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Dr. Shaivalini Kamarapu  - Gynaecologist, Hanamkonda

Dr. Shaivalini Kamarapu

90 (293 ratings)
MBBS, MS - Obstetrics and Gynaecology

Gynaecologist, Hanamkonda

6 Years Experience  ·  300 at clinic  ·  ₹350 online
Dr. Shaivalini Kamarapu 90% (293 ratings) MBBS, MS - Obstetrics and Gynaecology Gynaecologist, Hanamkonda
6 Years Experience  ·  300 at clinic  ·  ₹350 online
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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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Education
MBBS - U.NTR H.Sciences,Vijayawada - 2011
MS - Obstetrics and Gynaecology - U.NTR H.Science - 2016

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Gandhi Nagar, Reddy Colony,WarangalHanamkonda Get Directions
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"knowledgeable" 21 reviews "Very helpful" 35 reviews "Caring" 7 reviews "Professional" 5 reviews "Prompt" 2 reviews "Well-reasoned" 4 reviews "Helped me impr..." 3 reviews "Inspiring" 1 review "Sensible" 1 review "Practical" 2 reviews

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UTI - 6 Preventive Measures!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
UTI - 6 Preventive Measures!

A urinary tract infection can be painful and annoying. Most urinary tract infections affect the bladder and urethra, but it can also affect the kidneys and ureter. Women have a higher risk of suffering from this infection as compared to men. This is because women have a shorter urethra than men and hence the bacteria needs to travel a shorter distance to reach the bladder. Urinary tract infections can usually be treated easily with a course of antibiotics as long as they are detected in time. If not detected in time, it can affect the kidneys which make it a more serious problem. Hence, it becomes important to be able to recognise the signs of this infection.

Some of the symptoms to watch out for are:

  1. A persistent urge to urinate but low volume of urine produced
  2. A burning sensation while urinating
  3. Cloudy urine
  4. Blood in the urine which makes the urine appear red, pink or blackish
  5. Strong smell of the urine
  6. Pelvic pain

A urinary tract infection that affects the urethra is also known as urethritis. A burning sensation when urinating and discharge along with urine are the most prominent symptoms of this type of infection. When this infection affects the bladder it comes to be known as cystitis. Cystitis patients typically suffer from frequent and painful urination along with discomfort in the lower abdomen and pressure in the pelvic area. They may also notice blood in the urine.

Acute pyelonephritis refers to a urinary infection that affects the kidneys. In such cases, along with the typical symptoms, the patient may also experience high fever, nausea, shivering and pain in the upper back and sides of the abdomen.

This infection can affect a person at any age. Most women suffer from at least one bout of urinary tract infections in their lifetime. Some of the factors that increase the risk of suffering from this infection are:
Certain types of birth control such as diaphragms and spermicidal agents

  1. Menopause
  2. New sexual partners
  3. Urinary tract abnormalities
  4. Kidney stones or other blockages in the urinary tract
  5. Weakened immune system
  6. Use of catheters
  7. Recent urinary procedures that involve the use of medical instruments

Urinary tract infection can be easily prevented by living a healthy lifestyle. Drink plenty of fluids to flush bacteria and other toxins from your body. Bacteria multiplies in the bladder if urine stays for too long. Hence, urinate frequently and do not try to control your bladder. Avoid synthetic underwear and wear cotton underwear with loose fitting clothes that keep the area around the urethra dry.

How to prevent recurrent urinary tract infections
A urinary tract infection or UTI can be quite painful and uncomfortable. This infection can be described as an infection that affects the ureter, urethra, bladder or kidneys. Women have a shorter urethra than men which makes this more vulnerable to this kind of infection. It is said that most women suffer from at least one bout of this infection in a lifetime. Urinary tract infections are caused by bacteria and may often recur after treatment. However, in most cases, this can easily be prevented. Here are a few tips to help prevent recurrent urinary tract infections.

  1. Drink plenty of fluids: Ideally, we should drink 8-10 glasses of water a day at regular intervals. This keeps the body hydrated and flushes toxins and bacteria from the body. Water also prevents the formation of kidney stones that could increase your risk of suffering from a urinary tract infection.
  2. Urinate frequently: If you drink the required amount of water, you will typically need to urinate frequently. Do not try to control your bladder. Holding your urine in your bladder allows bacteria to multiply inside the bladder. This is an easy way for a UTI to begin.
  3. Follow healthy bathroom habits: Cleanliness is the first step to preventing any infection. When using public restrooms, flush the toilet before and after urinating. In the case of women, it becomes important to ensure that the seat of the toilet is clean as well. After urinating wipe the residual urine with toilet paper in a motion that goes from front to back. Since the urethra is situated very close to the rectum, this step is very important. For uncircumcised men, it is important to wash the foreskin after urination.
  4. Wear loose clothes: Tight fitting clothes trap moisture and aid in the multiplication of bacteria. Hence, always wear loose fitting clothes that keep the area around the urethra dry. Also, avoid synthetic underwear and only wear cotton underwear.
  5. Urinate after intercourse: The relative closeness of the vagina to the urethra makes it easy for bacteria to enter the urethra during intercourse. Hence, make it a habit of washing your pubic region after urinating. This helps flush out any possible bacteria that may have entered your body.
  6. Choose the correct method of birth control: Certain types of birth control such as diaphragms and spermicidal agents can promote a urinary tract infection. Hence, it is best to avoid these types of birth control and pick alternatives.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5782 people found this helpful

Things You Should Know About Intracytoplasmic Sperm Injection (ICSI)!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Things You Should Know About Intracytoplasmic Sperm Injection (ICSI)!

An in vitro fertilisation procedure carried out to counter the problem of male infertility is Intracytoplasmic sperm injection. Male infertility factors include poor quality of sperm, low sperm counts, poor sperm movement or the disability to penetrate an egg. Azoospermia is one such rare condition wherein there is no sperm in the semen. Through this injection, a single sperm can be injected into the egg directly. The fertilised egg is placed into the woman’s uterus or the fallopian tubes. The first successful birth using this procedure was on January 1992 after the conception took place in April 1991.

Collecting Sperm
Sperm can be collected from the male through masturbation. If this procedure somehow fails then sperm can be removed through a surgery. Using a small incision, sperm can be withdrawn from the testicle and is used in the procedure. If the ejaculation of sperm is prevented due to a blockage or if the problem arises in the development of the sperm, surgery method is used.

Injecting the sperm
This is performed through the following steps. A specialised pipette or a glass tube is used to hold the egg, a single sperm is picked with the help of a sharp and delicate needle, the needle is then inserted carefully into the cytoplasm of the egg through the egg shell, then the sperm gets injected into the cytoplasm and the eggs are checked to see whether they have been adequately fertilized.

After this process is done, eggs which are fertilised successfully are selected and placed into the uterus with the help of a catheter. The number of embryos an individual needs to transfer is determined depending on the age of the person and other health issues. For this purpose, a thorough full body check-up is carried out and the medical history is checked during the preliminary consultations.

Expectations from the treatment
The treatment of fertilisation using an Intracytoplasmic sperm injection can be demanding, both physically and mentally for the woman (mother). An individual has to go through regular shots and monitoring including blood tests. There are moments when the shots can be painful for the woman undergoing the procedure.

The reason behind the procedure
When a male is having severe infertility issues, the method of ICSI is helpful. There are times when very little sperm or no sperm ejaculation, the eggs can be fertilised through this procedure. Testing of an embryo for genetic problems is also accomplished through this procedure. When in vitro fertilisation or IVF does not work even after trying repeatedly, then couples can undergo the treatment using ICSI.

Success rate
When ICSI is used along with better quality eggs, it is seen to be successful on many occasions. Especially for men who have sperm ejaculation issues.

If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4933 people found this helpful

How To Treat Hypothyroidism During Pregnancy?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
How To Treat Hypothyroidism During Pregnancy?

The thyroid gland within the body plays an important role in regulating your metabolism among many other functions. This is a butterfly-shaped gland located in your neck and plays an important role within your body. However, a common condition that may afflict it is hypothyroidism or an underactive thyroid gland. It is even more of a problem if you are pregnant as it may affect your baby’s development in the womb. It has also been noticed that pregnancy in itself may cause hypothyroidism.

Symptoms of Hypothyroidism-

Pregnant women may also exhibit symptoms common to other patients who are suffering from hypothyroidism. These may include:

  1. Fatigue along with lethargy.

  2. Mild to significant weight gain.

  3. Constipation.

  4. Feeling cold with severe chills

The thyroid gland produces the T4 hormone responsible for regulating many mechanisms within the body such as metabolism. With hypothyroidism, the production of this hormone decreases or stops altogether. This is important as disruption in the production of the hormone may disrupt the normal development of your baby.

Effects of Hypothyroidism on your baby-

Hypothyroidism during pregnancy can affect your child’s developmental abilities. Many studies in this field have shown that such children tend to have learning difficulties and may even display lower IQ scores during tests. It was noticed that sometimes, hypothyroidism during pregnancy wasn’t diagnosed correctly as the pregnant mother did not show much apparent symptoms. This is also a major issue in the early diagnosis of the problem. Hence, it is absolutely imperative to test for thyroid problems early during pregnancy.

Prevention is the Best Cure-

It is thus very important that mothers be screened properly for thyroid issues even before they are pregnant and while they are pregnant. Some of the medically recommended steps that should be taken are –

  1. Screening before pregnancy as this can help to devise a solution for this condition.

  2. Women with goiter or enlarged thyroid should most certainly be screened.

  3. Women with a family history of hypothyroidism should be screened.

Treatments for Hypothyroidism During Pregnancy-

The doctors may suggest thyroid hormone replacement therapy wherein artificial T4 hormone is introduced into the body. This helps to maintain a constant rate of the thyroid hormone within the body. This can be done even before pregnancy as the developing fetus is completely dependent on the mother for its thyroid hormone until at least 12 weeks when the baby’s body can start producing it on its own. Also, the levels of this hormone should be regularly checked within the body through the TSH or the thyroid stimulating hormone tests to ensure that the levels are at a safe minimum.  

2 people found this helpful

3 Ways to Treat Abnormal Uterine Bleeding!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
3 Ways to Treat Abnormal Uterine Bleeding!

Any kind of bleeding from the uterus, which is not normal, can be termed as abnormal uterine bleeding. This refers to bleeding between periods or before periods, bleeding after having sex, spotting, abnormally heavy bleeding or bleeding after attaining menopause. If you are suffering from any of these issues, you need to check with the doctor. 

Diagnosis
It is very important to diagnose abnormal uterine bleeding. There are several examinations and tests that have to be carried out, depending on age. For irregular spotting, a pregnancy test can be undertaken in case you think you could be pregnant. If your uterine bleeding is very heavy, a test has to be performed to check blood count. This is done to observe whether you have anemia. An ultrasound test of the pelvic region will also be advised by your doctor to know the cause of the bleeding. Several hormonal tests and thyroid function tests are required as well.

Other diagnostic tests include:

  1. Sonohysterography: When fluid is placed within the uterus and ultrasound images of the uterus are taken. An image of the pelvic organs is obtained.
  2. HysteroscopyIt can be carried out when a device is inserted via the vagina and enables the doctor to examine the uterus internally.
  3. Magnetic resonance imaging: This is also used to get images of the organs.
  4. Endometrial biopsy:  It involves insertion of a catheter to take out a tissue which is microscopically observed. 

Treatment
There are different types of treatment for abnormal uterine bleeding depending upon factors such as the cause of bleeding and the age of the patient.

  1. Medications: Several medicines are used to treat abnormal uterine bleeding. Sometimes hormonal medicines are used. Birth control pills are also used to improve the regularity of periods. Hormonal infections, vaginal creams and an IUD device releasing hormone can be used. Non steroidal anti-inflammatory drugs are also used to control bleeding. Several antibiotics may also be prescribed.
  2. Surgery: In some cases of abnormal uterine bleeding, a woman has to undergo a surgery for the removal of growth such as polyps and fibroids, which results in bleeding. While some fibroids can be removed via hysteroscopy, others require different techniques for treatment.
  3. Endometrial ablation: It can be undertaken to control bleeding. This mode of treatment aims at reducing the bleeding permanently. In case all treatment methods fail, hysterectomy has to be carried out. This is a serious surgery and after it is performed, a woman does not have periods anymore and will not be able to conceive a child.

Abnormal uterine bleeding is a serious health condition, which may lead to severe complications. Immediate diagnosis and appropriate treatment methods should be undertaken in case of any abnormal uterine bleeding. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

5009 people found this helpful

3 Causes Of Premenstrual Syndrome And Its Treatment!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
3 Causes Of Premenstrual Syndrome And Its Treatment!

A collection of symptoms typically occurring between ovulation and menses (discharge of blood and from the uterus) is defined as premenstrual syndrome (PMS). Premenstrual syndrome symptoms can either be physical or emotional.

Physical symptoms and signs include:

  1. Muscle or joint pain
  2. Headache
  3. Fatigue
  4. Weight gain due to fluid retention
  5. Bloated abdomen
  6. Breast tenderness
  7. Acne breakouts
  8. Diarrhoea or constipation

While other behavioural and emotional symptoms include:

  1. Anxiety or tension
  2. Depressed mood
  3. Crying spells
  4. Anger or irritability and mood swings
  5. Food cravings and appetite changes
  6. Insomnia
  7. Social withdrawal
  8. Poor concentration

Causes: The exact cause of PMS is unknown. But there are several contributing factors, such as:

  1. Cyclic hormonal changes: The hormones oestrogen and progesterone fluctuate a lot while preparing for a normal menstrual cycle. This fluctuation causes some of the symptoms of PMS.
  2. Chemical changes: The fluctuation of serotonin, a kind of neurotransmitter (brain chemical), affects the mood, which causes some of the emotional symptoms of PMS. For instance, insufficient serotonin triggers premenstrual depression, insomnia, food cravings and fatigue.
  3. Depression: If the PMS symptoms are severe, depression could be the underlying cause, though it doesn't usually trigger all of the symptoms.

Treatment: There is no permanent cure for PMS, but a few lifestyle changes and home remedies can work very well for you. Some treatment options include:

  1. To ease abdominal bloating, drink lots of fluids
  2. Eat a balanced diet comprised of plenty of vegetables and fruits. Reduce your alcohol, caffeine, salt and sugar intake.
  3. You can take supplements such as magnesium, calcium, vitamin B-6 and folic acid to reduce mood swings and cramps.
  4. Take vitamin D supplements to relieve symptoms
  5. Sleep for at least eight hours in the night to counter fatigue
  6. Exercise to improve your emotional health and reduce bloating
  7. Try to reduce your stress as much as you can; read a book or walk to relieve some stress.

Besides, these lifestyle changes, you can take over-the-counter medications such as aspirin and ibuprofen to reduce stomach cramps, muscles aches and headaches. Diuretics (drugs that increase urination) are excellent treatments for bloating and fluid retention. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

5334 people found this helpful

3 Ways To Treat Cervical Cancer!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
3 Ways To Treat Cervical Cancer!

Cervical cancer occurs in the cervical cells which are present in the lower part of the uterus. It is usually caused by human papillomavirus (HPV) which is transmitted sexually. However, in some cases, the virus may survive for a few years, causing some cells of the cervix to become cancerous.

Cervical cancer is usually classified into two types:

  1. Adenocarcinoma: This type of cancer starts in the column shaped glandular cells along the lining of the cervix.
  2. Squamous cell carcinoma: Most cases of cervical cancer are of this type. Here, the cancer occurs in the flat and thin cells that are present in the outer region of the cervix.

Symptoms: Usually, very few symptoms show up in the initial stages. However, the latter stages tell a different story. The symptoms at an advanced stage are:

  1. You may experience pain during sexual intercourse
  2. Foul smelling discharge from the vagina
  3. Bleeding from the vagina during sexual intercourse

Causes: Cervical cancer develops due to the mutation of healthy cells which makes turns them into malignant (cancerous) cells. The cancerous cells tend to grow at a fast pace, thus accumulating and forming a tumor. The cancerous cells may also spread to the adjoining areas of the body.

There are certain factors which increase your chances of being affected by cervical cancer:

  1. Too many sexual partners: The chances of cervical cancer increase significantly if you have multiple sexual partners.
  2. A weak immune system: A weak immune system makes you highly susceptible to cervical cancer.
  3. Lifestyle factors: Various lifestyle factors such as smoking can increase your risk of cervical cancer.

Treatment:
The treatment for cervical cancer involves the following:

  1. Chemotherapy: Chemotherapy involves injecting chemicals into the vein to destroy the cancer cells.
  2. Radiation therapy: Radiation therapy consists of using x-rays to destroy the cancer cells. Radiation therapy may be used alongside chemotherapy to destroy cancer cells.
  3. Surgery: Hysterectomy is a surgical procedure that is used in the treatment of cervical cancer. It involves removal of the uterus to treat this disorder. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4660 people found this helpful

Breast Cancer - 5 Ways to Decrease Chances Of It!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Breast Cancer - 5 Ways to Decrease Chances Of It!

While you cannot cure breast diseases, family history and maturing, but there are some hazards or risks that you can control. Keeping in mind the fact that there is no certain approach to forestall breast cancer, there are things you can do that may bring down the hazard. Here are five approaches to ensure your breast's well-being:

  1. Watch your weight: Being overweight or hefty expands breast cancer chances. This is particularly true after menopause and for women who have put on weight as grown-ups. After menopause, the vast majority of your estrogen originates from fat tissue. Having more fat tissue can heighten your chances of getting breast cancer by raising the estrogen levels. Additionally, women who are overweight have a tendency to have more elevated amounts of insulin, than other hormones. Higher insulin levels have been associated with a few tumors, including breast cancer.
  2. Exercise routinely: Many reviews have found that exercise is the sign of having a healthy breast. Studies show that one to two hours of energetic walking each week, lessened a woman’s cancer risk by eighteen percent. Walking ten hours seven days decreased the hazard all the more.
  3. Constrain liquor: Women who have two to five mixed beverages every day have a higher danger of breast cancer than women who have just one drink a day or none . As much as three to six glasses of wine seven days have been found to somewhat increase breast cancer chances. It is not clear how or why liquor raises the hazard. In any case, constraining liquor is particularly essential for women who have other hazard variables for breast cancer, like, breast cancer running in their families.
  4. Restrain time spent sitting: Research has shown that sitting time, regardless of how much exercise you get when you are not sitting, increases the probability of growing cancer, particularly for women. Women who sit six hours or more a day outside of work have a ten percent more serious risk for breast cancer compared to the ladies who sit under three hours a day, and an increased hazard for other cancer types as well.
  5. Stay away from or confine hormone substitution treatment: Hormone Replacement Treatment (HRT) was utilized frequently in the past to control night sweats, hot flashes, and other troublesome manifestations of menopause. In any case, specialists now realize that postmenopausal ladies who take a blend of estrogen and progestin might probably create breast tumors or cancer. Breast cancer disease seems to come back within five years in the wake of ceasing the blend of hormones. Therefore, get a breast cancer test even if you feel a small lump.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5518 people found this helpful

Know The Procedure Of Colposcopy and Cervical Biopsy!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Know The Procedure Of Colposcopy and Cervical Biopsy!

Colposcopy is a procedure that is used to get a closer view of a women’s cervix, vagina and vulva. It is a procedure carried on to detect the presence of any abnormal cells on the cervix and nearby areas. 

Why is Colposcopy done?
This procedure is carried out to see the problems in the vagina and cervix which may otherwise be not visible with a naked eye. A colposcopy is done when the Pap test results are abnormal. These abnormalities could be due to several reasons like viral infections namely human papillomavirus (HPV) infection or any other fungal (yeast), bacterial or protozoan (Trichomonas) infection. Atrophic vaginitis or natural cervical changes due to menopause can also lead to abnormal Pap test results. However one needs to be careful because these untreated cervical cell changes that lead to abnormal Pap tests can at times develop into precancerous or cancerous changes.

Cervical Biopsy
In case during colposcopy, an abnormal tissue is found in the problem areas, the doctor will remove a tiny sample of it and send it to the lab. This is normally known as a biopsy or cervical biopsy which is done from inside the opening of the cervix or endocervical canal.
 

Procedure for a colposcopy and biopsy
A colposcopy is normally a pain free procedure where at times some women might feel a slight tingling or burning sensation when the solution is applied. Biopsy might lead to a little discomfort like that of a sharp pinch or a menstrual cramp. During colposcopy a speculum or a small instrument is inserted into the vagina to spread apart the vaginal walls. In order to see the area more clearly the doctor dabs the cervix or vagina with a cotton swab dipped in vinegar (acetic acid) or Iodine (Lugol's solution). The solution is used to remove any kind of mucus and also makes the abnormal cells turn white in order to be clearly visible.

The doctor then uses a colposcope, a light magnifying device that looks like binoculars and has a bright light mounted to it. It also has a camera attached to it to take the videos or pictures of the cervix and vagina.
Biopsies are normally done by scraping away abnormal cells with a small brush or a small curette.

Results of colposcopy or cervical Biopsy
In case of Normal results the vinegar or iodine will not show the presence of any abnormal cells and the vagina and cervix look normal. But in case of abnormal results, there are abnormal tissues seen in the problem areas. It could also be a sore or a genital wart or infection in and around the vagina. The biopsy report would clarify whether it is cervical cancer or is likely to develop. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4528 people found this helpful

Water Birth - Benefits And Risks Associated With It!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Water Birth - Benefits And Risks Associated With It!

Water birth, as revolutionary as it might sound, is not a bad idea. Common in the European countries like Australia and New Zealand, many birth centres in the United States have also started installing water birth tubs. It is the process of giving birth in a warm water tub, which is said to ease the process. The logic behind this goes that since the baby stays in the mother's womb for nine months in a water sac, therefore, birthing in a similar environment is better for the baby and less complex. Many obstetricians believe that this also prevents any kind of foetal complications. 

There are both benefits and risk of water birth. They are as follows:

Benefits of water birth: 
Water labour and water birth has the following advantages for the mother and the baby.

For the mother:

  1. The warm water provides mobility and comfort to the mother. The mother is also at a spontaneous position in water to change her location and deliver the baby.
  2. Pressure on the abdomen is decreased. Buoyancy helps in the efficient contraction of the uterine walls and it improves blood circulation, which again gives better supply of oxygen to the uterine muscles. The baby is provided with sufficient amount of oxygen while the mother endures lesser pain.
  3. Birthing in water helps in conservation of energy on part of the mother. The immersion helps to reduce collision with gravity and gives support to the mother's weight. This energy produced helps in coping with the uterine muscle contractions.
  4. The process of labour becomes more productive as it gives relaxation to the mother. While the mother calms down in the water, her hormones start working better and in turn the process is accelerated. The water also helps in soothing the pelvic muscles.
  5. The immersion helps in lowering the level of blood pressure and in reducing anxiety.
  6. Stress is hugely reduced as the mother is at ease and this helps in producing endorphins that serve as pain inhibitors.

For the baby:

  1. The baby gets a similar environment as the amniotic sac which helps in the birthing process gets added support.
  2. The stress of birth is greatly reduced.

Risks of water birth:

  1. There remains a risk of water embolism that is when the water enters into the mother's bloodstream.
  2. If the mother has herpes, this practice should not be followed as herpes spreads in water faster.
  3. This should be avoided in case of excessive bleeding and any kind of maternal infection. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4559 people found this helpful

I'm four months pregnant. Can I sit folding my legs? I feel comfortable in that way .N I'm feeling comfortable turning left side n sleeping. Is that ok? Can I drink filtered coffee?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
I'm four months pregnant. Can I sit folding my legs? I feel comfortable in that way .N I'm feeling comfortable turnin...
Preferably 1 cup of coffe is ok there are studies if you drink like 4-5 cups there are chances of abortion. Sitting with folding legs yes you can do like prenatal yoga watch it , you can sleep left side it's normal and good
3 people found this helpful
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Pregnancy - Do's And Don'ts

MBBS, MS - Obstetrics and Gynaecology
Obstetrician, Warangal
Pregnancy - Do's And Don'ts

Once you have got the happy news of a little one coming soon in your life, you should start taking some special care so that you can enjoy the journey of pregnancy and get a healthy baby (learn about Dietary Dos and Don'ts for Pregnancy)

These are some pointers you have to follow during pregnancy:

  1. Maintain good hygiene during pregnancy. Take bath regularly. Warm shower or sponge bath is considered better than tub bath.

  2. Brush your teeth regularly and have a regular dental check up. Caries tooth can be extracted after 12 weeks of pregnancy.

  3. Avoid wearing tight clothes and shoes with high heels. Wear loose and light clothes.

  4. Take lots of fluid, fresh fruits & vegetables.

  5. Take a diet which is light, nutritious, easily digestible & rich in protein, less fat, minerals and vitamins.

  6. Stop smoking and drinking alcohol. It can cause miscarriage, defect in the development and growth of the baby.

  7. Avoid jerky travelling, especially in 1st 12 wks and last 6wks of pregnancy. Prolonged sitting in a car or plane should be avoided. Air travel is not advisable to women who have high blood pressure, less hemoglobin (anemia) and low lying placenta.

  8. Avoid taking any unprescribed drugs, exposure to X-Ray & chemicals especially in the 1st 12 weeks of pregnancy.

  9. Take adequate rest in the lateral position and relax 1-2 hrs in the afternoon & 8 hrs at night.

  10. Start taking folic acid at least 3 months before planning pregnancy & continue it till the 1st 12 weeks of pregnancy.

  11. Start taking iron & calcium after 12 wks of pregnancy and continue it throughout pregnancy and 6 months post delivery.

  12. Exercise regularly during pregnancy. Walking is the best exercise, but long periods of walking should be avoided. Also avoid heavy weight lifting and prolonged standing. Diving, water sking, gymnastic, netball, hockey, horse riding, cycling, rock-climbing, & scuba diving exercises should be avoided during pregnancy.

  13. If you have any of these symptoms - vaginal bleeding, persistent abdominal pain, persistent vomiting, watery discharge from vagina, less or no fetal movement, severe headache, swelling on hands, face & feet, fever, dizziness, blurring of vision, double vision, spots before eyes, painful urination and diarrhea, immediately consult your doctor.

4490 people found this helpful

About two years v r trying for a baby. I did hsg before two months it's third month after hsg. All r normal but till I dint get chance to conceive. Except iui what can be next step. This feeling make more hurting. Pls help advance thanks.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
About two years v r trying for a baby. I did hsg before two months it's third month after hsg. All r normal but till ...
Iui doesn't hurt you, after all the investigation and evaluation done you can go for ivf procedure it will help you.
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Polycystic ovary disorder (PCOD)

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Polycystic ovary disorder (PCOD)

PCOD (Polycystic Ovary Disorder) is an issue in which a woman’s hormones are out of control. It can bring about issues with your periods and make it hard to get pregnant. PCOD or PCOS additionally may bring about undesirable changes in the way you look. In case that it is not dealt with, after some time it can cause serious medical issues, for example, diabetes and heart diseases. In PCOD, the hormones change rapidly.

The reason for PCOD is not completely seen, but rather hereditary qualities might be a reason. PCOD appears to keep running in families, so your possibility of having it is higher if other women in your family have it or have diabetes. PCOD can be passed down from either of your families’ side.

The most widely recognized clinical features are:

  1. Skin inflammation.
  2. Weight gain and problem getting thinner.
  3. Additional hair on the face and body. Frequently women get thicker and darker facial hair and more hair on the abdomen, stomach, and back.
  4. Diminishing hair on the scalp.
  5. Unpredictable periods. Frequently women with PCOD have less than nine periods a year. A few women have no periods. Others go through extreme bleeding.
  6. Infertility issues. Many women who have PCOD experience difficulty getting pregnant.

Some of the most effective and long-term treatments include:

  1. Normal work out and weight control are the key medicines for PCOD. Treatment can lessen uncontrollable symptoms and stop the long-term medical issues that come along with it.
  2. Try to fit in moderate movements and additionally outdoor activities regularly. Taking a walk is a great exercise that a great many people can do.
  3. Eating healthy foods is very important. This includes heaps of vegetables, nuts, beans, and whole grains. It limits foods that are high in soaked fat, for example, meats and cheeses.
  4. Most women who have PCOD can benefit by shedding pounds. This can mean losing the hormones that are uncontrollable and having regular periods.
  5. In case that you smoke, consider stopping. Women who smoke have higher androgen levels that may add to PCOD symptoms.
  6. Your specialist may recommend anti-conception medication pills to decrease side effects and help you have consistent menstrual cycles or infertility medication in the case that you are experiencing difficulty getting pregnant.
  7. Aerobic exercises, jogging, walking for 1 hr. daily to be added.

It is important to consult a specialist for the follow-up to ensure that treatment is working and to change it if necessary. You may likewise require normal tests to check for diabetes, hypertension, and other conceivable issues. It might take a while for medicines to help with the symptoms, for example, facial hair or skin break out. You can use over-the-counter or physician endorsed pharmaceuticals for skin break out.

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How effective is Minesse as a contraceptive. Do I need to be off it to get pregnant?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
How effective is Minesse as a contraceptive. Do I need to be off it to get pregnant?
4-5 percent failure chances when you skip the pill. You should not take when you want to plan for pregnancy
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My wife is 4 months pregnant Wen she sleeps her left arm pain a lot, Her Vitamin D is 7 Units Please suggest.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
My wife is 4 months pregnant Wen she sleeps her left arm pain a lot, Her Vitamin D is 7 Units
Please suggest.
7 units is less. Daily morning walking for 1 hr under sunlight, drink milk , leafy vegetables and take tab calcium along with vit d 400 iu daily
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I tested my blood it is 8.5 in 39 week pregnant. Is there any risk at the last stage when I give birth to a baby?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
I tested my blood it is 8.5 in 39 week pregnant. Is there any risk at the last stage when I give birth to a baby?
Yes sometimes there may be increased blood loss during delivery, lactation failure, infections are high. It's better you need to get one blood bag in hand before delivery.
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I am 23 weeks pregnant. For past 3 days, I experience pain and pull on my right while peeing. Peeing has become very difficult. The pain is right above the pelvic bone. Towards the right. I had got my urine tested for infection only a week ago. The reports were normal. Is the pain and pull normal?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
I am 23 weeks pregnant. For past 3 days, I experience pain and pull on my right while peeing. Peeing has become very ...
Yes the pain is normal when u dnt have urine infection . Take lot of green vegetables and high fiber diet in pregnancy
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Hirsutism - 4 Ways it Can be Treated!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Hirsutism - 4 Ways it Can be Treated!

There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.

What is Hirsutism?

Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.

Why do some women develop Hirsutism?

In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.

Causes of Hirsutism

The common causes of hirsutism include:

1. Endocrine causes

  • Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS (polycystic ovarian syndrome).
  • Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
  • Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.

2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens

3. Medications

  • Long term steroid consumption (commonly used for immunosuppression, rheumatoid arthritis, and multiple sclerosis)
  • Performance enhancing drugs (often used by athletes)

4. Idiopathic - The woman may be having hirsutism despite normal hormone levels

Treatments

There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.

Medical treatments for hirsutism -

1. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.

2. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.

- Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.

- Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.

- Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.

However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.

3. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.

4. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.

Cosmetic treatment for hirsutism -

One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.

Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA. If you wish to discuss about any specific problem, you can consult a dermatologist.

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