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Dr. Shalini Tiwari

Gynaecologist, Delhi

400 - 600 at clinic
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Dr. Shalini Tiwari Gynaecologist, Delhi
400 - 600 at clinic
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Personal Statement

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.
More about Dr. Shalini Tiwari
Dr. Shalini Tiwari is a popular Gynaecologist in Krishna Nagar, Delhi. You can meet Dr. Shalini Tiwari personally at Surya Hospital- Krishna Nagar in Krishna Nagar, Delhi. Save your time and book an appointment online with Dr. Shalini Tiwari on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 35 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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English
Hindi

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Surya Hospital- Krishna Nagar

383/11-c, East Azad Nagar, Krishna Nagar. Landmark:-Near Surya Cinema, DelhiDelhi Get Directions
400 at clinic
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DR S. Tiwari Uro- Gynae Center

C-140, Near CBSE Office, Preet Vihar, DelhiDelhi Get Directions
600 at clinic
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Hi we had a unprotected sex and taken unwanted 72 within 5 hr, but he's period got delayed almost 8 days, and she didn't feel lke any bleeding aftr taking the tablet, and she feel lke vomiting sensation aftr 4 days, is it she is pregnant?

MBBS
General Physician, Chennai
Hi we had a unprotected sex and taken unwanted 72 within 5 hr, but he's period got delayed almost 8 days, and she did...
No cheance the harmonal pill has upset the cycle wait for a few more days get pt done with early morning first urine.
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I have an extremely tight vagina. I am a virgin. I have tried sex but not even the head of the penis can go inside. But a finger goes in easily without causing any pain.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Virgin vagina is always tight, its a gift not a problem. Do proper foreplay before sex, and apply artificial lubrication during penis insertion. It will ease the sex for the first timers.
4 people found this helpful
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PCOS (Polycystic Ovarian Syndrome)

BHMS, MD - Homeopathy
Homeopath, Delhi
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Dosto Mera naam hai Dr Sumit Dhawan 1 homoeopathic practitioner hoon mai aur main aaj aap ki ek sahayata karne jaa raha hoon girls Ki especially. Kyunki Aaj ki date Mein girls ki ek aisi problem hai Jiska koi ilaaj nahi hai. This is PCOS. Polycystic ovarian syndrome aisi problem hai jo aaj ki date mein bahut hi common hoti ja rahi hai Kyunki stress Hai logo ki life mein, Lifestyle Aisa Ho Gaya Hai Ki jo hormonal imbalance Leke Aate Hamari body mein jo PCOS ko cause Karte Hai. PCOS ka right treatment homoeopathy mein hai Jis Mein Hum claim Karte Hai Hamare Paas records hai ki jo hum complete cure before and after Aise Bimaari Jiske modern medicine bolti hai ki Jiska koi cure nahi hai homoeopathy me cure ho rahi hai aisi problem.

PCOS sirf cyst ovary main usse PCS nahi bola jata hai sister ke sath sath Aur Bhi Jab 5-6 symptoms Aate Hain jaise ki facial hair, weight gain, acne, delayed menses, ye sare Jab Ek saath hota hai Tab isse PCOS bola jata hai. Aur ye symptoms Ko Jab Hum thik karte hain toh hame dekhna padta hai ki kya uska Karan hai kya motional troubles ki wajah se hai kya Woh physical troubles ke wajah se hai in saari cheezo ko rule out karne ke baad Jab unka homeopathic medicine select Hota Hai hundred percent cure Lekar Aata Hai. Conventionally iska Ek hi treatment hai hormone replacement therapy HRT Jisko aajkal contraceptive pills Diya jata hai and externally prepared hormone Diya jata hai Chahe wo artificially ho ya Kisi animal Se Nikal Gaya Ho woh Body Me Diya Jata Hai Jis Ke nuksan Hai.

1) ye artificial hai

2) Usse kya hoga ki jo Body Aap Ki Thodi Si Bhi hormone bana rahi Hogi maan lijiye hormonal imbalance hai kuch hormone kam ban ra hai, kuch jyada ban raha hai jo aap externally Hormone dalenge Body mein usse aapka internal jo thoda bhi hormone ban raha tha nahi Banega aur aap us medicines ke addict hojaenge.

Jab tak aap medicine Lenge hormones release hoga or tabhi aapka normal cycle chalega sabse bada side effect hai. Homeopathy is time par aap sath mein lete hain ya sirf homeopathy lete Hain tab bhi iska hundred percent ilaaj ho sakta hai. Homeopathy main aapko advice Karunga ki because natural hai number one. Number 2 uska koi Side Effects nahi aa hai. Yahi kaaran Hai Jiski wajah se Ye number one medicine hai aur aapki family mein kisi ko bhi PCOD hota hai girl child ko hota hai ya wife ko hota hai aap zaroor consult Kijiye homeopathy doctor ko aapke paas ka doctor hai ya aap mere ko bhi consult kar sakte hain aur aaj kal ek tabboo hai ki female problem hone ki wajah se gynecologist hi dekh sakte hain. Aisa bilkul mat socho. Aap Kisi bhi homoeopathy doctor Chahe Woh male ya female ho aap discuss Kijiye, khulke discuss kijiye, family ke sath jaiye aur discus kijiye, Kaise aapko help Karta Hai, jaroor help Karega. Wind off karne ke liye main bolunga ki aap apna Lifestyle acha Kare, aap apni life mein yoga, exercise or meditation add Kare Jise physically aapka sehatmand Ho Aur Hormonal imbalance kam ho aur dusri is homeopathy ko fayda hota hai ki homoeopathy aapko completely cure kar sakti hai.

App mere se be consult kar sakte online lybrate ke through aur aap directly Bhi Apne homoeopathy ke paas Ja sakte hain. 

All the Best.

3279 people found this helpful

Can I take Ayurvedic medicines along with my regular allopathic( Modern) medicines?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Can I take Ayurvedic medicines along with my regular allopathic( Modern) medicines?
Taking ayurveda along with regular allopathic (modern) medicine:

We generally don't advise to immediately discontinue allopathic medicines if you are under treatment for conditions such as hypertension, diabetes, neurological disorders, arthritis, mental disorders and heart diseases. Besides, there is no harm in taking both types of medicines as long as you keep your ayurvedic doctor informed. However, it is important to maintain at least an hour's gap between the two types of medications. In due course of time, depending on your progress, the ayurvedic doctor may reduce the dose of the allopathic medicines. Make sure that you follow any advice or recommendation given by your ayurvedic doctor regarding this process.

Hello . I am 8 months pregnant. Since many days I have this acute pain on the pelvic area specially on the left side. The pain is increasing day by day

MD - Maternity & Child Health
Gynaecologist, Bangalore
Consult your obstetrician. Could be due to urine infection. Stree woman health care centre bangalore
2 people found this helpful
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Ways to Build Healthy Physical Relationships - शारीरिक संबंध बनाने के तरीके

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Ways to Build Healthy Physical Relationships - शारीरिक संबंध बनाने के तरीके

यह अक्सर है कि जोड़ों को अपने रिश्ते में यौन संबंध बनाए रखने पर काम करना पड़ता है। आपका यौन स्वास्थ्य आपके समग्र मानसिक, शारीरिक और भावनात्मक स्वास्थ्य से संबंधित है। 
क्या आप अपने यौन जीवन को बढ़ावा देना चाहेंगे? हो सकता है कि आप अपने साथी के साथ एक मजबूत संबंध को फिर से खोजना चाहते हैं, अपने खुद के यौन आत्म-जागरूकता को गहरा करना चाहते हैं, या बिस्तर में अधिक मजा चाहते हैं। 
चाहे समस्या बड़ी या छोटी हो, आपके यौन जीवन को ट्रैक पर वापस लाने के लिए आप कई चीजें कर सकते हैं। एक अच्छा सेक्स जीवन को बनाए रखने के लिए समय और प्रयास की आवश्यकता होती है। यह हमेशा आसान नहीं होगा - हमारी व्यस्त जीवन शैली थकावट भरी है और अक्सर हमें गति को बनाए रखने के लिए आवश्यक कल्पना और प्रेरणा से रहित छोड़ देती हैं। इसलिए, चीजों को दिलचस्प रखने के लिए आपके यौन जीवन में कुछ और उत्तेजक पहलुओं को जोड़ना महत्वपूर्ण है।

शारीरिक संबंध सुधारने के तरीके
अगर आपको लगता है कि आपके प्रेम जीवन में यौन संबंधों में अचानक कमी आई है, तो आप और आपके साथी के बीच बहुत जरूरी यौन आकर्षण बनाने के लिए, इन युक्तियों का उपयोग करने का समय है:

1. आंखों पर पट्टी का उपयोग करें:
यौन आनंद के कई आयाम हैं, लेकिन हमारे पास सबसे महत्वपूर्ण यौन अंग है हमारा मस्तिष्क। अपने साथी की आंखों पर पट्टी बांधने से उनकी संवेदी जागरूकता बढ़ जाती है। वह नहीं जानते कि आप कहां हैं या आप आगे क्या करने जा रहे हैं, यह बेहतर सेक्स के लिए प्रत्याशा पैदा करता है। संवेदी वस्तुएं, जैसे एक पंख या अपनी जीभ के साथ अपने साथी को छेड़ो। 

2. एक दूसरे की कामुक मालिश:
कामुक स्पर्श सबसे ज्यादा आरामदायक और सेक्सी चीजें हैं जो आप अपने साथी के लिए कर सकते हैं। एक आरामदायक कामुक मालिश उसके शरीर को कुछ बहुत तीव्र संभोग और अंत में बहुत बेहतर सेक्स प्राप्त करने में मदद कर सकती है। उनके इंद्रियों को सचेत लेकिन उनके शरीर को आरामदायक रखने की कोशिश करें।
एक बार जब आप उसकी बड़ी मांसपेशियों - कंधे और पीठ को आराम दे देते हैं, तो उसके नितंबों तक अपना रास्ता बनाएँ। 

3. अपनी कल्पनाओं के बारे में बात करें:
अपने साथी के साथ अपनी कल्पनाओं के बारे में बात करना, सेक्स प्ले का एक बहुत अनुकूल तरीका है। यह आपके साथी के साथ संचार बढ़ता है, जो बहुत महत्वपूर्ण है, साथ ही, यह आपको बेहतर सेक्स के लिए एक-दूसरे को बेहतर तरीके से जानने में भी मदद करता है। 
बेहतर सेक्स के लिए काल्पनिक खेल को एक गेम में शामिल किया जा सकता है। आप उन कल्पनाओं में से कुछ का प्रयास भी कर सकते हैं, जिनके बारे में आप उत्सुक हैं। एक नए स्थान (पिछवाड़े में एक चौराहे पर या अपने घर के एक अलग कमरे में) में अंतरंग होने या एक नई स्थिति की कोशिश करना पर्याप्त हो सकता है। 

4. कुछ चीजों को रोकें:
थोड़े समय के लिए अपनी पुरानी, मानक गतिविधियां निषेध करें। उन यौन गतिविधियों से बचें जो आप दोनो के बीच बहुत आम है। जैसा, अगर आप और आपके साथी मिशनरी स्थिति पर बहुत अधिक निर्भर करते हैं, तो यह नियम बनाएं कि आप एक महीने के लिए मिशनरी स्थिति में सेक्स नहीं कर सकते। यदि आप बहुत अनुशासित हैं, तो एक पूरे हफ्ते चुंबन के अलावा कुछ भी न करने की कोशिश करें।

5. गन्दी बाते करें:
धीरे-धीरे शुरु करें, शायद तटस्थ गन्दी-बाते विषयों के साथ। गंदे बातें पहली बार में थोड़ी कठिन हो सकती हैं, अगर आपको इन बातों को स्पष्ट करने की आदत नहीं है। सकारात्मक शब्दों से चिपकने की कोशिश करें, और आमतौर पर इस्तेमाल किए जाने वाले अपमानित शब्दों को छोड़ दें। 

5 people found this helpful

Know The Best Method Of Contraception

Ph.D (Male Infertility), M.S (Infertility), D.G.L.S, D.R.C.O.G, C.Sc., D.M.R.D, M.B.B.S
Sexologist, Bangalore
Know The Best Method Of Contraception

There are a number of contraceptives available but which method of birth control suits you depends on your sexual life, preferences and your lifestyle as a whole. Professional medical help should be sought in order to understand what method of contraception sis ideal for you.

Here is a list of 4 types of contraceptives for birth control:
 

1. Barrier methods - Barrier methods are designed to prevent the sperm from entering the uterus. They constitute-

  • Diaphragms: It is a shallow and flexible cup that is made of either latex or soft rubber. It is inserted into the vagina before the sexual intercourse where it prevents the sperm from entering the uterus.
  • Cervical caps: It is a thin cup of silicone whose function is same as the diaphragm, only it is smaller in size, so less noticeable and more rigid as well.
  • Contraceptive sponges: These are soft foam sponges that are filled with spermicide and are disposable. They are also inserted into the vagina before sexual intercourse in order to prevent pregnancy by killing the sperm cells or preventing them from entering the vagina.
  • Spermicides: These are chemicals that can kill the sperm and hence assist in birth control.

Other methods include male condoms and female condoms.

2. Hormonal methods - Hormonal methods use hormones in order to either stop or regulate ovulation so as to prevent pregnancy. There are various methods through which hormones can be injected into the body. Some of them are-

  • Contraceptive patch: It is a thin patch made of plastic that sticks to the skin and is responsible for releasing hormones into the bloodstream through the skin.
  • Vaginal rings: A thin, flexible ring that is inserted into the vagina where it stays for 3 weeks and is removed after that, only to be re-inserted in the 5th week.
  • Implantable rods: They are inserted under the skin of the upper arm of women where they release progestin.

Other methods include contraceptive pills and progestin-only pills.

3. Intrauterine methods of contraception - The intrauterine device is a small device, T-shaped that is inserted into the uterus in order to prevent pregnancy. The good thing about intrauterine devices is that they can remain functioning for many years at a stretch. IUDs are two types-

  • Hormonal IUD(Intrauterine Device)
  • Copper IUD

4. Sterilization - Sterilization is the most reliable contraceptive for birth control as it is permanent. It either prevents the release of sperm or the fertilization of the egg. Sterilization methods can either be surgical or non-surgical. Some of the sterilization techniques are-

  • Tubal ligation: It is the surgical technique used in females.
  • Vasectomy: It is the surgical technique of male contraception.

Other methods include sterilization implants:

5. Condoms - If you use condoms perfectly every single time you have sex, they're 98% effective at preventing pregnancy. The best way to make condoms work as well as possible is to use them correctly every single time you have vaginal, oral, and anal sex. That means wearing it the whole time, from start to finish. Make sure the condom is rolled on your penis the right way before there's any skin-to-skin genital contact. If you wish to discuss about any specific problem, you can consult a Sexologist.

6502 people found this helpful

I missed my periods for 3 consecutive months. New to city do not know what to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD-Ayurveda
Ayurveda, Delhi
I missed my periods for 3 consecutive months. New to city do not know what to do.
There are different reasons for periods like pcod, hormonal imbalance which are other den sexually active or pregnancy. So better to find out I need complete history. You can contact me on private chat.
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I am 21 year old married female. I am having pain in my abdominal time to time and specially during intercourse. Doctor diagnoses that size of ovary is big plus I have hormonal dis-balance and hypothyroidism too. My periods aren't regular they rarely come time to time. Mostly skip 1-3 months. But last month first time I had 3 time period in one month. There was no medication I was taking that time. Then a doctor examine n said I have some infection in vagina so gave meds n that I followed. But my concern are these abdominal pain during sex and irregular periods.

DHMS (Hons.)
Homeopath, Patna
I am 21 year old married female. I am having pain in my abdominal time to time and specially during intercourse. Doct...
Hello, Relax! Tk, plenty of water to hydrate your body. Go for meditation to reduce your stress Your diet be rich in iron, proteins, calcium, zinc, vitamins. Tk, apples, pomegranate, carrots, almonds, spinach. Tk, Homoeopathic medicine:@ Sepia 200-6 pills, at bed time. @ Platina 30-6 pills thrice. Avoid, junk food, caffeine, alcoholic intake. Report wkly. Tk, care.
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One of our Relative's daughter has skipped her periods by more than three weeks and happened two months before also ,consulted Doctor, advised them that it happens due to Iron deficiency prescribed medicine but regularly this problem prop's Up. Any remedial measures.

BHMS
Homeopath, Faridabad
One of our Relative's daughter has skipped her periods by more than three weeks and happened two months before also ,...
Hello, Take Pulsatilla 200 ch , 3 drops single dose. Take Biofungin syrup, 2 tsp twice daily. Take Ferrum met 3x, 2 tabs twice daily. Eat green leafy vegetables , carrots and beetroot and dry fruits. Revert after 15 days.
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I want to have sex with my girlfriend without using condom she is 19, I'm 22 but I don't want to pregnant her, which is the best way to make this out, after sex what the steps she has to take and at what time or duration,(pills or something) please explain me everything in detail, I need help.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
I want to have sex with my girlfriend without using condom she is 19, I'm 22 but I don't want to pregnant her, which ...
PARTNER MAY TAKE CONTRACEPTIVE PILL. OR SEX MAY BE HAD SUCH A TIME WHEN PREGNANCY CHANCES ARE BECOME NIL. The time of ovulation for every woman is different. It is commonly offered that ovulation occurs around the 2 week mark after the end of a woman’s last menstrual cycle but it can happen on many different days. The more accurate way to calculate ovulation on a calendar would be between the 12th and 16th day before your next menstrual cycle is set to begin. These calculations are based upon a woman who experiences regular menstrual cycles between 28 and 32 days apart.
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Stay Healthy

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Stay Healthy

Rise with the sun. This will be easy to do if you go to bed before 10:00 p.m. Waking up early gives you time to concentrate on your morning ablutions, and to prepare a good, nourishing breakfast. In addition, it gives you time to enjoy the early morning calm of nature.

24 people found this helpful

I have irregular periods .is there any problem for pregnancy or can I get pregnant?

MD - Homeopathy, BHMS
Homeopath, Gurgaon
I have irregular periods .is there any problem for pregnancy or can I get pregnant?
Most probably you are suffering from poly cystic ovarian disease. In this problem instead of follicle rupture and ovulation follicle is transformed into small cystic structure along the periphery of ovaries. Regular female hormones are insufficient to maintain regular periods also causes acne pimples And hair-loss with some weight gain sometimes. You may also face some difficulty in conceiving but deep acting safer curative Homeopathic Medicines will certainly help you for easy conceptions as and when required. Always be happy with your personality and enjoy your present, Avoid all types of stress. Take more fruits and vegetables, Avoid junk food (Fat fried street food with more calories) Maintain physical activities regularly Have sound  Sleep regularly  with best possible schedule. You can also have some Homeopathic medicine (if you have faith) for Fat reduction and regularise your periods (may be due to PCOS) For more help you can contact me through Lybrate personally.
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Treating Lumps and Pain in Breasts of Women

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Treating Lumps and Pain in Breasts of Women

Feeling a lump on your breasts can be a terrifying moment. 'Cancer' is the first thing that comes to mind but in reality, most lumps in the breast are not caused by cancer. Apart from cancer, breast lumps can be caused by non-cancerous growths, injuries and infections. The only way to correctly diagnose the cause of a lump in the beasts is through a biopsy. Hence, this is the first step towards treating a breast lump. From here on, treatment will depend on the cause identified.

Mastitis or Breast Infection

Mastitis is a painful infection of the breast tissue often faced by women who are breastfeeding. It can be treated with heat treatment and antibiotics. Massaging the breast while taking a warm shower or applying a warm compress. This will open up the milk ducts and should be followed by nursing the baby or using a breast pump to relieve the swelling and pain.

Abscess

Antibiotics are the first line of treatment against an abscess but this is effective only if given in the initial stage of the infection. In later stages, an abscess will need to be surgically drained.

Fibroadenomas

This is a non-cancerous tumour often found in young women. It is often difficult to distinguish between a Fibroadenoma and a cancerous tumour and hence these are usually surgically removed.

Fibrocystic Changes

In some cases, the breast itself is composed of knotted, rope like tissue. This is known as having fibrocystic breasts. If a new lump presents itself on fibrocystic breasts, a mammogram and an ultrasound are performed to evaluate the lump. In most cases fibrocystic changes do not require any medication or surgery.

Breasts Cysts

Cysts can be defined as fluid filled lumps. In some cases, these cysts become apparent at the time of ovulation and disappear after the period. In other cases, it may need to be drained with a thin needle. Cysts often recur and need to be re-drained.

Fat Necrosis and Lipoma

Fat necrosis is a lump caused by an injury to the fatty tissue in the breast. Lipoma is a fatty growth within the fatty tissue. In both these cases, no treatment is required but if it causes any problems, it can be removed.

Breast Cancer

If the biopsy reveals the presence of a cancerous tumour, you must immediately consult an oncologist. Treatment options for breast cancer include chemotherapy, radiation, surgery and hormone treatment.

3625 people found this helpful

Meri gf ko bleeding ho ri h.and ye bleeding sex k 2 hours bad start hui. Please tell me how to stop bleeding.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi hi giv her arnic 3c liquid 2drops below tongue 2hrly til bleeding decreases murex 12c 3tims day for 13 days china off 12c 3tims a days for 15 days helon 12c 2tims day for 10 days
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I have polycystic ovary. I am not able to conceive. We are married for 9 years now. My husband has diabties.

DGO, MBBS
Gynaecologist, Pune
Start tab. D3mayo twice daily for two months. Ask husband to start tab. Confido twice daily. Nd keep check in sugsr levels.
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I am a female of 16 yrs. How to understand that whether I need an Ultrasonography? What are the symptoms of polycystic ovarian syndrome? Pls tell me dr.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am a female of 16 yrs. How to understand that whether I need an Ultrasonography? What are the symptoms of polycysti...
irregular periods, weight gain, excessive hair growth are assaociated with PCOD, usg can be done to visualise cystic ovaries
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Http://www. Malaivelsiddhahospital. Com/hsv. Html He says that Genital Herpes is curable. Is it real? Can we trust this? He was showing the reports as well in this site (before treatment and after treatment). Can any one suggest me in this regards. Thank You.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
There is no cure for herpes. Antiviral medications can, however, prevent or shorten outbreaks during the period of time the person takes the medication. In addition, daily suppressive therapy (i. E. Daily use of antiviral medication) for herpes can reduce the likelihood of transmission to partners. There is no permanent cure for herpes. Antiviral medications can, however, prevent or shorten outbreaks during the period of time the person takes the medication. In addition, daily suppressive therapy (i. E. Daily use of antiviral medication) for herpes can reduce the likelihood of transmission to partners. Several clinical trials have tested vaccines against genital herpes infection, but there is currently no commercially available vaccine that is protective against genital herpes infection. This is from the cdc website and all the doctors in the world follow these guidelines for herpes. If anyone is claiming that herpes is curable, that means it is false information.
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White discharge like water since last 5 months not regular but coming back every 10 days interval. Now feeling little abdomen pain. No taste less sleep. Blood test and PAP smear test is normal. What to do. Have breast feeding baby of 2 year.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
White discharge like water since last 5 months not regular but coming back every 10 days interval. Now feeling little...
Need to visit doctor for the actual medicine to be taken or it can be given on private chat on Lybrate with detail info.
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Why People Have to Pee during the Night

MBBS
General Physician, Himatnagar
Why People Have to Pee during the Night
Nocturia is defined as “excessive urination at night”. Normally, the amount of urine the body produces goes down at night, reducing the need to urinate for the 6 to 8 hours that people are sleeping. Since waking to urinate on one occasion during the night is generally considered to be “normal”, having nocturia generally implies that someone wakes up more than once a night to urinate.

Causes of Nocturia:

1.Advancing age
2.Drinking too much fluid during the evening
3.Infection of the bladder or urinary tract
4.Enlarged prostate gland (BPH)
5. Diabetes mellitus
6.Certain medications
7.Sleep apnea.

Treatment of Nocturia:

Treatment for nocturia is directed at the underlying cause. For example, improvement in blood sugars can help in uncontrolled diabetes. If an obstructing prostate gland is the cause, a medication or surgery to reduce the size of the prostate will help. The use of continuous positive airway pressure (CPAP) in someone with sleep apnea can reduce associated nocturia. In a rare condition known as diabetes insipidus, use of a synthetic version of antidiuretic hormone (desmopressin) will help. If taking diuretic medication is responsible, the medication administration may need to be moved to earlier in the day to avoid having to void during the night.

When the underlying cause is not serious enough to warrant specific treatment, several lifestyle measures may help:
Limit fluid intake 3 hours prior to bedtime

Restrict consumption of coffee, caffeinated beverages, and alcohol in the evening.

Elevate legs in the evening to help prevent the development of lower extremity edema.

Wear compression stockings if venous disease is causing fluid accumulation.

Pre-emptive voiding prior to going to bed may delay the need to urinate during the night.
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