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Dr. J N Butani

Gynaecologist, New Delhi

Dr. J N Butani Gynaecologist, New Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. J N Butani
Dr. J N Butani is an experienced Gynaecologist in Bapa Nagar, Delhi. You can consult Dr. J N Butani at Dr J N Butani's Clinic in Bapa Nagar, Delhi. You can book an instant appointment online with Dr. J N Butani on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Does Quality of Eggs Affect IVF Treatment

Health and Medical ARC Fertility
IVF Specialist, Chennai
Does Quality of Eggs Affect IVF Treatment

The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.

There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:

  1. Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality.
  2. Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
  3. Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.

Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the best option is to have donor eggs.
 

4023 people found this helpful

My wife monthly period is not complete at every month, hardly 2 days and very very less, please give solution.

BAMS
Ayurveda, Ambala
My wife monthly period is not complete at every month, hardly 2 days and very very less, please give solution.
As the periods come on proper time but the amount of menstrual flow is very low and do not last for 2-3 days. It means that your hormones that control the the periods (menstruation) have normal cycle but the amount of hormones are less than normal that's why the flow is scanty. *for normal & adequate menstrual flow get up early in the morning and take a fast walk for atleast 15 -20 minutes. If you can run, then run atleast for 3-5 minutes. * practice bhujangasana (cobra postion) & pawanmuktasana everyday only under the guidance of yoga expert. * check out your thyroid profile & in case of abnormal reports get the proper treatment of it. * monitor your weight & if you are overweight then do more physical activities & change lifestyle to reduce the weight so that the peroids get normal. * eat more green leafy vegetables & avoid fast foods having high refined starch & fat. * you can take dashmoolarisht for your scanty periods only under the supervision of ayurvedic doctor. It can make your hormones level normal and make your periods regular.
1 person found this helpful
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I am 23 years old I have pcod problem. what should I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
Polycystic ovary syndrome treatment generally focuses on management of your individual main concerns, such as infertility, hirsutism, acne or obesity. As a first step, I recommend weight loss through a low-calorie diet combined with moderate exercise activities. Low-fat, high-carbohydrate diets may increase insulin levels, so you may want to consider a low-carbohydrate diet if you have pcos as prescribed by a registered dietitian only. Don't severely restrict carbohydrates; instead, choose complex carbohydrates, which are high in fiber. The more fiber in a food, the more slowly it's digested and the more slowly your blood sugar levels rise. High-fiber carbohydrates include whole-grain breads and cereals, whole-wheat pasta, bulgur wheat, barley, brown rice, and beans. Limit less healthy, simple carbohydrates such as soda, excess fruit juice, cake, candy, ice cream, pies, cookies and doughnuts. Even a modest reduction in your weight for instance, losing 5 percent of your body weight might improve your condition I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.
1 person found this helpful
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After having unwanted 72. For how much time you have to wait for your periods? Does the pill have more effects?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
After having unwanted 72. For how much time you have to wait for your periods? Does the pill have more effects?
Hello, The withdrawal bleeding generally starts in next 5-7 days. The most common side effect is that the next menses are delayed by a week or more.
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I had unsafe sex with my wife but I discharged my sperm outside her vagina . After 10 days she used a pregnancy test kit to check whether she is pregnant or not but the the kit shows single negative line. After someday of that test she also had normal period but following the next month her period delayed by 5 days and also she is suffering from waist pain , head ache , vomiting , uneasy feeling. Is she pregnant ?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I had unsafe sex with my wife but I discharged my sperm outside her vagina .
After 10 days she used a pregnancy test ...
Hi lybrate-user, yes she can be pregnant please get urine pregnancy test to rule out pregnancy. If it's negative it could be due to hormonal imbalance or stress. Please get tsh levels checked.
2 people found this helpful
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My friend had sex with his boyfriend from 2012 to 2014 many times. And from last 1 year they don't had sex. But now she will get married from other person. Is it possible to hide virginity so that his husband will not know.

F.MA.S. FELLOWSHIP IN MINIMAL ACCESS SURGERY, I.V.F. AND CLINICAL EMBRYOLOGY, FOETAL MEDICINE TRAINING, PREVENTIVE ONCOLOGY TRAINING, MS - Obstetrics and Gynaecology
Gynaecologist, Mumbai
My friend had sex with his boyfriend from 2012 to 2014 many times. And from last 1 year they don't had sex. But now s...
Hi, I have quite a patients about what you mentioned. We call it cosmetic gynaecology. I can assure you that by undergoing a small surgery of 10 to 15 minutes its possible to achieve what you intent to desire. In 3 to 4 hours the patient gets discharged. Not to mention all records are kept confidential according to medical ethics and attiquettes. Take care.
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I delivered a baby on 24th may lscs was done now my stitches little paining and lump found near stitches what might be this please suggest any solution.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
It may be due to infection on lower abdominal portion visit to your doctor and consult about further treatment.
1 person found this helpful
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I always have pimples during the time of my periods and the worst thing is it leaves marks over the face.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I always have pimples during the time of my periods and the worst thing is it leaves marks over the face.
Get your hormonal test done on the 2nd day of period f. S. H, l. H, t. S. H, prolactin, free testosterone, dht.
2 people found this helpful
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Hi My periods are disturb since 2 and half years ago. At that time periods comes very early. The gap is about 10- 15 days. After that doc suggested me biopsy and in report there was little swelling and little bit infection. Then doc diogonose me with my one injection for about 8 months. After that swelling and infection was almost healed. But now problem is that my periods are not coming regularly and the quantity was very low few drops. And now last periods come on 18 nov 2014. I am very upset about that. Doc also prescribe me fifteen days course of conjugated estrogens tablet ( ten days) and one more for five days ( I don' t know the name ) some other tests reports says that its not a menopause and fertility rate is very low. Now doc suggested me depidra and one more medicine. What should I do give me your opinions. Is that any thing serious or not. One more thing before one month doc take the biopsy again for tuberculosis. The reports are all good. Every reports even blood tests are correct. Kindly give me your opinion.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
According to me you were suffering from hormonal imbalance 2-3 yrs back may be due to stress or anything else. But now the position is different but more critical. Nw please u r continuously given hormonal injectables which firstly your body used to make. Means we r playing with nature by giving you hormones whereas u must be given such type of medicines where your body is sufficient enough to regulate the mechanism of hormonal secretions. So I advise you to start homoeopathic medicines simultaneously for a far better result. Once your body gains control of hormone regulatory mechanism, u will be normal.
6 people found this helpful
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hello. I have pcod my age 21. I took deviry 10mg for 5days since I do not hve periods since 3months. I got periods aftr 10days stopping tablet. Bt the problem is when I go to bed its ok when I get up from sleep there is an heavy flow. Is this any problem please suggest me.

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
hello. I have pcod my age 21. I took deviry 10mg for 5days since I do not hve periods since 3months. I got periods af...
After delay in periods, the bleeding is expected to be heavy. When you get up from sleep you experience heavy flow is because of collected blood. But you should start treatment of irregular periods.
13 people found this helpful
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My periods is 21 days late. Should I visit doctor? M really afraid that dctr can also give medicine which can cause negative effect. What to do pls suggest me:-(sometimes i'm getting period pain but when I check there is no blood .Pls help.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My periods is 21 days late. Should I visit doctor? M really afraid that dctr can also give medicine which can cause n...
if you have doubt for pregnancy then do urine pregnancy test done.hormonal imbalance may also cause irregular menses.visit to doctor for proper management.
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MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Your feet might swell in the latter stages of your pregnancy. Try to elevate them and rest them on the foot stool to avoid any ankle swelling. Wear comfortable shoes with flat heels.
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U have any suggestion for that pregnancy remove because she not married but she now 2 month date finish no result for periods that means now she pregnancy. Can normal stage she coming what will be I do. please ans.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
U have any suggestion for that pregnancy  remove because she not married but she now 2 month date finish no result fo...
Hello, please confirm pregnancy first with a urine pregnancy test and then she can opt for a medical abortion under a gynaecologist's supervision.
1 person found this helpful
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She is suffering sever stomach ache during her periods n periods 1 or 2 day delay but regular.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
She is suffering sever stomach ache during her periods n periods 1 or 2 day delay but regular.
Medicine German reckeweg mag phos 200, single dose (4-5 drops in mouth) morning. buy medicine from good homoeopathic shop. food mixed fruit juice daily evening. please continue treatment.
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I am 43 years old. Want to know what is the right time to do the pregnancy test. Is it after I c the symptoms or should I wait for the period date to be missed.

BHMS PGCGO
Homeopath, Hubli-Dharwad
I am 43 years old. Want to know what is the right time to do the pregnancy test. Is it after I c the symptoms or shou...
wait periods date if you have tried natural pregnancy. if you undergone iui or ivf before getting periods if you have symptoms you can check
1 person found this helpful
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Have been recently married and no issues in sex for two months initially. Recently there is a gap of one month due to infection in foreskin . What would be the ideal time period for pregnancy result? Whether this gap will be a breaker!

Certification in Robotic surgery in Gynecology, MRCOG (LONDON), Fellowship in Gyn Endoscopy, MD - Gynaecologist & Obstetrician, MBBS
Gynaecologist, Mumbai
Have been recently married and no issues in sex for two months initially. Recently there is a gap of one month due to...
If you want a pregnancy the ideal time is between 10th to 20th day of a woman's cycle if her periods are regular.
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My wife aged 48 years & weight 62 kg. She had problems of weakness sometimes.

Advanced Aesthetics
Ayurveda,
Start multivitamin cap health-ok and evion 400 and haem-up syrup for 1 month. It decreases the weakness any query, consult me.
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Live to a 100! (Just Drink This Delicious Beverage)

M.Sc Dietetics and Food Service Management, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Hubli-Dharwad
Live to a 100! (Just Drink This Delicious Beverage)

Contrary to all the negative reviews you have been perpetually receiving about coffee and its innumerable ill effects, latest studies have emerged with some good news for the world's most loved beverage. Now being hailed as the elixir of life, coffee is said to improve cell regeneration besides increasing immunity and stamina, thereby increasing life expectancy for compulsive caffeine addicts. That does not mean indulging in an indiscriminate drinking of coffee. The consumption must naturally be kept in check as well; the harmful side effects of drinking excess coffee still stand.

The fact that coffee is the most delicious beverage and preferred by young and old alike in all its forms and shapes, makes it even better.

  1. Coffee however is also endowed with the power to prevent certain chronic diseases that affect people in their advanced age- Parkinson's disease, Diabetes, prostate cancer, liver malfunction, even dementia and Alzheimer's.
  2. It also helps in easing movement problems common in old age. This is the primary reason why coffee enables you to lead a longer life.
  3. Another factor working in favor of coffee is its beans consist of some extremely useful elements, including antioxidants and antibacterial substances that help in fighting viral pathogens.
  4. Besides increasing life span, well up to hundred years of age, coffee is also reputed to decrease the risk of premature death in adults by a total of 8 percent. Drinking coffee regularly is therefore a good habit to inculcate for more than one reason.

Usually coffee drinkers are also smokers. If you want to reap the full benefits of coffee, you must quit smoking and use of other harmful substances. This is because people addicted to nicotine and tobacco tend to develop serious disorders with age, which disable them from enjoying a longer life span.

Coffee also helps to keep weight in check thereby keeping diseases associated with excessive body weight at bay.

4802 people found this helpful

I am 30 year old planning for pregnancy. I am taking thyrox100 from monday to thursday and thyrox 125 from friday to sunday but now I have consulted to a new doctor and he suggested me to take thyropace 90 instead of all this above medications. Now I do not understand what to do. Please suggest me?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
I am 30 year old planning for pregnancy. I am taking thyrox100 from monday to thursday and thyrox 125 from friday to ...
Please note that as doctor has suggested you to take Thyrospace 90ug , take it for atleast 6 weeks - 3months and repeat the TSH.
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