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Dr. Ashe Sahai

Gynaecologist, New Delhi

Dr. Ashe Sahai Gynaecologist, New Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Ashe Sahai
Dr. Ashe Sahai is a trusted Gynaecologist in Mayur Vihar, Delhi. You can consult Dr. Ashe Sahai at Dr Ashe Sahai's Clinic in Mayur Vihar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Ashe Sahai on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 38 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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A-23, Shekhar Apartments, Mayur Vihar-INew Delhi Get Directions
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How Endometriosis Leads to Infertility and Miscarriages?

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

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

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

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

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

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

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

3222 people found this helpful

Dear Doctor, My wife is 32 years old and we got married 3 years ago and we don't have any child till now to be frank we didn't planned for that properly so please let us know how to plan and get a baby in correct time and another issues is my wife is obese as her height is 159 cms and she is 85 kgs so guide us to reduce her weight and about diet control too Pls suggest me too for making her pregnant I am 33 years old.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Dear Doctor,
My wife is 32 years old and we got married 3 years ago and we don't have any child till now to be frank ...
hi lybrate user, you need to for some basic investigations to see weather any hormonal cause for obesity in wife. please ask her have high protein diet, low carbohydrates, no fatty food. daily exercise for 40minutes. please plan relations as per ovulation period.
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I am afraid, I feel I am lacking libido. I am 19 years old and I am not getting any sexual feelings since 1 year or more. In this age people normally have erotic thoughts but I never think and never have such feelings. There is no fluid secretion from vagina also but I get my periods regularly. Am I over thinking or is my problem serious?

MBBS
General Physician, Chandigarh
I am afraid, I feel I am lacking libido. I am 19 years old and I am not getting any sexual feelings since 1 year or m...
You are too young yet to feel about libido and secretions and all these things let the proper time come once you get into a relationship these things will come you are right you are overthinking unnecessarily.
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Pregnancy me ladies ko normal kya savdhaniya rakhni chahiye Day to day schedule me.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Pregnancy me ladies ko normal kya savdhaniya rakhni chahiye  
Day to day schedule me.
Healthy nutritious diet- please read my post on dietary advice in pregnancy. Adequate rest say for two hours at noon and 8 hours at night. Carry on day to day light housework if you are otherwise well. Continue with regular checks ups with your obstetrician and take iron and calcium supplements as advised.
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I am a female 21 years old My periods were regular but this month it's been a week and it still didn't come. I am not sexually active what reasons could be cause for delay apart pregnancy because I am not at al sexually active.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am a female 21 years old My periods were regular but this month it's been a week and it still didn't come. I am not...
Menses can be missed either because of hormonal changes or even stress or even if you have put on some weight in recent times then also menses can be missed. All these problems are temporary and menses will come on its own. You can wait for another 1 month before you can take tablet deviry to get menses. In the meantime, if you have put on weight, start reducing it to prevent similar issues in future.
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Hi my baby is 10 months old and continue eating cerelac in the morning, rice, boiled/cooked vegetables at noon, sometimes fruit in the afternoon again cerelac in the evening but she doesn't have her food at night. Though doctor suggest to feed 4-5 times and rice twice a day. I have started poha with water/hand made breads in between. What are the essentials we can provide to keep her healthy? Her body weight is 7.5 kgs till now. At night she never wake-up to eat. If we force her that also not going to work. Please suggest, thanks.

MBBS
General Physician, Chandigarh
Hi my baby is 10 months old and continue eating cerelac in the morning, rice, boiled/cooked vegetables at noon, somet...
Whatever you are eating at home you have to introduce the baby to all those things slowly over a period of time making sure that you introduce one new thing at a time and start the next one after about two weeks so that the child gets accustomed to it and it is not necessarily to give her only boiled food you can give him normal homemade food initially in smaller quantities and then slowly increasing it also try not yo give her junk food or readymade foods you can wean the child now from cerelac to normal food.
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My estradiol Serum level is 2493, and today is d16. My FET is scheduled on 14 Jan. I want to know is my E2 level fine for FET or high or low.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
My estradiol Serum level is 2493, and today is d16. My FET is scheduled on 14 Jan. I want to know is my E2 level fine...
Hello, These levels are very high and depending on the endometrial thickness, embryo transfer can be planned.
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Sir/mam. After 1st sex with my partner my mensuration period change its occur twice in month what happen please tell me..

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Sir/mam. After 1st sex with my partner my mensuration period change its occur twice in month what happen please tell ...
If it continues for couple of months in the same pattern, take cyclic hormonal pills like oral contraceptives for couple of month. Period will be regularised.
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My sister is 2 month pregnant. please anyone tell what are the food she must take in her regular diet.

Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma in Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopath, Navi Mumbai
My sister is 2 month pregnant. please anyone tell what are the food she must take in her regular diet.
Hello, diet consultation and customized diet planning/chart consists of protein, carbohydrate and fats in proportionate form with calculated calories to achieve your goals in healthy manner with follow ups. Guaranteed results.
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I am sexually active for last 5 months now my family planing about my marriage so there is possibility to my husband know about that I am not virgin and, is there any medicine to be a virgin again?

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
I am sexually active for last 5 months now my family planing about my marriage so there is possibility to my husband ...
Dear user. There is no way with which your husband can detect that you had sex before because the hymn can be broken even when you do stretching exercises, cycling or swimming. Don't worry. Take care.
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Hi sir my wife is pregnant she has third trimester 30 weeks can give antioxidant &multivitamin, multi mineral, green tea extract with omega three fatty acid (brand-uvtal) can noteneous 2 month.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
Hi sir my wife is pregnant she has third trimester 30 weeks can give antioxidant &multivitamin, multi mineral, green ...
Hi lybrate-user! you can give all these supplements along with iron, calcium and protein powder. All the best and take care!
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hello sir if prefer for the contraceptive pills. I pill or unwanted 72 which is great with less side effects comparing these two.

Diploma in Hospital Administration, MD - Obstetrtics & Gynaecology, MBBS
General Physician, Delhi
hello sir if prefer for the contraceptive pills. I pill or unwanted 72 which is great with less side effects comparin...
I Pill or Unwanted 72 cannot be used as a regular contraceptive method and is quite unhealthy if taken more than twice a month. The pill is to be taken soon after unprotected sex. It should be taken preferably within 24 hours and before 72 hours or else the pill may turn useless. If you are having regular unprotected sex, then it is advisable to have contraceptive pills for reducing the failure rates(getting pregnant).
2 people found this helpful
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I'm almost 20. I had sex during the time I was probably ovulating. But he did not release his sperm inside me. I'm very positive that he did not cum inside me. Will I still get pregnant?

DGO, MBBS
Gynaecologist, Satara
I'm almost 20. I had sex during the time I was probably ovulating. But he did not release his sperm inside me. I'm ve...
During ovulation period even sometimes preejaculated fluid may have sperm and that may lead to pregnancy. So be careful for next time. Have sex in safe period.
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if my time of ovulation is over then is it worth to have intercourse if you want a baby?please advice .

Bachelor of Ayurveda, Medicine and Surgery (BAMS)and Dip inYoga and Naturopathy
Ayurveda, Ludhiana
Conception is possible from 12-16 day sometimes 18th of periods. As ovulation occurs on 14day only if your cycle is exactly of 28days.
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What is ovary cyst?

CCST, Accredation in Colposcopy, MRCOG, MD, DGO
Gynaecologist,
It is collection of fluid in the ovary. You can compare it to a water filled balloon. The actual content may vary though depending on the nature of the cyst.
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Hlo doc M 7.2 week pregnant.in my first scan heart beat of baby not appeared. .doc told to rewire the scan next week again for decision. .pls give me some information.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hlo doc
M 7.2 week pregnant.in my first scan heart beat of baby not appeared. .doc told to rewire the scan next week ...
Yes, you have to do the scan again after a week and see whether heart beat is there. Because if the ovulation has happened little late and if you have conceived late then heartbeat also will apper late. Sp please wait and see.
2 people found this helpful
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More sex creates some problem on health or any part of the body, how much time we sex in a week.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
There is no limit for doing sex or not. Jut when you feel hungry you feel craving to eat something. In the same way if both partners feel like having sex they can have it as many time a week but you must give prime importance to your partner, his/her feelings before having sex.
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When does I mean at what stage of day does ovulation occurs. Because I am planning for a baby. please kindly advice me doctor asap?

MD - Community Medicine, MBBS
General Physician, Gurgaon
When does I mean at what stage of day does ovulation occurs.
Because I am planning for a baby. please kindly advice m...
Count from 1st day of period till the 14 days. You can hve sex during that wk in which 14th day comes. Eg. If your wife had periods on 5th july. 18th july is her ovulation day. So you can do sex from 16th july to 22 july.
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