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Dr. Ruchi

Gynaecologist, Delhi

400 at clinic
Dr. Ruchi Gynaecologist, Delhi
400 at clinic
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Personal Statement

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. Ruchi
Dr. Ruchi is an experienced Gynaecologist in Azadpur, Delhi. You can meet Dr. Ruchi personally at SEHGAL MATERNITY & NURSING HOME in Azadpur, Delhi. Book an appointment online with Dr. Ruchi and consult privately on Lybrate.com.

Lybrate.com has an excellent community of 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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A-6, Panchwati,Azadpur.Landmark:-Opp Subzi Mandi, North - West, DelhiDelhi Get Directions
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One month ago, I had unprotected sex. I got to know when I missed my periods. Please suggest some pills to avoid pregnancy.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
U should get menses on tim. If not please check that u r not pregnant. Max u can miss period by 5 days. I think u. Have already crossed that
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Palliative Care for Cancer Patients

MD - Ayurveda
Ayurveda, Bargarh
Palliative Care for Cancer Patients

With terminal illnesses like cancer, the disease is not the only thing that requires treatment. In addition to controlling the severity and spread of the main disease, the effect it has on the other body systems including emotional, social, psychological problems and also physical issues like pain and inflammation. Though the disease has reached an advanced stage and cannot be cured, the patient can be made to be pain-free and at peace to the extent possible.

The goal of palliative care is not to cure - in fact, palliative care is in place for diseases like cancer from the time it is diagnosed and treatment is begun but becomes the major component of treatment once the cancer is identified to be in terminal stages. Therapeutic care aimed at curing the cancer is gradually reduced and palliative care assumes a bigger role. This is also called as symptomatic care, supportive care, or comfort care.

Aspects of palliative care: Once the disease is identified to be in terminal stages, then the following become considerations:

  1. Stay at home or hospital
  2. Withdraw chemotherapy and radiation?
  3. Withdraw feeding tube
  4. Spiritual discussions
  5. Reduce anxiety
  6. Good quality time with the family
  7. Reduce pain and suffering

As is evident, there is a huge component of social/emotional/spiritual management in addition to reducing pain and suffering:

  • Physical: Pain, fatigue, shortness of breath, sleeplessness, loss of appetite are some symptoms that need to be managed. In addition to pain killers, small exercises can be included to make them feel better, even if it is just getting a breath of fresh air.
  • Social: Depression (learn the ways to handle depression), anxiety, uncertainty, fear are all looming large and they are not sure how to manage these feelings. Talking to a counselor or some close family member or friend can be a big relief - the burden is off their chest.
  • Legal: There could be issues related to property, insurance, property that also need to be discussed. External help can be sought if required to provide financial counselling and legal advice.
  • Spiritual: Looking into the spiritual needs and understanding the deeper meaning of life, restoring faith are some things that also can help them feel better. "Why did this happen to me?" is a question most people keep asking and while there is no answer, some solace can be provided through talks.

It is to be noted that palliative care is not just for the patient. The caretakers (family and close friends) are equally in need of some support. So, once the patient is identified to be in terminal stages, all effort is made so the final leg of the journey is peaceful and as painless as possible.

3283 people found this helpful

Unable to do sex. It pains a lot. Not able to get wet also. And yes its my 1st time. Trying from last 1 week help.

BAMS, MD Ayurveda
Sexologist, Lonavala
Unable to do sex. It pains a lot. Not able to get wet also. And yes its my 1st time. Trying from last 1 week help.
One of the simplest home remedies for your problem natural home remedy using almonds, cow's milk, ginger powder, cardamom and saffron: saffron is a mild aphrodisiac 1. Soak 10 almonds in water overnight 2. Peel off the skin and crush them the next morning 3. Take 1 cup hot cow's milk 4. Add the crushed almonds 5. Add a pinch of ginger powder 6. Add a pinch of cardamom powder 7. Add a pinch of saffron 8. Mix well 9. Drink this every morning this remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
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PDDM, MHA, MBBS
General Physician, Nashik
PolyCystic Ovarian Disease (PCOD)


PolyCystic Ovarian Disease (PCOD) जिसे PolyCystic Ovarian Syndrome (PCOS) की कहा जाता है, एक महिलाओ में पाया जाने वाला सामान्य विकार है। अनुमान किया जाता है की प्रजनन की उम्र वाली 90 लाख से ज्यादा महिलाओ को PCOD है तथा इनमे से 60 % से ज्यादा महिलाओ को पता नहीं है की उन्हें यह विकार है। कुछ सालो पहले यह समस्या 30 से 35 साल के ऊपर की महिलाओ में ही आम होती थी परन्तु अब कम उम्र की लड़कियों में भी यह ज्यादा प्रमाण में दिखाई दे रही है।

PCOD क्या है ?

महिलाओ में Sex Hormones के असंतुलन के कारण अंडाशय (Ovary) में छोटी-छोटी गाठ या cyst तैयार हो जाती है जिस कारण महिलाओ के मासिक धर्म (Menstrual Cycle) के साथ प्रजनन क्षमता (Fertility) पर भी असर पड़ता है।

महिलाओ में अंडाशय में सामान्य से अधिक मात्रा में Androgen Hormones की निर्मिति होने पर अंडाशय में छोटी-छोटी तरल पदार्थयुक्त cyst तैयार हो जाती है जो धीरे-धीरे आकार में बढ़ने लगती है। इससे महिलाओ में प्रजनन क्षमता कम हो जाती है और महिला गर्भधारणा करने में असमर्थ हो जाती है।

PCOD के लक्षण क्या है ?

PCOD से पीड़ित महिलाओ में निम्नलिखित लक्षण पाए जाते है :

अनियमित मासिक धर्म (Menstrual cycle) चेहरे / शरीर पर अधिक बाल मुंहासे (Acne) Dandruff पेटदर्द गर्भधारणा में मुश्किल आना यौन इच्छा में अचानक कमी आना गर्भ में छोटी-छोटी गांठ जो की Ultra Sound Scan करने पर दिखाई देती है  बार बार गर्भपात सिर के बालो का अधिक झड़ना त्वचा पर डाग मोटापा 


PCOD के क्या कारण है ?


PCOD होने की मुख्य वजह महिलाओ में Hormones की सामान्य से ज्यादा प्रमाण में निर्मति होना है। स्त्रीरोग विशेषज्ञों का कहना है की पिछले 10 से 15 वर्षो में महिलाओ में PCOD के प्रमाण में 50 से 60 प्रतिशत वृद्धि हुई है। इस असामान्य वृद्धि के कुछ खास कारण है :

असंतुलित आहार (Diet): पिज़्ज़ा, बर्गर जैसे शरीर के लिए हानिकारक junk food। ज्यादा तेलयुक्त, वसायुक्त और मीठा आहार।

 रोग (Diseases) : PCOD होने के पीछे मधुमेह (Diabetes) और उच्च रक्तचाप (Hypertension) जैसे रोग भी एक बड़ी वजह है। अगर परिवार में किसी को PCOD का ईतिहास है तो अनुवांशिकता यह भी एक कारण है। Cholesterol का बढ़ना, HDL कम होना या उच्च Triglycerides के वजह से भी PCOD हो सकता है। 

मोटापा (Obesity) : अत्यधिक junk food का सेवन और व्यायाम के अभाव के कारण आज की युवा पीढ़ी में मोटापा एक बहोत बड़ी समस्या के रूप में उभरा है। ऐसे तो मोटापा कई बीमारियो का घर है परन्तु मोटापे में शरीर में बढ़ी हुई अत्याधिक चर्बी के कारण Estrogen hormone की निर्मिति सामान्य से ज्यादा होती है, जो की अंडाशय में cyst बनाने के लिए जिम्मेदार माना जाता है।

 तनाव (Stress) : आज के दौड़भाग के युग में बढ़ रहे तनाव के कारण लोगो का खानपान और दिनचर्या बिगड़ चुकी है। धूम्रपान, शराब, देर रात का खाना इत्यादि कारणों से भी hormonal imbalance होता है।    


PCOD का निदान (Diagnosis) कैसे किया जाता है ?


PCOD  का निदान करने के लिए निम्नलिखित परिक्षण किया जाता है :

Ultra Sound Scan of Pelvis / Vagina 
Serum LH 
Serum FSH 
LH : FSH ratio 
DHEA-S Level 


PCOD का उपचार कैसे किया जाता है ?

दवा (Medicine) : डॉक्टर द्वारा दी हुई दवा समय पर डॉक्टर के निर्देशानुसार लेना चाहिए। दवा से अंडाशय में ovulation induction कर गर्भधारणा में मदद की जा सकती है। अगर आप मुंहासो के लिए इलाज करे तो अपने डॉक्टर को PCOD होने की जानकारी अवश्य दे।

 वजन कम करना (Weight loss) : अगर आपका वजन बढ़ा हुआ है तो उसे कम करने का प्रयास करे। कई PCOD के मरीजों में केवल वजन कम करने से ही बेहद फायदा होते देखा गया है।

 व्यायाम (Exercise) : व्यायाम करने से आपका वजन नियंत्रण में रहेगा और PCOD की वजह से होने वाली insulin resistant की समस्या भी कम हो जाएंगी। आप अपने उम्र और शरीर अनुसार चलना, दौड़ना, तैराकी या aerobic व्यायाम कर सकता है। 

  संतुलित आहार (Balanced Diet) : खाने में पिज़्ज़ा, बर्गर जैसे शरीर के लिए नुकसानकारी आहार लेने की जगह हरे पत्तेदार सब्जी और फल का समावेश करे। 

जीवनशैली (Lifestyle) : चिंता, शोक, भय, क्रोध इत्यादि तनाव बढ़ाने वाली चीजो से दूर रहे। योग और प्राणायाम करे। हमेशा सकारात्मक विचार रखे।

 शल्यक्रिया (Surgery) : जरुरत पड़ने पर PCOD के उपचार में शल्य क्रिया या operation भी किया जाता है जिसे Laproscopic Ovarian Drilling (LOD) या Laparoscopic Electrocauterisation of Ovarian Stroma (LEOS) कहा जाता है। इस Operation में Laser या Cautery से अंडाशय के cyst में छेद किया जाता है।  

PCOD से पीड़ित महिलाओ में मधुमेह, उच्चरक्तचाप और कर्करोग होने का खतरा रहता है। जल्द उपचार आदि कार्यवाही करने से PCOD के दीर्घकालीन जाखिमो से बचाव किया जा सकता है। 

Dr surbhi agrawal
consultant physician and diabetologist
13 people found this helpful

Hello Doctor! My age is 32. Weight 60kg. I am trying from past 2 years but no luck. I always have a 28 days cycle. My Amh is low >0.30. I have been told for IVF with donor egg. I have finally made up my mind for it. Please let me know what all I should keep in mind before going for it. My Hysteroscopy is already done 2 months before which had a small polyp which is removed. I wanted to know is this process very painful or do I have to be on lot of drugs can I resume my normal activities. If I have a donor will the child be like me or completely like the donor. Kindly reply Thanks.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello Doctor! My age is 32. Weight 60kg. I am trying from past 2 years but no luck. I always have a 28 days cycle. My...
First of all relax, according to your reports you have taken right decision. Nothing special is required for this, all you need to do is be patient in the whole process and follow your doctors instruction, this process is not at all painful, this is totally lab procedure till implantation of baby in you. Donor are selected who matches the patient profile, it is not so that baby will look like donor. It depends on both ovum and sperm.
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Hello doc, I am 29 and I suffer from severe pain during periods. Sometimes pain Killer also doesn't work for me. I take meftal_spas tablet two or three a day. For like three days during my period. Is it safe to use this pills. What should I do to get rid of this awful pain. Pls help.

MPWE, BHMS
Homeopath, Bangalore
Hello doc, I am 29 and I suffer from severe pain during periods. Sometimes pain Killer also doesn't work for me. I ta...
Hi, take homeopathic medicine mag phos 200, 4 pills 4 times a day during pain. Take the medicines before the pain starts. Drink lot of fluids. Keep your self busy. If pain doesn't reduce with this medicine, will have to rule out the cause for the pain.
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Sir I have pain in left boobs, it has painful so much and pain is coming for only 2 minutes, than I feel relax. So what am I doing for this problem.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Sir
I have pain in left boobs, it has painful so much and pain is coming for only 2 minutes, than I feel relax. So wh...
U should get sonography of the breast to find out if any problem is there. If it is related to menstrual cycle then it can be relieved by 3 months course of oc pills.
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I get my periods only for two days. My flow stops on the third day completely. And I am just 18 yrs. Is it okay?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I get my periods only for two days. My flow stops on the third day completely. And I am just 18 yrs. Is it okay?
Yes as long as it is regular it should not be a problem. Still ensure that you are not anaemic and your body weight is normal.
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I am 22 years old female. I have chubby cheeks, which I don't like, I have tried so many exercises, but all those didn't work, please help me for this. Please.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 22 years old female.
I have chubby cheeks, which I don't like, I have tried so many exercises, but all those did...
If you are not obese, don't get conscious about chubby cheeks, there's no medicines for this, you can do exercises to strengthen the muscles, do blowing out exercise, move upwards with some oil with the help of both hands. Flat of hands on each cheek, move upwards rubbing on cheeks. Hope it helps you. Take less salt as a habit, water retention does give a bloated look.
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Hi. My query is hot milk good or bad during periods. And one more thing I recently got married and my weight is increasing, what shud I do for it?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi. My query is hot milk good or bad during periods. And one more thing I recently got married and my weight is incre...
Lukewarm milk is good. Best way to reduce fat is exercise and diet control. Take pranacharya medohar rasayn twice a day. Medohar guggul 2-2 twice a day. And pranacharya slim capsule 1-1 twice a day. Avoid junk food. Oily food. Fermented food. Alcohol consumption. Sugar. Milk products and sweets. Take oats and cereals more. And do pranayama early in the morning and walk for atleast 45 minutes a day. And do exercises. Do not sleep immediately after taking meal.
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Please tell some tips for normal delivery and sex with my spouse will help to get normal delivery?

MBBS
Sexologist, Panchkula
Please tell some tips for normal delivery and sex with my spouse will help to get normal delivery?
There are no tips for normal delivery lit depends on position of foetus in the womb at time of delivery sex has no role to play in normal delivery.
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I hv done last intercourse two days before ,today I go for std test, reports are normal. So is it ok for future, I mean is it like now it is not detecting but after a time period any std detect it may detect? Is it happens or not.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
There is a sero positive period for each infection, if you are very much concerned you shd repeat tests again after 4 months.
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I am 27 yr old married woman, I have diagnosed with ruptured cyst after doing a ultrasound today. Is there any chance that it can be ectopic pregnancy? I had pain in my left abdomen and from past 2 months my menstrual bleeding days got reduced from 5 days to 3 days.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
No it should be a functional ovarian cyst. Your pain should settle down in a weeks time. To be very sure you can do a urine pregnancy test as well.
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What are the precautions for conceiving?

DNB (Obst and Gynae), MS (Obst and Gynae- Gold Medalist), MBBS (Gold Medalist, Hons)
Gynaecologist,
First of all, you should ensure that your health is 'good'' enough to undergo the pregnancy well. Again, some basic workups should be done like thalassaemia screening, sugar testing, Pap smear etc. And avoid any harmful medications, smoking, alcohol, excessive coffee and strenuous works. And try to have physical relationships between 12-16 days of the period. All the best.
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Hello doctor I am 7th month pregnant and my stomach have stretch mark and itching in stretch mark what I do for this?

MBBS
Sexologist, Panchkula
Hello doctor I am 7th month pregnant and my stomach have stretch mark and itching in stretch mark what I do for this?
Itching on stretch marks could be due to dryness.You can use any body oil over stretch marks.Follow and give feedback.
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My sister 24 years old she scarring 9 months 6 days baby she suffering with some type of facial paralysis what we have to do sir, please advise.

MPTh/MPT
Physiotherapist,
Kindly go for facial expression exercises regularly for 2 months kindly instruct your baby to do facial exercises in front of mirror, so that both of them can rule out the performance done by baby to gain facial expression functions.
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Benefits of Garlic

POST GRADS IN DIETETICS AND APPLIED NUTRITION, B.SC (H) IN FOOD AND NUTRITION
Dietitian/Nutritionist, Secunderabad
Benefits of Garlic
Garlic is an herb. It is best known as a flavoring for food. But over the years, garlic has been used as a medicine to prevent or treat a wide range of diseases and conditions. The fresh clove or supplements made from the clove are used for medicine.

Garlic is used for many conditions related to the heart and blood system. These conditions include high blood pressure, high cholesterol, coronary heart disease, heart attack, and “hardening of the arteries” (atherosclerosis). Some of these uses are supported by science. Garlic actually may be effective in slowing the development of atherosclerosis and seems to be able to modestly reduce blood pressure.

Some people use garlic to prevent colon cancer, rectal cancer, stomach cancer, breast cancer, prostate cancer, and lung cancer. It is also used to treat prostate cancer and bladder cancer.

Garlic has been tried for treating an enlarged prostate (benign prostatic hyperplasia; BPH), diabetes, osteoarthritis, hayfever (allergic rhinitis), traveler's diarrhea, high blood pressure late in pregnancy (pre-eclampsia), cold and flu. It is also used for building the immune system, preventing tick bites, and preventing and treating bacterial and fungal infections.

Other uses include treatment of fever, coughs, headache, stomach ache, sinus congestion, gout, rheumatism, hemorrhoids, asthma, bronchitis, shortness of breath, low blood pressure, low blood sugar, high blood sugar, and snakebites. It is also used for fighting stress and fatigue, and maintaining healthy liver function.

Some people apply garlic oil to their skin to treat fungal infections, warts, and corns. There is some evidence supporting the topical use of garlic for fungal infections like ringworm, jock itch, and athlete’s foot; but the effectiveness of garlic against warts and corns is still uncertain.
Garlic produces a chemical called allicin. This is what seems to make garlic work for certain conditions. Allicin also makes garlic smell. Some products are made “odorless” by aging the garlic, but this process can also make the garlic less effective. It’s a good idea to look for supplements that are coated (enteric coating) so they will dissolve in the intestine and not in the stomach.
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Water can help you to fight with various diseases

BHMS
Homeopath, Ajmer
Take plenty of water approx 4-6 ltrs/day this can help you to fight with various diseases along with strengthening your body to fight with various kind of diseases.

Water is an essential content of our body approx 70% of our body cells. Water is a good transport & helps our cells to conduct their normal physiological metabolism.

Apart from this water is helpful in treating many kind of diseases like viz: renal calculus, dyspepsia, acid peptic disease, chronic ischemis heart disease, hypertension, hyper acidity, dehydration, low blood pressure, constipation, pain management, asthma, rheumatoid arthritis, anemia, irregular menses, diabetes, etc etc. So I advice to all take plenty of water as much as they can. Minimum water intake should be atleast 4-6 ltrs. Per day. Have a nice day.
Have you taken your today's water?
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My wife is suffering from severe headache last morning. And it increases everyone due to which she can't sleep. She is 4 months pregnant and suffers a gastric problem for last 3 weeks due to which she shit's after 2 or 3 days.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
My wife is suffering from severe headache last morning. And it increases everyone due to which she can't sleep. She i...
hello, kindly take her to a doc to make sure her blood predsure is ok..! secondly constipation is a common problem in pregnancy which can be handled by making dietary modification. let her take plenty of fluids alpng with a big bowl of fruits and salads everyday... if this fails to correct it u can opt for medicines..!
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