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Dr. Shree Laxmi Pathak

Gynaecologist, Mumbai

165 at clinic
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Dr. Shree Laxmi Pathak Gynaecologist, Mumbai
165 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. Shree Laxmi Pathak
Dr. Shree Laxmi Pathak is a trusted Gynaecologist in Mumbai, Mumbai. You can consult Dr. Shree Laxmi Pathak at Lions Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Shree Laxmi Pathak 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 34 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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Flat No 323, D Narayan Niwas, Dr Ambedkar Road, Matunga. Landmark : Opp Petrol Pump, MumbaiMumbai Get Directions
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Hello Doctor, I'm newly married, I do not want my pregnancy now, I got some blog they mention period after 14 days to next period cycle sex without precautions is safe sex. is this 100% true fact. Which is right day after period for safe sex. thanks in advance.

MBBS
General Physician, Jalgaon
Please From 1st day of menstrual cycle to 10 th day of menstrual cycle is safe From 11th to 20 th of menstrual cycle it is unsafe From 21 St to 30th it is safe.
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Dr. I feed her milk with spoon. Actually I do not have enough breast milk from earlier itself. Inspite of taking all tablets that increase milk I do not have enough milk. N now only a small amount of milk is produced by my body. And Dr. said dat no prblm as nw she has started eating everything n as she is eating everything in liquid form except milk. Is der any prblm?

MBBS
General Physician, Delhi
Dr. I feed her milk with spoon. Actually I do not have enough breast milk from earlier itself. Inspite of taking all ...
If your baby is active, healthy and playful then there is nothing to be worried about. But further to make your baby's diet more wholesome as she is now 10 months you can add 1. Mashed banana 2. Soaked and crushed cereals 3. Top milk (preferably cow's milk) 4. Mashed boiled eggs 5. In addition to as much breast milk she intakes feed her as many times she wishes. Frequent meals without a long gap in between help children grow best.
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Mera monthly periods 1.5 month se nahi aa raha ha. Mujhe bhut weakness mahsush ho rahi hai. Mera homoglobin 9.8 hai. Meri age 30 years hai. Please mujhe koi dawa, tonic bataiye jisse mere sarir kamjori dur ho jaye. Mujhe gas ki bhi problom hai.?

Advanced Aesthetics
Ayurveda, Gulbarga
Mera monthly periods 1.5 month se nahi aa raha ha. Mujhe bhut weakness mahsush ho rahi hai. Mera homoglobin 9.8 hai. ...
Such as eating disorders, significant weight loss or gain, anemia, menopause, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health conditions. Lifestyle triggers like increased exercise, smoking, alcohol abuse, caffeine, travel, stress, and certain medications and birth control pills can also contribute to this problem. Treatment home remedies aloe vera aloe vera helps treat menstrual irregularities naturally by regulating your hormones. 1. Extract fresh aloe vera gel from an aloe leaf. 2. Mix in one teaspoon of honey. 3. Consume it daily before having your breakfast. 4. Follow this remedy for about three months. Note: do not use this remedy during your periods turmeric being a warming herb, turmeric is also considered helpful in regulating menstruation and balancing hormones. Its emmenagogue properties help stimulate menstrual flow. Moreover, its antispasmodic and anti-inflammatory properties relieve menstrual pain consume one-quarter teaspoon of turmeric with milk, honey or jaggery. Take it daily for several weeks or until you see improvement you can also take turmeric in supplement form; consult your doctor for proper dosage a combination of dried mint and honey serves as a good ayurvedic remedy for irregular menstrual periods. It also helps ease menstrual cramps. 1. Simply consume one teaspoon of dried mint powder mixed with one teaspoon of honey. Repeat three times a day for several weeks for treatment consult privately any queries inform me.
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I am 4+ months pregnant. When I should take injection for tetanus and how many times.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 4+ months pregnant. When I should take injection for tetanus and how many times.
If this is first pregnancy take inj tt 6, 7, 8th month of pregnancy. If its 2nd / 3rd and conceived within 5 years of 1st preg/ completed course of tetanus toxoid, take inj tt, 7, 8th month only.
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Menopause- How to tackle it

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Menopause- How to tackle it
Today 18th October is WORLD MENOPAUSE DAY....
Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause.

Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored.

But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.

Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.

Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup.

The worst problemof the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.

Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination.

“What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy).

Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc.

Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke.

Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required.

In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be overemphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.

Hi, this is Ms. Kanchan. My periods were due on 16th Dec and still haven't come till date. I also had a urine pregnancy kit test done at home. Result was negative. I am still wondering why it still haven't come. Please help. Thank you in advance.

MBBS
General Physician, Faridabad
Hi, this is Ms. Kanchan. My periods were due on 16th Dec and still haven't come till date. I also had a urine pregnan...
pregnancy test sould be done at least after 7 day of missing cycle only then it will show result. thanks
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Hello doctor. I am 11 weeks pregnant, from last 2 weeks getting different type of sensation on my back. Its lik electric shock feeling. Frequently im getting this typ of feeling. I dnt kno how to determine this. I do not kno any other name to mention fa it. Im getting this kind of shooting pain wen I walk. Why im getting this kind of sensation on my back. I am scared pls any body help me.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Kanpur
Hello doctor. I am 11 weeks pregnant, from last 2 weeks getting different type of sensation on my back. Its lik elect...
Tingling sensation on back especially if it shoots down the spine is not commonly seen during pregnancy. This might be parasthesia which occurs due to abnormalities in nerve signals. You must see your doctor an Orthopedic doctor to rule out any spine issues like disc prolapse Backache is a common symptom during pregnancy and it is dull muscular pain . The backache of pregnancy occurs early in morning when you wake up and usually steelers with walking.
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M 22 weeks pregnant it was little bit bleeding in my placenta is it curable and whats the reason for this please guide me n guide me diet to recover this plzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
M 22 weeks pregnant it was little bit bleeding in my placenta is it curable and whats the reason for this please guid...
Hi Bleeding from placenta can become dangerous sometimes. You should take Complete bed rest. That is the only solution for it.
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I am suffering from cyst n I want to know about its remedies n precautions for it n does it affect my immunity n health also.

B.H.M.S,
Homeopath, Muzaffarpur
I am suffering from cyst n I want to know about its remedies n precautions for it n does it affect my immunity n heal...
Hello upasna. You have not mentioned in which part of body you have cyst, and what period, you have? How ever there is two treatment is available 1.--- go to surgeon and get it removed. 2.--------------- is medical treatment which take time in removal. You have asked regarding for cyst-----------you can take homoeopathic medicine--------silicea 200 one drop two times in a day for 21 days and repot for further instruction.
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Can implantation bleeding take place on 3rd day of unprotected sex, even though the guy did not ejaculate?

C.S.C, D.C.H, M.B.B.S
General Physician,
Can implantation bleeding take place on 3rd day of unprotected sex, even though the guy did not ejaculate?
Not if the guy did not ejaculate.Pinkish spotting can be implantation bleeding, and that could happen about 15 days after sex. (If sex was three days before ovulation, and implantation occurred 12 days after ovulation - that makes 15 days.) Light bleeding could also be the start of your period.
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Is there anal sex is safe? We both enjoy to do it It should be done with condom? Should I use coconut oil?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
It's not harmful. If you enjoying then it's good. You can also do with condom. For relaxation you can use some lubricant oil.
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I am 33 weeks and 2 days pregnant and my due date is on August 24. But for last two days I am having severe pain in my vaginal area both inside and outside but the baby movements are frequent and normal. Some pressure like pain while walking and standing. Is it normal?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 33 weeks and 2 days pregnant and my due date is on August 24. But for last two days I am having severe pain in m...
This pain could be either growing pain or may be the baby is trying to have movements sliding down towards your lower pelvic are ,which usually is the case in last few weeks of pregnancy, when the babies head gets fixed, for better understanding you may get an ultrasound done to see for the cause, for any further information or assistance you may get back to us.
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Not having periods this month. My periods time is between 1-10 every month. But this time till now nothing.

BHMS
Homeopath, Faridabad
Not having periods this month.
My periods time is between 1-10 every month.
But this time till now nothing.
Hello. If you are having sexually active life, get your urine tested for pregnancy otherwise will have to get ultrasound (pelvis) done to rule out other possibilities.
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Took I pill a month ago. Got the periods however two weeks late. Or delayed. Initially there were white discharges and abdominal cramps; however, everything is fine as of know and I even took four (4) home preg tests each after a gap of a week all were negative. Can we worry about pregnancy?

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Took I pill a month ago.
Got the periods however two weeks late. Or delayed.
Initially there were white discharges an...
Hi, hope you are not pregnant. Early pregnancy signs seen some extent, period delay means there is irregular hormonal cycle. Try to test tsh, lh, prl and estradil to get information about the status and go for ultrasound pelvis to know the follicles in ovary count and status. Then prepare for pregnancy with proper guidance.
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I am having cysts in my ovary. My medicines r continuing..but still this pain is not going what shall I do??

MD - Alternate Medicine, BHMS
Homeopath, Surat
what is your age? are u married or not, need your obstetric history and also need to see your USG report. by this history, known by gynaecologist, you taking allopathic medicines, then you need to go for other mode of treatment... homoeopathy works good in such cases...if possible contact 8460523004 for your pcod
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Homeopathic Approach to SINUSITIS

BHMS
Homeopath, Sindhudurg
Homeopathic Approach to SINUSITIS
Homeopathic Approach to SINUSITIS-

Homeopathy is strongly indicated in all cases of sinusitis. Homeopathic treatment en routes for rejuvenating one’s immunity towards such attacks. A constitutional homeopathic treatment can completely cure the recurrence of this disease. Homeopathic remedies facilitate drainage of mucus relieving sinus congestion, reduces inflammation in the sinuses, relieve pain and pressure by clearing the infection. It also prevents the formation of scar tissue and avoids permanent damage to the tissues lining the nose and sinuses. The constitutional approach enhances the vitality of the patient and eliminates the entire allergic predisposition hence impeding recurrent infections. Homeopathic treatment is safe and effective for both children and adults. Homeopathy can be an exceptionally successful approach in decreasing susceptibility in acute and chronic infections, as well as in treating the infection itself. The homeopathic constitutional approach always considers the illness in the context of the whole person taking into account the mental, emotional, physical symptoms and the circumstances surrounding their lives. Its purpose is balance and harmony on all levels by enhancing the body’s own defenses. Homeopathic remedies are natural, gentle, safe and easy to take
Self Care Measures
Manage your allergies and keep away from known allergens.
Avoid exposure to cold air.
Reduce stress.
Steam inhalation.
Drink plenty of fluids.
Use appropriate hygiene measures and avoid contact with people who have colds and other viral upper respiratory infections.
Avoid cigarette smoke in your home and workplace.
Consider using a humidifier.
Use saltwater nasal washes to help keep the nasal passages open and wash out mucus and bacteria.
Warm salt water gargles.
Avoid blowing your nose as this may force thick mucus back into your sinuses and block them.
Walk in open air.
-DR RUSHALI ANGCHEKAR
VAIBHAVI HOMOEO CLINIC
VENGURLA
9404447484
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Me and my gf had sex on 3 July . She had a Ipill within one day only but still no sign of period as her periods used to come on 21 only . Do we need to consult a doctor. After how many days normally pregnancy gets detected. Please hlep.

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Hi lybrate-user, ipill is not 100%effective in preventing pregnancy, if she has missed her period then do a urine pregnancy test n confirm, if it's neg you can wait 4-5 days for your periods n if positive then consult a gynaecologist.
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Hi, I was taking Yasmin contraceptive for last 2 years. I leave it taking from last month. After that we had sex with condom. But this month I miss my periods that sapoused to be happen on 6th of March. I did test for pregnancy on 16 th march it's negative. Till now no periods. What should I do now. Pleas help.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi, I was taking Yasmin contraceptive for last 2 years. I leave it taking from last month. After that we had sex with...
U need to keep repeating the test every week till you get menses. If already 21 days passed from the date of sex and then urine test was negative then you can not be pregnant. Still you wait for your menses to come on its own for another month.
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After taking lactare tablets there is no much increase in the production of breast milk please suggest me the best as I am unable to feed baby?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
After taking lactare tablets there is no much increase in the production of breast milk please suggest me the best as...
There is no medicine known to increase brest milk production.It is controlled by a complex mechanism of touch & pressure of breast leading to chain of harmones production resulting in breast milk secretion.In short it is demand & supply mechanism,more a child sucks more he gets Exclusive.Breast feed your child at least for first5-6 months.You can express milk if child is unable to take due to any reason to ensure constant supply.
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