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Dr. Nitu Agarwal

Gynaecologist, Delhi

200 at clinic
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Dr. Nitu Agarwal Gynaecologist, Delhi
200 at clinic
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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. Nitu Agarwal
Dr. Nitu Agarwal is a popular Gynaecologist in Mayur Vihar, Delhi. You can visit him at Malik hospital in Mayur Vihar, Delhi. Book an appointment online with Dr. Nitu Agarwal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 42 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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English
Hindi

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Malik hospital

B-1298, Gharoli Dairy Clny, Mayur Vihar Phase III. Landmark: Opp Pkt A 1, DelhiDelhi Get Directions
200 at clinic
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Uterine Transplantation - 6 Things You Must Be Aware Of!

MBBS
Gynaecologist, Delhi
Uterine Transplantation - 6 Things You Must Be Aware Of!

Every woman loves motherhood, but unfortunately for various reasons, some fail to conceive. One of the reasons for this is a diseased uterus and the second one is the absence of uterus. Women who are unable to conceive because of either diseased/absence of uterus have something to cheer up about. Modern medical science is so advanced that now the diseased uterus can be replaced by a healthy one, thereby, enabling the women to conceive. However, before undergoing this surgical procedure, it is only appropriate that women should understand the concept of uterine transplantation.

  1. UFI: Under this surgical procedure, the diseased uterus is removed and it is replaced by a healthy one. This procedure is performed on women having a condition known as Uterus Factor Infertility (UFI). UFI is caused due to an irreversible damage, either because of an infection or an injury to the uterus or for women born without uterus.
  2. Challenging surgical procedure: It is said that nearly 3% to 5% of women population suffer from UFI. This surgical procedure is considered to be very challenging because several blood vessels are connected to the uterus from the pelvic region. The surgeon has to accurately connect these blood vessels after the surgical procedure.

Some of the other important elements in uterine transplantation are briefly explained here:

  1. The surgical procedure is divided into two. It starts with the retrieval of the damaged uterus, which normally takes about 2 to 3 hours. Thereafter, the transplantation procedure is performed, which takes about 5 to 6 hours.
  2. The women donating their uterus should be in the reproductive age and should not have any medical complications. Further, the women receiving the uterus should be in the genetic recipient group and also should not have any medical complications.
  3. The uterus should be healthy. The age of the uterus is not a matter of concern. Further, the uterus transplanted should have been gotten removed after begetting one or two children.
  4. In the normal course, the recipient should undergo in vitro fertilisation treatment or IVF. This is because the transplanted uterus will not be connected to the fallopian tube, where the fertilisation of egg takes place.
  5. Women who had children previously or those who had suffered from endometriosis or cancer less than five years earlier, or women who had undergone major pelvic or abdominal surgery, or women with insufficient embryo will not be suited for uterus transplantation surgery.
  6. Apart from these, it should also be ensured the procedure of transplantation is within the established legal framework of transplantation of human organs. Moreover, you should also consider the cost of the surgical procedure and various risk factors associated with this procedure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3846 people found this helpful

My wife have 3 month old baby, after baby birth she has 1st periods after some time as normal but on 2nd time on date of periods she has no periods today its almost 22 days the she has no periods from her period date, I checked 3 times with pregnancy test kit but it always shows negative report that she is not pregnant, I want to know that is she pregnant pls. Reply in detail as soon as possible. Or any other method that I can know that is she pregnant or not without go anywhere.

MBBS
General Physician, Chandigarh
My wife have 3 month old baby, after baby birth she has 1st periods after some time as normal but on 2nd time on date...
Some times when a woman is breastfeeding the baby she may not get her periods or her periods may become irregular but still it is better to confirm the pregnancy status by getting an ultrasound abdomen done and once it shows negative results then do adopt some contraceptive methods to avoid another pregnancy do soon
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I have a friend. It has been 35 days since her last period. She is scared and is not sure what to do. What would you suggest?

MBBS
General Physician, Delhi
I have a friend. It has been 35 days since her last period. She is scared and is not sure what to do. What would you ...
I would like to advice get a urine pregnancy test done, if test are negative then nothing to concern as such but you need to bit patience, for few more days.
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Hello sir/mam, my cousin brother had unprotected sex last night, n his wife has taken ipill after 2 hours of intercourse, n she expecting her periods on 23 of may so if any problem there, they don't want child on this stage, so how much chances of pregnancy please ans me.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello sir/mam, my cousin brother had unprotected sex last night, n his wife has taken ipill after 2 hours of intercou...
If she had taken ipill after 2 hours, chances of getting pregnant are almost nil. Periods may become erratic though wait and watch and tell your cousin to get better counseling about family planning as taking ipill types of medicines as a routine is risky.
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Health Tip

DTCD,DNB Respiratory Medicine
Pulmonologist, Delhi
Health Tip

Say yes to healthy food and avoid overeating delicious food.

I am 27 year old. Should I take an I pill after an unprotected sex. But I am already having little amount of bleeding. But I am still scared.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), pt b d sharma pgims
General Physician, Karnal
I am 27 year old. Should I take an I pill after an unprotected sex. But I am already having little amount of bleeding...
Hello. Its only depend which day of your cycle you had sex. If its menstrual bleeding and day 1st of your menstruation period then do not wrry you will not b pregnant.
1 person found this helpful
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Hi, My weight is increasing rapidly and I have no energy and my periods get late usually by 2-3 months. Its been a constant problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Hi,
My weight is increasing rapidly and I have no energy and my periods get late usually by 2-3 months. Its been a co...
follow periods paricharya during period days avoid heavy food heavy work bathing traveling exercise during period days 1/2 strength exercise in morning will be beneficial eat home made easily digestable food only avoid outside food avoid day time sleeping and late night jagaran avoid freeze stored food basi food two time heated food etc consult privetly for correction in diet medications
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Spine Tuberculosis - Catch It Early To Avoid Serious Disability!

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Spine Tuberculosis - Catch It Early To Avoid Serious Disability!

Tuberculosis is widely known as a disease that affects the lungs. Tuberculosis is an infection caused by a bacteria called Mycobacterium tuberculosis. Although most commonly the lungs and bowel are affected, it can affect any organ in the body including the bones and joints .

How and who:

Tubercular bacteria usually enter the body through the airway into lungs or through the gut and spread out to different areas of the body through the blood stream, spine being the most common area. They can stay dormant in the body for many years and start multiplying when the immunity goes down due to any reason. So those with reduced immunity like young kids, old age group, diabetics, those on steroid medication or other immune-suppressive medication are at a high risk of developing tuberculosis of various organs. Patients affected with HIV are also at high risk of developing tubercular infection. But it is not uncommon to see a healthy young person affected with tuberculosis of spine.

Disease manifestations:

Spine is one of the very common structures affected by tuberculosis, leading to significant disability and high risk of paralysis if undetected in the early stages. As the bones in the spine get destroyed by the disease, the spine bends abnormally at the affected level and a deformity develops. There is pus formation at the affected area which can cause compression on the spinal cord and nerves in the spinal canal and lead to paralysis of limbs and loss of bowel and bladder control. Tuberculosis of spine can affect all age groups from infancy to old age.

Spine tuberculosis initially causes pain in the back/neck, which gets worse on movements and while changing posture. Night pains that wake the patient up from sleep is another characteristic feature. Fever, weight loss and loss of appetite are usually associated. Weakness of limb muscles can lead to unstable gait and tendency to fall and the patient usually seeks a support to hold on to while walking.

Diagnosis and treatment:

With MRI being available widely, spinal tuberculosis is being detected at early stages now as compared to X-rays. Most of them can be cured well by anti-tubercular medication (ATT). The medication needs to be taken for a long duration (minimum of 6 months - upto 18 months). Drug resistance is a serious problem needing second line medicines and is more difficult to treat. There are special tests like Gene Xpert available now to detect multiple drug resistant tuberculosis.

In some patients with deformity in spine or those with spinal cord compression causing paralysis, surgery to stabilise the spine and decompress the spinal cord/nerves is required. Surgical treatment in right time can prevent spinal deformity/paralysis and help in faster and better recovery of muscle power in those who have developed paralysis.

So, any persistent back pain needs an evaluation by a Spine physician. 

3 people found this helpful
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