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Dr. Karuna Tandan

Gynaecologist, Delhi

250 at clinic
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Dr. Karuna Tandan Gynaecologist, Delhi
250 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Karuna Tandan
Dr. Karuna Tandan is a popular Gynaecologist in Vivek Vihar, Delhi. She is currently associated with Tandon Nursing Home in Vivek Vihar, Delhi. Save your time and book an appointment online with Dr. Karuna Tandan on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 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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Hindi

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Tandon Nursing Home

D-229, Link Road High Way, Vivek Vihar. Landmark: Near Singh Nursing Home and Ram Mandir, DelhiDelhi Get Directions
250 at clinic
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I am 28 weeks pregnancy. Daily I get tired extremely after having breakfast? Is it normal? Please clarify.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 28 weeks pregnancy. Daily I get tired extremely after having breakfast? Is it normal? Please clarify.
You have to check your thyroid level and blood for anemia to find if there is any cause of tiredness . If these are normal you are fine
1 person found this helpful
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I wanted to know that I feel very lazy and tired as I am pregnant any tips to be active.

MBBS
Sexologist, Panchkula
I wanted to know that I feel very lazy and tired as I am pregnant any tips to be active.
You feel lazy and tired and you are pregnant.I advise you to take proper balanced vegetarian diet.Take fruits and vegetables in daily diet.Take 8 to 10 glasses of water daily.Take soybean chunks twice a week in vegetables.Avoid garlic and red chilly at home and avoid non veg and eggs.Do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning for 30 times.This will help you in your problem.
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Hi I have a pcos problem and I am married for 2 years. We tried naturally for one month but I did not conceived. So second month we consulted a doctor she kept me on clomifene citrate 50 mg from 3-9 days. And she gave a hcg shot on 14th day of my cycle. And we had timely intercourse but unfortunately I got my periods after taking gestofit. So the doctor advised me to have SSG test done. But I was not ready for that as we planned pregnancy only one month back. So we consulted another doc and she kept me on clomifene citrate 100 mg from day 4-8 and forminal for 30 days and weekly vit D supplement. So please tell me what are the chances of my successful pregnancy this time. Is SSG test necessary?

B.A.M.S
Ayurveda,
Hi I have a pcos problem and I am married for 2 years. We tried naturally for one month but I did not conceived. So s...
Hello Lybrate user, if you have pcos, I will obviously suggest you to take ayurveda medicines. Because only those medication can completely wipe off ovarian cyst. And only a healthy ovum will be a healthy conception occur. Only then you will have a healthy baby. In ayurveda, especially I treat this condition with fermented liquids and tab and decoctions. You need to have it for 3 months. Then check with your menstrual cycle. Have conception during ovulation period. You will surely get conceived. Apart from treatment, there are some other factors that required for a healthy pregnancy. Its nothing but your *food habits *a healthy body (you can earn it with exercise! !) *a stress free life *a good relationship between you and your husband. Pcos is dealt mainly with anti fat accumulation treatments. When fat deposits at different organs particular diseases occurs eg: fatty liver etc. *similarly vigorous exercise and medication can only dissolve this cystic condition from the rooted. Operation and surgeries are done to remove this cyst. But the recurrent rate is more. So only one help you. YOUR MIND .please make up your mind nd do exercise, hv healthy food and follow a good medication routine to get rid of this rooted cyst. All the very best.
3 people found this helpful
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Super Fact of the Day: It takes 43 muscles to frown and only 17 to smile.

PDDM, MHA, MBBS
General Physician, Nashik
Super Fact of the Day: It takes 43 muscles to frown and only 17 to smile.
In case you want to give your face a workout, smiling is a much easier option, which also keeps you cool.

Would you like to share this interesting fact with family or friends? go ahead and share!
640 people found this helpful

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
The amniotic fluid which surrounds your baby known as" the waters" or liquor (pronounced likewar) is likely to leak when you are at the peak of your pregnancy. It has a distinctive odour which is very different from urine.
1 person found this helpful

After the pregnancy completion abnormality in the menstrual cycle. It take how much time to be a normal menstrual cycle.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
After the pregnancy completion abnormality in the menstrual cycle. It take how much time to be a normal menstrual cycle.
Irregular or no menses are extremely common during first year after childbirth. As long as you r breastfeeding menses will remain irregular but you can not stop feeding because of that. Thats why you should start using contraceptive as you can get pregnant even when you are breastfeeding. Best contraception for you is iucd (cut) or minipill.
1 person found this helpful
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Hii doctor When 2nd trimester scan should be done because for me 5 month's started i.e. 19 weeks running please reply me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hii doctor When 2nd trimester scan should be done because for me 5 month's started i.e. 19 weeks running please reply...
Hello, level 2 anomaly scan has to be done between 18-20 weeks, so you may get it done anytime in next week.
1 person found this helpful
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Sir I am 26 year old and have a baby of 6 month, just now I have terminated by unwanted pregnancy and while done ultrasound of uterus then found 2.5cm fibroid over uterus. Previously I have suffered from fibroid in unmarried age 2.5 year ago So please suggest what is the cause of formation fibroid and treatment of it.

MBBS
General Physician, Chandigarh
Sir I am 26 year old and have a baby of 6 month, just now I have terminated by unwanted pregnancy and while done ultr...
There is no specific reasons for fibroids to develop and the treatment is you have to get them removed surgically but if it is not giving you any problems and not increasing in size you leave it like that only sometimes small fibroid go symptom less all your life but remember to keep a check on its growth.
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Hi Doctor, My problem is that I have missed my period by seven days now but all the home test kits are showing negative. I have endometriosis and undergone laparoscopic surgery in 2015. After that I tried IVF but even after one fresh and two frozen transfer there was no success. But I'm not any med now except thyronorm 12.5 mcg. What could be the possible reasons for my situation?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hi Doctor, My problem is that I have missed my period by seven days now but all the home test kits are showing negati...
It is very important to exclude pregnancy before any medicines are taken to initiate a period. I would advice you to wait for another week and if still your periods fail to come please then please do a serum b-Hcg to be very sure. Periods can be delayed occasionally due to stress, medicines, hormonal problems etc;
2 people found this helpful
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Hi. I have abortion on last month. Doctor told me to use Meprate Tablet. Can I know why should we use this tablet. Is There Any side Effects.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
meprate is hormonal medicine which is use for treatment of delayed menses. whenever you take that medicine your menses disappear and when you leave taking that menses will appear.
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Reasons Why IVF Cycle Is Cancelled

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Reasons Why IVF Cycle Is Cancelled

In vitro fertilisation (IVF) is a precarious treatment, which is filled with hope and despair in equal measures. While you cannot wait to have a baby through IVF and you are terribly excited when the IVF cycle starts with some success, you still need to be prepared to face disappointment at any stage in the cycle.

There are certain reasons why an IVF cycle can be cancelled. Some of the reasons include:

  1. Ovarian cysts: As an important part of pre-treatment in IVF, a screening is done to check for ovarian cysts. If you do have a cyst in your ovary, the date for the commencement of IVF will be pushed back. Medicines will be prescribed to reduce the cysts in such a case.
  2. Poor stimulation responses: Usually, more than three follicles in the ovaries are needed to produce eggs. Fertility drugs are given to stimulate the growth of the follicles. But sometimes, there is poor response to the drugs and the needed number of follicles might not grow. In this case, either the IVF cycle is cancelled or different medication is used.
  3. Hyperstimulation: On one hand, there is poor or under active response to fertility drugs and then there is hyperstimulation; which is an overactive response to the drugs. This leads to excessive growth of follicles, which causes ovarian hyperstimulation syndrome (OHS). The cycle is cancelled as OHS might cause serious problems in the womb.
  4. Decline in estradiol levels: The ovaries produce a type of estrogen called estradiol. When egg follicles grow, estradiol is secreted, which triggers the rest of the cycle. If the levels of estradiol drop, follicular development is hindered. In this case, the IVF cycle will be cancelled.
  5. Poor egg retrieval: Usually, an ultrasound is done to check the amount of mature eggs before the retrieval. Sometimes, fewer eggs are collected than what were expected. If egg retrieval is poor, the cycle will not move any further.
  6. Poor fertilization: Poor sperm or egg equality might hamper the process of fertilization, which will thus impact the development of the embryo. If the embryo does not form at all, the cycle will obviously be cancelled.
  7. Illness: If you or your partner has high fever or fall ill anytime during the process, the IVF cycle may be abandoned.

Consult an Expert & get answers to your questions!

3836 people found this helpful

I missed my period on this 10th May, did my pregnancy test on 13th may, it was showing negative. But I had pregnancy symptoms. 14th and 15th may. I realised there was a brown patches discharge for 2 days then the 3rd day heavy bleeding like a period days. What does it mean? Was I pregnant?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I missed my period on this 10th May, did my pregnancy test on 13th may, it was showing negative. But I had pregnancy ...
If you did not get your periods, repeat the pregnancy test. Beta hcg test may also be conducted if home pregnancy test is negative.
3 people found this helpful
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I am 37 years old unmarried. Last month had taken birth control pill for first time in life. Took 4 tabs n quit taking. Due to nausea etc. Had uncontrollable bleeding for extra 5 days. Stopped. But my problem is I did not have period this mon. I am not at all sexually active. My last months period started at 28 dec 2015. Which I have usually of3 to 4 days bleeding but stopped on 5 jan 2015 as stopped taking pill, I took them from 28 to 31 dec. Stopped taking from 1 jan. Accordingly this months jan due date was 22 jan, not had my menses yet. I'm not sexually active at all. So no need of urine preg test. When will my menses resume. Till when to wait. What to do. Please help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 37 years old unmarried. Last month had taken birth control pill for first time in life. Took 4 tabs n quit takin...
But if you are not sexually active and your menstrual cycle is alo normal then what was the need to take those pills. Actually these are the hormonal pills and your body reacted to these external hormones and thatswhy prolonged bleeding till 5th jan. So you will be experiencing disturbed next periods anywhere between 5-10 feb. So just wait for 2-4 dayss.
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Can we massage body with castor oil or mustard oil. If not which oil is good to massage.

DGO, MBBS
General Physician, Delhi
Can we massage body with castor oil or mustard oil. If not which oil is good to massage.
these oils are good if they suit your body. but olive oil and almond oil are better than any other oil

HIV Positive Women - 4 Associated Issues

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
HIV Positive Women - 4 Associated Issues

People who have the Human Immunodeficiency Virus, commonly known as 'HIV', are known as HIV positive people. The virus is the agent of AIDS that is currently incurable. HIV is known to alter the human immune system and makes people much more susceptible and vulnerable to diseases and infections. Body fluids such as semen, blood, breast milk, vaginal fluids etc. of an infected individual contain the virus which can be passed from one person to another during blood-to-blood and/or sexual contact. HIV positive women may even pass on this virus to their children during pregnancy, delivery or by breastfeeding them. HIV is also transmitted during oral, anal or vaginal sex, by contaminated hypodermic needles and by blood transfusion. 
Mentioned below are a few issues that an HIV positive woman has to face apart from discrimination and stigma, fear of infecting their children or partners, violence and abandonment. 

1. Menstrual Disorders: Changes in menstrual cycles are frequently reported by HIV infected women. However, menstrual dysfunctions are due to varied reasons that aren't directly related to the disease. Although most of the HIV positive women suffer from amenorrhea i.e. the unusual absence of periods, it is not just due to HIV but also because of weight loss or immunosuppression.  

2. Contraception: It is very important that the contraception an HIV positive woman chooses not only acts as birth control but also to prevent the transmission of sexually transmitted diseases and HIV. Although condoms do not provide exceptional pregnancy prevention, they are excellent at preventing transmission of the HIV virus. Permanent sterilization is usually the most chosen contraceptive method for HIV serodiscordant couples.

3. Surgical Complications: HIV positive women are at a higher risk of undergoing gynecologic surgery. This is because they are more vulnerable to pelvic infectious disease that requires surgical intervention. There is also a greater risk of developing vulval cancer in HIV positive women. 

4. Fertility: There has been an increase in the number of seropositive women contemplating pregnancy and childbirth. Most couples resort to assisted reproduction to lower the risk of horizontal HIV transmission. Studies show that undergoing HIV treatment and having an undetectable viral load is helpful in preventing the transmission of HIV. It is important to consult a medical expert if you are unable to get pregnant after at least 6 months of trying. Fertility problems are more common in HIV positive women than HIV negative women. 

4353 people found this helpful

I had unprotected sex on my 4th day and had ipill within 12hrz. After 10 days I have brown discharge. Is it I am pregnant or I am not pregnant.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I had unprotected sex on my 4th day and had ipill within 12hrz. After 10 days I have brown discharge. Is it I am preg...
Hello, it is a sign of withdrawal bleeding. You will have your normal period in continuation to the discharge.
1 person found this helpful
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How Ayurveda Helps Manage Hysterectomy?

BAMS
Ayurveda, Chennai
How Ayurveda Helps Manage Hysterectomy?

A surgical procedure, in which a woman's uterus is removed is referred to as a hysterectomy. The need for this operation can arise due to various reasons, which include:

  1. Development of uterine fibroids that are painful and accompanied by bleeding and other associated symptoms
  2. Uterine prolapse, which is characterised by a shifting of the position of the uterus, wherein it enters the vaginal canal
  3. Ovarian cancer, cervical cancer or endometrial cancer
  4. Vaginal bleeding that cannot be characterised as normal
  5. Endometriosis
  6. Development of a condition, in which the uterus thickens and is known as adenomyosis
  7. Chronic pain in the pelvic region

In Ayurveda, the uterus is associated with the Pitta dosha (fire element), and is considered to be a storehouse of metabolic fire. In fact, this is the reason why after a hysterectomy is performed, a woman generally loses the zest for life along with her creativity and feels demotivated, depressed, sentimental or lethargic. But Ayurveda can help in regaining your vitality post hysterectomy. Here's how:

The role of Ayurveda in hysterectomy:

In Ayurveda, the greatest healer of hysterectomy is the herb Shatavari (asparagus racemosus). This herb is known to balance out the Pitta Dosha, which is associated with the uterus. Not only that, this herb, whose name roughly means "a woman who has a 100 husbands," is extremely vital in reducing stress and in increasing Ojas (or vitality). It also helps in building stamina and increasing strength post surgery, while helping in maintaining a normal hormonal balance. A woman will also experience an increase in her Sattva (or positivity) with the help of this herb. 

However, just after surgery, a woman is advised to have arjuna and turmeric as they are enriched with healing properties. A combination of other herbs along with Shatavari can help in calming the mind and keep fluctuating emotions in check. These other herbs include saffron, aloe vera, calamus, gotu kola, bhringraj, and brahmi rasayana or jatamansi. If you wish to discuss about any specific problem, you can consult an Ayurveda.

3299 people found this helpful

Hi doctor. I want to know at what time is the pregnancy happens. If her periods lasts in 5 days. Then what is the better time to avoid pregnancy. When should we participate.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hi doctor.
I want to know at what time is the pregnancy happens.
If her periods lasts in 5 days. Then what is the bet...
Dear Lybrate user. I can understand. You can always check the fertilization chart available freely in internet. 7 days from the first day of period and seven days before the first day of period is considered safe. Other days chances of pregnancy is more. But you can always use precautions like male or female condoms. Take care.
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