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Dr. Vijayalakshmi.P.R

Gynaecologist, Chennai

Dr. Vijayalakshmi.P.R Gynaecologist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Vijayalakshmi.P.R
Dr. Vijayalakshmi.P.R is an experienced Gynaecologist in Chromepet, Chennai. Doctor is currently practising at Agash Nursing Home in Chromepet, Chennai. Book an appointment online with Dr. Vijayalakshmi.P.R on Lybrate.com.

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Agash Nursing Home

No.234,G.S.T.Road Chrompet. Landmark: Near Ananda Kalyana Mandapam, ChennaiChennai Get Directions
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Compulsive Sexual Behaviour - How to Manage It?

MD - Psychiatry, MBBS
Psychiatrist, Pune
Compulsive Sexual Behaviour - How to Manage It?

One of the emerging psychiatric disorder that has significant medical and psychiatric consequences is compulsive sexual behaviour or hypersexuality, is an obsession with sexual thoughts in which people cannot manage their sexual behaviour. It may involve a commonly enjoyable sexual experience as self-stimulation which becomes an obsession. The person suffering from the condition may also get involved in sexual behaviours that are outside the bounds of commonly accepted conduct like paying for sex or having extramarital affairs.

Untreated compulsive sexual behaviour damages one’s self-esteem, health, job, relationships and career. However, with treatment and self-help, one can manage compulsive sexual behaviour and learn to manage one’s urge. Males are more likely to be unfaithful than females because they have stronger sexual impulses and weaker self-control. Compulsive sexual behaviour symptoms vary in type and severity. During intense sexual impulses, one feels as if they're beyond control. This is the first and the most common symptom as the patient uses compulsive sexual behaviour as an escape route for problems like loneliness, depression, anxiety and stress. One has trouble establishing and maintaining emotional closeness, even if one is married or in a committed relationship.

The treatment for compulsive sexual behaviour involves psychotherapy and medications. A primary goal of treatment is to help one manage urges and reduce excessive behaviours while maintaining healthy sexual activities. If one has compulsive sexual behaviour, one may need treatment for mental health condition. People with compulsive sexual behaviour often have alcohol or drug abuse problems or a mood disorder such as depression.

Counselling sessions can help one learn how to manage one’s compulsive sexual behaviour. Intensive treatment programs for compulsive sexual behaviours focus on identification of core triggers and beliefs about sexual addiction. It assists in development of healthier choices and coping skills to minimize urges and deal with the preoccupation of sexual addiction. Psychodynamic psychotherapy can prove to be very useful as it focuses on increasing one’s awareness of unconscious thoughts and behaviours, and developing new insights into their motivations. Resolving conflicts using this therapy is also recommended. The other kind of treatment program is cognitive behavioural therapy. This therapy helps one to identify unhealthy, negative beliefs and behaviours and replace them with healthy, positive ones. Family therapy and couples therapy may restore trust, minimize shame and guilt thus establishing a healthy sexual relationship between partners.

Medications include anti-depressants like selective serotonin reuptake inhibitors, mood stabilizers and anti-androgens have also been used to treat compulsive sexual behaviour. Anti-androgens are prescribed as it reduces the biological effects of sex hormones in men thus reducing sexual urges. Luteinizing hormone is also prescribed as it reduces obsessive sexual thoughts by reducing the production of testosterone. Anti-seizure medications, naltrexone, and medications which decrease male hormones have been found to decrease the compulsive urges and impulses associated with sexual addictions for some sufferers. If you wish to discuss about any specific problem, you can consult a psychiatrist.

2523 people found this helpful

In my right breast since morning not a pain that is some like (jum, jum) not continuously 10 seconds are 20 seconds what to do this problem I am scary pls help me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, this may be just myokymia or twitch. If there is no lump or inflammation, then there is no need to worry.
1 person found this helpful
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I am having irregular periods and have been detected BY PSO. I have been under homeopathic treatment for sometime. But once the medication is stopped I am again missing my periods. I am 20 years old. Could you suggest me some remedy?

BAMS
Ayurveda, Ambala
I am having irregular periods and have been detected BY PSO. I have been under homeopathic treatment for sometime. Bu...
For making regular your period these are some instructions given below: • Take proper diet full of nutrition . Eat green leafy vegetables and seasonal fruits and a glass of milk daily. Eat a fruit daily . • Do Not take stress because stress causes imbalance in hormones of female and make your menstrual cycle disturb and make your ovulation disturb .Do some meditation for maintain hormonal balance. • Do jogging and running exercise daily .If you are obese lose some weight this is also a cause of irregular periods. • Do skipping regularly for 2 to 3 minutes daily. • you can take these medicines for regular periods. Syrup Dashmolarishtha or ,syrup EVECARE of himalya. 2 tsf daily once in a day after meal but only under the guidance of ayurvedic doctor. .• Practice Yogasana like Chakrasana & Pawanmuktasana daily under the guidance of yoga expert. • Check out Thyroid hormone level & if your T3, T4 , TSH hormone are abnormal then get treatment of it to make your periods regular.
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MBA (HR), D.Sc, MS - Counselling and Psychotherapy, M.Sc - Psychotherapy
Psychologist, Pune
5 Ways to Beat Loneliness

1. First, don’t isolate yourself – When you’re feeling lonely it is hard to go out and be with others who seem to be OK, and don’t really notice how lonely you feel. But putting up a wall and withdrawing from your friends will only intensify that sense of loneliness, and will further undermine your self-esteem.

2. Second, keep yourself busy – Do things that you normally enjoy with others. For example, listening to a band or maybe going to watch a game … or you could always try something that’s new, but interests you! That would allow you to connect in a non-threatening way … as it takes the focus off talking, and off you.

3. Third, be kind to yourself - It’s likely that you regularly beat yourself up, criticise yourself and are unrealistic in the kinds of expectations that you have for yourself. So what, if it goes wrong? You can always try again – just learn what you can from the experience. And notice your successes and the times when it goes well. It’s likely that this happens a lot more than you think!

4. Fourth, recognise that we ALL battle loneliness at times - You’re not some kind of freak – it’s actually quite normal. It something we’ve all known and understand.

5. Fifth, talk to someone you like and trust – It can really help to talk about your feelings with a family member, a friend or counsellor. It relieves some of the painful sense of isolation – and help to get your life back in perspective again.
1 person found this helpful

Is there any tablet named saffron to postpone periods? If there tell if there will be any side effects.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Is there any tablet named saffron to postpone periods? If there tell if there will be any side effects.
Hello, no there is no such tablet. However there are others which can help postpone periods if taken well in time and regularly.
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I am married for over 2.5 years now. Trying for a baby but couldn't succeed. More importantly I am losing interest in sex. Please advise.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am married for over 2.5 years now. Trying for a baby but couldn't succeed. More importantly I am losing interest in...
Get full hormonal profile of both of you done. And you should meet a counselor, and infertility specialist.
5 people found this helpful
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A diabetic, heart healthy, and weight loss recipe

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
A diabetic, heart healthy, and weight loss recipe
3 greens hara bhara multigrains kichidi. Palak, methi, drumstick leaves kichidi. With flaxseed powder. For weight loss, cholesterol and fat reduction, diabetes.

Hello Doctor, We are trying for baby past 3 months at the time of ovulation but no positive result, because of this my periods come before date with heavy pain, please suggest me, I am 28 year old and my husband is 29, year, my office schedule is also very hectic, daily travelling need,

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hello Doctor, We are trying for baby past 3 months at the time of ovulation but no positive result, because of this m...
Try to reduce stress, have sex atleast on alternate days during fertile period that is day 7-18 of periods, if no success in 5-6 months ask for a private consultation for investigations to be done.
1 person found this helpful
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I am having period irregular due to thyroid. Having tablet for thyroid prescribed by doctor. Any option that make my period regular.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having period irregular due to thyroid. Having tablet for thyroid prescribed by doctor. Any option that make my ...
due thyroid irregular period may occurs .for it you can take..tab. ovral-L X 21 DAYS..WAIT FOR 7 DAYS AND START AGAIN FROM 6 TH DAY OF MENSES..TILL 3 CYCLE OF MENSES.. SYP. AMYCORDIAL 15 ML TDS AFTER MEAL..REGULAR FOR 3 CYCLE OF MENSES.Lifestyle changes. Some women have changes in their period because they exercise too much. Reducing the frequency and intensity of your workouts may help your period return to normal. Stress leads to many body changes, including irregular periods. Relaxation techniques and counseling may be helpful. Extreme changes in your weight can affect your periods. Weight gain can interfere with the body's ability to ovulate, which controls your menstrual cycle. Losing weight may help resolve irregular periods. Extreme sudden weight loss can also lead to infrequent or irregular periods. Hormone therapy (HT). An irregular menstrual cycle is often due to a lack or imbalance of certain hormones in the body. Birth control pills (oral contraceptives) often containing the hormones estrogen and progesterone are commonly prescribed to help control irregular periods. A hormone medication called progestin can also help trigger periods in women who do not get them. Other hormone treatments may be prescribed to women with irregular periods who are having difficulty getting pregnant. Surgery. Sometimes, scarring or structural problems in the uterus (womb) or fallopian tubes may lead to irregular periods. Surgery may be done to correct any structural problems or birth defects, particularly in women who want to have children. It may also be done to remove severe scar tissue (adhesions) in the reproductive tract.
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Had not intercourse but his penis was inside vagina for not more than a minute, and when he removed he saw a drop of precum over his penis, I washed my vagina and in 20 hours I took ipill too. I also experienced radish pale urine 2-3 times, and a little blood piece once in the urine. My periods were about to come on 27 july but have not come yet. I am worried if I am pregnant.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Had not intercourse but his penis was inside vagina for not more than a minute, and when he removed he saw a drop of ...
Best way is to do a urine pregnacy test urself right away. If you r pregnant it will show positive (two lines. Buy any of the kits available in market preganews or velocit etc if its positive and you do not want pregnancy. Visit a gynaec. Abortion is possible with pills only if its negative. Use condom/ oral pills.
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Hai. Am 23 years old. Am having pcod. Through treatment we r planning. My LMP is 27/8/16. Today taken beta hcg. Value is 13. Am pregnant or not. Whether I need to wait or not. Chances are there or not. Pls help me.

MBBS
General Physician, Mumbai
Hai. Am 23 years old. Am having pcod. Through treatment we r planning. My LMP is 27/8/16. Today taken beta hcg. Value...
You might be pregnant. Please consult your gynaecologist. Coz non pregnant value is 5mIU/ml and below. please repeat test after 2wks.
1 person found this helpful
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I had my delivery on 02.12.2016. But my periods stops since then and four & a half months has been passed. I want to know is it normal after delivery or something problematic situation?

MBBS
General Physician, Delhi
I had my delivery on 02.12.2016. But my periods stops since then and four & a half months has been passed. I want to ...
Hi, this is normal after delivery, its called as lactational amenorrhea :it usually last for 6 months can be exceeded up to 9 months. If you have any query then you can ask.
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Strain Injury

MPT - Orthopedic Physiotherapy, BPT
Physiotherapist, Delhi
Strain Injury

Don't ignore the early signs of strain injury like the weakness of the grip, numbness, and pain or discomfort in the arms, hands, wrists or shoulders.

I am 19 years old. My menses started at the age of 10 and half. Earlier it was regular. But from 2 years it is irregular. I have consulted allopathy doctor. She gave me contraceptive pills. That I have taken for seven months. She diagnose pcod. But the above pills have side effect. So I switched to homeopathy. But it is not regular. How much time I have to wait. And is there any particular cause for pcod. Pls guide me.

MBBS
General Physician, Faridabad
I am 19 years old. My menses started at the age of 10 and half. Earlier it was regular. But from 2 years it is irregu...
While the exact cause of PCOS is unknown, doctors believe that hormonal imbalances and genetics play a role. Women are more likely to develop PCOS if their mother or sister also has the condition. Overproduction of the hormone androgen may be another contributing factor. Androgen is a male sex hormone that women’s bodies also produce. Women with PCOS often produce higher-than-normal levels of androgen. This can affect the development and release of eggs during ovulation. Excess insulin (a hormone that helps convert sugars and starches into energy) may cause high androgen levels.
1 person found this helpful
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I am 6 week pregnant. This is our first child. Can I wear jeans in 6 week pregnancy.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 6 week pregnant. This is our first child. Can I wear jeans in 6 week pregnancy.
Hi Shraddha better to avoid tight fitting cloths in pregnancy. Wear loose fitting cotton cloths.
1 person found this helpful
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Can we have sex after c section. how much time to be given to have sex? Please advice.

LCPS, BAM&S
General Physician, Pune
C section wounds generally heal within 7-10 days. But pain may linger for a month or two. But sex with all contraceptive precaution is permissible if the pain is not there. Reverse position with woman on top will be safer.
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I delivered a baby 3 months ago. It was a normal vaginal delivery. I want to loose mybelly fat please help. I hvae not done any exercise so far canu help me reduce my belly fat. N reduce my weight. I'm currently breast feeding Need your help please.

MSc
Dietitian/Nutritionist, Chandigarh
I delivered a baby 3 months ago. It was a normal vaginal delivery. I want to loose mybelly fat please help. I hvae no...
Getting rid of belly fat is not an easy job, especially for women. Women always hide their belly fat along their waistline as they grow due to hormonal changes. Once you decide to get rid of your belly fat automatically you are shedding your body weight too. They are many methods to reduce belly fat, but the best way is through weight loss plan and regular workout routine that burns fat and strengthens your abdominal muscles. Aerobic workouts aerobic workouts increase your heart rate. The cardiovascular exercises help to blaze calories and fat from your body. To reduce belly fat follow the rule. Do aerobic exercises for 30 minutes, 5 days per week. If you follow the program, you are sure to burn calories resulting in weight loss of 2 lbs in a week. Increase the time to another 30 minutes, to shed more weight. Fast walking, swimming and pedaling your way are the workouts to reduce belly fat. Indian women can easily reduce belly fat by doing domestic work without using any machines. Circuit training circuit training is doing a combination of workouts repeatedly. It includes 30 seconds of jogging, 10 lunges, 10 pushups, 10 bicep curls, 10 sit-ups and 10 squats. Doing the circuit training regularly, you can increase your heart rate and improve your muscle groups in your body such as core, legs buttocks and arms. Complete the circuit training exercise by doing the activities mentioned in 1 one minute without any break. The routine workout helps your weight loss program. The plank routine the plank workout reshapes the abdominal muscles underneath your belly fat. This is a simple exercise to try; lay yourself on the floor with your stomach touching the floor. Now, transfer your weight to forearms and toes and slowly lift your body off the floor and you are on the straight line from head to toes. When lifting your body off the floor, breathe deeply for 30 seconds and gradually increase the time once you gain abdominal strength.
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How Obesity can Trigger Blood Pressure

M.D, MBBS
Cosmetic Physician, Mumbai
How Obesity can Trigger Blood Pressure

Obesity is a disorder that leads to fat accumulation in the body. It is chronic in nature and may cause serious complications in the body. It increases the risk of various diseases in the body like diabetes and cardiovascular diseases. The fat tissues in the body needs nutrients and oxygen for nourishment, thus the blood vessels in the body direct blood to these tissues.

This ups the workload of the heart as it has to pump more blood, which results in excessive pressure on the walls of the artery. When the pressure on the arteries increase, it is known as high blood pressure. Being obese also hampers the ability of the body to transport blood throughout your body and so weight loss is compulsorily advised.

The causes of obesity are: 

  1. Genetics: You are likely to be affected by obesity if your family members are obese. Your genes also play a role in regulating your hormones that deal with fat in the body. It may cause a hormone called leptin that regulates your appetite to be less in the body, which in turn triggers obesity.
  2. Diet: If your diet is high in simple carbohydrates like refined products and sugar-based foods then it increases the risk of obesity. Foods those are rich in simple carbohydrates cause high insulin production in the body which promotes accumulation of fat.
  3. Being inactive: You are likely to be overweight if you follow a sedentary lifestyle. This happens if you have a desk job or if you are lazy.
  4. Psychological issues: Certain psychological problems such as stress and emotional problems may cause you to binge eat which leads to weight gain.
  5. Disorders: Certain disorders like polycystic ovary syndrome (presence of cysts on the ovaries) and hypothyroidism (reduced production of the thyroid hormone).

Since obesity can significantly affect your blood pressure, you need to take steps to mitigate the damage. Apart from making various changes to your lifestyle, you can opt for various surgical procedures like ultrasonic liposuction (where sound waves are used to get rid of fat) and mesotherapy (where various medicines are injected in the adipose tissues). These are safe and non-invasive treatments that are very effective in promoting fat loss. If you wish to discuss about any specific problem, you can consult a doctor.

4782 people found this helpful

I am 22 years old female. My menstrual came last month on 3rd. But this month not come yet. I am not getting why this delay is coming now. Can you please suggest?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 22 years old female. My menstrual came last month on 3rd. But this month not come yet. I am not getting why this...
Hello, please rule out pregnancy with a urine pregnancy test first and if negative then allow yourself another week for menses and if not then opt for withdrawal bleed with progesterones.
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