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Dr. Joti

MBBS

Gynaecologist, Delhi

350 at clinic
Dr. Joti MBBS Gynaecologist, Delhi
350 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Joti
Dr. Joti is a popular Gynaecologist in Karkardooma, Delhi. Doctor has done MBBS . You can visit him/her at Kosmos Superspeciality Hospital in Karkardooma, Delhi. Book an appointment online with Dr. Joti on Lybrate.com.

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MBBS - - -

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Kosmos Superspeciality Hospital

C-59-60, Anand Vihar. Landmark: Near Karkardooma Station, DelhiDelhi Get Directions
350 at clinic
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Kosmos Superspeciality Hospital

C-59-60, Anand Vihar. Landmark: Near Karkardooma Station.Delhi Get Directions
350 at clinic
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Does Aldactone 50 pass into breast milk? My baby is 1 year 3 month & breastfeed 4 times. Can I take that medicine? I have pcos & took it before pregnancy. If it is not safe in breastfeeding which one will I take in alternate?

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Does Aldactone 50 pass into breast milk? My baby is 1 year 3 month & breastfeed 4 times. Can I take that medicine? I ...
Aldactone does pass into breast milk. So if the drug is essential for the mother, we advise her to discontinue breastfeeding. In your case, its importance can be judged only when I know the present problem owing to PCOS. Please contact me for details and treatment.
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Hello doctor, Am 8 months pregnant. Its my 2nd marriage. I don?t have family support. Am consider as 2nd wife. My husband was take care of well. Suddenly he got mind diversion with his old college girl friend. I had advised him very calmly. But he didn?t listen. Now he is taking advantage and saying its my life, I can live as my wish. I felt too much of stress. After few months, his girl friend had fight with him. She left him permanent. They just spoke and chat over mobile. Because she is living in abroad with her family. She realized situation and she left him suddenly. But my husband felt that, he will not get anything until he stay with me. He feel negativity towards me. He become too depressed person. Oneday he told, his mother ask him to go Sabari malai. So he told me, ? I want to go sabari malai. Also I need to be separate for sometime?. He took work from home for 3 months. Before leaving from here he told, ? I need some peace. I need change. I want to go to my friend home and I ll get back here after 2 days?. I said ok to him. Because I can sense his depressive mind state. So I agreed. 2 days left I called him regard his return date. He didn?t respond proper. After 5 days again I called he scolded me. He ask me to focus my career and pregnancy. When he was good with me he didn?t even allow me to walk little distance. He used to feed me food daily. But when this girl enter his full mind get diverted and changed. Now he could?t recover from her memories. Because of that, he is not realizing my position. Am now alone. He is saying he is having some other family problem. He can not b with me. Go to years parents place. Am trying to make him no family ll entertain all these. But he is not listening anything. Doctor am so scared of night. I could?t sleep proper. Am missing him. Now he is in native. I seriously don?t know he ll come or not. doctor can you please clarify regard his mind state? Will he come back to me for my delivery? Once he see his baby means he will not go away from me. Please help me to handle him. I need your good suggestion to make him understand my position.

BHMS
Homeopath, Secunderabad
Hello doctor,
Am 8 months pregnant. Its my 2nd marriage. I don?t have family support. Am consider as 2nd wife. My hus...
Its is important for you to understand that maintaining good health is very vital not only for you but also for the baby. So you need to focus on your health first. You can take help from your parents and relatives and friends who have goodwill for you to sort out the things in a respectful manner . Getting stressed out and worrying may not really help. Do your best and leave the rest. Being optimistic and keeping the faith will help you overcome all your problems. This is a temporary phase in your life which will move away with time. So do not worry.
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My serum prolactin level is high .is it very big problem for me? And wht is the treatment to improve it? Can it cause any problem in my pregnancy aftr 1 or 2 years what should I do to maintain this problem.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
My serum prolactin level is high .is it very big problem for me? And wht is the treatment to improve it? Can it cause...
Hello- High Prolactin level can cause- -Vaginal dryness, leading to pain during intercourse -Problems with menstruation—having no periods or irregular periods and hence cause problem in conception. -Production of breast milk when not pregnant or nursing Treatment is based on the cause. Some people with high prolactin levels, but few or no signs and symptoms, do not need any treatment.
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My wife is 3 months pregnant now. Is it safe to have intercourse now? if yes, then how deep can I insert? would it not harm the baby?

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
Hello ok. if ur intrested n u be carefull without on her body n dont give barden n strongly hardly strokes n also inside of ur penis very slowly n little step by step n small pressings thatsall. Don't press breasts very care fully u do. for ur satisfy only. if u done always like previously strong n roughly its harmful n dangerous once its go to abortion.. becaz now all organs r in there workings with very smoothly. ok...all the best.....
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I'm 19 year old. I have first time sex on 25-2-2016. I worried about pregnancy. How can I prevent became pregnant. What precautions can I use.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm 19 year old. I have first time sex on 25-2-2016. I worried about pregnancy. How can I prevent became pregnant. Wh...
As you had sex in the middle part of your menstrual cycle you have very good chance to get pregnant as you have already missed your periods by 9 days. You should first check your pregnancy by urine pregnancy test like preg test card or velocit card. If your pregnant, then it can be terminated with medicines till 7 weeks.
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Are Detox Diets Good For You?

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
Are Detox Diets Good For You?

Given that detox diets won't rid the body of impurities or lead to real weight loss, are there any benefits of using them? The only thing one can say positively is that: 
A detox diet may encourage you to eat more nutritious foods. Some detox diets recommend nutrient-rich foods like:

  • lemons
  • green tea
  • fruit juices
  • colorful fruits and vegetables

All of these could, in part, increase your intake of certain nutrients. Some of which might help the body deal with incoming toxins or offer other health benefits.However, a three day detox diet won't move the dial on toxicity (or health) anywhere near as much as maintaining a healthy lifestyle the other 362 days of the year.

Disadvantages of detox diets: For most people, the disadvantages of a detox diet are much more numerous than the potential benefit.

Detox diets are often inconvenient: Any diet will take some effort to organize, and detox diets are no exception. Ironically, you'll probably never put as much work into eating less as you do into a detox.  People with limited time, money, and resources won't enjoy juicing seven kgs of veggies and fruits each day. Especially if they're feeling weak, listless, or dizzy, some of the most frequently reported side effects of juice cleanses.

Detox diets are often too low in energy

Most juice diets are extremely low in calories. In fact, some people argue that juicing is just a way to starve and feel good about it. With the low energy intake you'll often notice other things slowing down, you may feel colder, or sluggish, or notice digestion taking a while.

Detox diets may cause blood sugar swings that is cleansing built on fruit juices can cause major swings in blood sugar, making them downright dangerous for people with diabetes, and potentially risky for many others.

Detox diets can be tough on your GI tract: The fruit juices used for many detox diets contain very little fiber. Fiber is a cleanser. It's like a street sweeper for the GI tract; it slows down digestion and aids absorption of nutrients.

There is no credible information saying that the GI tract does better when it doesn't get solid foods (unless the GI tract is damaged). Instead, the gut does well with probiotics, glutamine from protein rich foods, and fiber. You'll struggle to get all of these on a cleanse.
Detox diets are often low in essential fats.

While some less extreme detox diets allow things like nuts and seeds, hard core cleanses typically eliminate most fat-containing foods, even healthy fats. Extreme variations in fat intake i.e. swinging from high (pre-cleanse) to low (cleanse) to high (post-cleanse celebration) to low (back on the cleanse train again) can cause trouble for organs that process dietary fats, like the gallbladder.

Detox diets may cause electrolyte imbalances: Many cleanses involve drinking a lot of liquid (such as water, herbal teas, and/or juices) while removing many foods that contain salts. Some "detox diets" also suggest using diuretic supplements. This can cause potentially dangerous imbalances in your electrolytes, charged chemicals found in fluids throughout your body. The imbalance is even more likely if overhydration is combined with low energy intake.

In fact, there's a name for this phenomenon, well known to health care providers who deal with extreme anorexia, malnutrition, or any medical condition with severely restricted food intake that is refeeding syndrome.

To keep operations running when nutrients and energy are low and electrolytes are disrupted, the body may adjust its metabolic environment (for instance, it may deplete cells of minerals to keep blood levels of those minerals stable).

Not only can this affect health during the detox diet, it can cause potentially cause serious problems when a person on a detox diet (especially a longer-lasting one) starts eating normally again.

Detox diets can create a cycle of restrictive eating and deprivation:
Detox diets, the entire concept of "cleansing", in fact can enable feast-or-famine style eating patterns:

  • The detox diet starts tomorrow, so I'll eat a bunch of "toxic" foods tonight.
  • On the detox diet now. Not allowed any stuff I enjoy.
  • The detox diet ends tomorrow, so I'll get set to eat all those "toxic" foods I missed! And so on.

Recognize that thought pattern? It's the classic dieter mentality. On the wagon, off the wagon, on the wagon, off the wagon. It's always more harmful than helpful. When you think and eat this way:

  • You never learn to find the sane middle ground.
  • You never learn to prepare real food and real meals that are both nutritious and delicious.
  • You're always in "all-or-nothing" mode. (Usually getting "nothing", because "all" is really, really hard.)

Worst of all is you never feel truly happy with any of your choices.
Fortunately, the body "cleanses" itself, if we can't ever avoid toxins, doesn't it then make sense to do some sort of detox? Not really. That's because our bodies have very robust detoxification systems. Our major organs of detoxification include are:

  • Digestive tract;
  • Kidneys;
  • Skin;
  • Lungs;
  • Liver,
  • Lymphatic system;
  • Respiratory system;

These systems break down chemicals (toxic or otherwise) into other form, which we can eliminate via the toilet, sweat, or breathing. And the body seems to do a pretty good job of this when placed in a balanced (i.e. healthy) environment.

Take Home Message:
The idea that you can speed up and improve your body's detox pathways by drinking detox water is nonsense. That said, it is still a healthy drink with a few health benefits. Nevertheless, you could probably get most of these benefits from drinking regular water. However, people often find plain water boring. If infusing your water with fruits and vegetables means that you drink more water and less sugary drinks, then it can only be a good thing.

Related Tip: "The 4 Essential Constituents of A Detox Diet"

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My wife periods started yesterday 31 may and it's paining in her stomach and legs too much so what to do? Pain is in unbearable condition.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
My wife periods started yesterday 31 may and it's paining in her stomach and legs too much so what to do? Pain is in ...
Homoeopathy has good treatment for your problem, without causing adverse effects. It requires study of your case and symptoms in detail. To start with, take homoeopathic medicine cimicifuga 200 daily in the morning and in the evening and give feedback after 4 days.
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I am a unmarried girl. I Have to go vaishno Devi on coming Monday and I am afraid of my periods because there is chances of having my dates today kr tomorrow. So please suggest me a medicine that can postpone my date for 1 week.

BHMS PGCGO
Homeopath, Hubli-Dharwad
I am a unmarried girl. I Have to go vaishno Devi on coming Monday and I am afraid of my periods because there is chan...
actually this tab to be taken two days before expected date of periods any ways you start if you lucky enough you may not get periods. tab cycloreg 5mg daily twice for one week. then leave tab with in one week you gets periods
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Am 25 years old. Had two pregnancy loss. My aptt with lupus sensitive observed value-41.8.Why it happen? Is it normal? Dr. suggest me to put heparin daily after positive pregnancy.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Am 25 years old. Had two pregnancy loss. My aptt with lupus sensitive observed value-41.8.Why it happen? Is it normal...
Lupus anticoagulant is an autoantibody associated with excess blood clot formation. It is done when you have had signs and symptoms of a blood clot in a vein or artery (known as thrombosis or thromboembolism); when you have a prolonged PTT test; when you have had recurrent miscarriages. Heparin is given to as a treatment is such case so the clot formation is not there.
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I hav a pcos problem due to which I usually get very angry and lose my temper what do I do also I face alot of hairfall! Along with a lot of dandruff! Please suggest me something to avoid all this!

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
I hav a pcos problem due to which I usually get very angry and lose my temper what do I do also I face alot of hairfa...
Use herbal medicine. Use capsule hairich daily once and capsule gynocare daily once for 90 days. Apply entik hairoil to scalp.
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I have pcod last 6 months back after using NW my scan shows no pcod nd I had miscarriage in Feb 2017 then my periods are regular two months. Thz month my period is early one day by lightly bleeding nd there is any chance of getting pregnancy ?or there is any chances of coming again pcod thats y I'm bleeding lightly? Hw can I get pregnant nd I'm using folic acid tablets please suggest me.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have pcod last 6 months back after using NW my scan shows no pcod nd I had miscarriage in Feb 2017 then my periods ...
Pcod is a lifestyle disorder and can disappear if certain healthy changes are made. If you feel that period was light and you could be pregnant, do urine test for pregnancy. You will be surprised to know that some women get drops of blood on date despite being pregnant continue with folic acid get ultrasound done to confirm that you don't have pcod. There can be other reasons for little bleeding during periods get basic investigation done as suggested above and get back here with reports for more guidance.
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Adolescent Issues.

Post graduate in counselling psychology
Psychologist,
Adolescent Issues.
How to talk to your Son about Periods?
Imagine yourself in a situation; your son will reach his puberty in next couple of years and you want him to reach this critical age with complete understanding of how a man and woman’s body works. This is not an imagination, but most of us either have already faced this situation or will going to face it in future.

Shivani Misri Sadhoo, an eminent psychologist in Delhi, today’s shares her tips on how to talk to your son about periods.

First you should start a direct conversation with your son; don’t run in circles, tell him about periods and patiently answer all his questions. Be as straightforward as you can. You can start your conversation like:

1. In your school you have seen older boys, their voices sound heavy like your father’s. This happens because when boys grow up they pass through a phase where lot of physical changes take place, both inside and outside of the body. This phase is called puberty.

2. During puberty a boy’s voice change, hair grows in his facial and genital region. Just like that, when girls hit their puberty they start menstruating.

3. Just like birds, mammals including humans come from an egg which is inside a girl’s body. The egg develops inside a girl every month though she doesn’t necessarily get pregnant every month. When the girl doesn’t get pregnant, the egg passes out of her body with some blood.

4. When a girl menstruates, her body sheds the lining of the uterus along with an unfertilised egg and it flows from the uterus to the cervix and out of her body through the vaginal opening. This whole process is called menstruation or periods.

5. A girl bleeds every month for around four or more days depending on her menstrual cycle. Yes, your mother goes through it too till a certain age.

6. For hygiene girls use sanitary pads, which absorb the blood. Hence, the pad is placed near the cervix covering the vaginal area.

7. During periods, some women might feel discomfort or pain in the lower abdomen area; others may feel a slight discomfort.

8. It is not something to be embarrassed by or something you should make fun of. It is very normal. It is a sign of a girl being healthy. Not getting periods on time is very unhealthy, and might prove to be a big medical problem.
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For last two months I didn't get my periods and after 13 more days it will be 3 months. Am I having PCOS? because my weight also keep on increasing as I see myself. please suggest some ways.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
For last two months I didn't get my periods and after 13 more days it will be 3 months.
Am I having PCOS? because my ...
If you have had unprotected intercourse or are sexually active I would advice you to get a urine pregnancy test done first. If negative then you can take progesterone tablets to initiate a bleed. Also get a few hormonal tests done. These include fsh, lh, prolactin, testosterone, tft, cbc, lipid profile, fasting serum insulin as well a pelvic usg done a. Diagnosis and treatment will depend on these results.
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6 Ways to Stop Repeated Vaginal Infections

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
6 Ways to Stop Repeated Vaginal Infections

6 handy tips to manage repeated vaginal infections

Vaginal infections occur when the walls of the vagina get inflamed. This can be caused by several factors such as bacteria, viruses, yeast, sexually transmitted diseases (STDs), chemicals and clothing. The standard medical term for it is vaginitis and it bothers most women at some point in their lives.

Maintaining vaginal and overall genital health is very important in preventing and dealing with infections that affect the affect the area, especially those which are persistent or recurrent.

Some tips to manage repeated vaginal infections are as follows:

1. Maintaining personal hygiene.
The most important aspect of maintaining vaginal health is keeping the pubic region cleansed and hydrated. Poor hygiene and dryness make it more prone to recurring infection.

2. Using the right products. Harsh chemical soaps and sprays may cause irritation to the vagina and make it susceptible to inflammation due to infection.

3. Wearing skin-friendly clothing. Certain types and materials of clothing have a harmful impact on the delicate skin of the genital area which puts the vagina at the risk of contracting infections. These include nylon underwear, tight jeans and trousers, pantyhose with no cotton lining, etc. Wearing soft cotton underwear and linen bottoms are the best ways to prevent vaginal infection and inflammation.

4. Using protection during sex. Protected sexual intercourse prevents the spread of STDs which cause vaginal infection. Hence, it is always advisable to use a condom while having sex.

5. Urinating after sex. Always urinating after sex reduces the chances of catching a vaginal infection.

6. Getting regular health checkups. The most efficient way of managing vaginal infections is by getting the vagina checked up by your gynaecologist as regularly as possible so as to prevent further complications and ensure early detection of infections or diseases.

These are some of the simple and effective ways of handling vaginal infections. Most cases are not very serious and can be easily treated and managed.

'Consult'.

Related Tip: All you need to know about infections of the Uterus, Vagina and Cervix

3238 people found this helpful

Ayurveda and Blood Sugar Imbalance

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Ayurveda and Blood Sugar Imbalance

Ayurveda, the traditional way of healing is known to be a crucial and effectual therapy for a lot of ailments. Since the primitive ages, mankind has been approaching Ayurveda for remedial purposes and in most instances have reaped fruitful results. Ayurveda seeks to heal diseases using natural herbs that are said to resonate well with the four elemental constituents of beings, i.e air, water, earth and fire. Ayurveda uses myriad herbs and natural ingredients in a unique proportion to impart physical as well as spiritual wellness. One of the most common and yet fairly formidable disease plaguing modern lives is diabetes, induced by imbalance in the blood sugar levels in the human body. 

Ayurveda recommends the use of a few select herbs to control and alleviate the blood sugar imbalance.

  1. Gymnema Leaf: Indigenously called gurmar, Gymnema leaves regulate the insulin level in our body. It not only prevents absorption of sugar in the intestine, but also stimulates cell growth in the pancreas. As a consequence, the insulin levels in the body is maintained and the blood sugar problems get neutralized.
  2. Cinnamon: Cinnamon is replete with polyphenols that trigger off a healthy count of insulin secretion. Cinnamon has other beneficial properties as well. Whether consumed as tea or sprinkled on food as a flavor, Cinnamon can be instrumental in combatting blood sugar imbalance.
  3. Fenugreek seeds: A common find in most Indian kitchens, Fenugreek seeds are well known for their health advantages.  Its pungent sweet flavor adds to the taste of many dishes. But most importantly, fenugreek seeds extensively keep the blood sugar level in control. 
  4. Basil Leaf: Basil leaves are one of the most commonly used natural remedies for a wide range of diseases. The basil extracts are used in various food items and are extremely effective in curbing the excessive presence of blood sugar in the body. In general as well, basil leaves regulate the metabolism to a large extent.
  5. Coccinia Indica: This herb protects the vital organs from any damage caused due to diabetes. It stabilizes the breakdown of starch in the body.
  6. Azadirachta Indica: Common known as Neem, this herb is perhaps an indomitable medicine for increasing glucose tolerance. Neem is also used in allopathic medication on account of its various healing qualities.
3 people found this helpful

I had sex with my gf after 1 day from her period. After 2 days she took an unwanted 72. There is any chance for her to getting pregnant.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I had sex with my gf after 1 day from her period. After 2 days she took an unwanted 72. There is any chance for her t...
after 1 day of menses there is no requirement to take emergency contraception for prevent pregnancy.according to your given information there is no chance for pregnancy.
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Last night I have unprotected anus sex with my colleague and before that I had unprotected anus sex with my X girlfriend also. Does any chances of STD? I'm little worried about this.

BHMS
Homeopath,
Sexual relationship with multiple partner is alwyz dangerous and hv higher chance of suffering from std's.
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