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Dr. Koteshwari

Gynaecologist, Hyderabad

200 at clinic
Dr. Koteshwari Gynaecologist, Hyderabad
200 at clinic
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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.
More about Dr. Koteshwari
Dr. Koteshwari is a popular Gynaecologist in Adibatla, Hyderabad. You can visit him/her at Sri Srinivasa Hopsital in Adibatla, Hyderabad. Save your time and book an appointment online with Dr. Koteshwari on Lybrate.com.

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17-1-380/E/28 & 32,C E Colony, Opp Allahabad Bank, Santhosh Nagar, HyderabadHyderabad Get Directions
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How to Improve Your Libido Post Menopause

MBBS, F R S T & H London , Fellowship of College of General Practice (FCGP)
Sexologist, Alwar
How to Improve Your Libido Post Menopause

Menopause automatically brings about a dip in testosterone and estrogen levels in a woman’s body. It leads to certain changes in the body and also reduces libido. A drop in libido means that sexual arousal becomes a cause of concern. This can bring in certain problems in your sexual/conjugal life. Lower estrogen levels reduce supply of blood to the vagina, thus resulting in lubrication problems. A dry vagina during sexual intercourse can lead you to experience pain during sex.

There are some other factors that can affect a woman’s libido after menopause:
1. Problems in sleep
2. Anxiety and depression
3. Problems of the bladder
4. Certain medications
5. High stress levels

To remedy lubrication problems, use water soluble lubricants to lubricate your vagina. Avoid using non-water soluble products such as petroleum jelly as it can weaken the latex. Non water soluble lubricants are also known to aggravate bacterial vaginosis. You may also use vaginal moisturizers to address the issue. There are oral medications that are available, which cause the tissues of the vagina to thicken, thus causing less pain during sex.

Improving your libido
You can opt for estrogen therapy to reduce pain during sex as this therapy helps in vaginal lubrication. The main objective of estrogen therapy (Hormone Replacement Therapy) is to ease the discomforts associated with a deficiency of estrogen secretion in the body. You should consult a professional who will be able to guide and counsel you.

Certain other measures to rev up your libido have been listed below:

  1. Indulge in foreplay: Try and include activities such as oral sex and erotic massages in your agenda. Experimentation with foreplay can help spice things up between you and your partner.
  2. Try out new things: Change your sex poses, read erotic books or watch erotic videos as these may help in boosting your libido.

Bear in mind that menopause does not prevent STDs; you still need to take proper precautions before engaging in sexual intercourse. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

3377 people found this helpful

If my menstrual cycle is 31-33 days. On what day is my ovulation day. If I am trying for pregnancy. How can I plan for intercourse. Means which day we should make relations.

MD - Alternate Medicine, BHMS
Homeopath, Surat
If my menstrual cycle is 31-33 days. On what day is my ovulation day. If I am trying for pregnancy. How can I plan fo...
Consider the first day of your menses as day one of your cycle. Usually, on the 14th day ovulation takes place. Thus, approximately on days 12-16 of your cycle, ovulation might take place. Having intercourse at that time increases the chances of pregnancy.
2 people found this helpful
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Meri age 24 years hai meri vagina se white material. Niklta rhta h please help me.

Advanced Aesthetics
Ayurveda, Gulbarga
Leukorrhea is a very common problem among women. It refers to a thin or thick, whitish or yellowish vaginal discharge that may occur in between menstruation cycles or during pregnancy and usually lasts from a few days to weeks. In most cases, it is nothing to be alarmed about and is considered normal as long as it does not cause irritation, discomfort, odor and itching. Leukorrhea, however, can also be caused by hormonal changes, particularly due to an increase in estrogen. A vaginal infection or std, too, may cause leukorrhea, especially if the discharge is yellow or green and accompanied by foul odor. Apple cider vinegar apple cider vinegar is considered beneficial for treating leukorrhea. It helps restore your body? s natural ph balance. Also, its acidic and antiseptic properties help restore the acidic quality of the vaginal flora and reduce vaginal odor? mix equal amounts of distilled water and raw, unfiltered apple cider vinegar. Use it as a vaginal wash once or twice a day for a few days? you can also drink a glass of water mixed with one or two tablespoons of raw, unfiltered apple cider vinegar once daily. Note: though considered effective by many still, douching is supported by little or no scientific evidence and is even advised against as it may disrupt the natural balance of bacteria in the vagina. Any queries inform me.
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Hi My wife is suffering from regular periods she always has period before a month while the period time is after one month and one more thing when she is in period she is suffering from stomach ache and body ache kindly suggest me what is the problem I am very tense about it.

DHMS (Hons.)
Homeopath, Patna
Hi My wife is suffering from regular periods she always has period before a month while the period time is after one ...
Hello, Lybrate user, Menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 30-6 pills, thrice a day. * Ensure, sound sleep in d night for at least 7 hrs. * Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care Please let me know certain associated symptoms Does she loose her temper when period starts to diagnose the cause of stomachache.
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I am 42 years and I had undergone hysterectomy last year in april. I have been taking premarin 0.625 since april 2014 and would like to know when I can completely stop the medication.

MD, DGO, MBBS
Gynaecologist, Chennai
Good afternoon . Ideally you should undergo medical check up after one year including blood sugar. Lipid profile, bp, swelling over legs and mammography. If results are normal you can continue maximum for 5 years, if symptomatic. The guideline is smallest dose for minimal duration. Continue your calcium and vit. D.
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Hi doctor, I am 34 years old, I have PCOD. I hv been advice to undergo laparoscopic puncture of the cysts and then try to get pregnant. Is there any other option? I mean without undergoing surgery.

BAMS, PGFP
Ayurveda, Jalgaon
Hi doctor, I am 34 years old, I have PCOD. I hv been advice to undergo laparoscopic puncture of the cysts and then tr...
Pcod is very common. Also do you have period problems. If they are then they should be treated rather than surgery. Avoid fast food. Avoid sleeping during day. Take only natural diet. Do not eat late night. Take regular walk.
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I am 38 weeks pregnant. Lmp was 14th april 2016 I am facing back pain from 6 to 7 days in interval of 15 mins some times in the interval of 5 mins. Is this sign of early labour pr something else? And acc to sono my placenta is garde 3 mature.

MBBS, MS - Obstetrics and Gynaecology
Obstetrician, Warangal
I am 38 weeks pregnant. Lmp was 14th april 2016 I am facing back pain from 6 to 7 days in interval of 15 mins some ti...
Hi deepshikha, as you are already term, back pain is common it is a sign of pre labour. You still have 2 weeks more . Walk 1 hr morning and 1 hr in evening , sleep in left lateral position. Sleep for 8 hrs in night and 2 hrs in afternoon. You will soon set into lab our .
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I have a breast pain due to cold and cough . What type of medicine should I take?

MBBS
General Physician, Cuttack
I have a breast pain due to cold and cough . What type of medicine should I take?
1. Do warm saline gurgling and steam inhalation with karvol plus inhalant capsule 2-3 times daily. 2. Put otrivin nasal drop one drop thrice daily. 3. Take viscodyne d syrup 2 tsf 2-3 times daily if you have dry cough or viscodyne syrup 2 tsf three times daily if you have cough with sputum. 4. If no relief, you have to take antibiotic after consulting doctor.
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My LMP was 7th septmber 2015 but I did intercourse on 22 october 2015. how much week am I pregnant and can I do abortion now? And until which date I will do abortion?

MBBS
Sexologist, Panchkula
My LMP was 7th septmber 2015 but I did intercourse on 22 october 2015. how much week am I pregnant and can I do abort...
You can do pregnancy test on first morning urine sample to confirm pregnancy, if pregnancy is positive, you can go for abortion.
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I had sex using condom before ten days and I'm facing heavy constipation and bloating and today my date of periods and I'm not having my periods yet does it mean I'm pregnant.

DGO, MBBS
Gynaecologist, Delhi
I had sex using condom before ten days and I'm facing heavy constipation and bloating and today my date of periods an...
Please wait for your periods as at times during pre menstrual phase one feels bloated and has constipation. You can have plenty of fruits and vegetables and fluids. Go for home pregnancy test with first morning urine sample if you do not get them within a week S time.
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Benefits of chocolate milk

Chocolate milk has it all when it comes to proteins carbs sugar or the taste and is also popular among athletes. During high intensity workouts muscle proteins break down and glycogen levels deplete by 60 to 75%. However for muscle growth after a workout, one needs to replenish glycogen and protein that can easily be gained from chocolate milk. Sports dietician suggest students to take four grams of carbohydrates to one gram of protein within 30 minutes after a workout and it depends on workout intensity and duration of workout determine how much energy is used.
1 person found this helpful

I am 23 year married women. I have burning sensation around vagina and pain in the right side of vagina. doctor gave me. Flagyl 400 and doxy 1 and candizole tablet. Why dese med r given?

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
Most likely you have some sort of infection. Donot worry that much. Doctors are there to help you and get the habit to trust them.
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I am 25years old. I did nit got 2 months period. I get stomach pain daily in the night but periods is not happening. Even I am geeting hairs in my face. Please concern something bit worried. I am going to get marry in the month of november.

BHMS
Homeopath, Surat
It may be due to different causes, may be hormonal imbalances or some systemic causes. Please go for lab investigation which I suggest and follow back to me after the report have done. 1.) s. Tsh 2.) s. Testosterone 3.) s. Fsh/lh 4.) cbc follow up with these reports.
1 person found this helpful
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How long a ipill can suppress the ovulation. When it was given 7 days before ovulation? please help me. Tnaku.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
How long a ipill can suppress the ovulation. When it was given 7 days before ovulation? please help me. Tnaku.
It will work only within 5 days of sex. I-pill if taken within 24 hrs if 95% effective. On second day it is 85% effective. Likewise its efficacy keeps going down each day. It will work well if it was given 7 days before ovulation.
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Menopause-how to take care

C.S.C, D.C.H, M.B.B.S
General Physician,
Menopause-how to take care

I would like to address one of your possible issues Called pms. At the monthly attack of the mother nature, women undergo a terrible combination of physical, psychological and emotional disturbances with varying severity. Though it is nothing to worry about, it highly upsets the environment for a few days.

1. Intense irritability and mood swings
2. Sadness and crying bouts
3. Poor concentration
4. Sleep disorders
5. Physiological changes including breast tenderness, headaches, digestive problems, bloating and weakness.
6. Stress, anxiety and low self esteem

These are some changes that you experience during those days. Have
You wondered about their causes?

# hormonal changes
# changes in the brain chemicals
# stress
# poor nutrition and dietary habits
# alcohol or caffeine consumption
# a family history of depression

The home remedies I am going to mention are suggested by different women who had experience fighting their pms symptoms.

1. Exercise. There is no question of what exercise and for how long. You can do any moderate exercise that you are comfortable with for at least 30 minutes. Some women also enjoy rigorous physical activity for 15 minutes. Cuddling up in bed is not recommended unless advised by the doctor.

2. A healthy diet with whole grains, fresh fruits and vegetables. Low vitamins and nutrients can aggravate pms.

3. Sugary foods, excess salt, refined foods and caffeine should be controlled.

4. Some women find relief by eating foods rich in magnesium, Vitamin b6 and vitamin E.

5. If you have digestive problems, don't go hungry. Eat small, Frequent meals.

6. See if milk can make you feel better.

7. Omega 3 acids may improve your irritability and mood swings.

8. Try pineapples. Who knows, manganese in pineapples, brown rice Or raspberries may work better.

9. Sleep well for at least 8 hours at night.

10. Cultivate a habit of going out with family, friends or engage in creative habits, go to a spa, do yoga or just about anything
That would take the stress out. Ask privately if you need further information.
127 people found this helpful

I have done sex on 18 06 2016 . My all sperm went to vagina. My sperm count is 95 Mil/ml. My wifes MC also regular, which had come on dated 09 06 2016 . Now I can say we will get good news in next month.

MBBS DGO PGDCC
Gynaecologist, Belgaum
I have done sex on 18 06 2016 . My all sperm went to vagina. My sperm count is 95 Mil/ml. My wifes MC also regular, w...
Keep relationship on alternate days for one week. Get urine pregnancy test done 4-5 days after missed period for confirmation.
1 person found this helpful
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Super Fact of the Day: Women can speak twice as fast as men!

PDDM, MHA, MBBS
General Physician, Nashik
Super Fact of the Day: Women can speak twice as fast as men!

Women are not only more talkative than men but are also known to speak faster than them. Both men and women have a different speaking rate. On an average, women have been found to speak 250 words per minute. In contrast, men speak only about 125 words per minute.

Would you like to share this interesting fact with family or friends? Go ahead and Share!

518 people found this helpful

No More Motion Sickness When You Travel Next! #HomeRemedy

PG Diploma in YOGA, Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Ghaziabad
No More Motion Sickness When You Travel Next! #HomeRemedy
Natural Ways To Avoid Motion Sickness

It’s onset of festive season and also a heavy travelling time in India. Very often many people feel unwell while travelling. This problem is called Motion Sickness. Many of us, irrespective of age, feel sick while on road trips. This does extend to other modes of transports as well. Some common symptoms of motion sickness are fatigue, nausea, pale skin, headache, vomiting, increased salivation, sweating and dizziness. They usually occur when the motion begins and stop with the motion. Some ways to combat motion sickness with natural remedies are:

1. Ginger: Ginger is well known for its effectiveness in motion sickness. Ginger's primary active chemical component is Gingerol has been scientifically proven to be a valuable anti-motion sickness agent.
You can have ginger in tea, or as juice mixed with lemon juice, or just swallowing half a teaspoon of freshly chopped ginger with or without honey, before you travel. Ginger 500mg capsules are available in the market that also can be taken. It has antiemetic properties which reduce motion sickness and also aids digestion which in turn helps avoid nausea. Ginger is safe for even pregnant women and children.

2. Apple Cider Vinegar - It is helpful in many health conditions, motion sickness being one of them. It has alkaline and pH balancing effect on our bodies, this helping cure motion sickness. In a cup of lukewarm water, add a tablespoon of honey and two tablespoons of apple cider vinegar. Drink this about half an hour before you are due to travel and give it some time to settle. If already suffering from motion sickness, then rinse your mouth with a teaspoon of apple cider vinegar mixed in half a cup of water.

3. Peppermint - Drinking peppermint tea before travelling is an effective way to combat motion sickness. You can also keep peppermint candy with you and suck on to it slowly when you start feeling uneasy. Alternatively, drop a few drops of peppermint oil on your handkerchief and smell it whenever you don't feel good.

If you would like to consult with me privately, please click on 'Consult'.

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