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Dr. Thelmariappan

Endocrinologist, Chennai

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Dr. Thelmariappan Endocrinologist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Thelmariappan
Dr. Thelmariappan is a trusted Endocrinologist in Vasantha Hospital, Chennai. You can visit him/her at Nagamani Hospital in Vasantha Hospital, Chennai. You can book an instant appointment online with Dr. Thelmariappan on Lybrate.com.

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Nagamani Hospital

#116 - 118, G A Road, Washermanpet. Landmark: Near Kalmandapam Telephone Exchange Old Washermanpet, ChennaiChennai Get Directions
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Female Infertility and Its Ayurvedic Treatment

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Female Infertility and Its Ayurvedic Treatment

The World Health Organization (WHO) calls infertility “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”
Infertility can occur in both women and men. Primary infertility is infertility in a couple who have never had a child, while secondary infertility is failure to conceive following a previous pregnancy. A woman who doesn’t conceive and/or is unable to carry a full-term pregnancy is labeled as infertile.

Causes of infertility in women

Infertility in women is caused by many factors like infections and ageing amongst others like the following:

  1. High FSH - Follicle Stimulating Hormone (FSH) is a hormone secreted by the pituitary gland in the body. It stimulates follicle growth in the ovary and causes the eggs to mature for fertilization. FSH levels increase with age and high FSH levels in blood can mean that the ovaries are not functioning too well and hence it can be a likely reason for infertility.
  2. Blocked fallopian tubes - Blocked fallopian tubes or ‘fallopian tube obstruction’ is the biggest reason for infertility in women. We all know that fertilization happens inside the fallopian tubes, so an obstruction here means an absence of fertilization and pregnancy.
  3. Endometriosis - Women with endometriosis experience a drop in fertility by almost 12-35%. It is a condition where the lining of the uterus starts growing, not in the uterus, but elsewhere in the abdomen i.e. ovaries, fallopian tube and the pelvic area.
  4. Fibroids- These are non-cancerous tumours inside or around the uterus.
  5. Age- The biggest reason for infertility in women is their age. If a woman’s age is 35 plus, her ovaries do not function properly and release less eggs, which are not very healthy.
  6. Hormonal imbalance - These cause ovulatory malfunctions and poor egg development.
  7. Polycystic ovarian syndrome (PCOS) - PCOS is a type of hormonal imbalance, which leads to production of excessive male hormones in a woman’s body, thereby causing infertility.

Can Ayurveda boost fertility in women?

According to Ayurveda, infertility arises when ‘shukra dhatu’, which produces eggs in women and sperms in men, is weak due to lack of proper nutrition. This could be due to poor digestion or an absence of a balanced diet or due to the presence of ‘ama’ or toxins in the body.

According to Ayurveda, sexual indulgence and promiscuity can also cause infertility due to the decrease in ‘shukra dhatu’.

Ayurvedic fertility enhancers for women

  1. Ashoka – It stimulates the endometrium found in the uterus and ovaries and aids in ovulation.
  2. Lodhra – It cures all female disorders that stop conception and regulates levels of reproductive hormones like FSH and LH, which are essential for conception.
  3. Shatavari – It nourishes the ovum or egg and enhances fertility as it contains estrogen-like compounds.
  4. Gokshura – This herb is helpful for both men and women. It works as a fertility tonic in women by stimulating the ovaries and thus cures PCOS, a leading cause of female infertility.

Ayurveda also recommends a diet rich in food items like ghee, milk, almonds, walnuts, sesame and pumpkin seeds to improve overall health and thus enhance levels of ‘shukra dhatu’ in the body. Since ‘vata’ dosha is closely associated with the reproductive system in women, Ayurveda also assigns a lot of value to its regulation for proper ovulation and stress control. If you wish to discuss about any specific problem, you can consult an ayurveda.

3393 people found this helpful

I want to conceive. I had got 6.5% glycosylated haemoglobin in blood report but if I checked my blood sugar levels it never exceeded 90 in fasting so I want to know am I diabetic or not. I have to cut off sugar totally or l can have some.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I want to conceive. I had got 6.5% glycosylated haemoglobin in blood report but if I checked my blood sugar levels it...
Hi. Lybrate user. You have pcod disease also mention in condition option on your question. It can create problem to conceive pregnancy. Avoid over weight. Avoid spicy and oily meal. Avoid non-veg. Take green veg.
1 person found this helpful
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MBBS
General Physician, Ahmedabad
Diabetes.
What is diabetes?
It means that insulin secretion from pancreas is missing or is reduced.
insulin is there but is less effective,ultimately leading to increase in blood sugar levels.
Fasting blood sugar above 126mg/dl.and 2 hrs after meal /any time blood sugar level more than 200mg/dl means person has diabetes.
4 people found this helpful

I am suffering from thyroid, blood pleasure above 140-90 & also I am taking lithium 250 mg per day, oleanz 2.5mg.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from thyroid, blood pleasure above 140-90 & also I am taking lithium 250 mg per day, oleanz 2.5mg.
continue your medicines.for hypertension . IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Am diabetic and was talking New Triclazone 80 and once in a week 20 dosage of insulin Human Actrapid. But 4 months before because of non availability of triclazone tab I took Glicicide 80 as substitute. After that I have faced severe re action from this medicine. Further more triclazone also started re acting. Now am taking insulin Mustard 30, 20 dosage each and an ayurvedic medicine with this insulin but still my blood level is at 240 and more. Please advise suitable medicine for me which will be available in INDIA.

DHMS (Hons.)
Homeopath, Patna
Am diabetic and was talking New Triclazone 80 and once in a week 20 dosage of insulin Human Actrapid. But 4 months be...
Hello, In my opinion, U continue with insulin . * it does not mean that ,taking Insulin can allow u to intake prohibited things u like, * go for a walk in the morning for an hr * avoid junk food, direct sweets , * Take,carbohydrate, protein, fats, all in a balance form. * Go for meditation to reduce stress, anxiety being one of the main reasons for diabetes, All d best
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Endometriosis and Infertility - Are They Related?

MBBS, DGO
Gynaecologist, Mumbai
Endometriosis and Infertility - Are They Related?

There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.

There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.
It is found that endometriosis sometimes leads to infertility. Here is how:

Abdominal Adhesions and Infertility
Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body.
Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.

Secretions from implants
Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.

Prostaglandins
Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy.
This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.

Just like the endometrium, the implants also secrete these hormones. And the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.
A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.
If you too are fearing of getting this disease, it's better to visit your Gynecologist soon.

1 person found this helpful

I am 60 years old having diabetes using Glycomet GP2, Pioz 15 one daily. Now Sugar under control Fasting 120, For BP 160/80 I was using Benitec 40 Half Tablet. Under control 130/80 and I stopped genetic 40 and now again after 6 months my BP is 160/80. I am getting high constipation, Gas problem and some times breathlessness. What should I do?

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
I am 60 years old having diabetes using Glycomet GP2, Pioz 15 one daily. Now Sugar under control Fasting 120, For BP ...
Hello sir, hope you are doing good. Pls don't stop bp medication, unless doctor ask you to stop. Diabetes, bp require a long term medication. But this might also lead to your constipation problem. If you have constipation more than occasionally or have severe pain or bleeding, it's important to check-in with your doctor as these symptoms can be a sign of a more serious digestive disorder. However, in most cases constipation is just a sign that your diet needs more fiber. The average adult needs between 25 and 30 grams of fiber a day to ward off constipation, far less than most of us typically eat. To avoid bloating and cramping, you'll want to gradually add fiber to your diet. Badam, orange, apple has more fiber pls eat as raw. Dont make a juice of it. Let me suggest you some best fiber supplement from who certified. This fiber is easily digestible and give a best result you need to take after meals in the afternoon and evening. Just leave a message to me on my private questions. Have a nice day.
1 person found this helpful
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My mom is suffering from thyroid, it was going low, what to do to maintain constant thyroid and her weight is also increasing, kindly suggest.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one cup of water. If you use freshly ground black pepper, then just add one-quarter teaspoon. Drink it in the morning on an empty stomach. Do this daily for at least three months.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months and hashimoto's thyroiditis is an auto immune disease where we can control it with medication but not cure it completely.
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Hi. My blood sugar is 128 in fasting & 210 after breakfast. Pls suggest whether I should go for Ayurvedic or some other medicines?

MBBS, CCEBDM
Diabetologist, Bangalore
Hi. My blood sugar is 128 in fasting & 210 after breakfast. Pls suggest whether I should go for Ayurvedic or some oth...
Hi These values say you are a Diabetic. Get your 3 month average blood sugar report, HbA1C, done to confirm if you are a Diabetic. Please follow a low carbohydrate high protein diet. Exercise regularly like brisk walk for atleast 20 to 30 min a day. Also you might need a small dose of medicine.
2 people found this helpful
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I am 19 years old girl. I have a heavy weight problem. I want to reduce my weight. Just for this my heavy weight I am suffering from Thyroid problem. So please tell me that how could I reduce my weight fast?

BHMS
Homeopath, Chennai
I am 19 years old girl. I have a heavy weight problem. I want to reduce my weight. Just for this my heavy weight I am...
Tips to lose weight  faster: 1.Eat a high-protein breakfast. 2Avoid sugary drinks and fruit juice.  3.Drink water a half hour before meals. 4.Choose weight loss-friendly foods (more vegetables and fruits) 5.Eat soluble fiber. 6.Eat mostly whole, unprocessed foods.  7.Eat your food slowly. 8.sleep 7-8 hours 9.go for regular exercise
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I am a type 1 diabetic patient. Suffering from last 1 year. I am totally insulin dependant. I would like to take normal medicine. I don't like to take insulin shot. For that what should I do.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am a type 1 diabetic patient. Suffering from last 1 year. I am totally insulin dependant. I would like to take norm...
If you are a confirmed case of Insulin Dependent Diabetes . At least as of now nothing other than Insulin will work. Insulin Pen works well, least pain and most convenient. You should do everything to maintain perfect sugar control, regular follow up , preventing complications, early detection and earliest detection of complications to have long and healthy life. Research is going on extensively for painless administration of Insulin for which wait hopefully
1 person found this helpful
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He is suffering from pancreatic diabetes since 2013. He was taking treviamate in place of gliclazide till 2015 with other medicine Metformin 500, Fenofibrate 145. Since he started taking gliclazide his sugar level always remain high above 250 (PP). please help. Currently we are out of country.

CDIABT, MBBS
Endocrinologist, Mumbai
He is suffering from pancreatic diabetes since 2013. He was taking treviamate in place of gliclazide till 2015 with o...
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Walking for 30 mins a day for at least 5 days in a week is recommended. Follow a stress free life. Try walking for 10-15 min after your meal. If still your pp level remains high than your medication needs to be changed.
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Hi my cousin has a problem with sugar nice it came to 400 out of 600 let me know where we a get a good doctor to cure this problem.

MBBS
General Physician, Mumbai
Hi my cousin has a problem with sugar nice it came to 400 out of 600 let me know where we a get a good doctor to cure...
We need to control sugar levels with medication exercise and following a diabetic diet and contact a dr who is nearby his residence
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My mother who is 53yr old is having uric acid level 7.6. What can be done to reduce and what produce this acid level in body?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day.
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My mother is suffering from diabetes for the past 5-6 years. But in the recent times from Jan 2017 onwards her weight is decreasing drastically. Previous week her haemoglobin was 7.6%.Please help us.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is suffering from diabetes for the past 5-6 years. But in the recent times from Jan 2017 onwards her weight...
Hello, Thanks for the query. If diabetes (blood glucose) is not in control and if patient has high blood glucose, then a considerable glucose is lost through urine (glycosuria), this can cause severe tiredness and weight loss. It is necessary to maintain FBG <100 mg, PP 150 to 170 mg & HbA1c%<6.8. Then all the related symptoms can be in control. As regards the low hemoglobin (7.6 g%, that too is too low. This can also contribute to feeling weak and tired, plus to weight loss. She needs immediate correction of her Hb level, either by giving packed cells (RBCs), or Iron Injections plus oral supplements. Also investigations have to be done to find out is there any cause for iron loss or is there any bleeding problem. So better to visit your local good hospital and get the treatment. Thanks.
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I'm 42 years old lady. I am suffering from diabetes since last 9 years. My blood sugar levels is 300. What should I do?

MBBS
General Physician, Cuttack
I'm 42 years old lady. I am suffering from diabetes since last 9 years. My blood sugar levels is 300. What should I do?
Your blood sugar is high.Consult physician for treatment.follow the advice given below 1.Do regular aerobic exercise for 1 hour daily (brisk walking,jogging,running,swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a)Avoid sweets, sugar/honey, milk, excess calorie and carbohydrate rich diet like white bread, cereal,rice, pasta b)avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food,. c)include more fiber like pulse,green leafy vegetable, legume. d)Avoid sweetened fruit like banana,mango,litchi, chickoo,sapota, seethaphal jack fruit,grape etc. can have fruits like guava, pineapple,papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato e)Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi,moong and chana Dal. f)Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. g)Avoid red meat.take fish/chicken. h)Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment
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I am 24 years old I have hypothyroid how it can be cure, hypo means high levels in tsh, is there any problem after marriage, I just recently married.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
I am 24 years old I have hypothyroid how it can be cure, hypo means high levels in tsh, is there any problem after ma...
Hello You need to maintain your thyroid level under strict control. High level can be reason for infeertility or miscarriage. So control it well (more strict control than before especially if you want planning to conceive) you need to provide detail information regarding your medical history in order to help you further. Since thyroid medicines are hormonal medicine. As a doctor I have to be very careful in selecting the right dose for you. Even little change in the dose may affect your hormones in negative way. Best thing you can do is control your thyroid levels to avoid complications associated with poorly controlled thyroid disease. If you wish you can consult with me regarding further management with your complete medical history and latest blood thyroid reports.
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I am 30 years old female, a patient of hypothyroidism. I am not getting any relief from Thyronorm 125 mg dose. I have also developed primary hypertension. Should I add some more medicines? I also take Thyrowel, Uprise (1/7) and have recently started amlopres 5 mg (1/2 BD)

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 30 years old female, a patient of hypothyroidism. I am not getting any relief from Thyronorm 125 mg dose. I have...
Thanks for the query. With 125 mcg of levothyroxine, every day, what is the current TSH level? Because if one has to be symptom free then TSH should be maintained around 3 to 4 mU/L. At a younger age. But your age TSH should be around 5 mU/L. Please check the same and inform. Plus what is the BP reading with current treatment? If 2.5 mg twice a day tablet of Amlodepine is helping, then it is not such a serious problem There are 2.5 mg tablets available rather than cutting the tablet and taking it. Taking Thyrowel, is of no use. There is no clinical evidence of its benefit. Most important is to take adequate dose of Thyroxine tablets. If you have any other doubt please do come back. Thanks.
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Am 61y 6m. Male. Having Blood sugar but well within range. Take 'Glycomate GP 0.5' twice daily before meal. Pressure is normally normal, but once (couple of years back) I was given Telma-20 to be taken after breakfast. Am regularly having it. From the last two days, I am feeling weak; feel tired after the least work. Anything serious?

BHMS
Homeopath, Secunderabad
Am 61y 6m. Male.
Having Blood sugar but well within range. Take 'Glycomate GP 0.5' twice daily before meal.
Pressure ...
Please go for a routine checkup with your doctor. Its always better to go for an annual health checkup with your doctor even if everything is better. Some routine tests like CBC, ESR, blood sugar with HbA1c, thyroid, liver and renal profile, urine routine etc can be done to ensure all is well. Do not anticipate anything but be careful and follow a healthy lifestyle. Follow up regularly to check BP and sugar.
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