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Dr. Lalitha Ecta

Gynaecologist, Delhi

150 at clinic
Dr. Lalitha Ecta Gynaecologist, Delhi
150 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Lalitha Ecta
Dr. Lalitha Ecta is a popular Gynaecologist in Sadar bazar, Delhi. She is currently associated with Sood Medical Centre in Sadar bazar, Delhi. Save your time and book an appointment online with Dr. Lalitha Ecta on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 39 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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Sir my periods date is every month 5th husband did sex april 1st at a time i am bleeding. Bleeding is countinously been for 3 days after that it is stopped. After that I dont get periods. How I can understand it is a periods are another. Is chance to get pregnant ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
No chance to get pregnant but I will recommend not to have sex during periods as it is unhygienic and strong chances for ladies to have pid or uterine swelling leading to persistent lower abdominal pain due to weak uterus during periods.
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Missed my periods for two months then in the third month I had it back, is it OK? Or I should consult to a doctor.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Missed my periods for two months then in the third month I had it back, is it OK? Or I should consult to a doctor.
Wait for another two to three months and see . Consult a Gynaecologist if it continues to remain irregular.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
Remmember to avoid eating cut open fruits being sold at road side.
89 people found this helpful

Sir my wife is having soo much pain in ovaries. We have taken some medical treatment. But it doesn't works. Now some of the people told mee that there must be chances of cancer. I want too know that she is having cancer or not soo for this thing what test I should prefer. N how can she come out from that prblm. Pls ans my question soo I can. Go for the further treatment. She has too much pain.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
Sir my wife is having soo much pain in ovaries. We have taken some medical treatment. But it doesn't works. Now some ...
Don't believe people .consult a gynaecologist personally and get your wife examined. Pain in ovaries does not mean cancer. If she has pain in abdomen ,get it evaluated by an ultrasound n gynaecological check up.
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I am 36 week pregnant. Foetal weight 2340gms. Scan report shows cord seen once around the neck. Is it risk? Is there any problem for my baby. How to prevent it?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 36 week pregnant. Foetal weight 2340gms. Scan report shows cord seen once around the neck. Is it risk? Is there ...
hi lybrate user, if it is loose loop of cord around neck then you should not worry. you should be careful about fetal movements and get color Doppler done to understand fetal well-being.
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Hi, I need a consultation on how to avoid pregnancy, we got married just before 2 months and already my wife is facing menstrual problems and she doubts she is conceived. Would like to know how to void pregnancy such case.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hi, I need a consultation on how to avoid pregnancy, we got married just before 2 months and already my wife is facin...
I would advice your wife to do a urine pregnancy test if her periods are over due. If negative then consider starting a combined hormonal pill like Femilon from the first day of her period. Take it for 21 days and give a 7 day break during which time periods should happen. Then repeat the cycle again after the seven day break. Not only will this regularise her cycles it will also act as an effective contraception.
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Delhi
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
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Health Tips By Dt. Jain

Bsc - Home Science, Msc - Home Science
Dietitian/Nutritionist, Bangalore
Health Tips By Dt. Jain

Drink a glass of milk with your meals, rather than a glass of water. If you eat cereal for breakfast, try adding a sliced up banana along with it.

14 people found this helpful

My wife underwent d and c while 3, months conceive no heart beat how long will take for next pregnancy? Should I need to check semen analysis?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
My wife underwent d and c while 3, months conceive no heart beat how long will take for next pregnancy? Should I need...
no need to check semen. u have to find reason behind it before trying to get concieve. TORCH 8 & CHROMESOME ANALYSIS HELPS U TO FIND REASON next 6 month she should not concieve. Ayurved has different procedures to detoxify body i'll suggest go for it .
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Maine periods ke time UNPROTECTED SEX Kiya Kya Mai pregnant ho Sakti hu agar haa to pregnancy rokne ke liye Kya Karu Maine esse pehle esi month me three times emergency pills Liya please help me Abhi Mai Kya karu.

MBBS, PG Diploma (HIV Medicines)
General Physician, Surat
Maine periods ke time UNPROTECTED SEX Kiya Kya Mai pregnant ho Sakti hu agar haa to pregnancy rokne ke liye Kya Karu ...
You can not become pregnant in this case but unprotected sex is associated risk of HIV and other 29 Sexually transmitted infection so come on private chat to discuss in detail online.
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I am 38 years old, three years back i took regesterone before 5 days of start of menstrual cycle and postponed to 7 days after 3 days periods started with severe stomach ache, fever, chillness, sweating and i was unable tosleep on my back, heavy bleeding with lumps. From then 4 years i am suffering with same problem little bit reduced as of now to 2 days of begining. I consulted doctors they did scanning to find any fibroid present but found nothing and now i take pain killers continuosly three time s from 1st day to third day of the period contains Aceclofenac and Dotropine i think . I think this as side effect of Regesterone .

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Although there might be some side effects but these cant be too prolonged upto 4 yrs.I will advise u some good homoeo med.As an alternative so as to avoid these pain killers DYSMIN ( SBL Lab)4 tab 4 hrly 2 days before your expected date followed by 4 tab 1-2 hrly once the periods started. Do this for 3-4 months and u will see marked improvement without any sideeffects
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What should I do that's best for conceiving?

MD - Obstetrtics & Gynaecology
Gynaecologist,
Have the intercourse during fertile period that is called timed inter course . that is middle week of the cycle.
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I have tried 7 times iui 2 times ivf still my wife has not conceived I am now 40 and my wife 35 her amh now is 2.3 and my sperm count is 20 million I am thinking of now going for once again for ivf which is best centre what precautions should we both take her tubes are patent and no endometriosis or cist also let me know how shall I improve my sperm count

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
20 million count is normal, provided the morphology and motility are within normal limits. Again, for IUI and IVF, even lower sperm counts are sufficient. SO, you need not worry about your count. Now, AMH is marginal. SO, I think you should consider IVF with ovum donation as after 36 years, the success rate of IVF is lower. Again, she is not having endometriosis, tubal block etc. So, the chance of having pregnancy is good, if ovum quality is normal. All the best.
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My wife is 53 years. We use to have sex often But of late she does not seem to be interested Any particular reason?

MBBS
General Physician, Faridabad
My wife is 53 years. We use to have sex often But of late she does not seem to be interested Any particular reason?
no particular reason, it might be age factor or talk with your wife to find out the cause, it will be better. thanks
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
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#Weightloss: Know How Apple Cider Vinegar Attacks the Unnecessary BODY FAT

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
#Weightloss: Know How Apple Cider Vinegar Attacks the Unnecessary BODY FAT
Lose weight with apple cider vinegar

Apple cider vinegar is the sort of a super food which takes care of multiple health problems for us. The most fabulous news probably is, that it helps in weight loss too. The ideal way to consume acv is by mixing a teaspoon in a cup of water and drinking before meals. Here are a few ways by which you can lose weight with apple cider vinegar:

The organic acids and enzymes in apple cider vinegar help speed metabolism which in turn helps burn fat at a much faster rate.

Apple cider vinegar is also said to help detox our bodies by absorbing the toxins and causing the bowel movement to improve.

It also helps stop those sugar cravings we have in between meals, in turn stopping us from overeating or eating in between the meals.

Apple cider vinegar also helps in making one feel full, thus suppressing one's appetite.

If you would like to consult with me privately, please click on'consult.
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