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Dr. H Narmada

Gynaecologist, Hyderabad

Dr. H Narmada Gynaecologist, Hyderabad
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. H Narmada
Dr. H Narmada is one of the best Gynaecologists in Marredpally, Hyderabad. He is currently practising at Narmada Fertility Center in Marredpally, Hyderabad. Save your time and book an appointment online with Dr. H Narmada on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. You can find Gynaecologists online in Hyderabad 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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Narmada Fertility Center

Plot No 37, Opposite HP Gas Company Gowdown, Shanti Niketan Colony, Mahendra Hills, East Marredpally, HyderabadHyderabad Get Directions
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My last period cycle was on 16th Feb 2016. Currently it got extended till today. Checked with pregnancy strip. It shows a positive result. When will be the idle time to check up further.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My last period cycle was on 16th Feb 2016. Currently it got extended till today. Checked with pregnancy strip. It sho...
You should get ultrasound after 23 to 29 march to find out status of your baby. Repeating the test is of no use now as it is already positive.
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I'm diagnosed with PCOS, how can I get rid of the irregular periods and PCOS problems.

MBBS
General Physician, Cuttack
I'm diagnosed with PCOS, how can I get rid of the irregular periods and PCOS problems.
1.In PCOS (polycystic ovarian syndrome )many small cysts appear in ovary-causing hormonal imbalance.there is production of excess Testosterone.Omega 3 Fatty acid reducece excess Testosterone and can be used in the treatment 2.They secrete more androgen 3.The symptoms are weight gain,acne, decreased ovulation, irregular period, infertility, depression, extra facial and body hair, hair loss from scalp, insulin resistance causing Diabetes. 4.it is genetically inherited,runs in families 5.it can be diagnosed by pelvic laparoscopy/vaginal ultrasound. 6.Treatment-surgery/anti androgen therapy 7.consult gynecologist for advice and treatment
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As I mentioned that I am intersted for family planning either me or wife. Presently I am using condom. Our sex life is good and we are use sex twice or thrice in a week or depends on availability of time. We have two childs. One is 12 years old and second is 6 years. In future we have not any planning for child. Etc. So I wish to opts family planning. I am little confuse which one option will be best? is there any injection available for men.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Many options are available to both of you. But what is best for you can only be determined by a consultation.
1 person found this helpful
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Me and my wife had sex. But we don't want child now. We should sex twice in a week. But we don't want pregnancy. When should we have to sex. And which day is better to sex to avoid pregnancy.

MBBS, DGO, FCPS
Gynaecologist, Pune
If you don't want even an accidental pregnancy, use any Low Dose Oral Contraceptive Pill on regular basis. U can use these pills till you don't want pregnancy. Pills are the best mode of reliable contraception to delay 1st pregnancy. Intrauterine contraceptive devices like Copper-T or Multiload are the best for spacing between two pregnancies. Calender method is not reliable at all. Usually ovulation occurs on 14/15 day of menses in a female who has regular menses of 28-30 days, but it can occur anytime between 11-18 day. So better to avoid sex on these days. But, you can never be sure about ovulation. There have been many cases of erratic ovulation outside this fertile period and of accidental pregnancies.
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Vaginal Yeast Infection - Signs You are Suffering from it

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Vaginal Yeast Infection - Signs You are Suffering from it

A yeast infection in the vagina is characterized by itchiness, irritation in the vulva and vaginal discharge. Inflammation occurs in the tissues of the vagina, leading to constant itching. Though this is not a sexually transmitted infection, the fungus may spread via oral sex where the mouth and genitals come in contact.

The symptoms of vaginal yeast infection are:

1. You may experience a painful sensation during sexual intercourse

2. An itching sensation in the vaginal opening

3. A sore and painful vagina

4. Rashes may develop in the vagina

5. You may have a thick and whitish discharge from your vagina

Apart from this, the symptoms may turn severe under certain circumstances. The risk factors are:

1. If you are a diabetic, then you are at a high risk of contracting this infection

2. Pregnancy

3. If you are taking medications or have infections such as HIV then it may cause your immune system to malfunction. This increases your risk of vaginal yeast infections.

4. Multiple episodes of yeast infections (about 4 or more).

Causes behind it

The vaginal yeast infection is caused by a fungus known as candida. This fungus naturally exists in the vagina along with a bacterium called ‘lactobacillus’. This bacteria produces a substance that controls the over growth of the yeast. Yeast infection occurs when the balance is disturbed due to various factors such as:

1. If you are pregnant

2. Taking antibiotics may modify the pH balance of your vagina, leading to yeast infection

3. Any therapy or medication that increases estrogen levels in the body

4. If you have diabetes or an impaired immune system

Treatment

Medications such as ointments, tablets and creams are administered to get rid of the yeast infection. It is recommended to not use latex condoms as birth control measures; as the oily nature of the lotions and ointment can weaken the latex thus, increasing the risks of unplanned pregnancies.

There are certain preventive measures which you may adopt to prevent these infections, them being:

1. Do not wear tight fitting undergarments

2. The material of your clothes should preferably be cotton based

3. Do not use hot water for your bath

4. Don’t stay in your wet clothes for long hours

9 people found this helpful

Is using I pill once safe. What are its side effects? Which one is better I pill or unwanted 72?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Is using I pill once safe. What are its side effects? Which one is better I pill or unwanted 72?
both are sisters with similar side effects of overdose of hormones. emergency pills if taken once can lead to slight changes in cycle which may become erratic, irregular and scanty one should not develop habit of popping emergency pills to prevent unwanted pregnancy. take low dose hormonal oral tablets on daily basis if needed.
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I have been taking birth control (crisanta) to cure my cyst this is my 1st pack which is about get over in 2 days. I had sex today and my guy finished inside me. Is it okay to stop taking my pills in 2 days. I don't wanna risk pregnancy.

MBBS
General Physician, Cuttack
I have been taking birth control (crisanta) to cure my cyst this is my 1st pack which is about get over in 2 days. I ...
Chance of pregnancy is not there if you are taking oral contraceptive pills. However if the period is delayed for more than 10 days, do a pregnancy test and consult doctor for advice.
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Can I be pregnant if I do sex wearing panty and my fiance ejaculate far away not on my panty? Please advise.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
very remote possibility. but why do all these not so good things. do not try to get involved in premarital sex. today ur having with panties on , next time u may be tempted to have un protected sex and both of u may be trouble. do not repeat it
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My wife is pregnant of two months she is with morning sickness, vomiting, pain abdomen, do not feel eating food.

DNB (Diplomate of National Board of Examinations ), DGO (Diploma in Obstetrics & Gynaecology)
Gynaecologist, Mumbai
My wife is pregnant of two months she is with morning sickness, vomiting, pain abdomen, do not feel eating food.
Hi, please give her dry diet, means rusk, roasted food, biscuits, dry fruits at morning hours. You can start with ginger tablets which you get in medical. Best is tablet containing doxylamine and pyridoxine. This should be taken thrice a day.
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I had unprotected sex on 23th n took unwanted 72 that day itself. Today there is very little brownish spotting n my stomach is paining what is it. Pls help.

MBBS, PG Diploma (HIV Medicines)
HIV Specialist, Surat
Brownish discharge is because of Unwanted 72 pills. Stomach ach can be because of medicine side effect or any other simple medical illness.
2 people found this helpful
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I have consulted a psychiatrist and am pregnant taking arip mt 5 and qutipin 25 is it low dosage. Doc told it will not affect child.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I have consulted a psychiatrist and am pregnant taking arip mt 5 and qutipin 25 is it low dosage. Doc told it will no...
As far as these drugs are concerned these are given only when necessary in pregnancy. As you have not given your medical history in detail it is difficult to say anything. Qutipin 25 is not to be stopped but if you didnot have any attack from past one year then aripmt can be gradually reduced and stopped. But exact advice can be given only after your complete medical history.
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Hi, I'm 20 years old female i'm trying to conceive. My periods was 3rd June and again I got my periods on 17th june but this mid cycle bleeding was different 1st day some spotting and 2nd day heavy flow and 3rd day little brown discharge my periods stopped and the bleeding was not painful as regular periods. And from past few days I can feel some cramps in my stomach. So this is the symptom of pregnancy?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Hi, I'm 20 years old female i'm trying to conceive. My periods was 3rd June and again I got my periods on 17th june b...
If you miss your periods more than 7 days after the expected date, then go for urine pregnancy home test. So you cannot confirm pregnancy before 11 july. Meanwhile the mid cycle bleeding which may be a breakthrough or due to polyp/fibroid/erosion, indicates that it may not be pregnancy this time. In fact if you want too do pregnancy test now it should be after 24 july if the period get delayed till then. An ultrasound will give a better picture along with a gyn exam.
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Can any one help with with my question that I am going to have sex today with my partner and at exact 20 her periods will start so having sex just before 5 days of her periods and I am going to have sex with condom is it safe?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Can any one help with with my question that I am going to have sex today with my partner and at exact 20 her periods ...
Yes, safe but other factors like rupture of condom or long living sperms may render your plan failed. So be careful.
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6 Pregnancy Complications You Need to Know About

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
6 Pregnancy Complications You Need to Know About

6 pregnancy complications you need to know about

The biggest wish of a to be mother's mind is a smooth and safe pregnancy. One of the ways you can deliver your baby safely is by being aware of the complications that may arise during this period and taking precautionary measures to reduce your chances of developing them.

Here are the 6 pregnancy complications that you need to know about?

1. Preeclampsia


Preeclampsia is a condition that normally occurs after the 20th week and is characterized by high blood pressure, kidney abnormalities and the presence of protein in your urine. Most of the time, symptoms are mild, which can be easily resolved with proper care. But the condition can progress quickly, causing several of your organs to not function properly and even proving to be life-threatening.

2. Gestational diabetes

Gestational diabetes happens when hormonal changes during this period hamper your body's use of insulin. As a consequence, the insulin hormone is unable to normalize blood sugar levels, leading to abnormally high blood sugar levels. While the condition is not usually a cause of concern for the mother, it can pose several health problems for the baby, more specifically, the occurrence of macrosomia (a condition wherein the baby has an abnormal body weight).

3. Premature labor

You're said to suffer from premature labor or preterm labor if you experience regular contractions that lead to your cervix dilating and effacing before the 37th week. Preterm birth can prove dangerous for the baby, not to mention make it prone to several health problems. In order for it stay alive and be healthy, you child needs to reach its full maturity before birth.

4. Ectopic pregnancy

When the fetus develops outside the womb, more specifically in the fallopian tube, a condition known as ectopic pregnancy is said to occur. It is highly important to put a stop to this pregnancy complication as it the developing embryo might bring about the rupturing of the fallopian tube, and may result in internal bleeding.

5. Placenta previa

The condition of placenta previa sees your placenta occupying a very low position in the uterus, most commonly, adjacent to or over your cervix. If the placenta continues to be at this position during the whole course of the pregnancy, it can lead to bleeding as well as other complications.

6. Low amniotic fluid

It is the fluid-filled amniotic sac that supports and protects your baby in the womb. It is said that about 4% of pregnant women worldwide experience low amniotic fluid levels during their pregnancy. This condition is also known as oligohydramnios. When this happens, labor is usually induced as you come close to the end of your pregnancy.

'consult'.

Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

4015 people found this helpful

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Dengue - Important Information

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.

Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.

Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.

Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

Lab Test

NS1
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.


IgG & IgM dengue

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction (IPF)

A very useful test in Dengue for patients with thrombocytopenia.

If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.

Better to do an IPF even with borderline low platelet count.



A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.


The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .

According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.

At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.

Stay Healthy

Certified Implantologist, Advanced Aesthetics
Dentist, Pune
Stay Healthy

Chewing a sugarless gum after your meal for around 20 minutes freshens your breath and also make the leftover food particles cling to it.

3 people found this helpful

Which sex position is better to get pregnancy. And which food is giving help to sperm creating in men and women. Which time is better for get pregnant.

MBBS
Sexologist, Panchkula
Which sex position is better to get pregnancy. And which food is giving help to sperm creating in men and women. Whic...
Missionary position is best for getting pregnant. Apple, guava, grapes are good for sperms. All time is good to get pregnant.
1 person found this helpful
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I am 27 years old. Since pregnancy I have continuous headache issues for 4 years. Sometimes right side, sometimes left side and sometimes full head. Done ct scan. But reports are normal. Please advise.

MBBS
Sexologist, Panchkula
I am 27 years old. Since pregnancy I have continuous headache issues for 4 years. Sometimes right side, sometimes lef...
Get your hb test done to rule out anaemia. Reduce your weight if you are obese and do relaxation exercises and don't skip your meals.
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Hi, and I'm unmarried, I'm 22 years old, and I have no sexual relation, I have a problem that my period is not regular, swelling in my stomach and pain in lower abdomen since last month, my periods date was 05.05. 2016 but still periods not came. Please suggest some tips that what can I do.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Hi, and I'm unmarried, I'm 22 years old, and I have no sexual relation, I have a problem that my period is not regula...
Hi Try to regulate your menstrual cycle.Some time irregular cycle seen causing abdominal pain tenderness inlower and.Take hormonal test with ultrasound of abdominal area.Hormone cycle will regulate and and take some natural home remedies at home.Pl.feel free to contact privately to get better support.Ok.
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