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Dr. Nirmala Agarwal

Gynaecologist, New Delhi

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Dr. Nirmala Agarwal Gynaecologist, New Delhi
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Nirmala Agarwal
Dr. Nirmala Agarwal is an experienced Gynaecologist in Civil Lines, Delhi. You can visit her at Dr Nirmala Agarwal's Clinic in Civil Lines, Delhi. You can book an instant appointment online with Dr. Nirmala Agarwal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 32 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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I m 34 yr old my periods was came on 29 DEC. 2014 & not come yet now UPT test is neg. Four times

MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
Gynaecologist, Mumbai
Dear, what will doing 4 times urine pregnacy test will tell u.. plz visit a gynecologist and get yourself checked and investigated for the same.
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Hi I had last month periods on april 27 and ended on 2nd may when will I ovulate to conceive.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, it depend on your days of cycle, if your cycle is irregular then to be confirmed by follicular study, usually it happens on day 14th of cycle counting from day 1 on start of menses. Its great that your planning for healthier progeny consider to plan well in advance so that you can spare time for detox to eliminate toxic n non toxic garbage physical n emotional too, to drain couple of hereditary issues.
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Sir, My wife is suffering from irritation in vagina and rectum. All the medical tests like Blood test, pap smear, biopsy, thyroid etc are normal. Kindly advice.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please give her kreosotum 200 / 5 drops in little water twice a day for one week. Revert back after one week with feedback.
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I had take I pills in 3 times. After that I faces the periods problem. Date is hapazarly.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had take I pills in 3 times. After that I faces the periods problem. Date is hapazarly.
Hello, This is common if you take ipills more than once in a month. Just wait and allow your menses to regularise, do not repeat the pill at all.
1 person found this helpful
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1) Is there any possible if I take laproscop treatment for my tubes closed 2) without laproscop is there any medicine to take. 3) After taking laproscop how my days I have to take rest. 4) After taking laparoscope is there any use to my 2nd pregnancy.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
1) Is there any possible if I take laproscop treatment for my tubes closed 2) without laproscop is there any medicine...
Test to find out closed tubes is not laprascope, it is called hsg, a dye is injected through mouth of uterus (sometimes anesthesia or sedative is required) the radiographer takes pictures from abdomen, 20 ml of dye is injected with a little force and it helps to open partially blocked tubes also (like your nose gets blocked by its own secretions) remember tube is size of your hair, and if tubes are open one can see the dye dribbling from both sides or one side. This procedure is both diagnostic and therapeutic as pregnancy rate just after the test is very high, no need to take rest from routine work. One pregnancy occurs and next pregnancy is hassle free.
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She is in her sixth week of pregnancy and due to her earlier pregnancy complications, she has a doubt that the baby is outside the womb. Should she do the ultrasound told by her doctor now? Will it clear her doubts and will the ultrasound affect the baby?

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
She is in her sixth week of pregnancy and due to her earlier pregnancy complications, she has a doubt that the baby i...
In the sixth week of pregnancy the ultrasound can confirm if the gestation sac is in the uterus or out. Ultrasound is absolutely safe for the baby.
3 people found this helpful
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Hii. I always suffer from pain during sex. Me and my boyfriend do try different positions to overcome this pain however I always feel the pain in every position and due to which I am not able to reach to orgasm which is frustrating and this is affecting my life. I behave very rudely and arrogantly with everyone. What should I do? Please help.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Vagina secretes natural lubricating solution which is secreted by bartholin's gland. Sometimes because of hormonal changes in the body, that secretion goes down considerably, giving less sexual satisfaction and dry feeling. You can use vlg gel or vaginal lubricationg gel just before theintercourse. Foreplay also helps in secreting natural lubricant which will prevent pain during sex.
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My girlfriend didn't got periods almost last two months. We had sex before 15 days but she didn't got periods last two months. She did home pregnancy test from pregnancy kit. But last month also negative and this month also negative. So please help me regarding this.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My girlfriend didn't got periods almost last two months. We had sex before 15 days but she didn't got periods last tw...
Hello, She needs to get evaluated for PCOD, hypothyroidism and hyperprolactinemia which can be other common causes for delaying menses after pregnancy has been ruled out.
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I have no period for last 45 days and I am not a pregnant its problems was 2 years my period disturb pleas suggest what I do.

BMS
Ayurveda,
I have no period for last 45 days and I am not a pregnant its problems was 2 years my period disturb pleas suggest wh...
Hello lybrate-user, I read your question. Many womens day by day facing such problems in india, might because of our food habbits and change climate and lifestyle. Few womens may have 45 days of cycle might because of pcod its poly cystic ovarian syndrom. Eighther you chek your harmones on 2nd day of your period. And please change your life style, be wake up early sleep early, do your diet proper way. Let me tell your another co joint symptoms like weight gain, hair loss, hair grow over face or sudden gain in weight etc etc.
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I am 8th months pregnant and all report is normal. In ultrasound my delivery in 10 month 22 days I think its too late.

BHMS
Homeopath, Jaipur
I am 8th months pregnant and all report is normal. In ultrasound my delivery in 10 month 22 days I think its too late.
Hello lybrate-user, it happens sometimes in usg, sonography machine shows delivery date according to baby development and it may also differs in your different scans. Don't worry about that. Doctor will count your delivery date from your first date of last menstrul period. You can measure it by adding 9 months and 7 days to the first day of last menstrul period. It is 280 days or 40 wks. Just relax and enjoy this very precious time of your life, happiness is just on the way good luck:)
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6 Winter Health Symptoms You Shouldn't Ignore

MD - General Medicine
Sexologist, Delhi
6 Winter Health Symptoms You Shouldn't Ignore

Traditionally, winter is a time for running around throwing snowballs, trying (and failing) to hit the high notes in" all I want for christmas is you. And then creeping inside to deal with our dripping noses and dry throats. For many of us, winter health problems are as much a part of the season as holiday cookies or goofy knit caps. However, while you may be resigned to feeling less than great for the next few months, there are some winter health symptoms that you shouldn't blow off as" just what happens when it gets this cold" — because they could be a sign of a serious problem.


 

Many of these symptoms might be familiar; perhaps you've experienced them for years, every time the temperature drops. But that doesn't mean they're normal or unavoidable — yes, virginia, it is unusual to have colds on and off from autumn to spring, to have a cough that lasts three months, or to have your fingers go white every time you spend some time in the freezing outdoors. Just because it's normal for you, doesn't mean it's not actually a health concern.


 

So if any of the six symptoms below strike a chord, get yourself checked out by a doctor — yes, even if you're sure it's not a big deal/ you hate causing a fuss/don't want to bother the doctor/whatever other excuse you've been using to get out of a gp visit. Just go. Your lungs, circulation, immune system or whatever else will thank you.

 

1. White fingers

If you live in a spectacularly cold area, you're doubtless familiar with the one serious problem that whitened fingertips after exposure to freezing weather can signal: frostbite. But if you habitually suffer from fingers whiter than santa's beard every time you spend some time outdoors, you may have a different problem — a condition called raynaud's syndrome.


 

Raynaud's syndrome is essentially a malfunctioning of the blood vessels in your extremities. If they're exposed to cold or stress, they'll contract temporarily, restricting the blood flow massively and leading to the syndrome's trademark creepy whiteness. As the blood vessels relax and the blood returns, your fingers will flush and hurt. Raynaud's is pretty common (up to 20 percent of adults worldwide have it), but it's also got some serious possible side effects, including ulcers — so if you're nodding your head in recognition here, hop it to your gp.


 

2. Flushed cheeks

The winter season is all about pink cheeks, right? what would the season be without flushed-cheek children frolicking and taking sleigh rides? yep, but if you're getting a bit too flushed, you could actually be afflicted with something more serious than festive cheer.


 

If you've noticed that your flushed cheeks last for a long time or seem to be lingering and sticking around like a sunburn, you may have the beginnings of rosacea, a dermal disease related to the blood vessels in your face. As the name indicates, it shows up as a painful rosiness and redness of the skin, as well as occasional pimples. But if you identify with all these symptoms, don't worry — you're not alone. Up to 10 percent of people in cold countries suffer from rosacea, and there are a host of treatments available, from facial gels to avoiding triggers (coffee is, alas, partially responsible). So even if you feel like it's not making a major dent in your life, you still might want to get your potential rosacea checked out.


 

3. Wheezing

When you come in out of the cold weather, do your lungs usually sound like a bellows? wheezing — which typically involves a whistling noise and feeling of restriction when you breathe — isn't actually a normal respiratory reaction to the cold, so if you've started to give a decent impression of a deflating balloon every time you head indoors, you need to see a doctor.


 

Wheezing can be a sign of many health issues, including bronchial infections, asthma and even allergies. If you're wheezing and you know you won't be able to see a doctor for a while, make sure to at least wrap yourself up very well every time you go outside (particularly around the neck and face), and try not to do exercise in cold air (which, if you have asthma will, can leave you with a wheeze so intense, it may sound like a seal bark).


 

4. A cough that won't go away

The concept of a" persistent cough" doesn't really hit home until you've actually spent weeks or months with the thing hanging around, interrupting your sleep and making you the most hated person in any movie theater you enter. Coughs are often benign, but it is important to watch how long they last. If they don't clear up in less than two weeks, you may just have lasting irritation in your airways after a cold or could be suffering from an allergy — but your cough might also be pointing to other health conditions.


 

A prolonged cough may mean that you have developed a bacterial infection in your airways, particularly if you notice that the cough's accompanied by a bit of pain. The four other common causes of prolonged cough, according to harvard research, are a postnasal drip, asthma, acid reflux, or certain blood pressure medications which induce cough — and all of these situations deserve medical attention. And in extremely rare circumstances, a cough that won't go away can also be a sign of lung cancer. So don't feel like you should just wait for it to go away on its own.


 

5. Extremely dry lips

Dry lips are a constant struggle for most of us in cold weather, but if the problem persists even when you've smothered them in every chapped lip solution known to man, you may actually deal dealing with a more unusual problem: a vitamin a overdose. Women are only supposed to have 700mg of vitamin a per day, and if you're exceeding that, your body may be reacting in some unusual ways.


 

A vitamin a overdose is known as hypervitaminosis a, and it's not fun: along with dry, cracked lips, your skin and mucus membranes go dry and you may suffer from hair loss. It's most often caused by people taking too many vitamin a supplements (like cod liver oil) and also occurs as a side effect of some heavy-duty acne meds. So if you're concerned, be very sensible when it comes to supplement use and the balance of vitamin a-heavy foods like sweet potato and tuna in your diet.


 

6. Persistent colds

Long-term vegetarians and vegans will probably be familiar with this one: if your body seems to be completely incapable of recovering from colds, or only lets you feel healthy for a few days before you catch the next one, you might actually have an iron deficiency affecting your immune system. The medical term is iron deficiency anemia, and it leaves your body vulnerable to infections and viral illnesses.


 

Iron plays a big role in the immune system; it is a necessity for red blood cells, which carry oxygen around the body. If those red blood cells are not working properly, your system gets fatigued and oxygen-starved and can't fight off illness. You can fight this deficiency through upping your consumption of vegetarian-friendly iron-rich foods, like dark leafy green veggies, legumes, and whole grains. And if you aren't a vegetarian, one of the most highly recommended ways to combat iron deficiency anemia is seriously seasonally appropriate: eat dark turkey meat, which has tons of iron. So bring on that christmas lunch early! you just have to have the turkey leg, for medical reasons.

7 people found this helpful

Hi, m 26 years I have pcod n thyroid problem I missed my period 6 day I check in prega News I saw 2 lines but 1 is very dark n 2nd is very light is that possible m pregnant pls help me.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi, m 26 years I have pcod n thyroid problem I missed my period 6 day I check in prega News I saw 2 lines but 1 is ve...
Hi dear. Yes indeed you are pregnant. Even a faint second line indicates a positive pregnancy test.
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How Much Water Should You Be Drinking Daily?

BHMS
Homeopath, Delhi
How Much Water Should You Be Drinking Daily?

Water is vital for our survival. Our body is constituted with 70% water and we may well surmise from this, how essential water is for our health. For the proper functioning of our body systems, we need to maintain the right proportion of water in our bodies at all points of time. It is often taught to us that drinking water is a habit that must not only be inculcated in one and all but also be practiced diligently. There are certain immediate health benefits attached to consumption of adequate water. It stimulates proper digestion, regulates the kidney functioning and supplies the body with the essential nutrients. Water is one of the best resorts for detoxification of your body. The appropriate quantity of water intake is also necessary for watching over one's weight. Indiscriminate amount of water content in the body often adversely affects your metabolism which in turn asserts a negative impact on your body weight. The ideal amount of water that needs to be consumed varies from person to person. The measure is dependent on one's stature and the level of activity.

What is the correct measure?
Toppling the notions about the standard intake being 8 glasses a day, contemporary physicians recommend that the sufficient quantum of water depends upon a multitude of factors. Climate and altitude is one of them. For drier conditions, the water requirement of the body is more than in those situated in the coastal conditions. Similarly, for those based on higher altitudes, your body shall need more water to sustain than those in the lower areas. Considering the huge influence that your water intake has on your metabolism level, your level of activities also determines how much of water you should consume on a daily basis.

A commendable practice is to reach out for a glass of water the first thing in the morning. You should not remain dehydrated for a fair stretch of time. It often leads to all kinds of ailments. Instead of gulping down large quantities of water at one go, you should drink smaller sips all throughout the day to meet the body's requirements of water adeptly.

4870 people found this helpful

I an having monthly problem, and now its not come from the last 3month, what to do, having polycyst?

Fellowship in Minimal Access Surgery, Diploma in Minimal Access surgery, MS - Obstetrics and Gynaecology, M.B.B.S (Cal)
Gynaecologist, Kolkata
Hello, you should test your urine first to exclude the conception. If it is negative then further evaluation will be required. Thanx.
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I am 46 year old lady and not attended menopause yet. I take calcium tablet everyday. I feel pain in both the thighs (outer side, between knee and hip) especially in the night before sleeping time. I get some relief if someone weight (like I ask my son to sit on my waist or hard press it What should I do and what could be the reason. I am not obese.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hello, Get yourself checked for calcium, vitamin D and uric acid. Popping in calcium supplements can be equally problematic and there could be malabsorption of calcium and other vital nutrients. Make sure you diet is good enough and check with the doctor for DEXA scan.
1 person found this helpful
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Know Everything About ECMO - Extracorporeal Membrane Oxygenation

M.Ch. CVTS
Cardiologist, Ahmedabad
Know Everything About ECMO - Extracorporeal Membrane Oxygenation

How many of us have heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and while it could not help the late Chief Minister, her condition put a spotlight on ECMO.
 
What is ECMO?
ECMO is a life support device that is put in place when a patient’s heart and lungs stop functioning completely post a cardiac arrest. When the patient does not respond to Cardio Pulmonary Resuscitation (CPR), the patient is put on ECMO.  
 
Function of ECMO 
The core function of the device is to separate carbon dioxide from the blood and add oxygen into it. It takes the load off from heart and lungs, providing critical time to the body organs for its treatment and recovery.

Patients are only put on ECMO, if there is a chance that the condition can be reversed. 
 
How does ECMO work? 
The device drains blood from a vein, which is attached to an oxygenator machine. The machine then removes carbon dioxide from the blood and adds oxygen to it. Depending upon the condition of the patient, the warmed blood is either pumped into the body with the help of the machine or made to get back to the body through an artery.
 
How long can a patient be on ECMO?

  1. After seven days of being put on ECMO, there are chances of patient getting an infection.
  2. In case the patient contracts an infection, it is recommended to take the patient off ECMO support. If you wish to discuss any specific problem, you can consult a cardiologist.
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I'm 47 and not had periods since 3 months. I'm also gradually putting on weight even though I gym and control my diet. This is depressing me. I want to loose weight.

MBBS, Diploma in Cardiology, DTM&H(Diploma Tropical Medicine & Hygiene, PGD PPHC(Post graduate diploma in Preventive and promotive health care
General Physician, Kolkata
I'm 47 and not had periods since 3 months. I'm also gradually putting on weight even though I gym and control my diet...
HI lybrate-user, Don't be depressed. At what age your period started. Sometimes in our ladies menopause starts early to confirm it consult Gynaecogist. To loose weight basic is reduce intake spend calories. To do that once in a week take only vegetables and fruits except banana. Cut down roti, rice by 20% and increase vegetables and stop taking any food in between breakfast, lunch and dinner 20 minutes walk after lunch and dinner. Hope your problems will be solved Blood test- TSH, FreeT4 & T3, FBS, Lipid profile.
1 person found this helpful
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Why Tea, Coffee so Refreshing?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Why Tea, Coffee so Refreshing?

Refreshing cups of tea, coffee?
It is a medically known fact that tea, coffee, and colas contain a chemical caffeine which is responsible for giving you the feeling of mental and physical alertness. Caffeine is also present to some extent in chocolate.

If you take these beverages only very occasionally, a single cup of coffee can increase your blood pressure by upto 10mm hg. However if you take it every day, your body gets used to its effects and there may not be any effect on your blood pressure, even in the long run. Women who suffer from low blood pressure will actually benefit from an occasional cuppa.

People who have an established history of heart disease need to be cautious if they take more than 2 cups of coffee and equivalent per day. In the long run caffeine may increase anxiety and depression.

On the other hand long term caffeine intake of more than 2 cups a day may reduce age related memory loss, parkinson's disease, liver cirrhosis and onset of diabetes.

If you want to make your cuppa super efficient and boost your metabolism further, just sprinkle a pinch of cinnamon powder on top. It may just help you loose weight faster

 

18 people found this helpful

The Five Types of Colitis!

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist,
The Five Types of Colitis!

Colitis is characterized by an inflammation of the large intestine (colon). It is generally caused due to reduced blood supply, autoimmune reactions (wherein the immune system erroneously starts attacking the body’s healthy tissues) and infections in the large intestine.

Symptoms of colitis
1. Presence of blood traces in the stool.
2. Acute colitis can itself be a symptom of hemorrhoids (inflamed and swollen veins in the anus or the rectum)
3. Tenesmus (constant urge to empty the bowels) is also quite common
4. Occurrence of abdominal pain in regular intervals, thus resulting in diarrhea
5. Constant abdominal pain
6. Fever and sudden chills throughout the day

Types of colitis
1. Inflammatory bowel diseaseThis condition is characterized by inflammation of the intestines or all the parts of one’s digestive tract
2. Microscopic colitis: This involves inflammation of the large intestine (colon), resulting in a cramping sensation that can be painful
3. Chemical colitis:  This condition is caused due to prolonged exposure to certain harsh chemicals which results in intestinal swelling and inflammation
4. Ischemic colitis: The most common form of colitis, this occurs mainly due to an insufficient blood supply to the large intestine
5. Infectious colitis: Caused due to certain bacterial or parasitic infections

Treatment for colitis
1. Medications such as acetaminophen and ibuprofen can be recommended to ease the pain
2. The drug ‘Loperamide’ can control the diarrhea. However, this should not be consumed if there is presence of blood in the stool
3. Colitis reduces your appetite. Thus, it is important to maintain a healthy diet in this regard. Avoid consuming dairy products or high fiber foods because they further inflame the large intestine.
4. Colectomy (surgically removing a part of the whole of the colon) is recommended in the most severe of cases. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.

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