Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 35 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 with Dr. Indu Bala Chawara
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Indu Bala ChawaraYour feedback matters!
I had unprotected sex and had ipill after that. And my periods haven't occur since then. Almost 1 month has passed. I did have pregnancy check and result was negative. So kindly help me with this.
Hypoglycemia is a condition that is associated with a lower amount of glucose in the body. Since glucose is the main source of energy in the body, it creates quite a few complications in the body. In a majority of the cases, this condition is associated with diabetes. Hypoglycemia, like fever, is not a disease but a disease indicator. A quick fix to keep hypoglycemia under check is to ensure that a patient intakes high-sugar food. A long-term fix involves a doctor treating a patient for the root cause.
What are the common symptoms?
The body needs a constant supply of glucose to carry out the daily function. In a case of short supply, it presents with the following symptoms:
As the condition worsens, the symptoms can aggravate to the following conditions:
- Frequent seizures b. Inability to complete daily work due to confusion
- Sudden loss of consciousness
- Problems related to vision such as blurred vision
People with an acute hypoglycemia can get a feeling of intoxication at times. Words get slurred while they talk.
What are the causes?
Glucose is one of the many sugar molecules that the body produces when it digests food. Glucose is one such sugar component and is the driver of energy. There are 2 reasons of diabetes. If the pancreas can’t produce enough insulin or the body is incapable of responding to the insulin. This results in a logjam of glucose in the body. To address the problem, intake of insulin is required. Too much of insulin intake can result in hypoglycemia. The latter can also befall if an adequate amount of food is not consumed while going through a medicine course of diabetes. Even too much of working out while consuming diabetic medicine can also result in hypoglycemia.
Other probable causes:
- Alcohol consumption- A regular drinker who eats less runs a heavy risk of suffering from hypoglycemia. This blocks the liver and the latter can refrain from releasing glucose.
- Critical illness- Hypoglycemia may occur from certain critical illnesses such as liver illness, kidney disorder, frequent starvation etc.
- Overproduction of the insulin- A tumour of the pancreas known as the insulinoma causes the body over-produce insulin.
- Hormonal deficiencies- Disorders related to the pituitary gland and adrenal gland runs a serious risk of suffering of hypoglycemia due to hormonal deficiencies.
What are the complications?
Some of the common complications of this conditions include loss of consciousness, seizures and at times even death. Frequent episodes of hypoglycemia can make a person go numb and speechless.
A doctor typically asks a patient to go for a fast of 12 hours in a hospital setting and then test the glucose level in the blood. It ensures that the body exhibits the correct symptoms of hypoglycemia. The doctor analyses the blood sample report and decides whether a person has this condition. The last and the final confirmation comes when the symptoms of hypoglycemia go away as soon as the blood sugar levels are increased.
In the case of a diabetic patient, it is necessary to ensure that a constant evaluation of the blood sugar level happens from time to time. Eating and medicine schedules need to be adhered to. Exercise too is important. All this needs to be done in consultation with the doctor.
Is it ok if a girl consume I pill after every unprotected sex ? Will it effect when she want to keep babies?
We did foreplay (including fingering) followed by rubbing our vestigial organ. Penis was not in. But now after 6 hours she had a bit of bleeding (in case of hymen being broken) It's her period date in next 2 days, do we need an I-PILL. And if she have normal periods in the next 2 days, is it still required to have a PILL.
Mere last 2 periods regular aaye he. Aur mera ovulation bhi hua tha mene ovulation kit me monitoring karke intercourse kiya. Aur mere medicines bhi shuru he. Muze mere doctor ne ovulation ke bad progynova and duphaston tablet lene kaha he aur me vo le rahi hu. To kya me isbar pregnancy conceive kar paugi.
Is this possible that meningitis can transferred from mother to her child, if yes then what is the precautions to prevent from this disease to child.
Hi I am 18 year old, doing UG in zoology 2nd year. I've been gaining weight of about 10+ KGS in a a year, for the past 3 months I didn't have my periods, I checked with the gynecologist. There is no thyroid problems, with an ultrasound, it said I have PCOS (polycystic ovarian syndrome). The left ovary has cysts of size 6-7 mm (vol 15. 01 cc) num of cysts (9-10) The right ovary 5-6 mm (vol 21. 47 cc) Num of cysts (7-8) After seeing this report, I have been given the tablets to be followed for 6 months (glyciphage 850) Doctor said I should reduce my weight, to get periods. How to reduce my weight? Still now I didn't have my periods? What should I do? Is there anything serious about this? What is the cause for PCOS? Can it be cured? Is there any thing to worry about with this? Please give me some idea about this! Thanks
Hello doctor my age is 32 I am a house wife I am not intersted to sex why I dont know my urine colour is yellow my hosband is so sad please sir help me.
What is a Labiaplasty?
Labiaplasty is a surgical procedure that corrects excessively long, enlarged or redundant labia minora tissue and can make the external genitalia (the “vulva”) more cosmetically appealing. Women with enlarged or elongated labia may feel very conscious when wearing tight clothing or swimwear, as the outline of the labia may be visible through the clothing. Enlarged labia may also cause women to feel self-conscious during intimate contact. Some are concerned about asymmetry of their labias, or they may have pain or discomfort during sex or with exercise. Occasionally, redundant labia tissue predisposes to yeast infections or creates friction tears of the tissue.
During a labiaplasty, excess or stretched-out labia minora tissue is excised to create a more neat and tidy appearance to this region and to treat associated physical concerns. Occasionally excess tissue around the clitoral hood is also carefully trimmed as part of the procedure.
Who is a Good Candidate for Labiaplasty?
Labiaplasty is a personal procedure that should certainly not be associated with embarrassment or shame. Women of all backgrounds, shapes, sizes and cultures seek labiaplasty. Sometimes after childbearing, labial tissue can become stretched out or redundant, and following menopause the vulvar lips can droop with loss of collagen and elastin. Many women are congenitally born with asymmetric or excess labial tissue.
Women who experience awkwardness, pain with intercourse, or discomfort when walking or with exercise due to excess labia tissue are candidates for a labiaplasty. Other women are simply looking to improve the appearance of this part of their body to look as youthful as they feel. Rejuvenation of the labia area can be an empowering experience, potentially improving a woman’s body image, self-esteem and comfort during intimacy.
Can Labiaplasty Be Done Before Pregnancy?
A labiaplasty can certainly be performed at any time in a woman’s life. Labiaplasty is considered a “quality of life” procedure, and is a personal decision. Having surgery will in no way influence future pregnancies or childbirth delivery options.
What Are the Different Types of Labiaplasty?
Labia Minora Reduction
A labiaplasty usually involves trimming the inner lips of the labia, known as the “labia minora”. Only the inner or outer lips of the vulva are treated; the vagina is not normally addressed during a labiaplasty.
Labia Majora Reduction
Occasionally, the outer lips of the genitalia (“labia majora”) are trimmed to additionally reduce their prominence. This procedure involves incisions in the skin of the labia majora and is associated with-potentially additional scars and post-surgical swelling during healing.
Clitoral Hood Reduction
For women with redundant clitoral hood tissue, a reduction of the clitoral hood can also be performed as part of a labiaplasty. Clitoral hood reduction involves careful trimming of excess skin that hangs over the clitoris. The overlying skin is then rearranged without risking nerve injury or affecting sexual sensation or stimulation.
In order to ensure complete comfort and relaxation, we perform labiaplasty as an Day care procedure in the operating room, under a short and safe general anesthesia or under local anesthesia. Local anesthetic is used to prevent bleeding and bruising during surgery, and to keep the area numb for many hours after surgery. Excess labial tissue is trimmed, the clitoral hood is reduced if appropriate, and a neat and tidy closure is performed in multiple layers using dissolving (absorbable) sutures. Antibiotic ointment is applied, and an absorbable pad is placed over the incisions. Surgery takes around 1-2 hours to complete, and women are allowed to return home a few hours after awakening.
Types of Labiaplasty
Many surgeons these days are performing wedge labiaplasty, for two main reasons:
A wedge of tissue is removed from the middle area of the labia, preserving the natural labial edge for a less obviously surgical look.
The wedge method leaves a shorter scar that’s harder to see because it runs across the labia rather than along the edge.
However, there are some potential drawbacks to this approach. The wedge technique generally only addresses the middle one third of the labia and does not treat the irregular dark hyperpigmented edge of the posterior parts of the labia. It also does not treat excessive clitoral hood tissues which commonly accompany prominent labia minora.
In addition, the wedge technique creates a condition where the amount of tissue resected must be balanced against creating wound tension with closure. Excising too much tissue may result in a potential for wound separation, whereas conservative resection may produce insufficient reduction. It takes an experienced surgeon to advise you on the anticipated results.
Until recently, trim labiaplasty was the go-to choice for women who wanted to improve the appearance of their labia. This method, as the name implies, involves trimming the excess labia tissue to a more proportionate size and shape relative to the rest of the vaginal area. Many women appreciate that the trim method removes the existing edges of the inner labia, which can darken with age or following pregnancy.
The tissue is typically excised from the clitoral hood and along the edge of the labia minora to the vaginal forchette. In this manner, excess tissue from the upper, middle and lower one/thirds of the inner lips can be removed.
The trim technique leaves a longer scar but it is tension free and commonly is barely visible. Unlike the wedge, wound separation is less likely.
An irregular, thickened and darkened edge is what leads so many of our patients to choose trim labiaplasty as their preferred approach. For those with excess tissue limited to the mid portions of the labia only, the wedge method is an excellent option.
Wedge vs. Trim: Which Is Best?
Both procedures accomplish the primary goal of labia reduction just fine. The question of which labiaplasty technique will give you better results depends on your unique anatomy and your personal goals for surgery.
What is the Recovery After Labiaplasty?
Mild discomfort is treated with oral pain medication for a few days. Swelling and bruising of the genital region can develop over the first few days. You may shower the next day, and will apply antibiotic ointment daily. If you start your menstrual cycle, it is recommended you avoid using tampons for your next 1-2 cycles to avoid irritation of the incisions while they are healing.
At least couple of days should be taken off work or arrange to work from home during this time. Aggressive physical activity should be avoided for at least a week or two after surgery. Sexual intercourse should be avoided for approximately 6 weeks after a labiaplasty. By week 6 to 8, the healing is complete, and no restrictions are needed.
Like any surgery, it takes at least 6 weeks for the initial swelling to recede, and 6 months up to a year for the results to be absolutely complete. Incisions are hidden in the natural crease of the labia region. There is usually very little scarring, as incisions are made in the labial “mucosa” (similar to the inside of the mouth or the gums) rather than the skin.
Possible Complications of Surgery
Some complications associated with labiaplasty are specific to this procedure, while others are complications that could be encountered as a result of any cosmetic surgery, or any surgical procedure in general. Complications common to nearly all surgical procedures include bleeding, bruising, swelling, infection, and scarring. Since labiaplasty is often performed under local anesthetic and sedation rather than general anesthetic, the risks are somewhat less than with more invasive surgical procedures.
Procedure specific complications include Loss of sensation, Spotting, Difficulty urinating ,Change in pigmentation, Asymmetrical results after full healing has occurred ,Separation of the incision site; this occurs in roughly five percent of wedge labiaplasty patients, but is easily to correct. The majority of these symptoms will also be temporary, and resolve within a few days to a few weeks depending on the individual symptom and how quickly your healing progresses.
Will the procedure affect my fertility?
No, the procedure will have no affect on your ability to have children. However, you should use contraception to avoid pregnancy before and after the procedure. Your surgeon will cancel your procedure if you are pregnant on the appointed day. After surgery, you should avoid giving birth for one year following the procedure. As a normal delivery would stretch the tissue and damage the results achieved.
Will there be scarring?
There is usually evidence of scarring following surgical incisions. Your surgeon will try to make the incisions in the least conspicuous areas so that the scarring may be virtually invisible. Even visible scarring will tend to fade over time.
Will labiaplasty affect my sensitivity?
Sensitivity typically stays the same after labiaplasty when done right. After recovery, sexual intercourse is often more enjoyable, because patients feel more confident without the excess skin.
The least detectable and most comfortable material available is Swiss Lace Hair Skin/Hair Patch/Toupee/Hair Unit. Swiss Lace Hair Skin/Hair Patch/Toupee/Hair Unit, totally disappears when attached. It’s of delicate nature and all Lace Hair Skin, it is not suitable for first time hair wearers.
Features of Swiss Lace Hair Skin/Hair Patch/Toupee/Hair Unit:
Highly Ventilated, Comfortable for Scalp
High Level of Scalp Hygiene maintained
Hair closer to scalp are bleached in skin color to give natural look.
Available in high and low density of hair
Best quality processed Human hair (Remy) used
Most Natural look, skin colored, very thin and fine net.
Undetectable appearance, most suitable for back combing style and for frontal baldness
Can be used for Weaving, Bonding, Microwefting and Full Taping methods.