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Dr. Niharika Dhiman

Gynaecologist, Rishikesh

Dr. Niharika Dhiman Gynaecologist, Rishikesh
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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My periods is not normal and during the period I feel that blooding is to less. What I should to do.

BHMS
Homeopath, Raebareli
My periods is not normal and during the period I feel that blooding is to less. What I should to do.
Dear user probably you are facing scanty menses. It can effectively resolved under Homeopathic treatment all is needed your detailes medical history with any reports done so far. And simple dietary modulation and physical activity will help you out. For a week use a remedy Pulsatilla 30 once daily prior a week to your expected menstural date.
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I have done with hydrotubation and Erosion today my Doctor has suggested for IUI treatment but we want baby from natural process than any other method. This month she has told me not to have intercourse is it possible to conceive naturally is chances of pregnancy decrease if we will try from next month will hydrotubation will and waste or has any use for further. I'm confused please help?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have done with hydrotubation and Erosion today my Doctor has suggested for IUI treatment but we want baby from natu...
Hydrotuabation and burning erosion is a thing of past. 30 years back people use to do it. It is not done in today's practice. To get pregnant you need to have fallopian tubes patent which is checked by hsg test and semen should be adequate quality which is checked by semen analysis. These both tests are done before the treatment of any infertile couple. Once the above tests are normal, then treatment with clomiphene citrate is started with monitoring of egg. This is the natural way to get pregnant.
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What to be done for having sex with wife but not to get pregnant for period of 3 to 4 years Ie planning for next child.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
What to be done for having sex with wife but not to get pregnant for period of 3 to 4 years Ie planning for next child.
Hello, She can ideally opt for low dose oc pills for 3-4 years and have to be regular on it or barrier contraception is more economical.
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Swine Flu in Pregnancy

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Swine Flu in Pregnancy

Swine Flu in Pregnancy

What is Swine Flu?


It is a respiratory(associated with breathing) disease caused by a virus. This virus is similar to the influenza virus responsible for causing the common cold.

The scientific name of the virus is H1N1 type A influenza virus.This strain was earlier known to infect pigs(swine family), thus the name swine flu.It is a new strain of the virus, previously unknown in humans, hence, there is no known immunity in humans against this virus.

What are the symptoms:

There are three main symptoms :

Fever,
cough,
shortness of breath.
and a combination of one or many of these:

Headache, aching muscles, running nose, sneezing, chills, tiredness, loss of appetite, vomiting, and diarrhea.

It is usually a mild disease for most people. Symptoms appear quickly and last for almost for one week to ten days.

How do I know if I am at higher risk?

Certain categories of people seem to be at higher risk for complications from swine flu. These are:

Asians, especially people living in poorly ventilated colonies.
People having associated ailments like - asthma, diabetes, paralysis, previous strokes, spinal problems, and jaundice.
Extremes of body weight;very thin built or obese people.
Smokers
Teenage mothers, women in their second and third trimesters are at higher risk.
How can swine flu harm my baby?

For the majority of pregnant women, swine flu does not cause any serious damage to the mother or the baby.

Fever in the first three months may increase the risk of neural tube and birth defects.
Fever during labor may cause neonatal convulsions, encephalopathy, cerebral palsy and fetal death.
Pregnant women should always take fever seriously and contact their doctor when the temperature goes more than 100 degrees.

How does swine flu affect me during my pregnancy?

Active infection by swine flu virus may cause miscarriages, preterm delivery, and adverse delivery outcomes.
There is a higher risk of hospitalization/ ICU admission during pregnancy.
Chest infections/ Secondary bacterial infections are common resulting in pneumonia or even brain infections.
What can I do to protect myself?

Protection can be at three levels:

1) Taking general precautions- which is most useful for prevention.

2) Use of vaccines.

3) use of drugs

Use of face masks will not prevent swine flu. Focus instead on hygiene and clean surroundings.

It is safe to consume well cooked pork and pork products.

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I think I am pregnant in this month. but now we don't want any baby So how can I break my some days pregnancy without any medicine please reply.

Doctor of Medicine
Gynaecologist, Surat
I think I am pregnant in this month. but  now we don't want any baby So how can I break my some days pregnancy withou...
First conferm pregnancy, if it is positive & very early pregnancy & if you both the partners are not willing to continue pregnancy than, it can be terminated by taking medicines.
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My mother hv Uric acid & thyroid problem. So, wht precaution should she take & wht are the food restrictions ?

PDDM, MHA, MBBS
General Physician, Nashik
My mother hv Uric acid & thyroid problem. So, wht precaution should she take & wht are the food restrictions ?
Following are the suggestions for your mother:- The first thing you should do is to eat foods that are high in fiber, This is because fiber rich foods absorb uric acid from the blood. Your kidneys then 'throw' out the excess uric acid. Try to eat Oatmeal, Spinach, cauliflowers and Isabgol in milk if possible.  Please use olive oil to cook your food. Kindly avoid vegetable oils because they become unhealthy when heated twice. This leads to rancid fat in the body. These destroy vitamin E, that in turn controls uric acid levels. Olive oil also curbs uric acid by itself.  Vitamin C chewable tablets taken 500 mg daily lower uric acid levels within 4 to 8 weeks.  Try to stop intake of sweets, cakes and pastries. Saturated fats are bad for you.  Many fruits have got potent anti-oxidant properties, like celery seeds, grapes and tomatoes, and these prevent harmful toxins from attacking your organs - releasing uric acid.
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I am newly Married, First intercourse was 45 days ago (on 14th day of menstrual). I missed my menstrual this month, we are not planning for kids right now. It's 4 weeks delayed. I have Done Pregnancy testing using the strips, it shows positive. We would like to terminate pregnancy without any risks in future. I heard of Mifty Kit which contains" Mifepristone.

MBBS
General Physician, Chandigarh
I am newly Married, First intercourse was 45 days ago (on 14th day of menstrual). I missed my menstrual this month, w...
Four weeks delayed means you are already 8 weeks pregnant if you want to abort you should consult a gynaecologist and get it done by evacuation method oral pills at this stage can give you more problems like excessive bleeding pain and infection etc.
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Doctor I am married since 2007 with one girl child 7 years old my question is that I have completely lost interest in sex after one year of my marriage in have frequent quriells with my hubby because he is always active and I always refuse can you help me on this so I can also enjoy.

MD - Homeopathy
Homeopath, Pune
Doctor I am married since 2007 with one girl child 7 years old my question is that I have completely lost interest in...
Loss of sexual desire, known in medical terms as hypoactive sexual desire disorder (HSDD), is the most common form of sexual dysfunction among women of all ages. Common causes for a loss of sexual desire and drive in women include: Interpersonal relationship issues. Partner performance problems, lack of emotional satisfaction with the relationship, the birth of a child, and becoming a caregiver for a loved one can decrease sexual desire. Sociocultural influences. Job stress, peer pressure, and media images of sexuality can negatively influence sexual desire. Low testosterone . Testosterone affects sexual drive in both men and women. Testosterone levels peak in women's mid-20s and then steadily decline until menopause, when they drop dramatically. Medical problems: Mental illnesses such as depression, or medical conditions, such as endometriosis, fibroids, and thyroid disorders, impact a woman's sexual drive both mentally and physically. Medications : Certain antidepressants (including the new generation of SSRIs), blood pressure lowering drugs, and oral contraceptives can lower sexual drive in many ways, such as decreasing available testosterone levels or affecting blood flow. Age. Blood levels of androgens fall continuously in women as they age. You can get back with more details and consult privately so that appropriate medicine can be suggested for you
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If I had sex on 17th day of my 28 day cycle then will I get ectopic pregnancy? please answer me.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Pune
If I had sex on 17th day of my 28 day cycle then will I get ectopic pregnancy? please answer me.
No. it's nothing to do with day of cycle and sex. Ectopic is a condition which has many reasons to occur.
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I am a 22 years old housewife & a student also. I have one cyst in both overy. Right ovary measures 38*22*32 mm, volume 14cc & left ovary measures 43*27*26mm volume 16cc. Now my question is that in future during pregnancy or my conceive have I face any problem. If yes, what can I do. We have no plan for child now. Please reply.

FRAS, MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Alternative Medicine Specialist, Ernakulam
Cyst in ovary can lead to infertility and lack of proper ovulation, you can take these herbal ayurvedic medicine to treat the cyst take herbal ayurvedic medicine s] like kanchanara guggulu tab, vaaranadi kwatha, nitya nanda ras tab, sukumara kwatha, guggulu tiktaka grhta consult me private for dosages.
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Sir I had unprotected sex before two days of periods with my wife after 24 hrs I gave unwanted 72 pill to my wife but still after 14 days she does not have periods please tell whether she is pregnant or not.

MBBS
Sexologist, Jaipur
Sir
I had unprotected sex before two days of periods with my wife after 24 hrs I gave unwanted 72 pill to my wife but...
HI Chances of pregnancy are negligible in sex 2 days prior to periods. Periods can be delayed due to unwanted 72. Get one urine for pregnancy and revert.
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Dear sir/madam I am great great tension for my mom she entered 40 years and is suffering from frequent periods in a month he has 3 to 4 times periods in a month please tell me what is wrong with her is she ok or not?

BHMS
Homeopath, Lucknow
Dear sir/madam I am great great tension for my mom she entered 40 years and is suffering from frequent periods in a m...
Hello dear She is absolutely fine so don't worry. She is near to menopausal stage where the menstrual cycle is completely ceased but prior to complete ceastation is on and off phenomenon is going on. This is happen to every women at the age of 40to 45. Told her do morning walk or yoga. Take plenty of water. Check heamoglobin %. Take rich protein diet and iron supplements. Green vegetables fresh fruit juices. Avoid stress. God bless you
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I got married in May 2011 but still no Child gve me some suggestion to have a child.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I got married in May 2011 but still no Child gve me some suggestion to have a child.
you can try for pregnancy during ovulation period which is 8t to 18th day of period.get an ultrasound of lower abdomen and thyroid test and husband's semen analysis test done.visit to doctor for further medicinal treatment.
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Pcod problem irregular periods more than 90 days.

DNB (Obst and Gynae), MS (Obst and Gynae- Gold Medalist), MBBS (Gold Medalist, Hons)
Gynaecologist,
Need to control weight and have some basic tests done. Actual drugs depend on whether you wish for a baby right now or not.
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Leprosy: Treatment and Prevention

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Gurgaon
Leprosy: Treatment and Prevention

Mentioned throughout history as a curse, leprosy was considered as a punishment of sins by many cultures as it was widespread and common. However, modern science demystified it and de-stigmatized it to the point where the occurrence of leprosy within the population has gone down to very low levels, although it is still prevalent among certain populations.

Prevention of leprosy: Leprosy is caused by the bacterial infection of Mycobacterium leprae and it is classified into multiple types. Leprosy is communicable through contact with common objects or a person by infected droplets within their nose. It primarily affects mucous membranes and the skin and the nerves on the hands, feet, and in extreme cases may cause disfigurement as well. There are no specific ways to prevent leprosy as no specific correlation between transmission and development has been found so far. Leprosy can happen through one time contact or through contact over extended period of time within the same household. Thus preventive measures will primarily include the following:

  1. Regular checkups by going to the doctor
  2. Ensuring that surfaces are kept clean if you share a household with a leprosy patient
  3. Skin biopsies at regular intervals just to check if you may have contracted the bacteria
  4. If a rash has developed, then it is urgent that you visit the doctor. Earlier the leprosy is detected, quickly it can treated and resolved

Incidences of leprosy have reduced over the last few decades due to improvements in medicine and early detection. This has allowed people to nip the problem in the bud and does not allow it to spread within their bodies or to other people.

Treatment of leprosy: The primary weapon that modern medicine has against leprosy is known as MDT or multidrug therapy. Multidrug therapy is the combination of multiple drugs, which attack the various aspects of leprosy, such as skin problems, nerve damage, loss of sensation, deterioration of skin conditions etc. This is the proven way to not only reduce symptoms, but also cure the problems in the long run.

Some of the drugs in the MDT used are as follows:

  1. Rifampicin and dapsone
  2. Rifampicin and clofazimine and dapsone
  3. Rifampicin, minocycline and ofloxacin

However, the combination will depend on the type of leprosy the person is affected with, such as paucibacillary leprosy or multibacillary leprosy and thus can only be prescribed by the doctor after thorough and detailed examination.

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Can we have sex before 2 3 days of menstrual cycle if we are expecting pregnancy. Is it safe!

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Can we have sex before 2 3 days of menstrual cycle if we are expecting pregnancy. Is it safe!
2 to 3 days before menses is a safe period. You will not conceive in that period. Please contact me for an understanding of the ideal time for conception and concept of safe period. That will save a lot of mental tension :)
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I HAVE DONE hysterectomy IN SEPTEMBER, 2014 AND NOW I AM NEARLY 50 YRS. I WANT SUGGESTION FOR SEX LIFE MY HUSBAND IS DIABETIC.

Fue Hair Transplantation, Advanced Aesthetics, RPSLH, SHS, MBBS
Cosmetic Physician, Hyderabad
I HAVE DONE hysterectomy IN SEPTEMBER, 2014 AND NOW I AM NEARLY 50 YRS. I WANT SUGGESTION FOR SEX LIFE MY HUSBAND IS ...
After hysterectomy one can have sex but take care of hygiene secondly, if your husband is diabetic he may have erection issues, if that is the case he should be treated accordingly.
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I missed my periods and I have doubt that I am pregnant. Because I am feeling heaviness on my breast and my last period date is 22 december 2015 and today is 30 jan. 2016. I had sex on 6 jan and 20 jan but I am sure that no sperm going inside of my vagina so it is possible that I am pregnant? And if I am pregnant then how can I terminate this pregnancy?

MS- Gynaecology, MBBS
Gynaecologist, Delhi
I missed my periods and I have doubt that I am pregnant. Because I am feeling heaviness on my breast and my last peri...
Do upt to rule out pregnancy. If positive u need usg to rule size of pregnancy. depending on size of pregnancy termination done .termination done by two way by medicine or by suction.in sedation or GA
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I am 26 years old & married as my husband & we both have same blood group can complication will come during pregnancy or having a child please guide me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 26 years old & married as my husband & we both have same blood group can complication will come during pregnancy...
If one of the parents has Rh negative and other has Rh positive then the baby could have a problem .But now a days what they do is give some injection just before delivery and everything will be fine. Now generally this Rh factor is derived from blood group and if both are having same blood group then Rh factors will also be either positive or nagative so in your case it isnt a problem
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