Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 36 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.
Book Clinic Appointment with Dr. Puja Vashist
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
Submit a review for Dr. Puja VashistYour feedback matters!
I am 7 month pregnant and mostly feel that I am too sad and not happy. I have anxiety also. I want to deliver my baby healthy and happy. please suggest what to do.
Sneha and Arun walked into my cabin. The couple was excited about the first baby. It was just third month of pregnancy and second visit to me. This time the mother was also accompanying the couple. The mother looked happy and watchful too. After the consultation we had a quick chat and then they got up to leave. This time Arun allowed the mother to exit first and turned back with a shy smile. Sneha looked in two minds… Whether to ask or not to ask? And I knew the question that was coming my way. As expected the question was about whether they could have sex or no?
Most Indian couples do not discuss this with anyone. They rely on myths and beliefs or lay literature. This adds further confusion! Like the famous Shake sphere’s quote “To do or not to do, that is the real (unanswered) question” for the young couples. Commonly people believe that sex during pregnancy is a big NO- NO. People believe that intercourse can harm the pregnancy. Surprisingly many doctors also advice the same to their patients! While few advice not to have sex in first three months and some advice not to have sex when the bump grows bigger!! So what does the evidence say?
Well, there is a clear scientific evidence that sex during pregnancy can NOT harm the baby per say. However there are few conditions such as placenta praevia (placenta is low placed), repeated miscarriages, opened up or short cervix, previous premature deliveries or if there is bleeding or leaking most doctors will advise against intercourse. It is important to understand that the baby is inside a balloon of water which is inside the uterus. The lower end of the uterus called cervix is closed and plugged with a mucus plug which does not allow entry of even germs (microorganisms) upwards.
The baby inside the balloon of water in the uterus which has closed cervix
However it is also important to understand that although the baby is protected the woman can contact infections from her male partner. These infections could be simple fungal infection, bacterial, viral infection too. In order to prevent such infections it is better to use a condom (or barrier contraceptive). During the pregnancy the hormones in the body surge making the tissues softer and congested. So a pregnant woman may rarely experience few drops of bleeding after intercourse.
So here are few tips for the young couples:
- In first three months pregnant woman may feel exhausted due to nausea, vomiting and may not feel interested in sex. The partner must understand her problem and support her.
- In second trimester and third trimester, the increasing bump needs to be taken into consideration. Change of position may help. Many women find “side to side” or “woman on top” position more comfortable.
- Especially after six months most women may find it more and more uncomfortable. Some may feel minimal uterine contractions which are “innocent”. Intimacy does not necessarily mean penetrative sexual intercourse. The couple can make love without penetrative intercourse too.
- In this delicate period of pregnancy, women undergo a complete emotional and physical turmoil. The partner must encourage her, caress her, support her. Sexual intercourse is perfectly fine if the woman is comfortable. Expression of love is important and being intimate is a necessity!
I am 33 years old, expecting my 1st child. I am in my 21st week got my Target Scan done last week, as per the scan reports everything is normal, and the fetus growth is good too. It weighs 295gms, heartbeat 153bph. Fetus movement was also seen in the ultrasound. But I am unable to feel any movement till date. Why is it so? Is it normal? What should I do?
Safe periods do exist or not. For unprotected sex? And any natural way to avoid pregnancy before and after intercourse.
I am Dr. Dinesh Kumar and I am a General Physician. Lifestyle diseases are defined as disease link with a way, people live their life. This is commonly caused by alcohol, drugs, smoking as well as lack of physical activities and unhealthy eating. Diseases that impact our lifestyle are heart diseases, stroke, obesity, diabetes, arthritis, metabolic syndrome, chronic renal disease, renal failure and depression and also there can be some psychosexual disorder. So, what is the prevalence and risk factors? In India, 25% of people, over 25 years of age, they suffer from hypertension and this hypertension causes severe morbidity and mortality. It is a high-risk condition causes approximately 50% of death from stroke and 50% of coronary artery disease which is heart disease. The dominant diseases and in this aspect are considered to be CAD, cancer, chronic obstructive pulmonary disease (COPD) or asthma and obesity.
There may be some risk factors associated with this and these can be modifiable risk factors or non-modifiable risk factors. People have started to consume more meat, dairy products, vegetable oils, tobacco, sugary foods, coca-cola, and alcoholic beverages. They have developed a sedentary lifestyle and greater risk of obesity. So, rates of colorectal cancer, breast cancer, prostate cancer, and lung cancer. They have started increasing. After these dietary changes or the modification in the lifestyle. Adults can develop lifestyle diseases through behavioural factors that impact on that. These can be unemployment and unsafe life, poor social environment. Certain diseases, such as diabetes, dental cavities, and asthma, they appear at greater risk in the younger population.
It is important to note that the combination of these modifiable and non-modifiable factors are responsible for this non-communicable disease. The non-modifiable risk factors basically comprise those characteristics that are inherent that is age, sex, and genes and cannot be altered due to individual and environmental effects. On the other way, we have the modifiable risk factors which can be transformed by the society or individuals. Thereby ensuring amended health outcomes poor diet, physical inactivity, tobacco use has been typically highlighted as the prime cause of lifestyle diseases by WHO. typically we have 4 common modifiable risk factors that can be controlled.
These are an unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. The composition of human diet has changed considerably over time. With the high demand for readily available pre-cooked food are found to be high in sugar and salt and they lack inadequate nutrition. This spread of fast food culture has resulted in the increased spread of obesity. Tobacco accounts for 30% of cancer globally but these lifestyle diseases are affecting and how these are affecting the society. The population growth has slowed down but still remains very high. It is also observed at the growth of population in the bracket of 60 years and above is increasing along with the effects of morbidity and mortality. The burden of these diseases has significantly affected as well. There has been a rise in unemployment as well and healthcare expenditures. Prevention and management is the final part here.
In order to improve the situation, we will have to increase spending on prevention, screening and early detection of such cases. Reducing the fat, compulsion of diet, engaging in regular physical exercises. The cost of treatment for an oral cancer patient has estimated about 4 lakhs. Most oral cancers are preventable by avoiding the use of tobacco. Such an approach will be a relief to most Indian families that meets 70% of there health expenses out of there own pockets. Lifestyle diseases can be tackled to a large extent by simple modifications in our lifestyle, dietary changes. For example: reduce salt intake, increase consumption of fruits, salads, and vegetables. Improve physical activities and avoid the use of alcohol. Perhaps, by increase alcohol and tobacco usage and through information, communication through medical websites like Lybrate. If you want to meet me, you can meet in my Noida clinic which is in Supertech. You can also consult me online through Lybrate.