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Dr. Prarthana Shah

Gynaecologist, Pune

500 at clinic
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Dr. Prarthana Shah Gynaecologist, Pune
500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Prarthana Shah
Dr. Prarthana Shah is an experienced Gynaecologist in Senapati Bapat Road, Pune. You can visit her at Oyster & Pearl Hospital Pvt.Ltd in Senapati Bapat Road, Pune. Book an appointment online with Dr. Prarthana Shah and consult privately on Lybrate.com.

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Oyster & Pearl Hospital Pvt.Ltd

#402/A, Senapati Bapat Road, Gokhale Nagar. Landmark: Near Dominos Pizza, PunePune Get Directions
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Male Infertility and its Treatment

MBBS
Sexologist, Indore
Infertility is defined as failure to conceive after 1 yr of unprotected intercourse, affects 15% of couples within the reproductive age group and male partener is contributory in half the case.
Infertility has significant social impact on india. Evaluation of male should occur simultaneously with female partner when there is no pregnancy after one year of regular unprotected intercourse. Semen ananysis is not a test of fertility. Fertility is couple related phenonmenon. The patient can not considered fertile only on the basis of normal semen analysis. It was shown that 30% of patients with normal semen analysis have abnormal sperm function. Semen anaysis should be performed according to 2010 who guidelines.
Male fertility problems ranges from decreased production of sperm (oligospemia) motility defect (asthaenospermia) morphology defect (teratospermia) or non-measurable level of sperm (azoospermia) which is diagnosed in 2% of general population. Azoospermia is one of the major reproductive disorders which causes male infertility in humans. Genetic factors are responsible for 1/3 rd case of azoospermia. There are two types of azoospermia obstructive and non-obstructive.
Obstructive azoospermia is defined as absence of spermatozoa in the ejaculate despite normal spermatogenesis and affects 6%-13.6% of infertile male while non-obstructive azoospermia is most severe form of azoospermia which affects 10% of infertile male.
Sperm retrived can be achieved in case of azoospermia through pesa (percutaneous epididymal sperm aspiration) mesa (microscopic epididymal sperm aspiration) tesa (testicular sperm aspiration or micro tese (microscopic testicular sperm extraction).
The appearance of 5 th edition of who manual (2010) is radical shift in understanding fertility in men. The 5 th edition of the who manual for semen analysis includes for first time reference values for human semen characteristics. Sperm counts >15 m are considered normal which means fertility is possible although it is imp to remember that higher values up to >140 m are known to increase fertility probability, values between 15-140 m represents a category of male subfertility.
Introduction of icsi (intracytoplasmic sperm injection) or testtube baby has brought hope for men when severe male factor infertility and provide them chance to become biological fathers.
1 person found this helpful

Hello sir. I am a 21years female. I got 3-4 bulges in my veginal portion which gives me lot of pain and I am unable to walk. Please tell me the reason and treament.

Advanced Aesthetics
Ayurveda, Gulbarga
Take medicenes for antibiotic for 5 days and pain killer also ayurvedic medicenes are 1 arogyavardhini 2, mahayograj guggulu. 3. Chandraprabha Vati for 15 days 2 times a day.
1 person found this helpful
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At times I feel like having unprotected sex with my partner but we do not because hes afraid if something goes wrong! I know is not right but yes I want to feel him properly just for 1 time n I do not feel good with protection What do I do? What is the right time for unprotected sex? I should go for it or not?

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
At times I feel like having unprotected sex with my partner but we do not because hes afraid if something goes wrong!...
If is the pregnancy that you are worried about, it might be safe to have unprotected sex in the last week of your cycle i. E. One week before the next due date of menstrual periods. If you are worried about sexually transmitted infections, then there is no solution, you have to use barrier condoms all the time.
2 people found this helpful
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My stomach aches like anything in periods times. Its unbearable. I avoid medicine. What to do. Tell me natural drink.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
My stomach aches like anything in periods times. Its unbearable. I avoid medicine. What to do. Tell me natural drink.
Please do fomentation with water bottle over pedu (at uterus site). Drink clove and ginger boiled in water twice or thrice a day. May add holy basil leaves too. At night hot milk and pure turmeric powder may be taken.
1 person found this helpful
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Me and my gf had sex continuously 4 days after having sex she took I pill for 4 days also but then too she is scared about pregnancy will it I pill works or it cause any side effect to her. Pls help me from this confusion.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Me and my gf had sex continuously 4 days after having sex she took I pill for 4 days also but then too she is scared ...
Ipill is not the routine medicine, it is an emergency contraceptive pill to be taken only in emergency. It has failure rate of 5% so now for her pregnancy chance has gone up to 20%. You should use oc pill like novelon next month. This month menses may come irregular or can get delayed because of 4 ipills.
1 person found this helpful
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Im 24years old girl. I have 1 prob. Ma baby was feed only my 1 breast, 2nd one not bcoz thats nipple was very smal. What can I do for increase the size of nipple.

C.S.C, D.C.H, M.B.B.S
General Physician,
You can pull try manually pulling out the nipple with thumb and forefinger. There is another technique called syringing which will also help you pull out the retracted nipple.
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How to make my vagina tight as it is loose that I can insert my 5 fingers together at a time?

PGDUS, Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Patna
With exercise, during urination contraction and relaxation of urethral orifice make your vagina tight.
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I am suffering from pcod (polyscitic ovary disease. My periods occurs within the interval of 2 months. And bleeding continues whole month. My doc had suggested me to take premolt and regestrone. Plssss tell me is it safe fr me to take those medicines. I am too much confused because these are the periods control medicine and I do not wanna pause my periods fr a short interval of time. Plss help me.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Yog and Ayurveda
Ayurveda, Navi Mumbai
I am suffering from pcod (polyscitic ovary disease. My periods occurs within the interval of 2 months. And bleeding c...
Hellow, Irregular periods and excessive bleeding during periods is bad thing for overall health of the body. Premolt and regestrone are hormonal tablets which are generally considered safe and used widely in India for this kind of problems. Though long term use of hormone tablets may induce IMBALANCE OF NATURAL HORMONES SECRETED BY BODY. So keep a good follow-up with your doctor. Ayurvedic treatment also helps to cure this kind of complaints. Thank you.
3 people found this helpful
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Bodybuilding Tips in Hindi - बॉडीबिल्डिंग टिप्स

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Bodybuilding Tips in Hindi - बॉडीबिल्डिंग टिप्स

किसी भी कार्य-छेत्र में सफलता हेतु सबसे ज़रूरी है अपने बॉस व सहकर्मियों पर एक अच्छा प्रभाव बनाना। हालांकि यह एक व्यक्ति के आचरण पर बहुत हद तक निर्भर करता है कि वो कैसी छवि बना पाता है, परंतु सत्य यह भी है कि शारीरिक गठन व वेशभूषा ही प्रथम आकर्षण होता है। इसी प्रभाव को बनाने के लिये आज भारी मात्रा में लोग जिम् जाना चाहते हैं और एक सुडौल शरीर बनाना चाहते हैं। पर बॉडी बनाते वक़्त सबसे ज़्यादा ज़रूरी यह नहीं होता की आज आपने कितना भार उठाया। बल्कि उसके बारे में सटीक जानकारी, किसी भी प्रकार के चोट से सुरक्षा के नियम इत्यादि का ज्ञान होना अनिवार्य है। यहाँ आपको ऐसे ही कुछ छोटे छोटे नियम बताये जा रहे हैं जो काफी काम आ सकते हैं।

 1. किसी भी शारीरिक कार्य में शामिल होने से पहले डॉक्टर की सलाह अवश्य लें।
अलग अलग लोगों की मांसपेशियाँ अलग अलग भारउत्तोलन के लिए बनी होती हैं। ऐसे में सही यही है कि डॉक्टर से जांच करा ली जाए व अपनी क्षमता के अनुरूप ही कसरत की जाए।

 2. साँसों पर नियंत्रण रखें।
इसका ये अर्थ नहीं है कि आप साँसों को रोकें। परंतु एक्सरसाइज करते वक़्त सही समय पर साँस लेना भी एक सही शरीर के निर्माण में सहायक होता है।

 3. संतुलित भोजन करें।
शरीर के विकास में सबसे बड़ा योगदान खाने का ही होता है, इसलिए ज़रूरी है कि आप एक्सरसाइज के साथ साथ अपने खानपान का भी विशेष ध्यान रखें जिससे कि वजन में अधिक वृद्धि न हो, शरीर में चर्बी न जमें व पर्याप्त शक्ति बनी रहे।

 4. पानी भी पर्याप्त मात्रा में पियें।
भोजन और पेय साथ साथ चलने वाले पदार्थ हैं। इसलिए आवश्यक है कि दिन में तीन से चार लीटर पानी अवश्य पियें, ताकि शरीर में मेटाबोलिज्म की गति भी सही रहे और शरीर पर एक तेज़ बना रहे।

 5. अपने पसंद अनुकूल ही जिम पसंद करें।
जिम के ट्रेनर व सारे साधनों के साथ साथ ये भी देखें कि आपका जिम एक अच्छे जगह पर स्थित है जहाँ का माहौल खुशनुमा है। इससे आपके शरीर को भी मेहनत करने की ऊर्जा मिलेगी और आप अपने एक्सरसाइजेज भलीभाँति कर पाएंगे।

 6. मांसपेशियों में मज़बूती लाएँ।
अधिक एक्सरसाइज कर दबाव या टान पड़ने से बचें और इतनी कसरत भी न करें कि चोट लग जाए। कम से ज़्यादा की ओर जाते हुए भार उठाने की आदत डालें और मांसपेशियों में मज़बूती लाएं।

 7. किसी संगी के साथ कसरत करने की आदत डालें।
किसी के साथ कसरत करने के अनेक फ़ायदे हो सकते हैं। पहला तो आप कभी भी अपने काम से ऊबेंगे नहीं। दूसरा, आपको एक कड़ी टक्कर मिलेगी जिससे स्वतः ही आप कसरत सही प्रकार से करने में चूकेंगे नहीं।

 8. अपने शरीर की ज़रूरतों को जानें।
आपसे बेहतर आपके शरीर को आख़िर कौन जानता है? इसलिए आप खुद ही उसकी जरूरतों को समझें। अगर लगता है कि उसे एक दिन आराम की ज़रुरत है तो अवश्य ही आराम करें। परंतु हाँ, इसे रोज़ की आदत भी न बनने दें।

 9.  अपने एक्सरसाइजेज को अपने हिसाब से तय करवाएं।
उतनी ही कसरत करें जितने में आपके शरीर को कोई नुकसान या कष्ट न हो। अपने ट्रेनर को तुरंत बताएं अगर कोई भी ऐसी परेशानी आपको किसी भी एक्सरसाइज से महसूस हो। अपने दिनचर्या में स्ट्रेचिंग को स्थान अवश्य दें। इससे मांसपेशियां खुल सी जाती हैं।

10. अधिक विश्राम के बाद अचानक काफी एक्सरसाइज न करें।एक बार लंबे विश्राम के बाद शरीर को पुनः अभ्यस्त होने में वक़्त लगता है। इसलिये, एक बार में कोई कठिन कार्य न चुनें। सरल कसरत के शुरुआत करने की चेष्टा करें।

11. योगासन को दें जगह।
सिर्फ जिम जा कर एक्सरसाइज ही न करें बल्कि योगासन को भी अपनी दिनचर्या में शामिल करें। इस से न केवल आपके स्वास्थ्य में बेहतरी होगी, बल्कि आपकी शरीर गठन में भी मदद मिलेगी।

3 people found this helpful

I am unmarried 23, I have cyst on vagina walls. Doctor said that I will have to undergo a small operation for this to remove it from the roots. Does vaginal cyst needs surgery?

B.Sc (Bio), DMS (Cal), CMS , FWT, PET, DMLT (Cal), SBHM, Vacc,
Homeopath, Kolkata
Please follow my prescription. 1) Bacillinum 1 M, in no 30 globules, to be taken four globules once in a week before food for three months and report me after USG of lower abdomen for next medicine.
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I am a 16 years old child and whenever I walk too much my Feet's bone feels to be broken. It hurts a lot. I have Flat feet! Any idea.

BPT
Physiotherapist, Gurgaon
I am a 16 years old child and whenever I walk too much my Feet's bone feels to be broken.
It hurts a lot.
I have Flat...
Do contrast bath (alternate hot n cold therapy) modified footwear. Use rolling pin under your feet. Do it 10 times a day plus some foot exercises! (under proper guidance)
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7 Benefits Of Eating Walnuts

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
7 Benefits Of Eating Walnuts

1. Cancer-fighting properties

Walnuts may help reduce not only the risk of prostate cancer, but breast cancer as well. In one study, mice that ate the human equivalent of 2.4 ounces of whole walnuts for 18 weeks had significantly smaller and slower-growing prostate tumors compared to the control group that consumed the same amount of fat but from other sources.

Overall the whole walnut diet reduced prostate cancer growth by 30 to 40 percent. According to another study on mice, the human equivalent of just two handfuls of walnuts a day cut breast cancer risk in half, and slowed tumor growth by 50 percent as well. 1

2. Heart health

Walnuts contain the amino acid l-arginine, which offers multiple vascular benefits to people with heart disease, or those who have increased risk for heart disease due to multiple cardiac risk factors.

If you struggle with herpes, you may want to avoid or limit walnuts, as high levels of arginine can deplete the amino acid lysine, which can trigger herpes recurrences.

Walnuts also contain the plant-based omega-3 fat alpha-linolenic acid (ala), which is anti-inflammatory and may prevent the formation of pathological blood clots. Research shows that people who eat a diet high in ala are less likely to have a fatal heart attack and have a nearly 50 percent lower risk of sudden cardiac death. 2

Eating just four walnuts a day has been shown to significantly raise blood levels of heart-healthy ala, 3 and walnut consumption supports healthful cholesterol levels.

Separate research showed that eating just one ounce of walnuts a day may decrease cardiovascular risk, 4 and among those at high cardiovascular risk, increased frequency of nut consumption significantly lowers the risk of death. 5

3. Rare and powerful antioxidants

Antioxidants are crucial to your health, as they are believed to help control how fast you age by combating free radicals, which are at the heart of age-related deterioration.

Walnuts contain several unique and powerful antioxidants that are available in only a few commonly eaten foods. This includes the quinone juglone, the tannin tellimagrandin, and the flavonol morin. 6

Walnuts contain antioxidants that are so powerful at free-radical scavenging that researchers called them" remarkable" 7 and research has shown that walnut polyphenols may help prevent chemically-induced liver damage. 8

In another study, researchers found that nuts, especially walnuts, have potent antioxidant powers. Walnut polyphenols had the best efficacy among the nuts tested and also the highest lipoprotein-bound antioxidant activity. The researchers concluded: 9

"Nuts are high in polyphenol antioxidants which by binding to lipoproteins would inhibit oxidative processes that lead to atherosclerosis in vivo. In human supplementation studies nuts have been shown to improve the lipid profile, increase endothelial function and reduce inflammation, all without causing weight gain"

4. Weight control

Adding healthful amounts of nuts such as walnuts to your diet can help you to maintain your ideal weight over time. In one review of 31 trials, those whose diets included extra nuts or nuts substituted for other foods lost about 1.4 extra pounds and half an inch from their waists. 10 eating walnuts is also associated with increased satiety after just three days. 11

5. Improved reproductive health in men

One of the lesser-known benefits of walnuts is their impact on male fertility. Among men who consume a western-style diet, adding 75 grams (a bit over one-half cup) of walnuts daily significantly improved sperm quality, including vitality, motility, and morphology. 12

6. Brain health

Walnuts contain a number of neuroprotective compounds, including vitamin e, folate, melatonin, omega-3 fats, and antioxidants. Research shows walnut consumption may support brain health, including increasing inferential reasoning in young adults. 13

One study also found that consuming high-antioxidant foods like walnuts" can decrease the enhanced vulnerability to oxidative stress that occurs in aging" increase health span" and also" enhance cognitive and motor function in aging" 14

7. Diabetes

The beneficial dietary fat in walnuts has been shown to improve metabolic parameters in people with type 2 diabetes. Overweight adults with type 2 diabetes who ate one-quarter cup of walnuts daily had significant reductions in fasting insulin levels compared to those who did not, and the benefit was achieved in the first three months.

34 people found this helpful

We had sex and after sex my wife noticed little blood from her vagina what can be the reason her hymen was broken long time back. Please advise.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
This may be due to hormonal change or may be due to any infectious condition under cervix or vagina. It is not due to hymen rupture. Don't worry about that.
3 people found this helpful
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Hi I am 5 weeks 2 days pregnant. For how long should I have naturogest Sr 400. My Dr. has prescribed me.

MD - Streerog
Ayurveda,
Hi I am 5 weeks 2 days pregnant. For how long should I have naturogest Sr 400. My Dr. has prescribed me.
Till your placenta gets developed thats upto 12 weeks of pregnancy, progesterone is given as prevention of getting abortion, and chances are more during first 12 weeks one reason which is insufficient progesterone, so continue upto you complete your 3 months.
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I am 20 years old. But I have giddiness some times. I hate food. But I don't know why. What is the reason?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Its very obvious that when you don't eat food you will fell giddiness. Start having small meal patterns instead of 3 major meals break them to 6-7 minor meals if your really hating foods then start with some high calorie milk shakes eg: banana with nuts and milk or any other fruits, eat boiled eggs, scrambled eggs, prunes juice etc.
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Hi, I am married and 27 years old. After trying alot I am unable ti get a baby. So please can you help me out in this?

MBBS
Sexologist, Panchkula
Hi, I am married and 27 years old. After trying alot I am unable ti get a baby. So please can you help me out in this?
You want baby. I advise you to get your semen analysis test done after 4 days of abstinence from sex and upload your report. Also your wife's menstrual cycle duration and for how many days bleeding is there and her hb test, for proper guidance and treatment.
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Meri friend pregnant hai and uske 3month ho chuka hai jiske baad bhi white jaisa discharge ho rha hai. Wo bhi bahut jyada. Kya pregnancy ke time aisa hota hai. Kahi ye uska waham to nahi hai k wo pregnant hai. Q ki wo doctor se consult nahi ki hai abhi tak.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Meri friend pregnant hai and uske 3month ho chuka hai jiske baad bhi white jaisa discharge ho rha hai. Wo bhi bahut j...
White discharge is common in pregnancy. She must consult a good doctor, get pregnancy confirmed, start folic acid tablets soon and get appropriate treatment if there's vaginal infection as it can lead to abortion if not treated in time.
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5 Facts You Should Know About Laparoscopic Surgery!

F.N.B.(Minimal Access Surgery), MS (General Surgery) , MBBS, FALS(Fellow Advanced Laparoscopic Surgery), FCLS(Fellow International College of Laparoscopic Surgeons), FIAGES
General Surgeon, Bhubaneswar
5 Facts You Should Know About Laparoscopic Surgery!

Laparoscopy, also known as keyhole surgery, is a type of surgery, which involves the usage of small tubes, surgical instruments and video cameras for operations through small incisions or cuts in your body. Though different people experience the surgery differently due to difference in health conditions, there are some points everyone should know about a laparoscopic surgery.

1. The problems that laparoscopy addresses
Conditions like ectopic pregnancy, endometriosis and pelvic inflammatory disorders are generally treated using laparoscopic surgery. Moreover, laparoscopy is also used to remove the gallbladder, appendix, patches of endometriosis or detect adhesions, fibroids and cysts. Also a biopsy of the organs inside the abdomen can be done through laparoscopy.

2. The duration of your stay in hospital
Usually performed on an outpatient basis (release on the same day as the surgery), a laparoscopic surgery may require you to stay overnight at the hospital if your condition requires a complex or lengthy surgery. Moreover, if the doctor feels that a bowel resection or partial bowel resection needs to be performed, you may have to stay at the hospital for a few days.

3. The preparation required pre-surgery
If you are going to have a laparoscopic surgery soon, ensure that you inform your doctor if you are taking any blood-thinners like aspirin or if you are allergic to any medications like anaesthesia. Moreover, let the doctor know if you are pregnant or planning to conceive. After giving all this information to the doctor, strictly follow all the instructions he/she gives you. Also, make sure that someone is available to drop you home after the surgery as you might be too weak or in too much pain to go back home by yourself.

4. Pain management post surgery
Laparoscopy is generally followed by a sore feeling around the cuts as well as shoulder pain. If the pain is unbearable you can ask for medication from your doctor or consider common analgesics. Recovery time for a laparoscopic surgery is only a few days, and to get through this period easily seek the help of a friend or family member to manage your medications and lift your spirits.

5. Restrictions you need to follow during the first couple of weeks
For the first couple of weeks after the surgery, your doctor might ask you to abstain from driving, tub bathing, swimming and having sexual intercourse. Make sure that you follow these rules and get adequate amount of sleep to ensure speedy recovery. If you wish to discuss about any specific problem, you can consult a General Surgeon.

1910 people found this helpful

Is that mandatory to stay with wife when she is 7th months pregnant. Do we need to have intercourse some time for normal delivery. Please advice.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Is that mandatory to stay with wife when she is 7th months pregnant. Do we need to have intercourse some time for nor...
Having sex in 7th and 8th month of pregnancy may lead to premature labour. And your babys life may be at risk during 9th month sex may improve chances of normal delivery but sex position must be chosen wisely kindly note- the choice of doing surgery or normal delivery must be d one by your gynaecologist. U can watch my video on youtube dos and do nots during pregnancy.
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Mere pregnancy ke 12 weeks ho chuke hai .Maine hemoglobin test karwaya tha 6.8 tha .Kya Aise wait bhi kam ho jata hai? Mera wait kam ho gya hai.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Fatehgarh Sahib
Mere pregnancy ke 12 weeks ho chuke hai .Maine hemoglobin test karwaya tha 6.8 tha .Kya Aise wait bhi kam ho jata hai...
Get the fetal gowth and wellbeing checked if everything fine take good amount of iron rich dietand supplements as suggested by your gynaecologist.
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