Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 28 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
Management of Pregnancy
Management of Pregnancy Query
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
Submit a review for Dr. SamyukthaYour feedback matters!
Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.
With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.
Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.
The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.
Common Signs and Symptoms of Endometriosis may include:
Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.
Pain with intercourse. Pain during or after sex is common with endometriosis.
Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.
Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).
Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.
Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.
The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.
Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.
When to see a doctor
See the doctor if you have signs and symptoms that may indicate endometriosis.
Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.
Although the exact cause of endometriosis is not certain, possible explanations include:
Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.
Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.
Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.
Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.
Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.
Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.
Several factors place you at greater risk of developing endometriosis, such as:
Never giving birth
Starting your period at an early age
Going through menopause at an older age
Short menstrual cycles — for instance, less than 27 days
Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces
Low body mass index
One or more relatives (mother, aunt or sister) with endometriosis
Any medical condition that prevents the normal passage of menstrual flow out of the body
Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.
The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.
Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.
Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.
Tests to check for physical clues of endometriosis include:
Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.
Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).
Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.
While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.
Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.
Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.
The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.
If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.
Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.
Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.
Therapies used to treat endometriosis include:
Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.
Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.
Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.
Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.
If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.
The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.
Assisted reproductive technologies
Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.
I am a 20 years old female. After 3 moths of married last 3 days there are some white cheese like things in my vagina tube. There are heavy pain and irritation during sex and urination. I use genwas lotion and folic acid tablet. What should I do. please reply.
I am 21 years old and I am 17 weeks pregnant actually my baby weight is just 175g is it ok but my gyno Dr. saying nothing to worry if your health is good then but I am worried for my future baby I want healthy baby help me out.
सफेद मुस्ली (क्लोरोफिटम बोरेवियायनम), जिसे व्हाईट मुस्ली भी कहा जाता है, आयुर्वेद और हर्बल विज्ञान में प्रयोग किया जाने वाला एक शक्तिशाली कामोत्तेजक और स्ट्रिंग एडेडोजेनिक जड़ी बूटी है। परंपरागत रूप से यह गठिया, कैंसर, मधुमेह, जीवन शक्ति बढ़ाने और यौन प्रदर्शन में सुधार के लिए इस्तेमाल किया गया था। यह विशेष रूप से उन पुरुषों के लिए निर्धारित है जिनके कम शुक्राणुओं की संख्या और कम कामेच्छा है।
आयुर्वेदिक अभ्यास में सफेद मुस्ली या क्लोरोफिटम बोरेवियायनम जड़ पाउडर का उपयोग किया जाता है। यह विभिन्न आयुर्वेदिक योगों के रूप में भी प्रयोग किया जाता है जिसमें मुस्ली पाक शामिल है। यह पुरुष कमजोरी, शारीरिक दुर्बलता, स्तंभन दोष, ऑलिगॉस्पर्मिया, रात का उत्सर्जन, आदि के उपचार में उपयोगी है।
सफेद मुस्ली के लाभ
1. थकान और कमजोरी के लिए: शक्कर (गन्ना ब्राउन शुगर) के साथ सफेद मुस्ली थकान को कम करने में मदद करता है और शरीर को ताकत देता है।
2. वजन बढ़ाने के लिए: आप वजन बढ़ाने के लिए दूध के साथ इसे ले सकते हैं।
3. अल्पशुक्राणुता के लिए: यह अल्पशुक्राणुता के उपचार के लिए बहुत उपयोगी है और गिनती, मात्रा, द्रवीकरण समय और गतिशीलता को बेहतर बनाता है। यह सीरम टेस्टोस्टेरोन का स्तर और वृषण कार्य भी सुधारता है।
4. स्वप्नदोष के इलाज के लिए: अगर रोगी रात में उत्सर्जन के बाद कमजोरी, पीठ दर्द और शक्ति या ऊर्जा की कमी महसूस करता है, तो शक्कर के साथ सफ़ेद मूसा पाउडर का कुछ हफ्तों तक इस्तेमाल किया जाना चाहिए। यह उपाय रात के उत्सर्जन की आवृत्ति कम करने और शरीर को पुनर्जन्म करने में मदद करता है।
5. स्तम्भन दोष के इलाज के लिए: यह लिंग ऊतक को ताकत प्रदान करता है, कठोरता में सुधार करता है, और लंबे समय तक उत्सर्जन को बनाए रखने में मदद करता है। यह मुख्य रूप से ताकत प्रदान करता है, टेस्टो पर कार्य करता है, हार्मोन प्रोफ़ाइल में सुधार करता है, और शुक्राणुजनन को प्रेरित करता है।
6. गठिया और संयुक्त दर्द के लिए: इसमे अनुत्तेजक गुण है, जो गठिया में होने वाली संयुक्त सूजन को कम करने में मदद करतें हैं।
7. यह मानसिक स्वास्थ्य को सुधारने और तनाव और अवसाद का सामना करने में मदद करता है।
8. महिलाओं के लिए यह जड़ीबूटी योनि सूखापन से छुटकारा पाने में मदद कर सकती है।
9. यह स्तनपान कराने वाली माताओं के लिए भी उपयोगी है क्योंकि इससे दूध की गुणवत्ता में सुधार होता है।
10. यह शरीर के निर्माण के लिए एक स्वास्थ्य पूरक के रूप में भी प्रयोग किया जाता है।
सफेद मुस्ली के दुष्प्रभाव:
हालांकि अधिकांश दुष्प्रभाव असामान्य होते हैं और उपेक्षित हो सकते हैं, लेकिन कुछ ऐसे दुष्प्रभाव हैं जो कभी-कभी मेडिकल ध्यान देने की जरूरत दे सकते हैं।
1. सफेद मुस्ली का अत्यधिक सेवन उचित नहीं है। इसमें मौजूद फाइबर, नमी को कम करके मल को कड़ा करता है। इस प्रकार, बदले में, छोटी आंत में आंत्र आंदोलन को नकारात्मक रूप से प्रभावित करता है। आप आंत में एक बाधा का अनुभव कर सकते हैं, कब्ज, ऐंठन और दर्द के साथ।
2 इस सब्जी को लेने के बाद कई मामलों में एलर्जी संबंधी प्रतिक्रियाएं दर्ज की गई हैं। सबसे आम एलर्जी प्रतिक्रियाओं में शामिल हैं:
- आँख की सूजन
- बहती नाक
- बंद नाक
- चिड़चिड़ापन और खुजली गले
- त्वचा पर खुजली वाले अंगूठियां
- जी मिचलाना
- चक्कर आना
- सांस लेने में कठिनाई
I started to go gym. Need to know maximum time period I can walk on treadmill to avoid any bad medical condition now or in future.. Does 40 min daily walk on average speed of 4 cn harm my knees or something else?
Hello mam, A mother has a baby of age 1.5 months. If she wears bra, will it produce the required amount of milk?
During sex without condoms, to avoid pregnancy which pills we should taka. Please suggest me it should not have any side effects on future on my pregnancy. Thnaku doctor.
You are feeling under the weather, and you wish you could eat something fried or processed right now to feel better. But that may not be the smartest thing to do! Read on to know more about what you should avoid eating when you are sick.
- If you are suffering from diarrhea, don’t go anywhere near sweet foods made of artificial sweeteners, since sorbitol (a kind of artificial sweetener) isn’t digestible and can instigate diarrhea. Also, avoid foods that can trigger bloating and gas, such as apples, onion, broccoli, beans and cabbages. Dairy, caffeine and alcohol can also provoke diarrhoea.
- Don’t consume dairy products, chocolate, pain medications and iron supplements if you are constipated.
- If you are nauseous, don’t eat greasy, oily or spicy foods. Avoid carbonated drinks, caffeine and alcohol as well.
- If you are having difficulties in swallowing due to a sore throat, hot fluids are by far the most beneficial. Not only do they help soothe your sore throat, but they're also known to loosen mucus, which may help relieve other symptoms such as congestion and stuffiness, often accompanying a sore throat, so consider eating soup or drinking hot water to alleviate the pain, and scratchy, hard foods such as granola, potato chips and nuts. Acidic juices made from vegetables and fruits, such as grape juice or orange juice, can also aggravate a sore throat.
- When your body aches, don’t grab that cup of espresso or that glass of whiskey, since both caffeine and alcohol can dehydrate the body, thereby worsening the pain.
- Stay away from artificial sweeteners, aged chesses, MSG (monosodium glutamate which is found in soy sauce), chocolate, red wine and processed meat, if you have a headache. MSG has been linked to blood pressure which can cause headaches.
- Dairy products, processed or packaged foods, should be avoided if you have an earache.
- If you have an allergy, don’t consume milk, wheat, soy, berries, eggs, tomatoes, fish, nuts, chocolates and nuts. These foods commonly cause itching.
- You might have cold, or your nose won’t stop running. A hot broth or hot tea will give you comfort, but you should avoid spicy foods and alcohol. Spicy foods actually aggravate a runny nose.
- Flu, sinus or cold infection can inflame and irritate nasal blood vessels, making you feel like your nose is blocked. Avoid sugar and spicy foods if you have a congested nose. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
I have done serum beta hcg blood test today .as my period date was 8th n I was not getting in period. Reports are negative. Which is showing that I m.not pregnant. So wht should I do now to get into periods. N if reports are negative. Is there any chances of getting pregnant. Is it the perfect test to get sure about pregnancy?
I am hypothyroid since before pregnancy. I am 19 weeks pregnant right now. When I came to know that I am pregnant I was 5 week pregnant. At 7 week pregnancy I checked my thyroid n it came 7.73 so my endocrinologist started me with mon to fri 100 mcg thyronorm and sat sun 200 mcg. After 1 mnth of taking this dose tsh came 0.4 which was normal so I was asked to continue same dose. After 1 mnth when checked it came low 0.1. So my endocrinologist changed dose to mon to sat 100 and only on sunday 200 mcg. Then last week my tsh came high 6.63.Now agn my endocrinologist asking to take same dose as before mon to fri 100 and sat sun 200. My gynaecologist asking me to taking 125 mcg daily. Whom shud I follow now? Gynaec or endo? Wudnt be 125 mcg daily a low dose as I heard that thyronorm is needed more as pregnancy progresses?
Last month I had a thyroid test and my thyroid level is 4.6 How can we reduce the thyroid level? Does thyroid level have any impact in conceiving?
My wife is in doubt of pregnancy. She had not got date since 20 days. And if she does not want to pregnancy what she do?
She has got her periods today so there are no worries about pregnancy? And will she be normal from now on??
Sex is enjoyable. However, there are occasions where the sex is no longer pleasurable, like when the male develops a cut on his penis during or after intercourse. Surprisingly, penis tears are very common. But it is not frequently reported by men because of feeling ashamed about admitting the problem to their doctors. However, no matter how small the cut, you should go to see your physician, especially if the tear heals slowly.
Causes of Penis Tears
Penis tears can result from a variety of causes. The most common are:
Friction - The most obvious cause of a cut on the penis is too much friction during sex. While it is true that the more friction between the vagina and the penis the more pleasure is generated, it also goes along this line that penile injury is more likely to occur. Guys endowed with bigger penises should bear in mind that they are more at risk of such injuries, especially if they have sex with a smaller partner or if they love to have deep penetration sex.
Frenulum injury - There is a structure underneath the penis head that is known as the frenulum. It is like a ridge of small skin connecting the head of the penis to the shaft skin. A shorter frenulum means that the penile skin is dragged easily forward and back during sex. When the skin is tugged back, the action will cause some pain or discomfort. At some point, when the sex is already too hard, the frenulum may be ripped or torn, resulting in bleeding.
Balanitis - This is a condition that often surfaces as a result of chronic diabetes. Diabetic patients are at risk because wound healing is generally slowed down. But in most cases, balinitis is caused by poor hygiene and infection; that's why uncircumcised men are more prone to getting this condition. It is characterized by an inflammation of the penile head and the foreskin. Men usually suspect balanitis if their penises are easily reddened, especially at the head part. Rashes on the same area are frequently seen as well.
Yeast infection - The most common type of male yeast infection is the one affecting the male reproductive organ. Sexual dysfunction, burning sensation during sex, reddened penis head and blistered penile trunk are the most common signs and symptoms of yeast infection. Rashes, swelling, and a cut on the penis also develop more easily among yeast-infected males.
Other causes - Genital piercings and an allergy to latex condoms have also been reported to cause a cut on the penis
Sir, i have married 10 month ago and still no issue sir my problem is after intercourse whole semen ozes from vagina and this may happen immediately or after half an hour or one or two hour please help me.
She's 27 years old & we are committed, having regular sex but never she had conceive but irregular periods. What's the reason? What to do for regulars? Any suggestions for tests?
M suffering from yeast infection and my prescribed some medicine but I have fear of medicine like a phobia but I really need to cure this infection can I take a injection of antifungal or something instead of these medicines.
I got married in June 2014. After marriage due to some fear of sex my wife can not penetrate my penis in her vagina properly with her hand. Also some family problem and my site work we can not do the intercourse continuously. That time my wife mc was also not regular. That time my all sperm not went to vagina. But now means from three month my wife do the sex properly means fearless. Also her mc also regular from six month my all sperm going to vagina . My semen report also normal . My wife penetrate my penis in her vagina drink sex this is normal. Also we are doing sex properly from the last three month. We require any treatment. Or we will get good news after some few month. Please reply.
I have delivered a baby on 14 January of this year its been 3 months. My query is I had unprotected sex with my husband last night I am worried do I get pregnant again do after c section how much time it takes again to get pregnant again.
People who suffer from Human Immunodeficiency Virus, commonly known as 'HIV', are known as HIV positive people. The virus is the agent of AIDS that is currently incurable. HIV is known to alter the human immune system and makes people much more susceptible and vulnerable to diseases and infections.
Body fluids such as semen, blood, breast milk, vaginal fluids etc. of an infected individual contains the virus, which can be passed from one person to another during blood-to-blood and/or sexual contact. HIV positive women may even pass on this virus to their children during pregnancy, delivery or by breast feeding them. HIV is also transmitted during oral, anal or vaginal sex, by contaminated hypodermic needles and by blood transfusion.
Mentioned below are a few issues that a HIV positive woman have to face apart from discrimination and stigma, fear of infecting their children or partners, violence and abandonment.
- Menstrual Disorders: Changes in menstrual cycles are frequently reported by HIV infected women. However, menstrual dysfunctions are due to varied reasons that aren't directly related to the disease. Although most of the HIV positive women suffer from amenorrhea i.e. the unusual absence of periods, it is not just due to HIV but also because of weight loss or immunosuppression.
- Contraception: It is very important that the contraception a HIV positive woman chooses not only acts as birth control, but also to prevent the transmission of sexually transmitted diseases and HIV. Although condoms do not provide exceptional pregnancy prevention, they are excellent at preventing transmission of the HIV virus. Permanent sterilization is usually the most chosen contraceptive method for HIV serodiscordant couples.
- Surgical Complications: HIV positive women are at a higher risk of undergoing gynecologic surgery. This is because they are more vulnerable to pelvic infectious disease that requires surgical intervention. There is also a greater risk of developing vulvar cancer in HIV positive women.
- Fertility: There has been an increase in the number of seropositive women contemplating pregnancy and childbirth. Most couples resort to assisted reproduction to lower the risk of horizontal HIV transmission. Studies show that undergoing HIV treatment and having an undetectable viral load is helpful in preventing the transmission of HIV. It is important to consult a medical expert if you are unable to get pregnant after at least 6 months of trying. Fertility problems are more common in HIV positive women than HIV negative women.