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Dr. Shanthi

MBBS

Gynaecologist, Chennai

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Dr. Shanthi MBBS Gynaecologist, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Shanthi
Dr. Shanthi is a trusted Gynaecologist in Chromepet, Chennai. Doctor has completed MBBS . You can consult Dr. Shanthi at Sankara Kidney Hospital in Chromepet, Chennai. You can book an instant appointment online with Dr. Shanthi on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 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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Sankara Kidney Hospital

No.2, Third Main Road , New Colony, Chromepet. Landmark: Near Pallavapuram Muncipality, ChennaiChennai Get Directions
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Sankara Kidney Hospital

#235-236, English Electric Nagar, Zamin Pallavaram, Landmark: Off. Radial Road, Opp. Shell Petrol Bunk.Chennai Get Directions
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Me and my spouse both are working and reach home very tired. However we are planning to conceive but .Because of time lines and tired ness we are not able to meet frequently .Or some times we just have to do it for the sake of pregnancy. Is there some way .By which we can have a relax and peace at mind and a right environment before meeting.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Me and my spouse both are working and reach home very tired. However we are planning to conceive but .Because of time...
Take vacation and go out, plan in a way that you will be on vacation during 10-16 days after start of periods. Pregnancy depends on many things starting from doing sex In right days. If your periods are regular than 10-16 days are the time when you indulge in the act chances of conceiving is high. Consult if you are doing sex in sex in right days but still you are not conceiving. We will discuss it in details about other things which you shall do to improve chances.
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On may 15 I had sex unprotected but I didn't cum inside her still bothering about the pregnancy for her she didn't had period till now last time she had period on may 10 thinking that we don't want pregnancy any suggestion.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
If she gets regular period she has to wait till 10/6 for her period and only if she misses that urine test is required.
2 people found this helpful
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Hey this is extremely urgent I'm worried so much please help. I took I pill on 6th may just after unprotected sex. My periods got over on 1st of july only but today I got my period's again why? Is it normal? I took I pill 2 months back too is it side effect? Am I suffering from something? Like getting periods a full 15 days early is okay or not? I'm so damn worried please help.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Getting periods 15 days earlier is not normal. There are various reasons for that. But it's nothing to be worried about. Just consult a gynaecologist and you would b fine.
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Got physical with my partner on the 5th of this month. Since a week have been getting pregnancy symptoms. But today evening I started bleeding. Could tht be implantation bleeding or periods? And when does ib usually occur. Because I the same happened for my first child and I thought it was periods you til I was in my 3rd month.

Doctor of Medicine, DGO
Gynaecologist,
Got physical with my partner on the 5th of this month. Since a week have been getting pregnancy symptoms. But today e...
It happens with many mothers that bleeding occurs during pregnancy but much less than that during the periods. As you have the same history during your first pregnancy it can be harmless but to ensure please get an usg done and physical relationship during first trimester is prohibited. So if possible please avoid.
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Good evening Dr. I am 32 year old woman and I want pregnant I will try but not pregnant please tell me doctor.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Good evening Dr.   I am 32 year old woman and I want pregnant I will try but not pregnant please tell me doctor.
Conception happens right around the time your body ovulates or releases an egg from the ovary. You can use an ovulation predictor or learn how to chart your morning basal temperatures.Have sex during ovulation. Timing sexual intercourse for the right time during ovulation can increase your chances of getting pregnant. Eat the right diet. There are certain nutrients your body needs for optimal fertility. Look into pre-conception diets to help get your body ready. Keep your weight stable. Being overweight or even being too thin can affect fertility.
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Is there any good vegetarian diet plan apart from gm diet plan and mono diets. I take 1000 calories only.

MSc
Dietitian/Nutritionist, Hyderabad
Is there any good vegetarian diet plan apart from gm diet plan and mono diets. I take 1000 calories only.
Early Morning (6: 30 am - 7: 00 am) - a glass of warm water + 1/2 lemon juice + pinch of salt; walk for 30 minutes. Breakfast (8: 00 am - 9: 00 am) - 1 cup milk/tea, with fruit, oats with milk/namkeen oats, veg. Dalia, veg. Upma, veg. Poha, veg. Sandwich Mid-Morning (11: 30 am) - fruit/sprouts Lunch (1: 00 pm - 2: 00 pm) - 2 chapattis with vegetable, salad, dal/curd/idli + sambhar (alternatively, if you want to have 1 bowl rice, have it with 1 katori rajma/kadhi/dal/chhole + salad) Postlunch- green tea Tea-Time (4: 30 pm - 5: 00 pm) - tea/coffee + 2 biscuits/rusks Evening Snacks (6: 00 pm - 6: 30 pm) - roasted chana, sprouts, popcorn, veg sandwich, sometimes 4-5 almonds, walnuts, pista, raisins Dinner (8: 00 pm - 8: 30 pm) - 1-2 chapattis with vegetable, salad or 1-2 veg sandwiches Postdinner- green tea Post-Dinner (if required, at 10: 00 pm) - 1 cup of milk.
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Hi I have discharge white liquid and my vagina whole also fully lose what can I do to small whole and feel sex satisfaction.

BHMS
Homeopath, Hyderabad
There are no medicines to increase the size of vagina unless you go for hymenoplasty surgery. For abnormal discharge you need to use medication and this might be due to some infection.
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Faridabad
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
4 people found this helpful

Sexual Abuse In Children - Homeopathy Treatment For It!

MD - Homeopathy, BHMS
Homeopath, Pune
Sexual Abuse In Children - Homeopathy Treatment For It!

Sexual abuse of children may sound very scary and degrading, but the truth is it is a very prevalent problem. As much we may not want to believe, the number of boys and girls who are sexually abused, and that too by close family and friends is very high. This may be difficult to digest, but is the truth. The sexual abuse in male and female children is 50% in each group which is again unbelievable but true.

What is considered child sexual abuse?

Child sexual abuse includes touching and non-touching activity. Some examples of touching activity include:

  1. touching a child's genitals or private parts for sexual pleasure.
  2. making a child touch someone else's genitals, play sexual games or have sex putting objects or body parts (like fingers, tongue or penis) inside the vagina, in the mouth or in the anus of a child for sexual pleasure.

The thing to ponder, however, is that people who abuse children have a deeper problem. This could be due to a combination of social and psychological issues that the person is facing. Often helping identify the underlying problem could be a solution to the problem too, but this is rarely done. If you think a child could be subjected to abuse, look out for the following symptoms.

  1. A feeling of guilt or shame.
  2. Irritability and anger with minimal reasons.
  3. Mood swings, often uncommon in children.
  4. Feeling very isolated and sad.
  5. Very anxious and angry.
  6. Symptoms of withdrawal, not wanting to be left alone.
  7. Sleeplessness.
  8. Fatigue and pain in the back, legs.
  9. Loss of energy, appetite.
  10. Bruises (look out for these, which may not be in visible areas).

How to handle?

Given the fact that the offender is in close family and/or friends circle, the suspicion levels are quite low.

  1. The first step, therefore, is to open up and talk with either your parents or someone close.
  2. Look for support groups which can be very helpful.
  3. Do not be isolated though the urge is very strong.
  4. Build a daily schedule to ensure your routine continues (studies, work, etc.).
  5. Focus on exercise or other passions as they help you deviate your mind.
  6. Be sure to not be alone with the offender, stay in a group.
  7. Give out a strong message saying it is not acceptable, and do not keep quiet.

Homoeopathic remedies:

Homoeopathy can come rescue of the offender all well as the victim. If we see according to the point of view of who committed the crime, many reasons may come to the light and we can be treated accordingly. Usually, these criminals have a very painful and sad childhood. This could lead them to commit a crime like child abuse. 

The following are the medicines to treat such people with anti-social behaviour-

  1. Aur.
  2. Bar-C.
  3. Hyoscyamus.
  4. Stramonium.
  5. Merc.
  6. Tarentula.
  7. Med.
  8. Nux V.
  9. Syphilinear.

There are certain homoeopathic medicines which are helpful in the treatment of children who are victimized. The most common symptom is nightmares.

  1. Calc.carb. 
  2. Aloes. 
  3. Phosphorous. 
  4. Cechris. 
  5. Sepia. 
  6. Staphysagria. 

For treatment for actual physical and mental symptoms of the victim child, following homoeopathic medicines may help:

  1. Aconite. 
  2. Ignatia. 
  3. Arnica. 
  4. Staphysagria. 
  5. Calendula. 
  6. Nat. mur. 

Homeopathy is a safe and effective way to treat the victims as well as the culprits of sexual abuse. It focuses on the way patients have reacted to events and the personality of the patient. It helps to bring complete harmony of physical, mental and social well being.

3 people found this helpful

I am suffering from polycystic ovarian syndrome from past 4 years, please tell me what are the ways to cure it and reduce my weight?

BHMS
Homeopath, Raebareli
I am suffering from polycystic ovarian syndrome from past 4 years, please tell me what are the ways to cure it and re...
Please follow the below recommendation for your condition: diet, exercise, and behavioral modification should be included in all obesity management approaches for body mass index (bmi) of 25 kg/m 2 or higher. Other tools, such as pharmacotherapy for bmi of 27 kg/m 2 or higher with comorbidity or bmi over 30 kg/m2 and bariatric surgery for bmi of 35 kg/m2 with comorbidity or bmi over 40 kg/m 2, should be used as adjuncts to behavioral modification to reduce food intake and increase physical activity when this is possible. Do treadmill for at least 30-45 min daily. Many obese people are advised to follow a juice diet or the juice fast for a period of a week or so, so that they can shed the excess extra pounds faster. Health and nutrition experts advise people to consume fresh fruit or vegetable juice for obesity.
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Sir muje monthly problem Hai,5 month se mensis nahi aate aur ovary cyst bhi Hai. Or Harmon Ka account bhi bahut Kam hai.please koi upay batao.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Sir muje monthly problem Hai,5 month se mensis nahi aate aur ovary cyst bhi Hai. Or Harmon Ka account bhi bahut Kam h...
Use medicine german reckeweg natrum mur 1m, single dose (4-5 drops in mouth) morning. Buy medicine from good homoeopathic shop. Food mixed fruit juice daily evening. Please continue treatment.
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Hi I marred before 9 months back we planning to baby n monthly monthly getting disappoint but n one think monthly period date going early date like last my p date s 4th this month only n again today also I getting period can you help me.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi I marred before 9 months back we planning to baby n monthly monthly getting disappoint but n one think monthly per...
lybrate-user, as your periods are not regular, you are don't come to know about your ovulation, hence you take medication so as to regularise your periods, and get pregnant naturally or with the help of medicines.
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Pain in right breast, multiple fibroids in left breast and pain also. My maternal grandmother had breast cancer. Does this mean I have more chances of having breast cancer?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
There is a possibility. But to find out you need to see a geneticist who can do a brca mutation screening so as to define the risk.
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I want to do sex with my girl friend can I know when it is safe to do sex for girls that avoid pregnancy.

MBBS
General Physician, Mumbai
For a girl in general its a 28 day menstrual cycle and If we consider first day of bleeding as Day 1 than from day 10 to 20 is considered unsafe because of ovulation and rest all days are safe days
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Is there any chance of pregnancy if I don't use condom but ejaculate outside vagina of my girlfriend? is it safe enough.

D.N.B, D.G.O, M.B.B.S
Gynaecologist, Delhi
Is there any chance of pregnancy if I don't use condom but ejaculate outside vagina of my girlfriend? is it safe enough.
Even a single drop of semen is sufficient to cause pregnancy. Ejaculation outside the vagina, but near private parts may arise a situation that sperm may enter vagina a and cause pregnancy. Better use condom.
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My boobs are not same. Its not slightly big. I thnk one site is 32 size nd another is 30. Soo how I same. I do not want to eat medicine. I want to any cream ya oil to maintain it. M 20 years old.

BHMS
Homeopath, Ludhiana
My boobs are not same. Its not slightly big. I thnk one site is 32 size nd another is 30. Soo how I same. I do not wa...
hello.. you can massage on that side whivh you think is small with any oil. give clockwise and anti clockwise massage.. it will help you....
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MONITOR PORTIONS

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
MONITOR PORTIONS
It is incredibly easy to consume too much food than your body actually requires. One reason for this simple mistake is the brain’s inability to keep up with how your stomach is feeling, i.e.: full or still hungry. Measuring your servings will not only ensure you are eating appropriate amounts, but will also help you trim down your servings if needed. And, if portion control is difficult for you, buy food products in single servings whenever possible or divide up your larger portions into smaller ones as soon as you get home from the store (and when you are not hungry).

I am suffering from pcos bulky ovaries irregular periods under treatment taking ovral g since 8 days should I continue or if I stop what may happen because I am seeing some side effects in me.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am suffering from pcos bulky ovaries irregular periods under treatment taking ovral g since 8 days should I continu...
lybrate-user, you need to share your reports with us, if you have got any done, as you may need few more Medicines and a change from ovral g, to treat your PCOS, and irregular periods. For that you need to get back to us for further advice on this.
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