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. Find the best Gynaecologists online in BHOPAL. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Indubala Jain
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. Indubala JainYour feedback matters!
My girlfriend and me have unprotected sex regularly 4 times on a single day .her period starts on 17-3-17 and we had sex on 1-04-17 .i had given her unwanted 72 after completing 4 time unprotected sex in single day. Is she will get pregnant. Help.
Urology is a branch of medicine that focuses on the diseases affecting the urinary tract system and male reproductive organs. The organs that come under the scanner here are the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate, and penis). Though there is a prevalent misconception that gynecologists are for women what urologists are for men, urology also deals with certain women urinary tract related health issues. These include overactive bladder, pelvic organ prolapse, and urinary incontinence.
In fact, doctors who specialize in female urology gain detailed knowledge of the female pelvic floor together with intimate understanding of the physiology and pathology. So for woman, gynaecologist is the doctor for menstrual, genital and pregnancy related troubles but UROLOGIST is the doctor who treats urinary problems. Here are 9 things you should know as a woman:
- Age related factors affect both men and women: However, women do not have prostate but they suffer similar urinary problems as men at growing age. Right around the time when menopause and andropause strike, changing hormone levels affect the pelvic floor, bladder, urethra and vagina in women causing problems like recurrent urinary tract infection, frequency, nocturia and urinary incontinence. These conditions are effectively treated by a urologist who can also probe for underlying conditions like urethral stenosis, overactive bladder, stone, polyp, or tumor in severe cases.
- An overactive bladder is more common than you think: Around 40% women have to hit the bathroom every hour or so owing to this. Simple lifestyle changes like lowering the intake of caffeine and alcohol, in combination with pelvic floor exercises can decrease the problem. However, a urologist can help you to diagnose and treat this condition successfully.
- Women must go for urination after sex: Urinary tract infections are very common in sexually active females. During intercourse lot of vaginal bacteria gets entry into urinary bladder. If woman voids after sex, majority of bacteria are thrown out and rest are handled by body immunity. But if you sleep over with all these bacteria, you are more likely to suffer with UTI.
- Women sometimes pee in their pants too: A majority of the female population between 40 and 60 suffer from either stress incontinence (when you cough, sneeze or laugh) or urgency incontinence (leaking when you want to go badly). Urologists can help you to know that there are minimal invasive options and medications available to treat this problem.
- Pelvic pain: If it is not gynecology then it is urology. A general pain in the pelvic region triggers a visit to the gynecologist first for most women. From menstrual cramps to ovarian cysts, all of this may well be taken care of by your gynecologist. But when the usual culprits are not the cause for your discomfort, it's time you get the urological aspect examined thoroughly too by a urologist.
- Know the difference between UTI and STI: Because of cross symptoms, one often gets mistaken for the other. So check with your urologist to understand the cause and cure of your particular problem.
- Recognize pelvic organ prolapse: This condition is defined by a bit of bladder, rectal, or uterine tissue bulging out of your vagina. An urologist can provide minimal invasive options to deal with this.
- Women can get kidney stones too: This is true, especially when you forget to hydrate yourself in hot climates or high temperature situations.
- Urology can solve some sexual problems too: Whether it's sexual dysfunction, low libido or trouble reaching orgasm, urologist can play its part to help you out. If you wish to discuss about any specific problem, you can consult a Urologist.
Eating lots of tomatoes, any way you can, is a great thing. This fruit that acts like a vegetable is loaded with health properties
- Tomatoes contain all four major carotenoids: alpha- and beta-carotene, lute in, and lycopene. These carotenoids may have individual benefits, but also have synergy as a group (that is, they interact to provide health benefits).
2. In particular, tomatoes contain awesome amounts of lycopene, thought to have the highest antioxidant activity of all the carotenoids.
3.Tomatoes contain all three high-powered antioxidants: beta-carotene (which has vitamin A activity in the body), vitamin E, and vitamin C. A U.S. Department of Agriculture report, What We Eat in America, noted that a third or us get too little vitamin C and almost half get too little vitamin A.
My wife's carrying now. 3 months. She is getting white discharges. Now by this time we can have intercourse or not. If yes means by how we can do. Please explain me.
I had d&c n after that I am suggested to take krimson 35 for three months as I was bleeding for 1 month before d&c due to taken of abortion pill. So I wnt to knw that its safe to take krimson 35 and can I have intercourse with my husband during taking krimson 35.
I am pregnant and I have vomiting issues since I am in my 12th week of pregnancy. Today morning had a pear fruit after which I started feeling a irritation and actually felt there is a clog or block in my throat. And it doesn't allow me eat anything I am having a pain when I eat something. So can you suggest a medication for me.
My age is 46. My wife is 36 years old. Currently my wife what it says are caused by irritation of the vagina during intercourse? why is he bleeding occurs some time after sexual intercourse? for two months, every 15 days once came to premenstrual syndrome (menezes) why?
Pregnancy gives a woman completeness by turning her into mother from a simple woman. It is the thing which makes the couple parents, the dream which they nurture right time from their marriage. Of course there are many couple s who are not fortunate enough to achieve pregnancy and they are usually termed infertile and we have discussed it in separate post. But there are other couple s who may or may not (as this is the usual case) find difficult to conceive but the pregnancy does not continue to the age of viability. Age of viability means the age, when a baby born can survive. Thanks to the improvement in neonatal care by leaps and bounds and availability of NICU which made it possible to survive even a baby born at 22 weeks. For example last month we delivered a baby at 28 weeks of pregnancy, who is fine now. But if the baby is 'born' before 20 weeks, it is called MISCARRIAGE. This is because these babies who weigh less than 500 gram cannot survive outside the uterus. It is seen that 10-15% couples who conceive successfully may not be able to carry pregnancy beyond 20 weeks. Thus the miscarriage rate for a single pregnancy is 10-15%. But in most of the time this mishap does not recur in future. We call it 'sporadic miscarriage' and often the cause is not known. But almost 1% of the couples who wamt to get pregnant may suffer from repeated miscarriage. That means the unfortunate events can repeat. These are called 'RECURRENT MISCARRIAGE' or 'REPEATED PREGNANCY LOSS *RPL).
So, what's the reason for RPL which is equally frustrating for the patients as well as the doctors? First of all let me honestly confess that in most of the cases the cause is not known (50-60%) and this is called 'UNEXPLAINED RPL'. Again we have to admit that despite tremendous advancement in science, the knowledge behind RPL is limited. Many theories and causes have ben proposed but most of them could not withstand the taste of time. That means if a problem is found in husband or wife, we are not certain whether the treatment of that problem will prevent future miscarriage. This should be explained properly to the couples to have realistic expectations and avoid unnecessary frustration s in future. Only factors which are definitely associated with RPL are only two- anti-phospholipid antibody syndrome (APS) and chromosomal problem of either of the couples. Detection and treatment of these problems are often rewarding as after treatment pregnancy continuation rate us very high. The other causes have been proposed but as mentioned above the link between RPL and these causes are not yet very clear and need further scientific research. Please remember according to the timing, RPL may be divided into two categories- the 1st trimester RPL (occurring before 12 weeks in each pregnancy) or second trimester RPL (12-20 weeks in each pregnancy).
4-5% cases may be due to genetic or chromosomal problem of the couples. These problems can affect the egg (ovum) and/or the sperms. Even if the couples are normal, the baby may have abnormal chromosome.It is blessing that a genetically abnormal baby is miscarried by the nature, otherwise if it survives there is high chance that it may be mentally or physically handicapped. The reason may be increased age of the mother (above 35 years especially), exposure of mother to some environmental pollutants or sometimes increased age of the father (the latter is controversial). The diagnosis is done by chromosomal analysis of the couple by Karyotyping or FISH from blood samples. If the baby has been miscarried, it may be rational to send the tissue of the baby for chromosomal analysis to find iut the cause. The treatment option in next pregnancy in such cases is genetic counseling by an expert and in most cases unfortunately ine option remains- that us IVF and PGD (pre implantation genetic diagnosis) where only genetically tested normal embryos are transferred by IVF ('test tube baby').
Anatomical factors are responsible for 12-15% if RPL, in most cases the second trimester RPL. The most common cause is 'CERVICAL INCOMPETENCE'. The cervix is the mouth of the uterus which should remain closed in pregnancy to support pregnancy and should only open during delivery. But in some cases it xan open prematurely leading to miscarriage. Usually this causes apparently painless miscarriage. In many women fibroid is found as a tumour of uterus. Whether fibroids cause RPL is again very controversial among the scientists and doctors. In some women who had repeated abortion or surgery to uterus and even tuberculosis (TB) there may be adhesion (binding together) between the walks of uterus. This is called Asherman Syndrome which causes scanty or absent periods and RPL. In few women there may be Congenital Anomaly of the uterus- that is yhere is some abnormalities inside uterus from birth. Thesr xan sometimes caus RPL, although controversial. These anatomical problems are diagnosed by proper examination, some tests like HSG (hystero salpingogram), SSG (sono salpingogram), 3D ultrasonography (USG), MRI, hysteroscopy and/or laparoscopy, depending on the women and test results. The treatment should be dobe cautiously as treatment may not always prevent RPL. For cervical incompetence usually we put stitch in the cervix in pregnancy or sometimes before pregnancy. Operation xan be done, before pregnancy for fibroids, Asherman and congenital anomalies.
In many cases (more than 70%) cases hormonal problems may be there and these may cause both 1st and 2nd trimester RPL. However whether treatment us beneficial or not, is again controversial. The commonest pattern is Luteal Phase Deficiency (LPD) due to deficiency of hormone progesterone. PCOS (Polycystic Ovaries) is also asdociated with RPL. The other causes are uncontrolled diabetes, thyroid problems, high prolactin and high testosterone, high insulin and low ovarian reserve. As mentioned earlier, it is not clear whether they all need testing and treatment but usually tests advised for these are blood for progesterone, TSH, Prolactin, FSH, LH, AMH, Insulin, Testosterone, sugar, HbA1C etc. Treatment is usually progesterone supplement along with correction of hormonal imbalance. It is to be mentioned that these patients need high dose of thyroid drugs (TSH normal for other people may be considered abnormal for RPL) and more tight control of blood sugar in diabetes.
In 60-70% cases the cause Thrombolphilia, that is tendency to thrombosis or blood clotting. The most common is anti phospholipid antibofy syndrome (APS) which nay or may not be associated with thrombosis in other sites but can cause thrombosis if blood supply to the baby and thus causes stopage of its heart and miscarriage. Although more common in the Western World, some Hereditary Thrombolphilia may be found in other family members and commonly cause miscarriage and thrombosis. Deficiency of folic acid and vitamin B12 rarely xan cause thrombosis and RPL. The APS testing is often successful, so as the treatment with aspirin and heparin injection throughout pregnancy. With this 80% women can expect full term pregnancy. Folic acid and B12 vitamin supplement is commonly given to RPL patients. Whether testing for hereditary thrombophilia is needed in our country ir not is controversial. But treatment is like APS- that is aspirin and heparin injection.
Diseases of mother like diabetes, epilepsy, liver or kidney diseases, SLE etc can cause miscarriage. Exposure of mother to harmful substances like environmental pollution, radiation, chemotherapy and some toxic drugs, smoking, alcohol, cocaine, cannabis etc are alse responsible but the latter usually cause sporadic miscarriage rather than RPL. So these drugs should be stopped and replaced by safer drugs anf the diseases mudt be treated properly. Even exposure of father to some drugs can cause RPL. Again some abnormalities of sperms may cause RPL. So, semen analysis of the husband is usually done as a test for RPL.
The most controversial topic for RPL is the infections. But itbis the fact proved by scientific studies that only infection in current pregnancy causes miscarriage. So infection is a cause of sporadic miscarriage, not RPL. In the past TORCH testing was very much popular but nowadays it is obsolete test and there is no scientific ground for tests or treatment of TORCH. Only test we recommend is rubella testing. If rubella IgG is negative that means you may get infection in pregnancy so we advice to take rubella vaccine and avoid pregnancy for one month. On the other hand, rubella IgG positive neans you are already imune and thus you can never get rubella. So vaccine is not useful in those cases. If any genital infection is found in husband or wife, both if them should be tested and treated aggressively.
First of all we ned to know when we should advise tests. Assuming that most cases of miscarriages are SPORADIC, we usually di not advise investigation after single miscarriage unless the couple insists or there is some reason by the doctor to suspect some abnormalities that might cause future miscarriage. In the past testing was started after 3 miscarriages. But nowadays we do not want to give the couple, especially the woman a third trauma. So we usually advise tests after 2nd miscarriage. The tests usually start with checking for chromosome of the baby. It is followed by chromosome analysis of both the partners along with proper history taking and physical examination. Semen analysis us fone for the husband. The wife is advised ultrasonography, routine blood, thyroid testing, testing for APS and blood group. These are tests usually dine everywhere. Further tests are done depending on the results if initial tests ans0d especially if no cause us found after initial tests. It should be mentioned to the couples that the 2nd group if tests often do not have scientific grounds and are done only on benefit of doubt. They may not change the management plan. TORCH test is not done in modern era.
The basic treatment is support if the couples, reducing stress as stress can be responsible for RPL. When a cause is found this should be treated. While an optimistic approach should be taken with expectations for normal pregnancy in future but this should be based on scientific and realistic approach to avoid future frustration. The treatment may not be 100% effective and most treatment may not have scientific base but are usually not harmful. Treatment may not guarantee a successful future pregnancy but a positive attitude is necessary. This is called TENDER LOVING CARE (TLC where proper support and discussion can help more than explanation if mere statistics. Treatment should be continued both before and after pregnancy confirmation, as mentioned above. This isbto be mentioned thst even after 6th miscarriage, the chance that future pregnancy will be normal is more than 50%. So, the message should be not to give up hope.
Acne can be frustrating and annoying. A lot of unnecessary chaos can be avoided if people get the facts right.
1. Myth: Adults do not suffer from acne problems
Truth: While acne outbreaks are common amongst teenagers, adults are not spared either. In adults, the acne problems are essentially of two types; the late onset acne and the persistent acne. In many cases, it has been observed that the acne problems appear at a later period, mostly after 23 to 25 years of age (late onset acne). At other times, the unwanted acne outbreaks that mark its appearance during the teenage years linger for a longer period (persistent acne type).
2. Myth: A person's eating habits and lifestyle has no role to play in acne
Truth: Lifestyle and eating habits can influence a person's health. Excessive intake of sweets and simple carbohydrates can worsen the acne. Stress, fatigue, lack of proper sleep, can also aggravate the already frustrating acne problem.
3. Myth: Acne results from dirty skin, with adult men and women being equally affected
Truth: The Pilosebaceous unit of the skin plays a pivotal role in acne outbreaks. The oil producing gland (Sebaceous gland) of this unit acts as the main control. Certain hormones regulate the activity and size of this gland. An increase in the size of the sebaceous gland results in an increased oil secretion. The skin pores become very sticky. These pores serve as a host, into which the acne causing bacteria, P. acnes multiples.
Adult women are more prone to acne than their male counterparts. This is because, hormonal imbalance or alterations affects adult females more. Women often suffer from acne during menstruation.
4. Myth: Acne can spread from one person to another
Truth: More than often, acne is seen as a contagious dermatological problem. Though caused by the bacteria P. acnes, acne is not contagious. It is rather foolish to maintain a distance from the affected individual.
5. Myth: Acne is a minor problem and needs no medical intervention
Truth: Going for self-medication can do the acne more harm than good. Acne is influenced by a number of internal as well as external factors (stress, hormonal imbalance, unhealthy lifestyle). For an effective treatment, it is important to identify the root cause. It is best to consult a dermatologist at the earliest.
6. Myth: In case of acne, the face should be frequently washed and cleansed
Truth: Ideally, the face should be washed twice daily with a gentle cleanser. Some people get eternal pleasure in squeezing the heads of the spot. This can damage your skin beyond repair.
Do not allow acne problems to affect your self-confidence. Acne can be cured. Do not fall for the baseless myths.