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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 25 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 am 30 years old, my question is during pregnancy can I sex with my partner or not, if yes how can & whose days or months please tell.

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
If her pregnancy is without any complications you can continue your sex life as long as both of you are comfortable and in a mood to do it. Doing acrobatics or trying different positions or using lubes or other gels or vibrators may not be a good idea right now.
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How to naturally beat sleep disturbance?

MBBS
General Physician, Mumbai
How to naturally beat sleep disturbance?
One of the main reasons for not getting proper sleep is that plans made during the day time or earlier, do not succeed and mind finds ways or speculates or wanders to find ways to make the the plans work. These mental speculations repeat in mind at time of sleeping. So, due to plans not working as the mind likes to, the mind remains in agitated state due to finding no way and thus leads to frustration which avoids mind to go into sleep mode. This leads to not getting proper sleep.

The solution is to not intentionally think further about plans, but with faith surrender to the supreme and instead of thinking about the plans it is better to read a nice book, listen to nice music or talks which do not allow mind to get frustrated with mental speculations. Drinking cow's milk in night before sleep also should help

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Sir last 15dys before I had unprotected sex with female friend ? But after having some time I'm getting tension bought I may be any problems like hiv. What i have to do tel i have to do blood test or What to do tell me sir thanx.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
Sir last 15dys before  I had unprotected sex with female friend ? But after having some time I'm getting tension boug...
Dear lybrate-user, these days having unprotected sex has many risks, still nothing wrong have hiv testing after 3 months not immediately and have peace of mind.
17 people found this helpful
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I am aged 25. I am pregnant of 3 months. How to tace care during twin pregnancy. Give some tips?

DGO, MBBS
Gynaecologist, Bhavnagar
I am aged 25. I am pregnant of 3 months. How to tace care during twin pregnancy. Give some tips?
Twin pregnancy requires more care during pregnancy. Avoid heavy work, traveling, staircase climbing. Get your bp checked regularly, get your ultrasonography done at least every 3 mnths. In the last 3 months, you have to take special care. As twin pregnancy usually terminates earlier. So premature babies are possibility. And due to twins, low weight babies are also possible. So take care as to your delivery occurs as near term as possible so that chances of premature babies and low weight babies are less.
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Hi Dr, Please let me know its OK to delivery after 36 week of pregnancy becoz My family Dr. said baby head in up middle stomach not moving to words down side and this will risky to wait till 9 months hence please sugest.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Hi Dr,
Please let me know its OK to delivery after 36 week of pregnancy becoz My family Dr. said baby head in up midd...
NO IDEALLY THE BABY MOVES DOWN AFTER 37 WEEKS IN PRIMIGRAVIDA AND DURING LABOUR IN MULTI GRAVIDA. YOU CAN DEFINATELY WIAT TILL THAT TIME
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My wife gets vaginal infection every month. Its been almost two years she is having this issue. It is kind of reoccurring one and we have tried different options n medication but nothing really fixed it and I observed she mostly get this around 10 or 11th day from her period due to which we could not even try for baby.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
One reason that yeast infections return is that they love the warm, moist condition of the vagina. This means that if you wear: Synthetic underwear, switch to cotton Pajama bottoms, go bare instead for better air circulation to the vaginal area while you sleep Tight jeans or spandex, swap them for more breathable materials To prevent yeast infections, also remember to: Wipe from front to back after using the toilet Take antibiotics only when absolutely necessary and prescribed by your doctor Avoid douching Abstain from sex until the infection is gone If you continue to experience repeated yeast infections after making these changes, ask your doctor to rule out any possible underlying causes. That way you'll know you're getting the appropriate treatment.
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I am 33 year old and mother of 5 kids. I had slight differences between my breast before first delivery. Yhe problem is after delivery both the breast will be filled with milk. But after10 days or two weeks the small breast will start shrinking and it will have very small amount of milk. The difference in size affects my confidence level too. Can I get this treated feel there is difference in structure of this breast.

DNB, MBBS
Oncologist, Faridabad
Dear mam, lactation from both breast may be different, but you need to express milk from other breast to prevent from getting it collected and form abscess. If there is obvious difference of size is there then please get an ultrasound breast cancer to rule out local collection of milk or inflammation of breast and get it treated accordingly.
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I am married and I and my husband are trying to get baby but we are unable to do that please help us with some advise and tips.

BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy
Homeopath, Delhi
I am married and I and my husband are trying to get baby but we are unable to do that please help us with some advise...
You can do semen analysis of husband. What is your menstrual cycle. Have you any problem during menses? you should use pillow under buttock during intercourse. You should lying down on back in straight position till 1hr after intercourse, not move for toilet also, you should do intercourse in between menses 10 days.
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N K CAP are ayuvedic propritory medicine each capsules contains S.Radis 50mg S carrots 400gm Aloe 50mg

BAMS
Ayurveda, Ambala
N K CAP are ayuvedic propritory medicine each capsules contains
S.Radis 50mg
S carrots 400gm
Aloe  50mg
The medicines you mentioned is ayurvedic medicines but you have to mention the ingredients in detailed manner. The medicines is mainly used to treat the problems of digestion & helps in improving the liver functions.
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I am 42 yrs old lady very much fit and fine. I want to conceive because I dont have child. My problem is my spouse cannot release sperm in quantity. It is very low. What is the way to increase sperm count and I can conceive.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Pregnancy is still possible, especially with modern treatment. I think, you should not waste time, just consult doctor with your husband and find out the cause of the problem. Then solution would be easier. All the best.
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Dear doctors my wife pregnant in 13 week. I have a son 4years from down syndrome the doctor advised me to chorionic villus biopsy test. Please answer me to what risk of this test.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Dear doctors my wife pregnant in 13 week. I have a son 4years from down syndrome the doctor advised me to chorionic v...
If it is done through abdomen the risk of pregnancy loss is lesser than if it done vaginally. Difference in risk maybe 0.5% to 5%.
1 person found this helpful
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My wife's period lasts for5- 6 days with excessive menstruation. What is the reason & treatment regime?

BHMS
Homeopath, Faridabad
My wife's period lasts for5- 6 days with excessive menstruation. What is the reason & treatment regime?
Hello, Hormone imbalance Dysfunction of the ovaries Uterine fibroids Polyps Adenomyosis take Milifolium pentarkan , 2 tabs thrice daily during the days of excess bleeding. Intrauterine device (IUD) Pregnancy complication
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Footwear with heels and their biomechanical impact on heel pain

Bachelor in Physiotherapy, Msc Advanced Sports Therapy and Rehab Science (UK), honorary Doctorate
Physiotherapist, Chennai
Footwear with heels and their biomechanical impact on heel pain
Introduction

Women loves high heels, but if they continue wearing them all time chances of significant foot pain and associated problems either can occur directly or exacerbated by wearing heels. (Morin, n.d.).

Any time person wears footwear that disturbs or realigns the natural counter of the foot they are bound to cause foot pain the experts says. While, if you add a bit of inches (high heels) in to this calculations then the pain can soon escalate to damage says Stuart Mogul expert in podiatry. Due to this, there exists the change in the body segmental alignment. For instance wearing high heels will restrict the natural movement of the foot and in addition to the restriction there is increased loading of weight on that area hence the person is not just crushing the toes, but adding exaggerated body weight on them says the Sports Scientist (Biomechanics) Vasanth Kumar from Chennai who is also a performance coach.

Consequences of wearing footwear with heel

Researchers have found that people wearing high heels (2 Inches or more) have tighter calves. About 13% short on the calf muscle fibres on an average was found in the calf muscle scans among the people with frequent heel wearers in comparison with the people who avoided wearing heels. A study by Journal of Experimental Biology found that high heels led to stiffer calf (Achilles) tendons.

A study by Professor Marco Narici, (Manchester Metropolitan University) that involved 11 volunteers from 80 group of women who wore 5cms (2 Inches) of heel for over a period of two years had issues and struggled while walking on flat foot (Bare Foot). An MRI Scan of these volunteers showed no significant difference in length of the calf muscles in comparison with the group of women who wore flat shoes. While, an Ultra Sound scan showed shorter calf among the women who wore heels. In addition, the women who wore heels were asked to lie on their front on the couch and the researchers noticed the angle of the heel were greater due to the shortened calf. Above all these, the tendons were much thicker and stiffer among the women wearing heels than those who wore flat footwear that causes discomfort while walking on flat feet since the tendon cannot stretch sufficiently.

Prevention

Sammy Margo, chartered physiotherapist from London says not to wear heels or flat shoes all the time but to wear variety of heel heights that can keep the muscle in right length (Anon., 2010). Secondly, the researchers and scientists have found out that performing some regular stretching activities can minimise the issue of calf muscle tightening.

Stretching Exercises

Stand on tiptoes on a step, and using a handrail for balance to lower their heels as far as they can and hold the position for 10 – 15 seconds.
Strengthening the Tibialis anterior (Shin Muscle) muscle can be of a help (Toe Raise) for a count of 8 – 10 Repetitions 2 -3 sets a day says the Sports Scientist.

Tips

Select footwear with low heels – an inch and a half or lesser while a wider heel base can be of more help; a slightly thicker heel will spread the load more evenly. Narrow, stiletto-type heels provide little support and three inch or higher heels may shorten (Tighten) the Achilles tendon.

Softer insoles can reduce the impact on the knees.

Selecting right size footwear is more essential. Wearing shoes that allow your body to move naturally during walking will allow your feet, legs, hips and back to stretch.

Stretch your muscles as many times as possible during the day and while during rest.

Difference in Radiographs between High Heels and Normal Footwear

Conclusion

Do not let your sense of style cripple your ability to stand or step pain-free. “Your feet are, quite literally, your base of support. If your feet aren’t happy, nothing above them will be,” says Dr. Nevins. “Take a closer look at your shoe selection and take small steps now to prevent big foot problems later.” (Nevins, 2015). In addition to all these the above exercises as a regular routine will keep the muscles in the right length and can be used as the preventive factor.
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In how much time maximum urethral stricture can occur after cystoscopy (like within 1 or 2 or 3 months), so that I can feel safe after that period of time, as I have done cystoscopy? Thanks.

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
In how much time maximum urethral stricture can occur after cystoscopy (like within 1 or 2 or 3 months), so that I ca...
Stricture does not occur always after cystoscopy. It only occurs after about 1-2 months if the procedure has been difficult.
2 people found this helpful
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I am newly married and I use condom for birth control purpose. But my wife said the lubricant used in the condom is create problem for her later for having pregnancy. really is there any problem in condoms and I used manforce strawberry flavoured condom. Please advise.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am newly married and I use condom for birth control purpose. But my wife said the lubricant used in the condom is c...
No it does not cause problem. Lubricant is harmless. For newly married oc pills are best contraceptives, not condoms.
1 person found this helpful
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I am married, trying for baby 2 years but no luck. My life have initially irregular periods and PCOs and get cured now. We have checked my sperms count and motility and everything is good. Also her egg ruptures study also done without any pills it is getting done. Still we are struggling to get that. I am just thinking few things like in my part. In my penis, tip of bottom side skin is still attached with path of urinal way. I hope you can get my question. But i am getting full erection and size almost 6 inches during the sexual intercourse releasing enough sperms. This is just my thought. Please help me understand is that fine or we need to do something for that.

BHMS
Homeopath, Sindhudurg
I am married, trying for baby 2 years but no luck. My life have initially irregular periods and PCOs and get cured no...
The biggest secret to getting pregnant quickly is knowing when is ovulation period(release an egg from your ovary)..she ovulate only once each menstrual cycle, and there are just a few days during that time when it's possible to conceive. Knowing when you ovulate means that you and your partner can time intercourse to have the best chance of getting pregnant that cycle.consult for further help and treatment without side effects
6 people found this helpful
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What is the correct time to get pregnancy. If I want to be pregnant how many times regularly have to participate with my husband.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
What is the correct time to get pregnancy. If I want to be pregnant how many times regularly have to participate with...
You need to have intercourse around the 14 th day of cycle, best is to follow the ovulation study by sonography from tenth day of menses.
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Hello Dr. I am F 35 years. Trying to conceive since 5 yrs. Have PCOD, One tube removed due to one ectopic. (Lead into ectopic after 4 IUI cycle) Tried for IVF. After a long try (6-7 cycle) Egg was retrieved. Hormonal injections was not working for me. Its been 1 years my ebmreyos are freeze. But could not transfered because my ET not growing at all. hysteroscopy and TB PCR done twice. But came normal as per my Dr. Only prob is I have a Fibroid (a tiny one) Every month taking progynova 3 times 11-11-11. With vitamin E and viagra. But still ET not growing beyond 7. Triple line never came up. Not sure why this is happening As per Dr. last only option is surrogacy. My elder sister came foreword to help me in surrogacy. Her age is 37, have one kid of age 12. Had normal delivery 71 Kg, height - 5-4 ET was very good. 8.7 (Clear triple line) blood flow. Uterus condition was good. No cyst, no fibroid She started taking progynova 2 times 1-1-1 from her 2nd day On her 17th day (30th march 2016) 2 embryos transferred. Please find the embryo detail below Embryo 1-4AA (100% survival) Embryo 1-2BB (100% survival) She traveled back to her home town on 3rd april. Dr. suggested to do pregnancy test on 10th April 2016. (11th day after transfer) She did the home urin test today which came -ve. I am really really broken down this time. This was my last hope. I am feeling very low. Could you please help me to understand 1) What may be the reason to fail. As ET was good and also had good quality embryo 2) What should be the next plan. She was continuing progynova till today. 3) When we can plan next transfer. 4) What is the chances of success. Anything we can do to make it success 5) Please suggest any medication for me to grow my ET Kindly please help me on this. Any more suggestion and guidance from your side will be appreciable

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello Dr. I am F 35 years. Trying to conceive since 5 yrs. Have PCOD, One tube removed due to one ectopic. (Lead into...
As you already success rate of ivf is 40-50 % that too depend on lot of factors. You can go for next et after 3 months. You are already taking all the medicines for it, this may be probably due to fall in hormone levels, mainly estrogen as age and menopausal years increase.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Malaria's adverse impact on reproductive health

Malaria can have a serious impact on reproductive health, experts said on the occasion of World Malaria Day today as they pointed out that, although rare, the disease can hamper semen quality in males and increase miscarriage risks in women.

When a man suffers from high-grade fever during malaria, he may develop severe azoospermia (no measurable level of sperm in semen), necrozoospermia (sperm in semen is either dead or immobile) or oligospermia (low sperm count),

However, in most of the cases, recovery occurs once the person is cured of malaria. Thus, success rates are comparatively low among couples who try to conceive around the period when the male partner is affected with malaria or has just recovered from the disease.

"Not many are aware that a parasitic disease like malaria can affect the reproductive health of both men and women. We sometimes see that quinine and chloroquine, the anti-malarial alkaloids that are used to treat the disease, impact the quality of sperm and blood levels of some reproductive hormones in males.

"In some cases, they also hamper the egg quality in females. Malaria also increases miscarriage risks. However, more research needs to be done to ascertain the exact effects of malaria on male and female infertility"

"The vulnerable group when it comes to malaria are children, pregnant women and the elderly. Malaria in pregnancy can cause a low birth weight infant, abortions and premature delivery and should not be ignored and treated early.

"An unexpected abortion of this nature can cause long-term infertility in patients"

Being diagnosed with malaria during pregnancy can harm both the mother and the unborn foetus. It can cause severe parasitic infection and anaemia in the foetus thus becoming a major cause of maternal mortality.

The disease can also cause premature birth or low weight, which leads to increased risk of neonatal mortality.
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On 6.5. 16 my USG report was presentation-breech position (head position of baby-upper side) but on 14.5. 16 it was Cephalic. Is it possible during this short time? If amniotic fluid is mild polyhydric, how it affects the baby. Is there any chance of sugar for baby or mother?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
On 6.5. 16 my USG report was presentation-breech position (head position of baby-upper side) but on 14.5. 16 it was C...
Yes the baby rotates multiple times in a day, one day it can be on left the other day on right and so on. There is nothing to worry about. If you have not done your sugar test during pregnancy done then get it done now both fasting and 2 hr after meal.
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