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Dr. Lakshmi Shiraz

Gynaecologist, Hyderabad

200 at clinic
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Dr. Lakshmi Shiraz Gynaecologist, Hyderabad
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Lakshmi Shiraz
Dr. Lakshmi Shiraz is a trusted Gynaecologist in Masab Tank, Hyderabad. You can meet Dr. Lakshmi Shiraz personally at Mahavir Hospital in Masab Tank, Hyderabad. Save your time and book an appointment online with Dr. Lakshmi Shiraz on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 40 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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Mahavir Hospital

10-1-1, Bhagwan Mahavir Marg, AC Guards Flyover,Masab Tank. Landmark: Opposite JNTU, HyderabadHyderabad Get Directions
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I am not getting bleeding in mensuration what food I have to eat for natural bleeding? Please advise.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am not getting bleeding in mensuration what food I have to eat for natural bleeding? Please advise.
If you are getting scanty periods please get a hb done first. If low take iron rich foods like green leafy vegetables, citrous fruits like oranges and chicken/ fish that are rich in iron.
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I am 29 years old. I have slipped disc. Shoud I conceive or not. My last delivery was in 2011. After 2 years of my last delivery I got slipped disc. Please tell me shoud I further conceive or not?

MPT.(ORTHO), BPT., BSc.,CMTH., MIAP., MDCP., COCMT (UK)
Physiotherapist, Delhi
Definitely you will conceive, don't worry about that. But before planning you must take physiotherapy, manipulation treatment for slip disc and take exercises rehabilitation for spine core muscles. Because during pregnancy low backache can hurting you. Whole treatment rehabilitation time will take around 2 months depending yours recovery rate. Take care. Have a nice day.
1 person found this helpful
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Is it possible that pregnancy strip shows test negative but still pregnant .even after check three times.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Is it possible that pregnancy strip shows test negative but still pregnant .even after check three times.
Hello, the most sensitive way would be to get a serum beta hcg test to conclusively rule out pregnancy.
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I am a 20 years old women .I had pcos and I took treatment for it ,doctor prescribed me krimson 35 and at the end of the cycle I had unprotected sex and it ended up in pregnancy and later we decided to abort it and so we took tablets for it. Then report came to be Complete abortion. But,after few weeks my periods became irregular and so the doctor prescribed me krimson 35 again and at the end of the cycle I had unprotected sex but we used pull-out method to avoid pregnancy and I had my regular period before 7 days but from the fifth day of my last menstrual I am having brown discharge and vaginal bleeding accompanied by lower abdominal pain. When we had pregnancy test ,it shows negative but I personally need to know what could be the cause of this discharge and bleeding with pain. Is it a pregnancy symptom.

DHMS (Hons.)
Homeopath, Patna
I am a 20 years old women .I had pcos and I took treatment for it ,doctor prescribed me krimson 35 and at the end of ...
Hello, 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, improving haemoglobin level. * 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 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * 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, homeopathy can stand as a reliable friend in need.
7 people found this helpful
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Proteins-The Building Blocks Of Our Body.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Ulhasnagar
Proteins-The Building Blocks Of Our Body.

Consumption of sprouts is an excellent way to keep your protein intake high. The boiavaliability of protein is more in sprouts as compared to the normal pulses v consume.

Benefits:

 

  •  boosts immunity.
  •  aids weight loss as low in calorie.
  •  builds muscle mass in ppl with a lean body.
  •  excellent source of b complex vitamins.
     
130 people found this helpful

Hi Doctor, I have sporadic mild pain at left or right abdomen. This pain last for 2 sec only. This happens only 5 or 6 days prior to my periods. I do not have irregular periods. We are in planning for pregnancy. Regards, Asri.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
Hi Doctor,
I have sporadic mild pain at left or right abdomen. This pain last for 2 sec only. This happens only 5 or ...
Hello lybrate-user it's normal so don't worry but if you r planning for conception than take other precautions like avoid stairs, walk slowly, avoid papaya dry fruits. U can ask for further information n details.
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What are the healthy items women should take after normal delivery. I heard a lot from people that after delivery woman have to tie stomach tightly or else in future she will have puffed stomach is it true? 2, woman should not get exposed to direct air and head, legs must be covered or else they will be facing problem. I want to know all these things are true?

MBBS
General Physician, Faridabad
What are the healthy items women should take after normal delivery.
I heard a lot from people that after delivery wom...
its not true, all are myth.take protein diet, green vegetable diet, dal, paneer, cheese, fruits, eggs etc, drink 3-4 litre of water daily, take cap autrin 1 cap od it will help you,thank you
1 person found this helpful
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How should I increase my breast milk production? My baby feeds on that only and does not accept formula milk.

Visiting Consultant - Rajiv Gandhi Cancer Hospital, Saroj Super Speciality Hospital, D.N.B. PEDIATRICS, MD - Paediatrics, MBBS, Bhagwati Hospital, Rainbow Hospital- Panipat
Pediatrician, Delhi
Hi good to know you want to exclusively breast feed the baby. Drink lot of liquids about 5-6litres a day. Let baby suck at breast regularly especially at night. Eat balanced diet take care.
1 person found this helpful
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I'm 32 yes female. My mom expired becoz of breast cancer. I had done excision in left breast for sebaceous cyst. Whether I want to know it will also leads to cancer. Also how to secure myself from that. I have one daughter 3 years old. Please suggests me.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Dear lybrate-user- you definitely need to be alert as you lost your mother to breast cancer. The sebaceous cyst has no connection with breast cancer. Please learn how to do a breast self-examination, and do it (after your period) -EVERY MONTH. In case you find a breast lump please follow it up with a surgeon. Please get a bilateral mammogram done every year. That should be fine to monitor your breast health.
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Mam I am patient of missed abortion I did d and c procedure 2 days before the pain isn't there but there's some bleeding and I got some small blood clot is there any complication?

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Dear Lybrate user, Some bleeding may be there for about 4-5 days after D&C. If bleeding is not on the decreasing trend and continues beyond 1 week, it is worthwhile to get ultrasound of lower abdomen done. At times, some products of conception can remain inside uterus.
2 people found this helpful
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Me and my girlfriend had sex on 2 march, during which condom broke, I immediately gave her idoz72. She had withdrawal bleeding from 11 to 16. From then on she did not have her periods till now. Why? I have done Beta hcg test which is negative for pregnancy, she normally hasirregularperiods. What could be the reason.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
The delay periods is quite common once you have consumed the ecp (emergency contraception). So wait for her periods. If she does not get periods in next 7 days, then repeat the pregnancy test.
2 people found this helpful
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Hi m pregnant hu maine 21 week ultrasound karaya h usme show slightly narrowing frontal bone (mild lemon sign) please explain me isse bche ko toh koi problem nai h ya uske mind development ok h.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi m pregnant hu maine 21 week ultrasound karaya h usme show slightly narrowing frontal bone (mild lemon sign) please...
Nothing to worry technology is to help us and not to confuse us about some finding seen get ultrasound done again after few days from another lab.
1 person found this helpful
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What Is Polycystic Ovary Syndrome (PCOS)?

Ayurveda, Delhi
What Is Polycystic Ovary Syndrome (PCOS)?

What is Polycystic Ovary Syndrome (PCOS)?

Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's:

  • Menstrual cycle
  • Ability to have children
  • Hormones
  • Heart
  • Blood vessels
  • Appearance

With PCOS, women typically have:

  • High levels of androgens (AN-druh-junz). These are sometimes called male hormones, though females also make them.
  • Missed or irregular periods (monthly bleeding)
  • Many small cysts (sists) (fluid-filled sacs) in their ovaries

How many women have PCOS?

Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. As many as 5 million women in the United States may be affected. It can occur in girls as young as 11 years old.

What causes PCOS?

The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.

A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.

Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels can lead to:

  • Acne
  • Excessive hair growth
  • Weight gain
  • Problems with ovulation

What are the symptoms of PCOS?

The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:

  • Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
  • Infrequent, absent, and/or irregular menstrual periods
  • Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
  • Cysts on the ovaries
  • Acne, oily skin, or dandruff
  • Weight gain or obesity, usually with extra weight around the waist
  • Male-pattern baldness or thinning hair
  • 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
  • Pelvic pain
  • Anxiety or depression
  • Sleep apnea — when breathing stops for short periods of time while asleep

Why do women with PCOS have trouble with their menstrual cycle and fertility?

The ovaries, where a woman's eggs are produced, have tiny fluid-filled sacs called follicles or cysts. As the egg grows, the follicle builds up fluid. When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.

In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. The follicles may start to grow and build up fluid but ovulation does not occur. Instead, some follicles may remain as cysts. For these reasons, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Plus, the ovaries make male hormones, which also prevent ovulation.
 

Does PCOS change at menopause?

Yes and no. PCOS affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.

How do I know if I have PCOS?

There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.

Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.

Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.

Pelvic exam. Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.

Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.

Vaginal ultrasound (sonogram). Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.

How is PCOS treated?

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:

Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:

  • Limiting processed foods and foods with added sugars
  • Adding 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 normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.

Birth control pills. For women who don't want to get pregnant, birth control pills can:

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

Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). But, progesterone alone does not help reduce acne and hair growth.

Diabetes medications. The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. 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. 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.

Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS 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). Treatment options include:

  • Clomiphene (KLOHM-uh-feen) (Clomid, Serophene) — the first choice therapy to stimulate ovulation for most patients.
  • Metformin taken with clomiphene — may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins (goe-NAD-oh-troe-pins) — given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.

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

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. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.

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 the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills.  These medications should not be taken if you are trying to become pregnant.

Before taking Aldactone, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia.

Other options include:

  • Vaniqa (van-ik-uh) cream to reduce facial hair
  • Laser hair removal or electrolysis to remove hair
  • Hormonal treatment to keep new hair from growing

Other treatments. Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.

Researchers continue to search for new ways to treat PCOS. To learn more about current PCOS treatment studies, visit ClinicalTrials.gov. Talk to your doctor about whether taking part in a clinical trial might be right for you.

How does PCOS affect a woman while pregnant?

Women with PCOS appear to have higher rates of:

  • Miscarriage
  • Gestational diabetes
  • Pregnancy-induced high blood pressure (preeclampsia)
  • Premature delivery

Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).

Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.

Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.

Does PCOS put women at risk for other health problems?

Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:

  • More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
  • The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
  • Women with PCOS are at greater risk of having high blood pressure.
  • Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
  • Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.

Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.

Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

I have PCOS. What can I do to prevent complications?

If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include:

  • Eating right
  • Exercising
  • Not smoking

How can I cope with the emotional effects of PCOS?

Having PCOS can be difficult. You may feel:

  • Embarrassed by your appearance
  • Worried about being able to get pregnant
  • Depressed

Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.

 

 

 

9 people found this helpful

COMT, MPTh/MPT
Physiotherapist, Surat
Winters vegetable" carrot" has its own flavor and benefits. It is available throughout the year but in winters it is fresh and easily available. The first thing that comes in mind is" carrot good for eyes" that's right it is not only good for vision but has several other benefits which are:
1. Regulates blood sugar.
2. Stimulates appetite and improves digestive system.
3. Prevent from any infection if its paste is applied over wound because of presence of vitamin c.
4. Cleans the body by flushing out the toxins, clean out the colon and hasten waste movement.
5. Protects teeth and gum from plaque.
6. Vitamin k in carrot helps in blood clotting.
7. It increases hair growth faster.
8. Protects skin from sun damage, acne, dry skin etc. By removing toxins from body it gives glow to skin.
9. Prevents from devastating diseases like liver failure, cancer, stroke, heart failure, diabetes etc.
10. Rich in calcium so it is beneficial for patients suffering from arthritis, inflammation of joints, calcium deficient patients etc.
You can have carrot in the form of juice, raw eating, sweet dish, cooked as a vegetable, paste for wound, mask for skin etc. So what are you waiting for. Enjoy winter vegetable" carrot" in your diet and be healthy and disease free.
38 people found this helpful

I am pregnant for about 9 weeks 3 days. I want to abort it thorough medicine please advice.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am pregnant for about 9 weeks 3 days. I want to abort it thorough medicine please advice.
Hi Anjali 9weeks is quite big size pregnancy to abort with medication. It will be better if you abort through surgical procedure.
1 person found this helpful
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She is pregnant and today is her last day for delivery but still she not get pain to give a birth to baby.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
She is pregnant and today is her last day for delivery but still she not get pain to give a birth to baby.
Hello, it is suggested that you should visit her synecologist and she would do a per vaginal exam and possibly induction of labour may be planned.
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I am 24 years old and my girlfriend is 23 and we had unprotected sex few weeks back but I ejaculated outside her. She was expecting her monthly periods on 25th april but now its 10 days delayed. Is there anything serious to worry?

DHMS (Hons.)
Homeopath, Patna
I am 24 years old and my girlfriend is 23 and we had unprotected sex few weeks back but I ejaculated outside her. She...
Hello, You may go for a home pregnancy test. Moreover, it might be due to stress anxiety, you should take more to get her period restored.  She should tk, plenty of water to hydrate her body.  Go for meditation to reduce her stress to release flow. Tk, homoeopathic medicine: @.Pulsatilla 30-6 pills, thrice.  @ Sepia 200-6 pills, at bed time .Tk, care.
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Hello Dr. I have one daughter 6 years and after that one abortion den one son 2 years and again an abortion Dr. said it's due to chromosome abnormalities I would like to know good diet for healthy pregnancy and what precautionary measures to b taken.

MD
Gynaecologist, Mumbai
Hello Dr. I have one daughter 6 years and after that one abortion den one son 2 years and again an abortion Dr. said ...
It is imp in view of chromosomal anomalies and abortion it should be confirmed with 1.both your karyotyping tests, and boh investigations prior to attempt conception pl take folic acid 5 mg daily for 3-6mths .onc e the tests are evaluated then try again to prevent disappointment.
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I want just want to know that my wife is 3 month pregnant is it possible to make physical relation with my wife. It will b right or wrong.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I want  just want to know that my wife is 3 month pregnant is it possible to make physical relation with my wife. It ...
Yes sex can be practice during pregnancy. After 5 months of pregnancy one needs to change the position of male partner. Intercourse can be practiced in male standing position or sideways position. Male partner should not lie on the tummy or growing fetus.
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