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Dr. Drambuja

MBBS

Gynaecologist, panvel

Dr. Drambuja MBBS Gynaecologist, panvel
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Interested in infertility,conduct camps for pap smear,educate school children for adolocent education,workshops for antenatal patients,menopausal ladies regarding cervical cancer ,pap smears...more
Interested in infertility,conduct camps for pap smear,educate school children for adolocent education,workshops for antenatal patients,menopausal ladies regarding cervical cancer ,pap smears
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She studied and completed MBBS . You can book an instant appointment online with Dr. Drambuja on Lybrate.com.

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MBBS - A J Institute of Medical Sciences & Research Centre, Mangalore -
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Academy of Microscope Enhanced Dentistry (AMED)

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Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

  • Extreme thirst and hunger
  • Frequent urination
  • Sores or bruises that heal slowly
  • Dry, itchy skin
  • Unexplained weight loss
  • Unusual tiredness or drowsiness
  • Tingling or numbness in the hands or feetsymptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
8 people found this helpful

Health benefits of TEA

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
Health benefits of TEA

Health benefits of TEA

1. Green Tea boosts metabolism and contains antioxidant.

2. White Tea has antibacterial and antiviral properties.

3. Black Tea can help lower blood pressure and prevent heart disease.

4. Mint Tea helps treat bloating and aids digestion.

3 people found this helpful

I am 30 years female and gave birth to a baby girl few days back. But in the early stage what precautions should I take to build a healthier growth of my baby. Please suggest.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hope you are feeding her. Babies fed on mother's milk rarely fall sick. Remember the baby was surrounded by a sterile environment while you carried her for 9 months at 37 degree temperature. Hygiene & temperature are very important. Daily bath, soft cotton clothes with no synthetics. I am not for synthetic diapers too, keep them for outside (if you have to go out otherwise avoid) use cotton diapers only. No water is needed or top feeds. Stomach is tiny, feeding has to be every 2 hours which gradually increase to 3 hours and at 3 months babies do give a gap of 4-5 hours. Avoid too many visitors as infection risk is high. Maintain temperature of ac around 30, not lower. About you- eat a high protein food like milk, curds, nuts, pure ghee, butter but no junk food. Eat food which promote lactation- dates, ajwain, jeera, heeng & lots of water. Weight of baby increases to double the birth weight at 3 months when the neck of baby is settled and stable. If birth weight is 3 kg, expect the baby to be 6 kgs at 3 months and 10 kgs at 1 year. Do ask about other doubts. I presumed that you are feeding & no solids before 5 months.
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Dear Sir/madam, I am 29 years old married male, want to get my wife pregnant, which position during intercourse helps in deeper penetration, please suggest.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Mr Lakshmikant, you try sex in supine position with wife down and pillow under buttocks and lie down for 10minutes after ejaculation in same position.
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Sir when we do sex between the menstrual period there is a chance of pregnancy in that case? Should do in that period?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Menstrual cycle begins on the first day of your period and continues up to the first day of your next period. Most fertile period is at the time of ovulation, (when an egg is released from your ovaries) which usually occurs 12-14 days before next period starts. So it is impossible to get pregnant when you have sex during menses.
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I am 26 years old I am trying for baby since 1 yr. My period is irregular ,my doctor suggests me follicular study .at 10 day my right ovary 8 mm and left is 7 mm and endometrium t/t is 5.2 and 13 day rt ovary nd left ovary is same size and endometrium t/t is 6 mm. After that my doctor giving me hcg5000 I.u injection .Tell me that injection increases my follicle size? And when I am ovulating? Suggest me any medicine and treatment for increase my follicle size soon. And this injection is safe for me or not?

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
Hi I understood your concern 1 inj. Hcg will help to rupture ovarian folllicle which has reached up to 18-20 mm. It does not increase size. Its absolutely safe 2 you will ovulate after 36 hrs of giving injection 3 to increase follicle size, either you go for tablets like clomiphene or injection like inj. Fsh/hmg, but this all ideally you should take under exper fertility specialist, with regular monitoring with follicular study thanks.
1 person found this helpful
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I want to adopt a child and feed my breast without getting pregnant, is there any medicine or any process. please suggest.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
There is no process by which we can start milk production in woman without delivering a child. You will need to give formula milk to the adopted baby.
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I am six months pregnant and diabetic and my sugar is not in control what can I do? I am doing whole household work and regular minimum exercise.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, please don't neglect diabetes uncontrolled diabetes can give rise to birth defects in baby. Increase risk of infections in mother can give rise to premature baby. Please consult endocrinologist for control of the sugar.
3 people found this helpful
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My friend is 24 years old, she is having burning sensation after using vaginal hair removal creams (like fem, veet). Is their any safe vaginal hair removal creams for her, if so please prescribe it. Thankyou.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I would advice her not to use any creams in that area as she appears to be sensitive to the components
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Demystified Pregnancy Myths, Related to Food

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Demystified Pregnancy Myths, Related to Food

Everyone knows that a pregnant woman must eat a proper, well-balanced diet to allow normal growth of the foetus. But in many places, including India, nutrition of a pregnant woman is formidably influenced by food fads, religious and cultural beliefs, customs without any certainty about the myths and their real effects. This itself may pose a challenge to the available food choices during pregnancy where every trimester is different but interestingly significant. This span of nine months is really the most challenging period of a woman’s life.

Myth #1: Drinking coconut water regularly will cause the baby to have a good amount of hair and the mother to suffer from acidity.

Reality: A baby normally lays his or her head-down in the third trimester, and the acidity that you may suffer from is caused due to your growing belly. As a woman advances through her pregnancy, the uterus stretches itself and pushes the intestine upwards causing the process of digestion to slow down and is responsible for all the acidity and digestive issues that may even result in constipation.

Myth #2: Cut down the cheese content.

Reality: Cheese, as most people know, is a great source of Zinc, Calcium, Vitamin B12, Protein, Phosphorus and Vitamin A. Some varieties such as Swiss or cheddar are harmless because they pass through rigorous processing and pasteurisation. It is the soft and unprocessed kind of cheese like goat cheese, Feta or Brie, which may cause cheese-borne diseases. So it’s a good idea to eliminate the hard cheese instead of cutting down the cheese in totality.

Myth #3: Consumption of clarified butter while bearing the child eases delivery and helps in quick healing of the uterus during the post-partum period.

Reality: This is one of the most ludicrous food misconceptions related to pregnancy. Ghee or clarified butter neither helps in quick healing of the uterus nor eases childbirth. However, it is a saturated fat and definitely helps in the absorption of EFAs; so it is recommended to consume clarified butter in moderation during pregnancy.

Myth #4: Eating something white in colour early morning will help you give birth to a fair-skinned baby.

Reality: There is no reason to believe this absurd myth. Imagine if it was true, then all the milk and breads and egg whites would have turned everyone white by now. This is nothing more than an inane crap and the colour of the food a would-be mother consumes has nothing to do with the complexion of her baby. It is a matter of pure genetics.

There are countless myths and strange beliefs that you may have come across during pregnancy. So it is always suggested to speak with a gynaecologist to know more about foods and their effects.

1 person found this helpful

Know More About HIV!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Know More About HIV!

AIDS is an acronym for the 'Acquired Immune Deficiency Syndrome'.
--------------------------------------------------------------------------------------------
According to Ayurveda the AIDS disease may be correlated with "Kshaya' or "Ojakshaya' meaning loss of energy.
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The disease is caused by the dominant kapha dosha along with the other doshas tends to block the path for the flow of rasadi dhatus in their respective locations thus resulting in the deterioration of saptha dhatu Rasa(plasma), Rakta (blood cells), Mansa(muscular tissue), Meda (adipose tissue), Asthi (bony tissue), Majja (bone marrow) and the Shukra (reproductive tissue). thus resulting into the disease.

The major symptoms are:
---------------------------------
1)Loss of appetite, drastic loss of weight-emaciation, fatigue and lethargy.
2)Susceptibility to allergies and contagious diseases.
3)Skin irritations.
4)Bronchial disorders, often leading to tuberculosis of the lungs.
5)Damage to intestinal flora resulting in diarrhoea, dysentery, gastritis and wide fluctuations in body temperature.
6)Prolonged fever, sleeplessness etc.

AYURVEDIC TREATMENT PLAN FOR HIV
------------------------------------------------------------
1)The first step to stem the disease is to ensure a good and healthy atmosphere for the patient. He should be surrounded by well meaning friends and relatives who must affirm that the disease state is totally curable. Nothing negative should be discussed before the patient. The patient should be given nourishing food which is easily digestible. He should be encouraged to do easy exercise which does not strain his fragile health. He should be kept engaged in fruitful activities which strengthen the good tendencies inherent in him.

2)Initially, the patient is given tonics and rejuvenators (Rasayanas) to boost immunity levels and to strengthen the system and stimulate appetite.

3)After gaining some strength, shodhana (elimination) techniques are used to expel toxins from the body through enemas, purgation and emesis. The medications administered at this stage are not hard or drastic, but soft, ghee-based so that the patient withstands them with ease.

4)Secondly the blood is purified with appropriate medications. Liver corrective measures also play an important role.

5)A strengthening diet along with medicated ghee preparations and soups is recommended. But spicy, oily and acidic foods are to be avoided. A little alcohol is recommended as anupana (carrier) to aid the digestive process, and also remove blockages in the flow of Rasadi dhatus, i.e. srothorodha.

6)Patient is advised to do regular exercise. If the patient is incapable of exercising or running due to weakness, then steaming (swedanam) is also recommended. reason behind this is 'Heated blood is said to weaken, and even destroy, the virus in some cases'.

7)Experience has shown that certain herbo-mineral compounds prepared as per the formulae prescribed by sages like Agasthya, Charaka, Sarangadhara and others for the treatment of Kshaya have brought about significant results in improving the condition of AIDS patients. The Rasayana and Vajikara effects of the these medicines are good for the patients.

8)Some of the propritery ayurvedic medicines achieving good improvement in the quality of life of patients include 'Chyavanprash', 'Raktavardhak' for Immunity building and 'Sookshma triphla tabs' to keep awaythe the infection.

CHYAVANPRASH:
--------------------------
An example of an Ayurvedic remedy which may be of use in the treatment of persons diagnosed with AIDS is 'Chyavanprash'. 'Chyavanprash' is most useful and most popular rejuvenator tonic(Rasayana) of Ayurveda.

This is an Ayurvedic herbal formula which increases ojas, and restores the digestive, eliminative, respiratory and sexual systems. It is frequently employed in wasting conditions where it has been clinically shown to improve health and assist with weight gain. The main ingredient in Chyavanprash is 'Amalaki'- the Indian gooseberry (Emblica officinalis), which has the highest yield of natural source vitamin C, with 3000 mg per fruit. It is also a rich source of naturally occurring anti-oxidants including bioflavonoids, vitamin B-complex and carotenes (vitamin A). Studies suggest that this berry possesses antifungal, antibacterial and antiviral properties. It assists digestion, lowers high blood pressure and lowers blood cholesterol. Clinical research has shown that it accelerates repair of muscle and skin and enhances natural anti-inflammatory substances. Chayvanprash also contains about 35 others herbs which amplify and augment the effects of its main ingredient; such a powerful formulation may indeed be helpful in the treatment of persons who have been diagnosed with AIDS.

2 people found this helpful

NUTRI TIP

Master Of Science ( Home Science) , B.Sc
Dietitian/Nutritionist, Delhi
NUTRI TIP
Pets can be a great source for your exercise. Especially a dog. Walking dogs, caring for them involves good amounts of physical activity.
165 people found this helpful

Is it possible to have implantation bleeding 14 days post ovulation? I am supposed to get my period Tom. Has a brownish dark red discharge today but no period. This has never happened before. normally period comes in its usual colour. Been trying to conceive for 5 months so could this possibly be implantation bleed or too late for that?

MBBS, DGO
Obstetrician, Mumbai
If your period is due ,it must be the start of your period .wait for another week and see if your periods start or is it just spotting. If its just spotting after another week do pregnancy test to confirm pregnancy.
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As I am of 28, I am having my 2nd pregnancy stage of 2 trimester and all test report were normal but when doctor diagones me at ultra sound machine found that I have more fluid in my uterus. Kindly tell me detail regarding such phenomena as I am worried regarding that as my 1st delivery before 5 years was normal but this time such an issue arise which made to thought what an problem arises. If is their any solution or medication available kindly share me so that I am follow up or any preventive measure or treatment available kindly help me out, and share me details regarding such phenomena. What type of diet I should follow. My weight is 65 kg weight any diabetic issue or any other issues regarding thyroid my all test report are normal but still such issue arises I am of 28, I am having my 2nd pregnancy stage of 2 trimester and all test report were normal but when doctor diagones me at ultra sound machine found that I have more fluid in my uterus. Kindly tell me detail regarding such phenomena as I am worried regarding that as my 1st delivery before 5 years was normal but this time such an issue arise which made to thought what an problem arises. If is their any solution or medication available kindly share me so that I am follow up or any preventive measure or treatment available kindly help me out, and share me details regarding such phenomena. What type of diet I should follow. My weight is 65 kg weight any diabetic issue or any other issues regarding thyroid my all test report are normal but still such issue arise.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Your worry is genuine so long as blood sugar levels and thyroid profile are normal there's no reason to panic at this stage in second trimester may be next ultrasound report done after a month will be. Normal ignore eat less salt keep bp under control get regular antenatal done but don't rely upon technology too much wait for a healthy baby like you had five years ago do share the next report with all of us here.
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I am 26 years female married for 1 and half years. 8 years back when I was 17yr old I had undergone chemotherapy for gem cell tumour and my left ovary is removed surgically. I had given 6 cycle of chemotherapy totally. 4 cycle before the operation and 2cycle after the operation. Chemotherapy is given as an a injection. Which is a combination of cisplatin (30mg each day in a cycle of 5 days) and etosid (150mg each day in cycle of 5 days). I would like to know what is my chance for being pregnant? does this chemo which I undergone can cause infertility.

MS, MBBS
Gynaecologist, Noida
Hello you said yor one ovary is already removed surgically and you recieved chxemotherapy also. Are you getting yor periods regularily? genrally after chemo there are chances of ovarian failured or insufficiency which can be confrmed by usg -tvs and few hormonal tests in case of ovarian failure or insufficiency you can opt for ivf pregnancy with ovum donation
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I am 27 years old but I don't have proper breast structure till now so how can I get proper breast structure in a few months or days please suggest me.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hye. Thank you for your query. Breast size can be dependent on many factors. Here are some remedies you can try. Massaging your breasts regularly is one of the best remedies to naturally increase breast size. A regular breast massage for about 30 minutes every day can effectively increase the breast size. Rub the palms of your hand together as fast as you possibly can. This would generate some heat and energy. After rubbing your hands rapidly together for about 6-10 seconds, place them on the breasts. Rub your breasts inwards (clockwise direction on the right breast and anticlockwise direction on the left breast). Continue rubbing the breasts for about 2 seconds (considered as one count). Follow this with at least 300 counts each in the morning and night every day for a month to effectively increase your breast size. The exercise may take about 15 minutes and you would need to rub your hands together at regular intervals to keep the heat and energy flowing into the breasts. Certain exercises can target the breast muscles and help them grow, thereby increasing your breast size effectively. The following exercises can be done at your home and do not cause much strain on the body as well. Wall Press- Stand straight facing a wall (at arm’s length). Place your palms on the wall and push against it without bending your elbows. Keep pushing for about 10 seconds and take a break. Repeat the exercise for about 20 times each once in the morning and evening for desirable results. Swinging Arms- Stand straight with your arms by your side. Swing both arms in the clockwise direction for about 10-15 counts. Take a small break (about 5 seconds) and swing your arms in the anticlockwise direction next for about 10-15 counts. Repeat this exercise for about 10 minutes at regular intervals throughout the day to effectively increase your breast size. Have a healthy diet. Include whole grains, dairy, nuts, seeds, soy foods, vegetables, legumes, fruits, eggs in your diet. Stay hydrated. Avoid alcohol and smoking.
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One doctor told me that std like hiv will occur. After protected sex also. Means me nd my gf had protected sex during her periods nd doctor told me that hiv can occur. Is this right?

MD - General Medicine
Sexologist, Delhi
It does not give you any 100 protection during sexual intercourse while doing sex with condom, some times condoms leak, or burst or you are transmitted with std, so Dr. Was right.
1 person found this helpful
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Is sex safe during periods? And to get pregnancy at what time we should do sex I mean after ending of period date or before period? please advice me.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Leave four days of periods and four days after periods and leave 10 days before period and you get the period when pregnancy can happen. Other period is unsafe.
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I am 23 years old having pcod and hormonal imbalance. Took krimson 35 last month due to irregular periods. But I have spotting problem and after 28 days I got periods but first day was spotting then next day is heavy then again spotting till 5 th day. Is this normal flow or I need to consult doctor.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, this is normal flow and pattern to be experienced during first cycle of crimson 35. Please continue the pack for next 3-5 months to get desired effect.
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