Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 40 years of experience on Lybrate.com. You can find Gynaecologists online in Chandigarh 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. Kamna Nagpal
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. Kamna NagpalYour feedback matters!
Patient Review Highlights
I have visited first time at this clinic. And happy that she gave satisfactory time and advice honestly.
It was good
Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases.
It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.
The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. In some cases, a D&C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.
While the above take care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.
Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression, etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.
Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice. Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.
Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.
Formal medical counseling - If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.
Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.
As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better.
If you think you need additional help and would like to consult with me privately, please click on 'Consult'.
Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are a quite a few precautions you need to take and quite a few factors you need to consider before doing anything. Take for example working during pregnancy.
Working while you're pregnant can be challenging, but if you keep these do's and don'ts in mind, it can become an easy task.
Do: Get Adequate Rest
The first few weeks of pregnancy can take a toll on your body. If your sleep schedule is off, you need to fix it and sleep for the usual 8-9 hours a day. If you undertake a lot of physically strenuous work or even if have a desk job, you need to take a break as it can get very taxing for you. To avoid work-related exhaustion and stress, take frequent breaks to give your body the rest it requires. Speak to a doctor or trainer for simple stretches that will help you alleviate stress on your joints and keep you muscles relaxed.
Do: Be Smart About Your Work
Jobs that require heavy lifting must be avoided at all costs as they can give rise to severe complications during pregnancy. When you're pregnant you should also avoid work that regularly exposes you to radiation, harmful chemicals, lead and X-rays. Ask your supervisor to shift the sort of work you are doing as often it's illegal to continue working in conditions that actively harm your pregnancy.
Do: Take Multivitamins and Necessary Supplements
Work often doesn't leave you with enough time to take good care of yourself. You may end up skipping meals due to a hectic work schedule, which can lead to vitamin and mineral deficiencies. To keep the worst effects of this kind of a lifestyle at bay, make sure to take your multivitamins and supplements religiously and regularly.
Do: Be Super Hygienic
It is extremely important to maintain high standards of personal hygiene and sanitation during your pregnancy. This becomes even more important if you work in an environment that exposes you to infectious diseases, raw meats and children. Keep a hand sanitizer with you at all times, and make sure you don't ingest anything that has come into contact with contagions.
Don't: Go For Long Stretches Without Eating
Keeping your stomach empty during pregnancy can have a lot of unwanted effects ranging from bloating, acidity and gas to nausea and vomiting. Have a light breakfast and keep snacking on small portions of nutritious food throughout the day. Also, ensure that you maintain optimum fluid intake. The regular 8-10 glasses of water a day is an absolute must.
Don't: Be stressed
Stress during pregnancy can have damaging effects on your and your baby's health, severely affecting the physical and mental development of your unborn child. Avoid taking on extra work for the duration of your pregnancy. Lighten your workload as much as you can and make sure to take meditation and baby-safe yoga classes to keep your stress in check.
As long as you take these simple precautions, you can continue to work throughout your pregnancy. So, remember to follow these guidelines to ensure a safe and healthy experience for both you and your growing baby.
It is said that blocked fallopian tubes is the most common cause of female infertility in about 40% women who are infertile. Fallopian tubes are channels through which the egg travels to reach the uterus and blockage of these tubes can put a stop to this from taking place. Depending on the different parts of the tubes, this form of blockage is of several types.
What are the different types of fallopian tube blockages?
1. Proximal tubal occlusion
This form of fallopian tube blockage involves the isthmus (an area of about 2 cm long, this part of the fallopian tube connects the infundibulum and ampulla to the uterus). This problem occurs after an illness like complications associated with abortion, cesarean section, PID (pelvic inflammatory disease).
2. Mid-segment tubal obstruction
It occurs in the ampullary section of the fallopian tube and is most frequently a result of tubal ligation damage. The procedure of tubal ligation is performed to put a stop to pregnancy permanently.
3. Distal tubal occlusion
This is a kind of blockage wherein the section of the fallopian tube that is close to the ovary is affected and is commonly associated with a condition known as hydrosalpinx (a condition in which the fallopian tube is filled with fluid). The latter is often brought on by Chlamydia infection, leading to fallopian tube and pelvic adhesions.
The conditions that may give rise to this problem can include:
1. Genital tuberculosis (the TB infection that occurs in the genital tract)
2. Ectopic pregnancy (pregnancy in which the embryo places itself outside the uterus)
3. Tubal ligation removal
4. Complications related to surgery of the lower abdomen
5. Pelvic inflammatory disease (PID)
6. Uterine fibroids (benign growths that occur in the uterus)
7. Endometriosis (development of uterine tissue outside of the organ)
These disorders can lead to the development of scar tissue, adhesions, polyps or tumors to form inside the pathway. Additionally, the tubes can also get stuck to other body parts such as the ovaries, bladder, uterus and bowels. Two things can happen to the fallopian tubes, either they can become twisted or the tubes walls may stick together, leading to a complete blockage. Moreover, even if the fallopian tubes are partially damaged, they can remain open so as to enable pregnancy to occur, while increasing your risk for ectopic pregnancy.
PMS is often treated as a joke but for many women, it is a monthly nightmare. Muscle cramps, headaches, bloating, breast tenderness, anxiety and depression are common symptoms of PMS. Though there is no set cure for PMS, here are a few tips that will help you deal with it.
Set yourself an exercise routine
Exercising not only helps you maintain weight but also helps dealing with PMS. All you need are 30 minutes a day set aside to go for a brisk walk, jog, swim or even dance. Aerobic exercises like this improve blood circulation, ease stress and help the brain release more happy hormones.
Change your diet
If you are feeling bloated and depressed, cut back on simple carbohydrates like sugar and fat and increase your consumption of complex carbohydrates like fruits, vegetables and whole grains. Do not attempt a low carb diet to lose weight if you suffer from PMS. Reducing the simple carbohydrates in the body and increasing the complex carbohydrates keeps you body feeling full for longer and increases the serotonin levels in the body.
Quit alcohol and caffeine
Drinking a glass of wine of a cup of coffee may give you temporary relief from PMS symptoms but in the long run they aggravate your PMS symptoms such as headaches, breast tenderness and mood swings. Alcohol may also contribute towards lowering the magnesium levels in your body and thereby make you feel bloated.
One of the effects of PMs is to make you feel anxious and tense. The easiest way to address this is by learning to relax. Try meditation or yoga for half an hour every morning. This will improve your overall health as well as soothe muscle pains.
Take a few supplements
Research says that certain fatty acids like omega 3 and linoleic acid can lower irritability and body aches associated with PMS. Calcium is also known to help ease PMS symptoms. Getting these nutrients in the required levels may not be possible only through your daily meals. Hence, you can also consider supplements to ease your pains.
Birth control pills with the drospirenone hormone can help ease symptoms of severe PMS. Menstruation is often accompanied by a drop in estrogen levels that can lead to migraines. Regular of birth control pills also regulates your hormones and hence avoids these fluctuations. It also keeps your ovaries from releasing eggs every month and hence reduces the intensity of the associated cramps.
Talk to people
You are not alone when it comes to PMS. Instead of keeping quiet about your discomfort, talk to people who may be experiencing something similar. Sharing your problems will introduce you to new ways of dealing with it. You could also get online support though various discussion groups.
I am 26 year old I had 2 time miscarriage due to anembryonic pregnancy now on 10th Oct I have done urine pregnancy test it's positive but doctor could not see pregnancy in ultrasound I have done hcg test 2369 it is ok pregnancy lmp is 8.9.2018.
The ovaries are egg producing organs, an essential part of the female reproductive system, they are responsible for the production of estrogen and release and egg every month. If the egg fertilizes with a sperm it can result in a pregnancy.
Ovarian cysts are quite common among women. Ovarian cysts are known to be small sacs filled with fluid that are situated in the ovaries.
Causes of ovarian cysts
Among ovarian cysts, the most common one is called the functional cyst. This type of cyst generally forms during the process of ovulation, during which either the eggs do not successfully release from the sac or the sac (follicle) fails to disintegrate properly after the release of the egg. Certain factors that can cause ovarian cysts are-
1. Age - Ovarian cysts can occur at any age.
3. Being overweight or obese
4. Consumption of fertility drugs
5. Hormone replacement therapy
6. Family history of ovarian cysts and cancer
7. Early menstruation, that is, the onset of the period before the age of 11
Symptoms related to ovarian cysts
Generally, ovarian cysts show no specific symptoms and are generally only located during a physical examination or an ultrasound. But, in case you suffer from large cysts or those that have ruptured, you may experience certain signs like-
1. Pain while having sex. Great discomfort may be felt, particularly when deep penetration is attempted.
2. Pain in the lower abdominal and pelvic region. This pain may be intermittent or persistent. It can also vary from being mild to quite sharp.
3. Irregularity in the menstrual cycle.
4. An uncomfortable pressure in the lower abdominal and pelvic area.
5. Acute pain in the pelvic area and the lower back all throughout the menstrual period.
6. Pain in the pelvic area after a session of vigorous exercise or strenuous physical activity.
7. A feeling of discomfort or pain while urinating or during bowel movements.
8. Nausea, followed by vomiting.
9. Pain in the vaginal area, or light bleeding
11. Problems with healthy bowel movements
While pregnancy is not a pathological condition, it is a happy time that can be marred by various conditions. Debilitating morning or all day sickness, which is usually characterised by nausea, reflux in the gastro esophageal band, heartburn and acidity. This can also turn into vomiting and lead to complications if it does not stop. Persistent, almost daily vomiting can be termed as excessive vomiting in pregnancy, and this is known as Hyperemesis Gravidarum in medical terms.
Let us find out more about this condition.
Routine: Hyperemesis Gravidarum usually strikes as a matter of routine at a set time everyday where the patient will either be in unappetising company of acute and painful acidity and nausea, or will also be vomiting.
Severity: The severity of the condition usually decreases as the patient's pregnancy progresses. Usually, this condition strikes around the fourth or fifth week of pregnancy, before becoming better towards the middle of the second trimester. There are cases, though, where it continues to be just as severe till the very end of the pregnancy.
When to take Action: The patient may have to be hospitalised in case too much vomiting takes place, so as to prevent excess loss of water and salt from the body, and resultant weakness which may affect the growth of the foetus. Also, it is best to call the doctor when you have experienced fainting and dizzy spells.
Hyperemesis Gravidarum or excessive vomiting during pregnancy cannot be attributed to any specific or single cause. Usually, it is known to be a genetic condition passed down by mothers to their daughters. But in most cases, doctors believe that the condition is due to hormonal changes where an increase in the HCG hormone, or Human Chronic Gonadotropin hormone level during pregnancy may lead to a variety of symptoms such as morning sickness or excessive vomiting. This hormone is known to be at its peak during pregnancy.
Risk Factors: It has mostly been seen that women who are carrying twins are at risk of suffering from this condition. Also, women who have suffered from chronic motion sickness in the past report excessive vomiting during pregnancy.
Treatment: The best way to treat this issue is to prevent too much of nausea and vomiting with the help of a bland diet that does not have heavy to digest ingredients. Also, it is best to take small and frequent meals.
Working your way around excessive vomiting during pregnancy is a matter of ensuring that you take rest, fluids and other precautions. Speak with us in a private consultation to know more.