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Dr. Chumki

Endocrinologist, Delhi

500 at clinic
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Dr. Chumki Endocrinologist, Delhi
500 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Chumki
Dr. Chumki is a popular Endocrinologist in Greater Kailash, Delhi. Doctor is currently practising at Dr Rawats Ortho & Gynae Clinic in Greater Kailash, Delhi. Save your time and book an appointment online with Dr. Chumki on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 30 years of experience on Lybrate.com. You can find Endocrinologists 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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Dr Rawats Ortho & Gynae Clinic

E-20, Greater Kailash II,Landmark:-Near Savitri Cinema, DelhiDelhi Get Directions
500 at clinic
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Various Causes Of Infertility!

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Various Causes Of Infertility!

A problem in any one of a number of key processes can result in infertility. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.

Male factor
Sperm problems will contribute to about 40% of infertility cases. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form.

Female factor
Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. The most common identifiable causes of female fertility problems are outlined below:

1. Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate.
2. Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. It may also prevent the sperm from reaching the egg. Normal uterine implantation can therefore not occur. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy.
3. Endometriosis is characterised by excessive growth of the lining of the uterus. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring.
4. Repeated pregnancy loss - Some people may not have difficulty conceiving, but have suffered from miscarriages. This is obviously extremely distressing for the couples involved. Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy.

Less common factors
The following other factors may also be responsible for infertility in a smaller proportion of cases:

1. Genetic abnormalities within eggs, sperm or both
2. An abnormal uterine cavity, including the presence of fibroids or polyps
3. Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo
4. Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes
5. Unexplained infertility - Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. This can often be a frustrating diagnosis. In these cases the duration of the infertility is the best parameter by which to judge the chances of future natural conception; the longer the time of infertility then the sooner intervention should be considered.

Please do consult a competent sexologist for unexplained infertility problems.

11 people found this helpful

Diabetic Nephropathy - Who is at Risk of Acquiring it?

MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
Diabetic Nephropathy - Who is at Risk of Acquiring it?

Diabetes is a lifestyle disease that is very prevalent in the current generation. According to a report by the World Health Organisation (WHO), the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. The global prevalence of diabetes among adults over 18 years of age has risen from 4.7% to 8.5% from 1980 to 2014. Diabetes should not be taken lightly as it can affect other body organs besides the pancreas, such as the kidneys. Diabetic nephropathy refers to damage to your kidneys caused by diabetes, and may also lead to kidney failure in various cases.

Causes of diabetic nephropathy
Not everyone who suffers from diabetes will suffer from diabetic nephropathy. The main function of the kidneys is to filter waste from your blood. However, this is not always the case. Due to high a concentration of blood sugar caused by diabetes, several blood vessels in the kidney are destroyed, thereby, preventing the kidneys from carrying out its job. Over time, the kidneys may stop working altogether, resulting in kidney failure. If you are diabetic, the probability of you suffering from diabetic nephropathy will increase if you smoke or have high blood pressure or high cholesterol.

Catching it early
Today, diabetic nephropathy is the leading cause of chronic kidney disease in the US and other western countries. Since the symptoms of this condition aren’t visible in its early stages, you need to undergo urine tests on a regular basis. If detected early, the effects of diabetic nephropathy can be reversed. Common symptoms of this disease include the following:

  • Swelling in legs and feet
  • Detection of albumin in urine
  • Decline in glomerular filtration rate (GFR)
  • Elevated arterial blood pressure

What are the treatment options?
Medication to lower the blood pressure is the most commonly prescribed form of treatment suggested by doctors to prevent or slow the damage to your kidneys. There are other lifestyle changes that you may have to undertake in order to keep a check on the condition:

  • Limit sugar intake and keep blood sugar levels within the target range
  • Exercise regularly and work towards keeping your heart healthy
  • Limit protein intake, as it could put extra pressure on your kidneys
  • Limit salt intake to control blood pressure
  • Quit smoking and drinking

Diabetes is an unfortunate condition to have to live with. But don’t let it bog you down! With these simple lifestyle changes and taking care of your general well-being, you can beat the disease and emerge a winner!

2870 people found this helpful

Dear sir I have DIABETES. And I feel painful. Mujhe joints par (FUNSI) bahot zyada nikal rahi hai, aur mai AYURVEDIC MEDICINE (IME-9) use kar raha hoo 1 month se, mujhe nahi lagta koi fayda ho raha hai, please bataye mai kya karu sir.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Dear sir I have DIABETES. And I feel painful. Mujhe joints par (FUNSI) bahot zyada nikal rahi hai, aur mai AYURVEDIC ...
Whatever system of medicine you follow that is your choice. But you simply can test your fasting pp sugar hba1c to know whether treatment is working are not.
3 people found this helpful
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If fasting and PP blood sugar is normal with Hb1Ac -7, do I need treatment or dietary control is enough.

CDIABT, MBBS
Endocrinologist, Mumbai
If fasting and PP blood sugar is normal with Hb1Ac -7, do I need treatment or dietary control is enough.
Your hba1c is in a diabetic range. For non diabetic it should be less than 5.7. For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Walking for 30 mins a day for at least 5 days in a week is recommended. Follow a stress free life. After doing this for around 2-3 months recheck your hba1c, fbs and ppbs.
1 person found this helpful
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Infertility: Causes And Symptoms!

MS - Obstetrics and Gynaecology, MBBS
IVF Specialist, Dibrugarh
Infertility: Causes And Symptoms!

Infertility is a condition where a couple, trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly.

Causes: There are many causes of infertility. It may be down to a condition present in one or both partners. Ovulation and fertilisation are the main elements of the conception process and any condition in the female or male can upset either function, which can make it difficult to conceive.

While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions.

Infertility Symptoms in Women

In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility. Symptoms include:

  • Abnormal periods. Bleeding is heavier or lighter than usual.
  • Irregular periods. The number of days in between each period varies each month.
  • No periods. You have never had a period, or periods suddenly stop.
  • Painful periods. Back pain, pelvic pain, and cramping may happen.

Treatment: Female patients can turn to medication that will stimulate ovulation, intrauterine insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery. Male patients can go through a treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal and art or assistive reproductive technology.

If these methods fail, the patient or the couple can always turn to methods like in vitro fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2370 people found this helpful

I am diabetic for the past 5 years. My recent HBA1C IS 6.3, AVERAGE BLOOD GLUCOSE IS 134. NOW I AM USING TENELIGPTIN 20 MG AFTER MEALS AT NOON ONCE IN A DAY. ANOTHER MD DOCTOR SUGGESTED TO GO FOR METPHORMIN 750 MG morning AND 500 MG IN NIGHT. WHICH IS BEST. ARE THERE ANY ADVERSE EFFECTS WITH FIRST ONE. THANKS.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
I am diabetic for the past 5 years. My recent HBA1C IS 6.3, AVERAGE BLOOD GLUCOSE IS 134. NOW I AM USING TENELIGPTIN ...
both have side effects better to take diabeto powder 1 gm twice a day basant kusumakar ras 125 mg twice a day gudmar kshar 500 mg twice a day for 60 days and it will cure permanently.
1 person found this helpful
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My husband is 37 years old has uric acid 8 he takes medicine and becomes low when stops will increase now the problem is, he has got itching on the ball is this due to uric acid Or can you suggest me a medicine or remedy to get rid.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Increased uric acid can some times cause joint pains, however, itching on the skin is not likely due to increased uric acid. It may be due to fungal infection. So some antifungal drug treatment is required.
1 person found this helpful
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Hi, I have hypothyroidism. Can you suggest me the foods that should be taken and that should not be taken. I am so scared, because my hair fall is too much happening even after taking medication like thyronorm 50 mcg, and calcium supplements and spynovin tablets and also my thyroid is normal now as I am taking medication. Please help me to avoid my hair loss and lower back pain.

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
Hi, I have hypothyroidism. Can you suggest me the foods that should be taken and that should not be taken.
I am so sc...
Eat adequate amount of protein. Your hair is made up mainly of proteins. Include skimmed milk, cottage cheese, lentils in diet. Vitamin C, Zinc and Vitamin B are other important nutrients for great hair health. So include lot of fresh fruits, vegetables and whole grains in your daily diet. Next important step is to follow good hair care - Oiling your hair with a mixture of oils like olive, sesame, coconut and castor oil keeps provides moisture to your hair and prevent them from drying and breakage. Once in a week apply a good hair mask. You can mix and prepare different types of masks using green tea, olive oil, milk, gooseberry, etc. You can also start with zinc and biotin supplements. Amla juice will also help to control hair loss.
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Recently went for blood test. My fasting sugar level is 220 and post prandial is 334. What precautions to take to control sugar level? What food to consume and what to avoid.

MBBS, fellowship in diabetology, diploma in diabetes care
Diabetologist, Ahmedabad
Recently went for blood test.
My fasting sugar level is 220 and post prandial is 334.
What precautions to take to con...
Check HBA1c level ,if >6.5 ,go for medicine consultant diabetologist go for regular 30-50 min walking high fiber and protein diet regards.
1 person found this helpful
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I am 56 year old male. My thyroid test result shows high TSH levels and I had these tests as I was suffering from red patches every night which comes under control on taking an anti-allergic. What should I do?

DHMS (Hons.)
Homeopath, Patna
I am 56 year old male. My thyroid test result shows high TSH levels and I had these tests as I was suffering from red...
Hello, *take, @ rhus tox 200-6 pills x 3/dly. @ bovista 30-6 pills, thrice a day * avoid, dust, sun, smoke, alcohol, smoking, junk food, cold intake. * take, plenty of water to moisten your skin. * your, diet b easily digestible and non-irritant. Report, fortnightly.
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