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Dr. Alpna Pathak

Gynaecologist, Delhi

150 at clinic
Dr. Alpna Pathak Gynaecologist, Delhi
150 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Alpna Pathak
Dr. Alpna Pathak is a renowned Gynaecologist in Uttam Nagar, Delhi. You can consult Dr. Alpna Pathak at Pathak Medical Centre in Uttam Nagar, Delhi. Book an appointment online with Dr. Alpna Pathak on has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 29 years of experience on 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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C1/29,, Rajapuri Road, Uttam Nagar. Landmark: Gali No-6, DelhiDelhi Get Directions
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Hello doctor, I am 24 Years old, I got married in May 2015. In september I got to know I was pregnant, We both were not prepared for baby yet, so I got it aborted, it was a medical abortion. After the abortion I did scanning and everything was cleared. Till january my periods were regular, again in the month of february I was pregnant, we were in dilemma whether to continue or not, still I got it aborted, I took medicine myself, after that I did scanning everything was cleared and my uterus is normal, both the ovaries are also normal. Again till September 2016 my periods were absolutely normal (28 days cycle), I am pregnant now, due date is august 3rd, this time we want to continue the baby. Will my earlier two abortions affect my third pregnancy? Please answer me. My periods are always regular, in other two pregnancies I had pregnancy symptoms of nausea, vomiting, morning sickness. But this time I don't have any strong symptoms as such. I have done urine test and my pregnancy is confirmed. Please give me solution for my confusions. Please doctor.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hi,The symptoms of pregnancy will vary in each pregnancy. Do not worry about it.Get a scan done to check the heart beat of the baby.Forget about previous two abortions and enjoy this pregnancy and welcome the baby.There will not be any added risk.It is like first pregnancy like everybody and the risks of it.Nothing more.Enjoy your pregnancy.
1 person found this helpful
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I am 12 weeks pregnant I did my ultrasound doc told my to do cervix stretch my cervix is 3.5 cm shall I do now or after I month shall I do this (5 years no baby now only I am pregnant)

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Agra
If you have a history of repeated abortions. Then only requires cx stitch. If cervical length is reducing ,then go for cx stitching.
1 person found this helpful
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Know Everything About Fibroid

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Know Everything About Fibroid

Fibroids are the most frequently seen tumors of the female reproductive system. Fibroids, also known as uterine myomas, leiomyomas, or fibromas, are firm, compact tumors that are made of smooth muscle cells and fibrous connective tissue that develop in the uterus. It is estimated that between 20 to 50 percent of women of reproductive age have fibroids, although not all are diagnosed. Some estimates state that only about one-third of these fibroids are large enough to be detected by a doctor during a physical examination.

In more than 99 percent of fibroid cases, the tumors are benign (non-cancerous). These tumors are not associated with cancer and do not increase a woman's risk for uterine cancer. They may range in size, from the size of a pea to the size of a softball or small grapefruit.

Causes: While it is not clearly known what causes fibroids, it is believed that each tumor develops from an aberrant muscle cell in the uterus, which multiplies rapidly because of the influence of estrogen.

Risk Factors:

  • Age: Women who are approaching menopause are at the greatest risk for fibroids because of their long exposure to high levels of estrogen.
  • Obesity
  • Race: African-American heritage also seems to be at an increased risk, although the reasons for this are not clearly understood.
  • Parity: Some studies, of small numbers of women, have indicated that women who have had two liveborn children have one-half the risk of developing uterine fibroids compared to women who have had no children. Scientists are not sure whether having children actually protected women from fibroids or whether fibroids were a factor in infertility in women who had no children.


Some women who have fibroids have no symptoms, or have only mild symptoms, while other women have more severe, disruptive symptoms. The following are the most common symptoms for uterine fibroids:

  • Heavy or prolonged menstrual periods

  • Abnormal bleeding between menstrual periods

  • Pelvic pain (caused as the tumor presses on pelvic organs)

  • Frequent urination

  • Low back pain

  • Pain during intercourse

  • A firm mass, often located near the middle of the pelvis, which can be felt by the doctor on examination

In some cases, the heavy or prolonged menstrual periods, or the abnormal bleeding between periods, can lead to iron-deficiency anemia, which also requires treatment.

Diagnosis: Fibroids are most often found during a routine pelvic examination. This, along with an abdominal examination, may indicate a firm, irregular pelvic mass to the physician. In addition to a complete medical history and physical and pelvic and/or abdominal examination, diagnostic procedures for uterine fibroids may include:

  • Transvaginal ultrasound (also called ultrasonography). An ultrasound test using a small instrument called a transducer, that is placed in the vagina.

  • Magnetic resonance imaging (MRI). A non-invasive procedure that produces a two-dimensional view of an internal organ or structure.

  • Hysterosalpingography. X-ray examination of the uterus and fallopian tubes that use dye and is often performed to rule out tubal obstruction.

  • Hysteroscopy. Visual examination of the canal of the cervix and the interior of the uterus using a viewing instrument (hysteroscope) inserted through the vagina.

  • Blood test (to check for iron-deficiency anemia if heavy bleeding is caused by the tumor).

Treatment: Since most fibroids stop growing or may even shrink as a woman approaches menopause, the doctor may simply suggest "watchful waiting." With this approach, the doctor monitors the woman's symptoms carefully to ensure that there are no significant changes or developments and that the fibroids are not growing.

In women whose fibroids are large or are causing significant symptoms, treatment may be necessary. Treatment will be determined by the doctor based on:

  • Your overall health and medical history

  • Extent of the disease

  • Your tolerance for specific medications, procedures, or therapies

  • Expectations for the course of the disease

  • Your opinion or preference

  • Your desire for pregnancy

In general, treatment for fibroids may include:

  1. Hysterectomy. Hysterectomies involve the surgical removal of the entire uterus.

  2. Conservative surgical therapy. Conservative surgical therapy uses a procedure called a myomectomy. With this approach, physicians will remove the fibroids, but leave the uterus intact to enable a future pregnancy.

  3. Gonadotropin-releasing hormone agonists (GnRH agonists). This approach lowers levels of estrogen and triggers a "medical menopause." Sometimes GnRH agonists are used to shrink the fibroid, making surgical treatment easier.

  4. Anti-hormonal agents. Certain drugs oppose estrogen (such as progestin and Danazol), and appear effective in treating fibroids. Anti-progestins, which block the action of progesterone, are also sometimes used.

  5. Uterine artery embolization. Also called uterine fibroid embolization, uterine artery embolization (UAE) is a newer minimally-invasive (without a large abdominal incision) technique. The arteries supplying blood to the fibroids are identified, then embolized (blocked off). The embolization cuts off the blood supply to the fibroids, thus shrinking them. Health care providers continue to evaluate the long-term implications of this procedure on fertility and regrowth of the fibroid tissue.

  6. Anti-inflammatory painkillers. This type of drug is often effective for women who experience occasional pelvic pain or discomfort.

12 people found this helpful

My wife is now 3 month pregnancy, before 5 day every evening more vomiting. She use also doxinate plus. Please suggest me how to do.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, Vomiting is common in the first trimester of pregnancy. However, if it is severe and not controlled with medicine that you are taking then you must visit your doctor for further management as she may also require hospitalisation.
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Hi some doctors told me that if you are planning a baby then have sex in cycle of 10th to 18th day of period if she has a regular 30 days cycle. So my question is in this 10th to 18th day of cycle can I have a sex daily or on alternate days please suggest.

Homeopath, Chennai
The male semen can able to survive 3 to 5 days in the female reproductive system. You can have sex when ever you want. It is a natural feeling. But during the 5th to 15th day of the cycle the ovum will release and will be available in uterus for 2 or 3 days and then they slide down. Frequent sex will have less semen count, you can have once in three days effectively. Build your stamina through exercise and increase the semen quality. When the semen quality is less then it cannot able to survive in uterus. Because female organ secrete acidic fluid and whereas male is alkaline. When ever you feel stress the oxygen binding capacity to sugar and it metabolism will get reduce and your body become acidic. It is a large topic which cannot be explained in a small text information. Take care.
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Temporary and Permanent Contraceptive Methods

Gynaecologist, Pune
Temporary and Permanent Contraceptive Methods

Using contraceptive methods is the easiest method for a couple to avoid pregnancy and enjoy a tension free physical relationship. People have used birth control methods for thousands of years. Today, we have many safe and effective birth control methods available to us.

All of us who need birth control want to find the method that is best for us. If you're trying to choose, learning about each method may help you make your decision. Only you can decide what is best for you. Some contraceptives, such as condoms, will also protect a person from sexually transmitted diseases (STDs).

The methods can be categorised into temporary and permanent methods:

Temporary methods:

1. Withdrawal method: This involves removing the penis from the vagina before ejaculating. Ejaculation should be away from the introitus. However, it requires extreme self-control on the part of your man.

2. Barrier methods: These methods prevent sperm from entering the uterus. Barrier methods are removable. Types of barrier methods include:

a. Condom: This is the oldest barrier method. A condom is a thin tube that the man puts over his penis. This keeps the sperm from getting to the egg. Condoms are also called rubbers.
b. Female condom: This is like a condom, but it goes in the woman's vagina.
c. Diaphragm and cervical cap: These are put in the woman's vagina to cover the cervix
d. Contraceptive sponge: This is a sponge that is filled with spermicide and is put in the woman's vagina over the cervix.
Barrier methods can be easy to use and have few side effects.

3. Hormonal methods: These can only be used by women. Hormonal methods cause changes in the woman's reproductive cycle and include birth control pills, birth control patches, emergency contraception pill, Implants and so on. Unlike barrier methods, hormonal methods do not interfere with sex.

4. Intrauterine methods: In this method an object called an intrauterine device or IUD is put in the woman's uterus. There are two types of IUD: the copper IUD or an IUD with hormones implanted on it. The hormonal IUD has better protection against pregnancy but costs more. You need not do anything once it is inserted. Also, it is effective for up to 10 years.

Permanent methods:

Of course, the permanent methods are more effective for preventing pregnancy than the temporary methods. The decision to proceed with a permanent method should only be made if a person is absolutely sure that no more children are desired. The biggest problems after a permanent procedure is regret that it was done.

Sterilization is a permanent form of birth control that prevents a woman from getting pregnant. These procedures usually are not reversible.

a. A sterilization implant is a non-surgical method for permanently blocking the fallopian tubes. The doctor places a coil in each Fallopian tube through the vagina and uterus block each tube completely. It may take up to 3 months to completely block the tubes.

b.Tubal ligation is a surgical procedure in which a doctor cuts the fallopian tubes. This procedure blocks the path between the ovaries and the uterus. The sperm cannot reach the egg to fertilize it and the egg cannot reach the uterus.

c. Vasectomy is a surgical procedure that consists in cutting the tubes that carry sperm. This procedure blocks the path between the testes and the urethra due to which the sperm cannot leave the testes and hence cannot reach the egg. It can take as long as 3 months for the procedure to be fully effective.

4973 people found this helpful

Home Remedies for Irregular Periods

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Home Remedies for Irregular Periods

1. Ginger

2. Cinnamon

3. Sesame Seeds and Jaggery

4. Aloe Vera

5. Unripe Papaya

6. Turmeric

3 people found this helpful

I am 26 year old married women. Two weeks back I got diagnosed with PCOS. Doctor advised me to take hormone tablets for 6 months as I am not planning for pregnancy. My hair is falling very badly. What is the strict diet plan I should follow?

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
hello Chitra One of the primary treatment of Pcos is weight management and lifestyle modification . avoid too sweet things and high carbohydrate diet. don't take rice at night specially. include more of fibres like green veggies, whole fruits and salads. get rid of any addictions n start exercising if u hv a sedentary lifestyle. yoga or walking r best options
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Hello. I am 24years old n m planning fr a baby. My doctor said that my two eggs have been ruptured. She has given me medicine" Neogest Sr" fr fifteen days. N asked me to wait fr my period. Can you please tel me wot r the chances of pregnancy n what happens after the eggs r ruptures. M having PCOD.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
A dominant follicle grows in the ovary with the help of medicines and this than ruptures to release an egg that is fertilised with a sperm to produce a pregnancy. Chances are good varies between 50-80%.
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I have a right ovary retention cyst should it be operated or it will go on its own I am 45 yrs old now still having regular periods. Or this problem is common for woman of my age due to menopause what precautions and treatment I should take for this

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Cysts come on their own, but don' t go on their own. Like dust comes of its own but doesn' t go of its own - I have to clean it. Take homeopathic medicines to dissolve the cyst for at your age it can do nasty things. Consult for medication.
3 people found this helpful
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My sister serum aso titre is 355 what should she do I order to get rid of this problem and what are the consequences of this.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Aslo titer is a measure of streptococcal infection in the throat and this type of infection can affect the heart and joints. Treatment is penicillin.
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I want to do pregnancy plan. Please tell how do sex. Which position best for pregnancy.

Gynaecologist, Pune
Do intercourse 14 days prior to your next expected period. Men on top is advisable. Do not get up after d intercourse.
2 people found this helpful
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Firstly my periods are nt regular second I cry alot bcs of my parents relationship and I don't get success in anything I do bt I do exercise and yoga is it all interrelated? I even have joint pains in knees and hands.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
For irregular periods you have to meet Gynaecologist. For other complaints physician and Psychologist.
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Can periods occur even after girl is pregnant? My friend is 20 years old and she has done sex before 1 month but condom was used during sex. Her periods didn't come even after 22 days of her regular date. But now she's with period. Does it mean she is not pregnant? Please help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Any bleeding during pregnancy is termed as threatened miscarriage. BUt she must rule out pregnancy with a serum beta hcg test.
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How Endometriosis Leads to Infertility and Miscarriages?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
How Endometriosis Leads to Infertility and Miscarriages?

There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.

There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.

It is found that endometriosis sometimes leads to infertility. Here is how:

  • Abdominal Adhesions and Infertility: Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body. Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.
  • Secretions from Implants: Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.
  • Prostaglandins: Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy. This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.

Just like the endometrium, the implants also secrete these hormones. And, the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.

A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.

3222 people found this helpful

I married a girl she have pcod problem and c not got pregnant how to solve the problem.

Homeopath, Lucknow
We have cured many cases of pcod through classical homeopathy. You will be helped for sure if you come under umbrella of homeopathy. Homeopathy has blessed a lot of couples so you will be.
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My sister's period is too late this time. Last period date was 18th June n in July didn't come, it didn't happened any time earlier, its first time. N now so much pimples are coming on her body, could you suggest the medicines.

MD - Homeopathy
Homeopath, Aurangabad
Pimples/ acne vulgaris is a chronic inflammatory skin disease which develops due to blocking of the hair follicles in skin. For pimples and to remove scars take following med. Berberis aquifolium q. X 14 days 20 drops twice in water. Use berberis aquifolium oin any company also drink plenty water. Have green vegetables. Stop oily food. Avoid night watching. Wash face with medimix soap 2/3 times per day. Contact me after 2 weeks.
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I am suffering with pcos actually eggs not rupturing and its being 1 and half year I want to conceive but. please suggest me something or some tips I was taking contra pills but did not get any improvement then I went on ayurveda ashokarishta which made my periods regular.

Ayurveda, Hyderabad
Consume sukumara ghritam one spoon morning and evening with warm water.continue asokaristam.take these medicines for three months.repeat your scan.exerci se regularly.
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