Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 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
Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Submit a review for Dr. Ritu SebrwalYour feedback matters!
Respected Dr. My sister wants to do ivf, she done laparoscopy and historiography and doctor said he has infection of tb but in normal in range she was taken akt in 9 months sr what is percentage of the ivf make successful in this case. And how many times have to repeat the ivf to make successful please sr give me guidance thanks.
I am suffering from polycystic since few months. And this is causing severe pain in my lower abdominal part, weight gain, irregular periods, hairs on upper lips and weakness.
I am 27 years old and I have a boy baby (1- month. Can I breastfeed because I am affected from hypothyroid and taking 50 mg mediation.
Calcium Defiency in women
Diet is a well balanced food combination which should be tailored according to personal needs and as circumstances changes specially. The wrong food can fail to nourish us, can keep us awake at night, make us sluggish and overweight or tense us up;
Major points to be kept in mind to plan our diet are:
- Personal Needs.
- Stages of our life.
- Genetic and temperament conditions.
- Clinical condition.
- Personal needs are likes, dislikes and your time availability
- Stages of our life we are in is very important as age plays a major role. So, supplement and manipulation of food group depends on our age.
There are many health problems those arise because of lifestyle we follow:
- Posture-related problems.
- Mental health disorders, like depression and anxiety.
- Heart disease.
- High blood pressure.
- Abnormal heart beats.
- Menstrual problems.
- Acne and other skin problems.
Common deficiencies noted in women are:
Vegetarian and non - vegetarian diet have their unique role in maintaining bone mineral metabolism of body.
- Calcium Deficiency in women makes entire matrix of the bone week, therefore keeping check of calcium in our diet can prevent women from osteoporosis in later ages after menopause. Calcium is the most abundant mineral in the human body, with over 99% of the amount present is being found in the bones and teeth. After the age of 35, both men and women start losing calcium from their bones. During menopause, however, the rate of loss increases rapidly for women. It also has a role to play in nerve function, blood clotting, muscle health, and other areas.
- Source of calcium
- Seeds-sesame ,sunflower , cheese
- Soya bean and their products
Learn to combine calcium rich food for proper absorption, food contain oxalic acid prevent ca absorption like spinach and lotus stem.
- Sources of protein: like fish, meat, Poultry, eggs are also important.
- Source of vitamin-D: Vitamin D can be obtained from sun exposure, food like eggs, mushrooms, orange and fish.
- Source of Phosphorus: Phosphorus is found in high amounts in protein rich foods such as milk and milk products and meat and alternatives, such as beans, lentils, nuts, Sunflower Seeds and Broccoli.
Common menstrual problems faced by women are cramps, pcod, menorrhagia, and amenorrhea.
Certain foods like caffeine, alcohol, caffeinated tea and high salt diets increases intensity of cramps. Include 'Ca' rich foods like broccoli, low fat yoghurt, high fiber diets and omega-3 rich foods to help you during your menstrual cycle.
Working women should Try to include energy booster snacks like nuts for mid meals and plan carbohydrate rich diets with more of complex carbs in form of roasted grains and cereals bars. Keeping a check on amount of water intake is also very important. Replace caffeinated drinks with herbal infusion and buttermilk for detoxification of the body.
Ultimately we have to overcome the fatigue, lethargy and all the clinical condition by planning our meals and having a well balanced diet for a healthy body.
Pregnancy woman ko garmi me baraf Ka gola ya cold dahi khane KO man ho to kya o kha skti h issue koi dikkat to Nai hogi.
I think I'm pregnant, I'm not sure about it but I'm actually having these symptoms, like pelvic pain, nausea, headaches , fatigues, frequent urination, it has been 22 days since my last periods , is there any chance if abortion medically and if there is how can it be done.
Is cesarean more problematic then normal delivery of twins During cesarean will pregnant lady remains awake?
A new study in The Journal of Sexual Medicine examines the way depression and anxiety during the pregnancy and postpartum periods affect a woman?s sexual life.
Researchers from Brazil and the United States found that depressive/anxiety symptoms, or DAS, can be linked to declines in sexual life for up to eighteen months after a baby is born.
While relationship and socioeconomic problems have been studied in relation to decreased sexual activity after woman gives birth, the association between DAS and sexual decline has not been clear.
The study focused on lower-income women who were receiving antenatal care at public primary clinics in S�o Paulo, Brazil. To learn more about sexual activity, research assistants interviewed the women between 20 and 30 weeks of pregnancy and again at some point during the eighteen months after delivery. During the postpartum period, the women completed the Self Report Questionnaire (SRQ-20), a tool that assesses depression and anxiety.
Eight-hundred thirty-one women participated during pregnancy. Of these, 644 women had resumed sexual activity and were available for follow up after delivery. The women?s mean age was 25 years and approximately 78% of them were living with a partner.
During the interview, the women were asked, ?Considering your sexual life before pregnancy, how would you describe your present sexual life: improved, the same, worsened??
Based on results of the SRQ-20, the women were divided into four groups:
? Group 1 had no DAS during pregnancy and the postpartum period.#11;
? Group 2 had DAS during pregnancy only.
#11;? Group 3 had DAS during the postpartum period only.#11;
? Group 4 had DAS during both pregnancy and the postpartum period.
About 21% of the women had seen their sex lives decline. This result was more likely among women in Group 3 (DAS during the postpartum period only) and Group 4 (DAS during both pregnancy and the postpartum period.)
Sexual decline was also associated with the mother?s age and the number of miscarriages she had had. The risk of sexual decline was twice as high for women over 30 when compared to younger women, a result that could be related to stress. Women who had had miscarriages had a 50% increase in the risk of sexual decline, which could be due to the emotional toll of miscarriage.
The researchers acknowledged that DAS and sexual decline could work in two ways. DAS could lead to sexual difficulties after delivery. But problems after delivery, such as episiotomies, could also lead to DAS.
The findings may help practitioners recognize DAS symptoms and their effects on the sex lives of lower-income women.
Pelvic Floor Dysfunction & Women?s Sexual Concerns
Pelvic organ prolapse (POP) and urinary incontinence can have many sexual repercussions for women. Recently, a team of European researchers described these problems in detail in the Journal of Sexual Medicine.
POP occurs when female pelvic organs drop and put pressure on the vaginal walls. Urinary incontinence (UI) refers to the loss of bladder control and leaking of urine. Both conditions can make women anxious about sex.
The authors explained that healthcare providers often do not consider themselves fully trained to treat sexual issues associated with POP and UI. Also, much research has focused on the quantitative aspects of sexual function for these women. The goal of this study was to add ?meaning and context? to the current literature.
Thirty-seven women between the ages of 31 and 64 participated. Each woman was about to have corrective surgery for POP, UI, or both POP and UI. All participants were sexually active except one, who avoided sex because of her condition, but wanted to start again after surgery.
Each woman was interviewed face-to-face, responding to open-ended questions about how POP and/or UI affected them sexually. Questions focused on desire, arousal, orgasm, pain, satisfaction, body image, partners, and intimacy. Because of a recording error, one interview could not be used. Therefore, results were based on interviews with thirty-six women.
Seventeen percent of the women said their sex lives were satisfactory, with no problems from POP or UI. Thirty-nine percent rated their sex lives negatively and 44% indicated that their sex lives were fine overall, but that certain aspects were negative.
Most Commonly Affected Sexual Areas
? Body image. Women with POP described their vaginas negatively, using descriptors like ?ugly? and ?not normal.? Those with UI were anxious about using incontinence pads and emitting urine odor. Many women felt embarrassed, depressed, unattractive, or undesirable. They were also concerned about their partner?s experience. For example, some women with POP worried that a partner could feel the prolapse.
? Desire. Many women found themselves less motivated to have sex because they feared pain and felt awkward. Some rushed through sex; others avoided sex altogether.
? Arousal. Distraction, fear of pain, and difficulty relaxing could all contribute to diminished arousal.
? Orgasm. Some women had trouble reaching orgasm because they couldn?t relax or ?let go.? Others found their orgasm less intense. Some didn?t allow themselves to reach orgasm because they feared incontinence.
? Pain. Women with POP were more likely to report discomfort or pain, which were mainly due to sexual position, the prolapse itself, or the fullness of their bladder.
The authors acknowledged that other factors, aside from POP and/or UI, could play a role in the women?s sexual problems. A partner?s sexual issues, relationship conflict, stress, and menopause could all be involved. ?Despite the profound effect of POP and/or UI, the confounding effect of these factors should not be overlooked when assessing female sexual function,? the authors wrote.
They also noted ways that healthcare providers can help women with POP and/or UI by addressing sexual problems. Letting patients know that these conditions are common may help them gain confidence.
Am 2 months pregnant. Please tell me after three months of pregnancy we can do sex or not. During pregnancy sex is natural or harmful.
There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.
Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).
Poor sperm perms motility
Semen where sperm concentration is low
Male infertility with unidentifiable cause
Poor sperm quality, with sluggish sperms
Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
Useful in couples who have failed IVF.
What to expect?
The following outlines some of the steps for both male and female before and during the procedure.
Before the procedure - males:
First step is the sperm collection; a screening is first done
Sperms collection happens through either masturbation or directly from the testicles via a small incision
Sperms could be collected fresh or collected and frozen for later use
Before the procedure – women:
In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release
During the procedure - How ICSI happens:
A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization
This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %
If you wish to discuss about any specific problem, you can consult a gynaecologist.