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Dr. Rama Kakar

Gynaecologist, New Delhi

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Dr. Rama Kakar Gynaecologist, New Delhi
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Rama Kakar
Dr. Rama Kakar is one of the best Gynaecologists in Alaknanda, Delhi. She is currently associated with Dr Rama Kakar's Clinic in Alaknanda, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Rama Kakar on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 40 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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Ectopic Pregnancy - How to Treat It?

FIMS, DGO, MBBS
Gynaecologist, Gurgaon
Ectopic Pregnancy - How to Treat It?

An ectopic pregnancy takes place in the case when the completely fertilized egg attaches itself to a place outside the inner side of the uterus. Ectopic pregnancy is also called tubal pregnancy because in most cases, it takes place in the Fallopian tube. Usually, the Fallopian tubes are not responsible for holding an embryo, which keeps on growing. Hence, the egg has no scope to develop in the Fallopian tube. This problem must be treated as soon as possible to avoid further complications. Here are several ways of treating ectopic pregnancy.

  1. Expectant management: In case you are not experiencing any symptoms of pregnancy or the pregnancy cannot be found, close observation is required. This is known as expectant management. You should conduct regular blood tests and follow them up in order to detect, whether the hCG level in your blood is ascending or descending. You are likely to have vaginal bleeding. Use pads and towels instead of tampons. Pain in your tummy is also indicated.
  2. Proper medication: In case ectopic pregnancy is detected at an early stage and constant monitoring is not suitable for you, a medicine by the name of methotrexate can be used for treatment. The medicine stops this pregnancy from developing. It is usually injected into your buttocks. Regular blood tests must be carried out to know how the treatment is taking shape on your condition. Trusted contraception measures should be taken for three months following the treatment as methotrexate is very harmful for an infant in case you become pregnant. Keep away from alcohol, as the combination of methotrexate with alcohol is harmful to the liver.
  3. Surgical means: The most common mode of surgery for removing ectopic pregnancy during an early stage is laparoscopy or keyhole surgery. While a laparoscopy is carried out, you will be in a state of anesthesia. A narrow tube or the laparoscope is inserted through surgical cuts in the tummy. The Fallopian tube, which had the ectopic pregnancy is totally removed in case the other Fallopian tube is functioning well. Else the pregnancy has to be somehow removed without cutting off the Fallopian tube. Removal of the Fallopian tube is the best remedy for treating ectopic pregnancy and getting pregnant again is also possible. It takes a normal woman almost six weeks to recover after the surgery. Laparotomy is another kind of surgery carried out to repair a ruptured Fallopian tube.
4247 people found this helpful

Limping - Can It Be A Sign Of Peripheral Artery Disease (PAD)?

Non Invasive Services
Cardiologist, Mohali
Limping - Can It Be A Sign Of Peripheral Artery Disease (PAD)?

Claudication is commonly known as limping. It is one of the many significant indications of Peripheral Artery Disease (PAD). It can also happen to patients having vascular problems like aneurysms. Claudication is generally a painful and uneasy sensation in a set of muscles of the limbs, thighs, or backsides. The pain is usually increased by movement and calmed with rest.

Causes
Peripheral Artery Disease (PAD) is the result of atherosclerosis, the inurement of arteries from the build-up of cholesterol plaques that collect on the internal coating of the arteries. This is common at splitting points of the arteries in the limbs. Obstruction of the arteries from these plaques result in reduced flow of blood to the leg muscles. This could be a problem when moving or working out, the muscles in the limbs need increased blood flow in order to upsurge the oxygen to the blood cells. Atherosclerotic plaques result in reduced blood flow and diminished oxygen. Due to this, the leg muscles often end up aching and burning due to insufficient presence of oxygen. This pain is often felt as cramps to the patient.

Symptoms
Pain in the limbs is the key indicator of claudication. Aching can be shrill or dull, aching or accompanied by soreness or burning. The extent of the Peripheral Artery Disease, the position of the plaque, plus the action of the leg muscles (walking or exercising or resting) control the harshness of symptoms and place of discomfort or agony.
Severe pain in the calf region is the typical place for cramps. This is because atherosclerotic plaques usually start out in the arteries furthest from the cardiac muscle. If the obstruction or formation of plaque is way up the leg, the agony from claudication could be felt in the thigh area. If the issue is in the aorta, symptoms can include pain in the bottoms or groin area.

Treatment
Treating Claudication includes remedial therapy. These therapy sessions may or may not involve revascularization or angioplasty. Patients with claudication are given medical treatment aimed at reducing the pain. However, reduction of risk issues, physical activity, and using medicines that could improve the possible distance a patient could walk, is the chief aim of treatment.

Debilitating claudication that stops patients from working or living a regular life usually finds a resort in revascularization measures. These procedures comprise of percutaneous angioplasty and a surgical method that circumvents the blockage. Stenting of the congested vessels is also an option. However, now there are plenty of medications that can help in reducing its symptoms and assist the patient in being freely mobile.

Victims of claudication can take care of their pain with prescribed exercises and fitness schemes.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3820 people found this helpful

Can a female be pregnant by single sexual intercourse or many intercourse are required for her to be pregnant.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Can a female be pregnant by single sexual intercourse or many intercourse are required for her to be pregnant.
Hi chances of pregnancy depends upon fertile period of the women. Naturally if you try in fertile period and everything is normal in each cycle 10-15% chances of pregnancy.
2 people found this helpful
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My period dates keep on shifting. And it’s the end of the month I still haven’t undergone periods. Is it an issue of concern? I’m worried.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
My period dates keep on shifting. And it’s the end of the month I still haven’t undergone periods. Is it an issue of ...
If sexually active do urine pregnancy test, if not active or pregnancy ruled out then wait for few days or meet Gynecologist. For irregular cycles also It needs detailed medical history, clinical examination, looking at old reports and may be take out some new reports before you can be advised so meet Gynecologist.
1 person found this helpful
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Sir, right ovary is 3.7×2.2×3.5 cm,bol 15 cc and left ovary is 3.8×2.0×3.6 cm,bol 15 cc. Is it more serious?

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Sir, right ovary is 3.7×2.2×3.5 cm,bol 15 cc and left ovary is 3.8×2.0×3.6 cm,bol 15 cc. Is it more serious?
take sepia0 /2 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres
1 person found this helpful
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A pregnant lady how increase the blood level in her body what type of food taken.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics , Diabetes Educator
Dietitian/Nutritionist, Mumbai
A pregnant lady how increase the blood level in her body what type of food taken.
Hello, She should take good amounts of green leafy vegetables,nuts,dried fruits,fresh fruits in her diet.A well balanced diet helps massively.
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Likoria - 10 Best Herbal Cures for it

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Lucknow
Likoria - 10 Best Herbal Cures for it

LIKORIA (leukorrhea) is a medicinal term that signifies a thick, whitish vaginal discharge. It is a natural defence mechanism that the vagina uses to keep up its chemical balance. It also safeguards the flexibility of the vaginal tissue. It might also be due to irritation or blockage of the vaginal mucosa.

There are such a large number of reasons for leucorrhea, the most common one being increased estrogen. The measure of discharge may really increase because of vaginal disease or STDs (sexually transmitted diseases), in which case it turns out to be more yellow and has a foul smell. Here are ten herbal cures for Likoria:

  1. Fenugreek Seeds: Fenugreek seeds enhance the pH level in the vagina and are known to influence estrogen levels. Drench one teaspoon of fenugreek seeds in water overnight. The following morning, strain the water and include one and a half teaspoon of honey. Drink it on an empty stomach.

  2. Amla Root: For treating leucorrhea you need to take one tablespoon of amla root and absorb it in an ounce of water for eight to nine hours. Strain the root and drink the water each day until your symptoms come down.

  3. Lukol: An ayurvedic concoction, which is a blend of a few intense herbs, Lukol is known to get rid of the pain from the side effects of leucorrhea.

  4. Amaranth root: Amaranth root has antibacterial properties that helps in treating diseases. Its compounds help in the mending of reproductive organs. Grind amaranth root and add to water. Drink twice per day, morning and night for better results. Amaranth leaves and its branches can be added to boiling water for the same impact.

  5. Coriander seeds: Coriander seeds are extremely helpful home cure for leucorrhoea. Absorb the seeds in water overnight. Strain and drink this water the following morning on an empty stomach. This should be taken for no less than one week for better results.

  6. Amalaki powder: Take some amalaki powder and mix it with honey or sugar. Add it to a glass of water and drink. It can also be added to milk or used as a paste to be applied on the vaginal tract for better results.

  7. Asparagus: Blend and boil asparagus with somnifera withania. Drink this for effectively treating this condition.

  8. Turmeric powder and garlic: Blend turmeric powder with garlic. This is effective when the white release is thick and irritating.

  9. Walnut leaves: Walnut leaves have astringent properties, which are helpful in getting rid of infections and treating leucorrhoea. A mix made by soaking the leaves in water and boiling for around twenty minutes. This can be strained and used on genital areas.

  10. Different Herbs: Lamium album, White weed and Tiger lily are different herbs used for the treatment of Leucorrhoea. They should be used under the direction of naturopaths. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3112 people found this helpful

Hello sir I have done sex with my gf in the periods without condom but after sex I give emergency tablet unwanted 72 but after periods after five days periods come again what happen doctor tell me please why periods come again it is possible to become pregnant help me doctor.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
Hello sir I have done sex with my gf in the periods without condom but after sex I give emergency tablet unwanted 72 ...
It was withdrwal bleeding of emergency tablet. Why you have given that tablet. During period never pregnancy can occur. These are safe days.
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I have ovulation problem. I want to conceive, so consult doctor he advised ovulation medicine still continuing medicine last one year, but cannot conceive. My question is that I heard about siphene m 25 tab, I want to know the accurate time to intake this tab. Second day of menstruation or after tat day.

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Physician, Certificate Course In Reproductive Medicine & Ivf, Basic Life Support (B.L.S), Advanced Infertility Management Training, ivf training in NUH singappre, masters in Reproductive Medicine
IVF Specialist, Gurgaon
I have ovulation problem. I want to conceive, so consult doctor he advised ovulation medicine still continuing medici...
If you have other tests like tube test and other infections normal then ovulation induction drugs given to you and how it body responded to certain protocol will determine future course of action. And there is limitation to siphene cycles.
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My wife get period after 1 month of her delivery. Is it OK She is taking yaz tab We had a intercourse with precaution and on third day of our intercourse she get period again. Is she get pregnant again please help to know me.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
My wife get period after 1 month of her delivery. Is it OK She is taking yaz tab
We had a intercourse with precaution...
It is ok to get period. If child is only on breast feeding and no top feeding is introduced then advisable not to take yaz tab as it may reduce breast milk.
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