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Dr. Pramila

Gynaecologist, Hyderabad

200 at clinic
Dr. Pramila Gynaecologist, Hyderabad
200 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Pramila is a popular Gynaecologist in Saidabad, Hyderabad. You can visit him/her at Kishan Rao Clinic in Saidabad, Hyderabad. Save your time and book an appointment online with Dr. Pramila on Lybrate.com.

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Kishan Rao Clinic

Shop #17-2-773,Saidabad,Madannapet,Hyderabad Race Club, Opposite Madannapet Water Tank,, Malakpet Colony, Hyderabad, Andhra Pradesh, India 500036, HyderabadHyderabad Get Directions
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Perineum and Pelvic Floor Repair - A Complete Guide!

M.B.B.S, M.S Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, Fellowship in Minimal Access Surgery, Diploma in Advanced Modern Cosmetic - Plastic Gynaecology, Diploma in Minimal Invasive Surgery(Germany), Fellowship of International College of Robotic Surgeons
Gynaecologist, Chennai
Perineum and Pelvic Floor Repair - A Complete Guide!

The perineum is the area between the vagina and the anus. This fragile area plays a significant role in the female reproductive system. This is often intentionally or accidentally torn open to allow for the normal delivery of the baby. This needs to be repaired meticulously to ensure that the pelvic floor is safeguarded from further damage.

The pelvic floor contains multiple muscles and supporting tissues which help in keeping the vagina, rectum, uterus and supporting structures in their places. When these muscles become weak due to childbirth, ageing, perineal injury etc, the uterus, bladder and rectum loosen up and prolapse down.The most common problem that is encountered is urine and fecal incontinence, where the woman has difficulty holding urine and feces. Though not often discussed openly given the private nature of the topic, many women suffer from a weak pelvic floor. Read on to know some of the common causes, symptoms, and management measures.

Causes:

  1. Chronic cough: The next time you cough for prolonged periods, notice how much pressure it puts on the pelvic area. This goes unnoticed, but chronic cough can weaken the pelvic floor muscles. It is not common for women to lose some urine during these long-drawn coughing spells.
  2. Chronic constipation: The pressure exerted during constipation weakens the pelvic floor, often leading to incontinence.
  3. Pregnancy and delivery: Most common cause of perineal injury, where the perineum is torn (accidentally or intentionally) to allow for easy passage of the baby. If it is not repaired meticulously, the pelvic floor is weakened.

Symptoms:

Urinary incontinence is the most common symptom that women present to doctors with. However, there are minor symptoms which a woman would experience prior to reaching this stage. Most often, these are ignored, and only brought to doctor’s notice when symptoms become quite severe. If left unattended, there could be more severe repercussions too.

  1. A heavy feeling in the pelvic area, commonly referring to as a bearing down sensation, a feeling that the internal organs are going to pop out through the vagina
  2. A small lump that can be felt and/or seen at the vaginal opening
  3. Feeling of incomplete emptying of the bladder and/or bowel
  4. Constipation
  5. Pain or bleeding from the vagina or the rectum
  6. Recurrent pelvic and/or urinary tract infections

Management:

  1. Kegel exercises are often used to strengthen the pelvic floor. This is very effective if the problem is identified quite early.
  2. In more progressive cases, surgical repair is the most effective option. This not only corrects the prolapses but also helps boost confidence of the person, by correcting the incontinence problems and improving sexual experiences. If you wish to discuss about any specific problem, you can consult a gynaecologist.
3088 people found this helpful

My wife's period started on 10/12/2015 and ends on 14/12/2015. What dates are the safe period for having sex to avoid pregnancy? Please tell me all things about safe period in detail.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My wife's period started on 10/12/2015 and ends on 14/12/2015. What dates are the safe period for having sex to avoid...
I can provide you knowledge about safe periods only if I know the exact period cycle of your wife.Please provide me last 3 dates of her periods.in Sept,oct and Nov.
4 people found this helpful
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Sir during giri menstruation period she is able to get pregnant or not or what are the chances.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Sir during giri menstruation period she is able to get pregnant or not or what are the chances.
if sex occurs during menstrual bleeding then there are no chances of rpegancy as ovulation hasn't occurred by then. regards
9 people found this helpful
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We have got just married. Contraceptive pill as unwanted 72 has been taken by me twice. Is unwanted 72 harmful for pregnancy later ?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
We have got just married. Contraceptive pill as unwanted 72 has been taken by me twice. Is unwanted 72 harmful for pr...
Unwanted 72 is a emergency contraceptive. You should useae regular contraceptive to avoid pregnancy.
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PG In Emergency Medicine & Trauma Care, Masters Emergency Medicine, MBBS
General Physician, Mumbai
Drink more water
Drink water instead of sugary drinks and let thirst be your guide. A healthy body can balance water needs throughout the day.
Drink plenty of water if you are active, live or work in hot conditions, or are an older adult.
24 people found this helpful

Please help. Is Ipill (ecp) really effective. I took ipill after 6 hours of intercourse and had bleeding after four days which continued for 4 days. It's been 45 days since my intercourse and I have done 4 home Urine pregnancy tests after 21 days of Intercourse. All are NEGATIVE but I am very scared. please help as my periods have not came yet. Do I have to worry about pregnancy and is ipill really effective.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Please help.
Is Ipill (ecp) really effective. I took ipill after 6 hours of intercourse and had bleeding after four d...
Hi lybrate-user, yes their is possibility of pregnancy after ipill in about 1-3%. In your case this type of period delay is due to hormonal imbalance caused by ipill. Please share details of clinical history like period pattern, last period date, when you had ecp for further guidance.
1 person found this helpful
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Hi i am taking Novelon 21 day pill from june. Missed second last doubled with the last, break of 6 days from 2-7 july. Menses from 5-7july. New pack from 8th july. Protected intercourse but condom used thrice on 9th july (first timw intercourse) Next fully protected on 14th july (last intercourse) Missed 21st july pill doubled 22nd july night. Light bleeding on 22nd july morning (breakthrough bleed or implantation bleed?) Pill ended on 28th july menses from 1-6 aug. Negative hpt at 4,5,6,7,8,11,12 weeks all negative hpt done with first morning urine with different brands. No pills or intercourse after 1-6aug. Periods due on 1st sept as it dint came did a usg and hcg beta on 8th sept (10 weeks from first and 9 weeks from last intercourse) Hcg was 0.11 and usg shows pcod (no mention of pregnancy) Dr. Prescribed deviry 2 tab for 5 days for withdrawal bleed. But after taking just a single dose bleeding started from 11-16th sept. It was heavy. On 21st sept morning when I woke up I can feel my pelvic bone in the front (can it be due to exercises like crunches leg rise etc with weight loss? I was 72 in july 70 in aug and now I am almost 68 kgs) and after continuous touching I made it hurt. Scared went for usg on 21st sept (12 weeks ftom first and 11 weeks from lasr intercourse) Usg only showed bulky ovaries with pcod. I asked him if my uterus was normal he said its absolutely normal. Usg was transabdominal. The hardness yet not gone. Moreover m fln gassy all the time and I cn feel sensation under my rib and back and m passing lots of gas. M worried too. Finally ve taken an hpt with first morning urine at almost 12 weeks 6 days. And its negative. Can their still be risk of pregnancy? My menses was due on 11th october and it is now delayed by 5 days. I did not have any intercourse after 14th july. M not experiencing any pms symptoms. Moreover egg white cervical mucus is seen at various point of the cycle. Will I wait for my periods to come or will I again take tab deviry? Is their any risk of pregnancy? Do I need to redo hpt or BHCG test? M I 100% safe?

PG in Assisted Reproductive Technology, MD - Obstetrics & Gynaecology, DGO, MBBS
Gynaecologist, Mumbai
Hi i am taking Novelon 21 day pill from june.
Missed second last doubled with the last, break of 6 days from 2-7 july...
No risk of pregnancy. U can either wait for periods to come or take withdrawal with tab devilry. Both options is fine. After periods come you will have to get complete check done by gynaecologist and take treatment for Pcos.
1 person found this helpful
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I have unusual period and had done many doctors but their is no result can you suggest me.

DNHE, MD - Alternate Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Rajkot
I have unusual period and had done many doctors but their is no result can you suggest me.
Dear lybrate user. Unusal period is related with improprer digestion, poor nutririon, irregular life style etc. For that. Eat more and more green leafy vegetables. Do not eat fast food, junk food, heavy food, spicy, ioly food etc which are heavy in digest. Manage the stress and anger. Do yoga / pranayama for mental relexation. Take enough sleep.
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Hi my wife age us 25. She is in 17 weeks pregnant. Baby weight is only 190 g. Please advise this is worry able. Advice how she can increase baby weight.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi my wife age us 25. She is in 17 weeks pregnant. Baby weight is only 190 g. Please advise this is worry able. Advic...
At 17 weeks pregnancy fetal weight is absolutely normal. For reference I am putting down normal weight with weeks with lower limit and upper limit. Gestational weeks efw 10th% 90th% 16 146gm 121 171 17 181gm 150 212 18 223gm 185 261 19 273gm 227 319 20 331gm 275 387.
1 person found this helpful
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My pregnancy 9 months completed How to have normal delivery Blood hemoglobin 10.5.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My pregnancy 9 months completed
How to have normal delivery
Blood hemoglobin 10.5.
Normal delivery is a natural process and all pregnancies are designed to be delivered normally. It happens without any precautions. There are no ways to prevent cesarean section. People will advise you to do clean the floor and all that but all that is not proven to be effective. No extra precaution is needed for delivering normally. There are certain things which are not in your hand i. E. Position of the baby, passage of motion by the baby inside uterus, amount of fluid by the side of baby. All these factors and many more can decide your mode of delivery.
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I am taking novelon medicine daily at sharp 9: 00 pm but today I get late nd I take. Medicine at 9: 08 pm .is it dangerous? Or any other effect on me ?or it is safe? May I carry my regular novelon medicine?

BAMS
Ayurveda, Bangalore
I am taking novelon medicine daily at sharp 9: 00 pm but today I get late nd I take. Medicine at 9: 08 pm .is it dang...
Hi, 5 - 10 mins delay in taking the medicine does not affect in any way. Do not stop taking the pill. Take it today at 9.00 PM and continue till the pack is over. Do not getanxious about yesterday's delay. You are safe. If it is delayed for for more than an hour or two, then it is not safe as the harmone level in the blood drops down.
1 person found this helpful
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As I get periods last mnth on 18 after taking medicine sysron again this mnth same problem lot of pain and white discharge but no periods what to do .AS DCT ADVICE MY THYROID PROFILE AND USG ABDOMEN ID NORMAL PLS HELP ME .IS SYRON AGAIN HELP ME.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
As I get periods last mnth on 18 after taking medicine sysron again this mnth same problem lot of pain and white disc...
Hello, You need to get evaluated for PCOD . the delay could be just stress induced and if this pattern continues then you would have to be placed on low dose oc pills for atleast 3 months to normalize your cycles.
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Hello doctor. Please suggest some medicine for pain during periods. Need suggestions for this issue for 22 years old unmarried girl. Home made solution also fine.

BHMS
Sexologist, Noida
Hello doctor. Please suggest some medicine for pain during periods. Need suggestions for this issue for 22 years old ...
Mr. lybrate-user I suggest you to take homoeopathic medicine mag phos 6x with warm water ok solve your problem.
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I am 21years old girl. I take proper meals after that I am weak in looking please give me a advice how I increase my breast and also I have a problem of secretion mns white discharge? Please give me a good advice.

DNB (Plastic Surgery), MCh - Plastic and Reconstructive Surgery
Cosmetic/Plastic Surgeon, Ghaziabad
I am 21years old girl. I take proper meals after that I am weak in looking please give me a advice how I increase my ...
Hi, your breast size can be increased by using breast implants, for white discharge you can consult gynaecologist.
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Sound Sleep

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
Sound Sleep
Getting sound sleep is essential and no substitute exist for this. Bad sleep damage your health.
67 people found this helpful

I am getting severe backache. Last time I consulted the gynic. She told that I was suffering with viaganal infection. Whenever I use that course its reducing and again I am getting the pain. Also after intercourse also I am getting backache.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
The symptoms suggest pelvic inflammatory disease, it's much more than just vaginal infection. You need ayurvedic tablets to strengthen your hormonal system. Kindly visit my clinic or consult.
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I'm 27 years old nd I take unwanted 72 on 16/4/17 after 2 hr of sex nd after that I have abdominal pain continuously, what is provisional diagnosis and what should I do?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I'm 27 years old nd I take unwanted 72 on 16/4/17 after 2 hr of sex nd after that I have abdominal pain continuously,...
Hello- Its a abdominal cramp induced due Unwanted 72 pill. It will result in vaginal bleeding in upcoming days. To relieve the pain, massage your abdomen with warm castor oil daily in a circular manner for 15 minutes at evening hours. You will be relieved.
2 people found this helpful
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I am 27 years female and scanning reports says that I have cysts. My periods were irregular from one year and I am using birth controls pills and reduced my weight as doctors suggested. Can I stop pills now.

DRCH, BHMS
Homeopath, Bareilly
I am 27 years female and scanning reports says that I have cysts. My periods were irregular from one year and I am us...
Regulate the periods by birth control pills is not the permanent solution. You can stop it but may be your period will again become irregular. Homeopathy cure the root cause of illness and provide permanent cure. Take homeopathic medicine.
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My wife having Endometriosis cyst on right overy and Hydrosulphinx in both tube. She is suffering every month with unbearable pain and the pain is mostly right lower abdomen. If we go for laparoscopy, does this pain will go away? Is there any medication for it? She is having both leg pain and back pain also.

DOT, BHMS
Homeopath, Surat
My wife having Endometriosis cyst on right overy and Hydrosulphinx in both tube. She is suffering every month with un...
No. Laparoscopy is just a diagnostuc process. By this you may not get relief in your compalin. It will increase day by day. You need homoeopathic medicine. It will repair internally. Endometriosis. Nd you will get completely cure. It may take time up. To 1 year. But ideally you should take homoepathic medicine this is safe way. Operation is solution.
1 person found this helpful
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I m 48 years old. There is a cyst(250mm) in my left ovary. Is there my medication for the same?

ARCD in Critical Care
Unani Specialist, Delhi
Syrup Alhyatt 3tsf twice a day up to one month if symptoms not resolve then meet your family physician.
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