Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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I am 42 years lady. Having white discharge problem, using candid b cream and wash but temporarily relief from itching. Some voginal insertiopn capsule aslo prescribed but dat also not work for long only relief for 15 to 20 days, if the full course was taken.
After 3 months of normal delivery. Me and my wife had sex and I suck her breasts and drinks some of her breast milk. And lick her vagina. Is any problem to her breasts and for baby and milk?
I am hypothyroid since before pregnancy. Right now I am 19 weeks pregnant. At 7 week pregnancy checked my thyroid and it came 7.7 so my endocrinologist prescribed mon to fri 100 and sat sun 200 mcg od thyronorm after taking this dose my tsh was 0.4 which was good so Dr. Asked me to continue same and after one month my tsh came low o.1 so Dr. Decreased dose n made it mon to sat 100 and only on sunday 200. After taking this dose last week my tsh came high 6.63 so he agn started same dose mon to fri 100 and sat sun 200. Now my gynaec say to take 125 mcg daily and endocrinologist says to take mon to fri 100 and sat sun 200. Whom shud I follow? I am worried that wudnt be 125 mcg daily low as thyronorm needed more as pregnancy progresses? I just want my baby to be healthy so v.tense and concerned.
According to WHO a third of the world population is obese, obesity is caused by overeating, lack of physical activity, age factor, hereditary and sometimes malfunctioning of the endocrine glands causing excessive fat accumulation. Food is meant to generate energy in the body so as to enable each and every organ to discharge its individual functions. To avoid overeating one has be careful about portion control and eat at a fixed time. Each meal should have a combination of carbohydrate 50 to 60 % of total calories + protein 35 to 40% of total calories and fat 20 to 25% of total calories. Dietary fibre of 25 to 30 grams a day can obtained from whole grain, fruits and vegetables should also be taken in sufficient quantities as it imparts a sense of satiation and reduces the food intake.
Indian diets are usually high in carbohydrates leading to higher incidence of diabetes. This can be countered by increasing proteins in each meal along with fibre,which gives a controlled balance to sugar levels in the body. Use unsaturated vegetable oils like olive, rice bran, soyabean and sunflower oil to maintain and reduce cholesterol and maintain heart health along with Omega-3 from flax seed, nuts (almonds and walnuts) or fish oil supplements, including vegetable juices in your daily diet improves the antioxidant level and fibre in the body and helps in weight loss.
How to make meal plans customized to your BMR
Step 1 - Calculate your BMR
|Women's BMR||Men's BMR|
|+ (9.6* of your weight in kilos)||+ (13.7* your weight in kg)|
|+ (1.8*your height in cm)||+ (5*your height in cm)|
|- (4.7*your age in years)||- (6.8*your age in years)|
|= ___________ Calories per day||= ___________ Calories per day|
Step 2 - After calculating your BMR ,and to start weight loss cut 200 kcal from your BMR.
For example if your BMR is 1600 kcal choose a meal plan that is 200 kcal lower I.e is from 1200 to 1400 calorie meal plan.
The main meals should be three meals like your breakfast ,lunch and dinner and the in between meals should be like fruits ,veg juice ,dry fruits,dry bhel , roasted chana, a slice of cheese ,which are not very dense in calories and high in nutrients.
STEP 3 - Eat every two hours with three main meals and three small meals.
STEP 4 - Drink plenty of water through the day at least 8 to 10 glasses.
Exercise - Lack of physical activity means there is no energy output and this results in weight gain over the period of time because as we age our BMR reduces (basal metetabolic rate : that is total number of calories your body requires for normal body functions excluding any activity factor like exercise, BMR is the energy used for metabolic process of maintaining life itself and usually accounts for two thirds of total daily expenditure ). To maintain a healthy weight increasing the BMR is essential and this means increasing the muscle mass over the fat mass as 1 pound of muscle burns 6 calories at rest and 1 pound of fat just 2 calories. Increasing muscle mass can happen only through physical exercise and adequate protein in the diet thereby, increasing fibre and reducing fat in the diet.
Advantages of Physical Activity
- Helps to keep digestive system in optimum condition
- Improves cardiac rhythm and output
- Maintains flexibility of body
- Energies blood vessels and does not allow cholesterol deposits and improved heart health as it does not allow fat accumulation
- Improves peristaltic action of intestine and rectum and removes constipation
- Helps in improving insulin resistance in the body especially in PCOD and PCOS (polycystic ovarian syndrome)
- Maintains the sugar levels in diabetic patients
Other Causes of Obesity
- Age factor: Obesity is generally prevalent in the middle age as the BMR reduces as a person ages especially if he or she does not exercise, but weight gain can be gender specific as women have more fat mass and the weight gain during pregnancy is common due to increase in fat in the diet, but in recent years there has been a rapid rise in obesity in children and teens due to over indulgence in junk and fast foods, which have high amounts of refined carbohydrates and hydrogenated fats. Heredity also plays an important role in fat accumulation. Children of obese parents do have high chances inheriting obesity from their parents as genetic factor could be a contributing factor rather than excessive food. In such cases physical activity plays a very important role for weight loss
- Untreated Hypothyroidism: Hypothyroid causes a drop in the BMR and increase in fat percentage and if untreated can cause weight gain, but once on medication they have improved metabolism.
- Drugs: Use of oral contraceptives, steroids, insulin and phenothiazines is generally followed by weight gain to stimulation of appetite.
- Alcohol: Alcohol is just empty calories and 1ml of alcohol gives 7 calories and this causes weight gain along with the fat laden food eaten while having alcohol, overeating is usually a consequence of drinking leading to weight gain and drinking coupled with smoking increases the lipid levels in the body affecting the heart health
- Fasting and Yo Yo Dieting: The process of losing weight and gaining weight several times throughout a life time is often characterised by increased fatness with each cycle (Krause food and nutrition therapy). Fasting is dropping calories to less than 600 to 800 over a period of time, which causes starvation and breakdown of muscle mass and lowering of BMR and once one gets back to normal diet there is sudden surge in weight which then gets difficult to rid off.
- Water: Incredible as it may seem water is a very important catalyst in weight loss,water suppress the appetite naturally and helps metabolise stored fat. Drinking water is best for fluid retention caused due to excessive intake of salt, the more water you take, more it dilutes the excess salt and reduces the fluid retention. Eight to twelve glasses of water in a day is the optimal intake.
- Stress: Stress is a another precipitating factor for weight gain which causes damage to the heart. Excessive stress causes an increase in cortisol and thereby, increase in fat percentage in the body and weight gain. An emotionally charged and highly strung nervous system can adversely affect the coronary arteries and deteriorate the heart. If you wish to discuss about any specific problem, you can consult a doctor.
I am a 20 year old boy. I am suffering from slight pain during urinating due to cystitis, please help.
I am 45 years old Female. I have no baby till now. Few years ago I pregnant two times but not stay. These time to till now I am not pregnant. Can I born a baby ? Please suggest one suggestion in my favour. I am a poor wife. We are not suffer for IVF baby. because it is too costly treatment. Please help us.
Actually I have excessive pain during my periods. I am student of m.pharma. please tell me some home remedy.
The Second Trimester: What You Need to Know
During your second trimester prenatal visits, your health care provider will continue to check on your and your baby’s health, including monitoring the fetal heartbeat.
The second trimester is the most physically enjoyable for most women. Morning sickness usually lessens by this time, and the extreme tiredness and breast tenderness usually ease up.
Your fetus has now developed all its organs and systems and will now begin to grow in length and weight.
You may be able to feel the movement of the fetus for the first time at around 20 weeks. This phenomenon is called quickening.
A fetus born at the end of 24 weeks may survive in a neonatal intensive care unit.
Prenatal Visits During the Second Trimester
During your second and third trimester prenatal visits, your health care provider may check the following, depending on your current medical condition and the health of the fetus:
Any current symptoms or discomforts
Your blood pressure
Urine test. This is done to find albumin, a protein that may indicate pre-eclampsia or toxemia, and glucose (which may indicate hyperglycemia).
Growth, size and development of the fetus
Size of the uterus. After approximately 12 weeks of gestation, the uterus can be felt through the abdominal wall.
Height of the fundus (top of the uterus), starting at 20 weeks of gestation
The Second Trimester: What to Expect
The second trimester marks a turning point for the mother and fetus. You will usually begin to feel better and start showing the pregnancy more. Your fetus has now developed all its organs and systems and will now begin growing in length and weight.
During the second trimester, the umbilical cord continues to thicken as it carries nourishment to the fetus. However, harmful substances also pass through the umbilical cord to the fetus, so care should be taken to avoid alcohol, tobacco and other known hazards.
During the second trimester, both your body and the fetus continue to grow.
The Second Trimester: Changes to Your Body
The second trimester is the most physically enjoyable for most women. Morning sickness usually lessens by this time, and the extreme tiredness and breast tenderness usually ease up. These changes can be attributed to a decrease in levels of human chorionic gonadotropin hormone and an adjustment to the levels of estrogen and progesterone hormones.
The following is a list of changes and symptoms that may happen during the second trimester:
Appetite may increase.
You may be able to feel the movement of the fetus for the first time around 20 weeks. This phenomenon is called quickening.
The uterus grows to the height of the bellybutton around 20 weeks, making the pregnancy visible.
The skin on the belly may itch as it grows, and there may be pain down the sides of the body as the uterus stretches. The lower stomach may ache as ligaments stretch to support the uterus.
The need to urinate often may decrease as the uterus grows out of the pelvic cavity, relieving pressure on the bladder.
Your nose may become congested, and you may experience nosebleeds. This is due to the increase in hormones (estrogen and progesterone) and blood flow that affect the mucous membranes and blood vessels in the nose.
Your gums become spongier and may bleed easily. This is due to the increase in hormones (estrogen and progesterone) that affect the mucous membranes in the mouth.
You may have a white-colored vaginal discharge called leukorrhea. (A colored or bloody discharge may signal possible complications and should be examined immediately.)
The increasing weight gain may cause backaches.
Skin pigmentation may change on the face or abdomen due to the pregnancy hormones.
The Second Trimester: Fetal Development
Click Image to Enlarge
Now that all the major organs and systems have formed in the fetus, the following six months will be spent growing. The weight of your fetus will multiply more than seven times over the next few months, as the fetus becomes a baby that can survive outside of the uterus.
By the end of the second trimester, your fetus will be about 13 to 16 inches long and weigh about 2 to 3 pounds. Fetal development during the second trimester includes the following:
The fetus kicks, moves and can turn from side to side.
The eyes have been gradually moving to the front of the face, and the ears have moved from the neck to the sides of the head. The fetus can hear your voice.
A creamy white substance (called vernix caseosa, or simply vernix) begins to appear on the fetus and helps to protect the thin fetal skin. Vernix is gradually absorbed by the skin, but some may be seen on babies even after birth.
The fetus is developing reflexes, like swallowing and sucking.
The fetus can respond to certain stimuli.
The placenta is fully developed.
The brain will undergo its most important period of growth from the fifth month on.
Fingernails have grown on the tips of the fingers and toes, and the fingers and toes are fully separated.
The fetus goes through cycles of sleep and wakefulness.
Skin is wrinkly and red, covered with soft, downy hair (called lanugo).
Hair is growing on the head of the fetus.
Fat begins to accumulate in the fetus.
Eyelids are beginning to open, and the eyebrows and eyelashes are visible.
Fingerprints and toeprints have formed.
Rapid growth is continuing in fetal size and weight.
The 20th week marks the halfway point of the pregnancy.
A fetus born at the end of 24 weeks may survive in a neonatal intensive care unit.
I get tired easily. Feeling Sleepy after having folic acid. And feeling heaviness in my stomach as if I have gained a lot. What do you think is it pregnancy or might be something else? Should I check for pregnancy before my periods? I have completed my sexual intercourse of day 10 to day 18.
I have the periods. problem, they do not comr at time and its late please tell me how itcan come. onetime to me again please this is a request.
Doctors please help Asap. Yesterday I did sex with her nd condom will break then today I gave her unwanted 72. Please tell is there any chance of pregnancy?
15 days ago I have heavy white discharge, then after 3 days I got some vaginal infections, and I go to a gynecologist, he prescribed some medicines, after 7 days the infections are totally gone, but still now, I have this heavy white discharge, is it a serious problem? Now what should I do?
My 11 and a half year old daughter is 5' in height. My height is 5'3" Her menstrual cycle has started last month. What medicine should I give to her to increase her height. I need diet suggestions for her.
Does a struggle with mental illness mean losing one’s cherished sexuality? No, it certainly doesn’t. But many people struggle far more than necessary because they don’t have the information and support they need to address the challenges that can arise around sex and mental well-being.
Sex is a matter for mind
We often think of sex as something our bodies are doing, but a lot of our sex life takes place in our brains. It’s important to realize that, for all genders, our thoughts and feelings play a vital role in getting us turned on and keeping us that way.
Anxiety or depression can strongly affect arousal and can definitely ruin the mood sometimes. Anxiety and other related mental health struggles can make it hard to be relaxed enough to have or enjoy sex, overshadowing it with a host of worries or intrusive distractions. When we are very unwell and struggling just to function, sex is rarely at the top of our mind.
The struggle with mental illness in a variety of forms can hurt a person’s self-esteem and make them feel unworthy of sexual attention. For example, a person may have an unrealistic view of their own body and may actively seek to deny or discipline the body as a way of coping. In these cases, it’s important to be critical of the beauty norms we are shown by the media, step away from the practice of measuring or defining ourselves, and to seek to rediscover our love and appreciation for our bodies and our sexual selves.
Substance use may put limitations or restrictions upon one’s sexual interest. Some drugs can affect your brain in ways that make you less able to feel pleasure from sex for periods of time after their use.
Substance use can be a problem when it leads to sexual behaviours one may not feel proud of. Under the influence of drugs, you may do things that you regret, such as having sex with someone you wouldn’t have while sober, or doing things you normally might be uncomfortable with; such as being filmed or photographed during sex, or having sex in public spaces. These personal-boundary transgressions can lead to shame and loss of self-esteem and cause conflict in relationships.
Additionally, addiction or mental health problems like mania may be associated with intentionally seeking risky situations such as having unprotected sex with strangers or seeking ever escalating levels of violence, humiliation, and bodily harm (both in real life and in the pornography one is consuming). This can impact a person’s ability to find interest in having sex with their steady partner, because the sought-after thrill or risk is no longer present.
When you become an ally to your partner and deepen your communication, your sex life is certain to benefit. Great sex is often based on great connection, and by working on your communication you are nurturing that connection.
We are all entitled to knowledge about our sexuality and that good scientific knowledge about sex is necessary for us to be able to make informed sexual choices. By educating ourselves, whether we are young or old, we can make sex better for everyone.
We all have a right to enjoy and appreciate our sexuality. Do your best to not let mental illness steal that away from you and the ones you love!