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Dr. Kamlesh Mishra

Gynaecologist, Delhi

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Dr. Kamlesh Mishra Gynaecologist, Delhi
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Kamlesh Mishra
Dr. Kamlesh Mishra is a renowned Gynaecologist in Hauz Khas, Delhi. He is currently associated with Multispeciality Clinic in Hauz Khas, Delhi. Save your time and book an appointment online with Dr. Kamlesh Mishra on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 27 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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Multispeciality Clinic

14, Kaushaliya Park, Near Police Station, Hauz Khas, DelhiDelhi Get Directions
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I have an irritation & itching on my vagina frm last 2 to 3 days, pls advise medicine or cream.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
External use quadredram tube, first wash out side etching area & vagena with savlon. Than applied tube.
10 people found this helpful
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Everything You Need To Know About PCOD

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Everything You Need To Know About PCOD

Everything you need to know about Polycystic Ovarian Disorder (PCOD)PCOD affects almost 17 percent of Indian women.

PCOD in India

This hormonal imbalance affects many women in India. A pan India survey was recently conducted by the Metropolis Healthcare Ltd, on 27,411 samples of testosterone over a period of 18 months. Out of these 27,411 samples, around 4,824, (17.60 percent) of the females faced hormonal risks including polycystic ovarian syndrome.

What is Polycystic Ovary Disease (PCOD)?

Polycystic Ovary Disease (PCOD), is a condition where a woman develops enlarged ovaries and small follicular cysts that are of the diameter 0.5-1.0 cm. This leads to a collection of eggs in the ovary that cannot be discharged from the body. “A woman with PCOD will also have symptoms that reflect imbalances in reproductive and other hormones. Here, the ovaries make more androgens (male hormones) than normal. High levels of these hormones affect the development and release of eggs during ovulation."

The following symptoms of PCOD, which large affects women of all age groups and may vary:

  • In adolescent women, PCOD symptoms include infrequent, absent, and/or irregular menstrual periods and hairfall.
  • In reproductive age group, women face fertility issues, requiring assistance in form of fertility treatments. In fact, PCOS is the most common cause of female infertility.
  • Hirsutism— increased hair growth on the face, chest, stomach, back, thumbs, or toes.
  • Cysts in the ovaries can also cause acne, oily skin, or dandruff.
  • It may also lead to weight gain or obesity, usually with extra weight around the waist and male-pattern baldness or thinning of hair.
  • One may also notice patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black skin tags — excess flaps of skin in the armpits or neck area.

"Changes in lifestyle, lack of exercise, dietary habits, exposure to environmental pollution, stress levels and loss of work life balance have become the primary causes of PCOD which can also lead to hypertension, diabetes mellitus, increased risk of uterine cancer and even cardiovascular diseases," she says.

Remedies for PCOD

Experts suggest that if symptoms are identified at an early age and brought under control, it can help reduce the chances of having complications like diabetes and heart disease. "However, the primary steps are eating right, exercising and not smoking.

#1 Lifestyle modification

"Many women with PCOD are overweight or obese, which can resultantly cause many health problems. The way to manage PCOD is by eating healthy and exercising to keep weight at a healthy level,". You can do the following:

  • Limiting processed foods and foods with added sugars
  • Add more whole-grain products, fruits, vegetables, and lean meats to your diet. "This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalise hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular," she says.

#2 Dietary changes

You must include whole grains in your daily diet to make up for the needed amount of protein

  • Fiber contributes to improved blood sugar control and healthy bowel function. Aim to eat 25-30 grams of fiber per day.
  • Protein helps balance your blood sugar and can help tame a sweet tooth. Include fresh fish, lean red meat, organic chicken, organic eggs, whole grains, and legumes in your diet, which are all good sources of protein.
  • The type of fat in your diet plays an important role in assisting with insulin reception at the cell level. Use cold-water fish, organic eggs, avocados, extra virgin olive oil, and raw nuts and seeds that are rich in essential fatty acids.
  • Ensure you eat regularly and choose healthy snacks mid-morning and mid-afternoon to balance your blood sugar levels between meals.
  • Also make sure you add fruit, nuts, seeds and natural yogurt- all make for healthy snacks.

#3 Birth control pills

You can also ask your gyneacologist if you can include birth control pills and if so, which one's suit you best. For women who don't want to get pregnant, birth control pills are extremely helpful. They do the following:

  • Control menstrual cycles
  • Reduce male hormone levels
  • Help to clear acne

#4 Diabetes medications

"The medicine Metformin (Glucophage) is used to treat type 2 diabetes. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return,"

She adds that recent research has shown Metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. "Metformin will not cause a person to become diabetic,"

#5 Surgery

Ovarian drilling is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines.

#6 Medicine for increased hair growth or extra male hormones

"Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce PCOD. These medications should not be taken if you are trying to become pregnant," says. She lists a few other options:

  • Vaniqa cream to reduce facial hair
  • Laser hair removal or electrolysis to remove hair
  • Hormonal treatment to keep new hair from growing

She adds that some research has also shown that bariatric (weight loss) surgery may be effective in resolving PCOD in morbidly obese women (BMI of more than 40).

#7 Fertility medications

"Lack of ovulation is usually the reason for fertility problems in women with PCOD. Several medications that stimulate ovulation can help women with PCOD become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets).

She lists the following treatment options:

  • Clomiphene (Clomid, Serophene): The first choice therapy to stimulate ovulation for most patients.
  • Metformin taken with clomiphene: This may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins: It is given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.

Another option is in vitro fertilisation (IVF), which offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births.

Most women have symptoms that are normally associated with menopause. "These include hot flushes, vaginal dryness, irritability, night sweats, or difficulty sleeping. Menstrual periods may be sporadic or stop completely. Some women may never begin having menstrual periods and may not go through the normal sequence of puberty,".

She adds that while PCOD does pose a problem with respect to fertility, it must be noted that it is not incurable.

17 people found this helpful

Hi Doctor, I am 26 years old. Married recently. My wife has low bp not much. Will it be an problem of getting conceived. How much time we have sex in a week? Is it ok to have sex daily will it be fine? Please help.

MD
Gynaecologist, Mumbai
Sex during fertile period which is day 12 to 17 from the first day of the cycle frequency of sex is subjective it is only when conception is neede then a discipline is needed.
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I am 31 weeks of pregnant and last two days I feel my baby's keeping kicking my lower abdomen and I feel to pee however if I try to pee it stops by few drops, also let me know it s advisable to go for a long travel by car.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 31 weeks of pregnant and last two days I feel my baby's keeping kicking my lower abdomen and I feel to pee howev...
Hello, long car travel is not recommended at all. Secondly get a urine culture test done to rule out urinary tract infection.
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Conceiving a Baby Affects Your Skin in These Ways

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
Conceiving a Baby Affects Your Skin in These Ways

Pregnancy is a welcome change in a woman's life. She is full of hope and happiness while awaiting the birth of her bundle of joy. However, it is almost inevitable to bring up the topic of conception and leave out a host of bodily alterations or disadvantages it entails. You might eagerly wait for months in a row to conceive and once you do the signs of health issues show. Most noticeable of all other problems are the ones affecting your skin. Skin problems can be immensely predominant and widespread in a pregnant mother; so much so that her psychological disposition might vary considerably.

Commonly observed symptoms of the skin that may affect you during pregnancy:

  1. Your eyes may look puffy and withdrawn: While the news of a baby lighting up your life in a few months' time makes you very happy, it also subjects your body to exhaustion. It is natural for expecting mothers to feel tired and wasted. Acute iron deficiency and poor blood circulation could result in fatigue that further surfaces as dark circles and puffy bags under your eyes.
  2. Your face could develop acne suddenly:  Acne is caused mainly because of excess sebum secretions from the oil glands present in your body. Excess oil tends to choke the open pores of your skin preventing it from breathing. Increased levels of progesterone are maintained by the human body for a strong uterine lining that is again required for the healthy development of a child; progesterone kicks off oil secretions.
  3. Spider like marks could spot your skin: Hormonal imbalances, sudden increase in weight, and heightened pressure in the veins may cause the blood vessels in your face to redden and grow big; the veins then look like the web of a spider. This condition is often referred to as Spider Angiomas.
  4. Big dark patches can also be seen: During pregnancy, your body has an excess of both oestrogen and progesterone. These hormones incite the impact of melanocytes, thus resulting in big dark patches on your skin. The condition is more prevalently known as Melasma.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6544 people found this helpful

I am 30 weeks pregnant and suffering from upper right abdominal pain, can I take drotin m tablet?

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am 30 weeks pregnant and suffering from upper right abdominal pain, can I take drotin m tablet?
No don't ever take any such Medicine without gynecologist Consultation... It can be very harmful... You may take Homoeopathic Medicine Colocynth 30 TDs for one day..
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I am getting blood inside my vagina since last 2 month continuously. I am 26 year old unmarried girl. Please suggest me what shall I do. I. E. Why my weight is also increasing.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
There are many causes of this...so I will suggest you to consult a gynaecologist...she will do some test
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Hello doctor, my girlfriend has faced some problem that when she press her breast, some milk have come out. Her monthly period is also regular. But she have some problem of thyroid. She eat some medicine of thyroid. Doctor because of these problem will she get pregnant in future?

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
Hello doctor, my girlfriend has faced some problem that when she press her breast, some milk have come out. Her month...
You require regular daily exercise control on your diet and yoga can also help you. Pls control your weight. Take small and frequent meals.
1 person found this helpful
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If a girl do first time sex in her life, then is it necessary that she will bleed for the first time. Does bleeding happens with the every girl,

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
No. The bleeding at first sex happens if the hymen is rigid and gets torn. Many a girls have an elastic hymen and some have a central hole thats good enough to allow entry to penis at sex hence it may not break" get torn" at first sex. The basic issue is trust. If you trust your partner is a virgin then believe her word for it. Many a ladies also bleed after getting used to for vaginal sex, due to rough sex or when tears occur in the vagina due to forceful sex. Or when their hormones are low and vaginal lining is dry and liable to getting cracked up so blood first sex is not the criteria to judge a person's virginity.
2 people found this helpful
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