Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 28 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Management of Abortion
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
Submit a review for Dr. NandiniYour feedback matters!
I am 6 weeks 6 dAys pregnant. My Dr. has suggested me to have naturogest 400 mg. Which medicine should I have naturogest 200 mg or 400 mg please suggest.
Vagina discharge blood, some secretions etc. Bacteria also live in vagina. Vagina also had unpleasant odor. If I kiss and lick with tongue on vagina before sex. Is it harmful? Will I have any infections in mouth?
Brief description on infertility and its treatment
I am Dr. Radhika gynecologist and infertility specialist from Institute of Women's Health and Fertility. Infertility almost in about 10-15% of couples trying for pregnancy are facing problem with conception. This is almost a rising trend that nowadays almost 1 in 6-7 couples have problem in conception.
When we call it infertility? Infertility is nothing but when a couple is trying to conceive without any protection or without any means of protection for almost 1 year of unprotected intercourse we call it infertility. Let me just explain how an infertile couple is taken through an infertile clinic? During the first visit the couple is analysed and they are taken in detail history as what is the cause to infertility? What is the duration of infertility? What is the duration of married life? What is the age of the couple that is the age of the female partner and the male partner? Had there been any pregnancy in the past? Is there any miscarriage in the past? Once the examination and history is taken we go for work up of the patient. That is we see for the ovarian function to ensure that ovary is functioning well that is to ensure that ovulation is going fine. We also look for the tubal factors. Tubal factor analysis is done by a test called salpingogram or hysterosalpingogram. If there is a problem in hysterosalpingogram that is tubes are looking blocked then we analyze with the further test called further the surgical assessment; like laparoscopy.
Once the tubes are cleared we also analyze how the uterus is with the hysterosalpingogram? As I already told you male factor is analysed by Semen analysis after an abstinence of 2 to 5 days. Once all these are ruled out we get to analyze or we get to reach to a conclusion as what may be the probable cause of these infertile couple? There may be few factors like peritoneal factors like an endometriosis. We have the endometrium of the inner layer of the uterus growing elsewhere outside the uterus. That is the inner layer of the uterus or endometrium grow in the ovaries or may grow in the pouch of Douglas. That is behind the uterus or may grow near the tubes. These all cause an addition or attachment of the uterus to the tubes. And they impair the easy pick up of the ovum or the egg from the end of the tube to the ovum end that is the inner end of the tube. When there is no egg pick up there is no pregnancy. Some most of the time in which simple infertility treatments and simple infertility counselling how they have to go about natural conception and when they have to try when the egg is being released? With all these thing itself 70% of the couples would conceive. And only in about 10 to 15% will go to the next step like IUI or further steps like test tube baby procedures. IUI is intrauterine insemination where sperm sample is collected in the laboratory. It is washed off the impurities and the good motile sperms are injected into the uterus through a thin canella or a catheter. This sperms have to travel a very short distance from the uterine cavity into the tube when egg is already picked up and stay. So this distance to be travelled is very short thereby increasing the chance of pregnancy. IUI is of major benefit in minimal or mild male factor infertility.
Once we have seen the other factors are also ruled out and ensure that everything is fine then we counsel the couple for IVF or test tube baby procedure. IVF is in vitro fertilization. What we do in this one is give injections or give continuous injections to the lady which will cause superovulation. Once the eggs attain a mature size we collect all of them through a thin needle into the test tube washed off the impurities and then incubated. The same time the sperm is collected in the laboratory. The egg under sperm is inseminated together and embryos are grown in the laboratory. Once these embryos are grown they are pushed back or transferred back to the womb using a thin capita that is the embryo transfer catheter. After 48 to 72 hours usually or even after 5 days sometimes.
But, in few men or in few couples the problem is the severe male factor infertility. That is we find only few sperms or in the ejaculate we find only few sperms or sometimes not even a few sperms in the ejaculate. In that condition we can surgically aspirate the sperm from the testicular tissue and see if it is already there. Once we get a good sperm from the testicular tissue we inject that good sperm tissue in the cytoplasm of the egg so that we have maximum chance of fertilization. This particular process is called ICSI or Intracytoplasmic sperm injection. So this increases the chance of fertilization and this further increases the chances of pregnancy also. That's it about infertility over you.
Thank you And if you have any issues regarding infertility or regarding counselling about how conception occurs are how to go about trial for pregnancy you can visit us.
My sister is 18 year old. She is having mansuration problem still she is not having periods since last 3 to 4 years. Please is it related to her mind or anything else.
I am 36 years old male 9 years over after my marriage, but we don,t have child. Vericose is my problem. Last year I take treatment through the urologist by surgery but no use please tell any ideas to get a child.
When a woman is expecting her child, she has a lot of responsibilities on her shoulders for the health and well-being of herself and her child. An expectant mother is recommended to follow certain rules and give up certain habits, so that during the pregnancy period she and the unborn child in her womb get all the nutrients for the healthy growth of the baby. There are certain preconception cares that the expecting mother must abide by.
Some of these are explained below:
- Giving up of bad habits: Smoking and drinking are not uncommon habits in today’s world. But when you are pregnant, it is advised that you give up these habits for some time at least. Smoking or inhalation of smoke makes it difficult for the child to breathe inside. Furthermore, if you are into substance abuse, then it is expected that you would give it up as well when you are pregnant.
- Health Supplements: Folic acid is a must during pregnancy. This is why medical practitioners often recommend you to take folic acid pills once a day to keep your immune system strong. It also provides you enough supplements for production of red blood cells and provides for the much needed iron in your body.
- Counselling: Many times people think that counselling is needed by those who are mentally unstable or in need of immediate help. But that is not the case. Counselling is important for every expectant woman. This is primarily to calm you down as you undergo several hormonal changes. Further, if you are pregnant for the first time then it is to guide you about the complications and side effects of pregnancy.
- Proper Immunization: There are a few vaccinations that you need to take when you are expecting. These would help in the proper development of the child, keep you away from severe diseases as well as boost your immune system. Thus, proper and timely vaccinations are a must during your pregnancy period.
Thus, these are some of the tips and rules that a pregnant woman must follow in order to make sure that she and her baby are healthy. These are often advised by the medical practitioner themselves, but on their own as well, woman take care of these points. These are just outlined to make the woman more cautious before the birth of her child. They are good for both the mother and the baby.
My ovaries are quite well and tubes are open. But still follicles not growing even with injections. What to do?
One of my relative, 40 yrs female who is diagonized with schizophrenia has been using Respodal 2mg & Pacetane 2mg both grinded together and taken daily for last 6 years. Does this medicine have any effect on Menstrual cycle, after taking this she is having irregular periods, for this she did consult Dr. and used some medicine and she did have menstrual cycle once in a while not regular but finally was told may due to her age (40 yrs) she ie nearing to menopause. But recently she had gone out of station and she was not on medicine (i. E Respodal & Pacetane) she had a menstrual cycle after almost 7 months and having not taken medicine for 10 days she again started taking medicine after 10 days gap now she is having tingling on hands and she wakes up all of a sudden in night and need to message the arms. What can be the reason behind this? Earlier she also had problem like tongue has been pulled inside or twisted. Does the taking of this medicine effect Heart too.
My wife is 3 months pregnant and there huge change in its behavior its someabout rude from Me at any point. Is it happens at this stage. It is normal or not. And what can I do to change its behaviour.
I had unprotected sex with my fiancé on the day of my ovulation. He ejaculated outside but during sex I had some light bleeding. Why did I bleed and what are my chances of getting pregnant? Also to inform you, my periods are regular and my cycle lasts for up to 28 days.
Hi My friend has irregular period problem. She got her period last time on 6 dec 2015. She had sex on 21 march. She has taken the pill as well within 2 hrs of sex. Is it possible that she can get pregnant.
Hello doctor I got ma last period on May 14th to 17 (4 days). Nw june 21st nearly 37 days over. Still I did not get my next period. Now 37th day I mean june 21st I had unprotected sex. Any chance for pregnancy? Or should I take I pil within 72 hours? please guide me.
There are many questions a woman may have in mind for her gynecologist but never asked them. Here are 15 such questions along with their solutions.
1. Does my vagina smell unpleasant?
You should shower it with water and gently wipe it with a wash cloth before any test. Applying perfume makes the smell even worse.
2. What to do in case the feet stink?
You should wear fresh and clean socks before going for the test and getting in the stirrup which is a metal device for convenience of gynaecological tests.
3. In case of a period, should I cancel my test appointment?
A gynaecologist is not afraid nor disgusted by blood as blood is a part of the specialist's profession. If you have heavy bleeding, you can call up the nurse for suggestions.
4. What if the doctor or nurse judges my body?
Your gynaecologist does not care about your body and is more concerned about your problems and how to solve them.
5. What if my legs are unshaved?
Your gynaecologist really does not care about your legs or underarms or any part of your body. Your problem is the only concern for the doctor.
6.What if my shaved hair looks ugly?
As stated before, the gynaecologist is only concerned about your problem and nothing else. Use a sharp razor to prevent bumps or ingrown hair.
7. What is the speculum?
It is a device used by your gynaecologist for opening your vagina in order to observe the cervix or look for infections on the vaginal wall.
8. Why do I urinate in my pants if I sneeze, laugh or cough?
This is a common phenomenon for women who have given birth and is easy to treat.
9. Is my vaginal discharge normal?
Having a small amount of white vaginal discharge is quite normal.
10. What does the gynaecologist check inside my vagina using hands?
The bimanual exam is done using the hands to detect problems in the uterus.
11. What if I do not like birth control means?
There are over 50 methods of birth control and many pills you can choose from.
12. Can I ask about my sexual problems?
Absolutely yes, as it is quite an important issue.
13. Can my partner or family accompany me to the test?
Yes, they can but during the time of the test, they should leave the room.
14. Can I discuss my relationship problems?
Your gynaecologist should know about any issue you are having.
15. If I am having forced sex, should I tell?
Such matters should be conveyed immediately.
Vaginal dryness is an uncomfortable and painful condition that usually occurs during or after menopause. The estrogen level in your body gets reduced during this time which eventually leads to vaginal dryness. However, there are other factors that can trigger this condition including certain medications and immune disorders. This is a problem that can affect women at any age but it is visible more frequently in older women.
Here are some common factors that may lead to vaginal dryness:
1. Hormonal changes - A decrease in estrogen level that occurs during menopause is one of the most common causes of vaginal dryness. The decrease in estrogen may also occur during perimenopause, during breastfeeding or after childbirth. Radiation and chemotherapy for cancer treatment may also result in a decrease in vaginal lubrication.
2. Irritants - Chemicals present in soaps, dyes, hygiene products and perfumes may cause allergy in some women. Irritants present in underwear or towels and other allergens like objects and lubricants that are placed in the vagina may also cause vaginal dryness.
3. Insufficient arousal - Low libido or other sexual problems may also lead to vaginal dryness. Poor sexual performance and early ejaculation may also contribute to it.
4. Anxiety - Sexual desire can be affected by emotional and psychological factors such as anxiety and stress that may eventually lead to vaginal dryness. High anxiety level in women results in insufficient flow of blood, causing vaginal dryness.
How can vaginal dryness be treated?
Topical estrogen therapy is a common method of treating vaginal dryness caused by low estrogen level. Topical estrogen helps in inserting some hormone that your body is no longer producing. This controls the vaginal symptoms to a certain extent but it does not replace as much estrogen as oral hormone therapy, in your blood stream. Lubricants and moisturizers may also be applied to reduce vaginal dryness and make sex less painful and uncomfortable.
Word of Caution
Please get a PAP Smear done before starting local estrogen and keep a follow up with your doctor. If you wish to discuss about any specific problem, you can consult a Gynaecologist.