Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 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
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Reeta AggarwalYour feedback matters!
My gf finished her periods and now we had have to elestra how to start it can I start it now because its 2nd day of finished periods ?
I am 46 years old. I have BULKY uterus about 126*63*55 mm. Without operation I want any solution for this. Thank You.
Surgical Sperm Retrieval (TESA/PESA/MESA)
The main methods of surgical sperm retrieval available include:
PESA: percutaneous epididymal sperm aspiration.
MESA: microsurgical epididymal sperm aspiration.
TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).
TESE: testicular sperm extraction.
Perc biopsy: percutaneous biopsy of the testis.
Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.
Tests required before surgical sperm retrieval
A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.
Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.
If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead
Surgical sperm retrieval techniques used when obstruction is the problem
When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anaesthetic. The fourth requires open surgical sperm retrieval and is usually carried out under general anaesthetic.
Some small studies have been done to compare success rates after the different types of surgical sperm retrieval. These concluded that MESA gives the highest number of sperm, with a hundred times more sperm being recovered compared to TESA and perc biopsy.
MESA also produced sperm that were better swimmers and therefore more useful for infertility treatments, including IVF and ICSI.
Surgical sperm retrieval techniques when there is no obstruction
Men who have no sperm in their semen, despite having clear tubes in their testicles, usually have a problem with the process of sperm production. It is unlikely that sperm are present in large numbers, so the surgical sperm retrieval techniques required are more invasive
TESE: Testicular sperm extraction. This involves opening up the scrotum and taking a large volume of testicular tissue, perhaps from several regions of the testicle. Sperm are then retrieved using a microscope to identify individual sperm.
Microdissection TESE: A similar technique but a microdissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.
My wife got period on 3rdmarch2017, after that she didn't got period and pregnancy report is positive, approx 20 days over what if I don't want this baby .Can you suggest me some medicine with no side effects for my wife.
During sex why condom leaked. I use doted condom but they got leaked. 3 time. Lubricated condom not leaked. Which condom is best and if doted is best then why they leaked ?
Hello Sir /madam I have a q for my Mother, today she had sudden bleeding in morning but she do not have any monthly periods since 7 years. Today suddenly she had in morning she is also facing indigestion and constipation issues from 2-3 months and have feeling of ulcers in mouth for 2-3 days. whatever she eats she feels feeling of full stomach and also do not feel hungary .Please suggest me what should be done ?which Dr. shall I consult? Last year she qas diagnosed of mild liver enlargement. But before such diagnose. She suffered from cold and cough and after medication of cold n cough she had sudden Vomit and indigestion. So is it possible that liver enlargement occurred due to heavy doze of medicines? Or there was any other reason. I really can not understand to which Dr. shall I consult?
I was operated for breast abcess last august (2015). As of nw I am nt feeding frm tat right breast but only from left side. My son is 9 month old nw. Lactation is happening in the operated breast but no engorgement. I don express it manually also to empty. Wil it cause any abscess further or any other health conditions.
Madam am 25 years old married 6 months, running but I not conceive till now but my period getting 5 or 8 days after my due date past 4 months what the reason madam.
Stir one-half teaspoon of baking soda into half a glass of water. Drink this solution to neutralize the acid in your stomach and give your relief from bloating.
What Is the reason of itching at labia majora and there is a very small rash at perineum and very little discharge from vagina?
I am 26 years old and married from last 2 and half years. Now I want to conceive but nothing is positive yet. I also have irregular periods. I have done all test and doctors are saying that I have ovarian cysts. Can you please help me out?
The last time I had my regular period was last April this year, then I didn't had my period on the month after. Last June I had my period but it was just a small amount of blood and it never came since July. I've noticed that my stomach was getting bigger each day. I've never had sex or anything that will result to pregnancy or STDs. Never had any changes with my diet as well. What could probably the reason for this?
I am married for last 9 months. At the time of intercourse generally I use condom. But, I want to have intercourse sometimes unprotected i.e. Without condoms. We are not planning for a baby right now. Now, my question is 1) what is the right time during a period cycle of a lady to have intercourse unprotected safely? 2) what types of contraceptive pills are safe or may be taken in regular basis in case of unprotected sex?
Hi i m 20 female. Suddenly my periods have become irregular and my stomach feels bloated (on normal days too) .Is there any connection between the two?
Hello, I am 29 year old girl I usually get my period on my 28 days - since from my first period that happened when I was 12 yrs. My last period came on 11th september. On the 27th september afternoon I did intercourse for the first time. Firstly we used condom but, I was felling too much pain. For 2 minute he removed the condom. Then My partner released everything outside of body. After that I urinate & washed of private part. After 4 hrs I took the I-PILL. Now its been 6 days of I-PILL. After that we did not did sex. But, still I am not getting period. Is it means I am pregnant?
These may be taken by people who are living in places with a seemingly pleasant yet unhealthy weather. They may benefit from it. Both red and black varieties of mud are used for mud therapy which helps in eliminating toxins primarily through the skin and also other organs such as intestines and kidneys.