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.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. H NarmadaYour feedback matters!
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.
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.
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.
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
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
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
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.
Can I be pregnant if I do sex wearing panty and my fiance ejaculate far away not on my panty? Please advise.
My wife is pregnant of two months she is with morning sickness, vomiting, pain abdomen, do not feel eating food.
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.
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.
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?
Hello doc, from last 7 months I am trying to conceive bt could not. Reports are ok of mine and husband. But nothing happening. Married for 2 and half yrs. My periods are also regular. Bt wat I am marking is from last some months I feel uneasy and pain in back and stomach much before my period starts. Around 10 days before. This month my period is due at 14th. But from last three days I am feeling uneasy. My upper part of stomach specially last portion wer chest finishes and upper part of stomach starts, in the middle part, is aching. If someone presses lightly there I feel good. This time pain has increased. Pain during periods is normal to me. But much before periods is only giving frustration tats too am noticing after mrg .wat may be the cause. Periods or gas I do not understand. But pain feel is same. Why also not conceiving tat is another strain. Pls help.
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?
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?
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.
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.
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.
Chewing a sugarless gum after your meal for around 20 minutes freshens your breath and also make the leftover food particles cling to it.