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Dr. Bp Mittal

Gynaecologist, Delhi

200 at clinic
Dr. Bp Mittal Gynaecologist, Delhi
200 at clinic
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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. Bp Mittal
Dr. Bp Mittal is a trusted Gynaecologist in Janakpuri, Delhi. You can visit him at Mital Nursing Home in Janakpuri, Delhi. Save your time and book an appointment online with Dr. Bp Mittal on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 29 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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Mital Nursing Home

No. C3/6, C&E Market, Janakpuri. Landmark: Near HDFC Bank & Opp. C For E Market, DelhiDelhi Get Directions
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Recurrent Miscarriage

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Recurrent Miscarriage

Recurrent Miscarriage

It can be heartbreaking to miscarry one baby after another. Each new pregnancy brings both hope and anxiety. And each new loss may be harder to bear, especially if you feel that time is running out. The experience can place great strain on even the strongest relationships. You and your partner might react differently from each other and that can cause great tension. Family and friends may find it harder to support you with each miscarriage; they may even think you’re getting used to loss and able to cope. And all the time there may be a sense that your life is on hold while you try – and try again – for a baby.

What is recurrent miscarriage?

Recurrent miscarriage means having three or more miscarriages in a row. It affects about one in every hundred couples trying for a baby. Sometimes a treatable cause can be found, and sometimes not. But in either case, most couples are more likely to have a successful pregnancy next time than to miscarry again.

Testing after recurrent miscarriage:

If you have had three miscarriages in a row, you should be offered tests to try to find the cause. This should happen whether or not you already have one or more children. Testing is not usually offered after one or two early miscarriages (up to 14 weeks) because these are often due to chance. But you might be offered tests after two early miscarriages if you are in your late 30s or 40s or if it has taken you a long time to conceive. If you had a late (second trimester) miscarriage, where your baby diedafter 14 weeks of pregnancy, you should be offered tests after this loss.

Why recurrent miscarriage happens?

Your risk of recurrent miscarriage is higher if:

  • you and your partner are older; the risk is highest if you are over 35 and your partner over 40;

  • you are very overweight. Being very underweight may also increase your risk. Each new pregnancy loss increases the risk of a further miscarriage. But even after three miscarriages, most couples will have a live baby next time

Known causes

Antiphospholipid syndrome (APS) This blood clotting problem is the most important treatable cause of recurrent miscarriage. It happens when your immune system makes abnormal antibodies that attack fats called phospholipids in your blood. This makes the blood more ‘sticky’ and likely to clot, which is whyAPS is sometimes called ‘sticky blood syndrome’. It is also known as ‘Hughes syndrome’ after the expert who named it. It is not clear why these antibodies cause miscarriage. They may stop the pregnancy embedding properly in the uterus (womb);or they may interfere with blood flow to the placenta, which supports the baby.

APS can also lead to problems in later pregnancy, including the baby not growing enough, pre-eclampsia or stillbirth.

Other blood clotting problems Some inherited blood clotting disorders can cause recurrent miscarriage, particularly after 14 weeks. These include factorV Leiden, factor II (prothromobin), gene mutation and protein S deficiency.

Abnormal chromosomes The chromosomes in every cell of your body carry hereditary information in the form of genes.

Everyone has 23 pairs of chromosomes, and 22 of these are the same in men and women. The 23rd pair are different because they determine gender. Men normally have one X and oneY chromosome and women two X chromosomes. A baby inherits half its chromosomes from each parent. About half of all miscarriages happen because the baby’s chromosomes are abnormal. This is not usually an inherited problem: it happens when the egg and sperm meet or soon after the egg is fertilised. The older you are the more likely this is to happen. Much less commonly (in less than five in one hundred couples with recurrentmiscarriage), one partner carries a chromosomal defect called a ‘balanced translocation’. This doesn’t cause a problem for the parent, but it can be passed on to the baby as an ‘unbalanced translocation’.

This means that some genetic information is duplicated and some is missing.

Cervical weakness (also known as ‘incompetent cervix’) Some women – probably less than one in a hundred – have a weakness in the cervix that allows it to dilate too early.

This is a known cause of late (second trimester) miscarriage.

Possible causes

Abnormally-shaped uterus Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.

It may be divided down the centre – known as ‘bicornuate’ or ‘septate’ uterus;or just one half of the terus may have developed – known as ‘unicornuate’ uterus. It is not clear from research how many women with recurrent miscarriage have these abnormalities. Also we don’t know how common these problems are in women who don’t miscarry. This makes it impossible to be sure that they cause miscarriage

Polycystic ovary syndrome (PCOS) Women with this condition have many small cysts in their varies. They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood. It is these problems that are thought to play a part in recurrent miscarriage, but it is not clear how.

Infection

Some serious infections can cause or increase the risk of single miscarriages. These include toxoplasmosis, rubella, listeria and genital infection. But it is not clear whether infection plays a role in recurrent miscarriage.

Immune problems Raised levels of uterine NK (uNK) cells may increase the risk ofrecurrent miscarriage, ut more research is needed to prove this. It’s important to know that these uNK cells are different from he NK cells found in general circulating blood (e.g. from your arm). Diabetes and thyroid problems Uncontrolled diabetes and untreated thyroid problems can cause miscarriage. But well-controlled diabetes and treated thyroid problems do not cause recurrent miscarriage.

3 people found this helpful

Please help me to know the name of aborting pills used and easily available in market medical store. And how to use it. And is it necessary to consult with the doctor after taking the medicine. Thank you.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Please do not do selfmedication. You should go to your gynec and get the prescription for the pills. There is a definate system protocol that you need to follow. It can be very dangerous to take this pills by your own.
1 person found this helpful
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Blood Group Diet - Understanding the Pros and Cons

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Indore
Blood Group Diet - Understanding the Pros and Cons

It was believed by Dr Peter D’Adamo that the unique antigen markers of different blood group types react to different kinds of food. The consumption of the wrong kind of food may lead to various health conditions. The right kind of food, when consumed according to the blood types can help prevent chronic diseases, maintain an optimum body weight and act as defence against a large number of diseases. It was also believed that stomach acid levels and digestive enzymes are related to blood types.

Blood type diet:

  1. Blood Type A should only consume a vegetarian, in fact vegan diet.
  2. Blood Type B is recommended a balanced diet of meat, dairy products and vegetables.
  3. Blood Type O should consume high amounts of animal protein along with lots of fruits and vegetables. The carbohydrate, dairy and wholegrain intake must be low.
  4. Blood Type AB should stick to a vegetarian diet mostly, with occasional inclusions of meat and dairy products.

Pros of a diet based on blood group

  1. Food that agrees with your body system is essentially beneficial to your body.
  2. Blood type dieting makes exercising the most important part of your daily health regimen. This helps to promote fitness.
  3. It is effective as far as weight loss is concerned.
  4. It discourages the consumption of processed food and junk meals. Healthy fresh vegetables, fruits or dairy products will always be beneficial.
  5. Does not allow the intake of fatty, sugary food items.
  6. You can choose different food for your diet from a variety of food items suitable for your blood type.

Cons of a diet based on blood group

  1. It does not include food from all food groups.
  2. Many nutritionists and scientists have not been able to establish a connection between blood type and food suitability.
  3. Cutting out certain essential food groups can be quite dangerous.
  4. The theory of Dr D’Adamo is quite questionable and disputable. It does not have a medical backing.
  5. Following this diet can be quite tedious.
  6. There can be varying results from following such diet and this makes it difficult to analyse the outcome of following such diets. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
3313 people found this helpful

Hello doctor. My age is 20 years. Can I sex with my neighbour her age is of 28 years. She is sexually not active with anyone. Can I have sex without protection .because I don't want to use condom.

MBBS
General Physician, Durg
If she is agree then you can do it. But protection is important. Please use condoms for both safety.
1 person found this helpful
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Is aids a sexually transmitted disease? Does oral sex lead to aids. Can aids be cured by any way?

MD - Dermatology, Diploma in Venerology & Dermatology (DVD), MBBS
Cosmetic/Plastic Surgeon, Bangalore
Yes it is a sexually transmitted disease. Yes oral with an aids patien can lead to aids. There is no cure but there is effective treatment if taken properly, like say it is for diabetes.
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Pired me sex karane se pregnancy hoti he kya Hame or 1 sal beby nahi chahiye to pregnancy na hone ke liye kya kare. Condom chodke.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Patna
Pired me sex karane se pregnancy hoti he kya Hame or 1 sal beby nahi chahiye to pregnancy na hone ke liye kya kare.
C...
there is no chance of pregnancy during periods.but intercourse should not be done during periods as there is increased chance of infection during periods.you can live together during safe period that is for 4 to 5 days after menses and 4 to 5 days before menses.but dating method is not 100% safe.better use oral contraceptive pills or iucd.
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Is it normal to have twice periods in a month post delivery. My baby is now 4 months old and since last two months I am getting periods twice a month. Is it normal?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Is it normal to have twice periods in a month post delivery. My baby is now 4 months old and since last two months I ...
It shows that you have stopped breast feeding your child.Periods twice a month for last 2 months is really somethiing to worry about.Before reaching to a diagnosis I will advise you to go for abdomen ULTRASOUND performed empty stomach with full urine pressure.
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She had sex for first time. Even after having protected sex, she is feeling swelling in lower abs, pain and bleeding from last 2 days. What should be done now ?

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
She had sex for first time. Even after having protected sex, she is feeling swelling in lower abs, pain and bleeding ...
Check up needed to guide. Anju relax and meet a sexologist. All men/women are different in their sexuality and health. You need to go for check up with sexologist to know the cause and get guidance/treatment for improvement. If you value your sexual health and want to enjoy quality sex in marriage then understanding and learning about sexuality is needed. As we all believe that what we know by hearsay or porn watching is great but in fact what we all know and understand is only penetration and that's not quality sex.
1 person found this helpful
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Nasya Treatment

BAMS
Ayurveda, Navi Mumbai
Nasya Treatment

Unlike the allopathic form of treatment, ayurveda contains more than a few tablets and capsules. Ayurveda is a way of life that looks into what you eat, how you breathe, your exercise regimen etc. According to the ayurvedic texts, the air you breathe and the condition of your nasal passage through which air enters your body has a big impact on your health.

Nasya is the ayurvedic practice of lubricating your nasal passages. This not only keeps the nasal passages and sinuses clear but is also beneficial for the cervical lymph which maintains the immunity (learn more to improve the immunity system) of the ear, nose and throat. Nasya is especially beneficial in the winter months and can be practiced by both children and adults.

Some of the other benefits of nasya are:

  • It promotes hair growth
  • It enhances the functioning of sense organs
  • It boosts immunity
  • It shows down the aging process.

Nasya is best practiced after neti or the ayurvedic nasal cleaning procedure. After the debris in the nasal passages has been cleaned by neti, allow the passages to air dry for a while. You will need specialized herbal oil also known as nasya oil. You can buy this online or at any ayurvedic chemist. some of the common herbs used in nasya oil are pippali, apamarg, vidanga, vacha, saindhava and hingu.

Nasya can be varied by the type of oil used and the amount of oil used. Some common types of nasya include Virechana nasya, Pratimarsha nasya, Avapeedana and Dhooma Nasya. the optimal time to practice nasya also varies according to the disease or condition being treated. the best time to practice nasya to relieve Kapha disorders is in the morning. Practicing nasya in the afternoons is beneficial for pitta related problems and practicing this in the evening can help treat vata disorders.

To practice nasya, lie down on your back and tip your head backwards. Put a few drops of the oil in your nose and inhale sharply. You should be able to feel the oil hit the back of your throat. When practicing nasya on a child, use minimal oil. You could also dab the oil on with a cotton swab as their nasal passages are very delicate.

Nasya can also be performed by blowing dry powders into the nose rather than oil. This is known as pradhamana nasya. This is used to treat a number of diseases including cervical lymph adenitis, tumors, epilepsy, drowsiness, certain skin diseases, sinusitis and headaches.

5352 people found this helpful

How should couples avoid pregnancy for 2 to 3 years after marriage even if sex is not avoided.

MBBS, MD - Social & Preventive Medicine / Community Medicine, Fellowship of european union of sexual medicine, Fellowship in diabetes
Sexologist, Chandrapur
How should couples avoid pregnancy for 2 to 3 years after marriage even if sex is not avoided.
Get a copper t inserted. It will protect you from pregnancy for upto 5 years. U can always remove it whenever you wish and your fertility would be restored.
1 person found this helpful
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Gestational Surrogacy

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Gestational Surrogacy

Gestational Surrogacy

We will help you evaluate the benefits of gestational surrogacy and provide you with information about cost, legal issues, and treatment protocols.

In traditional surrogacy, the surrogate is pregnant with her own biological child, but this child will be raised by others. In gestational surrogacy, the surrogate becomes pregnant via embryo transfer with a child that is not biologically her own. The surrogate mother may be called the gestational carrier.

Once a suitable surrogate has been identified, and the screening process is complete, the cycle can begin. Timing depends on the surrogate’s and intended parents/donors menstrual cycle .

Surrogacy Cycle Overview

Evaluation Cycle

The surrogate needs to prepare her uterus for implantation with natural estrogen and progesterone. Because each woman is a little different, the dose, duration, and method of administering these hormones may need to be individualized. This can be determined ahead of time by conducting an evaluation cycle. This is a “dry run” in which we duplicate each part of the cycle except the actual transfer of embryos in order to determine how to maximize the chances of success. The evaluation cycle can be completed anytime before the actual procedure. In some circumstances, the evaluation cycle can be waived when the response of the uterus to hormonal stimulation is well known. This is fairly common for women who have undergone many treatment cycles in the past.

Cycle Synchronization

It is necessary to synchronize the menstrual cycles of the surrogate and the intended parent in order to obtain mature eggs and embryos and transfer these back into a perfectly prepared endometrium (uterine lining) to maximize the chances of pregnancy success. This is done using a variety of hormonal manipulations .We will determine which technique will work best for each circumstance. Once both women’s (surrogate and intended parent) ovarian function is suppressed and their cycles synchronized, they can begin the process of preparing for pregnancy.

Hormonal Therapy

On about the same day, the surrogate and intended parent will begin hormonal therapies to prepare the appropriate target for pregnancy success. The surrogate will begin taking estrogen to stimulate endometrial (uterine lining) growth and the intended parent will begin taking FSH to stimulate egg production. These treatments are monitored with ultrasound and blood estrogen levels until the eggs are ready to be retrieved and the uterus is ready to accept an embryo. Usually these treatments will take approximately two to three weeks and require five office visits for ultrasounds and blood tests.

Subsequently IVF and embryo transfer is done.

Pregnancy Success!

In successful cycles, the hormonal supplements are continued through the first trimester (12 weeks) of the pregnancy. Once the first trimester is completed and the placenta has matured to the point where it can provide for all the hormonal needs of the pregnancy, no further supplements are required. We will monitor blood levels of estrogen and progesterone at the end of the first trimester and taper off the hormone supplements gradually. Once the hormone supplements are stopped, the rest of the pregnancy is indistinguishable from any other pregnancy!

1 person found this helpful

Good Evening, Hello sir I want to know that what is the reason for non pregnancies.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Good Evening, Hello sir I want to know that what is the reason for non pregnancies.
If you r married since more than a year with regular sex (3-4 times a week) that is the time you should seek medical help. There r 2 basic tests which r needed in such case. Semen analysis (15 million/ml is normal count) and hsg to find out about the fallopian tube potency. If both r normal which is usually the case next treatment is with climiphene citrate for 5 days with follicular monitoring.
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Beat The Heat With Raw Mango

B.H.Sc (Food Science & Nutrition), M.H.Sc (Food Science & Nutrition)
Dietitian/Nutritionist, Mumbai
Beat The Heat With Raw Mango

Beat the heat with raw mango:

- It is excellent for preventing sun stroke. 

- Its high vitamin C content helps by increasing immunity and preventing the common summer cold. 

- It helps in preventing anaemia, tb and typhoid.

- It is quite rich in fibre helps maintain your digestive sysytem. 

- Rich in potassium has the power to keep blood pressure down as well. 

- A high potassium and magnesium content helps to prevent acidosis, muscle cramps, stress and heart problems.

Ever wondered how essential your aam ka achaar and kachi kairi (raw mango) ki chutney and panha is in the summer? No wonder the housewives are busy stocking these up! add raw mango to your salad, poha, upma or chew on it raw with a little salt and red chilli powder.

3 people found this helpful

Im 6 months 14 days pregnant nw. I got my scan done wen I was 19 weeks 6 days peg. N I found dat my baby is under w8. His EFW is 309gms. Aftr diz scan I started iron n calcium tablets. N nw wat should I do. For healthy baby. 2 increase d w8.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Im 6 months 14 days pregnant nw. I got my scan done wen I was 19 weeks 6 days peg. N I found dat my baby is under w8....
Hi have a balanced diet of fruits, vegetables, non veg, milk, nuts and seeds you will have healthy baby. You can consult me for proper diet schedule
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I got married 6 years ago. I unable to bear a child. Consulted a doctor. Came to know that I had pcod and twist in right tube. Had undergone Laparoscopy. Now its been more than six months, my periods are irregular and had a very scanty flow and that is only for 2-4 hours. Blood is black and almost dry. What should I do to get pregnant.

International Academy of Classical Homeopathy, BHMS
Homeopath,
I got married 6 years ago. I unable to bear a child. Consulted a doctor. Came to know that I had pcod and twist in ri...
take sepia 200 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres
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Dear sir. My life partner boobs water squeezed while am sucking her boobs .please clarify me what problem is there.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear sir.
My life partner boobs water squeezed while am sucking her boobs .please clarify me what problem is there.
Dear lybrate user. I can understand. Women and girls who are not lactating will ooze clear liquids from their breasts if squeezed. This is common and nothing abnormal. Don't confuse yourself and Take care.
2 people found this helpful
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Exercise advisory for older adults and above 65years of age

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Exercise advisory for older adults and above 65years of age
Light exercise advisory - easy walk, slow dancing, leisurely sports such as table tennis, household chores and other light-intensity exercise may be nearly as effective as moderate or vigorous exercise for older adults and age more than 65 years.
28 people found this helpful

Dr. my wife is now 35 years now she is in 34th week Dr. shall we join together.please reply

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Yes sex can be practice during pregnancy in the last month as well. One needs to change the position of male partner. Intercourse can be practised in male standing position or sideways position. Male partner should not lie on the tummy or growing fetus.
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