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Dr. Indra Narula

Gynaecologist, Delhi

400 at clinic
Dr. Indra Narula Gynaecologist, Delhi
400 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Indra Narula
Dr. Indra Narula is a trusted Gynaecologist in Preet Vihar, Delhi. You can visit him at Narula Medicare Centre in Preet Vihar, Delhi. Save your time and book an appointment online with Dr. Indra Narula on Lybrate.com.

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.

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Hindi

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#179, Maduban, Preet Vihar. Landmark: Near Punjab National Bank, DelhiDelhi Get Directions
400 at clinic
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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.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
Me and my girlfriend had intercourse 2 days ago. 1 day before intercourse she was suffering from vomiting. Whatever f...
It was wrong to have had intercourse when the girl was having vomiting. On top of it you gave unwanted 72 without getting her treated. You are worried about ipill rather than the girl and her vomiting. Don't worry about pregnancy. Take her to the hospital and get her treated.
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Identification and Management of Perinatal HIV Treatment

FHM FELLOWSHIP IN HIV MEDICINE, MD, MBBS
General Physician, Hyderabad
Identification and Management of Perinatal HIV Treatment

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:

  1. 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.
  2. 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.
  3. The HIV-infected women should be counseled for a cesarean delivery. The option of an elective cesarean reduces the perinatal transmission of the HIV.
  4. 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.
6261 people found this helpful

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.

BHMS
Homeopath, Hyderabad
Actually there was 1 year passed of my marriage and since then my wife's periods are irregular and she is still not g...
Yes, infertility and irregular periods may be due to several reasons like PCOS, hormonal imbalance or thyroid dysfunction hence first get evaluated for these items and then get treated accordingly.
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As of now I am pregnant what all are precautionary Step and diet for me please advise.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
As of now I am pregnant what all are precautionary Step and diet for me please advise.
There are many preacutions like excercises, proper sleep, mental positive attitude, diet with high calories, vitamins, minerals, protein, fatty acids, supplements, vaccinations, repeted check-ups, lerarning about labour, baby feeding etc.
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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.

BAMS
Ayurveda, Bangalore
Hi, There is no solution for this as it is a congenital problem. When the organ is not developed in the foetus, nothing can be done later. That is why foetal anamoly scan is done during 20th week of pregnancy to know whether all the organs are formed well and thus detect the defects at that stage itself.
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What is safe period of sex?

MS - Obstetrics and Gynaecology
Gynaecologist,
The day on which bleeding start is the 1st day of menstrual cycle, count the days from here. Day 1-7 & 21-next period are the safe days.
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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.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
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.
Your menstrual cycle can be disturbed if you change your method of contraception or you have an imbalance of the hormones oestrogen and progesterone. It's not unusual to have a hormone imbalance for a few years after puberty and before the menopause. This can cause your menstrual cycle to become longer or shorter. Your periods may also become lighter or heavier. If your irregular periods are caused by these age-related factors, you won't usually need to see your GP. Lifestyle The following lifestyle factors can also upset your balance of hormones and cause irregular bleeding: • extreme weight loss or weight gain • excessive exercise • stress Polycystic ovary syndrome Polycystic ovary syndrome (PCOS) occurs when very small cysts (small, fluid-filled sacs) develop in the ovaries. The usual symptoms of PCOS are irregular or light periods or no periods at all. This is because, in women with PCOS, ovulation (the release of an egg) may not take place as often as normal. The production of hormones may also be unbalanced, and you could have higher levels of testosterone than normal. Testosterone is a male hormone that women usually have a small amount of. Thyroid disorders A thyroid disorder is another possible, but rare, cause of irregular periods. The thyroid gland, found in the neck, produces hormones that maintain the body's metabolism (the chemical processes your body uses to turn food into energy). Your GP may test for a thyroid problem by taking a blood test to check levels of thyroid hormones in your blood.
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All about Menorrhagia

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
All about Menorrhagia

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.

Symptoms
Signs and symptoms of menorrhagia include:

  1. Soaking through more than one tampon or sanitary pad for every few hours
  2. The need to use double sanitary protection
  3. Heavy bleeding for weeks on end
  4. The need to wake up at night to change your sanitary protection
  5. Restriction of daily activities due to heavy menstrual flow
  6. Symptoms of fatigue, such as excessive tiredness as well as shortness of breath

Causes
Although the exact causes are unknown, here are a few causes that may be responsible:

  1. Hormonal imbalance is when there is an hormone imbalance, the endometrium develops in excess and sheds away with menstruation
  2. 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
  3. Uterine fibroids are benign tumors which start appearing in your childbearing years
  4. Polyps are small benign growths found on the uterine lining
  5. Adenomyosis occurs when your glands from the endometrium becomes embedded in the uterine muscle
  6. By using Intrauterine device (IUD) menorrhagia may occur as a side-effect
  7. Pregnancy complications, for instance, an ectopic pregnancy can cause it
  8. Inherited bleeding disorders, such as von Willebrand disease
  9. Certain medications like anti-inflammatory drugs
  10. Other medical conditions, like pelvic inflammatory disease or endometriosis

Treatment
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:

  1. Iron supplements
  2. Tranexamic acid
  3. Oral progesterone
  4. Non steroidal anti-inflammatory drugs
  5. Oral contraceptives
  6. Hormonal IUD

If drug therapy is ineffective, other treatment options may include:

  1. Dilation and curettage
  2. Focused ultrasound ablation
  3. Uterine artery embolization
  4. Endometrial ablation
  5. Myomectomy
  6. Endometrial resection
  7. Hysterectomy
2692 people found this helpful

My girlfriend used unwanted 72 two weeks ago. Today, she tested pregnancy with prega news pregnancy test kit. It shows positive. Why? And what should I do now?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My girlfriend used unwanted 72 two weeks ago. Today, she tested pregnancy with prega news pregnancy test kit. It show...
Please note that there are chances that these tablets may fail. It depends whether they were consumed at the right time. Whether unprotected sex occurred after consumption of tablet etc.
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I am 18 n on birthcontrol pills (loette) since 7 months. My period is to come on the 30th I had protected sex on 24th n the same day later I had unprotected sex though he did not ejaculate inside . Do I still need to take ipill to prevent pregnancy. If yes den what time ?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 18 n on birthcontrol pills (loette) since 7 months. My period is to come on the 30th I had protected sex on 24th...
Hi lybrate-user if you are having birth control pills properly without skipping any pill no need to take emergency contraceptive pill.
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Me and my girlfriend had protected sex last month. Her actual period date was 1st Nov. But till now she didn't get. What is the reason? Is there any pregnancy chances?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Me and my girlfriend had protected sex last month. Her actual period date was 1st Nov. But till now she didn't get. W...
Hello, It is better to rule out pregnancy anyhow first and if negative then she can wait for week more to allow menses to start naturally.
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I'm not getting my menstrual since 3-4 months what should I do?

Advanced Aesthetics
Ayurveda,
I'm not getting my menstrual since 3-4 months what should I do?
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 conditions. Lifestyle triggers like increased exercise, smoking, alcohol abuse, caffeine, travel, stress, and certain medications and birth control pills can also contribute to this problem. Treatmet home remedies aloe vera aloe vera helps treat menstrual irregularities naturally by regulating your hormones. 1. Extract fresh aloe vera gel from an aloe leaf. 2. Mix in one teaspoon of honey. 3. Consume it daily before having your breakfast. 4. Follow this remedy for about three months. Note: do not use this remedy during your periods.
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My periods are irregular. I had to get my periods on 27 th july. Still I didn't get my periods. I did 2 pregnancy test. Both of them came back negative. I have sore breast and milky white discharge from vagina. I have PCOS also. What shall I do?

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
My periods are irregular. I had to get my periods on 27 th july. Still I didn't get my periods. I did 2 pregnancy tes...
PCOS IS NOT A DISEASE BUT A CHANGE IN TEH BODY. UNLESS YOU ARE MARRIED YOU DONT NEED ACTIVE TREATMENT. BECAUSE EVEN IF YOU TAKE TABLETS NOW THE PERIODS WOULD BE REGULAR TILL YOU ARE ON THE TABS. ONCE YOU STOP THE TREATEMENT PERIODS WOULD GO BACK TO THE STATE THEY WERE IN. KEEP A TRACK ON YOUR WEIGHT
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My wife is having itching in her vagina. After having sex she suffers from more pain n more itching, but after sometime pain goes but itching last for 5 6 days. This time v didn't had sex for 5 days but still she is suffering from itching. Please suggest me what we should do. And what ointment she can apply.

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
She could be having fungal infection which is causing the itching. She can apply surfaz - sn cream 2-3 times a day locally. If there is no relief then get her examined by a gynaecologist.
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Sir my wife is pregnant 3rd month is running now We want to abort it how we can do it?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Sir my wife is pregnant 3rd month is running now We want to abort it how we can do it?
Hi you need to visit gynaecologist for termination of the pregnency as its 3 months only you will need surgical procedure.
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Dear doctor, I take mifegeat kit (1+4) tablets, 1 big tablet take on date 24-5-16 at night, and another 4 tablets takes advice of drugist. And my bleeding start, after 5 days blood clot stop and 2 weeks after take mifegest kit ,a tiny small blood clot discharge, and my vaginal also discharge brownish with blood a very small amount of whole day. And I checked my pregnancy by prega news, its show negative on date 15-6-16 , doctor, did I successful aborted? When my first period come after abortion? Please doctor help me immediately.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Dear doctor, I take mifegeat kit (1+4) tablets, 1 big tablet take on date 24-5-16 at night, and another 4 tablets tak...
Yes you are not pregnant. What was the need to take 2nd kit? observe your symptoms like bleeding or low grade fever as test gets negative with destruction of pregnancy but pieces remain leading to bleeding and septic abortion. Some tiny retained pieces cannot be seen, even on ultrasound. Evaluate your symptoms and get back here for more guidance.
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Hai I am married over two years. .For me one baby 7 month .but now I want to sex with my wife but she don't because pregnancy. .what suggestions with me.

MBBS
General Physician, Cuttack
Hai I am married over two years. .For me one baby 7 month .but now I want to sex with my wife but she don't because p...
You can have protected sex by using condom or your wife can use IUCD. Consult doctor for further advice
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I have periods problems not come regularly what's the reason give me suggestions.

BAMS
Ayurveda, Ambala
I have periods problems not come regularly what's the reason give me suggestions.
Dear, Causes of irregular periods are : * Hormonal imbalance * Anaemia * PCOD (polycystic ovarian disease) Formation of cyst in ovaries * Obesity For making regular your periods these are some instructions given below: • Take proper diet full of nutrition . Eat green leafy vegetables and seasonal fruits and a glass of milk daily. Eat a fruit daily. Eat a bowl of cereal in afternoon . • Do Not take stress because stress causes imbalance in hormones of female and make your menstrual cycle disturb and make your ovulation disturb .Do long breathing pranayams daily for 15 minutes to maintain hormonal balance. • Do jogging and running exercise daily .Start these exercise for 3 to 4 minutes daily then increase time slowly . If you are obese loose some weight this is also a cause of irregular periods. • Do skipping regularly for 2 to 3 minutes daily. • you can take these medicines for regular periods. Syrup Dashmolarisht or ,syrup EVECARE of himalya. 2 tsf daily once in a day after meal.
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I want to know about hypothyroid If hypothyroid is there Than is it necessary to uterus abdomen scan And hypothyroidism means in future cancer and infertility also psychological problems like aggressive behaviour with friends relatives breast becomes small and thin vulva vagina also becomes thin and small no flexibility in total muscles of body. Is it necessary to consult gynaecologist.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I want to know about hypothyroid
If hypothyroid is there
Than is it necessary to uterus abdomen scan
And
hypothyroidi...
lybrate-user, Hypothyroidism means our thyroid gland starts producing less and less of hormone thyroxine. This hormone is essential for development and day to day functioning of brain, plus takes part in multiple metabolic reactions in the body. Therefore, it deficiency causes multiple problems like - weight gain, slow heart rate, intolerance to cold, dry skin, dry hair, hair fall, irregular menstruation, excess flow, infertility, abortions, miscarriages, anxiety and depressive tendency, joint and muscle pains etc. To find out if one has hypothyroidism a thyroid assay has to be done. If hypothyroidism is detected, thyroxine supplement has to be taken for lifetime. Thanks.
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Is missed periods are always a sign of pregnancy even if test is negative. In such a case should we wait or consult doctor and what can be reasons for missed periods.

MBBS
Sexologist, Panchkula
Is missed periods are always a sign of pregnancy even if test is negative. In such a case should we wait or consult d...
Missed periods are not always the sign of pregnancy. You can wait for the periods. Reasons for missed periods could be stress, faulty dietary habits or hormonal imbalance or pregnancy.
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