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Dr. Anu Vaghela

Gynaecologist, New Delhi

Dr. Anu Vaghela Gynaecologist, New Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Anu Vaghela
Dr. Anu Vaghela is a trusted Gynaecologist in Mukherjee Nagar, Delhi. You can meet Dr. Anu Vaghela personally at Dr Anu Vaghela's Clinic in Mukherjee Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Anu Vaghela 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. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Blood Clotting During Pregnancy - Why is it Dangerous?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Blood Clotting During Pregnancy - Why is it Dangerous?

Clotting of blood is important for us in case of an injury or wound. It prevents the blood to ooze out of the body from any opening. Our blood releases cells called blood platelets, which initiate the process of clotting. However, the clotting of blood inside the veins is not a good thing to happen. This condition is called thrombosis. Moreover, clotting during pregnancy is a serious condition that poses threat to the health of both the mother and the child. In case of pregnant women, clotting of blood starts in the deep veins. These veins are usually the ones in the legs or the pelvic region. This condition is termed as deep vein thrombosis (DVT).

Why there is a clot during pregnancy?
Blood can clot during pregnancy due to multiple reasons. Clotting occurs to prevent too much loss of blood at the time of labour. 

How will you know that it’s DVT?
DVT comes along with certain symptoms. Some of these have been listed below:

  1. The pregnant woman may notice tenderness or swelling in one of her legs. She might feel the pain in one of the legs.
  2. The skin colour of the woman starts reflecting changes. The skin might turn a little reddish.
  3. The patient’s skin will be warmer at the site of clot.
  4. The veins in the affected region might look dilated or larger in size.

What are the dangers linked to this clotting?
Whatever may be the reason, clotting during pregnancy is always attached to some dangerous consequences. If the blood clot is left unattended and untreated for long, it may have some serious consequence. The clot may start shifting from your legs to one or both of your lungs. This condition is called pulmonary embolism (PE). It is acute condition that can cause death of the patient as well. The symptoms of PE are as follows:

  1. The patient suffers from sudden breathlessness.
  2. The patient may feel that there is some tightness around the chest.
  3. The patient may find blood in her cough.
  4. The patient may show signs of collapse.

Clotting of blood can also prove detrimental to the baby’s health and growth. The blood is supplied through placenta to the baby and a clot in the mother’s vein can decrease the amount of blood supplied to the baby. Sometimes, the blood supply to placenta might be entirely snapped, leading to the death of the child inside the womb. However, blood clotting at the time of pregnancy happens to only a few women. It has been found that one or two in thousand die due to clotting of blood during pregnancy. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2625 people found this helpful

Me and my girl friend do sex without using condom. I never leaked my sperms in her vagina. Is their any chances of getting pregnant?

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Me and my girl friend do sex without using condom. I never leaked my sperms in her  vagina. Is their any chances of g...
Hi lybrate user, if you r very sure that you have not ejaculated, then there is no chance of pregnancy.
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Dengue Fever / Viral Fever / Jaundice

BHMS
Homeopath,
Dengue Fever / Viral Fever / Jaundice

Epidemic diseases:-

Homeopathy have good treatments in dengue fever, viral fever and juandice with better results and only homeopathy can increase platelet count in dengue cases.
Homeopathy has preventive medicines for dengue.

Yesterday a small dog bite me in my hand. My fingers got bleeding. I didn't take any treatment until now. please tell treatment is must for me?

MBBS, cc USG
General Physician, Gurgaon
You need immediate medical attention 1. Wound care 2. Tetanus cover 3. Anti rabies vaccination wash your hand in running water for 10-15 minute Consult near by Physician as soon as possible
5 people found this helpful
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Endometriosis: Signs and Symptoms You Might Be Suffering From It!

MBBS, MS - Obstetrics & Gynaecology, DNB - Obstetrics & Gynecology - Obstetrics & Gynecology
Gynaecologist, Ghaziabad
Endometriosis: Signs and Symptoms You Might Be Suffering From It!

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as pelvic inflammatory disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4033 people found this helpful

Hello, Hello, I just had sex with my gf and it was unprotected. I just wanted to know that if I didn't ejaculate can she still become pregnate from pre ejaculation? We didn't have sex for very long only a couple minutes because my of torn frenulum, I just wanted to know is there risk for pregnancy. I didn't ejaculate but I didn't use condom.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Hello,
Hello, I just had sex with my gf and it was unprotected. I just wanted to know that if I didn't ejaculate can ...
you never know even if a single sperm enters it may lead to a pregnancy'.The time and the quantity of fluid does not matter.
2 people found this helpful
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My age is 23 years my prolactin level is showing in the report is 157.22 what it means?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My age is 23 years my prolactin level is showing in the report is 157.22 what it means?
this is not normal range of prolactin level.it means you are pregnant or there may be any pituitary abnormality.
1 person found this helpful
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Can I get aids by oral sex ,if my partner have aids. Is oral sex safe for us. And one thing how I can know that my partner is suffering from aids.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. Contact between broken skin, wounds, or mucous membranes and HIV-infected blood or blood-contaminated body fluids. Deep, open-mouth kissing if the person with HIV has sores or bleeding gums and blood from the HIV-positive partner gets into the bloodstream of the HIV-negative partner. HIV is not spread through saliva. Take care.
1 person found this helpful
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Normal Delivery

DGO, MBBS
Gynaecologist, Pune
Normal Delivery

Vaginal delivery is the birth of offspring (babies in humans) in mammals through the vagina. It is the natural method of birth for all mammals except monotremes, which lay eggs into the external environment. The average length of a hospital stay for a normal vaginal delivery is 36–48 hours or with an episiotomy (a surgical cut to widen the vaginal canal) 48–60 hours, whereas a c-section is 72–108 hours.[citation needed]different types of vaginal deliveries have different terms:

A spontaneous vaginal delivery (svd) occurs when a pregnant female goes into labor without the use of drugs or techniques to induce labor, and delivers her baby in the normal manner, without forceps, vacuum extraction, or a cesarean section. An assisted vaginal delivery (avd) occurs when a pregnant female goes into labor (with or without the use of drugs or techniques to induce labor), and requires the use of special instruments such as forceps or a vacuum extractor to deliver her baby vaginally. An instrumental vaginal delivery (ivd) is another term for an assisted vaginal delivery. An induced vaginal delivery(also ivd) is a term for a delivery involving labor induction, where drugs or manual techniques are used to initiate the process of labor. Use of the term" ivd" in this context is less common than for instrumental vaginal delivery. A normal vaginal delivery (nvd) is a term for a vaginal delivery, whether or not assisted or induced, usually used in statistics or studies to contrast with a delivery by cesarean section.

 

 

 

3 people found this helpful

I masturbate till 7 years I have pain in lower pelvic region till 3 years and frequent urination with irritation in pelvic dizziness and shortness of breath.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
I masturbate till 7 years I have pain in lower pelvic region till 3 years and frequent urination with irritation in p...
You seem to be having swelling in pelvis organs or UTI. Get a urine routine examination done and an ultrasound also for better diagnosis. Ensure proper hygiene when you masturbate.
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How to stop breast feeding completely in a toddler.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
It can be very difficult to stop breast feeding suddenly. You have to be firm and very persuasive. Tell her that she is now a big girl and offer her her a variety of interesting food, snack items specially when she is hungry and keep her diverted from the breast. Basically see that she does not remain hungry. Also, you can have some children come and play at home with her to distract her at feed times, or you can take her out to play. Children also crave for breast for remaining close to mother, feeling secure and safe. Offer her more hugs and cuddles and say how she can drink with a new sipper, how she can use a straw. Make the change over an interesting fun activity. But be firm, and determined and be ready to face a few tears.

I have unprotected sex with my wife eighth day of ovulation and also I ejaculated out side of vagina will she pregnant?

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Of course ho Sakti hai if your sperm count is strong for more detail please come to Pvt que after appointment.
1 person found this helpful
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I am 25 year old married man my wife is pregnant for last four month should I sex with her or not? Please advise.

Fellow,European Committee of Sexual Medicine, Diploma in Psychological Medicine, M.B.,B.S
Sexologist, Jaipur
Hi medically there is no problem but if she has pain or any other high risk factor for pregnancy, avoid rough sex
1 person found this helpful
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I am 22 year old. I am suffering from irregular periods every time my period time. What should I do.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
I am 22 year old. I am suffering from irregular periods every time my period time. What should I do.
Do regular exercise Eat nutritious diet Take Hertone Syrup for 15 days Avoid stress. Know your Thyroid function, Hemoglobin, Testosterone.
1 person found this helpful
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I am 27 weeks pregnant. I had a little white discharge today. Is this normal please suggest what should I do.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I am 27 weeks pregnant. I had a little white discharge today. Is this normal please suggest what should I do.
It is normal to have increased white discharge during pregnancy.if it is watery then you have to get checked with your obstetrician to rule out amniotic fluid.
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