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Our mission is to provide the best possible health care with compassion and care....more
Our mission is to provide the best possible health care with compassion and care.

Timings

MON, THU
10:00 AM - 08:30 PM
TUE-WED, FRI-SAT
09:00 AM - 08:30 PM

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No. 17, DDA Market, Rajdhani Enclave, Pitampura
Pitampura Delhi, Delhi - 110034
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Hi friends,<br/><br/>I am Dr Sheetal Sachdeva I am a practicing gynecologist in Delhi, Pitampura....

Hi friends,

I am Dr Sheetal Sachdeva I am a practicing gynecologist in Delhi, Pitampura.

Today I welcome you all to the journey of pregnancy, I am sure one of the happiest moment in the lady's life is when your urine pregnancy test returns positive. There are so many questions which run through your mind, when should I visit to doctor, what all medicines I should be eat in, what all foods to avoid, what all activities to pursue or not pursue. Today I would like to clarify few doubts of yours, let me start you from the time, let's begin from that time actually when you start thinking about starting a family. Once that thought croses your mind you should start your folic acid, should get some basic investigations done with your doctor, avoid the x-rays, eat write, whenever you fall sick tell your attending doctor that you are thinking about starting a family, so the appropriate medicnes are written or avoided. Once you have urine pregnancy positive in front of you then visit your doctor she will advise you folic acid, Folic acid is a vitamin which is supposed to prevent the birth defects in the coming pregnancy. It's good for your baby, it's good for the development of the brain of the baby, after that a few investigation would be done, the your doctor would be giving you some medication for excessive nausea or vomiting, if required. The ultrasound would be done at the appropriate time, we counted the weeks and we count from the first day of your last menstrual period. We know you are never conceive on that day but to standardized the issues, we count weeks from the first day of your last menstrual period. In the first trimester in the fall of visits your doctor would be helping you out with the weight gain as far as the weight gain is concerned there is an average of 1 kg weight gain in the first 3 months. So you don't have to eat too much, eat what you find is appropriate, is present to you avoid outside food, don't eat raw food there is no specified fruit which should be avoided from our side. Coming to the second trimester, the 4th 5th and 6th month of pregnancy you will start feeling the baby's movement. Usually by the end of the fifth month you are able to do so, it's little earlier in the patients you know who have conceived second or the third time, in the first pregnancy you might take a while realizing that these are the baby movements. Your doctor would be advising you appropriate immunizations that would be against tetanus, T-dap and influenza vaccines, Iron and Calcium supplements would be started again as far as the weight gain is concerned there will be an average of 5 kg of weight gain in the middle three months of pregnancy. So eat what is right for you take lot of protein, avoid fats, take appropriate carbohydrates. In the third trimester, that is the 7th 8th and 9th month pregnancy you will start feeling the movements on the better side, so you have to start counting your movements as well, you are the best judge when the movements are lighter or stronger on that day, in case there is any doubt consult your gynaecologist. On an average it's always better to lie on your left or the right side 1 hour after you take your food as an breakfast, lunch and dinner and then perceive your movements, babies are more active after you had your food. You will be continuing with the Iron, calcium supplements or any other medications if required. There is an again an average weight gain of 5 kgs in the third trimester. Now regarding a few issues which sleeping posture to be avoided or promoted you can lie on whichever side you want left or right, in the first three months you can even lie on your tummy, but after that you won't be comfortable doing that. Second, as far as what are the foods to be avoided or eaten? Whatever is palatable to you, take high, good protein, take well cooked home cooked food, avoid food from outside because of the hygiene issues, which activities to pursue you can do basic yoga, you can do basic walk, its always good for you. Pregnancy is not a disease and you should be as active as possible unless and until your doctor advises against it.

I am sure and hopeful that I have cleared that some of your doubts have been cleared and I will happy to help you, I am doctor Sheetal Sachdeva, I will be available at my clinic in Pitampura, Delhi or you can consult me on Lybrate, Lybrate as well.

All the best for your journey.

read more
Hello everyone,<br/><br/>I am Dr Neetan Sachdeva I am Orthopaedic surgeon.<br/><br/>Let's talk ab...

Hello everyone,

I am Dr Neetan Sachdeva I am Orthopaedic surgeon.

Let's talk about Osteoporosis, Osteoporosis is a very common disease now affecting all of us, many individuals, many ladies, elderly men-females, everybody is getting affected over period of time. About one and two females and 1 and 8 men are affected in India with Osteoporosis. Now you may be having lot of big body ache, pains, if you above 35-40 you may be a male, you may be a female, lot of pain, big aches thakawat jisko bolte hain hum log, may be tired getting up don't feel like working you may be approaching a menopause, such cases we usually trying differentiate between Arthritis and Osteoporosis. If we are going ahead with this investigations with like something like dexa scan which is usually done about 40-45 years of age not before that, in elderly men also it is done and post menopause female also it is done and it comes us to be osteoporosis, then we have treatment for that. So what is basically and Osteoporosis, Osteoporosis is porous bones or soft bones. Now the bones they collapse their own self just by small trivial injuries, just by little weight or just buy some activity you may have damage your bones that happen in osteoporosis. In routine we normally have a very good bone strength around 35 after, 35 gradually the bone strength decreases. So about 40-45 is the age when you start having osteoporosis, that is the time we should be very careful. Now what causes osteoporosis? Lack of exercise, not the right food, lack of calcium, vitamin D, you may be suffering for Rheumatoid Arthritis or any kind of arthritis you may be on steroids, obesity, obviously some comb or bit factors are always there for Osteoporosis. So how would we diagnose Osteoporosis, it is mainly the gold stand test is the DEXA scan that is a bone density, common areas which scanned is the hip, the spine, maybe the wrist and other areas are also spine, but spine is the main area where the Osteoporosis is diagnosed. There are some scores which you find on your report those are known as T-scores, T-scores are the value given by WHO from which we diagnose Osteoporosis, less than 2.5 or above is Osteoporosis. The severity of the Osteoporosis is bones treatment, the treatment maybe just adding supplements, maybe some exercise, eating good food, you may have calcium, vitamin D, if you have severe osteoporosis we might give you some other medication. Yes, alcohol, smoking these all things also adds to Osteoporosis. You need to decrease on those and probably stop them if anyone is having them. Osteoporosis is recently controlled very nicely on drugs and it can be controlled by exercise, you may build up your bone mask with all these supplements, and if you're still not happy with all these you may further go ahead test with Osteoporosis and other than this test Arthritis test can also be done to differentiate between Osteoporosis and Arthritis.

So, if you have any further queries you can contact me on my clinic at Rajdhani Enclave, Pitampura or you can contact through Lybrate.

Thank you very much.

read more

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Doctors in Nest Gynae & Ortho Speciality Clinic

Dr. Sheetal Sachdeva

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist
88%  (79 ratings)
18 Years experience
500 at clinic
₹300 online
Unavailable today

Dr. Neetan Sachdeva

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist
86%  (38 ratings)
22 Years experience
500 at clinic
₹300 online
Unavailable today
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Specialities

Gynaecology

Gynaecology

A branch of medicine reserved especially for treating female conditions of the reproductive system
Orthopaedics

Orthopaedics

Concentrates on efficient treatment of injuries and problems of the musculoskeletal system
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Plot-A, No.15, Moti Nagar Road, Block-14, Moti NagarDelhi Get Directions
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"Prompt" 1 review "Well-reasoned" 3 reviews "Helped me impr..." 2 reviews "Thorough" 2 reviews "knowledgeable" 8 reviews "Very helpful" 10 reviews "Caring" 4 reviews "Inspiring" 1 review

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I have back pain problem. Recently I got a X ray of back, there is no problem found in X ray. What is the reason for pain?

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist, Delhi
I have back pain problem. Recently I got a X ray of back, there is no problem found in X ray. What is the reason for ...
Well just a plain x ray will not tell you the cause of pain. It is done to find a bony cause. Normal X-ray does not mean that you should not have pain. Get evaluated.
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The Journey To Pregnancy

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist, Delhi
Play video

Hi friends,

I am Dr Sheetal Sachdeva I am a practicing gynecologist in Delhi, Pitampura.

Today I welcome you all to the journey of pregnancy, I am sure one of the happiest moment in the lady's life is when your urine pregnancy test returns positive. There are so many questions which run through your mind, when should I visit to doctor, what all medicines I should be eat in, what all foods to avoid, what all activities to pursue or not pursue. Today I would like to clarify few doubts of yours, let me start you from the time, let's begin from that time actually when you start thinking about starting a family. Once that thought croses your mind you should start your folic acid, should get some basic investigations done with your doctor, avoid the x-rays, eat write, whenever you fall sick tell your attending doctor that you are thinking about starting a family, so the appropriate medicnes are written or avoided. Once you have urine pregnancy positive in front of you then visit your doctor she will advise you folic acid, Folic acid is a vitamin which is supposed to prevent the birth defects in the coming pregnancy. It's good for your baby, it's good for the development of the brain of the baby, after that a few investigation would be done, the your doctor would be giving you some medication for excessive nausea or vomiting, if required. The ultrasound would be done at the appropriate time, we counted the weeks and we count from the first day of your last menstrual period. We know you are never conceive on that day but to standardized the issues, we count weeks from the first day of your last menstrual period. In the first trimester in the fall of visits your doctor would be helping you out with the weight gain as far as the weight gain is concerned there is an average of 1 kg weight gain in the first 3 months. So you don't have to eat too much, eat what you find is appropriate, is present to you avoid outside food, don't eat raw food there is no specified fruit which should be avoided from our side. Coming to the second trimester, the 4th 5th and 6th month of pregnancy you will start feeling the baby's movement. Usually by the end of the fifth month you are able to do so, it's little earlier in the patients you know who have conceived second or the third time, in the first pregnancy you might take a while realizing that these are the baby movements. Your doctor would be advising you appropriate immunizations that would be against tetanus, T-dap and influenza vaccines, Iron and Calcium supplements would be started again as far as the weight gain is concerned there will be an average of 5 kg of weight gain in the middle three months of pregnancy. So eat what is right for you take lot of protein, avoid fats, take appropriate carbohydrates. In the third trimester, that is the 7th 8th and 9th month pregnancy you will start feeling the movements on the better side, so you have to start counting your movements as well, you are the best judge when the movements are lighter or stronger on that day, in case there is any doubt consult your gynaecologist. On an average it's always better to lie on your left or the right side 1 hour after you take your food as an breakfast, lunch and dinner and then perceive your movements, babies are more active after you had your food. You will be continuing with the Iron, calcium supplements or any other medications if required. There is an again an average weight gain of 5 kgs in the third trimester. Now regarding a few issues which sleeping posture to be avoided or promoted you can lie on whichever side you want left or right, in the first three months you can even lie on your tummy, but after that you won't be comfortable doing that. Second, as far as what are the foods to be avoided or eaten? Whatever is palatable to you, take high, good protein, take well cooked home cooked food, avoid food from outside because of the hygiene issues, which activities to pursue you can do basic yoga, you can do basic walk, its always good for you. Pregnancy is not a disease and you should be as active as possible unless and until your doctor advises against it.

I am sure and hopeful that I have cleared that some of your doubts have been cleared and I will happy to help you, I am doctor Sheetal Sachdeva, I will be available at my clinic in Pitampura, Delhi or you can consult me on Lybrate, Lybrate as well.

All the best for your journey.

2162 people found this helpful

Osteoporosis: Causes You Need To Know

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist, Delhi
Play video

Hello everyone,

I am Dr Neetan Sachdeva I am Orthopaedic surgeon.

Let's talk about Osteoporosis, Osteoporosis is a very common disease now affecting all of us, many individuals, many ladies, elderly men-females, everybody is getting affected over period of time. About one and two females and 1 and 8 men are affected in India with Osteoporosis. Now you may be having lot of big body ache, pains, if you above 35-40 you may be a male, you may be a female, lot of pain, big aches thakawat jisko bolte hain hum log, may be tired getting up don't feel like working you may be approaching a menopause, such cases we usually trying differentiate between Arthritis and Osteoporosis. If we are going ahead with this investigations with like something like dexa scan which is usually done about 40-45 years of age not before that, in elderly men also it is done and post menopause female also it is done and it comes us to be osteoporosis, then we have treatment for that. So what is basically and Osteoporosis, Osteoporosis is porous bones or soft bones. Now the bones they collapse their own self just by small trivial injuries, just by little weight or just buy some activity you may have damage your bones that happen in osteoporosis. In routine we normally have a very good bone strength around 35 after, 35 gradually the bone strength decreases. So about 40-45 is the age when you start having osteoporosis, that is the time we should be very careful. Now what causes osteoporosis? Lack of exercise, not the right food, lack of calcium, vitamin D, you may be suffering for Rheumatoid Arthritis or any kind of arthritis you may be on steroids, obesity, obviously some comb or bit factors are always there for Osteoporosis. So how would we diagnose Osteoporosis, it is mainly the gold stand test is the DEXA scan that is a bone density, common areas which scanned is the hip, the spine, maybe the wrist and other areas are also spine, but spine is the main area where the Osteoporosis is diagnosed. There are some scores which you find on your report those are known as T-scores, T-scores are the value given by WHO from which we diagnose Osteoporosis, less than 2.5 or above is Osteoporosis. The severity of the Osteoporosis is bones treatment, the treatment maybe just adding supplements, maybe some exercise, eating good food, you may have calcium, vitamin D, if you have severe osteoporosis we might give you some other medication. Yes, alcohol, smoking these all things also adds to Osteoporosis. You need to decrease on those and probably stop them if anyone is having them. Osteoporosis is recently controlled very nicely on drugs and it can be controlled by exercise, you may build up your bone mask with all these supplements, and if you're still not happy with all these you may further go ahead test with Osteoporosis and other than this test Arthritis test can also be done to differentiate between Osteoporosis and Arthritis.

So, if you have any further queries you can contact me on my clinic at Rajdhani Enclave, Pitampura or you can contact through Lybrate.

Thank you very much.

2783 people found this helpful

Carpal Tunnel Syndrome - Most Common Causes

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist, Delhi
Carpal Tunnel Syndrome - Most Common Causes

Carpal tunnel syndrome is a condition that causes numbness or tingling in the hands and arms besides other symptoms. Carpal tunnel is basically a narrow passage on the palm side of the wrist. This condition is caused when a nerve in the carpel tunnel is compressed. Since this median nerve runs up through the hands to the forearm, it affects the arms as well. Not only does it cause nerve pain, but also results in limited functionality of the thumb.

To prevent this syndrome, one needs to understand its causes. We have discussed some of the primary causes below:

  1. Issues with the thyroid hormone: Hypothyroidism, an imbalance or lack of thyroid hormones in the body, can create problems that lead to issues with the overall musculoskeletal system. An over-active pituitary gland can also cause issues that affect mobility and motor skills. This can lead to or exacerbate the carpal tunnel syndrome.
  2. Arthritis: Arthritis causes swelling and inflammation of joints and tendons, which tend to increase the symptoms of carpal tunnel. Eventually, arthritis can also lead to compression of the median nerve and other structures in the wrist, thereby leading to carpal tunnel syndrome.
  3. Pregnancy or menopause: During pregnancy as well as menopause, women experience tingling or numbness in their hands, which is believed to be caused by carpal tunnel. Experts say that when a fluid called oedema builds up in the tissues around the wrists and other parts of the body, it puts a pressure on the median nerve, leading to pain.
  4. Work pressure: Experts believe that behaviours can increase the risk of carpal tunnel. The other instances which cause this syndrome include physical labour, using mechanical tools and repeated stress to the wrist. However, various studies suggest that there isn’t any direct association between using a computer and carpal tunnel syndrome. It may just cause different forms of hand pain.
  5. Imbalance of body fluids: Fluid retention in the body increases the pressure within the carpal tunnel, which irritates the median nerve. This is common during pregnancy and menopause as discussed earlier.
  6. Obesity: One of the significant risk factors for this syndrome is being obese. So be careful about gaining excess weight.
  7. Other conditions: Certain conditions like hormonal imbalance, diabetes and kidney failure may increase the chances of carpal tunnel syndrome. It also occurs in people who usually have narrow carpel tunnels. In some cases, it is inherited and is passed from one generation to the next.
  8. Inflammatory conditions: Illnesses that end up in inflammation, such as rheumatoid arthritis, can affect the lining around the tendons in the wrist and put pressure on the median nerve.
  9. Fractures: A fracture in the wrist can cause narrowing of the carpal tunnel and irritate the nerve.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4683 people found this helpful

I feel like pregnant then I do test light line in test. What means it. My period is late. i forgot the lmp.

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist, Delhi
I feel like pregnant then I do test light line in test. What means it. My period is late. i forgot the lmp.
It means that urine pregnancy test is weakly positive. You should consult a gynaecologist for further management.
1 person found this helpful
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Ovarian Cysts - How Can It Be Treated?

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist, Delhi
Ovarian Cysts - How Can It Be Treated?

During their reproductive years, women can develop ovarian cysts, which can be described as fluid-packed sacs around their ovaries. Cysts are known to form in a woman’s ovaries during their menstrual cycles and also, through the pregnancy phase. In most cases, women with cysts do not require treatment as they dissolve on their own. However, at times, the cysts could enlarge in size and be the cause of discomfort. In rare cases, they could be cancerous too. Mostly, no symptoms are perceived when they occur. At times, the woman could experience irregular menstrual cycles, bowel-related problems, and pain during intercourse. If you notice these symptoms, visit the doctor for a diagnosis.

As a part of the diagnosis of ovarian cysts, blood tests and ultrasounds are conducted. These tests can help assess whether you are pregnant, have hormone-related problems, or if cancer is suspected.

As per the results, the medical experts will be able to structure your treatment plan. Ovarian cysts can be either functional or non-functional. If they are a part of your menstrual cycle, they are termed as functional (follicle or corpus luteum cysts). On the other hand, if the ovaries have the tendency of forming cysts or they are a result of cancer, they are known to be non-functional in nature.

Treatments for Ovarian Cysts:

In a majority of the cases, no treatment is administered for ovarian cysts. The medical professionals may deem it suitable to treat the abnormality only if the cysts cause any discomfort. Some of the treatment methods for ovarian cysts include the following:

  1. Medications: If the cysts are painful, then your doctor may prescribe birth control pills. They may not prove to be effective in dissolving the cysts but can prevent new cysts from developing. At times, hormonal drugs may be advised to control the functioning of the ovaries and the complete reproductive system.
  2. Surgical Procedures: In some cases wherein the ovaries are large in size or the cysts are causing discomforting symptoms or they do no dissolve over a period of time, a surgery is performed as a part of the treatment plan for ovarian cysts. A surgery may be required in women nearing menopause as the cysts may turn cancerous in them. The doctors may remove the cyst or the ovary, depending on the location, size, and the number of cysts.
  3. Laparoscopy: In case of smaller cysts, your doctor may conduct laparoscopy. As a part of this procedure, a small-sized incision is made around your belly and with the help of minute surgical equipment, including a small-sized camera-mounted tool, the cyst is removed. d. Laparotomy: If your cyst is cancerous, then laparotomy may be considered appropriate. In this procedure, the removal of the ovaries is carried out through a large-sized cut in the belly.

Final Thoughts: Most of the cysts that develop in the ovaries of women are benign. Normally, they dissolve within 30 to 90 days. In some cases, they can rupture and as a result, you may experience pain. During a pelvic exam, the presence of the cysts can be ascertained. Also, ultrasounds are performed to learn whether the ovarian cysts are simple or compound. If they are simple, they are considered benign; in cases of compound cysts, a surgery is required as a part of the treatment. For determining the type of treatment for ovarian cysts in women, their age is taken into consideration. Also, the type, size of cysts, and their appearance on the ultrasounds are considered.

Functional cysts are monitored on a frequent basis and only if they rupture and cause bleeding symptoms, then doctors may perform surgery. As an aftermath of the surgery, the tissue is examined by the pathologists under a microscope, following which the professionals are able to determine the type of cyst.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4707 people found this helpful

Pain In Elbow - Know The Causes and How to Manage It

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist, Delhi
Pain In Elbow - Know The Causes and How to Manage It

Throwing a ball, lifting something or even eating requires the use of the elbow joint. This is one of the most overused joints in the body and hence is very susceptible to wear and tear, which mostly causes pain. Pain in the elbow could be the result of an issue with the arm muscles, ligaments, tendons, bones or bursae. The treatment for this pain depends largely on the factors causing it. Some of the most common conditions that cause elbow pain are:

Golfer’s Elbow
This condition is also known as 'Medial Epicondylitis'. It is caused by an overuse of the elbow muscles and affects the elbow’s inner tendons. Resting the elbow, cold packs and the use of over-the-counter pain killers can usually relieve this sort of pain.

Tennis Elbow
This condition is also caused by repetitive actions and affects the elbow’s outer tendons. It is also known as lateral epicondylitis. Resting the elbow can help this type of pain. In addition, patients may also need to wear an elbow strap or brace to support the joint. In some cases, physiotherapy may also be needed.

Student’s Elbow
This is also commonly known as draftsman’s elbow or olecranon bursitis. This condition affects the small fluid sacs or bursae in the elbow. These fluid sacs aid in the movement of the elbow. Leaning on the elbow for a long time, a sharp blow or an infection could be the cause of this condition. It can be treated with medication and elbow pads. In chronic and severe cases, surgery may also be needed.

Fracture or Dislocation
Falling on the elbow can lead to a bone being dislocated or a fracture in the joint. In such cases, the pain will be accompanied by swelling, discoloration and difficulty in moving the elbow. Fractures and dislocated bones need medical attention. Your doctor may advise you to wear a brace or a cast depending on the severity of the issue.

Sprains and Strains
Repeated stress or a trauma can result in a sprained or strained ligament. In such cases, the joint will feel unstable. Pain caused by these ligament conditions can be relieved by resting the elbow, applying a cold pack and wearing a brace to support the elbow. Sometimes, a doctor may also advise physiotherapy.

Panner’s Disease
This condition is caused by dislodged pieces of bone and cartilage that could be the result of an injury. Young men are the most affected by it. Resting the joint and abstaining from lifting any weights can help relieve pain caused by Panner’s disease. In some cases, physical therapy may also be recommended.

Elbow pain can be tricky to treat. Sometimes, it can just go away with rest or with the application of cold packs or rehabilitation exercises. The most important thing is to be patient and get the treatment process started. Make sure to consult with a doctor before treating any kind of elbow pain. Home remedies are best avoided when it's the elbow at stake. In case you have a concern or query you can always consult an expert & get answers to your questions!

4156 people found this helpful

Recurrent Early Pregnancy Loss - How Can It Be Treated?

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist, Delhi
Recurrent Early Pregnancy Loss - How Can It Be Treated?

Recurrent pregnancy loss (RPL) is defined as a condition where the woman suffers three or more pregnancy losses consecutively and the miscarriages occur within 20 weeks from the last menstrual cycle of the women. This condition is fairly common in women. Some of the causes that may be responsible for this condition include genetic factors, uterine disorders, hypothyroidism, diabetes, anatomical or cervical conditions, endocrine-related disorders, auto-immune diseases, chronic endometritis, viral infection, ecological conditions, and antiphospholipid antibody syndrome (APS).

As part of the RPL diagnosis, the medical experts will conduct a transvaginal ultrasonography during the early stages of the pregnancy. If the woman is not pregnant, had had two to three pregnancy losses in the past, and is being evaluated for pregnancy loss, the doctors may deem it suitable to conduct parental chromosome testing (karyogram). Also, blood tests may also be carried out to determine blood sugar levels, thyroid-related problems, ovarian dysfunction, and thrombophilia.

Treatment For RPL-

When treating a woman for RPL, the doctors will need to determine the cause of this condition. In cases of congenital thrombophilia and antiphospholipid syndrome, the doctors could prescribe anticoagulants if the woman has suffered recurrent miscarriages. Several studies conducted in the past have shown that through a course of antibiotics, women suffering from chronic endometritis can enjoy a healthy pregnancy. In cases wherein the woman is found to have a karyotypic disorder, she is advised to undergo genetic counseling. During the sessions, the genetic specialist will have a discussion on the type of genetic disorder and the possibility of future pregnancies.

Some couples may also opt for prenatal genetic studies for analyzing the genetic makeup of the fetus. In this procedure, chorionic virus sampling and amniocentesis may be carried out. In cases of chromosomal conditions, when treatment is not available, the in vitro fertilization (IVF) with preimplantation genetic diagnosis (PGD) procedure may be advised. As a part of this treatment, the woman is given shots over a period of some days for eggs to grow in her ovaries. Then, the eggs are obtained through a minor surgery and a sperm is injected into them to enable the embryos to grow. Thereafter, a single cell of the embryo is subjected to biopsy and the genetic disposition is examined. This helps to prevent the transfer of an afflicted embryo. In cases of uterine abnormality, the doctors may conduct a surgery as a part of the treatment.

In cases of thyroid-related issues or diabetes, medicines for treating the respective conditions are prescribed. However, if the patient has antiphospholipid syndrome, they are given drugs to prevent the development of blood clots.

The condition of women who has a history of recurrent pregnancy loss must be monitored closely. Even if they are given proper treatment, the chances of future pregnancy loss cannot be ruled out completely. After each pregnancy loss, the woman may suffer from psychological trauma and she may harbor doubts about her ability to conceive as well. In such cases, they require counseling for helping them in overcoming their grief. Also, recurrent miscarriages can result in the women suffering from coronary heart disease, cardiovascular problems, and ovarian cancer at a later stage. During their later pregnancies, they run the risk of having preeclampsia as well. Moreover, the mortality rates of such groups of women are high.

Unexplained RPL: In cases of unexplained RPL, there are no treatments available. The afflicted groups are given counseling. By doing so, there is around 50 to 60 percent probability of them delivering in their subsequent pregnancy. However, with each pregnancy loss, the woman’s chances of conceiving diminish. Aspirin is not known to be effective in preventing recurrent miscarriages in women. Also, immunotherapy does not meet the desired results. Currently, the drug NT100 is under scrutiny for improving the chances of conception in women with unexplained recurrent pregnancy losses.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4700 people found this helpful

Relation Between Vitamin D Deficiency And Bone Problems!

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist, Delhi
Relation Between Vitamin D Deficiency And Bone Problems!

When we speak of bone health, calcium is usually the hero of the story. However, by itself, calcium is not enough for healthy bones. Vitamin D is equally important for healthy bones and the prevention of orthopedic conditions.

What does Vitamin D do?
Vitamin D helps the body absorb calcium from the food being eaten. It also controls the calcium and phosphate levels in the body. This is critical for the growth and development of new bones. Vitamin D also controls how much calcium and phosphates are being expelled by the body. In this way, vitamin D helps strengthen the bones and improve overall bone health.

Vitamin D Deficiency
Vitamin D is not commonly found in food. It is present only in certain types of oily fishes, egg yolks and mushrooms. Most of the vitamin D we eat comes from fortified cereals, breads and dairy products. The sun is an important source of vitamin D but exposing yourself to too much sunlight could cause various skin problems. Thus, vitamin D deficiency is very common. When it comes to bone health, vitamin D deficiency can cause low-density bones. This, in turn, can cause rickets and osteoporosis. People with vitamin D deficiency are likely to suffer frequent fractures. Vitamin D deficiency can also cause skeletal deformities such as bow legs and a stooped spine.

Vitamin D and Osteoporosis
Osteoporosis is a musculoskeletal condition that is marked by low bone density. Studies have shown that people with osteoporosis have lower levels of vitamin D as compared to others. Some studies also suggest that fractures are more common in winter as compared to summer. The winter sun is often hazy and many days can go by without strong sunlight. Thus it can be inferred that people do not get their required quota of vitamin D from the sunlight in winters leading to a deficiency and aggravated osteoporosis-related fractures.

Who is most susceptible to bone conditions caused by vitamin D deficiency?
Vitamin D deficiency is a very common condition across the globe. Some surveys have claimed that approximately 30% of the global population suffers from vitamin D deficiency. People with dark skin, women and elderly people are most susceptible to this deficiency. People suffering from kidney diseases may also be affected by vitamin D deficiency. Vitamin D supplements are usually very helpful in combatting this deficiency. These can be taken by young children as well as adults.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Hypertension During Pregnancy - How Can It Be Controlled?

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist, Delhi
Hypertension During Pregnancy - How Can It Be Controlled?

A certain percentage of women are known to suffer from hypertension when they are pregnant. Such women have blood pressure levels above the acceptable range, that is, 140 / 90. Hypertension during pregnancy may result because of the changes that their body experiences during pregnancy or a history of high blood pressure prior to pregnancy. However, if a woman develops high blood pressure after becoming pregnant, then she is said to be suffering from gestational hypertension.

Some of the leading causes of hypertension during pregnancy are hormone-related imbalances, nutritional deficiencies, age-related factors, and obesity. The risk factors of the condition include genetic considerations, cigarette smoking, and previous pregnancies. During pregnancy, if you are experiencing symptoms such abdominal pain, kidney-related issues, nauseous sensation, ringing in the ears, or liver-related troubles, then getting diagnosed for hypertension is advised. This is because if you have hypertension, the development of the fetus could also be affected. Pregnant women may suffer from different types of blood-pressure conditions, including chronic hypertension, gestational hypertension, and chronic hypertension with preeclampsia, or just preeclampsia.

Controlling Hypertension During Pregnancy:

There are different ways of reducing the blood pressure levels during pregnancy. Some of these include the following:

  1. Body Exertion: During pregnancy, remaining active is extremely important. As a consequence, you can improve your cardiovascular health and also, lower your blood pressure levels. Additionally, this ensures the release of the ‘feel-good’ hormones known as endorphins. They help to keep you in a positive state of mind.
  2. Avoid Alcohol and Tobacco Intake: As a result of smoking tobacco or drinking alcohol, there could be an imbalance in the blood pressure levels. Especially pregnant women, especially those with gestational hypertension, are advised to abstain from these vices.
  3. Anti-hypertensive Drugs: In some cases, your doctor may deem it suitable for you to take blood pressure medications when you are pregnant. He or she will do so after studying your physical condition, even though these drugs are not advised for regular consumption during pregnancy.
  4. Never Miss Prenatal Appointments: Be sure to visit your doctor for regular check-ups to ascertain that your blood pressure levels are within the reasonable range. Also, your weight will be checked during your visits to the healthcare provider. Additionally, urine and blood tests will be conducted to ensure that the situation is under control. The medical professionals will check the fetus’s health as well during the visit. Through ultrasounds, they can monitor your baby’s heart rate and the overall development as per the gestational age.
  5. Controlling Hypertension Before Pregnancy: Prior to becoming pregnant, you can take some measures to keep your blood pressure levels within the normal range.
  6. Nutritious Diet: When planning for pregnancy, you must increase your intake of fresh fruits and vegetables to provide sufficient nutrients to your body. Also, the consumption of potassium-rich foods is advised to reduce the strain on blood vessels and subsequently, monitoring of the blood pressure levels.
  7. Postpone Pregnancy: If you are suffering from obesity, consider delaying your pregnancy. You must keep in mind that a lowering body weight to normal levels can help prevent hypertension during pregnancy. Therefore, at first, you should intensify your weight-loss efforts and only then, plan for pregnancy.

Conclusion: In case you develop hypertension during pregnancy, your medical practitioner may consider it suitable to induce labor prior to your due date for your well being, as well as the health of the fetus. Always work in conjunction with your doctor and carefully consider your options before taking any decisions. It is better to maintain a balanced approach so you do not regret your decisions later. In case you have a concern or query you can always consult an expert & get answers to your questions!

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