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Dr. Pooja Nagpal

Gynaecologist, Delhi

100 at clinic
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Dr. Pooja Nagpal Gynaecologist, Delhi
100 at clinic
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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 Nagpal
Dr. Pooja Nagpal is a trusted Gynaecologist in Nangloi, Delhi. She is currently associated with City Dental & Gyane Clinic in Nangloi, Delhi. Save your time and book an appointment online with Dr. Pooja Nagpal on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 27 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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City Dental & Gyane Clinic

#139, Najafgarh Road, Nangloi. Landmark: Opp. Axix Bank ATM, DelhiDelhi Get Directions
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Meri beti 12 years h. last month 27 ko 1st time periods aaye .blood spot se jaida ganda paani nikla. Or may month mai abhi tk start nhi hoya.

BHMS, pgdcbm, MD(AM)
Homeopath, Gurgaon
Meri beti 12 years h. last month 27 ko 1st time periods aaye .blood spot se jaida ganda paani nikla. Or may month mai...
Don't worry lybrate-user. It takes some time for the menstrual cycle to start regularly. Just give her a good healthy diet. Periods will start on their own. It might take a few months before she starts a proper 28-30 days cycle.
1 person found this helpful
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Effective Ways to Ease Heavy Bleeding During Periods

MBBS, MD, Registrar, DNB, MNAMS
Gynaecologist, Delhi
Effective Ways to Ease Heavy Bleeding During Periods

Heavy bleeding during menses.... What should you know?

Heavy or prolonged bleeding during menses is medically known as 'menorrhagia'. It is more common as you approach menopause but can occur at any age. The bleeding has to be severe enough to interfere with your daily activities.

The cause could be hormonal, pregnancy complications, bleeding disorder or a structural lesion like a fibroid, polyp, endometriosis or adenomyosis.

In advanced age cancer of the uterus or cervix has to be ruled out.

Symptoms of heavy periods

- soaking a pad or tampon every 2-3 hrs or less in a day

- passage large blood clots during menstruation

- your period lasts more than seven days

- you become anemic due to excessive blood loss

How to manage excessive bleeding

1. Maintain a record of the no of days and pattern of heavy bleeding.

2. Increase your intake of fluids and salt

You should increase your intake of fluids and especially salty fluids during heavy menstruation. You can have vegetable juices like tomato juice as well as salty broths during such times. This will help you especially when your blood volume goes down (which is characterized by dizziness or pounding of heart) when you get up after lying down. Your body would need more than four to six cups on such a day.

3. Increase the intake of iron

Increase your iron intake through natural sources like green vegetables, egg yolks, red meat, liver and dried fruits like raisins and prunes. You can also start an iron tablet once a day for faster recovery from anemia

4. Visit your gynecologist

A good history, few blood tests, and a simple ultrasound generally leads to the diagnosis. Sometimes a biopsy is required to rule out cancer. Multiple new drugs have been added in the last few years which have avoided the need for surgery

An early diagnosis ends up with better results. Hence, it is important to act early

'consult'.

Related Tip: 7 causes of heavy menstrual bleeding women need to know about

4078 people found this helpful

Hi I m a 21 year old girl. I do not have regular periods. I have tried 21 tablets for several year. But once I leave them the problem starts again.

BHMS
Homeopath, Delhi
Hi I m a 21 year old girl. I do not have regular periods. I have tried 21 tablets for several year. But once I leave ...
Hello, you can take homoeopathic medicine Jonesia Ashoka Q ( 10 drops in little water) thrice a day for 15 days and update.
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Hello, doctors my wife is 10 week 05 days pregnant. She is housewife. She is suffering from cold throughout the year does that affect our baby and.

MBBS
General Physician,
Hello, doctors my wife is 10 week 05 days pregnant. She is housewife. She is suffering from cold throughout the year ...
It will not affect the baby directly get your wife treated for flu do warm saline gargle regularly have homemade freshly prepared lemon juice which is rich in vitamin c thereby increasing your body autoimmune system which prevents infection.

I am now completed 6 weeks and one day from my normal delivery with episiotomy Medici lateral I have visited doctors few weeks back she said those stitches are healed however I still have pain in my private place and my left thigh where I got the stitches so I can't able to stand for more than 5 mins I feel so much pain I also getting white discharge it's not so white. Please advice how to relief my pain.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am now completed 6 weeks and one day from my normal delivery with episiotomy Medici lateral I have visited doctors ...
normally there is discharge after delivery. so donot worry about that if there is no itching or foul smell. for stitches you can take painkiller and do sitz bath. or infrared radiation . it wil relieve the pain.
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4 Myths on IVF You Should Stop Believing Right Now

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
4 Myths on IVF You Should Stop Believing Right Now

In vitro fertilisation (IVF) is one of the popular Assisted Reproductive Technologies (ART) for treating infertility and helping couples to conceive.

But lack of understanding about the IVF treatment has given rise to a number of myths such as:

Myth 1: IVF never fails but is always successful
The success of the procedure depends on a number of factors such as quality and quantity of embryos and age. It is said that chances of conception decreases with age, with women above 40 reporting reduced fertility potential as well as success rate. On the other hand, women below the age of 35 have about 41% chance of getting pregnant.

Myth 2: IVF increases your fertility levels
Instead of making you more fertile, IVF stops your natural fertility cycle. This is usually done through hormones that are taken at the beginning of the process. The aim of such an action is to essentially put an end to your natural fertility process and create in its place an artificial cycle.

Myth 3: It causes you to have triplets or twins
No, it's not necessary for multiple births to take place if you opt for IVF. You can reduce the prospect of having twins or triplets by cutting down on the number of embryos that get inserted into the uterus.

Myth 4: IVF hormone injections make you prone to uncontrollable emotions.
In actuality, IVF hormone injections don't cause you to suffer from out of control emotions but make you happier. This is because they come packed with the female hormone oestrogen, which produce endorphins (brain chemicals) that give you a sense of wellbeing. The wave of emotions that you end up experiencing is a result of the stress and anxiety surrounding the success of a cycle.

3560 people found this helpful

I am 20yrs old female. I didnt had my periods dis month it has been 7days late in accordance to the due date. please help me with your suggestions.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I am 20yrs old female. I didnt had my periods dis month it has been 7days late in accordance to the due date. please ...
Hi Priya. I suggest you get a home pregnancy test kit and check for pregnancy. We can handle the problem then depending upon the result.
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Is Yeast Infection The Reason Of Vaginal Discharge?

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
Is Yeast Infection The Reason Of Vaginal Discharge?

There are certain glands in the vaginal walls and uterine cervix of a woman, which cleanse the vagina by producing a small amount of fluid. This clear or milky white coloured vaginal discharge is normal for a healthy woman if it doesn’t smell unpleasant. But if you observe that the colour, consistency, odour or amount of your vaginal discharge differs from usual, it may indicate an infection or a disease.

Here are 6 common factors behind abnormal vaginal discharge.

1. Bacterial Vaginosis
Bacterial vaginosis is a medical condition characterised by agray discharge, which has a lingering fish-like odour. Moreover, if you experience irritation and burning sensation in the vagina, which is increased by intercourse, it’s a strong indication of bacterial vaginosis.

2. Yeast Infection
It often happens that your vaginal area’s natural bacterial balance is disturbed due to certain factors such as use of antibiotics, decreased immunity, stress, uncontrolled diabetes or consumption of excessive sugary foods. This results in yeast overgrowth in the vagina, known as simply yeast infection or candidiasis. It’s characterised by a thick and whitish-grey discharge from the vagina.

3. Gonorrhoea
Caused by the bacteria Neisseria Gonorrhoea, this sexually transmitted disease (STD) is an infection, which causes vaginal discharge of an intense odour. Other symptoms of this disease include feeling of pain while urinating, chills, fever and irregular discharge of menstrual fluids. If left untreated, gonorrhoea can transform into a pelvic inflammatory disease and can even lead to infertility.

4. Genital Herpes
Genital herpes, a sexually transmitted disease (STD) that leads to formation of small watery blisters on the vaginal area, and causes irritation, itching and pain while having intercourse or urinating, may also be the cause of a vaginal discharge of watery texture.

5. Atrophic Vaginitis
After menopause, there’s a considerable decrease in oestrogen levels of the body along with the occurrence of changes in tissues of the vaginal cavity. This medical condition, known as atrophic vaginitis, can lead to a watery vaginal discharge, which can sometimes get bloody. Some other symptoms of this disease are vaginal inflammation and thinning or atrophy of tissues.

6. Infected IUD
In some situations, it may happen that the intrauterine device (IUD- a form of contraceptive) inserted in the body of a woman can get infected. This results in a purulent discharge (pus) from the vagina. Getting the IUD removed as soon as possible is the best thing to be done in this situation. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4778 people found this helpful

My wife is diabetic from the time when she was pregnant. In spite of controlling food, exercise & medicine its is not getting under control. Please suggest how she should proceed in her diet & other activities.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
Hello, please follow the doctor prescribed medicine. Which controls the diabetics and will not allow you increase. But along with medication, you need to concentrate on food also. Make sure you food must have high protein, fiber and omega-3 nutrition. For a diabetics, its good to have more protein rather than carbohydrates, which converts into glucose and may have a chance to increase the diabetes. What we suggest is the nutrigemoic protein, who certified, with 9 essential amino acids. This will help you cure your diabetics in a year time. But you will definitely have a result, if you can use protein with vitamins and minerals, fiber and omega-3 supplements.
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Hello I have got abortion I am 28 years old after abortion 2 months periods went smoothly 3 month it's not getting period if any pregnancy s there I need to abort r what how com it possible what I should please again I cnt do abortion because I can't bear pain of abortions during pills so please suggest me I am getting scarce whole nite I didn't sleep coz off tension.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Hello  I have got abortion I am 28 years old after abortion 2 months periods went smoothly 3 month it's not getting p...
Changes in Menstruation after Miscarriage, Abortion. ... Of these changes, many women are concerned as to when the menstrual cycle will return to a normal state. The periods may be irregular, heavy or light, or may not have started as yet (amenorrhea). Clots, period pain and PMS are other common symptoms reported by women. This is why women naturally go through menopause and stop having their periods after their normal reproductive years. For many women who are of reproductive age, low estrogen can cause missed or irregular periods. In fact, amenorrhea in young women is one of the best clinical indicators for estrogen deficiency. Don't freak out, there are more reasons than just being pregnant for a missed period. Have you been going through a lot of stress lately? That can cause a late or missed period. As well as extreme exercise, weight loss or weight gain, eating disorders, or it could be your body still working out your cycle.
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Health Tip!

Diploma In Physiotherapy, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Health Tip!

A poor posture like sitting or driving in a hunched position for too long can cause strain in neck muslces.

It as been 1 year to my married life and still my wife is not get pregnant test are normal. Then what may be the problem. please help with me this.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It as been 1 year to my married life and still my wife is not get pregnant test are normal. Then what may be the prob...
To get pregnant you need to have fallopian tubes patent which is checked by hsg test and semen should be adequate quality which is checked by semen analysis. These both tests are done before the treatment of any infertile couple. Once the above tests are normal, then treatment with clomiphene citrate is started with monitoring of egg. Tests which r done for you are useless and will not benefit u. You need to consult a good gynecologist who would start proper treatment for u. Frequency of intercourse should be 3-4 times a week to get pregnant. If you are already having this frequency and you are trying for more that one year, then only you need to seek medical help. If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26days) minus18days=8th day. The longest cycle (31days) minus 10days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period.
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I had sex with my boyfriend on FEB 5th. I am not sure whether my periods data is 5th or 14th feb. But now I missed y period it is 26 march. I ade pregnancy test and it showed me positive. Can I get the pill to present pregnancy as it is too late. Please do reply us.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had sex with my boyfriend on FEB 5th. I am not sure whether my periods data is 5th or 14th feb. But now I missed y ...
Hello, Its too late now as you are already pregnant. You may opt for MTP under a gynaecologists supervision if this is an unplanned pregnancy.
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Bachelor of Physiotherapy, Matrix Rhythemic Therepy, Athlete Biomechanics and sports analysis
Physiotherapist, Mumbai
The iliotibial-band syndrome and rehabilitation exercises

I am 21 years old female. I am having less blood percentage of 5. Is beetroot enough to increase blood percentage. What type of food should I add to increase blood percentage. Is medicines solv s my problem?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I am 21 years old female. I am having less blood percentage of 5. Is beetroot enough to increase blood percentage. Wh...
It's too less blood. Eat max leafy greens, pomegranates, banana, papaya etc. Iron supplements by herbal medicine must be started immediately.
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Pregnancy - 6 Signs To Look For

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Pregnancy - 6 Signs To Look For

There are two main ways of finding out if you are pregnant - getting your blood tested, and doing a home pregnancy urine test. In order for these tests to give you a clear picture, you need to wait until the right time i.e. until you've missed your period. However, there are several early signs of pregnancy that can give you an indication that you might be expecting.

1. Shortness of breath - Do you find yourself losing your breath on the stairs or when you walk for a long period of time, more than you usually do? This could be a sign of pregnancy since the fetus needs oxygen, leaving you feeling a little breathless even when you mildly exert yourself.

2. Sore breasts - If your breasts suddenly start feeling a little heavy or you feel like they have grown and your areolas seem slightly darker, it could be one of the first signs that you are pregnant.

3. Fatigue - The increase in hormones in your body during a pregnancy could lead to you feeling a lot more tired. If you end up exhausted after a normal day this could be because women tend to feel extreme tiredness during their first trimester of pregnancy.

4. Nausea - Around 6 weeks into a pregnancy (sometimes earlier), women tend to feel nauseous. This usually subsides as you enter into your second trimester. Feeling nauseous could be a sign of pregnancy. You can treat it by eating things that help settle your stomach like crackers and soda.

5. Frequent Urination - If you notice yourself needing to urinate more than usual, it could be a sign of pregnancy. This happens because your body is now producing extra fluids that cause your bladder to work extra.

6. Headaches - An early sign of pregnancy is experiencing frequent headaches. This happens because your body is now suddenly dealing with a lot of excessive hormones. To deal with the headaches make sure you take a pregnancy safe painkiller instead of a normal one.

Everybody has a way of expressing itself if only we take the time out to listen. If we really pay attention to these tiny reactions, detecting a pregnancy early, that is even before you skip that period is possible. If you wish to discuss any specific problem, you can consult a gynaecologist.

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Painless Normal Delivery - Is it Possible?

Fellowship and Diploma in Laparoscopic Surgery, FOGSI Advanced Infertility Training, Royal College of Obstetricians and Gynaecologists (MRCOG), MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Painless Normal Delivery - Is it Possible?

One of the most severe forms of pain is the pain that a woman experiences during the process of childbirth. On a scale of 1 to 10, with 10 being the most severe, it is believed to be 8 to 10. In the earlier days, a number of women would die during childbirth and survival was considered as a second lease of life. This belief has however, changed with the advancements in medical science. The delivery has now become an almost painless procedure.

How it works: The pelvis and the lower limbs receive nerve supply through the nerves coming out of the spinal cord. A strong anesthetic is injected into the lower back to numb the pelvis and down below. This ensures that the mother is comfortable and awake during the whole procedure and is able to see the child being delivered but has reduced pain in the lower half of the body.

What are its benefits?

  1. The mother has a painless delivery and is conscious and able to see the process of delivery.
  2. Significant relief from the painful experience of childbirth. The pain induces secretion of stress hormones in the mother, which adversely affects both the mother and the child.
  3. Blood pressure is better controlled using this procedure.
  4. Additional instruments can be used during the delivery if required without the need for additional anesthesia.
  5. If required, the procedure can be converted to a cesarean section too, by adding an epidural catheter.
  6. The duration of childbirth has been significantly decreased.
  7. Suitable for patients who have preeclampsia and heart disease

It has some disadvantages too

There are minor complications, including:

  1. This can develop after the painless delivery and the onset and intensity vary from one individual to another
  2. Post-procedure headache
  3. Pain at the site of injection
  4. Difficulty during urination
  5. The normal pushing effect by the woman is reduced due to the numbness and so vacuum may be used or delivery may have to be converted to a cesarean one.
  6. In rare cases, there could also be a sudden drop in the blood pressure

Certain indications

In the following cases, the doctor would advise the mother to go for a painless delivery

  1. Medical conditions like preeclampsia, high BP, or other heart conditions
  2. Subsequent births after having had a cesarean section (VBAC – vaginal birth after cesarean)
  3. People who have previously had prolonged or complicated labor, a painless delivery is easy on both the mother and the child

When it should be best avoided

In some cases, like the ones listed below, the painless delivery should be avoided

  1. Women with bleeding disorders.
  2. Women who are on blood thinners like aspirin, heparin, etc.
  3. Women who have had prior low back surgeries
  4. Women with neurological conditions

A detailed discussion with your gynecologist is the best way to identify, if this would work for you.

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