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Dr. Anupama

Gynaecologist, Delhi

20 at clinic
Dr. Anupama Gynaecologist, Delhi
20 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Anupama
Dr. Anupama is one of the best Gynaecologists in Rohini, Delhi. You can consult Dr. Anupama at Bhagwan Mahavir Hospital in Rohini, Delhi. Save your time and book an appointment online with Dr. Anupama on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 35 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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Hindi

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Bhagwan Mahavir Hospital

Sector 14 Extension, Bhagawan Mahavir Marg, Block A, Sector 14, Rohini. Landmark: Near Madhuban Chowk Metro Station, DelhiDelhi Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hi doc. I was diagnosed with severe vaginal fungal infection yest and prescribed Clingen vaginal suppository tablets for 7 days. I inserted one Clingen last night but I got my period this morning. Should I continue using the vaginal able or discontinue during my period and resume once its over? I can't reach my gynaec. Just FYI I was also prescribed 2 doses of oral forcan 150 tablets. Thanks in advance.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
Hi doc. I was diagnosed with severe vaginal fungal infection yest and prescribed Clingen vaginal suppository tablets ...
Dear patient, you can continue oral medication but can wait for menses to get over and then restart the vaginal suppository use. It is a combination of an antibiotic and antifungal agent.
1 person found this helpful
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What should be the weight of my wife if she is 6 months pregnant and height is 5'2" to know if her baby and she is fit or not ?

BHMS
Homeopath, Chennai
What should be the weight of my wife if she is 6 months pregnant and height is 5'2" to know if her baby and she is fi...
Check with a obstetrician she will recommend some scan and test to find you baby is healthy or not. Generally the doctor expect 600 gm to 1 kg weight increase every month. But it is not the compulsary rule. If the foetus weight and growth is normal inside the womb then you need not worry about it. If yoy are not satisfied with the consulting obstetrician then consult some other until you and your wife get satisfied with thier approach.
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I tried two time for vaginal sex with my fiancy but we could not do that she says that it is very painful I cant handle this pain of vagina I cant do intercourse then what to do for proper sex with less pain to her.

MBBS
Sexologist, Gurgaon
Hi mr fist to penetrate ( reedy for sec ) than sex leak her Brest and libidos first for half an hour than enter penis and use some lubricant for easily enter ok
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How to Overcome Premature Ejaculation?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ambala
How to Overcome Premature Ejaculation?

Premature ejaculation is a kind of sexual dysfunction. Almost 1 out of 3 men experience this problem at some point. Premature ejaculation is an uncontrollable ejaculation that occurs shortly after sexual intercourse. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem.

Premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. It can be classified in two types – lifelong and acquired. Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation develops after you’ve had previous sexual experiences without ejaculatory problems.

Causes

Premature ejaculation

The exact cause of this condition isn’t known. However, there are certain causes that are believed to cause this problem.

Psychological causes:

Psychological factors that might play a role include:

  • Early sexual experiences
  • Sexual abuse
  • Depression
  • Worrying about premature ejaculation
  • Feeling guilty
  • Biological causes
  • A number of biological factors might contribute to this such as:
  • Abnormal hormone levels
  • Abnormal levels neurotransmitters
  • Inflammation and infection of the prostate or urethra
  • Inherited traits

Other factors

1. Erectile dysfunction

Premature ejaculation can be at higher risk in you if you have erectile dysfunction or if you have fear of losing your erection that may also cause you to consciously or unconsciously hurry through sexual encounters resulting premature ejaculation.

2. Anxiety

Anxiety is also one of the causes of this problem. Many men with this problem may have anxiety either specifically about sexual performance or related to other issues.

How to overcome premature ejaculation?

Ejaculation can be considered premature when it occurs 30 seconds to 4 minutes into sex. However, it seems that most tend to agree that any sexual intercourse lasting less than 2 minutes can be considered premature ejaculation. There are some ways to overcome premature ejaculation.

1. Behavioral techniques

Behavioral techniques can help you delay orgasm. It involves stimulating the penis and stopping just before you feel you are about to ejaculate. Stop this for 30-60 seconds and restart. Repeat this process up to 4-5 times unless you decide to delay orgasm. It also involves squeezing the penis in the area between the shaft and the glans before you are about to ejaculate.

2. Other tips

Use a thick condom to help decrease sensation. Take a deep breath. This can decrease anxiety and help you gain better control over your ejaculation. Have sex with your partner on top and take breaks during sex and distract your mind by thinking about something boring.

3. Medication

If these techniques are not helpful medications are recommended to treat this problem. These medicines are basically antidepressants. These pills may have side effects such as nausea, headache and delaying ejaculation.

5 people found this helpful

Hi I had sex unprotected anal sex and he did not cum inside me then took plan b within 1 hour I got my period on due date but my second period is late 2 days I have oral sex in between this duration. Am I pregnant?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi I had sex unprotected anal sex and he did not cum inside me then took plan b within 1 hour I got my period on due ...
Hi lybrate-user it could be delayed because of stress and hormonal imbalance. Non penetrative sex can't give rise to pregnancy.
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Had not intercourse but his penis was inside vagina for not more than a minute, and when he removed he saw a drop of precum over his penis, I washed my vagina and in 20 hours I took ipill too. I also experienced radish pale urine 2-3 times, and a little blood piece once in the urine. My periods were about to come on 27 july but have not come yet. I am worried if I am pregnant.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Had not intercourse but his penis was inside vagina for not more than a minute, and when he removed he saw a drop of ...
Best way is to do a urine pregnacy test urself right away. If you r pregnant it will show positive (two lines. Buy any of the kits available in market preganews or velocit etc if its positive and you do not want pregnancy. Visit a gynaec. Abortion is possible with pills only if its negative. Use condom/ oral pills.
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MS - ENT,MBBS
ENT Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
15 people found this helpful

I am 29 year women. I am suffering from hormonal diegese my monthly period time is not happen in on time it will disturbed.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 29 year women. I am suffering from hormonal diegese my monthly period time is not happen in on time it will dist...
Hello, It is important to evaluate your hormonal profile before making a comment on your menstrual status as this is likely to be a case of PCOS.
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I am 12 weeks and 5 Days pregnant so I wanted to know, is there any limit in having fruits such as Apple, orange, muskmelon, watermelon, pomegranates and so on. Note: earlier had a miscarriage. Please help me out.

MD - Obstetrtics & Gynaecology, DGO
Obstetrician, Vadodara
I am 12 weeks and 5 Days pregnant so I wanted to know, is there any limit in having fruits such as Apple, orange, mus...
Hellosavitaone miscarriage doesn't mean always miscarriage. You can consume all seasons fruits. Fruits will give you vitamin and little energy. Thanks.
1 person found this helpful
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Does buying a unwanted 72 pills tablet needs prescription? Any other pill which can be used for 5 days pregnancy test?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Does buying a unwanted 72 pills tablet needs prescription? Any other pill which can be used for 5 days pregnancy test?
Whatever tablets you using first consult to doctor about that. Because different types of medicines have there own side effect. Must consult to doctor for unwanted contraceptive pills.
1 person found this helpful
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My wife is disinterested in having sex. please tell me how to generate her interest in sex.?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My wife is disinterested in having sex. please tell me how to generate her interest in sex.?
Its best to see her in person and discuss options and also examine and do tests to see if any obvious cause can be found.
1 person found this helpful
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Donor Egg IVF - How Does It Works?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Donor Egg IVF - How Does It Works?

Donor egg IVF is used by more than 70 percent of infertile women above 45 years to conceive. More than 8,000 babies are born in the US to women of all age groups by this method of Assistive Reproductive Technologies (ART). This kind of fertility treatment will become even more popular, in the days to come, because of advances in the egg-freezing technology.

What are donor eggs
Donor eggs are eggs given by a healthy, fertile woman to an infertile woman for in-vitro fertilisation or IVF.

How does the Donor Egg IVF program work?
Before you start this course of treatment, you must consult a doctor regarding its feasibility and effect on your health. Typically, the process has the following steps;

  1. After a donor has been identified, the infertile woman (referred to as ‘you’) and the donor are given medication so that the menstrual cycles of both are synchronised. You are also given medication so that your endometrium lining is ready for womb transfer.
  2. After their donation, the eggs are fertilised using the In Vitro Fertilization technique.
  3. Since the donor is under 35, not more than three embryos are transferred from her to your womb.
  4. Embryos are formed after fertilising donor egg with partner sperm.

In some cases, the embryos may be transferred after they have been fertilised. This line of treatment is undertaken to reduce the stress of this treatment on you.

In cases of men, the following procedures are followed;

  1. Unless the sperm belongs to another man, your partner will be required to give a sample of his sperm to check sperm quality.
  2. The partner must give another sample on the day the eggs are collected.
  3. In the next stage, the eggs and sperm are mixed together and in vitro fertilised.

Chances of success in Donor Egg IVF program

The chances of you conceiving through this program are 60-70%. This strike rate is significantly higher than a conventional IVF line of treatment.

How to start with Donor Egg IVF program?

  1. Finding an egg donor is not that difficult these days. You can find a donor through a fertility clinic, an egg bank, an egg donation agency, a family member or a close family friend. Donors coming from a frozen egg bank are usually screened for health and other reasons. Most donors are in the age group of 21-35 years.
  2. Make it legal i.e while getting donors is easy, the tricky part is to comply with the various legal issues. Consult your spouse, doctor and your attorney before taking this step.
  3. Get counselling i.e. you need expert counselling before you conceive because, let us face it, your baby is not your biological offspring. You and your spouse need to be adequately psychologically prepared for this important development in the family.
4127 people found this helpful

I am 19. I am not at all having periods regular since 9-10 mnths or approx. A yr. I have periods in d period os 2-3-4 months. What would be the reaon behing that? why is that happening? n yeah. I do sex with d protection regularly from last 3 months as my bf is very passionate in the case of sex. Please suggest me something!

Advanced Aesthetics
Ayurveda, Gulbarga
I am 19. I am not at all having periods regular since 9-10 mnths or approx. A yr. I have periods in d period os 2-3-4...
Such as eating disorders, significant weight loss or gain, anemia, menopause, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health conditions. Lifestyle triggers like increased exercise, smoking, alcohol abuse, caffeine, travel, stress, and certain medications and birth control pills can also contribute to this problem. Treatmet home remedies Aloe Vera Aloe vera helps treat menstrual irregularities naturally by regulating your hormones. 1. Extract fresh aloe vera gel from an aloe leaf. 2. Mix in one teaspoon of honey. 3. Consume it daily before having your breakfast. 4. Follow this remedy for about three months. Note: Do not use this remedy during your periods Turmeric Being a warming herb, turmeric is also considered helpful in regulating menstruation and balancing hormones. Its emmenagogue properties help stimulate menstrual flow. Moreover, its antispasmodic and anti-inflammatory properties relieve menstrual pain. ? Consume one-quarter teaspoon of turmeric with milk, honey or jaggery. Take it daily for several weeks or until you see improvement. ? You can also take turmeric in supplement form; consult your doctor for proper dosage A combination of dried mint and honey serves as a good Ayurvedic remedy for irregular menstrual periods. It also helps ease menstrual cramps. 1. Simply consume one teaspoon of dried mint powder mixed with one teaspoon of honey. Repeat three times a day for several weeks For treatment consult privately any queries inform me?
2 people found this helpful
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I am 25 years old female I am two months pregnant test by using pregnancy test kit, I want to abort by using pills is it safe, is their any problem for next pregnancy if its my first time?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Yes it should be okay but I would strongly advise you to get a usg pelvis done to determine the site and exact size of pregnancy.
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I am 21 years old. I took contraceptive pill and after a week I bleed for 2 days (not a normal period. So when will my period start? if I miss it does it mean I'm pregnant? I have no symptoms like cramps nausea or vomiting.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 21 years old. I took contraceptive pill and after a week I bleed for 2 days (not a normal period. So when will m...
You can have light periods when taking pills. If you have been taking them properly and you are having a regular withdrawal bleed each month the chances that you are pregnant is extremely low.
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We are planning to make a baby. My period is 29th of this month. If I want to do pregnancy test wen should I check up.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
We are planning to make a baby. My period is 29th of this month. If I want to do pregnancy test wen should I check up.
Hello, Urine pregnancy test should be done after 8 days post missed periods to get conclusive results.
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I am 24 year old and I am 5 week pregnant and we did ultrasound but there is no heart beat? what should I do?

Advanced Aesthetics
Ayurveda, Gulbarga
I am 24 year old and I am 5 week pregnant and we did ultrasound but there is no heart beat? what should I do?
In 5th week no any heart beat it starts 4months onwards not to worry and in this upto 12week take rest and avoid travelling.
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Hi, Before 2 days of mensuration period I did intercourse with my husband and accidentally he came inside me for that I took an i-pill but I don't know what happened my periods didn't came suddenly just after a week I checked with pregnancy kit it is showing i'm pregnant I don't know what to do know i'm studying llb and I don't want baby at this period of time please help me out what should I do i'm just 1 week pregnant there is any complication if I abort or how should I abort it please help me out.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, you experienced a ipill failure. Please get an ultrasound done first to localise the pregnancy and rule out ectopic and then a medical termination of pregnancy can be opted for. You may consult for further queries.
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