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Dr. Sushma Gupta

Gynaecologist, Ahmedabad

Dr. Sushma Gupta Gynaecologist, Ahmedabad
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sushma Gupta
Dr. Sushma Gupta is a popular Gynaecologist in EDI, Ahmedabad. You can consult Dr. Sushma Gupta at TRUPTI HOSPITAL & MATERNITY HOME in EDI, Ahmedabad. Don’t wait in a queue, book an instant appointment online with Dr. Sushma Gupta on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 44 years of experience on Lybrate.com. You can find Gynaecologists online in Ahmedabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Is Postmenopausal Bleeding Normal?

Certified IVF Specialist, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
Is Postmenopausal Bleeding Normal?

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women's gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB, as it is popularly called, can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

  • Atrophic vaginitis: Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
  • Endometrial atrophy: Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
  • Polyps: Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding.
  • Infections: General infection of any area along the uterine tract could lead to occasional bleeding.
  • Cancers: Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding.  

Diagnostic methods could include the following:

  1. Physical exam
  2. Transvaginal ultrasound
  3. Endometrial biopsy
  4. Hysteroscopy
  5. Dilatation and Curettage

Treatment: Needless to say, this would depend on the diagnosis. For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy. For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient. Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

Cancer: This would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases. So, if you have had bleeding of any sort after a year of menopause, do not ignore it.

3882 people found this helpful

Last month I had injury in my palm with window glass and had stitches on wound. Now wound is healed but that stitches portion is sensitive, hard on touching and little swollen. What should I do? And how much time will it take to become normal?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Last month I had injury in my palm with window glass and had stitches on wound. Now wound is healed but that stitches...
It takes about 8 weeks for internal stitches to heal, means the wound must be deep, even if stitched from outside but the needle along with thread passes through deeper areas. Heat therapy will help you become normal quicker.
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Hai am 26 I took corion injection but there is no ovulation then doctor gave me tablet to get period but it doesn' t come what should I do.

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Take homeopathic Aur 30; Puls 30; Sil 30 and Sul 30 - 4 drops of each in 1/4 cup of water 6 times a day until menses appears. Contact for further advice. Dr J Tikari
1 person found this helpful
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Doctor me and my boyfriend had oral sex and he ejaculated on my thighs. But for three months she is getting her periods. Is she pregnant?

Advanced Aesthetics
Ayurveda, Gulbarga
Irregular or delayed periods, this health condition is medically termed as oligomenorrhea. It is one of the most common problems that a number of women suffer from. Pain or twinges in the breast and heaviness in the lower abdomen, bouts of nausea, lethargic feel round the clock are some of the main problems women face as a result of irregular menstruation. There can be a number of reasons that may cause periods delayed. However, the specific reason of irregular periods differs from one woman to the other. Home treatments for irregular periods. Aloe vera aloe vera pulp or juice may also help getting frequent menstrual cycles. Following this tip on regular basis can help you get you positive results for sure. Aloe vera regulates the hormones responsible for menstruation and helps in getting regular menstrual flow. Just pluck some aloe vera leaves from your garden and extract the gel from it. Mix the gel with 1 tbsp of honey. Consume this daily before having a breakfast. Continue this for at least three months for best results. Avoid this home remedy during your periods. Sugarcane juice drinking sugarcane juice before a week or two of your current menstruation cycle will also assist you in getting your periods regularly. This is a very simple and most commonly used remedy for irregular periods. Banyan tree roots take the roots of a banyan tree. Make sure they are fresh. Boil it in a cup of water for about 10 minutes. Add 2-3 tbsp of cow? s milk to this decoction and have it at bedtime daily. This potion can also help you regularize your menstrual cycle to a great extent. Any queries inform me
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How Does Sexual Dysfunction Affect Women?

MS sexuality, Mphil, PhD (behaviour modification)
Sexologist, Hyderabad
How Does Sexual Dysfunction Affect Women?

How Does Sexual Dysfunction Affect Women?

* Hypoactive sexual desire is the persistent or recurrent deficiency (or absence) of sexual fantasies or thoughts and/or the lack of receptivity to sexual activity.

* Sexual arousal disorder is the persistent or recurrent inability to achieve or maintain sufficient sexual excitement, expressed as a lack of excitement or a lack of genital or other somatic responses.

* Orgasmic disorder is the persistent or recurrent difficulty, delay, or absence of attaining orgasm after sufficient sexual stimulation and arousal.

* Sexual pain disorder includes dyspareunia (genital pain associated with sexual intercourse); vaginismus (involuntary spasm of the vaginal musculature that causes interference with vaginal penetration), and non-coital sexual pain disorder (genital pain induced by non-coital sexual stimulation).

8 people found this helpful

Sir Spermetoriya treatment is possible in alopethic?

PG Dip. in Psychosexual Medicine, DPM, PG Dip(Medico Legal), MD, DHPh(UK), MBBS
Sexologist,
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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My period is almost 30 days due. My pregnancy test is positive which I did two weeks ago. At present, sometime feel vomit but not regularly except this I feel nothing. Now, my question is that" IS MY BABY OK? please REPLY.

MBBS
General Physician, Chandigarh
My period is almost 30 days due. My pregnancy test is positive which I did two weeks ago. At present, sometime feel v...
If you have no problem with your pregnancy then it should be ok you can get an ultrasound done to check the status of the baby.
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Effects of Homeopathy in Weight Loss

BHMS
Homeopath, Delhi
Effects of Homeopathy in Weight Loss

Homeopathy has a number of uses. It is a popular form of medication since it has negligible side effects. Homeopathy can even be used to help reduce weight and maintain a healthy BMI or body mass index. However, do not expect a miracle. Homeopathic medicines act slowly and it can be quite a while before you notice physical changes.

As with any homeopathic medicine, no one cure fits all. When prescribing homeopathic medication for weight loss, a doctor will need to understand your detailed medical history, lifestyle and overall constitution. Homeopathic medication to lose weight works by stimulating metabolism. Thus, in order for the medication to be effective, it needs to be accompanied by regular exercise and a controlled diet.

  • Calcarea carbonica: This is prescribed in cases where weight gain is due to thyroid problems and when fatty tissue is accumulated in the abdomen. They also have a slow metabolism and often suffer from constipation. It can also be prescribed to women suffering from Polycystic Ovarian Disease to trigger weight loss.
  • Natrum mur: Patients who have been prescribed natrum mur for weight loss have usually put on weight due to chronic stress and depression. Their weight is often concentrated on the thighs and buttocks. They also often suffer from anemia.Natrum Mur can also be prescribed in combination with Ignatia when weight gain is triggered by depression.
  • Lycopodium; This is used mainly in cases where excess fat deposits are concentrated on the thighs and buttocks. These people often suffer from indigestion with common complaints of flatulence and constipation. They are also very irritable and prone to overeating.Lycopodium and calcarea carb are often prescribed together to trigger weight loss in patients suffering from hypothyroidism.
  • Nux vomica; A sedentary lifestyle is one of the most common causes for obesity and excessive weight. In such cases, nux vomica is an effective form of treatment. People who can be benefitted by nux vomica often also suffer from constipation and intolerance to cold drafts.Nux Vomica can also be prescribed in combination with Alumina.
  • Antimonium crudum: This is usually prescribed to obese children who have a tendency to overeat. These children also often suffer from indigestion alternating between diarrhea and constipation.
  • Graphites and Sepia: This is usually prescribed to women who may have put on excess weight due to menopause. They can be used on their own or in combination depending on the personality of the woman and the symptoms showcased.
3916 people found this helpful

as my marriage date is 20 and periods date is 23 to 27.....after 27 how many days are safe

BHMS
Homeopath, Faridabad
as my marriage date is 20 and periods date is 23 to 27.....after 27 how many days are safe
Hello, Congratulations as you are getting married! Normal cycle of 28days of menses will be having ovulation period at around 14th day of the cycle. So, 3-4 days before and after this 14th day is supposed to be the period when the chances of getting pregnant are high! And rest of the days are safe when the chances of getting pregnant are less or remote. There is an old saying - Prevention is always better than cure! So, recommend you to follow the same, use any contraceptive method (condom, oral contraceptive pills) till the time you don't want to conceive. Once you have decided to plan for a baby, then you may stop intake of any of these methods.
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Hi, I am a 25 years old unmarried female. I have been having watery loose motions (diarrhoea) for the past 4 days, along with nausea and unnecessary headache and lower backache. I have also been taking medicines like norflox 400 and zintec but it's not helping. Everytime I eat anything, I usually have to rush to the washroom. I google my symptoms and somehow I came across lots of articles which indicated that I might be pregnant. That these symptoms might be of early pregnancy. I last had unprotected intercourse with my fiancé on 5th August after which I took an ipill. My dates are usually within the span of 18th-21st days of the month. On the 4th day of the diarrhoea I experienced some spotting too, and I thought that my date came early this month but these spotting were irregular not like periods. I even took a pregnancy test, and it was negative. I am still unsure what is it that's happening. Request you to advice and help me out of this dilemma and discomfort.

MBBS
General Physician, Trivandrum
Hi, I am a 25 years old unmarried female. I have been having watery loose motions (diarrhoea) for the past 4 days, al...
You are most probably suffering from irritable bowel syndrome. In this condition the frequency and urge to go to toilet increases especially just after meals. Ibs can be caused due to many reasons out of which stress is one important cause. When your life and body are stressed, it can lead to ibs. You need to practice deep breathing and relaxation techniques. If your symptoms are not improved, you need to take prescription medication for a period of time.
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My wife is aged 36 yrs. Old and has thyroid problems. She has been taking 100 mg thyronorm tab empty stomach every morning. Recently she had thyroid profile test and the results are as under: Free T3.2. 39pg/ml normal range 2.0 to 4.4 Free T4 1.38 ng/dL normal range 0.9 to 1.7 TSH 0.480 uIU/mL normal range 0.27 to 4.2 Kindly suggest as how much mg thyronorm tab to be taken. She reports of having swelled body in the early morning and overall tiredness.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife is aged 36 yrs. Old and has thyroid problems. She has been taking 100 mg thyronorm tab empty stomach every mo...
Mr. Lybrate-user, the details of thyroid testing look quite good. Tsh level is lower, but t3 and t4 are fine. So the present dosage of thyroxine seems good enough. Swelling of the body occurs only if hypothyroidism is not well controlled. But apparently that is not the case. Is there any other symptom related to hypothyroidism? I feel current dose is to be continued and tsh is to be checked after 6 weeks and then one can decide.
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I am 32 years with 72kg weight. I had pcos but reduced weight now its not coming in ultrasound also had trap egg problem. I got my AMH checked also it 4.86 in the normal range. Will I be able to conceive normally.

Diploma in Obstetrics & Gynaecology - Ireland, MD - Obstetrtics & Gynaecology, DGO, MBBS
Gynaecologist, Delhi
I am 32 years with 72kg weight. I had pcos but reduced weight now its not coming in ultrasound also had trap egg prob...
Trap egg problem could be limited to a particular cycle and may or may not recur. But lifestyle modification should continue and necessary medications for making a mature egg and triggering it so as to release it with tubal evaluation should be done. You would need to consult an infertility specialist.
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I am 27 years old and suffering from pcos and sinusitis.

MD PULMONARY, DTCD
Pulmonologist,
Get ct pns to confirm sinusitis. Consult a ent spe. For medical/surgical option. For pcos consult a obs.
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How to confirm menopause clinically if 42 years old woman comes with 2 months amenorrhoea ?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Dear lybrate-user, best is to wait. No periods for good 6 months, goes in favour of menopause. Lab tests are there but may be done only if there is anxiety.
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Both ovaries show multiple peripheral follicles with a central echogenic stroma what does it mean? Dr. provide me fertomid 50 mg I want suggestion from best gyna.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Both ovaries show multiple peripheral follicles with a central echogenic stroma what does it mean? Dr. provide me fer...
The USG report shows there is polycystic ovary. Fertomid is given to induce ovulation that is to grow healthy egg and release. After taking Fertomid follicular monitoring if advised by your doctor you can monitor the growth of the egg and when it reaches a certain size injection will be given to release it and when you have relationship at that time chances for pregnancy is more.
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Am having little white fluid out of my vagina for past 12 days and I also have headaches quite frequently. What should i do?

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
Keep area clean and dry. Wash with normal clean water and keep dry. For headaches get checked up by physician and eye specialist.
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I want to do anal sex with my husband but afraid of pain. My husband always ask me to do that but I am afraid. What would I do.

PDDM, MHA, MBBS
General Physician, Nashik
Its not advisable to do anal sex but still if you do. Use plenty of lubricant (e.g. KY JELLY) to reduce the risk of tissue tears and minimize friction. Try to relax by taking a warm bath before anal sex. Lying on your stomach may make entry smoother. Stop anal sex if you start experiencing pain. If you experience bleeding or you notice a boil or rashes around the anus or a discharge coming from it, see a doctor as soon as possible.
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Hello sir. I got recently married I am doing oral sex with my partner sir please I want to know any chances for HIV I don't use condom reason we are plan for child also.

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
If both the partners are HIV negative.......there are no chances of HIV even though you perform oral sex....... BUT MY ADVICE IS not to do oral sex as it is not adviceable and hygenic......... any thing which is against the nature is not good....... so my kind advice is to perform vaginal sex and if u want to get pleasure try to be intimate with partner ......... and perform foreplay and try to do it in different angles........ for more details please consult privately............
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