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Dr. Bharti Uppal Nayyar

Gynaecologist, New Delhi

Dr. Bharti Uppal Nayyar Gynaecologist, New Delhi
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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.
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Dr. Bharti Uppal Nayyar is an experienced Gynaecologist in Hari Nagar, Delhi. She is currently practising at Dr Bharti Uppal Nayyar's Clinic in Hari Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Bharti Uppal Nayyar on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 39 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hi How to safe from pregnancy. I was patient of sugar. And can't be a mom due to my pregnancy report. I have no problem but my husband has problem is their any solution about it.

MBBS, DGO, MRSH, DGO,
Gynaecologist, Gurgaon
Hi How to safe from pregnancy. I was patient of sugar. And can't be a mom due to my pregnancy report. I have no probl...
You can safeguard urself against pregnancy as there are various ways to avoid pregnancy, pills, multiload and safe method, however you can get your sugar problem resolved and can become a healthy parent without any problem, so think positive and be positive in all your mooves.
1 person found this helpful

I am planning to conceive,but my mensulation is regular but for last june 2014 its e regular from in few month 10 to 15 days in the month of june and dec but in the month of jan i did not get mensulalation till 1st of march the last mensuration last starting date is 9th dec. So,i want to knew why its delay and also i not get positive result.

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Gurgaon
Irregular periods usually signal an ovulation disorder ie abnormality in egg formation hence is most probably a contributing factor in difficulty in conception. You need to undergo hormonal blood tests and Ultrasound to determine the cause and management accordingly
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Menopause- How to tackle it

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Menopause- How to tackle it
Today 18th October is WORLD MENOPAUSE DAY....
Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause.

Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored.

But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.

Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.

Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup.

The worst problemof the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.

Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination.

“What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy).

Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc.

Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke.

Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required.

In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be overemphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.

I am a-ve and my husband is o+ve. What are the complications we are going to have in pregnancy and what are the cures or precautions I should take?

DGO
Gynaecologist, Pune
I am a-ve and my husband is o+ve. What are the complications we are going to have in pregnancy and what are the cures...
U will have to get tested in your 28th week of pregnancy and if necessary will require anti-d injection. Also you will need to get your baby's blood group checked.
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Kuch log keh ahe hain k mn pregnant hon or kuch khte hain k ni hon hcg 1.20 hai tu kya sahi baat hai is mn or ager ab ni hon to agli baar pregnant ho sakon gi koi problem to ni ho gi?

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Kuch log keh ahe hain k mn pregnant hon or kuch khte hain k ni hon hcg 1.20 hai tu kya sahi baat hai is mn or ager ab...
you are not pregnant as your value is very low..! there are no details of previous pregnancies or miscarriages however pregnancy does occur after miscarriages.. ! all the best..! for any furyher queries you cud drop in a message..!
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Doctor I am pregnant of two months. My breast size increasing day by day. It's so annoying. Please give me some tips to reduce breast size without affecting my pregnancy.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Doctor I am pregnant of two months. My breast size increasing day by day. It's so annoying. Please give me some tips ...
some increase is genuine as milk production starts from day 1. reduce salt intake to bare minimum and wear a sports bra.
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Hi doc, I am 24 week and 2 day pregnant but I am not able to feel my baby movement clearly. And also this is my first pregnancy and I am not able to recognize but last month check up showed that everything is fine, so is all normal. And also tell me some food to gain weight in pregnancy. Please reply me as I am very much worried.

MD-Gynaecologist & Obstetrician , MBBS
Gynaecologist, Delhi
Hi doc,
I am 24 week and 2 day pregnant but I am not able to feel my baby movement clearly. And also this is my first...
Please check your baby heartbeat immediately.At times the mother is unable to feel the movement in the early stages in the first pregnancy but if you were feeling them before & not able to feel now,please get it checked immediately
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After unprotected sex, when can I do pregnancy test, to be certain about my pregnancy? Means after how many days of sex can I get a positive result of pregnancy test?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
After unprotected sex, when can I do pregnancy test, to be certain about my pregnancy? Means after how many days of s...
Hello, its particularity depends on ovulation period. If you have sexual intercourse from day 12 to day 18 of period then higher chances of getting conceive. You can do urine pregnancy test if your next period date missed.
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Hi I had sex on 2nd day of my periods stops. Then I took ipill within 24 hrs. Again had sex 6 day later. Took I pill immediately. Any chance of pregnancy? Please

MBBS
Sexologist, Mumbai
There is no chance of pregnancy, but levonorgestrel in high doses can play havoc with your system. This is called emergency contraception not Cadbury gems. Moreover, you need not have taken had you known that the chances of pregnancy are almost zero when you make out in the safe period of menstrual cycle. Find more about safe period for sex at http://mydoctortells.com The thumb rule is one week beginning from the day you bleed (first day of menses) and one week prior to the first day of menses are safe days for sex. Meaning, you don't need to abuse your body with emergency contraceptive pill even if you have unprotected sex. It is smart to know about safe period. Be smart. Best wishes,
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I m a 30 year old woman. Married for an year. No children yet. I have vaginal dryness and burning sensation on vulva area when touched. What can I do?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I m a 30 year old woman. Married for an year. No children yet. I have vaginal dryness and burning sensation on vulva ...
Please consult a gynecologist for dryness and burning sensation, and get a vaginal smear, follicle study done with amh test.
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My girlfriend is experiencing too much of black blood during her periods and its for d 1st tym she has experienced it. She luks worried abt dis thing, Is it normal? Y is it happening? Or is der anything to be concerned abt?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My girlfriend is experiencing too much of black blood during her periods and its for d 1st tym she has experienced it...
Hello, this is more likely to be collected blood which has turned dark. This is normal in many women and not a cause of concern.
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I took unwanted 72 and since then after 3 days I started bleeding but its irregular and abdominal aches is it nomal, what should I do?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I took unwanted 72 and since then after 3 days I started bleeding but its irregular and abdominal aches
is it nomal, ...
Hello, Unwnated 72 high dosage pill that cause hormonal imbalance in your body, which can be a cause behind irregular periods and abnormal pain. Wait for your periods to stabilize.
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Sir, I have sex with my girlfriend before 1 month and 5 days. But have not been taken any precautions. So, she has pregnant. She tAke medicine for abortion named unwanted kit. Her period came with heavy bleeding. She tAke medicine dated 27/12/2015. But the problem is that her stomach is aches till now and period is also came but slowly. What should we do?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Sir, I have sex with my girlfriend before 1 month and 5 days. But have not been taken any precautions. So, she has pr...
Bleeding can continue upto 2-3 weeks after pills for abortion. For pain she can have meftal-spas tablet upto three times daily. I hope she had an ultrasound scan done before she took the abortion pills to see where the pregnancy was.
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Hair's near vagina are growing too much nd they starting pained in winter .What should I do?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Improper methods of hair removal (specially on pubic region) results in skin damage and thickening of hair roots in the upcoming hair cycle, this is why when skin gets dry in winters pubic area feels painful and itchy. Trim your hairs instead of using a hair remover or shaving it, you can also go for waxing but in needs to be quick and regular to avoid intense pain. Apply coconut oil mix with camphor locally after removing the hairs. Your problem will be solved.
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My cycle due is 28 days very regular last month this is late by 5 days i. E. My date is 25.4. 2015 but period came by 1.5. 2015 this month my period came 25.5. 2015 why it is changed like this and tell me best days to participate sex for conceive.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
No need to worry, it happens sometimes. If this happens in routine then it is problematic. The best day for conceiving are 4 days before nd 4 days after your ovulation. Now how do we calculate this ovulation day. It is 14 days minus expected date of your next periods.
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A have a tumor in left breast for 4 years. Which homeopathic medicine I take for it.Please tell.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
tumour is chronic condition you need to take proper treatment for your problem.because it will take time to cure properly.visit to doctor personally for treatment.
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My vagina always wet. I always wanna to sex. Any medicine which can help me. Please suggest me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Uncontrolled sexual urges in females lead to a wet vagina. It can be controlled if the source of these urges (watching porn) can be removed. Avoid porn, make your self busy and masturbate once in a week. Your problems will be solved.
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A lots of pain coming during my monthly periods. I can't bare it. I consulted many people but no use. What should I do to reduce the pain in abdomen?

BHMS
Homeopath, Faridabad
A lots of pain coming during my monthly periods. I can't bare it. I consulted many people but no use. What should I d...
Hello,Take Magnesium phos pentarken tblets, 2 tabs , every 3 hourly with hot water. Eat calcium rich foods like almonds, sesame seed. eat dark chocolates, celery, spinach, pinnaple, banana and tea. Drink plenty of water.
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Hi, Is "tukhme gajar" or "gajar ke beej" helpful in hormonal imbalance. Is it safe to consume daily?

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
Hi,
Is "tukhme gajar" or "gajar ke beej" helpful in hormonal imbalance. Is it safe to consume daily?
A raw carrot a day plays an important in hormonal imbalance. You can take it daily. Raw carrot is much better than beej.
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Homeopathy for sexual problems

BHMS
Homeopath, Sindhudurg
Homeopathy for sexual problems

Sexual problems can arise at any stage of sexual activity, which prevents the individual from enjoying sexual activity. The causes of sexual difficulties may be psychological, physical or both.

Sexual disorders are classified into four categories

Sexual desire disorder- May be due to the decrease in the normal production of oestrogens and testosterone. Other causes being ageing, fatigue, and pregnancy. Some psychological causes such as Anxiety and Depression also causes low libido.

Sexual Arousal disorder- Grouped as frigidity in women and impotence in male. Impotence now known as erectile dysfunction is characterised by the difficulty to maintain an erection of the penis during sexual activity.

Orgasm disorder- Is a delay or absence of orgasm following the normal sexual excitement phase. It occurs in both male and female.

Sexual pain disorder- It mostly affects the women, known as Dysparuinia known as painful intercourse caused due to insufficient lubrication.

Vaginismus known as the spasm of muscles of the vaginal wall.

Some common symptoms:
In men are:
The absence of ejaculation.
Inability to maintain time of ejaculation.
Difficulty getting an erection.

In women are:
Low libido.
Difficulty reaching orgasm.
Burning pain in vulva or vagina.
Inadequate vaginal lubrication.

Physical factors in sexual difficulties:
Enlarged prostate gland
Endocrine disorders.
Hormonal changes.
Drugs such as alcohol, nicotine, narcotics.
Nerve damage.

Homeopathy for sexual problems:
Sexual disorders are disturbances in the sexual response which may be due physical or mental disturbances. Homeopathic Treatment acts by increasing blood supply and exciting the nerves. It is also helpful in sexual disorders associated with psychological disturbances. The Homeopathic Treatment gives a feeling of wellness and thus regains the vigor.

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