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Dr. Sharmila

Gynaecologist, Chennai

Dr. Sharmila Gynaecologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Sharmila
Dr. Sharmila is a trusted Gynaecologist in Medavakkam, Chennai. You can meet Dr. Sharmila personally at K P Children Hospital in Medavakkam, Chennai. Book an appointment online with Dr. Sharmila on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 26 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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I am pregnant three months & my blood groups is o -ve, is there any problem in pregnancy.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am pregnant three months & my blood groups is o -ve, is there any problem in pregnancy.
If this is first pregnancy then nothing is going to harm your baby. If husband is positive blood group then next pregnancy is at risk if you do not take anti d injection after delivery.
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I am 32 years old I do not have both fallopian tubes because of 2 ectopic pregnancy is there any chance to get pregnant.

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
I am 32 years old I do not have both fallopian tubes because of 2 ectopic pregnancy is there any chance to get pregnant.
You would need IVF procedure to get pregnant. No other treatment will work therefore it would be better to go for IVF.
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My wife got uterus operation is their any tablet to increase sex mood. She is not interested in sex because she will get pain it seems. So I can not control my sex Desire so what can I do tel me sir.

MBBS
General Physician, Delhi
Women who experienced uterine orgasm before hysterectomy will not experience it after the surgery because the muscular uterine contractions that occur during uterine orgasm cannot occur without a uterus. The vagina is shortened during a hysterectomy and made into a closed pocket that is sutured shut at the top of the vagina, which causes a loss of the natural elasticity of the vaginal tissue. Some women are no longer able to have intercourse because their vaginas were made so short that it has become physically impossible. You may want to consider bioidentical testosterone replacement therapy. Bioidentical hormones are customized for a woman's specific needs, and they are chemically identical to hormones naturally found in a woman's body. They can be compounded in capsules, sublingual lozenges, or topical and vaginal creams and gels.
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How to Eat a Healthy Diet

BHMS, DEMS
Homeopath, Pune
How to Eat a Healthy Diet

How to eat a healthy diet

In order to keep yourself in the best shape possible, it's essential to eat a healthy diet. Find out exactly what you should be eating on a regular basis.

Healthy diet: the building blocks

Healthy diet each day you should eat:


    6 to 8 servings of grains. These include bread, cereal, rice, and pasta, and at least 3 servings should be from whole grains. A serving of bread is one slice while a serving of cereal is 1/2 (cooked) to 1 cup (ready-to-eat). A serving of rice or pasta is 1/2 cup cooked (1 ounce dry). Save fat-laden baked goods such as croissants, muffins, and donuts for an occasional treat.
    2 to 4 servings of fruits and 4 to 6 servings of vegetables. Most fruits and vegetables are naturally low in fat, making them a great addition to your healthy diet. Fruits and vegetables also provide the fiber, vitamins, and minerals you need for your body's systems to function at peak performance. Fruits and vegetables also will add flavor to a healthy diet. It's best to serve them fresh, steamed, or cut up in salads. Be sure to skip the calorie-laden toppings, butter, and mayonnaise, except on occasion. A serving of raw or cooked vegetables is equal to 1/2 cup (1 cup for leafy greens); a serving of a fruit is 1/2 cup or a fresh fruit the size of a tennis ball.
    2 to 3 servings of milk, yogurt, and cheese. Choose dairy products wisely. Go for fat-free or reduced-fat milk or cheeses. Substitute yogurt for sour cream in many recipes and no one will notice the difference. A serving of dairy is equal to 1 cup of milk or yogurt or 1.5 to 2 ounces of cheese.
    2 to 3 servings of meat, poultry, fish, dry beans, eggs, and nuts. For a healthy diet, the best ways to prepare beef, pork, veal, lamb, poultry, and fish is to bake or broil them. Look for the words loinor round in cuts of meats because they're the leanest. Remove all visible fat or skin before cooking, and season with herbs, spices, and fat-free marinades. A serving of meat, fish, or poultry is 2 to 3 ounces. Some crossover foods such as dried beans, lentils, and peanut butter can provide protein without the animal fat and cholesterol you get from meats. A cup cooked beans or 1 tablespoon of peanut butter is equal to 1 ounce of lean meat.
    Use fats, oils, and sweets sparingly. No diet should totally eliminate any one food group, even fats, oils, and sweets. It's fine to include them in your diet as long as it's on occasion and in moderation.


Healthy diet: eat right and the right amount
How many calories you need in a day depends on your sex, age, body type, and how active you are. Generally, active children ages 2 to 8 need between 1, 400 and 2, 000 calories a day. Active teenage girls and women can consume about 2, 200 calories a day without gaining weight. Teenage boys and men who are very active should consume about 3, 000 calories a day to maintain their weight. If you're not active, you calorie needs drop by 400 to 600 calories a day.

Healthy diet: exercise is part of the plan

18 people found this helpful

I am 26. I have protected (used condom) sex on 15feb. My period was due on 27 feb. I have take pregnancy test on 1 March it came negative. I ate deviry 10mg tablet from 1 march to 3 march. From 5march I have brown discharge. I have not got the period. Can I be pregnant or when I will get my periods?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I am 26. I have protected (used condom) sex on 15feb. My period was due on 27 feb. I have take pregnancy test on 1 Ma...
Hi Isha. I suggest you wait for a week and I'm sure you will get your period soon. Ideally you should have taken deviry for 5 days. You took a very short course. However no point taking more now, just wait and watch.
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Hi I'm 38 years old . I wanted to know if these pregnancy testes are accurate enough to know if you're pregnant or norlt on the due date of the period or a few days before that.

MBBS
General Physician, Chandigarh
Hi I'm 38 years old . I wanted to know if these pregnancy testes are accurate enough to know if you're pregnant or no...
It may or may not give you acurate result before or at the due date as by that the hormones levels which are required for these tests may not have achieved sufficient levels in the yrine to show the right result you should wait atleast week to 10 days after petiod to get a more clear picture.
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I had an unprotected sex thrice with my girlfriend and she had the same unprotected sex more than 8 boys before we had, now I want to marry with her but I am confused as I feel I could be the victim of std, thanks.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
There are many test for confirmation of std. Screening and diagnosis both are helpful. Visit to doctor and consult about which method you feel comfortable for your relationship will be continueing.
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I had unprotected sex on 23th n took unwanted 72 that day itself. Today there is very little brownish spotting n my stomach is paining what is it. Pls help.

MBBS, PG Diploma (HIV Medicines)
HIV Specialist, Surat
Brownish discharge is because of Unwanted 72 pills. Stomach ach can be because of medicine side effect or any other simple medical illness.
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I am a woman aged 54 and is facing itching on nipples irregular menopause with heavy bleeding.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am a woman aged 54 and is facing itching on nipples irregular menopause with heavy bleeding.
Get your thyroid hormone levels checked first. Take lezyncet -tablet twice daily. Revert with reportd.
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I have delivered a girl baby on January 28th, 2016 by cesarean delivery, how to reduce my belly & weight. But weight reduction shouldn't after feeding.

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
I have delivered a girl baby on January 28th, 2016 by cesarean delivery, how to reduce my belly & weight. But weight ...
Congrats:) But I believe cesarean baby must have bring lots of complications, I am giving some general advice to reduce fat and also giving some tips for your next delivery (if you plan) and if you follow the tips the baby will born a normal delivery. Naturopathy believes that Mother Nature has every remedy for our problems, it believes in preventing the problem instead of just curing it. I am suggesting you some simple lifestyle changing tips that will not just make your body proportionate and give you a desired shape but will also help you obtain a healthy body. You can come over it very easily due to your determination. 1.Make sure you are walking at least 5000 steps every day 2.You should avoid late night dinners at any cost and make sure you are following a routine while having 3 main course foods of the day. 3.Try having your dinner (proper food) before sunset and not eat anything heavy after sunset this will surely help you to lose your weight. 4.Try to sleep before 11: 00 P. M. And sleep for minimum 6 to 8 hours. Lack of sleep is also a leading factor of weight gain. 5.Avoid processed food, sugar and its products as well as refined oil/double refined oil. Use pure oil of mustard (sarso), peanut, coconut, cow ghee, sesame. 6.In the morning start consuming lukewarm water right after you wake up & sitting in sukhasaan (chaukdi) it is advisable to even do rinsing with the lukewarm water in your mouth and drink sip by sip instead of drinking quickly. This process is done for the detoxification and cleaning of your stomach/intestines that has everything to with your weight issues. After this your stomach condition will remain intact at pH7 (which is not alkaline or acidic in nature but normal). 7.Another advice is that don’t drink water after your meals (lunch, dinner, breakfast, or any mini meal). Drink water after 90 minutes. Drinking water after your meals reduces your digestion, and as you know if food is not digested it will produce acid, which in turn will increase your weight. Drinking water during or after meals can bring almost 103 types of disease in your body. I can suggest you one magic machine which you can use, its a machine which every Indian mother used from thousands of years and every one had a normal delivery. That machine is" atta peesne ki chakki" Through this machine your uterus will be flexible and you will avoid cesarean delivery, use it for 15 minutes everyday and you may also use to eat fresh flour. You can also start eating methi dane k ladoo to avoid cesarean deliver. Thirdly if you do not have kidney or gall stone problem you can eat one gram choona (lime stone) with curd for 3 months. This will help not only in giving normal deliver but will also give birth to a intelligent baby, that calcium will reach your baby through mothers milk. Choona is a magic natural medicine, do not bring doubt in your mind, for any query you can contact me or check the benefits of lime stone. You can also consult me for post pregnancy diets Thanks.
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I am 32 years old having 2nd gravida completed 38 Weeks and 2 days. Avg fetal wt is 3.3 kg. HC#32.67 cm. Doctor suggested induced labor. Please suggest. B) is epidural analgesia is good for above condition as I was having too much pain in first delivery 5 years back.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 32 years old having 2nd gravida completed 38 Weeks and 2 days. Avg fetal wt is 3.3 kg. HC#32.67 cm. Doctor sugge...
Hello, If there are no complications then pregnancy can be allowed to continue till 40 weeks an induction is started only when there is a maternal of foetal riskfatcors.
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I got my periods in dec. Jan was skipped and it came on feb. Got skipped for 1 month. Happening for the first time. Not sexually active. And I got red and white pimples on the upper side of my shoulders. What's happening? Please help.

BHMS
Homeopath, Raebareli
I got my periods in dec. Jan was skipped and it came on feb. Got skipped for 1 month. Happening for the first time. N...
Its due to hormonal changes. However you can do a usg of lower abdomen if the pattern of the menses continue like this. For pimples -- please follow the following in respect to your queries: 1. Clean your face twice a day using lukewarm water to dissolve oil. 2. Avoid touching your face with your hands as this germs to your facial skin, making it to breakouts. 3. Ensure that you drink 10-12 glasses of water daily. 4. Avoid fried and spicy food. 5. Include fruits, raw vegetables and fresh vegetable juices in your diet. 6. Avoid harsh skin products. Take homeopathic medicine acid phos 1 m (4 drops in little water) single dose update after 2 weeks.
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Self Monitoring of Blood Glucose - SMBG Chart

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Self Monitoring of Blood Glucose - SMBG Chart

Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.

It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.

Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.

In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.

To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.

Interpretation of smbg chart:

In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.

Seven points includes:


    Fasting or before breakfast reading
    2 hrs after breakfast
    Before lunch
    2 hrs after lunch
    Before dinner
    2 hrs after dinner or bedtime
    At mid night 3.00 am


This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).

I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.

You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.

More uncontrolled blood sugars require more frequent smbg glucometer monitoring.

Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.

I hope this article will help you to control your blood sugar levels more efficiently.

If you find that some of the post-meal or pre-meal readings are high or low, please consult your diabetologist with smbg chart to adjust your medication or insulin dosage.

If you like my article please share it with your friends and family.

Awareness is prevention!
 

58 people found this helpful

Sir, I am having pcod irregular periods and Dr. Prescribed meprate tablet 10 mg for five days. Not getting periods after 9 days.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Best homeopathic remedy for cure of pcos sepia occupies the top position among the homeopathic medicines for treatment for polycystic ovarian syndrome. The menstrual symptom for homeopathic remedy sepia is late and scanty menses. In most of the cases, this is accompanied by bearing down sensations in the pelvic region. The ovaries remain enlarged with fluid-filled cysts in them. Homeopathic medicine sepia acts very efficiently to regulate the menstrual cycle to appear at the proper expected time. Sepia can also be considered to treat infertility cases due to pcos. Abnormal hair growth on the face, especially on upper lips, can also be well controlled with homeopathic medicine sepia. Other general symptoms to look for before taking sepia are sensitivity to cold air, mental irritability, and indifferent behaviour towards loved ones.
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Hi, I want to ask question about my pregnant wife. She is pregnant 5th month is running. Can we have sex during Pregnancy.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Hi, I want to ask question about my pregnant wife. She is pregnant 5th month is running.
Can we have sex during
Pregn...
Yes! unless there is any medical reason to prevent it, sex is safe for most couples during pregnancy. In fact, during pregnancy, your body contains higher levels of hormones. These hormones cause physical changes, which in turn can create heightened physical sensations.
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I have too much pain in my thighs waist and abdomen during periods what should I do to get rid from this pain?

Gynaecologist, Kolhapur
I have too much pain in my thighs waist and abdomen during periods what should I do to get rid from this pain?
If you have pain only during menses, you can take pain killers and anti spasmodics as suggested by gynecologist, and if having pain which lasts before and even stoppage of your menses. You need to be investigated.
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Meri future wife ke dono boobs ka size me thoda hlka different h nd abhi se hi lose h uske boobs abhi to sadi bhi nahi hue.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Meri future wife ke dono boobs ka size me thoda hlka different h nd abhi se hi lose h uske boobs abhi to sadi bhi nah...
Hello- Breast ki tightness ya loosenes stri k khan pan aur usi dincharya par nirbhar rahti hai. Jis prakar mote admi ki charbi ki wajah se uska pet dhila dhala rhta hai tatha patle mai aisa nahi hota usi wajah se breast ki consistency bhi har ek mai alg alag rhti hai. Iska ek karana kam umar se he galat size ki bra pehnna bhi hai. Iska shadi hone na hone se koi sambandh nahi hai. Ayurvedic tail aur dawao k proyog se breast ko tigh aur gol banaya ja sakta hai.
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My wife is 35 years old. She is having periods for every 15 days from 45 days. In 2009 she had been suggested with mirena, we went with mirena in 2009 and removed it in 2015. There was no problem even after removing mirena but from last 2 month she is having heavy bleed with pain and also becoming very weak. Please suggest me with good advice and treatment and we are undergoing all medications according to my regular gynaecologist.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My wife is 35 years old. She is having periods for every 15 days from 45 days. In 2009 she had been suggested with mi...
It appears the problem has come back after removing the mirena. Depending on the latest investigation reports I would advice either mirena again or maybe low dose oral hormonal pills.
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My headache starts during my periods but still today its continue. My eyes also get pain when I go in sunlight. I have acidity too.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My headache starts during my periods but still today its continue. My eyes also get pain when I go in sunlight. I hav...
Possibly you have migraine during periods. Use a simple analgesia like calpol 650mg thrice daily during periods for 3-4 days along with rantac-150mg. If the headaches persist then you would need to see a doctor.
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