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Dr. Sachin Dalal

Gynaecologist, Mumbai

500 at clinic
Dr. Sachin Dalal Gynaecologist, Mumbai
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Sachin Dalal
Dr. Sachin Dalal is a renowned Gynaecologist in Bhandup West, Mumbai. He is currently associated with Madhu Polyclinic & Nursing Home in Bhandup West, Mumbai. You can book an instant appointment online with Dr. Sachin Dalal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 38 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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Madhu Polyclinic & Nursing Home

Mini Apartment, Jungal Mangal Road, Bhandup West. Landmark: pposite Sarvodaya Nagar, Mumbai Get Directions
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Polycystic Ovarian Syndrome.

PCOS

Polycystic ovary syndrome (PCOS), also called hyperandrogenic anovulation (HA), or Stein?Leventhal syndrome, is one of the most common endocrinedisorders among women. PCOS has a diverse range of causes that are not entirely understood, but there is evidence that it is largely a genetic disease.

PCOS produces symptoms in approximately 5% to 10% of women of reproductive age (approximately 12 to 45 years old). It is thought to be one of the leading causes offemale subfertility and the most frequent endocrine problem in women of reproductive age. Finding that the ovaries appear polycystic on ultrasound is common, but it is not an absolute requirement in all definitions of the disorder.

The most common immediate symptoms are anovulation, excess androgenic hormones, and insulin resistance. Anovulation results in irregular menstruation,amenorrhea, and ovulation-related infertility. Hormone imbalance generally causes acne and hirsutism. Insulin resistance is associated with obesity, type 2 diabetes, andhigh cholesterol levels.The symptoms and severity of the syndrome vary greatly among those affected.

CAUSES:

PCOS is a heterogeneous disorder of uncertain cause.

The severity of PCOS symptoms appears to be largely determined by factors such as obesity.

PCOS has some aspects of a metabolic disorder, since its symptoms are partly reversible. Even though considered as a gynecological problem, PCOS consists of 28 clinical symptoms.

Even though the name suggests that the ovaries are the cornerstone of disease pathology, cysts are a symptom instead of the cause of the disease. Some symptoms of PCOS will persist even if both ovaries are removed; the disease can appear even if cysts are absent. Since its first description by Stein and Leventhal in 1935, the criteria of diagnosis, symptoms, and causative factors are subject to debate. Gynecologists often see it as a gynecological problem, with the ovaries being the primary organ affected. However, recent insights show a multisystem disorder, with the primary problem lying in hormonal regulation in the hypothalamus, with the involvement of many organs. The name PCOD is used when there is ultrasonographic evidence. The term PCOS is used since there is a wide spectrum of symptoms possible, and cysts in the ovaries are seen only in 15% of people.

PCOS may be related to or exacerbated by exposures during the prenatal period, epigenetic factors, environmental impacts (especially industrial endocrine disruptors such as bisphenol A and certain drugs) and the increasing rates of obesity.

Not everyone with PCOS has polycystic ovaries (PCO), nor does everyone with ovarian cysts have PCOS; although a pelvic ultrasound is a major diagnostic tool, it is not the only one.

DIET AND MANAGEMENT:

The primary treatments for PCOS include: lifestyle changes, medications and surgery.

Goals of treatment may be considered under four categories:

Lowering of insulin resistance levels
Restoration of fertility
Treatment of hirsutism or acne
Restoration of regular menstruation, and prevention of endometrial hyperplasia and endometrial cancer
General interventions that help to reduce weight or insulin resistance can be beneficial for all these aims, because they address what is believed to be the underlying cause.

As PCOS appears to cause significant emotional distress.

LIFESTYLE CHANGES:

If you are overweight, weightloss may be all the treatment you need. A small amount of weight loss is likely to help balance your hormones and start up your menstrual cycle and ovulation.
Eat a balanced diet that includes lots of fruits, vegetables, whole grains, and low-fat dairy products.
Get regular exercise to help you control or lose weight and feel better.
If you smoke, consider quitting.
Modern science has no remedy for PCOS. They have been looking at Alternative therapies for treatment. The chinese system of medicine believe PCOS is coneected to the liver. Ayurveda believes that PCOS is a Kapha disease.

Homeopathy/Biochemistry is a complete system that can treat this system and help the woman realise her dream. Your homeopath/Biochemist will take a complete casetaking and will arrive at the right remedy after going through your symptoms. Some of the important remedies in PCOS are:

Apis mellifica, Aurum iodatum, Calcarea carbonica, Colocynthis, Kali bromicum, Phosphorus, Thuja occidentalis.


4 people found this helpful

What happen when we did sex during pregnancy? And what happen when we did sex after delivery?

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
have sex in second trimester gently and slowly. during lactational amenorrhoea unprotected sex is safe
1 person found this helpful
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IUI: This is Important for ALL Women to Know

MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
IUI: This is Important for ALL Women to Know

What all women should know about IUI

Intrauterine insemination or IUI is a form of artificial insemination that involves the sperm being placed inside the uterus of a woman for bringing about fertilization. The aim of this procedure is to enhance the number of sperms that successfully reach the fallopian tubes and fertilize an egg, thereby increasing your chances of getting pregnant. Depending on the cause of your infertility, the procedure can be synchronized with fertility drugs or your ovulation cycle.

When should you go for IUI?

While reduced sperm mobility or a low sperm count may be the reason this procedure is opted for, there are certain conditions that may cause you and your partner to opt for IUI:

  • If the cause of your infertility doesn't have any medical explanation
  • Problems with ejaculation affecting the release of semen
  • Problems associated with cervical mucus can hinder the journey of the sperm from the vagina to the fallopian tubes
  • Scarring of the cervix due to past surgical procedures, rendering the sperm unable to enter the uterus

At the same time, the procedure is not recommended for women who suffer from:

  • A disease of the fallopian tubes
  • Past episodes of pelvic infections
  • Mild to severe endometriosis (a condition wherein the womb's lining grows outside it)

What happens after IUI?

The procedure takes up only a few minutes of your time and causes very little discomfort. Following the procedure, you'll be told to lie on your back for a short period of time, after which you can get back to your normal routine the same day. You can expect instances of light spotting, which will go away after two days.

'Consult'.

Related Tip: 6 Nutrients Women Need The Most

3702 people found this helpful

Yesterday had a condom leak and I am doubtful if there had a sperm leak too. Can you suggest any emergency contraceptive pill like ipil. When I checked, heard that ipill is banned.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Yesterday had a condom leak and I am doubtful if there had a sperm leak too. Can you suggest any emergency contracept...
Hi lybrate-user. Welcome to lybrate. Condoms leakage can definitely make you pregnant. Please do take an emergency contraceptive. You can take I pill. Its definitely not banned. Hope this information helps you. All the best.
6 people found this helpful
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Why Men Die Younger Than Women

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Why Men Die Younger Than Women

Dr. Sharmila majumdarsexologist

Men are known to be alexthymics where they prefer bottling up their feelings and not seeking family or social help.

Sex differences in mortality and admissions to hospital emergency departments have been well documented. These studies confirm that males are more at risk than females. Males are more likely to be admitted to an emergency department after accidental injuries, more likely to be admitted with a sporting injury, and more likely to be in a road traffic collision with a higher mortality rate.

Some of these differences may be attributable to cultural and socioeconomic factors: males may be more likely to engage in contact and high risk sports, and males may be more likely to be employed in higher risk occupations. However, sex differences in risk seeking behaviour have been reported from an early age, raising questions about the extent to which these behaviours can be attributed purely to social and cultural differences. However, there is a class of risk the idiotic risk that is qualitatively different from those associated with, say, contact sports or adventure pursuits such as parachuting. Idiotic risks are defined as senseless risks, where the apparent payoff is negligible or non-existent, and the outcome is often extremely negative and often final.

Men and help seeking behaviors - there is a growing body of research to suggest that men are less likely than women to seek help from health professionals for problems as diverse as depression, substance abuse, physical disabilities and stressful life events. The investigation of men's health-related help seeking behaviour has great potential for improving both men and women's lives and reducing national health costs through the development of responsive and effective interventions.

Studies comparing men and women are inadequate in explaining the processes involved in men's help seeking behaviour. However, the growing body of gender-specific studies highlights a trend of delayed help seeking when they become ill. A prominent theme among middle class men implicates traditional masculine behaviour as an explanation for delays in seeking help among men who experience illness. The reasons and processes behind this issue, however, have received limited attention. Conclusions. Principally, the role of masculine beliefs and the similarities and differences between men of differing background requires further attention, particularly given the health inequalities that exist between men of differing socio-economic status and ethnicity. 

Gender differences in social behavior what are the causes of sex differences and similarities in behavior? some causes can be traced to human evolutionary history, especially the ways that the division of labor is influenced by biology and environments. A human universal--in all known societies--is a division of tasks so that men do some things in society and women do others. The specific activities in a society depend on what tasks can be performed most efficiently by each sex, given men's greater size, strength, and speed and women's bearing and nursing children. The division of labor structures psychological sex differences and similarities. By observing the activities of women and men in their society, people form gender role beliefs. For example, given that women perform more childcare than men in most industrialized societies, women are believed to be especially nurturant and caring. Given that men are more likely than women to hold higher status jobs in industrialized societies, men are believed to be especially dominant and assertive. Gender roles then influence behavior through social and biological processes. In social interaction, people respond more favorably to others who conform to gender role. Women and men also might incorporate gender roles into their own personal identities 

Additionally, hormonal processes support role performance (e. G, testosterone increases in women and men before athletic competitions; through the research below, we have shown how social roles account for sex differences in group emotional experience and group performance recent research, we explain how women's roles influence menstrual cycles in society along with women's mate preferences. Further more the hormone estrogen protects the women's heart and adds longevity to their lives.

17 people found this helpful

Hello Dr. I want to know what is little phase and is it compulsory to have orgasm for pregnancy me and my wife are trying from since 11 mnts with all normal reports? My wife M.S date is 23 March when will ovulation occurs?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Hello Dr. I want to know what is little phase and is it compulsory to have orgasm for pregnancy me and my wife are tr...
Pregnancy depends on many things starting from doing sex In right days. If your periods are regular than 10-16 days are the time when you indulge in the act chances of conceiving is high. Consult if you are doing sex in sex in right days but still you are not conceiving. We will discuss it in details about other things which you shall do for pregnancy.
2 people found this helpful
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Hi I am a 20 year old women (just turned 20 last month. I had an i-pill within 24 hours of having sex with my bf just after 4 days of my periods last month (17th april. He inserted in me. After 5 days of the i-pill I faced some white discharge for a while. And now from the past 3 days I have been having symptoms like tender breast, cramps and withdrawl bleeding and yesterday I started getting back ache. My next periods are due on 5th. I am really worried that I might be pregnant. Please help me. And I know that a test would be of no use till 5th. I am very worried about myself. What do I do?

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
You need to have a regular cycle while using the calendar method. It works best when you have a 28 to 30 days cycle. You need to opt for the artificial measures if your periods are irregular. You can opt for oral contraceptives in this case or may use a barrier method. The calendar method shall also be effective in case your period lasts for less than 28 days. Take a calendar and pencil the dates which are safe and those which are not. This is the best way to track your infertile and fertile days. You need not calculate manually and keep in mind the days when you had unprotected sex. Make sure to track your period pattern for at least a year so that you can establish a pattern. Keep a note of the start and the end date of your cycle. You can use the rhythm method when you have the basic pattern right. Mark the first day of your cycle and count days until the next cycle starts. Your safe days are 8 days before beginning of your next cycle. The 9th to the 18th day is said to be the most unsafe as you start ovulating at this time. It is better to avoid sexual intercourse at this time if you don? t want to get pregnant. You must be careful of the sexually transmitted disease at this time, as the calendar method does not protect from the disease in any way.
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If I had the history of benign serous cystadenoma will there be any problem in future .I was operated when I was 17 and my right ovary was removed. Now I am 26 and trying to conceive. Please guide me if any precautions need to be taken.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
If I had the history of benign serous cystadenoma will there be any problem in future .I was operated when I was 17 a...
hi Urvashi ,since you have only one ovary you need to check for egg reserve so as to understand your fertility potential. you should plan baby early so as to avoid future complications. if egg reserve is low then you may have to take treatment for fertility.
1 person found this helpful
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A Healthful Diet

BHMS
Homeopath, Mumbai
A Healthful Diet

A healthful diet should contain and should emphasize the following:
1. You should eat about 2 cups of fruit and 2.5 cups of vegetables per day. Try to pick from the different subgroups of vegetables, including dark green vegetables, orange vegetables, legumes and starchy vegetables.
2. You should get 3 or more ounce-equivalents of whole grain products per day, with the rest of your carbohydrates coming from either enriched or whole grain products.
3. You should have 3 cups per day of fat-free or low-fat milk or equivalent milk products.
4. To round out your diet, you should get protein from lean meats as well as eggs, nuts and legumes.

3 people found this helpful

Had unprotected sex on the 7th day of cycle What are the chances for pregnancy? Is I Pill suggested for avoiding the pregnancy?

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Had unprotected sex on the 7th day of cycle
What are the chances for pregnancy? Is I Pill suggested for avoiding the ...
Hi lybrate user, if ur periods r regular 28 to 30 days cycles then 7th day is a safe period, there is no need of any contraception, even ipill is not 100%effective in preventing pregnancy.
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I am 23 years old woman. While intercourse, initially I have no problem, but after 10-15 minutes vaginal wetness & slipperiness tends to become low, and feel some discomfort. We don't use artificial lubrication. So, How I could be lubricated naturally?

MBBS
General Physician, Bhubaneswar
For natural lubrication, get into the mood of sex.Secondly, foreplay is important. Do nt use artificial lubricants.
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Which is the best sex time for ladies after periods for pregnancy? After how many days.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
To get pregnant you need to have regular sex i. E. 3-4 times a week for one full year before you start seeking medical help. If you want to make her pregnant fast then you can follow this calender method. If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26 days) minus 18 days = 8th day. The longest cycle (31 days) minus 10 days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period.
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I had my periods on the last month of 5th and this month till now I don't have my periods. I had some intercourse on the last month before my periods but last month I had my normal periods after my periods I didn't had any intercourse. But why my periods are too late this month. I'm getting little worried.

MBBS
General Physician, Chandigarh
I had my periods on the last month of 5th and this month till now I don't have my periods. I had some intercourse on ...
If you didn't have intercours then nothing should happen but to be doubly sure do get your urine tested for pregnancy and if the report is negative then get the medicines prescribed to get your periods.
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Hi I am 30 weeks 3 days pregnant. From 3 days I am having white discharge I dont know weather it is white discharge or amniotic fluid .If it is amniotic fluid how can I identify it? I have watery white discharge problem since my 3 month of pregnancy so that I am unable identify weather it is amniotic fluid r white discharge. I am very much tensed about dis. I can't discuss all these to my doctor because she ll be busy bcz it's a hospital soo please give me a solution for dis.

MBBS, M.D Obstetrics and Gynaecology
Obstetrician, Delhi
Hi I am 30 weeks 3 days pregnant. From 3 days I am having white discharge I dont know weather it is white discharge o...
Hello It is more likely that you have Vaginal discharge rather than leakage of amniotic fluid. However to be sure you need a simple examination. Vaginal discharge is usually thick whereas amniotic fluid is watery & profuse. Since you are 30 Wks pregnant, you should not delay a visit to gynaecologist because amniotic fluid leakage at this time can have serious consequences.
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Hi my wife give birth to a girl baby and baby Is healthy. But my wife has changed​ a lot in her weight, black marks on face, breast is very big. Pls suggest me what is the solution for this.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi my wife give birth to a girl baby and baby Is healthy. But my wife has changed​ a lot in her weight, black marks o...
Breast can be reduced by exercises or surgery. To lose weight, you must burn more calories than you consume a day from your diet, if you burn 3000 calories, you’ll lose a pound a week. People who lose weight slowly, about 1 to 2 pounds per week, are more successful at keeping the weight off. You'll also burn additional calories if you increase your physical activity. You weight-loss plan should do all of the following: •Emphasize fruits, vegetables, whole grains, and fat-free or low-fat dairy products. •Include lean meats, poultry, fish, beans, eggs, and nuts. •Contain foods low in saturated fats, avoid trans fats, and limit cholesterol and salt (sodium). •Avoid refined sugars and processed foods. Some tips to help you lose weight: •Keep a food diary. Writing down everything you eat is critical! Noting how you feel when you eat will help you identify emotional triggers that may cause you to overeat. Emotional eaters tend to overeat. •Eat when you're truly hungry rather than when you're tired, anxious or stressed. •Eat slowly. If you eat too fast, you eat more than you need to satisfy your hunger. Your brain needs time to catch up with your stomach. •Plan your meals ahead of time so you make healthy choices. When dining out, check the menu online and decide what you will order before you sit down. Ask for dressings on the side. Opt for foods that are baked, broiled or steamed versus fried or swimming in creamy sauces. Avoid chips and bread baskets—they add unnecessary calories. •Stay hydrated. People often mistake thirst for hunger. •Eat breakfast. If you skip this meal, you'll be starving by lunchtime. You'll have more difficulty making healthy choices throughout the day. Find resources to help you keep track of your food choices and nutritional values and that can offer additional support when you need it. Exercise for Belly Fat Not only females but also males desire to have flat belly. Read on and find about the best exercises for losing belly fat. Fight your belly fat with the right kind of exercise and the right diet. Belly fat can be effectively reduced with abdominal exercises. They help you to tone the abdominal area apart from enhancing the flexibility of the area. The most important point is that they resist the accumulation of fat around the belly region. The only thing that you must keep in mind is that you must regularly perform these exercises and be patient as nothing happens overnight. Exercises for Losing Belly Fat Some very simple but effective exercises to Lose Belly Fat Stretch 1 – Lie down on a floor mat. Position your legs vertically up and stay in this position for 5 to 15 seconds. This can be repeated thrice. Stretch 2 – Lie down on a floor mat. Stretch your legs straight. Place your hands behind your head and lock your fingers. Now raise your torso and bring it towards your knees. Stay in this position for 5 to 10 seconds and slowly return to your lying position. Repeat this for 15 times in sets of 5. Stretch on Chair – Lie down on a floor mat and position yourself with a chair so as to raise your legs on the chair. Your legs should be at 90 degree to the rest of your body. Place your hands behind your head and clasp your fingers. Now lift your torso and rise up as if you want to touch the knees. Continue for 15 minutes and repeat in sets of 3 or 4. Cycling – Lie down on a floor mat. Raise your legs and rotate them as if you are pedalling a cycle vigorously. Repeat the exercise for five minutes in sets of three. Breathing Exercises to Lose Belly Fat Let us briefly understand on how these work. Oxygen acts as fuel for the body. The extra oxygen that you inhale while performing the breathing exercises result in certain chemical reactions that in turn burns up more calories than you actually take in. You lose extra fat. Pavanmuktasan – for practising Pavanmuktasan, take a deep breath as you lie on your back. Bend you left knee, hold your toes and pull it towards your stomach. Simultaneously lift your head and touch your bent knee. Your other leg must be straight. Breathe in and count ten. Return to your original position and breathe out. Repeat the set with your right leg. Bhujangasan – for practising Bhujangasan lie on your stomach and place your hands under your shoulders. Lift your torso backwards using only the back muscles and not your hands. Hold your breath for 5-10 seconds and slowly return to your original position as you breathe out. Dhanurasan – Lie on your stomach and bend your knees. Hold your ankles as you breathe in. Push your body outwards in the shape of a bow and pull your head back as much as possible. Hold this position for 10 seconds and release the posture as you slowly breathe out. Apart from these there are aerobics that also help you to lose belly fat. Regular simple workouts, like jogging, walking up and down through the stairs fast also helps to shed those stubborn belly fat. But remember, it is always advisable to seek the advice of a fitness instructor before you decide as exercise regimen for yourself in order to get the maximum results.
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I got married 2 years ago. Intercourse not happened because of a small vagina and fear in her mind. After physical examination by a doctor she is suggested to undergo hymenotomy. After hearing this she don't want to go for it. Again we tried. Now it is a bit better by using tazzle 10 mg for me and KY JELLY for her. But penis not crossing the hymen. And we are not getting enough interest to start even. How to overcome this problem? Any medicine to be taken to get interest? And any medicine to break the hymen?

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Dear Lybrate user, Proper answer to your query can be given only after examination. It is rare for hymen to be tough. Mostly, it is psychological barrier which is responsible. One doctor has already examined. If the hymen is actually tough, Hymenotomy is the answer. Medicines will not help. You can obtain second opinion if you are doubtful. The surgery is a simple one done under anesthesia. Since the act has not been successful so far, gradually the interest wanes off.
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Hi, I want deep sex please confirm how many inches normally a women can consume while sex in her vagina or anal or mouth please help. I am going to marry next week.

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 Lybrate user. A women can take up to 10 inches of penis inside her vagina and anus in erect condition. For oral it is just 5 inches. Take care.
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She is 21 weeks pregnant and she is suffering from cold and throat infection and cough. Please suggest Wat tables can use please remember she is pregnant.

MS - Obstetrics and Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Mumbai
She is 21 weeks pregnant and she is suffering from cold and throat infection and cough. Please suggest Wat tables can...
Warm same water gargles, steam inhalation will help. Since prescription is not allowed in this portal, please feel free to message me privately.
3 people found this helpful
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10: 07 amHi 10: 08 amI am a male Im married a year ago Have no children yet 10: 09 amMy mother in law takes my wife to a local doctor for consultation The doctor told she was still a virgin 10: 10 amHow that could be possible We at least have 4 to 5 times sex in a month Waiting for your reply 10: 13 am?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
10: 07 amHi
10: 08 amI am a male
Im married a year ago
Have no children yet
10: 09 amMy mother in law takes my wife t...
Hi lybrate user, please consult proper gynaecologist for proper examination. You need proper evaluation for why it is not working. Have a sex between day 8-18 of the period if having normal period.
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I am trying to conceive ,I used pills but stopped using one and half year I.E1 1/2 we used other natural way to avoid pregnancy .We stopped it last June , we trying to conceive from November . Till now there is no luck and my age is 24 and I am overweight we have completed 2years of marriage .

MD - Obstetrtics & Gynaecology
Gynaecologist, Kolkata
You will have to consult a Gynaecologist. You may be a case of PCOS, an ovulatory disorder. Also husband's Semen has to be examined.
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