Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 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.
Book Clinic Appointment
Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Submit a review for Dr. Indra NarulaYour feedback matters!
Me and my girlfriend had intercourse 2 days ago. 1 day before intercourse she was suffering from vomiting. Whatever food she was eating she has vomited. After intercourse I gave her a unwanted 72 i-pill. She has even vomited 3 hours after taking i- pill. Now my concern is that the i- pill worked or not.
HIV testing in pregnancy should be done early so as standard care can be taken for the pregnant women. The HIV testing must be repeated in the third trimester, usually before 36 weeks of gestation. This should be done in women with HIV seronegative and also in pregnant women who are at a high risk of developing HIV infection.
Expedited HIV tests should be performed at the time of delivery and labor and this is a must in women who have not been documented for HIV. The results of the test should be available within an hour of the test and the testing should be available 24 hours. In case the results are positive then, infant postnatal antiretroviral and intrapartum drug prophylaxis should be started immediately.
Women who have not been able to get tested for HIV at the time of labor and delivery are suggested expedited screening for HIV. Their screening can be done immediately postpartum or their babies should undergo screening. In case the infant and mother, both are positive, then infant antiretroviral drug prophylaxis should be started immediately. These mothers should avoid breastfeeding their babies, until the supplemental HIV tests are negative. In infants with positive HIV, prophylaxis should be discontinued and antiretroviral drug therapy should be started.
In case of acute HIV infection during pregnancy, that is in the intrapartum period, or during breastfeeding, initial testing can be performed with an antigen/antibody combination immunoassay. If the supplemental test is negative, then an additional test which is the virologic test (DNA, RNA) are necessary for the diagnosis of the HIV infection. If the mother is HIV positive, then this information must be documented in the infant's medical record and also communicated to the infant's care provider.
The knowledge of an antenatal maternal HIV infection allows the:
- Women with HIV infection to get the correct antiretroviral therapy along with prophylaxis for the infections, which might occur due to the immunocompromised state of the body. This also prevents and decreases the risk of transmission to their partners.
- When there is provision for antiretroviral therapy for the mother during pregnancy and labor along with antiretroviral drug prophylaxis for the baby there is less risk of perinatal transmission of the HIV.
- The HIV-infected women should be counseled for a cesarean delivery. The option of an elective cesarean reduces the perinatal transmission of the HIV.
- The HIV women should be counseled about the risk of breastfeeding. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Actually there was 1 year passed of my marriage and since then my wife's periods are irregular and she is still not getting pregnant. We make physical relation on daily basis. Is this reason of irregular periods and non pregnancy. What should we do so that she can be pregnant.
Hi, one of cousin didn't have uterus, so that she didn't attain puberty. I ve checked in internet, says that 1 in 5000 will suffer by this. Is there any solution for this.
I am 25 yr girl from last 3 months my period comes before 15 or 10 days but this month again normal what is it.
Menorrhagia is menstrual condition characterized by an abnormal loss of blood or heavy, prolonged bleeding. Although heavy bleeding is not uncommon in premenopausal women, menorrhagia is a severe condition which generally interferes with your daily activities. If your vagina bleeds irregularly or between periods, in addition to such heavy bleeding that at least one pad or tampon gets soaked every few hours, it is highly recommended that you seek medical attention.
Signs and symptoms of menorrhagia include:
- Soaking through more than one tampon or sanitary pad for every few hours
- The need to use double sanitary protection
- Heavy bleeding for weeks on end
- The need to wake up at night to change your sanitary protection
- Restriction of daily activities due to heavy menstrual flow
- Symptoms of fatigue, such as excessive tiredness as well as shortness of breath
Although the exact causes are unknown, here are a few causes that may be responsible:
- Hormonal imbalance is when there is an hormone imbalance, the endometrium develops in excess and sheds away with menstruation
- In Ovary dysfunction, if your ovaries do not ovulate, your body won't be able to produce the hormone progesterone resulting in a hormonal imbalance problem which may lead to menorrhagia
- Uterine fibroids are benign tumors which start appearing in your childbearing years
- Polyps are small benign growths found on the uterine lining
- Adenomyosis occurs when your glands from the endometrium becomes embedded in the uterine muscle
- By using Intrauterine device (IUD) menorrhagia may occur as a side-effect
- Pregnancy complications, for instance, an ectopic pregnancy can cause it
- Inherited bleeding disorders, such as von Willebrand disease
- Certain medications like anti-inflammatory drugs
- Other medical conditions, like pelvic inflammatory disease or endometriosis
Treatment for menorrhagia depends on a number of factors like the cause and severity of the condition, or your tolerance for specific therapies or medications.
Some drug therapies for menorrhagia include:
- Iron supplements
- Tranexamic acid
- Oral progesterone
- Non steroidal anti-inflammatory drugs
- Oral contraceptives
- Hormonal IUD
If drug therapy is ineffective, other treatment options may include:
- Dilation and curettage
- Focused ultrasound ablation
- Uterine artery embolization
- Endometrial ablation
- Endometrial resection