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Dr. Meera Gupta

Gynaecologist, Delhi

400 at clinic
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Dr. Meera Gupta Gynaecologist, Delhi
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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. Meera Gupta
Dr. Meera Gupta is an experienced Gynaecologist in Paschim Vihar, Delhi. You can visit her at Gupta Medical Centre in Paschim Vihar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Meera Gupta on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 33 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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#B-5/7, Paschim Vihar. Landmark: Little Angel School, DelhiDelhi Get Directions
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Before 2 day I did sex That the time flowing some transparent water into my vagina Still flowing sometime but not continuously I hope its not pregnancy symptoms?

DHMS (Hons.)
Homeopath, Patna
Before 2 day I did sex That the time flowing some transparent water into my vagina Still flowing sometime but not con...
Hello, It might be leucorrhoeal discharge. Tk, plenty of water. Go for meditation. Your diet email regulate, easily digestible on time. Avoid, junkfood, alcohol & nicotine. Tk, homoeopathic medicine: @ Graphities 30-6 pills, thrice. @.Sepia 200-6 pills at bed time. Tk, care.
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Ever since I had a baby in January (4 months ago) when I move sometimes it starts to feel like I sprained my vagina, is that suppose to happen? And it hurts.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, it should not feel as sprained but often there are vaginal lacerations which heal with granulation tissue and can cause some uncomfortable feeling for long but spraining a vagina is not seen.
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My mother underwent lumpectomy breast surgery. As per biosphy report, size of tumour is 3 cm x 2.5 cm x 0.8 cm and type of breast cancer is Invasive Ductal Carcinoma, left breast (pT2pN0pMx), Nottingham Grade 2. All the thirteen lymph nodes were free of tumour. ER, Pr report is positive and HEr 2neu is 3 positive. What does this means and here chance of cure. Whether chemotherapy is required and how much does it cost. Kindly guide me.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Her chances for survival are good. As she is her-2 Positive she will require chemotherapy+ targeted therapy+ hormonal therapy (Er, Pr positive). And she will also require radiotherapy. Cost varies. From place to place.
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Sip Tea and Stay Fit

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
Sip Tea and Stay Fit

A sip of tea to begin the day can banish the dregs of sleep and energize you for the day ahead. Tea is not only tasty, but has a number of health benefits as well. The most basic way tea helps the body is by hydrating it. Here are a few other benefits of a cup of tea.

  1. Soothes the digestive system: It is not only for taste that the Chinese like a cup of tea after their meals. Tea, particularly herbal tea can soothe the digestive system and aid in digestion. Ginger tea can additionally fight nausea.
  2. Clearer skin: Tea is rich in antioxidants that can detoxify the body and rid it of free radicals. This in turn helps fight signs of aging such as age spots, wrinkles and fine lines. It also keeps the skin firm and prevents sun damage.
  3. Improves heart health: Drinking a cup of tea regularly can help keep your heart healthy. This is because tea is a major source of flavanoids for the body that neutralizes free radicals. This also improves blood vessel and endothelial function and regularizes cholesterol levels. Green tea is also said to lower the risk of heart attacks.
  4. Weight loss: Tea has no calories of its own, just like water it keeps the body hydrated without affecting your weight. Thus, drinking a cup of tea instead of having a snack can temporarily fill the stomach and curb hunger pangs without any calorific gain. Also, oolong and green tea are said to increase metabolism rates, which further helps in weight loss.
  5. Boost dental health: When had without sugar or honey, tea can boost your dental health. Green tea protects the body against gum disease and can lower the risk of oral cancer. However, too much tea can stain enamel and spoil your smile if you do not maintain good dental hygiene habits.
  6. Reduced stress: Cortisol is one of the leading causes of stress. Tea can help reduce the amount of cortisol produced in the body and thus help you relax and fight stress. Lowered cortical levels can also slow down the aging process.
  7. Boost immunity: Herbal tea can also help boost the functionality of the immune system. Dandelion tea is said to aid the immune system in fighting ulcers, bronchitis and pneumonia. Chamomile tea has chemical compounds that increase the production of white blood cells. Similarly, ginseng tea encourages the production of both white blood cells and interferon

Though it has a number of health benefits, like anything else, tea should not be had in excess. So, limit yourself to a cup or two a day.

4504 people found this helpful

When I test my pregnancy it's positive but after some days monthly period starts coming. So I am confuse and it's happening since 2014. I don't know what might be wrong in my wombs. So can you please help me out with best suggestions.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
When I test my pregnancy it's positive but after some days monthly period starts coming. So I am confuse and it's hap...
Hello if your pregnancy test was positive and the bleeding started after that, you can go for a pelvic sonogram. If this is normal, you can assume that the pregnancy test was false positive. Otherwise get your investigations done to rule out hormonal imbalance.
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Hello, I am 34 years old now. 6 years ago due to overy cyst, I lost my both ovaries which creates MENOPOZE. From last 4 years, I take 1 renorma tab n 1 rocal D each day. Now I am 53 kgs. And height is 4" 11"i have some problems such as. 1.Sometimes I feel back pain, knee pain, finger joint pain etc. 2. Suddenly my belly has increased. Regarding these issues, I have 2 questions such as. 1.Should I walk or run or do some exercise? (Will it be harmful for my bone as I have shortage of calcium) 2. I need a proper diet chart to fulfil the calcium shortage. Thanks.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain.If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interfrential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back. If your knee is paining since 2 weeks, then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
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Endometriosis and Infertility

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
Endometriosis and Infertility

When couples start their family, they have many dreams. Subsequently many of them, if not all, plan to extend their family to give a sense of accomplishment. That is a journey from being couples to being parents. But unfortunately, in some couples the journey is not smooth and some of them have to struggle a lot for it. Yes, you are right. We are talking about difficulty to conceive, popularly known as “Infertility”.

To achieve successful pregnancy, there must be production of sperms, transport of them and proper deposition of them into the vagina by the male partner. In female partner, the deposited perms must travel through vagina and uterus to reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The ovum is produced by the ovary and released into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, which then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Perhaps you have heard that infertility may be due to problems in male (defect in production, transport or deposition of sperms) or female (defect in ovaries or ovulation, bock in the tubes and defects in the uterus). But sometimes there may be more than one problems in either of the couples or apparently no reason is found (everything is normal, so pregnancy depends on chance factor). To clarify the latter, in normal healthy couples with regular unprotected timely intercourse, the chance of pregnancy in one menstrual cycle is only 15%, so it may be matter of time for some couples to conceive. But another important reason for infertility in female is endometriosis.

What is endometriosis?

Endometrium is the inner lining of the uterus. It responds to hormones secreted by the ovaries during normal menstrual cycle. It tends to thicken from the time of ovulation (as described above) and if pregnancy occurs, it continues to grow and supports the embryo to help in continuing pregnancy. If pregnancy does not occur, it is shed off outside the body and is seen as “menstrual Bleeding” or “Period”. Unfortunately, in some women, the endometrium may be present outside the normal position. That condition is called endometriosis. It is commonly present around the ovaries, tubes, surrounding the uterus (outside normal lining) but may be present anywhere in the body (even in lungs, urinary system and rectum). As this endometrium (outside the uterus lining) also responds to the hormones in the same way as normal endometrium (that lines the uterus), there will be bleeding around this abnormal endometrium at the time of menstruation. But this bleeding, unlike normal menstrual bleeding cannot come outside the body and so the blood accumulates and forms a chocolate coloured material (old blood is chocolate coloured) and leads to adhesion between organs. Adhesion is a condition where different organs of our body attaches abnormally with each other leading to various problems. Sometimes this chocolate coloured blood may be surrounded by a membrane formed by body tissue and is then called “Chocolate Cyst” that is found around the ovaries.

What is the reason for endometriosis?

Unfortunately, despite extensive research throughout the world, the reason for endometriosis is not known. It is said to be due to some genetic factors or some environmental factors. Sometimes, delaying pregnancy is stated as the reason. In some women, however, it is caused by backward flow of menstrual blood (that enters into the tubes during menstruation). Usually these women have abnormal development of uterus (problems in uterus since birth), so that all the menstrual blood cannot come outside the body)

What is the problem with endometriosis?

Endometriosis usually causes pain. The pain may be long standing and usually occurs at the time of periods (dysmenorrhoea) or sometimes even between periods. The nature and site of pain depends on where it is located. If it is located very deep inside abdomen, it can cause pain during sexual intercourse (dysparaeunia). In some cases there may be pain during passing urine or stool or bleeding during urination or with stool.

In around 50% cases, it can cause infertility. The cause of infertility is not always properly understood. But it has been seen that endometriosis can cause adhesion and thus can makes it difficult for the Fallopian tubes to pick up the ovum from the ovaries. Apart from this pain during intercourse often makes the woman avoid intercourse. In addition, it can interfere with ovulation, sperm transport, meeting between sperms and eggs and also the process of attachment of uterus with the embryo.

However, endometriosis does not always cause pain or infertility. In some women, there may be both pain and infertility, some women only one symptom and in some women no symptom is found but endometriosis is discovered accidentally during treatment for other purpose (like during laparoscopy for appendicitis or during Caesarean Section).

How endometriosis is diagnosed?

Endometriosis is suspected by history of pain or infertility and examination findings. Like some women may have pain during examination of abdomen or vagina by doctors, even sometimes vaginal ultrasound causes pain. In ultrasonography (or sometimes CT scan is done) there may be presence of cysts or adhesion can be detected. But the “Gold standard” of diagnosis is laparoscopy. It is an operation where (“Microsurgery”), making a small opening in the abdomen under anaesthesia, a telescope is introduced and the area is seen through camera in a television monitor. At that time the chocolate cysts, adhesions and condition of the organs can be seen and diagnosed and if there is any doubt, biopsy can be taken. But in all cases, laparoscopy is not needed and treatment is started after the doctors presume the diagnosis by history from the patients, examination and the ultrasonography reports.

Endometriosis is a peculiar condition in the sense that women with severe endometriosis may not have any symptoms, while women with very mild disease may have severe pain or infertility.

How endometriosis is treated, in general?

As mentioned earlier, endometriosis does not always cause symptoms and so, it does not always need treatment. The common reason for treatment is presence of pain and infertility. Endometriosis-related pain is usually treated by medicines or sometimes by surgery. Before surgery, usually medicines are given to reduce the size and to reduce the blood loss during surgery. All these medicines can cause hormonal imbalance and thus deprives the endometriosis tissues of hormonal stimulation and thus reduces pain. As a result, during the treatment, patients usually cannot conceive because of this intentional hormonal deprivation. Unfortunately after stoppage of medicines, often the symptoms of pain come back.

Surgery for endometriosis is usually done under laparoscopy but it needs properly trained and skilled surgeons to do these operations. Operations can range from “minor” (like separating the adhesions, draining the chocolate coloured fluid) and “major” (like removing the cyst or removing major organs). The surgery has the advantage over medicines is that it confirms the diagnosis and removes the diseased tissues. But there are problems with risks related to anaesthesia and surgery. In particular, there is risk of injury to intestine and urinary tracts, even with the best hands, that may increase patient’s sufferings. Apart from this, even after surgery, the disease can come back again after few months or years.

What is the cure for endometriosis?

Only cure for endometriosis is total deprivation of hormones. That is possible if the woman attains menopause (permanent cessation of menses). This is possible by natural way (around 45-50 years of age when menses cease permanently) or by operations to remove the ovaries and uterus. Another simpler way is achieving pregnancy, as usually after pregnancy most endometriosis patients feel better in relation to pain.

What happens if it is not treated?

Endometriosis is not like cancer. It is not life threatening usually. That means it will make you suffer in the worst way by causing severe pain and infertility but cannot endanger your life. So, you can have the options of not treating it, even if you have the symptoms. And of course, if you do not have symptoms, endometriosis may not require any treatment.

What is the treatment for endometriosis with infertility?

First of all, you have to make sure that you have difficulty in conception (that means you have given sufficient time to attempt but failed). Then we have to see whether there is any pain or other problems and what the condition of the disease by examination or ultrasonography is. We also have to look for any additional problems like problems in male partner, problems in uterus or ovaries or the hormones (like FSH, LH, prolactin, thyroid etc).

Then we have to plan the treatment. As there is no hard and fast rule, your doctor will explain you the options for you and you can decide what suits you the most, after judging merits and demerits of every option.

You may choose directly for surgery. In that case, you may be offered medicines for 2-3 months before surgery to make surgery safer for you and easier for the surgeon. The extent of surgery varies, depending on the disease status and your opinion. Remember, your opinion is important. You can choose for extensive operation (that may mean removal of both the tubes, that may be needed in advanced disease, leaving only option for IVF for pregnancy in future) or only diagnosis (just introducing the telescope and see) or minor operations (like separation of adhesions or removal of the cysts), after judging the merits and demerits of each options. But remember, you should not have any medicines for endometriosis after operation as most of the medicines (with some exceptions) interfere with pregnancy. This is, because, after operation is the best time to conceive and that time gives you the highest chance for pregnancy. If natural conception (or 1. ovulation induction- giving medicines to stimulate growth of your eggs, or 2. IUI- inserting your husband’s sperms by special process inside your uterus) does not occur within 12 months after operation, that’s probably the best time to consider IVF (“Test tube baby”). Of course, if you had extensive surgery or have advanced age (more than 35 usually), your doctor may advise you to go for IVF directly after operation without wasting the time.

You can opt for trial of treatment by medicines. You must know why I have used the word “Trial”. This is because, during medicine treatment, you cannot conceive. But you will be seen after 2-3 months to see if the disease has disappeared or decreased in size significantly. If this is the case, you can start infertility treatment (Ovulation Induction or IUI or IVF in some cases) directly. But if the disease did not respond to medicines by this time, you may need surgery, the extent of which has been described above.

You also have the options of not treating endometriosis at all. In that case, you can request your doctor to start infertility treatment directly. But remember, endometriosis (even treated endometriosis- after medicines or surgery) can interfere with any form of infertility treatment. It can lead to decreased response to medicines used for ovulation induction, thus reducing success rate(normal success rate is 20-25% in a menstrual cycle- that is without endometriosis). It can lead to low success rate after IUI (normal success rate is 25-30% in a menstrual cycle). Even with IVF (where normal success rate is 40-50% per cycle of IVF), the effectiveness of IVF may be reduced in presence of endometriosis.

What if I do not go for any treatment at all?

Infertility is a peculiar thing. Very few men or women are absolutely infertile. That means they do not have ability to achieve pregnancy naturally. Majority of them are subfertile. That means most of them have lower than normal chance (compared to healthy couples) to achieve pregnancy in a normal menstrual cycle. Often we find that patients planning for treatment and in the meantime, they conceive naturally. That means even without treatment, there is some chance of pregnancy. But that chance decreases in presence of any disease (like endometriosis) or increased age. And of course, nobody usually relies on chance. But the important message is that do not forget to have regular sexual intercourse eve if you are awaiting any test or endometriosis treatment. Of course, it’s stressful situation for both the partners. Stress affects conjugal relationships and lead to many couples avoiding conjugal life. Indeed, stress can affect the hormone levels in females and affects sexual performances in males. It’s easier for us to advise you to stay stress-free but is difficult to practice. Nevertheless, try relaxation as much as possible. Think that majority of the couples ultimately conceive by some form of treatment. Have faith in yourself and have faith in your doctor.

 

8 people found this helpful

She have left ovary cyst, length 8 cm. From past 3 years she is taking tablet (Loette) for regularizing periods ,now they are planning for marriage. Very much worried about fertility issue & cyst treatment. Please advice without removing cyst can she get regular periods.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
She have left ovary cyst, length 8 cm. From past 3 years she is taking tablet (Loette) for regularizing periods ,now ...
Okay...see an 8 cm cyst doesn't usually go with medications. But it still depends on the type of cyst. If u have irregular periods, u cud be having pcod. Don't worry .. try stopping loette and see if u get regular periods. For fertility , again it may or may not be affected .. get married, try for few months n if it doesn't happen , there r ways to treat the prob of anovulation which happens on pcod by medications.
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Shingles & Herpes - Best Homeopathic Remedies For Treating Them!

BHMS
Homeopath, Delhi
Shingles & Herpes - Best Homeopathic Remedies For Treating Them!

Viruses, the bad ones, in particular, can have serious effects on the body which a person would not like to have, in any case. This is surely true when the case of herpes zoster is being talked about. This form of herpes is commonly known as shingles. But what if there was a proper solution to this issue?

When a person has blisters forming and causing a rash in a limited area, shingles is likely to be the cause of the same.

What is interesting to know too many people is the fact that the virus which is responsible for shingles or herpes zoster is the same one which is the cause for chickenpox! This virus is never cleared out even when the symptoms of chickenpox have long left the body of the person who had it. As a matter of fact, in some cases, it does reappear and affects the body again except this time in the form of shingles. However, doctors do not know why this occurs. Is that not weird?

Most people who have the bad luck of having to deal with shingles are over sixty years of age. While knowing all this is quite beneficial, what about the treatment of shingles?

When it comes to the homeopathic treatment of shingles, there is a range of options which can be made use of. That being said, it is of the highest importance to keep in mind the fact that medicine should only be taken as per the prescription of a trained professional in homeopathic medicine. Homeopathy can treat shingles very effectively. The results are very prompt in the pains and eruptions. Shingles can affect any age group. Usually shigles indicate lowered immunity. Since they are viral infection, least can be done with anibiotics. Homeopathy boosts the immunity. Genital herpes can also be very effectively treated with Homeopathy.

Arsenicum album is one of the most popular medicines from the homeopathic field. In most of the cases where it is ideally used, the patient is undergoing pain with a burning sensation on the affected area of the skin. When a rash begins to form, there is normally some tingling in the skin in the run up to it.

Homeopathic treatment is so good that there is medicine to nip the problem in the bud before it has the chance to cause the affected person a whole deal of anguish. Aconite is the medicine, in this case.

Hepar sulphur and Rhus Toxicodendron are also used often over the course of treatment. The former is useful especially for people with unhealthy skin while the latter is commonly used for herpes of the face and around the joints.

1 person found this helpful

Late Periods Problem In Hindi - पीरियड मिस या लेट होने के कारण

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Late Periods Problem In Hindi - पीरियड मिस या लेट होने के कारण

पीरियड्स, जिसे हिंदी में महावरी या मासिक धर्म भी बोला जाता हैं, यह महिलाओं को हर महीने होने वाली एक प्राकृतिक प्रकिया है, जिसका सामना हर महिलाओं को हर 28 दिन में करना पड़ता है। वहीं बहुत से महिलाओं और किशोरियों को लेट पीरियड प्रॉब्लम या कहे मासिक धर्म देरी या असमय आते हैं। शादीशुदा या किसी के साथ रिश्ते रखने वाली महिलाओं के जब पीरियड्स देर से आते हैं, तो उनमे से अधिकतर की सोच यही होती हैं कि कही वह प्रेगनेंट तो नहीं है ? 

हालांकि, ऐसा कुछ होता नहीं हैं, उम्र और लाइफस्टाइल के कारण हमारे शरीर में बहुत से बदलाव आते रहते हैं। पीरियड्स लेट या मिस हो जाना उसी प्रक्रिया का एक हिस्सा है। काफी सारे मामलों में देखा गया है कि जिन महिलाओं या युवतियों ने किसी से कोई संबंध नही बनाया होता है, लेकिन फिर भी उनके पीरियड्स की साइकिल बदल जाती हैं। इसका कारण हमारे शरीर में होने वाले हार्मोनल बदलाव भी होते हैं।  

इसके अलावा हमारी जीवनशैली में हुए बदलाव भी इसका एक कारण होते है। जैसे - ज्यादा स्ट्रेस, जरूरत से ज्यादा एक्सरसाइज, वजन कम होना या ज्यादा वजन बढ़ना आदि इसमें शामिल है। यह कुछ कारण है जो आपके हॉर्मोन स्तरों को प्रभावित कर, आपके पीरियड्स साइकिल में बदलाव ला सकते हैं।

अगर वैज्ञानिक नजरिए से समझने की कोशिश करें तो महिलाओं में हर माह ओवुलेशन होता है, जिसमें पीरियड्स के 28 दिन की साइकिल के दौरान 12वें या 14वें दिन पर ओवरी से अंडा जारी होता है। अगर ओवुलेशन समय पर नही हो पाता है तो इससे पीरियड्स चक्र पर प्रभाव पड़ता है। जिसके कारण पीरियड्स लेट प्रॉब्लम का सामना करना पड़ता हैं। अगर आपको यह समस्या होती है, तो तुरंत अपने डॉक्टर से संपर्क करें।

पीरियड का लेट  होना कई कारणों पर निर्भर करता है जैसे कि :

1. गर्भावस्था
अगर आपने हाल ही में असुरक्षित यौन संबंध बनाए है, तो हो सकता है प्रेगनेंसी के कारण आपके पीरियड न आए।
सोल्यूशन:  तुरन्त प्रेगनेंसी की जांच कराएं।

2. पीरियड्स साइकिल की शुरुआत
जब पीरियड्स साइकिल शुरू होते है तो जरुरी नहीं की हर महिला में यह चक्र नियमित हो, मतलब कुछ में वो समय से होगा और कुछ में नहीं। कई लड़कियों में शुरुआत के सालों में पीरियड में अनियमितता होती है, जो की बाद में धीरे धीरे ठीक हो जाती है। 

सोल्यूशन: अगर आपका पीरियड हाल ही में शुरू हुआ है, तो आपको ज्यादा घबराने की जरुरत नहीं है। डॉक्टर से संपर्क कर सारी जानकारी साझा करें। 

3. वजन का बढ़ना
मोटापे की वजह से शरीर में हॉर्मोन्स सही ढंग से कार्य नहीं कर पाते है, जिसके कारण पीरियड्स लेट होने की समस्या हो सकती है।

 सोलुशन:  नियमित एक्सरसाइज, सही डाइट और अच्छे लाइफस्टाइल को अपना कर अपना वजन कंट्रोल करें।

 4. अंडर वेट होना
कुछ लडकियां और महिलाएं बहुत दुबली पतली होती हैं और वजन का सामान्य से कम होना भी पीरियड की परेशानियों के लिए जिम्मेदार होता है क्योंकि उनका शरीर उचित मात्रा में एस्ट्रोजन नहीं बना पाता है, जिस कारण उनका ओवुलेशन नहीं हो पाता है।

 सोल्यूशन: व्यायाम और अच्छी डाइट के जरिए कम वज़न और लेट पीरियड की समस्या से छुटकारा पाएं।

 5. सही खान पान का न होना या कमी
कुछ महिलाओं में ईटिंग डिसऑर्डर जैसे एनोरेक्सिया या बुलिमिया पाया जाता है। ऐसे में सही पोषण की कमी का असर उनके पीरियड पर पड़ता है, जिससे पीरियड लेट प्रॉब्लम पैदा हो जाती है।

 सोल्यूशन: शरीर के साथ जो भी करें, एक्सपर्ट की राय और शरीर जरूरत के अनुकूल ही करें।

 6. खिलाडी या डांसर होना
अकसर खिलाडी और डांसर आपना स्टैमिना और परफॉरमेंस बढ़ाने के लिए बहुत ज्यादा प्रैक्टिस कर लेती हैं। शरीर के जरुरत से ज्यादा इस्तेमाल का विपरीत प्रभाव उनके एस्ट्रोजन हॉर्मोन के लेवल पर पड़ता है, जिसके फलसवरूप ऐसी लड़कियों या महिलाओं को अमेनोररहीया यानि पीरियड देर से होने की समस्या का सामना करना पड़ता है।

सोल्यूशन: सही पोषण युक्त डाइट और कुछ दिन आराम करके माहवारी को फिर से सामान्य करने की कोशिश करें।

 7. ज्यादा एक्सरसाइज
कुछ महिलाएं आकर्षक शरीर पाने के लिए जरुरत से ज्यादा व्यायाम करती हैं। ऐसी महिलाओं को अनियमित पीरियड प्रॉब्लम की समस्या हो जाती है। 

सोल्यूशन: जरुरत से ज्यादा व्यायाम करने से बचें

 8. गर्भनिरोधक गोलियां लेना
गर्भनिरोधक गोलियों का सेवन भी मासिक चक्र को डिस्टर्ब कर सकता है। 

सोल्यूशन: जितना हो सके गर्भ निरोधक गोलियों के इस्तेमाल से बचना चाहिए। 

9. थाइरोइड की प्रॉब्लम
कई बार हमें थाइरोइड की परेशानी होती है और हमें उसका पता भी नहीं चलता है। दोनों हाइपो-थयरोइडिस्म और हाइपर-थयरोइडिस्म होना, आपकी पीरियड्स साइकिल को प्रभावित कर सकता है। 

सोल्यूशन: पीरियड लेट होने की वजह जानने के लिए अपना थाइरोइड टेस्ट करवाएं और डॉक्टर से संपर्क करें।

 10. हार्मोनल लेवल का असंतुलन
PCOS के अलावा कुछ शारीरिक रोग या मानसिक तनाव होने का असर शरीर के हार्मोनल के संतुलन को बिगाड़ सकता है, जिसके फलसवरूप आपका पीरियड लेट हो सकता है।

सोल्यूशन: हॉर्मोन को संतुलित बनाए रखने का प्रयास करें।

 11. रजोनिवृत्ति
जो महिलाएं रजोनिवृत्ति यानि मेनोपॉज़ की ओर बढ़ रही होती हैं, उनमें पीरियड मिस और लेट होने की प्रॉब्लम आम होती हैं। ऐसी महिलाओं में मासिक स्त्राव और मासिक चक्र की आवर्ती पर काफी असर पड़ता है। 

सोलुशन: रजोनिवृत्ति के आसपास की आयु हैं, तो ज्यादा चिंता न करें।

 12. दवाइयों का सेवन
थाइरोइड, कैंसर, कीमोथेरेपी, डिप्रेशन, मासिक रोगों के लिए दी जाने वाली दवाइयां और स्टेरॉइड्स आदि कुछ ऐसी दवाइयां हैं, जो आपके मासिक चक्र को प्रभावित कर सकती हैं।

 सोल्यूशन: बीमारी के ठीक होने तक ऐसी समस्या पर धैर्य रखें और अगर ज्यादा समय तक सुधार ना हो तो डॉक्टर से संपर्क करें।

 13. तनाव और चिंता
मानसिक तनाव, चिंता, घरेलू झगड़े, भावनात्मक बदलाव, अवसाद आदि का असर सीधा हॉर्मोनल स्तर पर पड़ता है, जिसके कारण आपके शरीर के हॉर्मोन्स के कार्य प्रभावित होते हैं। हॉर्मोन्स का चेंज होना आपके दिमाग के हाइपो-थैलेमस नाम के हिस्से को प्रभावित करता है। यह हिस्सा आपके मासिक चक्र को नियंत्रित करता है।

 सोल्यूशन: मानसिक तनाव, बात-विवाद, डिप्रेशन, चिंता आदि से बचना चाहिए और मैडिटेशन, योगा को अपने रूटीन में शामिल करना चाहिए।

14. स्केड्यूल बदलने या सफर करना
कई बार ऑफिसियल टाइम बदलने, परीक्षा के दौरान ज्यादा देर जागने, सफ़र का प्रभाव आपके स्केड्यूल, खान पान, नींद, बॉडी क्लॉक, दिमाग आदि को प्रभावित करता है, जिसके कारण आपका पीरियड लेट हो सकता है।

 सोल्यूशन: नींद पूरी लेना, नियमित एक्सरसाइज, सही डाइट आदि से आप पीरियड को नियमित कर सकते हैं।

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