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Sethi Medical Centre, Delhi

Sethi Medical Centre

Gynaecologist Clinic

A-26,East of Kailash Delhi
1 Doctor · ₹500
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Sethi Medical Centre Gynaecologist Clinic A-26,East of Kailash Delhi
1 Doctor · ₹500
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Sethi Medical Centre
Sethi Medical Centre is known for housing experienced Gynaecologists. Dr. Tuleeka Sethi, a well-reputed Gynaecologist, practices in Delhi. Visit this medical health centre for Gynaecologists recommended by 70 patients.

Timings

MON-SAT
06:00 PM - 08:00 PM

Location

A-26,East of Kailash
East Of Kailash Delhi, Choose State - 110065
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Doctor in Sethi Medical Centre

Dr. Tuleeka Sethi

MBBS, DGO, DNB Obs & Gynae
Gynaecologist
Get ₹125 cashback on this appointment (No Booking Fee)
90%  (10 ratings)
20 Years experience
500 at clinic
₹300 online
Available today
06:00 PM - 08:00 PM
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Ultrasound In Follicle Monitoring For Ovulation Induction - What To Expect

MBBS, DGO, DNB Obs & Gynae
Gynaecologist, Delhi
Ultrasound In Follicle Monitoring For Ovulation Induction - What To Expect

Irregular ovulation or anovulation (a condition where a woman does not ovulate at all) can be quite agonizing, triggering a host of health problems, including difficulty in conceiving. The irregular ovulation could be an amalgamation of many factors including obesity, thyroid disorders, PCOS, endometriosis, fibroids, uncontrolled intake of caffeinated and alcoholic drinks, to name a few. With the advancement of medical science, the problem is no longer a big deal. In this article, we will discuss the role of ovulation induction and follicular monitoring in dealing with irregular ovulation cycles and the related complications.

In infertile couples one of the common causes of an ovulation is polycystic ovarian disease. One should correct PCOD before starting ovulation induction. Also a semen analysis and documentation of tubal patency must be done prior to the use of ovulation induction medication. Some lifestyle modifications should be followed for the success of ovulation induction like optimisation of weight prior to induction BMI should be 19to 24. Exercise in moderation and stop smoking and alcohol consumption. 

Risks of ovulation induction treatment - 
This can also lead to multiple pregnancy like twins or triplets which carry a higher risk as compared to singleton pregnancy. Therefore one should start with low dose and monitor ovarian response carefully especially in PCOD patients.

What is Ovulation Induction?
Ovulation induction comes as a blessing for women who don't ovulate regularly (there is a deviation from the usual pattern of ovulation that takes place before every menstrual cycle). The procedure aims at regularizing the ovulation process. The medications (often hormones are used in the treatment) play a pivotal role in stimulating the follicular development of the ovaries so that healthy eggs are produced, developed, matured and finally released during ovulation. The procedure also benefits women get their menstrual cycles sans the ovulation (Anovulatory Menstrual Cycles). The problem mainly surfaces due to a drop in the progesterone level (a hormone responsible for the uterine lining thickening).

Steps involved

  1. The ovulation induction is an important process that requires a thorough examination and evaluation of the patient to understand their ovulation process, hormonal balance (or imbalance) and all the factors that could be a possible trigger resulting in the ovulation problem.
  2. In the next step, the physician carries out the stimulation of the ovulation process. For this purpose, selected hormones are given to the affected individual either orally or in the form of injections.
  3. The hormones work towards restoring the balance along with follicular development. This stimulation contributes significantly towards maturing an egg and ensuring its release for ovulation to take place.
  4. Through a series of regular pelvic ultrasounds, doctors are able to carefully monitor the development of the follicles along with how well the lining of the uterus thickens, following the ovulation induction.
  5. For those planning to conceive, ovulation induction, with proper monitoring, goes a long way to ensure at least one healthy egg will be available for the fertilization to take place.

Some women can also opt for Intrauterine Insemination, a pathbreaking procedure whereby, the sperm (collected and stored earlier) is injected into the vagina to facilitate the fertilization process.

Downside of the Ovulation Induction
The ovulation induction requires precision and accuracy and should be performed by experienced professionals who know their skill well.

  1. Even a small mistake in the ovulation induction can trigger many complications including Ovarian Hyperstimulation Syndrome. The condition can swell up the ovaries with abdominal pain, vomiting, breathing problems (shortness of breath), sudden and rapid weight gain. The ovaries also appear tender with some pain.
  2. Ovulation induction increases the risk of gestational diabetes, hypertension, nausea, to name a few.

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

My last period date was 23 July and today early morning I am getting milk from breast. Is that a problem? But I am not pregnant and I also don't have any child.

MBBS, DGO, DNB Obs & Gynae
Gynaecologist, Delhi
Hi lybrate-user getting milk secretion from breast can be due to many reasons like due to certain medicines like antidepressants or due to thyroid disorder or due to breast stimulation or due to certain tumors. Please do urine pregnancy test and do serum prolactin and Tsh levels which is important. Consult a doctor.
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Vaginal Yeast Infections - Signs You Must Be Aware Of!

MBBS, DGO, DNB Obs & Gynae
Gynaecologist, Delhi
Vaginal Yeast Infections - Signs You Must Be Aware Of!

In a healthy individual, there are millions of microorganisms in different parts of the body which are essential for normal functioning of that particular organ. Be it the mouth or the gut or the reproductive tract, there are normally organisms. These form part of the normal flora of that body part. It is when there is an imbalance between the good and bad bacteria, where the bad ones take over, then there is a problem. This results in an infection, which manifests with symptoms and requires treatment.

Vaginal yeast infection is one of the most common such conditions and almost 75% of the women would have had it at least once in their lifetime. It is most commonly caused by the yeast Candida albicans, which is normally present in the vagina. Though it can be sexually transmitted, it is not a usual STD.

Causes: The vagina also contains the bacteria Lactobacillus, which produces acid and is essential for maintaining an acidic environment. This acidic environment ensures there is no overgrowth of the yeast. For various reasons, this balance is lost and there is an overgrowth of yeast leading to vaginal yeast infections. Some of the common causes are listed below.

  • Antibiotic usage, which kills the Lactobacillus count and increases vaginal pH
  • Uncontrolled diabetes
  • Weakened immunity due to various reasons
  • Pregnancy
  • Increased levels of oestrogen due to use of birth control pills or hormone replacement therapy

Symptoms: The symptoms would depend on the severity of the infection.

  • Vaginal itching, burning, and irritation
  • Vulvar swelling, irritation, and redness
  • Burning sensation with urination or intercourse
  • Vaginal rash
  • Vaginal soreness and pain
  • Vaginal discharge that can be thick or thin, white or clear, odor-free or foul-smelling

In cases of recurrent vaginal yeast infections, there could be more than 4 infections per year along with extensive burning and itching and swelling that could even lead to cracks and fissures.

Diagnosis: Though the symptoms can be helpful in diagnosis, sometimes a pelvic exam and swab of the vaginal discharge might be required to confirm the diagnosis. This is especially required in cases of repeated infections. In case you have a concern or query you can always consult an expert & get answers to your questions!

2422 people found this helpful

Gestational Diabetes During Pregnancy - What To Expect

MBBS, DGO, DNB Obs & Gynae
Gynaecologist, Delhi
Gestational Diabetes During Pregnancy - What To Expect

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.

Who’s at risk of gestational diabetes

  1. If your BMI above 30
  2. One of your parents or sibling has diabetes
  3. History of gestational diabetes in previous pregnancy.
  4. Screening for gestational diabetes is very important which is done at 24 weeks by oral glucose tolerance test (giving 75gm glucose) done after 2 hours

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 defects occuring. 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.

Treatment of gestational diabetes

  • Includes proper diet and exercise approx 150 minutes in a week.
  • Medication includes oral hypoglycaemic (metformin) or insulin.
  • Close monitoring of baby by regular scans is very important.
  • Finally ideal time to deliver is around 38-40 weeks.

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.

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

2303 people found this helpful

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