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Acne eruptions, especially on the face, cheeks, and chin can be quite depressing and annoying. Known to be an inflammatory skin condition, the problem of acne surfaces when there is an increased production of sebum (due to over-activity of the sebaceous glands). Produced in excess, sebum along with the dead skin debris, dirt, clog the hair follicles present on the skin. The clogged follicles act as a catalyst facilitating the growth of the Propionibacterium acnes (P. acnes), the bacteria responsible for acne and pimples. Though mostly seen among teenagers and adolescents, acne problems can also affect the adults.

In many conditions, the problem of acne is found to worsen with increased androgen production and disruption of the hormonal balance (especially during pregnancy or women who are into oral contraceptives). People with a family history also need to be alert as they are more susceptible to the acne problems. Though not triggers, some factors such as stress, unhealthy diet, increased use of make-ups can aggravate the condition. Thus, in spite of not being a threatening condition, acne problems should be treated at the earliest.

Homeopathy for a long-lasting relief from Acne
While there can be different types of acne (Acne vulgaris, Acne rosacea, Acne keloidalis nuchae, Acne conglobata, to name a few), the Homeopathic approach is the same, identifying and eliminating the underlying trigger for acne, thereby, benefiting the affected individual wholly. If the natural medicines used in the treatment deals with the acne problems sans any complications and side-effects, the necessary modifications in the food and lifestyle ensure that the positive results of the Homeopathic treatment are neither superficial nor short-lived.

It doesn't hurt to practice a healthy skin care routine. Clean the face at least twice daily (morning and evening) with a mild face wash. For better results, use a face wash that suits your skin type. Always make it a habit to remove every trace of make-ups from the face before going to sleep. For those already suffering from acne, the use of strong chemicals or make-ups is a big NO.
It is not without reason that homeopaths stress the importance of a sound sleep and proper rest. A good night's sleep of about 6-8 hours can go a long way to fight stress, anxiety, and related problems.
Believe it or not, but your dietary habits can improve or worsen the acne. Skimmed milk or foods rich in carbohydrates can aggravate acne. Research also suggests that uncontrolled binging on chocolates can also trigger deleterious consequences.
In addition to the pain and discomfort, in some cases, the acne is also filled with blood and pus (pustular acne and mostly affecting the teenagers and young adults). Such individuals often benefit from the use of Hepar Sulph.
If the pustular acne appears especially on the cheeks, followed by a burning sensation, redness, and heat around the acne, the use of Antimonium Crudum provides immense relief.

Acne eruptions, especially on the face, cheeks, and chin can be quite depressing and annoying. Known to be an inflammatory skin condition, the problem of acne surfaces when there is an increased production of sebum (due to over-activity of the sebaceous glands). Produced in excess, sebum along with the dead skin debris, dirt, clog the hair follicles present on the skin. The clogged follicles act as a catalyst facilitating the growth of the Propionibacterium acnes (P. acnes), the bacteria responsible for acne and pimples. Though mostly seen among teenagers and adolescents, acne problems can also affect the adults. In many conditions, the problem of acne is found to worsen with increased androgen production and disruption of the hormonal balance (especially during pregnancy or women who are into oral contraceptives). People with a family history also need to be alert as they are more susceptible to the acne problems. Though not triggers, some factors such as stress, unhealthy diet, increased use of make-ups can aggravate the condition. Thus, in spite of not being a threatening condition, acne problems should be treated at the earliest. Homeopathy for a long-lasting relief from Acne While there can be different types of acne (Acne vulgaris, Acne rosacea, Acne keloidalis nuchae, Acne conglobata, to name a few), the Homeopathic approach is the same, identifying and eliminating the underlying trigger for acne, thereby, benefiting the affected individual wholly. If the natural medicines used in the treatment deals with the acne problems sans any complications and side-effects, the necessary modifications in the food and lifestyle ensure that the positive results of the Homeopathic treatment are neither superficial nor short-lived. It doesn't hurt to practice a healthy skin care routine. Clean the face at least twice daily (morning and evening) with a mild face wash. For better results, use a face wash that suits your skin type. Always make it a habit to remove every trace of make-ups from the face before going to sleep. For those already suffering from acne, the use of strong chemicals or make-ups is a big NO. It is not without reason that homeopaths stress the importance of a sound sleep and proper rest. A good night's sleep of about 6-8 hours can go a long way to fight stress, anxiety, and related problems. Believe it or not, but your dietary habits can improve or worsen the acne. Skimmed milk or foods rich in carbohydrates can aggravate acne. Research also suggests that uncontrolled binging on chocolates can also trigger deleterious consequences. In addition to the pain and discomfort, in some cases, the acne is also filled with blood and pus (pustular acne and mostly affecting the teenagers and young adults). Such individuals often benefit from the use of Hepar Sulph. If the pustular acne appears especially on the cheeks, followed by a burning sensation, redness, and heat around the acne, the use of Antimonium Crudum provides immense relief.

Acne eruptions, especially on the face, cheeks, and chin can be quite depressing and annoying. Known to be an inflammatory skin condition, the problem of acne surfaces when there is an increased production of sebum (due to over-activity of the sebaceous glands). Produced in excess, sebum along with the dead skin debris, dirt, clog the hair follicles present on the skin. The clogged follicles act as a catalyst facilitating the growth of the Propionibacterium acnes (P. acnes), the bacteria responsible for acne and <a href='https://www.lybrate.com/doctors-for-pimples' target='_blank'>pimples</a>. Though mostly seen among teenagers and adolescents, acne problems can also affect the adults. 
 
In many conditions, the problem of acne is found to worsen with increased androgen production and disruption of the hormonal balance (especially during <a href='https://www.lybrate.com/topic/pregnancy' target='_blank'>pregnancy</a> or women who are into <a href='https://www.lybrate.com/topic/oral-contraceptives' target='_blank'>oral contraceptives</a>). People with a family history also need to be alert as they are more susceptible to the acne problems. Though not triggers, some factors such as <a href='https://www.lybrate.com/topic/stress-disorder' target='_blank'>stress</a>, unhealthy <a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>diet</a>, increased use of make-ups can aggravate the condition. Thus, in spite of not being a threatening condition, acne problems should be treated at the earliest. 
 
Homeopathy for a long-lasting relief from Acne 
While there can be different types of acne (Acne vulgaris, Acne <a href='https://www.lybrate.com/topic/rosacea' target='_blank'>rosacea</a>, Acne keloidalis nuchae, Acne conglobata, to name a few), the Homeopathic approach is the same, identifying and eliminating the underlying trigger for acne, thereby, benefiting the affected individual wholly. If the natural medicines used in the treatment deals with the acne problems sans any complications and side-effects, the necessary modifications in the food and lifestyle ensure that the positive results of the Homeopathic treatment are neither superficial nor short-lived.


<ul>
	<li>It doesn&#39;t hurt to practice a healthy skin care routine. Clean the face at least twice daily (morning and evening) with a mild face wash. For better results, use a face wash that suits your skin type. Always make it a habit to remove every trace of make-ups from the face before going to sleep. For those already suffering from acne, the use of strong chemicals or make-ups is a big NO.</li>
	<li>It is not without reason that homeopaths stress the importance of a sound sleep and proper rest. A good night&#39;s sleep of about 6-8 hours can go a long way to fight stress, anxiety, and related problems.</li>
	<li>Believe it or not, but your dietary habits can improve or worsen the acne. Skimmed <a href='https://www.lybrate.com/topic/milk-dudh-benefits-and-side-effects' target='_blank'>milk</a> or foods rich in <a href='https://www.lybrate.com/topic/carbohydrates-benefits-,-sources-and-side-effects' target='_blank'>carbohydrates</a> can aggravate acne. Research also suggests that uncontrolled binging on chocolates can also trigger deleterious consequences.</li>
	<li>In addition to the pain and discomfort, in some cases, the acne is also filled with blood and pus (pustular acne and mostly affecting the teenagers and young adults). Such individuals often benefit from the use of Hepar Sulph.</li>
	<li>If the pustular acne appears especially on the cheeks, followed by a burning sensation, redness, and heat around the acne, the use of Antimonium Crudum provides immense relief.</li>
</ul>

In case you have a concern or query you can always <a href='https://www.lybrate.com/homeopath' target='_blank'>consult an expert</a> &amp; get answers to your questions!

Acne - How Homeopathy Will Actually Help In Reducing The Flare-up?

Managing Acne

Intake of foods of high Glycemic Index (GI) worsens acne. GI measures the rate at which blood sugar levels rise because of the intake of foods containing carbohydrates such as soda, white bread, processed breakfast cereals, chips, baked and other junk foods. Diet and acne are directly related. Therefore, you should adopt a perfect diet plan for your acne.

Omega-3 Fatty Acids: These have anti-inflammatory effects whereas foods with Omega-6 Fatty acids produce substances such as inflammatory prostaglandins. Such foods include walnuts, flaxseed oil, fish oil, fish roe (egg), sea foods, spinach, soybeans and chia seeds.
Low Glycemic Foods: Eat non- starchy foods such as vegetables, legumes and fruits low on the GI count. Avoid carbs, especially simple carbs. Potatoes should be off your platter for quite some time.
Vitamin A and Vitamin E: An ounce of almonds gives about 7.4 milligram of vitamin A. You can also consume almond milk or almond oil. Other foods rich in Vitamin A are sun flower seeds, sesame or pumpkin; Swiss chard, mustard greens, spinach, turnip greens, kale, plant oils such as wheat gram oil, sunflower oil, hazelnuts, pine nuts and avocado. Sources of vitamin A include liver, broccoli, orange, fatty fish.
Avoid dairy products: They aggravate acne flare-ups because of the hormones contained in milk.
Chromium Rich Foods: They stabilize levels of blood sugar. The suggested foods are orange pancakes, Tortellini and broccoli salad, alcohol-free sangria, such as grape juice, open-face ham sandwiches with Rye crisp bread. Other sources of chromium are onions, tomatoes, lettuce, and whole grains. For more effective results, include foods with Vitamin C that add to the absorption of chromium.
Zinc-Rich Foods: Sources of zinc include cereals, wheat grams, sesame seeds, pumpkin seeds, meats, shell fish, squash seeds, fruits such as pomegranates and avocados, dark chocolates, spinach, mushroom, cashew nuts, almonds, walnuts and hazelnuts.
Avoid intake of excess iodine: Excess iodine causes acne flare-ups.

Intake of foods of high Glycemic Index (GI) worsens acne. GI measures the rate at which blood sugar levels rise because of the intake of foods containing carbohydrates such as soda, white bread, processed breakfast cereals, chips, baked and other junk foods. Diet and acne are directly related. Therefore, you should adopt a perfect diet plan for your acne. Omega-3 Fatty Acids: These have anti-inflammatory effects whereas foods with Omega-6 Fatty acids produce substances such as inflammatory prostaglandins. Such foods include walnuts, flaxseed oil, fish oil, fish roe (egg), sea foods, spinach, soybeans and chia seeds. Low Glycemic Foods: Eat non- starchy foods such as vegetables, legumes and fruits low on the GI count. Avoid carbs, especially simple carbs. Potatoes should be off your platter for quite some time. Vitamin A and Vitamin E: An ounce of almonds gives about 7.4 milligram of vitamin A. You can also consume almond milk or almond oil. Other foods rich in Vitamin A are sun flower seeds, sesame or pumpkin; Swiss chard, mustard greens, spinach, turnip greens, kale, plant oils such as wheat gram oil, sunflower oil, hazelnuts, pine nuts and avocado. Sources of vitamin A include liver, broccoli, orange, fatty fish. Avoid dairy products: They aggravate acne flare-ups because of the hormones contained in milk. Chromium Rich Foods: They stabilize levels of blood sugar. The suggested foods are orange pancakes, Tortellini and broccoli salad, alcohol-free sangria, such as grape juice, open-face ham sandwiches with Rye crisp bread. Other sources of chromium are onions, tomatoes, lettuce, and whole grains. For more effective results, include foods with Vitamin C that add to the absorption of chromium. Zinc-Rich Foods: Sources of zinc include cereals, wheat grams, sesame seeds, pumpkin seeds, meats, shell fish, squash seeds, fruits such as pomegranates and avocados, dark chocolates, spinach, mushroom, cashew nuts, almonds, walnuts and hazelnuts. Avoid intake of excess iodine: Excess iodine causes acne flare-ups.

Intake of foods of high Glycemic Index (GI) worsens acne. GI measures the rate at which blood <a href='https://www.lybrate.com/topic/sugar' target='_blank'>sugar</a> levels rise because of the intake of foods containing <a href='https://www.lybrate.com/topic/carbohydrates-benefits-,-sources-and-side-effects' target='_blank'>carbohydrates</a> such as soda, white bread, processed breakfast cereals, chips, baked and other junk foods. Diet and acne are directly related.

Therefore, you should adopt a perfect <a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>diet</a> plan for your acne.



<ol>
	<li>Omega-3 Fatty Acids:&nbsp;These have anti-inflammatory effects whereas foods with Omega-6 Fatty acids produce substances such as inflammatory prostaglandins. Such foods include <a href='https://www.lybrate.com/topic/benefits-of-walnuts-and-its-side-effects' target='_blank'>walnuts</a>, flaxseed oil, <a href='https://www.lybrate.com/topic/benefits-of-fish-oil-and-its-side-effects' target='_blank'>fish oil</a>, fish roe (egg), sea foods, <a href='https://www.lybrate.com/topic/benefits-of-spinach-and-its-side-effects' target='_blank'>spinach</a>, soybeans and <a href='https://www.lybrate.com/topic/benefits-of-chia-seeds' target='_blank'>chia seeds</a>.</li>
	<li>Low Glycemic Foods:&nbsp;Eat non- starchy foods such as vegetables, legumes and fruits low on the GI count. Avoid carbs, especially simple carbs. Potatoes should be off your platter for quite some time.</li>
	<li><a href='https://www.lybrate.com/topic/vitamin-a-benefits-sources-and-side-effects' target='_blank'>Vitamin A</a> and Vitamin E:&nbsp;An ounce of <a href='https://www.lybrate.com/topic/benefits-of-almonds-and-its-side-effects' target='_blank'>almonds</a> gives about 7.4 milligram of vitamin A. You can also consume <a href='https://www.lybrate.com/topic/almond-benefits-and-side-effects' target='_blank'>almond</a> <a href='https://www.lybrate.com/topic/milk-dudh-benefits-and-side-effects' target='_blank'>milk</a> or almond oil. Other foods rich in Vitamin A are sun flower seeds, sesame or pumpkin; Swiss chard, mustard greens, spinach, turnip greens, kale, plant oils such as <a href='https://www.lybrate.com/topic/wheat-benefits' target='_blank'>wheat</a> gram oil, <a href='https://www.lybrate.com/topic/benefits-of-sunflower-oil-and-its-side-effects' target='_blank'>sunflower oil</a>, hazelnuts, pine nuts and <a href='https://www.lybrate.com/topic/avocado-benefits-and-side-effects' target='_blank'>avocado</a>. Sources of vitamin A include liver, <a href='https://www.lybrate.com/topic/broccoli-benefits-and-side-effects' target='_blank'>broccoli</a>, <a href='https://www.lybrate.com/topic/orange-benefits-and-side-effects' target='_blank'>orange</a>, fatty fish.</li>
	<li>Avoid dairy products:&nbsp;They aggravate acne flare-ups because of the hormones contained in milk.</li>
	<li>Chromium Rich Foods:&nbsp;They stabilize levels of blood sugar. The suggested foods are orange pancakes, Tortellini and broccoli salad, alcohol-free sangria, such as grape juice, open-face ham sandwiches with <a href='https://www.lybrate.com/topic/rye-benefits-and-side-effects' target='_blank'>Rye</a> crisp bread. Other sources of chromium are onions, tomatoes, <a href='https://www.lybrate.com/topic/lettuce-salad-patta-benefits-and-side-effects' target='_blank'>lettuce</a>, and whole grains. For more effective results, include foods with <a href='https://www.lybrate.com/topic/vitamin-c-benefits-sources-and-side-effects' target='_blank'>Vitamin C</a> that add to the absorption of chromium.</li>
	<li>Zinc-Rich Foods:&nbsp;Sources of <a href='https://www.lybrate.com/topic/zinc-sources-benefits-and-side-effects' target='_blank'>zinc</a> include cereals, wheat grams, sesame seeds, <a href='https://www.lybrate.com/topic/pumpkin-seeds-kaddu-ke-beej-benefits-and-side-effects' target='_blank'>pumpkin seeds</a>, meats, shell fish, squash seeds, fruits such as pomegranates and avocados, dark chocolates, spinach, <a href='https://www.lybrate.com/topic/benefits-of-mushroom-and-its-side-effects' target='_blank'>mushroom</a>, cashew nuts, almonds, walnuts and hazelnuts.</li>
	<li>Avoid intake of excess <a href='https://www.lybrate.com/topic/iodine-benefits-,-sources-and-side-effects' target='_blank'>iodine</a>:&nbsp;Excess iodine causes acne flare-ups.</li>
</ol>

 
&nbsp;

In case you have a concern or query regarding skincare <a href="https://www.lybrate.com/consult-privately" target="_blank">consult doctor online</a>, you can always consult the <a href="https://www.lybrate.com/consult-privately/dermatologist" target="_blank">best dermatologist online &amp; get the answers to your questions.

&nbsp;

Acne Flare Up - What To Eat & What To Avoid?

Hi! 

I am Dr. Sandesh Gupta, your skin specialist. Aaj hum ek bohot hi common condition ke bare mein discuss karenge jo ki acne aur pimples hoti hai. Acne aur pimples bohot common conditions hota hai. Ye 15-20 years ke beech mein male ya female dono mein payi jati hai. Aaj hum discuss karenge ki acne kya hota hai, acne kyu hota hai, kya hum kar sakte hai acne ke liye apne aap self mein, kis doctor ke pass hame jana chahiye, prevention kya hona chahiye acne ka aur uski diet ke bare mein aur agar acne hamari pehle past mein hue hai to unke liye hame kya uske scars ya marks aa chuke hai unko hatane ke liye hame kya karna chahiye? To sabse pehle hum baat karte hai acne kya hota hai. Acne hamara ek hair follicle, ek sebaceous gland hoti hai uska ek infection hota hai. Jab bhi sebaceous follicle mein sebum ka content excessive ho jata hai to uske andar infection aa jata hai; tab hamare acne bante hai. To bohot sare factors hote hai jo iske sebum ke infection baddha sakte hai ya sebum ke production badha sakte hai to unn sab cheezo ko hum aaj discuss karenge. 

Acne kayi tarah ke ho sakte hai jaise papules, blackheads, whiteheads, pustular acne, nodulocystic acne aur shroud acne. Bohot sari dawaiyon ke side effect ke roop mein bhi acne aa sakte hai, bohot sari creams aisi hoti hai jo cosmetic use mein use karte hai unse bhi uske side effect mein bhi acne aa sakte hai. To hame inn sab cheezo ka khayal rakhna hai. Ek to ye ki hum acne mein kya kya nahi karein. To acne me hame face ko bar bar touch nahi karna chahiye, apne balon ko face ke upar pade nahi rehne dena chahiye, acne ko pinch nahi karna chahiye aur thoda sa jaise diet mein agar hum change kar sakte hai, to usme diet mein change karna chahiye kyunki acne ke liye kuch factors hote hai jisko hum agglutinin factors kehte hai jaise stress: physical ya mental stress, food: food mein bohot sari cheezein jaise junk food ho gaya, oily food ho gaya aur jo hum bahar ki cheez khate hai jaise chocolates ho gayi ya jo hamare friends gym mein use karte hai kisi prakar ka bhi protein ya steroids agar hum lete hai to usse bhi acne aane ke chances rehte hai. 

To iske prevention mein sabse pehle hame dekhna hai ki apni diet ko proper karna hai, jo water intake hamara zada hona chahiye, leafy vegetable zada leni chahiye hame, fruits ka use karna chahiye, salads use karna chahiye aur face ke bare mein hum dekhein to face ko touch na karein, balon ko na girne de, pinch na karein usko, make-up excessive na lagein, zada der ke liye na lagaein aur rat ko sone se pehle hum face ko wash karke soyein. Kisi bhi prakar ka steroid jo hum gora hone ke liye ya acne ko kam karne ke liye lagate hai ye bohot harmful hote hai. Market mein bohot sari tarah ki steroids hote hai jaise clobetasone, beclomethasone, betamethasone, mometasone, hydrocortisone kyunki hame koi bhi steroid apni face ke upar nahi lagana chahiye, yeh bohot harmful hote hain. Ab baat aati hai ki hame agar acne aa gaye hai to kis doctor ke pass jana chahiye. To koi bhi qualified doctor jo ki acne treat karne mein saksham hai hum uske pass ja sakte hai aur acne ke liye hame ek particular time ke liye say for 3-4 months ke liye hame particular isme treatment lena chahiye aur isme repeated cycles mein treatment hota hai jaise aap ko 15, 15 days mein ya 20, 20 days mein doctor bulaenge aur aap ko vaha par jana hai. 

Kuch vo cream denge, kuch tablet denge khane ke liye to in sab cheezo ko hame regular use mein karenge ki 3-4 months ke interval mein acne chale jate hai, us particular time ke jo infection aa chuka hai us time ke liye. Bad mein acne kabhi bhi aa sakte hai. Theek. Ab jo scar ya marks hamare face pe aa chuke hai unke liye hame kya karna hai. Acne marks ko hatane ke liye hum microdermabrasion, chemical peels ka sahara le sakte hain ya bohot sare marks hamari self hi resolve ho jate hai. Aur kuch aise marks hote hai jo deep marks hote hai ya scar jinko bolte hai ye hamare ate hai jaise past mein kabhi acne hame hue ho to uski vajah se acne ate hai. To agar vo vale scar hame aa chuke hai to uske liye hame laser ka sahara lena padta hai, jo acne scars ke liye ek matra laser hota hai fractional CO2 laser. To isme hame 8-10 bar sitting leni hoti hai aur 8-10 sitting ke baad hum 1-1 month ke interval pe leni hoti hai. Iske baad hamare sare scar chale jate hai. To dosto ye batein thi sabhi scar ke bare mein aur acne ke bare mein. Iske bad bhi aap ki koi query hoti hai to aap mujhko lybrate ke dawara contact kar sakte hai ya mera clinic Delhi mein hai aap kabhi bhi aake contact kar sakte hain. 

Thank you and all the best!

Hi! I am Dr. Sandesh Gupta, your skin specialist. Aaj hum ek bohot hi common condition ke bare mein discuss karenge jo ki acne aur pimples hoti hai. Acne aur pimples bohot common conditions hota hai. Ye 15-20 years ke beech mein male ya female dono mein payi jati hai. Aaj hum discuss karenge ki acne kya hota hai, acne kyu hota hai, kya hum kar sakte hai acne ke liye apne aap self mein, kis doctor ke pass hame jana chahiye, prevention kya hona chahiye acne ka aur uski diet ke bare mein aur agar acne hamari pehle past mein hue hai to unke liye hame kya uske scars ya marks aa chuke hai unko hatane ke liye hame kya karna chahiye? To sabse pehle hum baat karte hai acne kya hota hai. Acne hamara ek hair follicle, ek sebaceous gland hoti hai uska ek infection hota hai. Jab bhi sebaceous follicle mein sebum ka content excessive ho jata hai to uske andar infection aa jata hai; tab hamare acne bante hai. To bohot sare factors hote hai jo iske sebum ke infection baddha sakte hai ya sebum ke production badha sakte hai to unn sab cheezo ko hum aaj discuss karenge. Acne kayi tarah ke ho sakte hai jaise papules, blackheads, whiteheads, pustular acne, nodulocystic acne aur shroud acne. Bohot sari dawaiyon ke side effect ke roop mein bhi acne aa sakte hai, bohot sari creams aisi hoti hai jo cosmetic use mein use karte hai unse bhi uske side effect mein bhi acne aa sakte hai. To hame inn sab cheezo ka khayal rakhna hai. Ek to ye ki hum acne mein kya kya nahi karein. To acne me hame face ko bar bar touch nahi karna chahiye, apne balon ko face ke upar pade nahi rehne dena chahiye, acne ko pinch nahi karna chahiye aur thoda sa jaise diet mein agar hum change kar sakte hai, to usme diet mein change karna chahiye kyunki acne ke liye kuch factors hote hai jisko hum agglutinin factors kehte hai jaise stress: physical ya mental stress, food: food mein bohot sari cheezein jaise junk food ho gaya, oily food ho gaya aur jo hum bahar ki cheez khate hai jaise chocolates ho gayi ya jo hamare friends gym mein use karte hai kisi prakar ka bhi protein ya steroids agar hum lete hai to usse bhi acne aane ke chances rehte hai. To iske prevention mein sabse pehle hame dekhna hai ki apni diet ko proper karna hai, jo water intake hamara zada hona chahiye, leafy vegetable zada leni chahiye hame, fruits ka use karna chahiye, salads use karna chahiye aur face ke bare mein hum dekhein to face ko touch na karein, balon ko na girne de, pinch na karein usko, make-up excessive na lagein, zada der ke liye na lagaein aur rat ko sone se pehle hum face ko wash karke soyein. Kisi bhi prakar ka steroid jo hum gora hone ke liye ya acne ko kam karne ke liye lagate hai ye bohot harmful hote hai. Market mein bohot sari tarah ki steroids hote hai jaise clobetasone, beclomethasone, betamethasone, mometasone, hydrocortisone kyunki hame koi bhi steroid apni face ke upar nahi lagana chahiye, yeh bohot harmful hote hain. Ab baat aati hai ki hame agar acne aa gaye hai to kis doctor ke pass jana chahiye. To koi bhi qualified doctor jo ki acne treat karne mein saksham hai hum uske pass ja sakte hai aur acne ke liye hame ek particular time ke liye say for 3-4 months ke liye hame particular isme treatment lena chahiye aur isme repeated cycles mein treatment hota hai jaise aap ko 15, 15 days mein ya 20, 20 days mein doctor bulaenge aur aap ko vaha par jana hai. Kuch vo cream denge, kuch tablet denge khane ke liye to in sab cheezo ko hame regular use mein karenge ki 3-4 months ke interval mein acne chale jate hai, us particular time ke jo infection aa chuka hai us time ke liye. Bad mein acne kabhi bhi aa sakte hai. Theek. Ab jo scar ya marks hamare face pe aa chuke hai unke liye hame kya karna hai. Acne marks ko hatane ke liye hum microdermabrasion, chemical peels ka sahara le sakte hain ya bohot sare marks hamari self hi resolve ho jate hai. Aur kuch aise marks hote hai jo deep marks hote hai ya scar jinko bolte hai ye hamare ate hai jaise past mein kabhi acne hame hue ho to uski vajah se acne ate hai. To agar vo vale scar hame aa chuke hai to uske liye hame laser ka sahara lena padta hai, jo acne scars ke liye ek matra laser hota hai fractional CO2 laser. To isme hame 8-10 bar sitting leni hoti hai aur 8-10 sitting ke baad hum 1-1 month ke interval pe leni hoti hai. Iske baad hamare sare scar chale jate hai. To dosto ye batein thi sabhi scar ke bare mein aur acne ke bare mein. Iske bad bhi aap ki koi query hoti hai to aap mujhko lybrate ke dawara contact kar sakte hai ya mera clinic Delhi mein hai aap kabhi bhi aake contact kar sakte hain. Thank you and all the best!

Hi!

I am Dr. Sandesh Gupta, your skin specialist. Aaj hum ek bohot hi common condition ke bare mein discuss karenge jo ki acne aur pimples hoti hai. Acne aur pimples bohot common conditions hota hai. Ye 15-20 years ke beech mein male ya female dono mein payi jati hai.&nbsp;Aaj hum discuss karenge ki acne kya hota hai, acne kyu hota hai, kya hum kar sakte hai acne ke liye apne aap self mein, kis doctor ke pass hame jana chahiye, prevention kya hona chahiye acne ka aur uski diet ke bare mein aur agar acne hamari pehle past mein hue hai to unke liye hame kya uske scars ya marks aa chuke hai unko hatane ke liye hame kya karna chahiye? To sabse pehle hum baat karte hai acne kya hota hai. Acne hamara ek hair follicle, ek sebaceous gland hoti hai uska ek infection hota hai. Jab bhi sebaceous follicle mein sebum ka content excessive ho jata hai to uske andar infection aa jata hai; tab hamare acne bante hai. To bohot sare factors hote hai jo iske sebum ke infection baddha sakte hai ya sebum ke production badha sakte hai to unn sab cheezo ko hum aaj discuss karenge.

Acne kayi tarah ke ho sakte hai jaise papules, blackheads, whiteheads, pustular acne, nodulocystic acne aur shroud acne. Bohot sari dawaiyon ke side effect ke roop mein bhi acne aa sakte hai, bohot sari creams aisi hoti hai jo cosmetic use mein use karte hai unse bhi uske side effect mein bhi acne aa sakte hai. To hame inn sab cheezo ka khayal rakhna hai. Ek to ye ki hum acne mein kya kya nahi karein. To acne me hame face ko bar bar touch nahi karna chahiye, apne balon ko face ke upar pade nahi rehne dena chahiye, acne ko pinch nahi karna chahiye aur thoda sa jaise diet mein agar hum change kar sakte hai, to usme diet mein change karna chahiye kyunki acne ke liye kuch factors hote hai jisko hum agglutinin factors kehte hai jaise stress: physical ya mental stress, food: food mein bohot sari cheezein jaise junk food ho gaya, oily food ho gaya aur jo hum bahar ki cheez khate hai jaise chocolates ho gayi ya jo hamare friends gym mein use karte hai kisi prakar ka bhi protein ya steroids agar hum lete hai to usse bhi acne aane ke chances rehte hai.

To iske prevention mein sabse pehle hame dekhna hai ki apni diet ko proper karna hai, jo water intake hamara zada hona chahiye, leafy vegetable zada leni chahiye hame, fruits ka use karna chahiye, salads use karna chahiye aur face ke bare mein hum dekhein to face ko touch na karein, balon ko na girne de, pinch na karein usko, make-up excessive na lagein, zada der ke liye na lagaein aur rat ko sone se pehle hum face ko wash karke soyein. Kisi bhi prakar ka steroid jo hum gora hone ke liye ya acne ko kam karne ke liye lagate hai ye bohot harmful hote hai. Market mein bohot sari tarah ki steroids hote hai jaise clobetasone, beclomethasone, betamethasone, mometasone, hydrocortisone kyunki hame koi bhi steroid apni face ke upar nahi lagana chahiye, yeh bohot harmful hote hain. Ab baat aati hai ki hame agar acne aa gaye hai to kis doctor ke pass jana chahiye. To koi bhi qualified doctor jo ki acne treat karne mein saksham hai hum uske pass ja sakte hai aur acne ke liye hame ek particular time ke liye say for 3-4 months ke liye hame particular isme treatment lena chahiye aur isme repeated cycles mein treatment hota hai jaise aap ko 15, 15 days mein ya 20, 20 days mein doctor bulaenge aur aap ko vaha par jana hai.

Kuch vo cream denge, kuch tablet denge khane ke liye to in sab cheezo ko hame regular use mein karenge ki 3-4 months ke interval mein acne chale jate hai, us particular time ke jo infection aa chuka hai us time ke liye. Bad mein acne kabhi bhi aa sakte hai. Theek. Ab jo scar ya marks hamare face pe aa chuke hai unke liye hame kya karna hai. Acne marks ko hatane ke liye hum microdermabrasion, chemical peels ka sahara le sakte hain ya bohot sare marks hamari self hi resolve ho jate hai. Aur kuch aise marks hote hai jo deep marks hote hai ya scar jinko bolte hai ye hamare ate hai jaise past mein kabhi acne hame hue ho to uski vajah se acne ate hai. To agar vo vale scar hame aa chuke hai to uske liye hame laser ka sahara lena padta hai, jo acne scars ke liye ek matra laser hota hai fractional CO2 laser. To isme hame 8-10 bar sitting leni hoti hai aur 8-10 sitting ke baad hum 1-1 month ke interval pe leni hoti hai. Iske baad hamare sare scar chale jate hai. To dosto ye batein thi sabhi scar ke bare mein aur acne ke bare mein. Iske bad bhi aap ki koi query hoti hai to aap mujhko lybrate ke dawara contact kar sakte hai ya mera clinic&nbsp;Delhi mein hai aap kabhi bhi aake contact kar sakte hain.

Thank you and&nbsp;all the best!

Acne And Pimple

Acne scars are not just embarrassing, but in some cases are painful as well. However, with these below mentioned derma treatments you can easily get rid of these scars. 

Derma rollers: Derma rollers are small rollers that contain dozens of needles 0.25 mm in diameter and up to 2 mm in length. They reach the papillary dermis of the skin (deeper than the lasers and peels). Derma roller rips the fibrous connections intergrown by scars and strongly stimulates the healing processes, that is, the collection of macrophage and growth factors. The results are visible six weeks after the treatment. They are especially suitable to people with darker complexion.
Laser Treatment: A dermatologist is the best option if the acne scars don t reduce or fade away with time. Collagen is one of the building blocks of your skin and is an essential protein. Fractionated laser is a new technology that can smooth the surface of your skin and promote new collagen formation. Laser treatment can obliterate the scar and help smooth skin to form in its place instead. Filler injections help fill any indentation resulting from deeper acne scars. The only drawback to this is that fillers need to be re done after every 6 months or so as it gets reabsorbed over time into the skin.
Time heals all wounds: Patience is very important when you want to see scars fade away. Newly formed blood vessels, few weeks after the scar is formed, nourish the skin. Most scars in their early stages look pink for this reason. Collagen starts forming months later and fills in the injuries on the skin. Fat cells and skin are destroyed in cystic acne; so for the scars to vanish completely, it might take a year or more.
Prevention Tips: The best preventive method for scar formation is not to squeeze pimple. Popping a pimple leads to deeper infiltration of bacteria and pus. This damages the collagen further. A common skin care myth is that Vitamin E helps scars in healing faster. Contrary to prior belief, direct application of Vitamin E on a scar might hinder the healing process instead of facilitating it.
Use a sunscreen: Use a sunscreen with a high SPF over 30. The middle of the day is the worst time to step out in the sun. Reapply the sunscreen every two hours, if you sweat profusely.

Acne scars are not just embarrassing, but in some cases are painful as well. However, with these below mentioned derma treatments you can easily get rid of these scars. Derma rollers: Derma rollers are small rollers that contain dozens of needles 0.25 mm in diameter and up to 2 mm in length. They reach the papillary dermis of the skin (deeper than the lasers and peels). Derma roller rips the fibrous connections intergrown by scars and strongly stimulates the healing processes, that is, the collection of macrophage and growth factors. The results are visible six weeks after the treatment. They are especially suitable to people with darker complexion. Laser Treatment: A dermatologist is the best option if the acne scars don t reduce or fade away with time. Collagen is one of the building blocks of your skin and is an essential protein. Fractionated laser is a new technology that can smooth the surface of your skin and promote new collagen formation. Laser treatment can obliterate the scar and help smooth skin to form in its place instead. Filler injections help fill any indentation resulting from deeper acne scars. The only drawback to this is that fillers need to be re done after every 6 months or so as it gets reabsorbed over time into the skin. Time heals all wounds: Patience is very important when you want to see scars fade away. Newly formed blood vessels, few weeks after the scar is formed, nourish the skin. Most scars in their early stages look pink for this reason. Collagen starts forming months later and fills in the injuries on the skin. Fat cells and skin are destroyed in cystic acne; so for the scars to vanish completely, it might take a year or more. Prevention Tips: The best preventive method for scar formation is not to squeeze pimple. Popping a pimple leads to deeper infiltration of bacteria and pus. This damages the collagen further. A common skin care myth is that Vitamin E helps scars in healing faster. Contrary to prior belief, direct application of Vitamin E on a scar might hinder the healing process instead of facilitating it. Use a sunscreen: Use a sunscreen with a high SPF over 30. The middle of the day is the worst time to step out in the sun. Reapply the sunscreen every two hours, if you sweat profusely.

<a href="https://www.lybrate.com/topic/acne-scars" target="_blank">Acne scars</a> are not just embarrassing, but in some cases are painful as well. However, with these below mentioned derma treatments you can easily get rid of these scars.&nbsp;



<ol>
	<li>Derma rollers: Derma rollers are small rollers that contain dozens of needles 0.25 mm in diameter and up to 2 mm in length. They reach the papillary dermis of the skin (deeper than the lasers and peels). <a href="https://www.lybrate.com/topic/dermaroller" target="_blank">Derma roller</a> rips the fibrous connections intergrown by scars and strongly stimulates the healing processes, that is, the collection of macrophage and <a href="https://www.lybrate.com/doctors-for-growth-factors" target="_blank">growth factors</a>. The results are visible six weeks after the treatment. They are especially suitable to people with darker complexion.</li>
	<li>Laser Treatment:&nbsp;A <a href="https://www.lybrate.com/dermatologist" target="_blank">dermatologist</a> is the best option if the acne scars don’t reduce or fade away with time. Collagen is one of the building blocks of your skin and is an essential <a href="https://www.lybrate.com/topic/protein-benefits-sources-and-side-effects" target="_blank">protein</a>. Fractionated <a href="https://www.lybrate.com/topic/laser" target="_blank">laser</a> is a new technology that can smooth the surface of your skin and promote new collagen formation. Laser treatment can obliterate the scar and help smooth skin to form in its place instead. Filler injections help fill any <a href="https://www.lybrate.com/treatment-for-indentation" target="_blank">indentation</a> resulting from deeper acne scars. The only drawback to this is that <a href="https://www.lybrate.com/doctors-for-fillers" target="_blank">fillers</a> need to be re done after every 6 months or so as it gets reabsorbed over time into the skin.</li>
	<li>Time heals all wounds:&nbsp;Patience is very important when you want to see scars fade away. Newly formed blood vessels, few weeks after the scar is formed, nourish the skin. Most scars in their early stages look pink for this reason. Collagen starts forming months later and fills in the injuries on the skin. Fat cells and skin are destroyed in cystic acne; so for the scars to vanish completely, it might take a year or more.</li>
	<li>Prevention Tips:&nbsp;The best preventive method for scar formation is not to squeeze pimple. Popping a pimple leads to deeper infiltration of bacteria and pus. This damages the collagen further. A common <a href="https://www.lybrate.com/topic/skin-care" target="_blank">skin care</a> myth is that Vitamin E helps scars in healing faster. Contrary to prior belief, direct application of Vitamin E on a scar might hinder the healing process instead of facilitating it.</li>
	<li>Use a sunscreen: Use a sunscreen with a high SPF over 30. The middle of the day is the worst time to step out in the sun. Reapply the sunscreen every two hours, if you sweat profusely.&nbsp;If you wish to discuss about any specific problem, you can consult a Dermatologist.</li>
</ol>

<hr>
Updates From Lybrate: We hope this information was helpful to you. Moreover, you can also check out these <a target="_blank" class="Manual" href="https://www.lybrate.com/goodkart/skin-and-hair-care/skin-care-products">natural&nbsp;products for skincare</a> from Lybrate.

Acne Scars - 5 Ways to Get Rid of Them!

Improving Skin Health

300 Calories is the average calorific value of our daily sugar intake. It's no wonder then that dietician and weight loss gurus across the world will advise you to quit added sugar as the first step of a weight loss program. Added sugar refers to processed sugar in the form of cubes, sugar crystals or powdered sugar and does not include natural sugars found in fruits, vegetables etc. Apart from cakes and sweets, we eat added sugar in a number of ways including a number of packaged foods like sauce and salad dressings.
If you consume a lot of sugar on a daily basis, quitting added sugar could leave you with withdrawal symptoms. Quitting added sugar is not easy, but here are a few reasons it is well worth the effort.
1. You'll have fewer pimples
Sugar has inflammatory properties. This can trigger systemic inflammation leading to the acne. Thus quitting sugar can instantly reduce the number of pimples on your face and give you clearer skin.
2. It improves the health of your heart
Added sugar can raise insulin levels. This activates the sympathetic nervous system and increases blood pressure and heart rate. Stopping your consumption of added sugar can lower cholesterol levels and decrease the amount of triglycerides in the body. This lowers blood pressure and boosts cardiovascular health.
3. A friendly weight scale
Replacing toffees with dry fruits will considerably reduce your calorific intake. Similarly switching packaged salad dressing for fresh homemade dressing can also make your salad healthier. Given that we eat added sugar in so many forms, making a conscious decision to quit added sugar can have a big impact on your daily calorie intake. Studies show that this simple step can lead to a weight loss of up to 10 pounds in six months.
4. It'll make remembering names easier
Added sugar can hinder learning and memory. Over time, it can also damage communication between brain cells. Quitting sugar can boost both your short term as well as long term memory. You will also find it easier to focus on will be able to be attentive to something for longer periods of time.
5. A good night's sleep
You don't just need 8 hours of sleep a day; you need 8 hours of restful sleep at the right time. Sugar makes blood sugar fluctuate and the crash that follows a sugar high can make you feel sluggish around mid-day. Many people find that if they have an afternoon nap, it becomes more difficult for them to fall asleep at night. Sugar also releases cortisol that interferes with sleep. Thus quitting added sugar can keep you alert through the day and help you fall asleep easier at the end of the day.

300 Calories is the average calorific value of our daily sugar intake. It's no wonder then that dietician and weight loss gurus across the world will advise you to quit added sugar as the first step of a weight loss program. Added sugar refers to processed sugar in the form of cubes, sugar crystals or powdered sugar and does not include natural sugars found in fruits, vegetables etc. Apart from cakes and sweets, we eat added sugar in a number of ways including a number of packaged foods like sauce and salad dressings. If you consume a lot of sugar on a daily basis, quitting added sugar could leave you with withdrawal symptoms. Quitting added sugar is not easy, but here are a few reasons it is well worth the effort. 1. You'll have fewer pimples Sugar has inflammatory properties. This can trigger systemic inflammation leading to the acne. Thus quitting sugar can instantly reduce the number of pimples on your face and give you clearer skin. 2. It improves the health of your heart Added sugar can raise insulin levels. This activates the sympathetic nervous system and increases blood pressure and heart rate. Stopping your consumption of added sugar can lower cholesterol levels and decrease the amount of triglycerides in the body. This lowers blood pressure and boosts cardiovascular health. 3. A friendly weight scale Replacing toffees with dry fruits will considerably reduce your calorific intake. Similarly switching packaged salad dressing for fresh homemade dressing can also make your salad healthier. Given that we eat added sugar in so many forms, making a conscious decision to quit added sugar can have a big impact on your daily calorie intake. Studies show that this simple step can lead to a weight loss of up to 10 pounds in six months. 4. It'll make remembering names easier Added sugar can hinder learning and memory. Over time, it can also damage communication between brain cells. Quitting sugar can boost both your short term as well as long term memory. You will also find it easier to focus on will be able to be attentive to something for longer periods of time. 5. A good night's sleep You don't just need 8 hours of sleep a day; you need 8 hours of restful sleep at the right time. Sugar makes blood sugar fluctuate and the crash that follows a sugar high can make you feel sluggish around mid-day. Many people find that if they have an afternoon nap, it becomes more difficult for them to fall asleep at night. Sugar also releases cortisol that interferes with sleep. Thus quitting added sugar can keep you alert through the day and help you fall asleep easier at the end of the day.

300 Calories is the average calorific value of our daily <a href='https://www.lybrate.com/topic/sugar' target='_blank'>sugar</a> intake. It&#39;s no wonder then that dietician and <a href='https://www.lybrate.com/topic/weight-loss' target='_blank'>weight loss</a> (Learn more about weight loss) gurus across the world will advise you to quit added sugar as the first step of a weight loss program. Added sugar refers to processed sugar in the form of cubes, sugar crystals or powdered sugar and does not include natural sugars found in fruits, vegetables etc. Apart from cakes and sweets, we eat added sugar in a number of ways including a number of packaged foods like sauce and salad dressings.

If you consume a lot of sugar on a daily basis, quitting added sugar could leave you with <a href='https://www.lybrate.com/topic/withdrawal-symptoms' target='_blank'>withdrawal symptoms</a>. Quitting added sugar is not easy, but here are a few reasons it is well worth the effort.

<ol>
	<li>You&#39;ll have fewer <a href='https://www.lybrate.com/doctors-for-pimples' target='_blank'>pimples</a>:&nbsp;Sugar has inflammatory properties. This can trigger systemic inflammation leading to the acne. Thus quitting sugar can instantly reduce the number of pimples on your face and give you clearer skin (Learn more about Healthy Skin).</li>
	<li>It improves the health of your heart:&nbsp;Added sugar can raise insulin levels. This activates the sympathetic nervous system and increases blood pressure and heart rate. Stopping your consumption of added sugar can lower cholesterol levels and decrease the amount of triglycerides in the body. This lowers blood pressure and boosts cardiovascular health. (Know more about blood sugar level)</li>

	<li>A friendly weight scale:&nbsp;Replacing toffees with dry fruits will considerably reduce your calorific intake. Similarly switching packaged salad dressing for fresh homemade dressing can also make your salad healthier. Given that we eat added sugar in so many forms, making a conscious decision to quit added sugar can have a big impact on your daily calorie intake. Studies show that this simple step can lead to a weight loss of up to 10 pounds in six months.</li>
	<li>It&#39;ll make remembering names easier:&nbsp;Added sugar can hinder learning and memory. Over time, it can also damage communication between brain cells. Quitting sugar can boost both your short term as well as long term memory. You will also find it easier to focus on will be able to be attentive to something for longer periods of time.</li>
	<li>A good night&#39;s sleep:&nbsp;You don&#39;t just need 8 hours of sleep a day; you need 8 hours of restful sleep at the right time. Sugar makes blood sugar fluctuate and the crash that follows a sugar high can make you feel sluggish around mid-day. Many people find that if they have an afternoon nap, it becomes more difficult for them to fall asleep at night. Sugar also releases cortisol that interferes with sleep. Thus quitting added sugar can keep you alert through the day and help you fall asleep easier at the end of the day.</li>
</ol>

See What Really Happens to Your Body When You Stop Eating Added Sugar

Eating Right

Getting Fit

Living Healthy - Man

Living Healthy - Woman

Sleeping Well

Bedtime skin care to prevent acne

Skin repairs and rebuilds at night time while you rest, so it makes sense to follow good skin care routine before going to bed every night.

3 most effective bedtime skin care tips that rejuvenate your skin.

1. Cleanse and moisturize your skin: Your skin is exposed to kinds of pollutants, allergens, makeup during daytime. So cleanse your skin properly. Then apply vitamin E based moisturizer to keep your skin hydrated.

2. Use clean pillowcase: Many pathogens and oil may reintroduce to your skin if you use unwashed pillowcase. Thus make it a habit to use a clean pillowcase, preferably made of silk fiber, which keeps you away from the risks of pimples and other skin infections.

3. Don’t sleep with your phone: Your phone collects many bacteria and other microbes during daytime. Thus it is better to keep your phone away while sleeping to avoid any counter infections.



Bedtime skin care to prevent acne Skin repairs and rebuilds at night time while you rest, so it makes sense to follow good skin care routine before going to bed every night. 3 most effective bedtime skin care tips that rejuvenate your skin. 1. Cleanse and moisturize your skin: Your skin is exposed to kinds of pollutants, allergens, makeup during daytime. So cleanse your skin properly. Then apply vitamin E based moisturizer to keep your skin hydrated. 2. Use clean pillowcase: Many pathogens and oil may reintroduce to your skin if you use unwashed pillowcase. Thus make it a habit to use a clean pillowcase, preferably made of silk fiber, which keeps you away from the risks of pimples and other skin infections. 3. Don’t sleep with your phone: Your phone collects many bacteria and other microbes during daytime. Thus it is better to keep your phone away while sleeping to avoid any counter infections.

3 Highly Effective Bedtime Skin Regimen to Prevent Acne and Wrinkles

Useful Tips to get pregnant fast: Maybe you're just really eager to get pregnant, or maybe you want your baby's birth to happen at a specific time....

Useful Tips to get pregnant fast: Maybe you're just really eager to get pregnant, or maybe you want your baby's birth to happen at a specific time. Please note that you can not predict a time frame and sometimes it takes time to conceive. Have patience and here are some tips which can help: Tip #1: The biggest secret to getting pregnant faster is knowing when you ovulate (release an egg from your ovary). Think of the egg as a bull's-eye and the sperm as arrows. One of the arrows has to hit the bull's-eye in order for you to get pregnant. If you notice that you have irregular periods over the course of several months, pinpointing ovulation could be difficult. Ask your doctor for advice. Tip #2: Once you know when your egg will be released from your ovary, you can plan to have sex during your most fertile days: from three days before ovulation through the day of ovulation. (Starting a little sooner can't hurt; some women have gotten pregnant from sex that happened six days before they ovulated.) If you have a regular cycle of 28 days, days 12 to 16 days are said to be a woman's most fertile period counting from the first day of cycle. Tip #3: Sperm have their best shot at fertilizing an egg when they're healthy, strong, and plentiful. Several things can help your partner get his sperm supply in fighting shape: - Cut back on alcohol (studies show that drinking daily can reduce testosterone levels and sperm counts and raise the number of abnormal sperm) - Quit tobacco and recreational drugs (these can cause poor sperm function) - Eat enough of certain key nutrients – like zinc, folic acid, calcium, and vitamins C and D – that help create plentiful, strong, wiggly sperm - Avoid hot tubs, saunas, and hot baths, since heat kills sperm. https://www.facebook.com/gynecologistindelhi/info

Useful Tips to get pregnant fast:

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