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Dr. Priyanka

Ph. D - Cardiology

Gynaecologist, Pune

24 Years Experience  ·  300 at clinic
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Dr. Priyanka Ph. D - Cardiology Gynaecologist, Pune
24 Years Experience  ·  300 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Priyanka
Dr. Priyanka is a popular Gynaecologist in central Panchgani, Pune. She has had many happy patients in her 24 years of journey as a Gynaecologist. She is a Ph. D - Cardiology . You can consult Dr. Priyanka at rathore clinic in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Priyanka on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 33 years of experience on Lybrate.com. You can find Gynaecologists online in Pune 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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Specialty
Education
Ph. D - Cardiology - Medicity Institute Of Medical Sciences, Ghanpur - 1993
Languages spoken
English
Hindi

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Diabetes - A Silent Killer!

BAMS
Ayurveda, Zirakpur
Diabetes - A Silent Killer!

Sedentary lifestyle has made lives comfortable but simultaneously it is a silent killer. It has increased the risk of many deadly diseases and one of them is diabetes. Diabetes has taken lives of people more than aids. 

There are 3 types of diabetes:-

1. Type 1 diabetes- When uncontrolled blood sugar level is diagnosed under 25 years of age then it is said to be type 1 diabetes. It is often seen in childhood age.

Sugar that we consume is used for energy production in our body and this happens with the help of insulin hormone produced by pancrease. In this type of daibetes, pancrease fails to produce insulin and sugar in blood is not used for fuel production, as a result sugar level in the blood is on higher level.

2. Type 2 diabetes- This type of diabets occur above 25 years of age. In this type, insulin secretion is there in the body but cell doesn't use it to produce energy.
This is called insulin resistance. As a result blood sugar level increase beyond normal.

3. Gestational diabetes- During pregnancy due to additional demand of baby, body becomes resistant to insulin and blood sugar level increases. 
Pancrease increases secretion of insulin to control blood sugar level but when it is unable to meet the demand, sugar level increases and it leads to gestational diabetes.

There are more chances of gestational diabetes if:-

1. You are obese before pregnanacy.
2. There is family history of diabetes. 
3. Blood sugar level is on higher side before pregnanacy period but not as high as in diabetes.

Ayurveda that is our tradional health system has termed diabetes as'prameha'.

Types of prameha

Depending upon different types of aggravating factors, there are different types of prameha, like if kapha aggravating factors are more then it will lead to kaphaj prameha, similarly pittaj and vataj aggravating factors leads to their respective type of pramehas.

1. Vataj prameha-vasa meha, majja meha, hasti meha and madhu meha.

2. Pittaj-kshara meha, kala meha, neela meha, rakta meha, manjishtha meha and haridra meha. 

3. Kaphaj meha-udaka meha, ikshu meha, sandra meha, sura meha, pista meha,
Shukra meha, sikatra meha, sheera meha, shanai meha and lala meha. 

Pathogenesis according to ayurveda.

Samprapti (pathogenesis)

As per ayurveda, prameha is a'kleda pradhana vyadhi. Kleda is one of the dooshya where water (jala mahabhoot)
Is predominant. Both kapha and pitta regulate kleda.

Indulgence in the nidana leads to vatiation of kapha and pitta and as a result kleda is imbalanced. These imbalanced doshas move towards medo dhatu and further leads to imbalance of kleda.


How our body manages kleda?

मूत्रस्य क्लेदवाहनम्, स्वेदस्य क्लेद विधृतिः ।

When the moisture of body increases, it eliminates it through urine and sweat. But in diabetic patients due to sedentary life style there is not secretion of sweat and all kleda moves towards urinary system and increases production of urine, gradually leading to prameha. 

At this stage there will be poorva roopa (initial symptoms) like accumulation of impurities on the teeth, burning sensation in palm and feet.

If not treated on time then there will be a condition called'bahu abaddha medas'
That is accumulation of fatty tissues that has lost its firmness. Gradually excess kleda moves into deep tissues and affects all body tissues except asthi dhatu and cause'dhatu shaithilyata.

As per my experience diabetes was a disease that occur at the age of 50 or above and moslty to obese people leading sedentary life style. But since last few years it is being seen in our youth moslty at 28 or 29 years of age. Moreover it has no link with obesity as it has stepped in farmers even who are born hard workers.
All this is due to stress factor. In this modern world person is under stress, whether young or adult. Stress is more observed in teenagers when they have to decide what to do after high school, where to get in good college etc.
In adults workplace has been found as one of the main cause of stress when the job demands are more and their control over meeting the demands is less.
More working hours and less authorities, not able to give time to the family etc.

Symptoms due to diabetes:

1. Feeling of thirst
2. Burning sensation in hands and feet
3. Lethargy
4. Sexual weekness
5. Polyuria
6. Weight loss
7. Blurred vision
8. Gastric-nausea, vomiting, abdominal pain.

How stress affects our blood sugar level?

Under stress our blood sugar level tends to rise as body releases some hormones such as adrenalin and cortison. These hormones tend to raise blood sugar level so that it is processed into energy to prepare body to fight. This is calles fight and flight reaction. In diabetics, due to insulin deficiency or insulin resistance blood sugar level gets high and produce symptoms such as ataxia, giddiness, difficulty in breathing etc.

Now every second memeber of the family is suffering from diabetes. Especially you will see it in younger members. In my pracrtice of pure ayurveda I have observed diabetes either in youth of age 28 or 29 years or children of age 4.

Maximum detrioration of body tissues occur in this type disease thats why it affects vital organs of the body deeply and slowly drag you towards death. 

Today sweetness in the relations have decreased which ultimately left you alone and as a result your body increases sweetness inside it (diabetes) in response to that loneliness (stress. This article is to create awareness among people for diabetes as it is like a slow poison that is killing you slowly without your acknowledgement because usually it attacks you without causing any symptoms and you get alert when it has already affected your vital organs.

So get your blood sugar levels checked regularly especially if you have family history of diabetes and if you are obese.

5 people found this helpful

My penis does not stand. When I am with my wife, no sensation or no feeling of sex comes. Even since last 4 month, I never masturbated. Also no night fall or self discharge since last 4 month. I am newly married and suffering from diabetes. I have undergone check up of testosterone level and found 310. When I try to masturbate, penis stands after some more time. One more thing, when I fantasy with some other girl, it stands. But in normal cases, I do not have feeling of sex in my routing life.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My penis does not stand. When I am with my wife, no sensation or no feeling of sex comes. Even since last 4 month, I ...
Homoeopathic medicine damiaplant (schwabe) drink 20 drops in 20 ml fresh water 3 times daily for 2 months and report thereafter, tone-up (lords) drink 2 spoon twice daily------------- report after 30 days-------------- control your sugar levels as your problem is due to diabetes-------
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7 Things You Should Know About Ovarian Cysts

DNB (Obstetrics and Gynecology), FICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
7 Things You Should Know About Ovarian Cysts

Ovarian cysts are fluid-filled sacs that develop on a woman's ovary. A patient might experience abdominal and pelvic pain, abnormal bleeding, menstrual irregularities, pain during intercourse or irregular bowel movements. These symptoms indicate an ovarian cyst developing inside you. Ovarian cysts are common in women and may develop during menstruation. In many cases, symptoms are not observed, and you may get ovarian cysts without knowing. Usually being harmless, ovarian cysts may sometimes lead to severe health conditions.

Here are 7 important things you should know about ovarian cysts:

  1. You should know the reason behind the formation of ovarian cysts. When the follicle does not release the egg, it may grow bigger in size and take the form of a follicular cyst. A corpus luteum cyst may also develop, which is a cavity that gets formed after the egg is ruptured and released from the follicle. The cysts may bleed and cause pelvic pain.
  2. It is important for you to know if you have an ovarian cyst. Many ovarian cysts do not show symptoms and go away by themselves. Follicular cysts do not change your menstrual cycle, but corpus luteum cysts may cause bleeding.  
  3. You should know how to detect an ovarian cyst. You should visit a gynecologist regularly for diagnosis. Bigger cysts can be diagnosed via a pelvic examination. Ultrasound is also used for detection.  
  4. You should have an idea about all the symptoms associated with ovarian cysts. These include fever, nausea and vomiting. These symptoms indicate that you have an infection. Sometimes, a cyst might twist an ovary, which may cut off blood supply to the ovary, causing permanent damage.
  5. In case you are at a risk of twisting of the ovaries, you have to undergo a surgery. Surgery is also considered when the cyst lasts longer than three menstrual cycles and it is bigger than four inches in size. The cyst may also pose the risk of being a tumor. The common surgical procedures for ovarian cysts are laparoscopy and laparotomy.  
  6. You can prevent ovarian cysts be taking birth control pills, which help in suppressing ovulation and prevent the formation of a cyst. Birth control pills may help only if you are not pregnant.
  7. Ovarian cysts are more common in premenopausal women. However, these are possible in postmenopausal women as well, especially in the early postmenopausal stage.  

Sometimes, there might be chances of an ovarian cyst being cancerous in nature, which may lead to ovarian cancer. The risk of cancerous ovarian cysts increases with age. It is recommended to consult a gynecologist for the proper diagnosis and treatment of ovarian cysts in women. Pain medications and heating pads are used as alternative treatment methods for less serious ovarian cysts.

2398 people found this helpful

I m hvg deficiency of blood. After periods I become very weak. Pls tell me some solution.

DHMS (Hons.)
Homeopath, Patna
I m hvg deficiency of blood. After periods I become very weak. Pls tell me some solution.
Hello, It so happens after menstrual discharge,there comes a stage of anemia due to deficiency of blood,causing weakness, do not be scarred,plz. * Take, plenty of water to dilute your blood to reach the cell and tissue to nourish them to reduce your stress of anemia. * go for meditation for 30 mnts, (not only at the time of MC but), regularly.to restore oxygen to raise hemoglobin level. * Take, easily digestible and lite meal at the time of m/c **Home-care** @ Alfalfa Q-10 drops, thrice a day with little water @ Five phos 6x-4 tabs ,thrice a day. Report, after your next period All the best.
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I am 30 year old suffering from hypothyroidism (taking thyroxine 25mg /day) and my wife is 20 year old she is suffering from PCOS (taking Harmoni F. Is PCOS is curable? my wife can give birth or not. What should I do that my wife become pregnant.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 30 year old suffering from hypothyroidism (taking thyroxine 25mg /day) and my wife is 20 year old  she is suffer...
she can get pregnant ...take proper treatment for pcos.and thyroid. Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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.
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I want to have sex with my wife also want to make her pregnant but how I will be doing unprotected sex then there may be chances of hiv also please help me out how should get out from it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
You can have unprotected sex with your wife. No need to worry about hiv. Hiv can occur only if either of you is hiv infected or have multiple sexual partners.
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I am 24 years old unmarried girl but I have notice some milky substance from my breast. So I am very much worried about it. Please help me.

DGO, MBBS
Sexologist,
If secretion is from both breasts then do blood tests prolactin, tsh, it can be treated. Are you taking any drugs?
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While having an intercourse. I feel immense pain and burning sensation in my vagina's inner part from past few days. It pains so badly that I fear having sex again. Please suggest a proper medication.

BAMS, MD Ayurveda
Sexologist, Lonavala
Try the following remedy it will surely help you 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day Causes: • Anxiety • Incorrect diet • Unhealthy lifestyle This remedy will be helpful.
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I had unprotected sex with my partner during my fertile window. Although withdrawal was done, I'm afraid that I might get pregnant. I am due my period. What should I do.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I had unprotected sex with my partner during my fertile window. Although withdrawal was done, I'm afraid that I might...
Hello- You can't do anything to diagnose your pregnancy right now as the pregnancy can be diagnosed earliest after 10 days of missed period. You can do urine pregnancy test at home after that. If you got menses in the meanwhile, it will prove that you are not pregnant.
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Hi doc I am pregnant of 8 months but actually mene 3 times apna urine test krwaya aur hamesha pus cell 15-20 me h aate h mene iske liye medicine bhi khyi but no effect culture bhi krwa lia uski jo medicine h wo bhi kha li but no effect please tell me what I am do now which medicine will be effected and please tell me isse mere inside baby ko to koi effect nhi ho rha hoga please reply me please.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hi doc I am pregnant of 8 months but actually mene 3 times apna urine test krwaya aur hamesha pus cell 15-20 me h aat...
Hello, Drink lots of water and now that you are pregnant, you should consult a obstetrician since a urinary tract infection may lead to preterm labor and delivery.
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My friend is not having periods before this she have it till 15th of every month this month it is 18 nd she is saying that she is going over weight.

BHMS
Homeopath, Faridabad
My friend is not having periods before this she have it till 15th of every month this month it is 18 nd she is saying...
Hello, If she is having 30 days of menstrual cycle and now she's delayed by only 3-4 days. Ask her to wait for another few days. Sometimes it does gets delayed because of stress/ increased physical activity, any deficiency/ overweight. How much is her age, weight and height? So, ask her to reduce her weight as increased weight causes increased secretion of s. testosterone in the body which subsequently lead to irregular menses. Ask her to follow the below points for weight reduction if she's really overweight! Management: 1: Drink plenty of water (at least 2-3 l/d) or other calorie-free beverages. 2: Be choosy about nighttime snacks. 3: Enjoy your favorite foods. 4: Have 6 meals per day - 3 main courses and 3 snack meals (snack meals should be healthy). 5: Do regular exercises daily (start with light and later may be little vigorous) . Exercise decreases the stress hormone in your body, burns calories and also increases the blood circulation. 6: Eat seasonal fruits. Fruit helps to satisfy your sweet tooth thanks to its natural sugars, while fresh vegetables help you fill up more quickly. Fruits and vegetables contain fiber to help you feel full quickly. 7: Eat more whole grains and cut simple carbs. Whole wheat bread, oatmeal, whole wheat pasta, sweet potato, and brown rice are all excellent sources of energy and sources of nutrition. 8: Choose lean proteins instead of fatty ones. 9: Cut the salt from your diet. Eating more sodium causes your body to retain water, which can cause you to feel bloated and gain more weight. 10: Don't skip meals.When you skip meals, your body stops breaking down fat and starts breaking down muscle tissue. Muscle tissue burns more calories at rest than other tissues, so you're actually working against your goals 11: Eat at home. Going out to eat makes it too easy to cheat. Food sold at restaurants is commonly much higher in fat, sodium, and other weight-loss killers. 12: Give yourself a treat now and then. If you're attending a party or going out for a special occasion, allow yourself an indulgence. Just make sure that these indulgences don't become daily habits. Medication for obesity: Start taking Schwabe's Phytolacca Berry tablets/ thrice daily 1/2 an hr before the meals for 1 month. There after revert me back for further guidance. All the best!
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Rhinoplasty Recovery - Healing After a Nose Job

MBBS, MS - General Surgery, M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Gurgaon
Rhinoplasty Recovery - Healing After a Nose Job

With cosmetic surgery, today, it is possible to reshape the contours of your face anyway you like. Rhinoplasty is one of the most common types of cosmetic surgeries. This is a surgery to restructure the shape and size of your nose. This procedure can be done under local or general anesthesia. Depending on the amount of restructuring needed, the surgery can be performed as an outpatient procedure or may require an overnight stay at the hospital. 

To change the structure of the nose, the surgeon makes an incision on the nose to access the bones and cartilage. This incision can be made inside the nose to keep the scar from being visible after surgery. Depending on how the nose is to be structured, bone and cartilage may be removed or tissue from another part of the body may be added. Once this is done, skin and tissue is re-draped over the bone structure. A splint is added outside the nose to support it while it heals. 

This splint and internal dressings remain in place for about a week. The area around your nose and eyes will also feel swollen and appear bruised. This swelling and bruising will take at least a fortnight to subside. The swelling may make your nose feel congested and cause slight bleeding and drainage of mucus. Cold compresses and pain medication can help relieve the discomfort. 

Here are a few other tips to help speed up the healing process:

  • Keep your head elevated and relatively still for a few days after the surgery
  • Take bucket baths instead of showers while the nose is bandaged
  • Avoid blowing your nose
  • Avoid making extreme facial expressions
  • Limit movement of the upper lip by brushing your teeth gently
  • Eat fiber rich foods to avoid constipation
  • Avoid wearing clothes that need to be pulled over your head and instead wear front closing clothes
  • Avoid strenuous activities like aerobics and jogging
  • Do not wear sunglasses or spectacles that put pressure on your nose for at least a month
  • Protect your nose from the sun by using sunscreen whenever outdoors
  • Limit your salt intake

To be completely satisfied with the results of your rhinoplasty surgery, will require patience. It can take a few months for the cartilage and tissues to settle into place. It is also necessary for you and your doctor to be aligned as to the kind of correction needed. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.

3343 people found this helpful

I have had sex with my aunt daughter on 6th of this month without protection and she had 1st time with me. But I didn't ejaculate in vagina. I'd used withdrawal method. Is there any chances of pregnancy and what should I do now. Her period cycle started from 29 of every month.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I have had sex with my aunt daughter on 6th of this month without protection and she had 1st time with me. But I didn...
if,there is no semen discharge inside vagina then don't worry about pregnancy.there will no pregnancy.
1 person found this helpful
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After having unprotected sex I ate a I pill its been 5 days since then I haven't had bleeding how do I come to know that am I pregnant or not after how many days does the pill work, other method to terminate it,

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. To TEST PREGNANCY AT HOME simply add urine to a small piece of soap, if froth forms, or if the soap bubbles up, the test is positive. Mix ¼ cup of tuna juice and ¼ cup of vinegar in a plastic cup. Now pee in a separate cup and then add your urine to this mixture. After a few minutes, if the color changes to green, then you are pregnant. Take care.
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We had unprotected sex last month I was about get period on 10th but up-to now I didn't get my period. Tested pregnancy wit home test kit it says negative heavy white discharge is there n vagina with odd smell and itching s there in vagina pls help am scared.

MD, MBBS
General Physician, Noida
We had unprotected sex last month I was about get period on 10th but up-to now I didn't get my period. Tested pregnan...
If pregnancy test is negative using home test kit, you get it tested in a lab by quantitative pregnancy test and if that too comes negative, it means you are not pregnant. You have contracted vaginal and cervial infection with fungus (candida albicnas), protozoa and bacteria and that might have been extended to your tubes, that may be the cause of missed periods, foul smelling white discharge and itching. You need proper treatment of infection by suitable antifungals and antibiotics. For missed periods you may take provers 10 mg daily for 7 days. To regularise your menses you take it from 18th day of menses to 25th day of menses for 2-3 cycles.
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Hi, I'm 26 years old. Mere last periods may last me hue to jo k June first tak the uske baad se meri dates nhi aayi. maine pregnancy test bhi kiya. Its negative or ek meprate naam ki dwa bhi li last five days tak but nothing happened. Kindly help me with this.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
Hi, I'm 26 years old. Mere last periods may last me hue to jo k June first tak the uske baad se meri dates nhi aayi. ...
Periods can come within 7-10 days of stopping meparate. It it is still dose 7-10 days don't worry. But if it is more, get an ultrasound and see a specialist for further management.
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Hello, I want to ask that I do sex with my girlfriend without condom but I didn't inject sperm in her vagina. After 48 hours of sex I gave her unwanted 72. Is there anything to worry like pregnancy type please clear my doubt. I am in stress with this.

MD, MBBS
General Physician, Noida
Hello, I want to ask that I do sex with my girlfriend without condom but I didn't inject sperm in her vagina. After 4...
No, there are no chances of pregnancy as if you give her i-pill within 72 hours of sexual intercourse, she won't get pregnant. You can also use safe-period technique to prevent pregnancy:-- If you have sex when she is in 12th-16th day of menses (when menses started is counted as first day), and she has not take pills, chances of her getting pregnant are very high. If it is 8th-11thday of 17th-20th day of menses pregnancy may or may not occur. Risk is there. If it is1st to 7th day or 21st to 28th day of her menses, there are no chances of her getting pregnant. In future use safe period 1st to 7th day of menses or 21st to 28th day of menses if she has 28 days cycle.(if she has 26 or 30 days cycle calculations would change). If do have intercourse from 8th day to 20th day, use condom or today or i-pill (=unwanted 72).
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I had unprotected sex day before. And post thatbi started taking freewil for past two days. My last periods was on 9th of this month I have pcos too I got ipill 21 days and overall today. Should I take them instead of freewil? Or jus continue the tablet. Is there risk of pregnancy?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I had unprotected sex day before.
And post thatbi started taking freewil for past two days.
My last periods was on 9t...
Ovral cannot be started in the middle of the cycle, so advise you to wait for your periods date ,if you miss the date do a UPT, post that you can get back to us for further advice on this, avoid the rest of the tabs to create lesser complications.
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Hai sir this is Prasad my wife's last period date on 3 rd June, still She didn't get periods, from last 3 days she was suffering with pain in abdomen, I did pregnancy test twice but it's showing negative. Could you please tell the reasons for not getting periods.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Hai sir this is Prasad my wife's last period date on 3 rd June, still She didn't get periods, from last 3 days she wa...
Non following of periods paricharya during period days affects mentural cycle makes it painful & irregular avoid heavy work heavy food bathing travelling exercise in period days take dashmularishta 2-2 tsp + 2-2 tsp of simple water for 5-10 days stop it when menses start consult privetly for more details.
3 people found this helpful
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Yesterday a small dog bite me in my hand. My fingers got bleeding. I didn't take any treatment until now. please tell treatment is must for me?

MBBS, cc USG
General Physician, Gurgaon
You need immediate medical attention 1. Wound care 2. Tetanus cover 3. Anti rabies vaccination wash your hand in running water for 10-15 minute Consult near by Physician as soon as possible
5 people found this helpful
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