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Dr. Mira Roy

Gynaecologist, Kolkata

Dr. Mira Roy Gynaecologist, Kolkata
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Mira Roy
Dr. Mira Roy is a popular Gynaecologist in Regent Estate, Kolkata. She is currently associated with Sparsh Clinic in Regent Estate, Kolkata. Save your time and book an appointment online with Dr. Mira Roy on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 26 years of experience on Lybrate.com. You can find Gynaecologists online in Kolkata and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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1/65, Netaji Nagar-Regent Estate,LM:near netaji nagar post office, KolkataKolkata Get Directions
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My mom has burning sensation in her palms and feet, since last 2-3 weeks, she has been taking paracetamol as per doctor's advice, i've researched on the internet and doctors say its a case of nerve damage, can any doctor explain me in clear what exactly this could be, and what are the tests we can perform to analyze this problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My mom has burning sensation in her palms and feet, since last 2-3 weeks, she has been taking paracetamol as per doct...
Hot hands and feet can refer to a warm sensation or a painful tingling in the limbs. This is often made worse at night, making it difficult to sleep, though performing physical activities can also cause this condition to appear. People 45 and older are more likely to develop hot, red or burning hands and feet than other age groups. In many cases this condition is temporary, but certain conditions can cause this condition to become permanent. Possible Causes of Hot Hands and Feet There are a number of conditions that can cause the hands and feet to develop an uncomfortable burning sensation. Evaluating your other symptoms will help you narrow down the cause so you can get adequate treatment. • Erythromelalgia- This condition is known to cause a burning pain, redness or increase in temperature in the hands and feet. These symptoms will begin as a tingling or itching that will slowly progress to a painful burning sensation. Some people note occasional flares of these symptoms while others experience them all the time. This condition may occur spontaneously or as a result of a neurological disease. Doctors will attempt to note underlying causes of this condition to ensure that proper treatment can be administered. • Carpal or Tarsal Tunnel Syndrome- These conditions are very similar in nature. Each causes pressure to build up on the joints, leading to a burning sensation in the hands and feet due to the compression on the nerves. This sensation is often described as an electric shock that radiates out from the affected joints. • Hypothyroidism- Hypothyroidism is a condition that is caused when the thyroid is not producing enough of the necessary hormones. If this is left untreated it can cause the joints to develop a hot or burning sensation, which can manifest itself strongly in the hands and feet. • Kidney Dysfunction- If the kidneys are not functioning the way they should it can lead to a burning sensation throughout the body. This is caused when the body is unable to rid itself of cell waste through the bloodstream, leading to a buildup of waste. If the cells are constantly exposed to these toxins they can begin to break down, causing bodily damaged. If this condition is severe enough, the patient may need to begin dialysis treatments to rid themselves of this waste. • Liver Damage- On a similar note, waste and toxins can build up in the body if the liver is not filtering them away the way it should. If toxins are allowed to build up in the bloodstream it can cause a burning pain throughout the body which may become more severe in the limbs. • Nerve Damage- Damage to the nerves can cause an uncomfortable burning sensation to appear. This symptom will typically begin in the limbs before spreading throughout the body. Conditions such as diabetes can cause this damage to appear. Managing these underlying conditions will be a key to eliminating your discomfort. • Vitamin Deficiency- A diet that is low in B1, B5, B6 and B12 can cause a burning sensation to develop in the hands and feet. This is caused when the body is unable to maintain the nervous system properly. Adjusting your diet or taking supplements to increase your vitamin intake can help eliminate these symptoms.
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Can Drinking lemon and honey lukewarm water cause any gynec problem or it may reduce the size of the uterus?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Nanded
Can Drinking lemon and honey lukewarm water cause any gynec problem or it may reduce the size of the uterus?
Drinking luke warm water with honey is virrudha mixture according Ayurved shastra which acts like slow poison in body not suitable for any person any time for any disease.
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I am a 23 year old female, This month my periods got delayed by 5 day I went to doctor she suggest beta test to check pregnancy my hcg came as 12.5 I asked her to give me bleeding tablet she said we will wait for 1 week as those medicine can cause complications. However yesterday night ihad half Papaya and this morning I got my periods now am concern whether this bleeding will create problems in future or I am not pregnant.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I am a 23 year old female, This month my periods got delayed by 5 day I went to doctor she suggest beta test to check...
Thyroid problems are known to delay a normal cycle. If the quality and quantity of the flow is normal, without excessive pain or other symptoms, then you need not worry. It will be more informative to go for ultrasound scan if your periods are regularly delayed by more than 10-14 days. Otherwise do nothing. No long term problems are expected.
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I am 27 years old and my husband is 31 years. We have been married for 5 years and now we are planning for a child please give guidelines we are trying but it is not successful.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
If you are trying for long time, that means you both have to go for check up so that we can pinpoint the cause of not having baby and treat it accurately.
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I Got married in December. Then got pregnant in January. BuT that time I took a pill for abortion. After that we are trying for a baby from April till date. BuT no succeed. What should b issue. We both have no health issue and my periods are regular. please suggest.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I Got married in December.  Then got pregnant in January.  BuT that time I took a pill for abortion. After that we ar...
First try for 6 months. If no result, both of you should consult doctor to diagnose the cause and get that cause treated.
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Today is my 14th day and predicted ovulation is on 18th day how I can plan intercourse for get pregnancy. We should do intercourse every day till 18th day?

MBBS
General Physician, Cuttack
Today is my 14th day and predicted ovulation is on 18th day how I can plan intercourse for get pregnancy. We should d...
Safe period for sex is in the 1st and last week of period. Avoid sex between 14 to18th day of period.
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I am 19 years old. My menses started at the age of 10 and half. Earlier it was regular. But from 2 years it is irregular. I have consulted allopathy doctor. She gave me contraceptive pills. That I have taken for seven months. She diagnose pcod. But the above pills have side effect. So I switched to homeopathy. But it is not regular. How much time I have to wait. And is there any particular cause for pcod. Pls guide me.

MBBS
General Physician, Faridabad
I am 19 years old. My menses started at the age of 10 and half. Earlier it was regular. But from 2 years it is irregu...
While the exact cause of PCOS is unknown, doctors believe that hormonal imbalances and genetics play a role. Women are more likely to develop PCOS if their mother or sister also has the condition. Overproduction of the hormone androgen may be another contributing factor. Androgen is a male sex hormone that women’s bodies also produce. Women with PCOS often produce higher-than-normal levels of androgen. This can affect the development and release of eggs during ovulation. Excess insulin (a hormone that helps convert sugars and starches into energy) may cause high androgen levels.
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Hi sir, my wife is pregnant of 4 month, she has having vomiting and pain down to chest sometime. Is it worriable or not because she had 3 miscarriage before. Doctor said every thing is normal while we did a scan last month.

MBBS
General Physician, Mumbai
Hi sir,
my wife is pregnant of 4 month, she has having vomiting and pain down to chest sometime. Is it worriable or n...
Vomiting can be due to pregnancy but if her vital parameters per week are normal than nothing to be done.
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Delhi
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
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Hello sir I am 28 years old and I have one baby boy but before 10 days I miss my period and I checked at home but it is negative. So please tell me am I pregnate? Or not what should I do I have more pain in my back.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Hello sir I am 28 years old and I have one baby boy but before 10 days I miss my period and I checked at home but it ...
Hello, 10 days missed period will not be ok try to wait 5 days to test again. It's best to wait at least ten to 12 days after you think you conceived before taking a pregnancy test at all, especially an at-home test. A blood test can give you accurate results as early as six to eight days after ovulation, but these are not always accurate this early on in a potential pregnancy.
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Suffered from unexpected date in just 14 days. And the very next day it felt nothing. I am worried what can be the reason?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Suffered from unexpected date in just 14 days.
And the very next day it felt nothing. I am worried what can be the re...
Hello unexpected bleeding in middle of periods can be due to ovulation. Hence, no treatment is required.
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I am 4 months pregnant means 18 weeks. In last ultrasound in 3rd month of pregnancy doctor found low plactna.So what precautions should I do so that baby will not hurt as doctors said not to travel and dont go upstairs. Can I have intercourse once a week?

MD - Maternity & Child Health
Gynaecologist, Bangalore
Now you can have intercourse. But be careful with bleeding part. Reconfirm placental position at later months of pregnancy too. If it is low placenta at a later date at around 7 months avoid intercourse. Stree woman health care centre bangalore
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Hello my periods started on 11th of may and on 22nd of may I have sex with my husband will I get pregnant? I am having 40 days of Cycle period.

BAMS
Ayurveda, Ambala
Hello my periods started on 11th of may and on 22nd of may I have sex with my husband will I get pregnant? I am havin...
Dear, as per your lmp means the date when periods come your ovulation day (the day when ovum released and pregnancy occurs) is 24 may. So there is no chance or very less chance of pregnancy. But you should check your cycle regularity. For confirmation of pregnancy you can check through urine pregnancy test.
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If a person has no symptoms,can he or she still transmit an STD?

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Infertility, DNB
Gynaecologist,
In somewhere around 60 to 65 percent, the symptom are subtle and can be ignored by the patient esp in male partner thus act like carrier for the same. people who are high risk (sexually active with multiple partners) should on a regular intervals visit the doctor to ensure they are fit .
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Some tips for newly pregnant women approx 15 days. For healthy children What type of food is required.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Some tips for newly pregnant women approx 15 days.
For healthy children
What type of food is required.
Hello, she should be on folic acid tab daily and antiemetics if vomiting is persistent. Rest there is no restriction of foods as such.
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I am a women 35 years old, Can you suggest me to Which Medicine should I take to quickly ready for sex. Should I Take Spanish Fly Gold for the women, Approx How Much Time take to effect in my body ready for doing sex.

PDDM, MHA, MBBS
General Physician, Nashik
Overall sex stamina improves by healthy lifestyle. Regular sleep, exercise and meal are the foremost things. In diet cow milk, cow butter and garlic are proven sexual tonic. Regular healthy diet containing carbohydrate, protein and minerals-vitamins is necessary. Specific diet depends on culture and geographic situation. Exercise to control your weight and make you fit. Sleep to relax your mind. All above measures help you to relive mental stress also which indirectly help to perform better. Another aspect is emotional attachment and love between partners in overall life apart from the sex. If it is good no need of any tonic, natural stamina would suffice. Hope I have answered your query, I will be happy to help further, regards,
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Hello doctor, Before pregnancy me nd my wife njoy the sex. Bt after pregnancy we not njoy sex properly. My wife has normal delivery before 45 days. What the reason? Nd how to increase my penis size?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hello doctor,
Before pregnancy me nd my wife njoy the sex. Bt after pregnancy we not njoy sex properly. My wife has n...
hi Parth it's more of psychological issue. you should start exercise and meditations . wife should start pelvic floor exercises.
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I do 2 3 times fingering per day from last week now I feel pain in my lower stomach and also feel pain in my vagina and I fell swelling in my stomach.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I do 2 3 times fingering per day from last week now I feel pain in my lower stomach and also feel pain in my vagina a...
Please avoid this habit, instead switch to fantasy of thoughts. This habit can ruin your marriage life and future.
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Hi! I had sex in March den I had pill and I get periods within a week then my next period occur at July and now m not having my periods and between dis time interval I never had sex still my periods are irregular. Why so?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi! I had sex in March den I had pill and I get periods within a week then my next period occur at July and now m not...
Thanks for expecting assertive health and progressive fitness with ayurveda approach. On authentic side less likely to have unplanned pregnancy but need to screen for thyroid function test n usg too. Till then Lady of Black gram flour shallow fried in till oil n gudgeon jagged will add value. So many causes can lead do issue. Or consult ayurveda college Hospital in your city.
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Hii. I am 29 year women. From last month I saw some symptoms of pregnancy in myself but my period not missed. So I think is everything is o. K. But nowadays I feel faitgueness AND feeling of vomiting, not vomiting. And my abdomen is became fatty. Give me right suggestion to what I do. Please.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ernakulam
Hii. I am 29 year women. From last month I saw some symptoms of pregnancy in myself but my period not missed. So I th...
Hi lybrate-user, if you haven't missed your periods then you are not pregnant. Absence of periods marks pregnancy. Your uneasiness may be due to gastritis. Please try to drink milk everyday diluted with water.
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