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Dr. Kuldeep Jain  - Gynaecologist, Delhi

Dr. Kuldeep Jain

Gynaecologist, Delhi

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Dr. Kuldeep Jain Gynaecologist, Delhi
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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. Kuldeep Jain
Dr. Kuldeep Jain is one of the best Gynaecologists in Gagan Vihar, Delhi. You can meet Dr. Kuldeep Jain personally at KJIVF & lAPAROSCOPY in Gagan Vihar, Delhi. You can book an instant appointment online with Dr. Kuldeep Jain on has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 29 years of experience on 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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Breakfast - Can It Make You Lazy?

DNB (General Medicine)
General Physician, Mohali
Breakfast - Can It Make You Lazy?

A healthy and nutritious breakfast can make a good morning even better. Myths and misconceptions are galore when it comes to a healthy breakfast. Many of the lip smacking breakfasts come with zero nutritional value, but they look so tempting that we fall for such delicacies. A healthy breakfast is not always healthy. Some of the assumed healthy and nutritious foodstuff can do your health more harm than good. Thus, one needs to get their facts right before zeroing upon a particular breakfast.

  1. French toast - a perfect toast to unhealthy life: Ideally, a healthy breakfast should give you energy and keep you fit and active throughout the day. French toast is anything, but healthy and nutritious. It has negligible nutritional value. With this breakfast, all those rigorous exercises will prove to be futile. Some people go a step further. They team this already unhealthy breakfast with French fries and sausages. This palatable breakfast can give your waistline nightmares, not to forget the associated health complications. Bread toast with boiled or scrambled eggs is a much healthier and nutritious alternative.
  2. Cake and pastry - the sweet devil: Cakes and pastries for breakfast are sure to throw your health in jeopardy. Pastries and cakes are both simple carbohydrates. When taken in, these are immediately broken down to glucose. An elevated glucose level often results in an abnormal rise in insulin level. This can lead to serious health problems, with diabetes and obesity being the most common complications. There will inflammation affecting the whole body. Your skin will be the worst affected. It will lose its radiance and appear wrinkled and saggy.
  3. Donut for breakfast -  a complete evil: It is the best way to welcome the unwanted calories and fats into your body. Donuts mostly contain trans- fats that can result in serious healthy complications. You will feel lethargic throughout the day. Obesity and donuts are like two faces of the same coin.
  4. The sugary juice - a road to obesity: For some people, the breakfast is incomplete without fruit juices. While fruit juices appear as a good, healthy option, the facts are just the opposite. Freshly prepared juices can still be accepted, but the packaged fruit juices are a big no. The packaged juices are loaded with sugar that can never do your health any good. Whole fruit is a much better and recommended option for your health.
  5. Bagels - a big no: When loaded with cream or cheese are no longer considered healthy. Flavoured yoghurts are equally unhealthy and should be avoided. Before going for packaged cereals, the nutritional contents should be well read and understood.

Your health is important. The sooner you realise this, the better it is. If you wish to discuss about any specific problem, you can consult a General Physician.

3817 people found this helpful

Can HIV Be Diagnosed Through Oral Manifestation?

M.D.S, Post-Graduate Certificate in Oral Implantology (PGCOI) , B.D.S
Dentist, Hyderabad
Can HIV Be Diagnosed Through Oral Manifestation?

HIV is a systemic disease which affects all parts of the body. The oral cavity also has some tell-tale symptoms which indicate HIV / AIDS. A careful examination and detailed history of symptoms is essential. In some cases, the oral manifestations could be the area where HIV is suspected. This can help in reducing morbidity and improves prognosis. The oral lesions that occur in HIV patients can vary and differ significantly in children and adults. While there are a variety of oral lesions in HIV-infected individuals, listed below are some common infections seen in HIV patients. These are a combination of fungal, viral and bacterial infections.

  1. Candidiasis: Candida is an opportunistic fungus that is normally present in the oral cavity and with reduced immunity of HIV, recurrent bouts of the infection begins to show up. It can be in the form of regular thrush which is whitish and cannot be scraped off (pseudomembranous candidiasis), hyperplastic candidiasis (white patches which can be scraped off) or erythematous (reddish patches). Candida can involve any part of the oral mucosa including the pharynx and the palate.
  2. Herpes Simplex: This is the most common viral infection seen in patients with HIV/AIDS. There could be primary or secondary infection of herpes virus, especially inside the mouth and the vermillion border of the lips.
  3. Herpes zoster: This virus, when already present in the body, can be reactivated with HIV/AIDS and with oral herpes. The distinction with herpes simplex is from their distribution. These are unilateral, along the distribution of the maxillary or mandibular nerve. The lesions appear both on the facial skin and the oral mucosa. While the facial ones break open and form crusts, the mucosal ones coalesce to form larger lesions.
  4. Hairy Leukoplakia: This is present in about 20% of asymptomatic HIV patients. Onset of hairy leukoplakia is an indication of rapid progression of HIV with increased CD4 counts. The typical lesion is a non-movable, hairy lesion along the side of the tongue and can spread to the top and the undersurface of the tongue. There are large amounts of Epstein-Barr virus (EBV) identified from biopsies of hairy leukoplakia.
  5. Cytomegalovirus: If the ulcers have a necrotic base with a halo surrounding it, it is CMV infection, usually seen on any oral mucosal surface.
  6. Periodontal disease: This is one of the bacterial infections that manifests itself in HIV patients. It can take two forms such as Linear Gingival Erythema (LGE) which can subsequently lead to Necrotizing Ulcerative Periodontitis (NUP). The oral hygiene is generally good with minimal plaque and there is rapid bone loss and soft tissue reddening and swelling. The, mouth, therefore is certainly a window to one’s health.

Diagnosing HIV with Western Blot Test-

It is a series of blood screenings are performed to test for HIV. The enzyme-linked immunosorbent assay (ELISA), also known as an enzyme immunoassay (EIA), is the first test that your healthcare provider will order to screen for HIV. ELISA, like the Western blot test, detects HIV antibodies in your blood. Antibodies are proteins your immune system produces in response to the presence of foreign substances, such as viruses. If you test positive for HIV on the ELISA test, your provider will order the Western blot test to confirm HIV infection. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2925 people found this helpful

My periods are irregular and after consult with Dr. I am taking krimpson 35. please suggest what to do to get regular periods?

Homeopath, Mumbai
My periods are irregular and after consult with Dr. I am taking krimpson 35. please suggest what to do to get regular...
First of all taking these tablets has its own side effects. I t is temporary solution since how long you r having irregular periods what is the reason for this has to be ruled out and now so much of work load stress and tension has direct effect on hormones. So it is neccesary to understand the root cause of it.
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Hi. My wife had ipill after 54 hours of unprotected sex but even after 24 hours of having ipill she has not got her period. What should be done now?

Gynaecologist, Noida
Hi. My wife had ipill after 54 hours of unprotected sex but even after 24 hours of having ipill she has not got her p...
Hello delay in periods, irregular period or spotting are common problems after taking I pills and there are also chances of pregnancy so please do urine pregnancy test if it comes negative than wait for another 1 week and repeat the upt.
3 people found this helpful
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Physical Health

BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Sangrur
Physical Health

As physiotherapist, we recommend that you carry out physical movements worth 60 minutes everyday to maintain your physical health.

8 people found this helpful

Does drinking coffee daily is good for health and weight loss? What is the right time to drink it? And which coffee should I take black coffee or milk coffee?

Dietitian/Nutritionist, Hyderabad
Does drinking coffee daily is good for health and weight loss?
What is the right time to drink it?
And which coffee s...
Drinking plain water before tea / coffee helps less acid build build up in stomach. You must take 2-3 fibre biscuits or rusks with tea / coffee. Never take tea / coffee alone.
5 people found this helpful
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Hi, I have delivered on August 4th 2016. On January 28th my mensuration cycle has been restarted after that till date I didn't get my 2nd period. Actually I had faced this problem previously also due to hormonal imbalance & sits in abdomen. At that time my gynic advised me to reduce weight. I came to 49 from 54 which improved my condition. But now due to pregnancy my weight is 56. Now can you tell me is that the same condition which I faced before & cured by reducing weight. please suggest me.

General Physician, Jalgaon
Hi, I have delivered on August 4th 2016. On January 28th my mensuration cycle has been restarted after that till date...
Please You are not overweight Lactational amenorrhea occurs in lactating mothers Don't follow strict diet chart as you are breast feeding your baby. It may affect lactation Please avoid oily spicy and fast food, non veg food, processed food Take salads and fruits more Take milk regularly Take dry fruits regularly Reconsult after 3 months.
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Premature ejaculation and homoepathic treatment

Homeopath, Sindhudurg
Premature ejaculation and homoepathic treatment

Premature ejaculation is a common sexual complaint. Both psychological and biological factors can play a role in premature ejaculation.

Homeopathic medication, psychological counseling and sexual techniques that delay ejaculation can improve sex.


The primary sign of premature ejaculation is ejaculation that occurs before both partners wish, causing concern or distress.

1. Ejaculation that always or nearly always occurs within one minute or less of vaginal penetration

2. The inability to delay ejaculation on all or nearly all vaginal penetrations

3. Negative personal consequences, such as distress, anger, frustration or the avoidance of sexual intimacy.

4. Is marked by persistent or recurrent ejaculation with minimal
Stimulation before, on, or shortly after penetration.

The exact cause of premature ejaculation is not known. It involves a complex interaction of both psychological and biological factors.

Psychological causes
Early sexual experiences may establish a
Pattern that can be difficult to change later in life, such as:

1. Situations in which you may have hurried to reach climax in order to avoid being discovered

2. Guilty feelings that increase your tendency to rush through sexual encounters

Other factors that can play a role in causing premature ejaculation include:

Erectile dysfunction. Men who are anxious about obtaining or maintaining their erection during sexual intercourse may form a pattern of rushing to ejaculate which can be difficult to change.

Anxiety. Many men with premature ejaculation also have problems with anxiety - either specifically about sexual performance or caused by other issues.

Relationship problems. Interpersonal issues between the partners may contribute to this problem.

Biological causes
A number of biological factors may contribute to premature ejaculation, including:

Abnormal hormone levels

Abnormal levels of brain chemicals called neurotransmitters.

The abnormal reflex activity of the ejaculatory system.

Certain thyroid problems

Inflammation and infection of the prostate or urethra

Rarely, premature ejaculation is caused by:

Nervous system damages resulting from surgery or trauma

Withdrawal from narcotics.


While premature ejaculation doesn't increase your risk of serious health problems, it can cause problems in your personal life, including:

1. Relationship strains. The most common complication of premature ejaculation is relationship stress.

2. Fertility problems. Premature ejaculation can occasionally make fertilization difficult or impossible for couples who are trying to become pregnant.

Diet and nutrition: one should take a diet rich in citrus fruits, sprouts, egg, fish, wheat germ oil, flax seeds, almond, figs, walnut and seeds preferably muskmelon. Drink plenty of water, avoid too much use of antidepressant drugs, avoid narcotic drugs, avoid excess alcohol. Sleeping hours must be 7-8. Yoga is also beneficial in keeping good health but before doing yoga always have an expert opinion.

Homeopathic medicines indicated for this problem are:
Berberis, caladium, carbo veg, china, conium, calc carb, eryng-aqua, gels, graph, lyco, natrum carb, natrum mur, nux vom, phos acid, phos, picric acid, platina, selenium, spongia, staph, sulph, sepia, titanium, vanilla, zinc.

Homeopathic treatment cures premature ejaculation without side effects permanently.

10 people found this helpful

My wife have abnormal periods for last two month 28 oct then 11nov then 24 nov then 12 dec Please tell me what may be the reason.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My wife have abnormal periods for last two month 28 oct then 11nov then 24 nov then 12 dec Please tell me what may be...
The condition is termed as Metrorrhagia also known as the dysfunctional uterine bleeding is a problem that women suffer from. Metrorrhagia is common, with patients who are near to their menopausal phase. Basically, this condition is characterized by bleeding episodes (mainly spotting but can lead to severe bleeding) outside the menstrual phase. Metrorrhagia is considered a symptom of a possible health problem but shouldn’t be handled as a serious health problem right away. One should not panic. Some of the main cause are----------- • Endometrial hyperplasia. This condition is said to be a result of abnormal levels of estrogen and decreased levels of progesterone. This abnormality in hormonal levels would then prompt excessive endometrial cells. • Uterine cancer. This is considered a common cause of the metrorrhagia. Increasing age is related to uterine cancer, making postmenopausal women as victims of the uterine cancer. Tumors such as those found in ovarian cysts can result to abnormal off-menstrual bleeding. • Ruptured polyps. There are cases where a woman is unaware that she has cervical polyps. Somehow, after sexual contact, it will be identified. Postcoital bleeding should not be taken lightly, as this may indicate for presence of polyps in the cervix or endometrium. • Cervical dysplasia. This condition is a pre-cancer stage that involves vaginal spotting as a symptom. This may be indicative that cancer development is in progress. • Cervicitis. This is known as infection of the cervix. Bleeding during the infection would indicate prompt attention as this may progress to a chronic problem. • Abortion or miscarriage. This is a common cause of vaginal bleeding. There are cases where after abortion, fetal parts are left that can cause for vaginal infection and bleeding. • Infection. Sexually transmitted infection/s is a probable cause of metrorrhagia. Syphilis is known to cause vaginal bleeding. Those who have Lyme disease are prone to metrorrhagia as they become susceptible to infections. • Hormonal imbalance. There are underlying conditions such as hyperthyroidism/hypothyroidism that cause hormonal imbalance. • Coagulation problems. Women who have an underlying coagulation (blood clotting) problem such as those prone to bleeding are highly susceptible to metrorrhagia. • Use of contraception. The use of devices that can traumatize the vaginal or uterine lining can cause bleeding. IUD is a common device to cause metrorrhagia. Treatment depends upon the cause of Uterine bleeding and for that a thorough physical examination is required.So my advise is to immediately consult a gynaecologist so as to diagnose the underlying cause at the earliest and treatment given accordingly.
3 people found this helpful
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I have cramps during periods. I used to take 2-3 meftal spac a day. Is it harmful? Can you suggest any alternatives of meftal spac which are less harmful?

Ayurveda, Zirakpur
I have cramps during periods. I used to take 2-3 meftal spac a day. Is it harmful? Can you suggest any alternatives o...
meftal spas decreases the flow of bleeding .Instead you should take dashmoolarishth 20 ml twice daily with equal water after meal.
1 person found this helpful
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My wife is 7 months pregnant we have done ultrasound scan in hospital and she told that some water stored in baby brain so may do the abortion please help what we have to do,

IVF Specialist, Lucknow
As your doctor had told fluid retention in brain a condition known Hydrocephalus your baby may have to face many difficulties if baby survives, it is in best interest to terminate the pregnancy on medical reason.
1 person found this helpful
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I have pcod .I'm taking medicine to conceive. From the day I have started taking sustain tablet my nipples pain. I have headache. Feeling bloated and have acidity. What could be the reason please help my last periods was on 22nd June.

Gynaecologist, Delhi
I have pcod .I'm taking medicine to conceive. From the day I have started taking sustain tablet my nipples pain. I ha...
Sustain is progesterone in nature and bcz of this you are having headache, painful nipples, bloating please do not worry. relax.
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If I drink hot water with honey and lemon juice daily morning is there any side effects?

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
If I drink hot water with honey and lemon juice daily morning is there any side effects?
No there won't be any side effects with this, in fact your body is hydrated, cleansed n detoxified making your body ready for the day.
3 people found this helpful
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What is the different between hair serum and hair cream. How we can use it. Can we use at a time in a day. Or different by alternative day .please guide us.

Homeopath, Pune
What is the different between hair serum and hair cream. How we can use it. Can we use at a time in a day. Or differe...
Dear lybrate user avoid shampoos and perfumed hair oils, use shika powder instead, eat more vegetables and whole fruits, drink plenty of water, since hair fall depends on many internal factors it needs an internal medicinal treatment for cure Homoeopathic constitutional treatment provides permanent cure from such tendency permanently by removing the root cause itself, medicines will be in nano dose and don't have any side effects or life long dependancy You can easily take an online consultation for further treatment guidance
1 person found this helpful
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अजवाइन के फायदे और नुकसान - Benefits and Side Effects of Ajwain in Hindi

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
अजवाइन के फायदे और नुकसान - Benefits and Side Effects of Ajwain in Hindi

अजवाइन, जिसका वैज्ञानिक नाम है ट्रैक्स्स्पर्मम कॉप्टिकम, अपियासी (उंबेलिफेरे) परिवार की एक झाड़ीनुमा वनस्पति है। यह बिशप की घास या कैरम के बीज के रूप में भी जाना जाता है। भारत में औषधीय और खाना पकाने के प्रयोजनों के लिए इसके बीज और पत्ते का उपयोग किया जाता है। यह पेट के दर्द का इलाज करने के लिए भारतीय परिवारों में एक लोकप्रिय उपाय है।
इसके बीजों में आहार फाइबर (11.9%), कार्बोहाइड्रेट (38.6%), टैनिन, ग्लाइकोसाइड, नमी (8.9%), प्रोटीन (15.4%), वसा (18.1%), सैपोनिन, फ्लावेन और फास्फोरस, कैल्शियम, लोहा और निकोटीनिक एसिड युक्त खनिज पदार्थ (7.1%) शामिल हैं। पेट के दर्द, ऐंठन, आंत्र गैस, अपच, उल्टी, उदर विस्तार, दस्त, ढीली मल, श्वास कष्ट और पेट में भारीपन जैसे विभिन्न स्वास्थ्य स्थितियों के लिए यह एक सामान्य घरेलू उपाय है।

अजवाइन के लाभ:
इसके कुछ महत्वपूर्ण पोषण और औषधीय स्वास्थ्य लाभों का उल्लेख नीचे दिया गया है:
1. सर्दी का इलाज: 
चिरकारी और आवर्तक ठंड के लिए, अजवाइन के तले हुए बीज 1-2 ग्राम की खुराक में 15-20 दिन के लिए लेने की सलाह दी जाती है। गुनगुने पानी के साथ अजवाइन के बीज चबाना खांसी के लिए भी एक अच्छा इलाज है।
2. अम्लता के लिए: अजवाइन के बीज में एंटी- हाइपरएसिडिटी गुण होते हैं। अम्लता के रोगी सुबह- सुबह या भोजन के बाद गुनगुने पानी और नमक के साथ अजवाइन का उपभोग कर सकते हैं। 10-15 दिन लिए जाने पर, यह अच्छे परिणाम दिखाते हैं।
3. अस्थमा के लिए:  गर्म पानी के साथ अजवाइन के बीज का उपभोग करने से शरीर को ठंड से तुरंत राहत मिलती है और खांसी और बलगम का निष्कासन होता है। यह ब्रोन्काइटिस और अस्थमा के उपचार के लिए भी उपयोगी है। अस्थमा से पीड़ित व्यक्ति अजवाइन और गुड़ का पेस्ट, 1 बड़ा चमचा दिन में दो बार ले सकता है।
4. पेट के दर्द के लिए: अजवाइन और छोटी मात्रा में नमक , गर्म पानी के साथ पीने पर अपच और पेट के दर्द के लिए काफी फायदेमंद है।
5. गुर्दा संबंधी विकारों के लिए: अजवाइन के बीज गुर्दे की पथरी के इलाज के लिए बहुत प्रभावी हैं। वे गुर्दा संबंधी विकारों के कारण दर्द का इलाज और कम करने में भी उपयोगी हो सकते हैं। 
6. मुंह की समस्याओं के लिए: अजवाइन बीजों को दांत दर्द का इलाज करने के लिए सिद्ध हैं। दाँत दर्द, खराब गंध और क्षय के उपचार के लिए, अपने मुंह को लौंग तेल, अजेवन तेल और पानी से रोजाना सॉफ करें।
7. एक्जिमा के लिए: एक पेस्ट बनाने के लिए गुनगुने पानी के साथ अजवाइन के बीज को पीस लें। इस पेस्ट को चेहरे या शरीर के किसी भी प्रभावित हिस्से पर लागू करें। इसके अलावा, अच्छे परिणाम के लिए कोशिश करें कि एजवेन पानी के साथ प्रभावित हिस्से को धोएँ।
8. गठिया के लिए: अजवाइन के बीज का तेल गठिया दर्द का इलाज करने के लिए एक बहुत ही उपयोगी तरीका है। गठिया दर्द से राहत पाने के लिए अजवाइन बीज के तेल के साथ नियमित रूप से प्रभावित जोड़ों पर मालिश करें।
9. वायरल संक्रमण और फ्लू के लिए: पानी में दालचीनी के साथ अजवाइन बीज उबाल लें। फ्लू का इलाज करने के लिए एक दिन में 4 बार पी लें।
10. शराब की लत के लिए: यह जड़ी बूटी उन लोगों के लिए भी फायदेमंद है जो शराब से छुटकारा चाहते हैं। रोजाना अजवाइन के बीज को चबाने से शराब की लालसा से छुटकारा मिल सकता है।
11. शुक्राणुओं की संख्या बढ़ाने के लिए: यह शुक्राणुओं की संख्या में सुधार करने और समय से पहले स्खलन का इलाज करने के लिए एक सिद्ध विधि है।
12. पिंपल मुक्त चेहरे के लिए: मुहासों के कारण होने वाले निशान को हल्का करने में अजवाइन के बीज बहुत उपयोगी हो सकते हैं। आप निशान को हटाने के लिए अपने चेहरे पर दही के साथ इसे लागू कर सकते हैं।

अजवाइन के दुष्प्रभाव
अजवाइन खाद्य मात्रा में सुरक्षित हैं। अजवाइन के बीज चिकित्सकीय खुराक में भी सुरक्षित हैं। हालांकि, अतिरिक्त राशि (प्रति दिन 10 ग्राम से अधिक) निम्नलिखित दुष्प्रभावों का कारण हो सकता है:
1. अम्लता
2. जलन का अहसास
3. मुंह के छालें

यदि आप निम्नलिखित स्थितियों में से किसी से पीड़ित हैं, तो आपको अजवाइन नहीं खाना चाहिए:
1. पेट में अल्सर
2. मुंह के छालें
3. सव्रण बृहदांत्रशोथ
4. आंतरिक रक्तस्राव
अजवाइन इन स्थितियों को बढ़ा सकते हैं और इन बीमारियों के लक्षणों में वृद्धि कर सकते हैं।

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Hi doctor, I have multiple problems, such like piles upto 5 years, frequent urine discharge within 15-20 minute and occuring upto 8 years.,and now i am suffering from infertility problems. please reply me in proper guidence .thanks

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Piles is unrelated to infertility problems. Piles needs separate attention and consider taking plenty water, laxatives and ointments. Sometimes you may need surgery. Urine discharge may be due to infection and infertility may also be due to infection. For that, you must consult your doctor and get a semen analysis done and then find the cause of the problem. If cause is found, the treatment is easier.
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PolyCystic Ovarian Disease (PCOD)

General Physician, Nashik

PolyCystic Ovarian Disease (PCOD)

PolyCystic Ovarian Disease (PCOD) जिसे PolyCystic Ovarian Syndrome (PCOS) की कहा जाता है, एक महिलाओ में पाया जाने वाला सामान्य विकार है। अनुमान किया जाता है की प्रजनन की उम्र वाली 90 लाख से ज्यादा महिलाओ को PCOD है तथा इनमे से 60 % से ज्यादा महिलाओ को पता नहीं है की उन्हें यह विकार है। कुछ सालो पहले यह समस्या 30 से 35 साल के ऊपर की महिलाओ में ही आम होती थी परन्तु अब कम उम्र की लड़कियों में भी यह ज्यादा प्रमाण में दिखाई दे रही है।

PCOD क्या है ?

महिलाओ में Sex Hormones के असंतुलन के कारण अंडाशय (Ovary) में छोटी-छोटी गाठ या cyst तैयार हो जाती है जिस कारण महिलाओ के मासिक धर्म (Menstrual Cycle) के साथ प्रजनन क्षमता (Fertility) पर भी असर पड़ता है। 

महिलाओ में अंडाशय में सामान्य से अधिक मात्रा में Androgen Hormones की निर्मिति होने पर अंडाशय में छोटी-छोटी तरल पदार्थयुक्त cyst तैयार हो जाती है जो धीरे-धीरे आकार में बढ़ने लगती है। इससे महिलाओ में प्रजनन क्षमता कम हो जाती है और महिला गर्भधारणा करने में असमर्थ हो जाती है।

PCOD के लक्षण क्या है ?

PCOD से पीड़ित महिलाओ में निम्नलिखित लक्षण पाए जाते है :

अनियमित मासिक धर्म (Menstrual cycle) चेहरे / शरीर पर अधिक बाल मुंहासे (Acne) Dandruff पेटदर्द गर्भधारणा में मुश्किल आना यौन इच्छा में अचानक कमी आना गर्भ में छोटी-छोटी गांठ जो की Ultra Sound Scan करने पर दिखाई देती है  बार बार गर्भपात सिर के बालो का अधिक झड़ना त्वचा पर डाग मोटापा 

PCOD के क्या कारण है ?

PCOD होने की मुख्य वजह महिलाओ में Hormones की सामान्य से ज्यादा प्रमाण में निर्मति होना है। स्त्रीरोग विशेषज्ञों का कहना है की पिछले 10 से 15 वर्षो में महिलाओ में PCOD के प्रमाण में 50 से 60 प्रतिशत वृद्धि हुई है। इस असामान्य वृद्धि के कुछ खास कारण है :

असंतुलित आहार (Diet): पिज़्ज़ा, बर्गर जैसे शरीर के लिए हानिकारक junk food। ज्यादा तेलयुक्त, वसायुक्त और मीठा आहार।

 रोग (Diseases) : PCOD होने के पीछे मधुमेह (Diabetes) और उच्च रक्तचाप (Hypertension) जैसे रोग भी एक बड़ी वजह है। अगर परिवार में किसी को PCOD का ईतिहास है तो अनुवांशिकता यह भी एक कारण है। Cholesterol का बढ़ना, HDL कम होना या उच्च Triglycerides के वजह से भी PCOD हो सकता है। 

मोटापा (Obesity) : अत्यधिक junk food का सेवन और व्यायाम के अभाव के कारण आज की युवा पीढ़ी में मोटापा एक बहोत बड़ी समस्या के रूप में उभरा है। ऐसे तो मोटापा कई बीमारियो का घर है परन्तु मोटापे में शरीर में बढ़ी हुई अत्याधिक चर्बी के कारण Estrogen hormone की निर्मिति सामान्य से ज्यादा होती है, जो की अंडाशय में cyst बनाने के लिए जिम्मेदार माना जाता है।

 तनाव (Stress) : आज के दौड़भाग के युग में बढ़ रहे तनाव के कारण लोगो का खानपान और दिनचर्या बिगड़ चुकी है। धूम्रपान, शराब, देर रात का खाना इत्यादि कारणों से भी hormonal imbalance होता है।    

PCOD का निदान (Diagnosis) कैसे किया जाता है ?

PCOD  का निदान करने के लिए निम्नलिखित परिक्षण किया जाता है :

Ultra Sound Scan of Pelvis / Vagina 
Serum LH 
Serum FSH 
LH : FSH ratio 
DHEA-S Level 

PCOD का उपचार कैसे किया जाता है ?

दवा (Medicine) : डॉक्टर द्वारा दी हुई दवा समय पर डॉक्टर के निर्देशानुसार लेना चाहिए। दवा से अंडाशय में ovulation induction कर गर्भधारणा में मदद की जा सकती है। अगर आप मुंहासो के लिए इलाज करे तो अपने डॉक्टर को PCOD होने की जानकारी अवश्य दे।

  वजन कम करना (Weight loss) : अगर आपका वजन बढ़ा हुआ है तो उसे कम करने का प्रयास करे। कई PCOD के मरीजों में केवल वजन कम करने से ही बेहद फायदा होते देखा गया है। 

 व्यायाम (Exercise) : व्यायाम करने से आपका वजन नियंत्रण में रहेगा और PCOD की वजह से होने वाली insulin resistant की समस्या भी कम हो जाएंगी। आप अपने उम्र और शरीर अनुसार चलना, दौड़ना, तैराकी या aerobic व्यायाम कर सकता है। 

  संतुलित आहार (Balanced Diet) : खाने में पिज़्ज़ा, बर्गर जैसे शरीर के लिए नुकसानकारी आहार लेने की जगह हरे पत्तेदार सब्जी और फल का समावेश करे। 

जीवनशैली (Lifestyle) : चिंता, शोक, भय, क्रोध इत्यादि तनाव बढ़ाने वाली चीजो से दूर रहे। योग और प्राणायाम करे। हमेशा सकारात्मक विचार रखे।

 शल्यक्रिया (Surgery) : जरुरत पड़ने पर PCOD के उपचार में शल्य क्रिया या operation भी किया जाता है जिसे Laproscopic Ovarian Drilling (LOD) या Laparoscopic Electrocauterisation of Ovarian Stroma (LEOS) कहा जाता है। इस Operation में Laser या Cautery से अंडाशय के cyst में छेद किया जाता है।  

PCOD से पीड़ित महिलाओ में मधुमेह, उच्चरक्तचाप और कर्करोग होने का खतरा रहता है। जल्द उपचार आदि कार्यवाही करने से PCOD के दीर्घकालीन जाखिमो से बचाव किया जा सकता है। 

Dr surbhi agrawal 
consultant physician and diabetologist 

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Hi, I have 2 wives. I do regular sex with each of them on alternate day without any protection. Is there any chance of getting STD.

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
Most commonly, people get or transmit HIV through sexual behaviors and needle or syringe use. Only certain body fluids—blood, semen (cum), pre-seminal fluid (pre-cum), rectal fluids, vaginal fluids, and breast milk—from a person who has HIV can transmit HIV. If any one of your wives are infected with HIV, you are also under risk. Take care.
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I have pcod. Periods has stopped since 9 months. Want to pregnant but how can it be possible?please let me know

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
In order to be pregnant you must ovulate regularly. The anovulation and absence of periods must be treated first. you need consultation
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Myomectomy and How it Can Cure Ovarian Fibroids

Gynaecologist, Delhi
Myomectomy and How it Can Cure Ovarian Fibroids

Fibroids are non-cancerous growth that develop in the uterus in varying sizes. Fibroids do not usually show symptoms, but if they are large they may cause severe pain in the abdomen, heavy menstrual bleeding, bloating, infertility or complications during pregnancy. Several factors may lead to the formation of fibroids, including hormones, family history, and pregnancy.

What is myomectomy?

Myomectomy is the surgical procedure which is used for removing fibroids from the uterus. It is a safe method that allows women to become pregnant in future. Gonadotropin-releasing hormone analogue therapy, performed before myomectomy helps in lowering the estrogen level and also controls anemia by stopping uterine bleeding. The different surgical methods for myomectomy include:

  • Hysteroscopy, involving the insertion of a lighted viewing instrument into the uterus
  • Laparoscopy, involving the insertion of a lighted viewing instrument and one or more incisions in the abdomen
  • Laparotomy, involving a larger incision made in the abdomen

Why is the surgery performed?

Myomectomy treats fibroids while preserving the uterus. It is a viable option for those who have:

  • Anemia which cannot be controlled with medicines
  • Pain which cannot be tackled with medicines
  • A fibroid that can cause infertility or increases the risk of miscarriages

How well does it work?

  • Pregnancy: myomectomy is the only treatment for treating fibroids that improve your chances of having a baby. The method is effective for treating submucosal fibroid. A cesarean section is required for delivery after performing a myomectomy.
  • Recurrence: recurrence of fibroids after myomectomy is really low. It is possible in rare cases, depending on what the original fibroid problem was. Large and numerous fibroids have a greater risk of recurrence.

Tip: 4 Foods that can help you protect skin and fight skin cancer

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