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Dr. Namita Grover

Gynaecologist, New Delhi

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Dr. Namita Grover Gynaecologist, New Delhi
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Personal Statement

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. Namita Grover
Dr. Namita Grover is a renowned Gynaecologist in New Delhi, Delhi. She is currently practising at Dr Namita Grover's Clinic in New Delhi, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Namita Grover on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 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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Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Dengue - Important Information

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.

Lab Test

NS1
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.

Hello Meri age 40 year h aur meri wife ko sex apeel bilkul bhi nhi h usko sex ke liye bolo to ignor karti h kiya kiya jaye jo hamari sexual life tik ho sake please help me . Thanks.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Hello Meri age 40 year h aur meri wife ko sex apeel bilkul bhi nhi h usko sex ke liye bolo to ignor karti h kiya kiya...
It might be possible she be heavier in physique. And her fitness lever is low. And anemia. Consequently low sexual desire. If the case is so she should work on to make herself fit and fine as much as possible. Take vegetable, fruits, milk low fat, salads etc. A nd do yoga. May take ayurvedic medicines for faster results she will be okay. Soon.
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Sir I want to know that my wife age 35 years got operated for uterus tumour on 11 Feb 2015 and discharged after one weak We don't have any child yet When we can go for intercourse with each other Already we got in this two three times in this period My age is also 35 years.

MBBS; M.S.
Gynaecologist, Sri Ganganagar
It is better to avoid for six weeks to heal the tissue. There is no hard and fast rule to avoid sex. But a female need psycological support to recover and her desire remain less.For prenancy it depend upon what type of surgery done so your gyno can tell better to you.
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7th month is going on of pregnancy. And the hole of vagina is small so during normal labor how it become easy.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
7th month is going on of pregnancy. And the hole of vagina is small so during normal labor how it become easy.
The vagina hole doesnt matter, as it expands as an elastic organ. It is the bony structure which is non changeable, so a pre delivery pelvis assesment is what is important.
1 person found this helpful
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Winter Health Tip

Associate degree in Acupressure
Acupressurist, Delhi
Winter Health Tip
In winters don't decrease the intake of water. It should be 2 to 2.5 ltr. Per day.

Heart Attack Symptoms in Hindi - हार्ट अटैक के लक्षण

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Heart Attack Symptoms in Hindi - हार्ट अटैक के लक्षण

दिल का दौरा तब होता है जब दिल को रक्त का प्रवाह, अवरुद्ध होता है। यह आम तौर पर वसा का निर्माण होता है, जो धमनियों में पट्टियां बनाते हैं। बाधित रक्त प्रवाह हृदय की मांसपेशियों को चोट पहुंचा या नष्ट कर सकता है। पुरुषों और महिलाओं दोनों में सबसे आम लक्षण, छाती में दर्द या बेचैनी है। परंतु, सभी दिल के दौरे अचानक, सीने में ज़ोरदार दर्द से शुरू नही होते हैं। हार्ट अटैक धीरे धीरे शुरू हो सकता है और केवल हल्का दर्द या बेचैनी पैदा कर सकता है। लक्षण हल्के या अधिक प्रबल और अचानक हो सकते हैं। भावना कुछ मिनटों से अधिक लंबी हो सकती है। 
कभी-कभी लोग "पूर्णहृद्रोध" और "दिल के दौरा" के बीच उलझन में आ जाते हैं। दिल का दौरा, या म्योकार्डिअल रोधगलन, दिल की मांसपेशियों को कम रक्त प्रवाह के कारण होने वाला नुकसान है। यह हृदय की मांसपेशियों को ऑक्सीजन से वंचित करता है, जिसकी आवश्यकता उन्हें ठीक से काम करने के लिए होती है। जबकि, पूर्णहृद्रोध दिल की धड़कन को रोक देता है जिससे आसन्न मौत हो जाती है। मूल रूप से अगर दिल का दौरा गंभीर होता है, तो यह पूर्णहृद्रोध का कारण बन सकता है।

दिल के दौरे के लक्षण
विभिन्न लोगों के दिल के दौरे के लक्षण विभिन्न होते हैं। वास्तव में, एक व्यक्ति को फिर से पीड़ित होने पर पर भी पहली बार से अलग लक्षण हो सकते हैं। आपको इन लक्षणों पर नजर रखने की आवश्यकता है:

1. सीने में बेचैनी:
यह दिल का दौरा पड़ने का सबसे आम लक्षण है। एक व्यक्ति को छाती के बीच में शुरू होने वाले दबाव, निचोड़ने, पूर्णता या दर्द की भावना महसूस हो सकती है। दर्द या असुविधा आमतौर पर कुछ मिनटों से अधिक समय तक रहती है। यह जा सकती है और फिर वापस भी लौट सकती है। यह आगे बांह और पीठ, या सिर और गर्दन तक भी फैल सकती है। 

2. जबड़ा दर्द, दांत दर्द, सिरदर्द:
जबड़े, पीठ या बाहों में दर्द दिल की स्थिति का संकेत दे सकता है, खासकर यदि मूल का पता लगाना कठिन हो। विशेष रूप से, अगर परेशानी परिश्रम के साथ शुरू होती है या बिगड़ जाती है, और फिर कसरत छोड़ने पर बंद हो जाती है, तो आपको तुरंत एक चिकित्सक को दिखना चाहिए।

3. सांस की कमी:
सांस की कमी या जैसे आप हवा के लिए हांफ रहे हैं दिल का दौरा पड़ने का एक सामान्य लक्षण है। सांस की तकलीफ या साँस लेने में कठिनाई, चिकित्सकीय रूप से डिस्पेनिया के रूप में जाना जाता है। 

4. मतली:
मतली दिल का दौरा पड़ने का एक असामान्य लक्षण है। आप अपच की भावना महसूस कर सकते हैं। कभी-कभी मतली के साथ डकार भी सकती है। यह लक्षण महिलाओं में अधिक आम है। 

5. उल्टी:
कभी-कभी मतली इतनी गंभीर हो सकती है कि आप उल्टी भी कर सकते हैं।

6. थकान:
आप थकान या यहां तक कि हल्कापन भी, बेहोशी के साथ या बेहोशी के बिना महसूस कर सकते हैं। कुछ लोगों को दिल के दौरे के दौरान चिंता या डर का भी अनुभव होता है। अत्यधिक थकावट या अस्पष्टीकृत कमजोरी, कभी-कभी दिनों के लिए, दिल का दौरा पड़ने का लक्षण हो सकता है।

7. पसीना आना:
स्पष्ट कारण के बिना पसीना भी दिल का दौरा पड़ना का संकेत हो सकता है।

8. अनियमित दिल की धड़कन:
यदि आप कुछ सेकंड से अधिक के लिए अनियमित धड़कन महसूस करते हैं, या ऐसा अक्सर होता है, तो अपने डॉक्टर से बात करें। हालांकि, अनियमित दिल की धड़कन के लिए अन्य कारण भी हैं। लेकिन कभी - कभी, यह अलिंद विकम्पन नामक एक स्थिति का संकेत हो सकता है।

2 people found this helpful

We been trying to conceive since a year and half. I have pcos, the wrong calculation of days for follicular study led to late ovulation. Now that I have changed my doctor my periods are regular but its been 6 months, done two iui but both failed. Please let me know what can be done for early conception.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
We been trying to conceive since a year  and half. I have pcos, the wrong calculation of days for follicular study le...
Each iui has chance of 20-25% for pregnancy. So, never lose hope when 2 iuis have failed. At least 3 iui should be done before shifting to next step.
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Meri wife ke last 3 month ke period kuch is tarah he Regular he ya ilregular yeh aap dekh lijiye 2 march 2 april 5 may Me yeh janna chabta hu is month konsi date par sex karu jisse 100% pregnent k chance ho.

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
Meri wife ke last 3 month ke period kuch is tarah he
Regular he ya ilregular yeh aap dekh lijiye
2 march
2 april
5 ma...
Menses are regular. Have intercourse on alternate day from 17 to 23. High chances of pregnancy is there. 100% is nothing in medical science. You can b more precise if you go for ultrasound guided follicular monitoring or urine ovulation kit in the mid cycle.
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If me and a friend of fine have sex regularly. And she is taking unwanted 21 every day. I cum inside her every day , will the pill ensure she will not get pregnancy? We do not want to use a condom! Also can emptying my sperms in her mouth make her pregnant ?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
If me and a friend of fine have sex regularly. And she is taking unwanted 21 every day. I cum inside her every day , ...
Hi Puneet. Taking Unwanted 21 everyday ensures that a girl does not get pregnant provided she takes them everday regularly. failure of these pills is 1-2%. Also swallowing sperms by mouth does not make a woman pregnant.
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