Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 43 years of experience on Lybrate.com. You can find Gynaecologists online in Bhopal and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Yasmeen Niazi
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. Yasmeen NiaziYour feedback matters!
Dear Doctor, I have unprotected sex before 5 months I have test p24, dna pcr, hiv elisa after 4 month I have take card method all tests are negative still I am fearing what is the windows period. Still I need more test I have completed 5 months.
Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.
- Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
- Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
- Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
- Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.
With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being. Listed below are some easy-to-make changes:
- Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
- Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
- Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
- Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.
What to avoid:
Anything that can spike up calories and is of low nutritional value should be avoided.
- Avoid whites – pasta, rice, and bread
- Baked and processed foods
- Candies, chocolates, snacks
- Salty and spicy fried snacks
- Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Emotional Intimacy is an important aspect of an interpersonal relationship and focuses on the level of the emotional bond that the couple shares. For a marriage to work emotional intimacy is as important as sexual intimacy. Emotional intimacy can instill positive feelings and can lead to better relations. On the other hand, a lack of emotional intimacy can lead to a feeling of loneliness and emptiness in either of the partner and tend to distance themselves from each other.
Lack of Self-Awareness-
Every partner needs to identify and understand their own needs which could range from the need to be heard to the need of being touched. Many times we are not able to understand that what we desire from oneself which can make it difficult to understand the needs of the partner too.
Lack of expression-
These problems arise due to communication problems. We are in many situations not able to understand how and when should be put across our expectations and desires. It is important to understand that “How”, “When”, Where” and “How much” to put across.
Sharing about things that you fear is also essential. Many times the couple is not able to share openly because the partner doesn’t want to lose individuality and also in many cases the partner feels that the spouse won’t be able to understand the feelings. In a relationship, the partner tends to go through two types of fear. First, to lose their own individuality and the other one is to lose their partner. Rather than staying in the grey area, it is important to move forward and share such feelings with one another.
Stress can cause fatigue and leave people tired. It leaves the person drained with no strength to sit and communicate. Under the stressful situation, people tend to like to have their own space, in order to clear mind. This soon becomes a vicious circle, where rather than communicating about the problem, partners take an easy road of keeping things to themselves.
Trust is very important that binds two people together. It is important to trust each other and share every minute detail. Many times people are in dilemma regarding whether to share their heart out or not, this is mainly due to the fact partner feels that the spouse doesn’t have the intention to understand or lacks the potential to do so.
Too many arguments can have a negative effect on marriage. When the disagreement issues are on the rise, people tend to feel that their partner is not able to understand and support their viewpoint. As a result, the couple might feel that they are incompatible with each other and does not feel necessary to even share their life as there is no agreement n trust.
Many times low self-esteem can influence emotional intimacy. It is common not only for men but also for women to have low-esteem. It can take a toll on a person’s relationship and can create certain inhibitions that they find difficult to resolve. When the person is criticized by their partner for petty things this can create a feeling of low self-confidence. With time this turns into a vicious cycle where the partner doesn’t connect spouse with a fact of being disapproved again.
Feelings of resentment can be due to unresolved issues in your relationship. It can make them pull away and withdraw affection and make them emotionally distant. If there aren’t any evident issues that you can think of, then the fact that your partner may feel unacknowledged may lead to major trouble.
Lack of Emotional Intimacy can be due to a variety of reasons rather than forming a strong conclusion about the same, discussing with your partner can help to reach a solution. Listening can actually accelerate communication and also helps your spouse to open up. It is good to know that all of these factors can be repaired to restore the relationship back to being emotionally satisfying. It is very essential to open up and disclose your deepest thoughts and emotions so that you constantly learn about yourself and partner so that the connection becomes stronger.
When a couple is having an emotional discord in their relationship/marriage, seeking help from relationship expert or a professional marriage counselor is very essential. Lack of emotional intimacy can instill feelings of loneliness, self-doubt, infidelity, blame game and so on. Thus, seeking help from a Marriage counselor can help you solve these issues.
Irregular menstruation is a common problem. Just like the downtime that women face during their bleeding, the absence of it or the uncertainty of when the periods will start also causes equal stress and worry. Irregularity in the menses is indeed a cause for concern and requires a medical intervention. Before proceeding to the times when one should consult a doctor, let’s first understand the causes of an irregular menstrual cycle.
Causes of Irregular Menses: Irregularity in the menses can be pretty normal in some cases. For example, when the menstrual cycle begins for a girl, before menopause, and a few times after childbirth, abortion, or miscarriage, it is normal to miss periods. But, apart from these times, irregularity in the menstrual cycle is not normal and a doctor should be consulted. There are several reasons that can contribute towards irregular menses, including the following:
- Eating disorder: Eating disorders such as bulimia or anorexia may cause an irregular menstrual cycle. This is due to the fact that the body is not producing enough hormones to regulate the menstrual cycle.
- Hyperprolactinemia: The presence of too much of prolactin, a protein hormone, in the blood can lead to irregular periods.
- Polycystic ovary syndrome: The imbalance of the sex hormone leads to the development of polycystic ovary syndrome, commonly referred as PCOS. This disrupts the regular menstrual cycle.
- Premature ovarian failure: Premature ovarian failure implies that the ovaries of a woman have stopped functioning before the age of 40 years is attained by the woman. In some cases, women do have menses, but occasionally.
- Unmanaged diabetes: Uncontrolled diabetes is another cause that can lead to irregular periods. This is due to the interaction of the hormones with the blood sugar levels, which disrupts the menstrual cycle.
- Medications: Irregular menses may also result due to the effect of certain medicines. These medicines include antipsychotics and antiepileptics.
Why consult a doctor?
It is extremely important to understand when one should consult a doctor to address the problem of an irregular menstrual cycle. For a woman who is of reproductive age, the following are some instances when a doctor should be consulted:
- Amenorrhea: It is the absence of menses for a minimum of 3 menstrual cycles. Oligomenorrhea: It implies having a menstrual cycle more than 35 days apart. Menorrhagia: It implies heavy bleeding for more than a week. The unusual bleeding or no bleeding at all may result due to the following conditions, which can only be diagnosed by an experienced gynecologist.
- Endometriosis: This is a condition that occurs when the endometrial tissue starts to develop in other areas of the body like the ovaries, between the vagina and also the rectum. Painful and heavy menstruation flow signals this condition, which can lead to inflammation in the abdomen, bowel problems, and also infertility.
- Uterine Polyps: Polyps are benign growths in the lining of the uterus and may occur due to the overproduction of hormones. Heavy or light spotting between periods can be an indication of uterine polyps.menstrual
- Fibroids: Benign tumors found in the uterus are called fibroids. These are formed due to the stimulation of estrogen that leads to the formation of uterine tissue. In general, no symptoms are witnessed and they either go away with pregnancy and menopause or they get smaller in size over a period of time.
A healthy diet is not only important for that toned waistline, but it also keeps your bones healthy. Two of the most important nutrients needed for healthy bones are Calcium and Vitamin D. Calcium helps in strengthening your bones while Vitamin D facilitates calcium absorption in the body. If the bones are not healthy, it can lead to bone disorders such as osteoporosis and rickets.
If you want to keep your bones fighting strong and healthy, here are some diet tips that you can follow:
Consume Yoghurt: A very good breakfast option, Yoghurt contains 30% of calcium and 20% of Vitamin D as per RDA (Recommended Dietary Allowance), both being vital for healthy bones. It also contains little in terms of calories so that you don’t have to lose sleep over your waistline.
Milk: If you think milk is just for kids, think again. Milk is one of the best sources of protein and calcium; infact it contains 30% of calcium as per RDA. So yes! Drop all inhibitions and drink that glass of warm milk to keep your bones healthy.
Cheese: Another milk-based product, cheese is also rich in protein and calcium. You need to make sure that the cheese you consume is the fat-free version in order to restrict calorie intake.
Sardines: If you are planning on getting a fish sandwich for lunch, then you are on the right track. Sardines are not only rich in Omega-3 Fatty acids, but they also contain calcium and Vitamin D is high amounts.
Eggs: Don’t fear the egg yolk. Not so fast now! Egg yolk contains Vitamin D, an essential nutrient that facilitates calcium absorption in the body. Eggs are also one of the best super-foods as they are a powerhouse of various nutrients.
Spinach: Remember Popeye, the cartoon sailor whose muscular frame was attributed to spinach. Now let’s get down to the facts. Spinach contains calcium, fibre and iron – all very essential for your body. Consuming spinach regularly is one ‘go green’ way to keep your bones healthy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Menorrhagia is the most common cause of Abnormal form of bleeding from the uterus. Everyone has different periods, some might not even notice that time of the month, while others might suffer from heavy bleeding, feeling miserable and a constant worry of leaks and stains leading to embarrassing situations. Periods are considered to be heavy if a pad or tampon is soaked in blood every hour.
Other symptoms of heavy bleeding could be:
- Passing of large clots
- Bleeding at night which requires to get up to change a pad
- Any period that lasts for more than seven days
- Adenomyosis (thickening of uterine walls)
- Thickening of uterine lining or a polyp
- Use of blood thinners
- Intrauterine device
- Ovarian or a local cervical cause
If you are one of those women who suffer from heavy menstrual flow and are quite hassled by the same then worry not here are some tips to deal with your problem.
- Keep a track of the periods as in when they start and the days with heavy bleeding. This helps you to track your next period and prepare yourself well for the same
- Low iron levels can cause heavy bleeding, thus maintaining the iron levels is a good idea
- Eating green leafy vegetables and taking multivitamins helps to maintain the iron levels
- Eat fruit and food with starch to maintain a good sugar level
- Hydrate yourself as it makes you feel less grumpy and miserable
- In case of severe cramps take some pain relievers like aspirin and ibuprofen. Even a hot water bottle is a great way to chase the blues and the cramps
- Get some sleep as one feels tired before the period and the days of the period. Listen to your body and don't push yourselves. Use extra protection in case you are worried about leakage
- Try using a menstrual cup as they have a greater capacity as compared to tampons or pads. Also, one does not need to carry any supplies for the day
- Don't feel shy or embarrassed to talk about your condition
- You might need professional help and want to consult a doctor. Keeping a track of your period is good as doctors usually ask for the duration of the period and how heavy were they.
If you do not feel better with these tips a meeting with the doctor can predict the cause of the heavy flow and accordingly a medical treatment can be planned.
Medication for heavy bleeding might include any one or more of the following:
- NSAIDS like mefenamic acid Tranexamic acid may be prescribed during periods to reduce the flow.
- If not relieved then Hormonal therapy may be given.
- Non-surgical option would include insertion of mirena (hormonal intrauterine device).
- Your doctor may advise for a dilatation & curettage (scrapping of uterine lining )depending on the findings of ultrasound and considering the age.
- It is usually combined with a hysteroscopy (putting a long scope with camera into the uterus to be able to see the entire uterus lining).
- In some cases, endometrial ablation is the option in which the entire uterine lining is destroyed Hysterectomy (removal of uterus) is the option if nothing works.