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Dr. Thanuja Tiwari

Gynaecologist, Chennai

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Dr. Thanuja Tiwari Gynaecologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Thanuja Tiwari
Dr. Thanuja Tiwari is a trusted Gynaecologist in Vepery, Chennai. She is currently practising at C U Shah Diagnostic Centre in Vepery, Chennai. You can book an instant appointment online with Dr. Thanuja Tiwari on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 25 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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C U Shah Diagnostic Centre

No 78/79, Ritherdon Road, Vepery,Landmark:Near Bank Of Baroda, ChennaiChennai Get Directions
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Hello. Can we do both side sex I mean at vagina and ass I had listen that there is some disadvantage of doing sex in ass do you people think so.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Anal sex is an unnatural way of intercourse and definitely carries the risk of infections, injuries and tears to anal canal causing fissures etc. anal sex even if consented by both partners is a perversion. Vaginal sex is the natural way of having penetrative sex.
1 person found this helpful
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I have an excruciating pain on the first day of my periods. However the pain subsides in the next few days. Can you suggest any medicine for this?

BHMS
Homeopath, Faridabad
I have an excruciating pain on the first day of my periods. However the pain subsides in the next few days. Can you s...
Hello, Here are some tips to help you get rid of your problem: It is good to avoid fried, sour and protein rich foods in the last week of the menstrual cycle. Eat fish as it contains omega-3 fatty acids, which helps in easing contractions during menstruation Avoid eating dairy products, meat and poultry Maintain healthy and nutritious diet and perform yoga to help you stay away from problems If you are suffering from anemia, you should take food rich in iron Avoid vegetables like potato, eggplant, yellow pumpkin and try to concentrate on consuming drumsticks, papaya, white pumpkin, snake guard, cucumber and bitter guard When you experience pain, you can help reduce the pain by giving the area hot treatment. Drinking plenty of water and herbal tea also helps reduce pain and problems faced during menstrual periods. You can also perform yoga and some cardiovascular exercises that will help you get rid of these cramps. Last but not the least; take as much rest as possible. This will help you keep your menstruation under control. Medication: Take Schwabe’s Mag. Phos. 6x/ 5 tablets to be dissolved in ½ cup of water after every 2 hrly. Till the pain lasts.
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Dear doctor, meri abi ek mahine pahle shadi hui thi. M daily bina condom ke sex karta hu lekin har bar bahar nikal kar hi sperm nikalta hu. Kya bina condom ke daily sex karne se k ki problem to nahi h? Or apni wife ke periods aane ke kitne din bad m andar sperm nikalu jisse bchcha na ho?

MBBS
General Physician, Mumbai
Dear doctor, meri abi ek mahine pahle shadi hui thi. M daily bina condom ke sex karta hu lekin har bar bahar nikal ka...
Agar aap k wife ka menstrual cycle 28 days ka hai toh 10 th se 20 th day tak sex na kare jabh tak aap ko bacha nahi chahiye.
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Hi sir i had participated in sex with her bf and she has not yet be got period for this month, what happened for her and any pregnancy? And may pregnancy what she do? Please tell me.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Nashik
Hi sir i had participated in sex with her bf and she has not yet be got period for this month, what happened for her ...
If she has missed. Her periods and if they were regular before she should do urine pregnancy test (upt) if it positive (two pink lines) kindly meet gynecologist.
1 person found this helpful
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My wife Vaginal secretions are comes out in my 1st intercourse or 1st nit How is it possible?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Vaginal secretions occur due to sexual excitement and it is absolutely normal on first night. So relax !
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My period was on 23rd Oct n I had a sex on 6 nov and I had I pill after half an hour of sex. Is there a chance of pregnancy.

PGDMCH, MBA( CHA) , MBBS
General Physician, Gurgaon
My period was on 23rd Oct n I had a sex on 6 nov and I had I pill after half an hour of sex. Is there a chance of pre...
Dear Lybrateuser, As you had taken the pill within time so preg chances not there but this will not be a protection against any fourther exposure.
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My wife got uterus operation does she get urge for sex. They must have left ovary. Definitely sexual urge is affected. She can take hrt. Which local cream to improve orgasm.

Diploma in Hospital Administration, MD - Obstetrtics & Gynaecology, MBBS
General Physician, Delhi
My wife got uterus operation does she get urge for sex. They must have left ovary. Definitely sexual urge is affected...
Removal of Uterus has no effect on the urge for sex. Your wife must be less than 32 yrs, Generally doctor leave one ovary, Which is sufficient to produce adequate amount of Female Hormones. Hence there is no need for HRT (Hormone Replacement Therapy). If one ovary is left then there is no need for vaginal creams. Soyabean preparations are good source of Oestrogen (Female Hormones) like Nutrinuggets / Soya Milk/ Tofu/ Soya biscuits or Chaptties made from 10 kg Wheat Flour mixed with 1 kg Soya flour.
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HEALTHY EATING...

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate in Child Health, Certificate in Skin Diseases, Certificate in Veneral Diseases, Certificate in Gynecology & Obstetrics, Post Graduate Diploma in Emergency Medical Service (P.G.D.E.M.S)
Ayurveda, Mumbai
HEALTHY EATING...

Ayurveda includes ahara (food) as one of the trayopasthambha, one of the three pillars to keep the body healthy. The term ahara stands for the healthy eating habits. The disciplined eating habit will nourishes and keep a person healthy, on the other hand undisciplined eating habit can lead to serious health issues.
Virudhahara (incompatible food) is the main output arising from the undisciplined eating habit.
It can be consider as one of the major thread for the new age diseases.

 - Viruddha (incompatibility)
What is viruddha?
Those substances which cause the imbalance of doshas in the body but do not expel them out are known as viruddha and so they remain antagonistic to the dhatus. When foods with different qualities, heating or cooling properties and different post digestive effect are combined in one meal they suppress the digestive fire (agni) and lead to accumulation of toxins in our body.

Bad effect of viruddha:
The use of viruddha food will produce boils, swelling, toxicity, abscess, tumors, cancer, weakness, loss of vigor loss of strength, loss of memory, loss of sense perception and intellect. Also causes fever, hemorrhagic disorder, skin diseases, diabetes etc.

Solution:
Avoiding the incompatible food combination from the food habit is the first line to prevent the bad effect arising from virudhahara. If a person already in the habit of taking foods which is incompatible, advised to reduce the quantity of such foods gradually from the diet rather than stopping it suddenly. Ayurveda explains the panchakarma (5 purificatory therapy - vamanam, virechanam, vasthi, nasyam and raktha mokshanam) as a real solution to expel out the toxins accumulated in the body.

 - Viruddha ahara (incompatible food)
By combination:
Milk with fish, horse gram, black gram, salt, sour things, bananas, meat, melons, curd, bread containing yeast, cherries
Meat of aquatic animals with honey, jaggery, sesame, milk, black gram, raddish, germinated grains
Lakucha with curd, jaggery, honey, ghee
Banana with curd, buttermilk, fish, meat, melons, curd, sour fruits, bread containing yeast, cherries
Leafy vegetables with butter
Melons with dairy, eggs, fried food, grains, starches, cheese
Equal quantity of honey and ghee
Equal quantity of honey and water
Beans with fruit, cheese, eggs, fish, milk, meat, yogurt
Eggs with fruit (especially melons), beans, cheese, fish, milk, meat, yogurt
Hot drinks with mangos, cheese, fish, meat, starch, yogurt
Lemon with cucumbers, milk, tomatoes, yogurt
Potato with melon, cucumber, dairy products
Radish with bananas, raisins, milk
Tapioca with fruit, especially banana, mango, beans, raisins, jiggery
Yogurt with fruit, cheese, eggs, fish, hot drinks, meat, milk, potato
Chilies are incompatible with, yogurt, milk, melon, cucumber
Yogurt is incompatible with milk, sour fruits, melons, hot drinks, meat, fish, mangos, cheese
Mangos are incompatible with yogurt, cheese, cucumbers
Corn is incompatible with dates, raisins, bananas

By preparation:
Pigeon meat prepared in mustard oil, honey after heating
By activity:
Drink hot water immediately after honey intake, cold water immediately after ghee intake, immediate exposure of extreme hot to cold and vice versa, cold drinks put down the digestive fire especially when taken with the meals, intake of milk when the body is heat, intake of food immediately after physical work

 - Ayurveda offers some advice concerning eating habits:
There should be at least 6-hours interval between the meals.
Do not drink water one hour before and one hour after eating. It is advisable to have like warm water along with the meal.
Do not eat many items in one meal.
Eat according to your own digestive capacity.
Do not mix fruits with your meal. Substitute one of the meals with fruits or eat them between the meals.
There should be at least 4 hours between the last meal and going to bed.
Sleeping in day time especially immediately after a meal is harmful.
A short walk after a meal helps digestion.
Do not eat when you are worried or depressed.
Do not eat if you are not hungry.
Eat in a clean and pleasant environment.
Do not read a newspaper or watch the tv while eating
Do not eat too fast or too slow

 - Taste and food: according to ayurveda there are six basic tastes: sweet, sour, salty, pungent, bitter and astringent. They are composed of the five principal elements.
1) water and earth - sweet taste.
2) earth and fire - sour taste.
3) water and fire - salty taste.
4) fire and air - pungent taste.
5) air and ether - bitter taste.
6) air and earth - astringent taste.

Tastes not only influence digestion, but they also have a profound influence on our doshas. A basic principle in ayurveda is similar increases similar.

1) sweet taste is composed of water and earth element. It increases kapha dosha which is composed of the same elements, but reduces vata and pitta dosha. Sweet foods are bread, rice, milk, sugar and most of the fruits. They are necessary for every constitutional type, but in excess they increase kapha and lead to overweight, increase of the mucus secretion in the nose and sinuses, increase of the mucus in the lungs, create e feeling of
Heaviness, laziness and causes diabetes.

2) sour taste is composed of the elements fire and earth. Sour foods are mostly beneficial for vata dosha. Small quantity may be used by kapha and a very small by pitta dosha. Sour foods are citrus fruits, yogurt, vinegar, cheese, all foods produced by fermentation. Used in moderation they stimulate appetite and salivation, improve digestion and refresh one's mind. Used in excess they cause thirst, burning sensation, indigestion and may help progression of different diseases.

3) salty foods are used in small quantities by all types, but are mostly beneficial for vata and increase pitta and kapha. Salty foods are sea salt, rock salt, kelp. Salty taste has laxative effect, reduces spasms in the colon, supports the electrolyte balance, stimulates salivation, improves the taste of foods and helps digestion and elimination. Used in excess it may disturb the balance of pitta and kapha. It causes hypertension, deterioration of heart conditions, skin diseases and causes early formation of wrinkles.

4) pungent taste is mostly beneficial for kapha, may be used in small amounts by vata and in very small quantity by pitta dosha. Pungent foods are many varieties of peppers, onion, radishes, garlic and ginger. They improve digestion, clean the sinuses, stimulate nasal and eye secretion. Excessive use may cause burning sensation, thirst, ulcer, skin diseases, diarrhea and insomnia.

5) bitter taste is good for all doshas in small quantities. It is mostly beneficial for pitta dosha. Bitter foods are coffee, aloe, curcuma, salads. Bitter improves the taste of foods in combination with other tastes. It is considered antitoxic. It cleans the body and the liver from toxins. It relieves the burning sensations and itching in skin diseases, reduces the fever and improves digestion. It has a drying potency and causes reduction of the adipose tissue. Excessive use is not recommendable. It causes dryness of the skin, weight reduction and sexual disturbances.

6) astringent taste should be used in pharmaceutical quantities. It may be used by all doshas in small amounts, but pitta and kapha a little bit more than vata dosha. Astringent are pomegranates, beans, cherries and foods rich of tannins. Astringent is constricting, reduces secretions, helps wound healing and reduces bleeding. Excessive use may cause
Dryness in throat and mouth, constipation, gas, weight loss.

 - Advise according to dosha
People with vata dominant constitution should avoid bitter, pungent and astringent foods. Good for them are sweet, salty and sour foods. Light, dry and cold foods are not recommendable. It is good if everything is cooked, warm, with oil because vata dosha is light and dry.
People with pita dominant constitution should avoid sour, salty and pungent foods like citrus fruits and pickles. Beneficial for them are sweet, bitter and astringent foods. They must not be warm and with a lot of oil, but only with a small amount of sunflower oil or ghee.
People with kapha dominant constitution should avoid sweet, sour and salty foods. Beneficial for them are bitter, pungent and astringent foods. They have to be warm, with only a small amount of oil, mainly sunflower or corn oil.
We hope that this article will improve your eating style and health too.

Keep enjoy healthy eating:)

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My friend sister is getting pain in left side of the breast last 10 days. Local Doctor has advised it may be tumor. Please advice good lady Doctor. Thanks,

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
Don't worry. Pain doesn't mean tumour. For tumour to be there there has to be a lump (swelling). If you are still worried about it, then tell her to seek appointment of a surgeon. (surgeon is the right person to diagnose breast tumour) thanks and god bless.
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Hi, I had unprotected sex with my husband on 3rd day of my periods. What r d chances of pregnancy? Hw to avoid it as we do not want a baby nw. I hav gt regular 28 days cycle. Please help.

MBBS, F R S T & H London , Fellowship of College of General Practice (FCGP)
Sexologist, Alwar
Hi, I had unprotected sex with my husband on 3rd day of my periods. What r d chances of pregnancy? Hw to avoid it as ...
As you have done unprotected sex with your husband on 3 rd days of Menes and your menses is regular 28 days no chances of pregnancy do not worry about that.
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Is cum eating safe? Can a unmarried women eat cum often? How much gape of days should be given between 2 eating?

BHMS
Homeopath, Raebareli
Is cum eating safe? Can a unmarried women eat cum often? How much gape of days should be given between 2 eating?
Yes, but before you do, or before you engage in fellatio, we recommend that you and your partner both get tested for sexually transmitted infections (stis). If you or your partner have not been tested, we also recommend using barriers for oral sex and abstaining from making contact with ejaculate.
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Hello. Sir /madam my friend have some problem during toilet. Blood bleeding during toilet.Please tell.

MBBS
General Physician,
Hello. Sir /madam
my friend have some problem during toilet.
Blood bleeding during toilet.Please tell.
You may have piles in the anal region piles are normally four types or grades. You should avoid constipation take balanced diet with plenty of leafy vegetables and cerials and plenty of water by mouth. You should consult a surgeon for assessment and further treatment.

Hello sir My girlfriend 20 year old She doing fingering 7-8 time in a day And she reached organism 8-9 times in a day Is it normal? Or Side effects I worried about that works Please tell me sir What side effects of excess fingering?

B.H.M.S,
Homeopath, Muzaffarpur
Hello sir
My girlfriend 20 year old
She doing fingering 7-8 time in a day
And she reached organism 8-9 times in a day...
Hello lybrate-user, excess fingering makes weakness in health. 2nd thing is by this act there may be chance of get infection of genito urinary tract. Out of above it makes spoil the carrear. It is a mental problem. If you feel need you contact me with detail of your girl friend then homoeopathic medicine will be adviced for her, which help her to get rid of this act. You sugest your girl friend to avoid junk, spicy, and non veg. Food. Take plain and vegeterian diet.
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I am 29 years old, planning for baby from last 2 years, but unable to conceive. Got my prolactin test results were within the prescribed range. Also got ultrasound done. Things were normal. How toh know my best 2days to try.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 29 years old, planning for baby from last 2 years, but unable to conceive. Got my prolactin test results were wi...
Hello, You should get your husband's semen analysis done. Also the ovulation date can be tracked with the help of ovulation kits which can be used from day 10 of your cycle daily till positive result and then after 36 hrs the ovulation shall occur once ovulation kit shows a positive result.
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How to Treat Infertility

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Play video

Here are some causes and treatments of infertility

Hello I am Dr. Rita Bakshi a fertility consultant. To make a baby it required a male and a female . A male sperm and female egg. Its very easy to blame a female for not having a baby but really speaking 50% of the cause lies with the male Or the sperm.

Today I would like to tell you that male that means the sperm produced in the factory called the testis they carry through the tubes and then they come out and ejaculate. Now the problem can be in factory itself that means there are no sperm being made it could be in the tubes that means obstructive where you know tubes are blocked and sperms are being produced but they are not coming out in ejaculate or the problem could be in the structure or the function of the sperm. That means the numbers and the motility its very common you know we have seen patients from Afghanistan, Iraq who are and if you see the number of sperm they have a very few or none it does not appear. Otherwise but single one sperm test done three days of abstinence when the male does not had any ejaculation for three days if he gives us sperm sample its very easy to see the number the motility the fallacy of the sperm weather to see its normally or not now people with obstructive so you know if you there is an obstruction and the sperm production is normal.

Then we either open the tube, the carrying tube or we can take out the sperm directly from testis by putting a needle and then doing an IVF procedure. I really like to give hope to all the males who are carrying this guilt of not having a baby because of the problem with them. But today it is possible, it is very much possible to have a baby of your own by the process of IVF, XE, IMC and carry your own genetic material forward. Of course lifestyle modifications like you know controlling alcohol controlling smoking drugs going for exercise you know keeping the diabetes under control not taking you know. People are taking a lot of strain so they have an ejaculation problem or they have impotence.

So all these causes can be easily dealt with in the process of IVF. it really doesn't matter because of you are able to give sperms or we are able to take out the sperm from testis sperm do. The process of IVF XE and give you your own baby now. That is so important so male do not lose hope their is so much hope in the proved of IVF XE. Keeping a good lifestyle is very important please maybe you don't realise that smoking has a huge territial effect on activity of the sperm. Taking lot if antioxidant is very important so keep a good lifestyle go to the Doctor there is enough health going for the procedure which can give you your own baby so. My motto in life is to have at least one child per couple. 

OCPC is what I really believe in and for that I would like all of you who would like to contact me I am available at Lybrate. I am also available on my consult me online.

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Yesterday I went a massage parlour I am naked and girl wear a short I am rub my penis to her back hips or vagina out side of shorts and release my sperm outside of shorts I am worry this things can hiv or std no intercourse please help me.

MS - Obstetrics and Gynaecology
Gynaecologist, Mumbai
avoid going to such massage parlours first ..u can help urself use condoms that can surely help u..
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I hv pcos problem. So im not conceiving too nd im proper periods. hormonal im balance. Pls help out hw. Dis pcos will solve. Pls doc.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I hv pcos problem. So im not conceiving too nd im proper periods. hormonal im balance. Pls help out hw. Dis pcos will...
Hi lybrate-user you should plan follicular study with planned relations initially with ovulation induction. Provided tubes are normal and normal sperm count. First get few blood tests done to do as to correct it.
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