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Dr. Ramanjeet Kaur

Gynaecologist, New Delhi

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Dr. Ramanjeet Kaur Gynaecologist, New Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Ramanjeet Kaur
Dr. Ramanjeet Kaur is an experienced Gynaecologist in Rohini, Delhi. You can meet Dr. Ramanjeet Kaur personally at Dr Ramanjeet Kaur's Clinic in Rohini, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Ramanjeet Kaur on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 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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A-7, DUJ Apartment, Plot-B-5, Sec-14 Extension RohiniNew Delhi Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hello Dr. which tablet is best & Safe to take before or after Sex to not to get Pregnant.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Hello Dr. which tablet is best & Safe to take before or after Sex to not to get Pregnant.
There are contraceptives pills which one follows through out 21 days when prescribed by your doctor otherwise in case of emergency we suggest emergency contraceptive pill. For further queries please opt for the private consult where you can clear your doubts and seek advice. Good luck.
3 people found this helpful
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I had lot of hair thick hair now due to pcod I am losing more hair what should I do I am taking homeopathy medicines for pcod.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Madurai
The medicine you are taking for pcod also work for hair falling complaint. So continue with the medicine.
1 person found this helpful
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Hi. I am married from 1 1/2 years & have 8 month baby. After delivery I get period time with in 20 days & sometimes only 1 or 2 drop blooding. what should I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Hi. I am married from 1 1/2 years & have 8 month baby. After delivery I get period time with in 20 days & sometimes o...
It might be that you are feeding the baby-its called lactational amenorrhoea but please take precautions during intercourse, check with the preg. Test kit to rule out pregnancy.
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Hello doc, my wife is pregnant, 8th month start ,she has problem in breathing, some time the problem is very big, very difficulty come in breathing, pls suggest what can I do.

DHMS (Hons.)
Homeopath, Patna
Hello doc, my wife is pregnant, 8th month start ,she has problem in breathing, some time the problem is very big, ver...
Hi, during pregnancy, gastric disorder is common, causing breathing difficulty. She should tk, easily digestible diet on time. Tk, iron, calcium, proteins, rich diet. Tk, apples, pomegranate, banana, cheese, milk, almonds, walnuts, spinach, all sort of checks & scanning b ensured, periodically. Consult your gynae in this regard. Tk, care.
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Plz tell me Symptoms of cervical fibroid. Prevention for pregnancy. My age is 31.

C.S.C, D.C.H, M.B.B.S
General Physician,
Plz tell me Symptoms of cervical fibroid. Prevention for pregnancy. My age is 31.
The most common symptoms of uterine fibroids include: Heavy menstrual bleeding. Menstrual periods lasting more than a week. Pelvic pressure or pain. Frequent urination. Difficulty emptying the bladder. Constipation. Backache or leg pains.
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Hello Doctor, I got married 4 yrs. But still now I am not pregnant, I have Hypothyroid.please help

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hello Doctor, I got married 4 yrs. But still now I am not pregnant, I have Hypothyroid.please help
To get pregnant you need to have fallopian tubes patent which is checked by hsg test and semen should be adequate quality which is checked by semen analysis. These both tests are done before the treatment of any infertile couple. Once the above tests are normal, then treatment with clomiphene citrate is started with monitoring of egg. You need to consult a good gynecologist who would start proper treatment for u.
1 person found this helpful
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Know Your Skill

Msc - Clinical Psychology
Psychologist, Bangalore
Know Your Skill

Unlucky people are generally more tense than lucky people, and this anxiety disrupts their ability to notice the unexpected. As a result, they miss opportunities because they are too focused on looking for something else. They go to parties'; intent on finding their perfect partner.

4 people found this helpful

I hv had my periods on 8 Dec but my nxt period not come yet. Today is 34th day. My cycle is 26-28 days but my last cycle is of 32 days. I also take a home pregnancy test it is negative. please give me any suggestion.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I hv had my periods on 8 Dec but my nxt period not come yet. Today is 34th day. My cycle is 26-28 days but my last cy...
Hello, It is too early for urine pregnancy test. Please get a serum beta hcg test done to rule out pregnancy.
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What Is Polycystic Ovary Syndrome (PCOS)?

Ayurveda, Delhi
What Is Polycystic Ovary Syndrome (PCOS)?

What is Polycystic Ovary Syndrome (PCOS)?

Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's:

  • Menstrual cycle
  • Ability to have children
  • Hormones
  • Heart
  • Blood vessels
  • Appearance

With PCOS, women typically have:

  • High levels of androgens (AN-druh-junz). These are sometimes called male hormones, though females also make them.
  • Missed or irregular periods (monthly bleeding)
  • Many small cysts (sists) (fluid-filled sacs) in their ovaries

How many women have PCOS?

Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. As many as 5 million women in the United States may be affected. It can occur in girls as young as 11 years old.

What causes PCOS?

The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.

A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.

Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels can lead to:

  • Acne
  • Excessive hair growth
  • Weight gain
  • Problems with ovulation

What are the symptoms of PCOS?

The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:

  • Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
  • Infrequent, absent, and/or irregular menstrual periods
  • Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
  • Cysts on the ovaries
  • Acne, oily skin, or dandruff
  • Weight gain or obesity, usually with extra weight around the waist
  • Male-pattern baldness or thinning hair
  • Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
  • Skin tags — excess flaps of skin in the armpits or neck area
  • Pelvic pain
  • Anxiety or depression
  • Sleep apnea — when breathing stops for short periods of time while asleep

Why do women with PCOS have trouble with their menstrual cycle and fertility?

The ovaries, where a woman's eggs are produced, have tiny fluid-filled sacs called follicles or cysts. As the egg grows, the follicle builds up fluid. When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.

In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. The follicles may start to grow and build up fluid but ovulation does not occur. Instead, some follicles may remain as cysts. For these reasons, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Plus, the ovaries make male hormones, which also prevent ovulation.
 

Does PCOS change at menopause?

Yes and no. PCOS affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.

How do I know if I have PCOS?

There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.

Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.

Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.

Pelvic exam. Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.

Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.

Vaginal ultrasound (sonogram). Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.

How is PCOS treated?

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:

Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:

  • Limiting processed foods and foods with added sugars
  • Adding more whole-grain products, fruits, vegetables, and lean meats to your diet

This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.

Birth control pills. For women who don't want to get pregnant, birth control pills can:

  • Control menstrual cycles
  • Reduce male hormone levels
  • Help to clear acne

Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). But, progesterone alone does not help reduce acne and hair growth.

Diabetes medications. The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.

Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets). Treatment options include:

  • Clomiphene (KLOHM-uh-feen) (Clomid, Serophene) — the first choice therapy to stimulate ovulation for most patients.
  • Metformin taken with clomiphene — may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins (goe-NAD-oh-troe-pins) — given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.

Another option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, IVF is very costly.

Surgery. "Ovarian drilling" is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.

Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills.  These medications should not be taken if you are trying to become pregnant.

Before taking Aldactone, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia.

Other options include:

  • Vaniqa (van-ik-uh) cream to reduce facial hair
  • Laser hair removal or electrolysis to remove hair
  • Hormonal treatment to keep new hair from growing

Other treatments. Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.

Researchers continue to search for new ways to treat PCOS. To learn more about current PCOS treatment studies, visit ClinicalTrials.gov. Talk to your doctor about whether taking part in a clinical trial might be right for you.

How does PCOS affect a woman while pregnant?

Women with PCOS appear to have higher rates of:

  • Miscarriage
  • Gestational diabetes
  • Pregnancy-induced high blood pressure (preeclampsia)
  • Premature delivery

Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).

Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.

Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.

Does PCOS put women at risk for other health problems?

Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:

  • More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
  • The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
  • Women with PCOS are at greater risk of having high blood pressure.
  • Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
  • Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.

Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.

Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

I have PCOS. What can I do to prevent complications?

If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include:

  • Eating right
  • Exercising
  • Not smoking

How can I cope with the emotional effects of PCOS?

Having PCOS can be difficult. You may feel:

  • Embarrassed by your appearance
  • Worried about being able to get pregnant
  • Depressed

Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.

 

 

 

9 people found this helpful

I am 36 Old women. I have piles problem since 5 yrs. After baby birth. And white discharge also. What should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
Take fiber diet. use green vegetables. avoid constipation. take tab pilex one tab 3 times daily. use anovate ointment on anus. consult surgeon for detail advise.
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Hi me n my gf had sex on 10th day of her period n sperms excited n she had take instafree72 aftr 3 hours of sex wats the chances of pregnancy.

DGO, MBBS
Gynaecologist, Delhi
Hi me n my gf had sex on 10th day of her period n sperms excited n she had take instafree72 aftr 3 hours of sex wats ...
quite less chance of her cycle Pregnant so relax but do not make it ahqbbitgo have pills after sex . go for protected sex .
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Eating Right

MBBS, MD GENERAL MEDICINE, PDCC CRITICAL CARE, FCCS CRITICAL CARE
General Physician, Hyderabad
Eating Right

Eating right is one of the most important concious decisions that one can make on a daily basis

I am 32 yr's pregnant woman with fibroid. My pregnancy is enter into 6 Month. Will fibroid causes any problem? Please suggest me, what shall I do?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am 32 yr's pregnant woman with fibroid. My pregnancy is enter into 6 Month. Will fibroid causes any problem?
Please...
Mostly it does not cause problem. There is nothing you can do prevent problem. If you get any complaints you have to reach to your obstetrician.
2 people found this helpful
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Dear Dr. I'm married woman about 35 years old my problem is that I'm not discharge early I don't feel any thing when we do intercourse I have so much tension in my in-laws so that's why I take sleeping pills my husband don't understand me. please help me.

BHMS
Homeopath,
Dear Dr. I'm married woman about 35 years old my problem is that I'm not discharge early I don't feel any thing when ...
Dear lybrate user, one of the side-effects of sleeping-pills is that it will diminish your sexual drive. If you want to regain your previous sexual drive then you have to stop your habit of taking sleeping pills. Take homoeopathic mother tincture agnus castus q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to increase your sexual drive.
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Hello i am 28 years old. After a year ago I gone thru breast reduction surgery. After dat I realized my tummy fat increased very much. It becomes like a ball so tight and I always feel full. Im having insulin resistance problem mild pcos and having cervical spondylitis. Cuz of cervical and shoulder chronic pain I can not do any gym and any other workout. .weight increased very fast n now tummy become tight n round kind of. Help me is dat something I can do for get rid of dis fat n be fit again. I hv swt craving also n from long cuz of chronic pain im depressed even. Help.

MD - Homeopathy, BHMS
Homeopath, Ghaziabad
Hello i am 28 years old. After a year ago I gone thru breast reduction surgery. After dat I realized my tummy fat inc...
At 28 all these changes are premature I would say. There are two ways to look at your problems, one is that because of prolonged stress these complaints have triggered which is found in many cases stress triggering hormonal problems and spondolytis.Second is these problems are appearing gradually. Considering stress and your problems we usually discuss case in detail and suggest treatment. What kind of stress you have, what is your daily routine, what are the problems you are facing etc. are the worthy questions. For the time being I would suggest start treatment follow diet as advised, do exercises as advised and walks on regular basis.
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Does secretions from vagina result in fungus infection in near by areas? and if yes what precaution is to be taken?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Yes, in general prevention for fungal infection is loose underclothes or no underclothes, keeping area open whenever possible, keep area dry also, testing for diabetes and if there to keep properly under control, treat infection whenever one gets and treatment of spouse if has fungus infection. Condoms at intercourse.
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Age-49, not got periods for 3 months. On examination prolactin is 31. Please tell course to be followed.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
You're going through your menopausal phase. No need to worry as hormonal imbalance is a normal criteria during this time. Just start taking a homoeopathic medicine for good results klimaktolan tabs (wilmar chwabe india) 1 tab 3 times a day for 3 months.
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I am 32 years old. Few month later I had abortion 9 weeks pregnancy After this no bleeding in period.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
it is a good sign -no bleeding after infection indicates no pieces have been retained and there is no infection. hope your cycle is regular now.
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I am having less menstrual flow for 2 months. I was under a lot of stress and had sleeping problems. Can this be the reason? I got worried.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am having less menstrual flow for 2 months. I was under a lot of stress and had sleeping problems. Can this be the ...
Hello lybrate user- oligo mennhorea or less flow during menses might occur due to two causes, first if you have developed anaemia (low hb count) or you have experienced sudden gain in your weight. Another factor responsible is pcod. Try these medicines, it will improve both your menses flow and your headache. 1) dadimadi ghrita 1 tsp twice daily. 2) kuberaksha vati 1 tab twice daily.
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