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Dr. Kamakshi

Gynaecologist, New Delhi

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Dr. Kamakshi Gynaecologist, New Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Kamakshi
Dr. Kamakshi is a trusted Gynaecologist in Paschim Vihar, Delhi. You can meet Dr. Kamakshi personally at Dr Kamakshi 's Clinic in Paschim Vihar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Kamakshi on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 38 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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IVF Protocol: Causes Behind Low Ovarian Reserve

Best Fertility Centre In India
IVF Specialist, Chennai
IVF Protocol: Causes Behind Low Ovarian Reserve

The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 250,00 to 500,000 eggs at puberty and ends up with 1000 eggs at menopause.

Causes:
Low reserves are caused by

  1. Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
  2. Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.

IVF Protocols:
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:

  1. Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
  2. Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
  3. Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
  4. Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
  5. Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results. Consult an Expert & get answers to your questions!
3350 people found this helpful

Mujhe 7 days se vegina me bahut jyada khujli ho rahi hai iska kya reason hai. please koi medicine ya gharelu upaye batye. Ya koi medicine jo local market me milti ho. please me bahut pareshan hu is khujli se. please fast reply me.

BHMS
Sexologist, Noida
Mis versa you are suffer pruritus vulva ok so it cause viral infection ok so you maintain proper hygiene ok.
2 people found this helpful
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Hi, last period on March 24 I checked home pregnancy test was positive and consulted doctor also all checkup blood test urine test all are positive why i am getting back pain?

BAMS, PGFP
Ayurveda, Jalgaon
Hi, last period on March 24 I checked home pregnancy test was positive and consulted doctor also all checkup blood te...
Hello Congrats. Pregnancy & Back pain may be different in your case. Pain do not seems related to your pregancy. For back pain give some warmth to back only. Do not eat fast food. Keep eating times regular. Do not eat late night. Do not eat too much spicy. Do not eat rice items in night. Do regular light exercises. Revert back if more guidance needed.
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B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Agree?

I am a 19 year old female. I had sex and about less than 48 hours after sex the guy told me that he had come inside me. I immediately took an Ipill. Is there any chance of pregnancy?

MBBS
General Physician, Hyderabad
I am a 19 year old female. I had sex and about less than 48 hours after sex the guy told me that he had come inside m...
Hii. There r pretty chance that you may get pregnancy. One get your urine pregnancy test done. Its safe to have sex immediately after your periods. Its unsafe vn you do it @ 12-16 days after your periods.
1 person found this helpful
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Stage fright- Symptoms & Management

PhD - Clinical Psychology, Diploma in Clinical and Community Psychology, MA - Clinical Psychology, BA - Psychology
Psychologist, Delhi
Stage fright- Symptoms & Management

Stage fright or performance anxiety is the anxiety, fear or persistent phobia which may be aroused in an individual by the requirement to perform in front of an audience, whether actually or potentially. In the context of public speaking, this may precede or accompany participation in any activity involving public self-presentation. In some cases stage fright may be a part of a larger pattern of social phobia (social anxiety disorder), but many people experience stage fright without any wider problems. Quite often, stage fright arises in a mere anticipation of a performance, often a long time ahead.       

     It has numerous manifestations: stuttering, tachycardia, tremor in the hands and legs, sweaty hands, facial nerve tics, dry mouth, and dizziness.

The common Performance Anxiety symptoms are:

  • Dreading the performance, worrying endlessly about it
  • Becoming numbed, distant and withdrawn
  • Trembling hands and voice
  • Sweating
  • Feeling sick or having stomach cramps
  • A racing pulse and pounding heart
  • Tightness in the throat which can hinder talking
  • A dry mouth

Try these 10 tips to reduce your stage fright :

  1. Shift the focus from yourself and your fear to your true purpose—contributing something of value to your audience.
  2. Stop scaring yourself with thoughts about what might go wrong. Instead, focus your attention on thoughts and images that are calming and reassuring.
  3. Refuse to think thoughts that create self-doubt and low confidence.
  4. Practice ways to calm and relax your mind and body, such as deep breathing, relaxation exercises, yoga, and meditation.
  5. Exercise, eat well, and practice other healthful lifestyle habits. Try to limit caffeine, sugar, and alcohol as much as possible.
  6. Visualize your success: Always focus on your strength and ability to handle challenging situations.
  7. Prepare your material in advance and read it aloud to hear your voice.
  8. Make connections with your audience: Smile and greet people, thinking of them as friends rather than enemies.
  9. Stand or sit in a self-assured, confident posture. Remain warm and open and make eye contact.
  10. Give up trying to be perfect and know that it is OK to make mistakes. Be natural, be yourself.

 

4 people found this helpful

I'm 22 year female. I was taking periods postpone tablets on 29th jan and on the same day I had unprotected sex with my boyfriend and I took ipill. Still I'm not done with my periods. I'm nt feeling also. I'm scared. Am I pregnant?

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
I'm 22 year female. I was taking periods postpone tablets on 29th jan and on the same day I had unprotected sex with ...
It is very difficult to predict or rule out pregnancy. Wait for 5-6 days after stopping the withdrawal tablets. And then do a home pregnancy test. Period may delay because of the I pill itself.
10 people found this helpful
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Me and my girlfriend had unprotected sex. I ejaculated in her just at entrance (about 1-2 inch deep). She was in last day of her periods. She took ipill within 1 hr of unprotected sex. Is there any chances of pregnancy? If yes then what to do to stop.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Me and my girlfriend had unprotected sex. I ejaculated in her just at entrance (about 1-2 inch deep). She was in last...
no worries about getting pregnant but take care of health read more about reproductive health through good books or counselor emergency medicine like ipill should be taken only when it's a real emergency and not a routine prevention of pregnancy
1 person found this helpful
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