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Dr. Aditya

Gynaecologist, gandhinagar

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Dr. Aditya Gynaecologist, gandhinagar
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Polycystic Ovarian Syndrome.

PCOS

Polycystic ovary syndrome (PCOS), also called hyperandrogenic anovulation (HA), or Stein?Leventhal syndrome, is one of the most common endocrinedisorders among women. PCOS has a diverse range of causes that are not entirely understood, but there is evidence that it is largely a genetic disease.

PCOS produces symptoms in approximately 5% to 10% of women of reproductive age (approximately 12 to 45 years old). It is thought to be one of the leading causes offemale subfertility and the most frequent endocrine problem in women of reproductive age. Finding that the ovaries appear polycystic on ultrasound is common, but it is not an absolute requirement in all definitions of the disorder.

The most common immediate symptoms are anovulation, excess androgenic hormones, and insulin resistance. Anovulation results in irregular menstruation,amenorrhea, and ovulation-related infertility. Hormone imbalance generally causes acne and hirsutism. Insulin resistance is associated with obesity, type 2 diabetes, andhigh cholesterol levels.The symptoms and severity of the syndrome vary greatly among those affected.

CAUSES:

PCOS is a heterogeneous disorder of uncertain cause.

The severity of PCOS symptoms appears to be largely determined by factors such as obesity.

PCOS has some aspects of a metabolic disorder, since its symptoms are partly reversible. Even though considered as a gynecological problem, PCOS consists of 28 clinical symptoms.

Even though the name suggests that the ovaries are the cornerstone of disease pathology, cysts are a symptom instead of the cause of the disease. Some symptoms of PCOS will persist even if both ovaries are removed; the disease can appear even if cysts are absent. Since its first description by Stein and Leventhal in 1935, the criteria of diagnosis, symptoms, and causative factors are subject to debate. Gynecologists often see it as a gynecological problem, with the ovaries being the primary organ affected. However, recent insights show a multisystem disorder, with the primary problem lying in hormonal regulation in the hypothalamus, with the involvement of many organs. The name PCOD is used when there is ultrasonographic evidence. The term PCOS is used since there is a wide spectrum of symptoms possible, and cysts in the ovaries are seen only in 15% of people.

PCOS may be related to or exacerbated by exposures during the prenatal period, epigenetic factors, environmental impacts (especially industrial endocrine disruptors such as bisphenol A and certain drugs) and the increasing rates of obesity.

Not everyone with PCOS has polycystic ovaries (PCO), nor does everyone with ovarian cysts have PCOS; although a pelvic ultrasound is a major diagnostic tool, it is not the only one.

DIET AND MANAGEMENT:

The primary treatments for PCOS include: lifestyle changes, medications and surgery.

Goals of treatment may be considered under four categories:

Lowering of insulin resistance levels
Restoration of fertility
Treatment of hirsutism or acne
Restoration of regular menstruation, and prevention of endometrial hyperplasia and endometrial cancer
General interventions that help to reduce weight or insulin resistance can be beneficial for all these aims, because they address what is believed to be the underlying cause.

As PCOS appears to cause significant emotional distress.

LIFESTYLE CHANGES:

If you are overweight, weightloss may be all the treatment you need. A small amount of weight loss is likely to help balance your hormones and start up your menstrual cycle and ovulation.
Eat a balanced diet that includes lots of fruits, vegetables, whole grains, and low-fat dairy products.
Get regular exercise to help you control or lose weight and feel better.
If you smoke, consider quitting.
Modern science has no remedy for PCOS. They have been looking at Alternative therapies for treatment. The chinese system of medicine believe PCOS is coneected to the liver. Ayurveda believes that PCOS is a Kapha disease.

Homeopathy/Biochemistry is a complete system that can treat this system and help the woman realise her dream. Your homeopath/Biochemist will take a complete casetaking and will arrive at the right remedy after going through your symptoms. Some of the important remedies in PCOS are:

Apis mellifica, Aurum iodatum, Calcarea carbonica, Colocynthis, Kali bromicum, Phosphorus, Thuja occidentalis.


4 people found this helpful

I am 21 year old girl, my boobs are large in size ,it bothers me so much ,how can I reduce their size.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 21 year old girl, my boobs are large in size ,it bothers me so much ,how can I reduce their size.
Hello, The only best option is surgical but at this age its not advisable once you have not even started your family.
1 person found this helpful
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Maine period ke ek din sex kiya aor period khtm hone ke agle din kiya kya main pregnant ho jaongi. please confirm me

MD - Alternate Medicine, BHMS
Homeopath, Surat
Maine period ke ek din sex kiya aor period khtm hone ke agle din kiya kya main pregnant ho jaongi. please confirm me
No no...keeping relation in such period will not lead to pregnancy. keeping relation from12th to 17th day of 1st day of menses will lead to pregnancy.
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What are all the natural ways to cure PCOS in women? How long it will take to get cured?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
What are all the natural ways to cure PCOS in women? How long it will take to get cured?
Hello- PCOD is caused by improper food intake and improper routine specially done in the time of menses. 1.Eat a healthy Indian diet, avoid fast food and junk diet. 2.Maintain a proper sleep schedule. 3.Use Shatavari powder with milk daily in the morning. Shatavari is the best known Indian herb for females which cures hormonal disturbances. 4.Practice some yoga exercises in the morning. (esp. Paschimottanasana and bhujangasana will benefit you)
5 people found this helpful
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Sexual Problem having white colour ejaculation takes place from the vagina continuously leads to lower back pain and weakness.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
It must be a vaginal infection, can be transmitted from your partner as well. Use clingen v vaginal pessary for 6 nights, avoid sex then. May need couple therapy if problem continues.
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Is there any particular part in vagina to touch and satisfy from penis? Because my partner telling that my penis is not touching that particular part inside vagina.

PhD SEXUAL MEDICINE, DGO, MBBS
Sexologist, Ahmedabad
Is there any particular part in vagina to touch and satisfy from penis? Because my partner telling that my penis is n...
Some woman enjoy g spot touch. Usually if you do regular intercourse, then she should feel good. You can improve foreplay by touching or kissing her clitoris and fingering vagina. Enjoy foreplay and after play and she will feel good.
16 people found this helpful
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I'm unmarried 24 years women. My concern is my low blood flow during periods. I am in relationship from past 6 months. We never had sex actually. We masturbate but we have taken all the care of not inserting his sperms in my vagina. We have oral sex. Kiss each other. We meet every alternate days and kiss each other and have oral sex (both) My blood flow was for 4days and now its almost 3 days. It is keep on reducing. But my periods are regular every month (after 24 days every month. I never had any health issues no headache. I used to get fever or cold after every 6-7 months before. But now I don? T have any problem. Now I don? T get cold, no fever, no other health issue. My hemoglobin level is also 13 (checked past 7 months) I eat everything regularly and all healthy. We chat over phone for hours at night. But still I get full 8 hrs deep without disturbance sleep. I don? T have any problem now bt still my blood flow is less. It has reduced to 3 days. And now I need to increase my flow. Please advise. Is this a problem to concern? I am worried now.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm unmarried 24 years women. My concern is my low blood flow during periods. I am in relationship from past 6 months...
Your Menses are absolutely normal. Menstrual bleeding lasting for 2-7 days is considered as normal. If ur bleeding has reduced from 4 days to 3 days, it is not abnormal. And nothing wrong in having oral sex or whatever activity u do. If u happen to have vaginal sex, make sure u take i-pill immediately to prevent pregnancy
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He had sex with his gf By while inserting his organ to her vagina It is not entering in it is so tight And she is getting pain What should he do.

BHMS, DEMS
Homeopath, Pune
He had sex with his gf By while inserting his organ to her vagina It is not entering in it is so tight And she is get...
Its because of may be she is virgin. And she is suffering vaginismus. Take homeopathic treatment to cure vaginismus. Women with vaginismus can do exercises, in the privacy of their own home, to learn to control and relax the muscles around the vagina. First, do kegel exercises by squeezing the same muscles you use to stop the flow of urine when urinating: squeeze the muscles. Hold for 2 seconds. Relax the muscles. Do about 20 kegels at a time. You can do them as many times a day as you want to. Sexual practices with your spouse or current romantic partner, enjoy foreplay, which helps with relaxation and lubrication. For more details click on consult option.
5 people found this helpful
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Hello sir/madam My friend is suffering from vaginal itching since many days. How to get rid of it.

B.H.M.S
Homeopath, Patna
1 kreosotum 1m one drop only in a cup of water once in a week. 3 wash with calendula. Report after 5 days. For further advise.
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She has uterus cancer is surgery a better option for her? What will be the consequences?

MD - General Medicine, D.M. Medical oncology
Oncologist, Mumbai
She has uterus cancer is surgery a better option for her? What will be the consequences?
Dear lybrate-user Uterus Cancer management involves three modalities: surgery,chemotherapy and radiation therapy. Depending on the clinical stage of the patient [ which is determined on CT scan ],condition of the patient, further therapy is planned. If disease is localised [ which your doctor will decide based on imaging tests],surgery is the best treatment possible in this disease. After surgery, depending on the pathological stage, further therapy is planned i.e whether further radiation and chemotherapy is required or not.In the unfortunate circumstance of the disease being advanced [ metastatic ] ,then only chemotherapy is advised and surgery or radiation may be given depending on her symptoms. SO THE BEST OPTION IN HER CASE ENTIRELY DEPENDS ON THE CLINICAL STAGE OF THE DISEASE. The consequences of surgery if she undergoes surgery to an extent depends on whether the ovaries are also removed or not. She will have minimal risk of post operative complications and premature menopause [ if ovaries are also removed]
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I always get my periods on time every month, but this month I did not have it yet. Its past my date. Is it just late or is there some other problem?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I always get my periods on time every month, but this month I did not have it yet. Its past my date. Is it just late ...
Sometimes it happens due to stress /hormonal problems/medicines if you dont had any sexual contact in last 15 dayss.
1 person found this helpful
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Hi sir my wife's watery discharge from right side breast.We are already checked by mammography there are normal .And consult 2 doctors last 1year M.D. Gynocologistl. But no change.

MD - General Medicine
Sexologist, Nashik
Thyroid function and serum prolactin test to be done dont consult gynac try to consult endocrinologist.
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After intercourse all male sperm come out from vagina is it normal or something wrong in order to get pregnancy.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
After intercourse all male sperm come out from vagina is it normal or something wrong in order to get pregnancy.
if sperm discharge inside vagina during ovulation period of female it cause to get pregnancy in female.
3 people found this helpful
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I am 30 years old and I have a small baby (1.5 year old). My problem was that serious pain in my total body like bone pain and feeling very weak. I am also a job holder, what should I do for that please suggest me.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
I am 30 years old and I have a small baby (1.5 year old). My problem was that serious pain in my total body like bone...
Hello, hope you are doing good, it must be a vitamin d deficiency, please do a vitamin deficiency test. Mean time, I would suggest take calcium supplements along with megnicium and vitamin d formula. Let me know if I can help you for that. 2. If you are a non-veg, pls drink paya soup. Which keeps your bones strong. 3. Pls dont live in ac environment for long hours, if your job is like that, I suggest, take out 5 mins time for every 2hours come our and drink some water. 4. If possible add protein, vitamins supplements to your diet. Have a healthy life.
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Namaste G, sir I want to know that if wife have infection of genital warts or genital herpes and husband is not infected they have intercourse in between them and both of them have no sexual relationship outside, they are HIV negative as well as of now, can they become HIV positive in future in this condition please tell me.

MBBS, DDV, FCPS, APEX, Diplomat American Board of Sexology
HIV Specialist, Mumbai
Namaste G, sir I want to know that if wife have infection of genital warts or genital herpes and husband is not infec...
HIV has no connection with warts and Herpes. They are all independent infections. So answer is you do not get HIV infection from Warts and Herpes infected wife. But you can get warts and Herpes. Pl take private consult.
1 person found this helpful
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My monthly cycle is happening 2 times in a month. Is it ok. I take drugs as well.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My monthly cycle is happening 2 times in a month. Is it ok. I take drugs as well.
Hello, Please mention the drugs that you are on. Its not normal to have menses in 15 days this indicates progesterone deficiency.
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I am on sevista 60 mg for last 3 months, for DUB. No bleeding, no spotting. But since yday, I have been having severe cramps and slight brownish discharge. Is this normal when on sevista?

I am on sevista 60 mg for last 3 months, for DUB. No bleeding, no spotting. But since yday, I have been having severe...
आपकी यह मासिक धर्म बन्द होने के पूर्व लक्षण है धैर्य र खो 6 मा ह के उपरात सब ठीक हो जाएगा
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I am 7 week pregnant. Please suggest me vegetarian diet for whole day. For healthy pregnancy.

FIMS, DGO, MBBS
Gynaecologist, Gurgaon
I am 7 week pregnant. Please suggest me vegetarian diet for whole day. For healthy pregnancy.
Green leafy vegetables milk &milk products coconut water fuits except papaya & pineapple avoid bananas if having constipation.
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