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Dr Tripti Raheja's Clinic, Delhi

Dr Tripti Raheja's Clinic

Gynaecologist Clinic

C-25A, Ground Floor, Near Kingsway Camp, Vijay Nagar Delhi
1 Doctor · ₹600 · 1 Reviews
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Dr Tripti Raheja's Clinic Gynaecologist Clinic C-25A, Ground Floor, Near Kingsway Camp, Vijay Nagar Delhi
1 Doctor · ₹600 · 1 Reviews
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Dr Tripti Raheja's Clinic
Dr Tripti Raheja's Clinic is known for housing experienced Gynaecologists. Dr. Tripti Raheja, a well-reputed Gynaecologist, practices in Delhi. Visit this medical health centre for Gynaecologists recommended by 107 patients.

Timings

MON-SAT
06:30 PM - 08:30 PM 11:30 AM - 01:30 PM

Location

C-25A, Ground Floor, Near Kingsway Camp, Vijay Nagar
Delhi, Delhi - 110009
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Causes and Treatment for Infertility

Causes and Treatment for Infertility

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Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciali...

Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciality Hospital, Shalimar Bagh, Delhi. Today we are going to discuss a very important topic that is Diabetes during Pregnancy. We call it Gestational Diabetes.

Gestational Diabetes is a very common condition that develops when the body can not produce Insulin to meet extra requirement during pregnancy. So, this leads to high blood glucose level. It affects 15-20% women during pregnancy. Chances of developing diabetes during pregnancy are more if the patient is obese or if there is any past history of Diabetes or if any family member suffers from diabetes. Usually, it develops n the middle or later part of the pregnancy.

So, to diagnose a Gestational Diabetes, we advise a test, which is called glucose tolerance test after 24-28 weeks of pregnancy. So, Gestational Diabetes is an easily treatable condition if it is diagnosed on time, if it is treated properly, if the sugar level is maintained in the body, so it leads to healthy pregnancy which is a healthy baby. But is it is not diagnosed and not treated, it will lead to various complications. Most important of these complications is a large sized baby. So, if the baby is excessively large then you likely to have caesarian section delivery. And if you have a normal delivery, there are more chances of tears or injuries to the birth canal and there are more chances of injury to the baby in the form of nerve injury or fractures. And the new born babies are likely to have fluctuation in the blood sugar level. Even in later stages, these babies are more likely to develop Type 2 diabetes.

So, in order to avoid all these complications, it is advisable to diagnose this problem on time, take proper treatment and keep your sugar level in control. Most important treatment for GEstational Diabetes is maintaining a healthy diet plan and regular exercises. So, if you are diagnosed with Gestational Diabetes, you will be given a diabetic diet plan and advised for regular exercise for 30 minutes daily.

In 80-85% women, these two measures work nicely and blood sugar levels are controlled in a week or 2 weeks. But if the blood sugar levels are still high after 2 weeks of healthy diet and a regular exercise, then you need additional treatment in the form of Insulin.

The growth of the baby is continuously monitored during the pregnancy by repeated ultrasounds and scans. So, Gestational diabetes gets better immediately after the child birth.So, the child birth is planned around 38-40 weeks of pregnancy. It can be done by the mode of the Caesarian section or the normal delivery, depending on the individual circumstances. Immediately after the child birth, you are advised to stop all the medicines which you were taking for Diabetes or Insulin injections. Once you are discharged, it will be checked if you are sugar level has come to normal. THen again you will be advised to get your blood sugar test done after 6 weeks to 45 days after the delivery to check whether they have completely returned to normal. And if they are still abnormal, then you will have to refer a Diabetes specialist.

You should also have glucose tolerance test 6 to 8 weeks after your delivery. It is important to do this test to check if your blood sugar level has come to normal. In some women, the blood sugar level is found abnormal even after child birth and they may require continuous treatment. It is also advised that you should check your blood sugar level every year. And the women who had suffered from Gestational Diabetes, they are advised to check their blood sugar level after every 5 years.

In the end, I want to say that Gestational Diabetes is a very common problem but it can be diagnosed very easily and can be treated. If it is treated properly, it can lead to healthy pregnancy.

If you need further informatio, you can contact me through Lybrate where you can have text consultation and you also fix up an appointment at my clinic.

THank you.

Type diabetes
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Hi, I am Dr Tripti Raheja. I am working as consultant obstetrics and Gynaecology in Max Hospital ...

Hi, I am Dr Tripti Raheja. I am working as consultant obstetrics and Gynaecology in Max Hospital Pitampura.

This video will provide information regarding nausea and vomiting of pregnancy and hyperemesis gravidarum which is a severe form of this condition.

Nausea and vomiting during pregnancy are a very common symptom of pregnancy. Most pregnant women experience it to some degree. Usually it starts very early in pregnancy around 5 to 7 weeks of pregnancy. It settles down by 12 to 14 weeks of pregnancy. In some women it may continue till 20 weeks of pregnancy and occasionally may last until the end of pregnancy. Usually it is most severe in the morning, so, that is why it is called as morning sickness. Though it can happen at any time, day or night. It is more severe if you are carrying more than one baby.

Nausea and vomiting of pregnancy can become so serious sometimes. It can lead to significant weight loss and dehydration. Features of dehydration are feeling very thirsty, feeling drowsy feeling and or change of colour of urine from bright yellow to dark yellow. This condition is called hyperemesis gravidarum. Women with hyperemesis gravidarum may require and should go to hospital. There is no evidence that it can cause any harm to your baby rather if you have vomiting during your pregnancy then there is a less chance of miscarriage. However, in some women who have hyperemesis gravidarum or who have severe vomiting persistently for a long time may have baby there that are lower than expected birth rate.

You can deal with nausea and vomiting of pregnancy by simply doing;

  • Diet changes, proper diet is necessary in order to overcome this problem.
  • You should take small frequent meals at regular interval.
  • You should increase carbohydrate intake your diet and decrease the intake of food. 
  • You should avoid food or smell that can Trigger your symptoms.
  • You can take medicines also with the help of your doctor. These medicines are safe during pregnancy.

In some cases where the vomiting is very severe, persistent leading to dehydration or leading to normality in the blood test patient may require admission to the hospital and treatment by IV Fluids.

If you want to consult me for that you can connect me with Lybrate. You can book an online consultation, you can check, you can do video call or you can fix up an appointment with my clinic person.

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Here are symptoms, effects, and treatments of PCOS.<br/><br/>Hi I am Dr. Tripti Rheja. I am worki...

Here are symptoms, effects, and treatments of PCOS.

Hi I am Dr. Tripti Rheja. I am working as consultant, Gynea and obstetrician, Max Hospital Pitampura. This video will provide you information regarding PCOS or Polycystic Ovarian Syndrome.

Polycystic Ovarian Syndrome is a very common condition that affects up to 10-20 percent of women in India. Polycystic Ovarian Syndrome is a condition that affects your periods, your fertility, your hormone levels and also your appearance. It also affects your long term health. Symptoms of Polycystic Ovarian Syndrome are irregular period or absent period, increase facial hair or body hair there could be loss of body hair from head or there could be acne, oily skin and many come with complain of decreased fertility. They find difficulty in conceiving. It can affect your long term health also and it can cause diabetes in around 10-20 percent of patients later in the life. If diabetes remain untreated then it can lead to damage other internal organs also.

Then in some women it can cause high blood pressure since most of these women are overweight and if hypertension or high blood pressure remains untreated then it can cause heart problems also. Then if you have irregular period and if you bleed less than three times a year then there could be the thickening of the lining of uterus which can later on develop into cancer of uterus in some women. To reduce the risk to long term health you can do certain lifestyle modifications. You should have a healthy diet which should contain lots of fruit, vegetables. You should cut down the intake of salt, sugar, caffeine or alcohol. You should exercise regularly. You should exercise for at least 30 minutes in a day for a minimum of three days a week.

Then in addition to losing weight is going to help you if you have PCOS. If you can lose weight there are several benefits like periods will become more regular. You will find conceiving easier than your appearance will improve, there will be the reduction in acne, reduction in facial hair and then there is a benefit to your long term also. There will be less chance of development of diabetes or high blood pressure or cancer of uterus. In addition to these lifestyle changes there are medicines you can take after consultation with your gynecologist. These medicines can help you reducing the symptoms and consequences of Polycystic Ovarian Syndrome.

If you want to consult me further you can connect me via lybrate. You can do chat or you can do video call or you can book an appointment via lybrate.

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Here are some treatments and symptoms of uterine fibroids<br/>

Here are some treatments and symptoms of uterine fibroids

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Dr. Tripti Raheja

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist
88%  (10 ratings)
22 Years experience
600 at clinic
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06:30 PM - 08:30 PM
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Recovery Tips After Uterus Removal

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Play video

Laparoscopic Surgery for Uterus Removal

Fertility Problems

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Play video

Causes and Treatment for Infertility

2 people found this helpful

More About Birth Control Pills - Complications With The Pill

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
More About Birth Control Pills - Complications With The Pill

Taking birth control pills is one of the easiest and effective remedies of controlling birth. Oral contraceptive pills are taken by about 12 million women of US per year for preventing unwanted pregnancy. Such pills are simply, a kind of hormonal contraception. In accordance to the ARHP (Association of Reproductive Health Professionals), approximately one in hundred women experience an unintentional pregnancy within the first year of using birth control pills. The ARHP also stated that the rate of pregnancy elevates if women miss a pill and the raised rate becomes around 30 to 80 times.

Besides contraceptive purpose, birth control pills are also utilized for non-contraceptive medical purposes for issues like- irregular periods, painful periods or dysmenorrhea, heavy periods or menorrhagia, acne, hair loss or alopecia, minimizing risks of ovarian and breast cysts, etc. Though these pills sound to be quite helpful yet they too have certain side effects or complications. Here is an account on birth control pills- complications with the pill:

Side-effects of Birth Control Pills
While taking a birth control pill for the first time, some people may experience mild nausea. In that case, if the pill is taken along with food or at night before going to bed, then it might help in lowering the chances of nausea. If anyone suffers from this particular side- effect, then it is advisable to consult a physician or seek medical assistance as soon as possible.

Headache
The next common complication of taking birth control pills on a regular basis is a headache and migraine. Various pills are available with different dose of hormone. So, the symptoms of a headache also vary. Experts and studies previously stated that if a woman takes pills of low doses of the hormone, then the chances of a headache also decreases. Again, in this case, if you are experiencing headache for a prolonged time- period, then it is better to seek medical guidance.

Changes in the Breast
While talking about birth control pills-complications with the pill, one fact that needs mention is breast tenderness. Such pills may result in enlargement of the breast. This complication usually improves just after few weeks after you start taking the pills. But, if you get to see a lump in your breast or experience extreme pain in the breast along with persistent enlargement, then taking a physician's assistance will be a wise decision. Another way of reducing breast tenderness is by decreasing the intake of salt and caffeine as well as wearing supportive bras.

Fluid Retention
No such clinical study has ever found any link between taking birth control pills and weight gain. But, still, many reports keep coming from people taking such pills that they experience fluid retention mainly in the hip and breast areas.

Also, it has to be noted that many women undergo emotional changes or suffer from depression while consuming birth control pills. If you tend to face such sort of mood swings, then contacting a physician may help you better. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4684 people found this helpful

7 Effective Tips For First Time Parents!

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
7 Effective Tips For First Time Parents!

Taking care of a newborn is indeed difficult; you need to be alert all the time. In the first few months, the baby needs more care than anything else. You have to sacrifice your sleep over your child to just make sure that the cotton ball like an infant is all right. Though the first few weeks and the months seem chaotic for the first-time parents, the happiness and the joy of being a parent overrides the pain.

As a first-time parent, you need to understand a few things which are crucial for you as well as your baby and here are seven tips for the first-time parents.

#1. Your Health Is Baby’s Wealth
As your baby will feed on you for the first few months, you need to hone your health first. Maybe this tip seems little off track. However, the fact that if you don’t eat properly or you have nutrients deficit in your body you can’t provide the required nutrition to the little one justifies the point. Keep your blood sugar under control, maintain a proper diet with a maximum quantity of vitamins, proteins and minimum amount of salt in it.

#2. Consult Your Doctor And Prepare For Breastfeeding
The primary way to deliver the nutrients and food to your baby is breastfeeding. The doctor recommends breastfeeding till the baby is six months old and in those six months, you shouldn’t use artificial baby food. Consult with your gynecologist and child specialist when you should start breastfeeding and how many times a day you can feed your baby. Doctors will also guide you in producing the maximum amount of milk for your baby.

#3. Wiping It Out
No, you don’t need to buy the costly wipes when your baby in just feeding on your milk. Rather it is better to wipe the little creature with damp cotton or soft cloth. It is more suitable for the newborn as the chances of having rashes are quite low.

#4. Sterilize It All
Yes, you need to keep the germs and the bacteria away from your child, and the best way to do that is to clean all the products that you use on your baby. It might be just a spoon or the feeding bottle or the items with which your child plays.

#5. Diaper For Long Sleep
Choose the diaper wisely for the baby. For long sleep like in the night, you need to use the maxi diapers so that neither your child nor you have to wake up in between your sleep and change it.

#6. Don’t Panic
Babies need to cry, don’t panic every time! This is the way they connect and communicate so stop bothering yourself thinking what you are doing wrong.

#7. Love and Care
The last but the most important tip is that you need to care for your baby which you would obviously do. But don’t become an overprotective parent, let the child grow according to the nature rules. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4667 people found this helpful

Gestational Diabetes

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Play video

Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciality Hospital, Shalimar Bagh, Delhi. Today we are going to discuss a very important topic that is Diabetes during Pregnancy. We call it Gestational Diabetes.

Gestational Diabetes is a very common condition that develops when the body can not produce Insulin to meet extra requirement during pregnancy. So, this leads to high blood glucose level. It affects 15-20% women during pregnancy. Chances of developing diabetes during pregnancy are more if the patient is obese or if there is any past history of Diabetes or if any family member suffers from diabetes. Usually, it develops n the middle or later part of the pregnancy.

So, to diagnose a Gestational Diabetes, we advise a test, which is called glucose tolerance test after 24-28 weeks of pregnancy. So, Gestational Diabetes is an easily treatable condition if it is diagnosed on time, if it is treated properly, if the sugar level is maintained in the body, so it leads to healthy pregnancy which is a healthy baby. But is it is not diagnosed and not treated, it will lead to various complications. Most important of these complications is a large sized baby. So, if the baby is excessively large then you likely to have caesarian section delivery. And if you have a normal delivery, there are more chances of tears or injuries to the birth canal and there are more chances of injury to the baby in the form of nerve injury or fractures. And the new born babies are likely to have fluctuation in the blood sugar level. Even in later stages, these babies are more likely to develop Type 2 diabetes.

So, in order to avoid all these complications, it is advisable to diagnose this problem on time, take proper treatment and keep your sugar level in control. Most important treatment for GEstational Diabetes is maintaining a healthy diet plan and regular exercises. So, if you are diagnosed with Gestational Diabetes, you will be given a diabetic diet plan and advised for regular exercise for 30 minutes daily.

In 80-85% women, these two measures work nicely and blood sugar levels are controlled in a week or 2 weeks. But if the blood sugar levels are still high after 2 weeks of healthy diet and a regular exercise, then you need additional treatment in the form of Insulin.

The growth of the baby is continuously monitored during the pregnancy by repeated ultrasounds and scans. So, Gestational diabetes gets better immediately after the child birth.So, the child birth is planned around 38-40 weeks of pregnancy. It can be done by the mode of the Caesarian section or the normal delivery, depending on the individual circumstances. Immediately after the child birth, you are advised to stop all the medicines which you were taking for Diabetes or Insulin injections. Once you are discharged, it will be checked if you are sugar level has come to normal. THen again you will be advised to get your blood sugar test done after 6 weeks to 45 days after the delivery to check whether they have completely returned to normal. And if they are still abnormal, then you will have to refer a Diabetes specialist.

You should also have glucose tolerance test 6 to 8 weeks after your delivery. It is important to do this test to check if your blood sugar level has come to normal. In some women, the blood sugar level is found abnormal even after child birth and they may require continuous treatment. It is also advised that you should check your blood sugar level every year. And the women who had suffered from Gestational Diabetes, they are advised to check their blood sugar level after every 5 years.

In the end, I want to say that Gestational Diabetes is a very common problem but it can be diagnosed very easily and can be treated. If it is treated properly, it can lead to healthy pregnancy.

If you need further informatio, you can contact me through Lybrate where you can have text consultation and you also fix up an appointment at my clinic.

THank you.

Type diabetes
3 people found this helpful

Pelvic Pain - 8 Possible Reasons Behind It!

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Pelvic Pain - 8 Possible Reasons Behind It!

Pelvic pain frequently leads to a lot of pain in the pelvis of females as well as males. Pelvic pain can be witnessed in men, as well, and can come from different causes. Pelvic pain might be a manifestation of infection or may emerge from pain in the pelvic bone or other organs, for example, the bladder or colon. In ladies, in any case, pelvic pain can in all likelihood be an indication that there might be an issue with one of the regenerative organs in the pelvic range (uterus, ovaries, fallopian tubes, cervix, or vagina).

To determine what is causing pelvic pain, your doctor will first ask you several questions about your symptoms and past medical problems. He or she will also perform a physical exam and may offer you tests to determine what is causing your pain. Other tests that may be given include:

  1. Blood and urine tests
  2. Pregnancy tests in females of reproductive age
  3. Vaginal or penile cultures to check for sexually transmitted diseases such as gonorrhea and/or chlamydia
  4. Abdominal and pelvic X-rays
  5. Bone density screening (special type of X-ray to determine the strength of bone)
  6. Diagnostic laparoscopy (procedure allowing a direct look at the structures in the pelvis and abdomen)
  7. Hysteroscopy (procedure to examine the uterus)
  8. Stool test (checking a stool sample for microscopic blood)
  9. Lower endoscopy (insertion of a lighted tube to examine the inside of the rectum and part or all of the colon)
  10. Ultrasound (test that uses sound waves to provide images of internal organs)
  11. CT scan of the abdomen and pelvis (scan that uses X-rays and computers to produce an image of a cross-section of the body)

Few possible reasons for pelvic pain in both men and women may include:

  1. An infected appendix is an irritation of the informative supplement, a three and a half inch long container of tissue that reaches out from the digestive organ.
  2. A few people blame a little bladder for regular breaks, however, your body's ordinary "limit" is once in a while the genuine reason for such an issue. In healthy individuals, that limit ranges from one to two mugs.
  3. Sexual conditions, or STDs, incorporate chlamydia, gonorrhea, syphilis, and trichomoniasis. Vaginal or reformatory release and pain or torment during urination can also demonstrate an STD.
  4. Kidney disease or kidney stones
  5. Intestinal pain
  6. Nerve conditions
  7. A hernia occurs when an organ or greasy tissue crushes through a frail spot in a surrounding muscle or connective tissue called the belt.
  8. Broken pelvis could occur due to a prior injury.
  9. Psychogenic pain is a pain issue connected with mental variables. A few sorts of mental or passionate issues can bring about, increment or drag out the pain.

The possible reasons for pelvic pain in only women just may include:

  1. Ectopic pregnancyIn case that the prepared egg embeds in your fallopian tube or elsewhere in your stomach area, you wind up with what is called an ectopic pregnancy.
  2. Unsuccessful labor: An unsuccessful labor is the departure of an embryo before the twentieth week of pregnancy.
  3. Pelvic inflammatory disease: Pelvic inflammatory disease, generally called PID, is a disease of the female regenerative organs.
  4. Ovulation: The primary stage begins with the main day of your period. Your body discharges hormones that make the eggs inside your ovaries develop. If your ovulation cycle is interrupted due to any means, it can cause pelvic pain as well. It can generally, also cause pelvic pain.
  5. Fibroids: Uterine fibroids are non-cancerous lumps that develop on the uterus. Symptoms may include substantial periods, cramping, excruciating sex and an urge to urinate frequently.
  6. Endometriosis: Endometriosis is the growth of uterine-coating tissue outside the uterus. Side effects may include stomach pain, painful periods, and infertility.
  7. Uterine cancerCancerous growth inside the uterus
  8. Cervical cancer: Cervical cancer is for the most part brought on by the human papillomavirus, or HPV. A HPV vaccine may decrease the danger of cervical cancer. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4635 people found this helpful

Guide To Post Delivery Workout

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Guide To Post Delivery Workout

Exercise after pregnancy can make a woman feel at her best. It can help her to lose extra pounds specifically when it is combined with reduced intake of calories. It will also boost her level of energy and relieve stress along with strengthening and toning abdominal muscles. Exercising regularly will also set a positive example for your baby so that he or she can imbibe the same and include it in their regime from an early childhood.

Workout and Breast-feeding: Are they related?

Exercise is not deemed to have any negative effects on either breast milk composition or volume. It also doesn’t affect the growth and development of a nursing baby. Though some researchers report that high-intensity weight loss training may cause accumulation of lactic acid in the breast milk causing a sour taste, but such instances are very rare and don’t happen with regular free hand to moderate exercise.

If you are willing to indulge in vigorous exercise during the first few months of feeding your baby, you can feed him or her before exercising or pumping the milk before workout and feed it afterwards. Alternatively, you can take a shower after the workout and express a few drops of milk before feeding your baby.

When is the right time to start a workout?

If you had experienced an uncomplicated normal delivery, it is particularly safe to start exercising after a few days of giving birth or as soon as your body feels ready. If you had a complicated birth, or a C-section or an extensive vaginal repair, you should seek advice from a gynaecologist about the ideal time to start a workout program.

Activities that you may start with:

Every pregnancy and delivery are different, so check with your doctor before engaging in any workout program after giving birth. If you experience any heavy bleeding, excessive soreness, headaches, or other unusual symptoms during or right after exercising, stop immediately and call your doctor for advice. Here are some moves that will help you get your body ready for regular exercise.

  1. Walking: It may not sound like much of a workout, but walking is one of the simplest ways to ease into a fitness routine after giving birth.
  2. Deep Belly Breathing With Abdominal Contraction: This exercise is so easy you can do it an hour after giving birth. It helps relax muscles, and it starts the process of strengthening and toning your abs and belly.
  3. Head Lifts, Shoulder Lifts, and Curl-Ups: These three movements help strengthen back muscles. They also tone the tummy and abs and burn calories.
  4. Kegels: This classic exercise will help you tone bladder muscles and help reduce risks of incontinence associated with childbirth. The more kegels you do, and the longer you hold them, the better control you will have over those leaks caused by sneezing, laughing, or picking up your baby. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4709 people found this helpful

Causes, Symptoms And Diagnosis Of Uterine Prolapse

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Causes, Symptoms And Diagnosis Of Uterine Prolapse

The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A incomplete prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Causes of Prolapse: The risks of this condition are many and have been enumerated as follows:

  1. Complicated delivery during pregnancy
  2. Weak pelvic muscle
  3. Loss of tissue after menopause and loss of common estrogen
  4. Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
  5. Being overweight
  6. Obesity causing extra strain on the muscles
  7. Real surgery in the pelvic zone
  8. Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

  1. Feeling of sitting on a ball
  2. Abnormal vaginal bleeding
  3. Increase in discharge
  4. Problems while performing sexual intercourse
  5. Seeing the uterus coming out of the vagina
  6. A pulling or full feeling in the pelvis
  7. Constipation
  8. Bladder infections

Nonsurgical medications include:

  1. Losing weight and getting in shape to take stress off of pelvic structures
  2. Maintaining a distance from truly difficult work
  3. Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
  4. Taking estrogen treatment especially during menopause
  5. Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
  6. Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

  1. The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
  2. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
  3. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves.

Treatment

If you have mild uterine prolapse, either without symptoms or with symptoms that don't bother you, you probably don't need treatment. However, your pelvic floor may continue to lose tone, making uterine prolapse more severe as time goes on. Check with your doctor to monitor the extent of your prolapse and review your symptoms.

For advanced cases of uterine prolapse, treatment options include:

  1. Vaginal pessary. This device fits inside your vagina and holds your uterus in place. Used as temporary or permanent treatment, vaginal pessaries come in many shapes and sizes. Your doctor measures and fits you for the proper device. You'll learn how to insert, remove and clean the pessary. A pessary also can irritate vaginal tissues, possibly to the point of causing sores (ulcers) on vaginal tissues, and it may interfere with sexual intercourse.
  2. Surgery. To repair damaged or weakened pelvic floor tissues, your surgeon may perform the procedure through your vagina, although sometimes an abdominal surgery is needed. Surgical repair of your prolapse may involve grafting your own tissue, donor tissue or some synthetic material onto weakened pelvic floor structures to support your pelvic organs. Your surgeon may recommend a hysterectomy, which removes your uterus. In some cases, minimally invasive (laparoscopic) surgery is a possibility. This procedure involves smaller abdominal incisions, special surgical instruments and a lighted camera-type device (laparoscope) to guide the surgeon. Which surgery and surgical approach the doctor recommends depends on your individual needs and circumstances. Each procedure has pros and cons that you'll need to discuss with your surgeon.

If you plan future pregnancies, you might not be a good candidate for surgery to repair uterine prolapse. Pregnancy and delivery of a baby put strain on the supportive tissues of the uterus and can undo the benefits of surgical repair. Also, for women with major medical problems, the causes of surgery might outweigh the benefits. In these instances, pessary use may be your best treatment choice for bothersome symptoms. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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Blood Clots During Pregnancy - Symptoms, Treatment and Prevention

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Blood Clots During Pregnancy - Symptoms, Treatment and Prevention

A blood clot (also called a thrombosis) is a mass or clump of blood that forms when blood changes from a liquid to a solid. 

The body normally makes blood clots to stop the bleeding after a scrape or cut. But sometimes blood clots can partly or completely block the flow of blood in a blood vessel, like a vein or artery. This can cause damage to body organs and even death. 

Most women with blood clotting conditions have healthy pregnancies. But these conditions may cause problems for some pregnant women. In severe cases, they can cause death for both mom and baby. But testing and treatment can help save both you and your baby.

If you’re pregnant or trying to get pregnant and have had problems with blood clots in the past, tell your health care provider at a preconception checkup (before pregnancy) or at your first prenatal care checkup. Also tell your provider if someone in your family (your parent or a brother or sister) has had problems with blood clots. This means the condition may run in your family.  

What problems can blood clots cause during pregnancy?
If you have a blood clot or a kind of thrombophilia called antiphospholipid syndrome (also called APS), you may be more likely to have complications that can affect your health and your baby’s health, including:    

  1. Blood clots in the placenta. The placenta grows in your uterus (womb) and supplies the baby with food and oxygen through the umbilical cord. A blood clot in the placenta can stop blood flow to your baby and harm your baby. 
  2. Heart attack. This usually happens when a blood clot blocks blood and oxygen flow to the heart. Without blood and oxygen, the heart can’t pump blood well, and the affected heart muscle can die. A heart attack can lead to lasting heart damage or death. 
  3. Intauterine growth restriction (also called IUGR). This is when your baby grows poorly in the womb. 
  4. Miscarriage. A miscarriage is when a baby dies in the womb before 20 weeks of pregnancy.
  5. Placental insufficiency. This is when the placenta doesn’t work as well as it should so your baby gets less food and oxygen.
  6. Preeclampsia. Preeclampsia is a condition that can happen after the 20th week of pregnancy or right after pregnancy. It’s when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly. Some of these signs include having protein in the urine, changes in vision, and severe headache.  
  7. Premature birth. This is when your baby is born before 37 weeks of pregnancy. 
  8. Pulmonary embolism (also called PE). An embolism is a blood clot that moves from where it formed to another place in the body. When the clot moves to a lung, it’s a PE. PE can cause low oxygen levels in your blood and damage your body organs. It’s an emergency and a leading cause of death during pregnancy. Signs and symptoms of PE may include:
    • Trouble breathing
    • Fast or irregular heartbeat
    • Chest pain
    • Fainting
    • Feeling anxious
    • Coughing up blood
  9. Stillbirth. This is when a baby dies in the womb after 20 weeks of pregnancy.
  10. Stroke. This happens when a blood clot blocks a blood vessel that brings blood to the brain, or when a blood vessel in the brain bursts open. Pregnancy and childbirth cause strokes in about 8 in 100,000 women. Stroke can cause lasting damage to the body or death.
  11. Thrombosis. This happens when a blood clot forms in a blood vessel and blocks blood flow. It most often happens in the deep veins of the legs but can be in other places of the body: 

How are these conditions treated?
Your provider may use tests like ultrasound or magnetic resonance imaging (also called MRI) to find out if you have a blot clot or clotting conditions. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb. MRI is a medical test that makes a detailed picture of the inside of your body. These tests are painless and safe for you and your baby.

If you are pregnant and have a clotting condition, you may need to go for prenatal care checkups more often than women who don’t have these blood clot conditions. At these visits, your provider checks your blood pressure and can use other tests, like blood tests, to monitor your health. 

Your gynaecologist also checks your baby’s health in the womb using tests like:

  1. Ultrasound to check your baby’s growth and development. She may use a special kind of ultrasound called Doppler to check your baby’s blood flow in the umbilical artery, a blood vessel in the umbilical cord. The umbilical cord connects your baby to the placenta. It carries food and oxygen from the placenta to the baby. 
  2. Fetal heart rate monitoring (also called a nonstress test or NST). This test checks your baby’s heart rate in the womb and sees how the heart rate changes when your baby moves. Your provider uses this test to make sure your baby’s getting enough oxygen. 

A blood clot occurs when your body sends cells, called platelets, to interrupt the stream of blood. Typically, this happens when you have a cut, to keep the damage from draining consistently. During pregnancy, your blood will probably cluster as a defense mechanism against losing an excess amount of blood during the process.

Signs and Symptoms

Women have a tendency to be more sensitive and risk-prone of potential difficulties while they are pregnant. Despite the fact that blood clots are far-fetched, there are a couple of signs that can demonstrate the possibility of a blood clot. These include:

  • Swelling or pain in one leg
  • Pain that increases when you walk
  • Veins that look bigger or more swollen than usual

Different components that can additionally raise your odds of growing profound vein related blood clots in pregnancy include:

  • Being thirty-five or older while pregnant
  • Pre-pregnancy blood clots outside of pregnancy
  • Being overweight
  • Smoking
  • Having a cesarean conveyance (C-section).

However, there are certain solutions to every problem. In order to get rid of blood clots during pregnancy or prevent them from happening, these are the possible solutions:

  1. Continue moving: In case that you are overweight and inactive, it will affect your blood-stream and increase your risk for profound vein clots in pregnancy. So, remain active and keep up a healthy weight. If you must be on bed rest because of a damage or inconvenience in your pregnancy, your specialist may endorse blood thinners as a careful step.
  2. Get up during travel: Flying alone is a risk for clots; so pregnant women need to be very careful about that. In case that you need to fly, get up and move around consistently and do a lower leg exercise while you sit. Do a similar thing in case you go for a long journey or have to travel fast.
  3. Wear pressure tights: Since they enhance the flow and lessen swelling in the legs, pressure tights can bring down your danger of profound clots in pregnancy.
  4. Drink loads of water: Remaining hydrated during pregnancy forestalls clots by keeping the blood from getting too thick.

The reason pregnant women need to be aware of the connection amongst pregnancy and clot risks is that an untreated clot can possibly break free and go through the circulatory system. The fear is that it will move to the heart or lungs and cause a pneumonic embolism, which can lead to death. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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Infertility - Understanding the Reasons Behind it!

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Infertility - Understanding the Reasons Behind it!

Female infertility is not really a rare condition, it happens to one out of six couples. Infertility is a condition in which a woman is unable to conceive despite efforts. There can be a number of causes for female infertility, including problems with ovulation, uterus, fallopian tubes or ovaries. Age can also be a contributing factor to infertility. Following are the reasons that might be responsible for female infertility

  1. Ovulatory problems
    • Cysts in the ovaries
    • Hormonal imbalance
    • Excessive alcohol or drug usage
    • Eating disorders like bulimia or anorexia
    • Excessive weight
    • Enormous stress and pressure
    • Thyroid gland issues
    • Very brief menstrual cycles
  2. Damage of organs of reproductive system
  3. Pelvic inflammatory disease
  4. Scar tissues or adhesions of some sort
  5. Presence of polyps in the uterus
  6. A previous serious infection in the fallopian tubes or uterus
  7. Chronic medical illness relating to the reproductive system
  8. A previous ectopic pregnancy
  9. A birth defect in the uterus or fallopian tube
  10. The DES syndrome where in the infertility can occur to the offspring due to the medication DES is given to a mother in order to prevent miscarriage or premature of the child.
  11. Abnormal presence of cervical mucus can make it more difficult for sperms to reach the egg.

Treatment
Now that the part about the causes has been discussed, it is essential to discuss the treatment. Are there really ways to reverse infertility in women to make them fertile? Well, in some chronic cases it is not possible; however, some are treatable by the following methods:

  • In the case of hormone imbalance or endometriosis or short menstrual cycles, hormones are taken to treat the problems.
  • Medications can be taken to stimulate ovulations.
  • Fertility enhancing supplements can be used.
  • In case of infection in any of the reproductive parts, antibiotics can be taken to remove them
  • In order to remove blockage or scar tissues from the uterus, fallopian tube or pelvic area, minor surgeries can be performed.

Prevention
Yes, there are some tips for prevention of infertility

  • Taking all the steps required to avoid sexually transmitted diseases.
  • Avoid intake of illicit drugs
  • Having regular checkups with the gynaecologist
  • Maintaining a healthy lifestyle
  • Exercising regularly
  • Having a healthy sexual relationship

This article is a short walkthrough on female infertility and answers most of the commonly asked questions. In case you have further questions, you can always consult a medical practitioner near you.
 

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