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Dr. Ajay Malik

Gynaecologist, Delhi

300 at clinic
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Dr. Ajay Malik Gynaecologist, Delhi
300 at clinic
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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. Ajay Malik
Dr. Ajay Malik is a popular Gynaecologist in Rajouri Garden, Delhi. He is currently associated with Kathuria Nursing Home in Rajouri Garden, Delhi. You can book an instant appointment online with Dr. Ajay Malik on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi 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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Kathuria Nursing Home

F-131, Rajouri Garden.Landmark: Near Main Market, DelhiDelhi Get Directions
300 at clinic
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Does Quality of Eggs Affect IVF Treatment

Health and Medical ARC Fertility
IVF Specialist, Chennai
Does Quality of Eggs Affect IVF Treatment

The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.

There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:

  1. Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality.
  2. Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
  3. Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.

Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the best option is to have donor eggs.
 

4027 people found this helpful

How Homeopathy Helps Manage Cold?

BHMS
Homeopath, Raebareli
How Homeopathy Helps Manage Cold?

Cold is one of the most common diseases in the world. It is a communicable disease, mainly occurring during seasonal change, even though it is not chronic in nature. And homeopathy has the most effective medicines which treat common cold without the side effects.

Read on to know which are those:

  1. Natrum mur: This medicine is effective for a runny nose, with initially clear snot thickening after a period of 24-48 hours.
  2. Gelsemium: Gelsemium is advisable for the known symptoms of common cold such as headache, fever, fatigue, drowsiness, shivers, etc.
  3. Eupatorium perf: This medicine is effective in case of recurring thirst, sore muscles and bones, and immense headache that get worse on any kind of movement.
  4. Arsenicum iod: If you are experiencing continuous sneezing with burning sensation and a nasal discharge, this is the medicine you should take.
  5. Aconite: This homeopathic medicine is recommended when the most preliminary signs of common cold appear, such as getting thirsty frequently and being overly-anxious.
  6. Belladonna: Belladonna is for more severe signs of cold, such as high fever and persistence of a throbbing headache.
  7. Ferrum phos: This medicine is also given at the preliminary stage, when the onset is slow, with mild fever, which gets worse especially with the approach of night.
  8. Pulsatilla: When you have a nose with dense discharge and blocked ears, remember that these symptoms may worsen at night. This is the medicine best suited to your cold in such a situation.
  9. Nux vomica: Nux vomica is effective for constant sensation of chill, with warmth not felt even in the comfort of the bed. It is also effective for headaches, blocked nose, body-aches, and nausea as results of the cold. If you wish to discuss about any specific problem, you can consult a Homeopath.
3464 people found this helpful

I am a 19 year old girl, I always have mensuration with gaps of say 2-3 months. I just wanted to make sure whether this late cycle will create any problem in future or is it fine? if its not fine then please suggest me a way to prevent the problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am a 19 year old girl, I always have mensuration with gaps of say 2-3 months. I just wanted to make sure whether th...
Hi , We have very good homeo treatment to regulate periods without causing adverse effects. The treatment is very much dependent on detailed description of your complaints- Please intimate? 1Usual gap between periods 2. Are you working? 3. Are you married? 4. Any thyroid problem, anaemia? 5. Obesity? 6.Any pain during period? 7.Any white discharge? Precaution-Maintain cleanliness and good personal hygiene You may opt for payment consultation giving the particulars. To start with, take the following homoeo medicines- 1. Cimicifuga 200---one dose (6 to 7 pills) in the morning 2. Ferrum phos 6x----4 tabs once daily (These medicines are easily available at nominal rates in any nearby Homoeopathic medical shop) Stop medicine when period commences. Report response after 10 days Please note that this is only preliminary prescription and further treatment and subsequent prescriptions will be will be based on your feedback .
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Tubectomy - Understanding the Procedure And Risks

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
Tubectomy - Understanding the Procedure And Risks

Also known as tubal sterilization, tubectomy is a permanent method of contraception in women. It is a surgical procedure in which a portion of the fallopian tube is blocked to prevent the egg that is released from the ovaries, from reaching the uterus. In case an egg is present in the uterus, it carries with it the risk of fertilization thus, can lead to pregnancy. Sometimes the patient may change her decision and ask for a reversal of the process.

However, it should also be kept in mind that the surgery is a complex one. The results are often not guaranteed.

The Procedure

  • Tubectomy refers to cutting or blocking a small portion of the fallopian tubes that prevent the released eggs from reaching the uterus.
  • The surgeon reaches to the fallopian tubes by cutting open a portion of the abdomen in case of an open surgery.
  • Laparoscopic techniques are also available to conduct the surgery.
  • The fallopian tubes are blocked by an artificial clip to prevent the passage of eggs.

Are there any risk factors involved?

  1. Tubectomy may create a number of health complications in the long run.
  2. Tubectomy is not advised for patients who have previously undergone abdominal surgeries.
  3. Major risks of injury such as perforation surrounding blood vessels, internal haemorrhage or a severely life-threatening situation such as ectopic pregnancy may occur later on. Ectopic pregnancy is when fertilization and implantation occur within the fallopian tube instead of the uterus.
  4. Tubectomy is even more challenging than vasectomy and has higher chance of giving rise to health complications.

Although the procedure is complex, it has a few advantages as well. Minimally-invasive surgeries help in quicker recoveries. It is almost 99% effective as a measure of birth control and thus provides a permanent solution. This surgery can even be done immediately after delivery. Sometimes, in rural areas, family welfare departments, government hospitals and primary health care centres offer free surgery and care to aid and educate about family planning.

2878 people found this helpful

I am 33 years old and my weight is 91 kg. I have pcod problem. I daily go to zym but not able to take the weight below 90 kg. Please give some tips to lower the weight. You can send me a diet chart also. Thanks.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 33 years old and my weight is 91 kg. I have pcod problem. I daily go to zym but not able to take the weight belo...
With pcod weight loss is very tough, and takes long time, along with gyming or exercise take healthy diet including fruits, dairy products and vegetables, without skipping meals. Drink lots of juices and water. Quit coffee, canned and fried food.
1 person found this helpful
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Know Everything About Female Condoms

MDEH, BUMS
Sexologist, Delhi
Know Everything About Female Condoms

It is important that you protect yourself from various types of diseases and infections as much as possible. Female condoms are used to have protected intercourse so as to avoid contact with ejaculatory fluids. These condoms help a person to steer clear of blood, semen and vaginal fluids as well. Female condoms fall under the category of barrier contraceptives. They are considered to be less effective in comparison to male condoms, but are nonetheless good for preventing any kind of infection. Ensuring fine health through safe sex is your due responsibility. Hence, a little knowledge about these contraceptives is helpful if you wish to shun chances of unwanted pregnancy or Sexually Transmitted Diseases

What is it like?
A female condom looks like an ill  fitting hollow cylinder. It is a thin sheath with a closed end, that goes inside the vagina and an open end that remains outside the vagina covering other external, genital parts. The covered end has to be inserted into the vagina or into the anus. It is a misconception, that female condoms can only be used by females. It is predominantly used by females, but can also be used by any receptive partner during sexual intercourse. The ends have circular rings to keep the condom in place. 

What are they made of? 
Femidoms are usually made up of polyurethane. This material is expensive, making the product costly. The need for a cost effective product was immediately felt to encourage the use of condoms among females. Thus, the next generation of female condoms were made with synthetic Nitrile. Nitrile proved to be a competent substitute as it did away with the annoying noises polyurethane made during sex. It also reduced condom pricing considerably. Researchers have also come up with natural latex female condoms that retain the feel of a male condom. 

Benefits of using a female condom
It is a great barrier in thwarting the flow of semen into the womb. Thus, they reduce the risk of accidental pregnancy. It also protects you against sexually transmitted infections like gonorrhoea, Syphilis, and HIV. Sex partners should be careful to refrain from any sexual contact before the insertion of a female condom. Only after the condom has been placed properly, the penis should enter the vagina or the anus. Femidoms are available in varied sizes, but the average sized condom fits most females. Large sized condoms can be used by new mothers. It is advised to buy condoms that bear the CE mark on them. The CE mark represents European Safety Standards and thus, leaves you least vulnerable to accidents or diseases. If you wish to discuss about any specific problem, you can consult a doctor.

3388 people found this helpful

I am in relationship and physically active. But from last year I have a vaginal issues. I changed n num of gynecologists but with no result. Now I have warts problem. What should I do ? I already took a vaccine .

BHMS
Homeopath, Bangalore
Gardasil you should continue as its a course n it ll prevent from cervical cancer, you take homoeopathic medicine thuja occidentalis 1m 4pills 4 times 4 days with a gap of 1 week repeat again 1 more course.
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Hello doctor Doctor ne muje contriciptiv pills di thi. Name h GUSTO CARE kya ye helpful h. N in future baby planning me koi problem to nhi hogi na ye pills lene se. 2 month li h maine. But aage b continue rkhna chahti hu. But family kehti h jyada tablets lene se in future problem hoti h.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hello doctor
Doctor ne muje contriciptiv pills di thi. Name h GUSTO CARE kya ye helpful h. N in future baby planning ...
Dear Lybrate user. Common side effects of oral contraceptives include: intermenstrual spotting, nausea, breast tenderness, headaches, weight gain, mood changes, missed periods, decreased libido, vaginal discharge and visual changes with contact lenses. It is always better to use contraceptive tablets regularly. You can use male or female condoms. Take care.
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Premature Labor (Preterm Labor) - What Causes It?

MBBS, DGO, DNB - Obstetrics & Gynecology
Gynaecologist, Noida
Premature Labor (Preterm Labor) - What Causes It?

The usage of “9 months” with pregnancy is almost universal. However, it is not always that all women go through the entire 9 months with the baby. Most often, delivery happens during the 37th to 40th weeks. This allows for the complete growth of the baby within the mother’s womb. When delivery happens before the 37th week, it is known as preterm delivery or premature labour. These babies may not be completely formed and may have temporary or long-term difficulties after birth.

There are many reasons which can induce premature labour, and while some are preventable, some may be inevitable.

  1. Smoking: One of the first things to do when planning a pregnancy or as soon as you realise you are pregnant is to quit smoking. It is way too damaging for the mother and the baby within.
  2. Alcohol consumption or street drug usage: These again can cause not just premature labour but also developmental abnormalities.
  3. Multiple pregnancy: Women pregnant with twins or multiples often have premature labour.
  4. Health problems: Medical conditions like hypertension, diabetes, infections, etc.
  5. Abnormalities: Developmental abnormalities in the newborn like Down’s syndrome, chromosomal abnormalities, etc.
  6. Weight: Being either obese or underweight can cause premature labour.
  7. Prenatal care: While preparing for pregnancy or as soon as you confirm it, ensure you put yourself in the hands of a good gynaecologist. This will ensure you (and your baby) get the required care.
  8. Less gap: Reduced gap between subsequent pregnancies can also induce premature labour.

Warning signs of premature labour

In some women, the doctor might be able to predict the chances of a premature labour and give enough suggestions to look out for warning signs. This will help the woman to be mentally prepared when it is time.
A low backache, which is constant and does not go with usual relief measures.

  1. Frequent pelvic contractions (about every 10 minutes)
  2. Vaginal leaking (fluid or bleeding)
  3. General ill-feeling with symptoms of nausea, cramps, and vomiting/diarrhoea.
  4. Inability to hold down fluids for a full day
  5. Abdominal cramps, similar to a period
  6. Pelvic pressure, a feeling of the baby descending down

What to do? 

As mentioned earlier, if your doctor had warned you of the chances of a preterm labour, watch out for them after 35 weeks.

  • With any of the above symptom, do not indulge in any activity and rest on the left side for a while.
  • Drink about 2 to 3 glasses of juice or plain water.
  • If the symptoms get better, continue to rest for the day.
  • If they do not, call the doctor. Usually, the doctor will ask you to come to the clinic.
  • In some cases, the baby might be delivered and require neonatal care for some days (to weeks) depending on development and symptoms.
3 people found this helpful

I have pregnancy of 8 month. I want to know that more time sonography is how much bad for my baby.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
I have pregnancy of 8 month. I want to know that more time sonography is how much bad for my baby.
It Has no bad affect. usg is so much useful in judging the health of baby. now a days pregnancy related mishaps have reduce so much
1 person found this helpful
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Regular healthy periods after misconception are a sure sign of no pregnancy? Pls answer.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
Regular healthy periods after misconception are a sure sign of no pregnancy? Pls answer.
Regular period with average flow post miscarriage predicts no pregnancy 99% of times. But if they are cyclical for more than 3 months would be almost sure of no pregnancy.
1 person found this helpful
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Reasons Why You Must Visit A Urologist!

MBBS, MS-General Surgery, DNB
Urologist, Delhi
Reasons Why You Must Visit A Urologist!

Be it frequent urination, painful urination, or change in color of urine, you must not hesitate to visit a urologist, especially when the symptoms persist for more than two days. Typically, an abnormal urge to urinate is directly affected by any infection in the bladder or due to any underlying medical condition. A urologist who is specialized in the study and treatment of disorders related to the urinary system is the right person to diagnose the problem and put you on the right treatment. Read on to have an insight into symptoms that would necessitate a urologist visit.

Inability to urinate: Many people tend to have calcium depositions in their urinary tract. This is what is known as a stone. When this stone grows big in dimension, it can block the ureters or the urethra. In both these situations, the total urine output reduces to a great extent or can stop completely. The first symptom, in this case, will be an intolerable pain in the back or lower abdomen. This is also a common sign in males with an enlarged prostate.

As the prostate grows in size, it pushes onto the bladder, thus again making it difficult to release urine.

  1. Pain in the lower abdomen: Pain in the lower abdomen is also a symptom of various kinds of urinary problems. If the pain is accompanied by urinary frequency or a burning sensation during urination, it inevitably prompts a visit to the urologist to check for bladder cancer or prostate.
  2. Blood in urine: Irrespective of the gender of the sufferer, blood in the urine is never a good sign. An immediate visit to the urologist is suggested as he can order tests which can highlight an infection or a disease or in extreme cases, even the early signs of cancer in kidney or bladder.
  3. Repeated urinary tract infections: Cases might arise, when a particular person is suffering from two or more infections in a span of 6 months. This situation should never be ignored, and immediately a doctor should be visited as this can be a serious health problem in both men and women. Prophylactic or some antibiotic treatments will be prescribed in this case.
  4. Chronic pain in the pelvic region: This is again another urinary condition which can affect both sexes. This condition is characterized by increased frequency of urination and nocturia and pain in the lower abdomen are also reported. Nocturia is severe nighttime urination. The treatment for this condition depends on the reason. A series of tests and examinations have to be carried out to find out the reason, and accordingly, a treatment plan has to be charted out.

Apart from the symptoms mentioned above, if you experience uncontrolled urine leakage or any sediments in urine or if you sense any abnormality concerning the lower abdominal area a urologist visit is warranted. No need to shy away from reporting even such minor discomfort as it could help avoid dire consequences.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2982 people found this helpful

Mai 25 years ki hu aur 16 weeks pregnant hu mere kamar me aur pet k nichle hisse me intense dard h First miscarriage ho chuka h 1 month ka.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Mai 25 years ki hu aur 16 weeks pregnant hu mere kamar me aur pet k nichle hisse me intense dard h
First miscarriage ...
Hi lybrate-user. If you already have an history then don't wait for the answer and contact your gynecologist immediately. You should have ask this question earlier before starting of any symptoms. Still you may take homoeopathic medicine. Arnica 200 1 dose.
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Hi I had unprotected sex and I gave ipill to my girl within 30 hrs and today her body was paining gave crocin and this was first time for both of them so its normal ?

BAMS, MD Ayurveda
Sexologist, Lonavala
Hi I had unprotected sex and I gave ipill to my girl within 30 hrs and today her body was paining gave crocin and thi...
Try the following remedy it will surely help you 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day Causes: • Anxiety • Incorrect diet • Unhealthy lifestyle surely you will get results.
1 person found this helpful
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Dengue - Common Symptoms To Watch Out For!!

MD - Internal Medicine, MBBS
General Physician, Gurgaon
Dengue - Common Symptoms To Watch Out For!!

With the change of season, we all have to be geared up for the increase in the number of mosquitoes in and around our homes, and among these is one such mosquito, which can be fatal for your life. The bite of the ‘Aedes aegypti’ mosquito causes Dengue. This mosquito survives and breeds in tropical and sub-tropical areas. It is a waterborne disease and causes extreme pain, discomfort and in some cases even death. Each year 390 million people are inflicted with dengue out of which 96 million develop serious illnesses and are required to be hospitalized.

Causes:
1. As mentioned above it is caused by the bite of the ‘Aedes aegypti’ mosquito.
2. When a mosquito bites a person who already has dengue, it becomes infected and it can be transmitted to any healthy person this mosquito bites next.
3. If you already have dengue and are infected again then you have a higher chance of developing dengue hemorrhagic fever or a dengue shock which can even cause death.
4. Living near a stagnant water body, or accumulating water in open containers, staying in the vicinity of clogged drains and open windows can also expose you to the threat of Dengue.

Symptoms:
The symptoms can last to about 10 days after one gets infected. The symptoms are as follows:
1. Excruciating pain behind the eyes
2. Severe headache
3. Sudden high fever.
4. Vomiting
5. Fatigue
6. Skin rash which generally appears two to five days after you get bitten.
7. Nose bleeding, easy bruising and bleeding gums.
8. Severe muscle and joint pain.

These symptoms can be mistaken for high fever or viral infection, so it is important to get tested as soon as you start experiencing these symptoms. If dengue is not treated in time, it can give rise to dengue hemorrhagic fever. In this case, you can suffer from high fever, nose bleeding (damage of blood vessels), failure of the circulatory system and enlargement of liver.

You can also prevent dengue by avoiding storing water in containers, keeping your surroundings clean, wearing full body clothing, using mosquito repellants, sleeping under a mosquito net and setting mosquito traps. Dengue is very devastating and can cause death in worse cases as in dengue shock or dengue hemorrhagic fever. Dengue is now an epidemic in many countries. People affected with dengue need to drink a lot of fluids and take plenty of rest. They can also reduce the fever by having a paracetamol. If you wish to discuss about any specific problem, you can consult a General Physician.

4772 people found this helpful

As per her ultrasound report on 37th week of pregnancy, asymmetrical ugr and left fetal kidney shows hydronephrosis with diameter of renal pelvis of measuring 7-8 mm. Mild increased resistance in umbilical artery. S/D 3.20 (mild increased). Please provide your expert opinion.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
As per her ultrasound report on 37th week of pregnancy, asymmetrical ugr and left fetal kidney shows hydronephrosis w...
hi Shahid as it is IUGR it's better to keep strict watch on babies movement. you may have to terminate pregnancy once baby is mature.
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I am 30 years old female and I have weakness problem for my pregnancy now. What should I do ?

MBBS, DGO (cal)
General Physician,
Probably you have become anaemic now. Anaemia in pregnancy is additional burden for management. How old is your gestation? may be you are not complying your doctors advice. Take iron + b complex that your doctor advised. If you are not under any gynaecologist & obstratician, please report immediately for assessment. If you are really anaemic it may complicate your pregnancy further more.
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Hi Dr. Am 23 year female my husband 34 year married about one year trying for baby our all types of report are normal, regular period last LMPs, 14/11/15, 11/12/15, 22/1/16 are, then 16th and 17th this week raw egg white like discharge occur fear about this why this is happens when to take pregnancy test? Please answer me Dr.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Hi Dr. Am 23 year female my husband 34 year married about one year trying for baby our all types of report are normal...
The discharge is nothing but cervical mucus from the mouth of the uterus. It is harmless. You can take pregnancy test on 29 feb, if your period gets delayed till then.
1 person found this helpful
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I am noticing white discharge often and often from 3 months. Its not continuous but from my last date its continuous every day. Suggest me treatment please I am married 4 yr back. Having 3yr kid.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Can be uti or leucorrhoea. Empty your bladder frequently as soon as you feel the need to go; don't rush, and be sure you've emptied your bladder completely. Wipe from front to back. Drink lots of water. Cleanse your genital area before sex. Urinate after sex to flush away any bacteria that may have entered your urethra. Keep your genital area dry by wearing cotton underwear and loose-fitting clothes. Avoid tight jeans and nylon underwear -- they can trap moisture, creating the perfect environment for bacteria growth. Try using (homeo) r 87. And bio combination number 13, consult me in private for detailed treatment in biochemic system of medicine without any side effects.
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