u/peachblossomtears

NOTE: WE WILL BE REMOVING INDIVIDUAL POSTS. ALL COUNSELING RELATED POSTS MUST BE REDIRECTED TO THIS THREAD

Seeing a lot of posts about NEET-UG ranks, counselling, college choices, state quota, category-wise cutoffs, etc., so we're consolidating them here.

If you're a NEET-UG aspirant, you can use this thread to ask about:

- What colleges you can expect with your rank

- Government vs private colleges

- Telangana/AP counselling

- College-wise cutoffs and previous-year trends

- Branch/college preferences

- State quota vs AIQ

- Counselling procedures and doubts

- “I have X rank/category, what should I choose?” type questions

- Experiences and reviews of Telugu medical colleges

When asking for college suggestions, please include:

Rank:

Category:

State:

Domicile:

Budget (if relevant):

Preferred state/college:

Any specific preferences:

This will make it much easier for people to give useful answers rather than asking for the same information repeatedly.

Please remember that cutoffs and counselling rules can change every year. Treat individual opinions and predictions accordingly and verify important counselling information with the official counselling authority.

Individual NEET-UG counselling/college-choice posts may be redirected to this megathread so that the main subreddit doesn't get flooded with repetitive questions.

if youve ever been to a gynaecologist in India, you have been probably asked this

sometimes this is a completely reasonable clinical question because a doctor may need to know whether a patient is sexually active because it can affect the differential diagnosis, pregnancy testing, contraception, std risk or the type of examination that is important

the problem begins when "are you married" becomes a proxy question for "are you sexually active?"

we all know, India is a conservative country. we live in a culturally conservative society. so asking marital status is a soft way of asking are you sexually active. even among urban, educated populations conversations about sexual activity can be deeply uncomfortable

so asking about marital status can feel like the easier, less confrontational question as a healthcare provider

but, an unmarried woman may be sexually active. an unmarried woman may be a virgin. a married woman may be sexually active or not. none of these statuses determine whether she can have a gynaecological disease

yet there is another layer to this in India.

once a woman is married, sex is no longer socially taboo. it is expected. and pregnancy and motherhood are often treated as the natural next step

suddenly, concerns about menstruation, fertility, pregnancy, pelvic pain and reproductive health can receive considerably more attention. not necessarily because the woman's symptoms have changed, but because her reproductive role has changed in the eyes of society

in a patriarchal society, a woman's sexuality is often understood through her relationship to men and marriage. premarital sex is taboo, while sex within marriage is socially legitimate and motherhood is heavily valued

as a result, an unmarried woman's reproductive concerns can be viewed differently from those of a married woman

for eg, regarding contraception, the unmarried woman is often asked, implicitly or explicitly:

“why do you need this?”

while the married woman may be asked:

“when are you having children?”

the underlying assumption is that a woman's reproductive system becomes medically important when it becomes relevant to marriage, pregnancy and motherhood

and this is where i think we need to distinguish between culturally sensitive healthcare and healthcare shaped by cultural judgement

there's another aspect to this: per vaginal examinations. in India, there is often an assumption that an internal pelvic examination is something that should only be performed in married or sexually active women, largely because of cultural beliefs surrounding premarital sex, virginity and the hymen. but medically, whether a pelvic examination is appropriate should depend on the clinical indication, the patient’s circumstances and informed consent, not her marital status. an unmarried woman can have a genuine indication for an examination, just as a married woman may not. and importantly, there is no scientifically valid examination that can determine whether someone has had sex. its not even practicing medicine atp, its enforcing patriarchal norms

there is nothing wrong with a clinician needing to know about sexual activity when it is medically relevant. but ideally, the patient's care should be based on relevant history, symptoms and clinical findings. not assumptions about what her marital status implies

the irony is that a women's uterus does not know if she has a husband, so why should medicine??

okay. first lets go over some medical terms we should all know

dysmenorrhea: painful menstruation

primary dyssmenorrhea: painful menstruation without any underlying pelvic pathology(cause)

secondary dysmenorrhea: menstrual pain caused by an underlying condition, such as endometriosis or adenomyosis

one of the most common things young girls are told when they complain about painful periods is:

"its normal"

"all women go through it"

"it will get better after marriage"

the last one especially is particularly disturbing. how can a medical complain turn into a something a young girl is simply expected to tolerate??

there is a kernel of medical truth behind this statement. primary dysmenorrhea can improve with age and some women experience improvement after pregnancy

but, somewhere along the way a physiological observation has turned into gold standard medical advice

lets look at the data,

a study of 183 adolescent girls aged 14-19 years in Kadapa, Andhra Pradesh found that 65% had dysmenorrhea reported sickness absenteeism and the researchers found a significant reduction in quality of life

a study involving 1100 adolescent girls from government schools in and around Sangareddy, Telangana found menstrual disorders to be common, with dysmenorrhea among the frequently reported problems. the authors also found that 65.6% of the girls had not known about menstruation before their first period and concluded that many menstrual problems go unreported because of inadequate reproductive health knowledge

a 2026 school based study of 5000 adolescent girls across 55 schools in India found primary dysmenorrhea in 68.82% of participants

in another Indian study of adolescent schoolgirls, 29.2% reported mussing school during menstruation, with dysmenorrhea being the most commonly reported reason for absence

so yes. period pain is extremely common

but common does not mean that every degree of pain should be accepted without evaluation

there is important distinction between having some menstrual discomfort and having pain that repeatedly interferes with your life

if a teenager is:

• missing school because of her periods

• unable to participate in normal activities

• vomiting or becoming incapacitated from pain

• requiring frequent analgesics just to function

• progressively worsening pain

• experiencing pain that doesn't respond adequately to treatment

that should be taken seriously and evaluated

severe or worsening dysmenorrhea can also be associated with conditions such as endometriosis and adenomyosis, and delayed recognition can have serious consequences

period pain is common. that doesn't mean we have to normalise suffering simply because it is associated with menstruation

in fact because its so common you would think it must be taken seriously, instead its very prevalence became the reason its dismissed

when you repeatedly tell a young, impressionable girl:

> "period pain is normal, all women suffer"

she learns that pain associated with being female is something she is expected to endure.

and when the alternative explanation is:

> "it'll get better after marriage"

her reproductive health is being framed through her future marital and reproductive role rather than through her health as an individual and that is extremely dehumanising

ill leave the post open for discussion, I wanted to include more stuff but I will be making more posts related to menstruation

sources:

-Rajipet, P., Vemula, A. K., Rathod, P., Valmeekam, K., & Rakuditti, S. R. (2021). The prospective study on prevalence of menstrual disorders in school going adolescents at Sangareddy district, Telangana. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 10(6), 2443–2447. https://doi.org/10.18203/2320-1770.ijrcog20212190

-Kumbhar SK, Reddy M, Sujana B, Reddy K R, Bhargavi K D, Balkrishna C. Prevalence Of Dysmenorrhea Among Adolescent Girls (14-19 Yrs) Of Kadapa District and Its Impact on Quality of Life: A Cross Sectional Study. Natl J Community Med [Internet]. 2011 Sep. 30 [cited 2026 Aug. 9];2(02):265-8. Available from: https://www.njcmindia.com/index.php/file/article/view/1895

-George A, George LS, Assariparambil AR, Annapoorna K, Bhat VR, Ravishankar N, Nayak SG. Prevalence and symptoms of primary dysmenorrhea among adolescent girls in India: a school-based cross-sectional study. Sci Rep. 2026 Jun 24. doi: 10.1038/s41598-026-59005-9. Epub ahead of print. PMID: 42337292.

-ACOG 2026 Clinical Practice Guideline on diagnosis of endometriosis, including adolescents.

ill be starting a series of posts exploring different aspects of medical misogyny and gender bias in healthcare

we will be covering a wide range of topics, from women’s pain being dismissed or undertreated, to gender bias in clinical research, differences in diagnosis and treatment, reproductive healthcare and the consequences these biases can have on women’s health

as a medical professional and as a woman, ill be approaching these discussions from both sides: the provider’s perspective and the patient’s perspective. ill discuss things ibe observed directly or indirectly, alongside available research and evidence

these posts are intended to be discussion based rather than one sided lectures. feel free to contribute your own thoughts, experiences, counterpoints or relevant research in the comments!

if you'd like any topic to be discussed, please let me know in the comments!

because patriarchy doesn't just decide who does the work

it decides whose work is considered valuable

women have always cooked. but cooking inside the home isdismissed as a duty, an expectation, a responsibility. the moment cooking becomes a profession with prestige, power and money, men disproportionately occupy the highest positions and are celebrated as culinary geniuses

the pattern repeats itself everywhere

women sewed for centuries. men built luxury fashion empires

women raised children. yet "guru" always refers to a male

women were excluded from art academies, denied patrons and prevented from exhibiting their work on equal terms. then history declared that the "great masters" were almost exclusively men

this is how patriarchy works

it feminizes labour while masculinising prestige

so perhaps the better question isn't

"why are the greatest chefs or painters men?"

its

"who was allowed to train? who owned the kitchens, studios, restaurants, galleries and schools? who's work was preserved? whose names were written into history??"

im curious how everyone manages tourniquet pain in cases performed under regional blocks for upper limb and lower limb

in our practice, we routinely give IV paracetamol and tramadol, but I don't feel they're always sufficient once tourniquet pain develops, especially during prolonged procedures

what's your approach??

​

a recent post was made by a former moderator. we'd like to clarify that the views expressed in that post do not reflect the values or direction of this subreddit or the rest of the moderation team

this community is open to everyone but it will always be first and foremost a safe space for women and marginalized genders. discussions about how patriarchy harms men are absolutely welcome. however, we will not support narratives that shift responsibility onto women for those harms or reinforce the very gender roles that feminism seeks to dismantle

if the recent discussion made anyone feel unheard or unsafe we sincerely apologize🙏🏻

we'd also like to address one recurring point. when women speak about their experiences with gendered violence or discrimination or say things like "it's always a man" please avoid responding with "not all men". we know not every man is responsible, we have seen good men too, but these statements are usually expressions of frustration at a long standing pattern of systemic violence and discrimination. not literal accusations against every individual man🤦🏻‍♀️ derailing those conversations to seek reassurance often shifts the focus away from the issue being discussed and diminishing what they have experienced

at the same time, discussions mental health and su!cide are important and deserve empathy. we ask everyone to approach these conversations with compassion. blaming or mocking people for struggling with their mental health has no place here, all genders

feminism contains disagreements. topics such as choice feminism, liberal feminism, radical feminism and others are often debated and that's okay. this subreddit exists to encourage learning, unlearning and good faith discussion. not ideological purity or personal attacks

if you disagree with someone's argument, challenge the argument itself. don't resort to name calling, assumptions about character or insults. we're here to discuss ideas, learn from one another and have difficult conversations in good faith. not to tear each other down

we believe nuance is important. but nuance also means recognizing that we do not all begin from the same social position or experience the same realities. conversations here should be grounded in that context

this community is still growing and we're all learning as we go. you don't have to agree with every perspective shared here, but if you choose to participate, we ask that you engage respectfully and in good faith while keeping the purpose of this space in mind🙏🏻🌸

​

a name is such a basic part of your identity. traditionally, changing your surname after marriage is rooted in patriarchal norms, so keeping your birth surname seems like the obvious "feminist" choice

but then... your birth surname is usually your father's surname. that's also a product of patriarchy haha

so then what if you take your mother's maiden surname instead? that surname usually came from your maternal grandfather. again a product of patriarchy

its interesting how something as fundamental as our names is so deeply tied to patriarchal family structures. there isn't really a perfect or "pure" answer here

some might argue there are much bigger issues feminism should be fighting for than surname. and I understand that perspective. a surname alone doesn't determine whether someone is oppressed or empowered. but I also think it's worth discussing because it reflects how deeply patriarchal systems are woven into everyday life, even in things we rarely question

personally, i don't think there's one correct choice. whether you keep your surname, change it, hyphenate it, create a new family name or do something else entirely depends on your own values and circumstances

my mom never legally changed her surname after marriage because my parents were too lazy to deal with all the paperwork lol

ill probably keep mine too. partly because I don't see the need, partly for aesthetic reasons(i like how my name sounds and like I said it's been my identity for all these years) and partly because updating every single document sounds like an administrative nightmare

curious to hear everyone's thoughts. what would you do and why??

​

PGY1 anesthesia resident here looking for opinions/learning points

Had a 34F with clear cell ovarian carcinoma posted for interval debulking surgery via laparotomy. We placed a T11–12 epidural and proceeded with routine GA + ETT.

Analgesia/antiemetics intraop:

- Epidural morphine 3 mg

- Fentanyl 150 mcg IV (including induction 100 mcg)

- Paracetamol (1 gram IV)+ diclofenac 75 mg iv

- Dexamethasone 8 mg + ondansetron 4mg prophylaxis

Intraop, hemodynamically stable with adequate urine output and acceptable fluid balance, bp was on the lower side (MAP 65-75) and heart rate 60-75 bpm with no tachycardia

Post-op: pain score around 2/10 even 24 hours postop, but multiple(almost 20 in the last 24 hours) vomiting episodes (in fact that pain was due to vomiting so much). did not give any epidural topups

Gyne team felt this was due to the epidural morphine and argued that under ERAS we should have avoided opioids altogether

My understanding was that ERAS is opioid-sparing rather than opioid-free, and that neuraxial opioids (including epidural/intrathecal morphine) can still be appropriate for major abdominal surgery when they reduce systemic opioid burden—especially if neuraxial LA options are limited.

Questions:

1. Was epidural morphine 3 mg a reasonable choice here?

2. Would you have approached analgesia differently in a hemodynamically tenuous gyn-onc laparotomy?

3. Do you view the postop vomiting here as “expected tradeoff,” avoidable, or a sign the plan was suboptimal?

We previously had a minimum account age requirement of 21 days for participation in this subreddit. Following recent events and after taking feedback from members, we have now increased the account age requirement and introduced a karma threshold.

We will not be disclosing the exact age or karma limits, as ban evaders and repeat offenders often wait it out or game the system once they know the thresholds.

For context: this is an ask subreddit. Many users come here seeking advice, help, or support, sometimes from throwaway or newer accounts. That is the reason we intentionally avoided stricter restrictions for a long time—we did not want to block genuine users who may not have an established Reddit account.

Unfortunately, repeated ban evasion, misogynistic trolling, and spam from bad-faith users have made stricter moderation necessary. These restrictions are not ideal, but they are being put in place to protect the community.

Now if you do have a genuine question and need help, and dont have enough karma or age, you can send your post to the mod mail and if its genuine enough we will manually approve it

We have also implemented additional ban-evasion detection measures(bot add chesam le) , and we hope this will help reduce repeat offenders cycling back into the subreddit.

Lastly, a request to the community: please report problematic posts/comments or send us a modmail. Moderators do not instantly see everything, especially in active periods.

During the recent incident, we received only 2 modmails and a handful of reports, mostly on later posts—by which point the situation had already escalated. Many users later asked why moderation did not happen sooner, but reporting genuinely helps us act faster. If something seems off, please report it instead of assuming someone else already has.

(modified by chatgpt)

Over the past few days, many of you have probably noticed an account called FerreroRocher96 repeatedly spamming this sub with hateful, misogynistic, and low-effort ragebait posts.

This is not a new issue. The same individual has previously operated under accounts such as FerreroRocher69, and after being banned, returned through multiple burner accounts (e.g., deepinside2b, 2c, etc.). They have been repeatedly banned from this community for over a year.

In response to this pattern, we had previously increased the age requirement for participation in the sub. Despite that, they continue to create new accounts to evade bans.

We were aware this was likely the same person this time around. We chose not to immediately ban the account because we wanted to better understand the pattern of ban evasion and explore whether there were stronger measures available through Reddit admins or other moderation avenues to limit repeated returns

The account has now been banned, and we are actively monitoring the sub

If similar accounts appear in the future, please avoid engaging with them. Report the posts/comments and move on. Accounts like these thrive on attention, outrage, and reaction. The fastest way to kill ragebait is to stop feeding it

(post modified by chatgpt)

we brought images back a few weeks ago so people could explain their questions better… and I think it's been helping

but some of you have taken this as a sign to post:

- random chat screenshots

- memes(idi malli oka question laga do you agree with this ani frame CHESI pettadam)

- and occasionally… your own faces😭

this is not a diary or journals sub okay😭 such posts are not relevant to the purpose of this sub

we are moderating actively, but if this keeps going off the rails, we’re gonna have to take images away again, so before it becomes an actual issue, just letting you guys know

so yeah. it's your call :)