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Dr. Renuka Sinha

Gynaecologist, Delhi

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Dr. Renuka Sinha Gynaecologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Renuka Sinha
Dr. Renuka Sinha is one of the best Gynaecologists in Green Park, Delhi. You can meet Dr. Renuka Sinha personally at Adiva Hospitals Green Park in Green Park, Delhi. Save your time and book an appointment online with Dr. Renuka Sinha on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 33 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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Adiva Hospitals Green Park

C 1/C, Green Park, Landmark: Behind Green Park Metro Station, DelhiDelhi Get Directions
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Good afternoon... Hmari sadi ko 4 year ho ge h 4 month s pregnancy ki koshish kr reh h pr. .result is 0. Hmne hospital bhi doctor s consult kiya jisme meri misses ki nsg Ovary ultrasound and blood or urine test krway h..All report ok aayi h Only urine test m infection ayaya. Misses k stomach m pain hota h Doctor ne mera semen test krwa jisme Few sperm are active result aya and ph 10-12 Aya aap batye k hum parents bn skte h.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Good afternoon...
Hmari sadi ko 4 year ho ge h 4 month s pregnancy ki koshish kr reh h pr. .result is 0.
Hmne hospita...
Take Below treatment for ur wife take sepia 200 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres
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What is the good time for sex if she has menustration just over by one day then is it safe to have a sex with partner?

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
In a 28 day menstrual cycle the safe period is first 10 days and the last 12 days. One day more or less does not make much difference.
3 people found this helpful
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Amenorrhoea - Causes Behind Primary and Secondary Type

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Amenorrhoea - Causes Behind Primary and Secondary Type

Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.

Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:

  1. Milky nipple discharge (galactorrhoea)
  2. Hair loss
  3. Headache
  4. Vision changes
  5. Excess facial hair (Hirsuitism)
  6. Pelvic pain
  7. Acne

You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.

Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.

Natural amenorrhea
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:

Contraceptives
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.

Medications
Certain medications can cause menstrual periods to stop, including some types of:

  • Psychiatric medications
  • Cancer chemotherapy
  • Blood pressure drugs
  • Allergy medications
  • Lifestyle factors

Sometimes lifestyle factors contribute to amenorrhea, for instance:

  1. Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
  2. Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
  3. Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.

Hormonal imbalance
Many types of medical problems can cause hormonal imbalance, including:

  1. Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
  2. Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
  3. Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
  4. Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.

Structural problems
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:

  1. Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
  2. Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
  3. Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.

Clinical examination by the doctor  includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine  your breasts and genitals to see if you're experiencing the normal changes of puberty.

Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.

Lab tests
A variety of blood tests may be necessary, including:

  1. Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
  2. Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
  3. Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
  4. Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
  5. Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.

Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.

Imaging tests
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:

  1. Ultrasound: This test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
  2. Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
  3. Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.

Endoscopy tests
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.

Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.

2411 people found this helpful

Hello Dr. I want to ask you about my report m 18 week pregnant had my triple marker test done dese r my reports. Afp- 65.7 ng/ml Hcg-24126miu/ml Ue3-1.09 ng/ml My Dr. is not present right now I want to ask is my report normal ? Everything is alright my age is 28 n my weight is 59.3.

MHA, PGDPMC, DGO, MBBS
Gynaecologist, Delhi
Hello Dr. I want to ask you about my report m 18 week pregnant had my triple marker test done dese r my reports. Afp-...
Yes dear lybrate-user, all seems fine as of now. Your weight is also good. During the coming months an average increase of 1.8 to 2 kg per month is a normal increase. Anything more needs to be evaluated and lesser should also be seen by the examining doctor.
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Is pregnancy possible using a cotton cloth to rubbing my vagina. If there is sperm on it.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Is pregnancy possible using a cotton cloth to rubbing my vagina. If there is sperm on it.
It is very less likely and rare unless the sperms on it remain alive, viable and motile enough to travel up the vagina and cause pregnancy
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My wife is suffering from big boobs how to reduce her boobs sometimes she feel akwards what to suggest for her.

BHMS
Homeopath, Faridabad
My wife is suffering from big boobs how to reduce her boobs sometimes she feel akwards what to suggest for her.
Hello, she should do Cardio strength training exercises and Aerobic exercises. Take Green tea twice daily . Take Ginger tea once daily. Take 1 tsp of ground flaxseeds with a glass of hot water. Drink it once daily. Take Homoeopathic medicine Chimafilla umb. Q , 10 drops with warm water once daily . Revert me after 1 month.
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I am 23 years old male. I had unprotected sex with my gf, I ejaculate inside her 3 times & after 10 hour I gave her unwanted 72. Will she be pregnant? Please help.

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
I am 23 years old male.  I had unprotected sex with my gf, I ejaculate inside her 3 times & after 10 hour I gave her ...
Hello may be depending of his routine ovulation present means its sure. Any way its better to take prega test in good diagnostics. Ok.
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I have my last menses on 29-05-15 I did not get date till now. I have a 2 years boy and we dont wont to commit a one more child now what shall we do please suggest us thankyou.

MD - Homeopathy
Homeopath, Pune
I have my last menses on 29-05-15 I did not get date till now. I have a 2 years boy and we dont wont to commit a one ...
Hello, your last date is 29-5-15 is it right? it's just 12 days from now, why are you worried? or date you posted is wrong? you mean to say 29-4-15? if that is the case confirm pregnancy by urine pregnancy kit in pharmacy, depending on that result further decisions can be take. Or directly go to lab and give sample for pregnancy test. Revert back with the results. If it is positive then consult gynecologist who will guide you for methods of termination of pregnancy, if it is negative then check if you have proper diet and heavy exercise, wait for another 7 days and even after that periods won't come re-do urine pregnancy test, if still negative then consult gyanecologist for further evaluation like sonography, hormonal studies etc. But first thing please confirm your last date of periods. Thanks.
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I fallen down from bike and hurted my upper right rib and I am pregnant for six months could please advice I have done my sonography and the baby is normal bt I have severe pain I'm unable to sleep pain. Please advice.

B.P.T, M.P.T(ORTHO), Certification in Gym Instructor & Prenatal and Post natal
Physiotherapist, Gurgaon
I fallen down from bike and hurted my upper right rib and I am pregnant for six months could please advice I have don...
Dear ma'am as you r pregnant so we hv vry limited options left fr pain relief .i will recommend you to go fr matrix rhtym German therapy fr instant pain relief n mobility you cn use ice packs till that time fr 20 min n apply Volini gel you cn contact us for same
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I am pregnent. 8 weeks. In torch test rubella igg 62 cmv129 hsv27. But igm -'ve. Can my baby healthy?

Diploma in Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Dear igg+is a sign of immunity which means you are immune to rubella, cmv and hsv. You have very good chances of a normal pregnancy. Infact these are the tests are not recommended nowadays. Feel free to contact me if you any issues with your pregnancy.
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I am 19 years old I had sex with my bf n immediately I had unwanted 72 but nt yet rcvd my menstrual please help.

MD - General Medicine
Sexologist, Nashik
Nothing to worry if taken timely contraceptive, period may get delayed or may get disturbed. But no chance of pregnancy.
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I am having clotting during menstrual period, sometime huge ball like clotted blood discharged. Is it normal or something went wrong with me.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am having clotting during menstrual period, sometime huge ball like clotted blood discharged. Is it normal or somet...
It is not a major disease but it surely is not normal... HomeooatHic medicines are best in treating such conditions and does not cause any side effects.
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I am 28years old, and its 3 years since I got married. All the 3years me and my husband were not together since I was bit career oriented and was staying in Bangalore. Me and my husband used to meet once in 2 or 3 months. Now that I have relocated to Noida where my husband is staying and we are trying for a baby from 3-4 months but no result. Could you help us on this.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 28years old, and its 3 years since I got married. All the 3years me and my husband were not together since I was...
Lybrate-user firstly you and your partner need to be relaxed. For 3 months try to have intercourse during your fertile period if even then you don't get pregnant we will need to investigate you.
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3 Best Exercises/Yoga Poses for Dowager's Hump

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
3 Best Exercises/Yoga Poses for Dowager's Hump

What is a dowager's hump?
The term dowager's hump is a more casual term for the medical condition referred to as kyphosis. It is the uncommon curvature of the thoracic vertebrae of the upper part of the back in an outward direction.

It is most commonly seen in women than in men. When the front part of the vertebrae becomes involved and gets compressed due to osteoporosis, it will later on result to the spine bending forward and producing a hump at the upper back portion.

What causes a dowager's hump?
The hump can be caused by other conditions and these should be determined in order to get the correct treatment. Based on the research of the university of maryland medical center, this kyphosis problem can be caused by genetic abnormalities.

The disfiguration in the patient's genes can result to the inappropriate growth of the vertebral column. Other conditions linked with other congenital problems could also cause this hump.

It is also been mentioned in some studies that it can also be due to wedge fractures wherein the front part of a vertebra collapses causing the spine to be misaligned a little. The above part of the fracture tips forwards and creating a slight back curve.

As the vertebra over the wedge fracture is tipped forward, it puts pressure on other vertebrae that could lead to developing a wedge fracture in another vertebra. The more wedge fractures are occurring; the back gets more bowed. In severe cases, a person's back can be extremely bent over.

How is a dowager's hump treated?
There are several ways to treat dowager's hump. The main goal of treatment for this condition is by preventing bone loss, although it can also be utilized as a management which is beneficial for patients who experience pain resulting from vertebral fractures.

The procedure is called vertebroplasty, where bone cement is injected to stabilize the vertebrae. Another procedure for this condition is performing kyphoplasty for individuals with compression fractures in the bottom half of the spine.

Exercises for dowager's hump
Based on some research studies in the medical society, yoga exercises can be a great contribution in treating dowager's hump. The upper spine curvature of individuals who did yoga for six months reduced the back problem by about five percent compared to those who did not.
Here are some 5 easy poses that can be done to straighten the spine:

Seated mountain
Sit straight at the front edge of the chair with the butt firm and flat. Secure the feet on the floor by steadying it there. Inhale and stretch out the spine upward. Bring the shoulders down along with the head placed over the spine, then breathe uniformly keeping the posture for about 30 seconds to 1 minute.

Henpecking
Sit in the same seated mountain position then pull the head backward as if making a double chin. Do it again for 6 to 10 times. Do not lift or jut the chin in a forward manner. Focus on the backward movement with the shoulder rolled and lifted when inhaling, then compress the shoulder blades together at the back when exhaling. Do it 6 to 10 times in full circles.

Seated superman
Sit tall. Inhale while clasping the hands behind the back. Hold the arms away from the body when exhaling. Do it all over for 3 to 6 times. Remain in the same pose by continuously breathing if desired.

Rocking horse
Sit tall as above. Keep the fit firm on the floor and draw the head back. Stay in this posture, and then bend forward by not rounding the spine. The muscles in the abdomen should remain firm and shoulders should be square. Bend back as far as possible with the feel still planted on the floor. Go through again for 10 to 20 times.

Methods of prevention for dowager's hump
Preventive measures must be taken to avoid this condition. Tips that can prevent dowager's hump include:

Daily doses of vitamins c and d
Exercise
Work-outs for coordination and balance in order to prevent spine fractures
Eat a healthy and balanced diet
Sleeping practices
Training for strength and weight.

I am 26 Age old recently am suffering for severe itch, daily at evening times it is very more. Used cetirizine tablets until I use this there is no itch, once I stop the it will get start again. Before itching got start I used Primolut N tablets to stop periods for 10 days because of marriage thinking might be this caused, kindly suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 26 Age old recently am suffering for severe itch, daily at evening times it is very more. Used cetirizine tablet...
*For your information, many skin creams (mostly fairness cream brands) are considered harmful and banned by Central Govt, Health ministry during March, 2016. The Indian Association of Dermatologists, Venereologists and Leprologists (IADVL) supported the ban. *Your skin ‘breaths’ through its pores which are not to be closed for long. Blocking pores by creams may cause more pimples. HOMOEOPATHIC medicines are taken internally. Hence, NO DIRECT CONTACT with your delicate and sensitive skin, thereby no problem of skin allergy. Homoeopathy has good treatment without causing adverse effects. The medicines work internally, tackle the root of the problem unlike face cream which is a surface treatment. Take Antim crd 200—once daily in the morning.
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I took unwanted 72 on 16 August and after 1 week on 23 August I got little blood spot and after few minutes only white liquid has discharged till 29 August and now nothing even no periods Is there any chance of pregnancy.

DHMS (Hons.)
Homeopath, Patna
I took unwanted 72 on 16 August and after 1 week on 23 August I got little blood spot and after few minutes only whit...
Hello, It might be due to stress & anaemic condition of yours. Tk, plenty of water to establish your flow, hydrating your body. Go for meditarion to reduce your stress. Tk, apples, carrots, cheese, spinach, pomegranate, milk to raise haemoglobin level. Tk, homoeopathic medicine:@ pulsatilla 30-6 pills, thrice. @ Sepia 200-6 at bed time. Avoid, junk food. Tk, care.
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I am suffering with diabetes since last few years and taking regular medicines and it is under control too but since last few months I lost my libido and avoiding my husband. I am feelings guilty. Please advice.

BHMS
Homeopath, Lucknow
I am suffering with diabetes since last few years and taking regular medicines and it is under control too but since ...
mam u are 45 yrs of age so u are also approaching menopausal age .this may be due to early stage of menopause.
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