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Dr. Ritu Goyal

Gynaecologist, Delhi

50 at clinic
Dr. Ritu Goyal Gynaecologist, Delhi
50 at clinic
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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. Ritu Goyal
Dr. Ritu Goyal is a renowned Gynaecologist in Kalyanpuri, Delhi. You can consult Dr. Ritu Goyal at Shri Balaji Clinic in Kalyanpuri, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Ritu Goyal 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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DELHI MEDICAL COUNCIL

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Menopause before 40: How it affects your body

MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
Gynaecologist, Mumbai
Menopause before 40: How it affects your body

During the natural course of events, a women's body starts its reproductive phase with menarche and at about 50 years of age, attains menopause. This is when the reproductive function ceases and the ovaries stop producing the hormone estrogen and progesterone. In some cases, for various reasons including medical, the ovaries stop functioning earlier, and this is medically termed early or premature menopause. Menopause that occurs before 40 years of age is termed premature menopause; it is due to primary ovarian insufficiency and occurs in 1% of the women.  If it occurs between 45 to 50 years, it is termed early menopause.

Causes: Normal ageing, family history, genetic disorders, autoimmune disorders, toxins, and surgery are some reasons that could lead to premature menopause.

Effects: Estrogen and progesterone have a lot of beneficial effects on a women's body. Reduction in their levels leads to some of the below changes:

  • Emotional changes like mood swings, irritability, and in some cases depression, especially in premature menopause.
  • Irregular cycles before complete cessation of the menstrual cycles.
  • General mucosal dryness leading to vaginal dryness, dry skin, dry eyes.
  • There also would be urinary incontinence and reduced sex drive due to reduced hormone levels.
  • For women who still would want to have children, infertility would be a big cause for concern. This could lead to other emotional issues, worsening the depression.
  • Osteoporosis - Bones lose their density and get weak and are more prone to fracture.
  • Cardiovascular health - Post menopause, women are more prone to heart attacks and stroke. Though not fully proven, this is believed to be true as the good role that estrogen plays on blood vessels is negated with menopause.
  • Accelerated ageing - Menopause leads to accelerated damage of genetic structures, thereby leading to faster ageing. This also leaves a feeling in the women of being less attractive and less desirable.

There is also a good news, that after menopause women are at lesser risk of cancer - especially breast and ovarian. 

It is not easy for women to handle premature menopause. The body undergoes some changes much earlier than expected, and it requires a lot of support and caring and comforting to come to terms with it - especially if associated with infertility or chemotherapy for cancer. Emotional issues of not being able to have children and feeling less attractive require frank talks to boost the person's confidence and increase self-worthiness.
It is easier said than done, but one of the key ways to handle premature menopause is an open discussion. If you wish to discuss any specific problem, you can consult a gynaecologist.

2649 people found this helpful
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Age 29, unmarried female. .25 days has over, but no means. No chances of pregnancy. Please advice me what should I do?

Gynaecologist, Patna
Age 29, unmarried female. .25 days has over, but no means. No chances of pregnancy. Please advice me what should I do?
Overdue of menses can occur in pregnancy. So first do pregnancy test to rule out pregnancy. If pregnancy test is negative. It can be due to hormonal imbalance. Consult your gynaec.
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I have heavy bleeding during periods. Dr has prescribed me sylate 500 during periods. What would be the impact if i take it every mth? Any other solution to my problem?

MD - Maternity & Child Health
Gynaecologist, Bangalore
It is safe. But if problem persists for more than 3 months consult gynecologist again. Stree woman health care centre bangalore
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Will continuous sex after cycle period affects pregnancy, how do I confirm my wife is pregnant and stop doing sex.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Will continuous sex after cycle period affects pregnancy, how do I confirm my wife is pregnant and stop doing sex.
There is no need to stop sex as it does not harm pregnancy any way. You can test for pregnancy 7 days after missed period with urine pregnancy test like velocit card. Two lines is positive.
1 person found this helpful
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Which yoga poses tightens vagina as I am not virgin and I am getting married with another guy next year.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Practice pelvic exercises or Kegel exercise to tighten your vagina, you can also try activities like swimming dancing aerobics etc.
3 people found this helpful
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I'm polycystic ovary patient, I want to conceive second pregnancy. How it will be possible?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm polycystic ovary patient, I want to   conceive second pregnancy. How it will be possible?
You must have tested your hormones if they are abnormal thyroid ,prolactin, then take treatment,reduce weight, by induction of ovulation
1 person found this helpful
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Recurrent Pregnancy Loss - Know the Reasons Behind it!

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Noida
Recurrent Pregnancy Loss - Know the Reasons Behind it!

Recurrent pregnancy loss refers to the situation when three consecutive pregnancy loss takes place. A pregnancy loss is a clinically defined pregnancy which ends before twenty weeks.

Causes of recurrent pregnancy loss

  1. Major cases of pregnancy loss occur due to genetic abnormalities and chromosomal abnormalities. The abnormality may occur from the sperm, egg or the early developed embryo.
  2. Recurrent pregnancy loss may occur in a woman due to ascending maternal age. This happens because of poor quality of the egg, which further leads to chromosomal abnormalities. In some cases, the pregnant mother or the father can have some gene irregularities. In such cases, the would-be-born infant is affected, and this causes pregnancy loss or miscarriage.
  3. Uterus abnormalities also lead to recurrent pregnancy loss. This may happen because of poor supply of blood to the uterus. Abnormalities in the uterus are in-born in some women and in others these may develop over time.
  4. Women having a poor immune system are likely to suffer pregnancy loss. Abnormalities in hormone secretion like thyroid or diabetes may also cause pregnancy loss in women.
  5. If a woman suffers from abnormalities in blood clotting, the chances of miscarriage are enhanced.

Testing for recurrent pregnancy loss
Several tests and examinations should be carried out for detection of pregnancy loss. 

  1. Karyotype analysis of the woman and her male partner has to be conducted. Karyotype refers to the genetic or chromosomal constituents of an individual and this test is carried out to detect abnormalities in genes and chromosomes of the parents, which cause miscarriage when passed on to the developing infant.
  2. Another test includes the evaluation of the uterus and the uterine cavity. This is done by ultrasound, saline ultrasound, MRI, hysterosalpingogram X –ray or by hysteroscopy. These tests help to get information on the uterus shape, about fibroid presence, detect abnormalities within the uterus and observe the opening and closing of the tubes. Tests to detect the functioning of hormones are also carried out.

Treatment
The treatment for women with recurrent pregnancy loss depends upon the underlying causes of the pregnancy loss.

  1. In case of patients with karyotypic abnormalities, genetic counselling is recommended, where a specialist is consulted to know about chromosomal abnormalities.
  2. Prenatal genetic studies are carried out by some couples to know about the offspring’s genetic make-up. This is done with chorionic villus sampling or with amniocentesis. A process known as in vitro fertilization (IVF) can be carried out.
  3. In case of uterine abnormalities, a surgery may be performed and medications for reducing blood clot are used if antiphospolipid syndrome is detected.

Recurrent pregnancy loss may happen due to various reasons and proper tests, and treatment procedures should be carried out for curing pregnancy loss. This phenomenon affects a woman and her partner deeply. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2797 people found this helpful

After how many days of the start of periods can I hope to conceive? I got my menses on 3rd June. When are the chances of conceiving high if I have unprotected sex?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
After how many days of the start of periods can I hope to conceive? I got my menses on 3rd June. When are the chances...
Normally on 14 th day ovulation takes place if your cycle is of 28 days. On that day if you hv intercourse you can conceive. Ask your husband to drink leaukwarm milk + vanari kalp 2 teaspoon twice a day.
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I'm 22 years old female. To treat hair loss and hair thinning caused by thyroid and PCOS, I am applying a solution on the scalp. After 5-10 minutes of applying hair 4 you solution (minoxidil), I start feeling the sensation of itching on the scalp. What should I do? Shall I continue to apply it? What are the side effects of using it?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I'm 22 years old female. To treat hair loss and hair thinning caused by thyroid and PCOS, I am applying a solution on...
You should consult dermatologist, if you are using solution without consulting doctor it might cause allergy. So consult first before using any medication. And for PCOS start doing regular exercise and healthy diet including fruits, vegetable and low fat dairy products and lots of liquid intake.
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Am male, got married 2 years back, my doctor suggested to go for semen analysis, I dint get semen kindly suggest me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Am male, got married 2 years back, my doctor suggested to go for semen analysis, I dint get semen kindly suggest me.
Hello- Your sexual weakness is causing you difficulties to ejaculate. It is uncommon at your age but sometimes due to addiction or some misconducts these kind of problem tends to occur in young persons also. You need to start the Vajikaran treatment of ayurveda to get rid of your problem. This treatment contain herbal aphrodisiacs which boost up the weaken sexual system.
2 people found this helpful
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BPTh/BPT
Physiotherapist,
उठते समय करवट लेकर उठे।

Sometimes I feel anxiety for no reasons. During that period I feel uneasy to do any work. Please help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Sometimes I feel anxiety for no reasons. During that period I feel uneasy to do any work. Please help me.
This is very common during menses and called as premenstrual syndrome or pms. This occurs because of hormonal changes and mostly temporary. If this is persistent over the period of menses then it can be cured with 3 months course of medicines.
1 person found this helpful
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I am a 19 years old male and I have eaten my own sperm today. I want to ask is it is harmful and dangerous for my health to eat my own sperm?

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
Do not eat your own sperm. It is not hygienic. Sometimes it cause throat irritation. It is not dangerous.
1 person found this helpful
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Is fast breath and breathlessness normal in the 7th month of pregnancy.. Suggest some health tips for 7th month of pregnancy.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Is fast breath and breathlessness normal in the 7th month of pregnancy.. Suggest some health tips for 7th month of pr...
Healthy food, supplements as advised, regular prenatal follow-up &prenatal exercise under guidance. You may feel slightly breathless as uterus is going up your diaphragm movement is hampered because of increase pressure in abdomen. You must report to your gy&obstr. All d best.
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Have missed my periods my last periods was on 2nd feb for this month I did.Not got my periods also had an unprotected sex but sure that m nt pregnant. What should I do as this happens to me in every 2 to 3 months?

Vaidya Visharad
Ayurveda, Narnaul
Hello Dear,Periods occur when the egg formed during each menstrual cycle in the female body is not fertilized and hence ejected out of the reproductive system along with blood and several other tissue cells. The duration of each menstrual cycle is about 28 days Most women will experience their monthly period right from the time they are 13 to the time they are 50. For many women, their monthly period is nothing more than an annoyance; but other women may suffer some problems. Visit us at www.Malhotraayurveda.Com
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Does eating chocolates during periods have good or adverse effects on mensuration cycle? How to regulate menstruation flow and be healthy.

BHMS
Homeopath, Faridabad
Does eating chocolates during periods have good or adverse effects on mensuration cycle? How to regulate menstruation...
According to the Food and Drug Administration's Center for Drugs and Biologics, though chocolate contains a small amount of caffeine, it contains large amounts of theobromine,which is classified as a mild stimulant of the central nervous system. Because of this, chocolate can create a nervous condition that actually accentuates pain and discomfort. Management of pain: Place a heating pad or hot water bottle on your lower back or abdomen. Taking a warm bath may also provide some relief. To relieve menstrual cramps, you should also: Rest when needed. Avoid foods that contain caffeine and salt. Avoid smoking and drinking alcohol. Massage your lower back and abdomen. Keep yourself hydrated as dehydration also leads to cramps. Intake of warm things may help you in some cases. Women who exercise regularly often have less menstrual pain. To help prevent cramps, make exercise a part of your weekly routine. Medication: Take homoeopathic medicines - Schwabe's Mag. Phos. 6x and Colocynthis 200 - both every 2 hrly till menstrual pain is there.
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My vagina is paining and sensitive and there is blood in my urine. While urinating there is excruciating pain. Pls advise.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My vagina is paining and sensitive and there is blood in my urine. While urinating there is excruciating pain. Pls ad...
It can be vaginally and urinary infection .Please get the checkup done by gynaecologist and do the urine culture and sensitivity
2 people found this helpful
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Had unprotected sex on the 7th day of cycle What are the chances for pregnancy? Is I Pill suggested for avoiding the pregnancy?

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Had unprotected sex on the 7th day of cycle
What are the chances for pregnancy? Is I Pill suggested for avoiding the ...
Hi lybrate user, if ur periods r regular 28 to 30 days cycles then 7th day is a safe period, there is no need of any contraception, even ipill is not 100%effective in preventing pregnancy.
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How to do kegel exercise? Please tell me the whole procedure. Is it safe in pregnancy? I am 6 months pregnant n wanna to know the best exercises which helps in normal delivery. I heard that kegel exercises helps in tighten tha vagina. So how its help in delivery because in delivery. Loose vagina is good.

BHMS
Homeopath, Delhi
How to do kegel exercise? Please tell me the whole procedure. Is it safe in pregnancy? I am 6 months pregnant n wanna...
Kegel exercises are done to strengthen the pelvic muscles, which is very necessary at the time of labour and delivery. It is absolutely safe in pregnancy. You may take the help of gynaecologist, who can guide you about your pelvic muscles and then you can do it. There are lots of videos on you tube which may help you.
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