Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. Find the best Gynaecologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Malathi Devi
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. Malathi DeviYour feedback matters!
Rekha is 32 years old, she has a succesful career, a lovable husband and two wonderful kids. She has a few helpful friends and a supportive family. She also got promoted at work 6 months ago. Yet for the past few months she has been finding it a little difficult to fall asleep at night, she dreads daybreak and wished she could sleep for a bit more time. She fights through the tiredness as everything she once enjoyed seems grey and non rewarding. She stopped following her favorite tv show and hasn’t been talking to her friends as much. She has been unable to focus on work and it takes her longer than usual to complete her tasks. The food she once loved seems drab and unappealing. There is no more color to festivals and functions, and smiling becomes an effort. She worried about the future and feels helpless as her life spirals down a eternal dark staircase.
Rekhas husband has noticed this and is supportive as he can be, telling her that she needs to snap out of whatever that she is going through. Not that she wouldnt want to snap out of it. People around her have been trying to cheer her up, suggesting everything that they feel would make her feel better! But no, the shadow of depression follows her around and makes her feel that her life is not worth living anymore.
What are the numbers ?
Depression is difficult, depression is dark and depression is dangerous. Studies have reported numbers ranging from 1 in 10 to 1 in 30. An article in the Indian express on feb 15,2016 was titled “with 36% of India depressed, we must end the taboo around mental health”
Depression was reported to be higher in females, in the age-group of 40-49 years and among those residing in urban metros. Equally high rates were reported among the elderly.Depression and suicides are closely linked, with upto 15% of depressed individuals attempting suicide. With around a lakh and 30000 people ending their lives by suicide every year, and atleast 10 times as much attempting suicide, this 15 percent starts looking like a very large number.
What causes depression
Contrary to popular belief, depression does not necessarily stem from a weakness in one's "mind" or from ones poor ability to cope with the stressors of life. This Depression like every other illness stems from complex interactions between biological, psychological and social factors. Like one cannot "think away" a fever, it is impossible to "think away" depression.
Genetic studies have demonstrated a concordance rate for mood disorders in identical twins of 70 to 90 percent. Implying a strong role of inherited factors in depressive illness. Alterations in hormonal regulation and sleep architecture can also lead to depression.
At the base of the illness there are abnormalities at the synaptic level in the neuronal networks in the pre-frontal cortex (a region in the brain). The pre-frontal cortex holds and processes information in regard to ones personality, memory, decision making, motivation and complex cognitive tasks. These processes are encoded in the form of synapses or interneuronal connections. The neurons communicate via electrochemical processes called neurotransmission. Current knowledge implicates a imbalance in serotonin, dopamine and noradrenaline (neurotransmitters) and or an abnormal number of their receptors in the synapses in causing depression. Most anti depressants increase serotonin concentrations at the synaptic level so as to improve mood and cognition.
Low levels of serotonin have also been observed in those who attempt suicide.
What are the symptoms of depression? How is it diagnosed ?
Symptoms of depression include persistent low mood, easy fatiguability and a lack of interest in things that were previously pleasurable. Physical symptoms such as changes in sleep patterns, changes in appetite and weight and decreased interest in sex may also occur. Further a loss of self confidence, undue feelings of guilt, emotional lability and thoughts about self harm are also common.
The safest thing to do, if one is experiencing such symtoms is to seek professional help.
The Psychiatrist or Psychologist will be able to make a diagnosis based of Criteria set forth by the world health organization. They may suggest laboratory investigations to rule out physical illnesses such as anemia and thyroid dysfunction that mimic depression and will offer appropriate treatment measures.
Depression tends to occur in episodes with each episode lasting from 6 months to two years with an average of 8 months. Untreated depression tends to leave behind residual symptoms that include fatigue, anhedonia, long lasting sleep disturbances, poor productivity and a propensity to recur. 60% of those who develop a depressive episode, develop another Thus earlier and effective treatment will improve prognosis and will decrease the long term morbidity.
Effective treatment strategies are available for the management of depression. Based on the severity of illness and the nature of symptoms, you health care provider may prescribe either behavioral changes, psychotherapy or biological therapy. You do not have to go at it alone. Help is available for all those who seek it !
Depression is nothing to be afraid of, and certainly nothing to be guilty or ashamed of. With the right intervention from qualified experts, depression can be managed effectively.
You can find a lot more information about mental health and mental illness at our stigma breaking.
I am the mother of three children. Mine three delivery was normal. Now I got vaginal prolapse. What to do don't know.
Hello Dr. m suffering from PCOS, Dr. m follicle monitoring karati ho egg k liye to aaj ya kal m egg release ho jayega, but Dr. problem ye h ki during intercourse sara seman bahar aa jata h chahe khuch b try kar lo, to kya ye normal h, and mujhe ye lagata meri cervix deep h thoda aur inka size 3.5 appeox h, to kya ye sbi k shath hota h seman leakage,
Greetings sir/madam. My wife missed her period date by 20-25 days her age is 21 her last period date was 24 th October we consulted a local physician she made a urine test and said that there is no sign for pregnant now my doubt is while the urine test results are genuine or not. If yes what is the problem with her what shall we do Please refer what to do.
The coitus was great, but after everything is over, why do you feel so sad and depressed? If you feel like fleeing or if you need some reassuring physical contact after intercourse, you might be suffering from a psychological condition called 'post-coital tristesse' (PTC)
What does it mean?
Post-coital is a Latin phrase while tristesse is a French word which literally translates to “sadness”. If you suffer from PCT, you might experience intense feelings of uneasiness, anxiety or sorrow immediately after coitus, or even two hours later.
Why does it happen?
- There are specific hormonal changes during sex and immediately after it. Two main hormones involved are ‘dopamine’ and ‘prolactin’. Dopamine is a neuro-hormone that precedes the release of adrenaline and is linked with feelings of pleasure and sexual arousal; while prolactin is the hormone responsible for producing milk in women (men secrete it as well). Dopamine is released in copious amounts during sex, so to counter this, prolactin is released. Prolactin drastically reduces dopamine levels, and this can make you sad.
- The other cause is psychological. Under the influence of dopamine, you might end up saying things you regret later. This too can result in sadness and depression.
Is it different for men and women?
Yes, men and women handle PCT very differently. Men feel like leaving so that they feel less sad. On the other hand, some men choose to stay, which only worsens their condition. It makes them associate sex with melancholic feelings. Women, on the other hand, crave for reassurance and physical touch from their partners. Nice words or cuddling can ease their discomfort. Suffering from this might result in disaster for them. When the man flees and the woman needs reassurance, it will lead to negative feelings about sex and development of resentment for each other.
Can abstinence and avoidance help?
Abstinence can help if you do not have an active sex life. Time away from sex can actually help you understand your problems better. However, abstinence can trigger depression, low self-esteem and extreme emotions of loneliness.
Are there any other solutions?
Communication and therapy are traditionally the best treatments for PCT. Talking to a therapist, alone or together with your partner, can help you with a solution.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hii mam/sir, I am 30 years old women with two daughters. I had an 7 months baby earlier and I am feeding her. Recently I got pregnancy and I had an abortion with nearest doctor on August 9 recently. I planned and booked tickets for spiritual tour on September 10. Can I use pills or what to do for it not to come periods.
Hi meri wife ki periods is month miss ho gayi he hamari Shaadi ko 7 month ho chuke he hum 4 month se baby plan kar rhe he toh is month 15 days upar ho gaye he toh kya wo pregnent he.
Homeopathy is a slow form of treatment, but is has negligible side effects. This makes it safer to self medicate with light doses of homeopathy than an antibiotic. Homeopathy can be used for first aid, to fight common infections and as general constitutional remedies.
Here are a few common homeopathic medicines you should keep at home.
- Nux Vomica: Nux vomica can be safely used to treat gastrointestinal diseases, a loss of appetite, depression and migranes. The ideal dosage for nux vomica depends on the age of the patient, their overall health and several other conditions. Nux vomica can also be used to cure a hangover.
- Aconite: When taken at the onset of a cold, aconite can stop the virus from progressing further. Aconite can also be used for joint pain, gout, inflammations and to speed up the healing of wounds. Apart from the pill form, aconite can also be used as a cream.
- Arnica: If you have kids at home, arnica is a must have. It is the most common homeopathic remedy for bruising, accidents, injuries and shocks. It can also be used to treat arthritis and the pain that follows dental work and jet lag. Arnica can also be used to promote hair growth. Depending on its use, arnica can be used in the form of pills, cream or oils.
- Cantharis: Cantharis is an ointment that should be kept in every kitchen. It is the most effective anti inflammatory cream to treat burns of any kind. When a burn is treated with cantharis, it leaves minimal scars. It can also be used to treat urinary tract infections. Cantharis is usually used as a cream.
- Magnesia phosphoric: This is a must have for women. It can be used to treat any form of cramps including menstrual cramps. It can also be used to treat tiredness, headaches, nerve pain, insomnia and to help a person relax. Magnesia phosphoric is usually prescribed in the form of homeopathic pills.
- Rhus tox: Rhus tox is a common homeopathic remedy for muscle sprains and bruising. It is also beneficial for people suffering from back aches, arthritis, sciatica and body aches associated with the flu. Rhus tox is usually found in the form of homeopathic pills.
One should not do any type of self medication, however, you should check with your homeopathic practitioner about the dosage and frequency of consumption. Do not take it for granted that homeopathy has no side effects and take a more intense dose than required. Also store these medicines properly. Ideally, homeopathic medicine should be stored in a cool place without direct exposure to sunlight or extreme heat or cold. In case you have a concern or query you can always consult an expert & get answers to your questions!