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Dr. Sitamanisahoo

Gynaecologist, Chennai

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Dr. Sitamanisahoo Gynaecologist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Sitamanisahoo
Dr. Sitamanisahoo is a renowned Gynaecologist in Kilpauk, Chennai. You can visit him/her at Miracle Advanced Reproductive Centre in Kilpauk, Chennai. You can book an instant appointment online with Dr. Sitamanisahoo on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 41 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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Miracle Advanced Reproductive Centre

Barnaby Road, Kilpauk, Landmark: Near KMC Fire Station, ChennaiChennai Get Directions
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I have a fibroid in uterus. It is a hypoechoic mass of 38x40 mm in size. Any treatment of it except surgery.

B.H.M.S
Homeopath, Patna
Kali iod 30 take one drop 8 hourly in a glass of water for one month. Lachesi 1m one drop. Report in 5 days.
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Sir meri age 35 he or meri wife ki age 35 he 9 months Ho Gaye Sadi k but pregnancy Nhi rukti Kya Kari Sir niras Ho Chuka hu pehle 25 days ki cycle thi or Ab 30 days Ho gyi h periods ki Kya Karu pregenancy ruk jaye.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Sir meri age 35 he or meri wife ki age 35 he 9 months Ho Gaye Sadi k but pregnancy Nhi rukti Kya Kari Sir niras Ho Ch...
Hello- Apki wife ki age kafi jyada hai. Late shadi hone ki wajah se late concieve karne k karan uterus weak rehta hai jiske karan pregnancy ruk nahi pati. 30 k bad conceive karne wali females mai hone wale baby mai bhi abnormality hone k chances badha jate hai. Aap apne nikat k ayurvedic doctor se sampark karein aur Garbha sanskar chikitsa shuru karwaein, apko nishchit he labh hoga aur apki wife full term pregnancy concieve kar paengi, aisa mjhe lagta hai.
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I am a 25 year old married. TTC since 1 year. My cycles are regular no weight gain. I did Usg scan which showed right sided polycystic ovary. I took clomifene citrate and duphaston for 3 months but nothing worked. Later I did follicular study in that my follicle dint get rupture even after HCg shot of 5000IU. Later I did hormonal checkup a week ago in which everything was normal except 2 things I. E. SHBG 24.21nmol/L and a bioavailability testosterone percentage 49.4%. I was worried after seeing this but I wanted to know the significance of these 2 hormones and whether this can be improved naturally and I also wanted to know does these 2 cause infertility? I also wanted to what medicine I can take to rupture my follicle.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am a 25 year old married. TTC since 1 year. My cycles are regular no weight gain. I did Usg scan which showed right...
Duphaston is given to pregnant woman to retain pregnancy, it is progesterone hormone present in woman to give power for fertilisation and to retain embryo. It is released on 14th day of cycle, once follicle gets ruptured and egg is released, moves towards uterus for ferilization through fallopian tubes. If no pregnancy occurs like in unmarried girls, both hormones the feminizing estrogens and the masculining progesterone starts declining, becomes almost zero and cycle starts, if pregnancy occurs, there is a signal for both hormones to increase gradually. As an added security, for bad cases, duphaston (progesterone) is given to retain the embryo. By the way ipill has high doses of progesterone to stop pregnancy. I do not understand, how were you given clomifene (medicine ti increase the eggs) and duphaston together? now you have to wait for this hormone to come down, which it will on its own, being a fat soluble hormone, it may take few months for normal unaffected cycle to start and for natural follicles to erupt again. You can take syrup evecare 1 spoon per day. But remember no hormones and no erratic treatment for fertility at age 24, when nature is on your side. Regarding polycystic disease, you can take tablet metformin 500 mg /day. But forget getting pregnant till your cycle is normal and ultrasound shows normal follicles day 10 onwards which remain alive and keep growing till day 14, rupture around 48 hours later, doctors give medicines to make follicles strong and healthy. Do write back again.
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My Friend took her first pill from misoprostol and mifepristone kit on 19th march on 20th march she took her next 2 pills together like it was told and 1 hour after talking the pills she started bleeding and cramping and on 21th march she took her next 2 pills as there are 5 pills in the kit her bleeding continued for next 4 days i.e. 25th of march then she started spotting but her cramps continued and she started having lower and upper abdomen pain I consulted a doctor on this site about this and I had talked to a doctor she said these are the side effects of the pills you took and she gave me name of to medicines which were Rabeprazole and Rantac she took these medicine for 5 days her pain was vanished just after she took these medicine but she was spotting all throughout. Her doze of medicine was of 5 days so her medicine finished on 2nd April. But she had one problem that whenever she used to eat something heavy or oily she had (gastric) pain in her abdomen, the pain was bearable and lasted for half or 1 hour. From 10th April she started bleeding, the bleeding was like the bleeding she has on her period. She feels gastric pain when she eats something oily or heavy food. And its 13th April she is still bleeding, not heavy bleeding but normal period bleeding with no cramps. Is that normal doctor?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
My Friend took her first pill from misoprostol and mifepristone kit on 19th march on 20th march she took her next 2 p...
Anytime when termination of pregnancy is brought about by such treatment confirmation must be done by Ultrasonography 2 weeks after drugs used. If that confirms then not to bother about such complaints.
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I am planning for pregnancy. I have vaginal dryness. So doctor prescribed lubricating jelly (lubic. Does it affects pregnancy.

MBBS, DGO, MRCOG
Gynaecologist, Mumbai
Hi lybrate-user is there any vaginal discharge or infection? Usually dryness is for a short duration need not use any local jelly. Avoid using soap or any wash locally. Jelly use may affect conception sometimes.
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Hello i am 30 years old male and i am having a problem of nil sperm count since two years we are planing for family so I want to know if it can be treated or we have to take some other way like test tube baby etc please make us confirm so like wise we will proceed and one more thing in case of nil sperm count is test tube baby possible or not thanks.

MS, MBBS
Gynaecologist, Noida
Hello i am 30 years old male and i am having a problem of nil sperm count since two years we are planing for family s...
Show yourself to a andrologist to find the cause of yor nil sperm count. Then it could b decided whether she can concieve by yor sperms or donor semen will b required.
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Sir I had my last period on 4th June and on 28 June I had unprotected intercourse with my husband and after 3-4 hours I took an ipill and till then I haven't got any bleeding or period n today is 9 July my period is over 10-12 days delay m I pregnant? Pls reply.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Guwahati
Sir I had my last period on 4th June and on 28 June I had unprotected intercourse with my husband and after 3-4 hours...
Hello lybrate-user, the delay in your period is due to Ipill and stress of getting pregnant. But don't worry, relax, when you have Ipill you may get delayed. For assurance you can go for urine test a home itself.
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Hi mam I am female 22 years old actually my vaginal hole is not opening to insert penis please suggest me some yoga tips or any solution please mam.

MBBS
General Physician, Chandigarh
First time insertion is difficult and painful you can use some lubricant like coconut oil etc and go about it very gently.
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My gf suffering with some irregular menstrual problems. And also she feels pain during period in lower abdomen.

PDDM, MHA, MBBS
General Physician, Nashik
My gf suffering with some irregular menstrual problems. And also she feels pain during period in lower abdomen.
Irregular cycles or excessive flow during cycles is a common problem seen in a large number of females. Hormonal abnormalities are the most common cause of irregular and heavy menstrual flow. Thus, you need to consult your primary healthcare provider for clinical assessment and endometrial biopsy/ curretings for diagnosis of the condition and thus treatment.
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Hi Doc. I am newly married I have tried intercourse with my wife from 5 days but I couldn't intercourse because she feeling very pain. How can I solve this problem? Doc please suggest me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
hello, This is vaginismus and can be solved by using lubricant gel with lignocaine jelly before intercourse around the introitus. If doesn't succeed then meet your gynecologist.
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I don't have a stable mind. I cannot decide between 2 things and I feel sad almost all time. There's no satisfaction in anything I do. And I am very much addicted to my phone. please advice.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I don't have a stable mind. I cannot decide between 2 things and I feel sad almost all time. There's no satisfaction ...
It is good that you have realized at young age that you do not have a stable mind, it is your problem and you are going to solve it minus medicines or doctors. May be you are surrounded by too many relatives and friends, try to be a loner for few days, go for long walks all alone, you will be able to take a decision better, but make sure about difficult decisions taken after giving maximum trials are not to be reverted back, come what may, some kind of emotional abuse / lure of money to walk on easier path. The person who gives a chance to others/ self to reform but fails has got only one option - to reform self by taking 1 decision at a time and work hard to make it a success to reassure self. Good luck, do write back.
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Important Facts About Dengue!

MBBS, Associate Fellow of Industrial Health
General Physician, Chittorgarh
Important Facts About Dengue!

With the onset of monsoon, the risk of mosquito borne infections is on a high.Every year, our country struggles with dengue, with a huge number of people getting infected and some of them requiring hospitalization. Dengue is an extremely common viral infection which is transmitted by mosquitoes and presents as high-grade fever, body aches and pain in the joints.Here are some essential facts that you should know about Dengue.

1 . WHAT ARE THE SYMPTOMS
-Dengue should be suspected when you have a sudden onset of high-grade fever with a severe headache, pain behind the eyes, abdominal pain, body aches, rash and vomiting. The fever can lasts for 5-7 days.
-Around 3-7th day of illness, the fever will be very less or even normal.
-This marks the beginning of the critical phase where there could be a rapid decrease in decrease in platelet count.
-It is important to monitor the platelet count and watchful of danger signs (bleeding, rash, abdominal pain or vomiting). It usually lasts for 2-3 days.

2 . HOW IS DENGUE DIAGNOSED?
-Dengue is diagnosed by a blood test called Dengue Specific Antigen DS-1 (with or without Dengue Antibodies) and complete blood count (CBC) including platelet count.
-Typically, a patient will be positive for dengue specific antigen, decrease in platelet count and decrease in total white blood cells count.
-The normal platelet count is between 1.5 lakh -4 lakh.

3 . HOW SHOULD DENGUE BE MANAGED AT HOME?
-Most patients with dengue fever will not require hospitalization.
-They should take adequate rest, drink plenty of fluids (3-4 litres) and monitor the platelets closely.
-Use cold sponging and Paracetamol for fever.
-Aspirin, Ibuprofen other pain killers should be avoided.
-Antibiotics are not required.
-It is important to be watchful of any danger signs (bleeding, rash, abdominal pain or vomiting).
-The patient can follow up with their doctor every 24 hourly.

4 . WHEN DOES A PATIENT NEED TO BE HOSPITALIZED?
-The patient is usually admitted if he is dehydrated or bleeding or has any other danger signs.
-The patient is generally not admitted if the platelet count is above 50,000.
-The platelet transfusion is generally given if the platelet count is less than 10,000 in absence of bleeding manifestations.

5 . CAN A PERSON GET DENGUE AGAIN?
-It is possible to get dengue more than once.
-There are 4 different but related strains of dengue virus.
-Being affected by one strain offers no protection against the others.

6 . IS A DENGUE PATIENT INFECTIOUS?
-Dengue will not spread by touch, cough or secretions. But the spread of dengue from a patient to others is possible through a mosquito bite.
-The patient should be protected from contact with the mosquito by ensuring he sleeps under a bed net.

I am 29 years male my wife is 26 we married it's love marriage 3 years back as she is suffering with vaginismus till date we dint had sex I contacted doctors too they told why of take her to Gynaecologist but she is not coming. Not allowing touch her private part. Please help.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I am 29 years male my wife is 26 we married it's love marriage 3 years back as she is suffering with vaginismus till ...
Hi lybrate-user. No treatment for vaginismus is possible without an examination and therapy. However persistent pressure for treatment at times psychological trauma which deters the patient from visiting the doctor even more. I suggest first you relieve of her anxiety. Take her to a psychologist who can prescribe her medicines for anxiety. Sometimes in some cases anti anxiety medicines in itself treat the vaginismus. You never know, it might actually do the trick.
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My wife is about 30 years old. In ectopic surgery she lost her right fallopian tube. She want to become mother. Please advice me.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
My wife is about 30 years old. In ectopic surgery she lost her right fallopian tube. She want to become mother. Pleas...
Dear lybrate-user, she can conceive with one tube also, but for confirmation get a hsg done. Regards,
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I have inserted copper t iud my doctor told me to check it on every fifth day of my period but I want to know that how to check it at home and if I forget it to check on my fifth day of period is it possible to check it on later days of same month. Please reply.

BHMS, MO (RBSK), CERT (ARSH), LT
Homeopath, Kolkata
I have inserted copper t iud my doctor told me to check it on every fifth day of my period but I want to know that ho...
You can check it at any point of time. Just inser a finger a little deep & feel the chord attached to the copper t. Its very simple actually.
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I am 40 year old & my wife is 35 year old. She is not interesting in doing sex. She is rarely agree, once in a month or two. what can be done.?

Advanced Aesthetics
Ayurveda, Gulbarga
I am 40 year old & my wife is 35 year old. She is not interesting in doing sex. She is rarely agree, once in a mo...
Ashwagandha booster fem capsule supports systemic balance in the female reproductive, circulatory and hormonal system responsible for sexual arousal. It gives healthy, pleasurable orgasms with a healthy sex drive and desire in women. It helps to maintain a healthy nervous system, ongoing female sexual pleasure, optimal sexual health and vitality. It also improves general health in women.
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Treatments Available for Anorgasmia

MBBS
Sexologist, Jaipur
Treatments Available for Anorgasmia

Anorgasmia, also known as Coughlan's syndrome, is a form of dysfunction, which deters your performance in bed. It is defined as the inability of a patient to achieve an orgasm even with adequate stimulation. Anorgasmia may also refer to long delays in achieving an orgasm, causing significant concern or stress to the patient. This condition is more commonly seen in women, especially those in the postmenopausal age group.This is especially common in women.

Cause of Anorgasmia:

  1. Trauma to the genital or pelvic organs; this trauma can be acquired from straddle injuries, for example falling off a balance beam or a bicycle
  2. Complications of surgery in the pelvic area
  3. Gynecologic operations, difficult childbirth and prosthetic procedures
  4. Diseases, such as multiple sclerosis, spinal cord injuries and diabetes mellitus
  5. Psychological conditions such as anxiety, depression or alcoholism
  6. Certain kinds of drugs such as antidepressant medications
  7. Addiction to heroin and other opiates

Occasionally, anorgasmia results from a combination of these causes

Symptoms of Anorgasmia: The primary symptom of anorgasmia is the failure to climax during sexual intercourse. Some patients may also experience a decreased intensity of orgasms, take a longer time than usual to achieve orgasms, and experience pain in lower abdomen or pelvic region during sexual intercourse. These symptoms can produce marked distress for the individual.

Types of Treatments Available: Anorgasmia is best managed by a sexual therapist. These experts are specialists in managing sexual dysfunction, and would initially confirm the diagnosis with several blood tests. A thorough neurological examination will be performed and hormone levels, blood sugar and genital blood flow will be evaluated.

Anorgasmia can be treated with:

  1. Changes in lifestyle and sexual practices
  2. Minimizing stress and anxiety
  3. Trying different techniques of sexual stimulation
  4. Kegel exercises
  5. Use of several devices, such as vacuum pumps and vibrators
  6. Cognitive therapy, a form of behavioral therapy that promotes changes in a person's ideas and attitude towards sexual activity)
  7. Counseling for couples (to allow them to address any issues in the relationship, at home and in the bedroom)
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Garbh me dimb (egg) kis din utpanna ho rha Hain kyse pata kre? Koi medical kit ya upay bataiye please Egg period k kitne din bad banti Hain?

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
Garbh me dimb (egg) kis din utpanna ho rha Hain kyse pata kre? Koi medical kit ya upay bataiye please
Egg period k ki...
Dear user. FERTILE PHASE is the phase of a female's menstrual cycle when an egg (ovule) is released from the ovaries. In humans, ovulation occurs about midway through the menstrual cycle, after the follicular phase. The few days surrounding ovulation (from approximately days 10 to 18 of a 28 day cycle), constitute the most fertile phase. So if you have ejaculatory sexual inter course from day 10 from the first day of period and to day 20, the chances of pregnancy are much more. There are many determinants of pregnancy. You should be sexually matured. Your partner should be sexually matured. The period of your partner should be in the fertile stage. Her egg and your sperm cells should healthy enough. Then her uterus should be capable to get conceived. If all these were satisfied, the pregnancy could be a result. Take care.
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What is metabolism and how does it affect you?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
What is metabolism and how does it affect you?
The food you take every day has to be absorbed in the system to give you energy to work, for your growth and for building the defence system to fight diseases.
Metabolism is the word used to indicate the chemical changes which take place in the body necessary for fulfilment of its vital functions.
The rate of metabolism is high when you are physically and mentally very active. Normally, your daily activity starts in the morning hours and therefore, don’t miss your breakfast.
Similarly, your rate of metabolism is the lowest in the night when you rest physically and mentally. Accordingly, your night meal has to be light and early so that it is mostly digested before you go to sleep. Avoid late night dinners.
With this kind of balancing, you can be free from OBESITY
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What can b the best diet for post delivery lady. As I have delivered 9 days baby boy. I want to know what more important I should consume for my health and baby. As I have been confused with lot of traditional Indian myths.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
What can b the best diet for post delivery lady. As I have delivered 9 days baby boy. I want to know what more import...
hello, after delivery you should a good nutritious diet as you are feeding the baby.drink lots of water and have milk daily. you can eat food that you can digest well. avoid having too fatty and spicy food and avoid eating roadside and unhealthy/junk food.
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