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Dr. Manjula Virmani

Gynaecologist, New Delhi

Dr. Manjula Virmani Gynaecologist, New Delhi
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Manjula Virmani
Dr. Manjula Virmani is a trusted Gynaecologist in Bapa Nagar, Delhi. She is currently associated with Dr Manjula Virmani's Clinic in Bapa Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Manjula Virmani on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 26 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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I am 22 year old girl m a virgin. Is it normal not to have nipples that do not stick out? My nipple come out only when I feel cold.

MS-General Surgery, MBBS
General Surgeon, Hyderabad
If nipples are deeply buried in the breast then it is a problem. If they are flat but can be pulled out or comes out on massage then it is normal.
1 person found this helpful
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BDS
Dentist, Mumbai

Hi Now a days my breast pains when while day I wear bra. N when I take it off then also it pains for a while. Sometimes I have pimples between my breast. Is it braise of the wrong bra size or material or something to worry about? Please help me with this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Hi
Now a days my breast pains when while day I wear bra. N when I take it off then also it pains for a while. Sometim...
Hello Pain while wearing bra whole day and it will relief after take off it, this seems mostly wrongly size and shape of Bra as well as need to wear pure cotton material bra for avoiding skin allergies like pimples or anything else on breast. Once change your bra size and shape and material for 15 days and then after if pain then it should have to check out.
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My rubella igg is positive I am 7 month pregnant and igm is negative my pregnancy is at risk or not. Igg effect pregnancy or igm.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
My rubella igg is positive I am 7 month pregnant and igm is negative my pregnancy is at risk or not. Igg effect pregn...
If IgG is positive that means that you have suffered from infection in the past and you are immune to it. So, you need not worry about it at all. If IgM is negative it means that you don't have any recent infection and so you and your baby are doing well. Relax!
8 people found this helpful
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We are newly married couple and my wife is not getting delay in periods .just want to confirm that how to be share that it is just period miss and she is not pregnant?

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
We are newly married couple and my wife is not getting delay in periods .just want to confirm that how to be share th...
Hi, pregnancy depends upon your own mentality as per your accord you both decide and have your sex in ovulation period which is most fertile window. Try to calculate your most possibility time, wait for missed period with early pregnancy signs, you will be confirmed and test will be positive. Feel free to contact for better timely suggestions.
2 people found this helpful
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M aur meri partner hum relationship me hai hum month me ek baar sex karte hai aur fir 72 hours k andar me usko ipill khilata hu ipill khane se uski pregnancy pe koi effect to nhi padega na mahine me ek bar ipill khane se usko koi problem to nhi hogi na please answer doctors.

MD - General Medicine
Sexologist, Nashik
its emergency contraceptive not planned contraceptive.it may disturb her menses, go for routine contraceptive but to be taken daily,
4 people found this helpful
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My wife appears to be pregnant. She had her last cycle on 30th September 2016. She feel little nausea and her BP has fallen down to 60/90. She did urine test through Prega News and one more strip and it came positive. Please guide how should we proceed and what steps should we take?

MBBS
General Physician, Mumbai
My wife appears to be pregnant. She had her last cycle on 30th September 2016. She feel little nausea and her BP has ...
I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest and Get your vital parameters of the body checked from a nearby doctor and follow up with findings.
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Hi I married in 2011, same year i had abortion for 8weeks, again conceived in 2014 jan, but in july 2014 again miscarriage, due to watering,, now again am pregnent, 18th week, how do i take care? am taking gardinal 60mg will there be any side effects for baby?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Gardenal definitely has some side effects in baby. But if you stop it, you may get epileptic attack, that is detrimental to you as well as your baby. Hope, your gynaecologist has advised you the number of tests (blood and USG) to detect the defects in the baby (which are very easily detected at this stage)... Now, regarding your previous miscarriage, I don't know if you had undergone investigations to find out the cause of miscarriages (ideally to be done before pregnancy). Now, you don't have much to do except taking rest, avoiding strenuous works and depending on the cause of the miscarriage (if the cause was known) some drugs and even some operation (cerclage) can be done. All the best
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Bleeding During Pregnancy - Is It Normal?

MD, MBBS
Gynaecologist, Rewari
Bleeding During Pregnancy - Is It Normal?

Pregnancy is a beautiful phase for any woman, and should be enjoyed to the fullest. That being said, pregnant women need to take care of their health at all times, as a young life depends on them. Taking into account how paranoid a to-be mother can be, any form of bleeding during pregnancy can cause a lot of trepidation. However, a lot of this worry is not really required at all.

A lot of pregnant women bleed during the first trimester of their pregnancy. As a matter of fact, many who bleed do not know or realise just how common it really is, and as a result, they get quite a lot more worried than they should. In fact, it happens to about one in five women who are pregnant.

Why bleeding occurs?

  • It is quite likely that if a miscarriage is to occur, it will occur during the first trimester, or the first twelve weeks. As a matter of fact, bleeding is most likely to occur between weeks five and eight. A woman would get to know that she is having a miscarriage if there is tissue which is being passed, and at the same time, she feels some very intense cramps in the lower part of the abdomen.
  • Another reason why women bleed, which is also quite likely to occur during the first trimester, is due to the process of implantation. However, this sort of bleeding is not heavy by any measure. The ironic thing is that a lot of women discover that they are pregnant by this form of bleeding and it usually occurs within a week to about twelve days after the conception has taken place.
  • One of the more baffling reasons for bleeding when a woman is pregnant is bleeding which occurs after sexual intercourse. While it may seem odd that something which is supposed to be pleasurable should actually end up causing blood loss, all this is a sign of is that the tissues around the vagina are receiving a great amount of blood supply. It is to be noted, that no risk is caused the foetus because of this as it is located in the uterus.

What to do if you bleed?

  • No matter how light or heavy the bleeding, the midwife or the doctor must be kept up to date with the situation at hand. This is because if there is any corrective action which is to be taken, the delay in time is to be kept to a minimum.
  • A cause for genuine concern over the period of the pregnancy is if there is bleeding post 20 weeks. In most circumstances, bleeding is not worth the mental trouble. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
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3 Ways You Can Increase Your Chance of Getting Pregnant

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
3 Ways You Can Increase Your Chance of Getting Pregnant

Have you been trying hard to conceive, but in vain. Then here are 3 things you can do increase your chance of getting pregnant:

  1. Keeping track of the ovulation period: Even though regular sex throughout the month is advised, it is certainly more fruitful to know your cycle. You can only get pregnant when the sperm meets the egg, and the egg is only released around the 14th day in your cycle. This egg lives only for a day or two, so you have a limited window when you can actually get pregnant. Typically this window is approximately of 6 days, so it's best to have sex in this period. But it's important not get obsessive and put too much pressure to have sex on these days as the stress can reduce sperm quality. So be mindful of it and still enjoy the activity rather than being obsessive. There are several free apps that you can download to help you track your cycle.
  2. Have missionary sex at least once every 2-3 days: The key is to have regular unprotected sex for over a year. The success rate for this is 84%. It is advised that you have sex every two to three days in every month of the year, and it's not necessary to stick to only those days for having sex when the woman is ovulating. Further, a spiced up sex life can increase your chances of the girl getting pregnant. As for the position, the missionary position works best as it helps the sperm on travelling through the cervix, which in any other position proves to be difficult. You can make the path of the sperm even easier by placing a cushion under the woman as it tilts the uterus, allowing the sperm to travel through more easily.
  3. Try de-stressing: Psychological preparedness is as important as physical preparedness to maximise your chances of getting pregnant. These days couples lead very hectic and stressful lifestyles in which trying to get pregnant can only add to their stress levels. Increased stress lowers egg passage in women. Besides, trying too hard to get pregnant and the stress that it creates is the reason behind 30% of all infertility problems. In such cases, destressing by exercising, yoga, meditation or acupuncture is a good idea.
7 people found this helpful

I'm getting a lot of Painless lumps all over my belly arms and thighs. Please advise what is the best way to get these checked and reduced.

MD - Oncology
Oncologist, Hubli-Dharwad
Meet an oncologist and if he/she suspects then can do an FNAC or Biopsy to confirm. many a times Lipoma and neurofibromas can present as multiple lumps. these are non cancerous lesions and there surgery is indicated if the lumps are painful or causing cosmetic problem, or else it can be left over.
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Does Aldactone 50 pass into breast milk? My baby is 1 year 3 month & breastfeed 4 times. Can I take that medicine? I have pcos & took it before pregnancy. If it is not safe in breastfeeding which one will I take in alternate?

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Does Aldactone 50 pass into breast milk? My baby is 1 year 3 month & breastfeed 4 times. Can I take that medicine? I ...
Aldactone does pass into breast milk. So if the drug is essential for the mother, we advise her to discontinue breastfeeding. In your case, its importance can be judged only when I know the present problem owing to PCOS. Please contact me for details and treatment.
1 person found this helpful
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I am a 23 year old newly married women. I have itching in my vagina and for last 4-5 days. What should I do??

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Maintain hygiene. Avoid using ordinary soaps in genital area. Consult gynec to diagnose the cause and treat it.
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I had a miscarriage on Dec 20, 2016. My cycle is all messed up since then, its about 36 days long. Previously it was exact 29 day. Trying to conceive for last three month but no success. How and when my cycle will be back to normal again?

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
I had a miscarriage on Dec 20, 2016. My cycle is all messed up since then, its about 36 days long. Previously it was ...
Hi lybrate-user, the periods can get irregular following a miscarriage for several reasons. You will need a few tests like TSH, Prolactin and Day 2 FSH and LH. Also, an ultrasound scan should be done to confirm that the miscarriage was complete. Please send these reports if you have them. Please do not hesitate to contact for any further queries.
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Placental Abruption - What are the Risks and Complications Associated with it?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Placental Abruption - What are the Risks and Complications Associated with it?

Pregnancy can have a number of complications. One of these is known as placental abruption. This is a serious yet uncommon complication. The placenta is a structure in the uterus that nourishes the growing baby. In rare cases, this placenta can get peeled off- partially or completely, before delivery. This is known as placenta abruption and deprives the baby of oxygen and essential nutrients and can cause the mother to experience heavy bleeding. If left untreated, this condition can put the life of both the baby and mother in jeopardy.

The cause of placental abruption has is still not known, but there are a number of conditions that can increase the risk of suffering from this condition. This includes:

  1. A prior placental abruption
  2. High blood pressure
  3. Abdominal trauma such as a fall or blow to the abdomen
  4. Substance abuse or smoking
  5. Premature rupturing of the amniotic sac that surrounds the baby
  6. Any condition that reduces your blood’s ability to clot
  7. Multiple pregnancies
  8. Pregnancy after the age of 40

A placental abruption can be diagnosed through blood tests, an ultrasound and a non stress test to check the baby’s heart rate. Placental abruption affects the life the mother and baby in many ways. For the mother, it can result in excessive bleeding that triggers shock, blood clotting problems and the need for a blood transfusion. It can also cause kidney, liver and pituitary gland failure. Even after delivery, the mother may still experience vaginal bleeding. If this cannot be controlled, an emergency hysterectomy may also be required. The uterus may also not contract properly after delivery and the mother may need medication to help the uterus contract back to its original position.

Placental abruption deprives the baby of essential nutrients and can lead to premature birth or stillbirth. After delivery the baby may suffer from breathing and feeding difficulties. The baby may also be born with low levels of oxygen in the blood. Low blood pressure and low blood count can also be triggered by this condition. In severe cases, it can also lead to brain damage and death shortly after delivery.

Placental abruption can be prevented by following a healthy diet that helps regulate blood pressure. Get plenty of rest and take multivitamins regularly to reduce the risk of suffering from this condition. Lastly, if you experience any contractions or vaginal bleeding, consult your gynaecologist immediately.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Dengue - Important Information

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.

Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.

Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.

Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

Lab Test

NS1
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.


IgG & IgM dengue

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction (IPF)

A very useful test in Dengue for patients with thrombocytopenia.

If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.

Better to do an IPF even with borderline low platelet count.



A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.


The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .

According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.

At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.

5 Things That Can Happen to Your Body When You Don't Have

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
5 Things That Can Happen to Your Body When You Don't Have

Having sex is good for your health but what if not having sex is actually bad for you?

Maybe you're going through a dry spell in your relationship or you're single and short of quality partners. Whatever the reason, forced abstinence isn't fun.

Having regular sex is good for your health. It has all sorts of benefits, from increased serotonin and oxytocin levels to better cardiovascular health . You sleep better, you feel more relaxed and, more than anything else, it allows for intimate physical connection with your partner.

If you stop having sex, your body reacts too. Here are some of the things that happen to your body if you stop having sex.

1. You Might Feel More Stressed

Sex is a stress buster. The hormones released during sex help the body recover from stressful periods. That's why a regular dose of sex is especially beneficial for people with high-stress jobs. It's also why so many of us use sex as a way to blow off steam and decompress from our super-busy, anxiety-inducing lives.

If sex helps you cope with stress, what happens if you stop? Obviously, it will be harder to deal with your normal stress levels.

2. You May Fall Sick More Often

Regular sex is correlated with a better functioning immune system. In one study, participants who reported having sex regularly (at least once per week) were found to have higher levels of an important immunoglobin that is known to increase resistance to illnesses like the common cold. A strong immune system means you'll fall sick less often

3. Your Libido Might Drop

Libido can be tricky for many people. They want to have sex, but they don't feel like it ... so they don't. However, the more you have sex, the more you want to have sex. This effect can make abstinence a little easier, but it'll also make getting back in the saddle more of a challenge.

4. Arousal Might Get Harder

When deprived of sex for long periods of time, men have a harder time getting erections - women may also struggle with arousal and lubrication after extended periods of abstinence.

Masturbation can help, but so can going easy on yourself when you get back into sex. 

5. You might become more Forgetful

Regular sexual activity boosts the function of your hippocampus, an area of the brain strongly linked to memory, Scientists believe that increased sexual activity can even reverse the effects of aging and stress on the brain.

Basically, when you have sex often, your brain produces new neurons, which makes it better at remembering and processing information. The study also showed that when sex stops, the higher memory and cognitive functions were lost, despite the presence of new neurons.

The Positive Side of Celibacy

There are some advantages to having less sex. You won't have to worry about pregnancy or STIs, for one. Going without sex for a while can also create space to focus on other things. At some points in our lives, that space can be really important. When you're in a relationship, not having sex can also open up other avenues fo physical intimacy. Those can be as important as sex, and can help boost your sexual connection when you get back at it.

22 people found this helpful

Hi my 27year old and got married 10th month ago so am preferring my wife to take ovral G tablet for the precaution in birth and she is also 27 year old is this could cause any problem later when we are planning for the baby in few year like 3year please suggest me and would this will effect in my future life and I had also tested her every and tested my self also there is no problem in her every an me too.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hi my  27year old and got married 10th month ago so am preferring my wife to take ovral G tablet for the precaution i...
Oral birth control pills are not a problem in future, she can take the tablet. But for fertility issues age is a factor, as with the advancing age the quality and quantity of eggs reduces which in turn causes difficulty in conceiving. Complications in/during pregnancy may develop in future. So we would advice you not to wait for too long like 3 years. Since both of your reports are fine for now so you can wait for a year or so.
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I am suffering from irregular periods . My period lasts just three day. I use 5 sanitary pads. I have married since 4 year and I have no baby. I took oral medicine for abortion first time. If it's risky. Will I conceive in future. My age is 31 year. Please suggest me. I much worried for this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
I am suffering from irregular periods . My period lasts just three day. I use 5 sanitary pads. I have married since 4...
Hello as you asked about your problems related to your irregular periods for theme days and once you got abortion. I would like to suggest you not to worry for these problems. It may be because of low hb or harmonic or metabolic imbalances. I would like to suggest you for getting all dietary measures and daily behaviours as well as yoga and exercise and morning walk every day. You may follow some regular use of soups of carrots and beetroots and green vegetables and moong daal soups fried with cumin seeds and ghee and garlic. You may use light diets and chapati or khichari and dariya with green vegetables and moong daal soups fried with cumin seeds and ghee and garlic. Warm milk boiled with ginger, haldi and nuts every day before going to bed and at breakfast. You should avoid oily or junk food and sour products e. G. Pickles etc. You may follow the following ayurveda medicines as given below. 1- rajah prawartini vati. 1 tab laxamana loh. 1 tab chandra prabha vati. 1 tab nirocil 2tabs togather with warm water after meals. 2- dashmularist 15 ml laxamanarist 15 ml togather with water twice daily after meals. If you feel better result then continue it for 3 to 6 months regular. If you feel discomfort then stop and consult me privately for your pulse diagnosis and proper treatment. You shouldn't worry or negative for getting pregnant. I helped more than thousands for getting pregnancy.
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