Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 33 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.
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Submit a review for Dr. Beena YadavYour feedback matters!
I am trying to conceive since last 8 to 9 months but unable to do so. My height is 5 feet 6 inches and weight is 73 kgs. Last month when I went to check my ovulation state and got the ultrasound done. I was detected pcos. But during that I month I was under stress due to some issues at work place. Next when I went to see a gym she asked me to check insulin level test and it was perfectly normal and my fsh and Lh levels were also OK. She asked me reduce 8 kgs weight in 3 months and said I am suffering from minor pcos. I am trying hard to reduce weight but because of busy work schedule it's becoming difficult. Somehow I feel I do ovulate every month. What other possibilities are there to improve fertility. I do swimming regularly for at least 30 mins a day.
Hello, sir I am 23 years old. And I am having a pregnancy of 1 to 2 months but i didn't want to continue. please suggest me some medicine.
The top 10 risk factors for high blood pressure include:
Being overweight or obese
The more you weigh the more blood flow you need to supply oxygen and nutrients to your tissues. As the volume of blood circulated through your blood vessels increases, so does the pressure inside your arteries.
Too much salt (sodium) in your diet
Too much sodium in your diet can cause your body to retain fluid, and also causes the arteries in your body to constrict. Both factors increase blood pressure.
Too little potassium in your diet
Potassium helps balance the amount of sodium in your cells. Potassium causes the smooth muscle cells in your arteries to relax, which lowers blood pressure.
Not being physically active
Exercise increases blood flow through all arteries of the body, which leads to release of natural hormones and cytokines that relax blood vessels, which in turn lowers blood pressure. Lack of physical activity also increases the risk of being overweight.
Drinking too much alcohol
Having more than two drinks per day can cause hypertension, probably by activating your adrenergic nervous system, causing constriction of blood vessels and simultaneous increase in blood flow and heart rate.
High levels of stress can lead to a temporary, but dramatic, increase in blood pressure. If you try to relax by eating more, using tobacco or drinking alcohol, you may only exacerbate problems with high blood pressure. Relaxation and meditation techniques effectively lower blood pressure.
Non-steroidal anti-inflammatory drugs (nsaids)
Ibuprofen (advil, motrin, ibuprofen) can cause marked worsening of existing hypertension or development of new high blood pressure. It can also cause damage to the kidneys, worsening of heart failure, and even heart attack or stroke. Ibuprofen is a member of the class of drugs called nsaids, which includes naproxen (aleve, naprosyn, and anaprox), sulindac (clinoril), diclofenac (voltaren), piroxicam (feldene), indomethacin (indocin), mobic, lodine and celecoxib (celebrex).
Cough and cold medications (sudafed and other brands that contain pseudoephedrine and phenylephrine)
Cough and cold medicines frequently contain decongestants such as pseudoephedrine and phenylephrine. These medications cause your blood pressure and heart rate to rise, by constricting all your arteries, not just those in you nose.
Certain chronic conditions
Certain chronic conditions also may increase your risk of high blood pressure, including diabetes, kidney disease and sleep apnea.
A diet low in vitamin d
It's uncertain if having too little vitamin d in your diet can lead to high blood pressure. Researchers think that vitamin d may affect an enzyme produced by your kidneys that affects your blood pressure. More studies are necessary to determine vitamin d's exact role in high blood pressure. However, talk to your doctor about whether you may benefit from taking a vitamin d supplement.
I am 19 years old and I did sex with a prostitute Is this will cause any problem to my health and my life.
I had my first baby on 20th November 2015 now I have missed my period due on 28 Oct 2016 and took a home pregnancy test and it came out positive. Is the time gap between the two pregnancy less than 12 months OK will there be any complications for the baby or me The first pregnancy had some complications in the first trimester with bleeding and cramping and during delivery epidural was used as I was not able to bare the pain and almost went hyper The baby was pulled with vacuum. Please advise.
मौसम बदलते ही तरह-तरह के वायरल संक्रमण फैलने लगते हैं, जिनमें डेंगू बेहद खतरनाक बीमारी है। वैसे तो डेंगू का सामान्य लक्षण बुखार है, लेकिन ये सामान्य बुखार से अलग होता है। डेंगू में बुखार की तीव्रता काफी अधिक होती है और कमजोरी के साथ चक्कर भी आते हैं। संक्रमण बढ़ने के साथ शरीर कमजोर होता जाता है और भी लक्षण दिखाई देने लगते हैं जैसे- उल्टी आना, जोड़ों में दर्द, त्वचा पर रैशज वगैरह। ये तो डेंगू के सामान्य लक्षण हैं लेकिन यहां कुछ लक्षण दिए जा रहे हैं, जिनके नजर आने पर तुरंत डॉक्टर से संपर्क करें।
अगर डेंगू के लक्षणों को ऊपरी तौर पर देखा जाए तो तेज बुखार, लगातार मितली और उल्टी आना, उल्टी में खून आना, पेशाब के साथ खून आना, पेट में दर्द, सांस लेने में तकलीफ, नाक और मसूड़ों से खून, थकान लगना आदि हैं। यहां विस्तार से देखें कि् कौन सी स्थिति है खतरनाक.
1. 20 का मंत्र:
डॉक्टरों के मुताबिक, नब्ज में 20 की बढ़ोतरी, ब्लड प्रेशर मे 20 की कमी, हाई और लो बीपी में 20 से कम का अंतर और बांह पर 20 से ज्यादा निशान हों तो सतर्क हो जाएं।
2. तेज बुखार:
डेंगू के संक्रमण से होने वाले बुखार की तीव्रता काफी तेज होती है। बुखार में थर्मामीटर का पारा 102 से 105°F तक पहुंच जाता है। एक हफ्ते तक बुखार तेज रहता है, इसके बाद थोड़ा आराम मिल सकता है, लेकिन इसे राहत न समझें। फिर से बुखार वापस आ सकता है, वो भी पहले से ज्यादा तेज।
3. जुकाम या वायरल जैसे लक्षण:
डेंगू में बुखार के साथ सामान्य फ्लू जैसे लक्षण भी नजर आते हैं। इसमें सिर दर्द, आंखों में दर्द, आंखों के पीछे दर्द, बदन में दर्द और जोड़ों में दर्द के लक्षण दिखाई देते हैं।
4. प्लाजमा लीकेज:
प्लाजमा लीकेज डेंगू में खतरनाक अवस्था है। अल्ट्रासाउंड करवाकर प्लाजमा लीकेज का पता लगाया जा सकता है। ये संक्रमण के 3 से 7 दिन के अंदर होता है। अगर शरीर का तापमान कम होने लगे तो भी सतर्क हो जाएं, इसके अलावा पेट दर्द, लगातार उल्टी, सुस्ती वगैरह भी गंभीर लक्षण हैं।
डेंगू के लक्षण दिखें तो सबसे पहले प्लेटलेट्स काउंट चेक करवाएं साथ ही बीपी पर भी नजर रखें। कमजोरी और सुस्ती से इन लक्षणों का अंदाजा लगाया जा सकता है।
बुखार के साथ बार-बार उल्टी आना भी खतरनाक लक्षण है। लिवर एंजाइम की गड़बड़ी से ऐसा होता है। इस स्थितिस में डिहाइड्रेशन हो जाता है। कुछ खाने और पीने के बाद तुरंत उल्टी हो जाए, तो भी सतर्क हो जाएं।
7. असामान्य रक्तस्त्राव:
डेंगू के वायरस का असर खून के कंपोजिशन पर काफी होता है। ऐसे में अगर बुखार के साथ नाक या मसूड़ों से खून आए तो सतर्क हो जाएं। इसमें बुखार के साथ आंखें भी लाल दिखाई दे सकती हैं, साथ ही गले में खराश और सूजन भी खतरनाक है। प्लेटलेट्स के कम होने से खून का घनापन पढ़ जाता है, ये भी खतरे की निशानी है।
8. त्वचा पर चकत्ते:
डेंगू में बुखार आने के तीसरे या चौथे दिन के बाद अगर त्वचा पर लाल रंग के चकत्ते दिखाई दें तो ये सामान्य बुखार न होकर डेंगू हो सकता है। ये चकत्ते सबसे पहले चेहरे पर दिखाई देते हैं। इसमें चेहरा लाल भी दिखाई दे सकता है। इन चकत्तों में सामान्यता खुजली नहीं होती। धीरे-धीरे ये चकत्ते बाकी शरीर के साथ हाथ और पैरों तक पहुंच जाते हैं। इस स्थिति को गंभीरता से लें। कभी-कभी बुखार जाने के बाद खुजली वाले चकत्ते भी उभर आते हैं। ये चकत्ते पैर और हांथ के तलवे पर होते हैं, जिनमें असहनीय खुजली होती है।
डेंगू फैलने के मौसम में विशेष सावधानी रखें। आसपास कहीं पानी जमा न होने दें। कूलर में पानी बदलते रहें और सफाई का विशेष ध्यान रखें। डेंगू होने पर तुरंत डॉक्टर से संपर्क करें। इसके अलावा ज्यादा से तरल पदार्थ लें, आराम करें और पौष्टिक खाना खाएं।
डेंगू में नीम, तुलसी, गिलोय, पिप्पली, पपीते की ताजी पत्तियों का रस, गेंहू की बालिकयों का रस, आंवला और एलोविरा का रस पीने से फायदा मिलता है। रस से शरीर की प्रतिरोधक क्षमता बढ़ती है और प्लेटलेट्स के निर्माण में तेजी आती है।
She is about 41age she want to conceive now. Her husband age about 30aged. Is she can conceive. If yes how is it? They marriage about 4 years, they are trying but they could not. They also take consult with doctors but still no symptoms. Is there any alternate process please let them help.
Dr. My first delivery is cesarian. Platelets low and the baby passed away. My Dr. said that next pregnant to after 6 months. I can carrying to after 6 month.
I am 23 yrs old male and ihave lump under my niples for last 2 yrs, its painfull and looking very awkward, what should I do? help please.
I am a PCOD and thyroid patient and my age is 25 n I want to know what are my chances to conceive in future. And iam taking these medicines from last 8 years.
She got blood on her urine last night then we came to hospital and they admitted her gave her saline some test taken. Report r high like urine test pus cells is 10_15hgf and 17900 one more so should we admit her in the hospital or it can be ok by medicine please reply.
We are planning to conceive a baby but unfortunately unable to succeed because when ever we are having an intercourse my wife white semen is not coming properly. Can you please help How my wife can discharged her semen properly so that we can conceive a baby we are trying since last one year but no results.
My mother in law is detected with lump on her left breast in mammogram and advised biopsy but the doctor is saying that if biopsy is done it needs to be operated within 48 hrs as it will disturb the tumor and the infection may spread. But I have doubt on what the doctor says. Pls advice.
PCOS or polycystic ovarian syndrome is a hormonal disorder that is very common among women, in their reproductive age. It is the condition in which cysts are formed in the ovary of the affected woman and/or the levels of the male hormone called androgen increases in her body.
As a result of these, she faces a variety of symptoms like late or no periods, heavy menstrual bleeding, the growth of facial hair, unintended weight gain, acne and pain in the pelvic region. It is also associated with problems related to conception and pregnancy in more complex conditions.
While the complete cure of PCOS is a time-consuming process since it demands thorough observation regarding the change of symptoms in the patient over a period of time; and the course of treatment follows these observations.
Although PCOS and its symptoms can be treated using conventional drugs, use of homeopathic medications is better to treat this condition for the following reasons.
Treatment addressing the root-cause
Using homeopathy for PCOS is a good idea because it offers permanent treatment for the condition. Homeopathy treats and cures the root cause of the condition rather than focussing on the external factors that cause the disease. Therefore, the treatment offered by homeopathy is more reliable. For example, the medicines prescribed for an interrupted period is different from the medicines prescribed for profuse bleeding.
No side effects
Homeopathic treatment is based on the belief that the human body was meant to remain disease free always. So it never tries to make use of drugs that can disturb the body's ability to function naturally. All that homeopathic medications do is to restore the vitality of the body so that it can find its way out of the disease all by itself. This kind of a treatment ensures that there are no side-effects whatsoever of homeopathic medicines.
Hi, My friend had been to Thailand last week, he took full body massage there in massage parlour at the end of massage the girl gave him hand job, and smooched her and he just fingered her, and he didn't done sex with her. Is there anything to worry that any STD'S he may get to contact?
What is Polycystic Ovary Syndrome (PCOS)?
Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's:
- Menstrual cycle
- Ability to have children
- Blood vessels
With PCOS, women typically have:
- High levels of androgens (AN-druh-junz). These are sometimes called male hormones, though females also make them.
- Missed or irregular periods (monthly bleeding)
- Many small cysts (sists) (fluid-filled sacs) in their ovaries
How many women have PCOS?
Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. As many as 5 million women in the United States may be affected. It can occur in girls as young as 11 years old.
What causes PCOS?
The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.
A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.
Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels can lead to:
- Excessive hair growth
- Weight gain
- Problems with ovulation
What are the symptoms of PCOS?
The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:
- Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
- Infrequent, absent, and/or irregular menstrual periods
- Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
- Cysts on the ovaries
- Acne, oily skin, or dandruff
- Weight gain or obesity, usually with extra weight around the waist
- Male-pattern baldness or thinning hair
- Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
- Skin tags — excess flaps of skin in the armpits or neck area
- Pelvic pain
- Anxiety or depression
- Sleep apnea — when breathing stops for short periods of time while asleep
Why do women with PCOS have trouble with their menstrual cycle and fertility?
The ovaries, where a woman's eggs are produced, have tiny fluid-filled sacs called follicles or cysts. As the egg grows, the follicle builds up fluid. When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.
In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. The follicles may start to grow and build up fluid but ovulation does not occur. Instead, some follicles may remain as cysts. For these reasons, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Plus, the ovaries make male hormones, which also prevent ovulation.
Does PCOS change at menopause?
Yes and no. PCOS affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.
There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.
Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.
Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.
Pelvic exam. Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.
Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.
Vaginal ultrasound (sonogram). Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.
Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:
Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:
- Limiting processed foods and foods with added sugars
- Adding more whole-grain products, fruits, vegetables, and lean meats to your diet
This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.
Birth control pills. For women who don't want to get pregnant, birth control pills can:
- Control menstrual cycles
- Reduce male hormone levels
- Help to clear acne
Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). But, progesterone alone does not help reduce acne and hair growth.
Diabetes medications. The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.
Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets). Treatment options include:
- Clomiphene (KLOHM-uh-feen) (Clomid, Serophene) — the first choice therapy to stimulate ovulation for most patients.
- Metformin taken with clomiphene — may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
- Gonadotropins (goe-NAD-oh-troe-pins) — given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.
Another option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, IVF is very costly.
Surgery. "Ovarian drilling" is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.
Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills. These medications should not be taken if you are trying to become pregnant.
Before taking Aldactone, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia.
Other options include:
- Vaniqa (van-ik-uh) cream to reduce facial hair
- Laser hair removal or electrolysis to remove hair
- Hormonal treatment to keep new hair from growing
Other treatments. Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.
Researchers continue to search for new ways to treat PCOS. To learn more about current PCOS treatment studies, visit ClinicalTrials.gov. Talk to your doctor about whether taking part in a clinical trial might be right for you.
Women with PCOS appear to have higher rates of:
- Gestational diabetes
- Pregnancy-induced high blood pressure (preeclampsia)
- Premature delivery
Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).
Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.
Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.
Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:
- More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
- The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
- Women with PCOS are at greater risk of having high blood pressure.
- Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
- Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.
Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.
Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.
If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include:
- Eating right
- Not smoking
Having PCOS can be difficult. You may feel:
- Embarrassed by your appearance
- Worried about being able to get pregnant
Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.