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Dr. Alka Malhotra

Gynaecologist, Delhi

100 at clinic
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Dr. Alka Malhotra Gynaecologist, Delhi
100 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Alka Malhotra
Dr. Alka Malhotra is a popular Gynaecologist in New Friends Colony, Delhi. You can meet Dr. Alka Malhotra personally at Lions Kidney Hospital & Urology Institute in New Friends Colony, Delhi. You can book an instant appointment online with Dr. Alka Malhotra on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 28 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.

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Lions Kidney Hospital & Urology Institute

New Friends Colony. Landmark: Opposite B BlockDelhi Get Directions
100 at clinic
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My vagina and its sides are very dark. The hair area is very dark than its sides. Shaving of hair make it very dark. So.can you suggest any creams or gelthat gets in medical shops to remove hair.

MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello, hair removal creams are not good for sensitive genital skin. Trimming rather than shaving is better option. Alternatively laser hair removal is a safe and effective treatment. You may require 6-8 sessions and a yearly maintainance. Melaglow has liquorice and niacinamide and arbutin which are mild depigmentation agents. Though not very strong like hydroquinone they are ideal for sensitive skin like underarms and genital. Axilla and pubic region pigmentation are under hormonal control and difficult to correct with creams and will take longer duration. Patience is the key.
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Hi I am 25 year old software professional. I am having 4 year relationship with a girl. My question Is anal sex good? I mean safe?

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
No lybrate-user its not safe, neither its healthy, rather its painful for a girl. The risk of getting an std when you have anal sex is very high. Because the anus doesn't have any natural lubrication, it's very likely that you can get small tears around it when having anal sex. And that makes it very easy for viruses like hiv to get into your body. Which is why you should always use a condom when having anal sex! also, don't move from the anus to the vagina without giving the penis (finger or toy) a good wash and changing the condom- the bacteria living around the anus can cause vaginal infection. It is a good idea to ask your partner to visit the bathroom and wash the area around the anus with soapy water before having anal sex. But enemas are not necessary (actually, they can irritate the anus and the bowel). The'tube' inside your anus is the rectum. Its a temporary store for stool thats ready to leave the body. If you re healthy, and you dont have diarrhoea, constipation or intestinal diseases, once you have been for a poo, the rectum is left empty and pretty much clean until the next load of waste comes along. If you are too worried about it being dirty but still want anal sex, you could try starting in the shower. Just remember that your lube should be silicone-based then, because water-based lube will wash away in the shower. In a nutshell: say no to anal sex or do it extreme safely!
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Got pregnant before 5 months doctor did dnc as there is no hear beat for baby no 5 months over in this 5 months two times I did follicular study egg ruptured but no pregnant now I am trying for baby my periods date is 20th june got ovulated on 6th july my stomach is full taking ovasheld tablet please advice.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Got pregnant before 5 months doctor did dnc as there is no hear beat for baby no 5 months over in this 5 months two t...
Dear user Dnt get tensed, tension leads to anxiety n inturn leads to delayed conception try n stay happy. Take good diet drink water, do pranayam and put cotton ball soaked in soubhagayavardhan taila daily every nite. We just Hv to maintain the healthy flora of vagina. For more details contact me.
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Labiaplasty

MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Labiaplasty

What is a Labiaplasty?

Labiaplasty is a surgical procedure that corrects excessively long, enlarged or redundant labia minora tissue and can make the external genitalia (the “vulva”) more cosmetically appealing. Women with enlarged or elongated labia may feel very conscious when wearing tight clothing or swimwear, as the outline of the labia may be visible through the clothing. Enlarged labia may also cause women to feel self-conscious during intimate contact.  Some are concerned about asymmetry of their labias, or they may have pain or discomfort during sex or with exercise. Occasionally, redundant labia tissue predisposes to yeast infections or creates friction tears of the tissue.

During a labiaplasty, excess or stretched-out labia minora tissue is excised to create a more neat and tidy appearance to this region and to treat associated physical concerns. Occasionally excess tissue around the clitoral hood is also carefully trimmed as part of the procedure.

Who is a Good Candidate for Labiaplasty?

Labiaplasty is a personal procedure that should certainly not be associated with embarrassment or shame. Women of all backgrounds, shapes, sizes and cultures seek labiaplasty. Sometimes after childbearing, labial tissue can become stretched out or redundant, and following menopause the vulvar lips can droop with loss of collagen and elastin. Many women are congenitally born with asymmetric or excess labial tissue.

Women who experience awkwardness, pain with intercourse, or discomfort when walking or with exercise due to excess labia tissue are candidates for a labiaplasty. Other women are simply looking to improve the appearance of this part of their body to look as youthful as they feel. Rejuvenation of the labia area can be an empowering experience, potentially improving a woman’s body image, self-esteem and comfort during intimacy.

Can Labiaplasty Be Done Before Pregnancy?

A labiaplasty can certainly be performed at any time in a woman’s life. Labiaplasty is considered a “quality of life” procedure, and is a personal decision. Having surgery will in no way influence future pregnancies or childbirth delivery options.

What Are the Different Types of Labiaplasty?

Labia Minora Reduction

A labiaplasty usually involves trimming the inner lips of the labia, known as the “labia minora”. Only the inner or outer lips of the vulva are treated; the vagina is not normally addressed during a labiaplasty.

 

Labia Majora Reduction

Occasionally, the outer lips of the genitalia (“labia majora”) are trimmed to additionally reduce their prominence. This procedure involves incisions in the skin of the labia majora and is associated with-potentially additional scars and post-surgical swelling during healing.

Clitoral Hood Reduction

For women with redundant clitoral hood tissue, a reduction of the clitoral hood can also be performed as part of a labiaplasty. Clitoral hood reduction involves careful trimming of excess skin that hangs over the clitoris. The overlying skin is then rearranged without risking nerve injury or affecting sexual sensation or stimulation.

Labiaplasty procedure

In order to ensure complete comfort and relaxation, we perform labiaplasty as an Day care procedure in the operating room, under a short and safe general anesthesia or under local anesthesia. Local anesthetic is used to prevent bleeding and bruising during surgery, and to keep the area numb for many hours after surgery. Excess labial tissue is trimmed, the clitoral hood is reduced if appropriate, and a neat and tidy closure is performed in multiple layers using dissolving (absorbable) sutures. Antibiotic ointment is applied, and an absorbable pad is placed over the incisions. Surgery takes around 1-2 hours to complete, and women are allowed to return home a few hours after awakening.

Types of Labiaplasty

Wedge Labiaplasty

Many surgeons these days are performing wedge labiaplasty, for two main reasons:

A wedge of tissue is removed from the middle area of the labia, preserving the natural labial edge for a less obviously surgical look.

The wedge method leaves a shorter scar that’s harder to see because it runs across the labia rather than along the edge.

However, there are some potential drawbacks to this approach. The wedge technique generally only addresses the middle one third of the labia and does not treat the irregular dark hyperpigmented edge of the posterior parts of the labia. It also does not treat excessive clitoral hood tissues which commonly accompany prominent labia minora.

In addition, the wedge technique creates a condition where the amount of tissue resected must be balanced against creating wound tension with closure. Excising too much tissue may result in a potential for wound separation, whereas conservative resection may produce insufficient reduction. It takes an experienced surgeon to advise you on the anticipated results.

 

Trim Labiaplasty

Until recently, trim labiaplasty was the go-to choice for women who wanted to improve the appearance of their labia. This method, as the name implies, involves trimming the excess labia tissue to a more proportionate size and shape relative to the rest of the vaginal area. Many women appreciate that the trim method removes the existing edges of the inner labia, which can darken with age or following pregnancy.

The tissue is typically excised from the clitoral hood and along the edge of the labia minora to the vaginal forchette. In this manner, excess tissue from the upper, middle and lower one/thirds of the inner lips can be removed.

The trim technique leaves a longer scar but it is tension free and commonly is barely visible. Unlike the wedge, wound separation is less likely.

An irregular, thickened and darkened edge is what leads so many of our patients to choose trim labiaplasty as their preferred approach. For those with excess tissue limited to the mid portions of the labia only, the wedge method is an excellent option.

Wedge vs. Trim: Which Is Best?

Both procedures accomplish the primary goal of labia reduction just fine. The question of which labiaplasty technique will give you better results depends on your unique anatomy and your personal goals for surgery.

What is the Recovery After Labiaplasty?

Mild discomfort is treated with oral pain medication for a few days. Swelling and bruising of the genital region can develop over the first few days. You may shower the next day, and will apply antibiotic ointment daily. If you start your menstrual cycle, it is recommended you avoid using tampons for your next 1-2 cycles to avoid irritation of the incisions while they are healing.

At least couple of days should be taken off work or arrange to work from home during this time. Aggressive physical activity should be avoided for at least a week or two after surgery. Sexual intercourse should be avoided for approximately 6 weeks after a labiaplasty. By week 6 to 8, the healing is complete, and no restrictions are needed.

Like any surgery, it takes at least 6 weeks for the initial swelling to recede, and 6 months up to a year for the results to be absolutely complete. Incisions are hidden in the natural crease of the labia region. There is usually very little scarring, as incisions are made in the labial “mucosa” (similar to the inside of the mouth or the gums) rather than the skin.

Possible Complications of Surgery

Some complications associated with labiaplasty are specific to this procedure, while others are complications that could be encountered as a result of any cosmetic surgery, or any surgical procedure in general. Complications common to nearly all surgical procedures include bleeding, bruising, swelling, infection, and scarring. Since labiaplasty is often performed under local anesthetic and sedation rather than general anesthetic, the risks are somewhat less than with more invasive surgical procedures.

Procedure specific complications include Loss of sensation, Spotting, Difficulty urinating ,Change in pigmentation, Asymmetrical results after full healing has occurred ,Separation of the incision site; this occurs in roughly five percent of wedge labiaplasty patients, but is easily to correct. The majority of these symptoms will also be temporary, and resolve within a few days to a few weeks depending on the individual symptom and how quickly your healing progresses.

Will the procedure affect my fertility?

No, the procedure will have no affect on your ability to have children. However, you should use contraception to avoid pregnancy before and after the procedure. Your surgeon will cancel your procedure if you are pregnant on the appointed day. After surgery, you should avoid giving birth for one year following the procedure. As a normal delivery would stretch the tissue and damage the results achieved.

Will there be scarring?

There is usually evidence of scarring following surgical incisions. Your surgeon will try to make the incisions in the least conspicuous areas so that the scarring may be virtually invisible. Even visible scarring will tend to fade over time.

Will labiaplasty affect my sensitivity?

Sensitivity typically stays the same after labiaplasty when done right. After recovery, sexual intercourse is often more enjoyable, because patients feel more confident without the excess skin.

The Connection of Yoga and Ayurveda

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
The Connection of Yoga and Ayurveda

It is often said that Ayurveda is a science and Yoga is an implementation of that science. In treatment, both these connected branches speak for the consistent practice of breathing techniques and medication along with indulging in body purification processes, use of medicinal herbs, well regulated dieting as well as chanting of mantras for uplifting the mind and body. In Yoga, the physical purification processes are known as 'Satkriyas' whereas the same in Ayurveda is called as 'Panchakarma'.

Understanding Yoga and Ayurveda: Yoga and Ayurveda are two interrelated branches of Vedic knowledge that encircles the whole universe.

  1. The formation of Ayurveda: Ayurveda is one of the four secondary Vedic teachings called the Upavedas that constitute Gandharva Veda, Dhanur Veda and Sthapatya Veda as well. Each of these Ayurvedas is directed towards specific walks and aims at the Vedic quest for liberation. Ayurveda is by far the most important of all four as it addresses all the disciplines of healing as well as holistic well-being of the mind and body.
  2. The birth of Yoga: Ever since its formation through the Yoga, it has been widely accepted as one of the six branches of Vedic preaching. It advocates the authority of the Vedas and aims at systematizing the true meaning of the Vedic preaching.

In this classical Vedic system, Ayurveda is specifically developed for healing purposes and there is no other branch of the Vedic system that can offer such comprehensive healing benefits.

Integral relationship between Yoga and Ayurveda: The term Yoga means combining, harmonizing and above all uniting. Thus a Yogic approach is an inherently integrative approach that harmonizes the body, mind and senses, and is not involved in implementation of sideline techniques but incorporates a synthesis of all aspects of the healing processes. This is the reason why Yoga originally has an eight-fold path directed towards bettering the quality of lives. Otherwise, it is caught in similar variants of physical reductionism that are often addressed in modern medicinal therapies.

Asana is referred to as the internal medicine of Yoga as it brings the vital energy directly into the body. It is aimed at alleviating the nervous, respiratory and circulatory systems of the human body. It is crucial to integrate Ayurveda and Yoga for bringing out the total spiritual and healing potential of the human body as well as each of these vast branches of Vedic knowledge.

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How can I stop my periods? I am getting married on 17 april and today is my first day?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
How can I stop my periods? I am getting married on 17 april and today is my first day?
Once menses are already started, it will be impossible to stop menses now. Novelon can be started today for 21 days to reduce it by max 1 day of menses and it will also help in preventing pregnancy in the first month. In-fact this is the ideal method of contraception for newly married couple.
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Sir my girlfriend is suffering with pain in vagina when I did sex with my partner for first time till now we stopped doing sex, what is the problem.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
If she has no issues with bleeding or swelling or discharge there is nothing to worry as it will settle with time
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Sir I have 6 day of period after first delivery. In morning during sec console has been broken and not sure about semen presence. No want to be pregnant help in safe mmode.

MBBS
General Physician, Chandigarh
Sir I have 6 day of period after first delivery. In morning during sec console has been broken and not sure about sem...
Take tab I pill immediately as it should be taken between 72 hrs of sexual contact and effects better if taken early.
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I had sex with my hubby during periods. If I conceive from this would the baby be normal? please answer.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I had sex with my hubby during periods. If I conceive from this would the baby be normal? please answer.
See the chances of getting conceived during periods is very very rare. Still if by chance you get pregnant it is absolutely fine, and the baby will be normal.
3 people found this helpful
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I have been married nd now we are planning to make a family. We tried since past two months but did not get any results. Some say A position with pillow, some say B position etc. Please help me with this and also what time is best for intercourse if we want to plan for family.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I have been married nd now we are planning to make a family. We tried since past two months but did not get any resul...
Hello- If you have healthy sperms and your partner have a healthy uterus thn you are going to make a successful pregnancy irrespective of the position you do sex. If not thn don,t waste time and go for some investigations.
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