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Dr. Jasvine Chawla Sharma

Gynaecologist, Delhi

Dr. Jasvine Chawla Sharma Gynaecologist, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Jasvine Chawla Sharma
Dr. Jasvine Chawla Sharma is a trusted Gynaecologist in Malka Ganj, Delhi. You can meet Dr. Jasvine Chawla Sharma personally at Hindu Rao Hospital in Malka Ganj, Delhi. You can book an instant appointment online with Dr. Jasvine Chawla Sharma on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 26 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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Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2748 people found this helpful

Should I take folic acid tablet everyday or till the result is positive of my pregnancy coz result has not came so kya main tablet le sakti hu agar abhi tak pregnant hu ya nahin result nahi aaya.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Should I take folic acid tablet everyday or till the result is positive of my pregnancy coz result has not came so ky...
Yes you may continue to take folic acid as these are not only pregnancy support pills but also helps to maintain fertlity.
1 person found this helpful
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Hi, I am married and 27 years old. After trying alot I am unable ti get a baby. So please can you help me out in this?

MBBS
Sexologist, Panchkula
Hi, I am married and 27 years old. After trying alot I am unable ti get a baby. So please can you help me out in this?
You want baby. I advise you to get your semen analysis test done after 4 days of abstinence from sex and upload your report. Also your wife's menstrual cycle duration and for how many days bleeding is there and her hb test, for proper guidance and treatment.
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Pichhle 2 bar period ka date hain. A) 2 nd March (8.30 am) b) 28 th March (9.20 pm) Kisi Lady ki per month period cycle 28 day na ho to. 1) Kyse ovulaion date pata chalega? 2) ya period k bad 14th din ko ovulaion samaz Lena chahiye? 3) ovulaion ho rha Hain kyse pata chalega?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Pichhle 2 bar period ka date hain.
A) 2 nd March (8.30 am)
b) 28 th March (9.20 pm)
Kisi Lady ki per month period cyc...
Hello, Often ovulation is accompanied with mild spotting and lower abdominal one sided pain during mid cycle.
1 person found this helpful
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Hi. .while I was doing sex without entering my penis in her vaGina some sperm comes out and stick to my finger and I don't notice it and started to fingering her vagina. .I don't know her menstruation period. Is she now Pregnant?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hi. .while I was doing sex without entering my penis in her vaGina some sperm comes out and stick to my finger and I ...
Pre/ postejaculation discharge does contain sperm and on entry into vagina can cause pregnancy. Take emergency precaution asap.
2 people found this helpful
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Which RSI Phase are you in?

MPTh/MPT
Physiotherapist, Bangalore
Which RSI Phase are you in?

Which RSI Phase are you in?

Is taking ovulation induction medicine i.e Clomid/smartnova every month is dangerous for health.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Is taking ovulation induction medicine i.e Clomid/smartnova every month is dangerous for health.
Hi lybrate-user ovulation induction with with clinic should not be used for more than 6cycles. Considering risk of side effects and resistance to treatment. Regards to side effects it could be vision effect, valvular heart problem.
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Me and wife are trying to conceive since last 3 months. Should my wife go for follicular study and do we need to wait for another few months.

MBBS DGO PGDCC
Gynaecologist, Belgaum
Me and wife are trying to conceive since last 3 months. Should my wife go for follicular study and do we need to wait...
Better go for infertility evaluation and treatment as your age is 28 yrs. Meanwhile you have to reduce your weight also.
1 person found this helpful
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Dear doctors I am pregnant from last 4 and a half month my weight is only 55 kg tell me doctors is it OK or any problem.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Dear doctors I am pregnant from last 4 and a half month my weight is only 55 kg tell me doctors is it OK or any problem.
Hello, Until and unless there are no pregnancy complications, there is nothing to worry. Maintain regular fllow-ups with your obstetrician, do regular antenatal ultrasound scans to check your fetal's well being. Wish you a healthy pregnancy.
1 person found this helpful
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Pls tell me is there any problem or pregnancy chances if I am doing sex with my wife during bleeding time or periods days.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Pls tell me is there any problem or pregnancy chances if I am doing sex with my wife during bleeding time or periods ...
Yes. No chances of pregnancy but avoid such sexual intercourse during periods it is unhygineous conditions also more chances of infection to both partners.
3 people found this helpful
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I am not getting regular periods as I got periods on December 6 even I want to loose the weight from 50 to 45 so I need a suggestion from you to get my period cycle regularly and to loose my weight for 45.please help

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
I am not getting regular periods as I got periods on December 6 even I want to loose the weight from 50 to 45 so I ne...
for all menses problem there is one natural medicine which now all dietitians and food scientist agrees to prescribe. that is: start drinking hot cow milk at night and put 1 table spoon cow ghee in it, this will not just help you in timely periods but will also help you gain appropriate weight. In morning drink a hot cow milk put 2 spoon honey and eat 2 bananas with it, you will gain 5 kgs easily in 2 to 3 months
4 people found this helpful
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I am 17 years old. I have cycle of 30 days. My last cycle was on 1 october & I had unprotected sex on 19 october. I have regular period on 1 nov. I did pregnancy test on 10 nov & it shows negative. I have no symptoms of early pregnancy. I am safe or not? (pregnancy)

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 17 years old. I have cycle of 30 days. My last cycle was on 1 october & I had unprotected sex on 19 october. I h...
Hello, Yes you are safe as you had your menses in november and also urine pregnancy test is negative.
1 person found this helpful
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After 7 week surgical abortion pregnancy symptoms are stop and after 12 days home pregnancy test was negative. Is abortion was successful??

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Yes it means abortion is done, but in order to confirm that it's complete abortion or not you should get pelvic ultrasound done.
1 person found this helpful
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My hip is very big. My problem is very big. So please give some exercise .please.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My hip is very big. My problem is very big. So please give some exercise .please.
cycling, swimming, walking and healthy dieting. remember big hips can be genetic but good point is that the chances of a normal delivery are more in women with broad hips.
1 person found this helpful
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Hi I am pcod patient, diagnosed 4 years back and never started exercising compose weight. I was not at all getting periods. Now recently I joined a fitness program and started bleeding, it is been 7 day and still not stopping. May I know whether getting periods after workout started and bleeding like this is normal? No other pain or discomfort. Pls help me understanding better.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi I am pcod patient, diagnosed 4 years back and never started exercising compose weight. I was not at all getting pe...
In order to advise you better, you would need to share your Ultrasound reports and blood test reports if done, as there could be various reasons for bleeding, like besides pcod it could be thickened endometrial lining, polyp,fibroid etc ,also how much of harmonal imbalance you had ,and how much weight gain you had, whether you were on Medicines earlier, also about your diet and physical activity, so there are several issues which needs to be assessed and addressed, based on which we shall be able to advise you further on this.
1 person found this helpful
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We were newly married couples. We had sex today. How could I know I am getting pregnant?

DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
The day on which your period starts is considered day1 of your cycle. If your periods are regular with bleeding every 28 to 32 days, calender method of contraception can be followed. It is not 100% effective though. About 5% failure rate is known. Days 1-7 of a woman's menstrual cycle are considered infertile Days 8-19 are considered fertile; considered unsafe for unprotected intercourse Day 20 through the end of the cycle are considered infertile. So, if you were in your fertile period, and did not use any protection, chances of pregnancy are there. If you miss your periods, get a home urine pregnancy test to confirm pregnancy.

My wife is 5 month pregnant. I think we should not do intercourse. Is it correct?? This is her 2nd pregnancy.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My wife is 5 month pregnant. I think we should not do intercourse. Is it correct??
This is her 2nd pregnancy.
Yes sex can be practice during pregnancy. After 5 months of pregnancy one needs to change the position of male partner. Intercourse can be practiced in male standing position or sideways position. Male partner should not lie on the tummy or growing fetus.
1 person found this helpful
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my friend wife wants to conceive what should they do they are not able to do that ?

DGO, MBBS
Gynaecologist, Bhavnagar
my friend wife wants to conceive what should they do they are not able to do that ?
They should have intercourse on 12th, 14th and 16th day of menstrual cycle if her cycles are regular of 28to 30 days. She should keep herself lied down for half an hour after intercourse. She should keep a pillow under her back during intercourse.
1 person found this helpful
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My period is running with heavy pain and bleeding, and also suffering from fiver.

BHMS
Homeopath, Faridabad
My period is running with heavy pain and bleeding, and also suffering from fiver.
Hello, take mag phos pentarkan, 2 tabs with warm water thrice a day for the excessive pain during periods. Antifebrinum 3x , 2 tabs thrice a day for fever. Take care.
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Hi recently my doctor told me I have pcos, and prescribed me hyponidd Tablets. I'm taking it twice in a day, two tabs at a time after taking meal. My question is regarding my diet. What kind of food should I take and during my periods every month I am going through unimaginable pain, and very weak in my heart, something I can't explain in words, it is like very uncomfortable in heart. What should I do, is it a sign of any heart disease and is there any medicine which I can take during periods?

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi recently my doctor told me I have pcos, and prescribed me hyponidd Tablets. I'm taking it twice in a day, two tabs...
Women with PCOS are often found to have higher than normal insulin levels. Insulin is a hormone that's produced in your pancreas. ... A diet high in refined carbohydrates, such as starchy and sugary foods, can make insulin resistance, and therefore weight loss, more difficult to control You don't have heart disease but can do a check up for confirming
1 person found this helpful
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