Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 26 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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I am 22 year old girl m a virgin. Is it normal not to have nipples that do not stick out? My nipple come out only when I feel cold.
Hi Now a days my breast pains when while day I wear bra. N when I take it off then also it pains for a while. Sometimes I have pimples between my breast. Is it braise of the wrong bra size or material or something to worry about? Please help me with this.
My rubella igg is positive I am 7 month pregnant and igm is negative my pregnancy is at risk or not. Igg effect pregnancy or igm.
We are newly married couple and my wife is not getting delay in periods .just want to confirm that how to be share that it is just period miss and she is not pregnant?
M aur meri partner hum relationship me hai hum month me ek baar sex karte hai aur fir 72 hours k andar me usko ipill khilata hu ipill khane se uski pregnancy pe koi effect to nhi padega na mahine me ek bar ipill khane se usko koi problem to nhi hogi na please answer doctors.
My wife appears to be pregnant. She had her last cycle on 30th September 2016. She feel little nausea and her BP has fallen down to 60/90. She did urine test through Prega News and one more strip and it came positive. Please guide how should we proceed and what steps should we take?
Hi I married in 2011, same year i had abortion for 8weeks, again conceived in 2014 jan, but in july 2014 again miscarriage, due to watering,, now again am pregnent, 18th week, how do i take care? am taking gardinal 60mg will there be any side effects for baby?
Pregnancy is a beautiful phase for any woman, and should be enjoyed to the fullest. That being said, pregnant women need to take care of their health at all times, as a young life depends on them. Taking into account how paranoid a to-be mother can be, any form of bleeding during pregnancy can cause a lot of trepidation. However, a lot of this worry is not really required at all.
A lot of pregnant women bleed during the first trimester of their pregnancy. As a matter of fact, many who bleed do not know or realise just how common it really is, and as a result, they get quite a lot more worried than they should. In fact, it happens to about one in five women who are pregnant.
Why bleeding occurs?
- It is quite likely that if a miscarriage is to occur, it will occur during the first trimester, or the first twelve weeks. As a matter of fact, bleeding is most likely to occur between weeks five and eight. A woman would get to know that she is having a miscarriage if there is tissue which is being passed, and at the same time, she feels some very intense cramps in the lower part of the abdomen.
- Another reason why women bleed, which is also quite likely to occur during the first trimester, is due to the process of implantation. However, this sort of bleeding is not heavy by any measure. The ironic thing is that a lot of women discover that they are pregnant by this form of bleeding and it usually occurs within a week to about twelve days after the conception has taken place.
- One of the more baffling reasons for bleeding when a woman is pregnant is bleeding which occurs after sexual intercourse. While it may seem odd that something which is supposed to be pleasurable should actually end up causing blood loss, all this is a sign of is that the tissues around the vagina are receiving a great amount of blood supply. It is to be noted, that no risk is caused the foetus because of this as it is located in the uterus.
What to do if you bleed?
- No matter how light or heavy the bleeding, the midwife or the doctor must be kept up to date with the situation at hand. This is because if there is any corrective action which is to be taken, the delay in time is to be kept to a minimum.
- A cause for genuine concern over the period of the pregnancy is if there is bleeding post 20 weeks. In most circumstances, bleeding is not worth the mental trouble. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Have you been trying hard to conceive, but in vain. Then here are 3 things you can do increase your chance of getting pregnant:
- Keeping track of the ovulation period: Even though regular sex throughout the month is advised, it is certainly more fruitful to know your cycle. You can only get pregnant when the sperm meets the egg, and the egg is only released around the 14th day in your cycle. This egg lives only for a day or two, so you have a limited window when you can actually get pregnant. Typically this window is approximately of 6 days, so it's best to have sex in this period. But it's important not get obsessive and put too much pressure to have sex on these days as the stress can reduce sperm quality. So be mindful of it and still enjoy the activity rather than being obsessive. There are several free apps that you can download to help you track your cycle.
- Have missionary sex at least once every 2-3 days: The key is to have regular unprotected sex for over a year. The success rate for this is 84%. It is advised that you have sex every two to three days in every month of the year, and it's not necessary to stick to only those days for having sex when the woman is ovulating. Further, a spiced up sex life can increase your chances of the girl getting pregnant. As for the position, the missionary position works best as it helps the sperm on travelling through the cervix, which in any other position proves to be difficult. You can make the path of the sperm even easier by placing a cushion under the woman as it tilts the uterus, allowing the sperm to travel through more easily.
- Try de-stressing: Psychological preparedness is as important as physical preparedness to maximise your chances of getting pregnant. These days couples lead very hectic and stressful lifestyles in which trying to get pregnant can only add to their stress levels. Increased stress lowers egg passage in women. Besides, trying too hard to get pregnant and the stress that it creates is the reason behind 30% of all infertility problems. In such cases, destressing by exercising, yoga, meditation or acupuncture is a good idea.
I am currently 35 weeks 3 days pregnant.my AFI level was 12.7 cm on 27th nov 2016.then 13 cm on 21st nov and 16.6 cm on 8th dec.i was also daignosed with gd and TSH m taking 500 mg metformin twice a day.i am worried about my baby's birth defect if there is any as I have heard increased amount of amniotic fluid is associated with this. What should i do?how can I ensure my baby is doing fine.his weight is good 2.5kg.
I'm getting a lot of Painless lumps all over my belly arms and thighs. Please advise what is the best way to get these checked and reduced.
Does Aldactone 50 pass into breast milk? My baby is 1 year 3 month & breastfeed 4 times. Can I take that medicine? I have pcos & took it before pregnancy. If it is not safe in breastfeeding which one will I take in alternate?
I am a 23 year old newly married women. I have itching in my vagina and for last 4-5 days. What should I do??
I had a miscarriage on Dec 20, 2016. My cycle is all messed up since then, its about 36 days long. Previously it was exact 29 day. Trying to conceive for last three month but no success. How and when my cycle will be back to normal again?
Pregnancy can have a number of complications. One of these is known as placental abruption. This is a serious yet uncommon complication. The placenta is a structure in the uterus that nourishes the growing baby. In rare cases, this placenta can get peeled off- partially or completely, before delivery. This is known as placenta abruption and deprives the baby of oxygen and essential nutrients and can cause the mother to experience heavy bleeding. If left untreated, this condition can put the life of both the baby and mother in jeopardy.
The cause of placental abruption has is still not known, but there are a number of conditions that can increase the risk of suffering from this condition. This includes:
- A prior placental abruption
- High blood pressure
- Abdominal trauma such as a fall or blow to the abdomen
- Substance abuse or smoking
- Premature rupturing of the amniotic sac that surrounds the baby
- Any condition that reduces your blood’s ability to clot
- Multiple pregnancies
- Pregnancy after the age of 40
A placental abruption can be diagnosed through blood tests, an ultrasound and a non stress test to check the baby’s heart rate. Placental abruption affects the life the mother and baby in many ways. For the mother, it can result in excessive bleeding that triggers shock, blood clotting problems and the need for a blood transfusion. It can also cause kidney, liver and pituitary gland failure. Even after delivery, the mother may still experience vaginal bleeding. If this cannot be controlled, an emergency hysterectomy may also be required. The uterus may also not contract properly after delivery and the mother may need medication to help the uterus contract back to its original position.
Placental abruption deprives the baby of essential nutrients and can lead to premature birth or stillbirth. After delivery the baby may suffer from breathing and feeding difficulties. The baby may also be born with low levels of oxygen in the blood. Low blood pressure and low blood count can also be triggered by this condition. In severe cases, it can also lead to brain damage and death shortly after delivery.
Placental abruption can be prevented by following a healthy diet that helps regulate blood pressure. Get plenty of rest and take multivitamins regularly to reduce the risk of suffering from this condition. Lastly, if you experience any contractions or vaginal bleeding, consult your gynaecologist immediately.
Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.
Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.
Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.
Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.
The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.
IgG & IgM dengue
In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.
Immature Platelet fraction (IPF)
A very useful test in Dengue for patients with thrombocytopenia.
If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.
If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.
If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.
Better to do an IPF even with borderline low platelet count.
A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.
The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .
According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.
At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.
“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”
Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.
Having sex is good for your health but what if not having sex is actually bad for you?
Maybe you're going through a dry spell in your relationship or you're single and short of quality partners. Whatever the reason, forced abstinence isn't fun.
Having regular sex is good for your health. It has all sorts of benefits, from increased serotonin and oxytocin levels to better cardiovascular health . You sleep better, you feel more relaxed and, more than anything else, it allows for intimate physical connection with your partner.
If you stop having sex, your body reacts too. Here are some of the things that happen to your body if you stop having sex.
1. You Might Feel More Stressed
Sex is a stress buster. The hormones released during sex help the body recover from stressful periods. That's why a regular dose of sex is especially beneficial for people with high-stress jobs. It's also why so many of us use sex as a way to blow off steam and decompress from our super-busy, anxiety-inducing lives.
If sex helps you cope with stress, what happens if you stop? Obviously, it will be harder to deal with your normal stress levels.
2. You May Fall Sick More Often
Regular sex is correlated with a better functioning immune system. In one study, participants who reported having sex regularly (at least once per week) were found to have higher levels of an important immunoglobin that is known to increase resistance to illnesses like the common cold. A strong immune system means you'll fall sick less often
3. Your Libido Might Drop
Libido can be tricky for many people. They want to have sex, but they don't feel like it ... so they don't. However, the more you have sex, the more you want to have sex. This effect can make abstinence a little easier, but it'll also make getting back in the saddle more of a challenge.
4. Arousal Might Get Harder
When deprived of sex for long periods of time, men have a harder time getting erections - women may also struggle with arousal and lubrication after extended periods of abstinence.
Masturbation can help, but so can going easy on yourself when you get back into sex.
5. You might become more Forgetful
Regular sexual activity boosts the function of your hippocampus, an area of the brain strongly linked to memory, Scientists believe that increased sexual activity can even reverse the effects of aging and stress on the brain.
Basically, when you have sex often, your brain produces new neurons, which makes it better at remembering and processing information. The study also showed that when sex stops, the higher memory and cognitive functions were lost, despite the presence of new neurons.
The Positive Side of Celibacy
There are some advantages to having less sex. You won't have to worry about pregnancy or STIs, for one. Going without sex for a while can also create space to focus on other things. At some points in our lives, that space can be really important. When you're in a relationship, not having sex can also open up other avenues fo physical intimacy. Those can be as important as sex, and can help boost your sexual connection when you get back at it.