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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Am deepa. Am 28 weeks pregnant. I can't sleep during night time. I use to change my position frequently during time? Sometime I won't get up and change positions. I just roll and sometimes while am wake I was sleeping straight? It affects my baby? How to change the position while sleeping?
Symptoms and preventions for Menopause
Hi Good morning! I am doctor Aparna Jain, senior consultant obstetrics and gynaecology. Today we are discussing problems related to menopause. Average age of menopause in an average Indian woman is 48 years. 2/3 years beyond that and before that is the period of perimenopause. Lot of women suffer from problems related to menopause first of which is hot flashes, another is urinary problem and sometimes menstrual disorder. Then there can be joint pains as well.
1. Hot Flashes. In hot flashes women usually feel lot of sweating and nervousness. Deficiency of hormones lead to hot flashes, for that we need to supplement the woman with hormones and usually we ask to avoid taking hot drinks and advice to take natural isoflavones to avoid hot flashes.
2. Menstrual Disorder. Menstrual disorder usually happens in the form of either irregular periods or heavy menses and irregular period usually occur in the initial six months to one year time then the period usually stops. If the period continues to be irregular then we need to do investigation to find out whether this woman is having any benign disorder in the uterus or malignant disorder in uterus. For that we need to do an ultrasound of lower abdomen and if required a D&C Hysteroscopy to find out whether there is any growth inside the uterus and we send this tissue for histopathology to rule out malignancy. If the bleeding till persists then the woman may need hysterectomy in that age.
3. Urinary Problem. It is quite common. Usually women do not come out with this problem because they feel shy about disclosing it. The most common problems are either frequency or dysuria which means burning during urination. Another is stress incontinence. Whenever they sneeze or cough they pass small amount of urine. It is all because of hormonal deficiency. Because of which the lining of the urinary bladder as well as the lining of the vagina becomes thin so there is chances of recurrent infection and women suffer from this problem. For this we need to supplement the women with hormones as well as ask them to take natural sources of oestrogens like soya isoflavones.
4. Joint Pain. Usually this is because of the deficiency of Vitamin D and Calcium. For this we need to address and tell them to do lot of exercises and to take Calcium as well as Vitamin D
Usually we subject every woman with health package during menopausal period in which we include a pap smear, and ultrasound routine, blood test like CBC, blood count, as well as lipid profile and kidney function test, sugar, urine routine culture, ultrasound of lower abdomen and if required mammography and if we find any problem one can go for a cardiac check up also. And, usually we tell every post menopausal woman to do some amount of exercise and take calcium and vitamin d and plenty of liquids to avoid any problem related to postmenopausal.
Thank you very much. If you have any problem related to this you can consult me either on Lybrate or you can come down to my clinic.
I have marriege in month of May 2015 & we trying for baby .. still we both not visited the doctor yet ........... can you pls help me in that
My last period was on Jan 14, still not happened, scan everything was done but everything is fine, doctor told it's harmon imbalance.
What is the reason behind getting sick and very much ill during the periods and in the age of more than sixty.
In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.
The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:
- This is popularly known as juvenile onset diabetes.
- Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
- People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.
- Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
- Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
- Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
- Sometimes, oral medication or insulin injections are also needed.
- Extreme thirst and hunger
- Frequent urination
- Sores or bruises that heal slowly
- Dry, itchy skin
- Unexplained weight loss
- Unusual tiredness or drowsiness
- Tingling or numbness in the hands or feetsymptoms of diabetes
The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.
Diabetes diet chart:
- Morning at 6: teaspoon fenugreek (methi) powder + water.
- Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
- Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
- Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
- Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
- 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
- 6 pm: 1 cup soup
- 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
- 10.30 pm: take 1 cup cream free milk without sugar.
When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!
- Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
- Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
- Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
- For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
- Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
- Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
- White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
- Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels.
Advice for diabetes patient:
- 35-40 minute faster walk every day.
- Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
- Avoid oily food.
- Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
- Do not take fast and also don t go much party.
- Diabetic person should eat food slowly.
- An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
- An elderly diabetic but not over weight 1400 -1800 kcal.
- A young active diabetic 1800 -3000 kcal.
- Daily intake of carbohydrate: 1/10th of total calories approximately 180gm.
- Daily intake of protein: 60gm to 110gm.
- Daily intake of fat: 50gm to 150gm.
When the temperature soars to extremes in the summer, all you want to do is switch on the air conditioner and stake out in a room during the day. Alas! That's not a real world option. In reality, we have to work in the kitchen, step outside to reach office and do our daily chores bearing the heat. In some places, the added humidity becomes an even worse problem with sweat draining us out of our energy. While we can blame it on global warming and other problems, it really isn't going to solve our problem. To do that, we need to look inside and not outside. Nature's bounty is infinite and there are several foods in nature that helps our body stay cool form the inside. That's because nature likes to maintain balance and has all the solutions we need. We only need to look.
Here are a few options on summer friendly meals that can help you beat the heat.
- Summer salads: Fresh and healthy summer salads are one of the sure shot ways to make you feel light and full and keep your body cool while keeping your taste buds super happy. Fill it with the goodness of cucumber, beetroot, cherry tomatoes, carrots and cottage cheese and flavour it with salt, pepper and a dash of homemade cream cheese and pomegranate. We've seen this salad being gobbled up in a record time of 7 seconds. You just have to give it a try.
- Cool drinks: From buttermilk to lemon mint coolers to variants made from fennel seeds (saunf) cooling drinks are a must have in any home. You can stock these up on a Sunday to have them through the week. Also, you can consume many of these with honey instead of added sugar to keep your health and calories in check.
- Fresh fruit salads with ice cream: Fruit salads can actually be a wonderful breakfast or meal option. Using a mix of locally available fresh fruits and topping it with fresh custard or ice cream can be a delightful summer coolant.
- Summer vegetable saute: Want some freshness on the side. A fresh vegetable saute can just become a full meal. Filled with the goodness of vegetables sauteed in virgin olive oil and very little seasoning, the crunchy texture and colourful mix can work wonders in keeping you healthy during the summer. Try a mix of corn, spicy jalapenos, onions and lettuce and tofu to make it a full meal.
Summer heat can sometimes really take its toll. Be careful if you experience unusual symptoms like excessive sweating or faintness.
I have started eating dry nuts like dry dates, pista, badam, anjur since few days. My question is, what is the best time to eat and how much to consume?
Hi doctor, On 28th Jan was my period due date but I miss period so I checked through pregnancy test at home and it came positive. I consulted one doc she asked for sonography because I was having severe pain so she was in doubt about ectopic pregnancy and report says intrauterine G sac 4 mm which is normal as per doctor. So please tell me how may weeks of pregnancy I have and is the sonography report normal. And what food (vegetables, fruits) should I take in pregnancy. And precautions please I am very excited as this is my first pregnancy.
Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.
There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.
Common Treatments for pulmonary hypertension:
- Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
- Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
- Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
- Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
- Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
- High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
- Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
- Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
- Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
- Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
- Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.
- Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
- Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.
- The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
- Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
I am asking for sexologist I have a girlfriend we have some problem while on bedtime that is when we do foreplay that time her vagina get wet but actual when we doing sex that time it is dry thats why she got pain and not satisfied what was the reason.
In reference to my last question. I am 26. Had sex on 14th August and my period is due on 18th August. I have 28 days and regular cycle. Now I am really confused. Some doctors are telling chances of pregnancy are by and large. Some are saying there is no chance at all. Please suggest me accurate answers. I am really worried.
We are newly married couple and my wife is not getting delay in periods .just want to confirm that how to be share that it is just period miss and she is not pregnant?
Opting for an abortion can often be immensely emotionally exhausting on your part. The emotional stress, guilt and confusion might become over bearing. To make this decision something you don’t regret, equip yourself with all the knowledge and help available.
Here are 5 of the top tips before choosing to terminate the life growing inside you:
Being certain about your pregnancy: It is critical to know that you are actually pregnant before proceeding with a surgical or medical abortion. Getting a test done from a reputed hospital is way more accurate than home tests which might not always be able to give you a correct reading. A sonogram is the best way to confirm your pregnancy.
Get an accurate idea: 1 out of every 5 pregnancies results in a miscarriage. Thus, getting all the information possible from a doctor helps you make an informed choice. You should be aware of all the consequences. At the same time, get facts, such as whether the foetus has a heartbeat, right. An ultrasound helps in determining this as well as whether the foetus is located in the uterus.
Know about your health: You should get yourself checked up thoroughly, primarily for any STD’s. Knowing whether or not you have an STD is important as abortion in a person with an STD increases the likelihood of complications and infection.
Legality: In India, abortion is illegal, as one of the main reasons for doing so is sex selective abortion wherein, the male child is preferred over the female. Certain provisions however, allow the termination of a foetus. If the pregnancy is up to 20 weeks and the birth would result in serious mental trauma or health complications for either mother or the unborn child, then an abortion is permissible. A trained government professional will be able to answer all your questions in regard to your choice of terminating the foetus. Sex determination of the foetus is illegal in India.
Get informed about the risks involved: Getting an abortion can be quite strenuous both physically and emotionally. It is a medical procedure that is irreversible in nature. There are multiple abortion options based on how far your pregnancy has progressed. Each of these procedures has side effects and medical risks involved. Often a counsellor or a psychologist is needed to provide support as women might become fragile or emotionally unstable after opting for an abortion. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Hello Doctor, My age is 31 years. I am trying to conceive for more than 2 year but no luck. I did 4 follicle cycles but no rupture no ovulation even after Hcg Injections. My Hysteroscopy was done yesterday as per the report some small poly was there which is removed through laser and some blood flow was not happening which has been corrected. I am asked to go for IVF with donor egg due to low Amh. Will some yoga or any other treatment help me to improve my Amh level. My height is 5’2 and weight is 59kg. I have started walking early morning for 20 mins and I am doing some fertility yoga exercises as I want to conceive naturally. What else can I do to improve fertility as I want to try naturally for 6 months before going for IVF option. Pls help me with diet and other steps that I can do to improve infertility.
Last date of period 22nd April, in mid month of month little bleeding spotting for 3 to 4 days, my breastfeeding mother, 2 days back I checked with preganews result is negative, no periods yet, very confused. Help me with medicine for periods.
My Age is 39, too much hairfall . TSH is 3.54 progesterone on day 21 is 40, haemoglobin 12.4,glucose pp is 136 I am unable to conceive for last six months trying for it. doctor gave me thyronorm, glycomet tablets for one month to balance hormones. Keraglo tablets for hairfall. Am I following right medication? Prolactin is 1.2 and AMH is 3.14.
When someone intends to describe 'intercourse', the adjective painful is not the first thing to spring up in your mind. But more often than not, you or your partner might be suffering from a painful experience under the sheets that further complicates your relationship.
But to paraphrase, it doesn't have to be like this. If you are encountering pain on a regular basis, it is best to talk to your partner and to a doctor to get rid of the problems.
Below is a list of 6 reasons that could be responsible for a painful intercourse:
- Lack of sufficient lubrication: When the female member is turned on because of foreplay, there is an adequate amount of white mucous discharge in the vagina which works as a natural lubricant and makes penetration easy and comfortable. A lack of sufficient foreplay or a side effect of usage of medications for allergies and antidepressants might make your vagina dry which can cause pain. Also, intercourse before your menstrual periods can also facilitate the painful experience. This condition can be checked upon by usage of lubricants which will sufficiently moisturize the vagina.
- Inflammation of the bladder region can also cause pain during sex: It is recommended to urinate after sex in order to drain away the bacteria that might have entered your body during intercourse.
- Infection: Infection in the vagina, which can be denoted by the change of color in the vaginal discharge can be a reason for the pain. Also itching in the vagina (vaginitis) in case of women or infection to certain contraceptives for men can also give rise to pain.
- Inflammation of prostate gland: For males, severe pain just a few moments before ejaculation might be a result of prostatitis (inflammation of the prostate gland) and should be immediately diagnosed.
- Medical Conditions: If the pain during intercourse affects your whole body, then there is a possibility that the pain is a reason for some underlying serious medical condition like problems in the uterus, irritable bowel syndrome or ovarian cysts.
- Hormonal Imbalance: If you are pregnant or you have given birth just a few months back, you might feel pain during intercourse as changes in hormones during pregnancy might cause your vagina to dry up. If you wish to discuss about any specific problem, you can consult a sexologist.