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Dr. Rekha

Gynaecologist, Delhi

Dr. Rekha Gynaecologist, 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. Rekha
Dr. Rekha is a renowned Gynaecologist in Dilshad Garden, Delhi. You can consult Dr. Rekha at Dr. Rekha Sarin's clinic in Dilshad Garden, Delhi. You can book an instant appointment online with Dr. Rekha on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 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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Simapuri Rd, Dilshad Colony New Simapuri, Dilshad Garden,Delhi Get Directions
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I am 44 years old female. My complete/full hysterectomy abdominal surgery was done as on 15 June 2015. My doctor advised me to take Tablet Cal-360 in the evening hours and Capsule Osta-eve in the evening hours each day as on 07/07/2015, since then I am taking these medicines. Now I. E. Today when I take bath/press my nipple. Something just like milk comes from my breasts. Is this normal after complete hysterectomy I. E. Removal of both ovaries with uterus. Or what I should do now?. My son is eighteen year old. Please advise me soon. Thanks a lot and good evening.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I am 44 years old female. My complete/full hysterectomy abdominal surgery was done as on 15 June 2015. My doctor advi...
The problem you're facing may be due hormonal imbalance or may be due to side effects of medicines. I wud advise you to stop your medicines for few days and watch. You should also go for mammography to exclude any pathology in breast.
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Common Types Of Skin Incisions

MD - Dermatology, MBBS
Dermatologist, Delhi
Common Types Of Skin Incisions

Ideally, surgical incisions are primarily designed to allow easy access to the desired areas in addition to possibilities of extension, if required. Further, they should be designed to split muscles rather than cut them, with minimal scarring along with the aim of boosting regenerative and healing qualities.

Incisions can be classified under these three groups; Vertical, Transverse and Oblique incisions.

  • Vertical incision

1. Midline incision: Almost all abdominal incisions can be performed using this technique. Starting from the midline of the abdomen, it can extend all the way down to the umbilicus.

Advantages:
a) Minimal blood loss
b) Minimal nerve injury
c) Minimal muscle injury

Disadvantage:
a) Midline scar

2. Paramedian incision: This technique provides more laterality to midline incisions, allowing access to such lateral organs such as spleen, kidney and adrenals.

Advantages:
a) Easy access to lateral structures
b) Closure between incisions in anterior and posterior sheath is more secure
c) Rectus muscle remains undivided

Disadvantages:
a) More time consuming
b) Difficulty in extension
c) Can result in atrophy of the muscle

3. Mayo-Robson incision: This incision is typically a paramedian incision, but which bend towards the xiphoid process and consequently allows for a larger and wider opening.

  • Transverse incision

1. Transverse incision: This type of incision is made just above the umbilicus, and can dissect either one of the rectal muscles.

Advantages:
a) Least amount of pain and damage
b) Muscular segments can be reattached
c) Easier access to upper GI structures

Disadvantages:
a) Limited lateral access
b) Higher risk of wound infections

2. Subcostal incision: Also referred to as the Kocher subcostal incision, this type of incision starts from the midline and runs parallel to the costal margin. A double Kocher incision is known as a rooftop of Chevron incision and allows for access to the esophagus, kidney, stomach and liver. The Mercedes incision is yet another variant, characterized by a vertical incision from the rooftop incision to form the shape of a Mercedes sign.

Advantages:
a) Heals faster
b) Less risk of post-operative complications

Disadvantage:
a) Lengthy and time-consuming

  • Oblique incisions

They are also known as Thoracoabdominal incisions, these incisions may either be situated in the RUQ or LUQ. They provide entry to the liver, lungs and spleen, as well as to the stomach and esophagus.

  • Laparoscopic incision

This technique comprises of tiny cuts in the skin that allow laparoscopic tools and instrument access into the abdominal cavity

Related Tip: "Caring For Your Incision After Surgery?"

4519 people found this helpful

Hi my name is Ravikiran. Actually my friend had a sex with her on 9th april, after sex she had taken unwanted 72 tablet also but she is not got her periods till 45 days, what would be the problem.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi my name is Ravikiran. Actually my friend had a sex with her on 9th april, after sex she had taken unwanted 72 tabl...
Hi ravi karan. It's an expected and usual side effect of taking emergency contraceptive pills like unwanted 72 to delay periods. However if 2 weeks have passed since her expected period, I suggest you do a pregnancy test and check. Let me know the result so that I can guide you further. All the best.
3 people found this helpful
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We had sex for first time, her vagina is tight as well as her ass. So how do we penetrate with ease. And how do you advice us for a first tym fuck. Does oil outside condom acts as a lubricant, tell us few things that we should do for doing a first tym sex.

MBBS
General Physician, Chandigarh
We had sex for first time, her vagina is tight as well as her ass. So how do we penetrate with ease. And how do you a...
First and the foremost thing is become comfortable and easy with each other sex you should have only when you feel like it and not just because you got married if you are comfortable with each other then muscles relax your hormones and chemicals get released to make penetration easy and enjoyable still for first time you sure can use some lubricant to make it more easy and comfortable for both.
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My mother has tickle on the period of 1 to2 months, she is also a diabetic patient.

Homeopath,
My mother has tickle on the period of 1 to2 months, she is also a diabetic patient.
It may be menopause need USG HORMONAL TEST Homoeopathy is based on the principle that disease is a part total of body. Homoeopathy is very effective in managing all the symptoms of Diabeties and furthermore plays a vital role in preventing relapse of the condition. Homoeopathic medicines are prescribed on the basis of physical, emotional, and genetic make up that individualizes a person. This constitutional approach framing mind and body works at the root-level. Moreover homoeopathy recognizes importance of root cause such as genetic and inherited factors as a root of any ailment of the body. The homoeopathy medicines prescribed on such strongly plays a crucial role in management of many deep-rooted, chronic, difficult diseases; one amongst them being Diabetes which we can manage to normal level of sugar in urine And blood. Diabetes cannot be cure completely but can effectively controlled with homeopathic medicines. People with diabetes can lead a healthy life if their blood sugar level is under control. The decrease in life span of a diabetic is restored to normal by maintaining good blood glucose control (90 – 120 mg/dl Fasting and with less than 180 mg/dl as PP (2 Hrs. After taking meals). Timely-administered homoeopathy medicines not only assist in maintaining levels of sugar, protein and fat metabolism, but also helps in preventing further progress and hence complications of the disease. The precipitating factors of diabetes like BP, Obesity ,nephropathy ,retinopathy, Diabetic other disoder with diabetess etc. Can be helped by homoeopathic medication. The complications of Diabetes also can be controled tremendously with homoeopathy. If homoeopathic treatment is choosen earlier far less number of case would go to the stage of Amputation etc. Even the cases of Non Healing Diabetic Ulcers have been cured with homoeopathy.
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Having irregular periods some times it doesn't even come for 3 to 4 months and when it does it give very much pain and trouble.

BAMS
Ayurveda, Ambala
Having irregular periods some times it doesn't even come for 3 to 4 months and when it does it give very much pain an...
The cause of irregular periods are Imbalance in the Eostrogen & progesterone hormones. The cause of imbalance are- * stress * Thyroid disorder * Diseases of uterus * PCOD * Ovarian tumours For making regular your period these are some instructions given below: • Take proper diet full of nutrition . Eat green leafy vegetables and seasonal fruits and a glass of milk daily. Eat a fruit daily . • Do Not take stress because stress causes imbalance in hormones of female and make your menstrual cycle disturb and make your ovulation disturb .Do some meditation for maintain hormonal balance. • Do jogging and running exercise daily .If you are obese lose some weight this is also a cause of irregular periods. • Do skipping regularly for 2 to 3 minutes daily. • you can take these medicines for regular periods. Syrup Dashmolarishtha or ,syrup EVECARE of himalya. 2 tsf daily once in a day after meal but only under the guidance of ayurvedic doctor . • Check out Thyroid hormone level & if your T3, T4 , TSH hormone are abnormal then get treatment of it to make your periods regular.
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What are the symptoms of pregnancy. I miss my period. No stool from 3 days. Urine passing increase ,Bloating of belly, feeling hungry ,but I didn't vomiting, urine pregnancy test shows negative, I didn't felt to eat Raw mangoes, I didn't felt any changes in my breasts nd nipples. My dad have Hemorrhoids. Am I pregnant doctor. Kindly help me please thank you.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
What are the symptoms of pregnancy. I miss my period. No stool from 3 days. Urine passing increase ,Bloating of belly...
Food aversions. Mood swings. Abdominal bloating. Frequent urination. Fatigue. Sore breasts. Light bleeding or spotting. Nausea.
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After having sex within how much time we get to know about pregnancy. By what symptoms we come to know.

MBBS
Sexologist, Gurgaon
After having sex within how much time we get to know about pregnancy. By what symptoms we come to know.
Hi lybrate user after 28 days periods stop and that you felling vomiting and giddiness , los of appetite , then urine for pregnancy ok.
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Good evening doctor, My question is, I have gone follicular study. Day 14th my follicle has been ruptured today is 16th day. We had intercourse 11th day to 15 day daily once is it possible get pregnant or else any signs and symptoms will occur after 15th day. Please tell me i am waiting heard good news or I'll get very disappoint. Thanking you.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Good evening doctor, My question is, I have gone follicular study. Day 14th my follicle has been ruptured today is 16...
Yes there are good chances of conception in this cycle. Don' t take too much stress and for now concentrate on your diet, once your cycle is delayed get a beta hcg test done for confirmation of pregnancy.
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Thyroid and Sex

M.D.MEDICINE , Diploma in Diabetology
Sexologist, Jaipur
Thyroid and Sex

The thyroid gland is a tiny gland that produces the hormones which affect the body's metabolic process. When these hormones are produced in less or more quantities, it may result in an imbalance of the thyroid gland, leading to a range of thyroid issues including hypothyroidism, hyperthyroidism and others. Overproduction or underproduction of the thyroid hormones can also cause a variety of other symptoms and conditions. While this affects the state of one's general well being, health and weight, it also has an effect on the patient's libido.

Let us learn more about the link between thyroid and sex:

  • Thyroid in Men: Men who are suffering from hyperthyroidism or hypothyroidism as well as related conditions like goitre or Garves Disease, have complained of sex related problems. These problems are known to affect at least 50% to 60% of the patients, as per various medical reports. The sex related issues include premature ejaculation, low sex drive, delayed ejaculation, erectile dysfunction, and others.
  • Thyroid in Women: It has been found that almost 10% of women over the age of 50 suffer from some form or the other of thyroid hormone imbalance. Apart from fatigue, depression and muscle ache as well as weight alteration, depending on the type of thyroid problem, thyroid patients who are women have also experienced problems when it comes to libido. Sexual dysfunction and arousal problems are high on the list of these issues.
  • Hormonal Treatment: One of the most common ways of treating this sex related thyroid problems for thyroid patients is through the use of hormonal therapy. Besides getting the testosterone, estrogen and other androgen levels checked, the patient must also get a full hormonal evaluation along with a check-up of the adrenal function. This can help in pointing any anomalies and the hormones that will require replacement with the help of appropriate medication.
  • Optimal Drug Treatment: A T4 only drug or Levothyroxine can lead to a resolution of sexual problems that one encounters as a part of thyroid problems. There are many doctors who may switch to a T3 drug once the libido is restored and brought back to normal.
  • Supplements: Men may require testosterone supplements, while women may need estrogen or progesterone supplements to tackle the sexual problems in such cases. These can be rendered as a patch or through an injection.
  • Sex Therapy: In many cases, sex therapy considered as a popular and effective form of addressing the problems and helping the patients get around the same. This is especially helpful if depression is one of the symptoms of the thyroid disorder.

A thorough physical check-up also helps in treating such problems for thyroid patients.

4591 people found this helpful

Stress and Infertility: How Stress Affects Your Fertility

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Gurgaon
Stress and Infertility: How Stress Affects Your Fertility

In today’s modern, fast paced society, it is easy for people to become stressed. In fact, one would almost think that being stressed is the “in” thing, and if you aren’t stressed it must mean there is something wrong with you! Realistically however, stress is not a good thing for our bodies in general, and has a very real impact on your fertility.

Can Stress Have an Effect on Your Fertility?

If your mind and body is under stress your body is signaled to release a hormone - Adrenalin. This is a stress relieving hormone and gives your body the rush to face the stress. This hormone inhibits the utilization of the hormone Progesterone, which is essential for fertility. Also during stress Prolactin, another hormone, is relapsed which also interferes with infertility. Hence to conceive its essential that your anxiety levels are under control.

How Stress Impacts Fertility?

Recent research tells us that stress boosts levels of stress hormones, such as adrenaline, catecholamines and cortisol, which can inhibit the release of the body’s main hormone, GnRH (gonadotropin releasing hormone), which is responsible for the release of sex hormones. Subsequently this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men.

Chronic Stress also decreases libido:

Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become such a common issue that they have created a name for it Stress Induced Reproductive Dysfunction. These facts are very important to consider if you have been trying to conceive with no results. It also shows that stress relief should be a part of every couple's conception plan even if they are going through IVF.

Ways to reduce stress & improve fertility:

If you are having difficulty to conceive, it's imperative that you get fertility tests done and also evaluate your life. Look out for the stress points that may be hindering a relationship. Remember defeating the stress may be the solution to your worries.

  1. Reduce stress in your life: The issues in your life may be work or result related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.
  2. Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering so much about the future.
  3. Let few things be the way they are: Stop getting bothered about people. Remember by nature everything will fall in place. Let few things be the way they are.
  4. Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose options where there is less stress.
  5. Sleep well: A good rest is essential for a healthy mind and body. Meditate, do yoga or seek counseling. Go for facials if it sooths you.

Please note that if your fertility reports are normal, then it's just a matter of time. Give you, your partner and your body time. There are certain medical complications or disorders that can also be responsible for infertility. Be calm and composed so that you are able to face the rough waters clearly with your partner.

3 people found this helpful

I have pain in my stomach and veins during periods. What is reason and precautions.

MD - Homeopathy
Homeopath, Pune
Hello , it is dysmenorrhoea that is painful periods. Is bleeding is excessive? are menses regular? if yes then do ultrasonography of pelvis done. If no 1. Use homoeopathic medicine mag phos 30 every 3 hourly in those days. 2. Consult homoeopath for detailed case history and medication which will definitely help you to come out of this problem completely. 3. Take plenty of fluids, fruit juices, enerzal sachet with water in those days. Thanks.
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I want to have sex without condom what else can I use that my gf should would not get pregnant.

MD - Ayurveda, Fellowship in Cardiac Rehabilitation, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Yoga Instructors Certificate
Ayurveda, Bangalore
I want to have sex without condom what else can I use that my gf should would not get pregnant.
Make sure that you have it in safe period, which can reduce the risk of unplanned pregnancy. Also, you can withdraw by the time you are about to ejaculate.
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I am 20 years old. I got my last period on 18-8-2016. I had an unprotected sex with my boyfriend on 17-9-2016. But he pour all the semen out of my body. Maybe 1-2 drops went inside me. I have not got my period till now. Yesterday morning I did pregnancy test, it was negative. I never had such a delay in my period. On last period I had taken a pain killer bcz the pain was killing me. Pls tell me what is the problem.

BAMS
Ayurveda, Bangalore
I am 20 years old. I got my last period on 18-8-2016. I had an unprotected sex with my boyfriend on 17-9-2016. But he...
HI, There may be some harmone imbalance in your body due to which the periods may be delayed. Wait for another one week and if you don't get your periods inspite of it, then do an U/S scan of the pelvis to know the uterine status.
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Is is safe to take nutrilite tri-folic tab (as it is written consult your doctor in case of pregnancy) for pregnant women, also ARG 9, surgical SACHET (while searching on Google it is used for hypertension) and are these to also protein sachet for pregnant women. Is it safe?

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
Is is safe to take nutrilite tri-folic tab (as it is written consult your doctor in case of pregnancy) for pregnant w...
Folic acid is good for pregnancy. Arg sachets have very specific indications and many other uses, so take underguidance only.
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Doctors pls help me. 2 weeks hua me pregnent hu mjhe baby ni chahiye abhi abortion pillls kha rhi me mifepristone 2 day h agr period ni start hua obortion krana hoga me medicine se hi thik krna chahti hu. Plss koi to tarika idea hoga plsss help doctors with safely.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Doctors pls help me. 2 weeks hua me pregnent hu mjhe baby ni chahiye abhi abortion pillls kha rhi me mifepristone 2 d...
The abortion kit contains five tab. The first tablet followed after 48 hours 2 tab. Then after 6 hours two tablets then wait for bleeding. You deal with some good lady doctor. The above is only safe way.
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My wife is pregnant and she completed 8 month 7 days but from last 10 days she has problem of having high bp about 150/ 100 or 140 / 90 and problem of protein going in urine report ++ protein doctor given her medicine to control bp at first Dr. Given lobet and has change and given alphadopa medicine so I want to know at this stage what to do is there any risk factor for child.

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 pregnant and she completed 8 month 7 days but from last 10 days she has problem of having high bp about 15...
Pregnancy may need early termination. Only drugs will never suffice. With urine protein ++, she needs regular check up and monitoring and fetal check up.
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85% Indians are Making These DIET Mistakes

MSc
Dietitian/Nutritionist, Chandigarh
85% Indians are Making These DIET Mistakes

Mistakes that sabotage a good diet

Eating healthy, eating clean can sometimes be very confusing. With more and more new information coming up every day, one cannot comprehend what is healthy and what not. However, if you understand a few mistakes that can literally sabotage your good diet, you can surely be assured of eating healthy and clean.

1. You can be wrong with juices

Everyone thinks a glass of orange juice or any other fruit juice can do wonders for your health. But the truth is that you will be better off eating the whole fruit rather than the juice.

Why? for the simple reason, that juices lack the fiber content found in fruits. The fibers slow down the digestion of sugar in the fruit whereas their absence in the juice causes the blood sugar to spike and results in insulin resistance.

Besides, packaged juices contain hardly any real fruit, all flavoring and concentrate apart from added sugar, a big wrong in eating clean.

2. Drinking your protein? na! that can be wrong too!

People like bodybuilders, gym goers drink a lot of protein shakes to get their proteins supplemented. However, protein shakes are ok for those who are on the go or for replacing meals sometimes but they cannot be altogether substituted for protein intake.

Your protein must come from your food. Meat, fish, pulses, eggs and dairy cannot be replaced by shakes since you will definitely miss out the nutritional value that whole foods provide.

Besides, protein shakes may have a lot of artificial constituents and refined sugar that can be really bad for you.

3. Can't understand food labels properly? a great mistake!

With more and more people working, many on the move, packaged food cannot be altogether avoided. However, one must make sure to read and understand the food labels.

The food labels reveal what is inside the package. Anything that has the label - organic, raw or gluten-free is not surely healthy. One must know about ingredients especially things like msg, aspartame (artificial sweeteners) etc. That can be really unhealthy.

4. Sugar may be hidden somewhere

Calorie-conscious? avoiding sweets?

Well, even though you are very careful about selecting what you eat and avoid anything that tastes sweet, some sugar may still be hiding in your food increasing your calorie intake, without you knowing about it. Foods like tomato ketchup, pasta sauce, low-fat biscuits/crackers or low-fat dairy products, sandwich bread may all be hiding sugar almost equivalent to that present in a piece of cake. You must learn about hidden sugars and its alternatives to truly understand what you are eating.

If you would like to consult with me privately, please click on 'consult'.
 

6807 people found this helpful

I am 38years old female. My weight is71kg, height 5.7, and I usually suffer with improper digestion. I am suffering with severe periods with very huge bleeding and pain in abdomen. It is very painful like a labour pain. I have consult with many doctors, i am suffering this since past 8years and now i am lost my hope for this disease. Please I need a cure for this.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 38years old female. My weight is71kg, height 5.7, and I usually suffer with improper digestion.  I am suffering ...
Hello, yOu are experiencing severe dysmenorrhoea with menorrhagia. I would like to see your ultrasound pelvis report soon and also your hormonal profile especially day 21 serum progesterone levels. Please follow up with reports. This can be controlled. Regards
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