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Sarthak Medical Centre

Gynaecologist Clinic

P-11, N.D.-17, Landmark: Near Malviya Nagar Post Office New Delhi
1 Doctor · ₹600 · 1 Reviews
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Sarthak Medical Centre Gynaecologist Clinic P-11, N.D.-17, Landmark: Near Malviya Nagar Post Office New Delhi
1 Doctor · ₹600 · 1 Reviews
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About

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care. I want all my patients to be informed and knowledgeable a......more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care. I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to wholesome living and prophylaxis. My team is carefully selected to provide customized health care with compassion and conscientiousness.
More about Sarthak Medical Centre
Sarthak Medical Centre is known for housing experienced Gynaecologists. Dr. Nimmi Rastogi, a well-reputed Gynaecologist, practices in New Delhi. Visit this medical health centre for Gynaecologists recommended by 49 patients.

Timings

MON-SAT
11:00 AM - 08:00 PM

Location

P-11, N.D.-17, Landmark: Near Malviya Nagar Post Office
Malviya Nagar New Delhi, Delhi - 110017
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Videos (2)

About polycystic ovary syndrome (pcos)<br/>
About Polycystic Ovary Syndrome (PCOS)
About the importance of preconception counseling<br/>
About The Importance Of Preconception...

Doctor

Dr. Nimmi Rastogi

MBBS, DGO, Advanced Infertility
Gynaecologist
Available today
90%  (33 ratings)
22 Years experience
600 at clinic
₹300 online
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Reviews

Jul 25, 2016

Very good mam in clearing my doubts...

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Normal Delivery Vs C-Section - Which One Should You Prefer?

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Normal Delivery Vs C-Section - Which One Should You Prefer?

Normal delivery or vaginal delivery is when childbirth takes place without the use of any vacuum extraction or forceps. It is basically when a woman goes into labour without the use of any other external drugs which induce labour. C-Section or rather caesarean section is basically when a baby is delivered surgically via an incision in the mother’s abdomen. This is usually performed when a normal delivery can put the child’s or the mother’s health at risk. It is also performed when you are expecting twins or rather multiples.

Why Normal Delivery is preferred over C-Section Delivery?

  1. One of the major benefits of having a normal delivery over a C-Section is that the former leads to a shorter hospital stay as there is no major surgery involved. If there is no surgery involved then obviously the risks associated with it, such as, permanent scarring, severe bleeding, septic infection, are completely eliminated.
  2. Reaction to anaesthesia is another thing that one must consider and it is the most crucial difference between a normal and a C-Section delivery. As C-Section is basically a surgery, the mother is administered an anaesthetic to numb the pain. Sometimes, even spinal anaesthesia is used and the side effects of it include: back pain, prolonged numbness or weakness, shortness of breath and in extreme cases, even maternal morbidity (death during pregnancy).
  3. After C-Section delivery, there can be a severe loss of blood leading to hysterectomy (permanent removal of the uterus).
  4. The best reason to avoid a non-planned C-Section is because, once a C-Section has been done then there is a potential risk of having all your future deliveries done via C-Section.
  5. A research has shown that women who deliver via C-Section are less likely to start early breastfeeding as the recovery time from a surgery is pretty high. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
2547 people found this helpful

Causes of Urine Incontinence

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Causes of Urine Incontinence

Urine incontinence is a condition that can be caused by one's everyday habits, side effects to medication, or any other long-term physical ailments. A thorough check-up by your doctor can help in getting to the root cause of this condition.

Certain beverages, medicines and foods can act as diuretics. This leads to bloating in your bladder and an increase in the volume of your urine. They include the following:

  1. Liquor
  2. Caffeine
  3. Decaffeinated tea or coffee
  4. Aerated drinks
  5. Artificial sweeteners
  6. Corn syrup
  7. Drinks that contain high doses of artificial flavours, sugar or acid, particularly citrus based beverages
  8. Heart medicines, narcotics, and muscle relaxants
  9. Extensive intake of vitamins B or C
  10. Urinary tract infection (UIT)
  11. Constipation

Other causes:

Urinary incontinence can also be caused by the following:

  1. Pregnancy: Hormonal changes and increasedweight of the uterus can cause stress incontinence (Learn more about healthy pregnancy).
  2. Childbirth: Delivery can weaken the muscles required for bladder control. It damages the bladder nerves and steady tissue. With prolapse, the uterus, bladder, or the intestine can be pushed down from their usual position and might even protrude into the vagina.
  3. Changes developed with age: Maturing of the bladder muscle can weaken the bladder's ability to store urine.
  4. Menopause: After menopause,women deliver less estrogen. Disintegration of these tissues can cause incontinence.
  5. Hysterectomy: In women, the same muscles and tendons support the bladder and uterus. Any surgery that removes the uterus may harm the supporting muscles, which can prompt incontinence.
  6. Expanded prostate: Particularly in older men, incontinence usually occurs from growth of the prostate organ, a condition known as considerate prostatic hyperplasia.
  7. Prostate cancer: In men, stress incontinence or urge incontinence can be connected with an untreated prostate disease. Incontinence is a reaction to medicines prescribed for prostate growth.
  8. Obstruction: A tumour in your urinary tract can disrupt the typical stream of urine, prompting flood incontinence. Urinary stones at times cause leakage of urine.
  9. Neurological disorders: Various sclerosis, Parkinson's illness, stroke, a mind tumour or a spinal damage can meddle with the nerve signals. These are important in keeping control of the bladder.

Your specialist may suggest the following:

  1. Bladder control: You may begin by attempting to hold off for 10 minutes each time you feel a desire to urinate. The objective is to extend the time between visits to the toilet until you start urinating in two to three hour intervals.
  2. Two-fold voiding: Twofold voiding implies urinating, then holding it for a couple of minutes and attempting once more. This exercise can help in leveraging better control in the long run.
  3. Fixed toilet time: You may attempt to urinate every two to four hours instead of sitting tight when the need arises.
  4. Liquid intake and diet: You may need to stay away from liquor, caffeine or acidic foods. Also, the fluid intake may have to be reduced in such cases.
2597 people found this helpful

Dr. I'm 6 weeks pregnant. I took mifepristone on 16th July. Nd today I took misoprostol. After 10 min of taking misoprostol, I vomited. So Wat does dis mean? Nd I want to know will misoprostol work even if I had vomited? Wat should I do next?

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Dr. I'm 6 weeks pregnant. I took mifepristone on 16th July. Nd today I took misoprostol. After 10 min of taking misop...
The chances are you may have failure with the medical method of abortion if the drug was not absorbed in your system. However if you have already started to bleed wait for a couple of days for the full response. Vomiting and loose motions reduce the efficacy of these med for obvious reasons. Het sonography done after a week to see if the abortion is complete. Better see a gynec. These things are too precarious to manage by yourself. It may backfire.
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Treatment of Vaginal Vault Prolapse

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Treatment of Vaginal Vault Prolapse

Vaginal Vault Prolapse is the condition where the upper portion of vagina may lose its normal shape and drop or sag down into the vaginal canal or maybe even outside the vagina. This may occur after a hysterectomy or even simultaneously with uterine prolapse.

The treatment of Vaginal Vault Prolapse varies with the severity and extremity of your symptoms. Your healthcare provider may suggest medications and physical therapy to treat your condition, if you feel that the prolapse is not bothersome. However, you might have to undergo surgery later if your symptoms worsen and the prolapse affects your quality of life and hinders functional ability.  You must keep in mind that usually more than one area is affected by weakness in your pelvic floor. 

The symptoms of Vaginal Vault Prolapse include, backache, pelvic heaviness, bulging mass into or sometimes outside your vagina that hinders normal activities such as walking and sitting, vaginal bleeding and releasing urine involuntarily. 

Treatments:

  1. Medication: Most of the women with this condition usually go through menopause around the same time. Since the estrogen levels are severely lowered during menopause, it causes vaginal dryness. Discussing about estrogen therapy with your healthcare provider is a must if you wish to remedy your vaginal dryness. Not every woman should take estrogen so it is imperative to talk to a medical expert first. Usually women are treated with estrogens before they go into surgery.
  2. Physical therapy: Most healthcare experts recommend pelvic floor exercises as physical therapy using biofeedback so as to strengthen the specific muscles of your pelvic floor. Biofeedback is the usage of monitoring devices that contain sensors and are placed either in your rectum, vagina or on your skin. Biofeedback is very important because it tells you the strength of each muscle you are squeezing i.e. contractions, and if you are squeezing the right muscles in order to perform the exercise correctly. Long term usage of biofeedback in physical therapy leads to strengthening of your muscles and a reduction in your symptoms. 
  3. Surgery: Corrective surgery may be performed on you by the surgeon either through the abdomen or vagina. If the surgeon is performing the corrective surgery through the vagina, he will use the ligaments, which support the uterus to solve the problem.

Related Tip: "5 Unconventional Questions About Vaginal Health"

4748 people found this helpful

Hi, please advise me which is the best birth control pill for daily use.{ for 15 days) .

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Hi, please advise me which is the best birth control pill for daily use.{ for 15 days) .
There is no contraceptive pill thats prescribed for 15 days. Normally cyclic hormonal contraceptive pills are taken for 3-4 weeks followed by withdrawal periods after which one can start next cycle.
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I have sex last 28 may and I use condom but in the end condom was damage please tel me can she pregnant.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
I have  sex last 28 may and I use condom but in the end condom was damage please tel me can she pregnant.
You wait till your next cycle. If you don't get your periods by the end of this month please conduct a home pregnancy test on first urine sample of the day. Other wise if you are anxious you can go for serum beta hcg test as early as 26-26th june. This is a blood test done in labs. The report if more than 25-50 units indicate positive results. Lower than 5 units rules out pregnancy for sure.
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I am 38 and my girlfriend is 37 years old we had unprotected sex first time on 7th day of her periods she was clear no bleeding , but immediately within one hr she had I pill (contraceptive pill) , after 15 days she had bleeding which was for one day and slight abdominal pain now she is fine but is it had I pill didn't work and she will get pregnant? Please help.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
I am 38 and my girlfriend is 37 years old we had unprotected sex first time on 7th day of her periods she was clear n...
Most unlikely. Wait for normal pds. She should have them albeit a little late. Else perform home preg test on first urine sample of the day if she has missed her cycle by more than 7-10 days.
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I am 20 year old female now I am pregnant my period date may 28 now i dont want baby how to achieve abortion safely at home.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
I am 20 year old female now I am pregnant my period date may 28
now i dont want baby how to achieve abortion safely a...
Unsupervised home abortions with over the counter medication are risky and may have serious repercussions. In your case safe medical abortion is a possibility given the small duration of pregnancy. Go see a doctor asap. Follow up also is a must.
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All About Blocked Fallopian Tubes

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
All About Blocked Fallopian Tubes

It's said that blocked fallopian tube is the most common cause of female infertility in about 40% women. Fallopian tubes are channels through which the egg travels to reach the uterus and blockage of these tubes can put a stop to this from taking place. Depending on the different parts of the tubes, this form of blockage is of several types.
 
What are the different types of fallopian tube blockages? 

  1. Proximal tubal occlusion: This form of fallopian tube blockage involves the isthmus (an area of about 2 cm long, this part of the fallopian tube connects the infundibulum and ampulla to the uterus). This problem occurs due to complications associated with abortion, cesarean section or PID (pelvic inflammatory disease).
  2. Mid-segment tubal obstruction: It occurs in the ampullary section of the fallopian tube and is most frequently a result of tubal ligation damage. The procedure of tubal ligation is performed to put a stop to pregnancy permanently. 
  3. Distal tubal occlusion: This is a kind of blockage wherein the section of the fallopian tube that is close to the ovary is affected and is commonly associated with a condition known as hydrosalpinx (a condition in which the fallopian tube is filled with fluid). The latter often happens due to Chlamydia infection, leading to fallopian tube and pelvic adhesions. 

The conditions that may give rise to this problem can include: 

  1. Genital tuberculosis (the TB infection that occurs in the genital tract)
  2. Ectopic pregnancy (pregnancy in which the embryo places itself outside the uterus)
  3. Tubal ligation removal
  4. Complications related to surgery of the lower abdomen
  5. Pelvic inflammatory disease (PID)
  6. Uterine fibroids (benign growths that occur in the uterus)
  7. Endometriosis (development of uterine tissue outside of the organ) 

These disorders can lead to the development of scar tissue, adhesions, polyps or tumors to form inside the pathway. Additionally, the tubes can also get stuck to other body parts such as ovaries, bladder, uterus and bowels. Two things can happen to the fallopian tubes, either they can become twisted or the tubes walls may stick together, leading to a complete blockage. Moreover, even if the fallopian tubes are partially damaged, they can remain open so as to enable pregnancy to occur, while increasing your risk for ectopic pregnancy.

3357 people found this helpful

I'm 27 year women my last period was on 8 May. I had unprotected sex with my husband on 20, then on 26th, 28, 30 may and on 3rd june. I not even had any kind of contraceptive pills. Even though I got my periods on 4th june and my periods lasted only for one day. Is there still a chances of me getting pregnant now should I go for pregnancy test. Please inform. Thank you.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
I'm 27 year women my last period was on 8 May. I had unprotected sex with my husband on 20, then on 26th, 28, 30 may ...
Its unlikely that you may have conceived. However to settle your doubts do a pregnancy test on home pregnancy kit with first urine sample pf the day. See your doctor if it shows positive. At times one bleeds even after fertilisation but then in your case it appears unlikely since you did not even miss your cycle.
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About The Importance Of Preconception Counseling

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Play video

About The Importance Of Preconception Counseling

3314 people found this helpful

About Polycystic Ovary Syndrome (PCOS)

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Play video

About Polycystic Ovary Syndrome (PCOS)

3688 people found this helpful

My wife is pregnant starting 6months which food is better this time. climate is very hot.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
My wife is pregnant starting 6months which food is better this time. climate is very hot.
She needs wholesome food with plenty of protein carbs & fat besides vitamins calcium iron and other essential nutrients. She needs approx 2400-2600 cal at this stage. Milk dairy products fish meat eggs nuts greens and fruits sprouts pulses wheat or brown rice are good. Give her coconut water butter milk and curd as well. Avoid junk and processed food with artificial flavor or added colour. She can indulge in sweets occasionally but do watch for excess fat going in her diet in form of fried stuff as thats not required. Baby needs quality of nutrition not quantity. There is no need to eat fot two. Encourage to drink plenty of fluids and split her meals into many small meals rather than 2-3 big meals during the day. Sports drink energy mixes and alcoholic beverages besides excess of caffeine etc is not recommended.
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My vagina had been itching for months and I don't find a permanent solution for this, what can I do?

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Itching in private parts is most likely to be due to infection. The germs causing them could be varied such as fungus bacteria protozoa or virus. Specific treatment is advised after clinical examination and lab tests. However good pelvic hygiene ; toilet hygiene ; use of certain medicated pelvic washes and oral and local treatment can be put to use. Recurrence is common and sometimes concurrent treatment of partner is advised as well if woman is sexually active. Consult a doctor. Self medication doesn't work.
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Me and my gf are 20 years old. We had protected sex and she also took an emergency contraception pill after 2 hours. This was in January. However, for the past 2 months, she's having very little, next to none, bleeding. She bled very little once every 20 days. Worried if its a symptom of pregnancy.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
Me and my gf are 20 years old. We had protected sex and she also took an emergency contraception pill after 2 hours. ...
Get a urine home pregnancy test done if you haven't done it already. If it is negative visit a gynaecologist as ipill seem to have disturbed the fragile endocrine balance meant for regular menstrual periods. Wait for a couple of more periods and see if she regains the periodicity by itself. Else get a gynae check up done.
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I want to know that in period time ipill taking is safe or not. If is it safe then how much.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
I want to know that in period time ipill taking is safe or not. If is it safe then how much.
There is no need only for ipill or any other form of contraceptives during periods as chances of conception are remote. Ipill is an emergency hormonal contraceptive which should be used only sparingly and not more than once in 3-4 months.
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I got off my period on Saturday. My general cycle is of 31 days but the last month was 45 days. After I got off my period I had unprotected sex but took an emergency pill. On Wednesday, that is today, I'm bleeding medium again. My periods have been regular before this. Is it something I should worry about?

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
I got off my period on Saturday. My general cycle is of 31 days but the last month was 45 days. After I got off my pe...
It seems you have occasional delayed menstrual periods. Normally periods should commence from 23-35th day of the last menstrual date. If you have irregular or delayed pds chances are you have hormone imbalance. Unless we take proper history ; do a thorough checkup and run certain tests we can't ascertain a diagnosis. However ipill intake can sometimes leads to bleeding after 2-7 days. That is not normal period scenario but its withdrawal bleed. You are advised not to overuse intake of ipill. It is an emergency contraceptive and is not to be used more than once in three months and sparingly.
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I'm suffering from irregular menses please help me out I'm using homeopathy medicines but no use of it.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
I'm suffering from irregular menses please help me out I'm using homeopathy medicines but no use of it.
Irregular periods are mostly due to hormone imbalance. Those who have this problem also sometimes have other symptoms such as weight gain, abnormal facial and body hair, pigmentation, hair fall, pms, painful periods and family history of diabetes. Although there are some exceptions always. The condition once diagnosed is called pcod\pcos. I suggest you go through a comprehensive gynae checkup ; sonography and blood investigations as recommended by your doctor. Life style modification in the direction of health living is the first step towards curing the problem.
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