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Dr. Aparna

Gynaecologist, Hyderabad

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Dr. Aparna Gynaecologist, Hyderabad
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Aparna
Dr. Aparna is one of the best Gynaecologists in Pavanpuri Colony, Hyderabad. Doctor is currently practising at Krishna Sai Multispecality Hospital in Pavanpuri Colony, Hyderabad. Book an appointment online with Dr. Aparna on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. Find the best Gynaecologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#63, Kharman Ghat, Opp.Andhra Bank, Champapet, HyderabadHyderabad Get Directions
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I am not pregnant so which reasons still I do not get periods? Its monopose or what? I am so worried about this.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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I am not pregnant so which reasons still I do not get periods? Its monopose or what? I am so worried about this.
Hello, The delay can be due to stress induced hormonal imbalances during this cycle if pregnancy has been ruled out. Menopause is not seen early.

Hello Doc! So there are a lot of problems that I am facing at the moment. I’ll move ahead step by step. 1.Delayed period- I am 8 days late on my period, though I am not sexually active. 2.On and off anxiety and pain in different parts of body, eg: wrist, thighs knees and sometimes swelling in hands & feet. 3.Puffiness under eyes & face. 4.I feel tired and lethargic many times even if I have taken proper rest. My Background: I have a desk job, I do not exercise regularly. 10-15 minutes of walk is all that I do. I have normal diet, but I eat out 2-3 days every week. I sleep late at night & sometimes I have to force myself to sleep at night. I have been suggested that I may have high thyroid, for which I got my complete blood and urine test done. I am attaching my reports. Please take a look & suggest what is causing all this? Is it anything serious? Do I need to take medications or just a healthy life style could mend it. Please give me a detailed answer. Thyroid report: TT3: 1.53 TT4: 7.94 TSH: 18.65 Lipid Profile: Non HDL Cholesterol 145.3 Cholesterol/HDL Ratio 7.6 0.0 - 4.0 Calculated LDL / HDL Cholesterol Ratio 5.2 Cholesterol/HDL Ratio 7.6 0.0 - 4.0 Calculated LDL / HDL Cholesterol Ratio 5.2 Cholesterol - Total 167.2.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath
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Hello Doc! So there are a lot of problems that I am facing at the moment. I’ll move ahead step by step. 1.Delayed per...
assuming point no 1 is having top priority. Medicine German reckeweg natrum mur 1M, single dose (4-5 drops in mouth) morning. sbl mag phos 6x/ 6 tabs 3 times a day. buy medicine from good homoeopathic shop. food mixed fruit juice daily evening. please continue treatment.

I had a unsafe sex with my bf on 14th june, I eat unwanted 72 after 1 hour of sex, my monthly periods date is 12th of every month, after 4 days of sex little amount of bleeding like 4-5 drops now 24 th july, my periods is stopped, this is my first time sex so pls help me waht to do.

MBBS
General Physician
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I had a unsafe sex with my bf on 14th june, I eat unwanted 72 after 1 hour of sex, my monthly periods date is 12th of...
Test your urine for pregnancy test and if negative then you will have to take some hormonal meficines to get withdrawal bleeding.

Hello. I skip my one period .I had devry 10 mg to get my periods. It's has been 5 days since I had 5 days tablet devry 10 I didnt had my periods.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hello. I skip my one period .I had devry 10 mg to get my periods. It's has been 5 days since I had 5 days tablet devr...
Hello, After finishing 5 days of deviry, you have to wait for next 5-7 days for your withdrawal bleed to start.

My grandson[Aged 14 months] recently had fever and got two seizures duration of 2 to five minutes with a span of 24 hrs .He was admitted to the ICU and is now discharged after staying for 24 hrs .Understand he had a throat infection and was on antibiotics. Now let me know if he is prone to seizures or it was one off and is common

Diploma in Paediatrics, MBBS
Sexologist
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Febrile seizures are common tii 5 yrs age. Avoid high fever more than 100 degree by sponging.Do take care.

Contraception

DGO
Gynaecologist
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With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.

Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.

Types of contraceptives:

Hormonal (2-3%)
Intrauterine (5%)
Barrier (10-15%)
Chemical (15-20%)
Physiologic
Sterilization (4%)
* percentages mentioned within brackets are failure rates

Hormonal contraception

It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.

Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts

Classification

Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Benefits:

Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.

Intrauterine contraception

It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Types:

Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Side effects:

Increased blood loss and duration of menses, increased dysmenorrhea

Complications:

Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.

Indicated for: multiparous women greater than 35 years who smoke.

Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.

Barrier methods

It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.

Types:

Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
Chemical contraception

It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
Physiologic contraception

It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.

Sterilization

This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.

Types:

Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.

Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).

A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.
Contraception

I am 25 female. In the month of january I gave birth to a baby girl. And she is three months now. I was in physical contact with my husband. From two to three weeks on wards im getting few time spotting nausea headache weakness cramping and pain in my lower abdomen during in contact with my husband. Is this happens after delivery or is it signs of another pregnancy?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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I am 25 female. In the month of january I gave birth to a baby girl. And she is three months now. I was in physical c...
Yes it can be due to pregnancy, women do have babies with a gap of 9 months! even if you are feeding the baby, it is not a protection against pregnancy, get a pregnancy test done, if positive, if feeding the baby -do not take mtp pills as they are secreted through milk.

I stopped breast feeding two days ago and my breast is now paining me so much. What should i do?

MBBS
General Physician
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I stopped breast feeding two days ago and my breast is now paining me so much. What should i do?
I will suggest you to remove the milk by pressing and For pain take tablet paracetamol 650 mg and follow up with finding tomorrow.

My breast is pain and discharge milk what I should do.?

BHMS
Homeopath
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It may be due to serum prolactin level increasing. Do consult any gynecologist or you may go for lab report of serum prolactin level.

Doctor prescribed me tab medical250 for two months as I m not conceiving and have multiple follicles in the ovary.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Doctor prescribed me tab medical250 for two months as I m not conceiving and have multiple follicles in the ovary.
Hello, it is not understood as to why your doctor just prescribed you medical 250 for pcos, I don't think this is the correct approach for dealing with pcos. Please follow up with all details and reports for further detailed advise on primary infertility. Regards.

All About Freezing and Storing Eggs

MD
IVF Specialist
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Childbirth comes within an age bracket. Women feel this more so than men. Career demands or other personal choices can delay the time to get pregnant. Thus, freezing your eggs can prove to be beneficial, if you delay childbirth to focus on your career or education, or if you have certain medical conditions such as cancer.

  1. Egg Retrieval: Before the eggs are harvested, there is a lot you have to do. The first month is spent taking blood tests and ultrasounds. In the second month, you will have to take medicines before your procedure for egg retrieval. Ultrasounds and blood tests are also conducted at this stage to monitor the growth of the eggs. Around the time of your ovulation, the eggs will be harvested. You will be lightly sedated during the procedure. After the procedure, you might feel bloated and experience cramping. At least 15 eggs are retrieved for optimum chances. The medicines prescribed are all hormone injections which you can self-administer.
  2. Freezing and Storage: The largest human cell is the egg. It is comprised mainly of water. When the eggs are frozen, crystals can form which can destroy it. So an anti-freeze replaces the water after the eggs are dehydrated. This prevents crystal formation. Eggs are frozen using vitrification. In this process, the eggs are either slowly or flash frozen. Eggs can be frozen for as long as 10 years. This does not hamper the quality.
  3. Risks: There is no guarantee that freezing eggs will lead to having a baby. Sometimes, eggs do not survive the freezing or the thaw.
  4. Advantages: For women who are suffering from cancer, freezing their eggs might be the best option. They might want to preserve their fertility before their cancer treatment starts. This is useful since radiation and chemotherapy can harm your chances of getting pregnant.

The obvious advantage of freezing your eggs would be the fact that it gives you time. It lets you decide and keeps you one step ahead of your biological clock.

All About Freezing and Storing Eggs

I am 22 years old and I am suffering from not come to the periods in two months please solve the problem I am un married.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 22 years old and I am suffering from not come to the periods in two months please solve the problem I am un marr...
Hi try boiled sesame seed mix with sugar and coconut. Drink pineapple juice, dry grapes, etc. Want to know more details about your problem. Thank you thank you.

I had an operation to remove subserosa fibroid in January 2016, how long can it take for fibroid to come back if I do not get pregnant, and will I be able to get a normal delivery?

MD - Alternate Medicine, BHMS
Homeopath
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I had an operation to remove subserosa fibroid in January 2016, how long can it take for fibroid to come back if I do...
There is no fixed time for the fibroid to come back. It may or may not come back. You can get pregnant with or without the fibroid. And if the conditions are good. You have had a normal pregnancy, you can also have a normal delivery. Everything depends on your mental circumstances. Don't take more stress about fibroid and any other things in your life than necessary.

I am 17 years old. My weight is 80kg. I am not having my periods regularly. And i need to cut down my belly. Which medicine will be effective?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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First of you have to go for USG (sonography),to rule out pcod. Once that picture is clear I can help you out

I am 4months pregnant and i am struggling with vomitings and sleepiness and i am not feeling like eating anything please suggest me something which can help me through this.

MS - Obstetrics and Gynaecology
Gynaecologist
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I am 4months pregnant and i am struggling with vomitings and sleepiness and i am not feeling like eating anything ple...
Hi usually pregnancy related vomiting is very uncommon at this time of gestation, if happens __ 1- go for prenatal examination, if already not doing so 2- get your blood test done especially liver function tests 3- eat small, frequent meals as empty stomach can increase nausea 4- take vitamin b6 twice daily 5- stop taking iron tables as it causes gastritis so increases vomiting. You can start again once problem settle. 6- avoid rich, spicy & fried foods 7- drink plenty of fluids eg lemon water. Green tea, fresh juice & lassi but no to aerated drinks 8- keep bland snacks handy e. G. Biscuits and eat throughout the day. Lastly take proper physical & mental rest. Always remember all this happen because of your baby. This will give you strong will power to fight it back.

Benefits of Grapefruit (Chakotara/ Jambura)

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist
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Benefits of Grapefruit (Chakotara/ Jambura)
Benefits of Grapefruit (Chakotara/ Jambura)

Mind-Body Dualism and Health

B.A.(H)Psychology, M.A.Psychology, Ph. D - Psychology
Psychologist
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So you love your job and don't mind working after hours, every once in a while. Are you plagued by hypertension, stomach disorder and sleeplessness often? It's probably about time that you started paying more attention to the dual functioning of your mind-body. Stressing on one, while neglecting the other will only bear dire consequences in the near future. This will render your body weak and your mind restless.

The regulation of the mind-body dualism is the most integral aspect of your being. Your mind has the potential of affecting your health in more ways than one. Having a better outlook towards life helps deal with health issues such as depression, headache, pain and stress. The dual functioning of mind-body is bound to have greater implications on your health and one needs to be well aware of that facet:

Your mind reflects what your health has to say
The brain creates gamma globulin and endorphins, which toughen your immunity and serve as natural painkillers, respectively. The production of these substances depends significantly on how you're feeling at the moment. Having a positive outlook even when you're down with fever, pain or stress enables your body to create better regulatory hormones which accelerate healing.
On the other hand, if you're being too hard on yourself as a result of work overload, emotional crisis or any personal mishap, and adopt a negative perspective towards most things, your body will know and slow down its mechanism for creating endorphins and gamma globulin. This means you'll take longer to regain normalcy.

What you are doing to your body affects how your brain works
On the flip side, if your body is under extreme pressure to perform and as a result, you're missing out on your regular, healthy regime, your mind is guaranteed to function differently. Eating differently, losing sleep, exercising less, and burn-outs will affect your mental well-being, negatively.
The fight-or-flight reaction and blood pressure levels are considerably influenced by how you're feeling and how you are dealing with things in life. As a result, you might feel depressed, moody, restless or sick.

Therapies that improve your mind-body functioning
Practicing therapy and exercise, improves the dual functioning of your mind-body and is, therefore, indispensable for keeping well. The National Center for Complementary and Integrative Health (NCCIH) has suggested, some integrative measures that are sure to have a positive impact on your overall well-being:
1. Meditation
2. Cognitive & behavioral management
3. Yoga and relaxation
4. Proper diet and regular physical exercise
5. Active involvement in music, art or dance
6. Avoiding a sedentary lifestyle
Despite everything else, if you're still willing to work beyond your deadline, at least don't forget to eat the salad that you had packed for lunch!
Mind-Body Dualism and Health

My sister has 24weeks old to 2nd pregnancy and 28years old too: In ANP (antenatal profile) report, white blood cells count 11500 (but range 4000 to 10000 shows). Is there any effects please tell me and remedy too.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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My sister has 24weeks old to 2nd pregnancy and 28years old too:
In ANP (antenatal profile) report, white blood cells ...
Hello, the range is 4000 -11000, so 11500 is fairly normal and if she is not suffering from any infection and is asymptomatic, no treatment is required.

Allergic Rhinitis

MS - ENT, MBBS
Ear-Nose-Throat (ENT) Specialist
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Allergic rhinitis i. E allergy of nose is a troublesome condition. The best treatment is prevention.
# protect your self from dust
# cover your face in dusty areas and while driving
# stay away from dusts
# protect yourself from change in temperature
Allergic Rhinitis
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