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Dr. Parmila Agarwal

Gynaecologist, Delhi

150 at clinic
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Dr. Parmila Agarwal Gynaecologist, Delhi
150 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Parmila Agarwal
Dr. Parmila Agarwal is a trusted Gynaecologist in Tri Nagar, Delhi. You can meet Dr. Parmila Agarwal personally at Agrawal Nursing Home in Tri Nagar, Delhi. You can book an instant appointment online with Dr. Parmila Agarwal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 32 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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Agrawal Nursing Home

#2528,Tota Ram Market, Tri Nagar. Landmark:- Opp Mother Dairy Booth, DelhiDelhi Get Directions
150 at clinic
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I am doing oral sex with my girlfriend and I ejaculate in her mouth is it harmful?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- If both the partners are not suffering from any kind of Sexual infection, it is safe to do oral sex.
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Breast Cancer - Surgical Procedure For Treating It!

MON-SAT 10 AM - 07 PM
General Surgeon, Delhi
Breast Cancer - Surgical Procedure For Treating It!

With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.

If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons:
1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of breast cancer that has progressed to an advanced stage

Breast cancer surgery may be classified into two types
1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.

Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.

Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss with a surgeon.

Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.

3090 people found this helpful

Is Your Food the Cause of Infertility?

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Is Your Food the Cause of Infertility?

Polycystic ovarian syndrome (PCOS) is a medical condition related to a woman’s endocrine system. Generally, this disorder is characterised by an imbalance of the sex hormones (oestrogen and progesterone), which leads to the development of multiple small cysts in the ovaries. Symptoms of PCOS include acne, irregular menstrual cycle and depression to name a few.
The causes of PCOS have not been accurately identified so far, but researchers suggest that the following factors might contribute to the onset of the condition.

1. Increased amount of insulin secretion - Women suffering from insulin resistance may get PCOS as their body is not able to effectively use this insulin, which results in increased insulin secretion by the pancreas. This, in turn, triggers more androgen (male sex hormone) production in the ovaries, making it difficult for the ovaries to ovulate.

2. Lower inflammation levels - The white blood cells present in your body form resistance against infections through a response termed as inflammation. Women with lower inflammation levels are likelier to get PCOS as the decreased levels stimulate polycystic ovaries, thereby producing more androgens.

3. Genetic factor - If you have a family history of PCOS, it’s highly probable that you may also get it as the disease is linked with your genes.

How To Live with PCOS

PCOS comes with numerous side effects like acne, obesity, infertility, excessive facial or body hair among others. There are certain lifestyle changes, which you may consider to manage PCOS and minimise its side effects.

1. Change your diet - Opt for a low carbohydrate, low sugar diet to keep your insulin levels in control, as insulin is responsible for increasing the severity of PCOS symptoms.

2. Try to maintain an ideal body weight - Obesity is known for worsening insulin resistance, and you can prevent this by regularly keeping your weight in check. You can practice some easy at-home exercise to reduce weight besides having a balanced diet.

3. Get yourself checked regularly - Visit a doctor and get yourself checked regularly for potential health risks as PCOS is often associated with increased chances of diabetes, heart diseases, certain forms of cancer, hypertension, and high LDL (bad) cholesterol levels.

4. Join a support group - Joining a PCOS support group will help you cope with your emotional difficulties, while helping you to live a better life by cultivating an optimistic outlook. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2884 people found this helpful

Epidurals - Know The Benefits & Disadvantages!

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
Epidurals - Know The Benefits & Disadvantages!

Modern women want to have it all, in personal and professional life. They want to experience the joy of motherhood but not the pain associated with normal delivery. For such women, epidural analgesia during labour is a blessing. Epidural analgesia/anaesthesia is given to pregnant women during childbirth. Epidural painkillers stop the pain signals transmitted nerves from uterus. This stops the pain sensation of labour. For epidural analgesia, a catheter (small tube) is inserted into the epidural space in the spinal cord. It is through this tube that the drugs (painkillers) reach the desired nerves. 

Types of Epidurals: 

Epidurals can be 

  1. Injection with top-ups: Once given, epidurals help to relieve the pain that arises due to contractions. When the epidural starts to wear off, top-ups or refills are used. The refills can last for 1-2 hours. 
  2. Combined Spinal Epidural: Compared to the regular epidurals, the combined spinal epidurals are powerful, quick, and more effective. Here too, epidural painkillers are made to pass through the catheter, once the first injection wears off. It is also known as Walking Epidural. 
  3. Continuous infusion (patient-controlled epidural analgesia): Here, the other end of the epidural catheter is attached to a pump. This pump continuously infuses the painkillers into your back. For an effective response, top-ups may be used. Many hospitals allow patients to control the pump. 

Merits and demerits of having an epidural--

Merits: 

  1. Epidurals make the delivery smooth and hassle free. 
  2. Epidurals are relatively safe as only a small fraction of the medicine reaches the baby. 
  3. Women stay fully awake and experience no pain during the cervix dilation. This enables them to push the baby out with more energy.
  4. Depending on the requirement, the dosage of epidurals can be adjusted. 
  5. Epidurals help to lower the cases of C-section delivery. 

Demerits: 
Though epidurals make childbirth easy, one cannot overlook its demerits. 

  1. Infections can sometimes occur. 
  2. Sometimes epidural analgesia can have a patchy effect, causing some pain to persist. 
  3. Though rare, epidural can result in nerve damage. 
  4. Epidurals bring about a fall in blood pressure. At times, this can be risky for the baby. 
  5. Nausea, headache, itchiness, backache, soreness are the common side effects of epidurals. 
  6. Epidurals relax a woman, thereby reducing their urge to push the baby out. 

Thus, they may take longer than usual to push the baby. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

4013 people found this helpful

Panchakarma

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gwalior
Panchakarma

Panchakarma Process (Janu Basti) Very Effective in this case. 

 

4 people found this helpful

Hi, My mother is getting sudden weight loss. In succeeding days. She is getting fever, cough, and severe head and eye pain too. Kindly suggest me way to cope up with the problem.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi, My mother is getting sudden weight loss. In succeeding days. She is getting fever, cough, and severe head and eye...
You have to get her investigated for diabetes, thyroid, anemia and complete blood picture to rule out any infection. Get back here with the reports.
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I got sex on 16 june, and my periods were last time 4 june but now these are not coming. and my pregnancy test is negative. My period is always regular. Am I pregnant?

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
I got sex on 16 june, and my periods were last time 4 june but now these are not coming. and my pregnancy test is neg...
Yes you may be pregnant. Some times strip tests do not give positive results. Go to a lab for confirming your pregnancy. You can consult in pvt for more guidance.
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I have hypothyroidism and pcos. I have conceived after a course of medication and now I am having a daughter who is three years old. After my delivery my period got on track i.e monthly and varied by only couple of days. But the problem of delayed period started again and its been three months now without any period and I want to conceive again. Please suggest what can I do now.

DGO, MBBS
Gynaecologist, Delhi
I have hypothyroidism and pcos. I have conceived after a course of medication and now I am having a daughter who is t...
you have to get your thyroid checked to see that your TSH levels are within normal limits and then check your weight as if you are over weight then also your periods tend to get delayed. since you and PCOD in the past so taking high protein , low carb diet is beneficial.
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My last mensuration cycle was happened on 6th May, 2016. Considering the fact I have missed my period as of now. Today I have crossed 1 month and 10 days. Yesterday (14th June) I have examined Quantitative HCG Blood testing and the result shows negative. Please suggest what is the right time for me to check urine or blood test or there will be any possibility for period to be happened as I have mensuration cycle disorder.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
My last mensuration cycle was happened on 6th May, 2016. Considering the fact I have missed my period as of now. Toda...
Hi lybrate-user. Sometimes hormonal imbalance also created period problems. I suggest you repeat the urine pregnancy test again after 3-4 days and if still negative we can start you on progesterone tablets to induce your period.
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Breast Reduction - Procedure and Recovery

Mch - Plastic Surgeon , MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
Breast Reduction - Procedure and Recovery

Breast reduction or breast reduction surgery is a form of cosmetic surgery where the size of disproportionately large breasts is reduced.

Extra large breasts may cause neck pain, back pain and several other physical symptoms. Many women undergo a breast reduction to make life easier. This surgery provides effective results.

The procedure of breast reduction surgery-

Breast reduction surgeries can be conducted in an outpatient facility. You may have to stay for one night at a hospital as well. While performing this surgery, a patient is given general anaesthesia, which will make the patient asleep during the process.

Breast reduction surgery requires about two to five hours to be completed successfully. During the process, the surgeon will create a cut around the nipple and then on the breast. The cut is made in the shape of a keyhole. Extra skin, tissue and fat will be removed from the breast through the keyhole-shaped incision. Drainage tubes are also utilized for removal of excess skin and fat. After the removal is complete, and enough skin has been removed, the breasts are stitched. They are then wrapped in a special gauze. Sometimes, a surgical bra is required to be worn by the patient during the surgery.

Recovery from breast reduction surgery-

After a breast reduction surgery is performed, the patient must take a minimal one week off from any kind of work or school. Some women require two weeks or more to recover. However, this varies from patient to patient, but not more than three weeks are required for recovery. It is important to see the surgeon if you come across any problem. 

You will be having follow up appointments with your surgeon, where the bandages and stitches on the breasts are removed.

As a part of the recovery process, a woman must abstain from all kinds of physical activities for one month following the surgery. After the surgery, it is likely for a patient to feel tired and experience breast pain. However, this is normal and you can have oral pain killers prescribed by your surgeon to get relief and ease. Heavy lifting should be strictly restricted.

Some women experience emotional reactions such as depression after the surgery. This too is normal, but you should talk to your surgeon about it.

Breast reduction surgery is an efficient cosmetic surgery, which enables women to reduce their breast size and volume. The results of such a surgery are quite satisfactory.

2740 people found this helpful

I got married a month ago. My first periods assured 5 days late and before periods (almost 5 days before) I had severe pain in my body. This time also I am not having my periods yet but my full body is paining allot. Whats the reason behind this?

Pulse Diagnosis Expert - Fundamentals of Ayurvedic Medicine
Ayurveda, Gurgaon
I got married a month ago. My first periods assured 5 days late and before periods (almost 5 days before) I had sever...
Hi, Muscle tissue deformity is going on in the body that may cause blockage sometimes. Please have 20 ml ashokarishta and 20 ml dashmoola rishta twice after food (Morning & Evening. All symptoms will be out.
2 people found this helpful
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After some days of sexual intercourse if a girl is bleeding, there is any chance of pregnancy.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
After some days of sexual intercourse if a girl is bleeding, there is any chance of pregnancy.
if bleeding continue for 2-3 days like normal menses then there is no chance for pregnancy after that.but if bleeding is like a spotting only then it may be due to implantation.
2 people found this helpful
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My wife is 14 weeks now. We have done NT and double marker test and it was 1.6 and the risk for downs came low but the doc who had done US say one side she could see the NB amd other side she could not. Can this be a likely scenario. We are so much worried for downs.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is 14 weeks now. We have done NT and double marker test and it was 1.6 and the risk for downs came low but th...
Hello, This could be due to teh position of teh child at the time of ultrasound and hence a repeat scan after a week can allay your anxiety. Unilateral development of nasal bone is not seen.
1 person found this helpful
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Me and my girlfriend had unprotected sex 5 days before. Her period date is 1-5 Feb. Today she had period. She is having pain in stomach. And a small bit of flesh type came out with blood. She had unwanted 72 on the same day. That is 5 days before. Is everything alright? Pls help me.

MBBS
General Physician, Cuttack
Me and my girlfriend had unprotected sex 5 days before. Her period date is 1-5 Feb. Today she had period. She is havi...
There is no chance of pregnancy if she has taken un wanted 72.the bleeding could be due to withdrawl bleeding after taking the pill. Consult Gynecologist for further advice
1 person found this helpful
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Questions One Must Ask During a Bad Phase of Relationship

Post graduate in counselling psychology
Psychologist,
Questions One Must Ask During a Bad Phase of Relationship

Sometimes bad phase in a relationship becomes so strained that intellectual possibilities to overcome bad situations by the couple get hijacked with pain, feeling of betrayal and confusion. Generally, such a condition itself snowballs into an end of a relationship.

1. First, a couple should ask themselves, if they are destroying themselves, hurting their partner and their relationship, based on anger and strong emotions? If yes, then slow down and evaluate. Avoid confronting your partner until you’re calm and can carefully weigh your bad relationship phase.

2. Secondly, a couple should avoid assumptions like their current state of unhappiness is solely the fault of the relationship; there could be other issues too, like bad financial situation, unnecessary attraction towards a colleague, frustration in career etc. Remember, there is no intelligence to mix up everything or to destroy good things because you have a bad or a thoughtless experience.  

3. Instead of just secretly wishing for a change, a couple could prepare them to do open and effective communication than cutting off or keeping silent. Communicating transparently with the partner generally kick-starts a healthier relationship; in the least, it will contribute to a deeper understanding of what’s really causing the rift in the relationship. 

4. Put a sincere effort to resolve the situation, if you fail then don’t wait for fate but meet a counsellor, who can help you come out of this situation.

11 people found this helpful

Chap Stick (Lip Balm) - How to Choose the Right One?

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL), DNB dermatology
Dermatologist, Gurgaon
Chap Stick (Lip Balm) - How to Choose the Right One?

If people were asked, as to what would be the one important cosmetic without which they would not step out, it has to be the lip balm. From a time when it was mainly used during winters to avoid chapped lips to the present days when it has become an essential cosmetic product irrespective of the weather or the season, it has come a long way.

While there are still the plain ones which have petroleum jelly and help in keeping the lips moist, there are also the new flavoured and coloured options. They have also found their way into the cash counters where these attractive picks make most people impulse buyers. There are also specialised lip balms aimed at men, which are customised keeping in mind the slightly rough skin.

The lip balm has many ingredients, but the main component is waxy and could be beeswax, carnauba wax, paraffin, lanolin, or camphor. There are many organic products available which contain essential oils, shea butter, silk protein, nut oils like almond oil and cocoa butter. The main purpose is to create a protective layer on the surface of the lips to protect it from cold, dry air, and reduce damage from sun exposure. It also seals the moisture that is inherently present in the lips, thereby preventing chapping and cracking of the lips. Some cheaper products could contain hemp oils, petroleum and mineral oils.

When picking a lip balm, consider the following:

  1. Purpose: Do you want something protective or do you want something attractive? The answer to this question will decide the product you pick. If protection is the main reason, then something plain will do. If you want colours and flavours, the pick would be different. There are specialised products for men, so go indulge.
  2. Exposure to the sun: There are some lip balms which offer protection with a good SPF, so if you are likely to be out in the sun for long period, use this.
  3. Medicated: Some lip balms also contain medicinal effects against cold sores, so if you have a cold sore, use this.
  4. Do no harm: There could be lip balms which contain synthetic substances like phenol, menthol, salicylic acid, and alum. These have a tendency to dry the lips, and so not advisable in the long run.
  5. Container: While lip balm sticks are very popular, they are best for single person use, to avoid contamination.

Whatever the product you apply, it inevitably enters your system and so it is important to take a good product. Choose plant-based essences which are not just healthy but also provide a good, protective effect for the lips. If you wish to discuss about any specific problem, you can consult a dermatologist.

3840 people found this helpful

Health Benefits of Palak (Spinach)

Sexologist Clinic
Sexologist, Faridabad
Health Benefits of Palak (Spinach)

Spinachis a rich source of vitaminA and reduces the risk of eye diseases, like night blindness, itching eyesand eye ulcers. Components like beta carotene, lutein, xanthenes and zeaxanthinact as strong antioxidants and protectthe eyes from the harsh effects of UV rays, further lowering the chances ofcataract formation and are all beneficial for maintaining overall good eyesight.

·        Spinachis also rich in potassiumand low in sodium. The former is known to lower the blood pressure while thelatter is known for increasing it. Therefore, spinach, included in a regulardiet brings the blood pressure down to normal levels. The amount of folatepresent in spinach also reduces hypertension, relaxes blood vessels andmaintains a proper blood flow.

·        Spinachis rich in mineralslike manganese, copper, magnesium, zinc and phosphorus which help in building strong bones and lowering the chances of osteoporosis. It is also a good sourceof vitamin K, which functions in retaining calcium in the bone matrix, leadingto bone mineralization.

 ·        Ithas been found that spinach has the ability to protect the mucous membrane of stomach, thereby decreasing the occurrence of gastric ulcers.

·        Studiesshow that spinach lowers the cancer risk by 34%, particularly breast cancer,cervical cancer, prostate cancer, skin cancer and stomach cancer. Componentslike vitamin A, vitamin C, folate, tocopherol, chlorophyllin, folic acid andfiber are considered beneficial in fighting against cancer cells.

 ·        Spinachis a great source of magnesium, a mineral which is known to preventcomplications occurring after diabetes. And regular consumption of spinachstabilizes blood sugar levels and prevents it from fluctuating too much.

·        Anotherimportant mineral, iron, which is found abundantly in spinach, is known to reproduce red blood cells, thereby preventing chances of anemia. The same ironis also useful for boosting the body’s metabolism, leading to more fat burningand giving way to reduce weight.  

·        Itis advisable for pregnant women to include spinach in their regular diet asfolate found in it is needed by the growing fetus for development of a newnervous system. Also, vitamin A present in spinach is required for the lungdevelopment of the fetus as well as during breast feeding.

·        Folatefound in spinach aids in reducing the risk of Alzheimer’s disease. Vitamin Bprotects the skin against the harmful effects of UV radiations. And finally,the high alkaline properties in spinach make it a perfect food for peoplesuffering from inflammatory ailments, like rheumatoid arthritis and osteoarthritis.

2 people found this helpful

I'm in my 9th month of pregnancy. Suffering from severe itching on whole body. please suggest what could be the reason. Is it something to be worried abt?

MBBS, P. G. Diploma in Dermatology Venerology & Leprosy (D. D. V. L )
Dermatologist, Moga
I'm in my 9th month of pregnancy. Suffering from severe itching on whole body. please suggest what could be the reaso...
Take tab Atarax 25 mg at night and apply VENUSIA Lotion after bath daily,use Tedibar soap for bathing
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