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Dr. Hirasha

Gynaecologist, Mumbai

100 at clinic
Dr. Hirasha Gynaecologist, Mumbai
100 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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Dr. Hirasha is a trusted Gynaecologist in Jogeshwari West, Mumbai. You can consult Dr. Hirasha at Shakti Central Hospital & Diagnostic Center in Jogeshwari West, Mumbai. Book an appointment online with Dr. Hirasha and consult privately on Lybrate.com.

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Shakti Central Hospital & Diagnostic Center

B-18,Vaishali Nagar, Jogeshwari West,Landmark: Nr MTNL Office, MumbaiMumbai Get Directions
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Amenorrhoea - Causes Behind Primary and Secondary Type

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Amenorrhoea - Causes Behind Primary and Secondary Type

Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.

Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:

  1. Milky nipple discharge (galactorrhoea)
  2. Hair loss
  3. Headache
  4. Vision changes
  5. Excess facial hair (Hirsuitism)
  6. Pelvic pain
  7. Acne

You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.

Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.

Natural amenorrhea
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:

Contraceptives
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.

Medications
Certain medications can cause menstrual periods to stop, including some types of:

  • Psychiatric medications
  • Cancer chemotherapy
  • Blood pressure drugs
  • Allergy medications
  • Lifestyle factors

Sometimes lifestyle factors contribute to amenorrhea, for instance:

  1. Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
  2. Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
  3. Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.

Hormonal imbalance
Many types of medical problems can cause hormonal imbalance, including:

  1. Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
  2. Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
  3. Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
  4. Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.

Structural problems
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:

  1. Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
  2. Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
  3. Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.

Clinical examination by the doctor  includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine  your breasts and genitals to see if you're experiencing the normal changes of puberty.

Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.

Lab tests
A variety of blood tests may be necessary, including:

  1. Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
  2. Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
  3. Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
  4. Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
  5. Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.

Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.

Imaging tests
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:

  1. Ultrasound: This test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
  2. Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
  3. Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.

Endoscopy tests
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.

Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.

2411 people found this helpful

I have a shape of female with wide hips large thighs and narrower chest. I am losing my confidence even to walk on road because of this shape. Please help me.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I have a shape of female with wide hips large thighs and narrower chest. I am losing my confidence even to walk on ro...
For 5.11 feet height your weight of 80 kg could be ok, but one must also consider the body distribution of fat. Men and women generally store fat around the tummy, waist, and thighs. In your case, I would suggest you to go to the gym and concentrate on upper body exercises. Your chest, back and shoulder exercises done under training will improve your chest width, and the" wings" that develop withh improve the width of the chest. This will be more better than trying to make your thigh slender. As you do exercise, do not neglect the leg exercises, as legs have the largest muscles in the body and when worked out they help lose fat and also make your thighs more shapely than they are today. While exercising, wear loose comfortable clothes like track pants so that you done feel awkward in front of other men. Once your shape stars changing you can flaunt your body.
1 person found this helpful
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Nutri Tip

Master Of Science ( Home Science) , B.Sc
Dietitian/Nutritionist, Delhi
Nutri Tip
“Healthy citizens are the greatest asset any country can have.”
6 people found this helpful

I am trying to conceive till 1 yr. My Dr. ask me to do IUI test. Can this process works to conceive and how many chances of get pregnant after iui? Please answer this question soon its urgent.

MBBS, DNB Obs &Gynae, Diploma in Reproductive Medicine (Germany), Fellowship in Laparoscopy
IVF Specialist, Delhi
I am trying to conceive till 1 yr. My Dr. ask me to do IUI test. Can this process works to conceive and how many chan...
After trying for 1 year any couple should atleast get investigated To know the cause. So I would suggest you to go for those tests first and then decide accordingly whether it's required or not. Atleast the status of tubes should be clear before iui. Yes IUI has 15 To 20% increased chances of conception as compared to natural pregnancy. So if your tubes are open and husband sperm count is good then you can go ahead. All the best.
1 person found this helpful
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Sir, I got married before 6 month. But now my wife is not pregnant. So please suggest me what can I do?

MBBS
General Physician, Faridabad
Sir, I got married before 6 month. But now my wife is not pregnant. So please suggest me what can I do?
try if your cycle is regular then take chance on mid of cycle,. say your cycle start on 1st then try help between 12-17.during this period you have maximum chance. but it may happen at any time. it will. welcome.
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I miscarriage last year. N now still v don't want to plan baby due to some reasons. N is dis gap create problem in future or not. N wat type of diet I can take.

MBBS, MD - Obstetrics & Gynaecology , Diploma in General Nutrition
Gynaecologist, Delhi
I miscarriage last year. N now still v don't want to plan baby due to some reasons. N is dis gap create problem in fu...
U should let your doctor find the cause of miscarriage, so that if any treatment has to be given, you can take it until you want to get pregnant. Secondly you shd be sure that there is no illness which is progressively harming your genital system, so that you donot face problems when you get pregnant again.
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I'm 5mnth pregnant. Now a days my excretion is not well. 7 days may occur to go excretion. What can I will do. Pls help me.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I'm 5mnth pregnant. Now a days my excretion is not well. 7 days may occur to go excretion. What can I will do. Pls he...
Drink lots of water, take fibre rich diet and stay physically active. Get your self examined and go for necessary antinatal blood tests and Ultrasound for the foetal well being and your own status on Haemoglobin etc.
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I've got a very faint line in the urine pregnancy test. I'm not sure if I'm pregnant. If so what are the natural ways to terminate pregnancy as we are not in a position to have a baby. and what are the confirmation sign of pregnancy. My last period was on march 12 I also have an irregular period. Please guide me with the right procedure to be followed.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Nagpur
Hello lybrate-user, I can understand your concern. Very faint line can be seen even in a negative pregnancy or very early pregnancy. Do repeat the test after 2 days even if then it is a faint line then meet a doctor as it can b a misplaced or not developing pregnancy too. As your period was about 2 months back. If you have regular cycles then by this time you should have a definite positive test. There is nothing like natural way of termination. If someone is telling so then he/she is fooling around. You should meet a gynaec personally to get abortifacient pills.
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Sir please tell me agr 3 mhine ka fetous ho aur pregnant lady ko agr mtp di gyi ho uske bad bhi abortion nhi hua ho to kya fetus ki death ho jayegi.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Yes fetus can have untowards effects from medicines used. Best is to get a USG done and consult a Gynaecologist in person with the report
1 person found this helpful
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5 Shockingly Deadly Effects Of Firecrackers On Your Health

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
5 Shockingly Deadly Effects Of Firecrackers On Your Health
5 Shockingly Deadly Effects Of Firecrackers On Your Health

Think Diwali and you can’t help but think of firecrackers. The festival of lights is synonymous with the bursting of firecrackers all night long. But stop a minute to think: are burning firecrackers really good for your health? The answer would be a resounding ‘No!’ Bringing out the fireworks is not only bad for the environment, the old and the infirm, and the animals all around, but it is also bad for you. Here are 5 deadly effects of firecrackers on your health that perhaps we tend to ignore every Diwali!

1. Harmful for your ears: First and foremost, you can’t deny the loud booms and bangs of firecrackers; and considering the trend these days, the louder the better. An average human being can bear noise levels of up to a maximum of 85 decibels. Sound produced by firecrackers can go as high as 140 decibels! That’s way beyond what human ears can handle, and such high levels can cause hearing impairments and even permanent ear damage. Increased heartbeat and high blood pressure are other things you can suffer from due to excessively high noise levels.

2. Injuries and burns: This is something you do know. A lot of burns and injuries take place due to unsafe practices used while bursting firecrackers. Burns on the hands and legs are pretty common, especially among children. In fact, in some serious cases a misfired rocket or a chocolate bomb can lead to massive fires, which is, needless to say, definitely not good for you and your health.

3. Respiratory and skin troubles: When you launch the fireworks one after the other, you give rise to excessive smoke. This smoke contains miniscule metallic particles, which produce very dense and foggy smog. A lot of road accidents take place because of this obstruction in visibility. The chemicals in this smog are specifically harmful for those suffering from asthma and other respiratory diseases. In fact, these chemicals can also give rise to skin rashes, sinusitis, eye infections, headaches and chronic obstructive pulmonary diseases (COPD). Children and pregnant women seem to fall into the high-risk zones.

4. Stomach Problems: While lighting firecrackers, or by simply holding them in your hands, your body absorbs the chemicals they are composed of. Even washing hands is not enough to get rid of these hazardous chemicals entirely. Minute traces of these are left in your hands, which are ingested while you have your meals. This can lead to indigestion, and other digestive problems. Even the water you consume becomes tainted with the pollution in the air at this time of the year, making it unfit for consumption.

5. Other health hazards: Nausea and mental impairment, and even heart attack are some of the other things that can happen to you while indulging in the fireworks fun. Sleeping disturbance is another common problem faced at this time of the year. The loud noise gives rise to sleepless nights for many, and results in fatigue the next day.

Before watching the sparkles, colours and magical lights of fire crackers this Diwali, be sure to ask yourself, is it really worth it?

WISH YOU A HAPPY AND SAFE DIWALI!

If you would like to consult with me privately, please click on 'Consult'.
4445 people found this helpful

Frozen Shoulder

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Frozen Shoulder
What is frozen shoulder?

Frozen shoulder (adhesive capsulitis) is stiffness, pain, and limited range of movement in your shoulder camera. Gif. It may happen after an injury or overuse or from a disease such as diabetes or a stroke. The tissues around the joint stiffen, scar tissue forms, and shoulder movements become difficult and painful. The condition usually comes on slowly, then goes away slowly over the course of a year or more.

What causes frozen shoulder?
Frozen shoulder can develop when you stop using the joint normally because of pain, injury, or a chronic health condition, such as diabetes or a stroke. Any shoulder problem can lead to frozen shoulder if you do not work to keep full range of motion.

Frozen shoulder occurs:

After surgery or injury.
Most often in people 40 to 70 years old.
More often in women (especially in postmenopausal women) than in men.
Most often in people with chronic diseases.
How is frozen shoulder diagnosed?
Your doctor may suspect frozen shoulder if a physical exam reveals limited shoulder movement. An x-ray may be done to see whether symptoms are from another condition such as arthritis or a broken bone.

How is it treated?
Treatment for frozen shoulder usually starts with nonsteroidal anti-inflammatory drugs (nsaids) and application of heat to the affected area, followed by gentle stretching. Ice and medicines (including corticosteroid injections) may also be used to reduce pain and swelling. And physical therapy can help increase your range of motion. A frozen shoulder can take a year or more to get better.

If treatment is not helping, surgery is sometimes done to loosen some of the tight tissues around the shoulder. Two surgeries are often done. In one surgery, called manipulation under anesthesia, you are put to sleep and then your arm is moved into positions that stretch the tight tissue. The other surgery uses an arthroscope to cut through tight tissues and scar tissue. These surgeries can both be done at the same time.

Can frozen shoulder be prevented?
Gentle, progressive range-of-motion exercises, stretching, and using your shoulder more may help prevent frozen shoulder after surgery or an injury. Experts don't know what causes some cases of frozen shoulder, and it may not be possible to prevent these. But be patient and follow your doctor's advice. Frozen shoulder nearly always gets better over time.
17 people found this helpful

I got married 2 months ago and since then have infection. Went to a doctor and was suggested candid cl for 3 nights, then every week and oral AF kit for me and my husband. The problem was resolved. Now for the past few days I have urges to go the bathroom again and again at an interval of 2-3 minutes, plus itching/irritation. I have not taken candid weekly for the past 3 weeks. Should I start taking it again?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
This is because of infection due to using public toilets. Avoid public toilets keep clean and dry vaginal portion. Apply some antifungal ointment for itching.
4 people found this helpful
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My wife has finished period 5 days back. Now I want to do sex with her without condom. But she is ready to take pills. Can you suggest me something. So that I can go ahead. Or please let me know medicine name.

MS - Obstetrics and Gynaecology
Gynaecologist, Bangalore
My wife has finished period 5 days back. Now I want to do sex with her without condom. But she is ready to take pills...
birth control pills should be started from 2nd or 3rd day onwards. not now. you have to c a gynecologist for the name and explanation. as of now use condoms
1 person found this helpful

I am in my third month of pregnancy. What all foods (processed/unprocessed) are harmful for me and are there any beneficial ones that I must include in my daily diet?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am in my third month of pregnancy. What all foods (processed/unprocessed) are harmful for me and are there any bene...
you need to take fibers nutritious diet.intake iron,calcium,follic acid,protein and all vitamin in diet.take all fresh fruits.take carbohydrate like whole grain and simple carbs like bread, atta, rice and potatoes to your diet, you can gift a treasure of energy-boosting carbs to your baby.rich source of iron or folate is Beetroot, oatmeal, bran, tuna (tinned), beans and meats (for iron) and Oranges, Potatoes, Broccoli, Eggs and Greens (for folate) to your diet.avoid junk food an hygiene food.avoid chikoo,papaya and pine apple.
2 people found this helpful
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Hi, Doc I think my estrogen levels are low. Asfrom last few months blood flow in periods is very less. And periods use to stop after 3 days. I am always in low mood, anxiety. Please suggest something doctor.

MD - Obstetrtics & Gynaecology, DGO, Diploma in Obstetrics & Gynaecology
Gynaecologist, Jalgaon
Hi, Doc I think my estrogen levels are low. Asfrom last few months blood flow in periods is very less. And periods us...
Do not worry. Oestrogen levels have nothing to do with your problem. You star exercising and eating feuits good diet. Mood will be alright with ezercise.
2 people found this helpful
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I am married before 6 days and have continuous unprotected intercourse with husband n taking sperm inside if now I took ipill will it effect for not getting pregnant?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am married before 6 days and have continuous unprotected intercourse with husband n taking sperm inside if now I to...
It depends on whether you had sex in your safe or unsafe period. I-pill has to be taken within 72 hours of any unprotected intercourse. However that is only a emergency contraception. If you wish to have contraception for a longer time then visit a gynecologist and start a contraception of your choice. Till then to avoid pregnancy you may use barrier methods like condoms.
1 person found this helpful
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Hello doctor we have planning for baby my wife period date is 30th but this month comes 23rd day what is the problem.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello doctor we have planning for baby my wife period date is 30th but this month comes 23rd day what is the problem.
Hello- A wide variety of factors can be responsible for irregular periods, among them: Significant weight gain or loss Overexercise Poor nutrition (or a diet too high in carbohydrates) Smoking Drug use Caffeine Excessive alcohol use (interfering with how the liver metabolizes estrogen and progesterone) Eating disorders Increased stress Polycystic ovarian syndrome/Estrogen dominance Uterine abnormalities (fibroids/cysts/polyps/endometriosis) Hormonal imbalances related to perimenopause Medications Chemotherapy Recent childbirth, miscarriage, or D&C Breastfeeding Irregularity in menses is not a good sign if you are planning pregnancy. Avoid above mentioned factors and start herbal medications.
11 people found this helpful
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I am 39 year old .i hv one daughter of 18 year old. Due to my two more child death I have done operation for stop child. Now I have opwn my operation and I did two times test tube baby procedure but its unsuccessful. Now I want one more child but after two times uncessful in test tube I am depressed. Now is there any procedure or any way so that I got pregnant one more time.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 39 year old .i hv one daughter of 18 year old. Due to my two more child death I have done operation for stop chi...
Hi lybrate user, ivf is not 100% garuntee that you will have baby. Chances of success of ivf can be improved with some medicine. Before having this I would like you to go through few blood tests. Depending upon your case history ivf details I will be in better position to guide in best possible way.
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M 27 years old. I was in live in relationship with someone almost 1 year. Now he is not with me and m going to marry with some one else. I want my virginity back. What should I do? please advice. Need your support.

BHMS
Homeopath, Delhi
M 27 years old. I was in live in relationship with someone almost 1 year. Now he is not with me and m going to marry ...
Hello lybrate-user What I understand from" I want my virginity back' is that you need an intact hymen. This can be done with hymenoplasty by a surgeon. I advice you to consult a surgeon for the same. This surgery is not a big one and does not involve much risk.
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I'm not taking no pills and have unprotected sex and it only little bits blood shows now on tissue lines of it. What should i do to avoid pregnancy.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
I'm not taking no pills and  have unprotected sex and it only little bits blood shows now on tissue lines of it. What...
Pills are not the only way to avoid pregnancy. You can get an Cu -T device inserted into your uterus and forget about it for 3- 5 years. Other methods are also available. Consult a good gynecologist.
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