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Dr. Prashant Tonape

Gynaecologist, Pune

500 at clinic
Dr. Prashant Tonape Gynaecologist, Pune
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.
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Dr. Prashant Tonape is a trusted Gynaecologist in Fatima Nagar, Pune. You can consult Dr. Prashant Tonape at Dr. Prashant Tonape@Inamdar Multispeciality Hospital in Fatima Nagar, Pune. You can book an instant appointment online with Dr. Prashant Tonape on Lybrate.com.

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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 Doctor, My friend Jenny had unprotected sex with his boyfriend, according to her she ate iPill within next 10-12 hours however she is worries whether iPill will work of not, please suggest what she can do?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
She will have to wait patiently and see if her next periods come on time. If it is delayed by more than 1 week please do a urine pregnancy test.
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Doc I have already a 4 years old girl. Then why I have tubal problem right now. What is the reason of this .are my tube unblocked in future without surgery.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
Dear user, in your case, it needs more history and some investigations. If you are seeking for chance, visit a ayurvedic gynaecologist nearby your place go with proper panchkarma as per advice.
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My wife had thyroid? and her amh level is very low, she is not getting pregnant. Please any advice or treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
SIR GO FOR her all hormonal test and usg pelvis also to confirm for conceive . You can give Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months.i.e. t3,t4,tsh, also do vit.D. and vit. B., s.calcium.
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My mom has burning sensation in her palms and feet, since last 2-3 weeks, she has been taking paracetamol as per doctor's advice, i've researched on the internet and doctors say its a case of nerve damage, can any doctor explain me in clear what exactly this could be, and what are the tests we can perform to analyze this problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hot hands and feet can refer to a warm sensation or a painful tingling in the limbs. This is often made worse at night, making it difficult to sleep, though performing physical activities can also cause this condition to appear. People 45 and older are more likely to develop hot, red or burning hands and feet than other age groups. In many cases this condition is temporary, but certain conditions can cause this condition to become permanent. Possible Causes of Hot Hands and Feet There are a number of conditions that can cause the hands and feet to develop an uncomfortable burning sensation. Evaluating your other symptoms will help you narrow down the cause so you can get adequate treatment. • Erythromelalgia- This condition is known to cause a burning pain, redness or increase in temperature in the hands and feet. These symptoms will begin as a tingling or itching that will slowly progress to a painful burning sensation. Some people note occasional flares of these symptoms while others experience them all the time. This condition may occur spontaneously or as a result of a neurological disease. Doctors will attempt to note underlying causes of this condition to ensure that proper treatment can be administered. • Carpal or Tarsal Tunnel Syndrome- These conditions are very similar in nature. Each causes pressure to build up on the joints, leading to a burning sensation in the hands and feet due to the compression on the nerves. This sensation is often described as an electric shock that radiates out from the affected joints. • Hypothyroidism- Hypothyroidism is a condition that is caused when the thyroid is not producing enough of the necessary hormones. If this is left untreated it can cause the joints to develop a hot or burning sensation, which can manifest itself strongly in the hands and feet. • Kidney Dysfunction- If the kidneys are not functioning the way they should it can lead to a burning sensation throughout the body. This is caused when the body is unable to rid itself of cell waste through the bloodstream, leading to a buildup of waste. If the cells are constantly exposed to these toxins they can begin to break down, causing bodily damaged. If this condition is severe enough, the patient may need to begin dialysis treatments to rid themselves of this waste. • Liver Damage- On a similar note, waste and toxins can build up in the body if the liver is not filtering them away the way it should. If toxins are allowed to build up in the bloodstream it can cause a burning pain throughout the body which may become more severe in the limbs. • Nerve Damage- Damage to the nerves can cause an uncomfortable burning sensation to appear. This symptom will typically begin in the limbs before spreading throughout the body. Conditions such as diabetes can cause this damage to appear. Managing these underlying conditions will be a key to eliminating your discomfort. • Vitamin Deficiency- A diet that is low in B1, B5, B6 and B12 can cause a burning sensation to develop in the hands and feet. This is caused when the body is unable to maintain the nervous system properly. Adjusting your diet or taking supplements to increase your vitamin intake can help eliminate these symptoms.
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My wife is pregnant and I want to know the common symptoms which happens during 1 to 2 months pregnancy.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello, the common symptoms during early pregnancy are nausea, vomiting and sometimes pain in abdomen.
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Ectopic Pregnancy - What are the Risks Involved?

MRCOG, MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Mumbai
Ectopic Pregnancy - What are the Risks Involved?

During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix.

There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks.

Risks involved: Things that make you more prone to an ectopic pregnancy are:

  • The more you smoke, the higher your danger of an ectopic pregnancy.
  • Pelvic incendiary malady (PID). This is the after effect of contamination, for example, chlamydia or gonorrhea.
  • Endometriosis, which can bring about scar tissue in or around the fallopian tubes.
  • Exposure to a chemical called DES before you conceived.

Symptoms: The signs of an ectopic pregnancy are:

  • Pelvic pain. It might be sharp on one side at first before spreading through your belly. It might be more painful when you move or strain
  • Vaginal bleeding

Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take:

  • A pelvic exam to check the span of your uterus and feel for any kind of growth in your tummy.
  • A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days after the fact. In early pregnancy, the level of this hormone duplicates itself every two days. Low levels recommend an issue, for example, ectopic pregnancy.
  • An ultrasound. This test can demonstrate pictures of what is inside. With ultrasound, a specialist can more often than not see a pregnancy in the uterus 6 weeks after your last menstrual period.

Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady.
Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked.

For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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My daughter is not having menstruation for last 3 years. She is 22 years old. What' s to be done?

PG Hom, London, BHMS
Homeopath, Mumbai
Hello , as soon as possible take your daughter to the sonography center and get a detailed sonography done of her abdomen and pelvis. Also get her blood tested for hormone levels.
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Meri wife (age-26, weight -51) 5 months ki pregnant hai . Aur hmm daily sex karte h. Kav kav to 1 month me 35-40 times. To Isse Mujhe ya meri wife ya hmare baby ko koi problem to nai hogi. Note- during sex Mujhe ya meri wife ko koi problem nai hoti. Please tell us.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Yes sex can be practice during pregnancy and in the last 2-3 months also. After 5 months of pregnancy one needs to change the position of male partner. Intercourse can be practiced in male standing position or sideways position. Male partner should not lie on the tummy or growing fetus.
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I want to conceive and I got married 10 months back. My husband had masturbations habit. And I am suffering with ovarian cyst two months back but now the problem is cleared in the last scan. Is it problem to conceive? Or can we take any treatment?

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Both of your conditions are not problems for conceiving.You can try naturally for few months and if not conceiving try treatment.
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I am 5 weeks pregnant and my vagina is itching me but there is no discharge, what is cause of it and which medicine will I take so that it will stop and also not to affect the pregnancy.

MBBS DGO PGDCC
Gynaecologist, Belgaum
Use v-wash for cleaning the area. Use cotton panties apply candid-b cream after cleaning the area twice a day.
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9 Steps To De-Stress Yourself!

Certificate in Wellness Management, Master In Counselling Psychology
Psychologist, Bangalore
9 Steps To De-Stress Yourself!

Are you stressed out lately and not being able to overcome it for a long time? With the holiday season approaching, you are bound to feel worse as your stress is bound to get in the way of celebrations. Winter is a promising time for celebrating, travelling and having fun, and you cannot let your patience and stress ruin it. Here are some steps following which you will be able to cope with your stress and anxiety, so that you can enjoy

Start with a clear mind:

  1. Realize that some things are just beyond your control. This is a tough thing to do, but you have to accept it just like the fact that you cannot control rain, sun, and the actions of people. Fighting against something beyond your control will make you stressed out and miserable.
  2. Realize that there are things, which are in your control. Focus on them and get a firm grip on them. The power of controlling your actions and reactions lies only in your hands. You can also influence your state of consciousness, your physiological responses, and mental processes.
  3. Learn to surrender and seek acceptance. Instead of resisting against the aspects which you cannot control, surrender to them. This does not make you weak, nor a loser. It is just accepting that you cannot change certain things.
  4. Be mindful. Stop for a moment, and try observing your internal experience, without any form of judgement. Try to become more conscious and aware of what goes on inside you.
  5. Take charge of your thoughts. The aim here is not to ignore and deny certain thoughts, but to transform them after analyzing and acknowledging them.
  6. Utilize your breath. It is an effective tool, which remains with you forever and connects your body and mind. Deep, slow breathing can be more beneficial than you could ever imagine. Keep inhaling and exhaling till you feel relaxed. This is excellent for calming your nervous system.
  7. Look at the brighter side of life, no matter how hard it may be. Focusing on positive things might make you discover a solution for your stressful condition.
  8. Take proper care of yourself. Self care is important for eliminating stress. You should take regular showers, eat balanced diet, exercise regularly, and carry out pleasurable activities.
  9. It is important for you to abstain from comparing yourself with others. Comparisons can cause distorted perceptions and increase stress. If you wish to discuss about any specific problem, you can consult a psychologist.
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Hi Doctor, Me and my wife had a condom break while intercourse and she immediately took a Postpone - 72 (1.5 mg) within 2 hours of the act. Its been 6 days now and she felt bad back ache, nausea and headache. 1. Is the drug causing this as a side effect after 6 days. 2. She is on anti epilepsy pills like levipil, will this affect the functioning of the Contraceptive and hence she is pregnant now? 3. What is the sure symptom of pregnancy and when to do a pregnancy test.

DGO, MBBS
Gynaecologist, Bhavnagar
1. The drug can lead to acidity and so you cn have vomiting. 2. Antiepileptic drug will not affect functioning of that medicine. 3. There r no sure symptoms of pregnancy, but nausea, vomiting with missed period, slight lower abdominal pain etc. Are symptoms of pregnancy. Pregnancy test should b done past 2 or more days of your menses date.
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Benefits of Amla - Little things that can make big difference

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
Benefits of Amla - Little things that can make big difference
There are so many amazing benefits of having amla juice, some of them are mentioned below.

1. Balances cholesterol levels
2. Anti-cancer properties
3. Increase immunity
4. Prevents coronary heart diseases
5. Improves red blood cell count
6. Anti-inflammatory, anti-viral, anti-bacterial, anti-fungal, antioxidant properties.

More tips like this and information about various diseases can be taken by searching for ssohm on internet.
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Hi I am 29 years old. Having irregular periods. Advised by doctor to take TB duoluton l (0.25/0.05) for 3 months. I was having bleeding For 10 days. Took tranexa for 3 days. It stopped bleeding on 10 th day. Can I start tb duoluton l now on 11 th day?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, you should be starting deletion for 15 days of the cycle so you may start from day 11-day 25.
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I am suffering from constipation since 2 week and irregular mensuration cycle since 2 month and obesity.

MBBS
General Physician, Cuttack
1. Eat high fiber diet like fruits, vegetables, beans, boiled/sprouted moong dal, whole grain rice, whole wheat pasta, whole meal breads, oats. 2. Avoid foods which are high in fat. Choose lean meats like fish, chicken. 3. Eat on schedule 4. Drink plenty of water, 8-10 glasses daily, avoid alcohol/caffeine 5. Take regular physical exercise 6. Stick to a regular timing for going to toilet. 7. Take 2 tsf of softovac sf/naturolax powder with warm water at bed time for few days or syrup duphalac 15 ml twice daily.
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Dear sir/mam I am 25 year married person. My wife is also 25 year old. We have completed one year of marriage She is very weak. Weight 42 kg. She didn't take interest in sex life. Her boobs size is very small 30 only. How to enlarge my wife's breasts

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
She needs to be tsken care of. Nutritious food, carbohydrate, some fat, plenty of proteins and fluids are to b taken. Once her weight reaches ideal, breasts will improve, libido will do so too.
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My wife age 40yrs, three misscarrige first ectopic at the third monh of pregnency 2010 second misscarrige 2012 at the third month of pregenancy and third at the last of sixth month pregnancy in 2013 and after two month of it under dipression and now under treatment to a physcatrist in dehradun, all reports normal and have problem of epilepsy too taking pyne 50 tab can we have a healthy baby and chances of pregnancy to my wife all the last pregnancy were natural without any medicine my wifes blood group is o.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, I suggest you should get a preconceptions counselling done and get a karyotyping followed chromosomal micro array test done to learn if any genetic defects are presents which are causing recurrent abortion of for that matter she has either acquired or inherited thrombophilia which shall need adequate and regular monitoring during pregnancy. Iodinate think the issue is regarding getting pregnant but rather to maintain it till term. Regards.
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For how many days we shud have period ? aftr few days of ending of period brown thing comes.Wat is it ,is it normal ?

Homeopath, Kurnool
Understanding your menstrual cycle Women's cycle lengths vary, and the most common cycle length is somewhere between 23 and 35 days. Any variation in menstrual cycle length that does occur is more likely to be during the part of the cycle before you ovulate (which is called the follicular phase). For most women, the length of time between ovulation (when an egg isreleased from the ovary) and their monthly period is between 12 to 16 days.

From which month of pregnancy it is good to have sex? Such that the baby's growth doesn't get affected. I'm in the second month of my pregnancy.

MBBS
General Physician, Jalgaon
Baby's growth is not affacted by having sex But do it with suitable postures to avoid pressure on your pregnant uterus and also it should not be forceful
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