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Dr. Sobhana

MBBS

Gynaecologist, Chennai

0 - 600 at clinic
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Dr. Sobhana MBBS Gynaecologist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Sobhana
Dr. Sobhana is a popular Gynaecologist in Royapettah, Chennai. Doctor has completed MBBS . Doctor is currently practising at Seethapathy Clinic & Hospital in Royapettah, Chennai. You can book an instant appointment online with Dr. Sobhana on Lybrate.com.

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Seethapathy Clinic & Hospital

#128, Old No 241, Royapettah High Road, Royapettah. Landmark: Near Swagath Hotel, ChennaiChennai Get Directions
600 at clinic
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Seethapathy Clinic & Hospital

#128, Old No 241, Royapettah High Road, Royapettah. Landmark: Near Swagath Hotel.Chennai Get Directions
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I am suffering frim high level of insulin in my hormone. Due to this my periods irregular. what natural way to reduce it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
I am suffering frim high level of insulin in my hormone. Due to this my periods irregular. what natural way to reduce...
Let me know how can you know your insulin level is high. Your menstrual period are irregular means it will be so many other causes but not due to insulin. Ok.
3 people found this helpful
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My wife is not able to bear pain while sex. She is stopping me all the time, every time. Actually we both are virgins and new to this. Please suggest me medicines to avoid her pain.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is not able to bear pain while sex. She is stopping me all the time, every time. Actually we both are virgins...
Hello, please use adequate lubrication before intercourse. You may use vagisil vaginal lubricant mixed with lignocaine jelly around the vaginal introitus to reduce the pain.
2 people found this helpful
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Symptoms of Dengue in Hindi - डेंगू के लक्षण

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Symptoms of Dengue in Hindi - डेंगू के लक्षण

मौसम बदलते ही तरह-तरह के वायरल संक्रमण फैलने लगते हैं, जिनमें डेंगू बेहद खतरनाक बीमारी है। वैसे तो डेंगू का सामान्य लक्षण बुखार है, लेकिन ये सामान्य बुखार से अलग होता है। डेंगू में बुखार की तीव्रता काफी अधिक होती है और कमजोरी के साथ चक्कर भी आते हैं। संक्रमण बढ़ने के साथ शरीर कमजोर होता जाता है और भी लक्षण दिखाई देने लगते हैं जैसे- उल्टी आना, जोड़ों में दर्द, त्वचा पर रैशज वगैरह। ये तो डेंगू के सामान्य लक्षण हैं लेकिन यहां कुछ लक्षण दिए जा रहे हैं, जिनके नजर आने पर तुरंत डॉक्टर से संपर्क करें।

अगर डेंगू के लक्षणों को ऊपरी तौर पर देखा जाए तो तेज बुखार, लगातार मितली और उल्टी आना, उल्टी में खून आना, पेशाब के साथ खून आना, पेट में दर्द, सांस लेने में तकलीफ, नाक और मसूड़ों से खून, थकान लगना आदि हैं। यहां विस्तार से देखें कि् कौन सी स्थिति है खतरनाक.

1. 20 का मंत्र:
डॉक्टरों के मुताबिक, नब्ज में 20 की बढ़ोतरी, ब्लड प्रेशर मे 20 की कमी, हाई और लो बीपी में 20 से कम का अंतर और बांह पर 20 से ज्यादा निशान हों तो सतर्क हो जाएं।

2. तेज बुखार:
डेंगू के संक्रमण से होने वाले बुखार की तीव्रता काफी तेज होती है। बुखार में थर्मामीटर का पारा 102 से 105°F तक पहुंच जाता है। एक हफ्ते तक बुखार तेज रहता है, इसके बाद थोड़ा आराम मिल सकता है, लेकिन इसे राहत न समझें। फिर से बुखार वापस आ सकता है, वो भी पहले से ज्यादा तेज।

3. जुकाम या वायरल जैसे लक्षण: 
डेंगू में बुखार के साथ सामान्य फ्लू जैसे लक्षण भी नजर आते हैं। इसमें सिर दर्द, आंखों में दर्द, आंखों के पीछे दर्द, बदन में दर्द और जोड़ों में दर्द के लक्षण दिखाई देते हैं।

4. प्लाजमा लीकेज: 
प्लाजमा लीकेज डेंगू में खतरनाक अवस्था है। अल्ट्रासाउंड करवाकर प्लाजमा लीकेज का पता लगाया जा सकता है। ये संक्रमण के 3 से 7 दिन के अंदर होता है। अगर शरीर का तापमान कम होने लगे तो भी सतर्क हो जाएं, इसके अलावा पेट दर्द, लगातार उल्टी, सुस्ती वगैरह भी गंभीर लक्षण हैं।

5. सुस्ती: 
डेंगू के लक्षण दिखें तो सबसे पहले प्लेटलेट्स काउंट चेक करवाएं साथ ही बीपी पर भी नजर रखें। कमजोरी और सुस्ती से इन लक्षणों का अंदाजा लगाया जा सकता है।

6. उल्टी: 
बुखार के साथ बार-बार उल्टी आना भी खतरनाक लक्षण है। लिवर एंजाइम की गड़बड़ी से ऐसा होता है। इस स्थितिस में डिहाइड्रेशन हो जाता है। कुछ खाने और पीने के बाद तुरंत उल्टी हो जाए, तो भी सतर्क हो जाएं।

7. असामान्य रक्तस्त्राव: 
डेंगू के वायरस का असर खून के कंपोजिशन पर काफी होता है। ऐसे में अगर बुखार के साथ नाक या मसूड़ों से खून आए तो सतर्क हो जाएं। इसमें बुखार के साथ आंखें भी लाल दिखाई दे सकती हैं, साथ ही गले में खराश और सूजन भी खतरनाक है। प्लेटलेट्स के कम होने से खून का घनापन पढ़ जाता है, ये भी खतरे की निशानी है।

8. त्वचा पर चकत्ते: 
डेंगू में बुखार आने के तीसरे या चौथे दिन के बाद अगर त्वचा पर लाल रंग के चकत्ते दिखाई दें तो ये सामान्य बुखार न होकर डेंगू हो सकता है। ये चकत्ते सबसे पहले चेहरे पर दिखाई देते हैं। इसमें चेहरा लाल भी दिखाई दे सकता है। इन चकत्तों में सामान्यता खुजली नहीं होती। धीरे-धीरे ये चकत्ते बाकी शरीर के साथ हाथ और पैरों तक पहुंच जाते हैं। इस स्थिति को गंभीरता से लें। कभी-कभी बुखार जाने के बाद खुजली वाले चकत्ते भी उभर आते हैं। ये चकत्ते पैर और हांथ के तलवे पर होते हैं, जिनमें असहनीय खुजली होती है।
सावधानियां

डेंगू फैलने के मौसम में विशेष सावधानी रखें। आसपास कहीं पानी जमा न होने दें। कूलर में पानी बदलते रहें और सफाई का विशेष ध्यान रखें। डेंगू होने पर तुरंत डॉक्टर से संपर्क करें। इसके अलावा ज्यादा से तरल पदार्थ लें, आराम करें और पौष्टिक खाना खाएं।
डेंगू में नीम, तुलसी, गिलोय, पिप्पली, पपीते की ताजी पत्तियों का रस, गेंहू की बालिकयों का रस, आंवला और एलोविरा का रस पीने से फायदा मिलता है। रस से शरीर की प्रतिरोधक क्षमता बढ़ती है और प्लेटलेट्स के निर्माण में तेजी आती है।

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Soya Foods Lowers Sperm Count

B.Sc., B.A.M.S., C.C.Y.P., M.D. (Ayurveda)
Ayurveda, Aligarh
Soya Foods Lowers Sperm Count

1. Eating about half a serving a day of soya-based foods could lower a men's sperm count.

2. Look at the relationship between semen quality and a plant form of female sex hormone oestrogen known as phytoestrogen, which is plentiful in soya-rich foods

3. Researchers from britain analysed the intake of 15 soya-based foods in 99 men. They were asked how much and how often in the prior 3 months they had eaten soya-rich foods. The researchers divided the men in to groups according to the soya consumption levels. Men in the highest group on average ate half a serving per day. It was found that men in the highest intake category had 41 million sperm/ml less than men who ate no soya foods.

4. A normal sperm count ranges from 80 million and 120 million per ml, and a sperm count of 20 million per ml or below is considered low.

5. The associtation betwwen soya foods and lower sperm count was stronger in owerweight men.

6. This was attributed to the presence of higher levels of androgen-produced oestrogen in overweight men.

7. The finding suggest that soya foods could affect the male reproductive system, especially sperm production. However, more studies are needed to check whether soys food could cause infertility. (human reproduction, july 2008)

 

1 person found this helpful

Hello I'm 31 years old n I'm a married woman. During every period pain I used to have strong abdominal pain in the lower part every first and second day which has made my life miserable. During the Intercourse also I used to experience the pain, I have gone to see many doctors but it couldn't work to me what should I do?

BHMS
Homeopath, Faridabad
Hello I'm 31 years old n I'm a married woman. During every period pain I used to have strong abdominal pain in the lo...
Hello, You seems to be either oversensitive towards even slight pain too. Has your gynaecologist told you about any infection you are having? As any infection or inflammation also increases the pain, so do share reports with me. Medication: Start with Schwabe's Five Phos. and Alfaalfa Tonic for 1 month. Schwabe's Mag. Phos. and Colocynthis 200 - take them as SOS medicines during the time of pain only. You can take after every 2 hrs. After that get back to me for your status of pain.
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Hello doc I am 9 week pregnant and I am usually eating kissan mixed fruit jam, I read it contain papaya and pineapple .is it dangerous for me and my baby. please help. I am scared much.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Hello doc I am 9 week pregnant and I am usually eating kissan mixed fruit jam, I read it contain papaya and pineapple...
Do not worry. Papaya dosent harm pregnancy in any way. It is believed that raw papaya contains a chemical which is considered abortifacient but its not proven as such. Ripened papaya is completely safe.
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I am 30 week pregnant and my baby movement is very slow. Does this is an point of concern?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 30 week pregnant and my baby movement is very slow. Does this is an point of concern?
yes it is, please get a gynae checkup to listen to baby's heart beat, also an ultrasound with Doppler flow
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My periods are coming once in two months. please advise me something so that it should come in regular interval of time?

BAMS
Ayurveda, Pune
My periods are coming once in two months. please advise me something so that it should come in regular interval of time?
If your menses are irregular then 1st do the usg (abdomen-pelvis) to rule out pcod or any physiacal abnormality. To normalise the menses first you have to go through the basti or appropriate shodhan therapy as per your prikriti, for that visit your nearest ayurvedic doctor. Until then take tab. Chandraprabha vati 2 tabs tqice a day before food. Liq. Dashmoolarishta 3 tsf with same amount of water, before food. Medicines should be taken 15 minutes before food.
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I am 26 years old. My period was due on 5 March and I have tried for a baby on 19 Feb. On 16 March, I bleed like periods but I had cramp on my abdomen. What is going on with me. Is this pregnancy symptoms? Should I go for pregnancy test?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 26 years old. My period was due on 5 March and I have tried for a baby on 19 Feb. On 16 March, I bleed like peri...
Hello, You may check anyways with a serum betahcg test if you suspect pregnancy and are keen. A negative test shall rule out pregnancy completely and that these are your menses.
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I got my periods on 15th aug And it ended on 20th Aug .my periods are irregular. Today I had unprotected sex. Itwas not sex actually. Just for 1-2. Min he inserted his private part we ensured that it was dry. No pre ejaculation was there. Not even he ejaculated inside me. Can I get pregnant?

DGO, MBBS
Gynaecologist, Satara
I got my periods on 15th aug And it ended on 20th Aug .my periods are irregular. Today I had unprotected sex. Itwas n...
Though it's unprotected sex, today is your 10th day of menses which is safe period & if you r firm that no ejaculation ,then relxed about pregnancy.
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Can PCOD can be cured easily with regular exercise and diet? And can decrease the weight easily?

BHMS
Homeopath,
Weight reduction with hypothyroidism and pcod combined is difficult without any medication though you can try intermittent fasting method to improve your endocrine axis.
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Blood Clots During Pregnancy - Symptoms, Treatment and Prevention

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Blood Clots During Pregnancy - Symptoms, Treatment and Prevention

A blood clot (also called a thrombosis) is a mass or clump of blood that forms when blood changes from a liquid to a solid. 

The body normally makes blood clots to stop the bleeding after a scrape or cut. But sometimes blood clots can partly or completely block the flow of blood in a blood vessel, like a vein or artery. This can cause damage to body organs and even death. 

Most women with blood clotting conditions have healthy pregnancies. But these conditions may cause problems for some pregnant women. In severe cases, they can cause death for both mom and baby. But testing and treatment can help save both you and your baby.

If you’re pregnant or trying to get pregnant and have had problems with blood clots in the past, tell your health care provider at a preconception checkup (before pregnancy) or at your first prenatal care checkup. Also tell your provider if someone in your family (your parent or a brother or sister) has had problems with blood clots. This means the condition may run in your family.  

What problems can blood clots cause during pregnancy?
If you have a blood clot or a kind of thrombophilia called antiphospholipid syndrome (also called APS), you may be more likely to have complications that can affect your health and your baby’s health, including:    

  1. Blood clots in the placenta. The placenta grows in your uterus (womb) and supplies the baby with food and oxygen through the umbilical cord. A blood clot in the placenta can stop blood flow to your baby and harm your baby. 
  2. Heart attack. This usually happens when a blood clot blocks blood and oxygen flow to the heart. Without blood and oxygen, the heart can’t pump blood well, and the affected heart muscle can die. A heart attack can lead to lasting heart damage or death. 
  3. Intauterine growth restriction (also called IUGR). This is when your baby grows poorly in the womb. 
  4. Miscarriage. A miscarriage is when a baby dies in the womb before 20 weeks of pregnancy.
  5. Placental insufficiency. This is when the placenta doesn’t work as well as it should so your baby gets less food and oxygen.
  6. Preeclampsia. Preeclampsia is a condition that can happen after the 20th week of pregnancy or right after pregnancy. It’s when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly. Some of these signs include having protein in the urine, changes in vision, and severe headache.  
  7. Premature birth. This is when your baby is born before 37 weeks of pregnancy. 
  8. Pulmonary embolism (also called PE). An embolism is a blood clot that moves from where it formed to another place in the body. When the clot moves to a lung, it’s a PE. PE can cause low oxygen levels in your blood and damage your body organs. It’s an emergency and a leading cause of death during pregnancy. Signs and symptoms of PE may include:
    • Trouble breathing
    • Fast or irregular heartbeat
    • Chest pain
    • Fainting
    • Feeling anxious
    • Coughing up blood
  9. Stillbirth. This is when a baby dies in the womb after 20 weeks of pregnancy.
  10. Stroke. This happens when a blood clot blocks a blood vessel that brings blood to the brain, or when a blood vessel in the brain bursts open. Pregnancy and childbirth cause strokes in about 8 in 100,000 women. Stroke can cause lasting damage to the body or death.
  11. Thrombosis. This happens when a blood clot forms in a blood vessel and blocks blood flow. It most often happens in the deep veins of the legs but can be in other places of the body: 

How are these conditions treated?
Your provider may use tests like ultrasound or magnetic resonance imaging (also called MRI) to find out if you have a blot clot or clotting conditions. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb. MRI is a medical test that makes a detailed picture of the inside of your body. These tests are painless and safe for you and your baby.

If you are pregnant and have a clotting condition, you may need to go for prenatal care checkups more often than women who don’t have these blood clot conditions. At these visits, your provider checks your blood pressure and can use other tests, like blood tests, to monitor your health. 

Your gynaecologist also checks your baby’s health in the womb using tests like:

  1. Ultrasound to check your baby’s growth and development. She may use a special kind of ultrasound called Doppler to check your baby’s blood flow in the umbilical artery, a blood vessel in the umbilical cord. The umbilical cord connects your baby to the placenta. It carries food and oxygen from the placenta to the baby. 
  2. Fetal heart rate monitoring (also called a nonstress test or NST). This test checks your baby’s heart rate in the womb and sees how the heart rate changes when your baby moves. Your provider uses this test to make sure your baby’s getting enough oxygen. 

A blood clot occurs when your body sends cells, called platelets, to interrupt the stream of blood. Typically, this happens when you have a cut, to keep the damage from draining consistently. During pregnancy, your blood will probably cluster as a defense mechanism against losing an excess amount of blood during the process.

Signs and Symptoms

Women have a tendency to be more sensitive and risk-prone of potential difficulties while they are pregnant. Despite the fact that blood clots are far-fetched, there are a couple of signs that can demonstrate the possibility of a blood clot. These include:

  • Swelling or pain in one leg
  • Pain that increases when you walk
  • Veins that look bigger or more swollen than usual

Different components that can additionally raise your odds of growing profound vein related blood clots in pregnancy include:

  • Being thirty-five or older while pregnant
  • Pre-pregnancy blood clots outside of pregnancy
  • Being overweight
  • Smoking
  • Having a cesarean conveyance (C-section).

However, there are certain solutions to every problem. In order to get rid of blood clots during pregnancy or prevent them from happening, these are the possible solutions:

  1. Continue moving: In case that you are overweight and inactive, it will affect your blood-stream and increase your risk for profound vein clots in pregnancy. So, remain active and keep up a healthy weight. If you must be on bed rest because of a damage or inconvenience in your pregnancy, your specialist may endorse blood thinners as a careful step.
  2. Get up during travel: Flying alone is a risk for clots; so pregnant women need to be very careful about that. In case that you need to fly, get up and move around consistently and do a lower leg exercise while you sit. Do a similar thing in case you go for a long journey or have to travel fast.
  3. Wear pressure tights: Since they enhance the flow and lessen swelling in the legs, pressure tights can bring down your danger of profound clots in pregnancy.
  4. Drink loads of water: Remaining hydrated during pregnancy forestalls clots by keeping the blood from getting too thick.

The reason pregnant women need to be aware of the connection amongst pregnancy and clot risks is that an untreated clot can possibly break free and go through the circulatory system. The fear is that it will move to the heart or lungs and cause a pneumonic embolism, which can lead to death. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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Hi, My question is regarding sex pills, is it normal to take sex pills regularly just to expand the pleasure period, I mean, are there really lots of side effect.

BHMS
Homeopath, Sindhudurg
Hi,  My question is regarding sex pills, is it normal to take sex pills regularly just to expand the pleasure period,...
Common side effects of viagra headache, flushing in the face, neck, or chest, upset stomach, indigestion, abnormal vision, nasal congestion, back pain, muscular pain or tenderness. Nausea, dizziness, rash, diarrhea serious side effects of viagra change or loss of vision, ringing in ears or hearing loss, chest pain or irregular heartbeat, shortness of breath, lightheadedness, swelling in the hands, ankles, and feet.
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M 22 years old. I have bad smell in vagina. what should i do to remove that smell from my vagina?

BHMS
Homeopath, Raebareli
Thank you for writing to us. Please note the following for your condition: vaginal odor can be due to a number of reasons, such as bacterial growth, yeast infections, poor hygiene, hormonal changes, and sexually transmitted diseases. If the problem is due to infection, there may be symptoms like redness, itching, burning and irritation in the vaginal area. A fishy odor down there, in particular, is caused by bacterial vaginosis. No matter what the reason, vaginal odor can be very embarrassing. There are many natural remedies to help treat vaginal odor. Due to its antibacterial and antiseptic properties, apple cider vinegar can be used to fight vaginal odor. In fact, taking a bath with apple cider vinegar is one of the simplest ways to get rid of the bad odor. This will help fight off the toxins and bacteria that cause vaginal odor. It will also help restore the acidic quality of the vaginal flora. Mix two cups of apple cider vinegar in warm bath water. Soak in it for about 20 minutes. Follow this remedy several times a week to get quick results. You can continue with the homoeo-medicines parallely. For further queries get back to me. Thanks.
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Im 44 yrs okd female n I got my periods after 2 months n now its getting with full of clots and im suffering with lot of pain snd Dr. suggested me (k stat ET) and I facing with its side effects plzzzz help me to get rid of dis problem.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Im 44 yrs okd female n I got my periods after 2 months n now its getting with full of clots and im suffering with lot...
I think it is best you see a Gynaecologist in person as you need an examination and a few investigations done.
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Is ssg or hsg test is painful? Doctor has recommend for ssg test. I am very anxious about that. I am trying to conceive for 6 months but there is no result yet. My periods are regular . All medical tests and husband's semen test is okk. Is any kind of anesthesia is done for this test. ?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Is ssg or hsg test is painful? Doctor has recommend for ssg test. I am very anxious about that. I am trying to concei...
In anxious women some sedatives like i/v calmpose injections are given or a short anesthesia. The test is not painful, rather an awake woman tells us about shoulder pain when dye is injected (good positive sign) but we take no chances as an anxious woman can move while doing the test. It takes less than 5 minutes to inject the dye through mouth of uterus with the help of a tiny but special pipe & radiologist clicks pictures from abdomen to see the dribbling dye if tubes are open. Good luck.
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Bachelor of Naturopathy & Yogic Sciences (BNYS)
Ayurveda, Kollam
Rice bran 5gm twice daily with jaggery will relieve your neuritis.

STDs - 10 Reasons Why You Consult Your Doctor Immediately

GAMS-AYURVEDA, MD-TCM
Sexologist, Faridabad
STDs - 10 Reasons Why You Consult Your Doctor Immediately

It is always advisable to practice safe physical intimacy, which helps avoid many complications including unwanted pregnancies and STDs. Talking of the latter, while some like herpes manifest shortly after contracting the disease, some may take months and years to show up and infections like chlamydia are extremely hard to detect.

So, if you think you could have contracted an STD from someone, be sure to watch out for the following signs and symptoms.

  1. Vaginal or penile discharge: If you are experiencing anything unusual in terms of discharge (color, consistency, or odor change) from your genital organs after unprotected sex, it is always advisable to get it tested. The risk is higher if you are not sure of your partner’s history.

  2. Vaginal or penile itching: This could again be one of the early signs of infection and therefore it will be good to get it checked.

  3. Sores or lesions on the genitals: Whatever the size, shape or color, if you are seeing sores on the genitals, especially after doubtful sexual relations, visit your doctor and have a frank chat.

  4. Vaginal bleeding: If there is abnormal bleeding which is not normal for you, it could be a warning sign of an STD and it is better to get it checked.

  5. Painful sex: Again, if this is abnormal for you, it is time for a checkup. Note that this would usually be combined with one or more of the above symptoms and would not be the only issue you are having.

  6. Testicular pain: Pain in the testicles which is not normal for you could be another indication of an STD. This would not be the only symptom and would be accompanied by other symptoms mentioned above.

  7. Pain in the lower abdomen: Most STDs in men and women also have lower abdominal pain, in the pelvic/scrotal area.

  8. History: If your partner has had a history of STDs in the last one year, then the risk of you developing an STD is  quite high. In such cases, it is always advisable to get it tested. This will help clear your doubt plus control the disease at an early stage.

  9. Inability to conceive: Some STDs can cause infertility and so inability to conceive may require ruling out STDs

  10. Manifestation of symptoms: For more severe conditions like HIV, the symptoms manifest after a long time and include general symptoms of immuno suppression like fatigue, tiredness and slowly develop specific symptoms like oral candidiasis and other infections.

When in doubt, do not hesitate to get yourself or your partner tested. There is no reason for embarrassment and avoiding tests in the early days can prove very dear if the disease progresses to advanced stages. If you wish to discuss about any specific problem, you can consult a sexologist.

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