Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 26 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
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. Anita AgarwalYour feedback matters!
I am 25 year old female and I am getting my periods on time but for only 2 days majorly. 3rd day it is very less. This is happening from past few months. Is this normal? please suggest.
Dear sir/madam, I just got married. There is 11 year age difference between us. My age is 28 and my wife's 39. I wanna advice that there is any issue in pregnancy? shall we get child by naturally or not? please advice me?
I am taking Triquilar tabs regularly to avoid pregnancy. This is my 4th month of taking Triquilar tabs. Today is my 4th day of period. And today I have unprotected sex with my husband. He ejaculated inside me. Please let me know that can I get pregnant as we have done it on 4th day.
My fertile dates for month of march is 12 to 15 march.At what time i should do intercourse to conceive a girl child
My wife is 24 years old, her last period was on 13 april. We had sex last month with protection (condom) and it not break while sex. This months period is not come yet. She do not want to pregnant now. Is there any chances to irregular periods or pregnancy? Please suggest what we need to do.
Sir, I have 3 months baby. Last week my mensuration cycle got started. Now I can't give breast milk which is very low. Now I take lactare tablet for 2 days. Is it increase breast milk? Can I again breast feed to my baby? Say possible answer for me.
It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.
The following are considered to be abnormal or dysfunctional uterine bleeding:
- A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
- No period for 3–6 months (amenorrhea) is abnormal
- Spotting or bleeding between periods
- Spotting or bleeding after intercourse
- Bleeding that is heavier or lasts longer than usual
- Spotting or bleeding after menopause
What can cause such a situation?
Some of the common causes leading to abnormal bleeding are as follows:
- Ectopic pregnancy
- Cervical or uterine infections
- Hormonal imbalances
- Problems with blood clotting
- Polycystic ovaries
- Endometrial hyperplasia
- Cancer of the reproductive tract
How to Diagnose it?
Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.
- Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
- Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
- Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding
How Best to Treat It?
This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.
- Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs.
- Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.
Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways.
We are not sure but she facing some problem as she get pregnant. How can we get sure. Symptoms: Vomit jaisa feel Body pr red marks 8-10 date me hona tha but Delay in period.
My gf is 18. She takes krimson 35 for irregular periods as suggested by doctor. I had sex 14 Feb. And her dose got over on 2march. Usually the bleeding starts after the doses for 21 days is over. But today its 5 march. She dint had any periods yet. please help me. I ws wearing the protection too and I took it out before the cum too. BT still m bit afraid. What should I do.
I am on regular combined birth control pill Crisanta. I have been taking it since two months and took two packets back to back without giving any break of 7 pill free days. I did not have sex on the first pack. On the second pack I had sex 3 times once I used unwanted 72 and two times condom along with regular birth control pill. I take my birth control same time everyday without fail. I was on pill free days from 1st to 7 th of April. I got my periods on 4th. Firstly it was brown discharge. Then from 5th I started having bleeding with clots. I got my bleeding fully till 7th. We were in undergarments when we had sex and my boyfriend ejaculated on the upper side of panties. We were in undergarments all time and I was also having periods so I was also wearing a pad. I started my birth control from 8th but nevertheless I did not want to take chances Nd took unwanted 72 within 45 hours. And I am also taking birth control. After taking unwanted 72 I bled a little thats Sunday. On Monday night I am having little bit brown discharge and little pink discharge. I had sex then 3 times buy with condoms and taking my birth control without fail. Is there any chance of pregnancy?
Hi, I unfortunately took 2 ipill in the month so of July. The bleeding started in August and stopped for a while like 3 to 4 Days and again started bleeding. Now in between when I have sex the bleeding goes high and now it September and still have bleeding. Pls help.
My friend has abnormal vaginal bleeding she took contraceptive pills 11 days before. And her menstruation period lies on 24to 27.
Would you like to share this interesting fact with family or friends? go ahead and share!
Female infertility affects nearly 40 million women world over, as per medical studies. If the female patient is not able to conceive after trying for a period of over six months without the use of any protection or contraception, there are chances that she may be suffering from infertility. This condition must be checked and treated at the earliest. Read on to know more about the various causes behind female infertility.
- Fallopian Tubes: When the fallopian tubes undergo any kind of damage, it may lead to infertility for the woman in question. These tubes are used by the eggs as they travel from the ovaries to the uterus. The eggs meet the sperm in order for the baby to be conceived and to develop. Pelvic infections and pelvic surgery can cause scarring and bleeding which can stop the sperm and the egg from meeting. This scarring may also come about as a result of endometriosis.
- Hormonal Issues: There are a variety of hormones at play within one's body at any given point of time, and a balance of these hormones is absolutely essential for the various functions of the body to be carried out in a normal manner. When the body does not go through proper hormonal changes that are required for the release of the egg, this can prevent the pregnancy from happening. This can also lead to a thickening of the uterine lining which can stop the egg from travelling from the ovaries.
- Cervical Problems: The cervix is one of the most important parts of the female reproductive system. It is a passage that can be found at the lower end of the womb. When there is a condition that may affect the cervix of the female patient, it can also prevent the sperm from travelling through the cervical canal in order to reach the egg. This comes about as a symptom of a cervical problem.
- Uterine Problem: One may develop polyps or fibroids within the uterus, thus giving rise to difficulties when it comes to getting pregnant. These growths can usually be found when there are too many cells thriving in the endometrium, which is basically the lining of the uterus.
- Unexplained Reasons: There are a number of 'unexplained' reasons that can prevent pregnancy. These reasons plague almost 20% of the couples who are suffering from infertility or the inability to conceive a baby.
Tests: While the diagnosis of the condition can be done with the help of an HSG test using an ultrasound, the doctor can also use this method to check for fallopian tube blockages. A laparoscopy may also be used for diagnosis. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
What are the chances of pregnancy .she takes ipill within 4 hours of intercourse. Nd she had withdrawal bleeding. Nd two negative test after 10 and 15 days of intercourse. Withdrawal has came before one day of her due date of periods. Nd it remains upto 3 days. Bt now suddenly she spotting little bit blood. Frm 5th may to 6 th may. Now it stops. So is this due to pregnancy. Or is she is pregnant.
Is eating non vegetarian recommended for good health over vegetarian food. What kind of non vegetarian food is nutritious.
Being able to conceive and give birth to a new life is something that most women dream about. The natural instincts of motherhood give a lot of joy to women after they reach a certain age and this is something that is hormone driven so that they are inspired to get pregnant and give birth, keeping the life cycle of humans regular and growing.
A lot of women may be able to easily conceive and go through a natural pregnancy without any major glitches or problems, but everyone may not be as lucky and there may be those women who may be suffering from health issues that make it difficult for them to conceive.
One problem in women that may lead to difficult in conceiving or infertility may be the problem of endometriosis. This is a health issue that affects the uterus and it is defined as a problem in which the lining of the uterus grows outside of it, disturbing menstrual cycles as well as the ability to conceive and carry a foetus in the uterus.
Is it possible to get pregnant?
There is widespread misconception that women who suffer from endometriosis may never be able to conceive because the uterus lining that is needed for the inception of the embryo in early pregnancy may be missing. However, the truth is that the problem is a treatable one and with the right medical help and guidance, it may be possible to make sure that the problem is brought under control or reversed and that a successful pregnancy may be achieved.
While it is possible to reverse the problem, it is also important for aspiring couples to choose the right gynaecologist for the treatment, because it is a complex issue that can be resolved only with expert and experienced interference. The medical professionals may put you under medication that works on the hormones and creates ways to reverse endometriosis. However, in patients who suffer from severe endometriosis, a surgery may be one of the alternative treatments.
The relation with pregnancy:
As it is suggested by experts in the field of gynaecology, finding difficulty in conceiving may be a real possibility. However, with the help of modern medical practices such as in vitro fertility, it may be possible to conceive when all other forms of treatment fail and in order to achieve such a feat it may be important to trust a doctor that has a perfect backing of knowledge and experience in the field.
The modern world of medicine is no shorter than a marvellous miracle, however, the success or failure of any treatment depends a lot on the kind of medical aide and specialist that you decide to opt for. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
What is stress?
There are situations in life when a person is required to perform beyond his/her normal capacity, or situations when some expectations are not met. This creates anxiety, fear and anger. This is a situation where a person feels inadequate, under-confident and experiences loss of control. This affects a person's physical and mental wellbeing. This feeling of fear, anxiety, restlessness is commonly known as "tension or stress".
Symptoms of Stress :
- Anger and Aggression: While under stress a person starts doubting his/her own capacity and efficiency because he/she feels inadequate or incapable of performing certain tasks. This creates a lot of anger or frustration and sometime, may result into aggressive behaviour.
- Irritability: Under stress people get irritated for no reason. There is loss of patience, loss of sense of humour.
- Sleep Disorders: A person under stress may not be able to sleep at all or in some cases sleep excessively.
- Eating Disorders: A person under stress may lose appetite or in some cases, tend to overeat resulting in harmful effects on body.
- Anxiety: Stress may cause a lot of anxiety and restlessness. The person under stress may not to able to concentrate and unable to focus on any activity, making things more complicated.
- Depression: In a few cases a person under a lot of stress may go into depression.
- High BP: Body and mind are closely connected. Hence stress in mind creates stress in the body and under stress, blood pressure may rise.
- High Sugar Level: Stress may increase the blood sugar levels.
- Headache or Unexplained Body Pains: Stress may cause headache or body aches in different parts of the body, without any physical reason for it.
Sometimes, there may not be any symptoms for stress but the trauma manifests in the form to heart attack, Stroke etc.
What causes stress ?
- Relationship Issues - Conflicts in relationships is a major cause of stress.
- Life style - Working for long hours, sedentary life style, unhealthy food habits, along with insatiable urge for money causes a lot of stress.
- High expectations from oneself and from others - The peer pressure, the pressure of constant deadlines builds up a huge stress. When a person has very high expectations from himself/herself without corresponding efforts, there is a fear of failure which causes lot of tension. At the same time, having unrealistic expectations from others also is a definite reason for disappointments, resulting in stress.
- Physical and Emotional Abuse - When a person is physically or emotionally abused and unable to defend himself/herself for various reasons, it causes frustration. This results in anger and stress.
- Competition - Unhealthy competitions with others create a feeling of inadequency and result in lower self esteem and sadness, thereby causing stress.
- Health Issues - Chronic and serious health issues cause lot of tension.
- Suppressed Emotions - Lack of freedom to express own emotions and feelings, amounts to stress.
- Lack of Assertiveness - Inability to say "No", when wanting to say so, inability to fight for one's own rights, causes tension and anger.
- Boredom - Lack of creative/interesting occupation may cause stress especially in old people or people with physical disabilities.
- Low self esteem, feeling hopeless and helpless - If a person has low self esteem and does not value oneself, it causes lots of negativity and stress.
Why stress management is important?
Body and mind affect each other's functioning. When the mind is stressed out, it gets reflected in the body in the form of high blood pressure, high sugar levels, indigestion, acidity, heartburn, ulcers, skin rashes, headache, nausea, cancer, eating disorders, psychosomatic pains etc. It may trigger asthma, migraine etc.
Because of these harmful effects of stress, the body's capacity to function reduces. At times, it may cause serious threat to one's life. Hence, it is very important to learn to relieve and also to manage stress, in order to have a long and healthy life.
There are a number of ways to relieve stress:
- Sleep, take rest, relax.
- Take a break from daily routine, do something different, take a short vacation.
- Go for a walk/jog/run/cycling. Practice Yoga, meditation, deep muscle relaxation, etc.
- Spend time with friends and family.
- Play with children.
- Spend time with pets.
- Pursue a hobby like reading, gardening, painting, music, dance, singing, cooking, etc.
- Recreation - Watch a movie, play, picnic, go for a drive or shopping.
- Pamper yourself with beauty treatments, massage, or your favourite food/drinks.
How to manage Stress?
Stress is inevitable part of life now. Right from a kid going to Pre-Nursery school to senior citizens staying alone at homes and having severe health problems; all are under lot of stress. No one can avoid stress. But there are certain ways to manage your stress-
- Self-awareness. Learn more about your own self. Understand what induces stress in you, what tasks are difficult for you, what situations are difficult for you and then try to figure out the reasons why it is so. Try to resolve or modify your thoughts and attitude.
- Identify stressors and explore options. Once you identify what is causing your stress, try to find more options to resolve your issues.
- Reasonable Expectations and Feasible Goals. Have reasonable expectations from yourself and from others. Have goals which are possible for you to achieve.
- Learn assertive techniques. Learn to express your feelings, learn to fight for your own rights, understand and respect other's rights.
Try to minimise stress in life and lead a happy healthy life.