, including skin tags, darkening skin and acne

Does PCOS increase weight?
The answer is a ‘YES’. Most PCOS patients are overweight and are asked to exercise which helps control the symptoms but a lot many people have a completely normal body type.

What are the risks associated with PCOS-related weight gain?
No matter what the cause, weight gain can be detrimental to your health. Women with PCOS are more likely to develop many of the problems associated with weight gain and insulin resistance, including:

  • Type 2 diabetes
  • High cholesterol
  • High blood pressure
  • Sleep apnea
  • Infertility
  • Endometrial cancer

Many of these conditions can lead to heart disease. In fact, women with PCOS are four to seven times more likely to have a heart attack than women of the same age without the condition.

Benefit of Weight Loss with PCOS

Modest weight loss will not cure PCOS, but it will help. Weight loss can restore the normal function of the ovaries and result in normal hormone production. This may, in turn, lead to improvements in symptoms of PCOS, such as excess hair growth, acne or scalp hair loss.

Protect Yourself From Weight Gain

  • Eat Right: A healthy diet low in complex carbohydrates, moderate protein and low fat is important, as this can help regulate blood sugar levels. 
  • Exercise: Start doing low-to-moderate activities like walking or swimming for 30-to-90 minutes per day because exercise (even without weight loss) has been shown to lower or get rid of insulin resistance.
  • Lose Weight: The more overweight you are the more likely you are to be insulin resistant whether you have PCOS or not. Losing just 5% of your bodyweight will help lower your insulin resistance.
  • Avoid Stress: Don’t over stress yourself as it increases the blood pressure level in your body and can’t help to resist with PCOS. So, try to stay as calm as possible.
  • Get more sleep (at least 7-to-9 hours in a day): Not getting enough sleep can also make your insulin resistance worse, which in turn acquires you the weight.

DIET:

  • Cereals: Barley, quinoa, oats, oatmeal, muesli, bran flakes, whole wheat porridge, brown rice, multigrain bread
  • Pulses: Yellow moong, green moong, chana dal, beans, whole pulses
  • Dairy products: Skimmed or toned milk, soy milk, tofu, paneer, yogurt
  • Fruits: Berries, plums, peaches, oranges, papaya, pears, watermelons, apples
  • Nuts: Walnut, almonds, flaxseeds
  • Vegetables: Carrots, peas, broccoli, lettuce, mushrooms, tomatoes, peppers, onions, cauliflower, celery, spinach

    If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.

2494 people found this helpful

She have thyroid problem soo that she doesn't conceive baby.

MD - Obstetrtics & Gynaecology
Gynaecologist,
She have thyroid problem soo that she doesn't conceive baby.
She can conceive after control of thyroid after conception you have to remain under strict supervision of thyroid specislist.
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Hi, I use to have back pain like 10 days before the starting of the menstrual cycle. Also, there would be mild spotting before 10 or 12 days of the menstrual cycle itself along with the pain. Can you please suggest why this happens and the resolution for this? Thanks.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hi,
I use to have back pain like 10 days before the starting of the menstrual cycle. Also, there would be mild spotti...
Hello, The spotting and pain during mid cycle is known as ovulation pin and bleed or mittelschmertz and is normal to experience when ovulation occurs.
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I am a degree student. And I use meftal 40 for the tooth ache and blumox also. Then after one day I saw blood in urine. What is the reason?

CCPH, BHMS
Homeopath, Bhilai
I am a degree student. And I use meftal 40 for the tooth ache and blumox also. Then after one day I saw blood in urin...
Meftal is an antibiotic n too much use heats up your body whch is the reasn for passng of blood as kidney in unble to control the heat produced by medicine.
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I am a 23 yrs old female and I am suffering from pain in stomach at the time of sex. Please tell me what should I do?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Do you have any other problems? for example, any discharge from the vagina? any change in your periods? any bleeding after sex? there should not be pain so there is something causing it. One possibility is an infection? several kinds of infections are common in the vagina. You can also get this symptom with something called pelvic inflammatory disease (pid). Another possibility would be something like a fibroid.
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Hello doctor, Please help, very much nervous and worried. My period started on 30 Jan by 4 Pm and I had my blood test on 2 feb in morning by 10 Am and received my report in evening which show my FSH is 13.33 And LH is 6.50, Insulin fasting serum is 5.60, Prolactin serum is 13.63, T4 Free is 1.05 and TSH ultrasensitive is 2.049. Please tell me what my report tell and what problem I have related to fertility as I want to conceive. Please reply.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello doctor,
Please help, very much nervous and worried.
My period started on 30 Jan by 4 Pm and I had my blood test...
As per your reports you have a reduced ovarian reserve, i.e. the quality and quantity of egg produce is not good.. Your Prolactin and thyroid reports are normal. Also get your AMH test done. Since your age is also 30 yrs, so would suggest you to go for IVF.
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I am a vegetarian. Pls say accordingly for increasing breast milk supply. I already have half a litre milk per day, galact powder with milk, what else I can eat. Pls help me.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am a vegetarian. Pls say accordingly for increasing breast milk supply. I already have half a litre milk per day, g...
Hello, Galactogoues like almond, coconut, garden cress seeds, Fennel, methi help in enhancing milk production. Staying hydrated also helps.
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My wife is facing a problem of having a white colour semi liquid getting discharged with foul smell from the genital.

Doctor of Medicine, F.C.P.S.(Mid. & Gynae)
Gynaecologist, Mumbai
She probably has candidal infection. Get her fasting blood sugar checked for diabetes. Ask her to use Candid V tablets vaginally once at night for 3 days. If not better please see a gynec.
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My wife is experiencing severe pain in her lover abdomen during the periods, what is the reason and how can she over come this...

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My wife is experiencing severe pain in her lover abdomen during the periods, what is the reason and how can she over ...
She needs a tvs done. If normal then she can consider hormonal pills for 6 months and see if it helps.
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Dr. I want to know about menopause. My age is 44. I am facing health problem such as chest pain headache uneasyness.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Dr. I want to know about menopause. My age is 44. I am facing health problem such as chest pain headache uneasyness.
Menopause is when you have not had periods for a year. Usual age is 50-52. Yrs. 45 years onwards is per-menopausal period when women may start having irregular periods or reduced flow and hot flushes and night sweats. However I still strongly advise you get a doctors opinion in person regards to you problems.
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What is the best period to conceive? Does this depend upon the position of intercourse as well?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
What is the best period to conceive? Does this depend upon the position of intercourse as well?
If you have a28day cycle regularly. The ovulation usually occurs on14th day. Keeping this in mind 9th-21st day is the fertile period.
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My friend used unwanted 72 pill and after that she had a unprotected sex that night so is their any problem that she can become pregnant?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
My friend used unwanted 72 pill and after that she had a unprotected sex that night so is their any problem that she ...
i-pills and unwanted 72 are emergency contraceptive pills to be taken within 72 hours of unprotected sex. However they may not be always 100% effective. Also since your friend had sex after taking the pill, she has chance if pregnancy if she was ovulating then. Rule out pregnancy by using urine pregnancy test if she misses a scheduled period
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I have missed my menses by 5 days. Am pregnant surely. But now I do not want to b mother. What I do. Please tell a safe way.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have missed my menses by 5 days. Am pregnant surely. But now I do not want to b mother. What I do. Please tell a sa...
Pregnancy can be terminated with medicines (mifepristone and misoprostol) only till 7 weeks of pregnancy. As you said it is two weeks after missed period, which is almost 6 weeks. You need to hurry to get the abortion done with medicines. Gynecologist only can write a prescription for her.
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Hi I have infertility problem. My motility is very low is there any medication to improve my motility. It's been 3 year of my marriage and we r try for baby. So can you help me out from this problem.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Hi
I have infertility problem. My motility is very low is there any medication to improve my motility. It's been 3 ye...
Hi lybrate-user, there can be many causes for poor motility of sperms and some of these can be managed with medications. You need to consult an infertility expert for further treatment. There are methods to take sperms out surgically and these sperms can be used to fertilize your wife's eggs in a laboratory. The fertilized egg can then be transferred into your wife's uterus for pregnancy. Its a treatable condition in most case. Good luck.
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I had my 2nd cesarean on 31st august 2016. Shall I start wearing abdominal belt for tummy. Please suggest me.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I had my 2nd cesarean on 31st august 2016. Shall I start wearing abdominal belt for tummy. Please suggest me.
Abdominal belt does not help in long term and occassionally cause temporary harm. Best is start abdominal excercises later and now do other excercises.
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9th Week of Pregnancy. TSH is 4.81. Taking Thyronorm 50 mcg everyday from last 2 years. Before pregnancy it was 2.7. Do I need to worry? What should be the target range and what foods to avoid and take. Please help.

CCPH, BHMS
Homeopath, Bhilai
9th Week of Pregnancy. TSH is 4.81. Taking Thyronorm 50 mcg everyday from last 2 years. Before pregnancy it was 2.7. ...
Nothing to wory as during pregnancy hormonal levels flicker so no nd to tke stress relatd to ths. Hve proper diet. Gud supplement.
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My wife is pregnant and had a 15 week USG scan done today. The report mentions in the finding it writes SUGGESTIVE OF CYSTIC HYGROMA size 1.8 cm. Is this condition fatal for the mother or child. Will it effect the growth of the foetus. Will it complicate the delivery. Are there any remedy. Kindly help.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
My wife is pregnant and had a 15 week USG scan done today. The report mentions in the finding it writes SUGGESTIVE OF...
It may be problematic and may not be. No remedy at this stage. Not fatal. Occassionaly may complicate deliver depends on what happens as pregnancy advances and size.
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I'm 25yrs female having polycystic ovary, oily skin, hair fall problem, backache and for the past 10months my weight has increased. Height is 5'2" and my weight is 60kg. Please suggest me what to do regarding this problem.

BHMS
Homeopath, Secunderabad
Hi, because of hormonal imbalance only you are suffering from these problems. Homoeopathy is the permanent solution for this. Is your periods regular or not? now are you taking any medicines for this?
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Hi meri wife kaa period 3 ko aaya hai to pregnancy hone ke liye mujhe kab kab aur kitne din sex karna hoga please sir help me because kafi time se pregnancy nhi ho pata rahi hai wife ke beech mai Miscarriage bhi ho gaya tha unka to please sir mujhe batao kis date mai kab kab sex karna hoga please sir help me.

MBBS
General Physician, Chandigarh
Hi meri wife kaa period 3 ko aaya hai to pregnancy hone ke liye mujhe kab kab aur kitne din sex karna hoga please sir...
If she has a regular cycle of 28 days then 17 or 18 th will be her ovulation and that is the time she can conceive otherwise you can have sex on every alternate day from 10th day of the cycle to the 20th day counting first day of the periods as day one.
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Heavy Bleeding During Menses - How Can You Treat it?

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Noida
Heavy Bleeding During Menses - How Can You Treat it?

Menstruation is the monthly discharge of blood from the vagina, which lasts for about 5 to 6 days. It is the shedding of the inner lining of the uterus, when pregnancy does not occur after the release of egg from the ovary. Menstrual periods are generally often accompanied by painful cramps in the lower abdomen, heavy bleeding, weakness, water retention, irritability and malaise.

What is Menorrhagia?

Very heavy or prolonged periods are medically termed as menorrhagia. It is abnormally heavy bleeding if there is a requirement to change sanitary napkins or tampons several times within a very short span of time. Passing large blood clots, night time bleeding, bleeding for over 7 -8 days, are other symptoms that one might be suffering from menorrhagia.

Common Causes Behind It

  1. Menorrhagia is mostly a cause of hormonal imbalance, particularly in the levels of estrogens and progesterone.

  2. Fibroids, cysts or polyps in the organs of the reproductive system, which includes the uterus, ovaries or fallopian tubes.

  3. History of miscarriage or failed pregnancies.

  4. Use of contraceptives

How can you treat heavy bleeding during menses

  1. Change of diet: You must include more minerals, iron, magnesium and calcium in your diet. Your diet must comprise a lot of green vegetables, fresh fruits and dairy products.

  2. Some non steroidal anti inflammatory drugs such as ibuprofen may be prescribed to reduce the blood loss.

  3. Certain hormonal therapies to regulate the hormonal imbalances and menstrual irregularities.

  4. Home remedies such as intake of certain herbs, ginger and coriander seeds help to control heavy bleeding.

  5. Increasing magnesium intake to balance out levels of oestrogen.

  6. It is best to stick to natural remedies, as it generally does not create complications in other bodily functions.

If the bleeding cannot be controlled even after a change of diet and home remedies, you must visit the gynaecologist as soon as possible. Heavy bleeding is a serious problem, especially if accompanied by dizziness, fluctuations in the blood pressure, nausea and weight loss. Severe cramps and constant bleeding can hinder daily routine, therefore, the earlier you receive medical attention, the quicker you will get relief.

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