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Dr. Asvma Sultana

Gynaecologist, Hyderabad

100 at clinic
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Dr. Asvma Sultana Gynaecologist, Hyderabad
100 at clinic
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Personal Statement

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. Asvma Sultana
Dr. Asvma Sultana is an experienced Gynaecologist in Toli Chowki, Hyderabad. She is currently practising at Nawaz health care centre in Toli Chowki, Hyderabad. Book an appointment online with Dr. Asvma Sultana on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 32 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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English

Location

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Nawaz health care centre

Shockable naseera complex, Toli chowki main road, Toli Chowki,Landmark: Beside Mohammed cap mart, HyderabadHyderabad Get Directions
100 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hi I had thyroid problem during pregnancy .but now it s Normal. (Post pregnancy it s almost 1 and half month) .so I need to take thyroid test after 3 month. So how can I control the thyroid through home remedies. What are the essential food for thyroid problem. Kindly reply on the same. Thanks in advance.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I had thyroid problem during pregnancy .but now it s Normal. (Post pregnancy it s almost 1 and half month) .so I n...
lybrate-user, Thanks for the query. After delivery in many cases Thyroid function does return to normal, which can be identifies by checking TSH level. (<4.5 mU/L). In that case there is no need to continue the medication. However, in many cases clinical hypothyroidism may persist, in such cases dosage of Thyroxine has to be lowered by 12.5 to 25 mcg per day depending upon the TSH levels. There are no household remedies for treating hypothyroidism. For prevention only remedy is to use iodinated salt. Plus avoid soy beans and soy containing products. Consume more of green leafy vegetables, salads and fruits. Always use whole grain flour for roti and chapati. Never use maida, bakery items and pastries. If you have any doubts please do come back. Thanks.
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Respected sir. I completed 8 months from marriage everyday me and my wife met sex 2/3 times in a day. From last week itself only one time it's happening why is any problem . Please rectified the same.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
It could be due to exhaustion. Utility is always reduced if number of times we consume anything. Better is not to focus only in doing sex. But some time give to your body too. At lease give 1 hour in morning or evening in exercising or yoga. Keep healthy diet. Salads etc. Everything will go right.
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Hello doctor. I'm 5 weeks and 6 days pregnant now. I had a transvaginal scan at 5 weeks and 2 days. Doctor saw one sac only. So she asked me to come again for another scan at 6 weeks and 4 days. I have pcos also. The doctor has prescribed me Ecosprin 75 mg. My doubts are Is it safe to take this tablet now? And what for is the tablet? Also is it common that we see only one sac in the scan when im pregnant for 5 weeks and 2 days. Anxiously waiting for your response. Thanks in advance -Susan.

Fellowship in Reproductive Medicine, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
Hello doctor. I'm 5 weeks and 6 days pregnant now. I had a transvaginal scan at 5 weeks and 2 days. Doctor saw one sa...
You should trust your doctor and follow him/ her. Aspirin is safe in Pregnancy and prevents risk of miscarriages. In Singleton pregnancy you ll see only one gestational sac. In twin pregnancy you ll b able to see two sacs n so on. As scan is done too early, one need to repeat after 7-10 days to confirm viability.
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Doctor .If I do sex with a matured girl for 1 day night .only 1 day. If she get pregnancy r not?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Doctor .If I do sex with a matured girl for 1 day night .only 1 day. If she get pregnancy r not?
Dear user. If you eject your semen inside the matured girls vagina, there is a chance of pregnancy. Only if all other conditions are met. Take care.
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Actually I missed my periods in feb n did not get them in march so my doctor suggested regestrone my pregnancy test ws negative. So will I soon get my periods. Please answer sir. Im in quite tension.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Actually I missed my periods in feb n did not get them in march so my doctor suggested regestrone my pregnancy test w...
As you r overweight, menses can be delayed by hormonal changes. If you r married and expecting pregnancy you should keep having pregnancy test doen every week till you get menses. You can wait till 3 months to get menses before you take regesterone to get menses. If you r pregnant, you will never get menses with regesterone and if you r not pregnant then definitely you will get menses within 7 days of stopping regesterone.
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Everything You Need To Know About PCOD

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Everything You Need To Know About PCOD

Everything you need to know about Polycystic Ovarian Disorder (PCOD)PCOD affects almost 17 percent of Indian women.

PCOD in India

This hormonal imbalance affects many women in India. A pan India survey was recently conducted by the Metropolis Healthcare Ltd, on 27,411 samples of testosterone over a period of 18 months. Out of these 27,411 samples, around 4,824, (17.60 percent) of the females faced hormonal risks including polycystic ovarian syndrome.

What is Polycystic Ovary Disease (PCOD)?

Polycystic Ovary Disease (PCOD), is a condition where a woman develops enlarged ovaries and small follicular cysts that are of the diameter 0.5-1.0 cm. This leads to a collection of eggs in the ovary that cannot be discharged from the body. “A woman with PCOD will also have symptoms that reflect imbalances in reproductive and other hormones. Here, the ovaries make more androgens (male hormones) than normal. High levels of these hormones affect the development and release of eggs during ovulation."

pcosss_1441095494.jpg The following symptoms of PCOD, which large affects women of all age groups and may vary:

  • In adolescent women, PCOD symptoms include infrequent, absent, and/or irregular menstrual periods and hairfall.
  • In reproductive age group, women face fertility issues, requiring assistance in form of fertility treatments. In fact, PCOS is the most common cause of female infertility.
  • Hirsutism— increased hair growth on the face, chest, stomach, back, thumbs, or toes.
  • Cysts in the ovaries can also cause acne, oily skin, or dandruff.
  • It may also lead to weight gain or obesity, usually with extra weight around the waist and male-pattern baldness or thinning of hair.
  • One may also notice patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black skin tags — excess flaps of skin in the armpits or neck area.

"Changes in lifestyle, lack of exercise, dietary habits, exposure to environmental pollution, stress levels and loss of work life balance have become the primary causes of PCOD which can also lead to hypertension, diabetes mellitus, increased risk of uterine cancer and even cardiovascular diseases," she says.

Remedies for PCOD

Experts suggest that if symptoms are identified at an early age and brought under control, it can help reduce the chances of having complications like diabetes and heart disease. "However, the primary steps are eating right, exercising and not smoking.

#1 Lifestyle modification

"Many women with PCOD are overweight or obese, which can resultantly cause many health problems. The way to manage PCOD is by eating healthy and exercising to keep weight at a healthy level,". You can do the following:

  • Limiting processed foods and foods with added sugars
  • Add more whole-grain products, fruits, vegetables, and lean meats to your diet. "This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalise hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular," she says.

#2 Dietary changes

  • Avoid foods laden with too much sugar. Remember that the worst offenders are soft drinks, cookies, cakes, chocolate, sweets, and processed breakfast cereals.
  • Avoid foods containing unhealthy sugar compounds such as high-fructose corn syrup.
  • Increase the consumption of vegetables and include a minimum of five servings of vegetables daily.
  • Limit processed grain-based foods such as boxed breakfast cereals, white bread, and pasta and choose small amounts of whole grain alternatives.

breakfast-991821_1280.jpgYou must include whole grains in your daily diet to make up for the needed amount of protein

  • Fiber contributes to improved blood sugar control and healthy bowel function. Aim to eat 25-30 grams of fiber per day.
  • Protein helps balance your blood sugar and can help tame a sweet tooth. Include fresh fish, lean red meat, organic chicken, organic eggs, whole grains, and legumes in your diet, which are all good sources of protein.
  • The type of fat in your diet plays an important role in assisting with insulin reception at the cell level. Use cold-water fish, organic eggs, avocados, extra virgin olive oil, and raw nuts and seeds that are rich in essential fatty acids.
  • Ensure you eat regularly and choose healthy snacks mid-morning and mid-afternoon to balance your blood sugar levels between meals.
  • Also make sure you add fruit, nuts, seeds and natural yogurt- all make for healthy snacks.

#3 Birth control pills

You can also ask your gyneacologist if you can include birth control pills and if so, which one's suit you best. For women who don't want to get pregnant, birth control pills are extremely helpful. They do the following:

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

#4 Diabetes medications

"The medicine Metformin (Glucophage) is used to treat type 2 diabetes. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return,"

She adds that recent research has shown Metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. "Metformin will not cause a person to become diabetic,"

#5 Surgery

Ovarian drilling is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines.

#6 Medicine for increased hair growth or extra male hormones

"Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce PCOD. These medications should not be taken if you are trying to become pregnant," says. She lists a few other options:

  • Vaniqa cream to reduce facial hair
  • Laser hair removal or electrolysis to remove hair
  • Hormonal treatment to keep new hair from growing

She adds that some research has also shown that bariatric (weight loss) surgery may be effective in resolving PCOD in morbidly obese women (BMI of more than 40).

#7 Fertility medications

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

She lists the following treatment options:

  • Clomiphene (Clomid, Serophene): The first choice therapy to stimulate ovulation for most patients.
  • Metformin taken with clomiphene: This may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins: It is given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.

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

Most women have symptoms that are normally associated with menopause. "These include hot flushes, vaginal dryness, irritability, night sweats, or difficulty sleeping. Menstrual periods may be sporadic or stop completely. Some women may never begin having menstrual periods and may not go through the normal sequence of puberty,".

She adds that while PCOD does pose a problem with respect to fertility, it must be noted that it is not incurable.

6 people found this helpful

If I had done sex last night n in morning mensuration cycle start then, I shall take ipill or not to prevent pregnancy.

MS GYNE
IVF Specialist, Jaipur
If I had done sex last night n in morning mensuration cycle start then, I shall take ipill or not to prevent pregnancy.
Hi lybrate-user. No need to worry. I advice you to make chart of years period date. How many days cycle you have. Normally ovulation occur 14 days before next period date. Example years pd come on 21 apr. Next on 24 may. So years ovulation date is 24-14=10. Normally ovulation occur around 14 day. If cycle is regular of 28 days. 1 day of bleeding counted as 1 day. Day 1-9 day safe pd 10-18 day unsafe 19 -28 day safe day unsafe means time to get pregnant.
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I am 23. And I have been experiencing frequent urination after the unprotected sex. Is it sign of early pregnancy? or mere infection? I shall highly appreciate if you let me know. I am so anxious. There is burning and itching sensation while urinating.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 23. And I have been experiencing frequent urination after the unprotected sex. Is it sign of early pregnancy? or...
This is a sign of urinary tract infection, please get a urince culture test done and then you may need to be placed on antibiotics. Regards.
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I sruthi 26 years. I am married girl and have 2 girl child I have not menses last month. My doubt is pregnancy. Give some tips to avoid pregnancy.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
I sruthi 26 years. I am married girl and have 2 girl child I have not menses last month. My doubt is pregnancy. Give ...
If you are doubting pregnancy do a urine pregnancy test, if -ve after your periods adopt a regular contraceptive method to avoid Pregnancy, if +ve and you do not want Pregnancy go for termination ,and thenn adopt a contraceptive method.
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