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Dr. Kusum Chopra

Gynaecologist, Delhi

Dr. Kusum Chopra Gynaecologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Kusum Chopra
Dr. Kusum Chopra is an experienced Gynaecologist in Sangam Vihar, Delhi. She is currently practising at Sewak Ram Rural Health Centre in Sangam Vihar, Delhi. You can book an instant appointment online with Dr. Kusum Chopra on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 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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My upper body is heavier than lower. Specially breast size. And pain in my body. So how can I reduce my breast size.

Advanced Aesthetics, M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Indore
My upper body is heavier than lower. Specially breast size. And pain in my body. So how can I reduce my breast size.
Breast reduction and lifting surgery will reduce the size and tighten them. This is one of the most frequently performed surgeries and we are the pioneers in central India since last 30 years. To the best of our knowledge no medicines or creams work to increase or reduce the breast size. It is a day care procedure and you are discharge in a very short time from the hospital and it brings about an instant change in breast size and self esteem. No one wants surgery unless it is necessary. There is no medication to give the results. No one wants surgery unless it is necessary. There is no medication to give the results. No creams or pills actually work except psychologically. Surgery is the only answer. The surgery is almost painless.TO the best of our knowledge no medicines or creams work to increase./reduce or tighten the breast You would need adjustment either on one side alone or in both breasts depending on what you want To the best of our knowledge no medicines or creams work to increase the breast size. The larger side can be reduced and the smaller side can be enlarged and both would become firm.
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Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2747 people found this helpful

How do I differentiate between implantation bleeding and regular periods bleeding?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
You cannot differentiate. The important thing is to get a Gynaecologist review to see that fetus is fine.
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Hello, I and my partner have intercourse on 13 June, 1 Pm, but due to some reason protection failed, so because of fear she took ipill on 14 June, 9 AM, her period r regular on 22 but as today is 22 ipill is showing no reaction, her period does not come today I know we should wait but is there any chances of pregnancy after taking ipill within 20 hrs - - please tell I am worried please And I have calculated about safe period so does it make chances less.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
Hello, I and my partner have intercourse on 13 June, 1 Pm, but due to some reason protection failed, so because of fe...
Do the pregnancy test first. You did the intercourse in unsafe period. If the pregnancy test is negative then there is nothing to worry. Irregular menses are may be due to i, pill, wait for few days.
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Can anyone one tell me that without prescription from doctor then also urine test will be made for pregnancy test in lab? Or should we have to consult doctor bcz my girlfriend is just 20 years I don't want trouble to her? And is it illegal to do so.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Pune
Can anyone one tell me that without prescription from doctor then also urine test will be made for pregnancy test in ...
You can do urine pregnancy test at home with kit available in any medical store. No need to visit lab.
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I'm 44 years old female and had my uterus removed 6 years back due to fibroids. Till now all was ok but since last yea l have started putting on weight which is troubling me a lot . What should l do. Is it normal at this age ? I am going on regular walks and also try to follow healthy diet routine but still day by day my weight is increasing. Please do suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Noida
I'm 44 years old female and had my uterus removed 6 years back due to fibroids. Till now all was ok but since last ye...
Do you wants to reduce your body weight now. 1. Take one gilas warm water+ mixed one spoon pure honey + one lemon juice,& drink it daily early morning, afteronehour take second medicine 2. Phytolecca berry- q, 15 drops in1/2cup water daily, 3kgwight will be reduce in a month. Note:- 3. Don't use fried items, as prantha,& butter cowghee & all fatty items, uraddal, rajmah beans, pumpkin, colocasia (arbe. And one time meal, second time fruits only.
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My wife 28 year old complete 2.5 year of marriage My wife pregnancy problems 2 IUI done, endoscopy done, last 1.5 year continue medicine take but still not result I have completed report of sperm. My family doctor told me for 3 IUI Now what to do Pls advise me.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
My wife 28 year old complete 2.5 year of marriage My wife pregnancy problems 2 IUI done, endoscopy done, last 1.5 yea...
Dear lybrate-user, if tubes are open in the endoscopy then you can try for another iui. And if that fails then you have to go for ivf.
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I am smelling something often these days. I couldn't describe what kind of smell it is. It happened some years back too. But everything was normal after some days. But now it again started. Suggest me what should I do? Its really a strange feeling.

Diploma in Child Health (DCH), MBBS
Pediatrician, Vellore
I am smelling something often these days. I couldn't describe what kind of smell it is. It happened some years back t...
Hi. Smelling something without any source of outside odour is termed as olfactory hallucinations. Connected directly to brain function. I would like to know if you hear some sounds in your ears too. If problem persists or gets associated with other sensory feelings pls. Consult a psychiatrist.
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Karela Juice Benefits for Health:

MD - General Medicine
Sexologist, Delhi
Karela Juice Benefits for Health:

Diabetes: Bitter gourd has multiple health benefits. It is mostly consumed for triggering the blood sugar level. Diabetes is a common ailment that affects many people today. Regular intake of bitter gourd juice helps prevent the rise of blood sugar levels. It also helps cure insulin resistance without taking any external medication.

Karela juice is an excellent natural antioxidant. An antioxidant is essential for removing toxins from the body. At the same time, it helps to rejuvenate the body cells and prevents free radicals. The juice of karela is the finest tonic for those who are addicted to smoking. Taking karela juice helps to cleanse the nicotine layer from the system.

Asthma: Asthma patients can highly benefit by having karela juice. It helps cure a chronic cough and breathing problems by removing the sputum that accumulates within the lungs and the respiratory tract.

Skin: Karela juice is excellent for the skin. It helps to remove the fine lines from the upper surface of the skin. Having this juice will also prevent premature ageing. It helps cure and purify blood from within the system.

Digestion: Karela juice enhances digestion. It increases the production of enzymes that aid the digestion process.

HIV/AIDS: Regular consumption of karela juice is best for triggering the condition of an HIV patient. Studies conducted on natural antidotes of HIV/AIDS establish the goodness of bitter guard in preventing further damaging of the skin cells.

Weight loss: Bitter gourd is excellent for weight loss. Karela benefits to weight loss are attributed to its high fibre and low carbohydrates and calories content. It makes an ideal diet for those who are on a weight loss program.

Nutritional Value Per 100gm of Karela juice

Energy-17 kcal
Carbohydrate-3.70 gm
Protein-1gm
Total fat-0.17gm
Cholesterol-0mg
Dietary fiber-2.80mg
Niacin-0.400mg
Folate-72µg
Pyridoxine-0.043mg
Riboflavin-0.040mg
Thiamin-0.040mg
Sodium-5 mg
Potassium-296 mg
Calcium-19mg
Iron-0.43mg
Copper-0.034mg
Zinc-0.80mg

1 person found this helpful

hi, I had breast but no nipple, is there problem after married and after baby. Is there any treatment for this problem. Please suggest some way.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
There is no problem in having a baby but there will be a problem in breast feeding. For further advice I would suggest you see a Plastic surgeon.
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What's the reason of thyroid in negative (minus). Does it impact if it's in 6 month pregnancy. And what would be the medicine to cure it though started PTU tablets from yesterday as prescribed by doctor.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
What's the reason of thyroid in negative (minus). Does it impact if it's in 6 month pregnancy. And what would be the ...
Hello thyroid hormone should be normal during pregnancy for growth of fetus. You should take treatment as advised.
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I m 40 years old woman. I m suffering from heavy bleeding due my period, morethan 20 days. I m afraid to do operation. So please help me. What should I do?

BHMS
Homeopath, Delhi
Hi, I would suggest your to go for an ultrasound whole abdomen and let me know the reports and may be we can help you with suitable homeopathic medicine.
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How to reduce pcod I get periods of almost one month with a very heavy flow with clots and I feel it creates male hormones too so can I get some suggestions?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
How to reduce pcod I get periods of almost one month with a very heavy flow with clots and I feel it creates male hor...
There is no cure for pcod or pcos, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes.
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A lump that feels like a hard knot or a thickening in the breast or under the arm. It is important to feel the same area in the other breast to make sure the change is not a part of healthy breast tissue in that area. Guide me.

DNB (General Surgery), MS - General Surgery
General Surgeon, Sri Ganganagar
one should do self breast examination of both sides on regular basis. but if u find something(like in your case) that you must consult a doctor and get yourself examined and investigated
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Me and my gf want to have sex. But we are concerned about pregnancy what precautions should we use other than condom. Thanks.

MBBS
General Physician, Jalgaon
Contraceptive like condoms are safe Can have intercourse during safe periods ie from 1st day of menstrual cycle to 10 th day and from 21st day to 30 th day of menstrual cycle.
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My wife is pregnant 45 days, so I want sex with her it's is safe for my wife and my baby.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is pregnant 45 days, so I want sex with her it's is safe for my wife and my baby.
Hello, INTERCOURSE SHOULD BE AVOIDED TILL 16TH WEEK OF GESTATION TO AVOID NAY CHANCES OF THREATENED MISCARRIAGE.
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Hi I've had pcod problem and I took homeo medication for it. I had my date regular but now again they have become irregular. And I've put on a lot of weight. What do I do.

PDDM, MHA, MBBS
General Physician, Nashik
Hi I've had pcod problem and I took homeo medication for it. I had my date regular but now again they have become irr...
Weight gain is most often due to poor eating habits, sedentary lifestyle and stress. In order to lose weight you must either eat sensibly and exercise to burn off calories. Eat as per the body's needs. Food that is not used to fuel the body is stored as fat. A major component of losing weight is to make smarter food choices. Here's how: Limit non-nutritious foods, such as: Sugar, honey, syrups and candy, pastries, donuts, pies, cakes and cookies, soft drinks, sweetened juices and alcoholic beverages Cut down on high-fat foods by: Choosing poultry, fish or lean red meat. Choosing low-fat cooking methods, such as baking, broiling, steaming, grilling and boiling. Avoiding high-fat snacks like chips and chocolate. Avoiding fried foods. Using less margarine and mayonnaise. Avoiding high-fat gravies, cream sauces and cream-based dishes. Eat a variety of foods, including: Fruit and vegetables, whole grains, breads, cereal, rice and pasta, dairy products, such as low-fat or non-fat milk or yogurt, low-fat cottage cheese and low-fat cheese, protein-rich foods like chicken, fish, dals and legumes, or beans should be included in your diet. Change your eating habits: Eat three balanced meals a day to help control your hunger. Watch portion sizes and eat small servings of a variety of foods. Choose low-calorie snacks. Eat only when you are hungry and stop when you are satisfied. Eat slowly and try not to perform other tasks while eating. Find other activities to distract you from food, such as walking, taking up a hobby or being involved in the community. Include regular exercise in your daily routine.
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Hi doctor, I am 29 year old. September 11 2016 was my last period date, I hope I am pregnant. please suggest.

DHMS (Hons.)
Homeopath, Patna
Hi doctor, I am 29 year old. September 11 2016 was my last period date, I hope I am pregnant. please suggest.
Hello, go for home preg test to confirm the exact position of yours. Please if there is any possibility to get concieved. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, by improving your haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. ●Tk, Apple, carrots,cheese, milk,banana, papaya pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. ●Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. ● Ensure, sound sleep in d night for at least 7 hrs. ●Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care,
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How to get rid of fibroids in uterus. Is there permanent cure? Is there any future problems during pregnancy?

DGO, MBBS
Gynaecologist, Delhi
How to get rid of fibroids in uterus. Is there permanent cure? Is there any future problems during pregnancy?
There is no medicinal permanent cure. Of course if you get them surgically removed, you have permanent solution. Regarding future problems during pregnancy, it depends on the size and site of the fibroid. Better consult a gynaecologist and ask all queries please.
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I want to know about unwanted 72 .if I take after 2 days of period ,it is work? No risk is there na?

BHMS
Homeopath, Faridabad
I want to know about unwanted 72 .if I take after 2 days of period ,it is work? No risk is there na?
Hi, the name of the medicine itself tells about it - unwanted 72 means it should be taken within 72 hours (within 3 days) of having unprotected sex to prevent pregnancy!
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