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Why is semen analysis an important test for male infertility

-Semen analysis of husband is an important and basic investigation for couples who are undergoing work up for infertility.
There are many parameters which will determine if this test is normal
  eg-volume of ejaculate, number of sperms per ml of ejaculate, presence of abnormal looking  sperms,motility of sperms-just after ejaculation and after couple of hours,evidence of infection,presence of  fructose
                               Sperm anatomy
There are different reasons for abnormalities of different parameters.
Likewise, the treatment options also vary.
Some patients will require simple oral medications.
Others may require surgery
Still some may require advanced fertility treatments like test tube baby
This simple investigation answers many questions that the treating doctor is seeking.
Based on this test result further management is decided.

Hi, my girlfriend is 35 days pregnant. I gave her medical abortion pills. She took mifepristone then after 24 hrs she took 4 misoprostol pills buccally. She had light cramps and bleeding after 4-5 hrs (not heavy at all). She discharged small mucus like tissue 5 hrs after taking misoprostol pills. Is abortion successful? If not sure can another misoprostol pills be taken within 72 hrs? Please help. thank you.

Hi, you have not clarified if you have taken medical opinion before starting these tablets. If an ultrasound has been done. These are necessary precautions. Please don’t give her any more medicines without consulting a Gynecologist first. It may cause harm.

My right ovary size is 4.4×3.3×4.4 31 cc and right ovary 17 cc I am a pcod patient, my 14th day folica study of right ovary: 21 18 12 and left ovary is 22 20 19 is it normal or any worries?

Hi, despite having PCOS, these reports seem quite normal. However , both your ovaries are showing follicles. Usually it shows on one side only. You need to get back to your Gynecologist.

My wife hasn’t got her periods even after 8 days of period date. Pregnancy check kit shows negative results. We checked 3 times. Is she pregnant ? Do we need to go to gynecologist?

Hi, if you are worried, then you should go a step further. Do a blood test- Beta HCG. It will clear the diagnosis if she is pregnant or not.

I have irregular period and it’s delayed for 6-7 days .& unwanted Only one hair on my chin and some on my stomach.I don’t gain weight. And I have acne on my face I have taken medicine for acne by a dermatologist. But it comes back. Please suggest me solutions.

Hi, your symptoms are suggestive of Lean category of PCOS, which is a hormonal disorder. You require proper check up of blood and an ultrasound. Please meet a nearby Gynecologist.

I am delayed by 6 days can you suggest a tablet to induce periods, I have thyroid and unprotective sex but as per my knowledge very lil sperms would have entered maybe.

Hi, You need to be sure whether you are pregnant or not. First do a urine pregnancy test, and then a blood test- Beta HCG. If both are negative, a simple course of hormones will get menses. If you are pregnant by any chance- you should consult your nearby Gynecologist, as then getting menses is not that simple

How is follicular study done

When a Gynaecologist is investigating a female patient for infertility, Follicular study is one of the first line investigations that are prescribed.

Female fertility cycle is very unique .A normal fertile woman menstruates  once in a month.

Once the menstrual cycle is over, growth and maturation of ova starts. Somewhere in the middle of the cycle around 14th -16th day, ovulation occurs and released ova is picked up by Fallopian tube and is ready to be fertilized by sperm , hence occurs origin of life.

Follicular study is an ultrasonographic investigation done serially every 2nd or 3rd day starting generally from Day 6 or 8 of menstrual cycle. This study is deemed complete once it has detected ovulation.

Follicular Study

Clinical importance lies in the fact that once Gynaecologist knows that ovulation has occurred,further treatment to help her conceive can be offered eg-timed intercourse, IUI-Intra uterine insemination.


If a diabetic patient’s blood is donated to another patient, Will he too become a diabetic patient?

Hi, the recipient will not become Diabetic, however there are certain WHO ( World Health Organisation ) guidelines that need to be followed before a Diabetic patient is accepted as a blood donor. They are as follows

5.5.1 Diabetes mellitus
Consideration should be given to the donor’s general state of health and ability
to tolerate a blood donation, as well as the possibility of intercurrent infection
that may affect the safety of the blood.

There are no reports suggesting increased adverse donor reactions in diabetic
donors. A systematic literature review found no studies investigating diabetes
as a possible risk factor for adverse reactions in voluntary blood donors; two
studies on pre-operative autologous donation and three experimental studies
found that blood donation was well tolerated (73).

Individuals with diabetes who require insulin should be permanently deferred from
blood donation (70) because of concerns regarding diabetes-related complications
and an increased risk of hepatitis and other infections if safe injection practices
cannot be assured.

 Individuals with diabetes mellitus well-controlled by diet or oral hypoglycaemic
medication, provided they have no history of orthostatic hypotension and no
evidence of infection, neuropathy or vascular disease, in particular peripheral
Defer permanently
 Individuals with:
— Diabetes who require insulin
— Complications of diabetes with multi-organ involvement


Do sumo wrestlers get diabetes, they eat more than normal people?

Hi, I guess a study needs to be conducted to know an answer to THAT…
However, I will say this, they also exercise a lot, they are young. You can do the math

Hello plz give me home remedies to get periods fast I want to get periods in 2 days plz help me out b cz I have function

Hi dear, There are no remedies, home made or Medications, which can get menses so fast. In fact pre-ponement of menses is not medically possible. However you may postpone. But you will require high dosage of hormones and it will have its own effects like nausea and may be vomiting too. Will you be OK with that.

Is blood transfusion is effect on baby during 7th month of pregnancy? How to identify baby defects based on blood transfusion? And any change occured in DNA and genes of the baby for blood transfusion? Please help me

Hi, who is receiving blood transfusion. if mother is receiving the transfusion- there are no side effects either to the mother or baby. All the blood these days come from safe blood banks. If intra-uterine fetus ( baby ) is receiving blood, it is a separate counseling and beyond the scope of this platform. You should trust your doctor and speak in detail with them

Oral contraceptive pills, are they safe?

Once a couple requests of oral contraceptive pills as a method of family planning to their Gynecologist, a complete body check up of the lady will be done and some blood tests will be suggested.
After seeing the normal report, once a day regular oral contraceptive pills will be prescribed.
Government of India also promotes this method of family planning and spacing between children.

Hi Doc, I missed my periods but I am not pregnant and I took meprate for 5 days twice a day, today is the 5th day after stopping meprate still did not get period

Hi, the total waiting period should be 10 days. If you still have not gotten menses by 3rd March, please  repeat  urine pregnancy test and meet a nearby Gynecologist

How common is the misuse of emergency contraceptive pills?

It is commonly seen in the gynecology clinical practice that many unmarried women as well as married ones too will take emergency contraceptive pills repeatedly, without doctor’s prescription after having had unprotected intercourse.
The fact that these pills are available over the counter, facilitates this .
The emergency contraceptive pill contains very high dose of hormones. This may delay the next menses or may make it iretcregular
If a lady is in stable relationship, she is advised to adopt regular methods of contraception like once a day regular oral contraceptive pill, condoms etc.

What are the chances of getting pregnant if you are in relation only the day on which you got hsg injection and the day when the follicle is ruptured

Hi, as per proven statistics, the overall chances in ‘ Timed Relationship’ cycle are 10%. Cumulative rate in 5-6 continuous cycles is 50-60-%. Best of luck.

What are the most common reasons for having irregular menstrual cycle?

Having irregular menstrual cycle is a very common complaint. Either the menses come very late or the bleeding is not proper.
The most common reasons for this type of clinical picture are hormonal imbalance.
-Thyroid hormone is less-hypothyroidism
-PCOS- Polycystic Ovarian Syndrome- Imbalance of multiple hormones like LH( Leutinizing Hormone) and FSH( Follicle Stimulating Hormone)
-Prolactin hormone is high- hyperprolactinemia.

I had my Nt Nb scan done today and as per my lmp my pregnancy weeks are 13 weeks 5 days but as per radiologist said that foetus looks like of age 14 weeks 1 day. Whether it is correct to do Nt Nb scan today.

Hi, You can go ahead with scanning , however it will not be possible to send a Double marker test. As the last date is 13.6 weeks. Ultrasound findings may differ slightly with the dates . The option with you now is to wait till 16 weeks and then send a quadruple marker.

What are the six components of health?

Please apply this in the following order :-


How do Turk’s fluid act upon RBCs to lyse them?


In clinical situations, when patient is sick, to know his immunity status and level of infection, at times we require to count, the number of WBC- White Blood Cells in his blood. In a defined quantity of blood, this fluid is put. It will destroy the RBC- Red Blood Cell component of blood and stain WBC. Counting becomes easier then

You can click on this link and read technical article


I am 3 weeks pregnant, I am suffering from a allergy, can I take polaramine 2 mg tablet continue one months? Please suggest me doctor.

Hi, Polaramine is (dexchlorpheniramine) . It is an anti- allergic and generally considered safe for pregnancy. However a dose of 5 days is sufficient, such a long usage should not be required. If it is only nasal allergy- local sprays should work, they are safe. You can meet an ENT doctor

Hi, Lumbar spondalytis or cervical spondalytis b hai. Lkn kamar me bhut hi drd rehta hai. Uterus tuberculosis ka treatment lene se back me aaram hoga?

Hi, Treatment of Tuberculosis is suggested only if you are really having documented disease. These spine conditions require a spine specialist. Strengthening of muscles through YOGA may also help you, if done under expert guidance

I got married before 18 months. I am trying to get pregnant. I have pain due to vaginal dryness during intercourse. Can we use natural lubricants like coconut oil olive oil or aloe vera jell during intercourse. Please advise to avoid pain and vaginal dryness.

Hi, It is OK to use natural, non- irritating lubricants .It’s a proven medical fact that it may require 2 years of regular intercourse before, a couple becomes totally comfortable with it.
If you are looking to become pregnant- you can read this article, it will help you

6 Things To Remember If You Are Planning To Become Pregnant

What are the required tests and treatment for irregular menses?

-Your Gynaecologist will suggest some hormonal tests in blood. An ultrasound of pelvis will also be suggested.
-Depending on the test results, hormonal treatment of 3-6 months duration may be suggested to you

My wife is pregnant and running in 5th month now. She has been prescribed for anset (bennet mypher) tablet to stop vomiting as 5 tabs in a day. Is it right? I feel that 5 dosage in a day is a bit higher and can lead to any side effect on my wife and baby as well. Please help me on the same what should I do?

Hi, It is expected that nausea and vomiting of pregnancy would have settled by 5th month, if it is not, then first thing to do is LFT- Liver Function Test in blood in fasting, and an ultrasound of abdomen to specifically look for condition of liver and gall bladder. If everything is normal, this safe medicine can be given. Most of the time 3 times a day is sufficient. If not responding to 3 times, she may require admission in hospital for a day and IV fluids
You can watch this video , it will help you

Dilemma in diagnosing early pregnancy

Cases of infertility are on rise.
Couples spent many months taking treatment for getting pregnant.
As soon as periods are missed, they become very happy.
The tests to diagnose early pregnancy are
1) Urine pregnancy test
2) Beta HCG

Hi, Is oral sex safe after marriage for sexual satisfaction? And if my hubby is abroad then masturbation is gud? What more I can do to get sexual satisfaction?

Hi, sexual preferences are individual’s choice, as long as hygiene is maintained. Masturbation is a safer practice in the absence of a partner for sexual satisfaction.

My partner and I are looking for a pre marital screening and we have some doubts regarding problems we are facing. Where in bangalore can I get this done where we get some consulting too?

Hi You can comfortably approach any of the nearby clinic. The set of tests prescribed are standard. It include basic blood tests and ultrasound. For husband also some tests will be prescribed. You can read this article , it will help you https://fit.practo.com/#!/content/26913

Does Subchorionic bleeding inside the uterus heal on its own ?? I am 12 weeks now and saw it in an NT Scan even though there has been no bleeding outside .Have been prescribed with duphaston and the size of the bleeding is -2.1*0.56 cm.

Hi, at times this kind of bleeding is during doing sonography. Your gynecologist has already prescribed good medicines to take care. Please follow her advise. It is a good pregnancy and no harm will come to fetus

–10th-day-ET-mm-7.4 f1-20*18 f2-18*14- 12th-day-ET-8.7 f1-24*22 f2-19*17 14the day ovulation ..is it is normal I am able to concieve

Hi Yes, you are about to ovulate. You can have relations. Pregnancy can be achieved. Good luck

I had sex in past life and want to get checked for any STDs now. What are tests should i take to check for STDs?

Hi, you can do following tests





Meet your family physician with the reports and protect yourself henceforth. Ask your partner to use condoms.

You can read this article it will help you


How do the medical companies recommend their medicines to doctors, so that they can prescribe to their patients?

Hi, Medical representatives of the company visit the doctor either in clinic or hospital periodically. They show their product monograph and tell about the details of their product. It is entirely a doctor’s decision, which product of which company to prescribe. The main determinant factor is credibility of the manufacturer.

How reliable are blood sugar readings from glucose meters?


These readings are pretty reliable when a diabetic patient wants to monitor his/ her blood sugar levels at home for purpose of taking insulin.

However these readings can not be used to diagnose Diabetes in a normal individual. For that, blood sugar levels in lab in fasting and PP are required

What pill I should take for early periods??I want to come my periods today or tommorrow? Plz help..tell me

Hi dear, Sorry, there are no medicines that we can give you that will get your menses by tomorrow. We only have progesterone tablets that can postpone menses for a couple of weeks safely. If that will provide solution to your situation, please meet a nearby Gynecologist for prescription

I am 5 weeks pregnant. I had an abortion 6 months ago after 6 weeks of conceiving. Now doctor has prescribed me sifasi aqua injection once a week and duphaston 10 mg twice a day along with macfolate and ecosprin once a day. Doctor has also prescribed me to take acivir 200 mg thrice a day as cmv test was positive in torch profile. I want to ask whether this combination of medicines is right to during pregnancy. My another question is it right to take speech injection and duphaston during this period.

Hi, The medicines that have been given to you are all safe. In case of previous miscarriage and depending on patient’s profile, we do give supplements like progesterone and hcg. What is best for you is that you discuss with your doctor in detail. If you find, medicines are in excess they can be reduced too with informed consent. Good luck to you.

I am 23 years old with pcos for a couple of years. I am on krimson 35 regularly over the past few years and had protected sex a couple of times over the last month and also my partner ejaculate in me during intercourse. However after I shifted to my hometown, my periods is 8 day late. I am really worried. What could be the reason?

Hi, krimson 35 if taken regularly and as prescribed, also works as birth control pill. Still, if you have missed periods, you should do pregnancy test in urine. It will guide you. If negative- don’t worry, period will come. If positive by any chance- consult a nearby gynecologist as soon as possible for you.

I am 34. Gone through a miscarriage via d and c on 18 th feb. But I am still having light bleeding (25 days) with frequent pain in left side lower abdomen. I am taking duoluton l for last 2 weeks as prescribed. How can I stop bleeding? Please help. D and c was done on 40 days (5 weeks 5 days).

Hi, the proper thing to do will be to repeat an ultrasound of pelvis and see if any products or clots are still remaining inside. If everything is clear on that level, you need not worry. By next menses things will settle for you. Please go back to your gynecologist and have a check up.

Hi, I have pcod. My question is normoz tablet is a birth control pill? It regularise my periods or not. I don’t want to have krimson. Please give brief explanation for normoz.

Normoz is not birth control pill. it is a supplements tablet. You can consult with your Gynecologist again and take it
You can read this article, it will help you

5 Tips to Solve the Problem of Irregular Periods

Key findings from my lab reports are cct urine 24 hrs is 56.7 (90 – 139 ml/min) urine microalbumin 52 (0 – 30 mg/dl) creatinine spot urine 33 mg/dl (30 – 125 mg/dl) micro albumin / creatinine ratio 157 (normal <30 microalbuminuria30-300 microalbuminuria>300) rbc- smear: normocytic mild hypochromic creatinine serum 1.07 mg/dl (0.8 – 1.3 mg/dl) usg shows all are normal, pre void volume is 347 cc post void residue is 2 cc I am having hypothyroidism 1.07 taking thyronorm 75 mcg and having bp -taking telmaxx25 (40 mg) please advise me what to do?

Hi, you need to take these reports and consult with your physician who advised these tests and is treating you for high BP and thyroid problem. He will give you best advise

Hi. I live in nairobi. I would like to purchase krimson 35 for 3 cycles. How can you assist me to receive the medicines? Thank you.

Hi, you need to check the availability in the nearby pharmacy. If not with this name- some alternative will be definitely available. These days online portals are also available

I had missed abortion last year, but now I am pregnant with beta hcg level 32000 (6th week now), my lmp is 12.2.2019, my doctor asked me to take ovunal-sc 5000 and fragmin inj, is it good to use this injection? I have already taken twice since last week. Please advice.

when a woman has experienced missed abortion previously and is now pregnant, we do give some extra medicines in the form of tablets and injections. They are usually supplements of pregnancy hormones and safe in pregnancy.However you may discuss with your Gynecologist again for the duration of which they are required. Good luck

Hello mam, my aunt is 5 months pregnant, and her doctor where she is taking treatment currently, prescribed her depin10 mg, with some other medicines, but after she took depin 10 mg, 3 times in a day (morning, afternoon and night) next day her feet got swollen and she also got fever. Now her fever is gone but feet are still swollen. Is there anything to worry? When will the swollen feet get normal? And is there any complications of this side effects in the pregnancy? Awaiting your answer.

Hi, This particular medicine is given for High BP-Blood Pressure. This swelling may be the result of high BP. If BP is well managed, there is nothing to worry, both mother and baby will be safe. But you need to follow all the advise of your doctor, including timely medication, rest and investigations.
You can watch this video and read this article, it will help you


Are patients entitled to their medical records?

Hi, usually a discharge card is given to all patients along with all reports. If you want complete record, you need to put application to Medical Superintendent stating the need of these records, which usually is reimbursement of medical bills and he can subsequently give it you the xerox copy

Hi I am 16 weeks pregnant ..and having some nerve problem in my left leg .I have been told to have physiotherapy done ..which is specifically electrotherapy .Is electrotherapy safe during pregnnacy ?? Pls suggest .

Hi. electrotherapy can’t be given around any area which is close to abdomen. You can take cold fomentation instead.

My sister is sexually active with multiple partners.She had an ultrasonography for regular check up.(Report Attached). Result shows MINIMAL FREE FLUID IN POD. What does it mean.? Is it something serious ? Suggestions for her please.

Hi, it seems that she is having pelvic infection. She will require antibiotics course. It’s not serious. Take care

I have spotting between periods from 2 month I have done my Pap test last year it showed hpv changes not detected so is it necessary to do it again ? I don’t have thyroid.

Hi, you can repeat Pap’s smear. But you also require Ultrasound of pelvis. Please meet a nearby Gynecologist

If i used condom and not inserted and gave ipill..then what are the chances of pregnancy. I did it on 3rd feb and i gave her ipill her date was on 13th feb she got bleeding for 4 days from her date..and now she have little pain in abdomen and feeling of tightness.i did home pregnancy test once and it was negative. What are the chances?

Hi, A word of caution for all young couples. Please do not abuse emergency contraceptive pill. It has many side effects if taken indiscriminately and without medical advice. https://m.facebook.com/story.php?story_fbid=403179473596022&id=132666296798091 This Facebook video will show you some light Now the best thing is meeting a nearby Gynecologist. And take her help

Pregnancy test shows faint pink line.Period is due today.Is the result positive or negative.Used first morning urine.No symptoms till now.Usually periods are painless.

Hi, This definitely is pregnancy, though early. Test line will also become darker after a week or so. If you are desirous of continuing pregnancy, meet a nearby Gynecologist

I have missed my periods. How can I be sure that I am pregnant?

A) There are three ways of knowing
1)Pregnancy test in urine
2)Blood test- Serum Beta HCG

I am having to go to pass urine frequently and its burns when I pass urine. There is pain in lower abdomen too. What may be the cause? What should I do?

These symptoms are suggestive of urine infection. You should get the urine test done and start antibiotics course on advice of your doctor

There is a family function at home and my periods are coinciding with it. Is there any medicine that can be taken now so that I can prepone it?

There are no medicines available to prepone menses. However, hormonal medicines can be taken on advice of Gynaecologist which can postpone the menses.

I am newly married woman and don’t want to become pregnant. What precaution can I use?

Oral contraceptive pills are a very good option. Seek your doctor’s advice before starting and to know how to take them correctly. They are coitus independent, free from side effects and have very good efficacy. You can also ask your husband to use condoms regularly.

My family is completed and I want to go for permanent sterilization. Will my menses become irregular if I do operation?

Permanent sterilization operation for females involves surgical blocking of Fallopian tubes. Ovarian and uterine function which are responsible for getting menses remain undisturbed. Your menses will remain normal after tubectomy operation.

Itching outside the opening value of vagina every month after period slite itching but when we intimate it becomes more lightly inside also and white thread like discharge appears sometimes smells sometimes no smell fed up using medicine everymonth Kindly explain what is my problem n treatment also any home remedies

Hi, it seems you are having persistent fungal infection. A vaginal pessary that is used weekly for 6 weeks along with probiotics and local hygeine will help you. Do a CBC and blood sugar levels also.

My periods come 40 to 45 days so I am having irregular periods , how to get my periods correctly plz help me and clear my doubts

Hi, have you done ultrasound, hormones test in blood. Most common reason for your age group is PCOS. Easily correctible.

I had my last period on 25 th of dec after taking an ipill and today is 31st of Jan and I am still not mensurated this month so I really want to know why my periods are delayed this much ….

Hi, did you check your urine for pregnancy. One more test in blood, Beta HCG can also be done to arrive at diagnosis. Delay can very well be because of pill that you took.

Hi m facing pcod problem after taking meprate 10mg for 5 days its been post 9 days today i noticed that there was an light thick bleeding occurring not much. does this is an menstrual doctor suggested me to take some test shall i go head now?

Hi, Meprate will cause only withdrawal bleeding. It is not going to cure PCOS. For that some other medicines are prescribed.

I am having pain after peeing. Sometimes watery red blood also flows. And white discharge is flowing too.

Hi, your history suggests urine and vaginal infection. You require physical examination by your Gynecologist. A course of antibiotics and vaginal pessaries will take care of you.

Hi , my LMP was 18 December. It met doctor on 30 jan.doc gave 2 tablets at hospital and inserted 2 tab vaginally. I got bleeding.in my first pad, bleeding with clots and some tissues and embryo.like structure.then bleeding was normal like a period. Doc adviced me to cum to hospital post bleeding ends. I want to know whether abortion success. How to clean the remains of abortion which is still in uterus naturally.wat kind of foods I have to take to clean abortion complete ly.

Hi, it seems the process of abortion is complete for you. It is good advice to go back to your Gynecologist for check up. She may do one more ultrasound to check for completeness. Nothing else needs to be done.

Hello, My wedding festives start from 26th feb itself and my last period was Jan 24 , i want to get my periods before this date last time my doctor gave me deviry , so has she this time, when is the right time to take this medicine to get periods earlier.

Hi, pre ponement of menses is a risky business. You may still get irregular bleeding on that exact date. It’s better to postpone menses by using same medicine. Go back to your doctor to understand dosage schedule

My sperm count is 192 million after abstaining sex from three days. We are planning for baby and we planned to have sex on ovulation day and prior two days. Suppose 11,12,13,14,15 are fertility days. Am I supposed to have sex on all five days or alternate days also sufficient? If I need to have sex daily, Il my sperm have enough quantity and quality to meet egg?

Hi, this sperm count is good enough. Do not worry so much and do not make it so calculative. It will make you stressed out and drive your wife crazy. Intimacy is not just physical actt. Intention, volition and pleasure should be involved, then only a beautiful creation of life is possible. Trust me, make a loving family.

The marina was inserted 6months before but even today their is a spoutings daily is it good to remove r not am confused plss give me suggestions

Hi, Mirena was put as contraceptive method or to control irregular menstruation. This device can cause some irregular spotting. Usually it settles on its own. Don’t worry.

Hello…taking susten for three day once a day make periods flow less?? And if after few days of taking susten bleeding come then it’s normal period???

Hi, This medicine usually is not given for menstrual irregularities. What was the problem that this tablet was given.

THS: 6.61lU/ 0.34 5.6 N RC T3: 159.96 ng/dL 87.0 178.0 N RC T4: 5.87 ug/dL. 6.09 12.23 N RC

Hi, you need to repeat this test after two weeks. Don’t start any medicine for such levels

I am breastfeeding and I want to postpone my periods. Any medicine or any natural way for postponing my periods?

Hi, breastfeeding itself is the natural way to postpone menses. When it comes to medicines, we only have option of hormones, which in any combination are not recommended for you. Progesterone only tablets can be given but to get a prescription, you need to meet your nearby Gynecologist.

Rashes & inflamation around private part of Virginia which causes irritation. Tried everything but no effect.

Hi, you have not provided details about you, like marital status, working or not, blood sugar levels. These days we are seeing a lot of resistant vaginal infection in the women owing to the fact that women are working and have to use English style toilets outside, which mandates that a lot of your private parts will be in touch with the toilet seat. Cleanliness can not be insured always. Long term probiotics and anti fungal therapy may be needed. Please meet a dermatologist is no relief

I had a medical abortion after abortion I got my periods at the end of month but now periods gone but again I feel gas in my stomach always. This gas hurt too if not passing is it normal

Hi, , abortion tablets and antibiotics course afterwards may cause gas and acidity. You will benefit from a good antacid syrup or tablet. If still not ok, please meet your nearby Gynecologist.

I feel a nerve swelling inside the hole of my vagina.. its more than 3 months if i touch it inside near the hole i can feel sort of some nerve swelling… does not pain at all.. but never had this swelling.. what is it? How do i treat it?

Hi, you need a physical check from your nearby Gynecologist. It may be a cyst due to some infection and may get cured with antibiotics.

I had my period on 27th November till 2nd December n had unprotected intercourse on 5th December. had an emergency pill immediately in an hour. I haven’t had my period properly since then. I have had spotting about every 15 days. I did UPT twice, last one last week and both were negative. Please help

Hi, it seems emergency contraceptive pill did its job and prevented pregnancy. However they are notorious for causing irregular bleeding for a long time. Please meet your nearby Gynecologist for a check up and tablets to control bleeding.

Hi, We are planning for a baby. My wife has normal period from last couple of months. Her period is due on 9th feb. Yesterday (3rd feb) she got a very light/very lil spotting. Any idea what is the symptom of this.? Is that Implantation Bleeding.?

Hi, it could be implantation bleeding if she has conceived this time. Just wait and watch. Folic acid tablet should be started. Take a urine pregnancy test if periods are missed.

Hi Doctor, Please suggest best birth control pills and how to start it.also do we need to use condom if I taking birth control pills?

Hi, Govt promoted, over the counter available Mala-D is good enough. Cheap and quality contolled. You should start first packet on day one of starting menses. If taken regularly , there is no need to use condoms along with it. However I advise you to meet a nearby Gynecologist for complete instructions as certain blood tests should be done before starting the tablets.

Hi Doctor, I am newly married and wanted to know the best way of contraception. Shall I go with birth control pills or any other contraception like condoms. Please suggest the best contraception method.

Hi, it depends on the time of your menstrual cycle. Birth control pills are an excellent choice , 100 % effective from the day you start. Coitus independent. But first packet needs to be started on first day of the menses. If timing is not right for you, use condoms, every time. Till you start your next menstruation. Then you can switch to pills

I had a medical abortion after abortion I got my periods at the end of month but now periods gone but again I feel gas in my stomach always. This gas hurt too if not passing is it normal

Hi, , abortion tablets and antibiotics course afterwards may cause gas and acidity. You will benefit from a good antacid syrup or tablet. If still not ok, please meet your nearby Gynecologist.

Which hospital is best in Hyderabad to get MTP for Unmarried Girl.Plz give me any suggestions. We are in afraiding.

Hi, if she is above 18 years of age, you can consult any nearby Gynecologist. Taking abortion tablets is legal and safe. All the doctors will tell you that. Some paperwork like consent and an ultrasound will be required. Those are routine tests. Don’t worry

My sister have irregular periods for past 2 years nd she got married as we have consulted gyneac they told her to take test of AMH,AMH is 6.92,and hypo thyroid is 4.59 is that so high what to be done as next step ,how many days treatment needed to get her conceive,she is in very depressed State nd also also her husband is with perfect health.

Hi, your reports , both of AMH and thyroid are normal. There has to be some other reason for menstrual irregularity. Has she taken ultrasound. Please check with your Gynecologist again. She will guide you.

Planning for pregnancy but having Acidity problem.Did the Endoscopy Recently,detect the sliding Hital harnia,reflux Esophagitis(la grade B),Laxes,Erosive gastritis… So please suggest can try for pregnancy in this situation.. And plz suggest best treatment for recover quickly the Hital harnia,reflux Esophagitis(la grade B),Laxes,Erosive gastritis.

Hi, More than medical attention, first you need to make lifestyle changes. Eating correct, on time, spacing meals, avoid spices & junk food. Then comes regular medication. Lastly, surgery if you don’t respond. It is important to recover fully before attempting pregnancy else your symptoms may worsen due do pressure of growing pregnancy.

Can candid cream be applied on outer side of Vagina. My friend has been prescribed for that by doctors ,Can I also apply for fungal infection.

Hi, you can. If it gives you relief, continue. If it doesn’t, show yourself to a nearby Gynecologist.

I have very little flow during periods. Sometimes clotting too. My stomach, back pains too much. I have been married for past 14 months and will plan a baby soon. Will this pattern of blood flow cause any problems? Is there a remedy? Should ashokarishta syrup help?

Hi, If you have this kind of pattern since you started menses, there is no problem. If it has started recently , one ultrasound and some hormonal tests in blood are required. There is no need to suffer so much of pain, excellent and safe anti-spasmodic medicines are available. Please meet a nearby Gynecologist.

My periods are delayed this month by 11days. I took a home test and it showed negative. Can I still be pregnant? Thanks in advance

Hi, if your menses have been regular in past & now your pregnancy test is negative. Don’t worry, you are not pregnant. Just wait for couple of days. Periods will come. If they don’t , consult your nearby Gynecologist for tablets to get menses.

Since I got my 1st period I have irregular periods , now this time 2 months crossed still I didt get period , last week I consulted doc here and she asked me to have Medroxy tablet to get period and then have to go through some test and scanning , thing is since more than a week I am having tablet but didt get my periods.

Hi, your problem suggests some hormonal imbalance. Most likely PCOS. Easily correctible by some tablets. But you need to get those ultrasound and blood tests done. And go back to your Gynecologist.

Why to use cyproterone acetate and ethinyloestradiol tables (21 strips), please tell me uses of the tablet am waiting docters

Hi, this combination is specifically used for PCOS patients, to regularise menstrual cycles and correct hormonal imbalance. You have not given your problem for which it was started. Please consult your Gynecologist again.

Hi, I have to be done my level 2 ultrasound. My last period was 23rd sept’18. Plz help me to know which date is best to get this test done.

Hi, are you asking about Anomaly scan. It is usually done around 17-19 weeks. Please check with your Gynecologist again.

I am breastfeeding and I want to postpone my periods. Any medicine or any natural way for postponing my periods?

Hi, breastfeeding itself is the natural way to postpone menses. When it comes to medicines, we only have option of hormones, which in any combination are not recommended for you. Progesterone only tablets can be given but to get a prescription, you need to meet your nearby Gynecologist.

Rashes & inflamation around private part of Virginia which causes irritation. Tried everything but no effect.

Hi, you have not provided details about you, like marital status, working or not, blood sugar levels. These days we are seeing a lot of resistant vaginal infection in the women owing to the fact that women are working and have to use English style toilets outside, which mandates that a lot of your private parts will be in touch with the toilet seat. Cleanliness can not be insured always. Long term probiotics and anti fungal therapy may be needed. Please meet a dermatologist if no relief.

My mom removed her uterus 8 years ago but still she suffers pain in her back side of her hip.. The pain is severe.. Please clarify

Hi, these things are unrelated. The hip pain is most likely due to osteoporosis. Which is lack of calcium and vitamin D along with female hormones. She will benefit from supplements. Please meet an orthopaedic surgeon.

I m 18 week pregnent my thyroid is 7.03 at 17 week then my dr start eltroxin 50…is late thyroid detection and late medication will harm my baby… Plz suggest

Hi, you need complete thyroid profile. Levels of Free T4 are more important for growth of brain. Most likely it will come normal. Please follow your Gynecologist’s advice and start the thyroid tablet. You will do well

Last month I had my period on 1 st January and had sex on 14,16,18 th of January.and in 30 or 31st January I had pain on lower abdomen and also back pain similar to menstrual pain.but this month I missed my period.Is it a sign of pregnancy if yes then at what day I take pregnancy test for confirmation ???or at what time it should be better to get accurate result??

Hi, first thing to do is urine pregnancy test. By this time it will be positive if you have conceived. One blood test Beta HCG can also be done for confirmation.

My follicle size on day 11 was 12×11mm in left ovary and left ovary was 10x11mm and i had fsh 75iu on day 13 and advised to take scan on day 15 whether my follicles r ok or small?any idea when will i ovulate ??…i had been on siphene100mg frm day2 -5.

Hi, have you been having irregular menstrual cycles. Or PCOS. This response is bit low for natural conception. Probably that is why you were given FSH injection, which is a good decision. Please continue to follow your Gynecologist’s advice. You will do well.

Hello dr.. I m suffering from incompotent cervix due to this i had 2 preterm misscarage at past…now i m 18 week pregnent i ask dr for cerclage but dr give me progestrone…. Is pregestrone helpful to control preterm… Plz help

Hi, it is medically proven fact that both cervical cerclage as well as progesterone work, as individual therapy. However you have suffered two losses. This baby is precious. I personally would have gone for both of them combined along with best rest till delivery. However if your doctor chose this, she must have made a wise decision.

I have hard lumpy breasts, which I got ultrasound bilaterally. It is suggestive of fibroadenosis. Is it normal or anything to worry about? Does it require treatment if it is symptomless.

Hi, it is quite innocuous. No need for treatment if you don’t have any complaint. Yearly checkup by your family doctor will be sufficient.

I an getting regular heavy periods from last 3 months after contact…and negative prega news test after 25 days of contact. can I be pregnant?I don’t want to be pregnant.

Hi, pregnancy is unlikely however this kind of bleeding is not alright. Please meet your nearby Gynecologist for a physical examination. An ultrasound may be required.

Hello doc, I am not able to express enough milk for my baby. I delivered a baby girl 2months before due date. My baby weighs 1kg. If the baby is fed with powdered milk ,will the baby loose weight?

Hi, your Paediatrician must have counseled you regarding feeding . There are special powder milk for premature babies. Please give it your baby only under actual guidance and prescription.

I have irregular periods from year 2014.My blood reports shows i have white blood cells.after using tablet which dr suggest results was not satisfied so i am going with ayruveda.some time period is regular and sometimes not.After using hempushpa syrup period started but it goes for 15-20 days ..started with lowest bleed amd that continues for 5to 7 days after it goes heigh day by day…and sometimes heavy clots.When i got my period age 13 it was regular for 8to9 years so this is not a problem from start. Tell me about Rajah pravaratni Vati .Is it solve my problem from 15-20 to 5-7 days.which food avoid during its use.and i am confused about date so when to start..and if it doesn’t for me then suggest me any medicine.

Hi, I can only advise you regarding Allopathy, as i specialize in that only. For your kind of problem, excellent and safe hormonal preparations in form of tablets are available. You can meet a nearby gynecologist for prescription.

My periods started on Feb 2nd 2019 (D1) and due to some family occasion, I have taken Premault N 5mg X 6 tablets and ibuprofen 400mg * 10 tablets from Feb 2nd to 4th 2019 (D1-D3). But from Feb 5th (D4) onwards heavy bleeding associated with stomach pain and also I have seen blood lumps in the pads and I have been changing two to three pads every 6-7 hrs. Today is D7 but bleeding did not stop. Please advice what to do now. I don’t have children and I’m newly married this is eighth month post wedding. Is this will be major risk? Please advice what to do now? How long this bleeding will be?

Hi, Once periods have started, Primolut-N will not work in stopping. Ibuprofen, in itself will lead to heavy bleeding. And that is what you have been having. You require a check up from nearby Gynecologist to sort you out. Please don’t delay.

I am 31 years old married. I am taking clofranil 50 mg my question is can we plan for pregnancy with this dosage

Hi, this is a medicine used to make eggs faster or improve their quality. it can make you pregnant. Please take as prescribed by your Gynecologist

My gyne has suggested dk gel for suspected vaginal infection but did not tell me how often and for how many days I should use it. I will try and reach her but not sure if she will respond fast.

Hi, you can use it for once at night for a week. It should provide relief

I am having dubagest 300 since 3 month but still I have not conceive .why can you suggest something.

Hi, there may be many reasons for not being able to conceive. Even if everything is normal in both husband and wife, still it may be 6 months of try, before you get results. Have faith and keep trying.

I have vaginal yeast infection why does it keep recurring I apply onabet b and cluster gm.

Hi, there are many reasons for recurrence. Have you checked your Hemoglobin, blood sugar and Thyroid hormones levels. Also a Pap smear need to be done . Sometimes, long term antibiotics course may be required.

I am not sure if I took the sevista today. Taking twice a week from mid dec 2018. Can I take again as in doubt.

Yes you can. No harm even if you repeat it. Afterwards, be careful. Mark it in your calendar.

Namaskar doctor. I am 28 years old. I am pregnant after five years of our marriage. It is natural pregnancy. My last period date was 28 november 2018. It is starting of my third month .i am feeling pain near my belly button and when I sleep in the night there is sharp pain in my legs. My doctor prescribed me medicine – doxinate plus, folvite. Endogest, duvadilan retard, and she gave me injection of proluton depot 500 mg per week till my third month complete. I want to know my diet for this time and what cause my pain in my belly button and legs. Please suggest.

Hi, diet at this time is normal. All home cooked foods along with fruits and salads, milk twice should be taken. Don’t worry too much about the pain. Your gynecologist has already given you sufficient medicines. Just rest.

My best friend is spotting after protected as well as unprotected sex after 14 days..what does it indicate ??Is she pregnant ??(she did sex on the 9th day after her periods..)

Hi, she needs a physical check up. You should consult a nearby Gynecologist

Yesterday my 4th ultrasound done on 18th day … Follicle in my right ovary is 23.8 and ET is 7.8… Doctor gave me HCG 5000 trigger injection.. When I’ll ovulate?? When there r high chances of pregnancy???

Hi, you are likely to ovulate in 32 hours. Chances to become pregnant are ,now

I have pregnant or not confirmation details urine test positive hcg test 2.39 34 days please reply as soon as possible

Hi, this level of Beta HCG is too low. Please repeat it after 48 hours. If it increases, then only clinical pregnancy is there, else it is only a chemical reaction. You will get your menses

Am 21 year old women, I’m 3 weeks pregnant now. I’m not married. How can I avoid pregnancy anymore? Please help

Hi, for you, the best option is abortion pills. For this, you need to take an ultrasound, do certain blood tests as safety measure. Some paper work in the form of consent will be required. Everything is done in confidence. Please meet a nearby Gynecologist and follow the advise

Is hyponidd tablet safe in pregnancy? Im having it from last 6 months and I got pregnant. Dr. asked me to continue it till 3 months.

Hi, this is a Ayurvedic/ Herbal medicine that you have been asking me about, manufactured by a very reputed company . Your doctor must have started it for PCOS and now you are pregnant. This is supposed to work as Insulin sensitizing agent too. These agents are routinely prescribed during pregnancy for a good outcome . However the drug that we Allopathic doctors use is – Metformin, and this drug gives very good results too. Please check with your doctor again.

Hi, I am 38 years old married man. I am going pregnancy planning. taking desval er 500 mg and escitalopram 5 mg daily any effect on sperm counts?

Hi, both these medicines are not known to cause any damage to sperm count. What you should do is an analysis of your semen from a good , nearby pathology laboratory. If count and other parameters are normal, you can take a chance on going ahead with family

Hi, What amount of dosage to be taken for argiprime 6 mg. For how many days should I use this. I am in my 7 month of pregnancy?

Hi, Are you asking about L- Arginine, a powder form of drug to be used if water around baby is reducing. It is to be used once or twice a day with water and after food. You need to repeat ultrasound after a couple of weeks to check if the treatment is working.

I started taking krimson 35 today because my doctor prescribed it for pcod. But now I am having vomit sensation and nausea. Is it normal?

Krimson 35 which is a hormonal preparation, is especially used for PCOS patients. Nausea and vomiting is a known side effect. After a couple of days , it may subside too. If it doesn’t, it needs to be stopped and alternative medicines need to be started.Please check with your Gynecologist again.
You can watch this video, it will help you

My due date over my doctor asked me to get induced by gel or otherwise c section will be done. Please give advice how to kickstart my labor naturally on own as my AFI and baby activities are normal.

Hi dear, Please understand that that when a Gynecologist makes a decision, it is based on many factors, baby weight, whether it is first or second pregnancy, position of baby, relative capacity of pelvis to deliver this size of baby vs waiting- which surely will lead to putting weight of baby. When we examine a patient in actuality, someone who is with us for last 9 months, we always have the best of both patient’ interest in our heart ( mother as well as fetus ). My advise- Please listen to your Gynecologist’s advise

Presenting features of pregnancy with Copper-T in situ

-Woman will complain of missed periods
-Her pregnancy test will be positive
-Sonography will show presence of contraceptive device with pregnancy side by side

My periods have become irregular over past few months. They come late and the flow is very less. What may be the problem?

These symptoms are of hormonal disturbance. PCOS (Polycystic Ovarian Syndrome) is the most common clinical situation. A Gynaec checkup is necessary along with blood tests and sonography. Treatment is available.

I’m suffering from a recurring vaginal infection since many years which refuses to go away completely. It has a fishy odour. I’ve tried so many medicines but none of them have helped me to get rid of the problem permanently. I have got all my blood tests like sugar and all done and there is no problem there as well. This is really embarrassing for me. Please help.

Hi, are you sexually active. If yes, you may require some advance treatment like colposcopy and Pap smear for diagnosis. If no, then resistant cases may require IV antibiotics. Please consult your Gynecologist again.

I ate Chinese food which contained msg. Soon after that I got rashes all over my body and the itching was uncontrollable. I read in a website that msg damages the brain of baby. I am terrified and worried. Please help me. Then I realised that I haven’t taken my folic acid tablets regularly, before I got pregnant. My doctor had told me take it regularly before 5 months of pregnancy, but I was very irregular. I forgot to it for month or two. But, when I got to know that I was pregnant, that is in 6 weeks, I have never missed to take it. I read that folic acid helps in baby’s brain development, so I am worried that, whether my irregular eating of folic acid tablets will affect my baby’s brain and intelligence? Thinking all these things is making me anxious and I am getting panic attacks, sweating and high heart beat are the symptoms. Please help to overcome this problem. I am going through a rough phase.

As regards- MSG, once or twice is you have eaten, don’t worry so much, it will not cause any harm to your baby.
Regarding – Folic acid tablet, you are regular in taking ever since you got to know about your pregnant status- that is good enough. Stop worrying on that account too
Regarding baby’s brain development- there is now a blood test – Double Marker, which when combined with a sonography at a specified time will almost make sure that baby is born, mentally healthy. Please speak to your Gynecologist about that.

Can a person with epilepsy become a class ‘A’ government officer?


These are the guidelines from ‘Epilepsy Association of India’.


In general it states that you need to check that specific job’s requirement

Regards and best of luck

Period is late by 10 days last was 20 jan. Pregnancy test is negative. What to do wait for some days or visit doctor.

Hi, if you want to be really sure , there are two ways 1) Beta HCG test in blood 2) Ultrasound If both these tests are normal too, you are not pregnant, menses will come either on their own, or with help of some hormonal pill You can read this article, it will help you https://fit.practo.com/#!/content/24400

I am 34 years old, I just detected pregnancy of 32 days ammonreae my doctor advice me to take hucog 5000 for 2 months and save and progynova. What is its use how it works.

Hi, from your profile ,I read that you are 34 years old. It is a medical fact that a woman’s body is not meant to be reproducing endlessly. After certain age, carrying a healthy pregnancy can be an issue. To address this same issue, certain hormonal supplements are prescribed to over age pregnant woman to make sure a good outcome.Have faith in your doctor and follow the advise to the dot. Have a happy and healthy pregnancy.

I have pcos and I am 6 weeks pregnant. Doc. Prescribed me mychiro, nosic, glyciphage 250, gestofit 200 and limcee tablets. Will it prevent my pregnancy? Will my baby be healthy?

Your Gynecologist has prescribed you the best of treatment.
All medicines are given to you to take care of PCOS in pregnancy and also to take care that you do not suffer any complications because of it, as well as pregnacy grows healthy.
Have trust, follow the advise completely.
Good luck

Mam bleeding start after taking two misoprostol after 3 hours sir just I want ask about next two misoprostol tablets taken or not.

It is expected that bleeding will start after first dose of Misopostol.
However the total course of Misoprostol tablets should be taken as prescribed by your doctor. Then only the process will be complete.
Unwanted pregnancy can be a nuisance in a woman’s life , it’s best to avoid such things from happening. You can read this article it will help you

Who is controlling the government? Who do they answer to?


I believe that you and I chose the Government. There is no question of who is controlling whom in a democracy. It is always people vs. people.

If we are happy with the management, we have the power to elect them again after 5 years or choose a better leader.

Hence lies the importance of voting for everyone. Be a responsible citizen.

One more thing, good citizens should put forth their candidature to help in clean up act