Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 40 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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Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
Hello Doctors, I'm married to my cousin (our mother's are sisters and are married out of relations). We are planning for a child, what tests should undergo to avoid any genetic complexities in future. Any help in this regard is appreciated,
How many meals should you really have in a day?
With the advancement in nutritional science, researchers have realised that lesser gap between meals means lesser-stored fat which in turn also helps to control blood sugar, boost metabolism and aids in weight management. After three hours of a meal our blood sugar starts falling and after four hours the digestion is complete. After 5 hours we are ready to gobble up whatever comes in our way as the body is looking for a way to refuel. This may lead to consuming high-calorie food.
Eating at regular intervals can save you from binging, keep your blood sugar level stable and help you stay energised. Also, digestion itself is work for the body and the activity leads to burning calories. However, one needs to be careful and not consume very high-calorie meals as that would increase the risk of chronic diseases.
Since everybody is different, there cannot be a set number of meals prescribed for everyone. It depends on when a person feels hungry and how that person would like to deal with it. But you need to understand your body's need for replenishment and provide the nourishment it requires. Hence, according to your body's requirement you should have small meals at short intervals which could range from six to eight in a day.
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Hii today (22.06.2016) I completed 7 week of pregnancy with all normal report of sonography n blood n urine test. The day before yesterday ie on 18.06.2016 some blood spotting took place jst one drop of blood (same like period). Is it happens during pregnancy? Or is it serious for her? Pz suggest your valuable advice.
MY PROBLEM IS while i go sleeping at night then at the sleeping period i weak up and sit but i sleep by sitting whole night and all the day i have feeling sleepy and my drowsiness . At the time of the job some time i sleeping . What i do pls advise
With the modernization of all economies around the world, one health hazard that has become one of the largest perils within both developed and developing nations is the incidence of cancers of the female reproductive system, especially cervical and breast cancer.
Breast cancer is the formation of malignant tumors within the breast tissues of a woman. Usually, breast cancer affects women in the age range of 40 to 50, but there have been many reports of it occurring earlier. About 48 % percent of the Indian women having breast cancer have been reported to be under 50. This is an almost 17 percent jump compared to figures 25 years earlier.
Alarming Signs of Breast Cancer:
- The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded.
- Swelling of all or part of a breast (even if no distinct lump is felt)
- Skin irritation or dimpling
- Breast or nipple pain
- Nipple retraction (turning inward)
- Redness, scaliness, or thickening of the nipple or breast skin
- Nipple discharge (other than breast milk)
Screening Guidelines for Breast cancer:
- Mammography: US Preventive Services Task Force (USPSTF) recommends mammography once in every 2 year for females between age group 50-75 years. Women with a family history has a benefit of starting at age 40 years. After 75 years there are insufficient evidence of benefit of screening mammography.
- Breast Self Examination and annual Clinical examination: breast self examination is easy to learn and and any abnormality should be reported to the oncologist.
- For High Risk/ Genetic risk factors: screening should start by age 25 or 10 years earlier of youngest relative affected. Annual mammogram and MRI or Doppler ultrasound alternating at 6 month interval can be considered.
Some of the common treatment options for breast cancers are:
- Breast conservation surgery - This is where the tumors are removed without cutting out too much of the surrounding breast tissue.
- Mastectomy - If the cancer has spread too far then large amounts of breast tissue has to be removed along with the tumor to stop its spread any further.
- Sentinel lymph node Biopsy - it's part of both surgical procedures, it decreases morbidities of lymph node dissection first draining lymph nodes only are removed in patients with clinically negative axilla. If negative on frozen section further axillary dissection is avoided. It avoids the morbidity of complete axillary clearance.
Cervical cancer ( Carcinoma Cervix)
Cervical cancer is the cancer of the cervix, which is the opening of the uterus and connects the uterus to the vagina. Indian women in particular are susceptible to cervical cancer as more than 1/3rd of the cervical cancer related deaths in the entire world happens here in India, which is about 74000 deaths annually. The leading cause for cervical cancer is HPV or Human Papillomavirus infection, which if left untreated and unchecked will result in cancer.
Alarming Signs of Cervical Carcinoma:
- Early lesions and precancerous lesions have no symptoms
- Abnormal vaginal bleeding such as bleeding after vaginal intercourse, bleeding after menopause, bleeding and spotting between periods or longer/heavier periods
- Abnormal vaginal discharge
- Pelvic pain
- Late stage disease may cause lower extremity swelling, problem with urine and/or stool passage
- Cervical cancer screening is most effective screening programme of any cancer disease resulting in significant decrease in mortality from carcinoma cervix
- United state preventive services task force (USPSTF) recommend cervical cancer screening starting at age 21 yrs.
- Between age 21-30 years cytology recommended at 3 year interval and HPV testing is not recommended.
- Between 30-65 years cytology every 3 year or cytology +HPV testing every 5 year.
- If previously adequately screened screening can be discontinued after 65 years.
- Women with prior total hysterectomy and no CIN can discontinue screening.
Apart from breast and cervical cancers, certain other cancers have also reported an alarming increase such as:-
Ovarian cancer (Carcinoma Ovary)
Starting in the ovaries, diagnosis of this type of cancer is usually delayed due to lack of visible symptoms in the initial stages. About 85% to 90% of ovarian cancers are epithelial ovarian carcinomas. Epithelial ovarian cancers tend to spread to the lining and organs of the pelvis and abdomen (belly) first. This may lead to the buildup of fluid in the abdominal cavity (called ascites). As it advances, it may spread to the lung and liver, or, rarely, to the brain, bones, or skin. The main treatments for ovarian cancer are surgery and chemotherapy.
Cancer of the endometrium (Carcinoma Endometrium)
Endometrium is the lining of the uterine wall and has along with ovarian, uterine and cervical cancer is also increasing in occurrences throughout India and the world.
The grade of an endometrial cancer is based on how much the cancer forms glands that look similar to those found in normal, healthy endometrium.
- Grade 1 tumors have 95% or more of the cancerous tissue forming glands.
- Grade 2 tumors have between 50% and 94% of the cancerous tissue forming glands.
- Grade 3 tumors have less than half of the cancerous tissue forming glands. Grade 3 cancers tend to be aggressive and have a poorer outlook than lower-grade cancers.
Cervical cancer along with Ovarian, uterine and endometrial cancer can be treated using the following methods:
1. Surgery: Radical Hysterectomy primarily preferred option for early stage disease. Both open and minimal invasive approaches are suitable.
- For precancer high grade lesion conisation is also option for compliant patient.
- In young suitable patient willing for childbearing trachelectomy is also possible in very early lesion.
- Depending on risk factors after surgery adjuvant treatment may be advised.
2. Radiation therapy or Combined Radiation therapy+Chemotherapy: Alternative to surgery in early stage and choice in late stage.
Certain prevention techniques that would be advisable to detect cancer in its early stages would be,
- Regular Pap smear tests for cervical cancer
- Taking vaccines for cervical cancer
- Regular mammograms and checkups for breast cancer
- Changing lifestyles to reduce stress
- Changes in diet to reduce risks
- Leading a healthy lifestyle with regular exercise
Related Tip: Can Ayurveda Really Treat Cancer? Find Out.
Hey doctor, My girlfriend had I pill yesterday 9 pm and we had unprotected sex at 10 am today. Should she go for another I pill?
I have right overy period cyst problems and I was operated in 2013. I'm taking meftal spas tablet during pain but after taking that my bleeding flow goes slow & if m not taking tablet or injections than bleeding flow was ok. From dec'15 m taking pills which was prescribed by my doctor (21 day). Bcz of pain I got so much weak by health, from oct'15 to till I have lost 5 kg weight and the reason only my period pain. I'm suffering in so much pain during period. Pls give me solution.
When ever my husband squeeze my breast after some time. It leaks with some milk. Even though I stop feeding 1 year back. Is it any prob? Kindly suggest remedy.
Hello Doctor, main ap se ek salah lena chahta hu ki meri wife Coper T lagwane ke liye nahi manti hai. Waise to main pregnancy ko avoid karne ke liye condom use krta hu. But main jan na chahta hu ki Copper T ko use karne se ladies ko sex ke time ya normal daily routine jaise ke ghar ke kaam me koi problem aati hai? And kya yeh fact hai ki Copper T use karne se wife pregnant nahi hogi? Please help me and advice.
My kid are very active n have sharp mind but he is slim. He used to have fruits every day and dry fruits also and love to eat Non veg But I have to forced for food like roti rice dal and veggie. Are that thing affect my kid health.
I am counting for my delivery day. In these days which food good for my health. And also I have low hb.
My wife has toxoplasmosis test report with Rubela Igm negative and Rubela igg positive with value 79. What do you interepret with this? And what you recommend?
Hello. I am having little bit of headache and nausea. And menstruation date is on 23rd yesterday I had little back pain and cramp for 5min later it was ok. Is that the sign of pregnancy? Please help me doctor.
I got my tummy after delivery and also I gained some weight and my breasts are also sagging. Is there any way that i can reduce my tummy and get back to normal?
Roadside accidents are common and they lead to many health problems in which some may require amputation for removal of one of the limbs to save the life of a person.
Amputation is a life-saving procedure by which a part of the body that has suffered irreversible damage is surgically removed. Amputation is only carried out as a last resort when the infection/ decay spread to the other parts of the body.
Why is this procedure needed?
The most common cause of amputation is blockage of blood circulation. Without blood, the tissues do not get oxygen and begin to decay, and an amputation is carried out to stop the damage from spreading to other tissues. As stated above, an amputation is carried out only as a last resort. The surgeon checks the infected part for the following to make sure that an amputation is required:
- Checking for a pulse close to the region where the cut is to be performed
- Comparing skin temperatures with the affected limb
The surgeon tries to bypass arterial blood from the nearest artery to the affected region to rejuvenate the cells. Some reasons of amputation are:
- Severe injury (extreme burns/ vehicular accidents)
- Cancerous tumor in the bone or muscle
- Serious infection, which has stopped responding to antibiotics
- Thickening of nerve tissue called neuroma
Risks and complications of amputation
Risk of complication is lower in planned amputations than in emergency amputations. In the case of a planned amputation, the surgeon will shape individual muscles for future prosthetic limbs, smooth out rough bones and bone fragments and take care of all the loose ends of the procedure. In emergency amputations, however, the limb is amputated very fast and bleeding is stopped as soon as possible. The following complications may arise as a result of amputation procedures:
- Heart complications
- Venous blood clots
- Slow wound healing or infection of the wound
- Stump or "phantom limb" pain
- Psychological problems