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Dr. Lila

MBBS

Gynaecologist, Delhi

300 at clinic
Dr. Lila MBBS Gynaecologist, Delhi
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Lila
Dr. Lila is a popular Gynaecologist in Pitampura, Delhi. Doctor studied and completed MBBS . You can meet Dr. Lila personally at NAVJEEVAN HOSPITAL-PITAMPURA in Pitampura, Delhi. Save your time and book an appointment online with Dr. Lila on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 38 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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MBBS - - -

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A-12,Puspanjali Enclave, Outer Ring Road, Pitampura. Landmark:- Opposite Jaipur Golden Red Light, DelhiDelhi Get Directions
300 at clinic
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# A-12, Outer Ring Road, Pushpanjali Enclave, Pitampura, Landmark: Opposite Jaipur Golden Red Light.Delhi Get Directions
300 at clinic
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PDDM, MHA, MBBS
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
13 people found this helpful

sexual health

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
sexual health
अलसी और वशंलोचन समान मात्रा में लेकर चूर्ण बना लें, और इसे गिलोय के रस तथा शहद के साथ हफ्ते – दस दिन तक सेवन करे इससे वीर्य गाढ़ा हो जाता है।
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Sr tell me the name of abortion pill tablet she is pregnant of 25 days please suggest and tell me sr.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Sr tell me the name of abortion pill tablet she is pregnant of 25 days please suggest and tell me sr.
Hi Indraa. There are many tablets availablein market for abortion. But one they would require a prescription and also you would need to know the correct technique and dose to take them. Many chemists advise incorrect technique which results in severe side effects like bleeding which end up requiring hospitalisation or results in incomplete expulsion of the baby. So its very very important to take the correct medicine as well take them correctly. All the best
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Is kegel exercises is preferable for unmarried girls? I've heard that it makes vagina walls thick and makes vagina entry small. Does it not effect on 1st intercourse. What are benefits of kegel for unmarried girls. And how toh do it.

Advanced Aesthetics
Ayurveda, Gulbarga
K-gel exercise it helps the vaginal muscle tighness and no need to unmarried its helps after the delivary of baby or when the vagina is loose.
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My wife had a miss carriage 3 months ago, this month her period is brown colour and very low blood flow with a small lump one day and duration is only 3 days. Now she is feeling very week.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My wife had a miss carriage 3 months ago, this month her period is brown colour and very low blood flow with a small ...
Please give her PULSATILLA200 in globules. 4pills twice daily for 15 days. After taking medicine what is the result please communicate us. So that we can review the medicines.
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Dr. One of my friend having a chocolate cyst in her ovary. Is it curable or not. If yes what to do.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Dr. One of my friend having a chocolate cyst in her ovary. Is it curable or not. If yes what to do.
SURGERY IS THE ONLY CURE FOR IT. BUT IT DEPENDS ON THE SIZE OF THE CYST. CHOCOLATE CYST IS BECAUSE OF ENCAPSULED BLEEDING BECAUSE OF ENDOMETRIOSIS.USUALLY CYSTS ABOVE 3 CM REQUIRE SURGERY
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I am suffering from partial low placenta previa during fifth month of pregnancy having bleeding also what precaution should I take.

MD. DGO.DSP
Gynaecologist, Mumbai
I am suffering from partial low placenta previa during fifth month of pregnancy having bleeding also what precaution ...
Complete bed rest and avoid any jerky movements if it does not go up by 20 weeks the placenta then complete rest till delivery.
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My wife not having interest in sex she ll get mood once in a month and she ll not feel to have sex only she ll have for my sake I feel to Hv frequently.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
My wife not having interest in sex she ll get mood once in a month and she ll not feel to have sex only she ll have f...
Either she might not physical active, fit and sound or having any undeclared issues physical or emotional should have dialogue with her and its solution accordingly. If she is not physically fit then she should maintain her bp, sugar and weight. And take healthy and nutritious diet. And exercise. Keep herself slim and trim so she could be more inclined towards romance. Wish you good health.
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I have a baby boy of 10 months I want to have 2nd baby planning after 6 months I need a baby girl What should I do.

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
I have a baby boy of 10 months I want to have 2nd baby planning after 6 months I need a baby girl What should I do.
Dear lybrate-user good morning as per indian law you cannot do this. No doctor will help you. Thanks
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What are the foods need to be taken during pregnancy?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist,
Protein, vitamins (folic acid and all others), minerals (iron, calcium and others), essential fatty acids (omega-3), water, fibre. Calories increased requirement by about 20 %. Generally milk, eggs, non-veg, fruits, vegetables, all pulses, green leafy vegetables. To plan in details and personalized nutritional specialist to be consulted.
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Doctor, Last month meri wife ki date 10 days late thi. To is month uska fertile period time kya hoga.

BHMS
Homeopath, Delhi
Doctor, Last month meri wife ki date 10 days late thi. To is month uska fertile period time kya hoga.
8th day to 22nd day menses is ovulation period that is the fertile period when female have more chances for pregnancy.
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Hello, My wife is 9 weeks pregnant . She is diabetic and suffering from PCOS as well. She was on metformin before. Now doctor has advised for insulin as metformin reaches to baby. Is this fine? Will PCOS cause problems wihout metformin?

MD, BHMS
Homeopath, Bhilai
Please consult a diabetician and my advice is don't take any medicines for diabetes make it under control by eating habits and lot of salads and some homeopathic medicines and call me on 9406160991.
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While doing sex at some point I feel weak. I can't do continuously in one position. Help me.

BAMS, MD Ayurveda
Sexologist, Lonavala
While doing sex at some point I feel weak.
I can't do continuously in one position.
Help me.
The best ayurveda herb for your case is 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day surely you will get results. Your problem is permanently cure by ayurvedic treatment.
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I am 21 year old. And I get married recently. And my study will continue to 3 year. I want get pregnant after 26 year of my age. So you suggest me that my decision is good for my health when I get pregnant after 26. And please also suggest me, how to possible that I enjoy my marriage life without tension of pregnancy (except condom as precaution)

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
I am 21 year old. And I get married recently. And my study will continue to 3 year. I want get pregnant after 26 year...
Dear lybrate-user, excellent nothing wrong in your planning there are many methods of avoiding pregnancy like pills, safe zone period, copper t, any way meet gynecologist is right doctor for your plan and take her suggestion have good luck happy life.
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Bachelor of physiotherapy,BPTh, Certified Manual therapist, Master of Physiotherapy ,MPTh. (Orthopedics)
Physiotherapist, Ghaziabad
Herniated Intervertebral Disc Disease

The vertebral column (backbone) is made up of 33 vertebrae separated by spongy disks and classified into four distinct areas. The cervical area consists of seven bony parts in the neck; the thoracic spine consists of 12 bony parts in the back area; the lumbar spine consists of five bony segments in the lower back area; five sacral bones (fused into one bone, the sacrum); and four coccygeal bones (fused into one bone, the coccyx).

Between each vertebra is a fibrous disc with a jelly-like core. These cushions of cartilage allow the body to accept and dissipate load across multiple levels in the spine and still allow for the flexibility required for performing normal activities of daily living. As the body twists, bends, flexes and extends, the intervertebral discs are constantly changing their shape.

Causes

When discs degenerate, becoming less supple due to age or back strain, the disc may prolapse — squeezing out some of the soft core. This loss of cushioning may cause pressure on local nerves and cause back or neck pain, numbness or tingling in the arms, or searing pain down one or both legs. If the prolapse is severe it can damage the spinal cord. As a part of the aging process the discs lose their high water content and their ability to cushion the vertebrae. This is called degenerative disc disease. As the discs deteriorate, the spine can initially become less stable. Bony spurs can develop as a result of this instability and can cause pressure on nearby nerves leading to leg or arm pain. Narrowing of the neural canal by these bony spurs is known as degenerative spinal stenosis.

By the age of 35, approximately 30% of people will show evidence of disc degeneration at one or more levels. By the age of 60, greater than 90% of people will show evidence of disc degeneration at one or more levels on MRI. In some patients, this disc degeneration can be nearly asymptomatic; in others, disc degeneration can lead to intractable back pain.

The outer layer of the discs themselves can also tear. When this occurs, the inner, gelatinous layer can herniate out (a “herniated” or “ruptured” disc) and also cause pressure on an adjacent nerve. If the herniation occurs in the neck and causes pressure there, it can cause pain that radiates into the shoulder and arm; if it occurs in the lower back, the pain produced can radiate down into the hip and leg.

Symptoms

Patients with disc disease in the cervical, thoracic, or lumbar spine experience variable symptoms depending on where the disc has herniated and what nerve root it is pushing on. The following are the most common symptoms of lumbar disc disease:

Intermittent or continuous back pain (this may be made worse by movement, coughing, sneezing, or standing for long periods of time)Spasm of the back musclesSciatica — pain that starts near the back or buttock and travels down the leg to the calf or into the foot.Muscle weakness in the legsNumbness in the leg or footDecreased reflexes at the knee or ankleChanges in bladder or bowel function

The symptoms of lumbar disc disease may resemble other conditions or medical problems. Always consult your physician for a diagnosis.

In rare cases, patients with large disc herniations may experience weakness in an extremity or signs of spinal cord compression such as difficulty with gait, in coordination, or loss of bowel/bladder control.

Treatment

Treatment for disc disorders must be closely tailored to the patient, based on:

The history and severity of their pain whether or not they have had prior treatments for this problem and how effective they have been and whether or not there is any evidence of neurologic damage such as weakness of an extremity or the loss of reflexes

Some of the treatments used include

Activity modification patient education on proper body mechanics (to help decrease the chance of worsening pain or damage to the disc)Physical therapy, which may include ultrasound, massage, conditioning, and exercise programs
Weight control medications (to control pain and/or to relax muscles)
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Causes and Treatment of Vulvovaginal Candidiasis

CCT, DMAS, Royal College of Obstetricians and Gynaecologists (MRCOG), MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Chennai
Causes and Treatment of Vulvovaginal Candidiasis

Vulvovaginal candidiasis refers to the infection of the vagina, accompanied by itching in the vulva. It is caused by a particular strand of yeast known as candida albicans. There are several reasons, which contribute to the onset of vulvovaginal candidiasis, some of them are:

  1. Pregnancy: Pregnancy is a time when the body of a woman undergoes a plethora of changes. With the upsurge of certain hormones, this is also the most potent time when they tend to suffer from vulvovaginal candidiasis.
  2. Higher dose of estrogen: Estrogen is responsible for maturing the vagina as well as provides glycogen which facilitates the growth of candida albicans. Subsequently, older and younger women, who are less prone to estrogen disorder, suffer the least from vulvovaginal candidiasis.
  3. Uncontrolled diabetes: Those women who suffer from uncontrolled diabetes for a long period of time are more susceptible to vulvovaginal candidiasis. Although the accurate reason is yet to be known, according to research, the presence of excessive glucose in the blood triggers the production of yeast in the vulva and the vagina.
  4. Weak immune system: A strong immune system is a boon, which only few people enjoy. Consequently, the very reverse, a weak immune system is extremely fatal, one that invites several complications; vulvovaginal candidiasis being one of them.
  5. Stress: Excessive stress and exhaustion may also be considered as a probable reason that causes imbalance in your system.
  6. Hormone replacement therapy: Estrogen is commonly held as a possible culprit that causes vulvovaginal candidiasis. Therefore in those hormonal replacement therapies, where estrogen is artificially administered into the body significantly increases the risk of an impending vulvovaginal candidiasis.

In spite of its frequent occurrences, it is possible to treat this infection. Some of the ways by which it can be done are: 

  1. Anti-fungal cream: Those creams, which negate the growth of fungus are, for obvious reasons considered as the most preferred choice to combat vulvovaginal candidiasis. There are plenty of anti-fungal creams available in the market, which can be misleading, therefore you must choose wisely.
  2. Diflucan: This medication works wonders in treating vulvovaginal candidiasis. This must be orally administered under the doctor's supervision to enjoy the results.
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My period missed two days I have lifted few heavy things right now I am having a bit pain in stomach not in the lower side but the upper side. Kindly advice soon.

BAMS
Ayurveda, Bangalore
My period missed two days I have lifted few heavy things right now I am having a bit pain in stomach not in the lower...
Hi, If the pain is in the upper abdomen, there is no need to worry. Take rest for sometime. It will be OK. But do an urine examination for confirmation of the pregnancy. Do not lift heavy weights in future if the pregnancy is confirmed.
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I am having vaginal discharge.

B.H.M.S., Senior Homeopath Consultant
Homeopath,
You can take following medicine:- bc - 13 / 4 tabs thrice a day for one month. Revert back after one month with feedback.
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I m 23 year old. My periods date is not came at a time. And since 2 months my date is not come. What can I do?

BHMS
Homeopath, Vadodara
Dear, take following homeo medicine, your menses will start pulsatilla pratensis 200ch 10 drops in 20ml water at once bed time for two days ferrum phos 6x 4 tablets 3 times a day for 1 week follow up me after 1 week.
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