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Dr. Kamlesh Mishra

Gynaecologist, Delhi

Dr. Kamlesh Mishra 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. Kamlesh Mishra
Dr. Kamlesh Mishra is a trusted Gynaecologist in Mayur Vihar, Delhi. You can meet Dr. Kamlesh Mishra personally at Dharamshila Cancer Hospital in Mayur Vihar, Delhi. You can book an instant appointment online with Dr. Kamlesh Mishra 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. 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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Dharamshila Cancer Hospital

Vasundhra Enclave, Mayur Vihar Phase IIDelhi Get Directions
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I got married before 6 months but still am. Not conceive .when should we have sex.

DHMS (Hons.)
Homeopath, Patna
I got married before 6 months but still am. Not conceive .when should we have sex.
Hello, Subject to every thing remains normal in a male partner,  underlying norms be monitored for quick & safe pregnancy. •female partner should take plenty of water to hydrate the entire body including reproductive organs. •Should go for meditation to reduce stress and nourish reproductive organs & to control BP, level as well. Apart from medication, you need to opt the under lying food elements to carry on your pregnancy safely and faster, even. •Apples - carry. Vit A, B1,B2, B6,C & folic acid, hence-eating apples during pregnancy provide quick energy containing  carbohydrate with low calory, preventing high blood pressure in a pregnant women. Sugar and insulin levels be maintained to tone up  the hormonal balance conditioning  reproductive system. Calculation of ovulation period be taken into account to concieve fast & successfully. Banana, brown bread & rice, mackerel, salmon, tofu ,eggs, lemon, orange, almonds, ashpargus, kidney bean, milk, cheese carry safer & faster  pregnancy. Homoeopathy may stand with you in need. Your feedback matters, please for further follow up, please. Tk care.
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Sir, I'm 28 years old married woman. I have burning pain during penetration while intercourse. Kindly advice.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir, I'm 28 years old married woman. I have burning pain during penetration while intercourse. Kindly advice.
It can be due to ant one of the following reasons- 1.Starting period of your sex life 2.Not enjoying your sexual life 3.Dryness of vagina due to absence of vaginal discharge during intercourse which acts as a lubricant 4.Urine infection So please discuss the reasons and I will help you accordingly.
2 people found this helpful
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Hi I am pregnant, having allergy with ceflox-oz. My child will also get dat allergy after birth. Kindly rpl.

MD, MBBS
Gynaecologist, Vadodara
Hi I am pregnant, having allergy with ceflox-oz. My child will also get dat allergy after birth. Kindly rpl.
Hi lybrate-user. Allergies are not diseases that are passed on from mother to child. You can absolutely relax and enjoy your pregnancy!
1 person found this helpful
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We are married from last two years. And from last one and half year we are trying for baby. My semen analysis report is normal. Wife is diagnosed with endometrial cyst of 20 mm on right side. Her period cycle is of 26 days. Our Dr. Tried two months with clomid and hcg shots but got no positive results. Now he suggested for laparoscopy amd hysteroscopy. Does that cyst is reason behind infertility? Because she do not feel any pain during period or intercourse. Should I go for laparoscopy or try another treatment?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
We are married from last two years.
And from last one and half year we are trying for baby. My semen analysis report ...
hi Amit you are on right path, endometrosis is cause for delayed conception. better to go for laparocsopy. also check for ovarian reserve before planning for laparocsopy so as to decide treatment plan.
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This Oct month I have delay in monthly periods .I also test with prega tester .and get negative reports. And I start to take primolut n.And three tabs already taken. Now I kindly want to know how many tabs I will take and when my period will start.

MBBS
General Physician, Mumbai
This Oct month I have delay in monthly periods .I also test with prega tester .and get negative reports. And I start ...
Take primolutN as a full course of five days and you will get a withdrawal bleeding after five days.
1 person found this helpful
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I am newly married and I want to sex with my wife without condom and I also not want her pregnant up to 3 to 4 years how its possible .Give me any better solution

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Start meditating as it will increase your will power which will in-turn help you in interruptus coitus.
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Hi, I'm a 20 years old female, weight 110 kg and height 107 cm, I'm afraid of the risk of diabetes and hypertension since the family history from both sides have them, what diet should I follow?

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hi, I'm a 20 years old female, weight 110 kg and height 107 cm, I'm afraid of the risk of diabetes and hypertension s...
First of all you should reduce your weight. Your weight is too high. You should take a holistic approach in your health management. Consult a dietician, join a gym get personal trainer who can motivate you for weight reduction. Follow the dietitians advice who can plan and individualise your diet pattern.
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I have 7 month baby boy and my wife has not started period yet after pregnancy, but yesterday night we have unprotected sex, then any chances of pregnancy.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I have 7 month baby boy and my wife has not started period yet after pregnancy, but yesterday night we have unprotect...
There are always chances of unwanted pregnancy during lactional period when there is no period... do use protection always
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Dr. Meri shadi ko one year hua he. Me abhi pregnent hu. Meri pregnency ko abhi five month chal raha he. Mere husband sex karna chahte he mere saath. Abhi pregnency me sex kar sakti hu kya? Mere womb me baby ko koi nukshan ho sakta he kya Dr. Mere sex karnese? Isa baat se me dar rahi hu Dr. sex karne se.

DRCH, BHMS
Homeopath, Bareilly
Dr. Meri shadi ko one year hua he. Me abhi pregnent hu. Meri pregnency ko abhi five month chal raha he. Mere husband ...
If your pregnancy is without any complication you can do sex. It should be avoided in first and last trimester that is in first three and last three month. But it should be done in safer positions. Do not lie on abdomen.
5 people found this helpful
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Importance of Fibres

A day's diet plan should provide at least 25g to 40 g of fibre women need, slightly less fibre than men. For fibre to work well it needs water, so drink enough water. Fibre acts as a sponge and absorbs water and swells up in the gut and help to move food waste for elimination. Some types of fibre help maintain the good bacteria in the gut.
14 people found this helpful

Hello, I am deepak my friend and her wife did sex just after her periods over a day but they use precaution pill like unwanted 72. After five days their is a bleeding in her vagina. Is it sign of pregnancy or just be a normal period bleeding. Please advice me the right suggestion. Thank you.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, I am deepak my friend and her wife did sex just after her periods over a day but they use precaution pill like...
Hello, This was a withdrawal bleeding following unwanted 72 and as expected, indicating that she is pregnancy safe.
1 person found this helpful
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I am 23 year old girl and I am Having irregular periods and has cyst in the right ovary plus gaining weight also. How to overcome from this situation?

BHMS
Homeopath, Secunderabad
Hi, due to hormonal imbalance your periods are irregular and gaining weight. Homoeopathy is the permanent solution for these problems. With these medicines symptoms donot appear in future also. Please provide more details.
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I had abortion last year since then I started having pain in lower left side it pains very badly I don't know why this pains this pain is getting harsh feeling sick please help me.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I had abortion last year since then I started having pain in lower left side it pains very badly I don't know why thi...
Hi lybrate-user please get a pelvic ultrasound done their could be infection which is responsible for chronic pain. Also visit gynaecologist for internal examination.
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My wife had a ectopic pregnancy. Before 7 month. Now we are trying for a baby but she is not getting pregnant. What should be the treatment.

MD - Obstetrtics & Gynaecology
Gynaecologist,
My wife had a ectopic pregnancy. Before 7 month. Now we are trying for a baby but she is not getting pregnant. What s...
Hello lybrate-user, it is very disappointing to know your problem. After operation of ectopic pregnancy, there is chance of fertility problem as well high chances of repeat ectopic. You have to go for proper evaluation of ovarian reserve and chlymadia infection. If her cycle is regular, she may get pregnant. I need some of details of last ectopic pregnancy surgery then only I will help you more. There are lot of factors which effect fertility starting from age to surgery. So I need details of your past history. Further I suggest that no need to worry much as she is fertile. There might have some problems which hindering fertility, need to solve. All the best.
5 people found this helpful
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My girlfriend is so fair but her vagina is soo black, its not at all good to see, is there any solution for this issue? If so get me a solution to turn that color? Please help me.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
My girlfriend is so fair but her vagina is soo black, its not at all good to see, is there any solution for this issu...
HI Lybrate USER. 1) apply equal quantity mixture of fresh lemon juice and milk on vagina…. Leave it for 30-45 minutes…. After that wash it with lukewarm water. Do this 2 times in a day. Do this for 15 days. It gives you good result. Thanks.
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Menopause- How to tackle it

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Menopause- How to tackle it
Today 18th October is WORLD MENOPAUSE DAY....
Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause.

Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored.

But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.

Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.

Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup.

The worst problemof the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.

Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination.

“What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy).

Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc.

Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke.

Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required.

In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be overemphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.

irregular menstrual flow harm fertility? What may be the causes of irregularity in menstruation? what can be the protective measures for irregularity?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
irregular menstrual flow harm fertility? What may be the causes of irregularity in menstruation? what can be the prot...
It can impair fertility. Causes- hormonal problems, overweight, thyroid, prolactin, pcos, premature ovarian insufficiency, uterine problems etc. Protective measures- control of weight, diagnosis and treatment of the underlying cause.
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I want to do anal sex with my wife .is it right thing to do ? how should I do it.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- you can do anal sex with your wife but you should keep these things in mind. Anal sex may or may not be pleasurable for men but it can cause severe pain and bowel problems in women. Anal sex if done without wearing a condom can cause sever infection of penis as anus harbors numerous harmful bacteria and toxic waste products for removal. Anal sex done without proper lubrication can cause anal fissure in women.
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Hello sir. I have been married fr 8 years I have a daughter i m planning for a next baby. And i m trying since 6 months but its not working. So suggest me what to do now.

MBBS
General Physician, Faridabad
Hello sir. I have been married fr 8 years I have a daughter i m planning for a next baby. And i m trying since 6 mont...
try if your cycle is regular then take chance on mid of cycle,. say your cycle start on 1st then try help between 12-17.during this period you have maximum chance. but it may happen at any time. it will. welcome.
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