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Dr. Janak Sharma

Gynaecologist, Delhi

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Dr. Janak Sharma Gynaecologist, Delhi
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Personal Statement

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. Janak Sharma
Dr. Janak Sharma is one of the best Gynaecologists in Janakpuri, Delhi. You can visit him at Sharma Clinic & Maternity Centre in Janakpuri, Delhi. Book an appointment online with Dr. Janak Sharma and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 41 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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English
Hindi

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Sharma Clinic & Maternity Centre

88-C, A-Blk, Chandan Nagar,Janakpuri,Landmark: Near Mota Singh School, DelhiDelhi Get Directions
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Post preganancy I am overwieght with10 kgs. I had c-sec and now its going to be an year. I am also having vit d deficiency due to which I have pains in the knee and feet. Please help me loosing weight.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
Post preganancy I am overwieght with10 kgs. I had c-sec and now its going to be an year. I am also having vit d defic...
Hello , 1. Eat ragulu, jonnalu. More fiber content food. 2. Take less amount of carbohydrates which store in your body for one or two days. 3. Add protein and vitamins/minerals into your diet which will never store in your body for a long time, but very essential. 3. Add omega-3 to your diet. Long run you will never come into any port pregnancy side effects. 4. Add calcium to your diet. Let me know if can suggest you the best food supplements, my wife conceived a health baby few mother later. She is also a c-sec, but had a very good health in few days by the supplements which I suggested. Have a healthy life.
17 people found this helpful
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I am 1 month pregnant and my hemoglobin level is 8.8 is that fine? please advise me

MS- Gynaecology, MBBS
Gynaecologist, Delhi
I am 1 month pregnant and my hemoglobin level is 8.8 is that fine? please advise me
It is ok.In early pregnancy it is not advisable to take iron supplements. You can take supplements after three months. Take good diet rich in iron vit c n protein.
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I'm 24 weeks pregnant.. Had many medications hormonal and antibiotic during the first 4 to 8 weeks. Anomaly scan normal will my baby still have any defect.

DNB, DGO, MBBS
Gynaecologist, Ghaziabad
I'm 24 weeks pregnant.. Had many medications hormonal and antibiotic during the first 4 to 8 weeks. Anomaly scan norm...
It depends on which medication you have taken. Some are safe, some are not. So, one will need to know those details before answering this. Anomaly scans can pick up a lot of (more than 90%) anomalies but not each and every one.
4 people found this helpful
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My periods time is every month 1st but this till now I did not get periods so please guide me get periods is there any tablets?

MBBS
General Physician, Mumbai
My periods time is every month 1st but this till now I did not get periods so please guide me get periods is there an...
To clear your doubts get an ultrasound pelvis done to rule out any pathology and follow up with reports and if necessary we can take Tablet primolutN after clinical examination for initiation of withdrawal bleeding.
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Endometriosis - How It Results in Infertility?

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Delhi
Endometriosis - How It Results in Infertility?

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue’s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

  • A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
  • A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
  • Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis

Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

3146 people found this helpful

Hello Doctor , I am in the last month of my pregnancy i.e.9th month and I am getting a lot of itching in my whole body it is really intolerable please suggest me some ointment or some kind of cream or some medicine.

DGO, MBBS
Gynaecologist, Delhi
Hello Doctor , I am in the last month of my pregnancy i.e.9th month and I am getting a lot of itching in my whole bod...
Itching in pregnancy is due to increase in certain enzymes levels. Do not take this condition lightly and contact your gynaecologist who would prescribe certain medicine only after coming you and getting certiain blood tests.
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Reasons for Spotting During Pregnancy

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Ghaziabad
Reasons for Spotting During Pregnancy

Reasons for spotting during pregnancy and what you can do about it

Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester

Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

- implantation bleeding occurs during the first month of pregnancy when the fertilised egg gets attached to the wall of the uterus.

- cervical polyps ( a tumour that form on the surface of the cervix) or yeast infection may also cause episodes of spotting.

- miscarriage may be another possible reason for spotting

- ectopic pregnancy is another cause. It is the condition in which the embryo plants itself in either of the fallopian tubes instead of the uterus.

- molar pregnancy is a rare condition associated with spotting during pregnancy. When this is the case, instead of your baby, an abnormal tissue grows inside the uterus. Sometimes it can be cancerous too.

Bleeding during the second or third trimesters

Spotting may also occur during late pregnancy and the possible reasons are listed below.

- problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

- uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

- premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

- vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.

Here's what you can do about spotting

It is strongly recommended that you should immediately see your doctor as soon as you detect any spotting during your pregnancy. Only a well-qualified medical expert can suggest the appropriate steps to be taken, depending on your individual reasons and symptoms related to spotting.

'consult'.

Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

4411 people found this helpful

I am 37 years old and I have recently married. I am a smoker. My wife has 35 years old. She get laparoscopy surgery two times in 2010 for removal of the chocolate cyst on outside uterus and in Right side tube. Doctors removed the cysts and right side tube. Now she has a cyst in left side tube and uterus is in normal condition as per doctors report. Is she become pregnant and also give suggestions for improve my sperm count and mortality.

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
I am 37 years old and I have recently married. I am a smoker. My wife has 35 years old. She get laparoscopy surgery t...
Hi lybrate-user as far as your sperm count and motility is concerned most important for you is to quit smoking. You can also take supplements for sperm health. As far as your wife is concerned, she is suffering from endometriosis which causes a decrease in ovarian reserve. This with the fact that she has undergone 2 surgeries which further reduces ovarian reserve. And with age 35, she requires proper consultation for fertility including investigations if she doesn't conceive after trying spontaneously.
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Know The Facts About In Vitro Fertilization (IVF)!

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
Know The Facts About In Vitro Fertilization (IVF)!

A woman bearing a child is a matter of great wonder. Many underlying dynamics must come together at the appropriate juncture so that a new life can see the light of this world. As per an estimate, every 12th couple in their mid-ages does not possess the ability to become parents. A considerable number of these affected couples go through stress and dilemma on whether they can bear a kid. However, with the help of in-vitro fertilization (IVF), they can fulfill their desire to have kids.

IVF came into existence for the first time in the US in 1981. Since then, it has become a favourite treatment procedure to treat infertile couples. More than six million babies have been born worldwide with the help of an IVF procedure. IVF is also known as a method of assisted reproduction. It is a process in which the sperm of the man and the egg of a woman are combined in a laboratory dish. Here is the list of good-to-know facts on IVF-

Women with problems in their fallopian tubes can get pregnant through IVF
If the fallopian tubes of a woman are not functioning in the right manner, the egg cannot get near the uterus. This can cause a problem in pregnancy. However, in an IVF process, the mature cells are extracted and are combined with sperm cells in an incubator. After the completion of this process, the fertilized egg cells are transferred into the uterus.

Healthy sleep habits are needed for facilitating better IVF cycles
If you are one of those rarer human species who dozes off to sleep after the completion of your daily routine, then you are in for luck in IVF treatment. Getting a good night's sleep is the prerequisite for a successful IVF procedure. However, sleeping too much or too little can have severe repercussions on an IVF treatment.

Consumption of tobacco and alcohol should be avoided during an IVF treatment
Drugs are primarily known as poisonous pleasures and can harm and cause serious damage to the embryo. If you are a smoker, then it is always advisable to avoid smoking during an IVF treatment. However, you can opt for sexual intercourse as it improves the quality of embryos.

IVF treatment comprises one complete female cycle
During an IVF procedure, the maturity of the eggs is increased by giving an injection. It is known as hormonal stimulation. Ultrasound and blood test is needed on a ninth day to assess the growth of follicles. On the basis of their growth, the time of ovulation is determined. Most IVF procedures usually need one complete female cycle.

With the help of an IVF treatment, there is always hope in store for those who want to have children. It has become a holistic model of treatment for couples who are haunted by infertility.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4337 people found this helpful
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