Hello, everyone. I am glad that you are watching this video. I am consultant gynecologist at Max Superspeciality Hospital, Shalimar Bagh, Max Hospital in Pitampura and at my own clinic in Pitampura. Today I would like to talk about PCOS or Polycystic Ovarian Syndrome.
It is a very common in female endocrine disorder which is increasing tremendously. The prevalence of it now is 2.2 to 26% which itself is very high. NOw, what is it about? So, this problem is about women's hormones, they get out of balance. Then it makes the problems in periods, difficult for the women to conceive or to get pregnant. If left untreated, it can lead to long term problems such as Diabetes Mellitus, Heart disease, and endocrinal cancer.
What happens in PCOS?
In PCOS, the sex hormones get out of balance. So, the male hormones increase more than a normal range. Now, what do they do?
They stop Ovulation, they cause acne, increase the facial and the body hair.
The second factor it involves is Insulin.THe Insulin resistance is caused because of PCOS. The insulin resistance causes obesity, weight gain and then later it may cause Diabetes Mellitus. The causes of PCOS is clearly not known but they run in the family. The girls which are affected from PCOS, they get it either from the mother's family or the father's family.
So, the symptoms of PCOS are;
- Extra facial and the body hair
- Thinning of hair from the scalp
- Infertility problems
- Irregular periods
Now, coming to the diagnosis,
There are a lot of studies which are done for PCOS. PCOD is defined as any two of these three features, those are;
- The periods that come after more than 45 days or periods which comes less than 8 times in a year.
- Hyperandrogenism, Menstrual problems.
- Ultrasound features suggested of PCOS.
So, the polycystic shows up multiple cysts, that is 10 in number, 2-8 mm in size and bulky ovaries each.
This is how we diagnose. Now coming to the treatment.
There are 3 key treatments for PCOS;
- Regular exercise- Walking is a very good exercise that most people can do. Then depending on your choice, you can swim, dance, play etc.
- Healthy diet- In diet, you should take green leafy vegetables, fruits, whole grains, nuts, beans, milk etc. You should avoid the intake of saturated fats like meat, cheese, fried food items, sugary food. Starchy food such as potatoes, cakes, sweet potato, maida, sooji, besan etc. You have to quit smoking if you are indulged in that too.
- Weight control- In weight control, most women benefit even with 5% of weight loss that would help them regulate their hormones better.
The women's hormones come into balance, the periods come on time, it gets easier for the patient to get pregnant. All these favourable changes take place when the patient follows all these three steps.
Now there are pills that we can give to the patients to help her regulate her own hormones. Now, there are two types of pill;
- One is birth control pills o0r oral contraceptive pills. These pills help to balance sex hormones.
- Metformin pills are the insulin sensitizers. They tackle the INsulin resistance in the PCOS patients.
Now, all these help in balancing the hormones of PCOS patients. If a patient is suffering from depression because of PCOS, then he would advise her to do some exercises that help to elevate the mood or to consult a counsellor or a gynaecologist.
So, if you want to contact me, you can do so through Lybrate or you can come to my clinic directlywhich is in Pitampura.
Thanks for the patient hearing.
High Risk Pregnancy: Causes, Symptoms and Treatment
Hello everyone. I’m Dr. Garima Kaur, consultant gynaecologist and obstetrician working at Arshia Clinic in Pitampura, and at Max Super Specialty Hospital, Shalimar Bagh. I have been practicing for the last thirteen years, but I would like to talk about high risk pregnancy.
Pregnancy is a physiological condition but in case of any abnormalities in the mother or baby’s condition, it is labeled as high risk pregnancy. High risk pregnancy would include maternal conditions like high HP or hypertension in pregnancy, high sugars, or diabetes in pregnancy, low hemoglobin, or anemia pregnancy, heart disease in the mother, blood group like Rh negative, etc. Baby conditions like twins, triplets, IUGR, or intrauterine growth restriction babies or premature babies, etc. High risk pregnancy can cause threat to the life of mother or her baby, so in such situations, we have to have a closer assessment of the patient. Specific diet and lifestyle that has to be followed by the patient is explained to them. They are called for more frequent visits at the clinic to monitor their conditions.
Investigations like ultrasound, blood, urine are done at more frequent intervals, to monitor their condition properly. Any timely intervention that is indicated in their situation is done. Prophylactic steroid injections, if required, to boost baby’s maturity, are given. Overall, all efforts are made to make the baby and mother healthy as close as possible to the normal pregnancy, so that even they can enjoy a healthy and uneventful pleasant pregnancy and delivery. I would like to highlight some home remedies for the modifiable conditions which can cause later in life a high risk pregnancy. The modifiable conditions would include anemia, which can be corrected by simple home measures like taking a balanced diet rich in iron sources like green leafy vegetables, a high protein diet like daals, paneer, milk, sprouts, and soya bean, etc. even obesity can be curtailed in time by regular exercise and a diet low in carbs, fats, etc. this was in short about my profile, and about the problems of high risk pregnancy.
For any update or queries you can contact me at Arshia Clinic Pitampura, or book an appointment at Lybrate. You can also meet me at Max Super Specialty Hospital Shalimar Bagh. Thank you.read more
Doctor in Dr. Garima Kaur,Arshia Clinic
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
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Patient Review Highlights
Dr. Garima Kaur,Arshia Clinic Reviews
It's been so long, I had lost all hope, but then I met Garima Kaur and I am hopeful again that I will be fine. The irregular periods problem was increasing. She is one of the best physicians in city. During the complete irregular periods treatment program she always supported and motivated me. The best thing about Garima Kaur is that she prescribes limited no. of medicines. The Max Hospital Pitampura was equipped with various facilities. Thanks to her I am totally satisfied with the results.
I was suffering from no periods for such a long time.. She is a very practical doctor. I am really grateful as her no periods treatment has give me a ray of hope. I owe her a big thanks for making me fine again. I was in so much pain due to problem of no periods. One of my neighbour's recommended Dr Garima Kaur. I was quite impressed with her concept of holistic healing. They took very nice care of me, i never felt that I am in a Max Hospital in Pitampura.
The Max Hospital Pitampura is well designed.There I consulted Dr Garima as I was sufdering from heavy periods. Her treatment suited me the best and now I am fine. Our family physician personally recommended to consult her. Garima Kaur certainly knows the in and out of her speciality. In the past i consulted so many doctors, but nobody was able to help me with my heavy periods, but she has helped me immensely.
suddenly i started experiencing heavy flow during my periods. I was worried about ther. So I preferred consulting Dr Garima Kaur who is a famous gynaecologist in New Delhi. She is really a good doctor. I had a great experience with her. I definitely would recommend to visit herif anyone is facing the same issue.
I found the answers provided by the Dr. Garima Kaur to be helped me improve my health. Thanks dr.garima Kaur for your pracious suggestions.i was very unhealthy before a week.now I am good and healthy feel.your advice is very helpful for me.very very thanks again.you are superb doctor.
The polycystic ovary synDrome issue in me was increasing day by day.One of my neighbour's recommended Dr Garima Kaur. she certainly knows the in and out of her speciality. All the staff members were very helpful. She ensures that she listens to her patients.
I was so much depressed as I was unable to conceive. I was in search of a well experienced gynaecologist. As one of my neighbour referred Dr Garima, I consulted her. She helped me deal with the situation. Her guidance and advice helped me immensly.
I was having a high risk pregnancy. Just then I seeked help to get an abortion from Dr Garima Kaur at Max Hospital, Shalimar Bagh in New Delhi. She is very friendly and maintains great relations with her patients and is a great listener.
Dr. Garima Kaur provides answers that are caring. she has been quick in response and very sensitive towards the problems of he patient. thank you so much madam
Dr. Garima Kaur provides answers that are very helpful, knowledgeable, well-reasoned, caring and saved my life. She is just amazing I need you more dr .
extremely helpful and understanding.. she is a very knowledgeable and positive doctor. i would recommend her to all the women.
I found the answers provided by the Dr. Garima Kaur to be well-reasoned. Thanku mam. After conceive i will meet you.
Dr. Garima Kaur provides answers that are very helpful. Thank you doctor
Dr. Garima Kaur,Arshia Clinic Feeds
One of the major milestones in a woman’s life is the entry into motherhood. For most women, when this does not happen in the natural logical sequence of things, there is anxiety and lot of pressure from family and friends. However, with advancements now, there are options like intrauterine insemination and in vitro fertilisation (IUI and IVF) available, which can help increase the chance of conception and pregnancy.
IVF is where the egg is retrieved from the woman’s womb, fertilised externally and then transplanted back into the uterus where it grows to full term. However, there are always unanswered questions like how long to wait before going for IVF, is it the right procedure for me, etc.
Read on to find answers to some of these questions:
- Maternal age: As a woman reaches 35 and a man reaches 40, the fertilityrates drop significantly. The chances that a woman at 35 will conceive is about 20%, which goes down to 5% if the woman is 40. However, this rate can be significantly increased by using IVF, moving it up to about 80%. The quality of the egg would gradually deteriorate, and so if a woman is nearing 40, it is better to consider IVF as the ovarian reserve would be optimal with IVF.
- Failed intrauterine insemination: In couples who have problems with the sperm reaching the uterus, intrauterine insemination (IUI) is first attempted. However, if 3 or more attempts of fail, it is time to consider IVF.
- Duration of inability to conceive: While some couples conceive quite promptly in a month or two, most take about 6 to 8 months of unprotected sex to conceive. Therefore, IVF can be an option if you are failing to conceive even after a year. Less than a year, don’t fret. Take it easy and it might just do the trick.
- Medical health: Both the partner’s medical health should be taken into account. Lifestyle changes like smoking, alcohol abuse, drug abuse should be considered, which can account for poor sexual performance and therefore lead to an inability to conceive. Health conditions like diabetes and heart disease can also lead to infertility. Hypothyroidism in women is another thing that must be ruled out, as it often leads to an inability to conceive.
- Sexual problems with the partner: One of the first things to do before going for IVF is to check that the male does not have any issues. Be it erection issues or ejaculation issues or sperm issues, they need to be ruled out. Sperm quality, quantity, and motility have to be analysed, and if they are optimal, IVF can be considered.
Diabetes is a health condition that occurs due to the lack of insulin and when the body fails to regulate the blood sugar levels. It has been observed that it is a medical complication for many women during their pregnancy. It is best to follow some course of action in order to have a healthy pregnancy and avoid any complications. Diabetes is an autoimmune disease and it can be classed in to 2 categories or types.
The type 1 diabetes requires use of insulin on daily basis and its symptoms include weight loss, blurred vision and increased urination. The symptoms of type 2 diabetes include kidney or bladder infection and it is the most common form of diabetes.
Do the babies also develop diabetes?
It is not necessary that babies who are born to diabetic mothers are also diabetic, but if diabetes is not controlled during pregnancy, there are chances that the baby will produce a large quantity of insulin while they are still in the womb. It is quite possible that the sugar levels would be low immediately after birth and a close watch of the newborn is a must till the body adjusts to the amount of insulin it makes.
It has been observed that large babies develop diabetes later in life, mostly type 2 diabetes, and are likely to become obese. It is very important that children are encouraged to develop regular exercise habits and healthy eating habits to reduce the chances of obesity.
Effect of Diabetes on Pregnant Women:
There are chances that if a pregnant woman has diabetes, there are fluctuations in her blood sugar levels, this is because of the hormones that are associated with the pregnancy. It is very important that sugar levels are controlled at the time of conception as there is a greater risk of miscarriage or certain birth defectsoccuring. The pregnant woman is also at a higher risk of blood pressure which can result in premature birth and complications to the mother. The cause for concern for expectant mothers with diabetes is that the baby grows too large, especially if the diabetes is uncontrolled.
Normal Blood Sugar For Pregnant Women:
The healthy blood sugar levels in a pregnant woman for fasting sugar should be less than 95mg/dL and the blood sugar level after one hour of eating should be 140mg/dL. The blood sugar level after 2 hours of eating should be 120mg/dL.
Gestational diabetes that begins during pregnancy has become very common and can lead to defects in the infant. If the blood sugar level is high, then it can lead to complications during labor due to excessive growth of the fetus. It is therefore best to maintain blood sugar levels to avoid risks for the child such as respiratory distress, low glucose levels and jaundice.
The amount of emotional upheaval that periods, or no periods (for that matter) can cause, is something that every woman is aware of. It's normal to miss your period for different reasons occasionally, but develops to be a concern if this absence persists over a period of time. The condition is then termed as a case of secondary amenorrhea. Although most people are quick to consider pregnancy while dealing with the various reasons for missed periods, there are a number of possibilities which are seldom mulled over but should be considered in order to take the effective precautions and seek proper medical care:
Body weight is responsible for affecting the hypothalamus and this may, in turn, upset your menstrual cycle. BMI level under 18-19 may result in triggering irregularities since enough estrogen will not be created. This is also why underweight women, who suffer from bulimia or anorexia, tend to miss their periods frequently.
On the other hand, overweight women may stop ovulating due to the increase in the production of estrogen and therefore, have heavy, infrequent periods. Therefore, it is essential that body weight is regulated to avoid any disappointment at 'the time of the month.'
Any type of physical or emotional stress is bound to affect your cycle. This is because the production of stress hormones in the body increases and an elevated level of adrenaline and cortisol may impair the functioning of the reproductive system. Under stressful situations, the body employs its amino acids to assist the neurotransmitters to produce stress hormones over sex hormones. As a consequence, the chances of missing your periods increase.
3. EXERCISING TOO MUCH
While regular workout is indispensable for battling a sedentary lifestyle, overdoing it might cause your body to produce lesser estrogen and delay your periods. Women, who are into athletics and gymnastics, are more likely to suffer from amenorrhea. In fact, other aspects of over-exercising, like sleeping less, fasting, and infections also contribute to such irregularities.
Prolactin is the hormone that aids in milk production and may also repress ovulation for a while. Many breastfeeding moms may not get their periods for a month or more as a result. But this doesn't do away with your chances of getting pregnant. A span of three months is expected to pass before the abnormalities are done away with.
5. FOOD ALLERGIES
Celiac disease or untreated gluten allergy can directly harm hormone production. They are directly related to your gut health and your adrenal glands which is why they can influence the sex hormone creation.