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Dr. Kamna Nagpal Nagpal

MBBS, MD - Obstetrics & Gynaecology

Gynaecologist, Chandigarh

35 Years Experience  ·  0 at clinic
Dr. Kamna Nagpal Nagpal MBBS, MD - Obstetrics & Gynaecology Gynaecologist, Chandigarh
35 Years Experience  ·  0 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Kamna Nagpal Nagpal
Dr. Kamna Nagpal Nagpal is an experienced Gynaecologist in Sector 21, Chandigarh. She has been a successful Gynaecologist for the last 35 years. She has completed MBBS, MD - Obstetrics & Gynaecology . She is currently practising at Hope Clinic & Maternity Centre Pvt. Ltd in Sector 21, Chandigarh. You can book an instant appointment online with Dr. Kamna Nagpal Nagpal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 26 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.

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Education
MBBS - Christian Medical College Ludhiana - 1982
MD - Obstetrics & Gynaecology - Christian Medical College Ludhiana - 1985
Professional Memberships
FIMSA

Location

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Hope Clinic & Maternity Centre Pvt. Ltd

1184, Sector 21B, Sector 17C, Near Scooter MarketChandigarh Get Directions
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Hope Clinic Maternity Centre

#2, H.NO.1184, Sector-21-B, Landmark: Near Scooter Market & Opp Baby Dairy restaurant.Chandigarh Get Directions
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Hope Clinic Maternity Centre

#2, H.NO.1184, Sector-21-B, Landmark: Near Scooter Market & Opp Baby Dairy restaurant.Chandigarh Get Directions
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I had sex with my boy friend in the month of feb then in march and april I got my period as usual on time in may month still I didn't get period whether pregnancy vil cum?

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
Hi a lady can have normal periods while she is pregnant more commonly in 1st 3 months so its always better to rule out pregnancy by doing pregnancy test whenever in doubt.
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I am having pcod. Dr. suggested me ovarian drilling if I could not get periods with medicines goecysts tablets & gycon syrup within this month. She also suggested me to follow diet & exercise to reduce little weight. Im 54 kgs with 5 height. How can I reduce my weight and pcod? I am afraid of operation. Only one month left to decide for operation.

MBBS
General Physician, Jalgaon
I am having pcod. Dr. suggested me ovarian drilling if I could not get periods with medicines goecysts tablets & gyco...
Please You are not overweight To maintain hormone levels and to control pcod, Go for morning and evening walk daily Do yogasanas and pranayam daily Continue your current medicine Take Cap evecare by Himalaya 2 2 for 3 mths Can wait for pregnancy without surgical intervention for few days.
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Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2748 people found this helpful

I'm in mid forty and suffering from hot flushes after reaching menopause stage. I've been having these hot flushes since 8 months, please suggest me the proper medication to get over.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I'm in mid forty and suffering from hot flushes after reaching menopause stage. I've been having these hot flushes si...
Hi Krishna, initially you have to be on diet rich in flavanoids, calcium, soya so that it will help. Even if symptoms are persistent then need to put on medication. Hormonal therapy have many side effect so decision has to be taken on risk benefits ratio.
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I have done unprotected sex with my girlfriend on date 08 aug 2016. I did not spread my sperm in her vagina (female sex part). After 2 to 3 hours of it she bleeds and she have bleed only one time. I gave her unwanted 72 after few hours. But when she take it, she started vomiting. From now She vomited many times after eating food. Now ,should I again give unwanted 72 to her? What is the reason her vomiting again after eating food? Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
I have done unprotected sex with my girlfriend on date 08 aug 2016. I did not spread my sperm in her vagina (female s...
This is the side effects of unwanted 72 pill nausea, diarrhea, bloating, abdominal or tummy cramps and rarely vomiting. Fatigue. Headache, dizziness. Flu like syndrome - malaise, body aches, joint pains, muscle cramps, nasal congestion. Vaginal bleeding more like spotting, much before the anticipated date of menses.
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Hello Doctor, Today is my CD 24, since I'm feeling nausea n vomiting, but it's in morning that's it. Vomiting also of Water n liquids. Feeling little bit sick and continuously headache, shortness in breath. I'm on normoz twice a day and duphaston day 16-25 twice a day also taking folic acid. Is this a symptom of Pregnancy are I'm I imagining it?

DGO, MBBS
Gynaecologist, Satara
Hello Doctor, Today is my CD 24, since I'm feeling nausea n vomiting, but it's in morning that's it.
Vomiting also of...
Hello..these all r pregnancy symptoms ,so dont worry &it will last for 1st 3months only. Take healthy n nutritious diet means fruits n fruits juices dry fruits ,biscuits,milk. Even u wil feel better with dry toast.
1 person found this helpful
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My girlfriends period gone 14 April. Yesterday I'm sex with her without protection on 30 April so any chance to she get pregnant?

MBBS
General Physician, Chandigarh
My girlfriends period gone 14 April. Yesterday I'm sex with her without protection on 30 April so any chance to she g...
This was just her ovulation time according to the dates given by you chances of pregnancy are very high.
1 person found this helpful
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Hi. I am a 26 year old female, who is suffering from pcos and undergoing ayurvedic treatment for that. While masturbating, I get pain in my lower abdomen and not able to get excited fully. Is this a cause for my periods delay? Also, during periods I have stomach ache and blood cramps with heavy bleeding. Suggest me a remedy.

DHMS (Hons.)
Homeopath, Patna
Hi. I am a 26 year old female, who is suffering from pcos and undergoing ayurvedic treatment for that. While masturba...
Hello, Lybrate user, you are slightly over weight, PCOS may cause harmonal disbalance affecting your period with dysmenorrhea .* Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 polls, thrice Dimension of cysts and the sight ,thereof is essentially b taken into account to begine a successful homoeo-treatment * Ensure, sound sleep in d night for at least 7 hrs. * Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care.
1 person found this helpful
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My girlfriend faces too much pain during her periods. Also there is so much bleeding there. She became restless and don't eat anything during this all. Feels some fever and extreme head ache. Please suggest some natural way to reduce pain and suffering from this. So that she don't have to have a pain relieving tablets as they occurs problem in future. Please suggest as soon as possible. Thanking you.

BHMS PGCGO
Homeopath, Hubli-Dharwad
My girlfriend faces too much pain during her periods. Also there is so much bleeding there. She became restless and d...
Hello pain during periods is called dysmenorrhea. Soo many girls gets this problem it's due to contraction of uterus. Let her take methi or fenugrik powder early morning during her periods. Once get checked up her thyroid profile. In hypothyroidism its common. And rule out anaemia.
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I have acnes on my back and they come up periodically and I want to get rid of them! And those have left me with black spot scars on my back. How should I get rid of the scars and well as acnes permanently. Please suggest me some medications that are truly very effective.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
I have acnes on my back and they come up periodically and I want to get rid of them! And those have left me with blac...
U should take liquid maha manjishtadi kwath. This will purify ur blood and give glow to your skin from within.for dark spots u should apply phytobright dark spot corrector
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My periods date is 14 n right now this time I am 2 days late. What should I do? I am unmarried.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
My periods date is 14 n right now this time I am 2 days late. What should I do? I am unmarried.
Hello- There is a slight change in the periods date sometimes, due to several health factors, so its nothing to worry. However if you had gone through sex last month, you should wait and perform the urine pregnancy test ten days after the missed date to confirm for pregnancy. If not done sex thn you might be suffering from PCOD.
6 people found this helpful
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Do It Yourself (DIY) Health Check-Up

bachelor of physiotherapy
Physiotherapist, Delhi
Do It Yourself (DIY) Health Check-Up

According to america's national stroke association if your heart beats out of rhythm, it is more likely to have a stroke. To check for atrial fibrillation do the following steps:

1) Tap your foot according to the rhythm of your pulse (place your fingers on your wrist where radial artery beats) for one minute
2) If your foot is tapping steadily, like a clock ticking then you are ok. But if it's uneven then you need to consult doctor.

20 people found this helpful

I am 34 year old I have one baby for operation he is 1 year old only. I am again pregnant 2 month ago. What is it side effect .So am I delivered this baby. Please help me. Mujhe kya karna chahiye.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 34 year old I have one baby for operation he is 1 year old only. I am again pregnant 2 month ago. What is it sid...
hi Kirti, since it's just one year for your lscs uterus is on weaker side, increase risk of rupture of the uterus and increase chances of repeat lscs again. if you terminate pregnancy now still their is possibility of rupture of the uterus. Now you have to take decision.
1 person found this helpful
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After menopause.Pregnancy could happen ? At what age women reach it ?please provide me the detail on this?

MD - Maternity & Child Health
Gynaecologist, Bangalore
After menopause no pregnancy. Menopause age around 45-54 yrs but it varies. Stree woman health care centre bangalore
1 person found this helpful
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My menses is irregular for some months I have also thyroid problem. What can I do and i am continuously gaining my weight what can I do?

BHMS
Homeopath, Delhi
My menses is irregular for some months I have also thyroid problem. What can I do and i am continuously gaining my we...
Hello, you can take homoeopathic medicines 1. Pulsatilla 200 (4 drops in little water) every morning for a week 2. Jonesia ashoka q (10 drops in little water) twice a day for 15 days and revert.
6 people found this helpful
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I'm 37 years old female. And my period is delayed 3 to 4 months. Since one and half year i'm facing this problem.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi please read carefully below. You have come here to get well. We are here to select the possible medicine for you. In order to do that, we depend on your co-operation. Homoeopathic medicine is mainly selected on the symptoms you give us. If we are to make a successful prescription, we must know all the details of your sickness. We must also understand all the features that belong to you as an individual. In order to give you permanent & without adverse effectve rx yet temporarly I will presribe you sepia 12c 2hrsly alternate with pusl. 12c for 6 days. Inform me after 10 days. Take god bless u.
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Hello Dr. which day choose for conceive baby after period I am trying to baby after stop pregnancy but which tablet I wan to eat for conceive baby please tell me.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Hello Dr. which day choose for conceive baby after period I am trying to baby after stop pregnancy but which tablet I...
8th day and 18th day of menses is ovulation period which is fertile period when there is more chance to get conceive.so,try in between these period for conceive.
3 people found this helpful
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