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Dr. Pratibha Narayan

Gynaecologist, Hyderabad

Dr. Pratibha Narayan Gynaecologist, Hyderabad
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Pratibha Narayan
Dr. Pratibha Narayan is a popular Gynaecologist in Kondapur, Hyderabad. You can consult Dr. Pratibha Narayan at Ambicare Clinics in Kondapur, Hyderabad. Save your time and book an appointment online with Dr. Pratibha Narayan on has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 39 years of experience on 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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Ambicare Clinic - Kondapur/White Fields: At 4th/5th Floor, Harihara Arcade, Beside SBI, White Fields, Kondapur, Hyderabad, A.P, India, HyderabadHyderabad Get Directions
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Physical exercise can replace many medicines but no medicine can replace exercise

Physiotherapist, Mumbai
Physical exercise can replace many medicines but no medicine can replace exercise
" physical exercise" can replace many medicines but" no medicine" can replace exercise.
160 people found this helpful

C.S.C, D.C.H, M.B.B.S
General Physician,

What is depression?

Everyone sometimes feels sad, but these feelings usually pass after a few days. When a woman has depression, she has trouble with her daily life for weeks at a time. More women than men get depression. It is a serious illness, and most women who have it need treatment to get better.

What are the different forms of depression?

The most common types of depression are:

Major depression?severe symptoms that interfere with a woman's ability to work, sleep, study, eat, and enjoy life. An episode of major depression may occur only once in a person's lifetime. But more often, a person can have several episodes.
Dysthymic disorder or dysthymia?depressive symptoms that last a long time (2 years or longer), but less severe than those of major depression.
Minor depression?similar to major depression and dysthymia, but symptoms are less severe and may not last as long.
What are the signs and symptoms of depression?

Different people have different symptoms. Some symptoms of depression include:

Feeling sad or "empty"
Feeling hopeless, irritable, anxious, or guilty
Loss of interest in favorite activities
Feeling very tired
Not being able to concentrate or remember details
Not being able to sleep, or sleeping too much
Overeating, or not wanting to eat at all
Thoughts of suicide, suicide attempts
Aches or pains, headaches, cramps, or digestive problems
What causes depression in women?

Several factors may contribute to depression in women.

Genes?women with a family history of depression may be more likely to develop it than those whose families do not have the illness.

Brain chemistry and hormones?people with depression have different brain chemistry than those of people without the illness. Also, the hormones that control emotions and mood can affect brain chemistry.

During certain times of a woman's life, her hormones may be changing, which may affect her brain chemistry. For example, after having a baby (postpartum period), hormones and physical changes may be overwhelming. Some women experience postpartum depression, a serious form of depression that needs treatment. Other times of hormonal change, such as transition into menopause, may increase a woman's risk for depression.

Stress?loss of a loved one, a difficult relationship, or any stressful situation may trigger depression in some women.

How is depression treated?

The first step to getting the right treatment is to visit a doctor or mental health professional. He or she can do an exam or lab tests to rule out other conditions that may have the same symptoms as depression. He or she can also tell if certain medications you are taking may be affecting your mood.

The doctor should get a complete history of symptoms, including when they started, how long they have lasted, and how bad they are. He or she should also know whether they have occurred before, and if so, how they were treated. He or she should also ask if there is a history of depression in your family.


Medications called antidepressants can work well to treat depression. They can take several weeks to work. Antidepressants can have side effects including:

Nausea, feeling sick to your stomach.
Difficulty sleeping and nervousness.
Agitation or restlessness.
Sexual problems.
Most side effects lessen over time. Talk to your doctor about any side effects you may have. ASK ME ONLINE,PRIVATELY FOR ANY DOUBTS AND HELP
8 people found this helpful

Hello, I have used morning after pill in my previous menstrual cycle. Im planning to use one again tomorrow. Do the use of these pills that much affect my hormones or health in a bad way? I also want to know whether It is reliable or not to conduct a pregnancy test at home after the day after the intimacy? My pharmacies claims that It gives right results even the following day after the intimacy but I could not be sure. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
These pills contain almost 10 times more hormones than a contraceptive pill. This results in hormonal imbalance in your body. Insist your partener yo use condom for tge sake of your health. Best time to do pregnancy test is after uou miss your periods. All the best.
1 person found this helpful
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My mother having 8 m.m.of ghat (cyst ) in her left breast It is a sign of breast cancer please help.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help for your mother. Hormonal changes from monthly menstruation can trigger cysts. However, breast cysts are usually benign. Nevertheless, to be on a safer side, I would advise you to get this clinically examined by her ob/ gyn right away and not delay any further. In general, do follow a streamlined diet (preferably mediterranean) and lifestyle with due emphasis on regular exercise, stress reduction and relaxation. Should she have any pain, she may apply an alternating heat and cold treatment for couple of minutes that may alleviate the same. She needs to stay well hydrated and can take'amla churna' (patanjali) &'bael churna (patanjali- 1/2 tsp each with warm water, preferably before lunch daily for next 1 month. She can also take tomato soup to which fresh herbs like garlic, turmeric, black pepper, ginger, coriander leaves and oregano has been added, once daily. Her ob/ gyn shall be able to advise further on, in particular, once he/ she gets to clinically examine her in person. Hope this helps. Do take care and all the very best. Sincerely,
1 person found this helpful
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How Smoking is Harmful For Your Health?

General Physician, Gurgaon
How Smoking is Harmful For Your Health?

The risks and harms of smoking are pretty much common knowledge to most people. Especially when the pack of cigarettes practically screams it out to you in bold letters. Yet, as statistics would say, smoking in young adults has been on the rise in the recent years. What makes them take this step? Maybe it is peer pressure, or maybe they do it for the thrill of it. Every country takes a great initiative in educating their population, yet some fail to understand the complexity of the situation.

Here are some of the reasons that will tell you that even a single puff of the deadly tobacco can severely harm your health and general well-being

  1. Cigarette smoking is the leading cause of cancer. It can cause cancer in most organs of the body. Smoking cigarettes can cause the following
    • Nose cancer
    • Throat cancer
    • Larynx cancer
    • Mouth cancer
    • Oesophageal cancer
    • Lung cancer
    • Liver cancer
    • Cervix cancer
    • Stomach cancer
    • Kidney cancer
    • Colorectal cancer
    • Cervical cancer etc.
  2. Smokers are more prone to respiratory diseases because smoking is capable of compromising the immune system of the body.
  3. Autoimmune diseases such as Crohn’s disease and rheumatoid arthritis are more likely to occur in smokers as their immune system is compromised by smoking.
  4. Smoking has been linked to diabetes type 2. This type of diabetes develops during adulthood. The more cigarettes a person smokes, the more likely is the person to develop this disease.
  5. Smoking puts you at risk of developing several heart diseases such as angina, heart attacks, etc. because the nicotine in the body results in the lowering of good cholesterol. This causes deposition of bad cholesterol in the arteries.
  6. Tobacco can cause tooth decay and several other oral problems such as gingivitis and other problems of the gum.
  7. Cigarettes constrict your blood vessels. This constant narrowing of blood vessels can cause erectile dysfunction in men and leads to the infertility in both men and women. It also makes them difficult to achieve orgasms.
  8. You might find yourself craving for cigarettes when you’re stressed out. This is because the effect of nicotine in the cigarettes is lowered by the hormone produced during a stressful situation, i.e. cortisone.
  9. Nicotine that causes momentary central nervous system stimulation can cause addiction and dependence. If you wish to discuss about any specific problem, you can consult a General Physician.
6632 people found this helpful

I'm newly married since 1 year And while foreplay my life parter don't like to insert my finger her vagina to stimulate more she likes only penis inside vagina and whenever I am inserting my penis inside the vagina I have early ejaculation what should I do for best sex life. Kindly suggest to me.

Dear lybrate user, to get rid of your problem of premature ejaculation you can take allopathic dejac-t tablets. Take one tablet just one hour before sex.
1 person found this helpful
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I have an ovarian cyst about 20 cm if it does not pain can I wait for 3 months till surgery.

MBBS, Diploma in Gynaecology & Obstetrics, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Lap ovarian cystectomy should be done after doing some special investigations. Once it is diagnosed you should not wait for 3 moths.
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I am pretty sure that my girlfriend is a virgin and never had sex before I did lick her vagina many times as well as kissed her cracked lips but never had intercourse so I wanna know can I get HIV from her if yes how?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
Licking the vagina can cause infection in the one doing the licking and in the vagina. Diseases and bacteria can be passed by contact with sexual fluids and saliva. Sexually transmitted diseases like herpes, gonorrhea, syphilis, and hiv can be passed between partners performing oral sex.
1 person found this helpful
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I have an extremely tight vagina. I am a virgin. I have tried sex but not even the head of the penis can go inside. But a finger goes in easily without causing any pain.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Virgin vagina is always tight, its a gift not a problem. Do proper foreplay before sex, and apply artificial lubrication during penis insertion. It will ease the sex for the first timers.
4 people found this helpful
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This is for my wife. She is having white discharge for more than two months. She maintain a good hygiene but and we did some local treatment. Problem still there. Please suggest.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Yellow or white discharge suggests that you r suffering from vaginal infection. You should insert clingen pessary every night for 3 days and take fas-3 kit. This kit should also be given to your husband and use condoms for 7 days. Kit is self explanatory as when to take is written on the back of kit and it is a single day course.
1 person found this helpful
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Present she is pregnant. Upto how many months I can have sex with her? If I participate any problem?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
You can do the sex till the end of the pregnancy. Only thing to see that there should not any pressure on the abdomen of pregnant woman. Hence do the sex female top position and do not use any force.
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I am 31 years old, I dont have kids after 5 years of marriage, i' ve low, 20 mln sperm count and my wife(30 years old) has irregular period cycle, she has undergone endometerosis for the same. What do you suggest us ?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
20 ml sperm count is ok. For irregular periods, first she has to regularize periods and thus normalize hormones and then start treatment for infertility. Good luck,
3 people found this helpful
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I am 30 weeks pregnant. Can I travel by train for 18 hrs. I wanted to go to my mother's place for delivery. Is it safe to travel during 30-31 weeks of pregnancy?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
If you have no medical problems, it is ok to travel by train. Keep tack of your food and water hygiene and mosquito bites during travel. Wear comfortable full clothing.
1 person found this helpful
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Reasons for Pain During Sex

M.A. (Scholar), BHMS
Sexologist, Mumbai
Reasons for Pain During Sex

There are a number of reasons that can cause pain during intercourse. Physical intimacy is one such thing that requires your physical and mental stimulation in order to create a satisfactory environment and peak appropriately.

From sexual interest to stimulation, excitement and even sexual peak - there are four distinct stages in the act of sex and sexual intercourse that inevitably follows, until orgasm. So, it is important to be in the right frame emotionally and physically in order for the four phases to progress properly towards sexual climax. Yet, there are a number of reasons that can cause a decline in sexual interest and drive, as well as a less than satisfactory sex life. One of the reasons includes pain that many people, especially women, experience during the act of sex. This is called Intercourse pain or even Dyspareunia. Following are the reasons behind this pain-

  1. Cervical Problems: Many times, problems with the cervix can lead to dryness which can cause pain during intercourse. This may occur due to infections and other such conditions which cause pain during deep penetration.
  2. Uterus Related Problems: There may be problems with the uterus including fibroids and other such growths in the lining which can lead to pain during intercourse. Also, the presence of Endometriosis can also cause pain during such activities. In this condition, the tissue lining usually ends up growing outside the uterus which can cause severe pain and other related symptoms.
  3. Pelvic Inflammatory Disease: This condition is also known as PID. In such cases, the tissue within the pelvic region can get infected to a great extent which causes a variety of painful symptoms and growths including pain during intercourse.
  4. Ectopic Pregnancy: When the fertilised egg develops outside the uterus, it is known as an ectopic pregnancy. In such cases, there may be pain in the region during sexual stimulation and activity.
  5. Vaginal Infections: Pain during sexual intercourse may also be experienced due to vaginal infections and other yeast infections as well as a condition known as Vaginismus which can lead to involuntary twitches and spasms that can arise because of fear of getting hurt.
  6. Lack of Lubrication: Excessive dryness and lack of lubrication, especially during stimulation can lead to pain during intercourse as well, as the opening does not expand or accommodate the male member properly. In such cases, one can use a lubricant.
  7. Stress: Many times, a stressful situation can keep one from enjoying stimulation which creates dryness and pain during intercourse.

Ensure that you see a doctor in case your problem is more than mere occasional pain, as it could also be a side effect of a more serious ailment.

5770 people found this helpful

Birth Control Pills - 10 Common Side Effects!

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
Birth Control Pills - 10 Common Side Effects!

The contraceptive pill, or simply 'the pill', is a type of hormonal contraception taken by women to prevent pregnancy. Now, even though the birth control pill is extremely effective in preventing unplanned pregnancy, it is not without some side effects. The common side effects of birth control pill include:

  1. Intermenstrual spotting: Some women experience intermenstrual spotting or bleeding in the time between their menstrual cycles. This is very common in the first three months of you taking the pill. Most of the times, intermenstrual bleeding resolves itself.
  2. Nausea: Some women might experience mild nausea when they take the pill for the first time. The nausea will resolve on its own after some time, but if it gets critical or persists, seek medical help. Taking your pill at bedtime or with food can aid in countering the nausea.
  3. Breast tenderness: Breasts can become tender or enlarge as a result of birth control pills. Reducing salt and caffeine intake, and wearing a support bra can be beneficial.
  4. Headaches: The development of migraines and headaches are the effects of the sex hormones. Different pills with varied doses and types of hormones may lead to different symptoms of headaches. Studies suggest that pills with low hormone doses are usually linked with headaches.
  5. Weight gain: There is no logical link between weight fluctuations and contraceptive pills, but fluid retention (specifically in the hip and breast areas) and enlarged fat cells are common side-effects.
  6. Mood changes: Women who may have suffered from depression should consult their doctors when taking the pill. A study discovered that taking pills usually leads to the thickening of the cortexes (outermost layers of the brain involved with analysing incoming stimuli and reward response). However, there is more research pending on this issue.
  7. Missed periods: Skipping or missing a period is very common when you are on the pill. Factors such as stress, travel, illness and thyroid or hormonal abnormalities can influence this.
  8. Decreased libido: The pills contain hormones that can lower your sex drive or libido.
  9. Vaginal discharge: Some women experience differences in their vaginal discharge when they are on the pill. Vaginal lubrication can dip, which causes discomfort during sex.
  10. Visual changes: Fluid retention is a side-effect of the pill, which even ends up affecting the cornea; they change shape or swell up.
3 people found this helpful

I'm not getting sleep for more than 38 days ,what shall I do .I had delivered six month old baby due to microcephaly. They used mtp for inducing delivery .may be this will be the reason for small cyst in my right ovary after a month of delivery.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Obviously you are under stress after the mtp. You can meet a doctor for treatment of anxiety. There are many safe medicines to cure you present mental condition. Also, microcephaly does not happen everytime. Go for torch test to see if there is any infection which you can get treated for. Alcohol and drugs are not to be consumed. Along with dengue, mosquito bite can cause zika virus infection, which is mild, but during pregnancy it is being suspected as cause of microcephaly. Be aware of such issues before you try for pregnancy again. There is good hope, so you can look forward to the future. Sleep will come automatically.
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I am 22 years old my last period was on 2 may and 8 th may I took pill after 7 days I had withdrawal bleeding on 14 th may and my next period date on 14 th June am waiting for my period so I took papayas like some still I dnt get my period it's means am pregnant or not pls help me in this am waiting .wt to do for my period.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, No, you are not pregnant. just wait for a week more as the menses can be delayed as a side effect of ipill , by a week to 10 days.
1 person found this helpful
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If the lady is pregnant she will not have her periods in normal course and what are the basic symptom to decide she is pregnant or not.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Dizziness. Weakness, nausea and vomitting are the common symptoms. But if you want to be sure, you should go for a urine pregancny test, which usually shows results in 2 days of missing menses.
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I have pcod. How to know when I m ovulating? I m trying to conceive. Suggest some meds also.

Fellowship in Laparoscopy, DGO
Gynaecologist, Bangalore
Hi lybrate-user most of the cycles in pcod are anovulatory, its better to consult a gynaecologist and get treated for pcod. However lfe style modification is one of the best option.
3 people found this helpful
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Ovulaion ka symptoms kya hain? Period k kitne din bad ovulaion hoti Hain? Ovulaion date k 1 day before sex krne se pregnency aaskti Hain?

C.S.C, D.C.H, M.B.B.S
General Physician,
ovulation symptoms may include: Light spotting. Slight cramping or pain on one side of the pelvis. Breast tenderness. Abdominal bloating. Increased sex drive. Heightened sense of smell, taste or vision.
1 person found this helpful
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