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Dr. Anupma

Gynaecologist, Delhi

50 at clinic
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Dr. Anupma Gynaecologist, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Anupma
Dr. Anupma is a popular Gynaecologist in Mangolpuri, Delhi. You can consult Dr. Anupma at Dhruv Nursing Home in Mangolpuri, Delhi. Save your time and book an appointment online with Dr. Anupma on Lybrate.com.

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.

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Dhruv Nursing Home

No 23 & 24, R-Blk, Mangolpuri.Landmark: Near Peera Garhi, DelhiDelhi Get Directions
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Hello am 25 years old, its been 25years old got married, my husband is about 30 years old, now we are planning for a baby, we had sex on this month ie on 12th, we did alternatively but not continuously we did 4 times, I had periods on this month 22nd but I got periods on 19th, we had did. Sex but how I got periods that I do know am scared about this, on every month i'll get periods before 7days or 5 days. Is this correct plan that we had done? What is the problem, please tell me the solution.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello am  25 years old, its been 25years old got married, my husband is about 30 years old, now we are planning for a...
Hello conception is a complex process. Hormonal status, quality of sperms, other uterine conditions, including ova quality and it's release etc has to be perfect for conception. Without detailed reports nothing can be commented upon.
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How to Cure a Sore Throat

BDS
Dentist, Sangola
How to Cure a Sore Throat
warm saline gargles - luke warm water with pinch of salt in it at least 3 times a day
- do not forget to take the medicines as prescribed by the doctor.

I am 22 years old female. I have chubby cheeks, which I don't like, I have tried so many exercises, but all those didn't work, please help me for this. Please.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 22 years old female.
I have chubby cheeks, which I don't like, I have tried so many exercises, but all those did...
If you are not obese, don't get conscious about chubby cheeks, there's no medicines for this, you can do exercises to strengthen the muscles, do blowing out exercise, move upwards with some oil with the help of both hands. Flat of hands on each cheek, move upwards rubbing on cheeks. Hope it helps you. Take less salt as a habit, water retention does give a bloated look.
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Hi Doctor, thank you for all your help and answers. I'm confused I have not seen my period for like 2 days now my period is meant to start on 28 and it didn't come out and today is 30. I'm confused cos I don't have any symptoms of pregnancy or is it too early for it now.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi Doctor, thank you for all your help and answers.
I'm confused I have not seen my period for like 2 days now my per...
Hello, You may wait fr 5-7 days for menses to start. IF PREgnancy is ruled out, often the menses are delayed due to stress itself.
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IVF or IUI - How To Choose Which Is Better?

M.Sc, MD, MBBS
IVF Specialist, Delhi
IVF or IUI - How To Choose Which Is Better?

The little bundle of joy in your arms! Holding your baby for the first time indeed is an experience every couple craves. Having a baby is a blessing. Who doesn’t want to have their child but do certain medical factors make it hard to conceive?

With treatments such as IVF and IUI, the chances of conceiving have increased. Intrauterine insemination (IUI) and In Vitro Fertilization (IVF) are two most commonly used fertility treatment methods. These accelerate a couple’s probability of becoming parents.

In Vitro Fertilization (IVF)
In Vitro Fertilization (IVF) is the most common and most efficient type of assisted reproductive procedure which includes fertilizing an egg in a laboratory dish outside the body, and then implanting it in a woman's uterus.

Intrauterine insemination (IUI)
Intrauterine insemination (IUI) on the other hand is a fertility treatment that requires placing sperm inside a woman's uterus to promote fertilization. The purpose of IUI is to focus on increasing the sperm count that reaches the fallopian tubes and eventually raises the possibility of fertilization.

Opting for IVF over IUI

  • It depends on the patient’s decisions. Some patients do understand that their problem is not big enough and do not want to go through multiple IUI sessions. So for them, IVF is best. Some prefer to try IUI several times and then may finally opt for IVF. There are also some factors regarding women’s conceiving issues that determine if she is fit for IVF.
  • If a lady’s age is 35 and above, and she is trying for more than five years but is still unable to conceive yet, IVF is best suited for her. Also, IVF can offer a better chance for patients who have Endometriosis. It is a phenomenon which affects the number of eggs, decreasing the count and also affects the Fallopian tubes. Thus the rate of conceiving is much higher with the IVF as compared to other fertility treatments.
  • IVF is an excellent option if you have blocked, scarred, damaged or missing Fallopian tubes, as the IVF process avoids the Fallopian tubes solely.
  • Women who have been unsuccessful so far with other fertility treatments, including fertility medications and IUI (intrauterine insemination), for them IVF can be the last resort rely upon as IVF often gives hope where other treatments have failed.

When to Opt for IUI?
It is best to choose this method of treatment when there is male infertility, especially with low sperm count and erectile dysfunctions. Also, IUI is cheaper. A woman’s possibilities to get pregnant are increased by 20% in every IUI treatment cycle.

Be it IVF or IUI. Irrespective of the treatment you opt for, stay with patience and belief. With the advancement in medical technologies conceiving a child is now possible than ever. If you wish to discuss about any specific problem, you can consult an IVF Specialist.

3047 people found this helpful

Hi, I am diabetic for 5 yrs. And mother of 5 month old baby and my delivery was c-section. Do I need any supplement like calcium or vitamins? If yes then which?

MBBS
Sexologist, Panchkula
Hi, I am diabetic for 5 yrs. And mother of 5 month old baby and my delivery was c-section. Do I need any supplement l...
You don't need any supplement. Take proper balanced vegetarian diet.Take fruits and vegetables in daily diet. Take 8 to 10 glasses of water daily.
9 people found this helpful
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Menstrual Disorders in Young Women

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Kanpur
Menstrual Disorders in Young Women

Menstruation is a barometer of a women's health. Any changes in the menstrual pattern of a woman could be a harbinger of serious underlying disease and should not be overlooked. However adolescent girls are a special case where menstrual pattern is variable and much different from Adult women. It is very common for teenaged girls who have recently started menstruating to have irregular periods. This period pattern is wrongly classified as 'period problems". At the same time one needs to understand that some of the real problems like period pain in young girls are often overlooked as "normal" when they could be associated with serious medical disorders.

Although menstrual disorders are fairly common in most young women, it may have an underlying cause which can be indicative of a serious issue. Therefore, it is recommended for young women to consult a gynecologist if any difficulties arise.

Symptoms Of Menstrual Disorders (Severe)

  1. Excessive abdominal pain
  2. Excessive vaginal pain
  3. Missed / irregular periods
  4. Painful periods

The severe symptoms are usually accompanied by mild symptoms such as:

  1. Irritability
  2. Weight loss
  3. Vomiting
  4. Headaches/back pain
  5. Fatigue
  6. Insomnia
  7. Diarrhea

PCOS and Menstrual Disorders

Polycystic ovarian syndrome is a common reason for women to experience irregular menstrual periods. PCOS occurs when there is an excess of male hormones (androgens) in the body which hinder the production and release of eggs in the ovaries, resulting in menstruation problems. Symptoms of PCOS are acne, hair loss and weight gain. Women with PCOS are 80% more likely to suffer from fertility issues later in life. Along with that, PCOS can result in high cholesterol and high blood pressure. One serious concern for women with PCOS is resistance to insulin which leads to diabetes.

Diet and menstrual disorders

Poor diet can also lead to menstrual complications. An extremely high fiber diet can result in less frequent ovulations and therefore irregular periods. A diet which is too low in fats and fatty acid can also result in abnormal menstrual patterns.

Stress and PCOS

Young women are often prone to immense stress. Stress is one of the primary reasons for delayed periods. Stress can cause minor complications in the hypothalamus which may have consequences in the levels of hormones in the body.

The presence of ovarian cysts in the vagina may be a cause for irregular or painful periods. Endometriosis can cause heavy bleeding and extreme pain. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4060 people found this helpful

Madam, Me & my fiance in trouble please suggest us earlier. We have do sex on 14th & my menstrual date on 18th, we do sex without protection. Have any chance to conceive? What we will do right now?

BAMS
Ayurveda, Ambala
Madam, Me & my fiance in trouble please suggest us earlier. We have do sex on 14th & my menstrual date on 18th, we do...
Dear, the chances of conception are very less. Because you have done intercourse in the safe period. So you do not need to do anything now but if periods will not come upto 19-20 then you should take contraceptive pills.
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Alzheimer's Disease: How It Affects The Body?

MCh, MBBS, MRCS (UK)
Neurosurgeon, Chennai
Alzheimer's Disease: How It Affects The Body?

Alzheimer's Disease is a neurological problem that is characterised by a cognitive decline and memory loss. It is a type of neurodegenerative dementia. The symptoms of Alzheimer's Disease include not being able to absorb and retain new information, lack of reasoning and judging, not being able to take on complex tasks, impaired visuospatial abilities, problems in reading, writing and speech, among many others. If a person has at least two of these symptoms in a debilitating manner, then the diagnosis can be made in favour of Alzheimer's Disease. The main causes of Alzheimer's are shrinkage of the brain size and death of the brain cells. The immune system is also said to trigger this neurodegenerative disease.

Let us find out what medical science has found so far:

  1. Connections: Many a times, in Alzheimer's disease, the memory and behaviour of the person changes because the brain is unable to make proper neural connections which can lead to memory loss of how a person behaved and the elements that formed the basis of the patient's cognition. Apparently, the immune system behaves in the same way within the brain and blocks the connection. This happens because there is constant communication between the brain and immune system along neurological lines, which is where the disease first emanates.
  2. Inflammation: The brain is prone to inflammation or swelling that is not the normal kind. This inflammation happens as a result of the activation of the infection fighting neurotransmitters and the chemical changes that happen in the brain when an infection strikes. The inflammation usually happens in the plaques or clumps which the brain tries to protect. These clumps are made up of a protein called Amyloid. The immune system is responsible for creating this inflammation in the brain of the patient.
  3. Pattern Recognition Receptors: Many of these receptors work in different manners and cooperate with each other to create a response in the brain. These PRRs can be found in the brain plaques, and they develop the signs of danger which further fuels the inflammation in the brain as a matter of protection.
  4. Activation of Cells Linked with the Immune System: When the PRRs begin to respond, it basically activates the immune system and the cells of the same. This is the basic reaction that causes the changes in brain which then leads to the attachment of the protein to the tissue that is diseased, in which case Alzheimer's Disease starts. The inflammation that we had spoken about earlier basically happens in the nervous tissue.

It is important to recognise and act on the initial signs of Alzheimer's Disease before it progresses beyond one's control. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

2867 people found this helpful

Infertility My Surgery (Endometrial polyp with endometriosis) DHL has been done in PGI.(20/05/17) Last period (4/06/17) was also normal. .and there is no pain. I just want to ask can I do intercourse (to conceive) .or I should wait for some more time.

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
Infertility My Surgery (Endometrial polyp with endometriosis) DHL has been done in PGI.(20/05/17)
Last period (4/06/1...
Hi lybrate-user You can have intercourse, as long as you feel comfortable, and wounds have healed.
1 person found this helpful
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I am 22 unmarried my vaginal is itching only outer side of vaginal coloured changed and some white spots on that help me.

DHMS (Hons.)
Homeopath, Patna
Hello, Your present. On diction can only be assessed, locally. Tk, plenty of water to eliminate toxins restoring metabolism to absorb neutrients preventing constipation, making your skin more flexible & glowing. Go for meditation to reduce stress and  nourishing cells & tissues including brain to calm your nerve nourishing your entire body. Your diet be normal, non-irritant in small intervals avoiding gastric disorder. Avoid, junk food, alcohol, caffiene,  nicotine, piza,  burger. Tk, homoeopathic medicine:AzadirechtaQ-10 drops, with little water. Tk. Care.
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I am always suffering from back pain and too much bleeding in periods how I feel good. What should have to do.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
I am always suffering from back pain and too much bleeding in periods how I feel good. What should have to do.
Medicine german reckeweg lycopodium 200, single dose (4-5 drops in mouth) morning. Buy medicine from good homoeopathic shop. Food mixed fruit juice daily evening. Please continue treatment.
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We r try for our second baby my husband semen test is sperm count is 22million volume 2.5ml motility isp3 -05%, p2-75%, p1-00% po-20% sperm morphology no of sperm normal-03% head defects-82% neck&mid piece defects -09% tail defects -06% is there is any problem in this result.

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
We r try for our second baby my husband semen test is sperm count is 22million volume 2.5ml motility isp3 -05%, p2-75...
Dear patient, your husbands semen report is bit not normal---as sperm count is also on lower side as compared to others, and the sperm morphology is also 82% defected. So normal healthy sperms are too low to have pregnency. You need to give him a proper treatment to increase his sperm count and make them healthy to consive pregnency soon. For medicines revert me back.
69 people found this helpful
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Understanding the Steps of IVF

MBBS
IVF Specialist, Raipur
Understanding the Steps of IVF

What is IVF?

IVF stands for In Vitro Fertilization and is a method of artificial insemination that dramatically increases the chances of pregnancy. It is one of the assisted reproductive technologies methods used as fertility treatment across the world where other methods have had drastic results.

In simpler terms, a man's sperm is inserted in woman's egg using controlled laboratory environment to proceed with fertilization. These embryos are then carefully put back into the mother's uterus after 4 to 5 days of fertilization in incubator in hopes that the embryo would grow in a full baby. The embryo transfer process needs to be carefully done in order for successful fertilization in the mother's womb.

There are many reasons why IVF is conducted:

  1. Poor sperm quality - Males having poor sperm quality are unable to achieve fertilization and increase the chances of conception with their female partners. This is male factor infertility due to which people move towards IVF.
  2. Fallopian tube problems - This is a female factor infertility, in which fallopian tubes either get blocked, or damaged making it complicated and stressful for the embryo to travel to the uterus.

One must approach IVF treatment with patience and a willingness to comply with all the tenets that the treatment is built upon. IVF clinics may vary the treatment a little according to what the patient's condition demands and different clinics may have different methods. The basic methods of IVF treatment however, remain the same. The first step to the treatment is to find the right clinic which complies with factors like availability of resources, cost and quality of treatment. After deciding the clinic, the next step is to understand that IVF treatment happens in cycles and the success rate of conception varies. Patients must also be ready to face any disappointment.

Here’s the short version of the steps involved in an IVF treatment cycle:

  1. Ovarian stimulation. Your doctor prescribes a course of drugs for you to take to stimulate your ovaries into hopefully producing 12 to 15 mature eggs.
  2. Monitoring of your drug response. To monitor the progress of your ovarian stimulation you undergo an ultrasound examination and blood tests.
  3. Egg maturation. Two days before your eggs are due to be collected you have a hormone injection, which triggers maturation of the eggs.
  4. Egg collection. You receive a light general anaesthetic for this simple, short procedure, and your doctor retrieves your eggs using an ultrasound-guided technique.
  5. Sperm production. On the day of egg collection, your partner provides a sperm sample.
  6. Fertilisation. The embryologist puts sperm and eggs together in the lab and, if all goes well, the eggs fertilise and early embryo development begins.
  7. Embryo transfer. Two to five days after egg collection, your doctor places one or two embryos in your uterus. Frozen transfer can be planned after a gap of 1 month.
  8. Embryo freezing. If you have additional embryos suitable for use, they can be frozen and kept for future transfers. Also, frozen embryos are available.
  9. Pregnancy test. About two weeks after embryo transfer you have a blood test to find out whether the treatment worked.
    • If the test is positive, you have your first pregnancy scan two weeks later.
    • If the test is negative, you and your partner need to talk to your doctor and decide whether to try the treatment again.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3208 people found this helpful

Hello sir/madam my sister is pregnant from 2 month. But she has type-2 diabetes with now blood sugar level is 135 mg/dl at fasting. She taking Sitagliptin nd glycomet gp2 forte as medication. Again before 6 month she having increase t3 and t4 level. With constant decrease TSH. Is she is safe during pregnancy? Or any precaution is taken during her pregnancy? Kindly tell.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Hello sir/madam my sister is pregnant from 2 month. But she has type-2 diabetes with now blood sugar level is 135 mg/...
Hello, firstly get her to see a gynaec right away to confirm the pregnancy. Who wud then refer her to any endocrinologist for her sugars and thyroid levels. She wud probably be asked to stop sitagliptin as itz unsafe in pregnancy but please do this only after seeing the doctor as he wud put you on alternative meds. Her thyroid wud be checked again. But please visit the doctors as therez a risk to the baby also with this sugar level and meds.
2 people found this helpful
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Hi Dr. 24 july my period date n 21 july I have lil pink discharge n den stop after 25 I test den I am pregnant report is positive vid two dark lines I have 8 year child. After six weeks Dr. do ultrasound there was no heartbeat only lil size sac show den she advice me wait for two weeks n test progesterone that was 3.6 she also gave me daily injection for it bt tomorrow 8 week complete n the sac was as usual no change in size n no heartbeat so she said abort hi krna hoga n I take medicine for it. Bt my problem is nw when next I plan for it again .she said after 3 months .i do 3 abortion which was my choice becoz I dnt want second child .but today I want n this happen vid me my thyroid is ok .dr said progesterone reason for this. Nw when I plan for baby I have start medicine for progesterone so that dis not happen again. Wat I do please help can I conceive early if I take medicines n all.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Dr. 24 july my period date n 21 july I have lil pink discharge n den stop after 25 I test den I am pregnant report...
Hi lybrate-user, so sorry to hear about your previous abortion. First you need to get blood test for sugar and to know about coagulation defect. If other things are ok then we can say isolated progesterone low levels were cause for previous abortion. You need correct if any other issues before planning for second baby. Please share details of ultrasound of previous abortion and your period pattern, past history of any infection, surgery to guide you further.
1 person found this helpful
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I had normal delivery four months ago. I had my first period post that in 1st week of December and now in 1.5 month, I am having it for the third time. Is this normal or do I need some medication.

DNB, DGO, MBBS
Gynaecologist, Ghaziabad
I had normal delivery four months ago. I had my first period post that in 1st week of December and now in 1.5 month, ...
You are having short cycles and though initially, when the cycles resume after delivery, these can be irregular but it will be better to get yourself examined to rule out any infection, hormonal imbalance or any other problem.
2 people found this helpful
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I'm 28 year women my last period was on 7th Nov after that we had unprotected sex this month on 26 Nov 30 Nov then on last week twice. My question is that I haven't get my periods yet I've checked pregnancy test through prega news but it was negative. What will be the problem and what should I do.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I'm 28 year women my last period was on 7th Nov after that we had unprotected sex this month on 26 Nov 30 Nov then on...
Hello, you should rule out pregnancy with a serum beta hcg test as on date as its more sensitive than urine pregnancy test which should be done only after 8 days post missed periods.
1 person found this helpful
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I am 34 Year old woman and had been suffering with gas problem since last 2 years. Its like GERD. I had taken allopathy, ayurveda and homeopathy too. Two weeks back I got pain in my lower abdomen. It lasted for two weeks. I consulted my gastro doc and my gynecologist. I went through many tests but no reason was found. I spent a big amount on several tests, ultrasounds and CECT etc. And its very disappointing that no test could gave me good reason. According to CECT, I have a cyst around 3mm in left ovary but my doc ruled out this possibility too as its not of a big size. Please let me know what can be the reasons for this pain. Can stress be a reason too?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 34 Year old woman and had been suffering with gas problem since last 2 years. Its like GERD. I had taken allopat...
YES STRESS is the biggest causative agent for acidity/gerd..3 mm cyst has no significance..what about your urine frequency? do u have to urinate every now and then...or is there any burning sensation during urination..is there any discharge that comes out??answers needed to these before prescribing medications..as long term infection in body too causes acidity...till then take plenty fluids ..avoid tea/coffee/chillies /stress
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What if my bf brings his penis near my vagina but I am fully clothes and he is not and ejaculated a little bit can I pregnant in this way?

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
What if my bf brings his penis near my vagina but I am fully clothes and he is not and ejaculated a little bit can I ...
Dear user. Sperm needs to enter inside the vagina and travel through your vaginal walls towards the uterus to cause pregnancy. Also pregnancy happens after many other factors are fulfilled. In the given case, there is no chance of pregnancy. Take care.
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