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Dr. Puja

Gynaecologist, Delhi

200 at clinic
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Dr. Puja Gynaecologist, Delhi
200 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. Puja
Dr. Puja is a renowned Gynaecologist in Okhla, Delhi. You can visit him/her at Alshifa Multispeciality Hospital in Okhla, Delhi. Book an appointment online with Dr. Puja on Lybrate.com.

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Alshifa Multispeciality Hospital

D-305, Abdul Fazal Enclave, Jamia Nagar, Okhla. Landmark:-Near Ahle Hadees Jamiya Masjid, DelhiDelhi Get Directions
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Intra Uterine Insemination (IUI) - Condition Prevalent Before Procedure!

Advanced Infertility, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Hyderabad
Intra Uterine Insemination (IUI) - Condition Prevalent Before Procedure!

For the benefit of couples suffering from infertility, modern medical science has introduced several innovative procedures. Some of the popular procedures are In-vitro Fertilization (IVF), Intra Uterine Insemination (IUI), Gamete Intrafallopian Transfer (GIFT), Intracytoplasmic Sperm Injection (ICSI), donor eggs and embryos and so on. In addition to these, there are several drugs and surgical procedures that help the couple in getting rid of infertility. Among all these procedures, IUI has gained popularity in the field of gynaecology and infertility treatment procedures. The IUI treatment is also popularly called as artificial insemination procedure. Although this is a popular procedure, it is appropriate that you should also understand its pros and cons.

IUI procedure in brief:
In simple terms, the IUI procedure involves placing the sperm inside the womb or uterus, which in turn would assist in fertilization of the egg. As a result of this procedure, the sperm reaches the fallopian tube, which enhances the chances or rate of egg fertilisation.

IUI is of two kinds -

1. With husband sperm. Indications- 
A. Vaginal infections. 
B. Low sperm parameters. 
C. Unexplained infertility. 
D. Small penis, morbid obesity, sexual dysfunction

IUI with donor sperm in case of azzospermia in husband semen parameters. Success per cycle varies 15 to 20% per attempt.

Conditions precedent of IUI Procedure:
Before initiating the IUI procedure, the fast moving eggs are separated from the slow moving eggs. This separation is done in the laboratory. Further, in order to undergo IUI procedure, the women should be less than 40 years of age. On the other hand, apart from healthy fallopian tube, the women should also have higher ovarian reserves. Also, the sperm should have minimum mortality rate. However, IUI procedure is adopted only if the fallopian tube is healthy. IUI procedure is suggested in case the couple is having difficulty in vaginal intercourse, either because of psychosexual reasons or for reasons of physical disability.

The IUI procedure can be performed either with the partner’s egg or with the donor’s egg. Some of the other important aspects of IUI procedure are briefly discussed here:

  1. The IUI procedure is a short duration procedure and it can be completed within a few minutes. This procedure does not cause any discomfort or pain. The procedure does not require any hospitalisation or administration of anesthesia. Further, the procedure also does not cause any side effects. In fact, compared to the IVF procedure, IUI is cost-effective.
  2. In order to enhance the level of success, the gynaecologist may suggest IUI procedure every month. In some cases, the gynaecologist may also prescribe a few medicines to simulate the ovulation procedure. Except this, IUI may not involve extensive medication.

Summary:
You may undergo the IUI procedure under the supervision of sufficiently experienced gynaecologist. Further, you may also ensure the hospital is equipped with modern state of art machineries for carrying out the IUI procedure.

2 people found this helpful

I am suffering from irregular periods. My doctor advice me a hormonal medicine for 10 days after which my periods was supposed to happen. It's now 4 days past and I still have not got periods. Please advise. My last period start date was 12 oct.

MBBS
General Physician, Fatehabad
I am suffering from irregular periods. My doctor advice me a hormonal medicine for 10 days after which my periods was...
Hi lybrate-user, While you can use some medicines to overcome irregular menstrual cycle, they may have undesirable side effects. But you can try natural home remedies for irregular periods. 1. Yoga: When you undertake yoga exercises, you are helping your body release endorphins which help the body deal with stress easily. It does not mean that you limit yourself to yoga alone since many types of exercises can be undertaken with the same or even better results. It all depends on how much your body can take and how much you are willing to do. You do not have to work out for hours on end. Rather, simply taking a few minutes to physically engage your body can do the trick. In fact, physical exercises that are too heavy also lead to irregular periods and should thus be avoided. 2. Dietary Changes: The solution to this problem is eating a healthy and balanced diet. However, while a balanced diet will provide you with the nutrients you need, you can eat specific foods that target the menstrual cycle to help in normalizing it. These foods include some of the most common home remedies for irregular periods such as: cinnamon, raw papaya, pineapples. 3. Eliminate Stress: Stress is one of the major causes of irregular periods and it can be solved easily. Some of the most common ways of eliminating or preventing stress include: / Trigger identification; the first step to eliminating or preventing stress is to identify exactly what causes it. Once you do, it would be much easier seeking a solution directed at the problem than having no direction in your pursuit of a stress-free life. / Good food; don’t always fulfil your cravings for sweet and salty foods as they are not the healthiest. A good diet will give you the energy you need to tackle stressful situations. / Exercising; already mentioned as one of the best home remedies for irregular periods, exercising may take different forms depending on your fitness targets, time available and financial position. / Meditation; you can find some still and quiet time through meditation which has been proven to be a very important stress reliever with scientific evidence. / Enough sleep; sleep is one of the most ignored aspects of the body. Very few people know exactly how many hours they need to be asleep to stay healthy. While sleeping too much has its effects on the body, too little sleep is more harmful to your health than most people know. 4. Ginger: Ginger, a natural herb that everyone uses, can help in dealing with menstrual pain and also regulating menstrual cycles. It is highly beneficial since it promotes menstruation and thus can help in dealing with irregular periods or missed periods. Hope this helps. Good Luck.
1 person found this helpful
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I had pelvic tvs sonography. Is everything normal to get pregnant Pelvis shows an anteverted uterus with central endometrial canal Uterus measures 56x29x34 mm Endometrial thickness measures 5 mm Both the ovaries were well visualized and appeared bulky with multiple small follicles noted in parenchyma. Right ovary measures 38x24x37 mm. Volume measures 17.4 c mm Left ovary measures 40x22x33 mm, volume measures 14.7 c mm. There is no fluid in cul-de-sac This test was done on 12-feb and my last period date was 19-jan Is everything normal, can I get pregnant.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I had pelvic tvs sonography. Is everything normal to get pregnant Pelvis shows an anteverted uterus with central endo...
yes you can get pregnant, rest everything is fine but your ultrasound report says that you have polycystic ovaries. This may take time for you in conceiving, also tell do you have a regular cycle or not. Also get these test done on Day 2 of your periods: FSH LH TSH AMH and share the report will help further
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Causes of Neck Lumps

MS - ENT, DNB (ENT)
ENT Specialist, Delhi
Causes of Neck Lumps

We have often noticed outgrowth around the neck in a lot of people. The neck lumps are of varying sizes. While some may be unduly large in size, others range from being moderate to miniscule.  Usually, neck lumps do not bode any cancerous development and are benign in most cases. However, certain specific types of neck lumps can often bode serious health impairments. A lot of the neck lumps are painless and do not cause any discomfort to the patient. However, these lumps must not go unattended in either case. Especially if they are cancerous, a speedy detection is expedient to arrest any further damage. The neck lumps stem from a lot reasons.

Some of the most common causes are enlisted below:

  1. Swollen Lymph nodes:  Lymph nodes are spread all over your body. They are often susceptible to infections caused by germ attacks. Infection causing bacteria or viruses often result in the enlargement or swelling in the lymph nodes. This manifests itself as neck lumps, albeit sometimes. This could also arise out of allergic reactions to certain foreign substances. 
  2. Cancer: While a neck lump may not necessarily mean a sign of cancer, some lumps could occur due to tumor formations, which unfortunately indicate a malignant growth. Radioscopy and biopsy are the usual techniques through which the malignancy of the tumors can be detected.
  3. Thyroid Disease: Some neck lumps occur due to an inflammation in the thyroid glands. On account of certain hormonal imbalances, hyroid glands may swell up leading to neck lumps.
  4. Mumps: Mumps is a contagious disease that is caused by a viral infection in the respiratory tract. As a consequence, the salivary glands may swell up causing neck lumps. Mumps are very common in children.
  5. Tumour in the salivary glands:  Another common cause of neck lumps are tumours in the salivary glands. On account of a variety of external as well as internal reasons, there may be an abnormal growth in our salivary glands. This leads to lumps in the neck.

The earliest signs of neck lumps should goad you to consult a doctor. While it may not be of alarming nature, to avert any major ailment, it is worthwhile to be cautious beforehand.

4235 people found this helpful

Hello Doctor. I am married and have a 1.5 year old kid. I have got an unexpected pregnancy for which I am not prepared. I am out of station and will not b able to attend a doctor at least for 15 days. Can you pls suggest me a pill for abortion as I do not want to delay.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hello Doctor. I am married and have a 1.5 year old kid. I have got an unexpected pregnancy for which I am not prepare...
Hi lybrate-user. Welcome to lybrate. Termination of pregnancy is safely possible these days upto 9 weeks. Its a safe and effective method provided the medicines are taken in the correct dosage and technique. I would suggest you take them under proper medical supervision to avoid serious complications and risk an incomplete abortion. All the best.
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I had unprotected sex on the 6th day of my period and I had an emergency contraceptive pill the next day and now it's 6.days I had the pill and I started bleeding yesterday if it is withdrawal bleeding how long will it last? And will I get my periods again this month? And are they anyy chances of pregnancy? I am really worried? I am even getting headaches and mild fever is it the side effects of the pill? Please help I don't wanna get pregnant I am still studying!

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I had unprotected sex on the 6th day of my period and I had an emergency contraceptive pill the next day and now it's...
Hi Afreen, less possibility of getting pregnant, withdrawal bleeding can last for 2-3days . Headache and fever should not be due to pill as you took pill 7days back.
2 people found this helpful
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Tip To Avoid Allergy

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Tip To Avoid Allergy

1 Avoid spicy food as it can lead to stomach upset which in turn leads to an outpouring of histamine. 

2 What trigger allergy it could be food environment and dairy products 

3 Obesity also causes allergies excess body fat leads to inflammation.

4 Stress and anxiety leads to decrease immunity which leads to allergic reaction.

11 people found this helpful

I want to do sex everyday is it good for health or bed? If it is bed what is the right proportion to do sex in a week with my boyfriend?

PG Diploma in YOGA, Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Ghaziabad
The frequency of sex depends on both partners desire and sexual stamina. There is no restriction. It can be daily once or many times also. So please decide accordingly. If you want more specific suggestion or want herbal supplements for your partner to increase his sexual stamina please ask privately. Good luck..
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Hello doctor, am a 24 years old breast feeding mother. My daughter is 6months old. I find my breastmilk has reduced from comparing to earlier. Is there any food that increase breast milk?

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
The key to more milk is more suckling. Try putting your baby to breast more frequently. You may also use a breastpump after every feed to provide continuous stimulation to breasts.
1 person found this helpful
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