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Dr. Manish Kawade

Gynaecologist, Mumbai

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Dr. Manish Kawade Gynaecologist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Manish Kawade
Dr. Manish Kawade is one of the best Gynaecologists in Khar West, Mumbai. He is currently associated with Beams Hospitals in Khar West, Mumbai. Book an appointment online with Dr. Manish Kawade and consult privately on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 42 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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Beams Hospitals

Plot No. 67, Khar West, 18th A Road, Khar Danda, Landmark: Opposite Bus Stop, MumbaiMumbai Get Directions
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PCOS- A Common Hormonal Problem In Females!

MBBS
General Physician, Chittorgarh
PCOS- A Common Hormonal Problem In Females!

What is pcos/pcod?

 Polycystic ovarian syndrome (pcos) or polycystic ovarian disease (pcod) is a very common issue affecting about 10-20% of young women of child bearing age group. It consists of development of cystic structure or multiple cavities containing fluid within the ovaries. Because of multiple cysts in ovaries give rise to various problems related to hormonal imbalance.

 Who are prone to get pcos?

 Though not clear, there are various risk factors that can be associated with increased risk of pcos. These include obesity (body mass index >30), family history, some genetic issues, taking various medications like antiepileptics (used for seizures), stressful life and physical inactivity.

 What are signs and symptoms of pcod?

 You must look for following symptoms and consult a physician if you are getting these:-

  •  Irregular and longer periods
  • Increase in weight
  • Unable to become pregnant (infertility)
  • Pimples
  • Growing hairs over body
  • Increased urination, thirst
  • Depression

How pcos is diagnosed?

  •  Doctor will look for all the symptoms of pcos mentioned above and may ask you to do various laboratory tests like:-
  • Transvaginal sonography (to see for multiple cysts in one or both ovaries)
  • Hormonal blood tests (tsh, antimullerian hormone, fsh, lh, androgen levels)
  • Urine examination
  • Blood glucose levels
  • Hysterosalpingography (hsg) if infertility is a problem. Hsg will tell whether fallopian tubes are patent or is there any block that is causing infertility.

 
What lifestyle changes are helpful in pcos?

 Pcos is a growing problem and many a times associated modern lifestyle that causes weight gain and increased chances of getting pcos. Mainstay of management of pcos is having healthy lifestyle habits. A patient of pcos should try these lifestyle modifications to prevent harmful effects of pcos.

  •  Regular exercise (walking, jogging, roping)
  • Yoga and meditation
  • Avoid oily, frozen foods
  • Avoid alcohol and smoking
  • Avoid stress and worries as possible
     

What are treatment modalities available for pcos?
After diagnosing pcos, physician may first tell patient to have healthy lifestyle and diet modifications. There are many ways to treat a patient of pcos.

 Oral contraceptive pills- regularize your menstrual periods and prevent growth of excessive hairs over body. Oc pill may not be advised to women who are trying to conceive and undergoing treatment of infertility.
Metformin- is a medication generally used in diabetes mellitus is also useful in treating pcos as it treat insulin resistance (a common issue in pcos patients that lead to diabetes). Metformin also help women reducing weight.

Treatment of infertility: In pcos infertility is a common issue and most often may resolve after treatment. There is problem in ovulation in pcos, hence physician may prescribe medicines that enhance your ovulation. Clomiphene 50mg starting dose from day 2 to day 7 of menstrual cycle is very commonly used medication to induce ovulation. Ovulation monitoring by sonography or by using ovulation kits is performed to check whether ovulation is occurring or not. Fsh may also be used for maturation of follicles that leads to ovulation. In-vitro fertilisation (ivf) is used when other medical treatment for infertility and lifestyle modification failed to work. Surgery to drill multiple abnormal cysts may be performed rarely. Acupuncture may be useful but no any clear-cut evidence.
 
So, if you are having any symptom of pcos, consult your physician at earliest and get it treated. Always remember to have stress-free and healthy lifestyle habits which is of utmost important in managing and preventing pcos.

1 person found this helpful

I am 24 years old female I and have a period problem for last 3years due to after taken unwanted what should I do.

DGO
Gynaecologist, Hyderabad
I am 24 years old female I and have a period problem for last 3years due to after taken unwanted what should I do.
Irregular period is not related to unwanted taken 3years back. Get these investigation done n let me know 1. Thyroid profile 2. Usg pelvis 3. Lh, fsh, prl, e2.
18 people found this helpful
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Respected Dr. Today I had done with transvaginal scan and it is showing "Right ovary measures - 27 * 17 mm Left ovary measures - 35 * 19 mm Left ovary shows a small well defined cyst with fine internal echoes and measuring 16 * 15 mm. POD No free fluid Impression Small clear cyst in the right ovary. Well defined small cyst with fine internal echoes in left ovary -? Hemorrghic cyst/? Endometrioma. This is what the report is. Is there anything harmful?

Homeopath,
Respected Dr. Today I had done with transvaginal scan and it is showing
"Right ovary measures - 27 * 17 mm
Left ovary...
routinely in cyst case of less than 3 cm cyst go off in nonpregnant, premenopausal patients cyst resolution take place by 2-3 months, but routineultrasonograph is main with thyroid & harmonal _usg infertility check up as danger is of infertility as it is anvoulatry follicle in women which develop in cyst ur history is incomplete so is it endometriosis or hemorrhagic cannot rule out but hemorrhagic cyst means Anovulatory follicles may continue growing to enlarged diameters. Menses would be expected to be delayed for as long as follicle go away fails to occur. Typically large anovulatory follicles regress spontaneously and rarely require further managment but main concern is of infertility Endometriomas - These are associated with endometriosis, which causes a classic triad of painful and heavy periods and dyspareunia The coexistence of endometriosis and anovulation may be diagnosed by the presence of ovarian endometrioma. IMP :Careful surveillance of the ovary should be repeated for persistent ovarian cysts to determine whether there is self normal cyst disappear or need to initiate a plan for appropriate medical and surgical intervention.to avoid infertility homeopathy will help not only cyst resolution but also eradicate disorder leading to cyst & any other harmonal imbalance
1 person found this helpful
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Using six pregnant kit from two different we test but every time get negative result after four month. If there any chance to got pregnant?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Using six pregnant kit from two different we test but every time get negative result after four month. If there any c...
If pregnancy kit is negative and you are still in doubt then get blood test serum beta hcg done. Also get ultrasound lower abdomen done to look for cause of delay.
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I have married before 2 and a half yrs there is a pregnancy problem with us we want a child so what should we do.

FRAS, MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Alternative Medicine Specialist, Ernakulam
Husband sperm report needed and wife usg abdomen and pelvis, follicular study report, consult me private for further details thank you
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Sir I and my gf had unprotected sex before 7 days. Can we know about her pregnancy by cord test. I mean home pregnancy test.

DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, Internship, MBBS
IVF Specialist, Delhi
Sir I and my gf had unprotected sex before 7 days. Can we know about her pregnancy by cord test. I mean home pregnanc...
Hi You can confirm pregnancy after you miss your periods You can confirm pregnancy by SBHCG blood test Thanks.
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I am 28 years married lady. Having problem of PCOD I have irregular period. Last 3 month I hadn't period yet. I have done pregnancy test. But result was negative. What should I do?

BHMS
Homeopath, Faridabad
I am 28 years married lady. Having problem of PCOD I have irregular period. Last 3 month I hadn't period yet. I have ...
Hello. We can't make the grey hair turn black, but of course, prevent further greying! The causes of premature greying of hair are several. Here we have listed out a few common causes. Heredity is a major reason for hair greying Excessive use of tobacco and smoking Chronic emotional stress or psychological worries Lack of nutrients such as vitamins, iron, copper and iodine in the diet Medical conditions such as anemia, hypothyroidism, tuberous sclerosis or neurofibromatosis Home Remedies: 1. Add the curry leaves to the oil and boil it for 6 to 8 minutes, or till the leaves turn black. Remove from flame and let it cool. Strain the oil in a container and massage your scalp and hair with this oil 3 to 4 times per week before going to bed. Wash off with a mild herbal shampoo in the morning. 2. Turn the fenugreek seeds to a smooth powder and keep aside. Heat the oil and add the amla pieces to it, let it boil for 5 to 6 minutes, add the fenugreek powder to the oil, let it boil for another minute and remove from flame. Let it cool and strain the oil, apply on scalp and hair before going to bed. Wash off with a mild herbal shampoo in the morning. 3. Mix onion and lemon juice in a glass bowl and apply on scalp and hair evenly. Leave it on for 30 minutes and wash off with a mild herbal shampoo. Repeat it 4 to 5 times a week for 2 weeks. Medication: Take homoeopathic medicine – Schwabe's Acid Phos. 200/ once daily and Weisbaden 200/ twice daily – all of them for 1 month. And a multivitamin - A to Z/ 1 cap. daily once for 1 month (as deficiency of zinc, copper and selenium can also cause premature greying). Use Schwabe's Arnica Shampoo and Hair Growth Oil. Revert me back.
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Did sex with a girl using condom, but the condom crossed its expiration date way back. So it was an old condom. It didn't break though. I want to known is there any chance of STDs. Should I do tests?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. Most commonly, people get or transmit HIV through sexual behaviors and needle or syringe use. Only certain body fluids—blood, semen (cum), pre-seminal fluid (pre-cum), rectal fluids, vaginal fluids, and breast milk—from a person who has HIV can transmit HIV. Take care
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From past 3 month I am doing regular sex with my wife without any kind of protection. Every month she miss her period by 5 to 10 days and then suddenly her periods starts. My question is despite regular sex why she is not getting pregnant. Is there something to worry about because we both are healthy?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
From past 3 month I am doing regular sex with my wife without any kind of protection. Every month she miss her period...
Hello, there is nothing much can be said, just practice timely intercourse during fertile period of ovulation. Universally the chances of conception naturally during each cycle is only 30-35%
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My husband and I are going for a holiday. It's during my ovulation period mostly. It's a week long holiday. How to avoid pregnancy? We can't afford a pregnancy right now as we just got married.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My husband and I are going for a holiday. It's during my ovulation period mostly. It's a week long holiday. How to av...
Hello, You should be starting yourself on daily low dose oral contraceptive pills from day 3 of your present cycle.
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Plz suggest best treatment for PCOS. Allopathic or ayurvedic. please help. Feeling very depressed.

C.S.C, D.C.H, M.B.B.S
General Physician,
Plz suggest best treatment for PCOS. Allopathic or ayurvedic. please help. Feeling very depressed.
Treatment for PCOS may include: Birth control pills to regulate menstruation. Insulin-sensitizing medications. Ovulation induction to treat infertility. Androgen-blocking medications. Topical anti-hair-growth medications. Other excess hair treatments. Treatments for hair loss. Acne treatments.
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Replace Those Junk Foods With These Healthy Choices

DIABETES EDUCATOR, PGDND, RMP -ALTERNATIVE MEDICINE, MEDICAL TRANSCRITPTINIST, M.SC, Msc nutrition
Dietitian/Nutritionist, Bangalore
Replace Those Junk Foods With These Healthy Choices

Junk food is something you should generally avoid, courtesy to the health problems that they may cause. However, in some cases, when you are hungry you tend to go for junk food items as they are easily available. The other reason is that you don't know what you should opt for if you avoid junk food.

Outlined below are some healthy food options that you may replace junk food with:

  1. Replace ice cream with frozen yoghurt: Ice cream is considered to be laden with sugar that will add a sizeable number of calories, so you may replace that with frozen yoghurt. Yoghurt does not contain sugar and contains probiotic bacteria and protein that are good for your body. The probiotics in yogurt will help in enhancing your digestive system.
  2. Replace caffeine with fresh fruit juices: Caffeine is a known vasoconstrictor, which means it tends to narrow your blood vessels. This leads to problems in blood circulation and can lead to problems, such as erectile dysfunction. Instead consume fresh fruit juices as they are much healthier than coffee. They contain antioxidants that protect your body from free radical damage.
  3. Potato chips with bananas: If your cravings for salted food, such as chips increase then it points to a deficiency of potassium in the body. Instead of reaching for the packet of chips, eat a few bananas. They contain good amounts of potassium which helps to regulate fluid balance in the body.
  4. Eat nuts instead of chocolate: Instead of gorging on chocolates, a healthier option would be to opt for various kinds of nuts, such as almonds and cashews. They contain magnesium which tends to reduce chocolate cravings. They also provide the body with healthy fats and protein which help in building lean muscle mass in the body.
  5. Replace cookies with dry fruits: Cookies contain sugar in large amounts, which has the potential to create havoc on your body. From increasing blood sugar levels to obesity, it can cause serious complications. Opt for dry fruits as they are rich with important nutrients, such as vitamins and minerals that are essential for the human body. Add food such as dates, almonds and apricots to your diet. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
5035 people found this helpful

Hai, iam 17years of age iam in 4th month of pregnancy now will there be chances of normal delivery iam thin n weighing around 52kgs height 5'1 pls suggest precautions as well.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hai, iam 17years of age iam in 4th month of pregnancy now will there be chances of normal delivery iam thin n weighin...
Hello, the mode of delivery can only be decided by 38-40 weeks only and difficult to comment upon without a pelvic examination for adequacy and also on the position of the baby. Regards.
1 person found this helpful
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Pregnancy Symptoms in Hindi - Pregnancy Ke Lakshan in Hindi - गर्भावस्था के लक्षण

B.Sc - Dietitics / Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Pregnancy Symptoms in Hindi - Pregnancy Ke Lakshan in Hindi - गर्भावस्था के लक्षण

क्या आपको लग रहा है कि आप गर्भवती हैं? सुनिश्चित करने के लिए पता एकमात्र तरीका गर्भावस्था परीक्षण लेना है। लेकिन गर्भावस्था के प्रारंभिक लक्षण हैं जो आपको एक संकेत दे सकते हैं। आप अपना पीरियड मिस होने से भी पहले, गर्भावस्था के शुरुआती लक्षण देख सकते हैं। र्भावस्था के लक्षण महिला से महिला और गर्भावस्था से गर्भावस्था के लिए भिन्न होते हैं। 
इसके अलावा, हर महिला अलग है, और इसलिए उनके गर्भावस्था के अनुभव भी। लगभग 60% महिलाएं प्रारंभिक गर्भावस्था के लक्षणों को 6 सप्ताह गर्भवती होने पर देखती हैं, जबकि 90% महिलाएं लगभग आठ हफ्तों में देखती हैं। 
 

प्रेगनेंसी के लक्षण
गर्भावस्था के कुछ सबसे सामान्य प्रारंभिक लक्षण हैं:
1. पीरियड मिस होना:

पीरियड मिस होना सबसे आम गर्भावस्था का लक्षण है। यदि आप अपने प्रसव के वर्षों में हैं और एक हफ्ते या उससे अधिक की उम्मीद मासिक धर्म चक्र की शुरुआत के बिना पारित हो गए हैं, तो आप गर्भवती हो सकती हैं। हालांकि, यदि आपका अनियमित मासिक धर्म चक्र है तो यह लक्षण भ्रामक हो सकता है। 
2. मतली या सुबह की बीमारी:
मतली गर्भावस्था का दूसरा सबसे आम लक्षण है। सुबह की बीमारी, जो दिन या रात के किसी भी समय हड़ताल कर सकती है, अक्सर गर्भवती होने के एक महीने बाद शुरू होती है। मतली से अधिकतर गर्भवती महिलाएं दूसरे तिमाही की शुरुआत से पूरी राहत महसूस करती हैं। 
3. पीड़ादायक स्तन:
एक और आम गर्भावस्था के लक्षण हार्मोन के बढ़ते स्तरों के कारण संवेदनशील, सूजने वाले स्तन हैं। स्तन सूज, पीड़ादायक या सनसनाना हो सकता है, एक या दो सप्ताह बाद। आपके स्तन कोमल और भारी लग सकते हैं। निपल के आसपास का क्षेत्र, जिसे अरायला कहा जाता है, भी अंधेरा हो सकता है और आप अपनी सीने पर और अधिक स्पष्ट नसें देख सकते हैं।
आपका शरीर कुछ हफ्तों के बाद असुविधा को कम करेगा क्योंकि आपका शरीर हार्मोनल परिवर्तनों को समायोजित करता है।
4. थकान:
प्रारंभिक गर्भावस्था के दौरान, हार्मोन प्रोजेस्टेरोन का स्तर बढ़ता है, जिससे आप नींद महसूस कर सकते हैं। थकावट पहले त्रैमास के दौरान जारी रहती है, फिर दूसरे में कम हो जाती है। हालांकि, थकान आमतौर पर गर्भावस्था के बाद के चरणों में फिर बढ़ती है। बहुत अधिक वजन और गर्भावस्था के कुछ सामान्य असुविधाएं के कारण, जिससे रात की नींद प्राप्त करना अधिक मुश्किल होती है।
5. हल्का खून बहना:
गर्भाधान के बाद, निषेचित अंडे गर्भाशय की दीवार से जुड़ते है। इसे आरोपण कहा जाता है। मासिक धर्म की अवधि के दौरान प्रत्यारोपण खून बहता है। हालांकि, सभी महिलाओं के साथ ऐसा नहीं होता। 
6. योनि स्राव:
रक्तस्राव के अलावा, एक महिला को उसकी योनि से सफेद, दूधिया पदार्थ निकलता दिखाई पड़ सकता है। यह योनि की दीवारों की मोटाई से संबंधित है। यह गर्भावस्था के दौरान जारी रह सकता है, आमतौर पर हानिरहित है और इसके उपचार की आवश्यकता नहीं है।
7. पेशाब में वृद्धि:
अक्सर पेशाब एक और प्रारंभिक गर्भावस्था का लक्षण है। गर्भावस्था के दौरान आपके शरीर में अतिरिक्त तरल पदार्थ पैदा होते हैं, जिससे आप अधिक पेशाब करते हैं। आपके गर्भावस्था की प्रगति के दौरान लगातार पेशाब जारी रहेगा या तेज हो जाएगा। 
8. मूड में लगातार बदलाव:
गर्भावस्था के दौरान मूड-स्विंग होना सामान्य है, हार्मोनल परिवर्तनों के कारण जो न्यूरोट्रांसमीटर को प्रभावित करते हैं। कुछ लोग बढ़ा-चढ़ाकर भावनाओं का अनुभव करते हैं, दोनों अच्छे और बुरे, जबकि दूसरों को अधिक उदास या चिंतित लगता है। 
9. भोजन की तृष्णा:
जब आप गर्भवती हों, तो आप कुछ गंधों के प्रति अधिक संवेदनशील हो सकते हैं और आपके स्वाद की भावना बदल सकती है।

3914 people found this helpful

I have got married in last 4 year but still we have not getting child. what is problem? Please help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have got married in last 4 year but still we have not getting child. what is problem? Please help me.
You have to go to gynaecologist because there are so many causes of not conception you have to get all the test to know the cause.
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Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
Figs works wonder.

Can multiple small follicles become normal? Is there any diet to be followed for getting normal egg size for pregnancy? How much time it will take. My age is 27 years. (for my wife)

MBBS DGO PGDCC
Gynaecologist, Belgaum
Can multiple small follicles become normal? Is there any diet to be followed for getting normal egg size for pregnanc...
I think you have pcod problem. There is no specific diet for this. If you r overweight, reduce 5%of your weight which helps in conceiving. You r already 27 years now. Don't waste your time trying for natural conception. Better undergo infertility evaluation & start treatment for pregnancy. As age advances ovarian reserve decreases & even quality of the egg decreases. Click on consult for further queries and treatment.
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Alcohol - When Is The Right Time To Consume It?

Bsc - Home Science, Msc - Home Science
Dietitian/Nutritionist, Bangalore
Alcohol - When Is The Right Time To Consume It?

Depending on various factors like time, quantity, age, sex, purpose, physical condition and health issues of the drinker, alcohol consumption can be harmless or can turn poisonous. While moderate and wise consumption can reduce the risk of cardiovascular diseases, be good for circulatory system and may also prevent type 2 diabetes and gallstones, heavy drinking and alcohol abuse may increase the risk of high blood pressure, liver disease (cirrhosis), pancreatitis, heart muscle damage (leading to heart failure) and even certain cancers.

To be a responsible drinker, the most vital point to be aware of is the right and the healthy time to have a drink, besides knowing how to control and prevent heavy drinking.

Times when cons outweigh the pros

Consuming alcohol during pregnancy, after being diagnosed with liver or pancreatic diseases, while taking medications or over-the-counter medications that can interact with alcohol, despite having a history of a haemorrhagic stroke are some of the times and situations when it should be avoided at any cost.

The right times:

Full stomach: If you wish to grab a drink, it is sensible and proper to have it after a full and hearty meal. The richer the pre-meal is with proteins, healthy fat, starch and other macronutrients, the more it will help slow down the rate at which alcohol gets absorbed into the bloodstream, thereby reducing the severity of nausea, dizziness, headaches and other alcohol-induced sicknesses. Eggs, fibre-rich cereals, nuts and salmons – source of vitamin B components, protein-rich chicken are some of the pre-game food items and delicacies that can greatly trim alcohol effects and hangover heaviness at the same time. Refined carbohydrates like chips and cookies don't slow down or prevent the effects of alcohol due to the fact that they can be digested comparatively quickly. Medical help regarding pre-alcohol meal should be sought in case of any health issues.

Hydrated body: Alcohol decreases the number of anti-diuretic hormones produced by our body, which helps us to stay hydrated. As a result, our body loses precious fluids fast and gets dehydrated at a faster pace. On top of that, increased urination and vomiting (if occurs) brought about by drinking further causes dehydration. Some of the signs of dehydration can be a dry and sticky mouth, decreased urination and headache. So it is really important to swallow a glass or two of water before so that you can start drinking with your body already hydrated with necessary fluid. In this context, it is also necessary to keep your body hydrated throughout. Maintaining a healthy alcoholic to non-alcoholic beverages ratio during the consumption process is always the best idea.

Sufficient sleep: Alcoholic drinks can interfere with our sleep. It disrupts the Rapid Eye Movement (REM) sleep and accelerates our metabolism. Hence our body becomes more alert than general and sleeping becomes difficult. It is advisable to avoid alcohol, if you had slept poorly the previous night and looking forward to a good night’s sleep. If you wish to discuss any specific problem, you can consult a dietitian-nutritionist.

5 people found this helpful

We been trying to conceive since a year and half. I have pcos, the wrong calculation of days for follicular study led to late ovulation. Now that I have changed my doctor my periods are regular but its been 6 months, done two iui but both failed. Please let me know what can be done for early conception.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
We been trying to conceive since a year  and half. I have pcos, the wrong calculation of days for follicular study le...
Each iui has chance of 20-25% for pregnancy. So, never lose hope when 2 iuis have failed. At least 3 iui should be done before shifting to next step.
2 people found this helpful
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