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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.

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Green Park Delhi, Delhi - 110016
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I am Dr Rita Bakshi, the consultant physician in Gynaecologist and IVF specialist at Internationa...

I am Dr Rita Bakshi, the consultant physician in Gynaecologist and IVF specialist at International Fertility Centre. Today, let us talk about Polycystic Ovarian Syndrome (PCOS) which is commonly heard by every single person. Every young girl now has a diagnosis of PCOS.

Now, what is PCOS?

This is a syndrome in which the girls have abnormal cycles. Abnormal cycles mean prolonged cycles, they bleed frequently and also they have symptoms of excessive androgens i.e, an excessive male hormone. So may see these girls have lot of hormones on their chin, neck, on their breast, on their arms. And also they have Acanthosis nigricans that mean they have darkness in their neck and they have small cysts in the ovary. This is just due to the hormonal pattern disturbance in girls and instead of having one egg every month, they have a number of eggs start developing but not even one good egg. So these girls not only have abnormal cycles, hair growth, loss of hair from the head, but also they may have some difficulty in getting pregnant.

Now, if I speak about the long term problems of PCOS is that there are most chances of Diabetes. And not only in them, but the chances of Diabetes in their siblings are also higher. Also, if you go in even longer term then the chances of endometrial cancer is also higher. So it is important to recognize this when it exists and how to treat it. 

Now these girls are taking a lot of stress. So you have to teach them to stay stress-free by doing yoga, change their lifestyle, getting rid of junk food and do some exercises every day. 45 minutes of exercise every single day is going to work a long way to help them normalise the hormonal patterns. Besides that, these girls sometimes put on over contraceptive pills to regularise their cycles. There are some drugs like metformin and myo inositol which have come in a big way, which are changing the pattern. So there are some girls which are in slim PCOS and there are some under obese PCOS. So in obese PCOS, we have alfacalcidol and comunicacion which help these girls to lose weight and also develop the normal hormonal pattern. So we have to treat two patterns differently, a lean PCOS and an obese PCOS. 

The girls should understand that this is not something for which they should be worried about. Yet it is a known entity so they should keep it under control and take help whenever required. It is important when we are trying to become fertile or trying to become pregnant that they can go to a specialist who is dealing with this problem and take some help. Because some help may be required to develop their eggs and help try to conceive.

One should know that their sister or mother or anyone is suffering from the same pattern. It is not something to worry much. My only emphasize is please do not get tensed, just change your lifestyle, do some exercise, take some help from doctors. And that is all you require to get overcome from PCOS.

Thank you.

If you require any help, you can consult me through Lybrate or can directly visit International Fertility Centre.

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Symptoms of Menopause and its adverse effects and preventions<br/><br/>I am Dr Rita Bakshi. Chair...

Symptoms of Menopause and its adverse effects and preventions

I am Dr Rita Bakshi. Chairman of National Infertility Centre, Gynecologist and obstetrician. Today I will talk about menopause.

The word itself means meno and pause means pause of menses. And that means stoppage of menstrual cycle of a woman. Now all of us women are in doubt with a certain quantity of eggs at beginning. At puberty we start our menses you know which is usually around 11-12 years. And this menses continues every month the cycle happens for three to five days every 28 to 35 days for everybody. It could be 28 days for some it could be 35 for the other. It could be 3 days for some and 5 days for other. So this is how the cycle happens every single month day in day out every month till we reach around age of 45 to 52 you know which is the usual age of menopause. That means the menses stop completely. Now the period before the menopause also called the perimenopause When your cycle start going a little long you know and there is a long period of gap with the cycles are about to stop. This is called the period of perimenopause.

Lot of changes one starts expecting at perimenopause. Now it is normal for women at this time to feel fatigued, to feel urinary symptoms. They do have you know pain during sex because of excessive dryness in vagina. You start losing your hair, losing your eyebrows and there are skin changes as the wrinkles and hot flushes. Hot flushes in something which many women have. Suddenly will get up at night. They are drenched in sweat. And even in winters their time to have the AC on. This what is hot flashes which happen? Some people have and some people don't have. You will have heard some of the people would just say that I just went into menopause I didn't even realize. There was not even a single change. While some women have very painful end to menses that means they have a huge heavy periods and they have all these symptoms and they have severe mood changes. One is so irritable one doesn't want to talk. And you are fighting you are frustrated. So all the things have to be taken in your stride. Because menopause is a very natural normal phenomena. And what do you do so, that your hormone estrogen is the one which is the problem. Because there are no eggs anymore so there is no estrogen that is why all these changes are happening.

One way is to have hormone replacement therapy. So if the symptoms are so strong that means hot flashing and this is really so disturbing then one can take hormones that is estrogen Progesterone replacement therapy or the HRT as it is called. Now if a person is on HRT one should keep getting investigated and see you know it doesn't cause cancer.

What are the things that should know in Menopause and after Menopause? In Menopause after Menopause male female nearly become equal. You know you are prone to heart disease Lipid profile changes So it is important when you are going into Menopause to get your lipid profile done to get your ECG done, to get your ultrasound done, to get your Pap smear done and get your mammo graphy done. All these tests should be done so that you know you are normal and there is nothing wrong in all that. Keep a good Lifestyle, must exercise. You know 40 minutes of exercise and especially weight bearing exercises are important. Be stress free, exercise, go out in the sun, enjoy your life, and if required take the help of hormones otherwise lot of tender loving care with lot of people around will just bite you through that period.

Dr. Rita Bakshi I am available either through lybrate or you can contact me at International Fertility Center H-6 Green Park, New Delhi-16. Thank you.

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Here are some causes and treatments of infertility<br/><br/>Hello I am Dr. Rita Bakshi a fertilit...

Here are some causes and treatments of infertility

Hello I am Dr. Rita Bakshi a fertility consultant. To make a baby it required a male and a female . A male sperm and female egg. Its very easy to blame a female for not having a baby but really speaking 50% of the cause lies with the male Or the sperm.

Today I would like to tell you that male that means the sperm produced in the factory called the testis they carry through the tubes and then they come out and ejaculate. Now the problem can be in factory itself that means there are no sperm being made it could be in the tubes that means obstructive where you know tubes are blocked and sperms are being produced but they are not coming out in ejaculate or the problem could be in the structure or the function of the sperm. That means the numbers and the motility its very common you know we have seen patients from Afghanistan, Iraq who are and if you see the number of sperm they have a very few or none it does not appear. Otherwise but single one sperm test done three days of abstinence when the male does not had any ejaculation for three days if he gives us sperm sample its very easy to see the number the motility the fallacy of the sperm weather to see its normally or not now people with obstructive so you know if you there is an obstruction and the sperm production is normal.

Then we either open the tube, the carrying tube or we can take out the sperm directly from testis by putting a needle and then doing an IVF procedure. I really like to give hope to all the males who are carrying this guilt of not having a baby because of the problem with them. But today it is possible, it is very much possible to have a baby of your own by the process of IVF, XE, IMC and carry your own genetic material forward. Of course lifestyle modifications like you know controlling alcohol controlling smoking drugs going for exercise you know keeping the diabetes under control not taking you know. People are taking a lot of strain so they have an ejaculation problem or they have impotence.

So all these causes can be easily dealt with in the process of IVF. it really doesn't matter because of you are able to give sperms or we are able to take out the sperm from testis sperm do. The process of IVF XE and give you your own baby now. That is so important so male do not lose hope their is so much hope in the proved of IVF XE. Keeping a good lifestyle is very important please maybe you don't realise that smoking has a huge territial effect on activity of the sperm. Taking lot if antioxidant is very important so keep a good lifestyle go to the Doctor there is enough health going for the procedure which can give you your own baby so. My motto in life is to have at least one child per couple. 

OCPC is what I really believe in and for that I would like all of you who would like to contact me I am available at Lybrate. I am also available on my consult me online.

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Doctors

Dr. Rita Bakshi

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
88%  (2841 ratings)
34 Years experience
1000 at clinic
₹300 online
Available today
10:00 AM - 06:00 PM

Dr. S.K. Bakshi

MBBS, MD - Internal Medicine
Sexologist
35 Years experience
1000 at clinic
₹300 online
Available today
05:30 PM - 08:30 PM
12:00 PM - 02:00 PM

Dr. Julie Chhawchharia

MS-Obstetrics and Gynaecology, MBBS
Gynaecologist
7 Years experience
1000 at clinic
₹300 online
Available today
09:00 AM - 07:00 PM
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Specialities

Gynaecology

Gynaecology

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

IVF Speciality

Largely aims to help couples conceive through the method of in-vitro fertilization
Sexology

Sexology

An interdisciplinary field, which deals with sex therapy and counselling
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Baby Stress During Pregnancy - Tips To Help You Reduce It!

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Baby Stress During Pregnancy - Tips To Help You Reduce It!

In case you are focused and happy during your pregnancy, you will, in all probability, have a sound and healthy baby. It is normal to be somewhat worried about the complications that are going on in your life and in your body.

However, in case you are not resting and are on edge without stopping for even a minute, in such a case you must approach your maternity specialist or doctor for assistance. Regardless, increased amount of tension may affect your child. That is on account of the anxiety hormone cortisol that can cross the placenta and affect the building squares of your child's growth and advancement.

Here are some tips to reduce the baby stress:

  1. Rest and concentrate on your child: Resting is beneficial for you and your child, so do not feel regretful about it. Invest significant energy to concentrate on your baby. Listen to your body. In case you are feeling tired, go to bed early. Your body is striving to feed your developing baby and you require all the rest you can get.
  2. Discuss it: In case you are stressing over your infant's growth, or an individual matter, you can simply go to your birthing specialist for discussion. Try not to be scared to express how you are genuinely feeling. If you are straightforward, you will probably get the boost you require.
  3. Eat well: Eating healthy is useful for your brain and your body. A sound eating diet of omega-3 unsaturated fats, vitamins and minerals can lift your energy levels. The omega-3 unsaturated fats found in slick fish and fish may decrease the stress. Try to have salmon, fish, mackerel, sardines, pilchards and trout.
  4. Work out: Exercise can improve your health. It is usually recommended to exercise during pregnancy. In case you did not exercise before you were pregnant, now may be a decent time to begin. Make it delicate work out, however. Swimming is perfect, as it keeps you conditioned, without being too hard on your joints.
  5. Plan for birth: You can likewise take free online antenatal classes. In case you are having an arranged cesarean, speak with your birthing assistant or obstetrician about what will occur on the day. Drawing up a cesarean birth plan can help you feel more sure, confident and in control.
  6. Adapting to driving: Driving can be a noteworthy source of stress, and it tires you all the more intensely. Inquire as to whether you can keep away from peak hours, maybe beginning and completing work sooner than .usual. This should not be too difficult since your boss and your company are mostly obligated to grant you with such demands.
2 people found this helpful

Tips On Preconception Health For Men

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Tips On Preconception Health For Men

As couples prepare for pregnancy, it is easy to focus only on the woman's health. However, there are several habits men need to be forming during these critical months of preparation too. Issues of fertility do not rest solely on the female.

'agents that may cause birth defects do not reach the developing fetus through the father as they do from the pregnant mother,' but we do know that male exposure to certain substances can lead to some preliminary problems with fertility and also slightly elevate the risk of certain birth defects.

Male infertility alone accounts for approximately 1/3 of all infertility cases. Should fertility issues arise, you should plan ahead to be in the best physical condition to conceive.

Clean out the medicine cabinet

Eliminate as many medications from your routine as possible. Talk with your physician about your prescription medications. You may need to discontinue use or try something new.

The following medications have been known to impact male fertility:
 

  • Tagamet (cimetidine), sulfasalazine, and nitrofurantoin are used to treat ulcers, gastrointestinal problems, and urinary tract infections. These medications may impact sperm production and sperm count.
  • Steroids, such as prednisone and cortisone, which are used to treat asthma, arthritis and skin conditions, impact male fertility.
  • Chemotherapy and radiation could cause sterility or a significant change in sperm quality and quantity.



Take a good look at your work environment

Your work environment may be a contributing factor to your fertility. Ongoing exposure to certain agents such as pesticides, chemical fertilizers, lead, nickel, mercury, chromium, ethylene glycol ethers, petrochemicals, benzene, perchloroethylene, and radiation can lower sperm quality, quantity and possibly lead to infertility or miscarriage.

Eat and sleep

What you eat can make a difference. Find out what your proper weight range should be and make the necessary dietary and exercise changes to get there. Studies suggest that some men with low sperm count also have a zinc deficiency.

The following foods are high in zinc and could increase your fertility:
 

  • Meat
  • Wholegrain cereals
  • Seafood
  • Eggs
  • Selenium, which is found in brazil nuts
  • Mushrooms



Adding more vitamin e may also help the process along. There are male fertility supplements available containing vitamins, minerals and other ingredients designed to help improve overall reproductive health.

Also, keep in mind getting plenty of rest is good for everything that ails you, even low sperm count and sperm quality.

Avoid alcohol and other substances

Eliminate alcohol, tobacco, marijuana and any illicit drugs. Too much alcohol may reduce zinc levels, and drugs decrease sperm quality. There is some research that may link smoking and certain rare heart defects, but further studies must be done to make an accurate conclusion. Marijuana has been proven to affect sperm quality and sperm count, but there is no evidence that shows that marijuana causes birth defects.

Keep your testicles cool

Heat from hot tubs, saunas, long showers (more than 30 minutes), heating pads, electric blankets, and tight clothing like briefs and spandex could cause your testicles to become too hot, which decreases sperm quantity.

Stay away from cycling

Cycling can cause a lot of friction and jostling, which increases the temperature of your testicles. The rise in temperature and possibility of injury may cause a low sperm count.

 

5 people found this helpful

IVF - How To Know If You Are Ready For It?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
IVF - How To Know If You Are Ready For It?

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.

  1. Maternal age: As a woman reaches 35 and a man reaches 40, the fertility rates 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.

If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4027 people found this helpful

Bone Health - Know How It Is Affected Post Menopause!

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Bone Health - Know How It Is Affected Post Menopause!

Menopause is a condition that marks the end of the menstrual cycle. It is a normal phenomenon that women experience with age. Menopause affects the bone health adversely. Bone health is directly tied to oestrogen, the hormone responsible for reproductive cycles, pain sensitivity. As a woman moves out of her fertile years there is an internal change in the reproductive system and the consequences can be seen and felt all over the body, including the bones.

The years just preceding menopause, with their hormonal fluctuations can set the stage for later health issues like bone weakening. As the oestrogen level drops, the bone density starts to decline which continues for a long period of time. The bone loss can become significant during perimenopause (the decades making up to menopause) and will speed up in the first few years of menopause.

The oestrogen level directly affects the process known as bone remodelling; the constant breakdown and the remodelling of the bone in the skeleton. With less oestrogen in the body cells called osteoclasts are able to absorb bone at a faster rate than osteoblasts (bone-building cells) are able to regenerate new bone. Thus the bone remodelling equation is no longer equal and the bone density continues to decline.

The osteoporosis risk after menopause is a serious one, yet so many women refuse to pay it much attention. Perhaps it’s because the bone damage isn’t visible, or that bone loss continues so gradually for so many years. While the bone loss cannot be completely halted, there is plenty that can be done to slow it down. Here are some ways to take care of your bone health before or after menopause.

  1. Stay active: Adopting an active lifestyle after menopause helps in protecting the bones. It's recommended that adults between 19 to 64 years of age should do moderate to intense activity. This could include activities such as cycling or brisk walking. Sitting for long hours should be avoided. Weight-bearing exercises and resistance exercises are particularly important for improving bone strength and helping to prevent osteoporosis.
  2. A balanced healthy diet: A healthy, balanced diet that includes calcium and vitamin D will help maintain healthy bones after the menopause. Good sources of calcium include green, leafy vegetables (but not spinach), nuts, seeds, dried fruit, tinned fish with the bones in, and dairy products like milk, yoghurt and cheese. Good food sources of vitamin D include oily fish, eggs, and fat spreads or breakfast cereals
  3. Hormone replacement therapy: HRT can be an effective treatment for common menopausal symptoms like night sweats, sleep disturbance and achy joints. It works by replacing oestrogen, which naturally begins to lower post menopause. HRT can also help to maintain bone density and reduce the risk of osteoporosis.

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

4435 people found this helpful

Age 32, Trying to conceive since 6 years, latest AMH 0.78. Doctor says IVF with donors egg? Can it be done with my own egg?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Age 32, Trying to conceive since 6 years, latest AMH 0.78. Doctor says IVF with donors egg? Can it be done with my ow...
Hello K R Jain, the success rate steeply declines if self egg ivf cycle is done with AMH 0.78. however, you can try and go for 1 cycle of IVF-ICSI with your own eggs
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Meri age 25 years h.meri mrg ko 1 years ho gya h but pregnancy ni ho ri. Mrg k pehle month me hi conceive ho gya tha or 10 din bad miscarriage ho gya tha. Maine misoprstol or mifeprisron li thi. Ab mujhe conceive krne k liye kon se din sex krna chahiye or kya krna chahiye .pls help.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Meri age 25 years h.meri mrg ko 1 years ho gya h but pregnancy ni ho ri. Mrg k pehle month me hi conceive ho gya tha ...
Hello lybrate-user, You should have intercourse between 10th to 18th day of period if you have regular 28-30 day cycles.
6 people found this helpful
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M seven week pregnant hu. Bt kuch dino se blood clots ho raha hn. Isse pahlevi m pregnant hui thei that tym maine abortion pills khaya tha. Kya m firse pregnant ho skti hu.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
M seven week pregnant hu. Bt kuch dino se blood clots ho raha hn. Isse pahlevi m pregnant hui thei that tym maine abo...
Hello lybrate-user, First, please get an ultrasound for the present pregnancy first. Then you can get some tests done to detect snd prevent miscarriages in the future.
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I want to know symptoms of pregnancy? I mean to say the symptoms that says she's pregnant? How many symptoms are there?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I want to know symptoms of pregnancy? I mean to say the symptoms that says she's pregnant? How many symptoms are there?
Hello Rohit, There are a lot symptoms. the first sign is missed period. she may experience nausea, breast heaviness, fatique etc.
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29 years old weight 52 height 4.11" I have pcos take treatment for conceive baby from gums I want to know when I conceive can do job? Hole 9 month I have take medicine? And bed rest is must for pregnancy time please help.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
29 years old weight 52 height 4.11" I have pcos take treatment for conceive baby from gums I want to know when I conc...
Hello Savita, Yes, you can do normal work other than lifting heavy weights and excessive straining in the 1sttrimester. there is no need of bedrest unless indicated due to any complication in the pregnancy
1 person found this helpful
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What happens to our body after IUI procedure. How many days will it take for pregnancy confirmation.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
What happens to our body after IUI procedure. How many days will it take for pregnancy confirmation.
Hello, IUI is a procedure wherein your ovaries are stimulated to produce 1-2 eggs and follicular monitoring is done. When your follicle is ready for ovulation, an injection is given for the same and after 1 day, the washed sperm of the spouse is directly injected inside the uterus. Pregnancy can be confirmed after 14 days of the procedure by doing a serum beta hcg test.
8 people found this helpful
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Rashes in Genitals - Can it be a Sign of Vaginal Yeast Infection?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Rashes in Genitals - Can it be a Sign of Vaginal Yeast Infection?

Candidiasis or yeast Infection of the female reproductive organ is a condition caused from the fungus known as ‘Candida’. A vaginal yeast infection is accompanied by severe itching, swelling or irritation in your vaginal region. 

Yeast is present in your vagina in a small proportion as part of the normal vaginal flora, an imbalance of which results in vaginal Yeast Infection. Frequent in its nature, these infections can be quite bothering due to the symptoms that such as persistent burning sensation in your genital area, excess vaginal discharge, painful sex, rashes followed by soreness around your vagina.

What are the causes of Vaginal Yeast Infection?

  1. Antibiotics lowering good bacteria or ‘lactobacillus’ within your vagina
  2. Unchecked and untreated diabetes
  3. Pregnancy
  4. A Fragile immune system
  5. Uncontrolled eating habits, like consuming a lot of sugary food
  6. Stress
  7. Menstrual imbalance
  8. Inadequate or no sleep

How to treat Vaginal Yeast Infection?

Treatment of the infection varies with the severity of the condition. For simple infections

  1. One to three days of anti-fungal medications in the form of cream or ointment, for instance, Terazol, Lotrimin, Gynazle and Monistat.
  2. One dosage of an oral medicine known as Fluconazole

For complicated Infections
There are particular types of Candida that does not respond to the normal treatment and hence requires a more aggressive approach. If you meet any one of the following criteria like uncontrolled diabetes, weak immune system due to HIV positive or medicinal side-effects, you are pregnant, excess build-up of the candida fungus, the infections recur more than four times a year or you are down with severe itching, swelling, redness, tears or sores in your vaginal area, your case is severe and complex.

Possible treatments in this situation can be:

  1. A 14-day tablet course, cream or ointment for vaginal treatment.
  2. 2 to 3 dosages or a long term usage of anti-fungal medication or  Fluconazole (not suggested for pregnant women).
  3. Cure of your sexual partner who may be transmitting it to you (although these are rare) or use of condoms during intercourse. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
3063 people found this helpful

All About PCOS

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Play video

I am Dr Rita Bakshi, the consultant physician in Gynaecologist and IVF specialist at International Fertility Centre. Today, let us talk about Polycystic Ovarian Syndrome (PCOS) which is commonly heard by every single person. Every young girl now has a diagnosis of PCOS.

Now, what is PCOS?

This is a syndrome in which the girls have abnormal cycles. Abnormal cycles mean prolonged cycles, they bleed frequently and also they have symptoms of excessive androgens i.e, an excessive male hormone. So may see these girls have lot of hormones on their chin, neck, on their breast, on their arms. And also they have Acanthosis nigricans that mean they have darkness in their neck and they have small cysts in the ovary. This is just due to the hormonal pattern disturbance in girls and instead of having one egg every month, they have a number of eggs start developing but not even one good egg. So these girls not only have abnormal cycles, hair growth, loss of hair from the head, but also they may have some difficulty in getting pregnant.

Now, if I speak about the long term problems of PCOS is that there are most chances of Diabetes. And not only in them, but the chances of Diabetes in their siblings are also higher. Also, if you go in even longer term then the chances of endometrial cancer is also higher. So it is important to recognize this when it exists and how to treat it. 

Now these girls are taking a lot of stress. So you have to teach them to stay stress-free by doing yoga, change their lifestyle, getting rid of junk food and do some exercises every day. 45 minutes of exercise every single day is going to work a long way to help them normalise the hormonal patterns. Besides that, these girls sometimes put on over contraceptive pills to regularise their cycles. There are some drugs like metformin and myo inositol which have come in a big way, which are changing the pattern. So there are some girls which are in slim PCOS and there are some under obese PCOS. So in obese PCOS, we have alfacalcidol and comunicacion which help these girls to lose weight and also develop the normal hormonal pattern. So we have to treat two patterns differently, a lean PCOS and an obese PCOS. 

The girls should understand that this is not something for which they should be worried about. Yet it is a known entity so they should keep it under control and take help whenever required. It is important when we are trying to become fertile or trying to become pregnant that they can go to a specialist who is dealing with this problem and take some help. Because some help may be required to develop their eggs and help try to conceive.

One should know that their sister or mother or anyone is suffering from the same pattern. It is not something to worry much. My only emphasize is please do not get tensed, just change your lifestyle, do some exercise, take some help from doctors. And that is all you require to get overcome from PCOS.

Thank you.

If you require any help, you can consult me through Lybrate or can directly visit International Fertility Centre.

3769 people found this helpful

Hello doctors I had unprotected sex after that I took unwanted 72 within 23-24 hours. After some days I feel spotting and then bleeding is start. Its 6-7 days earlier then my regular periods but its not heavier like my regular periods and also not spotting. Am I pregnant? Is there any chance of pregnancy?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello doctors I had unprotected sex after that I took unwanted 72 within 23-24 hours. After some days I feel spotting...
Hello, If you had your regular bleeding, thereis nothing to worry. Emergency contraceptives can slightly alter the dates of your periods as it is high dose hormonal pill. So dont worry
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I am pregnant 15 weeks running. Is train journey safe for me and how take easily for my journey best.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am pregnant 15 weeks running. Is train journey safe for me and how take easily for my journey best.
Hello, you can travel by train provided there are no complications in your pregnancy. I suggest you consult your gynaecologist once before travelling.
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Hello sir, I had abortion before 2 weeks. Now I consult going again but she prescribed zitotec 200 tablet for 2 days. What is it? Is there bleeding after taking it?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, the tablets prescribed to you is for for clearing out a minimal amount of remaining products of pregnancy after abortion. you may have bleeding after taking it
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I did sex with my wife on her 8th day of period bt unfortunately the condom leaked is there any chance of getting pregnancy. We do not want child now.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I did sex with my wife on her 8th day of period bt unfortunately the condom leaked is there any chance of getting pre...
yes, there are chances that she may get pregnant. if it is within 72 hours then she can take an ipill. but in future she can start taking contraceptive pills after consulting a gynecologist in which failure rate is much lower
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