Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 39 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.
Book Clinic Appointment
Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Submit a review for Dr. RaviYour feedback matters!
My breasts pain ,usually its normal before menstrual cycle but this tym bit earlier it started .i take lithosun and aripmt .and also throx 12.5 .there is no redness or lump .plz help.
Hii I have menstruation problem. No blood flow last 5 to 6 mnth. And thats why put on weight. Please help to solve menstruation problem.
I am 47 years old, diabetic. I had my last periods on 2nd March 2016. In April the periods did not come till 6th, then I took tablets for early periods, but did not worked out. After that I consulted the Gynae and she gave me tablets to delay the periods which I took from 11th to 16th April and stopped it. But till date there is no periods, however sometimes I have symptoms. I had also test the pregnancy test through Prega-Kit twice, which was negative. Kindly guide accordingly and also let me know that how accurate the prega-kit? Thanks.
After how many days of unprotected intercourse will the prega news pregnancy test show accurate results. ?
Top 3 food to keep you energetic whole day
1. Raw vegetables - Green salads
2. Protein rich food - Cheese omelete.
3. Nuts - ideal snacks
Best PCOD treatment in homeopathy. Please kindly n truthfully tell me the entire treatment time n cost. My age 30f, 78kg, 5'1 with no thyroid. My main concern is OK increasing weight and tough task to reduce with pcod. Will homeopathy able to cure me? I have a baby. I don't want any more. Only concern to cure pcod is to get rid of weight. My periods are slightly normal few days as compare to previous. Take my point seriously and reply honestly.
Hi after my first baby again after 12 months i became pregnant and now iam 7 month's pregnant . I want to know whether is it good to have family planning. Please tell me what should I do?
We have having unprotected sex from 5 to 6 months. My wife is not get pregnant till now. And she feels much pain in periods please suggest.
Meri wife ka period jab hota hai to uske pet me bohat pain hota hai jabki pahle Aisa nahi hota thaa.
Am a 24 year old married woman. I missed period from 20/3/16 and I do not want pregnant because I have already 2 children. Oneof them is only 7months old so please suggest me best pill for abortion and in future what is the best way to control pregnancy.
I am 15 ,I want to suck my gf vagina is it safe or not? And she was 14 .oral sex is safe or not, in this age?
My friend having a problem of excessive vaginal discharge when she come close to me like when we hug and sit together. Discharge is continuous but varying in fluid quantity and it is transparent. Even when she thought of hugging me then same thing happens sometimes. Is it normal or need for check up?
I am 25 yrs old. I am having irregular periods problem for 4months. By 4 months upto still I didnt get any periods. What can I do for regular periods? and what is the reason for irregular periods?
Hi, My period missed on 25th April. Then I tested from prega news on 29th April, 1st may and 4th may and it was negative. Doctor prescribed me sysron NCR and after 2 day of dose I had period but for one day only and it was very very very light. Now all my doses are over (5 doses for 5 day). When my period will come. Do I need to worry a lot because it's first my period got delayed like this. What I should do?
My wife cycle is not regular since her first menstruation, always having tablet deviry 10mg as prescribed by physician for regular periods. We are trying for a baby since 3 year but not yet succeeded instead of consulting lots of expert. All kind of test prescribed by doctors to her/me are normal. Is it suggestive to have such tablets regularly? and please suggest what can I do for a baby?
I am 5 months pregnant. My weight is 40. How can I get normal delivery and what are the ways to get normal delivery and avoid scisserian.
What is recurrent miscarriage?
If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.
Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being.
If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.
Treatment of Recurrent Pregnancy Loss
Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.
A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.
Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.
Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.
Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.
Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid
Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.
Role of IVF
Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.
In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.