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.
Book Clinic Appointment with Dr. Kamakshi
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. KamakshiYour feedback matters!
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.
Low reserves are caused by
- Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
- 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.
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:
- 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.
- 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.
- 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).
- Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
- Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results. Consult an Expert & get answers to your questions!
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.
Hello sir, I would like to ask about my wife she is 30 years of old she was suffered from TB in 2009. I was married in 2012 from 2013 she was not well, her weight is around 30 kg. I have done all the check ups like x rays, chest city scan but she didn't find as TB or Asthma patient. Please tell me the reasons to losing weight day by day. Is the reason is her past TB. Sir, please tell me about all this I shall be very thankful to you.
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?
I am recommended by doctor sysron n 5 mg as I am having brown bleeding. The doc advised me to take the tablet 3 times x 2each daily till my bleeding stops and then 1 tab x 3 times daily x 21 days. She advised me to take just 80 nos. Tablet in total during my periods and after my periods stop. My question is that I had taken sysron n tablet two nos. X 3 times daily from Wednesday till Monday (until my brown bleeding totally stopped). After that I am taking sysron n tablet 1 no. X 3 times daily. But the thing is that I have 4 strips left out of 8 strips and the doctor asked me to take 1 no. Of sysron n x 3 times daily x 21 days. But the tablet will not continue till 21 days. What to do now? Will it hamper if I take more than 80 tablets in order to make up 21 days. Please help.
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?
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.
The common Performance Anxiety symptoms are:
- Dreading the performance, worrying endlessly about it
- Becoming numbed, distant and withdrawn
- Trembling hands and voice
- 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 :
- Shift the focus from yourself and your fear to your true purpose—contributing something of value to your audience.
- Stop scaring yourself with thoughts about what might go wrong. Instead, focus your attention on thoughts and images that are calming and reassuring.
- Refuse to think thoughts that create self-doubt and low confidence.
- Practice ways to calm and relax your mind and body, such as deep breathing, relaxation exercises, yoga, and meditation.
- Exercise, eat well, and practice other healthful lifestyle habits. Try to limit caffeine, sugar, and alcohol as much as possible.
- Visualize your success: Always focus on your strength and ability to handle challenging situations.
- Prepare your material in advance and read it aloud to hear your voice.
- Make connections with your audience: Smile and greet people, thinking of them as friends rather than enemies.
- Stand or sit in a self-assured, confident posture. Remain warm and open and make eye contact.
- Give up trying to be perfect and know that it is OK to make mistakes. Be natural, be yourself.