Book Clinic Appointment with Dr. Shivani Chaturvedi
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Treatment of No Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Birth Control Treatment
Treatment of Painful Sexual Intercourse
Treatment of Pregnancy Symptoms
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Cervicitis
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I found the answers provided by the Dr. Shivani Chaturvedi to be very helpful. Mei motiii hone ke liye kya karu
I feel very gud,, she treated not a dr just lyk a family member
she is very caring and helpful. she is a brilliant doctor.
My experience z too much gdddd
While you are too busy running a rat-race, chasing education, career, and everything extravagant and lavish, you might be slowly slipping away on your chances of parenting a baby. Find that strange and wayward? Well, your fertility might have already started taking a dip. The chances of conception drop down to less than 10% as a woman approaches the mid-thirties and a man, mid-forties. This is because increasing age takes a toll on the quality and the quantity of eggs produced. Chromosomal problems accompanied by risk of miscarriages tend to bring down pregnancy rates. So much so, that a child, born to older parents, might have higher risks of suffering from learning difficulties, psychological disorders and even autism. Not only age, but one’s innate lifestyle habits and practices can also be a few reasons behind infertility.
Age and Fertility: Women’s fertility starts to decline when women are in their early 30s (and the decline speeds up post-35). Men’s fertility starts to decline at 45 years of age. As well as declining fertility, there is an increased risk of pregnancy complications for older mothers and and with older fathers, an increased risk of the child having autism spectrum disorders, mental health disorders and learning difficulties.
Weight and Fertility: Obesity, owing to a sedentary lifestyle and an unhealthy diet, can cause and aggravate hormonal irregularities in both the genders. For men, these imbalances result in coital problems and dip in the sperm count, while for women, they pose threats such as miscarriages, risks of a still-born child and other pregnancy complications. Women who are obese and smoke are more than twice as likely as healthy weight women to have a baby with congenital heart disease.
The Appropriate Timing: If you fail to keep a track of the most fertile period of your menstrual cycle based on the days you ovulate, you might miss out on a good chance of getting pregnant. Pregnancy is technically possible during the five days before ovulation and the day of ovulation. The likelihood of actually becoming pregnant, though, is dramatically increased if you have intercourse in the three days leading up to and including ovulation.
Stress: In today’s times, some amount of stress is unavoidable. However, being subject to constantly high levels of stress on a daily basis ups the secretion of the stress hormone, ‘cortisol’; that eventually takes a toll on one’s libido, thus wreaking havoc on one’s chances and aspirations of parenting a child. Also, what too much stress does is that it mars personal relationships, thus further increasing one’s woes.
Pollutants: With rapid urbanization and unchecked industrialization, the world you live in was never more polluted than now. Such increased and consistent exposure to pollution makes one all the more vulnerable to infertility.
Also known as tubal sterilization, tubectomy is a permanent method of contraception in women. It is a surgical procedure in which a portion of the fallopian tubes are blocked to prevent an egg that is released from the ovaries, from reaching the uterus. In case an egg is present in the uterus, it carries with it the risk of fertilization, thus, can lead to pregnancy. Sometimes the patient may change her decision and ask for a reversal of the process. However, it should also be kept in mind that the surgery is a complex one. The results are often not guaranteed.
- Tubectomy refers to cutting or blocking a small portion of the fallopian tubes that prevent the released eggs from reaching the uterus.
- The surgeon reaches to the fallopian tubes by cutting open a portion of the abdomen in case of an open surgery.
- Laparoscopic techniques are also available to conduct the surgery.
- The fallopian tubes are blocked by an artificial clip to prevent the passage of eggs.
Are there any risk factors involved?
- Tubectomy may create a number of health complications in the long run.
- Tubectomy is not advised for patients who have previously undergone abdominal surgeries.
- Major risks of injury such as perforation surrounding blood vessels, internal haemorrhage or a severely life-threatening situation such as ectopic pregnancy may occur later on. Ectopic pregnancy is when fertilization and implantation occur within the fallopian tube instead of the uterus.
- Tubectomy is even more challenging than vasectomy and has higher chance of giving rise to health complications.
Although the procedure is complex, it has a few advantages as well. Minimally-invasive surgeries help in quicker recoveries. It is almost 99% effective as a measure of birth control and thus provides a permanent solution. This surgery can even be done immediately after delivery. Sometimes, in rural areas, family welfare departments, government hospitals and primary health care centres offer free surgery and care to aid and educate about family planning.
Knowing This Can Help You Prevent Ovarian Cancer
Ovarian cancer is the most common cancer to affect the female reproductive system. The exact cause of ovarian cancer is not yet known and the risk factors involved are numerous, the most prevalent of which are genetic defects and hereditary problems.
The symptoms of ovarian cancer are not always clear and range from pelvic and abdominal pains to irregularities in the menstrual cycle. Women beyond the age of 50 are most at risk of developing this type of cancer and the risk factor increases in case of family history.
Prevention of Ovarian Cancer
There is no sure shot way of preventing ovarian cancer. Some factors such as genetics cannot be controlled at all. There are, however, ways to take precaution against it through some simple lifestyle choices. A few of those ways are as follows:
• Eat a healthy balanced diet which is rich in all the nutrients, vitamins and minerals that the body requires for boosting and maintaining immunity.
• Exercise regularly and stay active. Maintaining fitness is an important aspect of preventing the onset of all sorts of diseases and disorders.
• Go for frequent health checkups and make regular consultations with your gynaecologist so as to ensure early detection of the problem.
Another notable way of avoiding ovarian cancer is taking birth control pills which are known to reduce the risk levels. However, studies have shown that there are other health risks associated with taking birth control pills and hence you should always consult a gynaecologist for a proper prescription. In case you have a concern or query you can always consult an expert & get answers to your questions!
Medical science constantly challenges the boundaries by finding not only the cures to the most dangerous diseases, but finds a way to prevent them even before they occur. With years of research, practice and data available for analysis, scientists are using advanced technology in combination with years of research to create a predicting mechanism for often fatal diseases like cancer.
Breast cancer screening has always been done with mammography. The fact is that this method is only 75% accurate, laden with false positives and misses a whole set of women totally- and that too when cancer has already developed. Part of the problem comes from the dense breast tissue which one in three women have. This tissue masks the lumps, which makes it difficult for mammograms to accurately screen cancer.
Some breakthrough scientific methods are changing this by drawing on years of research to predict this deadly disease, years before it can manifest itself.
A genetic test to predict cancer 10-11 years ahead of time
This test was performed to see how environmental factors could influence cancer, along with habits like smoking, abusing alcohol or hormones, genetic changes that occur and are put a large percentage of the women at a high risk of developing this disease.
A simple blood test is used for the genetic analysis of hereditary cancer. Researchers found a biological marker, methylation of the ATM gene, which has a very high ability to predict the risk of developing cancer, several years before diagnosis. 'Methylation' concluded that when one biological indicator is exposed to carcinogenic substances, or other abusive substances like tobacco and alcohol, it may trigger the development of cancer. On the flip side, this test will take time to reach the commercial market and even then cannot give an exact timeline as to when someone may develop the disease.
A simple blood test to predict breast cancer 5 years before it develops
This is the kind of medical miracle the world is looking for. Last year in April, researches in Denmark identified a simple blood test that can predict breast cancer five years before it actually develops with an accuracy of a whopping 80%.
It works by "measuring all of the compounds in the blood to build a 'metabolic profile' of an individual, in order to detect changes in the way chemicals are processed, during a pre-cancerous stage," says Laura Donnelly, health editor at The Telegraph, which covered this development. Danish researchers observed 57,000 participants over 20 years, gathering blood samples along the way, specifically comparing a set of 800 women who remained healthy or developed breast cancer within 7 years of their first blood sample. The researchers found they were able to predict, with 80 percent accuracy, which patients would be affected by the disease, just by looking at the metabolic profiles they built from the participants' blood samples. The results have been published in Metabolomics.
Are you living with the uncertainty of a lump in your breast? It's time you take the first step and consult a specialist here.
The ovaries are the egg producing organs, an essential part of the female reproductive system, they are responsible for the production of estrogen and release an egg every month. If the egg is fertilized with a sperm it can result in a pregnancy.
Ovarian cysts are quite common among women. Ovarian cysts are known to be small sacs filled with fluid that are situated in the ovaries.
Causes of ovarian cysts: Among ovarian cysts, the most common one is called the 'functional cyst'. This type of cyst is generally formed during the process of ovulation, wherein either the eggs do not successfully release from the sac or the sac (follicle) fails to disintegrate properly after the release of the egg.
Certain factors that can cause ovarian cysts are:
- Age that is ovarian cysts are more likely to occur in women who have reached menopause
- Being overweight or obese
- Consumption of fertility drugs
- Hormone replacement therapy
- Family history of ovarian cysts and cancer
- Early menstruation, that is, the onset of the period before the age of 11
Symptoms related to ovarian cysts: Generally, ovarian cysts show no specific symptoms and are generally located during a physical examination or an ultrasound. But, in case you suffer from large cysts or those that have ruptured, you may experience certain signs like:
- Pain while having sex. Great discomfort may be felt, particularly when deep penetration is attempted.
- Pain in the lower abdominal and pelvic region. This pain may be intermittent or persistent. It can also vary from being mild to quite sharp.
- Irregularity in the menstrual cycle.
- An uncomfortable pressure in the lower abdominal and pelvic area.
- Acute pain in the pelvic area and the lower back all throughout the menstrual period.
- Pain in the pelvic area after a session of vigorous exercise or strenuous physical activity.
- A feeling of discomfort or pain while urinating or during bowel movements.
- Nausea, followed by vomiting.
- Pain in the vaginal area, or light bleeding.
- Problems with healthy bowel movements.
Hi Doctor, my girlfriend took the unwanted 72 pill an hour after our condom broke. She got her last period on 6th May and usually has a 31+ days fluctuating cycle. We had sex on 12th June (she hadn't gotten her period yet) and took the pill on the same day. She hasn't gotten a period since then and the home pregnancy test taken on 15th June came negative. What could it possibly be? She was already quiet late on her period but has never missed a period before.
Keeping track of your cycle probably doesn't sound that interesting or important, but you can benefit a lot by doing that. There are changes that your body goes through and there are specific times when you are ovulating; knowing all these would make your life a lot easier, which is only possible by tracking your period.
- Know about your body: Getting your period every 28 days has always been considered normal but only 15% of women get their periods on the clock. Many factors such as stress, illness, exercise, etc. can cause delay in your period. This is where tracking your cycle can help you find the pattern that is specific to your body condition. During your cycle there are lots of changes happening in your body. The hormones cause a change in the fluid produced from your cervix and also lead the basal temperature of your body to increase. Monitoring these changes through tracking your cycle is known as the symptothermal method. By this way you know about how fascinatingly your body works.
- Desire to get pregnant: Tracking your cycle will help you get pregnant. During your cycle, there is a specific time which heightens the possibility of conceiving. The fluid production from the cervix due to hormonal change is the cause of such possibility. Knowing your cycle can take out the stress from trying to get pregnant and it can also help determine any abnormalities that are preventing your pregnancy.
- Avoid pregnancy: If you know the time when you are most likely to get pregnant through tracking, you obviously know when not to have sex, if you are trying to avoid pregnancy. Using symptothermal method for the purpose of birth control has proven to be 99.6% effective, which is higher than birth control medications.
- Health benefits: You can reap a lot of health benefits by tracking your cycle. Conditions like fibroids, polycystic ovarian syndrome and endometriosis are quite common in women, which can be detected by tracking your period. If anything is wrong in your reproductive system, the cycle will indicate it.
Like many systems within the human body, the reproductive system is also a self maintaining one and performs many complex functions on its own. The female reproductive system is one such system and within it, the vagina is an especially good example. It is a self contained system wherein, the balance of the vaginal bacteria is maintained for proper health.
Douching is a process that involves the cleaning out or washing of an internal cavity of a body, such as the anus or the vagina with the help of water and special nozzles. Vaginal douching has become prevalent among women, mostly due to aggressive marketing campaigns which claim that it helps to keep the vagina clean. It is estimated that in developed nations, one in four women perform douching regularly.
Is it any good?
Vaginal douching has been reviled by most medical professionals around the world. The consensus is that not only does vaginal douching have no benefits; it may also be harmful for your vagina in general. The vagina is an ecosystem wherein multiple types of organisms thrive, including bacteria and fungi. These organisms keep each other in check and maintain the health of the organ. These organisms help maintain the pH Levels (the alkaline to acidic radio) within the vagina. Douching may actually disrupt the balance and cause harm by destroying one type of micro-organisms and letting the other proliferate, thus causing infections and other problems.
Problems caused by vaginal douching
Douches, especially the ones found in the market, contain elements such as iodine, baking soda, vinegar and other chemicals that can make the delicate vaginal balance go haywire. Some of the disorders that can be caused by it are mentioned as follows:
- Yeast infections: This is due to the proliferation of the fungi known as ‘candida’ within the vagina. This fungus is present within the vagina, but douching can reduce the bacteria that counteract it, resulting in rapid growth. This is one of the most common infections of the vagina.
- Bacterial vaginosis: Similar to how yeast infections occur, in this case, harmful bacteria proliferate within the vagina. This is also a common vaginal infection and douching has been deemed as one of the leading causes for it.
- Pelvic inflammatory diseases: Douching pushes the bacteria of the vaginal canal into the cervix and the uterus, resulting in infections such as PID or pelvic inflammatory diseases (an infection in the reproductive organ in females).
- Pregnancy related problems: A myth has been floating around that if a woman performs douching after sexual intercourse, it will wash away the sperm and hence prevent her from getting pregnant. In fact, the reverse is true. Douching can often push the sperm up into the uterus causing pregnancy. Not only that, pregnancies caused in such a manner have higher chances of bearing complications such as ectopic pregnancies (a condition wherein the fertilized egg gets implanted outside one’s uterus), birth defects, etc.
- Irritation and vaginal dryness: Douching at the very least will result in the vagina turning dry as the natural mechanisms are disrupted. This results in irritation and itching.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Generally identified as a rare and uncommon phenomenon, vaginal cancer most often occurs in the cells present in the outer lining of the vagina, also called the birth canal. Although primary vaginal cancer is rare and unusual, there are various other types of vaginal cancer that originate elsewhere in the body, but have spread over to your vagina.
Depending upon the nature of origin, vaginal cancer can be divided into the following types:
- Vaginal adenocarcinoma, beginning in the glandular cells on the surface of your vagina
- Vaginal sarcoma, developing in the connective tissue cells and multiple cells lining the walls of your vagina
- Vaginal squamous cell carcinoma, originates in the squamous cells lining the surface of the bacteria
- Vaginal melanoma, developing in melanocytes, the pigment producing cells in your vagina
Symptoms: As vaginal cancer progresses from one stage to the next, you may experience any one of the following signs and symptoms:
- Diluted, watery vaginal discharge
- Painful urination
- Odd cases vaginal bleeding, for instance, after menopause or after intercourse
- Formation of lumps in your vagina
- Frequent and regular urination
- Pelvic pain
Causes: Normally, cancer develops when healthy cells undergo genetic mutations, subsequently leading to the uncontrollable growth of abnormal cells. Cancer cells are known to break off from pre-existing tumors and can easily spread everywhere, in what is referred to as metastasize.
Beyond the natural process of development, here are a few factors, which may further contribute to the growth of cancerous cells:
- Increasing age
- Vaginal intraepithelial neoplasia
- Exposure o miscarriage prevention drugs
Pregnancy is one of the most exciting and anxious phase in a woman’s life. There is definitely an information overload from all sources i.e. family, friends, medical team, books, Internet, etc., that is dumped on the mother-to-be. The idea is to prepare her for the delivery. What needs to be borne in mind though is that each delivery is unique and there are no two women who have had the exact same experience.
However, it is good for the mother to know what to expect so that she is mentally prepared and not totally caught unawares when the actual scenes unfold. The following are the sequence of events that she should be aware of and watch out for:
- With the due date nearing, she should keep a watch for the water breaking. This is passing of fluid surrounding the baby and is usually colorless and odorless. However, if it is green or brown, it is an indication that something might be wrong. Immediate medical help should be sought in that case.
- Along with water breaking, contractions is the next thing to watch out for. This is due to the tightening and releasing of the uterus, indicating that the baby has begun to descend down towards the cervix. If these last for up to a minute, occur every five minutes, and persist for up to an hour, it is a clear indication that it is delivery time and you must head to the hospital.
- Two sensations very prominent during delivery are pain and pressure. The pressure is from the baby passing down the birth canal. As the cervix and the vaginal canal expand to allow passage of the baby, there would be a great deal of pain and pressure. It is not just the mother, even the baby exerts significant pressure to come out of the womb during labor.
- The process of the baby getting out of the womb is what is medically termed as labor and has three distinct stages to it:
- The first stage has two parts to it i.e. an initial, gradual phase that may last for a few hours and a later, quicker phase. The rate of progress of delivery is steady.
- The second stage usually lasts for about two hours, during which the cervix is minimally dilated and pushing begins. This stage lasts until the baby is out of the womb.
- The third and the last stage is where the placenta is extracted and the umbilical cord is cut.
Some common problems you may expect include injury or tearing of the vagina or cervix, need for episiotomy, vomiting, passing of motion, anesthetic complications, etc. However, what would remain etched in the mother’s memory would be the first sight of the baby.
In case you have a concern or query you can always consult an expert & get answers to your questions!