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Dr. Neha Kumari


Dr. Neha Kumari Gynaecologist,
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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M 29 years old female n weight us 60 kg. My due date of period was 9 n last period was 8 april. I went fir the hcg test n result was positive. How many days of pregnancy is going on and what kind of precaution should I take? Plz suggest me.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
If you have had regular cycles, then according to your last menses you are today 1 month and 4 days pregnant. You need to take a lot of care in the first 3 months--- no intercourse, no exertion, no travelling, no self medications, no weight lifting, no severe heat exposure etc.
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Hello sir we are married in November 2014 but from till did not get child. How involve in sex period to get child. Please inform sex chart ?

MD - Maternity & Child Health
Gynaecologist, Bangalore
First bleeding day is day 1 from day 8 to day 20 you shud be involved and especially day 11 to day 17.
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My second baby was dead born. My gynaec says that my baby died due to placenta twisted around baby's neck. But I have undergone scan before one week of death. Is it true. But I can't feel anything different. It happened starting of my ninth month.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
placenta is a large substance which is atteached to wall of uterus and cannot twist around baby. It must have been the umbilical cord which unluckily strangled it. Foetal movement count check by mother timely picks up slow / no movements in last months of pregnancy, in that case usg and quick delivery/ caesarean can be done to save the baby.
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I am 21 weeks pregnant now. My Dr. had told me to start naturogest sr 400 from the day I conceived. Now after my anomaly scan my Dr. has told me to stop naturogest now. I wanted to ask that should I stop the medicine or no. It will be safe because I am scared that everything should be fine even if I stop the medicine. Please suggest.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, you can stop cap naturogest provided that no high risk factors, and sonography report is normal. As you have crossed risk period for abortion, you can stop naturogest if everything is alright.
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I had protected sex on 23rd July and took I pill on 24th evening as a precaution. My period due date is 28th and still haven't got my periods. Is there chances of pregnant?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Rohit, since you had sex in safe period less possibility of having pregnancy. Please await period delayed period could be because of stress or hormonal imbalance.
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I am 25 years old I want to increase my breast size so how to increase them naturally tell me and I am interested in doing sex how to do it?

Homeopath, Muzaffarpur
Hello, you can increase your breast size by taking homoeopathic medicine naturally as oer direction.----------- 1. Sabal serulata q 15 to 20 drops 03 times in aday with 1/2 cup of water, for three month. 2. Take massage of your breast clock wise with any massage oil/olive oil. 2 to 3 times in a day. Note------- your menstrual cycle must be regular and normal. If any disorder in mens then it must treated at the earliest. Report after one month.
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Hi. I had unprotected sex about 9 days ago after my period had ended 3 days before. Now I am experiencing cramps and tender breasts. Could this be an early sign of pregnancy? Or could I be ovulating or experiencing early pms before my next period in two weeks? I usually get pms early. Please help me! Thanks!

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hi For guiding you I want to know what were the dates of last period, unprotected sex. Had you taken any drug.
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I have cysts in my ovaries. Yesterday I have done follicular study scan in that report left ovary contain 18 cc right contain 20 cc ET in 9 mm. I am try to convince. It is possible to get pregnancy In this month. Last my periods time is 34 days.

Gynaecologist, Bangalore
If your last menses is more than 34 days then it's not normal finding of cyst in both ovaries. They may be simple ovarian cysts. U need to consult infertility specialist for further advice.
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While having sex with my wife at the end she getting something in white color and getting itching in her private area why.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Vaginal discharge is made of natural fluids and cells produced by the body and this is usually clear and similar in character to mucus at mid-cycle or during ovulation. During sexual arousal and intercourse, vaginal secretion increases to provide lubrication. If secretion is itchy in nature, it might be due to a bacterial infection or an allergic response to any contraceptive /artificial measure used during sex.
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What are the success rate of ivy ad test tube baby any side effect from this please advice.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Success rate again depends on ivf centre. Throughout world take home baby rate is 28% and pregnancy rate is 50%. Ohss is a complication of ivf but with advanced technology, that has also beed brought down. Also do not forget to cryopreservation of the embryo to reduce the cost next time around.
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Me had sex with my bf 6 oct and took ipill with in 1 hr. Den 12 oct I was heaving bleeding. Nd. On 17 oct it stopped. I wana knw I am pregnant? (nd. Is dis bleed was my new menes cycle?) or I will bleed once again?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. You know your menses cycle than us. If the sexual intercourse was rough, the there is a chance of your period coming early. Now you can analyse your bleeding. Take care.
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Diabetes in Pregnant women

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Diabetes in Pregnant women

The incidence of gestational diabetes is on the rise. At present 10 to 17 percent of pregnant women are developing diabetes during pregnancy. The chances of this are more if the woman is obese or if she had gestational diabetes in her previous pregnancy or a big baby earlier or if there is a family history mother father or siblings of diabetes.

This can be prevented to a great extent if a woman has a healthy lifestyle. Exercising regularly and maintaining body weight before and during pregnancy will minimise the risks of having diabetes in pregnancy.

My gf had periods on 27/05/16 I had unprotected sex with her on 6/6/16. I had given her unwanted 72 on 7/6/16 after that we had sex but condom is damaged or broke my sperm gone inside her vagina on 12/6/16 then I had given her unwanted 72 within 48 hours after sex .her periods are not coming til today's date .Is she pregnant. Please tell me or suggest me fast.

MD - Obstetrtics & Gynaecology, DGO
Obstetrician, Vadodara
Hello lybrate-user chances of pregnancy are poor. She will have delay period due to repeated doses of pills. Pregnancy takes place in third week of period. Thanks.
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I had sex with my husband today he got discharged inside me, as he took his penis out he saw blood getting discharge. It seems I had started my period today itself while having sex.

General Physician, Cuttack
If blood is coming from the penis again and he is having pain while passing urine, he has to get himself examined by doctor and follow the advice and treatment.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Air cleaners may not take care of second hand smoke:

Air purifiers DO NOT reduce the exposure to secondhand smoke. Best is not to allow smoking in your vicinity on the occasion of World No Tobacco Day.

Various devices are available for air cleaning, ranging from systems that are incorporated into the heating, ventilation, and air conditioning to simple table top devices and "smokeless ashtrays.

But cleaning air of second hand smoke poses a technical challenge because of the tobacco smoke as well as gases and particles that are included in second hand smoke.

Air cleaning devices typically include filters or electrostatic precipitators to remove particles. Some devices, also include a sorbent, such as activated charcoal, to remove gases. For second hand smoke both elements are needed.

For any air cleaning device to be effective, it must be able to clean a sufficient volume of air in relation to the total volume of the space where it is operating. Few devices are able to clean sufficient volumes of air to be effective in managing smoking indoors.

Small devices, like smokeless ashtrays and many table-top units, offer completely inadequate cleaning capacity.
3 people found this helpful

4 days back I did home pregnancy test the result is weak positive. Now I face stomach pain.

General Physician, Gurgaon
In my opinion if pregnancy test is weak positive You need to repeat it again Consult gynaecologist for further management
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First Vaccine Again Dengue

General Physician,
First Vaccine Again Dengue

Dengvaxia - First vaccine against dengue:

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.


Read more:-

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice


Full prescribing info - dengvaxia


Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.


Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: Dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: Children less than 9 years of age should not receive the vaccine.


Side effects:

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: If any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10,000 people), after receiving any vaccine.

Other side effects: The following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): Injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): Infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): Uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: Uncommon (may affect up to 1 user in 100), Itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: If the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.



Using other medicines and dengvaxia: Dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.


Caution for usage:

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1:1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.



Store in a refrigerator (2°c-8°c). Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.



After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.


Mechanism of action:

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.


More information about dengvaxia - First vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india


Sanofi pasteur - Dengue vaccine frequently asked questions

I had sex on sep 14 after that I had periods every successive months till DEC this Jan I don't had periods on 8 of every month is my date BT it dnt hand I did pregnancy test after the missed periods on 10 m I pregnant I knew if v have periods v won't b pregnant BT during pregnancy v can experience cyclic bleeding which appears to be periods right.

Gynaecologist, Ghaziabad
If the pregnancy test is negative in this case, you will not be pregnant. In the rare case of pregnancy associated with cyclical bleeding, the pregnancy test would be positive.
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Irregular periods for the last 3 months. Almost after every 23 days. Please suggest medication.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jamnagar
Hello some change in hormones might have changed cycle of periods. No. Need to worry with medications it can. Be managed easily. Do consult our Ayurved hospital gyenec doctor for medicine thank you.
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