Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 31 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.
Book Clinic Appointment
Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
Submit a review for Dr. Anjali PatnaikYour feedback matters!
Nicotine addiction or tobacco addiction refers to an acute dependence upon tobacco products primarily due to the presence of the nicotine drug. In other words, nicotine addiction refers to an inability to stop using tobacco products despite the knowledge and awareness that it is harmful to you. While nicotine only induces addiction, it is the presence of other substances in tobacco which makes it damaging and injurious to health.
Nicotine has the tendency to produce effects in the brain, both physical as well as mind altering, that give temporary satisfaction. This is precisely why people get hooked into the habit of tobacco consumption, which eventually leads to addiction. Unfortunately, stopping tobacco use immediately can also lead to several withdrawal symptoms, like agitation and restlessness.
The main reason why tobacco is so addictive is due to the fact that nicotine releases neurotransmitters such as dopamine in the reward centre of the brain, which in turn improves your mood and gives you temporary pleasure.
Causes of nicotine addiction can either be physical or behavioral, for instance situations or feelings, which make you crave for tobacco. These include:
- Specific times during the day, say after every meal or during breaks at work
- While defecating
- While drinking alcohol
- Stressful or depressive situations
- At the sight or smell of a burning cigarette
- Peer pressure
- While driving
Symptoms of nicotine addiction include:
- You are unable to quit smoking despite frequent attempts.
- You experience withdrawal symptoms after attempting to quit.
- You continue to smoke despite the awareness that it is injurious to your health.
- You forego social as well as recreational activities because of your need to smoke.
Related Tip: "Effects of Smoking on Sexual Health"
She is 69 years old. And she always concern about her diet what will be healthy and energetic for her. She don't work during a day.
I am facing with period issues, its keep bleeding after period also, have undergone the treatment also. But unable to get ok with it.
Dear Doctor, I am 30 years female, married since the last 6 years, it's been 9 months post my first delivery and me and my husband started our sex life since 3 months. During which I am facing pain when at penis insertion, I am not able to bear it. There is no problem with the lubrication as my vaginal walls are getting wet on foreplay. Kindly advice me on this.
5th month pregnancy. Low lying placenta not there in 12 weeks pregnancy scan. But observed in 19 weeks pregnancy. What is the reason?
A menstrual cup is a flexible cup designed out of medical grade silicone or rubber, which can be inserted inside the vagina. It is not used for absorbing blood; rather it collects the menstrual blood.
Advantages of menstrual cups over tampons
- Tampons are disposable. Menstrual cups can be cleaned, rinsed and reused.
- Need not be changed after every few hours. One can go without changing a menstrual cup for more than 12 hours.
- Easier to use compared to a tampon. The insertion is smoother and it is generally not very uncomfortable if insertion is done correctly.
- The menstrual cups need not be replaced frequently. Tampons however are needed in large numbers every month.
- Tampons absorb almost all the vaginal fluid, leaving it dry and prone to irritation. Menstrual cups on the other hand, leave the beneficial bacteria in place and maintain vaginal pH.
- Menstrual cups help prevent menstrual odours as it is present internally.
Reasons why you should use menstrual cups
Menstrual cups rarely cause allergic reactions, unlike tampons. One menstrual cup lasts an entire day, month and even years. They are also the most environment friendly choice as there is no need to dispose them after every use. They prevent staining, leakage and do not increase muscle cramps. There is no risk of TSS (Toxic Shock Syndrome) from menstrual cups, which is a major risk from leaving tampons inside the body for too many hours. Menstrual cups are also helpful if you are a swimmer. They don’t make things difficult for you at all. Menstrual cups are made from 100% medically approved silicone and not cotton or rayon. If you are unable to use tampons, you may choose menstrual cups as the insertion is generally smoother. However, it completely depends on individual preference. Menstrual cups also reduce the bulk of having to carry like sanitary napkins during travel, and urgent needs to change. Thus it makes a long journey worry free. No matter what protective measures you take, remember to be comfortable. Try and maintain a diet rich in nutrients, that can help regulate the blood flow and prevent painful blood clots. Also, it is important to remain physically active to prevent muscle cramps and back pain. If you wish to discuss about any specific problem, you can consult a gynaecologist.
What are the steps to follow to get the normal delivery and healthy baby during 8th month pregnancy?
I'm 18 years old and I have food related problems. I have a habit of eating at irregular times. It have a effect on me. I can not eat anything now a days even when i'm starving. Whats the problem?
Pcod one abortion one child. Want another. Low sperm count. All treatments r failed. Wanna go for ivf. What should I do.
Hi Doctor, me and my girlfriend had sex last night at the moment when I start first I push to my girlfriend vagina inside but condom was broken sudden I change the condom and I am not release because I push that was starting time and I touch only. So any chance to pregnancy.
Sexuality in all its forms can be an important part of our health and identity. However, in the indian society sexuality is often considered the domain of the young, and the idea of older women having and enjoying sex sits uncomfortably with many people. The ideas of older women’s sexuality often stem from Victorian times, where the woman was passive in her sex life, and sex was mainly for reproductive purposes Hence, the idea was that sex would stop after the menopause.
The menopause is often described as a very negative time for women, especially in medical literature. On the other hand, many feminists celebrate the menopause and subsequent years as a time of positive change, without the commitment to childrearing, and a time to find new fulfilment. The experience for each individual woman is probably somewhere in the middle.
Hormonal changes in the menopause, such as a drop in oestrogen levels within the body, can bring about physical changes such as vaginal dryness, which can affect the sex life. But at the same time, there are many ways of adjusting to these bodily changes that can lead to new ways of lovemaking.
Physical complaints and sexuality:
Vulval discomfort -
When you get older, your body produces less oestrogen. This can cause vaginal dryness, which means that sex might become less enjoyable or even painful.
Urinary Tract Infections (UTIs)-
When a woman’s vaginal walls become thinner because of lower levels of oestrogen in her body after menopause, penetrative sex can not only cause vaginal discomfort, it can also cause urinary irritation or urinary tract infections. This is because the urethral passage also thins. Penetration might irritate the bladder and the urinary tract through the thin walls of the vagina. This irritation can lead to infections.
Sexually Transmitted Infections (STI) and AIDS-
Articles and books on STIs hardly ever talk about older women specifically, but STIs as well as HIV/AIDs are on the increase in older women. This might partly be because women after the menopause do not need to use birth control, and therefore also do not use protection such as condoms anymore. If you have had the same partner for many years, and your partner has also not had any other sexual partners, the risk of getting a sexually transmitted infection is low. But if either you or your partner has unprotected sex with anyone else, the risk is increased. There are many different STIs, and some of them do not have any symptoms. However, if you notice any unusual or smelly discharge from the vagina, bleeding, blisters, itches, pains or sores, you should go to a sexual health clinic.
Sometimes women may experience pelvic cramps during or after sex, especially women who have penetrative sex. It is more likely to happen if you do not have orgasms very often, and is generally nothing to worry about. Just like any muscle in the body, it can ache if it doesn’t get used very much and then gets a lot of exercise.
Sometimes, changes in the family can be difficult to adjust to when getting older, for example if your children leave home or you stop working and retire. It can help to talk with your friends and your partner about these changes and how they make you feel.
Because of the physical changes that occur as part of the aging process, it is possible that you may feel less comfortable with your body and that you lose some of your self-esteem. But again, these changes happen gradually, and many women adjust well to them.
However, if fatigue or psychological illnesses such as chronic depression or anxiety develop, they can interfere with your libido and sex life.
Medications and sexuality:
As women get older, they are more likely to need long-term medications. Often, these medicines have side effects that influence libido, for instant blood pressure medications, and tranquillisers. However, alternative therapies might be available, and if you think that medication impacts negatively on your sex drive, speak to your doctor and ask if there is an alternative. Antihistamines and other drugs can cause drying of the vagina, and although this might not influence your libido, it might curb your enjoyment of sex.
Many women actually enjoy sex more in later life, maybe because they are more experienced, and know what they want. In addition, there may be more opportunity for spontaneous sex, for instance if you have children who have now left home. Overall, women in their late 40s are said to be much more likely to have fulfilling sex lives and multiple orgasms than women half their age 5.Women’s sexual response is different from men, and many women do not have ‘spontaneous desire’, meaning it may not be until starting to engage in some sort of sexual activity that they start to feel sexual desire, and many women do not have any sexual feelings or thoughts, unless engaging in sexual activity. Because women’s sexuality is so complex, it might actually be more appropriate to try and solve occurring problems with counselling and medication.