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Dr. Varsha Ghale

Gynaecologist, Pune

200 at clinic
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Dr. Varsha Ghale Gynaecologist, Pune
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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. Varsha Ghale
Dr. Varsha Ghale is a trusted Gynaecologist in Thergaon, Pune. She is currently associated with Spandan Hospital ICU & Multispeciality in Thergaon, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Varsha Ghale on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 32 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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Hi, I was taking contraception tablets and I have stopped that after that I got periods and bleeding went for 15 days. Doctor suggested to take sysron and tablet for 30 days and take 2 tablet per day for 5 days and 25 day each. Now when will I get periods and will I get pregnant soon.

DHMS (Hons.)
Homeopath, Patna
Hi, I was taking contraception tablets and I have stopped that after that I got periods and bleeding went for 15 days...
Hello, Lybrate user, Some times contraceptive may cause such type of distress, you are facing. Menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. * Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care,
1 person found this helpful
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What is a Hysterectomy and Why Do You Need Uterus Surgery?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
What is a Hysterectomy and Why Do You Need Uterus Surgery?

What is a hysterectomy and why do you need it?

A hysterectomy is a surgical procedure to remove the uterus, which is a muscular organ that carries and nourishes the baby during pregnancy. This surgery may be done to remove all or parts of the uterus; if there are any associated problems in fallopian tubes/ ovaries, they may also be removed simultaneously, during hysterectomy.

Types of hysterectomy procedures

Hysterectomy may be done through surgical cuts in the belly, known as abdominal hysterectomy or through vaginal hysterectomy where the uterus is removed through the vagina. Majority of the hysterectomies are now done with laproscope, due to the advantage of faster recovery. Which procedure is chosen will depend on why the hysterectomy is being performed along with the medical history of the patient.

Depending on the reason of the surgery, removal of the whole uterus or just parts of it may be required. The types of surgery are:

- Partial hysterectomy is the removal of just the uterus while keeping the cervix in place

- Total hysterectomy is the removal of the uterus and cervix

- Radical hysterectomy is the removal of the uterus, ovaries, fallopian tubes, lymph nodes, cervix and the upper part of the vagina, and is generally only advised in cases of cancer

- Oophorectomy is the removal of ovaries and it may be done with a hysterectomy

Why is it needed?

There may be many reasons to have a hysterectomy and some of them include:

Heavy periods

These may be very uncomfortable and painful, sometimes caused by other diseases. A hysterectomy may be opted for when all other treatments have failed to treat this condition.

Fibroids

They are non-malignant tumors in the uterus that cause constant bleeding, anemia and pelvic pain along with bladder pressure. They may also cause very heavy periods.

Endometriosis

It is a condition where the tissue lining the uterus also grows on the ovaries, fallopian tubes, or pelvic or abdominal organs. It causes severe abdominal pain, heavy periods and sometimes even infertility.

Uterine prolapse

When the tissues and ligaments supporting the uterus become weak, the uterus may slip down from its normal position and descend into the vagina. It can result in urinary incontinence (leakage of urine), pressure in the pelvis and problems in bowel movements.

Cancer of the uterus, ovaries, fallopian tube, cervix or the lining of the uterus (endometrium)

A hysterectomy may be recommended for these types of cancers.

'Consult'.

3458 people found this helpful

Hello sir, I am 42 year female and have menopause. What should I do? Please tell me.

BAMS
Ayurveda, Bangalore
Hi, after menopause, the oestrogen levels go down and as a result it affects the bones causing arthritis and osteoporosis. Hence a women needs to start on calcium supplements to take care of their bone density. Drink two glasses of milk everyday which is rich in calcium. There is a tendency of weight gain after menopause. So, perform some physical exercises like yoga. Walking and do meditation to keep your mind calm. Be careful about diet. Cut down on high calorie diet like sweets, oil fried food, chats, bakery food, etc. Be active. Get your sugar levels, serum calcium levels, vit. D3 levels and cholesterol levels tested once in a year.
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Hi Always I want sex from my husband but my husband is not ready to do only one time in a month so I am getting depression What to do pls guide me.

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
Hi Always I want sex from my husband but my husband is not ready to do only one time in a month so I am getting depre...
Dear user. There are many psychological causes of LOW MALE SEX DRIVE, including: Mental health problems, such as anxiety or depression. Stress, such as financial stress or work stress. Poor body image. Low self-esteem. History of physical or sexual abuse. Previous negative sexual experiences. I suggest counseling for him. Take care.
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Hello doctor my dob is 16/11/1996 and my partner her dob is 05/12/1995. She is elder than me one year. Is it recommended for our marriage. Will there be any issue. After marriage.in sex or anything. And when is suitable age for having kid.

MBBS
Sexologist, Panchkula
Hello doctor my dob is 16/11/1996 and my partner her dob is 05/12/1995. She is elder than me one year. Is it recommen...
It does not matter if your partner is elder than you by one year. There will be no sex and other problems. Female age of 22 years is suitable for having kids.
3 people found this helpful
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I am 25 year old girl. I have very large chest want can I do for that. To reduce that one.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 25 year old girl. I have very large chest want can I do for that. To reduce that one.
Do exercises with arms like weight lifting and rowing to tone up the muscles. Wear sports bra as it flattens the'chest' making a woman less conscious.
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How To Increase Sperm Density?

FECSM ( spain), Fellow of European Society of Sexual Medicine., School of Sexual Medicine, DPM, MBBS
Sexologist, Pune
How To Increase Sperm Density?

Infertility is a bigger issue than it was a couple of decades ago, and it is only going to get worse. The decreasing sperm count and quality are the main contributors for infertility. This has happened due to the changing lifestyle with lack of physical activity, increased stress, relationship issues, a greater amount of pollutants, and digital exposure. These are some of the common issues, and each couple presents a unique case.

There is, however, good news in that there are simple, effective ways to improve sperm count and density, which in turn can help cure infertility.

  1. Smoking: Nicotine harms the body in multiple ways and lowering sperm count is one of the significant ones. For most men going to infertility clinics, stopping smoking is one of the first prescribed remedies. It helps sex drive, boosts sperm count, improves performance, and leaves the couple happy.
  2. Reduce Chemical Exposure: There are plastics all around us. These plastics contain BPA and phthalates which have been shown to reduce sperm count. Plastics have entered all areas of life in the last 40 to 50 years, and it is during the same time that sperm count has reduced by (hold your breath) 50%!!!

  3. Reduce Plastic Use: Reduce plastic use in all forms – from sex toys to plastic food storage to water containers. Chemicals also need to be reduced in terms of eating foods where pesticides would be used. Another source of chemicals is the shampoos, soaps, deodorants, cosmetics, and other toiletries. Try organic products as much as possible. These have an adverse effect on the sperm count.

  4. Water: Avoid chlorine exposure – be it in tap water, bleach or other products. Hydrogen peroxide is a safer option.

  5. Diet: Reduce caffeine intake. Avoid grilled foods. Increase fresh fruits and vegetable intake. Eat whole grains. Avoid canned and packaged foods. Avoid processed and half-cooked foods. Reduce refined carbohydrates. If required, talk to a doctor and get vitamin C and zinc supplements. These are essential for the formation of testosterone hormone and can play a role in improving sperm count.
  6. Exercise: A regular exercise of about 30 minutes daily is highly beneficial in improving overall circulation and increasing sperm count. A word of caution, though – over-exercise can lead to reduced sperm counts and infertility in males.

  7. Stress Management: Another major reason for infertility, reduced sex drive, reduced sperm count, and poor sexual performance is stress. Be it exercise or music, meditation or cooking, identify what works to keep you calm and do it.

  8. Check your Medical Kit: There could be some medicines which may be helping you curing one disease but could be leading to infertility. Talk to a doctor and if there is a culprit, switch to a safer drug.

9 people found this helpful

Hello sir/madam, good morning my question is about sex. During the intercourse with my wife she felt that she is gone loo so please give me suggestion about this and if there is problem in this suggest me cure for that. Hope your week going well.

MD-Dermatology, MBBS
Sexologist, Pune
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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I have daughter she is 9 years and recently got periods, but the flow is only 1to 2 drops when she pass urine ,it continued for 3 to 4 days, have done every test the result are normal, she got other periods in 15 days, is this normal or need to have second opinion.

MBBS, DGO
Gynaecologist, Mumbai
I have daughter  she is 9 years and recently got periods, but the flow is only 1to 2 drops when she pass urine ,it co...
it's normal irregular period ..less or heavy flow..during puberty in first 1_2yrs...bt meanwhile u ought to b careful also..do tsh of ur daughter..
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Sir, I got married 4 months back, I love child soo much, I am doing sex daily with my partner, but no symptoms of pregnancy yet, please suggest us any tips and medications to get early pregnancy. Thank you sir.

DHMS (Hons.)
Homeopath, Patna
Sir, I got married 4 months back, I love child soo much, I am doing sex daily with my partner, but no symptoms of pre...
Hello, Lybrate user, Subject to every thing is normal in a male partner,  underlying norms be monitored for quick & safe pregnancy. •Female partner should take plenty of water to hydrate the entire body. •Should go for meditation to reduce stress and nourish reproductive organs & to control BP, level. Apart from medication, you need to carry on the under lying food elements to carry on your pregnancy safely and faster, even. Banana, brown bread & rice, mackerel, salmon, tofu ,eggs, lemon, orange, almonds, ashpargus,  kidney bean, milk, cheese. •Carry. Vit A, B1,B2, B6,C & folic acid-eating apples during pregnancy provide quick energy due to its carbohydrate content with low calory ,  preventing high blood pressure in a pregnant women. Brown Bread/Rice -to process baby making, brown bread and brown rice helps to concieve.   •sugar and insulin levels be maintained to tone up  the hormonal balance including  reproductive system. Calculation of ovulation period be taken into account to concieve fast & successfully. Tk, homoeopathic medicine"@Sepia 200-6 pills at bed time. Your feedback matters,  please for further follow up, please. Tk care.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Supplements may cut ldl in older women

Postmenopausal women taking calcium and vitamin d supplements had improved lipid profiles with those taking placebo as reported in a study published in the journal menopause.

In an analysis of data from the women?s health initiative, the level of ldl cholesterol was lower by an average of 4.46 mg/dl in the women on active treatment reported peter f. Schnatz, do, of reading hospital in pennsylvania.

In addition, higher levels of 25?hydroxyvitamin d3 (25 (oh) d3) were associated with higher levels of hdl cholesterol and lower levels of ldl cholesterol and triglycerides.
2 people found this helpful

Should multivitamins be taken on regular basis or it should be cycled over a certain period of time?

BHMS
Homeopath, Faridabad
Should multivitamins be taken on regular basis or it should be cycled over a certain period of time?
Hi, any multivitamin should be taken after doctor's advise. If there is no medical condition, one can take them for 3-4 months daily once only then need to discontinue for another 3-4 months and if required, can be repeated for another 3-4 months.
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Smart Shopping:

POST GRADS IN DIETETICS AND APPLIED NUTRITION, B.SC (H) IN FOOD AND NUTRITION
Dietitian/Nutritionist, Secunderabad
Smart Shopping:
Smart Shopping:
Shop for Nutrient –rich foods that provide high amounts of beneficial nutrients compared to the calories they provide such as brightly colored fruits , vibrant –colored vegetables, whole cereals, skimmed milk, cheese and curd, lean meats, skinless poultry, fish, eggs, beans and nut.

Read food labels to find foods that provide beneficial vitamins and minerals, but are moderate in calories. Make sure those ingredients you want more of , such as whole grains are listed first and those you want less of like added sugars are not one of the first few ingredients
123 people found this helpful

Why You Should Choose Dilation And Curettage?

DNB, DGO, MBBS
Gynaecologist, Faridabad
Why You Should Choose Dilation And Curettage?

Dilation and curettage is a surgical procedure where the cervix (the lower part of uterus) is dilated and tissues are removed from the inside of the uterus. The procedure is usually done to treat heavy menstrual bleeding or clean the lining of the uterus after an abortion or miscarriage.

During the procedure, the cervix is dilated with medication and a thin surgical instrument is inserted through the vagina. This instrument is then used to scrape (curettage) the uterine tissues.

Reasons for Conducting the Procedure

Dilation and curettage is mostly done to either treat or diagnose certain uterine disorders. Dilation and curettage is recommended if your doctor needs to diagnose conditions such as:

1. Irregular uterine bleeding

2. Postmenopausal bleeding

3. Discovery of unnatural endometrial cells while conducting a common test for cervical cancer

Sometimes, the doctor can take a sample tissue from the uterus and perform tests on it to check for the following conditions:

1. Uterine cancer

2. Uterine polyps (abnormal tissue growth)

3. Endometrial hyperplasia (precancerous thickening of the uterine lining)

Dilation and curettage, when used for therapeutic purposes, is used in the treatment of the following conditions:

1. To clear away molar pregnancy; which is characterized by formation of tumours.

2. To treat heavy bleeding after childbirth; any remaining placenta in the uterus is removed.

3. To remove benign uterine or cervical polyps.

4. To clear away fibroids (benign tumours which form on the uterine wall)

5. To remove any tissue that could have been left behind after an abortion or miscarriage to prevent heavy bleeding or infection

What needs to be considered before opting for it?

The procedure of dilation and curettage is mostly safe. Complications from this procedure are rare, but some factors should always be taken care off.

1. The surgical instrument can perforate or poke a hole in the uterus. Sometimes, perforations can heal on their own; but if any organ or blood vessel gets damaged, then another surgery will be required.

2. The cervix can be damaged during the procedure. The doctor can stitch the wound close, or apply pressure on the wound to stop the bleeding.

3. Sometimes, there might be scar tissues on the wall of the uterus. This can cause irregular, painful or absent menstrual cycles, augment risks of infertility and future miscarriages. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2494 people found this helpful

Sir. Recently we are married. My wife and me are going outside. Suddenly she got periods. How to stop that. Which medicine. We have to use. Pls tell me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Sir. Recently we are married. My wife and me are going outside. Suddenly she got periods. How to stop that. Which med...
Hello, Menses once started cannot be stopped, infact the flow can be reduced with antifibrinolytics.
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I am 25 years old, 7 week pregnant. Want to terminate preg using ru486. What med should I take to avoid pain and infection along with ru 486.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
I am 25 years old, 7 week pregnant. Want to terminate preg using ru486. What med should I take to avoid pain and infe...
Preferably pain killers (antispasmodics have to be avoided as they will interfere with the abortive process unless pain is very severe and intolerable. You can take antibiotics for 5 days. Also consult your gynaec after 14 days to ensure that the process is complete. Asonography scan will be useful.
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My wife 31years old has pregnant about 20 week. After doing ultrasound. In reports there is single umbilical arteries. But other reports r normal. Can it affect baby.

C.S.C, D.C.H, M.B.B.S
General Physician,
My wife 31years old has pregnant about 20 week. After doing ultrasound. In reports there is single umbilical arteries...
Occasionally, there is only the one single umbilical artery (SUA) present in the umbilical cord. Approximately this affects between 1 in 100 and 1 in 500 pregnancies, making it the most common umbilical abnormality. It is more common in multiple births. Its cause is not known. Most cords have one vein and two arteries. It may affect baby and a anomaly scan will be needed
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Exercise for Pregnant Women

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ambala
Exercise for Pregnant Women

Walking during pregnancy is the best cardiovascular exercise. A pregnant women can do it at home or anywhere else. Walking is a great, safe exercise for pregnant women. It’s an ideal way to make sure that you’re getting the exercise you need in pregnancy. Brisk walking works your heart and lungs.


    Start with a short, comfortable stroll and gradually increase the duration of the walk.
    Once you’ve got into the habit of walking regularly, you can build up to faster, 30-minute walking sessions, four or more times a week.
    You can walk for longer than that. Slow down or stop if you feel tired or feel any pain.

Swimming is safe in pregnancy.


    Swimming helps to keep you fit, which will make it easier to adapt to pregnancy.
 Swimming is a particularly good exercise in pregnancy, as the water helps to support your extra weight.
 It’s usually safe for you to swim throughout your pregnancy.


Benefits of swimming:
• improve circulation
• boost heart and lung function
• increase muscle tone and strength
• build endurance
• reduce swelling and fluid retention
• burn calories, which helps to manage weight gain
• promote good sleep.
Yoga


Yoga in pregnancy
Yoga is a way of life, opt for a beginner’s yoga class that uses a gentle form of yoga.
Wear loose, comfortable, light clothing. Yoga is easier to do if you’re barefoot, so you don’t need any special footwear.
Yoga should be practiced daily. Join regular aerobic exercise too, such as brisk walking or swimming. This will complement your yoga practice and help to develop muscle tone, strength and stamina.

Pilates


What is pilates?

Pilates makes your body strong, flexible and balanced. It involves a series of movements and positions that help to improve your strength. The movements focus on your tummy, pelvic floor muscles and back muscles, which are all key to good posture, balance and strength. They also help your back and pelvis.
How can pilates help me in pregnancy?
Pilates strengthens your tummy, back and pelvic floor muscles without straining other joints, so it’s a great exercise to do when you’re pregnant. Some research suggests that doing pilates regularly can be as effective as doing pelvic floor exercises.
The main benefit of pilates is that it targets the exact muscles and functions that can be a problem during pregnancy and after birth, in a safe way.
Benefits of pilates:
• strengthen your tummy muscles, which equips your body better to cope with the strains caused by the weight of your growing baby.
• reduces back pain, by exercising the deepest tummy muscles that stabilize your back and pelvis. Weak muscles can lead to back or pelvic pain.
• strengthen your pelvic floor, which will help to support your bowel, bladder and uterus (womb) as your baby grows and moves down.
• pilates exercises strengthen your core and may make you more stable when you walk as your bump grows.
• takes the strain off your back and pelvis, by using positions such as going on your hands and knees, which is a great position for pregnancy.
Aerobics

Aerobic exercise gets your heart beating a little faster, and makes you slightly out of breath.
Doing regular, low-impact aerobic exercise in pregnancy will help you to:
• strengthen your heart and lungs tone your muscles ease pregnancy aches and pains get a better night’s sleep.
• all of this will help you to stay positive and make you better equipped to cope with the demands of pregnancy and birth.

1 person found this helpful

BHMS
Allergist/Immunologist, Jaipur
When steroid tablets are taken for many months or years, harmful side effects are likely and almost inevitable. The list of possible effects is long; it includes mood changes, forgetfulness, hair loss, easy bruising, a tendency toward high blood pressure and diabetes, thinning of the bones (osteoporosis), suppression of the adrenal glands, muscle weakness, weight gain, cataracts, and glaucoma. After being swallowed, these tablets are absorbed from the stomach into the bloodstream and taken not only to the bronchial tubes (to treat asthma) but also to every other part of the body. Their effects are widespread.

On the other hand, only miniscule amounts of steroid medication enter the bloodstream after inhaling it. The reasons for this difference include the following. First, steroids used for inhalational treatment of asthma are designed not cross well from the surface of the bronchial tubes into the bloodstream. Somewhat like applying a steroid cream to the skin, they are poorly absorbed from the surface into the blood. Second, only very small amounts of steroid medication are delivered from the inhalers with each dose or "puff" Less medicine is needed when it can be directly applied to the affected area. We measure the amounts of steroids inhaled in micrograms, which are units one thousand times smaller than the milligrams by which we measure prednisone or Medrol® tablets.

When breathed in, some steroid medicine remains in the mouth and can be swallowed into the stomach and from there absorbed into the bloodstream. You can minimize any effect from steroids left behind in your mouth in two ways. First, use a spacer tube with your steroid spray. (A spacer can not be used with budesonide [Pulmicort®] dry powder inhaler.) Medicine that would otherwise land on your tongue and mouth stays in the spacer chamber. The part of the spray that passes through the spacer also tends to pass through your mouth and proceed down onto the bronchial tubes. Second, rinse your mouth with water after inhaling the steroid spray. Rinsing removes any medicine residue from your mouth. The portion of the medicine that helps your asthma remains undisturbed on your bronchial tubes.

So much for the theory; what about the actual experience with steroids in inhaled form? The current generation of steroid inhalers first began to be used in the mid 1960s. For more than three decades they have been prescribed for millions of people with asthma and other lung diseases worldwide. No serious long-term adverse effects have emerged. For adults, given in the usual doses, they do not cause degeneration (atrophy) of the normal tissues of the respiratory passageway. They do not predispose to lung infections. They do not cause cancer, diabetes, or high blood pressure.

We need to look more carefully at the two phrases used above: "for adults" and "in the usual doses" Children's bones may be sensitive to the very small amounts of steroids that can enter the bloodstream after inhalation. There is currently debate ? and considerable on-going research ? to determine whether in children inhaled steroids might slow bone growth and reduce a child's ultimate height.

Also, when given in very large doses (many puffs from a high-concentration steroid inhaler), the amount of steroid medicine that spills over into the bloodstream can become significant. Although the effect is small, like a very small dose of prednisone, over the years this small effect can potentially add up to serious harmful effects. High doses of inhaled steroids taken for a long time can probably predispose to cataracts, glaucoma, and thinning of the skin and bones. As a result, your doctor will probably only have you take high doses of inhaled steroids as a means to avoid steroid tablets. And he/she will constantly work with you to attempt to reduce the dose of inhaled steroids to a more conventional and safer range.

Remember that not taking inhaled steroids for fear of side effects may have real consequences that are far worse than potential effects in the future; namely, asthma symptoms and risk of asthma attacks now. Severe asthma attacks are usually treated with steroid tablets, which all agree have the worst side effects.

She is suffering from breast pain during menstruation cycle periods. This month taken 7 days to complete, any problem from this. Please give suggestion.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
She is suffering from breast pain during menstruation cycle periods. This month taken 7 days to complete, any problem...
Hello, breast soreness is common during menstruation and this is a part of PMS syndrome. The pain can be reduced with antispasmodics or NSAIDS.
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