Book Clinic Appointment with Dr. Sunita Malhotra
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
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 Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
Management of Fertile Period
Submit a review for Dr. Sunita MalhotraYour feedback matters!
Patient Review Highlights
I was in so much pain after my menopause. I consulted Dr Sunita who is a known gynaecologist in Agra. Not only she is very calm and composed, but is also a very understanding doctor.The hormonal replacement therapy she gave was quite beneficial for me. I owe her a big thank for this treatment.
dr Sunita Malhotra is a very nice doctor who treats her patients very nicely. She takes care of the well being of her patients and does her best in the treatment. I visited her at Sparsh Malhotra Hospital Khandari Quarters in Agrai.
The natural process of childbirth and/or aging can result in damage to the vaginal walls and muscles; all around the vaginal, urethral and rectal tubes. Similarly vaginal and pelvic tissue is also affected due to aging process and incontinence is a normal part of aging.
Women want a solution to rejuvenate and tighten the vagina and achieve improved sexual function. Even women with no children can experience these problems because of aging, hormonal issues, history of smoking, and weight gain or weight loss.
Femilift with its excellent patient satisfaction record and shows long lasting successful outcome. It is totally safe and recommended by hundreds of women. Femilift stimulates collagen regeneration through the heat of a pain free laser giving immediate effect. Femilift is one of the best procedures in cosmetic gynaecology but needs repeated sittings.
Many women come to us tell us that their lives has been changed in a way that they never knew was possible. We are very proud to lead the way in this vaginal tightening revolution.
- Tighten and tone loose and sagging vaginal and labial area
- Proven technology for safe, accurate and effective results
- Pain free vaginal remodeling and stress urinary incontinence
- Lunch break procedure at the gynecologist clinic (15 - 30 min)
- Long lasting results
- No need for anesthetics
- Improves vaginal dryness
- Pain free treatment
- 3 to 4 treatment sittings for more than 90% treatment. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.
Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.
Risks: The risks of this condition are many and have been enumerated as follows:
- Complicated delivery during pregnancy
- Weak pelvic muscle
- Loss of tissue after menopause and loss of common estrogen
- Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
- Being overweight
- Obesity causing extra strain on the muscles
- Real surgery in the pelvic zone
Symptoms: Some of the most common symptoms of prolapse involve:
- Feeling of sitting on a ball
- Abnormal vaginal bleeding
- Increase in discharge
- Problems while performing sexual intercourse
- Seeing the uterus coming out of the vagina
- A pulling or full feeling in the pelvis
- Bladder infections
Nonsurgical medications include:
- Losing weight and getting in shape to take stress off of pelvic structures
- Maintaining a distance from truly difficult work
- Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
- Taking estrogen treatment especially during menopause
- Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
- Indulging in normal physical activity
Some specialists use the following methods to diagnose the problem:
- The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
- Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
- An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Cervical cancer is a kind of cancer that develops in the cervix of a woman. Cervix an an area between the uterus and vagina. It is preventable if diagnosed in early stages. Going for regular pap tests and taking a HPV vaccine can significantly lower the risk of cervical cancer. These symptoms include abnormal bleeding between menstrual periods, low back and lower abdominal pain, postcoital bleeding and strange smelling discharge. If not diagnosed in time, it can be life-threatening and requires intense treatment.
- Prevention of cervical cancer: There is usually no certain way of preventing cervical cancer, but by following a number of practices there is a possibility that you can prevent it. There are 3 major ways of prevention of cervical cancer, which include the following:
- Safe sex: Major cases of cervical cancer are caused due to an infection by a virus known as human papillomavirus or HPV. This virus is usually transmitted by sexual means and having unprotected sex might leave you at the risk of getting infected by this virus during the sexual intercourse. You should practice safe sex using protection such as condoms. This reduces your chances of being infected by the virus. This virus is transmitted via all types of sexual contact, which includes skin contact between the genitals. People who have unprotected sex with multiple sexual partners are at an increased risk of getting cervical cancer due to the HPV virus.
- Cervical screening and vaccination: Having a cervical screening or pap smear test on a regular basis is an efficient way to detect abnormal changes in the cervix cells, at a very early stage. Even if you are being vaccinated for the HPV virus, cervical screening is essential as the vaccines against HPV virus are not always successful in providing protection from cervical cancer. If you had been previously treated for abnormal changes in the cervix cells, you should undertake more frequent screening tests. The regularity of undergoing cervical screening depends on the severity of the cell change. You should report any symptom you experience in spite of having regular cervical screening. Several vaccines are used for protection from HPV infections.
- Avoid smoking: You can prevent the chances of having cervical cancer by giving up smoking. In case of smokers, it is more difficult to eliminate the HPV infection from the body, and the chances of cervical cancer get enhanced. You can undertake various measures in order to quit smoking and prescribed medicines can be used to treat withdrawal symptoms.
Cervical cancer causes great strain on the body and it may spread all over the pelvic region. In some cases, distant tissues are also affected by cervical cancer. You should consult a doctor immediately after experiencing any symptom of cervical cancer. If you wish to discuss any specific problem, you can consult a gynaecologist.
During the first 20 weeks of pregnancy, 20 to 30% of women have vaginal bleeding. In about half of these women, the pregnancy ends in a miscarriage. If miscarriage does not occur immediately, problems later in the pregnancy are more likely. For example, the baby's birth weight may be low, or the baby may be born early (preterm birth), be born dead (stillbirth), or die during or shortly after birth. If bleeding is profuse, blood pressure may become dangerously low, resulting in shock.
The amount of bleeding can range from spots of blood to a massive amount. Passing large amounts of blood is always a concern, but spotting or mild bleeding may also indicate a serious disorder.
The most common cause is a miscarriage. There are different degrees of miscarriage (also called spontaneous abortion). A miscarriage may be possible or certain to occur (inevitable abortion). All of the contents of the uterus may be expelled or not (incomplete abortion). The contents of the uterus may be infected before, during, or after the miscarriage (septic abortion). The fetus may die in the uterus and remain there (missed abortion). Any type of miscarriage can cause vaginal bleeding during early pregnancy.
The most dangerous cause of vaginal bleeding is Rupture of an abnormally located (ectopic) pregnancy - one that is not in its usual place in the uterus. For example, one that is in a fallopian tube.
Another possibly dangerous but less common cause is rupture of a corpus luteum cyst. After an egg is released, the structure that released it (the corpus luteum) may fill with fluid or blood instead of breaking down and disappearing as it usually does. If an ectopic pregnancy or a corpus luteum cyst ruptures, bleeding may be profuse, leading to shock.
In pregnant women with vaginal bleeding during early pregnancy, the following symptoms are cause for concern:
- Fainting, light-headedness, or a racing heart—symptoms that suggest very low blood pressure
- Loss of large amounts of blood or blood that contains tissue or large clots
- Severe abdominal pain that worsens when the woman moves or changes positions
- Fever, chills, and a vaginal discharge that contains pus mixed with the blood
When to see a doctor: Women with warning signs should see a doctor immediately. Women without warning signs should see a doctor within 48 to 72 hours. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Communication in any relationship is indispensable for creating a strong bond between a couple. Sexual communication even more so and often the hardest thing to do.
Sexual Communication is when you and your partner are able to express your needs and wants without the conversation being awkward, taking in account what the other feels. It is a fulfilling, satisfying, and a fun part of life. The physical aspect of love is an important part of a relationship and communicating with your partner about it only helps to make it better. Sexual communication will make it easier for you to take pleasure in sex with safety and have a satisfying sex life.
Physical Communication: Communication is not linked with words only. Sometimes, a gentle hand placed on your shoulder or back, a simple glance at you or even a wink are enough to lure someone towards you. Healthy and amazing sexual activity is procured mainly through physical intimacy. Almost all the time, couples find out what the other is thinking even without asking them. ‘Actions speak louder than words’ is proven to be very true in this case. So, ensure that you understand physical cues of each other.
Sexual Directions: Giving your partner verbal or physical direction is an integral part of achieving a satisfied sexual life. He or she needs to be informed of where to touch you and where not to in order to turn you on. If your spouse is clueless of what you might want or expect in bed, sexual gratification will not only become impossible but may turn disastrous. If there is verbal communication between you two such as, ‘kiss me’ or ‘touch me there’, the sexual experience will become ten times better. This happens only when there is love and proper sexual communication.
Conversational Communication: Sexual urge is aroused only when there is vocal communication. All relationships require good oral communication. Communication related to sex must be done tactfully without making it awkward or uncomfortable. It will help solve many issues in your sexual and love life. You must focus on what your partner might prefer doing more or may work around issues which cause strife and eventually resolve them.
Intimacy: Emotional as well as sexual intimacy requires honest communication. Some display their inner inhibitions while others are reserved in matters of expression on sexual life. Each couple is accustomed to different and unique styles of communication with their partners. It is important to be able to comfortably and smoothly express yourself and get instant feedback from your spouse in order to be most compatible with each other. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
The human body works as directed by the various hormones released by the endocrine system. These hormones are essential for coordination of various body functions. From the height a person achieves to the metabolic reactions in the body to the reproductive cycle to the stress levels a person can handle, all are hormone controlled.
Pregnancy is another critical, complicated phase that a woman goes through. It is one of the most awaited phases in a woman’s life; however, it is not very simple either. The above-noted hormones play a major role in this pregnancy, as the baby is dependent on the mother for its initial supply of hormones until it can start producing its own hormones. If the baby does not receive the require amounts, there could be various detrimental effects during development and post birth.
Hypothyroidism or an underactive thyroid is extremely common in women and there are multiple theories about how hypothyroidism can affect a woman’s chances of getting pregnant. While the correlation between hypothyroidism and pregnancy are quite well researched, a strong connection stating hypothyroid women being not able to be pregnant is yet to be proven.
The following are some correlations between hypothyroidism and pregnancy.
Increased chance of miscarriage: Women with reduced thyroid functions have double the chances of having a miscarriage. Women suffering from thyroid are at a risk of recurrent miscarriages during the first trimester. The chances of miscarriages during the second trimester are also about 40% higher in hypothyroid women. These women are also at a risk of:
- Premature labour
- Low birth weight
- Increased chances of stillbirth
- Maternal anemia
- Postpartum hemorrhage
- Developmental defects and/or delays in the newborn
- Placental abruption
- High blood pressure
One of the reasons identified for infertility in women is hypothyroidism. This range varies from 1% to 40% and so remains to be proven still. In addition, the hypothyroid mother will have a set of symptoms to live through, which may be further complicated given the pregnancy. Thyroid replacement should be religiously done and monitored to ensure TSH levels are at the optimal required levels (2.5 to 3 mIU/L) during the entire duration of pregnancy.
If you have the following, be sure to go through a comprehensive thyroid screening before and during pregnancy.
- Family history of thyroid
- History of thyroid dysfunction or goitre or thyroid antibodies
- Clinical signs and symptoms suggestive of hypothyroidism
- History of repeated miscarriages
- History of head and neck radiation
- Family/personal history of autoimmune disorders
While it still remains to be proven that hypothyroidism per se can stop a woman from being pregnant, there are definitely effects of hypothyroidism on the developing child and the mother. A comprehensive screening and close monitoring through pregnancy are extremely essential. If you wish to discuss about any specific problem, you can consult a gynaecologist.