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Dr. T A Prabhu

Endocrinologist, Chennai

120 at clinic
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Dr. T A Prabhu Endocrinologist, Chennai
120 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. T A Prabhu
Dr. T A Prabhu is a renowned Endocrinologist in R T Nagar, Chennai. He is currently practising at Raju Hospital - T Nagar in R T Nagar, Chennai. Book an appointment online with Dr. T A Prabhu on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 44 years of experience on Lybrate.com. You can find Endocrinologists 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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Raju Hospital - T Nagar

#43, South Usman Road, T-Nagar. Landmark: Near T Nagar Bus Depot, ChennaiChennai Get Directions
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Henritta Clinic

No 92/6, South Mada Street, Thiruvanmiyur. Landmark: Near To Singapore Shopping, ChennaiChennai Get Directions
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I am a patient of hypothyroidism. And I'm taking the medication .my thyroid hormone levels are normal now. Problem is that I'm only 44 kgs (age-20. And I should gain weight at least 5 to 10 kgs. I need some help based on the diet to gain weight.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
I am a patient of hypothyroidism. And I'm taking the medication .my thyroid hormone levels are normal now. Problem is...
The failure to gain weight is not likely to to related to Thyroids. I would undertake a detailed online clinical evaluation followed by appropriate lab test to find the root cause and treat it.
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Diabetes And Erectile Dysfunction!

MD - General Medicine
Sexologist, Delhi
Diabetes And Erectile Dysfunction!

According to figures provided by the World Health Organization, there are currently about 420 million people suffering from diabetes mellitus, in any of its types.

This disease affects one in eleven people, resulting in consequences such as strokes, blindness, heart attacks and chronic renal failure.

In the case of men suffering from this pathology, there is another disease that can not only affect the patient physically but also psychology and is erectile dysfunction.

Fundamentally, it implies the inability to maintain an erection that can lead to a full sexual relationship, affecting in the great majority, diabetic patients between the ages of 50 and 70 years.

Is it true that if I have diabetes I can suffer from erectile dysfunction?

- Yes, and one of the main reasons is because diabetes increases blood sugar levels, causing destruction in the blood vessels.

At the time of having an erection the brain sends an order to the muscles so that these relax, and later, the glasses open and fill with blood generating the erection.

On the other hand, it can also present hardening in the blood vessels what is known as atherosclerosis, which does not allow dilation of the same so you could not reach an erection.

Can erectile dysfunction be diagnosed in time?

- There are currently specialized tests that can demonstrate that a patient is suffering from this disease, but the fastest and most effective method is a constant medical check-up.

Does erectile dysfunction have a cure?

As such there is no cure for this disease, in an initial phase is sought a suitable treatment that allows the patient to have a normal sex life, if this does not work there are other types of drugs that are administered intracavernosa (injections in the Male reproductive member).

In extreme cases, there are surgeries where pumps are implanted that allow a good functioning of the male reproductive system.

How many times a week should a couple have sex to be happy? Science gives the exact number

Physical and emotional intimacy, internal and external factors, form a successful relationship. According to a survey conducted at Florida State University, sex is a key ingredient for marital bliss.

The results of the research were published in the journal Psychological Science, by author Andrea Meltzer. The study was attended by 214 newly married couples. Couples should report their sexual commitment to their partners, assess how satisfied they were with their sex life, and also assess how satisfied they were with their relationship and spouse.

The research found that physical intimacy produces a shine that lasts up to 2 days, increasing long-term relationship satisfaction.

"Our research shows that sexual satisfaction remains high 48 hours after sex, and people with a sexual glow are stronger-that is, people who reported a higher level of sexual satisfaction 48 hours after having sex- reported higher levels High marital satisfaction several months later, "explains Meltzer.

What would be the magic number?

One study uncovered the magic number of how much sex a stable partner should have to be happy. The American research had the participation of more than 30 thousand people with fixed partners and was published in the specialized journal Social Psychological and Personality Science.

They discovered that having sex only once a week is enough to feel satisfied at the wedding. "Although the more frequent sex is associated with greater happiness, this relationship is no longer significant at a frequency greater than once a week," said researcher Amy Muise, a social psychologist.

 

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Infertility Treatment- Never to Lose HOPE

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
Infertility Treatment- Never to Lose HOPE

Last week I got a call from one of my patients, who conceived after long period of infertility. She called me to remind me that, that very days was the birthday of her son, that is the wealth that she gained after long battle. And even the son tried to talk to me over phone with his soft voice. And this success is really rewarding for any Infertility Specialists.

Introduction

When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.

What is needed for pregnancy?

In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina.

In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm.

It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Thus, to summarise, pregnancy requires

1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes

2.Transport of these sperms through the sperm conducting ducts from testes to penis

3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina

4.Transport of these sperms from vagina through cervix to the uterus and the tubes

5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries

6.Pick up of the eggs by the tubes

7.Approximation of eggs and the sperms to form the embryo

8.Transport of embryo from the tubes into the uterus

9.Acceptance of the embryo by the uterus and its growth

What is Infertility?

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor.

It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%.

The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage.

What causes Infertility?

Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned.

Thus the common causes may be

1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.

2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.

3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.

Treatment of Infertility

To start with, please remember there are no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress.

In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.

So, infertility treatment is actually based on stepwise manner. We initially advise some tests and then advise a treatment. If that treatment fails, we move to next treatment. 

So, all the time, you have to keep patience. Eventually, majority of the couples will conceive. Don't give up hope. You have to win the race ultimately

I have high Uric Acid level (7.3) detected for the last 4-5 months. After consultation I take Feburic-80 for one month and changed my eating habit. I stopped taking medicine when level reduces to 4.0. Just before one month I realized heel pain and checked it again, it is now 7.7. Dr. Advised me do a close look to your uric acid level and continue to take medicine but denied heel pain pain relates high uric acid level. I just wanted to know is it relates, I am feeling difficult walking for10-20 steps just after bed. I also feel stretches in between heel and ankle in downstairs. Please suggest.

DNB (Orthopedics), MS - Orthopaedics, MBBS
Orthopedist, Bhopal
Heel pain as the only symptom of high uric acid is rare, your doctor is right. What you have is plantar fascitis, which is a common problem. Treatment includes wearing comfortable footwear, and plantar fascia and tendo achilles stretching exercise which should be done first thing in the morning.
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I am 23, and 35 weeks pregnant I have cogenatal hypo thyrodism, now I am taking 150mg of sodium thyroxin, my recent tsh blood test showed 67.670miu/ml, should I take more of the medicine kindly advice.

DM - Endocrinology
Endocrinologist, Hyderabad
u might need to increase dose of eltroxin but with 150 mg of thyroxin it is not possible to have TSH of 67. plz recheck this or change ur bottle of thyroxine. one of this is wrong. what was ur last tsh. u may consult ur endocrinologist for same. this require urgent attention.
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मूझे काफी टाइम से थ्रोइड प्रॉब्लम है जिसके कारण मुझे हेयर फॉल रहने लगा है मेरे हेयर बहुत पतले होने लगे है हाथ लगते ही बाल गिरने लगते है नहाते वक्त ओर आयल लगते वक़्त हर रोज 20-30 हेयर गिर जाते है में न्यूट्रिसिशन में ओमेगा जेल उपयोग में लेता हूं

BHMS
Homeopath, Secunderabad
मूझे काफी टाइम से थ्रोइड प्रॉब्लम है जिसके कारण मुझे हेयर फॉल रहने लगा है मेरे हेयर बहुत पतले होने लगे है हाथ लगते ही...
Please ensure that you take the thyroid treatment properly and go for regular health check ups along with the basic tests. It is also important for you to change your habits and bring in a disciplined and healthy lifestyle into your routine. Eat only healthy food (homemade food is more preferable along with fruits and vegetables everday ). Avoid tobacco and alcohol and any other stimulants. Later you can add Homeopathy if the hairfall and dandruff does not stop. You can contact me or chat online with me for further clarification.
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I am suffering from diabetes I would like to take green tea can I take two cups green tea daily with honey.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from diabetes I would like to take green tea can I take two cups green tea daily with honey.
Mr. Lybrate-user, you can take green tea, but no honey. Green tea is good as it offers antioxidents. But honey containing fructose is not advisable in a diabetic person.
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I have diabetes since 3 years so I am taking 2 time in day insulin so I stop insulin and control my diabetes.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have diabetes since 3 years so I am taking 2 time in day insulin so I stop insulin and control my diabetes.
Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.
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