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Dr. Jotshana

Gynaecologist, Delhi

200 at clinic
Dr. Jotshana Gynaecologist, Delhi
200 at clinic
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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. Jotshana
Dr. Jotshana is an experienced Gynaecologist in Prem Nagar, Delhi. You can visit him/her at New Manthan Hospital in Prem Nagar, Delhi. Book an appointment online with Dr. Jotshana and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 44 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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New Manthan Hospital

B-61/2, Sharda Vats Enclave, Nangloi,Landmark: Prem Nagar, 3rd, DelhiDelhi Get Directions
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Respected Doctors, I am 29 years old and my husband age 44, sometimes he wants to do sex 2 to 3 times in a night. Is its effective any negative effects on our health, specifically on my husband as he is 44. Please help, thank you.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
As long as you both are comfortable and enjoying and there is no heath issue excessive sex is no problem. But as excess of every thing is bad and it is applicable to sex also, in long run one may loose charm of sex and life may become monotonous, one may not enjoy sex and may do it as duty or compulsory routine. So have it in such a way that you enjoy it for a long long time to come.
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
The power of workout
Exercise of any kind whether it is brisk walking running or weight training if done for 30 minutes or so five days a week offers tremendous benefits both physical and mental. Several studies have proven that working out can reduce stress and boost the body's ability to deal with existing mental tension and anxiety

I am 36 years old my wife is 34 years old he is suffering from irregular minsus and now for this month period not arrived but while coughing blood comes what should I do ?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Ask her to reduce weight. Now get an urine pregnancy test done first and then go for a check up by gynecologist.
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I and she do hard sex a night very beautifully . I crack his sex organ more and do sex high there is pain in his sex organ give medicine.Please tell.

BAMS, MD Ayurveda
Sexologist, Lonavala
I and she do hard  sex a night very beautifully   . I crack his sex organ more and do sex high there is pain in his s...
Try the following remedy it will surely help you 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day Causes: • Anxiety • Incorrect diet • Unhealthy lifestyle This remedy will be helpful.
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Hello my wife asking to suck her boobs hardly. But aftr sucking she is telling that she getting pain but she feels happy with this any problem will be there.

MBBS
General Physician, Mumbai
You must have hurt her badly. Though she is not complaining much. Be little more gentle next time. Meantime don't do it again so soon as pain means inflammation due to tissue injury. And you have to give rest to the part. Note if there is redness and bruises etc. She can apply local ice cold compress to reduce inflammation. A short course of pain killer like tablet combiflamm. 1 tab twice daily after food may be tried (unless she has any allergy to the drug or any acidity or history if asthma.).
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I have complete tw0 year of marriage life I have not using any precautions than also my wife can not pregnant and her period is also time to time perfect so suggest me which is the best and perfect time for doing sex for successful pregnancy?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have complete tw0 year of marriage life I have not using any precautions than also my wife can not pregnant and her...
If you r married since more than a year with regular sex (3-4 times a week) that is the time you should seek medical help. There r 2 basic tests which r needed in such case. Semen analysis (15 million/ml is normal count) and hsg to find out about the fallopian tube potency. If both r normal which is usually the case next treatment is with climiphene citrate for 5 days with follicular monitoring. If you want to delay the treatment then you can try calender method: If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26days) minus18days=8th day. The longest cycle (31days) minus 10days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period.
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I am 21 years old unmarried girl. I havent had my periods from 6 months and I have bloated stomach can I have ovarian cancer please repl asap.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 21 years old unmarried girl. I havent had my periods from 6 months and I have bloated stomach can I have ovarian...
We have very good homeo treatment to regulate periods without causing adverse effects. The treatment is very much dependent on detailed description of your complaints- 1. Usual gap between periods 2. Is it hereditary in family? 4. Any thyroid problem? to start with, take the following homoeo medicines- 1. Cimicifuga 200---one dose (6 to 7 pills) in the evening 2. Pulsatilla 200------one dose in the morning stop medicine when period commences.(these medicines are easily available at nominal rates in any nearby homoeopathic medical shop) report response after 10 days.
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I am 25 years old unmarried girl from some day I am suffering from periods problem. Very very less flow at the first day of my periods. What is the reason? Any worries.

BAMS
Ayurveda, Ambala
I am 25 years old unmarried girl from some day I am suffering from periods problem. Very very less flow at the first ...
Dear, Flow of bleeding during first day is less and increase day by day . But if your flow is very less in during cycle , So these are Causes of low flow of blood in periods are : * Due to Anaemia (low Hb level in body is anemia ) * Due to hormonal imbalance * Stress * obesity These are some instructions given below to make normal flow during periods : • Take proper diet full of nutrition . Eat green leafy vegetables and seasonal fruits and a glass of milk daily. Eat a fruit and a bowl of cereal daily . • Do Not take stress because stress causes imbalance in hormones of female and make your menstrual cycle disturb and make your ovulation disturb .Do meditation or long breathing pranayams for maintain hormonal balance. • Do jogging and running exercise daily .Start these exercise for 3 to 4 minutes daily then increase time slowly . If you are obese loose some weight this is also a cause of irregular periods. • you can take these medicines for regular periods. Syrup Dashmolarisht or ,syrup EVECARE of himalya. 2 tsf daily once in a day after meal.
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Hi, normally I was having menstrual period for length of 5 days but now its reduced to 2 and 3 days also feeling lots of tiredness. Is this something wrong?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi, normally I was having menstrual period for length of 5 days but now its reduced to 2 and 3 days also feeling lots...
Hello, The scantiness could be stress induced unless hyperprolactinemia or hypothyroidism have been ruled out.
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Obesity and Diabetes

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
Obesity and Diabetes

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus.

Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes: Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk: Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.

2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.

3. Tune Up Your Diet: Four dietary changes can have a big impact on the risk of type 2 diabetes-

Choose whole grains and whole grain products over highly processed carbohydrates.

  • Skip the sugary drinks, and choose water, coffee, or tea instead.
  • Choose good fats instead of bad fats.
  • Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor.

3353 people found this helpful

I am 31 years old married women trying to conceive. What diet should me and my husband will have before planning for it. How frequent do we need to have intercourse.

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
I am 31 years old married women trying to conceive. What diet should me and my husband will have before planning for ...
Diet should be healthy with lot of fresh fruits and salads which have antioxidants which can have beneficial effect. If you are not in the correct bmi then you should try aiming to be in the bmi of 25. A ten percent loss of weight (over a couple of months) can be very helpful to achieve pregnancy. Intercourse can be as frequent as possible. Alternate days or naturally possible intercourse from 10th to 17th day (in case of regular 28 - 30 days cycle) can be done.
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Respected doctor, I am obese, and 22 year old female, I had my last menstrual period from 11 march-14 march. Since then. I missed my period, on 10 today doc prescribed me to a medicine which reduce stress, but I can't follow it. On 29 April I go to another hospital and they prescribed me methridoxyprogestrone acetate and my upt is negative .it take the medicine for 4-5 days. On 10 may I got my period up to 5 days. I can't go for blood test and ultrasound due to my busy schedule. I seen hair growth too on my face. Now, 13 June and I didn't get my period. I adopt healthy lifestyle, I reduced 2 kg of weight, I drink double tanned milk once morning and then in night. Today I go to same doctor who prescribe me with stress reduction medicine, she prescribed me with primolut n.and not advising for blood test and ultrasound now. Please help doc. What can I do?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Respected doctor,
I am obese, and 22 year old female,
I had my last menstrual period from 11 march-14 march.
Since th...
You are 22, have a height of 5.4 feet and weight is 83.....this weight is in too much excess for your height. Unless you reduce weight, your menses wont regularise. so make it a point to come down to the best normal weight for your height of about 55 kg. Taking ultrasound and doing blood tests like thyroid tests hormone tests can be done to rule out some of the problems like thyroid dysfunction and ovarian uterine problems. Once you get menses, do visit the gynecologist to take medicines for making menses regular. BUT if you are OKay with irregular, or delayed menses, there is NOTHING to worry and you may not take medicines also. Meanwhile concentrate on your weight loss and get a diet charted by a dietitian and go to GYM to do cardiovascular exercises.
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4 Antenatal Visits!

MBBS, Diploma family medicine
General Physician,
4 Antenatal Visits!

 Expectations in these four antenatal visits.
 

Father's Day Special - Show Them You Care!

MBBS, Diploma in Public Health ( Preventive and Social Medicine)
General Physician, Navi Mumbai
Father's Day Special - Show Them You Care!

When the little member of the family arrives, a father spends a lot of time with their kids and by nurturing and playing with them, understand their need and always stand by them.

As time passes, the little child learns to speak and walk, and the father lends himself to teach and help his baby explore the world. The little child is convinced and believes that his father is the ultimate man on the planet and he looks up to be like him someday.

New responsibilities bring about a bout of stress

Is it difficult to don the role of a father? Yes. However, no father feels so because of the love and happiness he gets from his little bundle of joy.

A father has a host of duties. One essential thing is to look after the members of the family and earn the bread for them. As he ages, all these involvements start taking a toll on his mental and physical health and make him vulnerable to stress and anxiety.

He could have a new boss in his office who’s driving him crazy, or he may have new responsibilities coming up with the promotion. Or maybe his business has extended and kept him preoccupied with different works. He is yearning to return home faster and play with his kids, but he is helpless.

Quick tips to help them de-stress

For ages now, the primary breadwinner of a family is the man. Though women have started earning as well, man is still considered responsible for the family’s financial well-being.

Anxiety and stress go hand-in-hand in a father’s life. It is essential to know ways to help them de-stress themselves which will help him to not only fulfill their responsibilities, but will also provide satisfaction and happiness of being a father.

Be it a young and new father or an old and experienced father. Following are a few ways to help them de-stress:

  1. Taking a walk every now and then is really a great way to de-stress and a 10 minute walk every day can do wonders.

  2. Breath being the life force, practicing Pranayama, the breathing technique makes them mentally and physically active

  3. Engage them in a refreshing hobby like gardening. Small plants in your portico or a full-fledged garden in your backyard, they have immense impact on your well-being

  4. Reduce screen time whenever possible

  5. Family time is important as is their me-time. Make them take time for themselves and let them hang out with their buddies

  6. Request them to practice stress relieving poses like Eagle pose three or four times a week. Also, indulge in rejuvenating spas and massages

  7. Treat them to a good movie with their partner or musical of their choice.

Yoga to relieve the stress

Fathers play a significant role in the life of the child, and the father is considered the guiding light for the children. Father’s love is reflected and felt at every stage as the child grows up. Modern life comprises of stress, and it could eventually lead to health issues such as chest pain, insomnia, and others.

Yoga helps in relaxing the muscle and helps the mind to refresh up. It lowers the level of stress hormone and increases the energy level to a great extent. People who perform Yoga on a regular basis have a healthy mind and body.

Thus, on this particular occasion of Fathers’ Day, it is worthy to celebrate it in a way that would prove to be beneficial for the father. Let the father be celebrated and let he be offered the gift of health on this special day! 

Apart from all these ways to help them de-stress, you can also help them by booking a preventive health check up for them

6499 people found this helpful

Is there a possibility of getting pregnant if intercourse is performed on 7th or 8 the day.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Is there a possibility of getting pregnant if intercourse is performed on 7th or 8 the day.
Hello, The chances of conception are low as you would be still in your safe period on day 7-8 of your cycle.
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I had my LMP on 29-12-16. (my periods are regular). The pain started in pelvis on 30-1-17. On next day I have started light bleeding with pain. In the evening I did pregnancy test and it came positive. Same day I visit my gyne and she did two blood test. Today on 1-2-17 I went for ultrasound and I am having dark brown thick blood. Radiologist told me there is a possibility of ongoing abortion. Dr. told me that my B- hcg and progesterone is very low and I need to repeat it tomorrow. If its increase then she will put me on some support and if its decrease then let it comes out everything and will give me some medicines to abortion. please help me we are trying for 2 yrs. HCG- 92.3 mIU/L and progesterone- 1.01.

C.S.C, D.C.H, M.B.B.S
General Physician,
I had my LMP on 29-12-16. (my periods are regular). The pain started in pelvis on 30-1-17. On next day I have started...
The average levels of hCG in a pregnant woman's blood are: non-pregnant women - less than 5 milli-international units per millilitre (mIU/ml) pregnant women, about 3 weeks after the last menstrual period (LMP) - 5–50 mIU/ml. Pregnant women, about 4 weeks after the LMP - 50–500 mIU/ml. Guideline to Progesterone levels during pregnancy: 1-28 ng/ml Mid Luteal Phase (Average is over 10 for un-medicated cycles and over 15 with medication use) 9-47 ng/ml First trimester. 17-146 ng/ml Second Trimester. So you have to follow the advice YOu seem to OK.
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Hello, my spouse had one blocked tube at left side. We are trying for pregnancy since 1 yr. But unfortunately we could not get it, so finally we approached a gynecologist, she made HSG test and confirmed that Left side tube is blocked and suggested us to go for IUI. As per the suggestion we went under IUI treatment for last month (Doctor confirmed with scan that egg is being released from Right side, hence proceeded for IUI), but that was not successful. This month something repeated the egg is coming from right side so went through IUI treatment yesterday. And I have good motility and sperm count. 1.But what could be the reasons for IUI failures, what is the success rate of IUI? 2. Doctor also suggested to go through laparoscopy for clearing the block. Is that possible with laparoscopy? Does it have any side effects like causing ectopic pregnancy? 3. And also suggest us the good precautions to get it success and good food after IUI procedure. thank you.

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Pune
Hello, my spouse had one blocked tube at left side. We are trying for pregnancy since 1 yr. But unfortunately we coul...
HSG has an accuracy rate for diagnosis of about 85%. If the tube is found to be blocked on ultrasound; it is ideal to undergo Hysterolaparoscopy to not only diagnose the blockage but also to remove the blockage if possible. It is very common to find that when one tube is blocked then the other tube may also not be very healthy and functional even if it is found to be open on HSG. One of the causes for your IUI failure could be this. The chance of success with IUI is only about 12-16% depending on various factors. If conception does not happen in 3 cycles of IUI; it is time to move to advanced techniques like IVF/ ICSI.
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My periods are 1 day late from its due date but I am having cramping and feeling wet in my vagina .am I pregnant or its late for some other reason.

MBBS
General Physician, Chandigarh
My periods are 1 day late from its due date but I am having cramping and feeling wet in my vagina .am I pregnant or i...
It can get late otherwise also once in awhile and if you are do anxious about pregnancy then more the reason so just wait till one week if you don't get them then get your urine tested for pregnancy to confirm the status
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Your Egg Reserve

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Your Egg Reserve

Your Egg Reserve

Ovarian Reserve Testing – AMH

Females are born with approximately 1 million eggs and this number declines with age through natural attrition and ovulation but , the rate at which a woman can ‘lose’ eggs during her reproductive life varies greatly from individual to individual .

The number of eggs remaining at a given time, in a female is her ‘ovarian reserve.’

we can now estimate your ovarian reserve with a very simple blood test, it measures a hormone known as AMH; or Anti-Mullerian hormone, which can give us a good indication of your fertility status and an estimate of your ovarian reserve.

Basis behind the test?

AMH is produced by the granulosa cells in the developing early antral follicles of the ovary and as the number of eggs decline, the number of small antral follicles also decline along with the AMH.

This means that AMH is a clinically useful measure of ovarian reserve so as an early indication of your fertility status AMH can help you decide whether to start a family sooner or later.

What if my AMH is low?

Once the ovary runs out of eggs, the body can’t produce more and often the last remaining eggs can be of lessor quality so If you’re in a relationship and have a low ovarian reserve, the best option for having children is to go ahead and try as soon as possible.

If a woman experiences premature menopause, Dr. Richika can take you through all your viable options including the use of donor eggs.

We believe that information and knowledge is power and this test is one way you can take charge of your fertility future today.

You may be at increased risk of having a low AMH if you have;

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