Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Alka Goel
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Alka GoelYour feedback matters!
Dear sir /ma'am, me an my wife trying for a baby. She had her last period on 24. So please tell us what's the best ovulation time.
I am married for 6 years and planning for kids for last 3 years .Doctors has advised that everything is normal and you keep trying for it. But I have a problem of premature ejaculation .is it in any way could be the cause that my wife is not conceiving. Please help.
I am 16 years old I had sex with my bf but we used condom but still I am not having periods on time? Does it mean I am pregnant?
I have pain in my left butt and thigh since I have taken an injection of pain on 31 july. As I was having period pain. Pain has increased from last 3 days. please help.
I am suffering from pcod not getting periods on time not able to loose weight getting facial hair. Pls help suggest some good medicine.
My girlfriend has M. C on 2/12/16. We had unprotected sex on 22/12/16 and again unprotected sex on26/12/16. Her periods come in 24 Days means her cycle is 24 days but this time her periods doesn't came. Is she pregnant please help me.
The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.
There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:
- Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality.
- Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
- Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.
Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high-quality eggs, the best option is to have donor eggs.
Mitochondrial replacement (MRT, sometimes called mitochondrial donation) is a special form of in vitro fertilisation in which the future baby's mitochondrial DNA comes from a third party. This technique is used in cases when mothers carry genes for mitochondrial diseases. The two most common techniques in mitochondrial donation are pronuclear transfer and maternal spindle transfer.
Cells are the tiniest part of any organism including the human body, but has various parts within, which have specific functions. The mitochondria, for instance, are the batteries of the cells and produce energy for all functions, including cellular movement and adequate cellular function.
The egg, being a single cell, also is highly dependent on the mitochondria for its optimal function. For an egg to be healthy, it should have optimal energy, and that comes only when the mitochondria is functioning at its best. This determines the overall quality of the egg too. Poor eggs, it is well established, is one of the major cause of infertility, as it cannot implant itself and sustain the entire term of pregnancy.
Studies have confirmed that eggs have more mitochondria than normal cells, as their energy requirements are higher.
The ovaries have cells called precursor cells, which eventually can become eggs and get fertilized. Studies have shown that when mitochondria from these precursor cells are infused into the fertilized egg, the overall quality of the egg improves and therefore improves chances of fertilization.
Mitochondrial transfer is the new technique which is being developed and has resulted in a baby but involves third party IVF and hence is in a ethical debate. If you wish to discuss about any specific problem, you can consult a IVF Specialist.
High blood pressure is a condition in which the pressure of the blood against the artery wall is high enough to cause health problems, including heart disease. No symptoms may be noticed in a person for years but the damage to the blood vessels and to your heart continues. High blood pressure can have an impact on your sex life. Although sexual activity does not lead to any possible threats to your health but high blood pressure can affect the pleasure you would have otherwise derived from sex.
High blood pressure leads to the wearing out of the lining of blood vessels and causes arteries to narrow and harden that decreases the blood flow. This results in decreased blood flow to the penis. In case of some men, this decreased blood flow makes it difficult for them to achieve and maintain an erection. This problem is called erectile dysfunction.
High blood pressure may also interfere with ejaculation and be a cause for low libido. The medications that are prescribed for treating high blood pressure may lead to this condition.
Just as in the case of men, high blood pressure results in the decreased flow of blood to the vagina in case of women. This may cause problems like low libido, vaginal dryness, or complexities in achieving orgasm. Sexual dysfunction in women results in stress, anxiety and even relationship issues.
Related Tip: 3 Highly Common Sexual Problems in Men + How to Treat them