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Dr. Nishi Makhija

Gynaecologist, Delhi

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Dr. Nishi Makhija Gynaecologist, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Nishi Makhija
Dr. Nishi Makhija is an experienced Gynaecologist in Fatehpur Beri, Delhi. You can meet Dr. Nishi Makhija personally at Tirath Ram Shah Hospital in Fatehpur Beri, Delhi. Book an appointment online with Dr. Nishi Makhija on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across 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.

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#2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Civil Line. Landmark- Near Metro Sation, DelhiDelhi Get Directions
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Sir/mam, its an emergency please help me out. I wouldn't hide anything from you, sir actually we did not had sex, but I just touched my penis on her hole, bt I did not cum there. Now she is having a brown discharge, instead of her regular periods, so sir what does that supposed to mean, we realy do not want a baby, please help me out, please.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician
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Sir/mam, its an emergency please help me out. I wouldn't hide anything from you, sir actually we did not had sex, but...
Please donot worry. Your wife is not pregnant. Brown discharge may be due to some injury to vulva. If still worries adv urine pregnancy test or b-hcg test depending uopn date of m. C.

I m 22 year old female. I have a history of PCOD. I had sex last month and got my normal periods that month but this month I didn't get my periods.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I m 22 year old female. I have a history of PCOD. I had sex last month and got my normal periods that month but this ...
If you dont have had sex after your periods last month then no chances of pregnancy.delayed periods can be due to PCOD,just wait for some more days.

In first trimester of pregnancy if sex done normally without any stress in the vagina and womb, is harmful to the pregnant lady, sperm released from penis are harmful to fetus or not. If the pregnant lady feels comfort we can continue regular sex or not.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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Hi lybrate use,you can enjoy. Other sexual methods in first trimester. Such as oral,anal. Ideally you should avoid vaginal sex as it can produce local stimulation of cervix which can lead to uterine contraction.if you ejaculate in vagina remember semen contains prostaglandin which will increase risk of having uterine contractions could lead to abortion.

Can a girl be pregnant if dry precum is on hand massage upper side of her vagina.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist
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Even the semen come out of the vagina and spills on the thighs then also there are chances of pregnancy.

I have heavy pain in period time. Some time I take medicine it gives stomach pain. Regularly. What will I do?

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I have heavy pain in period time. Some time I take medicine it gives stomach pain. Regularly. What will I do?
Hello lybrate-user for periods pain you can take syrup ashokarista 15-15 ml after food with equal water. In diet take more of fruits and vegetables. Do some yoga. Excersise daily. Take proper sleep. Avoid stress etc in pain condition take ajowain and sonf half half teaspoon boil in one glass water and reduce it half and drink warm.

How to Prepare for an Appendectomy (appendix surgery)

MS - General Surgery, MBBS
General Surgeon
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How to prepare for an appendectomy

Appendectomy is the medical term for the surgery that is performed to remove the inflamed appendix (a condition that is known as appendicitis). This surgical treatment is mostly performed on an emergency basis.

But before you move on to know how to prepare for the surgery, it's important why it is important to get a surgery for appendicitis done?

What exactly is appendicitis?

Appendicitis is a medical condition in which the appendix (that is the worm-shaped projection which arises out of the beginning of the colon) gets inflamed.

The major cause of appendicitis is that the tissues of the appendix become infected with bacterial action that results in the formation of pus in the lumen (opening) of the appendix. Factors that can trigger bacterial infection are a hard stool, attack by a foreign body, and accumulation of thick mucus in the appendix tissues among others.

Appendicitis results in aching and acute pain in the abdominal region of the affected person. In many people, it is accompanied by complications like vomiting, nausea, fever, loss of appetite, constipation, abdominal swelling etc. In more severe cases, it is accompanied by diarrhoea.

Appendicitis usually requires an emergency surgery. However, there are some things you need to do before going for the surgery.

Preparations to undertake before surgery

In most cases, appendectomy is an emergency surgery so there are hardly any preparations that a patient can make. The most common preparatory measure that your surgeon may prescribe includes not eating anything up till a few hours before the surgery. Apart from that, certain medications may be prescribed to eliminate or at best reduce the symptoms of nausea and vomiting. There are no other preparations as such that you can undertake before appendectomy.

Recovery period

The recovery time is subjective as it depends on the type of procedure used for the surgery, the type of anaesthesia and the various complications associated with your condition. In general cases, the patients can recover within 12 hours of the surgery. However, it takes approximately 4-6 weeks for a person to resume a normal lifestyle after an appendectomy.

If you would like to consult with me privately, please click on 'consult'.
Tip: How to Know if You Need a Plastic Surgery or a Cosmetic Surgery?
How to Prepare for an Appendectomy (appendix surgery)

What should I do to improve my sex time and emunity?

Advanced Aesthetics
Ayurveda
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What should I do to improve my sex time and emunity?
Sex is the most precious gift given by nature to human beings. It is the integral part of one?s life. It creates a strong bond between husband and wife, gives pleasure and reduces anxiety, anger, depression and tension. Hence it is necessary to keep the sex power alive to enjoy sex life to the fullest. Moderate exercise can help in increasing sex energy to a great extent. Simple push-ups or 30 minutes of regularly walking or jogging can work wonders in building sex power.Sex and exercise both make a person sweat, increase blood circulation, diminish stress and burn calories. They make one feel better and confident. Exercise helps in making sex more enjoyable and satisfying. The exercises of the legs, backs and chest enhance the release of testosterones in men and women. It also increases the flexibility in one?s body in order to accommodate in different positions.Men need cardio exercises in order to have a sustained erection? Certain foods are loaded with nutrients that boost sex drive and increase one?s staying power. Eating these foods help in increasing bedroom power. They help in increasing the production of sex hormones. Vitamins and minerals keep one sexually healthy. The diet that provides energy to sex contains vitamins, minerals and other nutrients required for a healthy body. Zinc is one of the most important ingredients for the proper functioning of the prostate glands of a man. It helps in prostate infections, prostate cancer andhelp sperm production. ? Dates ? Eat 5 ? 7 dates everyday for a week to see surprising sexual stamina. ? Aswagandha ? It is a gift for Indians. Consume Aswagandha for instant sexual stamina. You can find the result in few hours. You can find aswagandha in the nearest ayurvedic shop. For treatment and any querries ask privetly..

My wife is 6 month pregnant .she has heavy pain in the right side of her belly and she cannot sleep from the right side .what was the problem .

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist
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My wife is 6 month pregnant .she has heavy pain in the right side of her belly and she cannot sleep from the right si...
advice her to sleep left side which is necessary during pregnancy.pain may be due to muscle stretching.

Hi. I am married from 1 1/2 years & have 8 month baby. After delivery I get period time with in 20 days & sometimes only 1 or 2 drop blooding. what should I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Hi. I am married from 1 1/2 years & have 8 month baby. After delivery I get period time with in 20 days & sometimes o...
It might be that you are feeding the baby-its called lactational amenorrhoea but please take precautions during intercourse, check with the preg. Test kit to rule out pregnancy.

I have a problem of hairfall from last 4 to 5 years and before that I had thick and long hairs but I have problem of luceria a white fuild discharge from my vaginal part is that reason for this? Or its cause of some hormonal disbalance. please suggest.

BHMS
Homeopath
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I have a problem of hairfall from last 4 to 5 years and before that I had thick and long hairs but I have problem of ...
Hair loss, also known as alopecia or baldness, refers to a loss of hair from the head or body. Baldness can refer to general hair loss or male pattern hair loss. Hair loss and hypotrichosis have many causes including androgenetic alopecia, fungal infection, trauma (e.g. Due to (trichotillomania), radiotherapy, chemotherapy, nutritional deficiencies (e.g. iron deficiency), and autoimmune diseases (e.g. alopecia areata. Hair loss severity occurs across a spectrum with extreme examples including alopecia totalis (total loss of hair on the head) and alopecia universalis (total loss of all hair on the head and body). The most common cause of alopecia is *Androgenetic alopecia (male-pattern or female-pattern hair loss) *Androgenetic alopecia is an androgen-dependent hereditary disorder in which dihydrotestosterone plays a major role. This form of alopecia may eventually affect up to 80% of white men by the age of 70 (male-pattern hair loss) and about half of all women (female-pattern hair loss). Other common causes of hair loss are *Drugs (including chemotherapeutic agents) *Infection (eg, tinea capitis, kerion, cellulitis of the scalp) *Systemic disorders (disorders that cause high fever, SLE, endocrine disorders, and nutritional deficiencies) *Alopecia areata Less common causes are primary hair shaft abnormalities, autoimmune diseases, heavy metal poisoning, and rare dermatologic conditions. Homoeopathy offers best and permanent solution for hair loss ,the medicine should be selected based on symptom totality and correct individualisation, some medicines such as Sulphur, Lycopodium, Merc Sol, Nitricum acidum, Calcarea carb, Graphites,acid fluoric are very effective in treating hair loss.

I am 22 years old female. I have been noticing from last 3 months that I am having less bleeding during my periods. Earlier I used to have 6 days period but now it last only for 3-4 days from last 3 months. Can you please tell me all the possible reasons and their consequences in future? For your information I took contraceptive pills 3 times and after that also an abortion pill once at the age of 20. But I have not taken any pills from last 1 and half years. Does taking pills in past is the reason?

Diploma in Anesthesia, MBBS
General Physician
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I am 22 years old female. I have been noticing from last 3 months that I am having less bleeding during my periods. E...
pills taken 1 and half year previously doenot cause any less bleeding. quantum of blood in period will vary from persong to person on general health condition of your body. bleeding in less number of days also doenot affect your womenhood or motherhood. so donot get worried about this issue

We married last year we have done two abortions now we planed for child but i am not getting pregnant please prescribe some tablets to get pregnant.

MBBS
General Physician
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We married last year we have done two abortions now we planed for child but i am not getting pregnant please  prescri...
Try if your cycle is regular then take chance on mid of cycle, say your cycle start on 1st then try help between 12-17. During this period you have maximum chance. Or do sex alternate day, more chances but it may happen at any time. Thanks.

Effective Ways to Ease Heavy Bleeding During Periods

MBBS, MD, DNB, MNAMS
Gynaecologist
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Heavy bleeding during menses.... What should you know?

Heavy or prolonged bleeding during menses is medically known as 'menorrhagia'. It is more common as you approach menopause but can occur at any age. The bleeding has to be severe enough to interfere with your daily activities.

The cause could be hormonal, pregnancy complications, bleeding disorder or a structural lesion like a fibroid, polyp, endometriosis or adenomyosis.

In advanced age cancer of the uterus or cervix has to be ruled out.

Symptoms of heavy periods

- soaking a pad or tampon every 2-3 hrs or less in a day

- passage large blood clots during menstruation

- your period lasts more than seven days

- you become anemic due to excessive blood loss

How to manage excessive bleeding

1. Maintain a record of the no of days and pattern of heavy bleeding.

2. Increase your intake of fluids and salt

You should increase your intake of fluids and especially salty fluids during heavy menstruation. You can have vegetable juices like tomato juice as well as salty broths during such times. This will help you especially when your blood volume goes down (which is characterized by dizziness or pounding of heart) when you get up after lying down. Your body would need more than four to six cups on such a day.

3. Increase the intake of iron

Increase your iron intake through natural sources like green vegetables, egg yolks, red meat, liver and dried fruits like raisins and prunes. You can also start an iron tablet once a day for faster recovery from anemia

4. Visit your gynecologist

A good history, few blood tests, and a simple ultrasound generally leads to the diagnosis. Sometimes a biopsy is required to rule out cancer. Multiple new drugs have been added in the last few years which have avoided the need for surgery

An early diagnosis ends up with better results. Hence, it is important to act early

If you would like to consult with me privately, please click on 'consult'.

Related Tip: 7 causes of heavy menstrual bleeding women need to know about
Effective Ways to Ease Heavy Bleeding During Periods

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist
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Daily navratri tipi# day3
During fasting it’s important to eat healthy, nutritious food and maintain sodium potassium balance in the body so that you don’t get tired, dehydrated and giddy. Check out our page everyday for different foods to be eaten during the fast with their nutritional benefits and recipes
Day 3 # Amaranth Porridge Recipe with BENEFIT
Amaranth Commonly known as rajgira, is high in proteins, dietary fibre, iron, magnesium, zinc, calcium and B-vitamins. Amaranth seeds can be used for breakfast cereals and porridges. Rajgira atta or Amaranth flour can also be used to make chapatis or parathas or porriedge etc.
RUCHI DIET CARE
DIET WITH RIGHT BIT

Which days are the best to make wife pregnant. How many days we have to intercourse.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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Which days are the best to make wife pregnant. How many days we have to intercourse.
Mid cycle if she has 28 days regular cycles. 9 days after her periods starts for another 9 days every day or on alternate days.

Obesity and Diabetes

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist
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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-

A. Choose whole grains and whole grain products over highly processed carbohydrates.

B. Skip the sugary drinks, and choose water, coffee, or tea instead.

C. Choose good fats instead of bad fats.

D. 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.
Obesity and Diabetes

What time is best for having sex? How many time one do sex in order to make a baby?

MD - Obstetrtics & Gynaecology
Gynaecologist
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What time is best for having sex? How many time one do sex in order to make a baby?
To get pregnant you need to have regular sex i. E. 3-4 times a week for one full year before you start seeking medical help. If you want to make her pregnant fast then you can follow this calender method. If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26 days) minus 18 days = 8th day. The longest cycle (31 days) minus 10 days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period.

I am 31 I have no child I have been trying to conceive baby since one year so I have doubt there is some weakness in me. The semen analysis is done by me it shows 20 million sperm count/ML, quantity 3ML, with 60% mobility, 80%normal so please tell me any abnormalities in report and tell me I required the medication or not.

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist
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I am 31 I have no child I have been trying to conceive baby since one year so I have doubt there is some weakness in ...
Normal count of sperm is 60-150 million. 20 million can produce a baby but chances are less. So take medicine to improve count and quality for three months and repeat the test.

I'm 29 yrs old, married, no kid. Trying for a kid. Suffering from pcod, shall I go for laproscopy. Does it works?

BHMS
Homeopath
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I had cured many patient of infertility if you wanna go for homeopathy treatment it will take 1 year 2 cure your whole body promblem.

Can I sleep straight on my back during my third trimester of pregnancy? Its my Start of 8th month. Actually I get tired sleeping on left side sometimes.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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Can I sleep straight on my back during my third trimester of pregnancy?
Its my Start of 8th month.
Actually I get tir...
Arpita, it is better to sleep on left lateral position in pregnancy . If you sleep in straight supine position it will create pressure on blood vessels which will reduce blood flow to baby.
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