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Dr. Ritu Punhani

Gynaecologist, Delhi

550 at clinic
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Dr. Ritu Punhani Gynaecologist, Delhi
550 at clinic
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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. Ritu Punhani
Dr. Ritu Punhani is one of the best Gynaecologists in Tis hazari, Delhi. You can visit him at Dr. Ritu Punhani@St Stephens Hospital in Tis hazari, Delhi. Book an appointment online with Dr. Ritu Punhani and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 32 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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Hindi

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St Stephens Hospital

St. Stephen's Hospital Landmark : Near kashmiri GateDelhi Get Directions
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I have pcod and i am married. I would like to get pregnant. what do I need to do? Please help me.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
You can take mort. Teb. 1m / 5 drops in little water twice a day for one day only. Ma. Con. 0/2 thrice a day for one month. Revert back after one month with feedback.
1 person found this helpful
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Hi. I need advice from female homeopathic doc. I am 27 year old girl and have been married for 11 months. I am facing this strange problem where while having intercourse I feel as if my vagina is shut, preventing the penetration. No matter how many times we try, it doesn't yield any result. I feel very sensitive down there (at certain point, while in the act) and also feel the problem is increasing as the time passes. Earlier it was not as sensitive but now I have to ask my husband to stop and lay still on me until that feeling subsides. After a lot of internet research, I feel I am suffering from vaginismus. I have had only 2-3 intercourse when the penetration happened successfully (which were around 4 months back) At that time I did not have any such sensitive feeling. After that it just used to get stuck at the vagina, not moving further in. But now the vagina just doesn't allow and as soon as I experience that sensation I have to ask my husband to stop and be perfectly still. Now I don't look forward to sex. Kindly diagnose and prescribe. I feel so low that all problems I have are of such nature where I cant even openly talk about them.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Hi. I need advice from female homeopathic doc.
I am 27 year old girl and have been married for 11 months. I am facing...
You are having what is called dyspareunia. I am not sure if homeopathy is an answer for you, as according to your history you might be having a narrow vaginal opening which might need surgical correcttion, or vaginal infection or lack of lubrication. There is a specific treatment of all of the above.
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I am 26 year's old I hv two daughters and I miss my period ths month and my pregnancy test is negative and I hv White discharge .Is am pregnant.

BAMS
Ayurveda, Bangalore
I am 26 year's old I hv two daughters and I miss my period ths month and my pregnancy test is negative and I hv White...
Hi, You may not be pregnant as your pregnancy test is negative. The delay may be due to some harmonal imbalance. Don't be too anxious, relax. You will get your periods in another one week.
3 people found this helpful
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Dear Doctor, I recently married one month ago. My wife did not get periods, its almost crossed one month, we are so worried about this, is that a symptom of pregnancy? If it is a symptom, shall we stop that pregnancy. Kindly do the needful.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Dear Doctor, I recently married one month ago. My wife did not get periods, its almost crossed one month, we are so w...
Hi lybrate-user. Delayed periods is definately the most confirmatory sign of pregnancy. Please do a home pregnancy test and check. Let me know the result and we can handle the issue as per your need. All the best.
4 people found this helpful
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Placenta Previa - Understanding It In Detail!

MBBS, MD - Obstetrtics & Gynaecology, Diploma In Ultrasound, Fellowship In Laproscopy
Gynaecologist, Delhi
Placenta Previa - Understanding It In Detail!

The placenta is a rich vascular tissue seen in the inner wall of the uterus. It provides nutrition to the growing baby through the umbilical cord. It also helps in removal of wastes from the developing baby. The placenta is usually present on the upper part of the uterus and grows during pregnancy in size and vascularity.

However, if this placenta is towards the lower portion near the cervix, it is known as previa, meaning prolapse. This could happen during the third trimester of pregnancy. There are chances that it will block the cervix, which is the opening of the uterus into the birth canal. This may hinder normal delivery and can be one of the reasons necessitating cesarean section. As the baby tries to push through the placenta, the highly vascular placenta can tear and cause significant bleeding. It can be a big risk to both the mother and the baby.

Occurrence
Placenta previa is quite common and can happen for every 1 in 200 pregnancies. Though what causes it is not very clear, some of the predisposing factors include the following:

  1. Advanced maternal age (35 or more)
  2. Smoking mothers
  3. Have had children
  4. History of C-section
  5. Carrying twins or triplets
  6. History of uterine surgeries

Types
There could be complete previa or total previa.

  1. If the placenta is in the lower portion of the uterus, but not close to the cervix, with about 2 cm distance between the cervix and the placenta tip, it is termed as low-lying placenta.
  2. If the placenta sits on the border of the cervix, but does not cover the opening, it is partial or marginal previa.
  3. When it is in the lower portion and completely covers the cervix, it is complete previa.

Testing
Placental position is monitored throughout pregnancy, and by the second trimester, the doctor can suspect potential previa. Though the placenta may be in the lower half of the uterus during the first trimester, it usually moves up towards the end of the second trimester. If it does not, then the doctor might request for periodic testing to ensure it is in place.

Management

  1. Fresh bleeding during the third trimester is indicative of previa. Managing previa depends on how far you are into the pregnancy and how severe the bleeding is.
  2. If it is minimal, then only observation will suffice. Bed rest with no intercourse, no pelvic exams, and limited travelling is recommended.
  3. If the previa is confirmed and there is no bleeding, a C-section will be scheduled at 37 weeks.
  4. If delivery cannot wait, then the baby will be immediately delivered at the end of 34 weeks, post which the baby and mother will be kept under observation. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
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My wife is having low sex interest, what would be the preferable sex enhance medicine for her, please suggest.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
My wife is having low sex interest, what would be the preferable sex enhance medicine for her, please suggest.
SEE ONLY MEDICINES NEVER WORK IN YOUR MENTIONED CONDITION . FOLLOW THESE INSTRUCTION 1- HER WEIGHT SHOULD BE APPROPRIATE RANGE . 2- BP SHOULD BE MAINTAINED . 3- SUGAR LEVEL SHOULD BE MAINTAIN. 4- SHOULD NOT BE TAKING ANY ALLOPATHIC MEDICINES. 5- SHOULD NOT TAKE OILY AND FAST FOOD & SPICY FOOD. 6- MAKE HER DIET FULL OF NUTRITION'S AND OTHER HEALTHY INGREDIENTS. WISH YOU & HER GOOD HEALTH.
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I had dry sex with my boyfriend 11 days ago. Both of us were wearing our underwear during the process. I had my last periods on 13th of September and I do not have any cyst in my uterus. Can I get pregnant?

MBBS, cc USG
General Physician, Gurgaon
I had dry sex with my boyfriend 11 days ago. Both of us were wearing our underwear during the process. I had my last ...
If intercourse has not done than there is no chance of pregnancy, you should wait for next menstrual cycle bleeding.
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How many times in a day sex is possible with pregnant women of child 6 to 7 month old and in what way can do sex by which she not to get any problem. Suggest me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- do not over indulge in sex with a pregnant female. Sex once a day is safe, any thing more thn that may cause complications in her pregnancy.
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Is using condom 100 percent safe to avoid pregnancy? How can be reduce the chances of condom brushing, slipping?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. I can understand. In most of the cases condom is considered as the best and economical method to prevent unwanted pregnancy. To reduce the chances of condom breaking or slipping, the male partner should use the right sized condom from the available options. Take care.
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What to Eat When Pregnant and Don't Feel Well

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
What to Eat When Pregnant and Don't Feel Well
During pregnancy you may have morning sickness, diarrhea, or constipation. You may find it hard to keep foods down, or you may feel too sick to even eat at all. Here are some suggestions:

Morning sickness: eat crackers, cereal, or pretzels before getting out of bed; eat small, frequent meals throughout the day; avoid fatty, fried, spicy, and greasy foods.

Constipation: eat more fresh fruit and vegetables. Also, drink 6 to 8 glasses of water a day.

Diarrhea: eat more foods that contain pectin and gums (two types of dietary fiber) to help absorb excess water. Examples of these foods are applesauce, bananas, white rice, oatmeal, and refined wheat bread.

Heartburn: eat small, frequent meals throughout the day; try drinking milk before eating; and limit caffeinated foods and beverages, citric beverages, and spicy foods.
4 people found this helpful

Simple Ways to Reduce Muscle Tightness

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Simple Ways to Reduce Muscle Tightness
How to reduce muscle tightenss?

Drinking plenty of water, often considered to be between eight to ten glasses per day, provides many benefits, including preventing and relieving tight and cramped muscles related to dehydration. However, tight muscles can have a variety of causes and might require dietary and lifestyle changes to adequately deal with.
Minerals, electrolytes and water are all needed for normal muscle tone and function. Calcium is especially important for contraction, magnesium is needed for relaxation, and water for firmness and electrolyte exchange.
Athletes commonly have tight muscles and also people who are under stress. Tight muscles lose their flexibility and might become painful to the touch. Mineral deficiency, especially magnesium, can lead to muscle tightness, twitching and maybe even restless leg syndrome at night. A lack of electrolytes, such as sodium, interferes with nerve conductance to muscle fibers and results in tightness and spasms. Poor blood circulation hampers the minerals, electrolytes and water getting to muscles, which can cause symptoms.

Most of us drink a lot of beverages but it has either caffeine or alcohol which can both lead to mild dehydration.

Simple ways to reduce muscle tightness

1. Drink plenty of water
2. Reduce caffeine and alcohol.
3. Eat bananas and foods rich in magnesium and use seasalt with food.
4. Do stretching exercises
5. Try massage to relieve pain from tight muscles.

If pain and tightness persists consult a health practitioner for evaluation and treatment.
81 people found this helpful

Sir maine apne boy friend ke sath first time sex kiya tha. Jb hum dono sex kr rahe bina condom ke uske baad mujhe pta nhi mere boyfriend ka sperm under gira ya nhi. Phir bhi maine unwanted 72 tablet first time khaya tha. Uske baad 8 ghante ke baad mera sir dard or pet dard hone lga. Uske baad pura sarir dard krta hai kabhi kabhi ulti type ka bhi hota tha per hota nhi tha. Or ab mujhe 15 din pahle hi mera mc aagaya or jb mai pad dekha to wo black color ka tha. Mai bahut tension me hun please help me immediately.

MBBS
General Physician,
Don't worry dear. You are alright. The medication has helped you and having periods suggests that you are not pregnant. Still if you are tense, you can test urine for pregnancy with the help of simple kit easily available in medical stores or free of charge in government hospitals. Other symptoms may be treated apart from that mishap.
2 people found this helpful
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How Can Nasal Obstruction Cause Clogged Ears

DNB (ENT), Diploma - Diploma - DLO - Rhino-Laryngology, MBBS
ENT Specialist, Delhi
How Can Nasal Obstruction Cause Clogged Ears

There is a strong connection between the ears, nose and throat, as any ENT or Ear Nose Throat specialist will be able to tell you. When there is any kind of congestion or obstruction in the nasal passages, one can also feel some effect in the ears with the symptoms going from mild to severe.

So how can nasal obstruction cause clogged ears? Here is our explanation!

  1. The Connection: To begin with, let us understand the connection between the ears and the nose. There is an opening that can be found in the back of the nose, which leads into a tunnel called the Eustachian Tube. This tube goes into the ears and creates some amount of pressure when the nasal passages get blocked. This pressure can be felt as clogging of the ears and can usually be eradicated with the help of a pop in the ears. This pop can be brought about by pinching your nose and trying to breathe, or even yawning hard or indulging in some gulping or swallowing motion as well. 
  2. Mucosal Swelling: The swelling within the patient's nose usually points at the buildup of mucus, which can make the nasal lining thicker, thus making the act of breathing that much more laboured and difficult. This obstructs the nasal tract, in plain and simple terms. This swelling usually spreads to the tunnel or the Eustachian Tube, which can become swollen and even shut, consequently leading to a feeling of having clogged ears. 
  3. Negative Nasal Pressure: When the pressure inside the nose is built up in a negative way due to the obstruction that makes the patient breathe even harder, then the ears end up taking the pressure. This makes them clogged. This negative pressure usually manifests in the back of the nose where the Eustachian Tube is located, which creates a build up in the ears as well. This can also lead to a ringing pain when a patient tries to suck in air too hard due to the obstruction. 
  4. Bernoulli's Principle: If we are to incorporate air in place of fluid and liken the action of breathing with an obstructed nose, with the action of sucking fluid in through an obstructed straw, then the fluid dynamics would apply to this case. As per these fluid dynamics, more rapid flow of fluid can lead to decreased pressure on the surrounding areas. This can be applied to the blocked nose where air must pass through faster and with more fluidity so as to ensure that there is less pressure on the ears, which will keep them from getting clogged. 

Persistent clogged ears and nasal congestion can also point towards an infection and should be checked by a doctor immediately.

4605 people found this helpful

Sir blood test kiya urin test kiya thyroid test bhi kiya report nil aya tha aur Dr. ne tablet diya ovalife liya tha 2 month continue abhi m.c ke bad folinex diya hai 1 mahine ke liye aur 5 din ke liye clofert diya hai but yahi pichli bhar bar bhi diya kuch asar nai pada aur abhi vahi dawai chal rahi hain.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Sir blood test kiya urin test kiya thyroid test bhi kiya report nil aya tha aur Dr. ne tablet diya ovalife liya tha 2...
Hi Ganesh ovulation induction 100% garuntee Nahi deta hai . Aap Ko 3-4cycle karake dekhana padres agar success Nahi hai to other methods use Karna padega.
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Hi last tow back I had married but still my wife not getting pregnancy Please sugest me.

DGO, MBBS
Gynaecologist, Pune
Hi  last tow back I had married but still my wife not getting pregnancy
Please sugest me.
Simply keep trying. U can try for 10 months more. Before going for tests. Jus keep medicine I suggest continued during this time.
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Hi doctor. I have taken dolowin plus last month when we were planning for a baby as told by consulted doctor. Now am conceived. On googling. It's mentioned that it has very side effect to the baby. Please help me in this regard. Thanks and Regards.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Hi doctor.
I have taken dolowin plus last month when we were planning for a baby as told by consulted doctor. Now am ...
Do not worry ,dolowin plus is a pain killer containing paracetamol and acleclofenac ,this medicine can be taken during pregnancy if necessary. You took it at preconceptive stage, no need to worry.
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Gud afternoon doctor. I am 5 weeks pregnant and today afternoon ,Unknowngily I ate papaya curry. And now I came to know that it may sometimes lead to miscarriage. This is my first pregnancy. And now I scared a lot.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Gud afternoon doctor. I am 5 weeks pregnant and today afternoon ,Unknowngily I ate papaya curry. And now I came to kn...
Calm down. Pls do not worry. It is unlikely that you have abortion. Incase you are too worried or you develop bleeding then get a sonography done. U can consult me if you have any more queries.
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