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Dr. Ramesh Paul

Gynaecologist, Delhi

Dr. Ramesh Paul Gynaecologist, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Ramesh Paul
Dr. Ramesh Paul is a trusted Gynaecologist in Paschim Vihar, Delhi. He is currently associated with Paul Nursing Home in Paschim Vihar, Delhi. Book an appointment online with Dr. Ramesh Paul and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 32 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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235, Paschim Vihar. Landmark: Avtar Enclave, DelhiDelhi Get Directions
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Hi i am 24 year old. I have irregular period for 1 year. What is the reason and what should I do.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi mam, I read your complaints, please read my health tips on pcos. Take puls 6c 3 hrly for 6 days.
1 person found this helpful
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My cousin had a cesarean in the month of November 2014 and she is again 2 months pregnant. What to do please advise?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My cousin had a cesarean in the month of November 2014 and she is again 2 months pregnant. What to do please advise?
She needs to look after herself with adequate rest and have a well balanced diet rich in proteins. Also needs to take iron and calcium supplements once pregnancy associated sickness has settled.
1 person found this helpful
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I am a 26 yr old female /unmarried /i use to masturbat every day. I do it to relax myself and for quick fall asleep. I want to know is there any bad or harmful effect in my body. Or in getting pregnant will I face issues because of this?

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Yes, masterbution causes many gynaecological problems that may affect getting pregnant. Kindly stop this.
1 person found this helpful
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I have periods on 27th bt still I did not get I have tried papaya jaggery and ginger tea also bt no result wat would be the problem.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have periods on 27th bt still I did not get I have tried papaya jaggery and ginger tea also bt no result wat would ...
Hello, please rule out pregnancy if you have been sexually active and if negative then you can opt for a withdrawal bleed with progesterones for resuming menses.
1 person found this helpful
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Hello, I had an unprotected sex with my gf on 8th may but I dont discharged in her. Next day she vomit after 2hr of eat a pil. Her mc date is 15th may but it not happening till now. Yesterday she test but is result is nagative. I cant understand sir help me please what to do.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
If pregnancy test is negative, wait for couple of more days. Period will come. Otherwise take hormone for withdrawl bleeding for 5 days. Wait for 10 days thereafter. She will get her period.
3 people found this helpful
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Menstrual Pain Relief Offered Through Endometrial Ablation

MBBS, DGO, DNB Gynecology)
Gynaecologist, Delhi
Menstrual Pain Relief Offered Through Endometrial Ablation

Slight discomfort and pain is normally associated with every woman's monthly menstrual cycle. However, for some women, this discomfort can restrict their normal activities and put them in a lot of pain. This is often accompanied by heavy menstrual bleeding. Medication is usually the first line of treatment for heavy periods, but if this is not effective surgical options may need to be looked at. Amongst the surgical ways to deal with painful menstruation and heavy bleeding is a procedure known as endometrial ablation.

Endometrial ablation is a surgical procedure that removes the lining of the uterus or endometrium. The procedure is usually performed under spinal or local anesthesia and takes less than a hour. In some cases, the patient may need to go under general anesthesia. This surgery is often performed as an outpatient procedure. This can be performed in a number of ways. Some of the common forms of endometrial ablation are:

  1. Laser ablation
  2. Heat ablation using either heated saline or radio frequency
  3. Electric removal of uterine lining
  4. Freezing
  5. Microwave removal

Though the procedure is performed as an outpatient procedure, it can take up to 2 weeks for complete recovery. The woman may notice watery discharge for a day or two accompanied by cramps and nausea. However, after such a procedure, most women do not have a period for the next few months. While this may stop menstrual bleeding completely for older women, younger women should see reduced menstrual bleeding, but may also need a repeat procedure later.

Though many women can conceive after such a procedure, endometrial ablation is usually not recommended for women who intend on having children later. It is usually suggested as an alternative to a hysterectomy. It is also not recommended to women who have a high risk of developing endometrial cancer. An endometrial ablation can be performed if the woman suffers from minor fibroids, but is avoidable if the woman suffers from large fibroids. A vaginal or pelvic infection of any kind will also prevent a woman from undergoing this procedure.

Like any other procedure, this one is associated with a number of certain risks as well, such as

  1. Infection and bleeding
  2. Rupturing the uterine wall or bowel walls
  3. Excessive fluid in the bloodstream

Thus in order to reduce the risks associated, utmost care must be taken, both by doctor and patient and in case of any bleeding that lasts longer than two days should be immediately brought to your doctor's notice.

3822 people found this helpful

Hi sir/madam Am 3 months pregnant and have craving of having a soft drink such as pepsi ,sprite or thumsup. Is it harmful for me and my foetus.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Hi sir/madam
Am 3 months pregnant and have craving of having a soft drink such as pepsi ,sprite or thumsup. Is it har...
Many women craves soft drinks during pregnancy. But it is not healthy to drink it. One, it contains high amount of sugar which will absorb more water in the womb. Two, caffeine which is also not good. If you have such craving you can instead drink fresh fruit juices which are more healthy, contain natural sweetness and vitamins.
1 person found this helpful
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Age: 31 yrs, Health Issue: PCOD Period missed: I am in 38th day Symptom: No Symptom of pregnancy like vomiting, tiredness, nausea. What could be the reason? Is that pcod stopping my periods or something else.

MBA (Healthcare), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Patna
Age: 31 yrs,
Health Issue: PCOD
Period missed: I am in 38th day
Symptom: No Symptom of pregnancy like vomiting, tired...
First of all you do pregnancy test. If negative then wait for one week. If again negative after one week then you should treatment of pcod then conception will be easier. If positive consult doctor for the same.
1 person found this helpful
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She delivers a male child before a month by c section. She is feeding mother and to know how many days or month I should not make relation with my husband and by mistake it happen with in month after delivery, how can check that pregnant or not again. Heard by other, periods take time to continue after delivery, so pls advice my cousin. She is very tens. thanks.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
She delivers a male child before a month by c section. She is feeding mother and to know how many days or month I sho...
Hello- Firstly you can't get pregnant during breast feed stage, body provides natural contraception for an year after delivery. Secondly wait for three months, let the wound heal properly and thn go for sex, no issue.
5 people found this helpful
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Pichhle Feb me medicine lane k lye Feb me period nhi Hui Next month March me 2 bar period hua 1) 2 nd March 2) 28th March So sir / mam, Next ovulation date kab hogi?

BAMS
Ayurveda, Bangalore
Pichhle Feb me medicine lane k lye Feb me period nhi Hui
Next month March me 2 bar period hua 1) 2 nd March
2) 28th M...
Hi, Your next ovulation date will be between 6th March - 10th March. If you are wishing to conceive, then have sexual contact daily during this period.
1 person found this helpful
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I have girlfriend. We didn't have sex but I doubt if sperms entered into vagina during rubbing and all because she is not having period. Is there any possibility of being her pregnant? If yes then tell us something to avoid that pregnancy.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I have girlfriend. We didn't have sex but I doubt if sperms entered into vagina during rubbing and all because she is...
Hi, I understand your dilemma. If there was any kind of penile fluid which may have touched your girlfriends vaginas or nearby areas there is a chance she may have gotten pregnant. But sometimes sudden start or increase in sexual activity or even mental stress have disturb the hormonal balance of a body and disturb the periods. If she has not had her period this month I suggest you get a home pregnancy test and check for pregnancy. If negative wait for a few days, most likely they should come in a few days. If still they don't come you can repeat the test and even take medicine to open periods. Hope this information has put your doubts to rest.
7 people found this helpful
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This Dussehra Let's Take a Oath and Win over our Vices

MS - Psychotherapy & Counselling
Psychologist, Chennai
This Dussehra Let's Take a Oath and Win over our Vices

Dussehra is the day when 'Raghunandan Ramachandra' defeated 'Lankapati Dashanan Ravana' and rescued his wife Sita. The name Dussehra has its foundations in two Sanskrit words Dasha and Hara, where the first word 'Dasha' refers to Dashanan Ravana and the second word 'Hara' implies defeat. Dashanana, one with ten heads, a title given to Ravana, additionally happens to be symbolic in nature. It could be seen as ten vices, not ten heads.

Vice is any behaviour or practice that is considered cruel, immoral, rude, sinful, degrading or criminal. The ten vices represent the ten heads of Ravana. If we carefully watch our surroundings, we will find that the majority of us are being tainted and infected from one of these ten vices. At last, it is not about Rama or Ravana. It is about you and your vices. Dussehra symbolises your triumph over your vices, not Rama's triumph over Ravana.

The ten vices that we need to win over this Dusshera are:

  1. Kama Vasana (Lust): This lustful craving edging on the unethical side that can make one carry out offensive and heinous crimes.
  2. Krodha (Anger): Many violations and crimes are caused because of the inability and powerlessness to think when we are in outrage. Control over Anger or Krodha will avoid a lot of problems and regrets in the near future.
  3. Moha (Attraction): Obsessing over things can be a problem when we lose the feeling and sense of our reason. It is ideal to keep our obsessions under control.
  4. Lobha (Greed): This problem is the reason for some possible crimes and embarrassments. That is why it is said that one should keep a long distance from greed for their own well-being.
  5. Mada (Pride): Being happy over material belongings has no purpose and is a worthless activity. It is both at the moment and temporary. Pride needs to be avoided and maintain a goal to stay modest and unobtrusive.
  6. Matsara (Jealousy): This green-eyed creature eats up our feeling of logic and calm and is better kept under control for our prosperity and fulfilment.
  7. Swartha (Selfishness): Being an egotistical individual just gets us back at last. Thoughtfulness usually pays back and helping a man in need will never go futile.
  8. Anyaaya (Injustice): As much as we can comprehend, we need to be just and not indulge in out of line practices, be it in our work or individual life.
  9. Amanavata (Cruelty): Cruelty needs to be avoided under all circumstances. Being thoughtful and humble will give us a meaning to live a modest and calm life.
  10. Ahankara (Ego): The bad habit of Ravana that destroyed Lanka is something we indulge in ordinary. Avoiding this ego will keep us more joyful in our lives.

This celebration implies the victory of good over the evil, right over wrong, and good habits over vices.

3809 people found this helpful

Zika virus

Advanced Aesthetics
Ayurveda, Gulbarga
Zika virus

Key facts

  •  Zika virus disease is caused by a virus transmitted by aedes mosquitoes.
  •  People with zika virus disease usually have a mild fever, skin rash (exanthema) and conjunctivitis. These symptoms normally last for 2-7 days.
  •  There is no specific treatment or vaccine currently available.
  •  The best form of prevention is protection against mosquito bites.
  •  The virus is known to circulate in africa, the americas, asia and the pacific.

Introduction

Zika virus is an emerging mosquito-borne virus that was first identified in uganda in 1947 in rhesus monkeys through a monitoring network of sylvatic yellow fever. It was subsequently identified in humans in 1952 in uganda and the united republic of tanzania. Outbreaks of zika virus disease have been recorded in africa, the americas, asia and the pacific.

  •  Genre: flavivirus
  •  Vector: aedes mosquitoes (which usually bite during the morning and late afternoon/evening hours)
  •  Reservoir: unknown

Signs and symptoms

The incubation period (the time from exposure to symptoms) of zika virus disease is not clear, but is likely to be a few days. The symptoms are similar to other arbovirus infections such as dengue, and include fever, skin rashes, conjunctivitis, muscle and joint pain, malaise, and headache. These symptoms are usually mild and last for 2-7 days.

During large outbreaks in french polynesia and brazil in 2013 and 2015 respectively, national health authorities reported potential neurological and auto-immune complications of zika virus disease. Recently in brazil, local health authorities have observed an increase in zika virus infections in the general public as well as an increase in babies born with microcephaly in northeast brazil. Agencies investigating the zika outbreaks are finding an increasing body of evidence about the link between zika virus and microcephaly. However, more investigation is needed before we understand the relationship between microcephaly in babies and the zika virus. Other potential causes are also being investigated.

Transmission

Zika virus is transmitted to people through the bite of an infected mosquito from the aedes genus, mainly aedes aegypti in tropical regions. This is the same mosquito that transmits dengue, chikungunya and yellow fever.

Zika virus disease outbreaks were reported for the first time from the pacific in 2007 and 2013 (yap and french polynesia, respectively), and in 2015 from the americas (brazil and colombia) and africa (cape verde). In addition, more than 13 countries in the americas have reported sporadic zika virus infections indicating rapid geographic expansion of zika virus.

Diagnosis

Zika virus is diagnosed through pcr (polymerase chain reaction) and virus isolation from blood samples. Diagnosis by serology can be difficult as the virus can cross-react with other flaviviruses such as dengue, west nile and yellow fever.
Prevention

Mosquitoes and their breeding sites pose a significant risk factor for zika virus infection. Prevention and control relies on reducing mosquitoes through source reduction (removal and modification of breeding sites) and reducing contact between mosquitoes and people.

This can be done by using insect repellent; wearing clothes (preferably light-coloured) that cover as much of the body as possible; using physical barriers such as screens, closed doors and windows; and sleeping under mosquito nets. It is also important to empty, clean or cover containers that can hold water such as buckets, flower pots or tyres, so that places where mosquitoes can breed are removed.

Special attention and help should be given to those who may not be able to protect themselves adequately, such as young children, the sick or elderly.

During outbreaks, health authorities may advise that spraying of insecticides be carried out. Insecticides recommended by the who pesticide evaluation scheme may also be used as larvicides to treat relatively large water containers.

Travellers should take the basic precautions described above to protect themselves from mosquito bites.

Treatment

Zika virus disease is usually relatively mild and requires no specific treatment. People sick with zika virus should get plenty of rest, drink enough fluids, and treat pain and fever with common medicines. If symptoms worsen, they should seek medical care and advice. There is currently no vaccine available.
Who response

Who is supporting countries to control zika virus disease through:

  •  Define and prioritize research into zika virus disease by convening experts and partners.
  •  Enhance surveillance of zika virus and potential complications.
  •  Strengthen capacity in risk communication to help countries meet their commitments under the international health regulations.
  •  Provide training on clinical management, diagnosis and vector control including through a number of who collaborating centres.
  •  Strengthen the capacity of laboratories to detect the virus.
  •  Support health authorities to implement vector control strategies aimed at reducing aedes mosquito populations such as providing larvicide to treat standing water sites that cannot be treated in other ways, such as cleaning, emptying, and covering them.
  •  Prepare recommendations for clinical care and follow-up of people with zika virus, in collaboration with experts and other health agencies.

My wife is pregnent 8 th month running, unfortunately she is affected oligohydramnious her water level is 5.8 cm please cater suggestion in this regard.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
My wife is pregnent 8 th month running, unfortunately she is affected oligohydramnious her water level is 5.8 cm plea...
The suggestion is little bit difficult. We need to detect the cause of oligohydramnios and treat it, if posible. At the same time we have to make sure that the baby is ok inside the uterus. And we have to get prepared for preterm delivery, if needed, to save the baby.
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Despite regular use of pills I m pregnant of 5 Weeks. Is there any harm to the baby on account of pills?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Despite regular use of pills I m pregnant of 5 Weeks. Is there any harm to the baby on account of pills?
No. She must have missed the tablet ,reason she got pregnant. She can continue with pregnancy and I am sure that she has stopped taking the pill as soon as she learnt about pregnancy.Pills give high doses of hormones and some are good for the pregnancy.
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Healthy Diet Is The Key To Good Health

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Chandigarh
Healthy Diet Is The Key To Good Health

Instead of stocking up on chocolate as glucose boosters, try high-fibre, low sugar oat bars. These take care of your cravings.

She has pcos & because of that she is having so many pimples on her back, forearm, face (now lil less) can you please suggest what to do?

M.S.Gynaec(ayurved )
Ayurveda, Pune
Ayurved treatment better option for pcos, but before treatment needs proper history and some investigations thanks.

Hii Dr. M 25 years old. Newly married from last 11 month. M trying to conceive but I had pcod. My Dr. prescribe me tab normoz BD a day from last 3 month. Lycored.n folic acid. But still my menstrual cycle is not regular. Wat to do to regular my cycle n how can I conceive early. Is normoz help in conceiving. Pls help me.

DNB (Obstetrics and Gynecology), FICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
Hii Dr. M 25 years old. Newly married from last 11 month. M trying to conceive but I had pcod. My Dr. prescribe me ta...
Try to reduce your weight first. Avoid junk food. Sugar .and do exercise half an hour daily. Eat healthy green veggies .sprouts. Milk in your diet. This will all bring normalcy in your hormones. And doing yoga bring regular periods. Too.If still no regular periods after loosing 10%of your weight. Go for medical management then.
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