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Dr. Rupali Bhatia

Gynaecologist, New Delhi

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Dr. Rupali Bhatia Gynaecologist, New Delhi
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Rupali Bhatia
Dr. Rupali Bhatia is one of the best Gynaecologists in Rohini West, Delhi. You can meet Dr. Rupali Bhatia personally at Dr Rupali Bhatia's Clinic in Rohini West, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Rupali Bhatia on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 33 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. 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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A-503, Ashoka Aptt, Sector-9, Near Rohini West Metro Station, RohiniNew Delhi Get Directions
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3 Tips For Taking Care of Your Feet

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
3 Tips For Taking Care of Your Feet
3 tips for taking care of your feet.

Contraception

DGO, MBBS
Gynaecologist, Pune
Contraception

With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.

Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.

Types of contraceptives:

Hormonal (2-3%)
Intrauterine (5%)
Barrier (10-15%)
Chemical (15-20%)
Physiologic
Sterilization (4%)
* percentages mentioned within brackets are failure rates

Hormonal contraception

It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.

Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts

Classification

Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Benefits:

Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.

Intrauterine contraception

It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Types:

Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Side effects:

Increased blood loss and duration of menses, increased dysmenorrhea

Complications:

Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.

Indicated for: multiparous women greater than 35 years who smoke.

Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.

Barrier methods

It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.

Types:

Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
Chemical contraception

It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
Physiologic contraception

It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.

Sterilization

This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.

Types:

Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.

Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).

A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.

I am 18 years old and I have a problem in my period and I miss my period for three month and a lot of white discharge and I have stomach and headache badly.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 18 years old and I have a problem in my period and I miss my period for three month and a lot of white discharge...
Cook a handful of rice in a half a lit of water in an open pan. When rice is ready don’t throw the residue water drink reason this water when it remains that much hot that you can consume. Drink it on adding 1 tsp of sugar. This relieves your leucorrhoea that within a week. This is one of the most common home remedies for leucorrhoea. Take pranacharya leucorest syrup 2-2 tsf twice a day. And pranacharya leucona capsule 1-1 twice a day.
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Is it safe to take vitamin d supplement (uprise d3) in first trimester of pregnancy. I was on supplement before pregnancy also due to low level of vitamin d.

Royal College of Obstetricians and Gynaecologists (MRCOG), MICOG, Fellowship Gynae-Oncology, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
Is it safe to take vitamin d supplement (uprise d3) in first trimester of pregnancy. I was on supplement before pregn...
It is not a good idea to take any medicine which is not absolutely necessary in the first trimester. If vit d is needed because of diagnosed deficiency, it is best taken in second and third trimesters.
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Tash level is 6.30 T3 is 1: 04 and T4 IS 8: 50 and i am facing problem of irregular menstrual PERIOD and i am also over weight so please advice me for that how to treat with that

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
Tash level is 6.30 T3 is 1: 04 and T4 IS 8: 50  and i am facing problem of irregular menstrual PERIOD and i am also o...
HiObesity or being overweight is due to metabolic imbalance in our body. You have fat deposit on tummy or belly this indicates that you may have insulin resistance. To lose weight we need to focus upon some basic food plan like cutting down on grains and sugar .We should avoid processed food. The healthy weight loss diet should contain ample amount of vegetable with sufficient protein. Taking some dietary supplements helps in weight loss as well. I am suggesting a general diet and supplement for you. You can visit my clinic for free detailed body composition analysis. Sample Diet PlanBreakfast – Green salad with omlet Lunch -2 Chapatti made with Nutroactive Brown Atta, cooked green vegetable +salad +curd. Dinner – vegetable soup with butter. Snacks - Dry fruits and Nuts with green tea. Suggested Supplements Microfruit tablets daily after breakfast. Lipolyzer tummy tablet after lunch and dinner.
2 people found this helpful
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After how many cycles of follicular study and tablets for conception can we go for intrauterine insemination.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gorakhpur
There is no hard and fast rules still if you have tried 4-6 cycles then you should think of assisted techniques.
1 person found this helpful
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Celebrity Diet Secrets: Simple and Effective Fads

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
Celebrity Diet Secrets: Simple and Effective Fads

It is common for most of us to wonder how some celebrities just don't seem to age, both in terms of looks and physique. It is not easy and requires in addition to a lot of hard work, loads of determination and self-constraints to achieve that. however, different bodies react differently to different food items and there is no one size that fits all. Though media claims and promotes various celebrity diet plans, but a word of caution. A detailed physical examination and discussion should be done with your dietician to identify what will work best for you.  Listed below are some things that has helped celebrities to lose weight. 

  1. Regular, well balanced meals: It is popular belief and advise that eating regular, small proportioned meals with the right mix of protein, carbs, and fats is the best way to lose weight.  Of course, there have to be supplements to this including a good workout regime, reduced alcohol, reduced refined sugars, etc., but most people believe starving to be skinny is not the healthy way to go. Another good rule to follow is the 80/20 rule that is enforce discipline and let 80% of your food be nutritious and 20% can be damaging (chocolate cake included!). Most would also set a daily intake target and keep a count of the calories that are ingested.
  2. Increased fiber: Be it greens or vegetables, fruits, or dry fruits, added fiber makes you feel full and reduces the amount of food ingested.  Atkins diet, which pumps your body with fiber for 3 consecutive days helps by flushing out a lot of toxins and is one of the most widely followed detox diet plans.
  3. Flush out with Lime Juice: Beginning your day with a glass of lime juice and warm water is supposed to flush out the toxins and reduce weight.  Adding ginger and mint is believed to make this work better.
  4. Replace red meat with chicken: While chicken is believed to increase the protein intake levels, reducing red meat is believed to help reduce weight.
  5. Do away with the dairy: A lot of dairy products, which forms the main source of proteins, especially for vegetarians is believed to add to the weight. If weight loss is your goal, then dairy should stay out of your food diary.

A lot of celebrities also use natural boosters and suppressants to reduce appetite.  Removing alkaline food items from your menu, gluten laden foods, alcohol, refined carbs, are followed as well. Weight loss supplements are another option, but should be used only under supervision and as a last resort. As mentioned, celebrity diet patterns should not be followed blindly. They are highly personalized and seek advice before adapting it. 
 

6472 people found this helpful

My hip is very big. My problem is very big. So please give some exercise .please.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My hip is very big. My problem is very big. So please give some exercise .please.
cycling, swimming, walking and healthy dieting. remember big hips can be genetic but good point is that the chances of a normal delivery are more in women with broad hips.
1 person found this helpful
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I have regular acidity problem. Its happens hence last two year. Its increase more and more since over the period of time. I take many suggestion from many expert doctors to killed this problem. But relief only 2or 3 days. What medicine take to totally killed it and what precaution I take to killed problem.

MBBS
General Physician, Chennai
I have regular acidity problem. Its happens hence last two year. Its increase more and more since over the period of ...
First learn not skip a meal, eat at regular intervels no spicy food, exercise daily drink lots of water no meds required keep calm learn to meditateyou will be fine in three months.
2 people found this helpful
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Hoi. Dr. I want to ask a question DAT what precautions should I do while in pregnancy in the month of seven.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Hoi. Dr. I want to ask a question DAT what precautions should I do while in pregnancy in the month of seven.
Please stay away from extreme heat, pollution, exertion, weight lifting, intercourse, junk food, passive smoking, late nights. You need at least 10 hours of sleep and clean hygenic nourishig food. Pl also avoid any self medications and if any problem, please inform your gynec without any delay.
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How Your Respiratory System Gets Affected Under Anesthesia?

FIAGES, FMAS, MS - General Surgery, MBBS
General Surgeon, Bangalore
How Your Respiratory System Gets Affected Under Anesthesia?

Adverse respiratory events (AREs) are leading causes of post-operative morbidity and mortality. Anesthesia is the use of medicine to prevent or reduce the feeling of pain or sensation during surgery or other painful procedures (such as getting stitches). Giving as an injection or through inhaled gases or vapours, different types of anesthesia affect the nervous system in various ways by blocking nerve impulses and, therefore, pain.

Anesthesia can help control your breathing, blood pressure, blood flow, and heart rate. It may be used to:

  1. Relax you,
  2. Block pain,
  3. Make you sleepy or forgetful,
  4. Make you unconscious for your surgery.

Adverse Respiratory Events (ARE)
Adverse outcomes of such events are fatal and lead to Death & Brain Damage. Three mechanisms of injury are reported to account for highest adverse respiratory events:
Inadequate Ventilation: Insufficient Gas Exchange can produce the adverse outcome. Esophageal Intubation: Incubation between the two sides of the esophagus inadvertently.
Difficult tracheal intubation: Tracheal Intubation is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway. It is performed facilitate ventilation of lungs in severely ill, anesthetized patients.

Other’s are as listed below:

  • Airway Obstruction
  • Inadequate inspired oxygen delivery
  • Aspiration
  • Endobronchial Intubation
  • Premature Extubation

Residual neuromuscular blockade is an important postoperative complication associated to the use of neuromuscular blocking drugs and is commonly observed in the post-anesthesia care unit (PACU) after non-depolarizing neuromuscular blocking agents (NMBAs) are administered intra-operatively. Incomplete neuromuscular recovery can be minimized with acceleromyography monitoring. The risk of adverse respiratory events during early recovery from anesthesia can be reduced by intra-operative acceleromyography use.

Reintubation is a serious adverse respiratory event and the consequences include increased cardiac and respiratory complications, prolonged length of stay at the PACU, intensive care unit (ICU) and hospital, prolonged mechanical ventilator support, higher costs, and increased mortality. Overweight and obesity have also been identified as risk factors for postoperative respiratory complications. Most adverse respiratory events are considered preventable with improved monitoring such as:

  • Pulse Oximetry
  • Capnometry
  • Combination of Both

Closed observation of the clinical factors and appropriate monitoring by well trained people are factors necessary to prevent adverse outcome. If you wish to discuss about any specific problem, you can consult a General Surgeon.

1836 people found this helpful

Yeast Infection - 5 Associated Causes

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Noida
Yeast Infection - 5 Associated Causes

Vaginal yeast infection occurs when too many yeast cells grow in the vagina, causing inflammation. It can spread by sexual contact but is not considered as a sexually transmitted infection. A yeast infection results in soreness or itching in the vagina with a burning sensation while urinating.

Causes of yeast infections in the vagina:
The vagina contains a balanced mix of yeast and bacteria; but if the balance is disrupted, it can lead to yeast infection. The reasons for overgrowth of yeast infections are:

  • If antibiotics are used more than usual, they can decrease the level of lactobacillus bacteria present in the vagina, changing the pH of vagina
  • Having high estrogen levels during pregnancy by using high dose birth control pills and hormone therapy can lead to the overgrowth of yeasts.
  • Having diabetes, especially when the blood sugar level is not checked and tends to be high
  • Having a weak or impaired immune system
  • Being overweight and having poor eating habits, including foods high in sugar level

Risk factors associated with the condition:
A number of factors can increase your risk of getting a vaginal yeast infection.

  • Using antibiotics heightens your risk of developing vaginal yeast infection as it disrupts the balance between yeast and bacteria. Excessive intake of antibiotics can kill healthy bacteria, leading to overgrowth of yeast organisms.
  • Having a weak immune system with conditions such as poorly controlled diabetes and HIV can lead to an overgrowth of yeast in the vagina. Corticosteroid medicines also weaken the immune system.
  • Wearing pants that are tight-fitting, nonabsorbent and undergarments that trap warmth and moisture
  • Having high estrogen levels due to an imbalance of hormone levels during pregnancy or menstrual cycle can also lead to vaginal yeast infection. If you wish to discuss any specific problem, you can consult a gynaecologist.
3573 people found this helpful

I am 35 years old female. My period cycle is always regular from the beginning with 28 days cycle. This month I got my periods on dec 7thfor five days and again I got my periods on dec 22 for 5 days.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 35 years old female. My period cycle is always regular from the beginning with 28 days cycle. This month I got m...
hELLO, As this was the first episode, you need to watch for next 2-3 cycles, however this could be due to progesterone deficiency. So you may get serum progesterone levels done on day 16 on next cycle.
1 person found this helpful
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I am 24 year old female I have an irregular period what should I do? Please advise.

BHMS
Homeopath, Pune
I am 24 year old female I have an irregular period what should I do? Please advise.
You should investigate first. Please do usg abdomen and pelvis, haemogram and thyroid function test. Then accordingly we can start treatment.
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Hi, I am married guy. Me & my wife trying to have a baby. But no success. I have consult with one of my friend (he is doctor but not specialist regrading my issue.). Then he made prolactin test & told me I have high prolactin leve which is 20.41. What should I do?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hi, I am married guy. Me & my wife trying to have a baby. But no success. I have consult with one of my friend (he is...
You need to take medicine for the high prolactin levels, this is one of the reason you are not able to conceive. As high prolatin level in males decreases testosterone hormone production and sperm count as well. High blood prolactin also causes difficulty in getting an erection, as well as breast tenderness and enlargement. And in female it interferes with the function of the ovaries. Symptoms include irregular or absent menstrual periods, infertility, menopausal symptoms (hot flashes and vaginal dryness) and, after several years, osteoporosis. High prolactin levels can also cause milk discharge from the breasts.
1 person found this helpful
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Hi, maine 2 trik ko gf k sath sex kiya condom k sath use do din ohle date aye thi bt fr use 11 ko fr date aa gayi kya usse pregnancy ho skti hai or aise kise ho slta hai date jldi aa jaye wo daily dudh pitti hai raat ko soone waqt?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Hi, maine 2 trik ko gf k sath sex kiya condom k sath use do din ohle date aye thi bt fr use 11 ko fr date aa gayi kya...
If mences coming after sex then pregnancy not settled. This May be due hormonal imbalance that mences coming before date. If this will happen further you consult me privately through Lybrate for treatment by which her mences gets regular.
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Does more than one cup of green tea a day causes impotency in women and leads to lack of child birth? I have read this in an article is this true?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Does more than one cup of green tea a day causes impotency in women and leads to lack of child birth? I have read thi...
Hello- Yes. Green tea may possibly increase the chance of pregnancy loss because the tannin could have a negative effect on a developing embryo by constricting blood vessel formation. The tannin may also interfere with iron absorption.
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