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Dr. Madhu Tyagi

Gynaecologist, Delhi

200 at clinic
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Dr. Madhu Tyagi Gynaecologist, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Madhu Tyagi
Dr. Madhu Tyagi is a popular Gynaecologist in Adarsh Nagar, Delhi. You can meet Dr. Madhu Tyagi personally at Tyagi Hospital & Maternity Centre in Adarsh Nagar, Delhi. Book an appointment online with Dr. Madhu Tyagi and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 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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Tyagi Hospital & Maternity Centre

210, G T Road, Adarsh Nagar. Landmark: Near Azad Pur Sabzi Mandi, DelhiDelhi Get Directions
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My girlfriends period started on 8 October and I did sex with her on 30 October, is there a chance of pregnancy?

BHMS
Homeopath, Hooghly
My girlfriends period started on 8 October and I did sex with her on 30 October, is there a chance of pregnancy?
As the day calculate it's on 22nd day of cycle which is known as safe period that means she will not be pregnant in this time, soo there is a very lesser chance of pregnancy,
1 person found this helpful
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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.

2750 people found this helpful

Can medicines as diabetes bipolar disorder bp thyroid drugs be taken during pregnancy? Will they not affect the baby? If yes remedies to be taken.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Can medicines as diabetes bipolar disorder bp thyroid drugs be taken during pregnancy? Will they not affect the baby?...
lybrate-user, Thanks for the query. During pregnacy drugs to treat diabetes like Insulin and some oral anti-diabetics are quite safe. Thyroxine for hypothyroidism is also absolutely safe. Only issue is with certain anti - psychotic drugs which may not be good during pregnancy. If there is absolute need then your psychiatrist can advise better. Thanks.
1 person found this helpful
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How Often Should You Get A Pap Smear Test?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
How Often Should You Get A Pap Smear Test?

Regular preventive check ups are a must for being healthy and if you wait too long between check ups, it may become too late to detect a problem. Cervical cancer screening is especially important for women via a pap smear test, as it's the best way to detect cancer.

A Pap test is done to screen any changes in the cells of the cervix, including cervical cancer or conditions that may develop into cancer. Doctors recommend that Pap smear testing should begin at the age of 21 for women, and should be done every 3-5 years for women between the ages of 21 to 65 years.

For women between ages 30 - 65 years, the test can be done once in five years, if it is combined with testing for HPV. A doctor may recommend frequent Pap smear tests if a person is diagnosed with cervical cancer, HIV infection or a weak immune system caused due to organ transplant or chemotherapy.

When can you discontinue Pap smear Tests?
If you are sexually active, doctors may ask you to continue your Pap smear tests even after the age of 65. Women can discontinue Pap smear tests after getting a total hysterectomy. However, some women may still have to undergo the test if they have had the surgery for cervical or uterine cancers or if you are a high risk patient with HIV or have a weakened immune system. In these cases, women will have to continue getting Pap smear tests. Even if you stop getting Pap smear tests, it's advisable to keep getting regular pelvic tests.


What symptoms to watch out for between Pap smear tests?

 

  • Pain is not an early warning sign of the disease, and not all people experience pain while suffering from cancer of the cervix. The symptoms to watch out for are abnormal bleeding in the cervix, which is one of the most common symptoms of cancer in cervix. If you get bleeding between your regular menstrual periods and after sexual intercourse that it is another sign that you should get a Pap smear done to check for cancer in the cervix.
  • Abnormal vaginal discharge is another symptom of cancer of the cervix. You must get these symptoms checked from your doctor via a Pap smear test.
  • It is advisable to discuss with your doctor and decide how frequently you need to decide what's best for you based on different risk factors.
1 person found this helpful

Is there any chance to be pregnant even if I took ipill within and hour also there was no ejaculation only worried about precum so took it! it was also during the non fertile days basically 9th day of my period and my period cycle is somewhere between 32 to 35 days.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Is there any chance to be pregnant even if I took ipill within and hour also there was no ejaculation only worried ab...
Each factor decreases chance of pregnancy but not 0 % chance as lot of times one is not sure about precum and body does not behave like mathematics
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When I was having anal sex with my wife yesterday I noticed allot of white fluid coming out through her vagina, infact more than the amount of semen I injected in to her buttocks.

BHMS
Homeopath, Hooghly
Well semen in the anus can't be discharged out from the vagina. It's the normal. Vaginal secretion.
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Best Homeopathic Remedies For Painful Menses & Menopause!

BHMS
Homeopath, Ludhiana
Best Homeopathic Remedies For Painful Menses & Menopause!

Abdominal cramps accompanied by painful thighs and calves are commonly faced by many women just before the onset of their periods. Instead of popping a painkiller, here are a few homeopathic medications that can effectively cure this problem.

Belladonna: Belladonna acts on the nervous system to treat sudden intense abdominal cramps and congested dysmenorrhea. If the blood in your periods is bright red and flows at a high rate, belladonna may be the solution to your problems. Other associated symptoms belladonna can help treat are red, flushed skin and temperature spikes.

Magnesium phosphoricum: Every woman has a different type of menstrual pain. If the pain you feel is soothed by heat packs and application of pressure but aggravated by any type of movement, you could try to treat it with magnesium phosphoricum. This is also effective for period pains that increase in the night and early menses.

Nux vomica: Nux vomica is made from the seed of a plant. This is particularly effective in cases of menstruation accompanied by diarrhea. Nux vomica also helps treat irregular and prolonged menses. It also helps deal with abdominal cramps and heartburn. Nux vomica should ideally be taken in low potency doses as it can have a number of side effects when taken regularly in high potency doses.

Mostly, menstrual pain during menses is due to hormonal irregularities and cysts of ovaries or uterus. So, in case of complaints, we need to access these also while selecting remedies. Constitutionally and symptomatically selected medicine in homeopathy will help the patients get relief.

The disruption of the normal female cycles of menstruation and ovulation after the age of 45 and the loss of her ability to conceive naturally is known as menopause. The associated symptoms of menopause are heat flushes, insomnia, weight gain, depression, nausea and fatigue.

The following homeopathic medicines and remedies can be used to treat menopause:

  1. Phosphorus can help with migraines, extreme sweating, numb hands, fast pulse, memory problems and dry and itchy skin. Foods high in phosphorus content are meat, fish, cheese, nuts and seeds of pumpkins, sunflowers etc.
  2. Excessive deposition of fat can interfere with the hormonal cycles and cause imbalances in the level of estrogen and progesterone. So, regular yoga and exercise can be helpful.
  3. A balanced diet which provides you with optimal nutrition can be helpful in treating menopausal symptoms. When you get enough vitamins and minerals, the physical discomfort caused by the symptoms can be reduced greatly
  4. Amylenum nitrosum can provide relief from profuse sweating, shortness of breath and palpitations.
  5. Phytoestrogen or dietary estrogen is a compound found in foods such as soybeans, oats, barley, carrots, fenugreek, rice etc. Phytoestrogen can provide natural relief from menopausal symptoms.
  6. Aurum metallicum is used to get the tissues and organs to function normally again and control feelings of anxiety and claustrophobia.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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