Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 33 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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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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I am Dr Yashica Gudesar and I am a gynaecologist. I am in this profession since 17 years and I am working in Dwarka at my own private clinic. I am attached to Hospitals also. In this profession, I ahve come across many issues. The most common problem people are facing these days is a Pre conceptional Counselling which is very important and a younger generation is not aware of this.
What is Pre conceptional Counselling?
Pre conceptional counselling is educate the patient in a way that when she starts planning a pregnancy, it should be a planned pregnancy and she should have a healthy baby and a healthy pregnancy.
What is the aim of having a Pre conceptional counselling?
The patient should not be suffering from any existing disease which might not be diagnosed. Or if the patient is suffering from some disease then the baby should not be harmed. In case a patient is taking some drug, then the drug should be stopped or continued, should be confirmed before planning the pregnancy. So, the main aim is to ahve a healthy baby.
What a patient should do when they are coming for Pre conceptional counselling?
They should carry all the reports and they should give the proper history to the doctor about the previous health issues, any surgery or the medicines they are taking. They should discuss clearly about the drinkng and smoking habits
- In case a patient is planning for pregnancy, then they should take folic acid supplimentation. These suppliments prevent the neural tube defects.
- The alcohol consumption hsould be stopped.
- All medicines which are dangerous during the pregnancy should be stopped.
- The ideal time for Pre conceptional counselling should be taken 3-6 months before planning the pregnancy. But even if you have planned then 1 month is also a best time to go to a doctor.
- Start taking folic acid atleast 3 month before. This will prevent you from abortion
What Doctor might go for a Pre conceptional counseling?
- The doctor will take your BMI. If you are over weighted then they may ask you to reduce weight.
- There might be a questionair in all the history and all the examination of your body should be done.
- Infections should be ruled out.
- History of your vaccination should be taken. And the vaccination history is very important because you should go for measles, HPV which is for Cervical cancer and Rubella. This should be included in your Pre conceptional counselling. If any patient has not been vaccinated in childhood for Rubella then they should take the vaccination 3 months before they plan for pregnancy.
What you should do?
- You should take folic acid
- You should take Multi vitamins which includes B complex, Vit- D and Calcium
- If somebody's haemoglobin is less then they should take Iron.
- Any genetic disease in the family should be screened out before the planning for pregnancy.
- Thalassemia is one of the important disease which can be prevented
- Negative blood groups are important if the patient is hard and aborted earlier then it may give impact on the pregnancy.
So the main motive is to tell you that please do not undergo unplanned pregnancy. Take a Pre Conceptional counselling.
If you have any query, you can contact me through Lybrate or you can visit my clinic in Dwarka or you can aso take online appointments. If you need more information about the above discussed topic, you can read my blog as well.
Ageing is always traumatic. One gets weaker, develops wrinkles and falls prey to degenerative changes and diseases. But cosmetic science has one or two useful tricks up its arm to make one's face look young and full, even when age is playing catch up-like cheek implants.
These are also ideal for thin-faced people looking to acquire a rounded facial profile.
Other Cosmetic Options For a Fuller Face:
We all know that there is a loss of fat, especially from the cheek area due to ageing. This leads to a flattening and hollowing out of this part with wrinkle folds also becoming very prominent.
Fat grafting where fat from the same patient is grafted under the skin in cheek area to give one a fuller looking face, injectable fillers and facelift, a surgery in which excess skin is cut off, tightening the face and rejuvenating it, are some of the options available.
However, fat grafting can distort facial features, fillers are temporary and face lift is a big surgery. Hence synthetic cheek implants using silicone are becoming very popular these days.
More About Cheek Implants:
Cheek implants vary widely not only in shape and style but also in the material with which they are made. Solid implants made of silicone and polyethene, like the ones which were used in breast augmentation, are quite popular today.
Cheek implant surgery usually takes about 30 to 45 minutes. A cut is made either inside the upper lip or through the lower eyelid. A pocket is formed here and the implant is inserted. This is held by muscles, stitches or natural screws.
The inside of the mouth is then stitched up.
The incidence of things going wrong are less but the downside of this procedure is that one may have to get cheek implants again and again based on one’s rate of ageing. Silicone is also not a completely safe material. One may also develop infections which require implant removal. Implant migration can also happen and will require a removal. Bone resorption (bone loss) has also been reported below solid facial implants.
Some cosmetic surgeons also opine that fat grafting gives a more natural-looking fullness to the cheek area than synthetic implants.
We advise that one tries out non-surgical options like injectible fillers first before going for cheek implants and consult a reputable surgeon.
Another thing to keep in mind is that one may have to go for cosmetic removal of under-eye hollows, jowls and nasolabial folds around the nose, along with silicone cheek implants. These 3 areas become more pronounced with age and it’s very important to focus on them first before getting implants. If this is not done, the face can take on a very artificial look.
Hi Doctor, I'm 24 years old. i'm a diabetic patient. Now i'm pregnant. starting of pregnancy. Doctor there are any problem to eat dates during starting of the pregnancy.
Hi sir, I will do marry in next 1 year so what I can do before my marriage which medical test I do. And my girlfriend also. Please sir suggest me how to enjoy personal sex life.
Sir my wife is having problem with after periods she was continuously getting white bleed daily once due to that she was feeling unhealthy wht was the reason.
Save is abdominal pain
Save is throat pain
Save is tooth infection
Save is obesity
Save is swain flu (cold & cough )
Save is lethargy
I want to get my wife pregnant as soon as possible how many time should I intercourse with her in a week and tell me the best time when I should intercourse .give me some suggestions.
Dear sir, A gynec doctor suggest to take siphene 50- 5 tab after thir day of period. please help shall we make sex relation ship during having these tablets.
The fallopian tubes are a part of a woman’s reproductive system. This is the passage through which the egg travels to meet the sperm and attach the end result to the lining of the womb or the uterine lining. In many cases, the fallopian tubes may get blocked, which can cause a series of complications, including infertility and other issues.
Read on to know more about the complications as well as the diagnosis.
Fallopian tubes: These are two thin tubes that flank either side of the uterus. It helps the matured egg from travelling from the ovaries to the uterus.
Blockage of fallopian tubes: Sexually transmitted diseases or STDs, as well as endometriosis, can cause a blockage in the fallopian tubes. The tubes can get blocked from one or both sides.
Complications: Blocked fallopian tubes can lead to major complications like early pregnancy loss as well as infertility. Every month, the ovaries release eggs during a cycle known as the ovulation cycle. During this period, the eggs leave the ovaries and travel through the fallopian tubes in order to reach the uterus, where they can possibly get inseminated with sperm, after which they will get fertilised and attach themselves to the uterine lining or the womb. In case the fallopian tubes are blocked, the eggs gets blocked and do not get a passageway to travel from the ovaries and into the uterus. This can lead to infertility as it will prevent fertilisation of the released egg. Furthermore, blocked fallopian tubes can also lead to tubal pregnancies, which will have to be terminated as it can lead to severe health risks.
Symptoms: So how can you find out whether your fallopian tubes are blocked? There are a number of symptoms that may be caused in the course of this condition. It is important to be even more careful about the symptoms because they may not be as obvious as other conditions, where irregular periods and heavy bleeding may point to the problem at the very onset. Pain in the lower abdomen and unusual discharge usually point to the problem. Also, loss of pregnancy due to the blockage is also a clear cut diagnosis.
Diagnosis: The diagnosis of the condition is done with the help numerous tests and imaging examinations conducted by a gynaecologist. A specialised X-ray called hysterosalpingogram or HSG is used in order to diagnose the issue. In this kind of examination, a dye is inserted through the uterus. This dye has a lens at the end, which shows the blockage and its extent. The doctor then conducts tests to find out the causes of this condition so that proper treatment may be followed. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
If you’ve been facing problems in conceiving, it may be time to get yourself checked as it’s possible that you may be suffering from certain fertility issues or need professional guidance. A series of tests usually determine the root cause of the problem. These tests can include a physical examination, analysis of semen and blood tests, amongst others. There are certain factors that you and your partner must keep in mind when deciding upon the best time to opt for these tests and get started on an infertility treatment programme.
If you’re a female, it’s time to get yourself examined when:
1. You haven’t been able to conceive for over a year despite trying (when you are under 35)
2. You haven’t been able to conceive after trying for 6 months (above the age of 35)
3. You’ve had 1 or more miscarriages
4. You’ve been ovulating irregularly and your previous drug treatment has failed to correct the problem
5. You suffer from damaged or blocked fallopian tubes and endometriosis (a condition where tissues that cover your uterus also develop outside of the womb, causing pain and bleeding)
6. You have a history of genital infections
If you’re a male, you should consider an infertility treatment if you experience the following:
1. Facing difficulty in sperm ejaculation
2. Suffering from a low sperm count including poor sperm movement or structure (sperm’s shape and size)
3. Having an undescended testicle (a genital abnormality that occurs when the testicle fails to move into its normal position in the scrotum during the first 3 months of your life)
Apart from the above mentioned points, another important factor that you and your partner must decide upon is whether or not you intend to use assisted reproductive procedures, such as ICSI (IntraCytoplasmic Semen Insertion) or in vitro fertilization (IVF) to help in conceiving. While the former sees fertilisation occurring naturally after the eggs and sperm get placed inside one of the two fallopian tubes, the latter deals with the transference of the embryo created in the laboratory into the uterus.
Even though the thought of infertility can be disappointing for you and your partner, early and timely intervention can help in easing up the process of conception and remove obstacles that might hinder your chances of having a baby.