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Dr. Rama Kakar

Gynaecologist, New Delhi

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 38 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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Happy Gudi Padwa!!

PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS
Homeopath, Mumbai
Happy Gudi Padwa!!

Gudi Padwa celebrates the beginning of the traditional Hindu year and the day of the festival is the first day of the Chaitra month of the Hindu calendar.

The main entrance of the house is decorated with mango leaves and red flowers which are considered favorable for this occasion.Prior to hoisting the Gudi, Lord Brahma is worshipped. He is worshipped because on this particular day he created the universe out of chaos, for which he is also known as the creator of the world. 

Buying gold, new vehicle or anything new is considered to bring prosperity if done on this day.

Today with the augment of cheer and joy, Gudi Padwa is a celebration that is much awaited for and this is a time when people pray for the well being of the people. It is believed that good wins over evil and is an auspicious day for all.

7 people found this helpful

I had sex with my gf on 06/06/16 she had m.c on 27/05/16. And I gave her unwanted 72 on 7/06/16 after that I have unprotected sex with her on 12/06/16. Should I give her again unwanted 72. Or not. Is she will pregnant .help me.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I had sex with my gf on 06/06/16 she had m.c on 27/05/16. And I gave her unwanted 72 on 7/06/16 after that I have unp...
if you have done unprotected sexual intercourse and you don't want pregnancy then taking emergency contraception is important within 72 hours.
1 person found this helpful
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IVF - Understanding The IVF Process!

Diploma in Obstetrics & Gynaecology - Ireland, MD - Obstetrtics & Gynaecology, DGO, MBBS
IVF Specialist, Delhi
IVF - Understanding The IVF Process!

In-vitro fertilization (IVF) is a fertilization technique through which the sperm and an egg are fused in a laboratory. The embryo is grown in a lab for a span of 4-5 days and then transferred to a woman’s uterus. This process is extremely effective and increases the chances of fertilization. There is a four-step process of IVF as discussed below:

  1. Ovulation induction: The first process involves the inspection of the ovary and subsequent release of the eggs. Among other observations, the doctor observes whether the ovaries are functioning well, hormones are present in adequate quantities and blood pressure is normal. If there is a shortage of ovary, women are advised to consume fertility medicine for a while. More the number of ovaries produced, better are the chances of successful embryo formation. In case egg formation causes a bother, one can talk to their doctor regarding donor eggs being used for the process.
  2. Retrieval of the egg: During this process, a doctor might suggest pain medication in order to negate any discomfort that a woman might face. A thin needle is then passed through the vaginal wall. Along with vaginal ultrasound and gentle suction, fluid from the follicles is taken out. The egg is separated from the follicular fluid and is placed in the culture dish that contains nutrient media. The dish is then placed in the incubator for further processing.
  3. Fertilization: The next process is to ensure that the egg fertilizes properly. In order to do this, a healthy sperm cell is obtained from the partner or a wishful donor. After a careful inspection, the most active sperm cell is combined with the egg and placed in a chamber. The sperm and the egg are taken to a common place and the two are mixed in the incubator. A healthy embryo thus develops.
  4. Embryo transfer: The final process involves the transfer of the embryo. This is the most complicated step in this procedure. A little glitch can jeopardize the whole procedure and threat the success rate. Out of all the embryos, the healthy one is selected. Inside the vagina, a speculum is then placed and the healthiest embryo is transferred into the uterus. This is a strenuous process and complete bed rest for more than a day is advised by doctors.
  5. Pregnancy: Post the IVF process, a woman might take a couple of weeks to get pregnant. If the procedure becomes successful, your pregnancy test will come as positive. Many, though, return a negative test result. This only signifies that the procedure has failed. On an average, it takes 2 attempts for IVF to become successful. This is not a high-risk procedure and the same can be taken as many times as you want.

I am 18 years old and we did sex for first time and we did not use any protections. I am afraid as I missed my periods. We had sex last 5 days ago. Please help in this!

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 18 years old and we did sex for first time and we did not use any protections. I am afraid as I missed my period...
Hello, this may be just stress induced delay but its better to rule out pregnancy with a serum beta hcg test after 3 days.
1 person found this helpful
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I have irregular periods. I have been gone through a surgery for dermoid cyst three years ago for the right ovary. After that my menstrual cycle is not regular. Now it's almost three months .Please advice me on this.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have irregular periods. I have been gone through a surgery for dermoid cyst three years ago for the right ovary. Af...
Hello, She needs to get evaluated for PCOD, hypothyroidism and hyperprolactinemia which can be other common causes for delaying menses after pregnancy has been ruled out.
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I am 25 yr girl from last 3 months my period comes before 15 or 10 days but this month again normal what is it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 25 yr girl from last 3 months my period comes before 15 or 10 days but this month again normal what is it.
Your menstrual cycle can be disturbed if you change your method of contraception or you have an imbalance of the hormones oestrogen and progesterone. It's not unusual to have a hormone imbalance for a few years after puberty and before the menopause. This can cause your menstrual cycle to become longer or shorter. Your periods may also become lighter or heavier. If your irregular periods are caused by these age-related factors, you won't usually need to see your GP. Lifestyle The following lifestyle factors can also upset your balance of hormones and cause irregular bleeding: • extreme weight loss or weight gain • excessive exercise • stress Polycystic ovary syndrome Polycystic ovary syndrome (PCOS) occurs when very small cysts (small, fluid-filled sacs) develop in the ovaries. The usual symptoms of PCOS are irregular or light periods or no periods at all. This is because, in women with PCOS, ovulation (the release of an egg) may not take place as often as normal. The production of hormones may also be unbalanced, and you could have higher levels of testosterone than normal. Testosterone is a male hormone that women usually have a small amount of. Thyroid disorders A thyroid disorder is another possible, but rare, cause of irregular periods. The thyroid gland, found in the neck, produces hormones that maintain the body's metabolism (the chemical processes your body uses to turn food into energy). Your GP may test for a thyroid problem by taking a blood test to check levels of thyroid hormones in your blood.
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Treatments of Infertility

FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
Treatments of Infertility

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

  1. Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
  2. Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

  1. Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
  2. Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

  1. Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
  2. Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
  3. Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
  4. Bromocriptine: Used when the infertility is caused due to excess prolactin production.
  5. Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

  1. Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
  2. Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
  3. Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

  1. Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
  2. Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

3641 people found this helpful

Age 27 Weight 40 Cyst in left adnexa Both fallopian tubes are blocked Left fimbrial blockage Right corneal blockage Suffering from infertility Tell me ayurvedic aur homeopathic solution without any surgical process.

BHMS
Homeopath, Indore
Hello, homeopathy can help to dissolve the cyst and treat infertility. I strongly recommend you should go for preconception and infertility treatment. Your weight is low, increase your health before getting pregnant.
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I am 25 year old and I had sex last to last month. .last month I have late periods but thus month we do not have sex. And this month my periods are continuous from last 10 days .but with a little flow what is the problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
I am 25 year old and I had sex last to last month. .last month I have late periods but thus month we do not have sex....
hormonal imbalance...... follow the schedule​ -Use warm water for drinking,take healthy ,warm food,fresh fruits,dry fruits,take proper rest,sound sleep,do regular exercise. Avoid- chilled water,cold drink, foods kept in fridge,oily,spicy,outside food,water, avoid late night works, travelling ,over exertion during menstruation.
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Had cesarean 5days back but do not have sufficient milk in my breast to feed my baby so please suggest some home remedies to get good milk in my breast for my baby.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Take four liters of water daily. Eat me this and jeera more in the food remain relaxed while feeding.
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During ovulation. I.e on 12th day I got a white fluid discharge. I am getting that on 13th day too. Am I pregnant. Or what is this? Pls help me doctors pls am worried.

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
Hi its may be a normal physilogical discharge, nothing to worry. Regarding pregnancy doubt if you have missed your periods and 5 days have passed from your due date than please do urine pregnancy test. Thats the correct time to tell that you are a pregnant or not. Not now. Thanks.
1 person found this helpful
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I'm having PCOD issue for which I'm consuming hormonal tablet - femilon for past six months as per doctors advise. Please help me to have normal flow without any tablets.

PDDM, MHA, MBBS
General Physician, Nashik
I'm having PCOD issue for which I'm consuming hormonal tablet - femilon for past six months as per doctors advise. Pl...
Hello, PCOS or pcod s a problem in which a woman's hormones are out of balance. It can cause problems with your periods and make it difficult to get pregnant. PCOS also may cause unwanted changes in the way you look. If it isn't treated, over time it can lead to serious health problems, such as diabetes and heart disease. The most common symptoms are: Acne.Weight gain and trouble losing weight.Extra hair on the face and body.Thinning hair or even hair loss on scalp.Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.Fertility problems. Many women who have PCOS have trouble getting pregnant(infertility), depression. Regular exercise, healthy foods, and weight control are the key treatments for PCOS. Treatment (hormonal) can reduce unpleasant symptoms and help prevent long-term health problems. Try to fit in moderate activity and/or vigorous activity often. Brisk Walking, jogging, dance or aerobics are great exercise that most people can do.Eat heart-healthy foods. This includes lots of vegetables, fruits, nuts, beans, and whole grains. It limits foods that are high insaturated fat, such as meats, cheeses, and fried foods.Most women who have PCOS can benefit from losing weight. Even losing 5kg may help get your hormones in balance, regulate your menstrual cycle and can make you ovulate.
1 person found this helpful
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I am a 26 year old female, I got my last periods on 27.03. 16 and I took my UPT on 8.5. 16 when I dint get my periods and it was positive, everything was going good till today when my doctor did my TVS and couldn't find any heartbeat, she said baby is visible but their is no heartbeat and prescribed me course of injections for a week, I am worried please help and can you temme m how many weeks pregnant?

MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
I am a 26 year old female, I got my last periods on 27.03. 16 and I took my UPT on 8.5. 16 when I dint get my periods...
You are 7-8 weeks pregnant. heartbeat usually comes till this time. but sometimes it is late conception. it is better to wait for 1 week and then repeat ultrasound
1 person found this helpful
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Its a itching problem in vagina and please suggest me an allopathic tablet or ointment to keep thing good It should be thankful for your initiative reply.

MS - Obstetrics and Gynaecology
Gynaecologist, Mumbai
Keep area dry Avoid excessive use of soaps,clean and dry Depending on discharge she requires treatment Follow me with above details
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I am 24 year old female and have periods problem body pain stomach problem. What should I do now?

BHMS
Homeopath, Faridabad
I am 24 year old female and have periods problem body pain stomach problem. What should I do now?
Hello, if you mean to say that u have body pain, stomach pain while having periods then take BC No. 15, 5 tabs thrice daily and Mag phos Pentarken , 2 tabs twice daily. Take Sundari sakhi Syrup, 2 tsp twice daily. Revert me after 1 month.
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My periods not come this month, it's not pregnancy, haemoglobin is 8.9 I'm taking hormone tab for 3 days when my periods may come?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My periods not come this month, it's not pregnancy, haemoglobin is 8.9 I'm taking hormone tab for 3 days when my peri...
You normally take progesterone for 7 days and then stop. Periods should come by the next 7 days. However as you are anaemic it might be an important cause of problems with periods. So you should be investigated for anaemia and take iron supplements.
1 person found this helpful
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I had my last period on Feb 18th and sex on 4th of march. I took Postpone 72 pill on 6th of march. Will this pill work?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I had my last period on Feb 18th and sex on 4th of march. I took Postpone 72 pill on 6th of march. Will this pill work?
Yes definitely, it will work. As you had sex very close to ovulation date, you would have had very high chance to get pregnant. But as you took the pill, you r safe. Pill can cause irregular menses for some time but it will go automatically.
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Hi, my last period was on April 9th. According to that I am 8 week pregnant. Yesterday I went for transvaginal scan. Doctor told no heart beat. But everything is normal. Dr. advice for abortion. What should I do.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi, my last period was on April 9th. According to that I am 8 week pregnant. Yesterday I went for transvaginal scan. ...
Hello, if there is a foetal pole and yet no heart beat then this is a missed abortion at 8 weeks. You may get abortion done.
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I have hypothyroid 35 years of age. Want to go for a child. Will this problem of mine effect my unborn child. Have been on eltroxin since last 10 years. I already have a healthy boy aged 13 years. Thyroid problem started after my son was born. and the levels keep fluctuating. What do you suggest can I go ahead with conception yes or not.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I have hypothyroid 35 years of age. Want to go for a child. Will this problem of mine effect my unborn child. Have be...
Thyroid problem can affect both mother and child badly. But if thyroid is controlled, there is nothing much to worry. So, ensure that your thyroid is normal before conception.
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