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Dr. Pooja Agarwal

Gynaecologist, Delhi

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Dr. Pooja Agarwal Gynaecologist, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Pooja Agarwal
Dr. Pooja Agarwal is an experienced Gynaecologist in Greater Kailash, Delhi. She is currently associated with Aggarwal Medical Centre in Greater Kailash, Delhi. Save your time and book an appointment online with Dr. Pooja Agarwal on has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 41 years of experience on 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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Aggarwal Medical Centre

#234, Block E, Part 1, Greater Kailash. Landmark: Near M Block Market, DelhiDelhi Get Directions
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Ladies k period aane k baad konse dino main sex karne se baccha hone ki sambahwna adhik hoti h.

Sexologist, Nashik
Ladies k period aane k baad konse dino main sex karne se baccha hone ki sambahwna adhik hoti h.
Period ka Pehale din ko 1st day Mana to Day 8 to day 20 mai agar Sex Kiya to Pregnancy ke chances jyada hote Hai. Lekin Period or menstrual cycle regular honi chahiye .i. E of 28-30 days.
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I have thyroid since 3 years and I'm advised on 50 mg of thyronorm, is this dose enough as I am in third month of pregnancy.

MS - Obstetrics and Gynaecology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thane
I have thyroid since 3 years and I'm advised on 50 mg of thyronorm, is this dose enough as I am in third month of pre...
Please do Free t3 Free t4 and ultra TSH. Depending upon results you dose will be decided. Repeat this report every 2 months to keep thyronormalcy as Thyroid hormone is essential for nervous system development of baby.
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She is pregnant 45 days , This is her second pregnancy right now she is having abdominal pain from one hour (exact above vagina) please refer to this.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
She is pregnant 45 days , This is her second pregnancy right now she is having abdominal pain from one hour (exact ab...
hi Naveen, please get a pelvic ultrasound done to see exact location of the pregnancy. whether intrauterine or ectopic. pain in vaginal area could be due to stretching or some infection.
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Women related cancer: Prevention and Treatment

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Women related cancer: Prevention and Treatment

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

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.

Treatment Options:

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

Screening Guidelines:

  • 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.

Treatment Options:

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.

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Please suggest. Is there any other way to have sex without the help of protection or without taking medicine after sex, so that my wife doesn't get pregnant.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Please suggest. Is there any other way to have sex without the help of protection or without taking medicine after se...
Hello- Its better to use monthly birth control pills. The birth control pill works by stopping sperm from meeting an egg (which is called fertilization). The hormones in the pill stop ovulation. No ovulation means there’s no egg hanging around for sperm to fertilize, so pregnancy can’t happen. The pill’s hormones also thicken the mucus on the cervix. Thicker cervical mucus makes it hard for the sperm to swim to an egg — kind of like a sticky security guard.
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Hi mam my age is 25 get married 2.5 years, i want to know infertility reason blood report and hsg test all are normal please tell madam what is the reason fot infertility?

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Hi mam my age is 25 get married 2.5 years, i want to know infertility reason blood report and hsg test all are normal...
Hello Lybrate users, infertility may be due many reason like In male -abnormal sperm production or function, Problems with the delivery of sperm ,Overexposure to certain environmental factors, such as pesticides and other chemicals, and radiation. Cigarette smoking, alcohol, In female-Ovulation disorders, Uterine or cervical abnormalities, Fallopian tube damage or blockage, often caused by inflammation of the fallopian tube (salpingitis, Endometriosis,Primary ovarian insufficiency (early menopause), when the ovaries stop working and menstruation ends before age 40, Pelvic adhesions, bands of scar tissue that bind organs after pelvic infection, appendicitis, or abdominal or pelvic surgery. So, you should go through all investigation advice for better management.
1 person found this helpful
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I am 19 years old. And I don't get menstrual flow on time means monthly. What should I do to have on proper time? I have consulted 2-3 doctors but all in vain.

MD - Obstetrtics & Gynaecology
Gynaecologist, Chennai
I am 19 years old. And I don't get menstrual flow on time means monthly. What should I do to have on proper time? I h...
Please get a basic ultrasound pelvis ot trans vaginal scan if you married also get hemoglobin and thyroid test done asap send reports by pvt chat for further treatment do. Not. Neglect irregular periods the treatment can be very simple.
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Staying Healthy!

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Chandigarh
Staying Healthy!

Drink a glass of milk with your meals, rather than a glass of water. If you eat cereal for breakfast, try adding a sliced up banana along with it.

Hazards of sitting

MD AYU, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
Hazards of sitting
Do you sit in an office chair or on your couch for more than six hours a day? Then here are some disturbing facts: Your risk of heart disease has increased by up to 64 percent. You're shaving off seven years of quality life. You're also more at risk for certain types of cancer. Simply put, sitting is killing you
Organ damage



Muscles burn less fat and blood flows more sluggishly during a long sit, allowing fatty acids to more easily clog the heart. Prolonged sitting has been linked to high blood pressure and elevated cholesterol, and people with the most sedentary time are more than twice as likely to have cardiovascular disease than those with the least.


The pancreas produces insulin, a hormone that carries glucose to cells for energy. But cells in idle muscles don't respond as readily to insulin, so the pancreas produces more and more, which can lead to diabetes and other diseases. A 2011 study found a decline in insulin response after just one day of prolonged sitting.


Studies have linked sitting to a greater risk for colon, breast and endometrial cancers. The reason is unclear, but one theory is that excess insulin encourages cell growth. Another is that regular movement boosts natural antioxidants that kill cell-damaging - and potentially cancer-causing - free radicals.

Muscle degeneration


When you stand, move or even sit up straight, abdominal muscles keep you upright. But when you slump in a chair, they go unused. Tight back muscles and wimpy abs form a posture-wrecking alliance that can exaggerate the spine's natural arch, a condition called hyperlordosis, or swayback.


Flexible hips help keep you balanced, but chronic sitters so rarely extend the hip flexor muscles in front that they become short and tight, limiting range of motion and stride length. Studies have found that decreased hip mobility is a main reason elderly people tend to fall.


Sitting requires your glutes to do absolutely nothing, and they get used to it. Soft glutes hurt your stability, your ability to push off and your ability to maintain a powerful stride.

Bad back


When we move, soft discs between vertebrae expand and contract like sponges, soaking up fresh blood and nutrients. But when we sit for a long time, discs are squashed unevenly. Collagen hardens around tendons and ligaments.


People who sit more are at greater risk for herniated lumbar disks. A muscle called the psoas travels through the abdominal cavity and, when it tightens, pulls the upper lumbar spine forward. Upper-body weight rests entirely on the ischial tuberosity (sitting bones) instead of being distributed along the arch of the spine.


If most of your sitting occurs at a desk at work, craning your neck forward toward a keyboard or tilting your head to cradle a phone while typing can strain the cervical vertebrae and lead to permanent imbalances.

That's the bad news. The good news: It's easy to counteract no matter how lazy you are.

Tips to overcome this problem.

Sitting on something wobbles such as an exercise ball or even a backless stool to force your core muscles to work. Sit up straight and keep your feet flat on the floor in front of you so they support about a quarter of your weight.

Stretching the hip flexors three minutes per side once a day.

Walking during commercials when you're watching TV. Even a snail-like pace of 1 mph would burn twice the calories of sitting, and more vigorous exercise would be even better.

Alternating between sitting and standing at your workstation. If you can't do that, stand up every half hour or so and walk.

Trying yoga poses - the cow pose and the cat - to improve extension and flexion in your back.


Chemotherapy - 3 Reasons To Abstain From Sex!

MD, BHMS, Post Graduate Diploma In Hospital Administration (PGDHA)
Sexologist, Delhi
Chemotherapy - 3 Reasons To Abstain From Sex!

Cancer is the scourge of modern era with increasing cases being reported by a significant percentage of the population with the passage of time. With the ever increasing incidences, the number of patients being treated with chemotherapy is also on the rise. This treatment however, does come with its own disadvantages and although it may be effective in curing cancer, its side effects may render a patient incapable of leading a normal life for the duration of the treatment.

What exactly is Chemotherapy?
Chemotherapy is a process by which cancer cells in the body are destroyed with the use of chemical drugs. Although it is an effective form of treatment, it has many side effects as it can affect good cells as well. This is one of the main reasons hair cells may die out temporarily and a person undergoing chemotherapy may lose hair.

Sex and chemotherapy
Although sessions of chemotherapy can damage a person's libido it may be possible to have sex keeping certain precautions in mind. Here are certain possibilities and problems associated with sex while undergoing chemotherapy.

1. It is possible to have sex while undergoing chemotherapy, if the concerned doctor says that it won't harm the patient in any way.
2. If your doctor says you can have sex then you are in the clear, but it is very important to gauge the situation yourself along with your doctor and go ahead only if chemotherapy is successful.

1. The main problem is that the patient may not have the energy or the desire to have sex as chemotherapy can be taxing on the body. However, if you want to and the doctor says it won't cause problems, you can go ahead with it.
2. Usually doctors ask patients to abstain from sex if the cancer being treated is within the genitalia. Friction during sex may cause issues within the organs and only, if proper healing has occurred should the patients consider sex.
3. Certain types of chemotherapy may change the lining of the vaginal walls and thus make them more prone to injury during vaginal sex and thus should be abstained from. Also with chemotherapy, the white blood cell count tends to be reduced within the body and this may leave it vulnerable to bacterial infections which may come from the partner during sex.

Moreover, It is advisable not to conceive while receiving chemotherapy, whether the cancer is with the man and most definitely when it is with the woman. Chemotherapy may cause acute imbalances within the body and may seriously affect the development of the baby and especially the mother, if she has cancer. If you wish to discuss about any specific problem, you can consult a sexologist.

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