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.
Book Clinic Appointment
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
Submit a review for Dr. Monica GulyaniYour feedback matters!
Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.
Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.
The two main types of diabetes are:
Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus.
Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.
Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.
Physical Inactivity, Obesity, and Diabetes: Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.
An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.
So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.
Simple Steps to Lower Your Risk: Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.
1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
3. Tune Up Your Diet: Four dietary changes can have a big impact on the risk of type 2 diabetes-
Choose whole grains and whole grain products over highly processed carbohydrates.
- Skip the sugary drinks, and choose water, coffee, or tea instead.
- Choose good fats instead of bad fats.
- Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.
If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor.
Within 24 hours the pregnancy symptoms are seen in body? We had sex and the very next day I am vomiting within 20 hours. This would be pregnancy symptoms? Should I worry? And I taken i-pill within 48 hours. Please help me ASAP.
Light periods refer to menstrual periods that have very light flow and are characterized by a lesser number of days than usual. Although the menstrual cycles vary from a woman to another, the duration for a normal period is around every 28 days. Each period lasts for approximately four to seven days. The amount of blood loss in a normal period is around 20 ml to 80 ml. However, loss of blood below 20 ml can be considered as light periods.
The causes of light periods can vary for different woman. Some of them are:
- An imbalance in hormone levels in the body like PCOD (polycystic ovarian disease).
- Light periods are most common in women who are approaching menopause. This is because, at this time, women tend to produce less estrogen, a hormone responsible for regulating menstrual periods.
- Light periods can be common in girls who have just started to menstruate.
- Excessive bouts of exercise, a thyroid condition or an eating disorder can be also responsible for light periods in women.
- Women who use hormonal or oral contraceptives may also have a chance of experiencing light periods.
- An important cause of scanty menses is implantation bleeding. That means sometimes, despite being pregnant, little amount of bleeding can happen at the expected time of menses in the first three months of Pregnancy. So it's important to rule out pregnancy at the earliest.
Certain symptoms usually follow light periods. These symptoms vary according to the underlying causes of this condition.
Some of the common symptoms which accompany light periods are:
- Abdominal pain
- Frequent infections, namely yeast and other fungal infections
- Painful sexual intercourse
- Missed periods
In some cases, light periods might turn out to be a sign of a fatal condition that should be immediately administered to. An example of such would be an ectopic pregnancy, which can cause light or heavy bleeding. Although light periods are rarely due to serious diseases, neglect can lead to heightened complications and irreversible damage.
Some of the complications can are:
- Serious discomfort and pain
- Difficulty in conception or infertility
- Osteoporosis and osteopenia
Related Tip: All About Irregular Periods - Their Types and Causes
Hello Drs, I feel a pain in my left breast lasting for few minutes only. But plan not in one particular place, it travels around the chest. Pain for last three only. What can be the cause. Please tell me is anything to worry.
With technology at your fingertips, it is hard to think of times when the existence of laptops and television sets was unimaginable. Technology is common enough to be taken for granted in present times. TV and laptops are especially in widespread use. The primary reason could be entertainment, an urge to connect to the larger world, or the need to kill time. Such dependability leads to severe health hazards. Read on to find out more:
Effects of TV and laptops on your health:
- Sleep deprivation: Long hours of exposure to artificial light can lead to sleep deprivation.
- It can also lead to serious vision problems: Watching TV or using laptops for long hours can make your eyes vulnerable to constant glare. You fail to realize, but changing lights of a computer screen or of a television set in a dark room can be extremely strenuous for your eyes to adjust. Constantly changing lights can lead to glaucoma. However, dry and itchy eyes, headaches and poor vision are the commonly noticed effects.
- It causes obesity in children and adults: Since all your work can be done on the internet, you tend to become lethargic. You are too lazy to go to the market or to the bank. Even if you are not watching you use the television for background music. Adults therefore do not make qualitative use of their free time. Children are addicted to playing games and browsing sites on the laptop. They hardly indulge in outdoor games. This leads to obesity in adults and children all the same.
- Propels your desire to eat fast food or packaged food: Binge eating is a very common practice while watching TV or using laptops. Chips, pizzas, burgers, ice- creams, cold drinks and absolutely anything junk devoid of nutritional value are more liked by us. Junk food not only leads to weight gain but is also detrimental to our digestive system.
- Can increase the risk of infertility in men: Laptops heat up when used for a long span of time. This heat can increase scrotum temperature which results in reduced sperm production, leading to infertility.
As is said, nothing in excess is good for your health. It is therefore, best to make controlled use of TV and laptops to avoid its harmful effects.
I requested to you Sir meri gf ka MC stop ho gya h any medicine for this 29 ka date tha or date 7 ho gya please sir give the suggestion of this matter and no any effect after this treatment for pregnancy in future please rply me sir her age 20years please sir (cheap and best sir)
It is estimated that 25% of people with normal blood pressure and about 60% of those with high blood pressure are salt sensitive, which means that as salt intake goes up so does blood pressure.
'salt to taste' as it reads in most recipes.... At times far exceeds the sodium requirements of our bodies, resulting in water retention, stress on our kidneys and bloating up. Not to mention the fact that if you are salt-sensitive then you may be at a much higher risk of strokes and heart attacks.
Apart from the salt that you add to your food, do you know the amount of stealth salt you are exposed to? the papads, the pickles and the farsan that you eat have excessive salt and so does any other packaged food that you may be consuming on a regular basis. A good idea is to read the labels of what you are buying.
Let us help you identify the stealth salt in your food...
- Use less, or no, salt in cooking or preparing dishes like salads, sauces and dips.
- Remove the table salt and any salt seasoning - such as lemon, pepper, garlic and onion salts.
- You should set aside the masala sachets that come with instant noodles, readymade soups, sauces etc.
- Don't use ready-made salad dressings.
For additional flavour to your food, minus the excessive salt, keep a stock of fresh garlic, onion, ginger, parsley, coriander, and seasonings like, dry onion powder, dry mustard, nutmeg, black pepper and roasted cumin powder in your kitchen.
Remember: it's easier to cut down on sodium when you are on a healthy diet of fruits, vegetables and low-fat dairy products.
Sir my question is that during pregnancy, what period is not coming. Please reply my answer. I am in very problem.
Sir, my wife have some time irritation problem in urinal way and she is getting weak day by day. And also she is getting problem during sex. She is not allowing for sex. Please tell me what should I do.
Hi. I am a 27 year old married girl. My period is late by 7 days. I have period like cramps and vaginal discharge which sometimes smells like urine. What could be the cause? pregnancy or infection?
When you travel in an airplane or just come out of the swimming pool, your ears may sometimes block up and even be painful. This is what is known ear barotrauma and is caused by pressure differences inside and outside the ear drum. Severe cases may cause damage to the ear and impede your hearing.
Symptoms of ear barotrauma: Ear barotrauma usually occurs when the Eustachian tube is blocked due to differences in air pressure. The Eustachian tube is a long narrow tube that runs from the middle of your ear to the pharynx or the back of the throat and is thus very important in relevance to the ear, nose and throat. Thus ear barotrauma can also translate to pain in the ear and throat as well.
Some of the symptoms are:
- Discomfort in the ear, or aggravated pain in extreme cases
- The ears being blocked or full, in severe cases may feel like being underwater
- Temporary hearing loss
- Nose bleeding in severe cases
- Health care providers may see an inward caving or outward bulging in the ear drum. In severe cases, the eardrum may look bruised as well.
- Some severe cases may even exhibit signs typical of an ear infection along with some of the other symptoms mentioned above.
Precautions and self treatment: There are certain steps you can take to either prevent barotrauma or reduce the symptoms, these are:
yawning or gulping. This is very helpful when air pressure differences are caused in cases of travelling by aircraft.
- Inhale slowly and then exhale while your mouth is closed and you are holding your nostrils closed by fingers. This will help increase the pressure within the tube to try and open it forcefully.
- Sucking on candy is another way to prevent barotraumas as you are constantly swallowing and keeping your Eustachian tube from being blocked in the first place.
- Keep a few chewing gums handy and has similar effects on your ears as it forces the Eustachian tube to remain open despite pressure differences.
- After diving or swimming, come out of the water slowly. Scuba divers and deep swimmers need to come up slowly to ensure that the Eustachian tube is given enough time to acclimatize and slowly come back to normal.
Usually, ear barotrauma goes away automatically after sometime and no medications are required. However, if symptoms still persist, it is best to go to a relevant doctor or a health care provider for pain relief and long term solutions.
Hi, when I got married I used anti contraceptive pills for 3 years with doctor suggestion. After I had a child, again I used the pills for 3 years with doctor suggestion. But now I came to know that I lost my libido or sex drive because of the pills. How can I improve my sex drive again, my husband says that he is not satisfy and I am not reaching upto his expectations. Please consider my request and help me. Thanks.
Although STDs are capable of affecting both genders, the impact on men and women is different. In women, this problem can cause long-term issues such as infertility in women. Although most STDs can be readily treated as soon as the symptoms surface, some cases might not throw up any symptom. Some of the curable STDs that can affect women are discussed below:
Gonorrhoea: This STD is caused by bacteria living in mucous membranes of the vagina, urethra, mouth, rectum and eyes and is capable of spreading through contact. The symptoms in women include excessive discharge from the vagina, abdominal cramps, pain in the pelvic region and bleeding from the vagina after sex.
Chlamydia: This STD is a result of a bacterial infection of ‘Chlamydia trachomatis’. Symptoms in females include burning sensation during urination, unusual vaginal discharge and bleeding between periods. Without treatment, the infection might spread to the urinary tract which could potentially cause PID (pelvic inflammatory disease) which is capable of causing problems in pregnancy and even infertility.
Genital Herpes: Genital herpes is generally caused by the herpes simplex virus-2 (HSV-2) or the herpes simplex virus-1 (HSV-1). The virus is commonly known to be the chief cause of cold sores. Symptoms may appear soon after infection and usually are severe. This includes blisters, which turn into raw and painful sores that scab and heal over time. This might be accompanied by swollen lymph nodes and fever.
Chancroid: This infection is caused by the bacterium ‘Haemophilus Ducreyi’. It occurs most commonly in the vulva (the female external genital organ that includes the clitoris, labia as well as the opening of the vagina). The condition starts out as a tender lump that appears during the incubation period after intercourse. The incubation period generally ranges between 3-10 days. The bump turns into an ulcer i.e. an open sore, due to the death of the cells. This is usually painful.
Syphilis: It is caused by the bacterium ‘Treponema pallidum’ and the disease mainly occurs if you have sexual intercourse without any protection, that too with multiple sexual partners. The other mode of infection is blood transfusion. Symptoms of Syphilis include appearance of ulcers around the genitals or the oral region known as a chancre, severe rashes around the hand or feet coupled with other symptoms of mild fever, headache, throat pain and immense fatigue. If you wish to discuss about any specific problem, you can consult a gynaecologist.