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Dr. Mamta Tyagi

Gynaecologist, Delhi

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Dr. Mamta Tyagi Gynaecologist, Delhi
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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. Mamta Tyagi
Dr. Mamta Tyagi is a trusted Gynaecologist in Dilshad Garden, Delhi. You can consult Dr. Mamta Tyagi at Perfect Tyagi Hospital in Dilshad Garden, Delhi. Book an appointment online with Dr. Mamta Tyagi and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 31 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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#78- A, Dilshad Garden, Landmark: Opp. IBHAS, Near Telephone Exchange, Delhi, DelhiDelhi Get Directions
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I am having white stretchy discharge I worried if I an pregnant 2 days before I hd a private moment with my bf but we did not hv sex he just dud my fingering but I am not sure if if he had precum on fingers I am having fluttering in my uterus also are these signs of pregnancy I have my periods 15 days from now. Please help.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am having white stretchy discharge I worried if I an pregnant 2 days before I hd a private moment with my bf but we...
fingering doesn't cause any pregnancy,so don't be stressed,all the fluttering etc are goose bumps which you are having bcz of the guilt probably.
1 person found this helpful
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Common Myths About Homeopathy

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Common Myths About Homeopathy

Homeopathy, being an alternative form of medicine, is often misunderstood when compared to allopathic treatments. In fact, there are many myths and rumours about the working of this field of medicine. This has become a primary reason as to why many people think twice before trying out homeopathy. However, of late, more and more people are breaking the shackles of these myths and rumours and opting for this natural and alternative form of medicine. Here are certain myths and facts which disclose the truth about them.

  1. It is often said that homeopathy first aggravates the symptoms and then reduces it. Most people shy away from this prospect and decide otherwise. The fact is, sometimes the condition worsens naturally due to the serious stage at which it is in. This is, however, not caused by side effects of taking any homeopathic pills. Thus, this line of treatment does not aggravate the symptoms. This is a myth and should be looked beyond.
  2. A set of people believe that homeopathy, being natural, has the ability to cure any disease whatsoever. But it has to be kept in mind that homeopathy is, after all, a natural science of medicine. Just as allopathic cure sometimes fails to produce the desired results, homeopathy too fails at times in delivering. But this is no reason to not opt for such a treatment. Every field of medicine has its own sets of limitations.
  3. At times, homeopathic doctors are not given the same respect that is given to those who practice allopathic treatment and deal in general medical sciences. Here, it needs to be discussed that homeopathy is an alternate form of medicine, which is practiced by those who have a proper degree in medicine, even in general medicine. In fact, many conventional doctors have thought it beneficial to switch streams of practice and have left allopathy for homeopathic treatments.
  4. Homeopathy is believed to provide relief only from pains, allergies and maybe skin troubles. But it is not so. Recent developments and studies have shown that homeopathy, if administered effectively, can also bring about pathological changes in the individual.
  5. People think that homeopathy takes time to show its results. But this is not true. In fact, at times while treating fever, cold and allergies, it shows rapid results. It is only when the disease is chronic that it takes time to heal.

These are some of the popular myths about homeopathy and it is needed that these myths are busted so that more and more people believe in the power of homeopathy. If you wish to discuss about any specific problem, you can consult a homeopath.

3452 people found this helpful

I am in a relationship with a girl and we love each other very much but there is a problem when it comes to physical relationship. She never seem to be interested while getting intimate. She never kisses by herself. She doesn't do anything while getting physical except than lying in the bed. She always says that she doesn't think about it. Sometimes I get really annoyed what should I do?

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
I am in a relationship with a girl and we love each other very much but there is a problem when it comes to physical ...
I think she is right. We should not make physical relationship without marriage. Do love as a friend.
2 people found this helpful
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She has a small enlargement in her vaginal portion. Feeling little pain when touch. Is it dangerous. Need any treatment.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Most likely it is due to Bartholin cyst. It grows slowly on one side, feels like a tense balloon under the vaginal skin, just inside the opening. It can subside on its own but recurs. If it gets infected, pain will be severe, along with fever. Best option is to get it removed by minor surgery (day care).
1 person found this helpful
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Sexual Addiction - How It Affects You & Your Relationships?

MBBS, MD - Psychiatry
Psychiatrist, Delhi
Sexual Addiction - How It Affects You & Your Relationships?

Grief is a journey without a clear direction. The experience of grieving cannot be ordered, categorized or controlled. One can compare it to inevitable breathing. When we lose something, even minute things, it changes our world. And we have to adapt to that said loss. With any major grief, it literally breaks our hearts. Grief most often comes in waves of emotion.

It is a process and it is unique for each individual. For most people, the suffering never ends; it just becomes less severe and easier. For some people, it does not take long before the suffering eases and for some it takes years. Due to its complex nature, it is difficult to pinpoint what “healthy” grief looks like. If the level of grief matches the level of loss, it is generally considered to be an appropriate response. Everyone experiences grief differently and at different times.

Here are the most common emotions experienced by the individuals in grief:

  1. Denial and isolation: The first natural response to loss is denial. At this stage, people are aware of the facts, but are still in a denial stage of grief. In other words, they tend to ignore the obvious because their mind is not ready to accept the reality yet. The mechanism of denial itself creates a mental block for those thoughts that really bother or hurt the suffering person.
  2. Anger: As the isolation fades out, denial gets replaced by anger. The individual becomes frustrated, especially at proximate individuals.
  3. Guilt: Once the anger subsides, the person starts feeling guilty for becoming angry.
  4. Bargaining: At a point while grieving, a realization hits that there is nothing under one’s control. The grieving person then starts bargaining. They will use anything valuable against another human agency to extend or prolong the life. Bargaining is often accompanied in the form of a prayer, “God, don’t let this be true, take it away, and I will never sin again”.
  5. Pain: When bargaining fails, the grieving person feels anguished. The mental agony is intense.
  6. Depression: The person in grief becomes apathetic towards the entire situation. He/she feels extremely sad and empty. In this state, the individual may become silent, lose hope, and spend much of the time mournful and sullen.
  7. Acceptance: Eventually, the person comes to terms with the situation and the feelings towards it. Acceptance is the last stage in the grieving phase. It comes with a calm, retrospective view of the individual, and a stable condition of emotions.

In essence, what we conclude helps us to find our place in the scheme of things, establish what is true, and gives us a sense of control over living with the loss.
 

I got my periods on 4th jan 2016. N I hve sex wit my bf on 12th same month. But he use condom. So on 29th same month I started my periods. Y whats the reason? please help m so tense.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
I got my periods on 4th jan 2016. N I hve sex wit my bf on 12th same month. But he use condom. So on 29th same month ...
If your periods have come you need not to get worried. You hv got your periods after 25 days. It is absolutely normal. Next time you should use a better contraceptive as condom doesn't give 100% protection.
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I have been suggested with candid v6 vaginal tablet after hysteroscopy, I had mild bleeding because of that, can I use that tablet now? Will it cause any infection? And can I do pregnancy test after hysteroscopy.

Mbbs,, MS OBGY
Gynaecologist, Pune
Consult your gynaecologist who did hysteroscopy for details. As candid cl tb doesn't cause bleeding and it's given for infection.
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Endometriosis - Risk Factors You Must Be Aware Of!

Advanced Infertility, MD - Obstetrtics & Gynaecology, MBBS
IVF Specialist, Hyderabad
Endometriosis - Risk Factors You Must Be Aware Of!

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.

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

4468 people found this helpful

I start loetee tab from 22 April. On 25 we had intercourse n take unwanted n missed loetee tab. But on 26 I took 2 tab as rule. Again I had sex on 29 april. M I positive ? Please advice.

Sexologist, Delhi
I start loetee tab from 22 April. On 25 we had intercourse n take unwanted n missed loetee tab. But on 26 I took 2 ta...
Hello. Please don't miss your loetee tab. And don't take more than one tablet in a day. It's harmful and don't worry you are negative.
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Hello doctor, I am 23 year old get white discharge and weakness. What shud I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Vaginal discharge is a whitish liquid that is produced in the uterus and is discharged by way of vagina. It is a normal process and it generally begins in a girl life when she is due to attain puberty or prior to menstruation. It is the nature’s way of keeping the vagina healthy and lubricated. Women experience vaginal discharge all through their lives though it reduces after they reach the menopausal stage. Normal vaginal discharge helps to keep the vagina clean and healthy. It does not have a bad odour or you can say that it has no smell at all and you may see the traces of discharge on your under garment. It is normal for vaginal discharge to increase under certain conditions like- A few days before menstruation During pregnancy During ovulation Hormonal treatment Sexual excitement Emotional stress When the secretion is more than normal and it creates irritation or emanates a bad odour, it indicates the presence of infection in the vaginal tract. This condition is commonly known as Leucorrhoea. Symptoms Of Leucorrhoea Constant discharge which is thick and sticky. • Irritation and itching in the genitals. • A strong and foul smell. • In acute infection the discharge make carry traces of blood and appears pinkish in tone. • Constant fatigue and discomfort with pain in calves. • Fever in case the infection is severe. You can treat leucorrhoea with natural ways at the onset of the problem and avoid harmful side effects of medicines. Natural Ways To Treat Leucorrhoea Amla Amla or Indian gooseberry helps to cure leucorrhoea. Take 3 grams amla powder and 6 grams honey, mix them to make a paste and take it two times a day for 30 days. Take 20 grams amla juice mixed with ½ tea spoon honey for one month for positive result. HOMOEOPATHIC MEDICINES FLUOFIN or ADEL 15 DROPS ( ADEL) Drink 15 drops in 20 ml fresh water 3 times daily LEUCONA-F ( R.S.BHARGAWA) Take 2 spoons twice daily Report after 3 months
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