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Dr. Nisha Lekha

Gynaecologist, Delhi

500 at clinic
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Dr. Nisha Lekha Gynaecologist, Delhi
500 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Nisha Lekha
Dr. Nisha Lekha is a trusted Gynaecologist in Hauz Khas, Delhi. She is currently associated with Lekhas Nursing Home in Hauz Khas, Delhi. You can book an instant appointment online with Dr. Nisha Lekha on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 38 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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Lekhas Nursing Home

Plot No D 62/E 8, Main Market, Hauz Khas, Landmark:- Opp Main MarketDelhi Get Directions
500 at clinic
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Hello doctor, i'm 4 and half month pregnant. But my stomach is not at all showing. It's a straight. Getting worried is my baby fine. Is he growing. Doctor told everything is normal but i'm getting worried for baby. And my weight is also not growing. It's on 44 kg only since 2 months. What to do. Help please.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
Hello doctor, i'm 4 and half month pregnant. But my stomach is not at all showing. It's a straight. Getting worried i...
Total weight gain in pregnancy is 11 kg on an average.in first teimester its 1 kg following 5 kg in next trimester and other 5 kg in following trimester on an average. So you need not to worry.
1 person found this helpful
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We got married last year. My wife got pregnant. We get to know by checking with (i-can). We get (i-can) in medical stores to check pregnancy in home. She is feeling weak. I do not want to consult doctor immediately. After 2 months I ll consult. She is weak what kind of precautions I have to take for her? Any suggestions? What kind of diet she have to take? We can do sex?

MBBS, MD - Obstetrtics & Gynaecology
Obstetrician, Jammu
We got married last year. My wife got pregnant. We get to know by checking with (i-can). We get (i-can) in medical st...
Give her proper good diet. No worries as such no special food items to be withdrawn or given. Pregnancy is a normal physiological process. Enjoy the process but get all her routine blood investigations done. Whats wrong in meeting an obstetrician early.
1 person found this helpful
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Treating Infertility Caused by PCOS With IVF

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Treating Infertility Caused by PCOS With IVF

PCOS is an abbreviation for Polycystic Ovarian Syndrome. It is a problem that is caused in women when their hormones are out of balance. It affects menstrual periods and can even hinder conception when aggravated to an advanced stage. Many women having PCOS develop small cysts on their ovaries. These cysts might not be harmful, but they lead to hormonal imbalances. 

Common symptoms include:

  1. Gain of weight or Weight loss problems
  2. Acne
  3. Excess hair on body and face
  4. Irregularities in periods
  5. Fertility problems
  6. Depression

It is possible for most women with PCOS who fail to attain pregnancy easily to use other treatments to get pregnant. Using In vitro fertilization (IVF) is one such mode of treatment. The procedure is helpful if done within the age of forty. You should undergo IVF only in a high quality clinic under the supervision of an experienced doctor.

There is a considerable amount of risk of having a higher order multiple pregnancy due to treatment of PCOS infertility using injectable gonadotrophins. Recent developments have allowed the patients to maintain high rates of pregnancy while simultaneously controlling the risk of multiple pregnancy. A variant of the standard IVF treatment known as Blastocyst embryo transfer is useful in the control of multiple birth rates. Generally, success rates for IVF treatment in cases where infertility is caused due to PCOS is quite high.

IVF Protocols for PCOS
There are two simulation protocols that are commonly used with PCOS:

  1. Ganirelix with Lupron trigger protocol: Used to avoid ovarian hyperstimulation syndrome.
  2. PCOS down-regulation protocol

This protocol combines:

  1. Oral Contraceptive Pills
  2. Metformin

A calendar is followed for the down regulation protocol for PCOS. Before starting with Lupron, a dosage ( 500 mg, 3 times a day) of metformin is followed daily. After this, oral contraceptive pills are prescribed for around 21 days. Lupron coincides with the last 3 pills of birth control. 

Lupron is a subcutaneous injection of a medicine that is taken once daily. Simulation of the ovaries is initiated after 6 or 7 days without using pills. It is very important with polycystic ovary that the dose of FSH hormone is properly controlled and that the ovarian response is cautiously monitored. Over response to the treatment can cause ovarian hyperstimulation syndrome. This should be avoided.

If you want to discuss any other problem, Consult IVF Specialist.

3772 people found this helpful

Hi, m 24 years old. Is fingering alot called loosing a virginity? My boyfriend did all dos stuffs. Bt we never had a sex. We have broke up with each other. I want to know will my future relationship will get affected by dis? Coz he has fingered? Am I still a virgin? Is der any test to checkout the virginity? Pls rply.

MD - General Medicine
Sexologist, Nashik
Hi, m 24 years old. Is fingering alot called loosing a virginity? My boyfriend did all dos stuffs. Bt we never had a ...
lybrate-user do not bother and tell anybody and to your husband no test can judge your virginity, in most girls hymen gets ruptured by cycling, travelling jumping, relax.
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Endocrine Surgery - Understanding The Types!

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Endocrine Surgery - Understanding The Types!

Our endocrine glands work overtime to keep us healthy by secreting hormones which reach each and every cell in our body through the blood. These hormones evoke life changing responses in other cells to keep us alive and healthy. Endocrine surgery is a term for an operation in any one or more endocrine glands in your body.

Types of endocrine glands

  1. Thyroid gland: This is the most important endocrine gland in your body and it secretes thyroid hormone, which regulates metabolism.
  2. Parathyroid glands: There are 4 parathyroid glands and these are located behind the thyroid gland in the neck region. These glands secrete the parathyroid hormone which controls calcium levels in the body.
  3. Adrenal glands: These are located over the kidney. There are 2 adrenal glands and these secrete adrenaline, aldosterone and cortisol- the body’s fight or flight hormone. These also maintain salt levels in the blood and the blood pressure.
  4. Neuroendocrine glands of the pancreas: These are located in the pancreas behind the stomach. They work to control glucose levels and glucose metabolism.
  5. Pituitary gland is the master gland of the body: It secretes thyroid stimulating hormone (TSH), follicle stimulating hormone (FSH), and other important hormones that control ovaries, thyroid and other endocrine glands in your body.

Endocrine surgery
Depending on the endocrine gland being operated upon, there are different types of endocrine surgeries. The most important ones are-

  1. HypophysectomyThis is the surgical removal of the pituitary gland. It is a very sophisticated and critical surgery that surgeons resort to, if there is a tumor in the pituitary gland - especially craniopharyngioma tumors. It can cause atrophy of thyroid, adrenal glands and the ovaries as the pituitary secretes hormones to control their function. In addition, it can result in sterility and sometimes results in a non-functional reproductive tract in both men and women.
  2. Thyroidectomy: It is an operation that involves removal of the entire or parts of the thyroid gland in the neck. Trained ENT or endocrine surgeons perform this operation, which is indicated for thyroid cancer or hyperthyroidism, goiter or Graves disease. Sometimes it is done for treating an enlarged thyroid gland or obstructions in the neck region, causing problems in swallowing or breathing. In cases of total thyroidectomy patients will need life long thyroid hormone supplementation. Sometime patient can have change in voice which is usually temporary.
    • Since the thyroid produces several hormones like thyroxine (T4), triiodothyronine (T3), and calcitonin, you will have to take oral synthetic hormones all your life post surgery. The thyroid is usually removed through an incision in the neck. These days there is the option of minimally invasive surgeries too.
  3. Adrenalectomy: It is the removal of one or both adrenal glands to treat tumors of the adrenal glands. It is done using an open incision or laprascopic technique.
  4. Pinealectomy: It is a surgical procedure in which the pineal gland is removed. If you wish to discuss about any specific problem, you can consult a General Surgeon.
1975 people found this helpful

Im marriage women an I miss period 15 days is over and I ll do pregnancy test also two time it will b coming negative result why.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Im marriage women an I miss period 15 days is over and I ll do pregnancy test also two time it will b coming negative...
If pregnancy test is negative then get ultrasound lower abdomen done. And it will be better if you visit a doctor.
1 person found this helpful
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What is the next medical abortion process to be done if after taking misoprostol no blood comes. Please do suggest some medication I am so much worried.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Medicines work only till 8 weeks. medicines fail in cases of dose not taken properly pregnancy is too early-just up by a day or so pregnancy is beyond 8 weeks. get it confirmed by ultrasound first & then opt for procedure like MR done in OPD for cases upto 9 weeks only beyond 12 weeks till 20 weeks,it has to be carried out like artificial delivery like induced pains with help of medicines
1 person found this helpful
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Sexual Weakness!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ambala
Sexual Weakness!

Sexual weakness can begin early in a person’s life or they may develop after one has previously experienced enjoyable and satisfying sex. This problem may develop gradually over time, or may occur suddenly as total or partial inability to participate in one or more stages of intercourse. The cause can be physical, psychological or both. In erectyle dysfunction a man is unable to attain an erect penis that is rigid enough for sexual penitration or sexual satisfaction erectile dysfunction affects the lives of many men and their partners. Sexual dysfunctionare more common in the early adult years. Men may also notice that orgasm are less intense and the volume of ejaculate is reduced and recovery time increases between first and second errections, these conditions sometimes trouble in late twenties through thirties. Errections may take longer to develop and may not be as rigid or may require more direct stimulation to be achieved, this condition can interfere with self image of man and also his partners sexual life. Erectile dysfunction can also be a sign of a physical or psychological problem and it requires treatment.

Signs and symptoms

  • Occasional inability to obtain a full erection
  • Complete inability to achieve an erection
  • Less firm erection
  • Taking longer time to reach an erection
  • Loss of force in ejaculation
  • Losing erection quicker after orgasm
  • Decrease in volume of semen
  • An increase amount of time it takes to get another erection
  • Inability to maintain an erection through intercourse

Physical cause:

  • Nervous debility or lack of blood flow to blood vessels into the lenis during erection
  • Hypertension or high blood pressure
  • Venereal diseases or sexualy transmitted diseases
  • Diabetes causes nervous weakness
  • Blood leakage inside the blood vessels of penis
  • Cardiovascular disorders affecting the blood supply to the pelvis
  • Hormonal disorder or decreased libido can be a cause of low testosterone or androgen
  • Enlarged prostrate gland can also be reason
  • Alcoholism and other forms of drug abuse like narcotics, marijuana, tobacco can also damage penile arteries
  • Medicines like tranquilizers, antidepressants, antihistamines, psycho therapeutic drugs, anti hypertensives etc.
  • Some defects by birth

Non physical causes can be:

  • Stress or anxiety
  • Depression
  • Negative feeling that are expressed by partner
  • Fatigue
  • Sexual fear or guilt
  • Past sexaul trauma

When to consult a doctor

If erectile dysfunction lasts longer than a month or two or is a recurring trouble it is time to seek medical advice we at our centre determine the underlying causes of erectile dysfunction and then give you right type of treatment. Erectile dysfunction is a embarrassing problem it’s important to get treatment done. In 98% of cases erectile dysfunction can be successfully treated. Our goal ‘dr. Nagi ayurveda superspeciality clinic' is to restore a healthy physical and emotional outlook to our patients and their partners using the brilliant medical asset of ayurvedic medicine and improve their ultimate satisfaction with successful treatment of sexual weakness.

1 person found this helpful

Sir/ma'am ,this month I had my periods on 12-12-16. But again 31-12-16. Again im hv periods. Can this happen.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
Sir/ma'am ,this month I had my periods on 12-12-16. But again 31-12-16. Again im hv periods. Can this happen.
Hello lybrate-user yes it's possible to have periods like this under some circumstances like if you are anaemic, have thyroid problem, have cysts in ovary etc. So go for thorough investigation to rule out cause n please give details of other associated symptoms so that I can help you with the best.
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My wife is miss carrying a baby from past two years. We are consulting doctors and talking medicines also but no use. Please give me good solution for this problem.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
The problems may lie inside her blood, thyroid, sugar, uterus, cervix etc or your semen or in the baby. It is needed to determine the cause, so that treatment of the cause is effective
2 people found this helpful
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I am 20 years old female. Mera period 8 Oct ko aaya tha last time. But is month m abhi tk nhi aaya. Period aane ke liye koi medicine ho to please suggest me. Medicine ka side effects nhi hone chahiye.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 20 years old female. Mera period 8 Oct ko aaya tha last time. But is month m abhi tk nhi aaya. Period aane ke li...
Hello, If pregnancy is ruled out then you can opt for a withdrawal bleed with progesterones. Also then get evaluated for PCOD, hypothyroidism or hyperprolactinemia.
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Pregnancy me beet juice pee skte hain ya nhi? Beet juice peene ka fayda Kya hain?

BHMS, MD - Homeopathy
Homeopath, Delhi
Pregnancy me beet juice pee skte hain ya nhi? Beet juice peene ka fayda Kya hain?
Hi Yes, beetroot juice is a good source of folic acid and hence is very good for initial three months of pregnancy.
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8 weeks 2 day child die after abortion we are trying after 1 year but 8 month crossed no pregnancy what I do?

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
8 weeks 2 day child die after abortion we are trying after 1 year but 8 month crossed no pregnancy what I do?
Hello, kindly consult a gynaecologist as you will need to be evaluated if nothing happens for another four months. Meanwhile have a healthy diet and have intercourse in your fertile period.
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I am 24 years female and I am 1 month pregnant and I don't want to take it continue. please confirm me the risk of it. And name and dosage of medicine.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
I am 24 years female and I am 1 month pregnant and I don't want to take it continue. please confirm me the risk of it...
Hi, Priyanka you are already 24 years why don't u accept pregnancy why do u want to kill your baby. You would have used contraception if you really dnt want a baby. Once if u have abortion 50 % chances of having abortion in second pregnancy.
1 person found this helpful
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My wife is suffering from PCOD problem. She is getting treatment from Gynecologist in Jharkhand since 4 months. Nearly 10 tests have been done to diagnosis the exact problem like FSH, LH, TSH, Prolactin etc. And found results are within good limit. Still she is not ovulating due to multiple cysts around the ovary. She has been doing regular exercises, yoga etc. What is the chance for her ovulation. Please suggest.

MBBS, MS-Obstetrics & Gynaecology
Gynaecologist, Delhi
My wife is suffering from PCOD problem. She is getting treatment from Gynecologist in Jharkhand since 4 months. Nearl...
If all tests normal n she doing excercise regularly then she also need to take care of her diet. No junk food. No oily food. No sweets and also consult d doctor to start appropiate treatment.
4 people found this helpful
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BHMS
Homeopath, Solan
2 people found this helpful

Pregnant - Should You Consume Artificial Sweeteners?

MBBS, DGO, DNB - Obstetrics and Gynecology
Gynaecologist, Delhi
Pregnant - Should You Consume Artificial Sweeteners?

Ingredients that you generally come across in candies, soft drinks, desserts and so on are known as artificial sweeteners. Many women during their pregnancy include these ingredients (in the form of foods and drinks that have been artificially sweetened) in their diet so as to cut down the amount of sugar in their diet.

But before you go about including them in your diet during pregnancy, there are certain things that you need to be aware of. Artificial sweeteners are generally of two types - nutritive sweeteners and nonnutritive sweeteners, the former contains calories while the latter doesn't.

Which sweeteners are safe to have?

Nutritive sweeteners, when consumed in moderation, can be looked upon as safe to have when you're pregnant, as long as they don't add to your body weight. But if you suffer from carbohydrate intolerance like diabetes, insulin resistance or even gestational diabetes, you need to limit the consumption of nutritive sweeteners. This type of sweeteners includes the different forms of sugar sucrose, honey, corn sugar, maltose, fructose and dextrose.

On the other hand, non-nutritive sweeteners are found in small quantities in foods since their role there is to only add a certain sweetening effect to the food product. Experts are still carrying out research on the effects of this type of sweeteners on pregnant women and their babies during pregnancy. The category includes options like sucralose, aspartame, rebaudioside a or stevia and acesulfame potassium.

Which sweeteners are not safe to have during pregnancy?

Apart from certain sweeteners that you can have during this period, there are some that are a total no-go - these are saccharin and cyclamate. While insufficient data is available for the effect of cyclamate on pregnant women, several studies conducted in the past show the adverse effect of saccharin. Certain studies have revealed its effect on the bladder (it can lead to bladder cancer) as well as on fetal tissue and placenta. Contact with this form of sweeteners can cause the unborn or infants to develop muscle dysfunction and irritability. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4554 people found this helpful

I got married in 2011 in 2012 june my wife got concivedvbut unfortunately the doctor advised your to abort the baby within 2 months due to no cardiac activity we also done the same. After 2 years in 2015 after lot of treatments my conceived for the 2nd time but this time also the same happened. I want to know y this was happening.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I got married in 2011 in 2012 june my wife got concivedvbut unfortunately the doctor advised your to abort the baby w...
Hello recurrent pregnancy loss is due to some maternal infection or disease. Your wife should be investigated and treated thoroughly before going for the next pregnancy.
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BUMS
Gynaecologist, Mumbai
We suggest that women should get a health check-up done even before trying for pregnancy, as any other medical conditions needs to be treated before trying for pregnancy.
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