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Dr. Nirmala

Gynaecologist, Hyderabad

100 at clinic
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Dr. Nirmala Gynaecologist, Hyderabad
100 at clinic
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Personal Statement

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. Nirmala
Dr. Nirmala is a renowned Gynaecologist in Ameerpet, Hyderabad. You can meet Dr. Nirmala personally at Dr.Rama's Institute For Fertility in Ameerpet, Hyderabad. Save your time and book an appointment online with Dr. Nirmala on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 38 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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Dr.Rama's Institute For Fertility

# Door No 6-3-788/33, Opposite Chandana Brothers, Ameerpet, HyderabadHyderabad Get Directions
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Hi I am 25 year old unmarried female, I m not getting periods from last 2 months. My weight is 80 kg. Doctors have asked me to reduce weight and says that its a hormonal disbalance. I need a proper homeopathic treatment. Please suggest.

M. sc Psychology, BHMS
Homeopath, Hyderabad
If its confirmed hormonal imbalance, you need to undergo for medication for longer period and your weight also should b reduced, parallelly by maintaining diet n physical exercises.
1 person found this helpful
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I am 22 years old newly married female. I have irregular periods. And sometimes I come in periods one in 6 months. I want to concieve. Is there any solution?

International Academy of Classical Homeopathy, BHMS
Homeopath,
We have solution for regular menses without adverse effects. U need homeopathic rx. U can try jonsia. Ashoka12 c 3 hrly. U can check your tsh, c. B. C, usg.
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I got my periods on 29 january for da month o feb I got my periods fast. So wen do I expect my next period?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I got my periods on 29 january for da month o feb I got my periods fast. So wen do I expect my next period?
Hello, you should expect your next menses by 1st week of march if you have a regular 28-30 day cycle.
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My period was happened in very little amount in this month and pee comes out yellowish colour what will I do.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My period was happened in very little amount in this month and pee comes out yellowish colour what will I do.
If pee is persistently coming out yellow color then you need to check for development of jaundice. If some time of the day it is normal color then you just need to drink plenty of water. If bu r married, then little menses can suggest pregnancy and you should get urine tested for pregnany. If you r not expecting pregnancy, then because of hormonal changes, illness or stress, this kind of menses can happen. Next month it will come normally.
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Hi mam I want to know the main cause of pcos and what exactly happens to the organs of the body in this disease.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hyderabad
Hi mam I want to know the main cause of pcos and what exactly happens to the organs of the body in this disease.
Dear lybrate-user PCOS is a problem where the ovaries single or both donot release ovum and the ovary is filled with small cysts, until the cysts resolve the problem hormonal imbalances will be there, there is fluctuations in almost all harmones related to female along with pancreas, and Androgen harmonies, hence early diagnosis and treatment helps in infertility also.
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Hello, I have three months old baby and he is on bottle feed I am gaining weight I wanna ask can I start some yoga and exercise? My baby was born with c section operation. please help me.

MBBS , DGO , FIMAS
Gynaecologist, Delhi
Hello, I have three months old baby and he is on bottle feed I am gaining weight
I wanna ask can I start some yoga an...
start with 20 minutes walk first. avoid sugar and fried food including parathas. slowly u increase the intensity and duration of exercise. take calcium supplement till you are feeling the baby.
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My period is irregular. But my all reports normal and my husband too. I want to be pregnant as soon as possible. So please tell me what should I do. How can I know my fertile days. Bcoz period irregular.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
My period is irregular. But my all reports normal and my husband too. I want to be pregnant as soon as possible. So p...
Irregular period generally indicate absence of ovulation. A follicular monitoring for evaluating the same, use of kits to see to determine the time of ovulation or hormonal test in later half of cycle would help to establish that and time the intercourse. See an infertility specialist.
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Dear Concern, My wife had thyroid and now she is pregnant of 17 weeks she take 75.2 mg Thyronorm right now. Before one month she took 37. 5 mg when FSH-4.5 but now FSH is 3.37, but doctor increased power of 75.2 mg. When we asked the reason then he said its time to maintain normal after few month the power of dosages would be decreased. But why he increased dosage power we still can not understand if thyroid decreased into normal range. please answered asap.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Dear Concern,
My wife had thyroid and now she is pregnant of 17 weeks she take 75.2 mg Thyronorm right now. Before on...
lybrate-user, it's not fsh it's TSH levels. First it's 4.5 so depending on the weight of the patient 1 mcg per kg of thyronorm to be started. At 17 weeks TSH 2.5 is normal if patient is taking 75 mcg thyronorm for 3.37 continue taking it and After 1 month repeat ft4, ft3,TSH levels visit endocrinologist for the further opinion.
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Two lady both are ten to eleven years old both seduce me because I'm renter, she usually comes in my room , she tickle some time. And said to have sex. But I'm afraid of people near me. When should I do?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
dear lybrate user. I can understand. I will never have any sort of sexual attraction towards children of 10 and 11 years young. They are children. I suggest you to strongly discourage them. Take care.
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I have used itrasys capsule 200 mg for 3 days and candid CL for 6 days fir vaginal itching. It helps me alott. But should I have to eat it again whenever I face this prob I have also cyst on both sides of ovaries. Doc gave me birth control pills and I am taking it since last 6 months. I am getting married on March can it affect my marriage life.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Yes of course. Do not take birth control pills. Take my ayurvedic treatment for one month and you will be fit for sexual activity.
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I am 25 years old and 6 weeks pregnant. Please advice me what kind of foods should I eat so that it is beneficial for the baby.

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
I am 25 years old and 6 weeks pregnant. Please advice me what kind of foods should I eat so that it is beneficial for...
Eat healthy balanced food lybrate-user. Thats enough. Avoid fatty junk food regularly. You can have them once in a while, if you feel like it. Anything you eat is beneficial for the baby. It is going to get the nutrients from the food you eat. Enjoy the pregnancy and do not over think or worry much.
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Dear sir, how to cure 1.5 month unwonted pregnancy, test report is positive, please suggest any tablet. Thnks.

Gynaecologist, Siliguri
If it is really of 45 days pregnancy then you might take pills but it has complications too so consult any gynecologist personally you can consult me.
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Human Chorionic Gonadotropin (HCG): The Pregnancy Hormone

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Human Chorionic Gonadotropin (HCG): The Pregnancy Hormone

The hormone human chorionic gonadotropin(better known as hCG) is produced during pregnancy.

It is made by cells formed in the placenta, which nourishes the egg after it has been fertilized and becomes attached to the uterine wall.

Levels can first be detected by a blood test about 11 days after conception and about 12-14 days after conception by a urine test.

Typically, the hCG levels will double every 72 hours. The level will reach its peak in the first 8-11 weeks of pregnancy and then will decline and level off for the remainder of the pregnancy.

Key Things To Remember About HCG Levels -

  • As you get further along in pregnancy and the hCG level gets higher, the time it takes to double can increase to about every 96 hours.
  • Caution must be used in making too much of hCG numbers. A normal pregnancy may have low hCG levels and result in a perfectly healthy baby. The results from an ultrasound after 5 -6 weeks gestation are much more accurate than using hCG numbers.
  • An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy.
  • The hCG hormone is measured in milli-international units per milliliter (mIU/ml).
  • A transvaginal ultrasound should be able to show at least a gestational sac once the hCG levels have reached between 2,000mIU/ml. Because levels can differentiate so much and conception dating can be wrong, a diagnosis should not be made by ultrasound findings until the hCG level has reached at least 2,000.
  • A single hCG reading is not enough information for most diagnoses. When there is a question regarding the health of the pregnancy, multiple testings of hCG done a couple of days apart give a more accurate assessment of the situation.
  • The hCG levels should not be used to date a pregnancy, since these numbers can vary so widely.
  • There are two common types of hCG tests. A qualitativehCG test detects if hCG is present in the blood. A quantitative hCG test (or beta hCG) measures the amount of hCG actually present in the blood.
  • Guideline To HCG Levels During Pregnancy

hCG levels in weeks from LMP (gestational age):

  • 3 weeks LMP: 5-50 mIU/ml
  • 4 weeks LMP: 5-426 mIU/ml
  • 5 weeks LMP: 18-7,340 mIU/ml
  • 6 weeks LMP: 1,080-56,500 mIU/ml
  • 7-8 weeks LMP: 7, 650-229,000 mIU/ml
  • 9-12 weeks LMP: 25,700-288,000 mIU/ml
  • 13-16 weeks LMP: 13,300-254,000 mIU/ml
  • 17-24 weeks LMP: 4,060-165,400 mIU/ml
  • 25-40 weeks LMP: 3,640-117,000 mIU/ml

Non-pregnant females:
Postmenopausal females:
* These numbers are just a guideline, every woman's level of hCG can rise differently. It is not necessarily the level that matters, but rather the change in the level.

What Can A Low HCG Level Mean?
A low hCG level can mean any number of things and should be rechecked within 48-72 hours to see how the level is changing.

A low hCG level can indicate:

  • Miscalculation of pregnancy dating
  • Possible miscarriage or blighted ovum
  • Ectopic pregnancy

What Can A High HCG Level Mean?

A high level of hCG can also mean a number of things and should be rechecked within 48-72 hours to evaluate changes in the level.

A high hCG level can indicate:

  • Miscalculation of pregnancy dating
  • Molar pregnancy
  • Multiple pregnancy
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My name is swapna age 36 years having continuous bleeding since last three months I went to a local gynecologist and she ask me to get the scan report. Thespian report result is endometrium hyperplasia. And the doctor advice me for D&C last month I had D&C and from that day it is still bleeding. The D&C biopsy report is simple cystic endometrium hyperplasia and the doctor said it is because of high levels of estrogens and she prescribed progesterone tablets for 21 days pls kindly suggest the remedies.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
You need high dose of progesterone as well as other drugs to control bleeding. Check thyroid level and coagulation profile. Control body weight. Remember you may need progesterone for long days, 21 days may not be sufficient sometimes. Actually the treatment depends on severity of bleeding as well as number of children you have.
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Hi im 5 months pregnant. All blood reports came normal. What precautions should be taken for zika virus. Which fruit is rich in antioxidants.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi im 5 months pregnant. All blood reports came normal. What precautions should be taken for zika virus. Which fruit ...
ZIKA virus protection if contracted already is not possible, though a vaccine is being in the process of development, but till date there is no cure available for patients.
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Hello, I am trying to conceive past 3 yrs. But this month my follicle count was 3 only is there any chances to get pregnant with iui treatment. In this 3follicle how many eggs will release. Pls respond my question doctor.

MBBS
General Physician, Chandigarh
Hello, I am trying to conceive past 3 yrs. But this month my follicle count was 3 only is there any chances to get pr...
It depends upon a he size of the follicles your gynecologist will decide to get her your follicles are mature enough for iui cycle only one egg is required for fertilization
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I delivered a twin before 4 months and both died after a week so my breast milk dried up and now from some days my urine is of yellow colour which haunted me. Please tell me isn't this any problem Thanks.

DHMS (Hons.)
Homeopath, Patna
I delivered a twin before 4 months and both died after a week so my breast milk dried up and now from some days my ur...
Hello, I am extremely sorry to here this sad news. It's quite natural your milk secretion be dried up if not being fed. It seems that your are reluctant in taking plenty of water making your urine yellowish being micturated with slight burning sensation. Your intake be easily digestible in small intervals to avoid gastric disorder causing distress. Please, sit for meditation for 30 mnts to reduce your stress nourishing body and brain ,feeding your heart as well. Tk homoeopathic medicine:@ chelidonium Q-10 drops thrice with little water avoid ,junk food, caffeine, alcoholic intake, piza, burger. Report wkly. Your feedback matters for further followup, please. Tk care.
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Is it always better to have'roti' at both lunch and dinner time if I've fasting 110 mg/dl and pp is 182mg/dl.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udaipur
Is it always better to have'roti' at both lunch and dinner time if I've fasting 110 mg/dl and pp is 182mg/dl.
Yes but roti made by mix flours like barley wheat raagi etc. Take 20 gm roasted alasi seed with lunch and dinner it's help to decrease your glucose level.
3 people found this helpful
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Why my wife get pain in urine bladder while intercourse. Please help. Is there anything serious.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
There can be a numberof reaons for pain above pubic area during sexual intercourse and few of them are 1.lack of sexual enjoyment in your wife during intercourse leading to less secretion of vaginal fluids due to excitement. 2.Uterine swelling 3.Pelvic inflammatory disease 4.Cervicitis 5.Prolapse Uterus
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