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M R Hospital And Orthopedic Centre

Gynaecologist Clinic

Block No C/1/3/4, Najafgarh Road, Rama Park, Uttam Nagar,Landmark: Near Dwarka Mall Metro Station, Delhi Delhi
1 Doctor · ₹200
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M R Hospital And Orthopedic Centre Gynaecologist Clinic Block No C/1/3/4, Najafgarh Road, Rama Park, Uttam Nagar,Landmark: Near Dwarka Mall Metro Station, Delhi Delhi
1 Doctor · ₹200
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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 M R Hospital And Orthopedic Centre
M R Hospital And Orthopedic Centre is known for housing experienced Gynaecologists. Dr. Yogita, a well-reputed Gynaecologist, practices in Delhi. Visit this medical health centre for Gynaecologists recommended by 64 patients.

Timings

MON-SAT
12:00 PM - 01:00 PM

Location

Block No C/1/3/4, Najafgarh Road, Rama Park, Uttam Nagar,Landmark: Near Dwarka Mall Metro Station, Delhi
Uttam Nagar Delhi, Delhi
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Dr. Yogita

Gynaecologist
200 at clinic
Unavailable today
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Smoothies - Are They Actually Healthy?

Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery
Dietitian/Nutritionist, Delhi
Smoothies - Are They Actually Healthy?

There are a variety of foods and concoctions that have been developed for our urban realities and to help us become more fit. Smoothies and juices are the latest craze that has been on the fitness scene for a few hours. There are many people who have taken to smoothies in place of a solid meal because this combines a variety of healthy ingredients so that one gets a wholesome meal which can also be had on the run. But there are many schools of thoughts regarding the efficacy and the health benefits of smoothies.

Are they really as healthy as they are said to be? Let us find out with this article!

  1. Protein: There is a good dose of protein in smoothies which comes from the large amount of fruit, vegetables and dairy as well as oats and other such elements that are used to create one. Protein is one of the main elements that come from smoothies and it also helps particularly after a workout or for those who are into sports.
  2. Dietary fibers: Because of the copious amounts of berries and other fruit that is used to create a smoothie, one can gain great amount of dietary fibers also. This helps in clearing out the toxins from the digestive tracts, which can further prevent the generation of kidney stones. Yet, there is something to be said for the ingestion of fresh fruit, which makes for even better levels of dietary fibers. So even if you are having smoothies, you must ensure that you also have plenty of fresh fruit.
  3. Probiotics: Curd based smoothies is one of the best things that one can have because of the number of probiotics that they contain. Curd contains a number of good bacteria which is very good for the digestive system as well as the metabolism. These good bacteria are called probiotics. This helps in stabilizing the metabolism and the digestive process, which can be very helpful especially for people who are suffering from chronic lifestyle diseases.
  4. Sugar: If one used sugar instead of jaggery or honey in the smoothie, then it is no better than having a can of coca cola. For this reason, one will need to replace sugar with other natural sweetness that will bring down the level of kilojoules or kilo calories. This will make the smoothie much more healthy so that one can have plenty of fruit without the sugar intake.
  5. Liquid content: Many people use juice as the liquid content. Yet, this is not always the best option. This contains a lot of sugar, even if it freshly pressed. So, one can substitute the same with water.
  6. Oats and cereal: You can toast oats and others cereal in order to line the parfait or the smoothie. This will also bring in plenty of protein as well as other vitamins. This kind of a smoothie makes for a crunchy taste even as it gives you a full meal which can be taken at least three times a day. But do check for allergies when it comes to oats and grains before you make such a smoothie. If you wish to discuss about any specific problem, you can consult an ayurveda.
1 person found this helpful

Health Benefits Of Kokum

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Health Benefits Of Kokum

#1 keeps your heart healthy

Kokum is rich in dietary fibre and low in calories and contains absolutely no cholesterol and saturated fats. It also contains high levels of vitamin c that acts as a powerful antioxidant. Kokum is loaded with magnesium, potassium and manganese that protects against heart disease and also aids in control of blood pressure.

#2 acts as a digestive aid

Kokum is widely used to combat myriad digestive problems like constipation, acidity and flatulence. It contains hydroxycitric acid (hca) that acts as an appetite suppressant. Its anti-helmintic properties help in removal of worms like ascaris from the stomach.

#3 aids in weight loss

This juicy berry contains hca that acts as a hypocholesterolaemic agent. It suppresses the activity of the enzymes responsible for conversion of calories into fat. It induces weight loss by hindering with the process of lipogenesis (fatty acid synthesis). Read about these 10 diet habits that guarantee weight loss.

#4 boosts your brain activity

Kokum is found to exert positive effects on the brain by helping in the neuronal growth process. It also prevents damage to the brain by nullifying the action of the free radicals. Are you aware of these 10 ways to a smarter, faster brain?

#5 builds your immunity

Kokum enhances your immune function by acting as a powerful anti-oxidant and anti-inflammatory agent. Garcinol, an active constituent present in kokum is found to posses an anti-carcinogenic property that helps in suppressing the production of reactive oxygen species responsible for the cancer.

2 people found this helpful

Tips for Preparing Yourself for Laparoscopic Surgery!

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
Tips for Preparing Yourself for Laparoscopic Surgery!

Being a female is an icon of responsibility in many perspectives. The female figure shares a huge responsibility in the family (husband, kids, other members), society, self, workplace etc. Hence it becomes necessary that a woman must understand what all arrangements she needs to make herself comfortable during days when she is going for laparoscopic surgery and after surgery.

Normally admission in the hospital is done one day before the surgery. During the day of surgery, you can be discharged if your clinical condition is fine. Usually it takes, on an average, 2-3 days of hospital stay. U need to make arrangements at home for 2-3 days when you are absenting from your respective responsibilities.

Before you leave for hospital, for the surgery  

  • Make sure that you have informed your absence at a particular place (e.g. workplace, family etc) for specific time period.
  • If you have got an insurance then you need to complete your paperwork for claiming benefits of surgery from the same.
  • You should stop taking all medicines / diets which has got tendency to thin the blood e.g. vitamins, natural supplements, any analgesics that may contain aspirin (salicylic acid) or any blood thinner medicines. This might increase chances of blood loss during surgery. Usually your surgeon makes notice of all these issues but, if missed by any chance, then you need to inform your surgeon about these.
  • You need to arrange someone who can accompany you on the day of the surgery and can help during your stay at hospital. This person must be someone with whom you are comfortable because he/she may have to help you go to the bathroom, get dressed, etc.
  • Arrangements of meals should be made beforehand, at your home. You can buy or prepare several meals ahead of time since after surgery you will feel weak and will not have the energy to cook.
  • You should do your house cleaning and laundry beforehand.
  • You should select comfortable clothing for your convalescence.
  • You should select underclothing made up of cotton or satin as these textures will be less irritating to the wound and will allow you to slip out of bed more easily.
  • You should prepare the part of the house where you will recuperate after surgery during the first few days. You can arrange clean sheets, pillows, heating pad, analgesics, reading material, remote control, telephone, etc at your selected place so that you can manage things easily.
  • You can buy some good magazines, arrange few movies so that you can keep yourself occupied during your convalescence.

What to pack

Mostly the hospitals provide almost every required consumable. Still you should prepare your hospital bag and should go over its contents with the person who will be accompanying you so that he/she knows what you packed and where you placed the items. Make sure to pack the following:

  • Health insurance and hospital cards
  • Sanitary napkins
  • Mobile charger and earphones
  • Reading material
  • Lip balm
  • Lozenges
  • Absorbent disposable tissue paper
  • Pillow.

Pre-operative appointment with Surgeon

  • You should ask all your doubts regarding the laparoscopic surgical procedure e.g. what will be done in surgery? what all I shall expect after surgery? what kind of anaesthesia I shall be receiving?
  • You should understand the instructions given to you by your surgeon e.g. when to reach hospital? Where to reach in the hospital? When to stop eating? etc.
  • You should ask your surgeon whether he /she will be providing video recording / intra-operative pictures of your laparoscopic surgery.

The day before surgery

  • You should not wear any makeup, hairspray, body lotion or deodorant.
  • You should remove nail polish, jewellery and contact lenses.
  • You should wear loose clothing such a dress without any elastic at the waist.
  • You should wear an undergarment so that no fabric rubs against your navel after the procedure. Also, make sure your panties are loose /comfortable or a size larger than you usually wear as they will be more comfortable if your abdomen is swollen.
  • You should wear shoes that are easy to slip on and off since it is uncomfortable while bending, after the procedure.
  • When you arrive at the hospital, try to relax. Listening to soothing music / watching movie will help.

After the surgery

  • Once you are getting discharged from the hospital you should arrange a transport vehicle which has minimum tendency to give bumps when on road.  In the vehicle, recline the seat and place a pillow against your tummy to absorb the shock of bumps in the road.
  • Once at home you should avoid sleeping in day time. You should can keep yourself occupied with reading magazine / watching movies / listening to music etc. It is advisable to have a sound sleep in the night.
  • Your abdominal muscles are expected to be discomforting for the first few days. You should take medicines as advised.
  • Hold a pillow against your stomach if you sneeze or cough to lessen the pain.
  • Your shoulders might hurt the first few days. You should sit in a reclining position and place a heating pad on your shoulders. When you feel better, walk a little around the house.
  • To get out of bed, roll onto your side and then gradually sit up using your arms for support. After sitting wait for a while and watch for any giddiness. Giddiness is expected for a short while and should vanish in few minutes. Once you are stable then slip your feet out of bed and then stand up. Again, wait for a while and watch for any giddiness. Once you are perfectly fine then you should start walking.
  • Feel nauseous is common due to anesthetic medicines given during surgery or the medicines you might be receiving. To combat nausea, you can try few measures: rub a pad moistened with rubbing alcohol under your nose, lie down, breathe through the mouth, suck on a mint candy, eat dry crackers or drink ginger ale.
  • Diet should be gradually upgraded. You should start with liquids, initially, and slowly moving up to solid food. The anaesthesia and analgesics can cause severe constipation after surgery. High fiber foods are recommended to prevent constipation (e.g pears, prunes, asparagus, carrots, whole-wheat bread etc).
  • You should drink at least 1.5 to 2 litres of water per day. Water intake helps in preventing constipation and helps in eliminating traces of the anaesthesia.
  • After the laparoscopic surgery wearing tampons is avoided. As wearing tampon might obscure the significant bleeding.
  • After the laparoscopic surgery intercourse / sexual activity is not prohibited till the surgeon recommends.
  • You may shower 24 hours after the surgery. Try to avoid contact of water with the stitches as this might delay healing of stitches.
  • After few days of surgery, you can apply vitamin E to the incision if the scar looks normal (and there are no signs of infection). Vitamin E promotes healing.
  • During recovery if you develop a fever, have difficulty urinating or experience heavy bleeding, contact your surgeon immediately or go to the hospital.
  • When you return to work, wear loose clothing and avoid wearing synthetic undergarments, which will irritate your navel.
  • It usually takes about a week to recover from a laparoscopy, a common and minimally invasive procedure. The secret to a speedy recovery is to take the necessary time and means to regain your energy.

What is Laparoscopic Surgery Exactly ?

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
What is Laparoscopic Surgery  Exactly ?

Word ‘Laparoscopy’ is derived from ancient greek language “lapara + skopeo” i.e. “λαπάρα + σκοπέω”.  Lapara means 'flank, side’ and skopeo means ‘to see'.

Hence laparoscopy’s literal meaning is “a procedure / operation performed in the abdomen or pelvis through which the abdominal contents are seen.”

To look inside tummy (abdomen) an instrument is used which is called a ‘laparoscope’. A laparoscope is a thin telescope with an attachment for light. It is used to light up and magnify the structures inside the abdomen. A laparoscope is passed into the abdomen through a small cut (incision) in the skin.

In addition to simply looking inside the abdomen (laparoscopy), surgery can be performed while seeing the abdominal organs with laparoscope. In this combination, the procedure is called as ‘Laparoscopic Surgery’. Generally, 0.5-1 cm incisions are used in laparoscopic surgery. Each incision is called a “port.”  At each port a tubular instrument is inserted known as a trocar. At the beginning of the procedure, the abdomen is inflated with carbon dioxide gas to provide a working and viewing space for the surgeon. The laparoscope has an attachment with a camera and light which transmits images from the abdominal cavity to high-resolution video monitors in the operating room. During the operation, detailed images of the abdominal organs are displayed on the monitor and surgery is performed with using special laparoscopic instruments which are, also, passed into the abdomen through another trocar. This system allows the surgeon to perform the same operations as traditional surgery but with smaller incisions.

Laparoscopic surgery, in other words, is different way of performing surgery in which the surgical steps remain the same as open surgery, but it is performed with special instruments with small abdominal incisions. Now these days laparoscopic surgeries are performed with the use of sophisticated medical grade cameras, telescopes, laparoscopic surgical instruments and refined energy sources.

“Laparoscopic Surgery” is known with various names:

  • Keyhole surgery

  • Minimally Invasive Surgery (MIS)

  • Minimal Access Surgery (MAS)

  • Band-Aid surgery

  • Scar less Surgery

In certain situations, a surgeon may choose to use a special type of port that is large enough to insert a hand. When a hand port is used, the surgical technique is called “hand assisted” laparoscopy. The incision required for the hand port is larger than the other laparoscopic incisions, but is usually smaller than the incision required for traditional surgery.

1 person found this helpful

What All Diseases in Gynaecology Can Be Treated with Laparoscopic Surgery?

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
What All Diseases in Gynaecology Can Be Treated with Laparoscopic Surgery?

With the advent of refined laparoscopic instruments, it is possible to treat numerous operable gynaecological conditions. With laparoscopic access, we can operate even more complicated cases like severe endometriosis' target='_blank'>endometriosis, cancers etc. The common diseases which can be treated with laparoscopic surgery are following :

  • Bleeding from Vagina: An abnormal form of bleeding from vagina is medically defined as “AUB / DUB (Abnormal / Dysfunctional Uterine bleeding)”. The bleeding problem which is not responding to medicinal treatment can be dealt with Laparoscopy. Abnormal / Dysfunctional Uterine bleeding is due to abnormality in endometrium of uterus which usually responds to medicinal treatment. In cases where medicine is not able to control the symptoms, uterus, along with both fallopian tubes +/- ovaries, can be removed laparoscopically. In another treatment modality, the endometrium (inside lining of uterine cavity) can be ablated to reduce the troublesome bleeding. Latter procedure is done hysteroscopically.
  • Fibroid Uterus: Fibroids are commonly found in uterus. Most of the time they are diagnosed on ultrasound' target='_blank'>ultrasound. Fibroids can cause problem in the form of abnormal bleeding (heavy menstrual flow, irregular menstrual bleeding pattern), painful periods (dysmenorrhea), recurrent miscarriage' target='_blank'>miscarriage / abortion' target='_blank'>abortion, infertility' target='_blank'>infertility etc. Uterine fibroids usually need surgical removal and can be removed laparoscopically as well as hysteroscopically. Any size of the fibroid can be removed with laparoscopic approach.
  • Ovarian Cysts: Ovarian cysts are also common finding on ultrasound. Ovarian cysts which persist for longer times, suspicious of cancer' target='_blank'>cancer, symptomatic (e.g pain' target='_blank'>pain abdomen) can be removed laparoscopically.
  • Endometriosis: Endometriosis can present as ovarian endometrioma (Ovarian cyst or chocolate cyst), endometriosis implants' target='_blank'>implants in pelvis, Adhesions in pelvis (involving uterus, fallopian tubes, ovaries, intestinal loops, rectum etc) or as cause of infertility. All these entities can be treated laparoscopically.
  • Uterus Prolapse / Vault Prolapse / Pelvic Organ Prolapse: Uterus prolapse into vagina, vaginal vault prolapsing into vagina after hysterectomy' target='_blank'>hysterectomy can be treated with laparoscopic surgery.
  • Uterine cancer, Uterine cervix cancer: Cancers of uterus, uterine cervix, ovarian cancers after chemotherapy' target='_blank'>chemotherapy can be treated with laparoscopic surgery in which tumorous tissue can be removed with more precision. 
  • Ectopic pregnancy: Extra uterine pregnancy' target='_blank'>pregnancy e.g. pregnancy in fallopian tube (tubal pregnancy), pregnancy in ovaries (ovarian pregnancy), pregnancy in cervix (cervical pregnancy) can be treated with laparoscopic approach, as per the indications.
  • Ovarian Torsion: Due to numerous factors, ovarian tissue twists around its own axis which leads to compromise in its blood supply ultimately leading to infarction of ovarian tissue. Laparoscopically ovaries can be untwisted and fixed to prevent further twisting.
  • Recurrent Miscarriage with incompetent cervix: With the incompetent cervix, there are chances of recurrent miscarriage. Few cases of incompetent cervix need cerclage from abdomen which can be performed through laparoscopic approach.
  • Blocked fallopian tubes: Fallopian tubes might get blocked due to infections, adhesion or pressure from mass. In few cases, there is requirement of tubal reconstruction in cases of tubal sterilization. All these fallopian tube blocks can be opened with laparoscopic surgery and hysteroscopically.
1 person found this helpful

What are the advantages of Laparoscopic Surgery?

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
What are the advantages of Laparoscopic Surgery?

Now these days Laparoscopic surgery is commonly performed. Traditional surgeries / open abdominal surgeries are decreasing in number due to few inherent advantages of laparoscopic surgery over traditional / open abdominal surgeries:

  • Smaller incisions: During open abdominal surgery, the usual length of incisions vary from 3 cm upto 18 cm, depending on the indication of surgery. Incisions given for laparoscopic surgery are small (usually 0.5 cm – 1.5cm).
  • Lesser pain: After surgery, in post-operative period pain is minimal due to small incision size.  
  • Early Recovery: Lesser pain after surgery fastens the recovery process and faster return to everyday living.  
  • Lesser Pain Medication: Reduced pain after surgery amount to lesser medication for pain after surgery.
  • Shorter hospital stays: Because of early ambulation and faster recovery average hospital stay remains 1 to 2 days for laparoscopic surgery (versus 5 to 7 days for open surgery).
  • Lesser wound infection and hernia formation: Smaller incisions decrease the risk of wound infection and chances of hernia formation.
  • Cosmetically acceptable: Smaller incisions result in less scarring and hence cosmetically acceptable scars.
  • Reduced chances of Infections: There is reduced exposure of internal organs to possible external contaminants which reduces the risk of acquiring infections.
  • Reduced hemorrhaging: The amount of blood loss is lesser during laparoscopic surgeries which reduces the chance of needing a blood transfusion.
  • Less metabolic derangements: Medical literature supports the fact that there are lesser metabolic derangements after laparoscopic surgery compared to open abdominal surgery.
  • Better postoperative pulmonary function: Pulmonary functions i.e. capacity to breath in and out is least affected after laparoscopic surgery which help in faster recovery from the procedure.
1 person found this helpful

What is Laparoscopic Surgery Exactly ?

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
What is Laparoscopic Surgery  Exactly ?

Word ‘Laparoscopy’ is derived from ancient greek language “lapara + skopeo” i.e. “λαπάρα + σκοπέω”.  

Lapara means 'flank, side’ and skopeo means ‘to see'. Hence laparoscopy’s literal meaning is “a procedure / operation performed in the abdomen or pelvis through which the abdominal contents are seen.”

To look inside tummy (abdomen) an instrument is used which is called a ‘laparoscope’. A laparoscope is a thin telescope with an attachment for light. It is used to light up and magnify the structures inside the abdomen. A laparoscope is passed into the abdomen through a small cut (incision) in the skin.

In addition to simply looking inside the abdomen (laparoscopy), surgery can be performed while seeing the abdominal organs with laparoscope. In this combination, the procedure is called as ‘Laparoscopic Surgery’. Generally, 0.5-1 cm incisions are used in laparoscopic surgery. Each incision is called a “port.”  At each port a tubular instrument is inserted known as a trocar. At the beginning of the procedure, the abdomen is inflated with carbon dioxide gas to provide a working and viewing space for the surgeon. The laparoscope has an attachment with a camera and light which transmits images from the abdominal cavity to high-resolution video monitors in the operating room. During the operation, detailed images of the abdominal organs are displayed on the monitor and surgery is performed with using special laparoscopic instruments which are, also, passed into the abdomen through another trocar. This system allows the surgeon to perform the same operations as traditional surgery but with smaller incisions.

Laparoscopic surgery, in other words, is different way of performing surgery in which the surgical steps remain the same as open surgery, but it is performed with special instruments with small abdominal incisions. Now these days laparoscopic surgeries are performed with the use of sophisticated medical grade cameras, telescopes, laparoscopic surgical instruments and refined energy sources.

“Laparoscopic Surgery” is known with various names

  • Keyhole surgery
  • Minimally Invasive Surgery (MIS)
  • Minimal Access Surgery (MAS)
  • Band-Aid surgery
  • Scar less Surgery

In certain situations, a surgeon may choose to use a special type of port that is large enough to insert a hand. When a hand port is used, the surgical technique is called “hand assisted” laparoscopy. The incision required for the hand port is larger than the other laparoscopic incisions, but is usually smaller than the incision required for traditional surgery.

What Are The Advantages of Laparoscopic Surgery?

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
What Are The Advantages of Laparoscopic Surgery?

Now these days Laparoscopic surgery is commonly performed. Traditional surgeries / open abdominal surgeries are decreasing in number due to few inherent advantages of laparoscopic surgery over traditional / open abdominal surgeries:

  • Smaller incisions: During open abdominal surgery, the usual length of incisions vary from 3 cm upto 18 cm, depending on the indication of surgery. Incisions given for laparoscopic surgery are small (usually 0.5 cm – 1.5cm).
  • Lesser pain: After surgery, in post-operative period pain is minimal due to small incision size.  
  • Early Recovery: Lesser pain after surgery fastens the recovery process and faster return to everyday living.  
  • Lesser Pain Medication: Reduced pain after surgery amount to lesser medication for pain after surgery.
  • Shorter hospital stays: Because of early ambulation and faster recovery average hospital stay remains 1 to 2 days for laparoscopic surgery (versus 5 to 7 days for open surgery).
  • Lesser wound infection and hernia formation: Smaller incisions decrease the risk of wound infection and chances of hernia formation.
  • Cosmetically acceptable: Smaller incisions result in less scarring and hence cosmetically acceptable scars.
  • Reduced chances of Infections: There is reduced exposure of internal organs to possible external contaminants which reduces the risk of acquiring infections.
  • Reduced hemorrhaging: The amount of blood loss is lesser during laparoscopic surgeries which reduces the chance of needing a blood transfusion.
  • Less metabolic derangements: Medical literature supports the fact that there are lesser metabolic derangements after laparoscopic surgery compared to open abdominal surgery.
  • Better postoperative pulmonary function: Pulmonary functions i.e. capacity to breath in and out is least affected after laparoscopic surgery which help in faster recovery from the procedure.

What All Diseases in Gynaecology Can Be Treated With Laparoscopic Surgery?

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
What All Diseases in Gynaecology Can Be Treated With Laparoscopic Surgery?
  • Bleeding from Vagina: An abnormal form of bleeding from vagina is medically defined as “AUB / DUB (Abnormal / Dysfunctional Uterine bleeding)”. The bleeding problem which is not responding to medicinal treatment can be dealt with Laparoscopy. Abnormal / Dysfunctional Uterine bleeding is due to abnormality in endometrium of uterus which usually responds to medicinal treatment. In cases where medicine is not able to control the symptoms, uterus, along with both fallopian tubes +/- ovaries, can be removed laparoscopically. In another treatment modality, the endometrium (inside lining of uterine cavity) can be ablated to reduce the troublesome bleeding. Latter procedure is done hysteroscopically.
  • Fibroid Uterus: Fibroids are commonly found in uterus. Most of the time they are diagnosed on ultrasound. Fibroids can cause problem in the form of abnormal bleeding (heavy menstrual flow, irregular menstrual bleeding pattern), painful periods (dysmenorrhea), recurrent miscarriage / abortion, infertility etc. Uterine fibroids usually need surgical removal and can be removed laparoscopically as well as hysteroscopically. Any size of the fibroid can be removed with laparoscopic approach.
  • Ovarian Cysts: Ovarian cysts are also common finding on ultrasound. Ovarian cysts which persist for longer times, suspicious of cancer, symptomatic (e.g pain abdomen) can be removed laparoscopically.
  • Endometriosis: Endometriosis can present as ovarian endometrioma (Ovarian cyst or chocolate cyst), endometriosis implants in pelvis, Adhesions in pelvis (involving uterus, fallopian tubes, ovaries, intestinal loops, rectum etc) or as cause of infertility. All these entities can be treated laparoscopically.
  • Uterus Prolapse / Vault Prolapse / Pelvic Organ Prolapse: Uterus prolapse into vagina, vaginal vault prolapsing into vagina after hysterectomy can be treated with laparoscopic surgery.
  • Uterine cancer, Uterine cervix cancer: Cancers of uterus, uterine cervix, ovarian cancers after chemotherapy can be treated with laparoscopic surgery in which tumorous tissue can be removed with more precision. 
  • Ectopic pregnancy: Extra uterine pregnancy e.g. pregnancy in fallopian tube (tubal pregnancy), pregnancy in ovaries (ovarian pregnancy), pregnancy in cervix (cervical pregnancy) can be treated with laparoscopic approach, as per the indications.
  • Ovarian Torsion: Due to numerous factors, ovarian tissue twists around its own axis which leads to compromise in its blood supply ultimately leading to infarction of ovarian tissue. Laparoscopically ovaries can be untwisted and fixed to prevent further twisting.
  • Recurrent Miscarriage with incompetent cervix: With the incompetent cervix, there are chances of recurrent miscarriage. Few cases of incompetent cervix need cerclage from abdomen which can be performed through laparoscopic approach.
  • Blocked fallopian tubes: Fallopian tubes might get blocked due to infections, adhesion or pressure from mass. In few cases, there is requirement of tubal reconstruction in cases of tubal sterilization. All these fallopian tube blocks can be opened with laparoscopic surgery and hysteroscopically.

Improve Your Posture

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Improve Your Posture

A poor posture like sitting or driving in a hunched position for too long can cause strain the neck muscles.

Can we have intercourse during pregnancy after 3 months ,will it be harmful or affect baby? Why Liquid Aristozyme prescribed during pregnancy ,I read that it comes in pineapple flavour welheras pineapple not recommended for pregnancy, need advice.

Obstetrician, Delhi
Can we have intercourse during pregnancy after 3 months ,will it be harmful or affect baby? Why Liquid Aristozyme pre...
Should prohibit and keep away if possible. Aristozyme is for digestion as you know to- be mothers suffer from indigestion and constipation. Pineapple is generally not recommended during the first 3 months Or may be 6 months for organ formation of the foetus. Its is not harmful though it is recommended at end stages of pregnancy to prepare the mother for normal delivery.
2 people found this helpful
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Dear Doc, can you suggest the supplements to be taken after 1st trimester of pregnancy. I ws taking folic acid till 1st trimester. Also Is a multivitamin or b complex safe as I have gotten very week during 1st trimester.

MBBS, DGO, FCPS
Gynaecologist, Pune
Dear Doc, can you suggest the supplements to be taken after 1st trimester of pregnancy. I ws taking folic acid till 1...
If you are eating well, there isn't actually any need for vitamin supplements. All you need throughout pregnancy is Folic acid, Iron, Calcium and Protein supplements, nothing more. Keep urself well hydrated, proper eating, sleeping and bowel bladder habits. All will be well.
1 person found this helpful
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I am 27 years old female. I am getting blood in my urine n my stools. I dun knw whats happening. Could you please help me with it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Sri Ganganagar
I am 27 years old female. I am getting blood in my urine n my stools. I dun knw whats happening. Could you please hel...
You should consult to your physician. You should avoid spicy, fast food, junk food, heavy food. Intake plenty of water, coconut water, papaya.
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Diagnostic Tests Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Diagnostic Tests Females

Diagnostic Tests Females

We provide testing for fertility by all modalities ranging from reproductive hormones to diagnostic ultrasound to ascertain the cause. It is advisable that we make you undergo these tests before your final treatment/ plan of management is started.

  • Blood tests: These include a whole array of blood investigation ranging from CBC , Urine routine microscopy, RBS, TSH, PROLACTIN, VDRL, HIV, HBSAG, HCV, AMH. And any other test depending on the history of the couple.
  • Transvaginal ultrasound: A complete ultrasound of the uterus and adnexa is done to diagnose any anatomical disorder.
  • Specific tests: In cases of recurrent implantation failure and recurrent pregnancy loss or if required other tests are also advised.
  • Diagnostic Laparoscopy and Hysteroscopy: For many, this test is an important part of a fertility evaluation. Laparoscopy takes place under general anaesthesia with small incisions made at or just below the navel and the pubic hairline. A laparoscope (a small-diameter telescope) is passed through the incision, which enables one to view the ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities. We can check that the tubes are open (tubal patency) by injecting dye through the uterus and observing it spill or not through the ends of the fallopian tubes.
  • Hysteroscopy: uses another small-diameter telescope called a hysteroscope. This enables to assess the uterine cavity for abnormalities such as polyps, adhesions or fibroids.
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A Peaceful State Of Mind Is The Key To A Healthier Life

MD - Internal Medicine
General Physician,
A Peaceful State Of Mind Is The Key To A Healthier Life

Find the root of all your suffering in some negativity you are nurturing in your life. Rise above all negativity, drop down all things you are holding onto become free at this moment life is very beautiful nd we are all beautiful children of god.

4 people found this helpful

Is taking a periods delay medicine safe for delaying just for 2-3 days? After the periods she has to go for hymenoplasty. whether there will be any complications or not by taking period delay medicine?

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
Is taking a periods delay medicine safe for delaying just for 2-3 days? After the periods she has to go for hymenopla...
extra hormone /steroids from outside if not needed be never advised ...........why take from outside when u can incite from inside body endocrine glands ....but life style you can compel any one whether correction of hymen or some drink /smoke or .................
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7 Fat Rich Foods That Are Actually Good For You!

MSc. Foods & Nutrition, BSc. Dietitics
Dietitian/Nutritionist, Mumbai
7 Fat Rich Foods That Are Actually Good For You!

It is a very common notion that fat is not good for your body. Most people have started opting for sugar instead of fat, which, in turn, has led to the rise in cases of diabetes. Recent studies have shown that fat is actually healthy for your body. Fat plays an important role in the body such as forming the membranes of the cell and reducing inflammation.

Here are some foods that are rich in fat and are actually good for you:

  1. Avocado: Avocadoes are different from other fruits in the way that they are rich in fats unlike other fruits, which mostly contain carbohydrates. It mostly contains oleic acid, a type of monounsaturated fat that is beneficial for the immune system. They are also rich in fiber that lowers the bad cholesterol levels in the body.
  2. Dark chocolate: As mouthwatering as it can get, dark chocolates never fall out of a foodie’s list of things he can’t do without. Studies have always attributed chocolates with all the ill effects they can possibly bring on you. However, recent researches have come up with quite contrary results, which can make all the prejudiced ones eat the humble pie. Dark chocolates, apart from their exotic varieties, come with incredible health benefits as well. It is rich in fats and antioxidants, known to improve your cardiovascular health. Chocolate is also known to lower blood pressure and improve brain function.
  3. Fish: Fish such as sardines, mackerel and salmon are rich in Omega-3 fatty acids which are very beneficial for your heart. It lowers the risk of heart disease and other cardio vascular diseases.
  4. Nuts: Nuts are rich in healthy mono-saturated fats which reduce the risk of diabetes, obesity and heart diseases. Nuts also contain magnesium and Vitamin E which are good for the body.
  5. Extra virgin olive oil: Extra virgin olive oil is rich in Vitamin K and E along with various antioxidants. These antioxidants help in preventing inflammation and free radical damage to the body.
  6. Chia seeds: Chia seeds are types of seeds which are rich in fats and fiber, thus promoting satiety. They have anti-inflammatory properties and help in lowering blood pressure.
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Sir meri shadi ko 3 month ho gaye hai but abhi tak me apne husband se sex ni kar pai hu wo bahot try karte hai har rat k hamare bich aaj sab ho lekin ni ho pata wo jese sex karne ko try karte hai pata ni kya ho jata hai me unhe dur kar deti hu andar jane hi ni deti dard ka dar ya aur kuch mentally problem pata ni kya hai but mene bahot try kiya but ni ho pata me bahot stress me hu kese karu kya karu k hum ek ho jaye please doctor help me.

MBBS
Sexologist, Panchkula
Sir meri shadi ko 3 month ho gaye hai but abhi tak me apne husband se sex ni kar pai hu wo bahot try karte hai har ra...
Don't worry, sex karne se pehle 15 se 20 minutes foreplay kare. Iss se vagina khul jatti hai. Jab aap ki sex karne ki iccha hone lagge foreplay ke baad, tabhi sex kare. Jor jabardasti na karre jitna penis ander jatta ho, utne mai hi sex kare, aur dhire dhire penis ko vagina ke ander kare. Penis ko jab vagina mai dalne ke samay, aap apni legs aur feet bed se uppar rakhe, bed parr matt rakhe. Aur sex ko easy karne ke liye kisi lubricant cream use karre.
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I have an protected sex this month. But she is vomiting. And her periods date is 29. Does she pregnant. Tell me one thing more that after how many days preganews work. After having sex.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I have an protected sex this month. But she is vomiting. And her periods date is 29. Does she pregnant. Tell me one t...
Preganews and other similar tests are positive as soon as the periods are missed. However it is always better to do a blood test - serum Bhcg to be very sure. It can be done anytime after missing periods.
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