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Dr. Gaurav Nijhara

General Physician, Delhi

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Dr. Gaurav Nijhara General Physician, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Gaurav Nijhara
Dr. Gaurav Nijhara is a trusted General Physician in Patel Nagar, Delhi. You can visit him at Nijhara Hospital in Patel Nagar, Delhi. Book an appointment online with Dr. Gaurav Nijhara on Lybrate.com.

Lybrate.com has a number of highly qualified General Physicians in India. You will find General Physicians with more than 38 years of experience on Lybrate.com. You can find General Physicians 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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Hindi

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Nijhara Hospital

2979/3, Ranjit Nagar, South Patel Nagar. Landmark: Near Shiv Mandir & Patel Nagar Metro Station Metro Pillar No 192, DelhiDelhi Get Directions
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I have abdominal pain from 1.5 years I use gas tablets and eno to get back again after 2 days same pain will occur.

MBBS
General Physician, Mumbai
I have abdominal pain from 1.5 years I use gas tablets and eno to get back again after 2 days same pain will occur.
Avoid spicy food in your diet and also avoid peanuts and potatoes in your diet and eat only curd rice or khichdi for few days and drink only boiled water.
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Unconsummation

MD-Dermatology, MBBS
Sexologist, Pune
Unconsummation

Definition

Inability or absence of successful peno- vaginal intercourse in a couple.

Prevalence

About 15% of couple have problem of Unconsummation though they can have orgasm by masturbation or by oral stimulation of the genitals. It is not so common in the west, be for social and cultural reasons. The longest duration of Unconsummation seen was for 9 years.

Etiology

The commonest cause of Unconsummation is ignorance about the sexual act, though sexual aversion, rigid hymen, atresia of vagina, trauma, infection and sexual dysfunctions like impotence, premature ejaculation vaginismus, dyspareunia, etc. and up in Unconsummation of marriage.

Attention is mainly focused here on the Unconsummation due to ignorance about the sexual act. The other conditions responsible for Unconsummation are managed by treating the cause. 

Why Unconsummation?

1. sexuality is a basic instinct in the animals for reproduction and propagation life. Unlike the other animals, sexual behavior in the human being is the outcome of learning and conditioning. Sex being a very private issue and considered as a taboo, there is hardly any opportunity for learning the intercourse. therefore ignorance, myths and misconceptions about sexual act prevail.

2. All the quadruped and biped animals perform coitus by the rear entry, while human being is the only animal doing intercourse in a face –to – face position.

3. the act is done in the dark.

4. the vaginal opening and its direction are not visible externally.

How the problem presents?

Unconsummation is more common in urbanized and well- educated clients. They are normal in every respect except for their ignorance about the sexual act.

1. The client complaint may come for the guidance saying, I don’t know how to do intercourse. Please help me.

2. The chief complaint may be, I can’t penetrate.

Perhaps he tries at the wrong site or in a wrong direction; or she may be having vaginismus.

3. Some men may not know that they have to do pelvic movements after penetration.

4. Woman keeps her legs straight

This can be an important statement by the client giving a clue to the diagnosis. This COITAL position there is no proper alignment between the direction of penis and vagina; therefore penetration  is not possible.

5. My penis is not hard enough for penetration this could be the complaint. The female might not have been sufficiently stimulated through foreplay. Nature has designed the structure of the vagina in such a way that man gets maximum rigidity of penis in the vagina and then only he can ejaculate.

6. Man may lose erection after trying at a wrong site ( at urethra or at clitoris) for a long time and blame himself. In such case, woman may complain of pain during the coital act.

7. If the women has vaginismus, man may not be able to penetrate. He may lose erection and label himself as impotent.

8. All the semen comes out

This is the complaint by the women when the man ejaculates on the vulva instead of in the vagina.

9. Women complaint of primary infertility. To the surprise of the examiner, the hymen may found to be in fact proving Unconsummation. Till this fact is brought their notice, they feel that they are doing the coitus in a perfect way.

Consequences:

1. The couple may continue  to do intercourse in a wrong way without being aware about Unconsummation.

2. Women may complain of pain during the intercourse

3. Man way lose the erection after trying intercourse unsuccessfully at a wrong site for sufficient length of time. He may think himself suffering from impotence.

4. Infertility

5. Anxiety/ depression

6. Marital conflict/ divorce

7. Suicide

Diagnosis:

1. history is most important.

Foreplay : yes/no

Erection of penis in man and lubrication of vagina in women : Yes/No

Women flexing her hips during coitus in missionary position : Yes/No

Site & direction of penetration : Right/ Wrong

Pelvic movements: Yes/No

Illumination in the room: Yes/No

2. In every case of impotence and infertility, Unconsummation should be ruled out.

3. Women sleeping in the supine position with legs straight on the bed during the intercourse should make the clinician suspect Unconsummation.

4. Genital Examination:

Presence of hymen in the married female .

Only one finger dilatation of vagina

Presence of smegma on the glans/coronal sulcus in the male

Painful retraction of prepuce (or phimosis) may be an accidental finding.

5. Post-coital Test: Absence of sperms in the sample.

Management

1. Both the partners should attend the counselling session.

2. Anatomy of male & Female genitals should be explained to them with the help of clay model, charts or slides.

3. Examination of the genitals:

One finger PV examination of the females should be done in the presence of the male to enable him to understand the site and the direction of the vaginal barrel.

4. The following instructions will help the couple  in overcoming Unconsummation.

For the couples who sleep on the floor.

Lights should be on or the coitus should be done during the day.

The couple should engage in foreplay till he gets erection  of penis and she gets lubrication of vagina.

The female should be in a supine position on the bed, with a pillow under her buttocks, and with her thighs flexed and abducted at her hips. This rotates her pelvis and brings her vaginal opening accessible for the penetration by the male.

The male should squat on his heels ( vajrasan or Namaaz  Position)

Between her thighs. In this position he being perpendicular to her body is in a position to locate and align his penis with the vagina which is at the lower end of vertical cleft, and in upward and backward direction.

Then he advances towards her that his right thigh is under her left one , and his left thigh is her right one. On reaching near her vulva, he separates the labia by his left hand and inserts his penis by his right hand. In the event of difficulty, the female should help him with her hand in guiding the insertion penis.

Supporting his body on the knees and holding her thighs by his hands he makes to and for movements of his pelvis till he ejaculates in the vagina.

For the couples who sleep on the cot: (T position )

Light should on or the coitus should be done during the day. The female sleeps on the cot in a supine and slide down till buttocks are on the foot end the bed.

She flexes and abducts her thighs, and the male kneels on the floor between her thighs, supporting his knee on the pillows so as to align his penis with her vaginal opening. In this position the male is perpendicular to the female.

The advantages are that he can see the external genitals of both and maneuver the penetration, can make pelvic movements by holding her thighs, and can stimulate the clitoris simultaneously while doing intercourse.

Outcome

The success rate is high. once the couples learn the coital act they simply wonder as to how they could miss such a simple and universal procedure  

9 people found this helpful

My two daughters 11 and 7 years of age. Both have severe cough and throat infection problem.

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Give them both: acon -30, rumx -30, bell -30, crot c -30, sul -30 three drops of each in half cup of water - give each girl qrtr cup 6 times a day for 5 days.
1 person found this helpful
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Masturbate krne se mere gaal bahut andr pichak Gye hai r meri aankhen dhns gyi hai koi upaay bataye.

BHMS
Homeopath, Delhi
Masturbate krne se mere gaal bahut andr pichak Gye hai r meri aankhen dhns gyi hai koi upaay bataye.
NO need to worry take good nourishing diet like eggs, fish etc. It is not due to to masterbation if it is not too much.
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My Vitamin D value are 15.82 ng/ml. Is this unit are proper or not. Please tell me the food name or medicine which contain Vitamin D so I will maintain my Vitamin D.

MBBS, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, DHA, PGD IN MEDICAL LAWS ÐICS
General Physician, Kolkata
My Vitamin D value are 15.82 ng/ml. Is this unit are proper or not. Please tell me the food name or medicine which co...
Reference value varies from lab to lab. Please check. Sufficient value 31-100ng/ml. Fish, egg, milk contain vitd. Best source cod liver oil.
1 person found this helpful
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I am 22 years old. 2 days before I got insect bite. And after that my throat is now full of rash and it's really very very painfull. Getting the advice from doctor, from today I used levocet + clop-s ointment (composition: clobetasol propionate + salicyclic acid) so sir, please tell me what should I do. Is it right medicine for that or not?

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Ranchi
It is a kind of allergic reactions due to insect bietare little difficult to remove bcz they are in skin where blood supply is very little. So it will take time to remove. If you want to cure you have to follow medicines for 3-5days. If you r ready I can cure it. But you have to consult me privately.
1 person found this helpful
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My eldest daughter lifted my newborn (one month old) and her head hit the ceiling fan (it was on). There are no bumps on my baby's head and the hit wasn't that strong. Will this affect her as she grows up?

MBBS
General Physician,
My eldest daughter lifted my newborn (one month old) and her head hit the ceiling fan (it was on). There are no bumps...
If at the time of incidence nothing happened eg unconsciousness, convulsions etc, you need not worry. Regards.
1 person found this helpful
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I m 17 years old and I m suffering from fever last two days then what I have to do.

MBBS
General Physician, Cuttack
I m 17 years old and I m suffering from fever last two days then what I have to do.
Take one tablet of crocin 500mg after food 2-3 times daily,drink plenty of water, take rest. If no relief, do blood examination after consulting doctor
1 person found this helpful
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Hello Drs, I feel a pain in my left breast lasting for few minutes only. But plan not in one particular place, it travels around the chest. Pain for last three only. What can be the cause. Please tell me is anything to worry.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hello Drs, I feel a pain in my left breast lasting for few minutes only. But plan not in one particular place, it tra...
it could be acidity or gas , as the pain is of shifting kind. Take some antacids and cold milk without sugar . Also do some stretching and breathing excercises to relax your muscles and steady your heart beats.
1 person found this helpful
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I am suffering from chicken pox. I want to ask you that what food should I eat and what should I avoid?

MBBS, PGDUS, Fellowship In Aesthetic Medicine, Advance Course In Diabetes - USA, MD - Medicine
Aesthetic Medicine Specialist, Delhi
Chickenpox (varicella) is a viral infection that causes an itchy, blister-like rash. It is self limiting disease but you can have Anti viral if your Doctor advice so. They reduce the severity of the disease. It is highly contagious to people who haven't had the disease nor been vaccinated against it Some Life style Modification, You can follow are- 1. Take plenty of water. 2. Avoid spicy food. 3. Take food Rich in vitamin A, C, omega fatty acids (can take triomega capsules) 4. Don't scratch it, scratching will delay recovery- Put gloves on his or her hands, especially at night, Trim his or her fingernails 5. A cool bath with added baking soda, uncooked oatmeal or colloidal oatmeal — a finely ground oatmeal that is made for soaking 6. Calamine lotion on the spots 7. A soft, bland diet if chickenpox sores develop in the mouth 8. Antihistamines (diphenhydramine) for itching. 9. Don't take aspirin because it can lead to a serious condition called Reye's syndrome. And don't treat a high fever without consulting your doctor
5 people found this helpful
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I have diabetes melitus & pressure also. I also have sinus problem. Please help me to solve this problem.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I have diabetes melitus & pressure also. I also have sinus problem. Please help me to solve this problem.
Life style modification and low salt sugar free fat restricted diet brisk walking. Small frequent meal. It all must be principle of life.
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The size of fingers related to penis is it true? And which tips is best for growing penis size.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
The size of fingers related to penis is it true? And which tips is best for growing penis size.
No tips, Its natural. O only tip is dwell out of sexual thoughts and concentrate on building career. All the best.
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Causes and Symptoms of Uterine Fibroids

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Causes and Symptoms of Uterine Fibroids

Uterine fibroids are referred to as benign, abnormal growths which tend to develop in the uterine walls of a woman. The size of such growths can range from a few centimeters to even excess of a few inches. As such, they can cause the uterus to increase to the size of a five month pregnancy. Although, the symptoms of fibroids are not always apparent, they often cause heavy bleeding and pain in women. A recent research concluded that around 60 to 75 percent women contract such fibroids by the age of 50, at least once in their life.

Depending on the site of formation, uterine fibroids are distinguished into different types. Intramural fibroids in the lining of the uterus and subserosal fibroids which develop outside the uterus are the most commonly observed fibroids.

What causes Uterine Fibroids?
Although, the exact reason for the formation of fibroids are obscure, medical professionals have determined certain factors that may affect their formation. Some of them are:
1) Hormones: Progesterone and estrogen, produced by the ovaries regenerate the uterine lining during each menstrual cycle and trigger the growth of fibroids.
2) Family history: If you have had a family history of uterine fibroids, then you're likely to develop the condition yourself as well.
3) Pregnancy: The production of progesterone and estrogen increases during pregnancy which increases the likelihood of fibroids.

What are the signs of the condition?
Depending on the location and size of the tumors, symptoms of such fibroids include:
1) Heavy bleeding and blood clots during periods
2) Pain in the pelvis
3) Frequent menstrual cramps
4) Pressure and pain in the lower abdomen
5) Swelling in the abdomen
6) Pain while intercourse

What is the procedure of the treatment?
Ultrasound and pelvic MRI are common diagnostic procedures to check for uterine fibroids. After diagnosis, depending on your age, size of the fibroid and your comprehensive health, the doctor would prescribe you with appropriate medications. Only after medications prove futile, doctors opt for minimally invasive surgeries. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2790 people found this helpful

Hi My father is 65 years old and is a diabetic patient for more than 20 years. He had carbuncle on his back for which he recently went for surgery. He was also on insulin. 6 units before breakfast (Regular, 6 units before lunch (regularly, 12 units before dinner .His sugar is not getting controlled .His recent fasting is 198 mg/dl. Please suggest what to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi My father is 65 years old and is a diabetic patient for more than 20 years. He had carbuncle on his back for which...
lybrate-user, Thanks for the query. Post surgery it is very essential to control glucose levels strictly for quick healing as well as for prevention of long term complications. Usually after many years of treatment with oral drugs, many patients have to be shifted on to insulin for better control. If with current dosage glucose control is not as expected, then we will have to increase the dose of Insulin, both in the morning and at night. Ideally FBG <100 mg PP 160 to 180 mg. So to achieve those levels, there has to be a change in insulin dose. Plus we will have to also look at other antidiabetics that he may be taking. Thanks.
2 people found this helpful
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Many a man says that to taking soybean is harmful to male. Can you define it scientifically. Because some my attache who joined gym they said so it to me. I very awful about its logic. Thanks a lot.

BSc, Diploma in Human Nutrition, Certified Diabetes Educator, MBA, Lifestyle Medicine: Nutrition and the Metabolic Syndrome
Dietitian/Nutritionist, Bangalore
Many a man says that to taking soybean is harmful to male. Can you define it scientifically. Because some my attache ...
Excess consumption of soybean can increase female hormone oestrogen in men. But that happens only in very high consumption. Upto 50 gms per day is very safe. Soybean is the only complete plant protein available. So you don't have to worry if you are eating in limited quantity.
3 people found this helpful
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I am 25 years old. My problem is related to sex timing and excitement. My sex timing is only 30 sec please suggest me what to do.

MBBS
Sexologist, Panchkula
I am 25 years old. My problem is related to sex timing and excitement. My sex timing is only 30 sec please suggest me...
Your problem is regarding sex timing and excitement. You have premature ejaculation problem during sex. I advise you to do start and stop technique and squeezing method to delay ejaculation during sex. For better guidance and natural, safe and permanent treatment of premature ejaculation, consult me.
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Dr. I am suffering frm pre mature ejaculation pls advise what to do. I am taking cipralex 5 for my anxiety. Since 2 days.

MD - General Medicine
Sexologist, Nashik
Dr. I am suffering frm pre mature ejaculation pls advise what to do. I am taking cipralex 5 for my anxiety. Since 2 d...
cipralex is known to cause delayed ejaculation in its side effect lets hope it works like this and you will be double benefited.
2 people found this helpful
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