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Dr. Nirmal

Gynaecologist, Delhi

700 at clinic
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Dr. Nirmal Gynaecologist, Delhi
700 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nirmal
Dr. Nirmal is a trusted Gynaecologist in Mehrauli, Delhi. Doctor is currently associated with Privat Hospital Gurgaon in Mehrauli, Delhi. Save your time and book an appointment online with Dr. Nirmal on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 27 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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Hindi

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Privat Hospital Gurgaon

Mehrauli Gurgoan Road. Landmark: Dlf City,PH-2, Nr IFFCO Chowk, DelhiDelhi Get Directions
700 at clinic
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My follicle didn't rupture even after giving HCG 5000 till 18th day and it became as a cyst. But my endometrial thickness increased from 7 to 14.4 on 16th day and decreased to 7.5 on 18 th day. So kindly advise for the below questions 1) Ovulation has not happened. Am I right 2) Chances for Pregnancy 3) Will I get periods 4) How Ovulation will happen if follicle is not ruptured.

MD
Gynaecologist, Mumbai
My follicle didn't rupture even after giving HCG 5000 till 18th day and it became as a cyst. But my endometrial thick...
Dear lybrate-user, Kindly see the below replies 1) Not necessary, It is possible it is a corpus luteal cyst .that means post ovulation the area has become cystic. 2) There is a chance of pregnancy if it is corpus luteal cyst and not unruptured follicular cyst. It is very difficult to distinguish between the two. 3) If there is no pregnancy you will get periods 4) It is advisable to use 10000 units for rupture next time if you have 1 or two mature sized follicles.
1 person found this helpful
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I am 25 year old girl. I have very large chest want can I do for that. To reduce that one.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 25 year old girl. I have very large chest want can I do for that. To reduce that one.
Do exercises with arms like weight lifting and rowing to tone up the muscles. Wear sports bra as it flattens the'chest' making a woman less conscious.
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How to safety sex in my wife. Baby born to just one year so next baby after six years but am enjoying my wife with safety.

MD - General Medicine
Sexologist, Nashik
How to safety sex in my wife.  Baby born to just one year so next baby after six years but am enjoying my wife with s...
Male and female differ widely in terms of of sexual responses, male gets quickly aroused and female takes longer time to get aroused, male reaches climax quickly, its physilogical and normal, but not ideal, to prolong sex duration man has to work hard, he has to slow down mentally, by diverting mind from situation, and learn ways how to delay his reflexes. One idea is to stimulate the partner by foreplay to near orgasm sate and pentrate. Count number of strokes if it is less than 45plus minus 15. Means (30 to 60) then seek medical advice. If satisfied ok otherwise inform.
5 people found this helpful
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Causes And Symptoms Of Wrist Fracture!

MBBS, MS - Orthopaedics, M.Ch, FICS(USA)
Orthopedist, Delhi
Causes And Symptoms Of Wrist Fracture!

Wrist fracture is a medical term used to describe a broken wrist bone. Wrist is composed of 8 small carpal bones and lower ends of the two forearm bones, such as Radius & Ulna. The fracture may occur in any of the 10 bones that make up the wrist. While some fractures can be severe, most fractures are tiny in nature. The fractures, which are severe, tend to render the bone unstable and a cure for this condition might require a surgery. Open fractures occur when the broken bone spike juts out through the skin. This might lead to an infection in the wounded region.

Causes of Wrist Fracture

  1. The most basic cause of a wrist fracture is injury. Any fall on your outstretched hand (FOOSH) and you might have to nurse a fractured wrist. This type of fracture is common among sportsmen. 
  2. People suffering from osteoporosis have a high risk of getting a wrist fracture. 
  3. Traumatic accidents might also cause severe wrist fractures. 
  4. Repetitive use of wrists leads to inflammation of the tendons present in the wrists (tendonitis). 

Symptoms of Wrist Fracture

A wrist fracture has symptoms that can be extremely painful. The pain escalates whenever you try to move your wrist or flex it, even if you are just flexing your fingers. Sometimes your hand or arm may even become extremely numb when you fracture the wrist. The muscles in the area become tender and swell up. It is almost impossible to move the wrist after it gets fractured. The fracture causes the wrist or rather the hand to appear deformed. The most common deformity being a Dinner fork deformity (Colles' Fracture). The area around the fracture may experience bruising and a fractured wrist also affects the blood flow in the area. You might even injure your ligaments, tendons, muscles or nerves. 

To confirm and check the level of severity, you are generally asked to get an X-Ray done. In order to get a more detailed look at the fracture, you might have to undergo CT or MRI scans as well. Usually, in order to treat a fracture, you will have to wear a splint or a cast and move your hand as least as possible. But keep moving your fingers otherwise they might get stiff. 

Most cases of wrist fractures recover well with a very good return to function. If you wish to discuss about any specific problem, you can consult an orthopedist.

4167 people found this helpful

Wheat Grass Juice!

Diploma in Naturopathy & Yogic Science (DNYS), bachelor Of Science in Nursing
Yoga & Naturopathy Specialist, Gandhinagar
Wheat Grass Juice!

Wheat grass juice is one of the best boon of nature. (prakrati ka ek adbhut vardaan)

2 people found this helpful

I had medical abortion 4 weeks ago. My period when restart? I did 2 pregnancy test in 3rd weeks it comes negative. N one test in 4th week its also negative. I have one more ques that negative pregnancy test after medical abortion means empty uterus.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I had medical abortion 4 weeks ago. My period when restart? I did 2 pregnancy test in 3rd weeks it comes negative. N ...
Yes negative pregnancy test means that the abortion is complete. Wait for another two weeks your periods should hopefully come. I would strongly advice you to use protection like condoms till then.
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I want to postpone my periods for 4 days as I am travelling religious place. I started using prevent N but after few hours of taking that pill causing pain at bikini area. Please suggest good tablets.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I want to postpone my periods for 4 days as I am travelling religious place. I started using prevent N but after few ...
Dear Lybrate User U myst not rake any pills to delay the menstruation circle. It is a natural process.
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I had sex with my girlfriend on feb 22 i. E 13th day of her circle I used condom but I was broken then I give her optional72. On march 5 she had period and on april5 she had period but this time stomach pain was more. Is she pregnant? Or common problem during cycle.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I had sex with my girlfriend on feb 22 i. E 13th day of her circle I used condom but I was broken then I give her opt...
As she had menses after sex and the pill was used, she is not pregnant now. After the pill menses comes irregular for a month or so, that is why repeated bleeding.
1 person found this helpful
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I feel some pain in stomach both side liver and other. I feel that some extra air in belly. When I go to release urine then I feel very painful and acidic urine also. I feel I have gonnorehea problem. I take some medicine like as newforce kit. But no benefit. So please give my permanent medicine. Pls sir. My wife is also have same problem.

MBBS
General Physician, Ludhiana
I feel some pain in stomach both side liver and other. I feel that some extra air in belly. When I go to release urin...
Hi lybrate-user, as per your symptoms about gas &pain in upper abdomen you may be suffering from Gastritis. For which you can try Rabeprazole with Domperidon cap. On empty stomach for few days. Secondly for your urine problem both of you must get your urine tests done after that we can start medicine. New force kit should be taken by both partners.
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I am 21 years old. I took contraceptive pill and after a week I bleed for 2 days (not a normal period. So when will my period start? if I miss it does it mean I'm pregnant? I have no symptoms like cramps nausea or vomiting.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 21 years old. I took contraceptive pill and after a week I bleed for 2 days (not a normal period. So when will m...
You can have light periods when taking pills. If you have been taking them properly and you are having a regular withdrawal bleed each month the chances that you are pregnant is extremely low.
3 people found this helpful
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MD - Consultant Physician
General Physician, Bhopal
Piles in pregnancy :-



Coping with haemorrhoids when pregnant

Piles, also known as haemorrhoids, are enlarged and swollen veins in or around the lower rectum and anus. Anyone can get piles – they don't just happen in pregnancy. When you're pregnant, piles can occur because hormones make your veins relax.

Piles may itch, ache or feel sore. You can usually feel the lumpiness of piles around your anus. They may also bleed a little and can make going to the toilet uncomfortable or painful. You may also notice pain when passing a stool (faeces, poo) and a discharge of mucus afterwards. Sometimes, you may feel as though your bowels are still full and need emptying.  

Piles usually go away within weeks after the birth.

How to ease piles

Constipation can cause piles. If this is the case, try to keep your stools soft and regular.

You can help to ease piles, and prevent them, by making some changes to your diet and lifestyle, such as:

eating plenty of food that is high in fibre, like wholemeal bread and fruit and vegetables, and drinking plenty of water – this can help to prevent constipation, which can make piles worse, avoiding standing for long periods taking regular exercise to improve your circulation using a cloth wrung out in iced water to ease the pain – hold it gently against the piles if the piles stick out, push them gently back inside using a lubricating jelly avoiding straining to pass a stool, as this may make your piles worse after passing a stool, cleaning your anus with moist toilet paper instead of dry toilet paper patting, rather than rubbing, the area.

There are medicines that can help soothe inflammation around your anus. These treat the symptoms, but not the cause, of piles. Ask your doctor, if he/she can suggest a suitable ointment to help ease the pain. Don't use a cream or medication without checking with them first.

My wife is 10 weeks pregnant now. She has lost weight by 2 kgs and she has leg pain to. Is it normal or should we consider a doctor?

MS- Gynaecology, MBBS
Gynaecologist, Delhi
My wife is 10 weeks pregnant now. She has lost weight by 2 kgs and she has leg pain to. Is it normal or should we con...
When ever pregnancy register with gyna. In ist trimester some time a wait gain is not their but wt loss shd not b their .she shd take small frequent meal.
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Know More About Aloe Vera!

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Know More About Aloe Vera!

There are many different ways that aloe vera can be used to improve overall health, and it is even a useful asset if you are trying to prevent cancer or stop it from spreading any further. Aloe vera possesses a number of antioxidant and anti-inflammatory compounds that can reduce swelling and inflammation throughout the body, which can put extra strain on your system, making it more difficult for the body to fight off the cancer. You can drink aloe vera juice every day to enjoy these benefits.

3 people found this helpful

Sir my wife is having soo much pain in ovaries. We have taken some medical treatment. But it doesn't works. Now some of the people told mee that there must be chances of cancer. I want too know that she is having cancer or not soo for this thing what test I should prefer. N how can she come out from that prblm. Pls ans my question soo I can. Go for the further treatment. She has too much pain.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
Sir my wife is having soo much pain in ovaries. We have taken some medical treatment. But it doesn't works. Now some ...
Don't believe people .consult a gynaecologist personally and get your wife examined. Pain in ovaries does not mean cancer. If she has pain in abdomen ,get it evaluated by an ultrasound n gynaecological check up.
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My wife is not getting her regular period the amount of bleeding is very low her last month period starting day was on March 24. She is having regular 30 days period every month but till now this month not so much bleeding happened from past 3 days very low amount is bleeding she got worried please tell me what is happening.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is not getting her regular period the amount of bleeding is very low her last month period starting day was o...
Hello, there is all possibility that the scanty nature of the bleed this month is likely to be due stress induced hormonal imbalances. One needs to watch at least 3 cycles before before diagnosing as hypomenorrhoea.
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Hi, My sister have a 4 months pregnant. At this stage she took bellow medicines. 1) Amoxyclav375------->2tabs 2) Betnesol forte 1 mg ---->2 tabs Baby gets any effect by use these two tabs if any effect please tell me what she should do.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Chennai
Hi, My sister have a 4 months pregnant. At this stage she took bellow medicines.
1) Amoxyclav375------->2tabs
2) Betn...
It's better to avoid these but there is no need to terminate the pregnancy because of this. The overall risk is less
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I have pcod problem. Tell me medicine. Periods not regular. And i am also over weight. so please tell a solution for that

MD - General Medicine
General Physician, Mahabubnagar
I have pcod problem. Tell me medicine. Periods not regular. And i am also over weight. so please tell a solution for ...
It's basically a hormonal imbalance Check for thyroid once 1) Daily physical activity atleast 40min per day 2) Meditation 3) Diet rich in fruits & vegetables 4) Avoid fast food, Oily stuff & bakery products With this if you get your weight reduced by 5-6 KGs in 3months This will help you Thank you
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Hi doctor, I am 41 years old female having two kids of fifteen and six. From the beginning I had periods cycle if one month n 7-10 days. Now from last six months I had periods after two months. But now after march I am not having it. Last year I got internal ultrasound. Doctor found a little fibroid which was ok for her. Always periods are terribly painful. Please suggest to regulate the cycle.

MD - Obstetrtics & Gynaecology, DGO, MBBS
Gynaecologist, Mumbai
Hi doctor, I am 41 years old female having two kids of fifteen and six. From the beginning I had periods cycle if one...
Please meet your gynaecologist. You may need to do a blood test like fsh, lh on the second or third day of your period to see if you are in menopause.
2 people found this helpful
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Pregnancy test kiya to negative aya to ue medicine le skti hu or kinte din me period aa jaiyga.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Pregnancy test kiya to negative aya to ue medicine le skti hu or kinte din me period aa jaiyga.
Hello, You can opt for a withdrawal bleed with progesterones for 5 days and the next 7 days you shall get your bleeding from the date of last dosage.
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MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Low Sperm Count

Semen analysis is an indispensable part of evaluation of an infertile couple. But the results of semen analysis often creates confusion. It is accepted that if semen analysis report is normal, male factor is usually said to be normal.

Now what, if abnormality is found. Remember, semen abnormality is very common, even in those who are already having children. Because sperm production takes almost 3 months. SO, your current semen analysis reveals your health 3 months ago. If you had fever or any heat exposure to scrotum (may be even tight underwear or hot tub bath) 3 months ago, your today's semen analysis will be abnormal. So, mere abnormality does not draw a conclusion, unless it is severely abnormal.

Now, what we see in semen. There are various parameters. I'm not going into details. But to be simplified, sperm abnormality may be due to two basic reasons. 1) Sperms are not produced by the testes in good quantity (amount) or quality (healthy- motility and looking normal). 2) Sperms are produced normally by the testes but cannot come in semen due to defect in the sperm-carrying pathway (may cause low count, defective sperm and also low motility).

One important thing is to remember, sperm production has nothing to do with manliness. You may feel absolutely normal with normal sex life but sperm production may be defective. SO, first thing is not to feel depressed when the report comes abnormal.

So, whenever we find abnormality, we have to detect the cause. Treatment without detecting thee cause is more likely to FAIL. So, first thing is- whether sperms are produced or not.

Sperm production may be hampered due to diseases in testes- that may present since birth or may be due to some factors occurring later life. These include undescended testes, chromosomal defect, varicocele, diseases in the body (like TB, diabetes, kidney/ liver disease etc), heat exposure to scrotum, smoking, environmental poisons and even some drugs (including alcohol, marijuana, chemotherapy). These are called "TESTICULAR DEFECTS. In some cases, testes are normal but cannot produce sperms because of problems in other glands situated in brain (hypothalamus and pituitary). We call them "PRE-TESTICULAR DEFECTS.

Sperm carrying pathway may sometimes get obstructed due to diseases like infection, operations, some genetic defects. These are called "POST-TESTICULAR or OBSTRUCTIVE DEFECTS.

In most cases of semen defect, treatment is not needed, as we can bypass the normal pathway and use the sperms produced in semen to make your partner pregnant with your own sperm. In severe cases, we can collect sperms from testes and impregnate your wife. In only very few unfortunate men or who cannot afford costly therapy, only option is donor sperm.

In very few cases of TESTICULAR or PRE_TESTICULAR DEFECTS, medicines can help (but in very few cases). In OBSTRUCTIVE CASES, surgery may be needed to correct the defect. But, often we don't need these treatments as the results are not good and take long time to get the results.

So, why to wait and try doubtful treatments, when your prime aim is to father a baby? Just one thing, don't get depressed and talk to doctor, he will find out the cause and give you the best result.
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