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Dr. Radha R Jain

Gynaecologist, Delhi

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Dr. Radha R Jain Gynaecologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Radha R Jain is one of the best Gynaecologists in Bapa Nagar, Delhi. You can meet Dr. Radha R Jain personally at Dr Radha R Jain's Clinic in Bapa Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Radha R Jain on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 41 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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We are newly married and we have planned to have sex. But we are not interested in developing our family. Even if my birth part touches my wife's will she become pregnant?

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
We are newly married and we have planned to have sex. But we are not interested in developing our family. Even if my ...
Dear it is easy to plan if we have regular menstrual cycle. Safe unsafe period. Unsafe period run from 8th day of mc to 20 th day. Use condom on these days. Oral contraceptive another alternative.
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Female Condoms - 7 Reasons Why You Should Use Them

MBBS, F R S T & H London , Fellowship of College of General Practice (FCGP)
Sexologist, Alwar
Female Condoms - 7 Reasons Why You Should Use Them

In order to, safeguard oneself from the STDs one should always ensure to use protection during intercourse and one such form of protection is female condoms. Female condoms are pouches that are made of latex and polyurethane. These are used by women during sex in order to prevent pregnancy and to reduce the chances of infection through sexually transmitted diseases. Each end of these pouches are made of rings that are flexible. One end is inserted deep inside the vagina before sex is initiated. This end is held in position by utilizing the rings available at the closed end while the rings which are at the open end remain outside the vagina during sex.

A question of comfort
Even though it can be safely used by all women, some have complained that they find female condoms to be an inappropriate form of contraception as they don’t feel comfortable with their genital areas being touched. Thus, it is very important that the appropriate form of contraception be considered for you and your partner. If you feel you cannot use this condom correctly other options of contraception should be considered.

Advantages of a female condom
1. Condoms can prove to be a reliable pregnancy averting method if they are properly and consistently used.
2. Since the exchange of bodily fluids like semen and vaginal fluid is prevented, female condoms aid in offering protection against many STDs (sexually transmitted diseases) like HIV, herpes and others.
3. Female condoms are only needed during the time of sex and any form of advance preparation is not required. This makes their usage suitable for unplanned sex.
4. Doctoral prescriptions are not needed to procure female condoms.
5. The condoms are usually small in size, easily disposable as well as easy to carry.
6. Using condoms does not have any medical side effects although it is advisable to check the materials used in it to avoid any allergic reactions.
7. Insertion of female condoms can be done up to a duration of eight hours before sex.

Some common problems
Although using female condoms has its advantages, it is common that some women may find that putting on a condom leads to interruption in sex. In order to avoid this, foreplay that includes a part where the condom is worn or inserted early can easily help. Other disadvantages include –
1. Even though condoms are generally very strong, they are prone to splitting or tearing in case of improper use.
2. Availability of female condoms is much lesser in comparison to the male counterparts
3. Female condoms are usually more expensive than male condoms (approximately 5 times more than male condoms).
However, female condoms can give back control to the woman in case the male partner doesn’t have protection or doesn’t want protection. It is something that enables the woman to be in control and safe from diseases or unwanted pregnancies. If you wish to discuss about any specific problem, you can consult a gynaecologist.

3376 people found this helpful

Haemotysis without any reason Reported only after having proper meal All types of endoscopies and tests performed, everything normal Having thyroid and pcod.

MBBS
General Physician,
you should consult a endocrinologist for assessment and further management. of the case because she hasvpcod and hyper or hypothyroidism. because thyroid controls bthe metabolic control of most of the system of the body including lungs

I had ipill after unprotected sex and I got my periods after 10 days bleeding lasted for 3 days should I still worry that I am pregnant? I have fever and diarrhoea now with burping and farting ,I fear because burping and farting is a sign of pregnancy I did a home pregnancy test and the result was negative should I still worry?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
you have got a period now forget about pregnancy and focus on your future plans ipill is loaded with hormones which can lead to complications like hormonal imbalances and gastritis eat light nourishment get stool tested for infections and take antibiotics if food pipe is infected
1 person found this helpful
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My thinking is changing I m taking doubts on my beloveds husband There is nothing wrong with him How can I delete the unfruitful thoughts from my mind Please give me solution.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My thinking is changing I m taking doubts on my beloveds husband There is nothing wrong with him How can I delete the...
Hello, You need to establish trust and that is the only way to do it. There is medicine for SHAQUE.
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IUI (Intrauterine Insemination)- Treatment Option for Infertile Couples

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
IUI (Intrauterine Insemination)- Treatment Option for Infertile Couples

Introduction

When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.

What is needed for pregnancy?

In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina. 

 In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm. 

It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Thus, to summarise, pregnancy requires

  1. Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes
  2. Transport of these sperms through the sperm conducting ducts from testes to penis
  3. Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina
  4. Transport of these sperms from vagina through cervix to the uterus and the tubes
  5. Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries
  6. Pick up of the eggs by the tubes 
  7. Approximation of eggs and the sperms to form the embryo
  8. Transport of embryo from the tubes into the uterus
  9. Acceptance of the embryo by the uterus and its growth

What is Infertility?

 

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor. 

It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%. 

The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage. 

What causes Infertility?

Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned. 

Thus the common causes may be

  1. Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.
  2. Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.
  3. Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.  

In general, what are the treatment options for infertility?

To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress. 

In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.

What is insemination?

Insemination literally means putting semen in a particular place. Various forms of insemination exist in fertility treatment. First one is “Intravaginal Insemination (IVI)”, where the raw semen, collected by the husband can be put inside the vagina, taking precautions (to prevent infection) by the husband himself or by the wife. Rarely, it needs medical assistance from a doctor. It’s usually advised to couples having sexual disorders where full penetrative intercourse is not possible (erectile dysfunction of the husband or very painful intercourse experienced by the wife) or where ejaculation cannot happen during intercourse (a very unusual problem). Thus, the success rate of IVI is no better than natural intercourse (success rate 15% per cycle), for those couples who can manage successful intercourse. 

“Intrauterine Insemination (IUI)” is the treatment where “prepared” semen is put inside the cavity of the uterus, near the Fallopian tubes. Thus, IUI bypasses some hurdles that can cause problems during natural intercourse. The vagina, cervix and the whole length of the uterus are bypassed, putting the sperms near the eggs. Thus it increases the success rate compared to natural intercourse or IVI.

However, to achieve pregnancy after IUI, the female partner must have open tubes, adequate number of eggs produced by ovaries, eggs must be released by the ovaries and sperms must meet the eggs. And, thus nature plays important role, as in natural intercourse.

Please note, we used the word “prepared” semen. In natural intercourse, as mentioned earlier, the dead sperms and bacteria cannot enter the uterus, because cervix prevents their entry. If they are put artificially by IUI inside the uterus, severe reaction can happen. So, after collection, the husband’s semen is processed in the laboratory to remove all those impurities and to select only the best number of healthy and movable sperms and it definitely increases success rates of IUI

When IUI is generally advised?

As you can understand, to perform IUI, there must be minimum number of sperms in the semen, the tubes must be opened, the ovaries must be releasing eggs. If these are present, IUI is usually advised 

  • Less than adequate number of sperm counts, morphology or motility
  • Couples who cannot perform full penetrative intercourse but refuse or unable to conceive by IVI
  • Unexplained infertility- although IVF is better than IUI, but considering the cost, many couples in our country opt for 2-3 cycles of IUI before IVF
  • PCOS and Mild Endometriosis- where natural intercourse or ovulation induction failed
  • Couples in whom only one partner is positive for HIV or Hepatitis B or C- where transmission from one partner to another by unprotected sexual intercourse is not preferable.

What are the tests done before IUI?

The basic infertility evaluation is done before IUI include husband’s semen analysis, assessment of ovarian function (blood tests, ultrasound) and uterus (ultrasound). In some cases, laparoscopy (putting camera to see inside the abdomen by operation) or hysteroscopy (putting camera through vagina inside the uterus, by operation) may be required. Now, if the tubes are blocked, IUI is of no use. So, testing the tubes is advisable before IUI. But some women, who are at low risk of tubal disease (no history of pelvic pain, infection or surgery), one or two cycles of IUI can be done, failing which tubes must be checked by tests like HSG or SSG or in some cases by laparoscopy. 

What IUI actually involves?

In the cycle, in which IUI is planned, the woman is asked to take some medicines (or injections) in particular days of the periods as a part of “ovulation induction”. She is then advised to have ultrasound monitoring (TVS- transvaginal sonogram- where ultrasound probe is placed inside the vagina for better accuracy) to see if eggs are growing in response to the medicines or not. If eggs are growing, IUI is planned in a particular time when the egg(s) is more likely to rupture, so that the tie interval between sperm entry and egg release can be kept as minimum as possible. 

Is ovulation Induction necessary for IUI?

Frankly speaking, IUI can be done without any medicines (as in case of natural intercourse or IVI), which is called “Natural Cycle IUI”, where only TVS monitoring is done to see how the eggs are growing. This may avoid some side effects of ovulation induction (see below) but is associated with low success rate than IUI done along with ovulation induction.

Is TVS necessary before IUI?

TVS is, undoubtedly, uncomfortable for the woman. But it gives better picture than ultrasound done conventionally. Now, the question is, whether ultrasound monitoring is at all needed or not. TVS directs the doctor how eggs are growing and at what number and size and when they are likely to rupture. Moreover, the rupture can also be confirmed by TVS. Again, the uncommon side effect of ovulation induction can be detected by TVS. That is called OHSS (“Ovarian Hyperstimulation Syndrome”) where excessive eggs can grow inside the ovaries and this can lead to collection of fluid inside abdomen and lungs and can turn very serious. Although very rare, it can be detected by TVS and early actions can be taken to prevent the progress of this condition. 

In rare cases, where TVS cannot be done or patient declines, only option is to check urine by LH kit to predict the likely timing of ovulation and at that time IUI is planned. However, it is less accurate than TVS monitoring and is associated with less success.

What, if eggs are not growing in the ovaries?

In some women, particularly those who are overweight, aged or some cases of PCOS, eggs may not respond initially to one medicine. There are various forms of ovulation induction medicines (tablets, injection). If one is not working, your doctor can try increasing the dose of that medicine or add or replace it with other medicines. Please remember, it’s difficult to predict what medicine will be best suited for a particular patient. So, it’s basically a trial and error process.

What is done on the day of IUI?

As timing is important, the couples are requested to stick to the timing, advised by the doctor. The husband will be asked to collect the semen by masturbation, using clean technique (to avoid contamination by germs in the semen container). The semen is then prepared by the embryologist and will be checked to see the final number of sperms and their motility and morphology.

The wife is asked to lie down in the IUI table. After cleaning, a sterile speculum (instruments to separate walls of the vagina to see the cervix) is introduced inside the vagina and then 0.4-0.6 ml of the prepared semen is inserted inside the uterus with the help of a small catheter (fine tube). IUI done, under ultrasound guidance, gives better result than IUI done without it. The patient is asked to lie down few minutes after taking out the catheter and the speculum. The medicines are advised and then they can go home.  

Is IUI painful?

Most women feel little discomfort during IUI but it should not be painful. If there is technical difficulty while putting catheter inside the uterus, your doctor will discuss it with you and in the next cycle, will plan management to solve this issue.

What happens if husband cannot collect semen?

Collection of semen in unfamiliar environment is understandably a matter of discomfort and seems awkward. Proper counseling and maintenance of privacy can help. Stress-free approach is needed. If it fails, do not hesitate to inform your doctor. Some medicines can help. But in those, who are unable to masturbate, there are some instruments, like ejaculator, can help to solve this problem.

What happens if sperm count is low?

IUI can be successful if sperm count is minimum more than 5 million per ml and there is reasonably good morphology and motility. If not, IVF or ICSI would be the better option. But IUI can serve as trial also. That means before putting the semen, the prepared sperms can be examined and it can be predicted what is the success rate of IUI in this particular case and whether IVF or ICSI would be needed. In rare occasions, where sperm count is extremely low but the couple do not wish for IVF or ICSI, pooled semen IUI can help- where the semen is collected in number of occasions and is preserved and the final pool is used for insemination, to give a reasonable success rate.

When donor sperm is used and how?

If a man does not have any sperms or too few sperms to do IUI, IVF or ICSI is not affordable, donor IUI is an alternative. But it is not done without consent from both husband and wife. The donor is not known to the couple or the doctor and no identity of the donor is revealed. No relative or friend can serve as donor. Donor semen is frozen semen, collected 6 months ago and the donor is tested for diseases like STD, HIV, Hepatitis B or C. Usual attempt is taken to chose donor having blood group and skin colour similar to those of the husband. But remember, it’s only given after discussion and written consent by the couple. 

Can a couple have intercourse in the cycle where IUI is advised?

Intercourse around IUI increases the number of sperms available at the time of ovulation.

When should one check for pregnancy?

Usually if period does not come within 18 days after IUI, pregnancy test is advised. It can be done at home. If negative, then the cause of not having periods is sorted out.

What is the chance of success after IUI?

In one cycle, chance of success is around 20-25%. Most of the couples conceive after 3rd or 4th cycle of IUI. The chance of pregnancy after 6th cycle is low, so, usually IUI beyond 6 cycles is not advised.

The factors where IUI gives better results include unexplained infertility, sexual dysfunction of any of the partner, PCOS and male subfertility (low sperm count or motility)

What happens if IUI fails?

As said earlier, you should think about further treatment, if 3rd or 4th cycle of IUI fails. There is no use of doing IUI beyond 6 cycles, unless natural intercourse is not possible and the age is favourable. IVF gives better result. 

Is there any harmful effect of IUI?

Very few harmful effects have been noted, for examples, hazards of ovulation induction (OHSS< twin pregnancy), pain, infection and discomfort. As mentined, if raw semen is given, unusual allergic reaction can happen.

How IUI is being done in your particular centre by Dr Sujoy Dasgupta?

We believe in patient’s autonomy. So we want to give time on discussion and presentation of facts and figures to the couples. We encourage questions from the couples and take utmost care so that no question remains unanswered.

We do not take decisions and impose it on the couples. We advise the couples to take time before taking decision on a particular treatment. If the couple decides, we respect and support their decision.

We try to take nominal charges and help couples to collect medicines (particularly injections) at lower prices than MRPs.

After thorough evaluation of both the partners, we plan for ovulation induction drugs, with consent from them and advise them to come for TVS. After each day TVS, we explain the progress and probable timing of IUI.

On the day of IUI, after requesting the couple to maintain punctuality, we advise the husband to collect semen, in comfortable atmosphere, maintaining the privacy. If there is problem in semen collection, we provide support to him and address his issues in sensitive way.

Our expert trained embryologist then prepares the semen. We always encourage the couples to see the condition of raw and prepared semen under microscope to maintain the transparency. 

We advise the woman to fill up the bladder (to take water and not to urinate) to facilitate the passage of IUI catheter. Unlike other places, we perform IUI inside OT to prevent unwanted infection. 

Again we maintain our uniqueness in the sense that we perform it under ultrasound guidance. The ultrasound guidance has been scientifically proved to increase the success rate of IUI. Moreover, we show the woman in the ultrasound (real time) how the catheter has been put inside the uterus (to make sure that we are not doing IVI or have placed it in wrong position). This also helps to reduce patient’s anxiety and uncertainty. After that, our nurse takes care of the patient and observes her when she takes rest. 

Then we advise the post-IUI medicines and advise them what to expect and when they can go home. Again, this time we try to answer all questions the couples can ask.

 

Conclusion

Infertility is a peculiar thing. Very few men or women are absolutely infertile. That means they do not have ability to achieve pregnancy naturally. Majority of them are subfertile. That means most of them have lower than normal chance (compared to healthy couples) to achieve pregnancy in a normal menstrual cycle. Often we find that patients planning for treatment and in the mean time, they conceive naturally. That means even without treatment, there is some chance of pregnancy. Of course, it’s stressful situation for both the partners. Stress affects conjugal relationships and lead to many couples avoiding conjugal life. Indeed stress can affect the hormone levels in females and affects sexual performances in males. It’s easier for us to advise you to stay stress-free but is difficult to practice. Nevertheless, try relaxation as much as possible. Think that majority of the couples ultimately conceive by some form of treatment. Have faith in yourself and have faith in your doctor.

29 people found this helpful

My follicle size is 11 mm /12 mm on day 3 of periods. But all of my tests are good like fsh, lh,amh etc. I tried for conceiving but could not. What shall I do? How will it normalise. I am in tense. Kindly help me.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
My follicle size is 11 mm /12 mm on day 3 of periods. But all of my tests are good like fsh, lh,amh etc. I tried for ...
Hi follicle size is to be seen on 12-14 day of cycle, and not on 3 day. 11 mm on 3 day appears normal to me. Msg me your reports.
1 person found this helpful
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We had unprotected sex on 14 june and it was my period date after unprotected sex I took 72birth Cntrl pill after that I had my periods on 23rd June I took pregnancy test and it's negative bt still m nt hvng my periods it's 11aug nw.

MD - Alternate Medicine, BHMS
Homeopath, Surat
We had unprotected sex on 14 june and it was my period date after unprotected sex I took 72birth Cntrl pill after tha...
Hello...please get your USG abdomen done for clear-cut finding in uterus... It is very very important that you go for it. Because if it is starting phase of pregnancy (by-chance) then it can be aborted. If you delay in that then you have to face the problem as of normal delivery..So better please get it done. And if no pregnancy...then you are definitely on safe side... Still if you have any queries...please let me know. Take care... :)
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Hi, I am 28 years old and I got married 7 months back and my periods are irregular from 2 months, so please suggest what should I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Hi, I am 28 years old and I got married 7 months back and my periods are irregular from 2 months, so please suggest w...
There are various causes affecting menstruation. You need to immediately consult me privately. I can prescribe some tests to identify the causes and treat accordingly.
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I am married since Jan 2016 and from that date I tried my best but unfortunately I did't get succeed to get pregnant my wife. Dr. advise me for hsa test and TVS test for my wife. Please suggest me some diet plan to increase semen and what should I eat for fertility of both of us?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am married since Jan 2016 and from that date I tried my best but unfortunately I did't get succeed to get pregnant ...
hi Amardeep, you can have antioxidant rich diet, like avocado, vitamine A and C rich food. please have lemon, gooseberry, spinach, fish.
1 person found this helpful
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Is there any pills to abort pregnancy at a very initial stage? Or any other way to abort.

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Only after ultrasound showing intrauterine pregnancy you can abort. That happens at minimum 5 weeks.
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While having intercourse with my hubby I feel pain every time and not able to continue. Is this any serious issue?

MBBS, DNB - Orthopedics, Fellowship in Arthroscopy and Sports Medicine
Orthopedist, Bangalore
While having intercourse with my hubby I feel pain every time and not able to continue. Is this any serious issue?
Nope it's not a problem. Probably your not having enough foreplay or you can use a lubricating gel to make it softer and easier for the intercourse.
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I started my menstrual flow on 22/03/2017 and I also had sex on 22/03/2017. During intercourse my boyfriend after putting the condom from the wrong side corrected it. I don't think that when he put the condom from the wrong side he had fluid on his penis still I am not sure. My menstrual flow continued normally till 26/03/2017 and I ovulated today on 28/03/2017. Personally I am having stomach ache sometimes which I was having before having sex. Also I have checked on internet and I am not having any early symptoms of pregnancy like breast tenderness, nausea, vomiting, frequent urination, morning sickness and food sickness. Am I pregnant?

MBBS, MD, DM - Neonatology
Pediatrician, Delhi
I started my menstrual flow on 22/03/2017 and I also had sex on 22/03/2017. During intercourse my boyfriend after put...
Ovulation generally happens 14 days before next cycle. It means, a person who have regular cycle at 30 days, she will ovulate on 16th day form Day 1 of current cycle, 28 days cycle-ovulation on 14 day, 21 days cycle, ovulation in 7th day and so on. Therfore dint worry about cimception, extremly rare, next to impossible. Even if you want to double sure, do a urine pregnancy test, especially when you missed your period If you want for triple sure, do an ultrasound and see any thing inside your womb.
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I dint get my periods since 20 days. My period date is 17th. N my stomach started bloating. I don't feel comfortable.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
I dint get my periods since 20 days. My period date is 17th. N my stomach started bloating. I don't feel comfortable.
If you had intercourse during the above period and if there is a possibility of pregnancy, this is the right time for you, if your last period's last date was 17th May then you can get the pregnancy test done to know the result. If there was no intercourse and if your regular periods are irregular you need not worry. The bloating of the stomach could be due to acidity. So take plenty of water, take regular meals avoid spicy, outside food and junk food. Come back again for further guidance if required. Good luck.
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Puran Poli - Healthy Or Unhealthy

B.H.Sc (Food Science & Nutrition), M.H.Sc (Food Science & Nutrition)
Dietitian/Nutritionist, Mumbai
Puran Poli - Healthy Or Unhealthy

Puran Poli – Healthy or Unhealthy?

Gudi padwa is around the corner, this festive season is incomplete without puran poli right. Puran poli is a classic maharashtrian delicacy. It is a pan-griddled sweet bread stuffed with split yellow gram (channa dal) or red gram (toovar/arhar dal).

It has various regional names like paruppu poli in tamil, holige or obbattu in kannada, ubbati in konkani. The taste also varies from region to region. It is sweet and is circular like a parantha. It is a festive dessert. The stuffing is called puran and the parantha-like bread is called as poli.

But. Hold on if you think puran poli is bad think again every food has its merit and demerits, the key is to maintain moderation.

Puran poli is supposed to be a high cal food, right. It is upto you to make it healthy, use whole wheat flour instead of maida, use ghee sparingly.

Lets look at its merit:

  • Puran poli made with whole wheat flour is rich in complex carbs, fibre, gives b complex vitamins, certain minerals. Dals as we all know gives give good amount of protein, what you all will be surprised to know is that this combination of cereal i.e. wheat flour and protein from dals will provide you with good quality protein, which can be compared to egg which is considered as high biological value with almost 100% bioavailability i.e. of excellent quality. This combination provides all the required amino acids which are building blocks of protein.
  • Futher it has lot of jaggery which contains iron, cacium, potassium, phosphorus, it is releases energy slowly, as it is digested slower than sugar. Further jaggery also aids in digestion, as jaggery breaks and becomes alkaline in the digestive system.
  • Addition of green cardamom powder, saffron, nutmeg powder, mace (javantri) powder which have essential volatile oils, boosts digestion and are antispasmodic, carminative, anti-inflammatory and anti-microbial.
  •  
  • Go ahead and enjoy this festive delicacy, but keep it as festive delicacy and do not gorge on it, it is to be enjoyed only during festival season.

Enjoy gudi padwa with puran poli.

6 people found this helpful

Hi, I am getting married soon. We both have already discussed on our family planning and do not want to have a child for another 3 years. Please advise how how can we continue having a safe sexual life post marriage without fear of pregnancy. Kindly advise on the contraceptives and things to keep in mind.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi, I am getting married soon. We both have already discussed on our family planning and do not want to have a child ...
You may take OCPs for three months ,and keep two months free from OCPs during which you can use condoms, and again have OCPs for three months, this way you will have no side effects.
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Majufal Ke Fayde in Hindi - माजूफल के फायदे और नुकसान

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Majufal Ke Fayde in Hindi - माजूफल के फायदे और नुकसान

माजूफल का वैज्ञानिक नाम क्वेरकस इंफेक्टोरिया है. इसे हिंदी में माजूफल, तमिल में मस्काई और मलेशिया में मंजाकनी के नाम से जाना जाता है. यह लोकप्रिय जड़ी-बूटियों में से एक है. इसका नाम माजूफल इसपर हमला करने वाले कीटों के हमला करने पर बनने वाले माजूफल के आधार पर कहा गया. दरअसल माजूफल फल न होकर कीट का घर होता है. माजूफल देखने में गोल और कठोर होते हैं. इसके कारण पत्तियों को कीड़ों के चारों ओर गोल कणों का निर्माण होता है. इसे ओट पित्त कहा जाता है. आइए इसके फायदे और नुकसान को समझते हैं.

1. मधुमेह के उपचार में
माजूफल में गैलिक एसिड पाया जाता है. जो अस्थमा और शुगर को रोकने में मदद करता है. आप मंजाकनी चाय बना कर भी पी सकते हैं. शुगर के मरीज इसके सेवन से अपनी परेशानी कम कर सकते हैं.
2. योनि की कसावट में
प्रसव के पश्चात चाहें तो महिलाएं योनी तो टाईट करने के लिए माजूफल का सहारा ले सकती हैं. इसके लिए एक पैन में एक लीटर पानी को उबालकर उसमें दो किलो माजूफल को पीस कर डालें. रंग न बदलने तक इसे उबालें. इसके बाद इसको ठंडा होने पर छान कर इससे योनि को धोएं.इससे लाभ मिलेगा.
3. घावों के उपचार में
इसका इस्तेमाल घावों के उपचार में भी किया जाता है. इसके लिए इसे पानी में उबालकर, घावों और खरोंच को धोने के लिए इस्तेमालकरें. इससे घाव जल्दी भरते हैं. इसके लिए ये साबुन से अच्छा विकल्प है. बेहतर परिणाम के लिए सुबह शाम धोएं.
4. आँखों के लिए
माजूफल में मौजूद एस्ट्रिंजेंट आँखों की रौशनी बढ़ाने में मददगार होता है. आँखों में ऊतकों को सिकुड़ने वाले गुणों होने के कारण इससे दृष्टि में सुधार होता है.
5. माउथ अल्सर के लिए
अपने कैसैलेपन के कारण, मुंह के अल्सर को बहुत जल्दी से ठीक करता है. जिन लोगों को छोटे अल्सर होते हैं वो उनके मुंह के दोनों ओर होते हैं. इसका पेस्ट बनाकर मुँह के प्रभावित क्षेत्रों में लगाएं. राहत पाने के लिए लगातार कुछ दिनों तक इस पेस्ट को लगाने का प्रयास करें.
6. बच्चों के लिए
माजूफल का उपयोग बच्चों के इलाज के लिए भी किया जाता है. आप सप्ताह में एक बार, हरीतकी और जायफल के साथ चंदन के पत्थर पर ओक को रगड़ते हैं. इससे प्राप्त पेस्ट को बच्चों को खिलाने के लिए जलाया जाता है. यह उन्हें बीमार पड़ने से बचाता है और बच्चों को स्वस्थ रखता है.
7. माउथ वाश के लिए
माउथ वाश, मुंह में अल्सर का प्रभावी ढंग से इलाज करने में मदद करता है. माउथ वाश बनाने के लिए, एक चम्मच के आसपास माजूफल पाउडर लें और थोड़े पानी के साथ उबाल लें. पानी को गुनगुने तापमान पर आने के बाद इसे माउथ वाश के के रूप में इस्तेमाल करें. यह माउथ वाश मुंह की गंध, मुंह के अल्सर का बहुत अच्छे ढंग से इलाज करता है.
8. कैंसर से बचाव में
माजूफल में पाए जाने वाले समृद्ध एंटीऑक्सीडेंट, सर्वाइकल कैंसर और ब्रेस्ट कैंसर (स्तन कैंसर) को रोक सकते हैं. कैंसर पीड़ित नियमित रूप से इसका इस्तेमाल करें तो कैंसर से बच सकते हैं.
9. मंजाकनी का उपयोग रखें त्वचा को बेहतर
इसमें मौजूद एस्ट्रिंजेंट त्वचा को चिकना और मुँहासे से बचाने में मदद करता है. एस्ट्रिंजेंट में समृद्ध होने के कारण ये त्वचा से अतिरिक्त तेल को निकालता है. यह चेहरे के बड़े रोम छिद्र को कम कर सकता है. इसके लिए त्वचा पर 5 मिनट के लिए मंजाकनी पेस्ट लगाएं और उसके बाद धो लें. यह त्वचा की कसावट के लिए एक बहुत ही अच्छी जड़ी बूटी है.

माजूफल के नुकसान

  • अगर कोई साइड इफेक्ट है तो इसका इस्तेमाल करना बंद कर दें.
  • आपको इसे छोटे खुराक पर लेना शुरू करना चाहिए, उसके बाद आप इसकी खुराक को बढ़ा सकते हैं.
  • गर्भावस्था के दौरान इसका उपयोग न करें क्योंकि इससे गर्भपात हो सकता है.
     
5 people found this helpful

May I know is it possible after my periods I can get pregnant, as I am not well please answer.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
May I know is it possible after my periods I can get pregnant, as I am not well please answer.
yes you can get pregnant just after periods despite fever ovulation does take place earlier than day 14 or later than day 14, the most fertile period, the middle of the week take care
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Preventive Health Care - Ways You Can Follow It!

MBBS
General Physician, Delhi
Preventive Health Care - Ways You Can Follow It!

We have often heard that prevention is better than cure. After all, who would want to spend time being sick, if it can be avoided and no day ever needs to be a wash out. Well, it can be said that as long as a person is willing to put in a little effort, there can be dividends in the form of not having to pay multiple visits to the doctor. Let’s find out how exactly to go about practising preventive health care.

  1. Quit smoking: As it says on the packets of cigarettes, it has been proven beyond any shadow of doubt that smoking is injurious to health. As a matter of fact, the habit of smoking can not only lead to cancer as it is most commonly associated with, but also result in other ill conditions and diseases. Quitting smoking is indeed the most important tenet of preventive health.
  2. Sleep well: Many people think that the practice of sleeping enough for adequate health is overrated, but it is just so very important. A number of people are putting their health in jeopardy in the long run by not making the right choice of prioritising sleep over other activities. There are various risks a person exposes himself or herself to by not getting enough sleep. Inadequate sleep does not provide the body with the amount of rest that is needed for it to repair, heal and start afresh.
  3. Cut down on alcohol: Alcohol is something that is enjoyable as long as the limits regarding the consumption of it are maintained. A general rule is that no man should be having more than two drinks a day and a woman should not go beyond a drink. When these limits are not paid heed to, the risk of some life threatening diseases such as cancers as well as liver cirrhosis spikes.
  4. Follow proper diet and exercise: While it is true that degeneration of the joints of a person over the course of time is an inevitability, there is a lot that can be done by a person who wants to avoid the prospect of having his or her quality of life compromised by arthritis. Following a strict diet, avoiding fast food and drinking plenty of water helps in keeping yourself healthy. Similarly regular workout and exercising prevents a person from being overweight, which makes a substantial difference in fighting arthritis! If you wish to discuss about any specific problem, you can consult a General Physician.
3670 people found this helpful
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