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Dr. Namrata

Gynaecologist, Hyderabad

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Dr. Namrata Gynaecologist, Hyderabad
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Namrata
Dr. Namrata is one of the best Gynaecologists in KPHB, Hyderabad. You can meet Dr. Namrata personally at SRUSHTI TEST TUBE BABY CENTRE in KPHB, Hyderabad. Book an appointment online with Dr. Namrata on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 38 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.

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SRUSHTI TEST TUBE BABY CENTRE

KPHB colony, Road no 4, Kukatpally. Landmark: Near Remedy hospital, HyderabadHyderabad Get Directions
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Hello doctor I have not got my menstrual cycle since last 6 weeks and I had undergone pregnancy test also it was negative please suggest me proper remedies Thank you.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello doctor I have not got my menstrual cycle since last 6 weeks and I had undergone pregnancy test also it was nega...
Hello, You can opt for a withdrawal bleed with progesterones to resume your menses, once pregnancy has been ruled out.
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Premature Menopause - How Your Body Is Affected?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Premature Menopause - How Your Body Is Affected?

During the natural course of events, a woman's body starts its reproductive phase with menarche and at about 50 years of age, attains menopause. This is when the reproductive function ceases and the ovaries stop producing the hormone estrogen and progesterone. This is medically termed early or premature menopause. 

Menopause that occurs before 40 years of age is termed as Premature Menopause; it is due to primary ovarian insufficiency and occurs in 1% of the women.  If it occurs between 45 to 50 years, it is termed as early menopause.

Causes of premature menopause: Normal ageing, family history, genetic disorders, autoimmune disorders, toxins, and surgery are some reasons that could lead to premature menopause.

Effects: Estrogen and progesterone have a lot of beneficial effects on a woman's body. Reduction in their levels leads to some of the below changes:

  • Emotional changes like mood swings, irritability, and in some cases depression, especially in premature menopause.
  • Irregular cycles before complete cessation of the menstrual cycles.
  • General mucosal dryness leading to vaginal dryness, dry skin, dry eyes.
  • There also would be urinary incontinence and reduced sex drive due to reduced hormone levels.
  • For women who still would want to have children, infertility would be a big cause for concern. This could lead to other emotional issues, worsening the depression.
  • Bones lose their density and get weak and are more prone to fracture. This leads to Osteoporosis.
  • Postmenopause, women are more prone to heart attacks and stroke, leading to cardiovascular health issues. Though not fully proven, this is believed to be true as the good role that estrogen plays on blood vessels is negated with menopause.
  • Menopause leads to accelerated damage of genetic structures, thereby leading to faster ageing. This also leaves a feeling in the women of being less attractive and less desirable.

There is also a good news, that after menopause women are at lesser risk of cancer especially, breast and ovarian.

However, it is not easy for women to handle premature menopause. The body undergoes some changes much earlier than expected, and it requires a lot of support and caring and comforting to come to terms with it especially, if associated with infertility or chemotherapy for cancer. Emotional issues of not being able to have children and feeling less attractive require frank talks to boost the person's confidence and increase self-worthiness.

It is easier said than done, but one of the key ways to handle premature menopause is an open discussion.

Related Tip: "7 Ways To Deal With PMS"

4348 people found this helpful

For pcod my doctor referred letrozole tablet. And after 6th day they told me to take follicular scan. May I know the treatment details. How the pcod treatment is conducted. And after what can I do for my pcod problem. Im very worried about this. Can you pls help me to getting pregnant with pcod.

MBBS
General Physician, Jalgaon
For pcod my doctor referred letrozole tablet. And after 6th day they told me to take follicular scan. May I know the ...
Please Allopathic treatment is very tedious and complicated for pcod Instead Do following. Wake up early go for morning walk in greenery daily with relaxed mind Do pranayam and yoga daily Do perineal and pelvic exercises daily Avoid oily spicy and fast food, non veg food, processed food, rice Take salads and fruits more Take carrots and beet root juice daily Take Cap evecare by Himalaya 2 2 for 6 mths Lohasav 10 ml twice a day for 3 months Ashokarishta 20 ml twice a day for 6 mths And Tab raj pravartini Vati 2 2 for 5 days, for periods Reconsult after 3 months.
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What preparation should be done before pregnancy and what diet should be followed? And how to avoid miscarriage in first trimester?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
What preparation should be done before pregnancy and what diet should be followed? And how to avoid miscarriage in fi...
Hi avoid sex, travelling, heavy work during first trimester. It increases chances of abortion. U can have anything in food as at this time you are not much receptive due to vomiting. So eat whatever you want to have. Just avoid cough and constipation.
1 person found this helpful
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Heart Blockage: Warning Signs

DM Cardiology
Cardiologist, Delhi
Heart Blockage: Warning Signs

Heart Blocks are a result of plaque buildup in your arteries, which blocks blood flow and circulation to the heart, causing heart muscle damage and heightens the risk for heart attack and stroke.
Arteries which have smooth and elastic walls become thick and restrict blood flow from the cholesterol deposits over the years. Blood clots can also block the arteries that supply oxygen rich blood to the heart. These can eventually lead to strokes and heart attacks.

Some warning signs that you may be at risk of heart blockage:

  1. Have you had a mild stroke: Plaque that accumulates in the carotid artery supplying oxygen rich blood to the brain can cause a stroke. People who have had strokes are more prone to heart attacks.
  2. Do you often feel fatigue and dizziness: Reduced oxygen from poor circulation and blood flow can result in fatigue and tiredness as well as dizziness.
  3. Experiencing shortness of breath: Poor blood flow can lead to shortness of breath from even mild forms of exercise or even from carrying out daily chores or walking.
  4. Sudden chest pain: Chest pain or angina result from reduced supply of blood to the heart. It can be felt as pressure, tightness in the chest, squeezing in the chest, numbness or burning.
  5. Unexplained lower back pain: This can result from pressure in the spine as a result of pinched nerves due to compressed vertebrae discs as a result of poor blood flow.
  6. Erectile dysfunction in men: If an erection becomes difficult or impossible, it could be a warning sign of clogged arteries. These arteries supply blood to the pelvis area and help achieve an erection.
  7. Calf pain: Blocked leg arteries can cause calf pain, especially in smokers . THis is an early sign of possible heart blocks.
  8. Painful, numb and cold hands and feet: Plaque build up in the arteries of the extremities can cause numbness and coldness in the hands and feet.

Remember early detection is the key to prevent or delay heart attacks.

3608 people found this helpful

Pregnancy Changes

BAMS, Msc-Psychoneurobics, Diploma in Counseling and Spiritual Health
Ayurveda, Faridabad
Pregnancy Changes

Pregnancy brings a variety of changes to the body. They can range from common and expected changes, such as swelling and fluid retention, to less familiar ones such as vision changes. Read on to learn more about them.

Hormonal changes:
Hormonal changes during pregnancy
The hormonal and physiological changes that come with pregnancy are unique.

Pregnant women experience sudden and dramatic increases in estrogen and progesterone. They also experience changes in the amount and function of a number of other hormones. These changes don’t just affect mood. They can also:

Create the “glow” of pregnancy
Significantly aid in the development of the fetus
Alter the physical impact of exercise and physical activity on the body
Estrogen and progesterone changes

Estrogen and progesterone are the chief pregnancy hormones. A woman will produce more estrogen during one pregnancy than throughout her entire life when not pregnant. The increase in estrogen during pregnancy enables the uterus and placenta to:

Improve vascularization (the formation of blood vessels)
Transfer nutrients
Support the developing baby
In addition, estrogen is thought to play an important role in helping the fetus develop and mature.

Estrogen levels increase steadily during pregnancy and reach their peak in the third trimester. The rapid increase in estrogen levels during the first trimester may cause some of the nausea associated with pregnancy. During the second trimester, it plays a major role in the milk duct development that enlarges the breasts.

Progesterone levels also are extraordinarily high during pregnancy. The changes in progesterone cause a laxity or loosening of ligaments and joints throughout the body. In addition, high levels of progesterone cause internal structures to increase in size, such as the ureters. The ureters connect the kidneys with the maternal bladder. Progesterone is also important for transforming the uterus from the size of a small pear — in its non-pregnant state — to a uterus that can accommodate a full-term baby.

Pregnancy hormones and exercise injuries

While these hormones are absolutely critical for a successful pregnancy, they also can make exercise more difficult. Because the ligaments are looser, pregnant women may be at greater risk for sprains and strains of the ankle or knee. However, no studies have documented an increased rate in injury during pregnancy.

A pregnant woman’s entire posture changes. Her breasts are larger. Her abdomen transforms from flat or concave to very convex, increasing the curvature of her back. The combined effect shifts the center of gravity forward and may lead to changes in her sense of balance.

Weight gain, fluid retention, and physical activity

Weight gain in pregnant women increases the workload on the body from any physical activity. This additional weight and gravity slow down the circulation of blood and bodily fluids, particularly in the lower limbs. As a result, pregnant women retain fluids and experience swelling of the face and limbs. This water weight adds another limitation on exercise. Learn about natural treatments for swollen hands.

Many women begin to notice slight swelling during the second trimester. It often continues into the third trimester. This increase in fluid retention is responsible for a significant amount of weight gain women experience during pregnancy. Tips for easing swelling include:

Rest
Avoid long periods of standing
Avoid caffeine and sodium
Increase dietary potassium
Weight gain is usually the primary reason that the body can’t tolerate prepregnancy levels of exercise. This even applies to the seasoned, elite, or professional athlete. Round ligament strain, increased size of the uterus, and pelvic instability from laxity of the ligaments may lead to increased discomfort during exercise.

Tip: for fun, take a photograph of yourself from the side profile early in your pregnancy, using your best posture. Take another photo near your due date and compare these side profiles. The changes are remarkable, aren’t they?

Senses
Sensory changes
Pregnancy can dramatically alter how a woman experiences the world through sight, taste, and smell.

Vision changes

Some women experience vision changes during pregnancy, characterized by increased nearsightedness. Researchers don’t know the precise biological mechanisms behind changes in vision. Most women return to prepregnancy vision after giving birth.

Common changes during pregnancy include blurriness and discomfort with contact lenses. Pregnant women often experience an increase in intraocular pressure. Women with preeclampsia or gestational diabetes may be at an elevated risk of rare eye problems, such as retinal detachment or vision loss.

Taste and smell changes

Most women experience changes in their sense of taste during pregnancy. They typically prefer saltier foods and sweeter foods than non-pregnant women. They also have a higher threshold for strong sour, salty, and sweet tastes. Dysgeusia, a decrease in the ability to taste, is most commonly experienced during the first trimester of pregnancy.

Certain taste preferences may vary by trimester. Although many women experience a dulled sense of taste for a short period of time postpartum, they typically regain full taste capability after pregnancy. Some women also experience a metallic taste in the mouth during pregnancy. This can aggravate nausea and may indicate a nutrient imbalance. Learn more about impaired taste.

At times, pregnant women also report changes in their sense of smell. Many describe a heightened awareness and sensitivity to a variety of odors. There’s little consistent and reliable data indicating that pregnant women actually notice and identify certain odors and intensity of odors more than their non-pregnant counterparts. Nevertheless, the vast majority of pregnant women report a perceived increase in their own sensitivity to odors.

Changes related to childbirth
Breast and cervical changes
Hormonal changes, which begin in the first trimester, will lead to many physiological changes throughout the body. These changes help prepare the mother’s body for pregnancy, childbirth, and breastfeeding.

Breast changes

Pregnant women’s breasts often undergo a series of significant changes during pregnancy as their bodies prepare to supply milk to the newborn baby. Pregnancy hormones that affect skin pigmentation often darken the areola. As the breasts grow, pregnant women may experience tenderness or sensitivity and notice that the veins are darker and the nipples protrude more than before pregnancy. Some women may develop stretch marks on the breasts, particularly if they undergo rapid growth. Many women will also notice an increase in the size of the nipple and areola.

Small bumps on the areolas often appear. Most women will begin producing, and even “leaking,” small amounts of a thick, yellowish substance during the second trimester. This substance is also known as colostrum. In addition to producing the colostrum for the baby’s first feeding, milk ducts in the breasts expand in preparation for producing and storing milk. Some women may notice small lumps in the breast tissue, which can be caused by blocked milk ducts. If the lumps don’t disappear after a few days of massaging the breast and warming it with water or a washcloth, a doctor should examine the lump at the next prenatal visit.

Cervical changes

The cervix, or the entry to the uterus, undergoes physical changes during pregnancy and labor. In many women, the tissue of the cervix thickens and becomes firm and glandular. Up to a few weeks before giving birth, the cervix may soften and dilate slightly from the pressure of the growing baby.

In early pregnancy, the cervix produces a thick mucus plug to seal off the uterus. The plug is often expelled in late pregnancy or during delivery. This is also called bloody show. Mucous streaked with a small amount of blood is common as the uterus prepares for labor. Prior to delivery, the cervix dilates significantly, softens, and thins, allowing the baby to pass through the birth canal. Learn more about the stages of labor and how they affect the cervix.

Hair, skin, and nails
Changes in the hair, skin, and nails
Many women will experience changes in the physical appearance of their skin during pregnancy. Although most are temporary, some — such as stretch marks — can result in permanent changes. In addition, women who experience some of these skin changes during pregnancy are more likely to experience them again in future pregnancies or even while taking hormonal contraceptives.

Hair and nail changes

Many women experience changes in hair and nail growth during pregnancy. Hormone changes can sometimes cause excessive hair shedding or hair loss. This is especially true in women with a family history of female alopecia.

But many women experience hair growth and thickening during pregnancy and may even notice hair growth in unwanted places. Hair growth on the face, arms, legs, or back can occur. Most changes in hair growth return to normal after the baby is born. It’s common, however, for hair loss or increased shedding to occur up to a year postpartum, as hair follicles and hormone levels regulate themselves without the influence of pregnancy hormones.

Many women also experience faster nail growth during pregnancy. Eating well and taking prenatal vitamins adds to the growth hormones of pregnancy. Although some may find the change desirable, many may notice increased nail brittleness, breakage, grooves, or keratosis. Healthy dietary changes to increase nail strength can help prevent breakage without the use of chemical nail products.

“Mask” of pregnancy and hyperpigmentation

The vast majority of pregnant women experience some type of hyperpigmentation during pregnancy. This consists of a darkening in skin tone on body parts such as the areolas, genitals, scars, and the linea alba (a dark line) down the middle of the abdomen. Hyperpigmentation can occur in women of any skin tone, although it’s more common in women with darker complexions.

In addition, up to 70 percent of pregnant women experience a darkening of skin on the face. This condition is known as melasma, or the “mask” of pregnancy. It can be worsened by sun exposure and radiation, so a broad-spectrum uva/uvb sunscreen should be used daily during pregnancy. In most cases, melasma resolves after pregnancy.

Stretch marks

Stretch marks (striae gravidarum) are perhaps the most well-known skin change of pregnancy. They’re caused by a combination of physical stretching of the skin and the effects of hormone changes on the skin’s elasticity. Up to 90 percent of women develop stretch marks by the third trimester of pregnancy, often on the breasts and abdomen. Although the pinkish-purple stretch marks may never fully disappear, they often fade to the color of surrounding skin and shrink in size postpartum. Stretch marks can itch, so do apply creams to soften and reduce the urge to scratch and possibly damage the skin.

Mole and freckle changes

The hyperpigmentation caused by changes in hormones during pregnancy can cause changes in the color of moles and freckles. Some darkening of moles, freckles, and birthmarks can be harmless. But it’s always a good idea to see a dermatologist or physician about changes in size, color, or shape.

Pregnancy hormones can also cause the appearance of dark patches of skin that are often unpreventable. Although most skin pigmentation changes will fade or disappear after pregnancy, some changes in mole or freckle color may be permanent. It’s a good idea to have a skin check for potential skin cancer or pregnancy-specific skin conditions if you notice any changes.

Pregnancy-specific rashes and boils

Small percentages of women may experience skin conditions that are specific to pregnancy, such as puppp (pruritic urticarial papules and plaques of pregnancy) and folliculitis. Most conditions involve pustules and red bumps along the abdomen, legs, arms, or back. Although most rashes are harmless and resolve quickly postpartum, some skin conditions may be associated with premature delivery or problems for the baby. These include intrahepatic cholestasis and pemphigoid gestationis.

Circulatory system
Circulatory system changes
The following are common during pregnancy:

Huffing and puffing while climbing stairs
Feeling dizzy after standing quickly
Experiencing changes in blood pressure
Because of rapid expansion of the blood vessels and the increased stress on the heart and lungs, pregnant women produce more blood and have to utilize more caution with exercise than non-pregnant women.

Heartbeat and blood volume during pregnancy

During the second trimester of pregnancy, the mother’s heart at rest is working 30 to 50 percent harder. Most of this increase results from a more efficiently performing heart, which ejects more blood at each beat. Heart rate may increase up to 15 to 20 percent during pregnancy. It’s not uncommon to approach 90 to 100 beats per minute in the third trimester. Blood volume increases progressively during pregnancy until the last month. The volume of plasma increases 40-50 percent and red blood cell mass 20-30 percent, creating a need for increased iron and folic acid intake.

Blood pressure and exercise

There are two types of circulatory changes that may have an impact on exercise during pregnancy. Pregnancy hormones can suddenly affect the tone in blood vessels. A sudden loss of tone may result in the feeling of dizziness and perhaps even a brief loss of consciousness. This is because the loss of pressure sends less blood to the brain and central nervous system.

Additionally, vigorous exercise may lead to decreased blood flow to the uterus while diverting blood to muscles. However, this has not been shown to have a long-term impact on the baby. Furthermore, there’s evidence to suggest that individuals who exercise have improved blood supply to the placenta at rest. This may be beneficial to placental and fetal growth and weight gain.

Dizziness and fainting

Another form of dizziness can result from lying flat on the back. This dizziness is more common after 24 weeks. However, it can happen earlier during multi-fetal pregnancies or with conditions that increase amniotic fluid.

Lying flat on the back compresses the large blood vessel leading from the lower body to the heart, also known as the vena cava. This decreases blood flow to and from the heart, leading to a sudden and dramatic decline in blood pressure. This can cause dizziness or loss of consciousness.

After the first trimester, it’s not recommended to do exercises that involve lying on the back due to the impact from blood vessel compression. Lying on the left side may help relieve dizziness and is a healthy position for sleep.

Women experiencing any of these conditions, particularly during exercise, should consult their doctor.

Respiratory and metabolic changes
Respiratory and metabolic changes
Pregnant women experience increases in the amount of oxygen they transport in their blood. This is because of increased demand for blood and the dilation of blood vessels. This growth forces increases in metabolic rates during pregnancy, requiring women to up energy intake and use caution during periods of physical exertion.

Breathing and blood oxygen levels

During pregnancy, the amount of air moved in and out of the lungs increases by 30 to 50 percent due to two factors. Each breath has a greater volume of air, and the rate of breathing increases slightly. As the uterus enlarges, the room for movement of the diaphragm may be limited. Therefore, some women report the feeling of increased difficulty in taking deep breaths. Even without exercise, these changes may cause shortness of breath or the feeling of being “air hungry.” exercise programs may increase these symptoms.

Overall, pregnant women have higher blood oxygen levels. Studies have shown that pregnant women consume more oxygen at rest. This does not seem to have an impact on the amount of oxygen available for exercise or other physical work during pregnancy.

Metabolic rate

Basal or resting metabolic rate (rmr), the amount of energy the body expends while at rest, increases significantly during pregnancy. This is measured by the amount of oxygen used during periods of total rest. It helps estimate the amount of energy intake required to maintain or gain weight. Changes in metabolic rates explain the need to increase calorie consumption during pregnancy. The body of a pregnant woman slowly increases its energy requirements to help fuel the changes and growth taking place in both the mother and baby.

Metabolic rates increase substantially by just 15 weeks’ gestation and peak in the third trimester during the greatest growth phase. This increased metabolic rate may put pregnant women at a higher risk of hypoglycemia, or low blood sugar. Although the metabolic rate may drop slightly as the pregnancy reaches term, it remains elevated over prepregnancy levels for several weeks postpartum. It will remain elevated for the duration of breastfeeding in women producing milk.

Body temperature changes

An increase in basal body temperature is one of the first hints of pregnancy. A slightly higher core temperature will be maintained through the duration of pregnancy. Women also have a greater need of water during pregnancy. They can be at higher risk of hyperthermia and dehydration without caution to exercise safely and remain hydrated.

Hyperthermia – overheating during pregnancy

Heat stress during exercise creates concern for two reasons. First, an increase in the mother’s core temperature, as in hyperthermia, can be harmful to the baby’s development. Second, loss of water in the mother, as in dehydration, can decrease the amount of blood available to the fetus. This can lead to increased risk of preterm contractions.

In non-pregnant women, moderate aerobic exercise causes significant increases in core body temperature. Pregnant women, whether they exercise or not, experience a general increase in base metabolic rate and core temperature. Pregnant women regulate their core temperature very efficiently. Increased blood flow to the skin and the expanded skin surface release increased body heat.

It’s been shown that pregnant women do not have as much of an increase in body temperature during exercise as those who are not pregnant. However, pregnant women should avoid exercising in non-breathable clothing and in very hot or humid conditions, since the impact of hyperthermia can be severe. The following may help reduce the risk of overheating while exercising:

Use fans during indoor activity
Exercise in the pool
Wear light-colored, loose-fitting clothing
Dehydration

Most women who exercise for 20 to 30 minutes or who exercise during hot and humid weather will sweat. In pregnant women, loss of bodily fluids from sweat can decrease the blood flow to the uterus, the muscles, and some organs. The developing fetus needs a constant supply of oxygen and nutrients carried through the blood, so injury may result from a lack of fluid.

In most conditions, uterine oxygen consumption is constant during exercise and the fetus is safe. However, exercising can be dangerous for women with pregnancy-induced hypertension. That’s because this condition limits uterine blood volume as the vessels clamp down and deliver less blood to the area.

If you’re cleared for exercise during pregnancy, be sure to follow common-sense tips. Avoid excessive heat and humidity and rehydrate, even when you’re not thirsty.

3 people found this helpful

My stomach is paining since last two weeks and even I missed my periods what should I do?

BAMS, MD Ayurveda
Sexologist, Lonavala
My stomach is paining since last two weeks and even I missed my periods what should I do?
Stomach is paining and you also missed your periods here is something you need to try 1. Papaya helps to reduce the pain and regulates the flow 2. Take pulp of an unripe papaya 3. Blend it with 1 glass water 4. Drink it twice a day.
1 person found this helpful

I am 18 years old girl. My period date has gone from many days. I am not getting regularly periods .and I have pain in my lumber region. What should I do. Please help me.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am 18 years old girl. My period date has gone from many days. I am not getting regularly periods .and I have pain i...
First step is to get properly examined and diagnosed if you have any structural abnormality... After prooerly diagnosed you should consult for homoeopathic treatment... which is the best option without any side effects.. and permanent solution..
1 person found this helpful
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Hi doc. Since 5 years (from 2011) I am diagnosed with fibroadenoma. I was OK as d size was just 1.8 mm but now it has started pain and d size has also increased to2. 7 mm I am really v much worried abt it, as I am gonna get married in may 17. Did many medication like Ayurveda homeo allopathy. But no result. I want to ask you that can I get married? Will it effect my conceiving rate. Will I have any problem in feeding. And suggest me some gud Dr. who can cure did. If I don't get it operated will it turn into malignant after marriage. Or is it gud to operate it bfre marriage. Pls pls help me out. God bless you.

M.H.C.T.C
Oncologist, Pune
Hi, Lybrate,I differ as the Fibroadenoma is not a normal condition as opined by My professional colleague. Its a disease condition and its abnormal state. But by its size and progress over last 5 yrs. Its not harmful for your marriage and for you getting children after the marriage, as apprehended by you. As you are getting married in May, 2017,I would suggest you to go ahead with your marriage and plan the detailed treatment with Me thereafter. This is because no chance of malignant changes if non-operated, as more investigations would be required to rule out these complications, but this is not required in your case. If still you want to consult with Me, book appoinment through Lybrate web asap. There is no hurry to operate as its not increasing in size and as there is no immediate chance of getting .The pain complained by you could be treated with local doctors. If not please fix appointment with Me ASAP-if pain is not relieved. I would suggest you to consult Me by prior appointment -for Sms Chat/ and consults through Lybrate.
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