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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 33 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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English

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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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My loved one get periods on every 13 of the month. This time we had sex on 5th of may but this time her period is still pending. Is there any chances for pregnancy.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Yes there is a chance of pregnancy. Pls do a blood test called serum b-hcg from any nearby lab. Otherwise you can do a home pregnancy test using kit and check.
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Hello Doctor! My age is 31 years and my weight is 59 kg I am trying to conceive for more than 2 years but no luck. I had 4 follicle cycles but follicles do not rupture even with Hcg Injections my follicle only grow in size I was asked to undergo Hysteroscopy which was done last month on 7th Jan. The report says Uterine cavity normal with Endometrial polyp Subseptum noted. Endometrial polyp noted at fundus1.5cm* 1.5cm. Endometrial polyp resection done with scissors. Spectrum resection polypectomy was performed with Scissor. Good voluminous cavity obtained. Both ostia were well visualized. Endometrium normal. Cervix dilated upto no 7 Hegars dilate. Procedure was uneventful. Endometrium sent for TMA RNA TB-PCR. Then the Lab report said TB Not detected. After that I was given some antibiotics for 5 days and tablets Valest-2 for 20 days and gynaset for 5 days. As my Amh level is low <0.30 but there are follicles Are there any medicines to increase egg quality and AMH level. My Tubes are open and Husbands Count is also ok. I have started walking early morning for half an hour and I am doing some yoga exercises for fertility and self fertility massage.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hello Doctor! My age is 31 years and my weight is 59 kg I am trying to conceive for more than 2 years but no luck. I ...
As you have already received 4 cycles of clomiphene, next step in the treatment is iui which will go for 3 months cycle. You have mentioned that tubes are open (probably hsg report). Your laparoscopy was not done, which should have been combined with the hysteroscopy. Amh level can not increase. As your follicles are there and you r getting almost regular menses there should not be any issues with getting pregnant. But you need to continue treatment and ask for iui treatment in next cycle, to get the optimum results out of treatment.
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Hypoactive Sexual Desire Disorder - How it Affects Men and Women?

Postgraduate Diploma in Sexology , M.D., Ph.D.
Sexologist, Nagpur
Hypoactive Sexual Desire Disorder - How it Affects Men and Women?

Do you feel disinterested in getting physically close to your partner? If yes, then it can be a sign of HSDD, that is Hypoactive sexual desire disorder. It is a sex disorder marked by disgust and disinterest towards sex. This disorder affects both men and women.

Men with Hypoactive Sexual Desire Disorder
Men are generally perceived as highly sexual beings, but in reality, 1 out of 5 men may be suffering from HSDD.

Some possible causes of male HSDD include:

  1. Psychological issues: Anxiety and stress due to the strain of family or relationship problems, rigours of daily life or mental disorders such as depression are some of the factors that influence sexual desire.
  2. Medical causes: Diseases (for example: diabetes), conditions (such as high cholesterol, high blood pressure and obesity) and drugs (such as hair loss medications) have adverse effects on sexual desire.
  3. Hormonal problems: Low levels of testosterone usually lead to low sexual desire. Other hormones, such as the thyroid hormone or prolactin (hormone that governs the development of breast milk) can also contribute to the cause.
  4. Low levels of dopamine: Dopamine is a neurotransmitter, which is responsible for the pleasure perception in your brain. Low levels of dopamine usually signify low sexual desire.

How it can be treated ?
If the cause is psychological, then sex therapy (psychological counselling based on sexual issues) is used to treat HSDD. But if it is hormonal, testosterone supplements are used.

Women with Hypoactive Sexual Desire Disorder
Female HSDD is more complicated and is difficult to diagnose. HSDD can affect women across all ages.

In women, this disorder can have a wider spectrum of causes, which include:

  1. Interpersonal relationship problems: Certain problems such as the partner’s performance issues, loss of emotional gratification with relationships, childbirth and becoming nothing, but only a loved one’s caregiver can all lead to low sexual desire.
  2. Sociocultural influences: Media’s portrayal of sexuality, peer pressure and job stress have negative influences on sexual desire.
  3. Low testosterone: Women produce testosterone as well, and similar to men, low levels of this sex hormone cause a significant dip in sexual desire.
  4. Medical problems: Mental illnesses such as depression or medical problems, such as fibroids or endometriosis (a disorder characterized by the growth of uterine tissues outside the organ) affect women, physically and mentally, thus making ‘hypoactive sexual desire disorder’ a possibility.
  5. Medications: Excessive use of antidepressants, oral contraceptives and blood pressure drugs can lower sexual desire.
  6. Age: The androgen (sex hormone) levels lower drastically as a woman ages, thus negatively impacting her sexual desires.

Treatment

Sex therapy (therapy that concerns itself with counselling and addressing one’s physical or psychological hindrances to sex) medication changes, diagnosing underlying medical problems, vaginal estrogens and testosterone therapy (therapy that helps in managing the effects of low levels of testosterone) are mostly used to increase sexual desire in women. If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.

4459 people found this helpful

I am in 23 years old now I am 48days miscarriage is occur the doctor prescribed for tab. Misoprostal 200mg. But the bleeding is not coming some times a drop of bleeding is come and I am feel for low back pain, abdomen pain what I do pls. Thank you.

DGO, MBBS
Gynaecologist, Pune
Get a fresh ultrasound done...if products of conception are retained u will require a suction and evaquation.
6 people found this helpful
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How Ayurveda Helps Manage Drug Addiction?

BAMS, MD
Ayurveda, Gurgaon
How Ayurveda Helps Manage Drug Addiction?

Drug addiction is an addiction of a very severe kind. This causes the sufferer i.e. the drug addict to seek and use drugs compulsively despite the destructive consequences to themselves and those around them. This is known as a chronic brain disease because of the functional and structural changes it causes in the brain. It is the overpowering dependence on illegal or legal medications and drugs. One cannot quit taking drugs just by strong will or good intentions. Ayurveda's holistic method combines exercises, meditation, and herbal medicines to cure addiction towards drugs.

Ayurvedic Remedies:

  1. Panchakarma Therapies-Only an ayurvedic expert should perform the panchakarma therapies and rituals on you. It promotes cleanliness and helps in detoxifying the body. These therapies are done using various herbs and oils in accordance with the ancient traditions to eliminate negative conditions.
  2. Virechana-It is the most useful Panchakarma therapy to treat addiction. Virechana is known to cleanse the gastro-intestinal tract and purify the blood of toxins of a period of a few days. It helps decontaminate your spleen, stomach, liver, kidneys, colon, intestines and sweat glands through varied herbs and laxatives such as castor oil, mango juice, raisins, cow's milk, psyllium seeds, flaxseed husk, prune and senna.
  3. Rasayana therapies-Rasayana therapy is another very useful Ayurvedic treatment for treating drug abuse and addiction. It is based upon the transmutation and conservation of energy to improve the mental as well as physical characteristics in order to increase your body's natural metabolic processes while enhancing your immune system and brain function. Rasayana therapy consists of intricate face, head and full body massages which are combined with medicated creams and herb oils. This therapy is also useful to remove artificial aging which occurs due to prolonged drug abuse.
  4. Yoga-The chaotic chemicals are known to wreak havoc on the drug addict's brain during the process of recovery. Resorting to exercise or yoga will help generate extra endorphins which are very helpful for clarity. To recover from drug addiction, you must join a structured yoga class along with other ayurvedic therapies. Yoga is beneficial since it stimulates every part of your body without applying too much stress on any one part. If you wish to discuss about any specific problem, you can consult an Ayurveda.
5344 people found this helpful

Hello doctor please suggest me in my right breast discharge white liquid little more only and one time yesterday. This not serious doctor.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hello doctor please suggest me in my right breast discharge white liquid little more only and one time yesterday. Thi...
U need to get a few tests done so see for the real cause for this, as it can be some kind of harmonal imbalance. For any further information or assistance you may get back to us.
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Hello Mam, My preg confirmed on aug 28th 2015 (4 weeks) Ges sac and yolk sac visible fetal pole not imaged Sep 4th new guy missed me for sex Sep 11th 6 week with heart beat n fetal pole imaged Oct 16th (11weeks) Dec 17 (20 weeks) On april 9th I delivered a baby 36 to 37 weeks Pls let me know did my baby father is my husband or new guy? On august monthly I was with my husband with unprotected intercourse Last lmp. Is july 25 2015.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello Mam,
My preg confirmed on aug 28th 2015 (4 weeks) Ges sac and yolk sac visible fetal pole not imaged
Sep 4th ne...
Hello, in that case your husband is the father of your child as you were already 4 weeks pregnant on august 28th and the encounter with the new guy was only in september.
1 person found this helpful
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I was taking combination of fertomid and ovigyn dsr tablet on my doc prescription and now I got positive home pregnancy test after a missed period. Can I rely on test or it may be false ?

MBBS, DGO (cal)
General Physician,
If the strip was of quality there is no reason to disbelieve. Of course there are chances of false positive test, but it is rare. You do another test with your morning sample of urine to confirm. Get the strip from a good shop those maintaining medicine quality. If positive report to your doctor. Congratulation.
2 people found this helpful
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Me and my gf had sex unprotected and due to that she had taken ipill. After that we again had sex but after 5- 8 day and she again had taken ipill so she had take it twice a month. Then she started having her periods which was unusual as she had already had her period for that month and also having itching during the periods and now she had started having pain in her thigh and a little swelling and she smoke also. I am really worried so please help me.

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
Menses shuffle is expected due to i-pill taken. For infection atleast she should physically visit a doctor for examination and treatment.
3 people found this helpful
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