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Dr. K. Nabath Salim

MBBS

Gynaecologist, Hyderabad

Dr. K. Nabath Salim MBBS Gynaecologist, Hyderabad
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Optimize Sexual Intercourse in Respect to Frequency in Order to conceive fast?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Optimize Sexual Intercourse in Respect to Frequency in Order to conceive fast?

As a start, women should learn more about their fertile and ovulation periods. It is important to exactly know the first day their menstrual bleeding starts. One can even keep a menstrual diary or note the dates on their mobile about when the bleeding started and when is the next one due. If we divide a month into four weeks roughly then the middle one week is the one where ovulation is more likely to happen and the woman would be most fertile. This is the perfect timing for you and your partner to try having a baby.

If you or your partner find it too stressful to count days and have physical relations on those days then it is best to have regular sexual intercourse once every 2-3 days throughout the month.

Another good indicator that a woman is fertile or is ovulating is when the mucus discharge of her cervix is either moist or sticky. The secretion may be white to cream in color, a little cloudy but mostly stretchy and thread like. This is the best period to have sex with your partner because the chance of pregnancy is much higher when compared to those days where you feel rather dry with no discharge at all. During this stage, the recommended frequency of sex is 3 to 4 times, until the discharge disappears.

When it comes to positions, always keep in mind that the semen has to be deposited closest to the cervix in order to conceive fast. Once the semen is there, the chances of them surviving are higher for they'll be sustained by the cervical mucus. There are certain sex positions that can penetrate the woman better than the others. Use them in order to conceive better. It may also help to stay in bed for 5-10 minutes after ejaculation to help sperm climb up into the uterus and a pillow under the hips would probably be a good aid.

There are other ways and methods that are known to initiate conception among women. Some believe that certain yoga practices can help a woman improve her chances of getting pregnant. In other cases, the use of natural herbs, spices, and certain health supplements are recommended. However, the best way to do it is still to consult with your doctor for a more professional conception and pregnancy guidance.

22 people found this helpful

I am 25 year female I have PCOD problem from last 1 year what should I do to overcome this problem. My height is 5.3 and weight is 55 kg and I am unmarried.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
We’ve heard over and over again that weight loss is important in managing PCOS and that diet and exercise are more effective than medications in improving your PCOS symptoms 1. Eat organic food. Avoid junk. 2. Drink lots of water. 3. Exercise regularly. Brisk walking is a good idea to keep weight under control. 4. Visit nature places and spend time alone. 5. Take steps to calm your mind. Worrying about the problem can only make it worse – listen to music, read or spend time gardening. Butterfly Pose can be very helpful in PCOS. Don’t flap your legs too much; instead try holding the posture for long. 1. Even more helpful is SuptaBadhakonasana (Reclining Butterfly Pose), which works just like the Butterfly Pose,this time lying down. This is what makes it extremely relaxing. To enhance the experience, play some soft music and place cushions under your hip. For beginners, it is a good idea to use cushion support while doing this posture. 2. Bharadvajasana (Bharadvaja’s Twist) is a seated spinal twist that helps PCOS patients. 3. Chakki Chalanasana (moving the grinding wheel) is a very simple exercise with several benefits. It helps massage the liver, kidneys, pancreas, uterus and the reproductive organs. 4. Shavasana (Corpse Pose) is another useful posture to try. In PCOS, the more you relax, the better you feel and this posture will help you completely relax at the end of your yoga session. 5. Padma Sadhana practice is also considered very effective for PCOS patients. 6. Make sure you don’t hold the postures that put pressure on the abdomen (Bow Pose, Superman Pose, Cobra Pose and Boat Pose) for a long time. 7. A few rounds of Sun Salutation at a faster pace can be good for weight loss; however, it is a good idea to practice only a few slow rounds daily for more relaxation. •
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Boost your sex Performance

Diploma in Acupuncture, BHMS
Homeopath, Delhi
Boost your sex Performance
Take white butter along with nuts/almonds empty stomach - it will increase your sex performance normally
If you are suffering form ed than please ask about the permanent treatment procedure
Help us in spreading the awareness
Regards
Dr. Singh.

I am Married my period cycle has been changed every month delayed 5 to 7 days every month I feel I am pregnant but after 7 days my periods please tell me.

BHMS
Homeopath, Hyderabad
I am Married my period cycle has been changed every month delayed 5 to 7 days every month I feel I am pregnant but af...
Menses getting delayed for 5-7 days its normal if your have regular period. Your menstrual cycle is long. And if your are suffering from irregular menses you need to consult a gynaecologist. Rather do daily 40-45mins exercise to keep yourself fit.
5 people found this helpful
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I got pregenant of 4-5 weeks and I took a combination of misoprostol and misoprine,(ipill) then 5 days bleeding and pain was in my body and some peace of shisht also came out during bleeding, and after 14 day I check with prega news it shows positive sighn, wt should I do ?

MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Bhubaneswar
It could be incomplete abortion! go get an ultrasound and consult a gynecologist before venturing into self medication!
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Hello doctor I am a Lybrate user. I want to ask something. During my periods there is very light bleeding on 1st 2nd and 3rd day and proper bleeding starts after 3rd day. Is it completely normal.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello doctor
I am a Lybrate user. I want to ask something. During my periods there is very light bleeding on 1st 2nd ...
Hello, This is completely normal and you should be worried much as long as you are getting regular menses.
1 person found this helpful
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I am female sometimes I do masturbation in my finger. Sometimes I used carrot, banana .any problem for used carrot banana in my vagina.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
I am female sometimes I do masturbation in my finger. Sometimes I used carrot, banana .any problem for used carrot ba...
TRY TO USE SOMETHING ELSE.IT SEEMS VERY ODD TO SEE THAT THINGS YOU EAT ARE BEING USED FOR SUCH THINGS. YOU CAN GET ARTIFICIAL MASTURBATOR, VIBRATORS AND MANY OTHER THINGS.
1 person found this helpful
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Symptoms & 3 Common Causes Of Genophobia

MBBS
Sexologist, Delhi
Symptoms & 3 Common Causes Of Genophobia

Genophobia or coitophobia is the irrational psychological fear of intercourse. It is a type of a phobia and people suffering from it fill all or most of the criteria of specific phobia according to the ICD (The International Statistical Classification of Diseases). Genophobic people may be terrified of sexual intercourse or all acts involving sex. It is different from erotophobia in the sense erotophobia is the irrational fear of sexuality and not the act in itself.

Causes:

  1. The causes of genophobia may be attributed to different experiences and origins according to different psychological perspectives. According to the psychoanalytic perspective, genophobia may be caused by the rigid or extremely religious upbringing, which affected the development of ego, making the individual fear all acts that are sexual because it causes moral anxiety and a severe clash of the superego (ethical portion of one's personality)and i'd (primitive component of one's personality).
  2. According to the learning perspective, genophobia may develop due to an unpleasant sexual experience such as rape or molestation. Rape Trauma Syndrome leads the survivor to relive the trauma several times and develop apprehension. They may begin to fear sex eventually by relating it to the unpleasant experience, eventually leading to genophobia. It may also be caused if the individual observes sexual acts that are traumatizing in nature, in media or otherwise.
  3. It may also result from severe performance anxiety, especially for those who lack sexual experience and have abstained from sex for a prolonged period of time. There is also a chance that other phobias, such as the fear of diseases, especially STDs, may lead to a fear of sexual acts. Some people might relate sexual intercourse with acquiring diseases, thus leading to the development of genophobia.

Symptoms: Symptoms of genophobia include the fear of sexual intercourse and all acts within, breathlessness, nausea, dizziness, feeling sick and fear of losing control. All these symptoms take place in the context of sexual acts.

Treatment: Genophobia is treated like all other phobias. Therapeutic technique such as Cognitive Behavioural Therapy (a conversation centric therapy that focuses on how thoughts and beliefs can affect one's actions) is widely used in the treatment of genophobia along with medications. The therapeutic technique varies from patient to patient. For instance, the therapeutic technique used for a rape survivor would be completely different from that which is used for an individual with a fear of STDs. With proper treatment, genophobia is curable, eventually allowing the individual to have a particularly healthy sex life. If you wish to discuss about any specific problem, you can consult a Sexologist.

5518 people found this helpful

One of my friend had sex with his bf now she is afraid that she is pregnant . what should she do?

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Pune
Thank you for your question. The commonest side effect of unprotected intercourse is a sexually transmitted infection followed by unwanted pregnancy. If your friend thinks she is pregnant she needs to do a pregnancy test with an early morning sample of her urine. If it is positive and she does not wish to be pregnant she needs to see a gynaecologist who can discuss the options for termination of pregnancy. Termination of pregnancy can only be carried out by a licenced medical practitioner in a government recognized center for termination of pregnancy. She will need to have an ultrasound examination and attend the hospital to complete the paperwork before any procedure can be carried out. If her pregnancy test is negative she can wait for 15 days for her period to come. If the period does not come and the test is still negative she should see the gynaecologist for further examination and tests. Regarding contraception, if she is likely to continue to be sexually active she needs to discuss her contraceptive choices with the gynaecologist and choose a method which suits her. This needs to be used in addition to condoms. Condoms are very good at preventing infections if used correctly but are often associated with a higher failure rate relating to unwanted pregnancies. Hope this helps best wishes.
1 person found this helpful
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My wife passed 4 months of pregnancy. Can we still make relation with each other. If yes then what's precautions used?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
My wife passed 4 months of pregnancy. Can we still make relation with each other. If yes then what's precautions used?
Use condom. Avoid pressure on stomach. Avoid if causing backache or stomach ache. Avoid is previous miscarriage.
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How to use yasmin birth control pill should I use daily or when I had sex pls suggest me.

MBBS
General Physician, Jalgaon
How to use yasmin birth control pill
should I use daily or when I had sex pls suggest me.
Please Start from 5th day of menstruation. For 21 days complete Don't miss the tablets in between, otherwise you will have spotting.
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Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2750 people found this helpful

Hello Madam, My wife didn't had regular periods since Feb 2014, we were married in July 2014 following which she consulted a local gynecologist who citing weakness recommended a tonic for regular periods. She had proper period till she stopped taking he tonic. Following which we consulted another doctor who suggested us to work towards becoming parents and gave ovulation injection in Feb 2016. But to her surprise the egg didn't burst bu gradually reduced in size, following which she stopped treatment and gave medicine for normal periods. During this period, we also consulted patanjali ayurvedic doctor who gave few Ayurveda medicines for normalizing period and create healthy eggs. But in september, my wife suffered heavy periods for a period of almost 20 days (we consulted doctor in between who gave medicine to stop bleeding, after which we went to govt hospital where USG was conducted and doctor informed us about PCOS and a big lump in right ovary. Doctor gave a course of overall-G for 3-months and few pain killers which stopped bleeding and regularized the periods. After 3 months USG showed that the multiple small cysts were gone but a large lump (size 60mmx54mmx62 mm) on right ovary was still their. An ultrasound conducted in Feb 16 suggested a slightly large right ovary (18 mm.) but radiologist said it is normal. Few days back we visited bansal Hospital, bhopal where sexologist and doctor diagnosed a lump in right ovary, but were unable to decide whether it is a cyst or some neoplastic? What should we do now? What is the best way to diagnose the nature of this lump in right ovary?

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello Madam,
My wife didn't had regular periods since Feb 2014, we were married in July 2014 following which she cons...
Having read all details, you can gof a laparoscopic removal of the cyst and its type can be decided by histopathology
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Whenever I have sex with my wife, she develops a continuous white secretions from her vagina which later develops into itching and infection. Please help.

Advanced Aesthetics
Ayurveda, Gulbarga
Whenever I have sex with my wife, she develops a continuous white secretions from her vagina which later develops int...
Its a fungal infection use these tab for 7 days 1. Tab-nuforce 150 1 tab a day for 7 days 2. Apply externally candid-b ointment. For 7 days.
36 people found this helpful
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My daughter is 13 years old. At 12th year she got first mensus. For 2 months her mensus was regular. Later she didn't get mensus. What to do. Please reply.

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
No problem just wait and watch, it takes time for regular cycles to establish, may take 1 to 2 yrs to regularize. Just be sure that she doesn't gain weight or develops ant thyroid issue during this time.
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I'm 28 years old. Medium physic. Past 2.5 year back I had a C-Section and delivered a girl baby. My question is that, after C-Section, till now the operated Section itch a lot and I'm suffering now and then. Can you please suggest some remedy. And till now I have not applied any cream or ointment, rather applied little coconut oil.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hye it is an infection. You need to apply the ointment for sure. Also keep the area clean and avoid sweat from accumulating in the skin folds. Avoid tight clothing.
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I am 33 weeks pregnant and I have pain in my leg last two days and I am uncomfortable to sleep in the night because of pain and I feel baby movement only after noon is it normal or some problem? other wise my all report is fine till 32 weeks.

MD - Maternity & Child Health
Gynaecologist, Bangalore
U should be having felt minimum ten movements a day. If you feel decreased consult a doctor soon pls.
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I have recently got married while doing sex last night my condom breaks and sperms got scattered in the vaginaRight now we do not want to became parents of the childhow much chances to get pregnant in this case if yes then how to over come out from this situation. Please advise!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
I have recently got married while doing sex last night my condom breaks and sperms got scattered in the vaginaRight n...
Hello lybrate-user, KIndly give your wife i-pill emergency contraceptive pill. There is chances to get pregnant.
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