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Dr. Sunita Malik

Gynaecologist, New Delhi

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Dr. Sunita Malik Gynaecologist, New Delhi
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sunita Malik
Dr. Sunita Malik is an experienced Gynaecologist in Greater Kailash, Delhi. She is currently associated with Dr Sunita Malik's Clinic in Greater Kailash, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Sunita Malik on Lybrate.com.

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. Find the best Gynaecologists online in New Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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She is pregnancy in 6th month, feels that occasionally urination, is any problem with this. Please guide.

MD - Obstetrtics & Gynaecology
Gynaecologist
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She is pregnancy in 6th month, feels that occasionally urination, is any problem with this. Please guide.
Get her urine tested for any infection consider it urgent as if urine infection is there it can affect pregnancy.

AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist
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In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
AntiBiotic Resistance on the rise very fast

M.Sc -Food and Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist
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Importance of nutrition for sports person

Well-chosen eating practices have much to offer athletes:

1. Fuel to train and perform at the elite level
2. Optimum gains from the training program
3. Enhanced recovery between workouts and between events
4. Achievement and maintenance of an ideal body mass and physique
5. Benefits from the many health-promoting components of food
6. A reduced risk of injury, overtraining fatigue and illness
7. Confidence in being well-prepared to face competition
8. Consistency in achieving high-level competition performances
9. Enjoyment of food and social eating occasions at home and during travel

Despite these advantages, many athletes do not meet their nutrition goals.

Common problems and challenges include:

1. Poor knowledge of foods and inadequate cooking skills
2. Poor or outdated knowledge of sports nutrition
3. Lack of access to dietitians /nutrition
4. Professionals or other credible resources
5. Inadequate finances
6. Busy lifestyle leading to inadequate time to obtain or consume appropriate foods
7. Poor availability of good food choices
8. Frequent travel
9. Indiscriminate use of large amounts of supplements or failure to use evidence based supplements and sports foods in the appropriate way.

Meri friend ke dono breast se white water aata hai. Wo unmarried hai. Periods time pe bahut jayada aata hai. please help .koi solution do.

BAMS
Ayurveda
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Meri friend ke dono breast se white water aata hai. Wo unmarried hai. Periods time pe bahut jayada aata hai. please h...
Did not mentioned her age, still nothing to worry but at the time of hormonal changes sometimes its happen. Be careful or check with nearby doctors.

I had a miscarriage this evening. Got painful cramps and bleeding and within 30 minutes I passes a tissue like something want to ask that my miscarriage is complete or not? What are the risks and how to complete it please help me doctor.

MD - Obstetrtics & Gynaecology
Gynaecologist
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Miscarriage is complete or not can only be diagnosed on ultrasound. So please visit your gynac and get the scan done if needed after examination.

Good Sex Life Happens When You Take Good Care of Your Vagina

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Enjoy an good sex life by taking care of your vagina in these 4 easy ways

As a woman, keeping your vagina clean and healthy is very crucial for enjoying a great sex life. When you keep your genitals squeaky clean and fresh, you promote the production of beneficial bacteria, thereby fending off infections, which can act as an obstruction in your sex life. Here are 4 ways a healthy vagina can take your sex life to the next level.

1. Shave your pubic hair to promote sensitivity

Short or no vaginal hair can lower the chances of odours and infections. Keeping your vagina hair-free is also known to increase the sensitivity of your genitals, making sex that much more pleasurable than before. Also, for many, shaved genitals have immense visual appeal, which can give rise to an intense arousal in your partner. What?s more, oral sex is greatly enhanced when you shave off pubic hair.

2. Try kegel exercise to enjoy good orgasms

Kegel exercise is meant for strengthening your pelvic floor. Doing kegel regularly not only helps in keeping your pelvic organs in place, but also helps in toning your vaginal muscles, thereby heightening arousal considerably. Plus, they tighten your grip on the penis during intercourse, and give rise to more intense contractions during orgasm.

3. Use lubricants to make sex smooth and painless

The function of lubricants is not just to maintain a healthy ph balance in your vagina. They prevent the irritation of your labia and vagina, and make sex a very pleasurable activity. Lubricants are particularly helpful for women who experience vaginal dryness or face difficulties in penetration. Just keep in mind not to use petroleum jelly and other oil-based products as lubes as they can cause a rupture in latex condoms, consequently giving rise to infections.

4. Eat fruits to enhance pleasure

Foul odour can be a big dampener when it comes to oral sex. Usually the cause of bad vaginal odour is your diet and personal hygiene habits. Eating certain foods can prevent this from happening and can even in fact make your vagina smell sweeter. Be sure to include lots of fresh fruits such as mangoes, oranges, apples etc in your diet. Yoghurt and honey are good too. Avoid foods with strong smells such as onions, garlic and even alcohol as they give rise to bad odour.

Frequent washing and cleaning (twice a day at least) of your vagina with warm water and a gentle and unscented soap helps to remove sweat and grime, making your vagina smell and feel fresh and thus enhancing sexual pleasure for you and your partner.

If you would like to consult with me privately, please click on'consult.
Good Sex Life Happens When You Take Good Care of Your Vagina

I m 19 year old my period is running and I have hard pain in navi why and what to do please suggest.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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I m 19 year old my period is running and I have hard pain in navi why and what to do please suggest.
Hello, what you are experiencing is now as dysmenorrhoea and its common, you may relieve it with nsaids like meftal-spas twice a day or just use hot fomentation for conservative management.

My girlfriends pregnancy test report was negative, it means she is pregnant or not?

MBBS .DGO.DA.(Trained in Andrology)
Gynaecologist
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Hi negative means not pregnant. But if you were expecting pregnancy then should repeat again 5 days after the expected date of menses. Hope you are convinced. Regards.

6 Healthy Indian Foods You Should Start Eating Today!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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When you think of healthy food, cornflakes and oatmeal are probably the first things that come to mind. For most people, eating healthy translates into eating boring, bland food. So, if you're on a diet, here's some good news for you. Healthy food does not have to be bland or expensive.

Here are 6 indigenous Indian healthy foods that are ideal for you.

Idli: This south Indian steamed dish is free from oil and fats and is rich in carbohydrates and proteins. Having a low fat content makes idlis very easy to digest. Idlis are prepared using a combination of rice and dal. Their amino acids complement each other and the fermentation process enhances the vitamin B and protein levels in the dish.
Sattu: Sattu is a staple dish in Bihar that is made primarily from roasted gram flour along with barley and wheat flour. Sattu is rich in fiber, has cooling properties and has a low glycaemic index. Roasting the flour also helps retain all the nutrients in the flour. Sattu can be made in a number of ways including paranthas and ladoos.
Dhokla: Dhoklas are steamed Gujarati snacks made using gram flour. As with idlis, the flour is allowed to ferment before steaming. This helps enhance its nutrient value. Dhoklas also have a very low glycaemic index and is easy to digest.
Bajra: Bajra is a very humble grain that is commonly eaten in Rajasthan. Bajra is a rich source of energy and aids digestion. It has an anti diabetic effect and is also said to promote a healthy heart. The lignin in grains is also said to have cancer protecting properties. Bajra is a winter food that is usually made into rotis or khichadi.
Daliya: Daliya is also known as broken wheat. Daliya recipes can be sweet and savoury. Daliya is a complex carbohydrate that is slow to digest and hence releases energy at a slow, sustained rate. This makes it an ideal food for people suffering from high cholesterol or diabetes. The high fiber content also makes daliya easy to digest.
Sprouts: Almost every guide to healthy eating promotes sprouts. As the name suggests, sprouts are lentils that have been germinated till they 'sprout' a root. This germination process makes them easy to digest by breaking down the nutrients into simple forms. Sprouts are rich in fiber, vitamin, minerals and proteins. They can be eaten raw or cooked depending on your preference.
6 Healthy Indian Foods You Should Start Eating Today!

My sister , she is going for a holiday trip and she have her periods date in that duration. She want to stop her period for that time. She want to delay her date of periods. So what medicine she will take for this?

BHMS
Homeopath
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My sister  , she is going for a holiday trip and she have her periods date in that duration. She want to stop her per...
Hello, you are required to start taking the tablet at least three days before your period is due and to continue taking it for the duration that you would like to delay your period. Take tablet it is recommended that norethisterone 5 mg tablets should be taken to delay your period for a maximum of 17 days. It is perfectly safe to delay your period for this amount of time. After you stop taking the tablets, your period is likely to start after two or three days, however the time scale may be different for every individual. This dose of norethisterone is not recommended for prolonged use, as it can cause side-effects and affect your hormone balance.

Mam we are trying g to conceive a baby for the last 3 years my wife has thyroid she has conceived only 1 time it was for 1 month then she cud not conceive my semen analysis has been done need suggestion n help .my total sperm count is 42 million/ml.

DGO, MBBS
Gynaecologist
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Mam we are trying g to conceive a baby for the last 3 years my wife has thyroid she has conceived only 1 time it was ...
Need to get a day 2 USG for any pelvic pathologyand look for antral follicle count.That gives an idea about ovarian reserve . need a hsg to know about tubes. then plan accordingly.

She had her menses on 30 march and On 8 April. I wiped the pre cum at the tip of my penis and inserted my penis in her Vagina for about 10 seconds and pulled Out but did not ejaculate in her. What are the chances of pregnancy and will she be ovulating or conceive looking at the dates.

MD - Obstetrtics & Gynaecology
Gynaecologist
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She had her menses on 30 march and
On 8 April. I wiped the pre cum at the tip of my penis and inserted my penis in he...
Yes she can get pregnant with this act as preejaculatory secretions can contain sperms ard they r released without your knowledge. So it is better to give her ipill asap even if the chance of getting pregnant with this act is low.

What are the do's and do not's right after c section delivery especially in this summer season. What should be keep in mind to protect incision from infection. Also what diet is to be taken during this period?

MD - Obstetrics & Gynaecology -, MBBS
Gynaecologist
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What are the do's and do not's right after c section delivery especially in this summer season. What should be keep i...
Maintain hygiene, take a bath daily. Do not lift heavy weights Eat protein rich foods lik eggs, milk, dals, paneet. Drink 3-4 litres of water

She had an emergency pill on 3rd of Oct and bleed a lot on the 8th of oct she was due for her periods on 22nd oct but till date she is not down but suffering from pain in legs and back also she has poly cystic ovaries what can we do?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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She needs to repeat a urine pregnancy test. If negative then she can take Deviry tablets 10mg thrice daily to initiate a period.

Msc- food and nutrition
Dietitian/Nutritionist
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Cabbage is one veggie that is known to burn body fat effectively.

Make sure that you eat a bowl of raw cabbage everyday before your lunch to burn fat.

Hi am 2 months pregnant. This is my 1st pregnancy. I get vomit rarely. I feel so tired and sleepy always sometimes my stomach aches a lot why is that? And kindly suggest me the foods I should eat and foods I've to avoid.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist
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Hi am 2 months pregnant. This is my 1st pregnancy. I get vomit rarely. I feel so tired and sleepy always sometimes my...
2nd month pregnancy is crucial time there is need for healthy and nutritious diet. Like folic acid, iron, calcium and protein required at that time. Avoid meat spreads, soft cheese, unpasteurized milk, alcohol, raw eggs.

One lady of my relation aged 30 year old is suffering from fibroid in uterus, what is the best solution for this?

MD - Obstetrtics & Gynaecology
Gynaecologist
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It depends on size, location,the problem they are causing .If they are small not giving any trouble then better leave it

Hi doctor, I underwent my iui on 9th of march and today is my 13th day after iui. I got few drops of blood when I urinated. Is that normal or does it says that my iui didn't work. Please advise. Thanks

Vaidya Visharad
Ayurveda
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Dear, Obesity in ayurveda is known as Medorog and is defined excessive body fat accumulation in body. Medo roga specially found predominantly pitta body type constitution. The disturbed ?Pitta-the digestive fire? is disturbed leading to improper digestion and assimilation of fats. Being overweight can put you at risk for hypertension, diabetes, arthritis, back pain, coronary heart disease, and sleep problems. We have specialised medicine prepared for weight loss . No Exercise , No Dieting, No side Effect ,Kindly Attach your cholestrol and thyroid report. For better result and shape body use our medicine and see result within 15 days for order with your test reports details. Visit us at www.Malhotraayurveda.Com

I am 18 years old female. During sexual intercourse I found that some jelly like substance present in vagina which opposes the entry of penis. What is the treatment for this condition or it's going to be permanent?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Nothing to worry,it is hymen that prevents sexual intercourse.Hymen is a thin jelly like membrane that surrounds the opening to the vagina. Hymens can come in different shapes. The most common hymen in young girls is shaped like a half moon. This shape allows menstrual blood to flow out of a girl’s vagina.For Penis to penetrate into vagina,hymen will have to rupture causing pain to the female.It happens to every virgin female .It is a natural act.So no need to worry.

My period cycle starts on around 9th of each month and lasts for 4-7 days normally. I had viral fever and throat pain last month and I had to take many medicines (paracetamol, ibuprofen, zifi 200 and amoxicillin) for recovery. As a result when my period started on 9th April, it kept on going till end of April. I had no spotting on alternate days in month end and I thought that everything is fine but now I have full flow again. It seems that next cycle has preponed. I am in UK and I visited the health centre and doctor performed finger test, pregnancy test and smear test. All seems fine so far but don't know why cycle being irregular. Also, I noticed some dark color stool few times. I have blood test and ultrasound appointment on 10th and 28th May respectively. Could you please tell me what all these symptoms tend to? I am afraid that this much blood loss which is running for more than 20 days can make me much much weak. Please advice on dietary habit as well. Also, please suggest on exercise routine. I am a yoga lady but this time I started gymming on month end which I had to stop once I had full flow again. Should I not go to gym during periods. I just do running and light exercises. No weight lifting or heavy stuff.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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My period cycle starts on around 9th of each month and lasts for 4-7 days normally. I had viral fever and throat pain...
Menses are not meant to be very regular. But what you have suffered, I e bleeding for almost 20 days is abnormal. The infection has nothing to do with it. But may be coincidentally you had a weak lining of the uterus which was shed over days and hence the bleeding for 20 days. Ideally no menses should alst for more than 5-7 days. And one must visit a gynecologist to get checked. In patients who have excess bleeding, in india at elast the doctor would have prescribed some medicines to stop bleeding and then put you on hormones if required. The blood loss is making you weak. But why did you allow it to go on for 20 days? surely you could have seeked help before that. Also in nhs scheme they take a long time to do things, I presume. In india by now your doctor would have already done the blood tests, hormone tests, sonography etc. But nevertheless, do these tests and let's hope the results are ok you can continue the gym and yoga is it does not tire you. Do cardiovascular and toning exercises on alternate days. Take a weekly off from gym. Meet a dietician and chart out a diet to account for your exercise related energy spend in the gym.
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