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Dr. Ajantha Narvekar

Gynaecologist, Mumbai

2000 at clinic
Dr. Ajantha Narvekar Gynaecologist, Mumbai
2000 at clinic
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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. Ajantha Narvekar
Dr. Ajantha Narvekar is a popular Gynaecologist in Opera House, Mumbai. You can consult Dr. Ajantha Narvekar at Narvekar Infertility And Endoscopy Clinic in Opera House, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Ajantha Narvekar on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai 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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Patel Chambers, 2nd Floor, Next To French Bridge, Charni Road, Landmark :Opposite Opera House Theatre, MumbaiMumbai Get Directions
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Sores and Lumps on Genitals - How Can They be Treated?

MD - Obstetrtics & Gynaecology
Gynaecologist, Yamunanagar
Sores and Lumps on Genitals - How Can They be Treated?

Are you observing bumps and lesions in and around your vagina? These are female genital sores, which may be painful, itchy, produce a discharge, and are very tender. These lumps and sores may occur due to skin disorders. Female genital sores mostly appear as a symptom of STIs or sexually transmitted infections. STIs are considered to be a hidden epidemic, which many women leave untreated because of embarrassment or fear.

Diagnosis of female genital sores
A physical examination is conducted for determining the cause of genital sores and lumps in females. A pelvic exam test will be undertaken and you will have to provide reports of your medical history. Certain tests such as blood work and a culture of the sore may be required as well. A culture involves taking a swab sample from the affected sore and testing it for detecting bacteria. After the cause of your genital sores is determined, an ideal treatment method is prescribed.

Self-care methods
On observing the symptoms of genital sores, you can apply some self-care measures to treat them before you get to visit a doctor. You can try a sitz bath, which is effective for pain and discomfort relief. A sitz bath can be prepared at home by filling your bathtub with warm water, going up to your hips when you get immersed. You should add a mild saline solution or baking soda to the bathtub water. A small basin for a sitz bath can be purchased from a drug store.

Treatment

  1. The method or treatment for genital sores and lumps depends on the cause.
  2. Certain topical oral medicines are used for treatment of the sores and for relieving pain.
  3. Other medications such as antibiotics, corticosteroids, pain relievers, antiviral medicines and several anti-itch drugs are also used.
  4. Some types of genital sores do not need treatment, but you should get them removed if they bother you. A noncancerous cyst is an example of such type of a sore.
  5. The long term outlook for genital sores in females depends on the cause, once again. Sores and lumps caused because of chronic skin conditions and genital herpes are likely to recur. The long term outlook also depends on how fast you get an existing STI treated.

For the prevention of female genital sores, you should practice protected sex by using condoms. This prevents the infection from spreading to the people you have sex with. It is also important for you to open up about your condition and seek proper treatment, if you experience symptoms.

14 people found this helpful
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I am asking this question for my friend. That he is in a doubt. Will precum cause pregnancy? As he had sex with his girlfriend without any safety measures. If so what are the methods to prevent pregnancy. Now it is the third week.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I am asking this question for my friend. That he is in a doubt. Will precum cause pregnancy? As he had sex with his g...
Third week is too late to do anything. You will have to wait for her next periods. Yes, pre-ejaculatory semen contains sperms and technically it can cause pregnancy. But the chance is much lesser. For the male partner, the only protection he can afford during casual sex is by the use of condoms.
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Hi doctor, I had been married for 3 years now and want to get pregnant. But one information I would like to tell that I have severe menstrual pain during my period days for first 3 days. Sometimes I have to take painkillers injections. My sonography results shows that all my reproductive organs are alright. I conceived for the last two months but result is negative. Please advice how to get pregnant ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
No need to worry just relax. It takes some time to conceive after 3 yrs of happy married life. So enjoy ,everything will be fine with time. You must have a fairer knowledge of safe and unsafe period of your cycle.
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I am two months pregnant. Shall I walk normal or I should take bed rest? In my home they are saying sit ideally. Don't do any work?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
I am two months pregnant. Shall I walk normal or I should take bed rest? In my home they are saying sit ideally. Don'...
Hello, All you need to do is to avoid lifting any weight which can cause lower abdominal pressure and also avoid intercourse till 4th month. Also jumping, running and brisk walking should be avoided. You may do all household work if you wish.
2 people found this helpful
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Hi I am married 6 months ago. And we having sex frequently. Still no hope for pregnancy. What can I do.

DNB (Obstetrics and Gynecology), DGO
Gynaecologist, Mumbai
Hi I am married 6 months ago. And we having sex frequently. Still no hope for pregnancy. What can I do.
Plan your relations from day 8-20 of menstrual cycle. Try for another 3-4 months. If still no result then consult a gynaec.
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Health Quote of the Week

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Health Quote of the Week

A man's health can be judged by which he takes two at a time pills or stairs.

2 people found this helpful

Hi I am 26 years old married woman and trying to conceive from one year my hsg test is also normal and my husband semen report is also normal can I go for DNC?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi I am 26 years old married woman and trying to conceive from one year my hsg test is also normal and my husband sem...
D&c is not the part of the treatment of infertility, it does not benefit patient in any way. As your two basic tests are normal treatment with clomiphene citrate should be started with follicular monitoring to get pregnant.
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Today I check my pregnancy by prega news but its negative. But my womb feel tight n I can not breathe properly its lyk I hav something in my womb. My legs are heavy bu I do not hav positive result. It is a wrong thing. Or something please tell me.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Today I check my pregnancy by prega news but its negative. But my womb feel tight n I can not breathe properly its ly...
It is water retention before delayed periods as you are sure about pregnancy test being negative. Take less salt and fats as these retain water, take less packed foods as salt is a preservative and retains water in body. Drink more water to flush out toxins from the system by urinating more, drink green tea, lemon water as these are natural substances to counter sodium in salt. Take more potassium through amla-raw & citrus fruits like oranges & kinoo & lemons-no side effects of this home remedy. Do write back. Do not put load on legs by walking more, use all the 4 limbs -2 arms & 2 legs.
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I am trying to conceive. I have a regular periods but this month I just got only clots for sometime only. Is it possible to b pregnant? Should I take pregnancy test? Can we pregnant during periods?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am trying to conceive. I have a regular periods but this month I just got only clots for sometime only. Is it possi...
Hi lybrate-user you should get a urine pregnancy test to rule out pregnancy, because sometimes their could be implantation bleeding in early pregnancy.
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Hi am 15 weeks pregnant. My doctor as prescribed me to drink milk adding mother horlicks or baby & me powder, am unable to drink 2 times as I feel vomit sensation. So can I drink once milk in the mrng and evening tea or coffee. Is tea or coffee effective during pregnancy.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Hi am 15 weeks pregnant. My doctor as prescribed me to drink milk adding mother horlicks or baby & me powder, am unab...
hello, itz ok if you cannot drink milk with that powder.. u cud use alternatives like plain colg milk,badam milk or pista milk..! if you cant drink milk at all you cud ttry other forms like curd raita or lassi, chaas.. the wjole idea is to get more calcium..! so u can consume anything of the above that you can tolerate..!
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Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

  • Extreme thirst and hunger
  • Frequent urination
  • Sores or bruises that heal slowly
  • Dry, itchy skin
  • Unexplained weight loss
  • Unusual tiredness or drowsiness
  • Tingling or numbness in the hands or feetsymptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
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Five pillars of health

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Five pillars of health

If we take the most important five aspects of daily routine, we end up with the following

1. Rest - Nidra
2. Relationship - Maithunam
3. Exercise - Vyaayaama
4. Nutrition - Aaharam
5. Work - Nitya karma

1. Rest - Nidra: Sleep is the process through which we rejuvenate, repair and revive our system. This is the time our body and mind goes through repair and rebuilding. Best time: Sleep between 9 and 10 pm gives maximum quality. To sleep a gentle exercise is good before an early dinner. Foot massage in the evening also aids deep sleep. The direction of the head: Head should be directed to east or south to optimise sleep. This is to do with the magnetic fields of our body and that of the earth. The position of the bedroom: This should be decided based on Vastu Shaastra principles. Feng Shui is the Chinese version of Indian Vastu Shaastra. Signs of good sleep: One feels refreshed and energised after a good sleep. Sleep is peaceful and is mostly unaware of dreams. One feels positive and happy after a good sleep. There won't be puffy eyes, headaches, sinus congestion, the heaviness of the body, tiredness, aches and pain etc in the morning.

2. Relationship - Maithunam: Our relationship with nature, society, family, colleagues and ourselves is important in building a healthy life. The first two limbs of yoga discuss this. A sexual relationship is also given importance in Ayurveda treatises as it is the most physical and intimate act of a relationship. General rules include -use aphrodisiacs, reduce the frequency in summer, sickness, low energy conditions and focus more on quality rather than quantity. The most important of all is how you relate yourself. This includes how much you value, respect and love yourself, how you talk to yourself etc.

3. Exercise - Vyaayaama: When? Exercise is best performed before eating. This prevents the formation of toxins in the system. It is never done soon after eating and just before eating or sleeping. It should be 2-3 hours after eating a normal meal. How much? Exercise is done until one’s half strength is used. Over exercise results in depletion and permanent damage of the body. Reduce the intensity and duration during summer, but you may perform it to your maximum capacity during cold seasons. What type? Strengthening and stretching in symmetry in the right combination for your bodily requirements.

4. Nutrition - Aaharam: Here we will discuss the scientific way of eating. Nutrition - Aharam: Are you just what you eat? In Ayurveda, the proper transformation of food into healthy tissue is based on the strength of the digestive fire (agni). The assimilation of nutrients and elimination of wastes is largely dependent on the efficiency of the digestive fire. So, Ayurveda believes you are what you assimilate. Perfect digestion creates radiant health and strong immunity. Unbalanced digestive fire leads to the improper transformation of food into toxins, the basis of all disease. Signs of perfect digestion: Clear, smooth skin; bright, clear eyes; balanced moods; regular and healthy appetite; absence of gastric disturbances and other diseases; glossy hair; light, flexible body; deep, refreshing sleep; abundant energy and vitality; positive attitude and lifestyle habits.

Signs of poor digestion Irregular appetite; frequent indigestion; weight loss / gain; coating of tongue; blotchy, dry or oily skin; lifeless hair; dull eyes; bloated abdomen with cramps / gas; undigested food in stool, dark or cloudy urine; disturbed sleep that isn't refreshing; excess mucous; body pains; gastrointestinal disorders and general fatigue. How did I get poor digestion? The following are some of the factors that contribute towards a weak digestion. By guarding against these you can prevent and treat most illnesses:

-Taking the wrong foods at the wrong time, in the wrong amount, in the wrong way or in a negative mental or physical environment. The most common dietary indiscretion in developed countries is overeating causing a phenomenon known as 'the under-nutrition of over-consumption'
-Premature stimulation, suppression or failure to attend to the body's natural urges such as thirst, hunger, urination, defecation, sleep, passing flatus and sneezing.
-Taking cold drinks or foods such as ice cream.
-Taking synthetic prescription / recreational drugs.
-Exposure to external toxins such as air pollutants, chemical beauty products and perfumes.
-Prolonged emotional strain such as stress, grief, anger and denial.

Optimise your nutrition: By practicing the following tips you will create perfect digestion. Remember to eat your liquids and drink your solids!

1. BEFORE EATING

Am I really hungry? It is best to eat only when you are really hungry and when the previous meal has been fully digested (roughly 5 hours).

Do I need to go to the toilet first? It is recommended to empty one’s bowels and bladder before eating. It is a sign of ill health to empty one's bowels immediately after eating.

Did I wash my hands, face & feet? Simple hygiene is important to avoid illness. Avoid taking a full shower or swim within three hours after eating as it draws the circulation away from the digestion.

2. DURING EATING

Am I in congenial surroundings? Good company, conversation, and surroundings are conducive to a contented mind, which assists proper digestion.

Did I express my gratitude? This may be in the form of a prayer to a higher power or at least to the people who helped to provide the meal.

Am I rushing? Eat at a moderate speed, taking care to chew each mouthful at least 10-20 times.

Am I appreciating this meal? Take time to appreciate the sound, the aroma, the texture, appearance and the taste of the food.

Do I need a drink? Small quantities of warm drinks encourage efficient absorption, elimination and the action of the digestive fire.

3. AFTER EATING

Am I satisfied? It is important to remember that the stomach is only the size of a fist. In order to avoid over eating make it a practice to fill your stomach half with solid food, a quarter with liquids and leave the remaining one-quarter empty for space to circulate to aid digestion.

One should avoid heavy labour, exercise or mental work for at least thirty minutes after eating.

A slow walk for five minutes is advised. Sleep is best avoided for three hours after eating as this causes the formation of toxins.

However, one may lie on the left side for up to fifteen minutes. A yoga poses known as Vajrasana is a good sitting posture to aid digestion.

The ideal diet: An ideal meal in Ayurvedic nutrition has all the following qualities:

-Fresh, locally grown, seasonal and organic ingredients.
-Consists of dishes with all the six flavours.
-Consists of four or more textures.
-Has a good balance between heavy and light, moist and dry, cooked and raw, cooling and heating foods.
-Suitable to the climate, the constitution of the eater, lifestyle and the condition of the body.
-Appears tastes and smells delicious.
-Prepared lovingly in hygienic conditions.
-There are complementary proteins such as rice & dhal.
-Heavier foods should be eaten earlier in the meal and lighter foods towards the end.
-Cooking in healthy earthen, ceramic, bronze, copper or stainless steel vessels.
-In general, avoid alcohol, meat, yeast, carbonated drinks, caffeinated drinks, tobacco, refined sugar, white flour, additives, preservatives and canned food.
-Eaten with full awareness.
-Big meals only are eaten before 6 pm.

If your digestive fire is the sluggish boost it by the following.

Before eating: 15 minutes before eating try the following recipe. Mix half a tsp grated ginger with half a tsp. lemon juice and a pinch of rock salt. After eating: Chew one teaspoon of equal parts of fennel seeds, cumin seeds, cardamom seeds, black pepper and rock sugar.

Fasting: Fasting is often the most effective way to purify your body of toxins. In Ayurveda, fasts are tailored according to the individual's degree of toxic accumulation, their strength, and specific imbalance. To maintain health one is advised to have a cleansing tea fast or a warm water fast one day a fortnight in order to give the digestive system a rest, to re-establish proper eating habits and to expel accumulated toxins. A complete fasting is successfully done only in a stress-free environment.

A mental purification is followed at the same time, which involves silence other than prayers or affirmations, avoiding exposure to television, radio or noise and adherence to the principles of honesty, celibacy, cleanliness and service to others. Heavy mental and physical exertion are avoided at this time, however, short walks in nature and self-massage are considered highly beneficial.

Eat to live: Once you have purified your body and established healthy eating habits nutrition should be easy to maintain. Obsessively worrying about your diet or feeling remorse after dietary indiscretion sets up a self-destructive pattern. We are not 'living to eat' but we also have to be careful that we don't feed the disease. By slowly incorporating these Ayurvedic principles into your life the benefits experienced should be incentive enough to follow them with ease.

5. Work - Nitya karma: Work is based on your constitution. Earth (rectangular, heavy-boned, solid looking) people are natural hands-on, managerial, admin people who are designed to do a repetitive style of work. Water types (soft, rounded, curvaceous, large-eyed) ones are HR managers, listeners, carers, nurses, hospitable people. Fire types (angular, triangular, muscular) people are designed to challenging, radically transformative, fast, precise, competitive jobs. Air types (small, light, thin, small in shape) are performers, teachers, pop musicians, multi-taskers, quick-learners, and communicators. Either types (tall, slender, thin, long limbs and fingers/toes) are thinkers, philosophers, scientists, guides, and meditators.

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I am having stone since last two years. My treatment is also going on. I have noticed blood in urine today in the morning. Why it was? please reply asap.

Certification in ADHD in children and adolescents, Clinical Assessment and treatment of depression in primary care, BHMS
Homeopath, Amravati
I am having stone since last two years. My treatment is also going on. I have noticed blood in urine today in the mor...
Hi lybrate-user, blood in urine should be investigated with urine routine examination and a usg scan is suggested to know the situation of stone. Please convey it your physician so that he can provide some medicines for the same. For further you can try homoeopathy for ceasing the recurrence. Thanks and take care.
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Respected Dr. My wife suffering from Cystitis. We Got married 3 months back. Drs diagnose it as honeymoon cystitis. Going on under antibiotic treatment. Need your valuable opinion doctor.

MD ayurveda
Ayurveda, Navi Mumbai
Respected Dr. My wife suffering from Cystitis. We Got married 3 months back. Drs diagnose it as honeymoon cystitis. G...
Hello after antibiotics course do one urine test again. To prevent recurrence of cystitis have following medicines. Syp renalka himalaya 10, ml be tab cystone 1 bd after meal.
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I am 19 yrs old nd m not having periods. Nd I have taken ipill also. So I want to ask dat why I m not having periods.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
The most common complaints in pill users are nausea" spotting" or breakthrough bleeding, weight gain, breast tenderness, mood alterations, and headaches. These are most severe when a woman first starts to take the pill, and often tend to disappear within 3 months. If side effects continue or are problematic, trying another type of birth control can often alleviate some of the symptoms. Progestin-only pills are much more likely than combination pills to lead to breakthrough bleeding, especially if one of the pills is missed. Risks of taking the pill: the greatest health risk from the pill is cardiovascular disease including especially blood clots in veins (deep vein thrombosis or dvt), heart attacks, and strokes.
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I am unmarried but have active sexual life. I suffer with rashes in my vagina. And severe itching please help.

MD - Homeopathy, BHMS
Homeopath, Palakkad
Please take following homoeopathic medicines. 1. Sulphur 200/1d early morning in empty stomach (only one time) 2. Tarantula hispania 30 4 pills morning and night. (daily morning and night) for 1 week. While taking homoeopathic medicines please avoid coffee and soft drinks. Reduce oliy and non veg. Hygiene is important. Stress also increase itching. So be cool and relaxed by doing yoga, breathing exercise etc.
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My elder brother is 26 years old and his wife age is 30 years old, their marriage 5 years ago but they have no children, all reports of both are normal what is the next way they should do?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
My elder brother is 26 years old and his wife age is 30 years old, their marriage 5 years ago but they have no childr...
Although all the reports are normal but 5 years of married life is long enough waiting for baby naturally. I would suggest them to go for iui or ivf now, as with the growing age complications may develop.
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