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Dr. Gajana

Gynaecologist, Mumbai

100 at clinic
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Dr. Gajana Gynaecologist, Mumbai
100 at clinic
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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. Gajana
Dr. Gajana is a popular Gynaecologist in Jogeshwari West, Mumbai. You can visit her at Millat Nursing Home in Jogeshwari West, Mumbai. Save your time and book an appointment online with Dr. Gajana on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 28 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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Millat Nursing Home

141, Millat School Compound, S V Road, Jogeshwari West,Landmark:Opposite 24 Karat Cinema, MumbaiMumbai Get Directions
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Increasing Sex Power!

MD - Ayurveda
Ayurveda, Nagpur
Increasing Sex Power!

Increase Sex Power with 21 Ayurvedic Foods

  • You might don't know, 21 aphrodisiac  Ayurvedic Common Foods/ २१ पुरुषत्व वर्धक आयुर्वेदिक घरेलू आहार
  • People take lots of costly medications, and sometime face side effects and many times no effects.
  • Why to depends on medicine only, when you better choice
  • Aphrodisiac foods help to improve sex life and increase the sperm counts.
     
1 person found this helpful

I am married man and still have sex with wife but I don't want to pregnent to my wife. Fir this what I should I do?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
There are many family planning methods you can choose from- permanant as well as temporary. Best is couple should meet gynaecologist and understand advantages and disadvantages of all methods and depending on your needs and future planning choose one.
4 people found this helpful
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Respirator or Mask - Which One Should You Choose?

MBBS, DNB (General Medicine)
General Physician, Delhi
Respirator or Mask - Which One Should You Choose?

Breathe in and breathe out, is an involuntary continuous action through which the human body receives the oxygen it requires for proper functiong. Without oxygen, our entire circulatory system would collapse. However, with the amount of pollutants present in the air today, the air we breathe is not as pure as it should be. Instead of breathing in oxygen, we’re breathing in harmful gases like carbon monoxide and sulphur dioxide along with particulate matter. Prolonged exposure to pollutants like this can seriously endanger our health and well-being. Air pollution spreads easily and the only way to protect oneself from it is by creating a barrier that filters the air we breathe in.

And, for this reason it is advisable that one should wear a respirator or mask. When wearing a mask or respirator the most important part is to ensure that it seals your nose and mouth effectively. Otherwise, pollutants can enter through the gaps and contaminate the filtered air. But how should one decide, which type of mask is suitable for them and for that we need to understand what all masks are available.

Respiratory masks can be grouped into three categories:
Surgical masks

  • Simple flat masks as worn by doctors while operating
  • Highly beneficial where there is heavy particulate matter density in the air as they are effectve at filtering out particulate matter
  • Does not offer protection against harmful chemicals
  • It is a good idea to wear these masks while travelling through dusty zones or when caught in a storm
  • Offer protection only for a limited time
  • Cannot bot be reused 
  • Cost around few hundred rupees

Respirators

  • Respirators have similar structure as that of surgical masks 
  • They fit the face better that surgical mask
  • Have filters installed and protection against particulate matter and against certain gases and chemicals
  • For better protection, they should be washed regularly against harmful fumes and particulate matter encountered
  • Should be used while travelling through heavy traffic zones and while working in construction zones
  • Ideal way to to protect yourself 
  • Cost around few hundred to thousand rupees, based on thier quality and brand

Gas masks

  • Gas masks are often worn in chemical laboratories
  • Special replaceable filters offer full protection against, both particulate matter and harmful chemicals
  • Basic mask costs around 1000 rupees and higher based on quality and brand

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

6502 people found this helpful

My wife nipples became inverted since last 2 years. What is cause & Cure, please!

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife nipples became inverted since last 2 years. What is cause & Cure, please!
These can be dealt by manually pulling them out and massaging the areola for 10-15 min each. These may be a grave concern during breast feeding practices. Regards.
1 person found this helpful
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Heavy Menstrual Bleeding - 9 Causes Behind It

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Heavy Menstrual Bleeding - 9 Causes Behind It

Heavy menstrual bleeding, technically called menorrhagia, is one of the most common types of abnormal bleeding from the uterus. Menstrual bleeding is said to be heavy if there is so much blood that a tampon or pad remains soaked for several hours. 

Here are all the possible causes of heavy menstrual bleeding:

1. Hormonal imbalance
Estrogen and progesterone levels are the primary control mechanism for periods. If the ovaries have a problem in functioning, hormonal imbalances may occur. Heavy menstrual bleeding is most common in females who are at the start of menopause. Puberty menorrhagia can occur in adolescents who are experiencing their first menstrual period. 

2. Fibroids
These most commonly occur around the age when women can get pregnant. Uterine fibroids are non-cancerous growths on the uterus.

3. Ectopic pregnancy
An ectopic pregnancy is when a fertilized egg stays in the fallopian tube but does not reach the uterus.

4. Blood thinners
These are medicines which are usually anticoagulant or anti-platelet drugs.

5. Problems with IUD
A non-hormonal intrauterine device is a T-shaped device used for birth control which is inserted into the uterus.

6. Adenomyosis
This is a condition in which the muscular wall of the uterus also gets the lining of the uterus intermingled with it. However, this condition is rare and only happens in middle aged women with several children.

7. PID
PID stands for pelvic inflammatory disease and refers to any infection within the organs of the reproductive system.

8. Cancer
Uterine, ovarian and cervical cancer are just some of the cancers which may cause heavy menstrual bleeding.

9. Other diseases
Liver, kidney and thyroid diseases are all included. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4652 people found this helpful

I am 5th month pregnant and 20 year old. This is my first time pregnancy. For last 15 days my breast are itching. To get relief I pressed and itches. I want to know is it okay to pressed or itching? Or should I take some medicine. please guide me.

BHMS
Homeopath,
I am 5th month pregnant and 20 year old. This is my first time pregnancy. For last 15 days my breast are itching. To ...
There are soo mny symptoms during pregnancy. Itching is one of them. Do not itch or press too much as it will aggravate the condition and also it can leave behind marks. Rather go for medication. By homoeopathic treatment this will cure for sure. U can apply olive oil or coconut oil only. Soo you can contact me through Lybrate for further treatment.
1 person found this helpful
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Homoeopathic Remedies For Polycystic Ovarian Syndrome!!

BHMS
Homeopath, Mumbai
Homoeopathic Remedies For Polycystic Ovarian Syndrome!!

Polycystic ovary syndrome or PCOS is a fairly common female hormonal disorder in which the affected woman produces a surplus of male hormones like testosterone.
And these high levels of androgens produce typical symptoms of PCOS like irregular ovulation or no ovulation at all.

The absence of ovulation, which actually makes a mature egg to release from the ovary every month, results in infertility.

What happens in PCOS ?

Most of the patients having PCOS are seen to have cysts in their ovaries. These cysts cause some hormonal disturbances. One hormone triggers the release of another hormone and so on. Therefore deficiency or excess of a particular hormone can cause imbalance in many other hormones too.

In PCOS, the levels of androgen are raised more than the normal limits. Androgens are the male hormones. They are present in small quantities in normal females. When the levels increase, these can cause disturbance in menstrual periods and cause delayed menses. Facial hair and hair on other parts of the body start appearing in females which are otherwise not present. The normal ovulation cycle also gets disturbed and ovulation gets delayed or does not happen at all.

Other symptoms of PCOS are –

  1. Heavy vaginal bleeding because as the women with PCOS don’t ovulate and have normal periods, the lining of their uteri becomes thick leading to heavy bleeding and sometimes uterine cancer.
  2. Weight- gain
  3. Acne
  4. Heart problems
  5. Irregular periods
  6. Migraines
  7. More hair on body
  8. Depression and mood swings
  9. More chance of getting type-2 diabetes as these women are resistant to insulin

PCOS has no cure in mainstream allopathic medicine but Homeopathy can help alleviate PCOS symptoms in an effective manner though it takes time and patience.

Homeopathy For PCOS!! 

Polycystic Ovarian Syndrome is curable with the Homeopathic mode of treatment. Homeopathic treatment for polycystic ovarian syndrome is very safe and free from any side effect. Which Homeopathic medicine is required to extract the disease from its roots varies from case to case. Both the physical and mental spheres of the patient are thoroughly investigated while prescribing the Homeopathic medicine. The complete cure of PCOS is a time-consuming process and it cannot be expected in a few days. It requires complete observation regarding the change of symptoms in the patient and frequent clinical follow-ups.

Let’s take a look at a few homoeopathic cures for PCOS:

  1. Sepia: This is touted as the best homoeopathic remedy for the cure of PCOS. The symptom that gets cured with sepia are late and scanty periods in women. The ovaries are enlarged and have fluid-filled cysts inside. Sepia is very effective in normalising menstrual flow. It also tackles abnormal hair growth on the face, especially on upper lips.
  2. Pulsatilla: This homoeopathic medicine is excellent for starting menses that have been suppressed for a long duration. In such patients, periods are scanty and accompanied by pain. Pulsatilla works by removing the obstacles that cause the periods to be suppressed and this helps in the normalisation of periods.
  3. Calcarea Carb: It normalises prolonged and profuse periods. Women presenting with the symptom of obesity are also helped by using Calcarea Carb.
  4. Natrum Mur: It not only treats irregular periods but also helps the women conceive.
  5. Thuja Occidentalis: This is the definitive homoeopathic medicine for treatment of retarded menstrual flow. Other indications for its use are the presence of multiple cysts in an ovary. Thuja has the innate capacity to dissolve and get rid of abnormal growths anywhere in the body. Thus, it is very effective in dissolving ovarian cysts too. Most women who require Thuja have cysts in the left ovary. Apart from this, Thuja is also very effective in treating hirsutism due to PCOS.

It is wrong to claim that homoeopathy treats PCOS completely. But it does work in correcting hormonal imbalances, regularising ovulation from the ovaries and restoring and normalising the menstrual cycle.
Homoeopathy may also help in dissolving the ovarian cysts which effectively eliminates the need for hormone therapy and surgery- the two common cures for cysts in allopathy.

If you are suffering from PCOS, we suggest that you consult an experienced homoeopath and take medicines rather than self-medicating. This is because a homoeopath will not suggest the same medicine for PCOS to two different patients as PCOS cure needs an individualistic approach. Also, manage your weight and stress levels to get relief from PCOS symptoms.

1 person found this helpful

I am 33 years. I and my wife are in good sexual life. But sometime I wish to have sex with other partner. A few are about to do sex with me. Till now I haven't done with other than my wife. But I don't know why an interest comes in my mind to have sex with multiple partners. I mean 2-3 partners at a time. Even though my wife does satisfy, I don't.due to the above reason. Tell me what to do? Is this a kind of mental distraction or normal ? How can I control over such thinking ? Or suggest some solutions on effective fantasy like or should I go for a multiple sex partner ?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 33 years. I and my wife are in good sexual life. But sometime I wish to have sex with other partner. A few are a...
Absolutely ill-advised. Your mind often proposes a better experience and certainly it appeals to the libido to entertain such fantasies but it is rampant with trouble and dangers. Since you are already satiated with your wife, you should not indulge i such fantasies because it can lead to impulsive behavior. This can ruin your marriage and this desire may become addictive and you may not be able to stop it later on. The danger of infection itself is worrisome. But why would you want to spoil a good relationship to pander to your erotic fantasies? Just drop the idea and get on with improving your relationship and giving your wife a great time in life for being able to so satisfy your needs so well. Otherwise, you are tampering with your own peace and settled life to ruin it for good.
1 person found this helpful
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I'm 25 year old female. Recently have done a pill abortion before one months. Now it's been one month and a week time but still I didn't get my period back and when I check for the pregnancy it shows negative. Very Small bleeding is happening sometimes and while having sex. Please give me some suggestion.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I'm 25 year old female. Recently have done a pill abortion before one months. Now it's been one month and a week time...
Sometimes periods can be delayed by upto 6 weeks after an abortion. But to be on the safe side it is very important you use contraception to avoid any unwanted pregnancy. If your periods dont come by next week and a repeat pregnancy test is negative consider progesterone tablets to induce a bleed.
2 people found this helpful
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Hello Dr. It's almost one year and 2 months since we got married and we are trying for baby for last six months, our sexual health are fine in terms of my erection and her periods etc But only thing is we are having intercourse only twice in a week, cos of our work timings Any tips for us to get a good news soon!

MD - General Medicine
Sexologist, Nashik
Hello Dr. It's almost one year and 2 months since we got married and we are trying for baby for last six months, our ...
Get ovulation dates confirmed by gyneac. And try to be intimate on given dates improves chances of pregnancy, as one year is passed to marriage few basic tests like her ultrasound and ovulation. Your semen analysis done.
2 people found this helpful
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Psoriasis home remedies

MD - Internal Medicine
Internal Medicine Specialist, Mumbai
Psoriasis home remedies
1) exposure to sunlight helps most people with psoriasis.
2) keeping the skin soft and moist is helpful. Apply moisturizers after bathing.
3) do not use irritating cosmetics or soaps.
4) avoid scratching that can cause bleeding or excessive irritation.
5) soaking in bathwater with oil added and using moisturizers may help
6) bath soaks with coal tar or other agents remove scales
7) hydrocortisone based cream can reduce the itching of mild psoriasis.
8) some people use an ultraviolet b (uv-b) light unit at home under a doctor's supervision.
5 people found this helpful

Hello Doctor, Me and my hubby are trying for a kid since 3 months. Now from 2 days I am feeling a bit of itching sensation near my vaginal opening. It's a light itching but uncomfortable. Please suggest me how to get rid of this.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello Doctor, Me and my hubby are trying for a kid since 3 months. Now from 2 days I am feeling a bit of itching sens...
Hello it appears that you are having vaginal infection /allergies. You should get a consultation as you want a baby also.
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During menstruation on the last day I having sex with my wife with out protection. Is there any problem? Or any chance of pregnancy?

BHMS
Homeopath, Vadodara
During menstruation on the last day I having sex with my wife with out protection. Is there any problem? Or any chanc...
It depends on the menstrual cycle of your wife, if she is having the cycle of 21-23 days then ovulation can occur as early as 7-8th day of her cycle and if you had intercourse on 5-6th day then the chances of her getting pregnant are there, but if she has a cycle of 28-30 days then chances are very less. No problem in having intercourse on last day but chances of pregnancy are hopefully clear to you as per my above explanation.
1 person found this helpful
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White Discharge (Leucorrhea)

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
White Discharge (Leucorrhea)

White discharge (leucorrhea)

What is leucorrhea?
Leucorrhealeucorrhea can be defined as the thick milky discharge from the vagina. It can be due to physiological causes or due to some pathological causes. In usual cases, the leucorrhea is physiological due to the release of estrogen hormone in large quantities but it could be inflammatory also. The watery discharge is usually white in color but in severe infections, it could be greenish or yellowish in color.

What are the causes of leucorrhea?
The leucorrhea discharge is a normal condition that occurs in the menstrual cycles in almost all women at some stage or the other. The causes of this could be:

* hormonal imbalance
* increased estrogen levels
* improper diet
* lack of iron in blood
* stress
* indigestion and constipation
* menopausal woman
* infections and inflammations
* diabetic women

What are the symptoms of leucorrhea?
The symptoms of leucorrhea are:

* watery discharge from vagina
* foul smelling discharge
* greenish or yellowish purulent discharge
* itching around vagina
* dryness around vagina
* weakness in women
* lethargic body
* irritation and headaches
* pain in claves
* lumbar pain

How can Ayurveda help in case of leucorrhea?

Ayurveda is an ancient Indian system of medicine that makes use of herbs existing in nature and formulates herbal remedies using the inherent power present in these herbs. We in Ayurveda believe that herbal remedies bring to you the richness of the herbs in a natural, unadulterated form. These combinations help improve immunity and provide strength, endurance, and will.
Ayurveda uses the inherent power of natural herbs to bring about wonderful results on the human body. The herbs are natural and 100% safe. Ayurveda helps to naturally enhance the body functioning in an herbal way. The herbs for leucorrhea help improve the gonads functioning n an herbal and natural way. The herbs for white discharge or leucorrhea help produce proper hormones for the complete functioning of ovaries and therefore to naturally start the menstrual cycle again. They help reduce the excess discharge by controlling the hormone quantities and disturbances by infections and inflammations.

Herbs in Ayurveda for leucorrhea

Aloe barbadensis (ghrit kumari)

Aloe has been used in several skin care products. It helps in rejuvenating the skin making it shiny and strong. It prevents wrinkles, clears blemishes and prevents aging marks. Herbs and herbal formulations that have aloe barbadensis reduce skin inflammations effectively. In hair care products aloe is used to repair dull and dry hair. It forms an important part of several hair conditioners and shampoos. Aloe extract is generally useful in treating hypertension. It has abundant antioxidant properties and effectively eliminates toxins from the body. It helps to overcome high blood pressure and respiration problems.

Rubia cordifolia (manjistha)

Manjistha is an excellent herb famous for its beautiful actions on the outer skin. It has magnificent powers on the skin that nourish and replenish it in a beautiful way. It is anti-inflammatory and heals wound and inflammations, helps in ulcers and skin disorders. It portrays astringent like properties. It can also be used as an antihelminthic. It increases flow and it purifies breast milk. Its special role is in case of different skin disorders related with pigmentation, weakness, general debility and poisoning. Manjistha can be used in skin diseases like leprosy, erysipelas, vitiligo and hypo-pigmentation.

Azadirachta indica (neem)

People in India use neem herb on a daily basis owing to its rich medicinal effects on the health. It is widely used as a dental and gum cleaner to protect from oral infections and bad breath. Gingivitis, bleeding gums, and toothache are also helped by using neem regularly. Another of its famous use is as a skin disinfectant. It is widely used in soaps, shampoos and body washes and is believed to have curing action on pimples. Some of its wonderful actions can be seen in diseases like diabetes and arthritis. It is due to its antibacterial properties that it is used in a lot of toothpaste and mouthwashes. Neem works wonder in medical conditions like bee stings, conjunctivitis, hemorrhoids, and ulcers and even in cases of bronchitis and epilepsy. Practitioners have drawn marvelous results in cases of skin diseases like psoriasis, acne, and eczema.

Saraka indica (ashoka)

Its bark is very beneficial to treat menstrual disturbances and can regulate the female menstrual cycle. It treats menstrual pain and pain in various kinds of tumors of the female reproductive system. The pre-menstrual tension can be cured using Ashoka. It is used in our products female health capsules and pradrantak churna.
Symplocus racemosa (lodhra)
It has a big tree bark that acts as an astringent and is commonly used in leucorrhea that is the excessive discharge from the vagina. Lodhra works well in case of excessive menstruation, painful menstruation, and delayed menstruation. In many types of cancer, especially cancer of the female reproductive system this herb works well.

Commiphora mukul (guggul)
Guggul has highly potent rejuvenating properties. It revitalizes cells and therefore rejuvenates them. Its purifying properties as well as lipid- regulating properties make it a wonderful herb for many health tonics. It is useful for people who have low haemoglobin and are anemic. It is useful in many heath conditions as it has proved its versatility in several conditions. The effect it has on cholesterol and triglyceride levels indirectly protects the heart from atherosclerosis. The herb also boosts the levels of HDL cholesterol. This herb also has been proved to have antioxidant properties. The herb is beneficial for hypothyroidism related disorders. The herb promotes the metabolism and therefore aids in weight loss. It is also beneficial for conditions like arthritis, premenstrual syndrome, bloating and many more. Guggul is used in the preparation of kaishore guggul.
Aloe vera juice (kumari)
Aloe extract is enriched with various medicinal properties. It can be used to treat skin conditions like eczema, ulcers, psoriasis, acne, bites and stings. In cases of ailments like arthritis, asthma, colitis and diverticulitis aloe vera juice has proved very beneficial. Aloe vera gel present inside the leaves is efficient in treating burns, wounds and skin disorders. It forms a protective coating on the infected areas and speeds up the healing process. The yellow sap which is found at the base of leaves is dried and is known as bitter aloes. It is enriched with digestive stimulants and also a strong laxative. As aloe vera has antioxidant and nutritional qualities, it helps in the prevention of injury to epithelial tissues if they get damaged. It promotes the process of healing. Aloe vera works effectively on damaged skin, epithelium present in the gut, bronchial tubes and genital tracts. The natural antimicrobial and anti-inflammatory properties along with nutritional constituents encourages cell growth and promotes the healing process. Aloe vera juice is used to prepare kumari saar.

Terminalia chebula (haritaki)
Haritaki is an important constituent of Triphala that has wonderful health benefits. It acts well in gastrointestinal ailments, in cases of spleenomegaly, hepatomegaly, tumors, ascites, and anemias. Its powder, when mixed with honey and ghee, is an effective remedy for anemia. The herb improves memory and is salutary in dysuria and urinary stones. Haritaki helps in improving appetite and helps in the digestion. In anemia of any origin, haritaki herb is highly beneficial. It helps anemia due to haemoglobin deficiency, anemia due to red blood cell deficiency, and anemias of abnormal form origin. Haritaki is used in kaishore guggul.

Terminalia belerica (vibhitaki)
A very important herb in the ayurvedic world, vibhitaki is famous for its wonderful use in the formation of triphala. It has numerous health benefits on the human body. Its action on the heart makes it an excellent heart tonic. It helps in purifying the blood, thinning of blood, and removing toxins. It is used in cases of a low RBC count and low haemoglobin. Vibhitaki helps cases of anemia of any origin and help regain healthy haemoglobin count and form.

2 people found this helpful

My husband is suffering from oligozoospermia. How much time will he take to recover by medicines by gynaecologist?

MD - Homeopathy, BHMS
Homeopath, Ghaziabad
My husband is suffering from oligozoospermia. How much time will he take to recover by medicines by gynaecologist?
Your husband need three things at this stage: 1. Proper medication if some cause is found. 2. To trouble shoot any stress issues if he is facing some. 3. Proper diet. Sperm formation is a gradual process and it will take weeks to months for the evident improvement. Wish him a speedy recovery.
2 people found this helpful
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Sir mujhe abhi 1 month hua hai pregnancy test kiya hai mere 2 year ka boy hai abhi mujhe baccha nhi chahiye koi teblet ya fir koi dusra sulusion btao help me sir.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
Sir mujhe abhi 1 month hua hai pregnancy test kiya hai mere 2 year ka boy hai abhi mujhe baccha nhi chahiye koi teble...
Aap fouran ek achhe lady doctor (gynecologist) ko consult karen aur 'medical abortion'(sirf goliyaan denge) kara Lena.
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MD - Paediatrics, MBBS
Pediatrician, Tumkur
Every year 1st week of August is observed as World Breastfeeding Week. There are many ingredients like DHA, cystine in breastmilk which help for proper development of brain. As the maximum brain growth occurs within 2 years breastfed babies are going to be more intelligent. Hence all lactating mothers should make up their mind to feed their babies at least till the age of 2 years.
9 people found this helpful

We are trying our 2nd baby from last 5 month but yet my wife doesn't got pregnant .all the my sperm comes out from her when we have sex. Is this a problem? My wife is also overweight & having diabetes.

C.S.C, D.C.H, M.B.B.S
General Physician,
We are trying our 2nd baby from last 5 month but yet my wife doesn't got pregnant .all the my sperm comes out from he...
She may have her tubes blocked and need patency test. Even if semen comes out there is chance of pregnancy.
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