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Dr. Sarita Choudhary

Gynaecologist, New Delhi

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Dr. Sarita Choudhary Gynaecologist, New Delhi
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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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Dr. Sarita Choudhary is an experienced Gynaecologist in New Delhi, Delhi. You can consult Dr. Sarita Choudhary at Dr Sarita Choudhary's Clinic in New Delhi, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Sarita Choudhary on Lybrate.com.

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What Is Polycystic Ovary Syndrome (PCOS)?

Ayurveda, Delhi
What Is Polycystic Ovary Syndrome (PCOS)?

What is Polycystic Ovary Syndrome (PCOS)?

Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's:

  • Menstrual cycle
  • Ability to have children
  • Hormones
  • Heart
  • Blood vessels
  • Appearance

With PCOS, women typically have:

  • High levels of androgens (AN-druh-junz). These are sometimes called male hormones, though females also make them.
  • Missed or irregular periods (monthly bleeding)
  • Many small cysts (sists) (fluid-filled sacs) in their ovaries

How many women have PCOS?

Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. As many as 5 million women in the United States may be affected. It can occur in girls as young as 11 years old.

What causes PCOS?

The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.

A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.

Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels can lead to:

  • Acne
  • Excessive hair growth
  • Weight gain
  • Problems with ovulation

What are the symptoms of PCOS?

The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:

  • Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
  • Infrequent, absent, and/or irregular menstrual periods
  • Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
  • Cysts on the ovaries
  • Acne, oily skin, or dandruff
  • Weight gain or obesity, usually with extra weight around the waist
  • Male-pattern baldness or thinning hair
  • Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
  • Skin tags — excess flaps of skin in the armpits or neck area
  • Pelvic pain
  • Anxiety or depression
  • Sleep apnea — when breathing stops for short periods of time while asleep

Why do women with PCOS have trouble with their menstrual cycle and fertility?

The ovaries, where a woman's eggs are produced, have tiny fluid-filled sacs called follicles or cysts. As the egg grows, the follicle builds up fluid. When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.

In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. The follicles may start to grow and build up fluid but ovulation does not occur. Instead, some follicles may remain as cysts. For these reasons, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Plus, the ovaries make male hormones, which also prevent ovulation.
 

Does PCOS change at menopause?

Yes and no. PCOS affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.

How do I know if I have PCOS?

There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.

Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.

Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.

Pelvic exam. Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.

Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.

Vaginal ultrasound (sonogram). Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.

How is PCOS treated?

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:

Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:

  • Limiting processed foods and foods with added sugars
  • Adding more whole-grain products, fruits, vegetables, and lean meats to your diet

This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.

Birth control pills. For women who don't want to get pregnant, birth control pills can:

  • Control menstrual cycles
  • Reduce male hormone levels
  • Help to clear acne

Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). But, progesterone alone does not help reduce acne and hair growth.

Diabetes medications. The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.

Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets). Treatment options include:

  • Clomiphene (KLOHM-uh-feen) (Clomid, Serophene) — the first choice therapy to stimulate ovulation for most patients.
  • Metformin taken with clomiphene — may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins (goe-NAD-oh-troe-pins) — given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.

Another option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, IVF is very costly.

Surgery. "Ovarian drilling" is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.

Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills.  These medications should not be taken if you are trying to become pregnant.

Before taking Aldactone, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia.

Other options include:

  • Vaniqa (van-ik-uh) cream to reduce facial hair
  • Laser hair removal or electrolysis to remove hair
  • Hormonal treatment to keep new hair from growing

Other treatments. Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.

Researchers continue to search for new ways to treat PCOS. To learn more about current PCOS treatment studies, visit ClinicalTrials.gov. Talk to your doctor about whether taking part in a clinical trial might be right for you.

How does PCOS affect a woman while pregnant?

Women with PCOS appear to have higher rates of:

  • Miscarriage
  • Gestational diabetes
  • Pregnancy-induced high blood pressure (preeclampsia)
  • Premature delivery

Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).

Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.

Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.

Does PCOS put women at risk for other health problems?

Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:

  • More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
  • The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
  • Women with PCOS are at greater risk of having high blood pressure.
  • Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
  • Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.

Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.

Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

I have PCOS. What can I do to prevent complications?

If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include:

  • Eating right
  • Exercising
  • Not smoking

How can I cope with the emotional effects of PCOS?

Having PCOS can be difficult. You may feel:

  • Embarrassed by your appearance
  • Worried about being able to get pregnant
  • Depressed

Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.

 

 

 

9 people found this helpful

Hello Dr. I am 28 yrs. Old and I am pregnant second time. My first baby is by LSCS before 3 yrs. Now prob. Is I ve hypothyroidism from last 2 yrs. Nd pcos also. Now my progesterone level is low nd hb is 10.6 gm/dl. Now I ve severe pain in lower abd. My Dr. Suggest me to take sustain tab. 100 mg. Bt my pain is still severe. So what should I do? My LMP 23/06/17. please suggest me.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Hello Dr. I am 28 yrs. Old and I am pregnant second time. My first baby is by LSCS before 3 yrs. Now prob. Is I ve hy...
Calcarea carbonica 30 Arsenum Album 30 one dose at alternate days. Silicea 3X two pallets twice a a day. Nat mur 12c 3tims day for 12 days kali. Iod. 6c 3 times day for 15 days take sepia 200 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days.
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I haven't got periods for 3 months. I just have periods which is prolonging for more than 10days now. What should I do to stop it? Am a PCOD patient.

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
I haven't got periods for 3 months. I just have periods which is prolonging for more than 10days now. What should I d...
Ho. You definitely have a hormonal disturbance most likely pcod. But you need to confirm and start medication for 9 months to one year. You must go for an ultrasound pelvis. You have blood tests on 2 nd day of your periods fsh, lh, prolactin. You must exercise and try to loose weight. Avoid all fatty and maida based items. Pcod is a condition characterised by periods irregularity, mood fluctuations, weight gain, acne, hair growth on face etc.
1 person found this helpful
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Hello doc, I had unprotected sex with woman. I am 100% assured that these two women don't have hiv Do I have to fear ?

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
U need to test them to be 100 percent sure. And test yourself after 3 months of exposure to be very sure.
4 people found this helpful
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We had sex on 23 Aug it was her 4th day of periods her cycle is for 28 Days and due to condom burst it was unprotective so she took i-pill after 7 Hrs and after i-pill approx 6 Hrs she vomited and yesterday her periods started or can b slight bleeding due to I pill is she hv chances of pregnancy? When she can test using advance prega news?

MBBS, MD - Obstetrtics & Gynaecology, DNB (Orthopedics), MNAMS (Membership of the National Academy) (General Surgery)
Gynaecologist, Chandigarh
We had sex on 23 Aug it was her 4th day of periods her cycle is for 28 Days and due to condom burst it was unprotecti...
There are very little chances of her getting pregnant as per your history. Regarding testing, 26sep will be good enough to rule out pregnancy.
4 people found this helpful
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I am 17 year old girl I got intimate with my bf last week he touch my vagina but did not ejaculate nor put finger in it we had wore clothes he just rubbed his penis on my vagina I don't think so sperm has reached there but still have doubt shall I get periods what will happen if I am pregnant.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am 17 year old girl I got intimate with my bf last week he touch my vagina but did not ejaculate nor put finger in ...
Dear lybrate user. I can understand. With the given circumstances, there is no chance to worry about pregnancy. Sperm has to enter the vagina so as to fertilize themfemale egg. You did not have viginal intercourse neither vafinal ejaculation. Forget it. Take care.
4 people found this helpful
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From past 3 month I am doing regular sex with my wife without any kind of protection. Every month she miss her period by 5 to 10 days and then suddenly her periods starts. My question is despite regular sex why she is not getting pregnant. Is there something to worry about because we both are healthy?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
From past 3 month I am doing regular sex with my wife without any kind of protection. Every month she miss her period...
Hello, there is nothing much can be said, just practice timely intercourse during fertile period of ovulation. Universally the chances of conception naturally during each cycle is only 30-35%
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I delivered my baby 3 months back through c section. Till now I didn't get my periods after the first period which I got from the delivery day. I'm both breast feeding and formula feeding my baby. Is this normal? And am I still ovulating now and do we need to use protection while periods are not coming.

Mbbs,, MS OBGY
Gynaecologist, Pune
I delivered my baby 3 months back through c section. Till now I didn't get my periods after the first period which I ...
Yes definitely you need protection, though menses doesn't come, menses will come as per body response to hormones, ranges from 1.5 month to 9 month.
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hello. I have pcod my age 21. I took deviry 10mg for 5days since I do not hve periods since 3months. I got periods aftr 10days stopping tablet. Bt the problem is when I go to bed its ok when I get up from sleep there is an heavy flow. Is this any problem please suggest me.

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
hello. I have pcod my age 21. I took deviry 10mg for 5days since I do not hve periods since 3months. I got periods af...
After delay in periods, the bleeding is expected to be heavy. When you get up from sleep you experience heavy flow is because of collected blood. But you should start treatment of irregular periods.
13 people found this helpful
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I have a problem regarding period. My periods is not on time and also not coming on this month what will do what medicine you refer me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I have a problem regarding period. My periods is not on time and also not coming on this month what will do what medi...
Non following of periods paricharya wrong eating habits is main cause for irregular menses these days avoid heavy food heavy work bathing traveling exercise during period days eat fresh home made easily digestable healthy food provide details in private chat for correction in diet medications etc.
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10 SYMPTOMS OF VITAMIN D DEFICIENCY.MINOR PROBLEM THAT CAN MAKE YOUR LIFE LIKE CURSE

M.B.B.S., M.D.
General Physician, Delhi
10 SYMPTOMS OF VITAMIN D DEFICIENCY.MINOR PROBLEM THAT CAN MAKE YOUR LIFE LIKE CURSE
VITAMIN D DEFICIENCY IS COMMON PROBLEM BUT EASILY MISSED DUE TO UNAWEARENESS. IT IS MORE PREVELENT IN URBAN AREA LIKE MUMBAI AND DELHI, DUE TO LOW EXPOSER OF SUN LIGHT AND INCREASE CONSUMPTION OF JUNK FOODS.
10 CARDINAL SYMPTOMS OF VITAMIN D DEFICIENCY-
1-EXCESSIVE BODYACHE- THIS IS MAIN SYMPTOM OF VITAMIN D DEFICIENCY. IF YOU FEEL THAT YOU HAVE LOSS ALL YOUR ENERGY AT THE END OF THE DAY AND IF YOU BECOME TIRED EVEN AFTER SLIGHT WORK, IT MAY REPRESENT VITAMIN D DEFICIENCY
2-UNEXPAINED DEPRESSION-IF YOU HAVE LOW MOOD, WHICH IS UNEXPLAIN BY YOUR SITUATION, THAN YOU HAVE TO GO FOR VITAMIN D TEST
3- TINGING AND NUMBNESS OF LIMBS-IF YOU FEEL PIN PRICKING SENSATION IN YOUR HANDS AND FEETS, THAN YOU MAY HAVE VITAMIN D DEFICIENCY
4- MUSCULAR CRAMPS-SUDDEN TIGHTNESS OF MUSCLES ESPECIALLY IN CALF AREA. SOMETIME IN ANKLE, THIGH, ARM, WRIST, FINGERS ETC. SUGGESTIVE OF VITAMIN D DEFICIENCY
5-RESTLESS LEGS AT NIGHT-IF YOU FEEL THAT YOUR BODY IS PAINING SPECIELLY LEGS, WHEN YOU ARE RELAXING. YOU FEEL SOME RELEIF BY MOVING YOUR LEGS. IT GENERALLY HAPPENS IN NIGHT AND FEELING OF RELATION BY STRACHING OF LEGS REMAIN UNTILL YOU ARE NOT FALLING IN SLEEP.IT ALSO SUGGESTIVE OF VITANIN D DEFICIENCY
6- UNCONTROLLED DIABETES- IF YOUR SUGAR IS NOT CONTROLLED BY MEDICATION, EVEN AFTER APPROPRIATE DOSE AND SUGAR LEVEL HAS FLUACTUATIONS THAN GO FOR VITAMIN D TESTING
7- RECURRENT INFECTION-IF YOU GET COLD/COUGH/FEVER ON SLIGHT CHANGE IN WHETHER OR SLIGHT CHENGE IN DIET, IT MEANS YOU MAY HAVE VITAMIN D DEFICIENCY
8-NECK PAIN- IF YOU SUFFER FROM NECK PAIN A ND YOU THINK THAT IT IS DUE TO SO CALLED “CERVICAL”, THAN YOU MAY BE WRONG. MOST OF NECK PAIN IS DUE TO LACK OF VITAMIN D
9- BACKACHE AND LUMBER ACHE-IF YOU HAVE PROBLEM IN LIFTING HEAVY WEIGHT, BENDING, OR YOU HAVE PERSISTENT LOW BACKACHE SOMETIME CALLED AS “DISC BULGE” AND “SCIATICA”, THAN IT IS POSSIBLITY THAT YOU MAY SUFFER FROM VITAMIN D DEFICIENCY
10- SKIN PROBLEM LIKE PSORIASIS-IF YOUR SKIN PROBLEM LIKE PSORIASIS IS NOT COMES UNDER CONTROL EVEN AFTER PROPER MEDICATION OR IT REAPPEAR AFTER SOMETIME , THAN GO FOR VITAMIN D TESTING.
125 people found this helpful

I am 26 years old had history of 3 miscarriages 1st one unkwn reason, 2nd one rubella infection 3rd molar pregnancy. Now I am conceived my LMP date is 23-dec 16. Doctor has asked to test somany tests. TSH value came as 6.1 so doctor given THYRONORM. I want to know details regarding this. Doctor said I have hypothyroidism. But previously always I have normal TSH only. Some are telling its common to spike TSH during early pregnancy. Is it very common. And what foods should I avoid to control my TSH. ?CAN I USE ZANDU BALM or AMRUTANJAN BALMs for headache?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 26 years old had history of 3 miscarriages 1st one unkwn reason, 2nd one rubella infection 3rd molar pregnancy. ...
TSH levels tend to vary a lot during pregnancy. But that doesn't mean that TSH of 6.1 is normal. We keep the TSH levels below 2.5 in pregnancy. So, you must take thyronorm tablet as advised by your doctor. Abnormal thyroid levels during pregnancy are a common cause of abortion in pregnancy. Foods of cabbage family are to be avoided by thyroid patients. Yes, you can use these balms for headache.
1 person found this helpful
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Im 30 years trying for pregnancy I had 2eggs in my right ovaries at13th day is it normal or otherwise what can I do for my egg growth for pregnancy.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Im 30 years trying for pregnancy I had 2eggs in my right ovaries at13th day is it normal or otherwise what can I do f...
Important Facts to Know About Ovulation: An egg (ovum) lives 12-24 hours after leaving the ovary Normally only one egg is released each time of ovulation Ovulation can be affected by stress, illness or disruption of normal routines Some women may experience some light blood spotting during ovulation Implantation of a fertilized egg normally takes place 6-12 days after ovulation Each women is born with millions of immature eggs that are awaiting ovulation to begin A menstrual period can occur even if ovulation has not occurred Ovulation can occur even if a menstrual period has not occurred Some women can feel a bit of pain or aching, near the ovaries during ovulation. This is called "mittleschmerz" If an egg is not fertilized, it disintegrates and is absorbed into the uterine lining Sperm can live in a woman's body up to 5 days after intercourse, though more often 2 days. Pregnancy is most likely if intercourse occurs anywhere from 3 days before ovulation until 2-3 days after ovulation.
1 person found this helpful
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My wife having bleeding after menstrual cycle on day of 8th and 9th, what are the causes or is there any thing serious please let me know.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My wife having bleeding after menstrual cycle on day of 8th and 9th, what are the causes or is there any thing seriou...
The condition is termed as Metrorrhagia also known as the dysfunctional uterine bleeding is a problem that women suffer from.Basically, this condition is characterized by bleeding episodes (mainly spotting but can lead to severe bleeding) outside the menstrual phase. Metrorrhagia is considered a symptom of a possible health problem but shouldn’t be handled as a serious health problem right away. One should not panic. Some of the main cause are----------- • Endometrial hyperplasia. • Uterine cancer.. • Ruptured polyps. • Cervical dysplasia. • Cervicitis. • Abortion or miscarriage. • Infection. • Hormonal imbalance. • Coagulation problems. • Use of contraception. So consult a Gynaecologist for physical examination.
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I had an unprotected sex with my would be wife on 20th October. I am not sure if I have given any drop inside her. Probably not but I am scared for that. Can she use unwanted 72? She had her period 10 the October. Will her period be irregular? Will there be huge bleeding after taking the medicine? After sex she felt bleeding a little bit.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
I had an unprotected sex with my would be wife on 20th October. I am not sure if I have given any drop inside her. Pr...
I QUOTE ....If you take it within 72 hours after you've had unprotected sex, Plan B One-Step can reduce the risk of pregnancy by up to 89%. If you take Plan B One-Step within 24 hours, it is about 95% effective. But you should know that Plan B One-Step is not as effective as regular contraception
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Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot

Diabetes (Type-2)

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology, ADVANCED CERTIFICATE COURSE IN DIABETES
Diabetologist, Dehradun
Diabetes (Type-2)

New study published in Journal of Biological Chemistry, NewYork, that "Lack of Vitamin-A found in many fruits, vegetables, meat & dairy products may be also the one factor in development of Diabetes(type-2)". Vitamin A helps to boosts the activity of Beta cells(Insulin producing cells).

8 people found this helpful

If we take tablets like me plate, regulate, norethisterone to regulate periods and once we get periods for 5 days normal cycle then in 28 days cycle will I ovulate and have fertile days or not as I face irregular periods and pcos problem as I am allowed to take ocp on fifth day of my periods so I know if I take ocp I'll not ovulate so with out taking ocp on fifth day of periods will I ovulate or not.

International Academy of Classical Homeopathy, BHMS
Homeopath,
If we take tablets like me plate, regulate, norethisterone to regulate periods and once we get periods for 5 days nor...
take sepia 200 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres
1 person found this helpful
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I am 25 year old. I had heartburn a few days back. Also had nausea feeling. After that I had taken ovral G tablet to delay my periods for 6 days as I was traveling. Last I had taken on 7th of this month. My periods have still not come. Is it a sign of pregnancy?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
I am 25 year old. I had heartburn a few days back. Also had nausea feeling. After that I had taken ovral G tablet to ...
Hi lybrate-user periods usually come within 7 days of stopping ovral. Wait for 3 more days. If still periods have not come get a pregnancy test done at home as chances of pregnancy can never be ruled out.
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Hello doctor I'm 21 years old. I've ovarian cyst and also over weight. I had sex with a boy on October, and I'm not receiving my periods from October its 3rd month. So I take pregnancy home test kit on 1st month and on December both shows negative result. But I'm scared because periods are not coming, is there any chance of pregnancy? Please help me please.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello doctor I'm 21 years old. I've ovarian cyst and also over weight. I had sex with a boy on October, and I'm not r...
Hello- Ovarian cyst provides pathological contraception, it means you can't get pregnant if you are suffering from ovarian cyst, other symptoms include weight gain, facial hairs, etc. So your missed periods can be due to your cyst and not because of your unsafe sex.
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