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Dr. Rabhitha

Gynaecologist, Chennai

Dr. Rabhitha Gynaecologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Rabhitha
Dr. Rabhitha is a popular Gynaecologist in Chromepet, Chennai. Doctor is currently practising at Sankara Kidney Hospital in Chromepet, Chennai. You can book an instant appointment online with Dr. Rabhitha on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai 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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No.2, Third Main Road , New Colony, Chromepet. Landmark: Near Pallavapuram Muncipality, ChennaiChennai Get Directions
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IVF Protocols When You Have Low Ovarian Reserves

MD
IVF Specialist, Delhi
IVF Protocols When You Have Low Ovarian Reserves

The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 250,00 to 500,000 eggs at puberty and ends up with 1000 eggs at menopause.

Causes:
Low reserves are caused by

  1. Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
  2. Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.

IVF Protocols:
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:

  1. Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
  2. Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
  3. Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
  4. Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
  5. Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results.
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Hello, I gave birth via c sec ; days back.I get breast milk but irrespective of how much time i give feed he is not satisfied and top feed needs to be given.Please help me?

DCH, MBBS (MAMC)
Pediatrician, Delhi
One should give exclusive breast feed to baby till 6mth of age. Milk production is a reflex process, more suking at breast will produce more milk. If u give top feed, baby will stop sucking at breast and milk production will decrease. So avoid top milk and give more of breast milk.
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I Found pcod when I was 76 kgs. Now my weight has put down from 76 to 68 kgs. My height is 5.2. Does it enough to make my periods regular andconceive.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I Found pcod when I was 76 kgs. Now my weight has put down from 76 to 68 kgs. My height is 5.2. Does it enough to mak...
Congratulations for losing the weight. Normally the interval between two menses counting from 1st day of menses to that of the next, is about 21-35 days. If your menstrual cycle length on an average is in this range it is normal. Menstrual cycles occur due to a complex interaction between the hormones released from the brain with the effect they have on the ovaries and uterus. Menstrual cycle length can be changed by thoughts, and some emotional events like exams, stressful events, birth, death in family etc you have been suspected to have pcod and this is a very common finding nowadays. Pcod is not an unsurmountable disease, and it can be helped with medicines and some lifestyle modification. During pcod the body's chemical capacity to utilise glucose is altered, and hence there is a cascade of events like weight gain, irregular menses, acne and darkening of skin etc. Weight gain is crucial factor. You have been experiencing weight gain too. The best way to curb this disease is to control weight using a multi modal approach like - diet -exercise - medicines. The weight loss that you have achieved is good, keep the effort on so visit a good dietician and chart out a healthy diet, do regular cardiovascular exercises which help in burning the excess fat thats accumulated as excess weight in body. If your weight goes down by even 5 kg, you will experience a good regularisation of your menstrual cycle on it's own, without resorting to any medications. At 27, if you are married and desire to have a child then suitable medicines cna be given to help you to have ovulation. This will cure the pcod too if you are not married or are married and do not wish to conceive then some different tablets can be given to you to prevent the pcod from becoming worse and to regularise your cycles. Of course we can give medicines to help patients with pcod, but they are not the only factor that can regulate this disease. Life style modification is the cornerstone in management of pcod.
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I am 26 year female and now I want to know that is it a perfect time for pregnancy.

DGO, MBBS
General Physician, Delhi
I am 26 year female and now I want to know that is it a perfect time for pregnancy.
As such there is no perfect time for pregnancy .but as per your age and concern you can plan for pregnancy now.
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My wife 6 month pregnancy. Inside baby having in scanning shows" both kidneys show mild dilatation of renal pelvis and bladder appears normal" this is problem showing in scanning. Please give instructions what happens inside the after delivering baby.

MBBS, MS OBSTETRICS & GYNAECOLOGY, DNB OBSTETRICS & GYNAECOLOGY, MRCOG PART1, PGDMLS
Gynaecologist, Thane
My wife 6 month pregnancy.  Inside  baby having   in scanning  shows" both kidneys  show mild dilatation of renal pel...
You need to monitor size of renal pelvis in subsequent scans, if it is between 4-7 mm, it usually resolves after delivery, nothing needs to be done in pregnancy. After, delivery, do usg abdomen to look for kidneys once baby is > 10 days old, consult urologist if it still shows dilated renal pelvis. V rarely persistent cases need surgery.
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I am 19 years old and have a 2 months baby and I am breastfeeding him. And my nipples have got cut and it bleeds sometimes nd have pain during and after feeding. What should I do for it to cure fast. Thanks.

BUMS
Gynaecologist, Mumbai
I am 19 years old and have a 2 months baby and I am breastfeeding him. And my nipples have got cut and it bleeds some...
it is cracked nipples. u can apply some emolient like ghee or vasline when u not feeding baby .. other wise nipcare cream is available on counter ...
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What is the best period to conceive? Does this depend upon the position of intercourse as well?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
What is the best period to conceive? Does this depend upon the position of intercourse as well?
If you have a28day cycle regularly. The ovulation usually occurs on14th day. Keeping this in mind 9th-21st day is the fertile period.
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I have irregular period. Some time it's not happened. Consult with many Doctor. But result zero.

Advanced Aesthetics
Ayurveda, Gulbarga
I have irregular period. Some time it's not happened. Consult with many Doctor. But result zero.
Treatment of irregular periods depends on the cause and your desire to have children in the future. Irregular periods can be caused by many different things. Changes in your body's level of the hormones estrogen and progesterone can disrupt the normal pattern of your period. That's why young girls going through puberty and women approaching menopause commonly have irregular periods. Other common causes of irregular periods include: •Having an intrauterine device (IUD) •Changing birth control pills or using certain medications •Excessive exercise •Polycystic ovary disease (PCOS) •Pregnancy or breastfeeding •Severe scarring (adhesions) of the lining of the uterus, a condition known as Asherman syndrome •Stress •Overactive thyroid or hyperthyroidism •Thickening of or polyps on the uterine lining •Uterine fibroids Turmeric Being a warming herb, turmeric is also considered helpful in regulating menstruation and balancing hormones. Its emmenagogue properties help stimulate menstrual flow. Moreover, its antispasmodic and anti-inflammatory properties relieve menstrual pain. •Consume one-quarter teaspoon of turmeric with milk, honey or jaggery. Take it daily for several weeks or until you see improvement. •You can also take turmeric in supplement form; check with your doctor for proper dosage.
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I am 29 years old having having hypothyroidism but now it's within range. I suffer from irregular periods. And since July 24 didn't get my periods. Kindly help me out.

MBBS
General Physician, Mumbai
I am 29 years old having having hypothyroidism but now it's within range. I suffer from irregular periods. And since ...
If you are not pregnant than we can induce your periods and than on 4th day Get your blood checked for CBC FSH LH and follow up with reports.
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Hello doctor Is herbolax tablets and triphala tablets are safe during 1st month pregnancy for constipation. If not can you tell any treatment that is safe during for constipation. I am feeling constipation from long time around from a year. But now problem is increasing.

BAMS
Ayurveda, Bangalore
Hello doctor
Is herbolax tablets and triphala tablets are safe during 1st month pregnancy for constipation. If not ca...
HI, Yes, they are quite safe medications during pregnancy. You can even try Isabgol husk 1 tsf with a glass of hot water at bedtime.
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We have been planning for a baby for last 9 months but no luck. Do we need to go for tests? If yes which tests and who should go first?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
We have been planning for a baby for last 9 months but no luck. Do we need to go for tests? If yes which tests and wh...
We normally advise a couple to wait one year before going for tests, but if you or your wife are anxious or there is any history of irregular periods, previous surgery etc, you can go for tests erlier you.
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What is procedure to avoid irregular periods for womens.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist,
There is no procedure for same. Such woman needs to consult gynaecologist who with history, examination and reports decides what should be done.
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Any possible way to abortion without having visit to doctor something like pills_misoprostol something like that.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi lybrate user, it is absolutely unsafe to abort yourself without help of doctors as their are many complications. many females died because of unsafe abortion. Their is no harm in visiting gynaecologist.
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I had sex with my girlfriend for the first time and she is doing it after an year and now she is feeling pain is that normal pain or we have to see a doctor please help really concerned. Thanks.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
pain where adjectly .is it in the beginning or at end of act. u can use lubrication gel if it in beginning .but it is at the end she need to b examined by gyna
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During menstrual period she has taken Ipill for avoiding pregnancy. After that bleeding stopped for 2 days and then started again. Today is 7th day but still bleeding. Will it stop on its own, or some medicine required. If medicine required pls suggest.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
During menstrual period she has taken Ipill for avoiding pregnancy. After that bleeding stopped for 2 days and then s...
It will stop its own and no need of ipill during menses as contraception because this is not require during menses.
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What is the ri8 time of getting pregnancy after menstrual hygiene. My MC date is 25th march.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
What is the ri8 time of getting pregnancy after menstrual hygiene. My MC date is 25th march.
Hello, if your cycle is 28-30 days then your fertile period starts from day 12-22, and this is the best time to conceive.
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My wife age is 44 years and her date stopped from last two months what should she do in this situation ?

MD, BHMS
Homeopath, Bhilai
As she has come to an age of pre menopause it can be due to that only so please consult me in private so to help u out with and for better medication. Thank you.
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My period starts every month on 20th example 20th january & i did intercourse on 8th february without precautions.So is it safe ? If not then what i will take medicine ?

MSc-Psychology, MHSc-Reproductive and Sexual Medicine, MD - Obstetrtics & Gynaecology, MBBS
Sexologist, Hyderabad
It is 19 or 20 th day of menses. There is a minimal possibility of pregnancy .You can use some thing like i pill at the earliest,before 72 hours--only on the advice of a doctor
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My wife is in the first trimester of pregnancy. She is having cold and cough and our doctor advised not to take talked. So what is the home remedy to be followed?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My wife is in the first trimester of pregnancy. She is having cold and cough and our doctor advised not to take talke...
Most cough and cold is caused by viral infection or it I allergic If fever she can take paracetamol and warm saline gargles and steam inhalation It will stop in 7 days completely
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