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Dr. Anand Ambesange

Gynaecologist, Mumbai

Dr. Anand Ambesange Gynaecologist, Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Anand Ambesange
Dr. Anand Ambesange is a renowned Gynaecologist in Kandivali West, Mumbai. You can consult Dr. Anand Ambesange at Anand Nursing Home, in Kandivali West, Mumbai. Book an appointment online with Dr. Anand Ambesange and consult privately on

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Menstrual irregularities among women

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Menstrual irregularities among women

Some kind of menstrual irregularity, often accompanied by pain in lower abdomen is one of the most common presenting complaints about a gynecologist.

An irregular period is generally a symptom of some hormonal imbalance (estrogen and progesterone) in the body and is commonly encountered in young girls at the time of menarche ( a time when a girl starts to have the menstrual cycle) and around menopause. Menstrual irregularity can also be seen immediately after childbirth or after removal of intrauterine contraceptive device (iucd). Other common causes include thyroid gland dysfunctions, the presence of fibroids or polyps inside the uterus and excessive stress, including examination stress.

It is important to know a few more important details in order to evaluate and understand the same and make any recommendations. These include-

  • Duration of menstrual irregularity
  • Kind of irregularity- the interval between two cycles, amount of blood flow and no of days of flow.
  • Any associated pain in lower abdomen.
  • Associated weight gain, a growth of excessive facial hair or discharge from nipples.

Early assessment of menstrual disorders also requires an ultrasound scan of the lower abdomen to assess the condition of uterus and ovaries, specifically to rule out polycystic ovaries, and estimation of following hormone levels in the body - tsh, fsh, lh, prolactin and testosterone. These blood tests should be done on the second or third day of the periods.

The women experiencing menstrual irregularities should try and manage their weight so as to maintain a bmi of less than 25 kg/m2.

A healthy lifestyle including intake of a balanced diet, moderate exercise and avoiding any stress are very useful simple steps every woman can take on their own. In cases with severe irregularity, the woman may be required to get rid of the iucd, start a birth control pill to regulate the sex hormone levels during cycle and treatment for thyroid dysfunctions, if required.

You can consult with me for more information or treatment for menstrual disorders.

Agar din me 2 ya 3 bar sex karta hu to kya hoga agar koi masturbate h to medical me koi problems to nhi hoga.Please tell.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
If you have stamina enough do. Mastarbation is also allowed but be careful donot waste full day on these plays do some constructive work also.
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Hi doctor. Me and my boyfriend had intercourse last Sunday. He was not fully into me. But I did not bleed and I had much pain. I'm a virgin. I have pcod. It was just for 30 sec. Is there any chance of pregnancy? Please I'm worried.

MD - Obstetrtics & Gynaecology, MBBS
Hi doctor. Me and my boyfriend had intercourse last Sunday. He was not fully into me. But I did not bleed and I had m...
You say your boy friend was" not fully" into you, and that you did not bleed. Vagina is the place where the penis gets inserted at sex. Vagina has a outer covering called hymen and this hymen has a central small hole through which the penis passes at sex. While most of the women have bleeding if hymen is torn during sex, some do not have it in some women the hole in the hymen is elastic enough to allow the penis to go beyond it. So even though you may have an intact hymen and no bleeding and your boyfriend has not been" fully into" you, it could be that he has either ruptured your hymen or gone beyond it due to its elasticity. In some men the pre ejaculatory fluid which comes at erection and drops out of the penis when being inserted, it may contain sperms. So there could be a" slim" chance of pregnancy, if such a sperm has been released. But by and large pre ejaculatory fluid doesnot contain sperms and so the chances of the pregnancy are" rare" at the most. The chances of the pregnancy are high if the intercourse has happened in the fertile days if 72 hours have not passed since the intercourse, it may be prudent to take a emergency contraceptive pill for safety. Do not worry. If you are feeling very worried consult a gynecologist.
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I am 20 year old boy. I had sex with my girlfriend on Jan 11, 2016 without condom. But I was unable To penetrate inside. She is still virgin. I ejaculate On her mouth of vagina. She has regular period. Now about 3.5 months later she is saying she is feeling bump on her stomach also her weight is increased. Currently she is on late period (7 days late). Does she have any chance of pregnancy? I am feared. Pls help soon.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am 20 year old boy. I had sex with my girlfriend on Jan 11, 2016 without condom. But I was unable
To penetrate insi...
Missing a regular period is the first sign of pregnancy. If she has missed her scheduled period just recently, you should get a urine pregnancy test done without delay. If she tests positive it is most likely that she is pregnant. You need to consult a gynecologist to exactly to decide the duration of pregnancy and the method of termination if desired by both of you. If it tests negative you may wait for another few days for periods to begin or consult a gynecologist.
1 person found this helpful
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I am a 32 year old married women , I have frequently sex with a boy living in my neighbour but he refused to use condoms ,please suggest the other methods to avoid pregnancy.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am a 32 year old married women , I have frequently sex with a boy living in my neighbour but he refused to use cond...
Hi lybrate user, you can plan sex in safe period that is day 8to day 18of period provided normal period and 28 days cycle.
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Taking any type of medicine during my period leads to less flow. Is it normal? Period is very regular n comes on exact the same expected date every month. I am 28 & on medication of dytor plus and cardivas 6.250. Kindly elaborate the reason behind it. N it's consequences on pregnancy.

General Physician, Chandigarh
Taking any type of medicine during my period leads to less flow. Is it normal? Period is very regular n comes on exac...
Yes your flow can change with medication but it will not have any negative effect on future pregnancy.
1 person found this helpful
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Treat Intestinal Distress Through Ayurveda

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Treat Intestinal Distress Through Ayurveda

Intestinal distress is usually characterised by discomfort and pain in the abdomen, as well as an irritable bowel. This is generally caused when food does not move fast enough through the food pipe, to get digested in time. In Ayurvedic terms, this undigested, unprocessed food and the toxins that it causes is known as Ama. Intestinal distress includes conditions ranging from heartburn to IBS or irritable bowel syndrome. This is also known as Grahani in Ayurveda. Want to more about treating these conditions, the Ayurvedic way? Here's how!

  1. Mustakarishta: This medicine helps in the prevention and treatment of loose motions as well as indigestion that causes gas and acidity.
  2. Dadimavaleha: This is generally prescribed for patients suffering from fever along with loose motions, and bleeding, which usually points to infections in the body.
  3. Kutajarishta: This concoction is used for treating patients suffering from dysentery, loose motions and mild to severe irritable bowel syndrome. 
  4. Pushyanuga Churna: This medicine is used for treating menorrhagia, metrorrhagia, excessive bleeding during menstrual cycles and other digestive disorders.
  5. Kutajavaleha: This is usually used during treatment for conditions like irritable bowel syndrome, ulcerative colitis and piles. It also treats inflammation and bleeding issues. This medicine is also useful in treating patients suffering from anaemia.
  6. Sanjeevani Vati: This medicine can be used for treating problems associated with dyspepsia, gastro enteritis and indigestion which can lead to heartburn. 
  7. Bilwadi Gutika: Patients who have endured rodent or insect bites as well as gastro enteritis issues can use this medicine for instant relief.
  8. Jeerakarishtam: This medicine is used for mothers who have just had babies and need to control frequent stools and indigestion in the post-natal period. 

The use of Ayurvedic medicines necessarily needs the support of other measures like eating a healthy and balanced diet as well as massages and other such tools prescribed under this science. The medicines work towards healing and preventing further eruptions of the ailments. But for the successful treatment of the same, patients of intestinal distress need to remember not to overeat and to have meals on time, and in a routine manner. The meals should consist of cumin, turmeric and easy to digest food as well as plenty of water. Exercise is another important facet of relieving the discomfort felt under such situations.

3742 people found this helpful

Me and my husband were just fooling around in bed when he rubbed his penis against my genital area. He did not enter my vagina at all. I would like to know whether there are any chances that I would become pregnant?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Me and my husband were just fooling around in bed when he rubbed his penis against my genital area. He did not enter ...
If his fluid was there at that time then possiblities are there but otherwise seems very unlikely.
1 person found this helpful
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I am a 25 years old female. And the last time I got periods was 16th of march. Since then I haven't got periods. I took the pregnancy test twice but it was negative both the times. Then I consulted a gyno, who gave me some medicines and an injection and told to avoid having fast food and colddrink. I have taken the medicines but still I have not got my periods. What should I do now?

Advanced Aesthetics
Ayurveda, Gulbarga
A number of factors can cause this problem, such as eating disorders, significant weight loss or gain, anemia, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health conditions. Some home remedies. Ginger is highly beneficial in regulating menstrual cycles and also relieving menstrual pain. It promotes menstruation and hence is good when dealing with delayed or scanty periods. 1. Boil one-half teaspoon of freshly ground ginger in a cup of water for five to seven minutes. 2. Add a little sugar. 3. Drink this three times a day after meals. 4. Do this for about one month or more. Any querries inform me.
4 people found this helpful
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In September 2016 I gave birth to a baby vaginally. After that my periods are brownish in colour and for short duration what could be the reason behind it.

Homeopath, Kolkata
In September 2016 I gave birth to a baby vaginally. After that my periods are brownish in colour and for short durati...
There's nothing to worry about it, its called lochia and it happen after delivery of every child birth. It is actually vaginal discharge and will last for 4-6 weeks. No need to panic.
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Impact of Porn Addiction and Masturbation on Your Health!

MD-Pharmacology, MBBS
Sexologist, Delhi
Impact of Porn Addiction and Masturbation on Your Health!

After the advent of the internet, the availability of pornography or explicit video material has become widespread. The availability of this material resulted in a large section of the population relying on it for sexual pleasures as well as living their fantasies through the digital realm. Internet porn is the new kid on the block in the world of addiction:

Easy accessibility of porn can give you a quick spike of dopamine through sexual pleasure have resulted in patterns of addiction among many boys and girls. Porn addiction is a phenomenon which has been exacerbated by the easy availability of pornography on the internet. It has not only affected sexual habits such as masturbation, but has also caused hindrances in the daily lives of people and has affecting their relationships.

A brain on porn is similar to a brain on alcohol

While it may seem a bit far-fetched, studies of brain scans have shown that people watching porn experience the same effects or pleasure that alcohol gives them. It is a neural circuit which releases pleasure hormones when you sexually pleasure yourself by masturbating to porn. The reward circuit of the brain recognizes this pattern and starts creating please pathways where you want more of it. As you keep doing it more and more, the resistance level increases and you tend to need more. This is a classic sign of addiction.

Healthy and unhealthy masturbation

Masturbation is a natural and normal process that every human indulges in. However, a brain addicted to porn will use it as an addict uses a substance. Masturbation is the physical act through which the dopamine would be released. Once it has become an addiction, you would either want to have the daily fix for at least a few hours which you would ensure to take out of your daily routine. This time could have been invested in other fruitful activities when it ends up going to the addiction. In some cases, studies have shown that many would rather do it a few times a week but, would spend extended hours masturbating to porn.

Effects of excess masturbation

Some of the effects of porn addiction and excessive masturbation could be

  1. Premature ejaculation problem ( quick masturbation leads to chronic less timing to discharge)
  2. Erectile dysfunction when you are with a partner and in a real life scenario due to dependence on particular porn fantasies
  3. Inability to have or form intimate relationships which are not just sexual but emotional and mental as well
  4. Lethargy to go to work or school due to addiction related problems
  5. Breakdown in relationships, even with family members and friends

Thus, it is imperative that you seek sexologist or sexual counsellor for help to slow down the habit and break the cycle of addiction and ensure that you are able to lead a normal life without disruptions so as to allow yourself to be able to form normal sexual relationships.

6696 people found this helpful

I'm in 38 week pregnant still my baby not engaged in pelvic it is my first baby there is any possibility vaginal delivery. I don't want c section pls suggest to engage my baby.

General Physician, Faridabad
I'm in 38 week pregnant still my baby not engaged in pelvic it is my first baby there is any possibility vaginal deli...
get u/s lower abd done and back with report so that i can help, you tell me the report of last u/s if any. thanks
2 people found this helpful
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Benefits Of Cottage Cheese Or Paneer

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Benefits Of Cottage Cheese Or Paneer

Benefits of paneer for bones and teeth

Strengthens bones and teeth

Paneer is a high protein food having high level of calcium and phosphorus which helps in building strong bones and teeth.
Prevents from bone and teeth diseases

It prevents from various bones diseases like osteoporosis, joints pain and tooth problems like tooth decay and gums problems.
Provides instant energy

It is very energetic food provides instant energy after heavy exercises thus has capacity to fulfill calorie requirement of the body and improves the growth and development of the bones.
Relieves pain

It helps in lowering the lower body pain, back pain and joint pain.
Fights with rheumatoid arthritis

It has omega-3 fatty acids and omega-6 fatty acids which helps in fighting with the rheumatoid arthritis and other bone problems.
Prevents teeth from harmful sugars

Its low level of the lactose content helps in protecting the teeth against harmful sugars.
Protects from tooth cavities

Its vitamin d availability along with the calcium prevents from the tooth cavities by preventing tooth enamels and helps to maintain good dental health.
Prevents from the skeletal deformation

Vitamin k and magnesium found in it calcify the bones and prevents from the skeletal deformation.
Benefits of paneer for weight loss

High protein diet

Paneer is high protein diet having monounsaturated and polyunsaturated fat which helps in lowering the body weight, managing weight as well as reducing the risk of insulin resistance syndrome.
Improves metabolism

It has high level of dietary fibers which helps in digestion by improving the metabolism thus helps in reducing the weight.
Benefits of paneer for cancer prevention

Prevents from cancer

It is the good source of high quality protein which reduces the risk of various types of cancer such as stomach cancer, breast cancer, colon cancer and etc.
It has some cancer protecting agents called conjugated linoleic acid and sphingolipid which reduces the risk of cancer.

12 people found this helpful

Hi, sir/madam I have unprotected sex with my gf She taken unwanted 72 tablet after 2 hours of sex Unwanted 72 is is safe if is effective.

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
Hi, sir/madam I have unprotected sex with my gf She taken unwanted 72 tablet after 2 hours of sex Unwanted 72 is is s...
yes don't worry.. unwanted 72 is very safe and effective medicine..but use condom next time which gives double protection..
1 person found this helpful
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Afrezza (Insulin Inhalation)

General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.


Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease


Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 



Afrezza patient starter kit

5 people found this helpful

8 Healthier Strange Tips About Coconut Water!

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Chandigarh
8 Healthier Strange Tips About Coconut Water!

To feel cool in the scorching sun we all need to rehydrate & refresh our senses. The green soft tree-nuts ‘COCONUTS’ have cropped up everywhere.

These are undoubtedly a tender, green, nutritious water- filled nature’s gift. We all know about the benefits of its consumption, but are we all aware of few limitations of it. The reason could be –

  • High Potassium.(2.5g / 1000g).
  • Calorie density as per volume consumed. or
  • Low sodium content(252mg/ cup).

Healthy Tips About Coconut Water!

    When it comes to rehydrating oneself after a moderate workout of less than an hour, then, considering coconut water is a good alternative to other energy drinks. But after a vigorous practice, the high Potassium and low sodium content of coconut water do not make it a suitable drink to replenish the depleted store. As sodium is equally required to rehydrate. Isn’t it! So, Instead, going for plain water will be a wiser option.

    1cup of it contains 46 calories, although lesser than those in energy drinks or fruit juice, an intake as per volume must be watched, take care of total calories for managing the reduction diet in connection to other foods of a day’s plan.
    The natural sugar of coconut water impacts on blood sugar levels & reduces the insulin production. On an average, 1000 ml serving has 26.10 g of sugar. So watch out if you are diabetic.
    Again due to high Potassium content the excess intake of coconut water can lead to the symptoms of hyperkalemia, which include weakness, lightheadedness, the effect on kidneys, heart rhythms etc.
    Esp. Those on medication routine for high b.p. must drink it in moderation.
    then the excess of coconut water can lead to sensitivity, as it is also one of the kinds of tree nut.
    In moderate amounts this property of coconut water will help soothes your system, but in excess, it will force you to visit loo for a number of times.

One or two of Coconut are enough for a day, to keep your body healthy & safe.

3 people found this helpful

M in my periods but m nt having proper bleeding a small droplets of bleeding is taking place can anyone suggest me to improve my bleeding and evn I'm getting rashes over my body my body is becoming red and itching sensation is more.

MD - Alternate Medicine, BHMS
Homeopath, Surat
M in my periods but m nt having proper bleeding a small droplets of bleeding is taking place can anyone suggest me to...
It happens because of hormonal imbalances and the lack of nutrition or exercises with suppress hormones production. You need to take Pituitarinum 6C one dose daily for 5 days and start taking naturamore female powder 1 spoon daily in morning and evening for 1 month. This will definitely give you results. As the Powder is just a supplement containing proteins, vitamins, minerals and all which also helps to increase your weight. You will get result 110%. And try to go for walking and yoga in early morning before 8 AM. Just inform me if you are not getting the powder. Take care. :)
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Mam meri wife pregnent hai or 3 month complete ho chuke hain or starting se hi uske pet mein dard rehta hai or ek bacha pehle hi kharab ho chuka h please koi solution bataye. Or ek doctor ne bola tha iske blood milane k liye rs 2500 ka koi injection lagega.iske bareme kuch bataye?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Mam meri wife pregnent hai or 3 month complete ho chuke hain or starting se hi uske pet mein dard rehta hai or ek bac...
Hi lybrate-user. The injection that you have been told about is given if she her blood group is negative. Mild pain is common in pregnancy. But as you has a miscarriage earlier I would suggest you do an ultrasound scan of baby and see if all is well and also do a urine routine and microscopy done to check for infections.
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Bipolar Disorder - What It Means

MD - Psychiatry, senior resident, MBBS
Bipolar Disorder - What It Means

Bipolar disorder is also known as manic depression. This usually sets in low and high moods in a person along with changes in energy and sleep.

People with bipolar disorder tend to have periodical changes; sometimes they are over happy and other times they might feel sad, depressed and hopeless. Between these changes they are normal. The highs and lows are considered as extreme poles of moods, thus the name bipolar disorder.

Manic term is used when a person with bipolar disorder is highly excited and feels confident. Also, feelings of irritability and recklessness along with irrationality might occur. Some people with mania might have a hallucinations that is they see and hear things that are not there, along with delusions.

The term hypomania is used to describe mild symptoms of mania, in which a person does not have hallucinations and delusions and the symptoms do not interfere with their daily life. Similarly, the term depressive is used to describe a person's time when they feel depressed or sad.

Symptoms of Bipolar Disorder

  • The highs and lows in a bipolar disorder do not follow any set pattern. One might feel manic or depressed for hours or days or weeks, months and even years together, before they actually switch to a happy mood. The severity depends from person to person and also changes with time by becoming less or more severe.
  • Symptoms of mania or the high are extreme excitement, change from being happy to angry and irritable along with restlessness, speech is rapid with low concentration, less sleep and increased energy, grand plans, alcohol and drug abuse and impulsiveness.
  • Symptoms of low or depressive phase are lethargy, worthlessness, feeling of sadness and hopelessness, lowered concentration, irritability, loss of sleep or excessive sleeping, loss of appetite and suicidal tendencies.

Diagnosis of Bipolar Disorder

  • In case someone exhibits symptoms of bipolar disorder, then talking to a psychiatrist or a doctor helps. Doctors ask questions related to the mental illness and the associated concerns. Diagnosis is basically recognizing the symptoms of the person, whether they are due to some underlying cause or mood swings because of excessive alcohol. The symptoms have to be noted and the duration, for which they last along with the severity should all be noted. The most obvious symptoms are that of lows and highs in mood and changes in behavior, energy, sleep and thoughts.
  • Consulting a doctor or talking to family and friends helps to differentiate the symptoms of bipolar disorder from unipolar disorder.


  • Medicines that have mood stabilizers, such as lamotrigine, valproate, lithium, carbamazepine and antipsychotics such as olanzapine, quetiapine should be taken. Psychotherapy is also recommended.

Related Tip: "5 Signs That You Or Your Loved One May Have Bi Polar Disorder"

3845 people found this helpful

I am married on 6th may and had sex next day. So when do I need to check my pregnancy test. As I and my husband both got thyroid problem. So we are very much worried with my pregnancy. Is it going to affect our child. And when should we go to the doctor.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am married on 6th may and had sex next day. So when do I need to check my pregnancy test. As I and my husband both ...
Hi, since you are on treatment for hypothyroidism, see that tsh levels are maintained between. 1 to 2 milii units in the first trimester, late in the 2nd 0.3 to 3 milli units and 0.3 to3.5 in the third trimester. If your tsh is higher than 2 milli units now, increase the dose of thyroxine. In fact it is better to have tsh levels below 2 even just before conception. Maintaining above mentioned levels is essential for proper fetal development as well healthy out come of pregnancy. Please take care.
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