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Dr. Chetna Tiwari

Gynaecologist, Delhi

Dr. Chetna Tiwari Gynaecologist, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Chetna Tiwari
Dr. Chetna Tiwari is an experienced Gynaecologist in Rohini, Delhi. You can meet Dr. Chetna Tiwari personally at Dr.Chetna Tiwari's clinic in Rohini, Delhi. You can book an instant appointment online with Dr. Chetna Tiwari on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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H.No 27 Near SBI ATM, Delhi Technological University rohiniDelhi Get Directions
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I'm having delayed irregular periods problem. Unless I'm affected by thyroid please tell me what are symptoms of it?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
I'm having delayed irregular periods problem. Unless I'm affected by thyroid please tell me what are symptoms of it?
Hello, Please get evaluated for PCOD, hypothyroidism and hyperprolactinemia which can be cause of irregular bleeding or delayed menses.
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What Happens to Our Bodies During Sex

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Sexologist, Chennai
What Happens to Our Bodies During Sex

What happens to our bodies during sex
www.healthx-consultant.com

While most of us are sure that we like to have #sex, most of us also haven't spent much time thinking about what happens physiologically while we are engaged in the act.

When a person becomes sexually aroused and participates in sexually stimulating activities (intercourse, #masturbation, #foreplay, etc.).

The sexual-response cycle is divided into four phases: excitement, plateau, orgasm and resolution. There is no distinct beginning or end to each phase -- they're actually all part of a continuous process of sexual response.

Keep in mind that this is a very general outline of what happens to each of us as we become sexually aroused. There is much variation among individuals, as well as between different #sexual events.

Simultaneous orgasms

Both men and women go through all four phases, except the timing is different. Men typically reach orgasm first during intercourse, while women may take up to 15 minutes to get to the same place. This makes the likelihood of simultaneous orgasm during intercourse a rare event

Phase one: excitement

This phase usually begins within 10 to 30 seconds after erotic stimulation, and can last anywhere from a few minutes to many hours.

Men: the #penis becomes slightly erect. A man's nipples may also become erect.

Women: vaginal lubrication begins. The vagina expands and lengthens. The outer lips, inner lips, clitoris and sometimes breasts begin to swell.

Both: heart rate, blood pressure and breathing are all accelerated.

Phase two: plateau

The changes that started in the excitement phase continue to progress.

Men: the testes are drawn up into the scrotum. The penis becomes fully erect.

Women: the vaginal lips become puffier. The tissues of the walls of the outer third of the vagina swell with blood, and the opening to the #vagina narrows. The #clitoris disappears into its hood. The inner labia (lips) change color (although it's a bit hard to notice). For women who've never had children, the lips turn from pink to bright red. In women who've had children, the color turns from bright red to deep purple.

Both: breathing and pulse rates quicken. A" sex flush" may appear on the stomach, chest, shoulders, neck or face. Muscles tense in the thighs, hips, hands and buttocks, and spasms may begin.

Phase three: orgasm

This is the climax of the cycle. It is also the shortest of the four phases, usually only lasting a few seconds.

Men: first, seminal fluid collects in the urethral bulb. This is when a man may have the sensation that orgasm is certain, or" ejaculatory inevitability" next, semen is ejaculated from the penis. Contractions occur in the penis during the orgasmic phase.

Women: the first third of the vaginal walls contract rhythmically every eight-tenths of a second. (the number and intensity of the contractions vary depending on the individual orgasm.) the muscles of the uterus also contract barely noticeably.

Both: breathing, pulse rate and blood pressure continue to rise. Muscle tension and blood-vessel engorgement reach a peak. Sometimes orgasm comes with a grasping-type muscular reflex of the hands and feet.

Phase four: resolution

This phase is a return to the normal resting state. It can last from a few minutes to a half-hour or longer. This stage is generally longer for women than men.

Men: the #penis returns to its normal flaccid state. There is usually a refractory period, where it's impossible to orgasm again until a certain amount of time has passed. The amount of time varies among men by age, physical fitness and other factors.

Women: the uterus and clitoris return to their normal positions. Some women may be able to respond to additional stimulation with additional orgasms.

Both: swelling recedes, any sex flush disappears, and there is a general relaxation of muscle tension.

Understanding what's happening to you and your partner's bodies during sex can only aid in the full enjoyment of the experience. Combine this with some good communication skills, and you've found the key to unlock sexual pleasure and your heart's desires.

4 people found this helpful

BPTh/BPT
Physiotherapist, Gurgaon
Can i have your few minutes to read this one??

We all follow certain myths regarding health. There are a lot of myths regarding Physical therapy and Exercising as well. Here are some myth busters which might help shed some light on the actual facts –
1. Myth: I need a referral to see a physical therapist.
Fact: There is no need to get a Physician’s referral to work with qualified experienced Physiotherapists. They are trained to do the evaluation and treatment planning.
2. Myth: Physical therapy is painful.
Fact: Physical therapists seek to minimize your pain and discomfort—including chronic or long-term pain. They work within your pain threshold to help you heal, and restore movement and function.
3. Myth: Physical therapy is only for injuries and accidents.
Fact: Physical therapists do a lot more than just stretch or strengthen weak muscles after an injury or surgery. They are skilled at evaluating and diagnosing potential problems before they lead to more serious injuries or disabling conditions—from carpal tunnel syndrome and frozen shoulder, to chronic headaches and lower back pain, to name a few.
4. Myth: Any health care professional can perform physical therapy.
Fact: Only qualified Physiotherapist from a recognized college who has done 41/2 years degree course are eligible to do the evaluation and treatment.
5. Myth: Surgery is my only option.
Fact: In many cases, physical therapy has been shown to be as effective as surgery in treating a wide range of conditions—from rotator cuff tears and degenerative disk disease, to meniscial tears and some forms of knee osteoarthritis. Also for stress incontinence. Those who have recently seen a good qualified physical therapist know this to be true.
6. Myth: I can do physical therapy myself.
Fact: Your participation is key to a successful treatment plan, but every patient still needs the expert care and guidance of a qualified physiotherapist. Your therapist will leverage his or her specialized education, clinical expertise, and the latest available evidence to evaluate your needs and make a diagnosis before creating an individualized plan of care.
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Soft drinks and childrens

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Soft drinks and childrens
Soft drinks-consumption of sugar-sweetened beverages (softdrinks) and lower fruit/vegetable intake and more sedentary time by childrens is positively associated with rise in triglyceride (bad cholestrol) concentration, poor for health, according to journal of nutrition.
92 people found this helpful

Issues for HIV Positive Women

DGO, MBBS
Gynaecologist, Delhi
Issues for HIV Positive Women

People who suffer from Human Immunodeficiency Virus, commonly known as 'HIV', are known as HIV positive people. The virus is the agent of AIDS that is currently incurable. HIV is known to alter the human immune system and makes people much more susceptible and vulnerable to diseases and infections. 

Body fluids such as semen, blood, breast milk, vaginal fluids etc. of an infected individual contains the virus, which can be passed from one person to another during blood-to-blood and/or sexual contact. HIV positive women may even pass on this virus to their children during pregnancy, delivery or by breast feeding them. HIV is also transmitted during oral, anal or vaginal sex, by contaminated hypodermic needles and by blood transfusion. 

Mentioned below are a few issues that a HIV positive woman have to face apart from discrimination and stigma, fear of infecting their children or partners, violence and abandonment. 

  1. Menstrual Disorders: Changes in menstrual cycles are frequently reported by HIV infected women. However, menstrual dysfunctions are due to varied reasons that aren't directly related to the disease. Although most of the HIV positive women suffer from amenorrhea i.e. the unusual absence of periods, it is not just due to HIV but also because of weight loss or immunosuppression. 
  2. Contraception: It is very important that the contraception a HIV positive woman chooses not only acts as birth control, but also to prevent the transmission of sexually transmitted diseases and HIV. Although condoms do not provide exceptional pregnancy prevention, they are excellent at preventing transmission of the HIV virus. Permanent sterilization is usually the most chosen contraceptive method for HIV serodiscordant couples.
  3. Surgical Complications: HIV positive women are at a higher risk of undergoing gynecologic surgery. This is because they are more vulnerable to pelvic infectious disease that requires surgical intervention. There is also a greater risk of developing vulvar cancer in HIV positive women. 
  4. Fertility: There has been an increase in the number of seropositive women contemplating pregnancy and childbirth. Most couples resort to assisted reproduction to lower the risk of horizontal HIV transmission. Studies show that undergoing HIV treatment and having an undetectable viral load is helpful in preventing the transmission of HIV. It is important to consult a medical expert if you are unable to get pregnant after at least 6 months of trying. Fertility problems are more common in HIV positive women than HIV negative women.
3322 people found this helpful

Health Quote of the Week

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
Health Quote of the Week

Bigger snacks, bigger slacks.

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Sir I ask you when plan pregnancy what precaution should be taken in mind and which type we decided plan and activity.

DGO
Gynaecologist, Pune
Sir I ask you when plan pregnancy what precaution should be taken in mind and which type we decided plan and activity.
Get urself evaluated for any conditions. Start suppliments before conception. Consult me for details.
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Tips for Dealing with Morning Sickness

Diploma in Acupuncture, BHMS
Homeopath, Delhi
Tips for Dealing with Morning Sickness

Symptoms like - nauseate (urge to vomit) and vomiting keep on appearing up to starting 3 months after conception and if conception has delayed, such symptoms can continue till further.

Cause-
During pregnancy, she starts on feeling the sickness in the morning due to changes in hormones.

Important tips:-
A pregnant should not take enough food at once but take light food frequently. She should take dry food like- biscuits, dry toast etc. Fresh fruits and vegetables should be taken and in the morning, she should take a diet rich in proteins and carbohydrates. She should not take sweet and fatty foodstuffs. She should throw all worry from her mind and should take complete rest. She should take enough vitamin-b6 in her diet, but only according to the advice of a doctor. To cure her nauseate, tea, in which ginger is used, should be given to that woman. With it, biscuits with ginger and peppermints flavors can be also used. Stay hydrated.


Why do they call it morning sickness when I feel nauseated all day long?
'morning sickness' is a misnomer. For some pregnant women, the symptoms are worse in the morning and ease up over the course of the day, but they can strike at any time and, for most women, last all day long. The intensity of symptoms can vary from woman to woman, too.

Precaution -
If the stomach of a pregnant remains empty due to vomiting with other symptoms like - fast heart beats, white skin, fever, nauseate and vomiting even after starting 3 months, etc, consult a doctor immediately.

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Is it Ok if we can have sex by giving anesthesia to my wife, she has suggested bcaz pain during sex (vaginismus) pls suggest anesthesia We tried lox 2% but it doesn't work.

MD - Obstetrtics & Gynaecology
Gynaecologist,
If you want to try local anaesthetic gel, apply 10-15 mins before the act. And please rule out any vaginal infection.
2 people found this helpful
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I have given birth to child last year, can I reduce pregnancy stretch marks? Please advise.

Advanced Aesthetics
Ayurveda, Gulbarga
Cosmetic dermatologists offer a variety of non-surgical alternatives for treating stretch marks. Popular and effective options include chemical peels, microdermabrasion, and blue light therapy. These are good options for patients who want to avoid surgery, home remedies stretch marks can make you feel self-conscious and uncomfortable about your appearance. Fortunately, there are several natural ways to reduce the appearance of stretch marks. 1. Castor oil castor oil, which is used in the treatment of a number of skin problems such as wrinkles, age spots, moles, dark spots, fine lines and pimples, can also be used to get rid of stretch marks. 1. Apply some castor oil to the stretch marks and gently massage the area in circular motions for 5 to 10 minutes. 2. Wrap the area with a thin, cotton cloth. Using a hot water bottle or a heating pad, apply some heat to the affected area for at least a half an hour. 3. Repeat this process daily for a minimum of one month to notice positive results. 2. Aloe vera aloe vera is effective in the treatment of many skin problems. Its healing and soothing properties can be used to get rid of stretch marks. There are a couple of ways to apply it, you can directly rub aloe vera gel on the affected skin area, leave it on for 15 minutes and then rinse the skin with lukewarm water another option is to make a mixture with one-fourth cup of aloe vera gel, oil from 10 vitamin e capsules and oil from five vitamin a capsules. Rub this mixture onto the skin until fully absorbed. Repeat this process daily.
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I am 30 years old. My problem is since from 4 year s my menstrual cycle is not normal and married for 7 years n I don't have kids. Anxious to become mother. My gynecologist did all tests like pelvic scan, hsg, hormonal test. All r normal. If I take tablets my periods happens if not sometimes my periods won't happens for 2 to 3 months. I was on siphene 50 mg and medroxyprogestrone. Please help. Thanks.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I  am 30 years old. My problem is since from 4 year s my menstrual cycle is not normal and married for 7 years n I do...
If you have taken siphene as advised by your doctor in the right dosage for at least 6 months then I would advice you to consider iui next and see if that works.
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Hello lyb doctor, my question is how hypothyroid affects married women when she wants to Conceive.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello lyb doctor, my question is how hypothyroid affects married women when she wants to Conceive.
Hypothyroidism is a leading cause of difficulty in achieving and maintaining pregnancy. Low thyroid function has a negative impact on reproductive health. Along with your doctor monitoring thyroid hormone levels and prescribing thyroid medication, there are specific foods, key nutrients and herbs that can all be used to improve thyroid health.
1 person found this helpful
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I have been diagnosed with Pcod. My current weight is 44 kgs. Believe this falls under normal. Please suggest whether to go for allopath or homeopathic treatment for this .

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I have been diagnosed with Pcod. My current weight is 44 kgs. Believe this falls under normal. Please suggest whether...
All women with PCOD are not overweight. The diagnosis of PCO is made by a combination of Ultrasound features of ovaries together with deranged hormonal profile and other features like irregular periods, facial hair, acne . Treatment will depend on the type of symptoms you are having and your blood test results.
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I am 15 yr female. I have not got my periods yet. Though the date was of 20th may. What should be the reason behind? is this a sign of pregnancy? i am scared doctor!

Advanced Aesthetics
Ayurveda, Gulbarga
A number of factors can cause this problem, such as eating disorders, significant weight loss or gain, anemia, menopause, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health. R you have any sexual contact once you check for pregnancy. Otherwise not necessary any queries inform me.
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I'm 25 years old. I used unwanted 72 pill for the first time. My period came early 26th oct. Now it's 1st Oct. There is no sign of my period. It's already 5 days late. What is the cause?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
I'm 25 years old. I used unwanted 72 pill for the first time. My period came early 26th oct. Now it's 1st Oct. There ...
Hello, Thats due to side effect of unwanted 72, which can easily delay your next menses by 7-10 days.
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Can you suggest a medicine that can avoid pregnancy after 2 weeks of intercourse? Or suggest a method to know either she is pregnant or not?

MBBS
General Physician, Chandigarh
After Teo weeks there is no meficine to avoid it if it has already happened and only way to confirm it is by ultrasound abdomen to rule out the pregnancy otherwise if she misses her periods then you can test her urine for pregnancy and take meficine to abort it if it us positive.
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5 Health Benefits Of Strawberries

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
5 Health Benefits Of Strawberries

1. They are an excellent source of folate. Strawberries are an amazing source of folate (the folic acid found in food). Inadequate amounts of folate in the aging population can contribute to atherosclerosis, vascular disease and even a decline in cognitive function. Medications used for conditions like rheumatoid arthritis can actually deplete folic acid in the body, so stock up on strawberries to replenish!

2. They could reduce the risk of cardiovascular disease. Strawberries are being studied for their unique ability to suppress the inflammatory responses of the body and reduce our risk of hypertension by lowering ldl cholesterol. A 2013 study published in circulation found women who ate three or more servings of strawberries and blueberries in a week reduced their risk of heart attack by 32 percent.

3. There's more than enough vitamin c. Strawberries contain more than 100 percent of our daily recommended intake of vitamin c in just one cup. Recent studies show that when vitamin c is consumed during times of stress, it actually has the ability to decrease our blood pressure to a normal level, preventing the development of hypertension especially in kids.

4. They are a great source of fibre. Strawberries are high in fibre, which is important for moving food through your digestive system and helping bowel movements. This can help improve digestion, especially for those with constipation or irregular stools.

5. They are high in antioxidants. Strawberries contain anthocyanin, which is a powerful antioxidant that protects us from the damaging effects of our environment, especially the sun. The antioxidant power of the anthocyanins found in strawberries lasts up to 24 hours after consumption; this makes them a great defence against free radical damage.

11 people found this helpful

My upper body is heavier than lower. Specially breast size. And pain in my body. So how can I reduce my breast size.

Advanced Aesthetics, M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Indore
My upper body is heavier than lower. Specially breast size. And pain in my body. So how can I reduce my breast size.
Breast reduction and lifting surgery will reduce the size and tighten them. This is one of the most frequently performed surgeries and we are the pioneers in central India since last 30 years. To the best of our knowledge no medicines or creams work to increase or reduce the breast size. It is a day care procedure and you are discharge in a very short time from the hospital and it brings about an instant change in breast size and self esteem. No one wants surgery unless it is necessary. There is no medication to give the results. No one wants surgery unless it is necessary. There is no medication to give the results. No creams or pills actually work except psychologically. Surgery is the only answer. The surgery is almost painless.TO the best of our knowledge no medicines or creams work to increase./reduce or tighten the breast You would need adjustment either on one side alone or in both breasts depending on what you want To the best of our knowledge no medicines or creams work to increase the breast size. The larger side can be reduced and the smaller side can be enlarged and both would become firm.
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I am 21 years old. I'm suffering from lucorie and my weight is not improving how I relief from this disease.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Lucorrhoea is white discharge from vagina and if not associated with other problems it is normal. You may get confirmed that it is normal by Gynaecologist. It has no relationship with weight. For weight gain increase calorie intake and excercises to increase muscle mass.
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