Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 40 years of experience on Lybrate.com. You can find Gynaecologists online in Amritsar and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Submit a review for Dr. Rupinder Jeet KaurYour feedback matters!
I have 11 weeks pregnancy. But now yesterday spotting seen. I am very nervous about my baby's health. Is this any complicated condition.
When a woman's vaginal muscles squeeze tightly, or slams shut making it impossible or extremely painful when penetration with the penis or any other object is attempted, we describe that situation as 'vaginismus'. It's an involuntary contraction of muscles surrounding the vaginal opening. It is different from voluntarily squeezing the vaginal muscles out of fear. Vaginismus happens out of the person's control. In other words, the opening shuts automatically, when intercourse or insertion of a medical instrument is attempted. Penetration would not happen; the attempt would end up in pain for the woman. In the case of intercourse, she might describe the experience as a feeling that the man is 'hitting a wall'. Usually, women having vaginismus would fear genital examination and disallow it, especially inserting any object -even a finger, leave alone the speculum. There are cases where women kicked the staff, jumped off the examination table and ran out. Ridiculous as it might appear, it's a genuine morbid fear for the woman.
Why does it happen?
No physical cause is identified with vaginismus. It's considered mostly psychogenic. In some women, it can be traced to a previous painful intercourse, or a rough and injurious attempt at intercourse, and severe anxiety. Some are severely apprehensive and anticipate pain and injury during first intercourse. I have known a woman who was terrified watching her sister deliver a baby, and decided to never conceive. The subconscious association of intercourse with pregnancy used to trigger anxiety in her whenever intercourse is attempted and resulted in vaginismus.
How can it be resolved?
It can be resolved, though it's a little time-consuming therapeutic process. It is not cured with medicines. And, there is no need for surgery. A sex therapist skilled in treating vaginismus, can help the couple resolve their problem through therapeutic suggestions and counseling, without touching the client (I mention this because several clients keep asking us anxiously "do you have to examine me?", and feeling so much relieved on hearing a "no!").
How does the therapist go about it?
- Educating the couple: The couple – especially the woman needs awareness about her basic anatomy and function of the sex organs. what each is meant for, how one should touch, explore and handle them.
- Exercises: During sex therapy, she will be given various homework exercises that include:
- exploring genitals to increase her level of comfort with the genital area.
- using graded vaginal trainers to be inserted into the vagina gently and gradually in a non-threatening way at her own pace, and
- controlling and relaxing vaginal muscles, and stretching the vagina.
- Relaxation: Getting yourself to relax progressively is a matter of exploration and touching, which can help you understand the kind of touch and the exact areas that make you tense. During sex therapy, you may be taught a technique known as progressive relaxation. The purpose is to get gradually comfortable with insertion.
- Sensate focus: This is a part of sex therapy and involves your partner. In this method, you will be asked to abstain from sex and touch each other without going to the genitals and other private parts. This will help in better arousal and sexual stimulation, especially for those women who, for fear of intercourse, also experience arousal problems.
Surgery: Surgery is rarely indicated in vaginismus, unless a physical problem is contributing to it or when there is a need to enlarge the vagina. This may be necessary if a previous surgery has left scar tissue making vaginal entry painful, such as an episiotomy during childbirth. If you wish to discuss any specific problem, you can consult a sexologist.
Dear sir, I am 30 years male, married before 3 years, we trying conceive a child but unable, I had consult doctor and came to know that I have zero sperm count before 2 yrs, as per dovtor advice I hv done testicular biospy and found partial arrest, then I did my microscopic vea by urologist (andrologist), but same result till now, I am have good time sexual relationship with my wife but now I am hopeless. Please help me.
My friend is 2 months pregnant and she is going through itchiness in her rectum. How can she deworm her self.
Hello mam, My pregnancy confirmed on aug 28th 2015 in scan New guy misused me on sep 11th 2015 Again sep 11th 2015 my 6 weeks 3 days confirmed in scan Please clarify my belOw questions. 1. Did new sperm can enter into my existing sac 2. If any new raptured egg was there in that time it will catch new sperm and form a new baby? 3. If yes, let me know did the age of the sac will be differ? Because my baby heart beat shown within 6 days of the incident happen. 4. In the existing did the yolk sac disappear after 4th week did new sperm can enter into my existing sac? 5. Im carrying only one baby if another baby form with the new guy sperm did my old. Sac is will get disappear and this will continue Please help I will update my scan details below 1. Aug 28th 2015 (4 week 1 day) 2. Sep 5th new guy missed me 3. Sep 11th 2015 (6 week 3 days) 4. Oct 16th 2015 (12 week 2 days) 5. Dec 18th 2015 (20 weeks 6 days) 6. Feb 17th 2016 (30 weeks 4 days) Above details are confirmed by ultra scan Please let me know any possibilities did new guy baby will. Come I'm really scared My delivery date on April 29th 2016 I can not even sleep because this problem.
Looking good and feeling good are sometimes one and the same thing which can be achieved with good skin and a fit body. One can turn to many measures to achieve the same, including cosmetic procedures. Cosmetic surgery like liposuction is generally used to remove the excess fat in the body which cannot be treated with normal exercise or diet control measures. This surgery is conducted by a plastic surgeon. Here is everything you need to know about liposuction.
About: Liposuction is a cosmetic procedure. It removes the excess fat present in one’s body with the help of a procedure known as body contouring. This kind of contouring may be carried out in various parts of the body including the calves, knees, buttocks, hips, abdomen, upper arms, breasts and even the neck and chin area. These are the areas that generally end up accumulating excessive fat which does not go away easily. For some people, persistent diet control and exercising may help. But for severe and chronic cases, one will have to make use of measures like liposuction.
Types of Liposuction: Depending on your case as well as the individual system of the patient, one can go in for one of the various types of liposuction. The fluid injection based liposuction is the most popular and common form where a large dose of medicated solution is injected with a local anaesthesia blended into it. This helps in contracting the blood vessels so that the fat can be suctioned out. The next type is the super wet liposuction where the amount of liquid solution injected is the same as the amount of fat that has to be removed. Ultrasound assisted liposuction uses ultrasonic waves in order to transform the fat cells into liquid which can be vacuumed out later. Further, laser assisted liposuction makes use of laser pulses and beams in order to make the fat cells liquid before they are vacuumed out of the system.
The procedure: The plastic surgeon will make use of a special liposuction machine and cannulas or special instruments, so that the surgery may be carried out in a proper manner. Also, depending on the type of procedure you are going in for, you will require local or general anaesthesia. A small incision is made so that the tube may be inserted for the liquefaction process to begin. After this, the fat that has been dislodged will be vacuumed away through the same suction tube. Small drainage tubes will be inserted to remove blood and fluid from the deflated areas and in some rare cases, blood transfusion or fluid replacement may also be required. High blood pressure and cardiovascular cases should not use this option. If you wish to discuss about any specific problem, you can consult a Dermatologist.