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Mr. Chetan

Gynaecologist, Pune

Mr. Chetan 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.
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I am 28 year old my period date is 29 Apr 29 May 8 July & 18 Aug. What is the write time of my evaluation & which date I use fertomid 50. I want to get pregnant faster. Please advise.

BHMS PGCGO
Homeopath, Hubli-Dharwad
I am 28 year old my period date is 29 Apr 29 May 8 July  & 18 Aug. What is the write time of my evaluation &  which d...
You taking first time this tab? you start this tab second day of periods. And add twelve to your periods date. Which date come it's your fertile period. Example 18+12=30.30, 1, 2, 3, 4 is your fertile period.
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Platelet and Nutrition

MBBS, D.P.H
General Physician, Gurgaon
Platelet and Nutrition

Platelet and Nutrition

  • Platelet are the thinest cells in the blood stream.

  • I t look like plates in their non-active state but in active state the tentacles that seems to the shape of spider or an octopus. Like other blood cells it is also made in blood marrow.

  • Role of platelet is to protect the body against excessive loss of blood, during injury, in the presence of wound or injury these cells migrate to site and bind the damaged blood vessels and forms the clot

  • In human body normally the platelet count range is 1,50000 - 4,50000 / microlitter

  • When the count is above the 4,50000 / microliter it is called thrombocythemia or thrombocythemia. The term thrombocythemia is used when the cause of higher platelet count is not known i.e. Primary or essential thrombocythemia. this condition occurs when the faulty cells in the bone marrow make too many platelets. While the higher platelet count due to any disease it is called secondary or reactive Thrombocytosis which more common than the thrombocythemia.

  • When the count is below 1,50000/microlitter the condition is called thrombocythemia. Low platelet count may result bleeding from nose, gums, under the skin (Purpura) in the forearm and pinpoint bleeds (Petechiae) on the legs. In womens long and heavy periods. Treatment should be initiated before the bleeding occurs because some time a huge drop of platelet count is sudden which may result uncontrolled bleeding resulting life threatening condition i.e Shock or Organ failure.

  • Treatment for Low Platelet: When the platelet count comes down comes down 10,000-20,000 then transfusion of Platelets is required or some sort of bleeding present in nose, gum & skin is present. Otherwise take Natural food which increases the low platelet count.

     

10 Foods That Increase Low Platelet Count:

1. Anar (Pomegranate): It is rich in iron and also contains vitamins. This fruit help to combact increasing platelet reduction with regular consumption & vitamins keep your energy levels steady.

2. Milk : It it has high calcium which helps to regenerate the platelet. Calcium content with vitamin K and milk protein “Fibrinogen” increases the Platelet count and improves the blood;s ability to form the clot. Calcium Deficiency can lead to your body much longer time in forming clot .

3. Folate Rich Food : Folate or B9 is essential for healthy cell division in the body. Sever deficiency of folate in body can result reduction in Blood Platelet. Daily intake of Folate is 400mg is required. When platelet count is low it’s consumption increases the platelet count. Food rich in Folate are Asparagus, Orange juice,Spinach and fortified cereals.

4. Lean Proteins: Lean proteins food are excellent source of Zinc and Vitamin 12 which are essential to reverse the effects of thrombocytopenia. In case of reduced platelet count take food like soyabean, spinach (Palak), blackbeans, cow’s milk, white of egg, Oatmeal, Fish and white meat chicken.

5. Papaya: Extract of leaf of papaya is excellent for overall blood production and increases the platelet count (Prepare extract of leaves by boiling leaves in medium heat for 15 minutes with water and wait till the water simms down to half ). Take leaf extract 2tsf twice daily.

6. Cod Liver Oil and Flax Seed Oil: These oils strengthen the Immune system many autoimmune disorders are cause of thrombocytopenia or low platelet count. These oils reduce the inflammation of in the body and improve the blood circulation throughout the body.

7. Vitamin A Rich Food: Vitamin A is essential for healthy platelet production, it also plays role in formation of Protein in body which helps in the process of cell division and growth. Carrot, Pumpkin, Kale and Sweet Potatoes (Sakarkandi).

8. Chlorophyll from Wheat grass: Wheat grass juice contains 70% of chlorophyll (The Plant Haemoglobin) have strong effect in overall blood production and increases the platelet count. Take ½ cup per day.

9. Vitamin K Rich Food: Vitamin K keeps cell growth at optimum level in the body. Life of platelets is only 10 days which is to be compensated continually to maintain te lost amount in the body, hence high calorie food for ideal production of blood platelets and vitamin K is one of the ingredient available in Eggs, Green leafy vegetables, Kale, Frozen Spinach, Mustard Greens Broccoli & Liver.

10. Macrobiotic Diet: To combat Thrombocytopenia in patients an vital anti inflammatory diet is recommended by Platelet Disorder Association which help in optimum blood production e.g. Whole grains, vegetables and organic beans is recommended while animal protein is to be avoided except Fish Yogurt & cheese.

1 person found this helpful

How to quit smoking

BHMS
Homeopath, Raebareli
How to quit smoking
Triggers are the people, places, things, and situations that trigger your urge to smoke. On your quit day, it's best to avoid them all together. Here are a few tips to help you outsmart some common smoking triggers:
Throw away your cigarettes, lighters, and ash trays if you haven't already
Avoid caffeine, which can make you feel jittery; try drinking water instead
Hang out with non-smokers; most people don't smoke, so you should have options
Go to a place where smoking isn't allowed; unless you want to break the law, you won't light up
Get plenty of rest and eat healthy; lack of sleep and too much sugar can trigger you to smoke
24 people found this helpful

6 Winter Health Symptoms You Shouldn't Ignore

MD - General Medicine
Sexologist, Delhi
6 Winter Health Symptoms You Shouldn't Ignore

Traditionally, winter is a time for running around throwing snowballs, trying (and failing) to hit the high notes in" all I want for christmas is you. And then creeping inside to deal with our dripping noses and dry throats. For many of us, winter health problems are as much a part of the season as holiday cookies or goofy knit caps. However, while you may be resigned to feeling less than great for the next few months, there are some winter health symptoms that you shouldn't blow off as" just what happens when it gets this cold" — because they could be a sign of a serious problem.


 

Many of these symptoms might be familiar; perhaps you've experienced them for years, every time the temperature drops. But that doesn't mean they're normal or unavoidable — yes, virginia, it is unusual to have colds on and off from autumn to spring, to have a cough that lasts three months, or to have your fingers go white every time you spend some time in the freezing outdoors. Just because it's normal for you, doesn't mean it's not actually a health concern.


 

So if any of the six symptoms below strike a chord, get yourself checked out by a doctor — yes, even if you're sure it's not a big deal/ you hate causing a fuss/don't want to bother the doctor/whatever other excuse you've been using to get out of a gp visit. Just go. Your lungs, circulation, immune system or whatever else will thank you.

 

1. White fingers

If you live in a spectacularly cold area, you're doubtless familiar with the one serious problem that whitened fingertips after exposure to freezing weather can signal: frostbite. But if you habitually suffer from fingers whiter than santa's beard every time you spend some time outdoors, you may have a different problem — a condition called raynaud's syndrome.


 

Raynaud's syndrome is essentially a malfunctioning of the blood vessels in your extremities. If they're exposed to cold or stress, they'll contract temporarily, restricting the blood flow massively and leading to the syndrome's trademark creepy whiteness. As the blood vessels relax and the blood returns, your fingers will flush and hurt. Raynaud's is pretty common (up to 20 percent of adults worldwide have it), but it's also got some serious possible side effects, including ulcers — so if you're nodding your head in recognition here, hop it to your gp.


 

2. Flushed cheeks

The winter season is all about pink cheeks, right? what would the season be without flushed-cheek children frolicking and taking sleigh rides? yep, but if you're getting a bit too flushed, you could actually be afflicted with something more serious than festive cheer.


 

If you've noticed that your flushed cheeks last for a long time or seem to be lingering and sticking around like a sunburn, you may have the beginnings of rosacea, a dermal disease related to the blood vessels in your face. As the name indicates, it shows up as a painful rosiness and redness of the skin, as well as occasional pimples. But if you identify with all these symptoms, don't worry — you're not alone. Up to 10 percent of people in cold countries suffer from rosacea, and there are a host of treatments available, from facial gels to avoiding triggers (coffee is, alas, partially responsible). So even if you feel like it's not making a major dent in your life, you still might want to get your potential rosacea checked out.


 

3. Wheezing

When you come in out of the cold weather, do your lungs usually sound like a bellows? wheezing — which typically involves a whistling noise and feeling of restriction when you breathe — isn't actually a normal respiratory reaction to the cold, so if you've started to give a decent impression of a deflating balloon every time you head indoors, you need to see a doctor.


 

Wheezing can be a sign of many health issues, including bronchial infections, asthma and even allergies. If you're wheezing and you know you won't be able to see a doctor for a while, make sure to at least wrap yourself up very well every time you go outside (particularly around the neck and face), and try not to do exercise in cold air (which, if you have asthma will, can leave you with a wheeze so intense, it may sound like a seal bark).


 

4. A cough that won't go away

The concept of a" persistent cough" doesn't really hit home until you've actually spent weeks or months with the thing hanging around, interrupting your sleep and making you the most hated person in any movie theater you enter. Coughs are often benign, but it is important to watch how long they last. If they don't clear up in less than two weeks, you may just have lasting irritation in your airways after a cold or could be suffering from an allergy — but your cough might also be pointing to other health conditions.


 

A prolonged cough may mean that you have developed a bacterial infection in your airways, particularly if you notice that the cough's accompanied by a bit of pain. The four other common causes of prolonged cough, according to harvard research, are a postnasal drip, asthma, acid reflux, or certain blood pressure medications which induce cough — and all of these situations deserve medical attention. And in extremely rare circumstances, a cough that won't go away can also be a sign of lung cancer. So don't feel like you should just wait for it to go away on its own.


 

5. Extremely dry lips

Dry lips are a constant struggle for most of us in cold weather, but if the problem persists even when you've smothered them in every chapped lip solution known to man, you may actually deal dealing with a more unusual problem: a vitamin a overdose. Women are only supposed to have 700mg of vitamin a per day, and if you're exceeding that, your body may be reacting in some unusual ways.


 

A vitamin a overdose is known as hypervitaminosis a, and it's not fun: along with dry, cracked lips, your skin and mucus membranes go dry and you may suffer from hair loss. It's most often caused by people taking too many vitamin a supplements (like cod liver oil) and also occurs as a side effect of some heavy-duty acne meds. So if you're concerned, be very sensible when it comes to supplement use and the balance of vitamin a-heavy foods like sweet potato and tuna in your diet.


 

6. Persistent colds

Long-term vegetarians and vegans will probably be familiar with this one: if your body seems to be completely incapable of recovering from colds, or only lets you feel healthy for a few days before you catch the next one, you might actually have an iron deficiency affecting your immune system. The medical term is iron deficiency anemia, and it leaves your body vulnerable to infections and viral illnesses.


 

Iron plays a big role in the immune system; it is a necessity for red blood cells, which carry oxygen around the body. If those red blood cells are not working properly, your system gets fatigued and oxygen-starved and can't fight off illness. You can fight this deficiency through upping your consumption of vegetarian-friendly iron-rich foods, like dark leafy green veggies, legumes, and whole grains. And if you aren't a vegetarian, one of the most highly recommended ways to combat iron deficiency anemia is seriously seasonally appropriate: eat dark turkey meat, which has tons of iron. So bring on that christmas lunch early! you just have to have the turkey leg, for medical reasons.

7 people found this helpful

My wife nipples became inverted since last 2 years. What is cause & Cure, please!

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife nipples became inverted since last 2 years. What is cause & Cure, please!
These can be dealt by manually pulling them out and massaging the areola for 10-15 min each. These may be a grave concern during breast feeding practices. Regards.
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Menorrhagia (Heavy Menstrual Periods) - A Common Indication For Hysterectomy

M.D. Gyn. & Obstetrics, MBBS, Diploma in Advanced Gynaec Laparoscopic Surgery, D.N.B., F.C.P.S.(Mid. & Gynae), D.G.O., D.F.P.
Gynaecologist, Mumbai
Menorrhagia (Heavy Menstrual Periods) - A Common Indication For Hysterectomy

Menorrhagia refers to very heavy and prolonged menstrual bleeding or periods in women. The bleeding is abnormal in nature, and if this continues for a long time, a hysterectomy surgery needs to be carried out to solve the problem.

Bleeding during the night time and passage of large blood clots during menstruation are other symptoms of Menorrhagia.

Causes:

The various possible causes of this kind of heavy menstrual bleeding are:

  1. Hormonal imbalance, specifically of estrogen and progesterone is a common cause, which is more likely in adolescents and in women nearing menopause. Dysfunction in the ovaries also causes hormonal imbalance.

  2. Non-cancerous tumors or fibroids may also be responsible for menorrhagia.

  3. Women suffering from a miscarriage or ectopic pregnancy are likely to experience heavy menstrual bleeding.

  4. Using blood thinners may lead to menorrhagia.

  5. An intrauterine device used for birth control measures can cause disturbance and may lead to heavy menstruation.

  6. A condition known as adenomyosis, where the glands in the uterus lining get embedded in the walls of the uterus, also causes menorrhagia.

  7. Pelvic inflammatory diseases, infection in the uterus or fallopian tubes are other common causes.

  8. Heavy bleeding may occur in patients with ovarian or cervical cancer.

  9. Diseases of the kidney, liver or thyroid diseases may also cause menorrhagia.

Diagnostic Tests:

Several tests and methods are carried out for the diagnosis of menorrhagia. They are:

  1. A general physical examination.

  2. Bleeding diary of the woman.

  3. Blood tests to detect anemia or thyroid.

  4. Pap Smear for the evaluation of cervical inflammation, infections or cancer

  5. Ultrasound for evaluation of pelvic organs like uterus, ovaries and pelvis.

  6. Hysteroscopy, where a camera is inserted into the uterus to observe the linings.

  7. Sonohysterography, where a fluid gets instilled into the uterus along with an ultrasound test.

Treatment:

Certain drugs are used to treat menorrhagia. They include:

  1. Iron supplements for treating anemia.

  2. NSAIDS or non-steroidal anti-inflammatories for treating and reducing blood loss.

  3. Tranexamic acid is used for reducing menstrual bleeding.

  4. Several oral contraceptives are used for regulation of the menstrual cycle. Oral progesterone corrects hormonal imbalance and reduces bleeding.

Surgical procedures for treatment of menorrhagia include:

  1. Hysteroscopy, dilation and curettage, where uterus lining is scraped and evaluated.

  2. Uterine artery embolization treats menorrhagia with fibroids.

  3. Focused ultrasound ablation enables the killing of the fibroid tissue.

  4. Myomectomy, endometrial ablation and endometrial resection are other surgical techniques.

  5. Hysterectomy surgery is the penultimate solution, where the uterus, cervix or ovaries are completely removed.

Menorrhagia is characterized by abnormally heavy menstrual bleeding in women. This is quite unhealthy and proper measures must be taken for curing the heavy bleeding.

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My wife 24 year old suffering diabetes since 2005. Taking insulin 30/70 & Hum-insulin on three time in a day 20-20-30. One month before her HbA1C reading was 9.5 Now we want to conceive kindly suggest. Thanks

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
First control diabetes. HbA1c should be maximum 6.5 before conceiving. It's better if you can consult gynaecologist for pre-conceptional care, right now.
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MD - Medicine
Endocrinologist, Ahmedabad
Heavy air pollution can trigger acute heart attack in the hours after exposure.
3 people found this helpful

What are the symptom of early pregnancy before a missed period What precaution should we take.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
What are the symptom of early pregnancy before a missed period
What precaution should we take.
Hello, Missed period is the firsr and the most significant sign of pregnancy. It can be diagnosed at the earliest after ten days of missed period by UPT.
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I am 22 years old, female, I have already done intercourse with my husband. How I will come to know that I am Pregnant. What will b my symptoms in those days. What precautions shall I take. Please guide me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 22 years old, female, I have already done intercourse with my husband. How I will come to know that I am Pregnan...
1. Prickling, tingling nipples due to increased blood supply to nipples 2. Spotting and cramping at the time of periods 3. Feeling sick esp.morning sicknes and frequent vomitings 4. Tender, swollen breasts in 6th week 5. Feeling tired due to pregnancy hormones 6. Needing to urine frequently as kidney have to work more due to increased blood supply by pregnancy hormones 7. Darker nipples ,a dark circle around nipples at 8th week 8. Food cravings and altered sense of smell 9. A missed period 10.URINE PREGNANCY TEST for confirmaation.
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I am 28 year old, married for 1.5 yes now. I did my iui treatment to get pregnant. But nw my husband feels we need to abort. I am taking for past 8 days, what are the consequences, what are the possibility of me getting pregnant.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
If you have conceived after treatment I would not recommend abortion. That you will conceive next time is not sure. So better to carry on.
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My wife is pregnant of 18 weeks. What precautions should she take. What is the best diet for her these days.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is pregnant of 18 weeks. What precautions should she take. What is the best diet for her these days.
Hello,A pregnant woman should take utmost caution of what she eats. A nutritious diet rich in proteins, iron, calcium and omega 3 fatty acids is recommended. Overall besides normal food make sure she takes a big glass of milk daily, 2-3 eggs in a week, chicken/ fish twice a week, take 2 helping of fruits and salads daily. Taking 5-6 almonds alone a piece or two of walnuts daily should overall take care of your nutritional requirements. Hope this helps you.
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Last month I got my menstrual cycle on time. This month there is no sign of getting it till yet. It has been delayed by 2 weeks till now. What should I do?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Last month I got my menstrual cycle on time. This month there is no sign of getting it till yet. It has been delayed ...
Hi. If you are sexually active then maybe you are pregnant. I suggest you do a pregnancy test and check. But incase the test is negative it maybe due to hormonal disturbances. We can give progesterone tablets to induce your periods. But before that please confirm with a pregnancy test.
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Hi I am 19 years old and I have irregular periods from 1 years what can be reason nd last years my insofolia has also increase tooo much for which I have taken medicines and my hemoglobin is also 8? please suggest what should I do?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hi I am 19 years old and I have irregular periods from 1 years what can be reason nd last years my insofolia has also...
Hello, irregularities in menstrual cycle can be due to anemia as well. Your weight is on higher side. You should try to reduce your weight and keep a menstrual calendar for proper evaluation.
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Hazards of sitting

MD AYU, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
Hazards of sitting
Do you sit in an office chair or on your couch for more than six hours a day? Then here are some disturbing facts: Your risk of heart disease has increased by up to 64 percent. You're shaving off seven years of quality life. You're also more at risk for certain types of cancer. Simply put, sitting is killing you
Organ damage

HEART DISEASE

 

Muscles burn less fat and blood flows more sluggishly during a long sit, allowing fatty acids to more easily clog the heart. Prolonged sitting has been linked to high blood pressure and elevated cholesterol, and people with the most sedentary time are more than twice as likely to have cardiovascular disease than those with the least.

OVERPRODUCTIVE PANCREAS

The pancreas produces insulin, a hormone that carries glucose to cells for energy. But cells in idle muscles don't respond as readily to insulin, so the pancreas produces more and more, which can lead to diabetes and other diseases. A 2011 study found a decline in insulin response after just one day of prolonged sitting.

COLON CANCER

Studies have linked sitting to a greater risk for colon, breast and endometrial cancers. The reason is unclear, but one theory is that excess insulin encourages cell growth. Another is that regular movement boosts natural antioxidants that kill cell-damaging - and potentially cancer-causing - free radicals.

Muscle degeneration

MUSHY ABS

When you stand, move or even sit up straight, abdominal muscles keep you upright. But when you slump in a chair, they go unused. Tight back muscles and wimpy abs form a posture-wrecking alliance that can exaggerate the spine's natural arch, a condition called hyperlordosis, or swayback.

TIGHT HIPS

Flexible hips help keep you balanced, but chronic sitters so rarely extend the hip flexor muscles in front that they become short and tight, limiting range of motion and stride length. Studies have found that decreased hip mobility is a main reason elderly people tend to fall.

LIMP GLUTES

Sitting requires your glutes to do absolutely nothing, and they get used to it. Soft glutes hurt your stability, your ability to push off and your ability to maintain a powerful stride.

Bad back

INFLEXIBLE SPINE

When we move, soft discs between vertebrae expand and contract like sponges, soaking up fresh blood and nutrients. But when we sit for a long time, discs are squashed unevenly. Collagen hardens around tendons and ligaments.

DISK DAMAGE

People who sit more are at greater risk for herniated lumbar disks. A muscle called the psoas travels through the abdominal cavity and, when it tightens, pulls the upper lumbar spine forward. Upper-body weight rests entirely on the ischial tuberosity (sitting bones) instead of being distributed along the arch of the spine.

STRAINED NECK

If most of your sitting occurs at a desk at work, craning your neck forward toward a keyboard or tilting your head to cradle a phone while typing can strain the cervical vertebrae and lead to permanent imbalances.

That's the bad news. The good news: It's easy to counteract no matter how lazy you are.

Tips to overcome this problem.

Sitting on something wobbles such as an exercise ball or even a backless stool to force your core muscles to work. Sit up straight and keep your feet flat on the floor in front of you so they support about a quarter of your weight.

Stretching the hip flexors three minutes per side once a day.

Walking during commercials when you're watching TV. Even a snail-like pace of 1 mph would burn twice the calories of sitting, and more vigorous exercise would be even better.

Alternating between sitting and standing at your workstation. If you can't do that, stand up every half hour or so and walk.

Trying yoga poses - the cow pose and the cat - to improve extension and flexion in your back.

 

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Pregnant women can eat mushroom recipes ?If yes please tell me clearly. Coz I heard it is very heat producing vegetable content.

3 months Internship of Dietitics/Nutrition, PG diploma in Dietitics/Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Moradabad
Pregnant women can eat mushroom recipes ?If yes please tell me clearly. Coz I heard it is very heat producing vegetab...
Hello Maxx...Mushrooms are a great option for unborn baby, who thrives solely on your food intake for growth and development.it has all nutrient which is most important for baby growth
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Hi doctor, My periods date was extended more than 15 days, I don't know y, Please need your advice and reasons for delay.

Vaidya Visharad
Ayurveda, Narnaul
Hello Dear,Periods occur when the egg formed during each menstrual cycle in the female body is not fertilized and hence ejected out of the reproductive system along with blood and several other tissue cells. The duration of each menstrual cycle is about 28 days Most women will experience their monthly period right from the time they are 13 to the time they are 50. For many women, their monthly period is nothing more than an annoyance; but other women may suffer some problems. Visit us at www.Malhotraayurveda.Com
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I am married 2 months ago. Currently I am taking Triquilar tabs to avoid pregnancy and today is my 4th day. We consulted with gynecologist she told me to take Triquilar tabs. Today my husband ejaculated inside me. Is there any chance of getting pregnant? Should I take I-pill to avoid pregnancy? Please help me doctor. Thanks a lot.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am married 2 months ago. Currently I am taking Triquilar tabs to avoid pregnancy and today is my 4th day. We consul...
As you r already taking triquolar tablets then there is no need to worry. If you started taking it after the sex with ejaculation which was on the fourth day of menses, there is no need to take ipill.
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