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Dr. P K Bhasin

Gynaecologist, New Delhi

Dr. P K Bhasin Gynaecologist, New Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. P K Bhasin is a trusted Gynaecologist in Bapa Nagar, Delhi. You can consult Dr. P K Bhasin at Dr P K Bhasin's Clinic in Bapa Nagar, Delhi. You can book an instant appointment online with Dr. P K Bhasin on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 42 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 am 22 years old female. I have chubby cheeks, which I don't like, I have tried so many exercises, but all those didn't work, please help me for this. Please.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 22 years old female.
I have chubby cheeks, which I don't like, I have tried so many exercises, but all those did...
If you are not obese, don't get conscious about chubby cheeks, there's no medicines for this, you can do exercises to strengthen the muscles, do blowing out exercise, move upwards with some oil with the help of both hands. Flat of hands on each cheek, move upwards rubbing on cheeks. Hope it helps you. Take less salt as a habit, water retention does give a bloated look.
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My wife last period is on 18 dec and we make relation on 23 dec just after her periods is it possible .she will be pregnant .i do not understand when will ovulation take place as she is having normal cycle of 28 days. Pls tell me detail so I can avoid pregnancy..

BHMS
Homeopath, Navi Mumbai
My wife last period is on 18 dec and we make relation on 23 dec just after her periods is it possible .she will be pr...
ovulation occur between 12 to 14 day of menstrual cycle there are no chances of your wife be getting pregnant as it is 5th day of her cycle
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Please tell me, if a lady doesn't eat iron tablet in pregnancy period so which food consume on behalf sothat her body makeover iron fullfil.

DGO, MBBS
Gynaecologist, Bangalore
Please tell me, if a lady doesn't eat iron tablet in pregnancy period so which food consume on behalf sothat her body...
Iron supplements are mandatory in pregnancy. She can get her iron supplements changed if the current one is not suiting her. Iron rich foods to be consumed are spinach, beans, iron fortified cereals, pasta etc. If non-vegetarian, have cooked meat, poultry, sea food etc.
2 people found this helpful
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I am 31 years old man and my wife is 27 years old women and my marriage is last four year and I have no child what can I do please tell me.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 31 years old man and my wife is 27 years old women and my marriage is last four year and I have no child what ca...
It’s pretty common to start obsessing after just a month or two of trying to conceive without success. If there’s a physiological reason you’re not conceiving you can start exploring your options, and if the tests come back normal you can relax, but since its been 4 years of married life, Fertility starts to decline at this point, and by discovering any problems early you can avoid wasting time. So would suggest you to think of IUI or IVF.
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Best foods for skin

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
Best foods for skin


Antioxidant-rich foods seem to have a protective effect for the skin. Consider these skin-friendly foods: carrots, apricots, and other yellow and orange fruits and vegetables, spinach and other green leafy vegetables, tomatoes, blueberries, beans, peas and lentils, salmon, mackerel and other fatty fish, nuts. On the flip side, some foods seem to be associated with skin damage. For example, some research suggests that a diet high in processed or refined carbohydrates and unhealthy fats promotes skin aging. Remember, many of the best foods for healthy skin also promote good health overall. Rather than focusing on specific foods for healthy skin, concentrate on a healthy diet in general. Eat plenty of fruits and vegetables. Choose low-fat or fat-free dairy products. Include nuts, seeds and beans in your favorite meals. Opt for whole-grain breads and pasta. Limit sweets.

I have pcos so irregular periods. After intercourse with my husband I had pain in my pelvic part. I drink lots of water. I don't have pelvic dryness but also I had pain is there any healing for this.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
I have pcos so irregular periods. After intercourse with my husband I had pain in my pelvic part. I drink lots of wat...
Use herbal medicine; eat tablet diapal before food twice daily for 45 days. Eat capsule gynocare twice daily after food.
2 people found this helpful
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Meri gf 18 years ki hai aur usne sex se phle unwanted 72 tab. Li thi usse koi prob to nhi hogi, and pregnant to nhi hogi wo please answer.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Meri gf 18 years ki hai  aur usne sex se phle unwanted 72 tab. Li thi usse koi prob to nhi hogi, and pregnant to nhi ...
Hello, its fine if she has taken unwanted 72 prior to sex as it would still be effective and should be protective till 72 hrs of pill intake.
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I am 20 years old female I had my first sex with my husband but I didn't bleed my husband is in thought that I have already done sex with some one I don't know why I didn't bleed could you help me please.

MBBS
Sexologist, Panchkula
I am 20 years old female I had my first sex with my husband but I didn't bleed my husband is in thought that I have a...
Bleeding during first sex occurs due to rupture of hymen. In athletes and sports person, hymen can rupture. So this could be the reason.
2 people found this helpful
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My periods ended on may 7th and I had unprotected sex with my boyfriend on may 9th. Are there chances of me getting pregnant? I had taken a contraceptive tablet in the next 7 hours and that im feeling cramps now. Is it the effect of the tablet or related to my ovulation.

Post Graduate Diploma in Echocardiography, Mbbs
General Physician, Ernakulam
My periods ended on may 7th and I had unprotected sex with my boyfriend on may 9th. Are there chances of me getting p...
You may not become pregnant. Ovulation occurs some 10 days after periods the side effects of tab. Overcome by taking more fruits and vegetables.
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Fallopian Tube Block In Infertility - What Can You Do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Fallopian Tube Block In Infertility - What Can You Do?

When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.

What is needed for pregnancy?

In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina.

In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm.

It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Thus, to summarise, pregnancy requires:

1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes

2.Transport of these sperms through the sperm conducting ducts from testes to penis

3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina

4.Transport of these sperms from vagina through cervix to the uterus and the tubes

5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries

6.Pick up of the eggs by the tubes

7.Approximation of eggs and the sperms to form the embryo

8.Transport of embryo from the tubes into the uterus

9.Acceptance of the embryo by the uterus and its growth

What is Infertility?

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor.

It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%.

The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage.

What causes Infertility?

Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned.

Thus the common causes may be

1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.

2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examples include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.

3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.

In general, what are the treatment options for infertility?

To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress.

In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.

What is Fallopian Tube(s)?

Fallopian tubes (commonly called “the tubes”) are the structures that are connected to the both sides of the uterus, as mentioned above. Each tube is of 10 cm length. The part attached to the uterus is called the “cornu” and the part remaining free is called the “fimbria”. It’s the fimbria, that is present near the ovary and picks up the ovum and transports it inside the tube. The cornu received the sperms from the uterus and passes it inside. Inside the tube, the sperms and the egg meet to form the embryo, which then travels down the tubes into the uterus and then the pregnancy starts.

What happens if tubes are blocked?

If both the tubes are blocked completely, anywhere along the length (cornu, fimbria or the middle), pregnancy is not possible. This is quite obvious, because either the sperm cannot enter or the egg is not picked up or they cannot meet.

However, if any of the tubes are partially blocked, then the sperms and egg can pass and meet but the embryo cannot come down into the uterus. As a result, the pregnancy continues inside the tube, which is called “Ectopic pregnancy” that is life-threatening for the mother. It’s important to remember that ectopic pregnancy can happen even if both the tubes are open.

What are the reasons for tubal blockage?

Often, the exact cause is not known. Infection is the commonest cause. The infections may be due to sexually transmitted infection (STI), particularly Chlamydia infection or infection from bowel or appendix. Tuberculosis is very common in our country and can affect the tubes, silently, without affecting any other parts (not even the lungs) of the body. Endometriosis is also a common reason for tubal blockage. Any pelvic surgery (surgery in ovaries, tubes, uterus, even appendix) can block the tubes by “adhesion”. This means the tube may be open but attached to the bowel or rotated on itself, so that the tube cannot pick up the eggs from the ovaries. Sometimes fibroid of uterus can compress the tube and cause blockage. Women, with previous history of ectopic pregnancy, are at risk. Uncommonly, some abnormalities, present since birth can block the tubes.

What are the types of tubal blockage?

Tubal block may be one sided or both sided. It may involve only a particular part of a tube or multiple parts of a tube. The site of the block may be the cornu, the fimbria or the middle portion.

Hydrosalpinx, is a thing that you must know. In this condition, the tube is blocked but the mid-portion is dilated and contains some fluid (often infected). This tube is not functional. And the problem is even if there is pregnancy by IVF inside the uterus, this fluid from the tube may trickle down, coming in contact with the embryo and can potentially kill the embryo!

How can I understand that the tubes are blocked?

Unfortunately, very few women have signs or symptoms indicating tubal block. However, if you had previous infections in pelvis, tuberculosis in any part of the body, appendicectomy or other gynaecological surgery, there is chance of tubal block. Patients with fibroid and endometriosis are also at risk of tubal block. If you feel severe pain during periods or during intercourse, there is a chance that the tubes may be blocked.

When the tubes should be tested?

As mentioned earlier, the routine investigation of infertility includes testing for the ‘open-ness’ of the tubes- “Tubal patency tests”. That means if pregnancy does not come within 12 months of regular intercourse, then we usually advise the tests. Sometimes, tests are needed, after 6 months of trying (see above). However, in some women, with low risk of tubal block (no risk factors as mentioned above), it may be appropriate to start treatment and continue it for few cycles and if no response, then tubes should be tested.

How the tubes are tested?

The method of tubal patency test depends on your risk of having blocked tubes and also your wishes, availability of resources, other fertility factors and of course the affordability.

Routine ultrasound (like TVS) cannot detect tubal patency. However, it can detect the hydrosalpinx in most of the cases.

If you do not have any risk factors (like pain during periods, endometriosis, previous infections or surgery), you can choose either HSG or SIS. These are done in out-door basis, without any need of anesthesia.

HSG (Hystero-salingogram) is a method by which, your tubes will be seen under Xray. After visualizing your cervix (mouth of the uterus) by a speculum (instrument inserted in the vagina) a small screw will be inserted inside the cervix and a contrast material (which can be seen by the X ray) will be given through it. If tubes are open, the Xray will show that the contrast material will be going through the tubes into the abdomen.

The advantage of HSG is that, a test showing open tube has good correlation with tubal patency (if HSG shows the tubes are open, it’s likely that tubes are open). It is widely available and also cheaper.

However, the problem is that most of the women feel it painful, although they are given pain-killers for it. In addition, there is small risk of infection, for which antibiotics are prescribed. The contrast material can rarely give rise to allergy in some sensitive women and it may be life-threatening in very rare cases. Another problem is the false positive result. That means if tubes are found to be blocked in HSG, in 50% cases, they will be found to be open subsequently in laparoscopy. This is mainly because of some spasm of the muscles of the tube during the test.

SIS (Saline infusion sonography) or HyCoSy (Hystero-Contrast-Sonography) is the method by which tubal patency is checked by ultrasound (TVS) along with water like material inserted inside the uterus through a small tube. If tubes are open, the passage of water can be seen going into the abdomen through the tubes, in the ultrasound.

The advantage of HyCoSy is that it’s much less painful than HSG, although mild discomfort may be there. Pain-killers and antibiotics are prescribed usually. Additionally, problems inside the uterus can be better visualized, even better than normal TVS. In addition, the false positive result is much lower, only 7%. That means if HyCoSy suggests that the tubes are blocked, in most cases, the tubes will be found to be blocked at laparoscopy.

The problem with HyCoSy is mainly the cost and it’s not available everywhere.

An important merit of doing the tubal test is that, sometimes the water or the contrast material used in these tests can open the “mild” block. That’s why we often find patients who conceive spontaneously with pregnancy inside the uterus, after apparently “blocked” tubes in HSG or HyCoSy.

Now, laparoscopy is reserved for those, who are at high risk of tubal block. This includes women with risk factors (pain, surgery, infection etc) o women having “blocked” tube in HSG or HyCoSy. Clearly, it’s done after hospitalization under general anaesthesia inside the OT. Two or three small opening (key-hole surgery) will be put inside the abdomen and through vagina a coloured material (“dye”) will be given inside the uterus. If the tubes are open, the laparoscopic camera will show that dyes coming out of the tubes inside the abdomen.

The advantage is that it’s a definitive test, can help you to make final decision. It also provides the options of treatment. If there is corneal block in HSG, we can make attempt to open the tubes using laparoscopy (see below). In addition, if there is hydrosalpinx, where the tube serves no function, the tubes can be removed (salpingectomy) or clipped (we put clips to block the tubes) to improve the chance of pregnancy if IVF is the only option left for you. In addition, laparoscopy helps us to see whether there is any other diseases that have been missed by routine tests and that may account for infertility. We can treat the cysts of PCOS (by applying current to destroy some cysts), remove any large cysts, remove any adhesion, treat endometriosis etc.

The disadvantage of laparoscopy is of course, the need of anaesthesia and associated surgical and anaesthetic risks, although in modern era, the serious complications are uncommon.

What are my options if tubes are found to be blocked in HSG?

There are simply two options. It depends on your age, fertility factors and affordability. Number one is directly, you can go for IVF. In that case, you can save time and cost. It may be a preferred option, if you are aged or have some other fertility factors (low sperm count, endometriosis etc). The chance of pregnancy per cycle of IVF is usually 40%.

Another option is that you can confirm the block by other tests, keeping in mind that you may need IVF if the tubes are found blocked ultimately. We usually advise to have laparoscopy. However, some women want to give a trial with HyCoSy, because if HyCoSy shows the tubes are open, then you can avoid laparoscopy and you can try different fertility treatment options.

In laparoscopy, first we see if tubes are open or not. If open, there is no need of further treatment in laparoscopy. However, if tubes are found blocked, especially if the block is in cornu, we can try “hysteroscopic tubal cannulation”, where we put a small catheter through hysteroscope (a telescope, like endoscope, put inside the uterus through vagina so that we can see inside the uterus using a camera) to open the tubes. If tubes can be opened, you have all options for fertility treatment open. However, if we fail to open the tubes, the only option left is IVF. In addition, if there is fimbrial block, it can be released and new opening in the fimbria can be made. The treatment of hydrosalpinx by laparoscopy has already been discussed (see above).

Having said that, there are some group of women, who conceive while waiting for IVF or laparoscopy after a blocked tube found in HSG.

What can I do if tubes are blocked in Hycosy?

In this case also, there is choice between the two- laparoscopy first and IVF directly.

What can I do if laparoscopy suggests tubal block?

Unfortunately, in that case, the only option left is IVF. As mentioned before, if hydrosalpinx is found it must be treated before IVF. However, sometimes we find hydrosalpinx in laparoscopy but cannot cut the tube of clip it, simply because you did not give consent to us for doing so. In that case, we can suck out (“aspirate”) the fluid from the hydrosalpinx under ultrasound guidance (no need of further laparoscopy) using the needle.

How tubal block is dealt in your particular centre?

We believe in patient’s autonomy. So we want to give time on discussion and presentation of facts and figures to the couples. We encourage questions from the couples and take utmost care so that no question remains unanswered.

We do not take decisions and impose it on the couples. We advise the couples to take time before taking decision on a particular treatment. If the couple decides, we respect and support their decision.

We prefer to have SIS or Hycosy, rather than HSG, to reduce the pain to the women. We discuss all the options if tubes are found blocked.

Conclusion:

Tubal factor can account for 20-25% cases of female infertility. It’s more common in secondary infertility (women who conceived earlier- whatever be the fate of the pregnancy). Tubal test is a part of infertility investigation. The choice between HSG and HyCoCy is open to you. If tubes are found blocked, the options are IVF directly or confirming the block by laparoscopy.​

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I am 29 years old I have polycistic ovaries. Doctor gave me glyciphage tab which made my sugar level low and I couldn't do any work. My weight too increasing lot. Now I am 109 kg. I have one year kid too. I need a perfect remedy for this.

PDDM, MHA, MBBS
General Physician, Nashik
Dear. Please mention the strength of glyciphage tab and consult privately for personalised management.
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PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
स्वस्थ शरीर है सबसे बड़ा खजाना !

Health is Wealth

आधुनिक जीवन शैली की तेज रफ्तार एवं भागदौड़ भरी जिंदगी में सेहत का विषय बहुत पीछे रह गया है और नतीजा यह निकला की आज हम युवावस्था में ही ब्लड प्रेशर, डायबिटीज, ह्रदय रोग, कोलेस्ट्रोल, मोटापा, गठिया, थायरॉइड जैसे रोगों से पीड़ित होने लगे हैं जो कि पहले प्रोढ़ावस्था एवं व्रद्धावस्था में होते थे और इसकी सबसे बड़ी वजह है खान पान और रहन सहन की गलत आदतें, आओ हम सेहत के इन् नियमों का पालन करके खुद भी स्वस्थ रहे तथा परिवार को भी स्वस्थ रखते हुए अन्य लोगों को भी अच्छे स्वास्थय के लिए जागरूक करें ताकि एक स्वस्थ एवं मजबूत समाज और देश का निर्माण हो,क्योंकि कहा भी गया है-पहला सुख निरोगी काया l

भोजन हो संतुलित- घी,तैल से बनी चीजें जैसे पूड़ी,पराँठे,छोले भठूरे,समोसे कचौड़ी,जंक फ़ूड,चाय,कॉफी ,कोल्ड ड्रिंक का ज्यादा सेवन सेहत के लिए घातक है इनका अधिक मात्रा में नियमित सेवन ब्लड प्रेशर ,कोलेस्ट्रोल,मधुमेह,मोटापा एवं हार्ट डिजीज का कारण बनता है तथा पेट में गैस,अल्सर,ऐसीडिटी,बार बार दस्त लगना,लीवर ख़राब होना जैसी तकलीफें होने लगती हैं इनकी बजाय खाने में हरी सब्जियां,मौसमी फल,दूध,दही,छाछ,अंकुरित अनाज और सलाद को शामिल करना चाहिए जो की विटामिन,खनिज लवण,फाइबर,एव जीवनीय तत्वों से भरपूर होते हैं और शरीर के लिए बहुत फायदेमंद होते हैं l

चीनी एवं नमक का अधिक मात्रा में सेवन ना करें,ये डायबिटीज,ब्लड प्रेशर,ह्रदय रोगों का कारण हैं l

बादाम,किशमिश,अंजीर,अखरोट आदि मेवा सेहत के लिए बहुत लाभकारी होते हैं इनका सेवन अवश्य करें

पानी एवं अन्य लिक्विड जैसे फलों का ताजा जूस,दूध,दही,छाछ,नींबू पानी,नारियल पानी का खूब सेवन करें,इनसे शरीर में पानी की कमी नहीं हो पाती,शरीर की त्वचा एवं चेहरे पर चमक आती है,तथा शरीर की गंदगी पसीने और पेशाब के दवारा बाहर निकल जाती है l

व्यायाम का करें नियमित अभ्यास– सूर्योदय से पहले उठकर पार्क जाएं,हरी घास पर नंगे पैर घूमें,दौड़ लगाएं,वाक करें,योगा,प्राणायाम करें,इन उपायों से शरीर से पसीना निकलता है,माँस पेशियों को ताकत मिलती है,शरीर में रक्त का संचार बढ़ता है,अनेक शारीरिक एवं मानसिक रोगों से बचाव होता है,पूरे दिन भर बदन में चुस्ती फुर्ती रहती है,भूख अच्छी लगती है इसलिए नियमित रूप से व्यायाम अवश्य करें l

गहरी नींद भी है जरुरी -शरीर एवं मन को स्वस्थ रखने के लिए प्रतिदिन लगभग 7 घंटे की गहरी नींद एक वयस्क के लिए जरुरी है,लगातार नींद पूरी ना होना तथा बार बार नींद खुलना,अनेक बीमारियों का कारण बनता हैl

अच्छी नींद के लिए ये उपाय करें- सोने का कमरा साफ सुथरा,शांत एवं एकांत में होना चाहिए,रात को अधिकतम 10-11 बजे तक सो जाना और सुबह 5-6 बजे तक उठ जाना स्वास्थ्य के लिए अच्छा माना जाता है,सोने से पहले शवासन करने से अच्छी नींद आती है,खाना सोने से 2-3 घंटे पहले कर लेना चाहिए एवं शाम को खाना खाने के बाद 20-25 मिनट अवश्य घूमें l

टेंशन को कहें बाय बाय – रोज मर्रा की जिंदगी में आने वाली समस्यों के लिए चिंतन करना सही है चिंता करना नहीं,चिता तो फिर भी मरने के बाद शरीर को जलाती है किन्तु लगातार अनावश्यक चिंता जीते जी शरीर को जला देती है इसलिए तनाव होने पर भाई,बंधू एवं विश्वास पात्र मित्रों से सलाह मश्वरा करें यदि समस्या फिर भी ना सुलझे तो विशेषज्ञ से राय लें l

नशे से रहें बच के- यूवा पीढ़ी के लिए कोई सबसे खतरनाक बीमारी है तो वो है नशे के जाल में फँसना,शराब,धूम्रपान,तम्बाकू ये सब सेहत के दुश्मन हैं,किसी भी स्थिति में नशे की लत से बचें,यदि नशे से बचे हुए हैं तो बहुत अच्छा किन्तु,यदि कोई नशा करते हैं तो जितनी जल्दी नशे से दुरी बना लें उतना ही अच्छा है,ये ऐसी बीमारी है जो कैंसर और एड्स से भी ज्यादा खतरनाक है और एकसाथ कई परिवारों को बर्बाद करती है तथा शारीरिक,मानसिक,आर्थिक एवं सामाजिक प्रतिष्ठा के नाश का कारण बनती है,इसलिए नशे से बचना ही बेहतर उपाय है l
25 people found this helpful

Hi if I am 2 weeks pregnant and not even tested pregnancy .if masturbated during 2 nd week affects the chance of pregnancy? whether it leads to miscarriage.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi if I am 2 weeks pregnant and not even tested pregnancy .if masturbated during 2 nd week affects the chance of preg...
No it does Not. Lead a normal life unless your doctor tells you for bed rest & that includes Abstinence/ Masturbation. Both lead to contraction of Uterine Muscles, making risk of a miscarriage many fold ,in an already Vulnerable woman having a history of miscarriages.
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Hello doctor. My last period date was 5th of Feb, i have 28 days cycle.I had unprotected sex on 2nd march. My periods were suppose to come on around 5th to 6th march but its delayed by 5 days. Could I be pregnant? please help as v r not planning baby as of now.

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
You were in safe period when you had sec. Wait till 10 March.And do a pregnancy test. This month is 28 days so you need to wait for 3-4 days extra.
6 people found this helpful
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On the last day of period she had sex. After ,period again comes for two days .she had taken unwanted 72 after 43 hours of sex but no period or blood comes.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chitiradurga
On the last day of period she had sex. After ,period again comes for two days .she had taken unwanted 72 after 43 hou...
Dear lybrate-user, the release of egg from ovary does not occur just after bleeding phase usually. So, you need not worry for now. If she has any symptoms, do contact nearby physician. If you have personal query, do consult me personally.
9 people found this helpful
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I HAVE got my CAROTID DOPPLER REPORT Both common carotid arteries are normal in course and caliber with normal age related internal thickening. Colour doppler imaging reveals normal colour filling. Spectral traces show normal wave form and flow velocities Right CCA 0.62M/SEC LEFT cca 0.67n/sec Opinion right carotid bulb showing soft hypoechoic plaque in the medial wall causing 33% luminal narrowing. The plaque is going into proximal part of ICA PLEASE ADVISE I AM SO DEPRESSED.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I HAVE got my CAROTID DOPPLER REPORT Both common carotid arteries are normal in course and caliber with normal age re...
You have to be careful about progress of plaque, it should not increase. Reduce bad fats, keep good lipids on higher side, get total lipid profile done, if cholesterol is high, try to bring it down through diet and exercise. Do send the reports here on the forum. Spoon of honey with lemon juice in warm water everyday does reduce blood sugar and cholesterol (responsible for plaque, some people have tried pomegranate juice to reduce blockages, others vouch for apple cider vinegar benefits, if these can reduce plaque, without any harm to body, you can also try. Go for long walks as a simple exercise and meditation, reduce stress as internal steroids are generated due to stress and all steroids lead to increase in plaque.
1 person found this helpful
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I take unwanted on 21st January 2017 then I had bleeding on 31st January for 3 days but flow was very small. Then I again had bleeding on 28th February. After that I was waiting for March periods which probably held on 28th or 29th March but didn't happen and after that today on 15th April I had my periods but flow is very low. Tell me is it any problem with me. Should I consult doctor.

BHMS, MD - Homoeopathy
Homeopath, Lucknow
I take unwanted on 21st January 2017 then I had bleeding on 31st January for 3 days but flow was very small. Then I a...
Use of emergency contraceptive pill can disturb your regular periods. And moreover, you have mention that you are suffering from PCOD which is itself a disease where irregular periods is a symptom. So these 2 problems are surely the cause of you irregular period and flow. Just take treatment for PCOD and nothing else is required from your part.
2 people found this helpful
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Actually sir I wanna ask. How to avoid pregnancy while having sex. What the protection sud be used? please explain deeply.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Actually sir I wanna ask. How to avoid pregnancy while having sex. What the protection sud be used? please explain de...
Best for you is to take pills. First 2 weeks better to use condoms also for 100% safety. A small checkup is recommended before you start the pills.
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5 Unbelievable Things That Lower Your Intelligence Quotient (IQ)

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist, Kolkata
5 Unbelievable Things That Lower Your Intelligence Quotient (IQ)
5 Unbelievable Things That Lower Your Intelligence Quotient (IQ)

If you tell people that their diet or lifestyle or habits make them unhealthy, and chances are that they’d believe you. Not only that, they’d even agree with you wholeheartedly. But if you tell them that the same makes them dumber, then they’d either laugh at you or fight with you. However, its true. Certain things really lower your IQ. Read on to find out.

1. Group projects or meetings: Being a part of group projects or meetings can greatly drain your brain reveals a recent study. The reason for that is that when you’re in a group you have to concentrate more on behaviour and interaction, as a result of which your brain’s performance reduces and you end up making more ‘silly mistakes.’ In fact the situation worsens in a mixed sex group. Research found out that 14% men fare poorly at mental tasks when they feel that women are watching them. Best performance on the other hand is guaranteed when you work alone.

2. Jetlag: Jetlag can cause permanent problems in learning and memory. Research carried out by the University of California revealed that frequent jet lags are equivalent to a hangover that lasts way too long. This can cause you trouble in learning new things. In fact the same study also revealed that the effect of frequent jet lags can last more than a month, making you stupider in the long run. This is because constantly resetting your body clock can alter the anatomy of your brain. That’s the reason why flight attendants are found to suffer from severe memory loss.

3. Being spanked as a child: A research conducted by the University of Hampshire showed that children who were hit as punishment suffered from trauma that hampered their mental growth, and as a consequence led to lower IQs. This post-traumatic stress disorder faced by children who were spanked was the same that soldiers go through when watching heads being blown off. Not only that, even letting babies cry can cause lower IQs in them as the stress experienced is the same. In fact, letting babies cry can cause permanent brain damage which can also lead to trust issues. However, conflicts among family members has a positive impact in decision making, executive function of the child.

4. Junk food: A study found out that kids who eat plenty of junk food at the age of 3 can suffer from low IQs at the age of 8 as compared to those who followed a healthier diet. Eating junk food led to underdeveloped cognitive, behavioural and social skills in children due to lack of nutrition required by the brain to develop properly. In fact sugary foods can have the same effect on adults as well. Overdose of sugar can make your body resistant to insulin which interferes with the way your brain cells work, making you more stupid as a result.

5. Being a city dweller: Living in a city can be the reason why you suffer from poor memory, inattention and learning problems. The reason behind is that living in a city is very taxing for your brain, and your attention is divided between all the multitasking you have to do. This can lead to exhaustion, which as a result can lead to poor memory since your brain is just too tired to recall things. On the other hand, greener environments have the exact opposite effect and can help your brain in functioning more efficiently.

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