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Dr. Sivarangini

Gynaecologist, Chennai

300 at clinic
Dr. Sivarangini Gynaecologist, Chennai
300 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sivarangini
Dr. Sivarangini is a renowned Gynaecologist in Velachery, Chennai. You can visit him/her at Kamakshi Memorial Hospital in Velachery, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Sivarangini on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 36 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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No.1, Radial Road, Pallikaranai. Landmark: 2 Km from Velachery Bus Terminus, ChennaiChennai Get Directions
300 at clinic
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Hello sir, My Usg done on 19 dec. Gestational age is 14wk nd 06 days nd my foetus weight is 1.02kg. Is it normal.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello sir, My Usg done on 19 dec. Gestational age is 14wk nd 06 days nd my foetus weight is 1.02kg. Is it normal.
Hello, If the overall growth of the foetus is fine then its normal. weight at early pregnancy with a kg seems high.
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I am unmarried 31 yrs old female. The duration of my cycle is decreasing and periods last for max 2 days that is worrying me and I'm not able to concentrate on my work. Leading to stress even after consultation with doctor the report of pelvic ultrasound is normal. But less monthly discharge is worrying me. Can it be problematic for my future. exercise can help.?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am unmarried 31 yrs old female. The duration of my cycle is decreasing and periods last for max 2 days that is worr...
As long as you are having regular periods there is nothing to worry. If you are overweight exercise may help. I would also advise you to get a complete blood count and hb done.
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Contraception

DGO
Gynaecologist, Pune
Contraception

With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.

Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.

Types of contraceptives:

Hormonal (2-3%)
Intrauterine (5%)
Barrier (10-15%)
Chemical (15-20%)
Physiologic
Sterilization (4%)
* percentages mentioned within brackets are failure rates

Hormonal contraception

It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.

Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts

Classification

Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Benefits:

Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.

Intrauterine contraception

It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Types:

Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Side effects:

Increased blood loss and duration of menses, increased dysmenorrhea

Complications:

Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.

Indicated for: multiparous women greater than 35 years who smoke.

Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.

Barrier methods

It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.

Types:

Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
Chemical contraception

It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
Physiologic contraception

It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.

Sterilization

This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.

Types:

Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.

Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).

A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.

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Me and my husband had unprotected sex on last Saturday. I didn't d orgasm though. Can I get pregnant? And also let me know tgr natural foods through which I can avoid pregnancy. Cz we r nt ready for having a child.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Me and my husband had unprotected sex on last Saturday. I didn't d orgasm though. Can I get pregnant? And also let me...
If u don't want pregnancy use proper contraception. either ocp or condom .orgasm vil not prevent pregnancy. u can become pregnant even with out orgasm
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Hi! Doc. I am 6 months pregnant witj low lying placenta. So what precautions should I take to have everything normal. Please suggest.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi! Doc. I am 6 months pregnant witj low lying placenta. So what precautions should I take to have everything normal....
Hello, first and foremost you must avoid intercourse till delivery. Secondly avoid travelling in buses, cars and two wheelers. Rest adequately and watch for any ominous vaginal bleeding which shall need immediate doctor's opinion and evaluation.
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Hello! Doc. S Group And Good morning everyone. I'm 20yrs. Old and I have a baby also 0.5years old and I'm also feeding to her so in this situation Dronis 20mg is suitable for me or not and how should I use it./Doges for me. And My period starts from 6 per month.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hello! Doc. S Group And Good morning everyone. I'm 20yrs. Old and I have a baby also 0.5years old and I'm also feedin...
Dronis 20 is a contraceptive pill designed specially for feeding mothers so that milk production is not reduced. That is why estrogen content is 20 and not 30. Best contraception for you is iucd or copper t and if that is not suitable then only dronis 20 to be started.
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Hi I am Going to get married. What are the methods that I can postpone the pregnancy. If we have sex not in the day cycle of 14 to 20 can v avoid pregnancy. Her cycle is 28 days. If I did not leave my sperm can v avoid pregnancy.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi I am Going to get married. What are the methods that I can postpone the pregnancy. If we have sex not in the day c...
For newly wed, the best contraception is oral contraceptive pills. So, go to a gynaecologist who can prescribe you oral pills. They have very low failure rate and highly recommended for newly married couples.
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Greater Noida
Old saying - Prevention is better than cure. And Ayurveda/Yoga is all about preventive measures - Take care of daily intake, don't take anything non seasonal.
Believe in "Achaar (Good conduct/moral character), Vichar (Good positive thinking), Niyam (Follow strict daily routine like wake up, sleep time, meal timings etc.), karma, Dharma and sanyam (Control). You will never get ill. I promise. Give it a try - and see the change in life.
1 person found this helpful

I am a 19 old female my breast is discharging for last 2 days. What should I do? Please advise.

MD - Obstetrtics & Gynaecology
Gynaecologist, Chandigarh
I am a 19 old female my breast is discharging for last 2 days. What should I do? Please advise.
What is the colour of discharge? please get a serum prolactin test done from a good laboratory and let me know. It could be hyperprolactinemia -galactorrhea syndrome. Are your periods regular?
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My wife had undergone a chocolate cyst surgery on 30th August. Her periods have not yet occurred as of 01 Nov. We visited her gynaec 10 days ago and she asked us to wait and watch. Is this expected? What is the average no. Of days after periods start occurring again?

BHMS
Sexologist, Noida
My wife had undergone a chocolate cyst surgery on 30th August. Her periods have not yet occurred as of 01 Nov. We vis...
They are infertile; and; They have a chocolate cyst. This means that the chocolate cyst must be the cause of the infertility; and if this is removed, they will be able .They are infertile; and; They have a chocolate cyst. This means that the chocolate cyst must be the cause of the infertility; and if this is removed, they will be able.
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Hello Dr. M 30 year old and I got married in Jan 16 i'm planing for baby I tried 2 months but couldn't workmy period date are below: 9th Jul'16 14th Aug'16 19th Sep'16 24th Oct'16 23rd Nov'16 im taking folic acid 5 mg per tablet daily I have 6 days period please confirm the period cycle days and ovulation time also suggest best time to intercourse and what to do to conceive fast. M getting tensed month by month please help.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Hello Dr. M 30 year old and I got married in Jan 16 i'm planing for baby I tried 2 months but couldn't workmy period ...
Dear Lybrate user, You have had delayed menstrual periods of 35 days interval except the last one. If further periods are regular then ovulation time can be calculated. There are many aspects to be considered before advising for conception. Consult Gynaecologist and take advice.
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How Much Water Should You Be Drinking Daily?

BHMS
Homeopath, Delhi
How Much Water Should You Be Drinking Daily?

Water is vital for our survival. Our body is constituted with 70% water and we may well surmise from this, how essential water is for our health. For the proper functioning of our body systems, we need to maintain the right proportion of water in our bodies at all points of time. It is often taught to us that drinking water is a habit that must not only be inculcated in one and all but also be practiced diligently. There are certain immediate health benefits attached to consumption of adequate water. It stimulates proper digestion, regulates the kidney functioning and supplies the body with the essential nutrients. Water is one of the best resorts for detoxification of your body. The appropriate quantity of water intake is also necessary for watching over one's weight. Indiscriminate amount of water content in the body often adversely affects your metabolism which in turn asserts a negative impact on your body weight. The ideal amount of water that needs to be consumed varies from person to person. The measure is dependent on one's stature and the level of activity.

What is the correct measure?
Toppling the notions about the standard intake being 8 glasses a day, contemporary physicians recommend that the sufficient quantum of water depends upon a multitude of factors. Climate and altitude is one of them. For drier conditions, the water requirement of the body is more than in those situated in the coastal conditions. Similarly, for those based on higher altitudes, your body shall need more water to sustain than those in the lower areas. Considering the huge influence that your water intake has on your metabolism level, your level of activities also determines how much of water you should consume on a daily basis.

A commendable practice is to reach out for a glass of water the first thing in the morning. You should not remain dehydrated for a fair stretch of time. It often leads to all kinds of ailments. Instead of gulping down large quantities of water at one go, you should drink smaller sips all throughout the day to meet the body's requirements of water adeptly.

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Dear Doctor, My girlfriend is 25 years old. We have been dating for the past 3 years now and are committed. She explained to me that from the time she first got her periods, they have been rather irregular. She would also develop certain skin conditions during her periods such as acne on her face or increase in oiliness as well as dryness of her lips. Her gynac after performing certain tests said that she releases several eggs at a time, rather than the usual one when she ovulates. Under his prescription she has been taking a course of Aristelle (Ethinyl Estradiol, Dienogest) ever since As I understand, this drug is a hormonal contraceptive. She has continued this course for the past several years now and has been doing well in terms of skin symptoms and regularity of her period. My question to you is, for how long do you think it would be safe to continue this course without causing any disturbance to her body. We are clear that we want to have sex only after marriage. Hence I would like to know if there would be anything to keep in mind when we do decide that we would like to conceive. I look forward to your kind help. With Gratitude

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Dear Doctor,
My girlfriend is 25 years old. We have been dating for the past 3 years now and are committed.
She expla...
Hi. As of now if she is better she may stop that pill for a few months and observe. If you are not going to be sexually active as of now then no worries. Once you get married she should easily conceive. Supposing there are problems in conceiving that can be tacled at that time. Per say these pills are quite harmless and you need not worry.
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My wife is not getting pregnant after long time he suffers a operation and her one side fallopian tube were cut by doctor bcz of baby in nus.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
My wife is not getting pregnant after long time he suffers a operation and her one side fallopian tube were cut by do...
Hi Even if one tube is cut then also she can become pregnant. Don't worry. Please send me all your reports so that I can guide you further.
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What is the measure that without protection sex can be done, suggest any pill or vaginal insert pill after which sex can be done with out condom use.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Vaginal insertpill today can be used by the woman during sex. But failure rate is high, esp during perovulatory period. So combining it with condom provides double protection.
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I have a matured 15 days daughter but my wife is unable to produce adequate breast milk please suggest medicine to increase breast milk.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
I have a matured 15 days daughter but my wife is unable to produce adequate breast milk please suggest medicine to in...
Ever wish your breasts had little ounce markings? If so, you’re not alone. One of the more confusing things about breastfeeding is determining how much milk you’re making. You can’t see how much is going into your baby, so how can you tell if your milk supply is enough for your baby? On this page we share the best ways to determine if your milk supply is in fact low, and describe the many things that can make you think that your supply is low when it actually isn’t. Below are some normal experiences that can trick you into believing that your supply is low: “My baby wants to eat all the time.” It’s normal for babies to eat frequently, generally in the range of 8 to 12 times in 24 hours for many months. This means many hours of feeding a day, and it may feel constant at times. It’s also normal for babies to “cluster feed” at times during the day. If your baby is feeding significantly outside of the 8-12 times range, contact a lactation consultant or other breastfeeding support person. “My breasts feel softer than they used to.” Toward the end of the first month of breastfeeding many women notice that their breasts have decreased from the size they were when their mature milk came in. This is normal, and does not indicate anything about milk supply. “I don’t feel that ‘let down’ sensation.” Some women have a “let down” sensation when they make milk, and some don’t. It doesn’t seem to have any bearing on the amount of milk a mother makes, so don’t worry if you don’t feel anything. “My baby suddenly wants to eat all the time.” Babies go through growth spurts. They do this in order to increase your milk supply to meet an increased need for calories. To do this, they go on a feeding rampage for a few days – eating more often than usual and sometimes acting unsatisfied and fussy after feedings. During a growth spurt it’s common to question your supply. After a growth spurt you’ll find that you have more milk than ever! “I can’t pump very much.” Pumping output is usually not a good measure of milk supply. Why? Because your body doesn’t always make milk for the pump (it has to be tricked into believing that the pump is your baby!) and when it does the pump doesn’t remove milk as well as your baby does. So don’t gauge your milk supply based on your pumping output. You almost always have more than you pump. “My baby is fussy when she nurses.” There are many causes of fussiness at the breast. And while hunger is one of them, your baby may be fussy because of gas, pooping, a flow that is too fast or too slow, or a host of other reasons. If you believe that your baby is fussy because he or she isn’t getting enough milk, or if the fussiness is causing you distress, consult a lactation consultant or other breastfeeding support person. “My baby is suddenly waking up at night a lot.” Night waking can be due to hunger, but it can also be due to teething or “reverse cycling,” (when babies eat less during the day and more at night, often due to a change in routine like a return to work, or distracted behavior during the day). Here’s how to tell if your milk supply is actually low: 1) Your baby’s weight. The best measure of whether your baby is getting enough milk is his or her weight gain. If you are concerned about your milk supply, have your baby weighed and re-weighed using a baby scale. Scales will always be a little different, so be sure to compare only weights taken on the same scale. Except in critical situations, weight checks every few days or weekly is generally sufficient. In the first three months of life babies gain an average of 1 ounce per day. That slows to at least approximately a half an ounce per day between 4 and 6 months. Occasionally your health care provider may suggest a “test weight,” in which your baby is weighed on a sensitive scale before and after a feeding (with the same clothes on) to determine how much milk the baby received at that feeding. This can give you a snapshot of a feeding, but be cautious in drawing conclusions from the data. The amount of milk babies take in at different feedings can vary widely, so bear this in mind if you do a test weight of your baby. 2) Diaper output. You can get a sense of how much your baby is taking in by what comes out. After the first few days, babies generally have at least three poops that are bigger than a quarter in size each day. This frequency may decline after several weeks. And your baby should have five very wet diapers per day. It can be difficult to measure output in very absorbent diapers, which is why your baby’s weight is considered the ‘bottom line.’ 3) Swallowing. You may also take comfort in how much your baby is swallowing when nursing. This is not a definitive measure of your supply and should be confirmed with information about your baby’s growth, but a period of rapid swallowing (one swallow per one or two sucks) during a feeding shows you that your baby is getting milk. To check out your baby’s swallowing, listen for a ‘cah’ sound or a squeak or gulp, and look for a longer and slower movement of the jaw, often with a brief pause at the widest point. What to do if your milk supply is indeed low: If your milk supply is low, be sure to get help from a lactation consultant (IBCLC) or other qualified breastfeeding support person. There are many steps you can take to build your milk supply.
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If a girl of 17 years and had very less immunity very fastly get tired. But her boyfriend want too do sex daily and she also wants to do sex daily to made her boyfriend happy and they do sex daily. Is there any problem regrading to the girls health?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello at 17 years of age, the girls are very young and not fully mature. Try to tell the fact to your partner also. Archana gupta.
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I am missing my periods from jan till now. I had my late periods in dec month. I just wana know how month long I am pregnant. I am confused.

BHMS PGCGO
Homeopath, Hubli-Dharwad
I am missing my periods from jan till now. I had my late periods in dec month. I just wana know how month long I am p...
just check once urine for pregnancy. if it comes positive then get done scan. it will show you how many months exactly you are pregnant like
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I m 29 year old married a year back diagnosed to have pcod recently. I was advised diet n weight reduction. Is it possible to reverse pcod to completely normal? can v notice normal changes in usg?

M.D (HOMEOPATHY), MBA (Healthcare)
Homeopath, Gulbarga
Dear patient, it is surely possible to get rid of pcod but you need to follow strict diet for 6 months. Avoid brinjal and potato as well as excessive oily food stuffs. You need constitutional homeopathic medicine with mensoreg syrup to clear pcod and to regularize your menstruation.
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