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Dr. Kavita Sama

Gynaecologist, Delhi

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Dr. Kavita Sama Gynaecologist, Delhi
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Kavita Sama
Dr. Kavita Sama is an experienced Gynaecologist in Siri Fort, Delhi. You can consult Dr. Kavita Sama at Sama Hospital in Siri Fort, Delhi. Save your time and book an appointment online with Dr. Kavita Sama on has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 35 years of experience on 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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Me and my girlfriend had sex 42 days ago and she had to take i-pill on 2 consecutive days within 3 hours of sex. She had light bleeding after 7 days. But now she is 4 days late. What could be the reason for this?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
I pill can delay and disturb the period cycles. You shud still do a blood test called as serum b-hcg from any nearby lab. It is a test to confirm the presence or absence of a pregnancy. My sincere advice to you to use other modalities of contraception and not i-pill.
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I am 24years old. My last period 9th feb today 37 days still m not period now m pregnant or not.

Gynaecologist, Panchkula
I am 24years old. My last period 9th feb today 37 days still m not period now m pregnant or not.
Hi I understand your concern. If you cycles got delayed you should get urine pregnancy test done then only we can be sure about reports. Conclusively can be said then only.
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Should You Drink Water While You Eat? Know the Facts!

M.D (HOMEOPATHY), MBA (Healthcare)
Homeopath, Gulbarga
Should You Drink Water While You Eat? Know the Facts!

There is an age old saying that drinking water during meals will disturb your digestion and dilute stomach juices. Advice, that floats around generally, states that you should have water at least 30 minutes after you have had a meal. Studies have been carried out on this subject to find out how true or false these claims are.

  • Levels of stomach acid: The claim is that if you drink water during the meal it will dilute the stomach acids, which are required to break the food down. However, doctors have stated in clinical trials that water doesn't tend to have any effect on the levels of stomach acid at all.
  • Stomach and digestion process differs from person to person: This might be a thing of personal choice as habits differ from person to person. Also what is tolerable for one person may not be to another. It usually comes down to how your digestive system reacts to drinking water. Some people have claimed that drinking water while consuming food can make them feel bloated. There are no scientific studies proving this and it could be a psychological effect as well.
  • Other side of the story drinking water can fill up your stomach before or during a meal: While drinking water may not have adverse effects on digestion, it can fill up the stomach by volume and decrease appetite. Doctors will also suggest drinking a good amount of water just before a meal if you are trying to lose weight as it can suppress your appetite.

Proved pros of drinking water:
Most clinical trials and studies by doctors have proven that drinking small to moderate amounts of water during the meals will help your digestion rather than impeding it. 
Some of the advantages are:

  1. Liquefies food in the stomach
  2. Helps in nutrient absorption
  3. Prevents constipation
  4. Stop bloating
  5. Softens stool
  6. Ensures Lubrication of the digestive tract
  7. Helps you control your hunger signals and thus can help you in losing weight

Thus it can be summarized that drinking water during meals is a personal choice and doesn't really have any adverse effects. In fact, drinking moderate amounts of water when having food may actually be beneficial for you. However, if you are not comfortable with this and would prefer drinking after meals, as long as your digestive system is adjusted to it, there are no adverse effects to this as well.

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I am 8 months pregnant. My heart is beating very fast. And I am feeling breathlessness. All my body is shivering. This is happening daily. Please suggest what should I do.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 8 months pregnant. My heart is beating very fast. And I am feeling breathlessness. All my body is shivering. Thi...
Hi please visit cardiologist for screening of heart problems. Normally their could be palpitation in pregnancy but it is always better to screen heart problems. Also get complete blood count done.
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Less Libido in Females - Causes Behind it!

Less Libido in Females - Causes Behind it!

Loss of sexual desire is more common in women than in men. As many as 3 in 10 women have reduced or limited sexual interest in any kind of sexual activity. While the medical term for this problem is Hypoactive Sexual Desire Disorder (HSDD), it is generally understood as a loss of libido.

Following are the causes of less libido in females:

1. Hormonal Disorders:

  • Dryness of the vagina and pain during sexual intercourse may affect sexual drive both mentally and physically.
  • After menopause, drop in the count of testosterone hormone also affects sexual drive which can result in loss of libido.
  • With advancing age, the level of androgens decrease, and hence results in a lack of sexual desire.

2. Lifestyle Disorders:

  • In some of the cases, lack of emotional support in a relationship plays a significant role in the loss of libido. Post baby 'coolness' may also act as a driving force for loss in libido.
  • In today's era, changing lifestyle is drastically affecting our lives. Following an unhealthy lifestyle may result in increased weight that may affect self-image, and indirectly may also affect the sexual desire.
  • Stress and job, family pressure and exhaustion may also influence sexual desire of a woman.

3. Medical Disorders:

  • There are conditions such as endometriosis, fibroids and thyroid disorders that may have a negative impact on the sexual drive of a woman.
  • Certain medicines such as antidepressants, oral contraceptives, and medicines that lower blood pressure may also negatively impact the sexual drive in women.

4. Psychological factors:

  • Increasing cases of depression, anxiety, frustration, stress is also an important cause of loss of libido in the contemporary society.
  • After childbirth, new moms tend to suffer from lack of sleep, insufficient lubrication of the vagina and exhaustion, which may affect her sexual desire. If you wish to discuss about any specific problem, you can consult a sexologist.
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Foods That Lower Testosterone Levels!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Foods That Lower Testosterone Levels!

Foods that lower testosterone

1. Alcohol: this has been linked to lowered testosterone levels. By discontinuing excessive alcohol consumption, you can expect to improve the sex life of both you and your partner. It is also advised to avoid mixed drinks, as they may contain excess amounts of sugar, leading to weight gain.

2. Ice cream: this tasty treat is packed with sugar and empty calories, making it a poor choice for the health conscious. Ice cream may also lead to increased fatigue and migraine onset when eaten in high quantity. A better-frozen alternative would be frozen or plain yogurt.

3. Pasta: is high in carbohydrates, making it also high in calories. While the body loves carbs and can actually burn them off faster, running a marathon soon after you eat a huge serving of this starchy food is highly unlikely. If you don’t burn off these extra calories, your body will store the extra energy as fat.

4. Snacks: praised for their convenience and delicious taste, snacks like chips, chocolate bars, and cookies are high in sugar and carbohydrates that can instantly raise blood sugar levels. It may take some effort and willpower, but replacing unhealthy snacks with raw vegetables, raw nuts, or even dark chocolate can help increase male libido and provide the body with the healthy fats that your body needs.

5. Breakfast biscuits and cookies: generally considered high in trans fats, as they tend to be highly processed. These types of foods affect hormones in the body, including testosterone. By changing your early morning eating habit to something less processed, you can keep your testosterone levels optimal.

6. Nachos and chicken wings: despite being a favorite “game day” food option, eating nachos can provide the body more carbs than it really needs, leading to excess weight gain. Also, eating deep fried wings can contribute to increased cholesterol levels, which can affect the heart over time.

7. Low-fat diet sugar: having the right about of fat in the diet is recommended for the release of testosterone as well as to increase sex drive. Studies have shown that low-fat diets contribute to lower testosterone levels, with men who better regulate their blood sugar levels having better sex. The reason for this is that too much sugar in the diet can lower testosterone levels. Many low-fat diets trade fat for carbohydrates, which gets converted into glucose in the body, much like sugar.

8. Flax: a widely known health food and a great source of omega-3 fatty acids. However, flax seeds do not contain enough to overcome the effect of low testosterone, as flax seeds themselves contain compounds called lignans that mimic estrogen in the body. Flax seeds are considered to have three times more estrogen-like hormones than soybeans do. If flax seeds are your source of omega 3’s and you are a male suffering from low testosterone, it may be time to get a separate omega 3 supplement.

9. Licorice: a herb that most people associate with the worst tasting candy, licorice can help reduce stress when consumed as a tea. But it also contains high amounts of estrogen-like compounds.

10. Beer: a different form of alcohol, beer is different as it contains many more calories and carbs and can be very bad for men. The hops used to make beer is estrogenic and contain 300, 000 ius of estrogen per 100g of hops.

11. Soy: high in a compound called isoflavones that are proven to be estrogenic, soy is one type of food men with low testosterone should avoid. Their estrogen-like effect has been considered so strong that eating large amounts is almost equivalent to taking birth control pills, in theory.

12. Spearmint: this refreshing herb is used in everything from tea to chewing gum. It is also an old remedy for women to get rid of facial hair due to the estrogenic compounds it provides. Eating natural spearmint should be avoided in men concerned about their t levels.

13. Legumes and beans: this category of food is known for its estrogenic activity. For example, the lima bean is filled with a compound called phytoestrogenic fiber inositol and lignans that have been proven to lower serum testosterone as well as inhibit dihydrotestosterone levels.

14. Whole grains: while considered good for the digestive system, grains have testosterone mechanisms. They contain gluten that can increase prolactin levels and reduce testosterone levels. Diet rich in dietary fiber can also lower testosterone. Additionally, most grains can suck out essential minerals from the body.

15. Soda: soft drinks have excessive quantities of sugar and are one of the major contributors to the obesity epidemic. Not only is the liquid itself bad for you, but the bottles they are packaged in may also harm your health, as they are often made with phthalates that have strong estrogen-like properties.

16. Fast food: most of these establishments use low-grade meats to sell to their customers. The meat sources may be fed low-quality food and injected with antibiotics and growth hormones throughout their lives. Fast food is also very greasy, with the majority of items being deep fried. Sunflower and soybean oil can significantly reduce the testosterone levels in males.

17. Cheese: while great on your pizza and nachos, this dairy product can potentially mess with the body’s natural production of the hormone, including estrogen and testosterone.

18. High-pufa vegetable oils: polyunsaturated fats found in these types of oils has been proven in studies to reduce testosterone levels and should be avoided.

19. High doses of dietary fiber: while many people will tell you that increasing your dietary intake of fiber is good for you, it may, in fact, affect testosterone levels. The problem arises when a male eats too much fiber, altering the metabolism of testosterone, decreasing its levels. It is not advised to restrict fiber altogether if low testosterone is a concern, but to eat a regular amount of fiber.

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My sister is 40 years old. She is suffering from breast lump .she is taking homeopathic medicine for it. She feels Pain in her breast and pus comes out of her breast not from the nipple but the swelling sight of upper and lower part of her breast. It is the fnab report of her. Cytology - Fine needle aspiration biopsy - breast lump - microscopic smears reveal a low cell yield With large branching monolayered sheets of uniform epithelial cells. Numerous single, bare nuclei of benign type present in the background along with few fragments of fibromyxoid stroma. Comment - Fibroadenoma. Advice - HPE. Please suggest treatment.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help for your sister. Given her present description of symptoms, she may require, firstly, a drainage of the pus and treatment with suitable antibiotics to cure bacterial infection, if any. Please connect with a breast specialist or her OB/ GYN in person for a clinical examination, and suitable treatment as would deem fit in her case. Ensure that the area, where pus comes out, is cleaned properly with a suitable antiseptic lotion, or any other medicine that her breast specialist recommends. Sooner or later, a surgical removal of the fibroadenoma is advisable to avert similar such complications in future. An excisional biopsy may be attempted as would be decided by her specialist. Simultaneously, let her keep diet and lifestyle streamlined, and stay well hydrated. She can also take tomato soup to which fresh herbs like garlic, turmeric, black pepper, ginger, coriander leaves and oregano has been added, once to twice daily. Avoid sour and high calorie food stuff including any kind of fast foods. Hope this helps. You can connect for an integrative traction any time. Do take care and all the very best. Sincerely
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Dicey About Going For Homeopathy - 7 Misconceptions Decoded!

Homeopath, Secunderabad
Dicey About Going For Homeopathy - 7 Misconceptions Decoded!

Homeopathy is a field of medicine that uses natural resources to make a difference in the long-term and on a sustainable basis. Presently, it is used by over 200 million people. On the basis of this philosophy, a homeopath provides remedies which can suit best to the physical and psychological conditions of a patient. Homeopathic remedies are certainly not very high in dosage. Its main purpose is to recognize and discard the cause behind the condition.

Following are the 7 myths about homeopathy:

  1. Training: It is a major myth that homeopaths do not really undergo proper medical training. The truth is that all these doctors have to go through a four year long process of training via courses offered at accredited colleges and universities. Further, the course also includes modules on pathology, anatomy and other fields like materia medica and homeopathic philosophy. By the time the training is over, the doctor is like any other doctor in any other field. Further, with constant research and practice, the doctor can become even more of an expert within ten years.
  2. Remedies are prescribed by doctors with no formal training: Many people believe that homeopathic remedies are prescribed simply on the basis of the visible symptoms and no diagnosis is done. However, the fact is that these remedies are prescribed by qualified medical professionals graduated from homeopathy medical colleges. They diagnose your medical condition before prescribing you any remedy.
  3. Unscientific medicines: These medicines are usually termed as unscientific by cynics. The truth is that the metals and minerals contained in the medicines are tested and put under trial before they are released for consumption. The values are recorded on periodic tables. The substances also include ingredients like plants and snake's venom. Each medicine's symptoms and accidental allergies are recorded and put forth with a perspective on human nature. The books on homeopathy are written and recorded on the basis of the symptoms and allergic reactions. Also, many people believe that the medicines are simply water as they are diluted solutions. These medicines are diluted with a method called succussion, which makes a dose potent with the help of vigorous shaking. While higher potency drugs are given to those suffering from an emotional state of belief regarding an ailment, lower potency medication is prescribed for those suffering from severe cases.
  4. Strict dietary restriction is to be followed at the time of homeopathic treatment: Many people believe that they have to control on their eating habits while undergoing homeopathic treatment. Fact is that for some patients, ingredients like garlic, onion, alcohol, coffee, tobacco etc. are to be avoided during the tenure of treatment. This is simply because these ingredients interfere with the homeopathic treatment.
  5. Homeopathy can cure any disorder: Some people have a strong belief that homeopathic remedies can cure any disorder or any medical condition. Fact is that this remedy is completely ineffective in cases where there is ultimate need of manual intervention where medicinal action is not suggestive eg: fractures, appendicitis, large tumors, etc. 
  6. No proof of efficiency: While it is a well known fact that homeopathy efficacy cannot be tested by standardised methods, due to the personalisation of the medication for each individual, it is also true that the efficacy has been proven with 180 controlled tests in the past 24 years and 118 random tests in the same time frame. It is important to know your facts before you decide to go with a certain field of medicine. With homeopathy, there will be a lot of focus on the human mind as well as the ailment for an inside out approach.
  7. Homeopathic remedies are not scientific: Many people consider homeopathic remedies to be unscientific. However, the basis behind homeopathy is pharmacological and clinical data. Vast studies and researches have been conducted on homeopathic remedies and treatment. If you wish to discuss about any specific problem, you can consult a Homeopath.
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Move water in water

The value of warm water as a therapeutic medium was recognised and utilised by philosophers and physicians such as pluto and hippopocrates as a treatment for muscle spasms and various diseases. It can be used for a large variety of conditions like low back pain osteoarthritis inflammatory conditions multiple sclerosis traumatic brain injury spinal cord injuries fibromyalgia etc,
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I got my endometric cyst removal surgery in oct 2014 and I got the focille studies and injections last month for conceiving but it failed. Will I not conceive at all, what is the problem.

MD DGO, Laparoscopic Surgery
Integrated Medicine Specialist, Mumbai
You have a hormonal imbalance which needs to be corrected. You also need tests to determine why you are not conceiving. The optimum way is integrative medicine. Contact me for details.
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I'm not getting my periods for past 2 months am I eligible to donate my blood? Please tell me.

Ayurveda, Banaskantha
I'm not getting my periods for past 2 months am I eligible to donate my blood?
Please tell me.
Usually after 17yrs if you physically fit & blood level is normal you are eligible for blood donation.
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Hi m a married woman 24 years staying in Dubai. I have been trying to get pregnant for 7 months but I couldn't achieve and m having regular periods cycles of 29-32 days vary between each cycle's. Now started taking folic acid also a month ago. Will I need to get fertility test to achieve pregnancy. Is that safe to take clomid 50 mg to increase chances of conceiving.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi m a married woman 24 years staying in Dubai. I have been trying to get pregnant for 7 months but I couldn't achiev...
Hello, there are multiple reasons for not conceiving, difficult to elaborate online. Please meet a gynecologist and get evaluated in detail. firstly get your partner's semen analysis done.
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Some tips from Ayurveda -1

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Some tips from Ayurveda -1
  1. Indigestion : Take one spoon Harde Powder with water in morning and bed time.
    Diarrhoea : take one spoon dry ginger powder with buttermilk every two hours and stop to intake any food for some time. You can add Cumin(jira) powder in it too.
    Insomnia : In sleep problem take one spoon Piparimool ( Root of Long pepper) with buffalo milk at bed time.
    Acidity : In this problem have to take two grams of Amla powder empty stomach with water in morning and two grams at bed time with water. Avoid Oily, Spicy, stale and fermented food like pickles too.


Mam. I had an unprotected sex 1st time with my feonce on 13th march and 25th march is my mensuration date. My period is not start yet. I took many times urine test which shows negative and I also test serum beta hcg. It also shows negative. What I do please help my period is not yet starts please what I do. Ultrasound karalu ya ni.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I had an unprotected sex 1st time with my feonce on 13th march and 25th march is my mensuration date. My period ...
Menses can be missed either because of hormonal changes or even stress or even if you have put on some weight in recent times then also menses can be missed. All these problems are temporary and menses will come on its own. You can wait for another 15 days before you can take tablet deviry to get menses. In the meantime, keep repeating urine pregnancy test every week till you get your menses.
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Hi Sir Me and my wife are planning for a baby since last 3months and we were unsuccessful. Both me and wife are having thyroid and vitamin b12 deficiency. But we take thyronorm tab and for both the thyroid is in control now. We request you to please advice us with the fastest way to give a birth to the healthy child. I am stressing up for the baby.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi Sir Me and my wife are planning for a baby since last 3months and we were unsuccessful. Both me and wife are havin...
You need not panic and in a few months you can have pregnancy and if you are too doubtful do a semen analysis and send to me personally in this site
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After delivery my tummy increased so give me tips to reduce my tummy. Please advise,

Diploma in Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Eat a sensible diet. Avoid too much of ghee which is commonly given to new mothers. Start going for walk and gradually start abdominal and back exercices. You can also join gym for better results.
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STD Testing - 5 Reasons Why You Should Never Delay It

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
STD Testing - 5 Reasons Why You Should Never Delay It

STD or sexually transmitted disease is usually an infection which spreads from one person to another during sexual contact. Some STDs can also be transferred through touch, since they spread by skin contact. People hardly like to talk or discuss STDs, but it is very important to rule out the possibilities of STD. Whether one likes it or not, if STD testing is ignored, then it can lead to long term consequences.

Why STD Testing is Important?
Often STDs have no signs and symptoms, and the only way to know that are you suffering from a STD is to get tested for it. So it is a good idea to get yourself tested, as you never know if you might have a STD even though you don't show symptoms. Also, when STDs are diagnosed, most of them can be cured.

Consequences of Not Getting Tested
If one has STD and is not getting tested for the same, then it could lead to health problems which can cause permanent damages or might prove to be fatal. Some of the problems are:

  1. Undiagnosed and untreated STDs can lead to damaged reproductive system leading to sterile men and women. 
  2. Chlamydia, if untreated can lead to epididymitis and shrinkage of testicles and infertility in men. It also leads to pelvic inflammatory disease. But good news is, it can be treated easily.
  3. Syphillis can make a person blind and deaf, and can also be passed on to babies. 
  4. Gonorrhea which can also be treated easily with antibiotics, can lead to infertility or death if untreated. 
  5. Even HIV/AIDS if diagnosed in early stages, can enable the patient to lead a normal life and does not mean only death, contrary to conventional perceptions.  

Symptoms of STD
While, gonorrhea, chlamydia and human papilloma virus ((HPV)) have no symptoms, the common symptoms of STDs might vary. 

  1. Women, the common symptoms are pain and burning sensation during urination, bloody and abnormal vaginal discharge, abdominal pain, blisters, warts, and swollen glands. 
  2. Men often experience inflammation of the testicles, prostate, sores, fever, urethral discharge and pain during urination.

If these symptoms are observed, it is vital to get tested for STDs. Also, the best way to protect your partner is not to practice unsafe sex and to refrain from the same until diagnosed and treatment is complete. Getting yourself tested for STD is also beneficial, as it can prevent complications like cancers and infertility.

The standard STD panel of tests consists of Herpes IgG antibody and HIV antibody blood tests, along with a blood test for syphilis antibody and DNA urine test for gonorrhea and Chlamydia. For more information, make an appointment with us. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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