Common Specialities
Common Issues
Common Treatments



Prescription vs.OTC: Prescription by Doctor required

Estrogen is a female sex hormone responsible for regulation and development of the female reproductive system. It is used in Hormone Replacement Therapy for hypogonadal, postmenopausal, and transgender women; as medications in oral contraceptives, and in the treatment of hormone sensitive cancers like breast cacer, prostate cancer.

It is recommended that you should not take Estrogen if you are pregnant or plan on becoming pregnant, or you are breastfeeding; or if you have a condition or history of liver disease, blood clotting, stroke or heart attack, or if you are allergic to any medicines. It should only be taken for HRT and in treament of certain cancers only if it is prescribed by the doctor.

The use of Estrogen is associated with increased risk of blood clotting, cardiovascular disease, stroke, uterine cancer or breast cancer.

Estrogen can be taken orally, vaginally, topically, or via injection. It should be taken only as per the prescribed dosage given by the doctor according to your conditions.

post menopausal osteoporosis
hormone replacement therapy (hrt)
In addition to its intended effect, Estrogen may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Mood changes
Breast enlargement
Change in body weight
Abdominal pain
Sexual dysfunction
Breast tenderness
Metrorrhagia (menstrual bleeding at irregular intervals)
Is It safe with alcohol?
Interaction with alcohol is unknown. Please consult your doctor.
Are there any pregnancy warnings?
Conjugase tablet is highly unsafe to use during pregnancy.
Human and animal studies have shown significant adverse effects on the foetus. Please consult your doctor.
Are there any breast-feeding warnings?
Conjugase tablet is probably safe to use during breastfeeding. Please consult your doctor.
Is it safe to drive while on this medicine?
There is no data available. Please consult doctor before consuming the drug.
Does this affect kidney function?
There is no data available. Please consult doctor before consuming the drug.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Medicine
Gonablok 200Mg Capsule
Nolvadex 10Mg Tablet
Gonablok 100Mg Capsule

Popular Questions & Answers

My friend is having too much headache legs paining all day and some how feel like vomit whats the cause and how to get well its about week to be continuing.

General Physician,
My friend is having too much headache legs paining all day and some how feel like vomit whats the cause and how to ge...
Hello, Thanks for your query on Lybrate "As"per your clinical history is concerned please follow like this - 1)Take [DIPROL tab-25mg]twice a day [morning and bedtime] regularly 2)Massage each of your temples with one drop of peppermint essential oil or a combination of peppermint and lavender oils. Leave it on for at least 20 minutes. Do this a few times a day for headaches. 3)Try to avoid triggers. If certain foods or odors seem to have triggered your headaches in the past, avoid them. 4)Try to reduce your tea and coffee 5)Try to establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. 6)Do exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. 6)Obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight. 7)Reduce the effects of estrogen. If estrogen seems to trigger or make your headaches worse, you may want to avoid or reduce the medications you take that contain estrogen.These medications include birth control pills and hormone replacement therapy. Hope that helps and follow me after one month

My marriage completed 3 years but my wife not getting pregnant of 3 years. I checked my sperm. My report is normal. And my wife is also checked progesterone levels is normal. But she is not getting pregnant. please help me.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
My marriage completed 3 years but my wife not getting pregnant of 3 years. I checked my sperm. My report is normal. A...
Hello dear user infertility may be due to many reasons like hormonal imbalance like progesterone, estrogen,S.AMH,S.FSH,S.LH, ovulation disturbance, tube blockage .visit to Doctor personally and get all test done.
1 person found this helpful

I am married for 2.5 yrs. 33 yrs, 5 ft 7 in, 78 kg. I am little over weight trying to reduce weight. My wife got pregnant 4th month after marriage and we had to abort after 68 days. The foods didn't have heartbeat hence the doctor advised so. My wife 25 yrs, 5 ft 5 in, 80 kg. She's also a overweight person. We are undergoing treatment now. I had ED issue earlier n got treated. My wife blood test shows her AMH is 0.7, no thyroid issue. Follicles good size. No PCOD or PCOS. My sperm count is 64.4 million. My questions are. 1. How does AMH affects or play's a major role in infertility? 2. Can we increase it? If so how? 3. Is the sperm count OK? What should I do to increase it? 4. My sperm motility rate is 79% out of which progressive motility is 49% (taken at Dec 2016). What food or tablets can I take to increase them? 5. Too much stress on this issue makes me again have issue with ED. What tablets can I take for prolonged erection.

General Physician, Fatehabad
I am married for 2.5 yrs. 33 yrs, 5 ft 7 in, 78 kg. I am little over weight trying to reduce weight. My wife got preg...
Hi lybrate-user, here is the answer to all your questions: 1. We determine a woman?s level of fertility based on her medical history, age, basal antral follicle count, day 3 follicle stimulating hormone (FSH) and anti-mullerian hormone (AMH) level. Collectively these factors give us a complete picture of a woman?s reproductive health; however, AMH testing is the most recent ovarian reserve test and generally considered to be the most reliable. AMH levels are measured by a simple blood test. Because AMH tests measure the protein as it secretes in to ovaries, it is not affected by estrogen and other hormones, and can therefore be tested at any point in the menstrual cycle and even in patients on birth control pills levels. Healthy women under 38 years old typically have AMH levels of 2.0 - 7.0 ng/ml. 2. There are alternative medicine options you can try to improve your ovarian reserve: / Yoga / Acupuncture / DHEA, 25 mg thrice a day. / Vit D3 (Calcipherol), 60000 IU, once a week for 10 weeks 3. Yes, your sperm count is normal. 4. Improving sperm motility through diet can be easy if you exactly know which food are rich of the following important nutrients: / Zinc: Eat foods rich in zinc like seafood, organic liver and lean cuts of red meat, plus nuts and grains. Zinc is a potent antioxidant mineral that aids in sperm quality and motility and is a very important asset in the production of testosterone. / Selenium - Eat foods rich in selenium like organic eggs, brewer's yeast, brazil nuts, garlic and seafood. Selenium is essential in sperm formation and development. Scientific studies have shown how high selenium in the diet is directly related to improved sperm motility because selenium is an mineral antioxidant that is naturally present in the spermatic fluids to protect sperm. It concentrates in the testicles and is lost through seminal fluid through ejaculation. / L-Carnitine - Eat foods rich in L-carnitine like lean cuts of meat, dairy products, artichokes, beet greens, asparagus, broccoli, Brussels sprouts, collard greens, and garlic. L-carnitine is present in seminal fluid and is directly related to sperm count and motility. / Maca - Eat Maca root as a supplement. Maca supports healthy hormonal levels and increases male fertility and sex performance. / Coenzyme Q10 (Ubuquinone) - Coenzyme Q10 (CoQ10) is an antioxidant important in mitochondrial performance and found in seminal fluid and seminal plasma. CoQ10 has been found to improve sperm count and motility on asthenozoospermia. / N-acetyl-cysteine (NAC) - NAC reduces oxidative stress caused by free radicals preventing the damaging effects on sperm health. NAC treatment is so effective in improving sperm motility because it increases serum antioxidant capacity and decreased oxidative stress. 5. Here are a few non medicinal ways for ED: / Eat Lots of Carbs: To have a massive erection for a long time, your body needs good amount of nutrients. Loading your body with carbohydrates is one of the best ways to have sex multiple times with your partner. Thus, choose foods which are rich in carbohydrates like pasta and bread. / Zinc is also essential: Consumption of foods rich in zinc will help to produce testosterone, seminal fluid and sperm, which is vital to have a strong and long erection. The best zinc sources are seafood, peas and beans. / Avoid fatty foods: If you want to make your partner go insane, then stay off fatty meals before sex. Fatty foods and excess fat consumption will lower the testosterone level in the body, which will further decrease your libido, and make erection and ejaculation difficult to occur. / Start with foreplay: Most men fail to understand the importance of foreplay. Spending sufficient amount of time with foreplay helps to warm your little shooter before intercourse. Thus, always spend some time in foreplay before thinking about penetration. / Do some exercise: Men who are active tend to have better sex life, because it helps to increase your sex drive, sexual potency, reduces stress and enhances testosterone production in the body. To have a better erection, you can also try penis workout like the famous kegel exercise. / Avoid tight undergarments: If you love tight outfits, then throw them away for the love of good sex life. Wearing tight underwear or tight garments can reduce the blood flow towards the penile tissues, which can hamper your erection. Thus, choose loose or airy undergarments always. Hope this helps. Good Luck.
2 people found this helpful

Hello doctor, my friend wants to get pregnant but she is having health issues like asthma and head ache and she is taking inhaler to control her asthma n pain killers for headache from a very long time. What should she do to get healthy pregnancy. She is 40 and not having any child.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Hello doctor, my friend wants to get pregnant but she is having health issues like asthma and head ache and she is ta...
Dear user during 40 's female have less chance to get natural pregnancy then other younger age. But if, she have all other reports are normal which is related to fertility like AMH ,FSH, LH,Estrogen, Progesteron etc. So,visit to doctor personally for better management. She need to take all Medicine related to medical condition along with fertility management.
1 person found this helpful

I am married for 2 years but not conceive yet. My uterus size is slightly small. I don't know what to do for conceive.

MBBS, Certified IVF Specialist, MS - Counselling and Psychotherapy
IVF Specialist, Chennai
I am married for 2 years but not conceive yet. My uterus size is slightly small. I don't know what to do for conceive.
Hi. A small uterus shows that you were not producing eggs since you attained puberty. Your weight, hormonal imbalance, menstrual irregularity and infertility are all due to polycystic ovaries (PCO). You require to go for medical, non hormonal, treatment for PCO, with drastic weight reduction. You may also require oral cyclical estrogens for atleast 6 months to increase the size of your uterus before trying for pregnancy. Best wishes.

Popular Health Tips

Post Menopausal Bleeding - Can It Be Something Serious?

Gynaecologist, Sirohi
Post Menopausal Bleeding - Can It Be Something Serious?

What is menopause?
Menopause is that phase in the life of a woman when she can no longer reproduce. It involves the loss of fertility and the cessation of the menstrual cycle. The woman will stop bleeding every month and the ovaries stop producing eggs that can be fertilized. Menopause normally sets on after the age of 40 and bleeding may permanently stop by the age of 50.

Post menopausal bleeding
You are known to reach menopause when you have not been bleeding for 1 entire year. Even a small amount of spotting should not have taken place. Post-menopausal bleeding is when bleeding occurs after a year of attaining menopause. It can be a serious health disorder and requires medical attention without any further delay.

Reasons behind post menopausal bleeding

  1. Polyps that are mostly non-cancerous, unwanted growths on the cervical canal, uterus or ovaries are known to cause post-menopausal bleeding.
  2. Thinning of the endometrium that lines the uterus can cause unexpected bleeding. It can be due to the rapidly receding levels of estrogen in the blood. It is also known as endometrial atrophy.
  3. Endometrial hyperplasia is a condition that leads to the thickening of the inner lining of uterus (endometrium). It also leads to the growth of abnormal and malignant cells.
  4. Endometrial cancer
  5. Other health conditions such as reaction to hormone therapy, infections of the blood or reproductive organs, certain medications and blood-thinning drugs
  6. Cancer of the ovaries, uterus or cervix

How it can be treated?

  1. For diagnosis, you can undergo blood tests, ultrasounds, sonography and biopsy.
  2. Hysterectomy is done to remove the uterus and cervix can be conducted for a complete cure. It also removes the ovaries, fallopian tubes and other lymph nodes.
  3. Chemotherapy and other radiation therapies may be done for those who are in an advanced stage of endometrial cancer.
  4. Medications such hormone regulators must be taken to prevent complications.
2 people found this helpful

Ovarian Cysts - What Can Be The Possible Treatments For It?

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
Ovarian Cysts - What Can Be The Possible Treatments For It?

Ovaries are a part of a woman’s reproductive system. The primary function of ovaries includes producing ‘ova’ or eggs and secreting hormones such as progesterone and estrogen. Cysts are fluid-filled sacs that form the ovaries; they usually do not cause any symptom and are not painful.

There are primarily two types of ovarian cysts:

1. Follicle cysts: During a woman’s menstrual cycle, the egg develops in a sac known as the follicle. Under normal circumstances, the sac breaks open and releases the egg. When this doesn’t happen, fluids start accumulating in the follicle to form a cyst.

2. Corpus luteum cysts: Follicle sacs dissolve after releasing the egg, but in some cases, these sacs remain and the opening of the sacs gets sealed. It again results in fluid accumulation, leading to the formation of corpus luteum cysts.


Usually, cysts do not cause any symptom. If the size of the cysts increases, they may cause symptoms such as stomach pain, pain during bowel movements and sex as well as pelvic floor pain. The breasts may become tender and one may experience rapid breathing. Other symptoms of ovarian cysts are fever, nausea and dizziness. Usually, rupturing of a cyst leads to these symptoms surfacing; hence you would know when exactly to call the doctor.


The treatment options for ovarian cysts are:

  1. LaparoscopyLaparoscopy is carried out if the cysts are small in size. An incision is made close to the navel, through which an instrument is inserted to get rid of the cyst.
  2. Birth control pillsFor chronic ovarian cysts, oral contraceptives are prescribed to stop the ovulation process in order to arrest the formation of cysts.
  3. Laparotomy: In case of large cysts, this procedure is recommended. A relatively bigger incision is made in the abdomen, through which the cyst is removed.

Ovarian cysts, if left untreated, can certainly cause infertility. Pre-menopausal women and who suffer from frequent hormonal imbalances in the body are the most vulnerable to this condition.

Gynecomastia - What You Should Know About It!

MBBS, MS- Surgery, MCh - Plastic and Reconstructive Surgery
Cosmetic/Plastic Surgeon, Delhi
Gynecomastia - What You Should Know About It!

Due to hormonal imbalance, it is possible for boys during puberty or adolescence to develop breast tissue. This tissue may not be similar to those of females, but still considerable enough to cause embarrassment. A more serious issue is when this also causes pain and swelling. While it disappears on its own in most people, in some cases it may persist in some and may require surgical correction.

Why does it happen? Male features are due to a hormone called testosterone, and female features are due to estrogen. While both hormones are produced in both sexes, the predominance is of testosterone in males and estrogen in females. Gynecomastia happens when either there is a reduced production of testosterone or higher production of estrogen.

This surge of hormone production happens during infancy, puberty, and during old age.

Other common reasons are:

  • Drugs (anti androgens, anabolic steroids, AIDS medications, cancer treatment, heart medications, etc.)
  • Street drugs like marijuana, amphetamines
  • Alcohol abuse
  • Hypogonadism in men
  • Ageing men, who are also overweight
  • Kidney failure
  • Liver failure

What to do? Most males go through some amount of breast tissue expansion during their growing years. This often disappears as they cross the teenage years. However, it may continue to grow and requires attention in the following cases:

  • Grows considerably and is painful
  • Is a cosmetic concern

The doctor can review and advise if any changes are required to rectify the situation. In very rare cases, if the condition does not improve, surgical correction may be advised.

Prevention: Given that there are obvious causes, this condition can be prevented by avoiding medications which can cause it. Avoiding street drugs, alcohol, and adopting a healthy lifestyle are also options to prevent gynecomastia.

Diagnosis: Blood tests and hormone levels need to be checked to confirm the diagnosis. Mammograms are also required to identify the pattern and to rule out breast cancer, fatty breast tissue, and localized breast infections.

Management: Treatment would depend on identifying the root cause.

  • If there are medications that are inducing this, switch to alternate meds.
  • If there is an underlying condition such as malnutrition or liver failure, that needs to be addressed.
  • Quit or reduce the consumption of alcohol and/or street drugs if they are the reason
  • Meds for breast cancer are known to reduce gynecomastia, though not in all men
  • Liposuction is an option, where the breast fat tissue is removed. This may need to be repeated if the fat grows again.
  • Mastectomy: As a definitive procedure, the entire breast tissue can be removed.

In addition to the treatment and management options listed above, given the embarrassing nature of this condition, strong moral and social support is required.

1 person found this helpful

Homeopathy to cure Acne

Homeopath, Bahadurgarh
Homeopathy to cure Acne


A) Acne is a skin disease involving the oil glands at the base of hair follicles.
B) It affects 3 in every 4 people ages 11 to 30 years.
C) It is not dangerous, but it can leave skin scars.
D) Treatment depends on how severe and persistent it is.
E) Risk factors include genetics, menstrual cycle, anxiety and stress, hot and humid climates, using oil- based makeup, and squeezing pimples.


  Acne is a common skin problem.
 Acne is a chronic, inflammatory skin disease that results in whiteheads, blackheads, pimplles, cysts, and nodules. It is not dangerous, but it can leave skin scars.

  • Human skin has pores that connect to oil glands under the skin. Follicles connect the glands to the pores. Follicles are small sacs that produce and secrete liquid.
  • The glands produce an oily liquid called sebum. Sebum carries dead skin cells through the follicles to the surface of the skin. A small hair grows through the follicle out of the skin.
  • Pimples grow when these follicles get blocked, and oil builds up under the skin.
  • They tend to appear on the face, back, chest, shoulders, and neck.
  • Skin cells, sebum, and hair can clump together into a plug. This plug gets infected with bacteria, and swelling results. A pimple starts to develop when the plug begins to break down.
  • Propionibacterium acnes (P. acnes) is the name of the bacteria that live on the skin and contributes to the infection of pimples.
  • Research suggests that the severity and frequency of acne depend on the strain of bacteria. Not all acne bacteria trigger pimples. One strain helps to keep the skin pimple-free.


Acne stress

  • Stress can be a key trigger of acne in some cases.
  • A range of factors triggers acne, but the main cause is thought to be a rise in androgen levels.
  • Androgen is a type of hormone, the levels of which rise when adolescence begins. In women, it gets converted into estrogen.
  • Rising androgen levels cause the oil glands under the skin to grow. The enlarged gland produces more sebum. Excessive sebum can break down cellular walls in the pores, causing bacteria to grow.
  • Some studies suggest that genetic factors may increase the risk.

Other causes include:

  • some medications that contain androgen and lithium
  • greasy cosmetics
  • hormonal changes
  • emotional stress
  • menstruation


Acne pimples vary in size, color, and level of pain.

The following types are possible:

  • Whiteheads: These remain under the skin and are small
  • Blackheads: Clearly visible, they are black and appear on the surface of the skin
  • Papules: Small, usually pink bumps, these are visible on the surface of the skin
  • Pustules: Clearly visible on the surface of the skin. They are red at their base and have pus at the top
  • Nodules: Clearly visible on the surface of the skin. They are large, solid, painful pimples that are embedded deep in the skin
  • Cysts: Clearly visible on the surface of the skin. They are painful and filled with pus. Cysts can cause scars.


Here are some tips for looking after skin that has acne or is prone to it.

1.Wash your face no more than twice each day with warm water and mild soap made especially for acne.
2.Do not scrub the skin or burst the pimples, as this may push the infection further down, causing more blocking, swelling, and redness.
3.Avoid popping pimples, as this makes scarring likelier.
4.A specialist can treat a pimple that requires rapid removal for cosmetic reasons.
5.Refrain from touching the face.
6.Hold the telephone away from the face when talking, as it is likely to contain sebum and skin residue.
7.Wash hands frequently, especially before applying lotions, creams, or makeup.
8.Clean spectacles regularly as they collect sebum and skin residue.
9.If acne is on the back, shoulders, or chest, try wearing loose clothing to let the skin breathe. Avoid tight garments, such as headbands, caps, and scarves, or wash them regularly if used.
10.Choose makeup for sensitive skin and avoid oil-based products. Remove makeup before sleeping.
11.Keep hair clean, as it collects sebum and skin residue. Avoid greasy hair products, such as those containing cocoa butter.
12.Avoid excessive sun exposure, as it can cause the skin to produce more sebum. Several acne medications increase the risk of sunburn.
13.Use an electric shaver or sharp safety razors when shaving. Soften the skin and beard with warm soapy water before applying shaving cream.
14.Avoid anxiety and stress, as it can increase production of cortisol and adrenaline, which exacerbate acne.
15.Try to keep cool and dry in hot and humid climates, to prevent sweating.
Acne is a common problem. It can cause severe embarrassment, but treatment is available, and it is effective in many cases.

2 people found this helpful

Acne in Adult Women and Their Treatment!

Dermatologist, Delhi
Acne in Adult Women and Their Treatment!

Pimples are typically associated with one’s teenage years. However, many women find themselves dealing with acne breakouts right up to menopause. Adult acne is becoming an increasingly common condition that affects women between the ages of 25 and 50. Like the pimples that affect young girls, adult acne can also be triggered by many different factors. This condition can be treated but in order to do so, it is essential to understand the factors triggering it.

Hormonal Fluctuation
As a woman’s menstrual cycle progresses, the levels of estrogen, progestin, and androgens in her body fluctuate. A painful cyst around the chin, neck or back can be the result of this fluctuation. These breakouts tend to resolve themselves as the menstrual cycles wanes. If you suffer from severe adult acne, you may need to ask your dermatologist for medication such as oral contraceptives that can manipulate hormone fluctuation.

Stress not only affects your mental health but also affects your skin. Stress causes the adrenal gland responsible for the production of cortisol to increase production. One of the side effects of this increased production is an increased amount of testosterone in the body. This causes the oil glands to secrete more oil. The higher the oil content of your skin, the higher your risk of having an acne breakout. Meditation and exercise can help curb stress and keep your skin clearer.

Wrong Cleaning Technique
Washing your face too often can dry the skin and trigger an overproduction of oil thus leading to acne. Similarly, using the wrong products like an oil-based moisturizer for normal skin can clog your pores. Using a very coarse cleanser can also promote adult acne. Hence, limit yourself to washing your face twice a day with a mild face wash. Choose water-based makeup and creams. Look for products that contain salicylic acid and glycolic acid.

In addition, here are a few ways to relieve the symptoms of adult acne.

  1. Topical application of retinol can reduce the intensity of acne. However, this may be harsh on sensitive skin.
  2. For spot treatment, look for products with benzoyl peroxide.
  3. Natural substances like tea tree oil can help control moderate acne breakouts. This can be used as a soap to wash your face or as a topical applicant.
  4. Reducing your consumption of salt, milk and processed food can also help reduce acne.

Last but not the least; do not ever try to pick a pimple. Painful zits may need to be drained but this should not be attempted at home.

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

1 person found this helpful