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Dr. S.K Nagrani

Endocrinologist, Delhi

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Dr. S.K Nagrani Endocrinologist, Delhi
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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. S.K Nagrani
Dr. S.K Nagrani is a popular Endocrinologist in Shalimar Bagh, Delhi. You can visit him at Max Hospital-Shalimar Bagh in Shalimar Bagh, Delhi. Book an appointment online with Dr. S.K Nagrani and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 37 years of experience on Lybrate.com. You can find Endocrinologists 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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Stress and Infertility - How Stress Affects Your Fertility

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Delhi
Stress and Infertility - How Stress Affects Your Fertility

In today’s modern, fast paced society, it is easy for people to become stressed. In fact, one would almost think that being stressed is the “in” thing, and if you aren’t stressed it must mean there is something wrong with you! Realistically however, stress is not a good thing for our bodies in general, and has a very real impact on your fertility.

Can Stress Have an Effect on Your Fertility?

If your mind and body is under stress your body is signaled to release a hormone - Adrenalin. This is a stress relieving hormone and gives your body the rush to face the stress. This hormone inhibits the utilization of the hormone Progesterone, which is essential for fertility. Also during stress Prolactin, another hormone, is relapsed which also interferes with infertility. Hence to conceive its essential that your anxiety levels are under control.

How Stress Impacts Fertility?

Recent research tells us that stress boosts levels of stress hormones, such as adrenaline, catecholamines and cortisol, which can inhibit the release of the body’s main hormone, GnRH (gonadotropin releasing hormone), which is responsible for the release of sex hormones. Subsequently this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men.

Chronic Stress also decreases libido:

Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become such a common issue that they have created a name for it Stress Induced Reproductive Dysfunction. These facts are very important to consider if you have been trying to conceive with no results. It also shows that stress relief should be a part of every couple's conception plan even if they are going through In-vitro fertilization (IVF).

Ways to reduce stress & improve fertility:

If you are having difficulty to conceive, it's imperative that you get fertility tests done and also evaluate your life. Look out for the stress points that may be hindering a relationship. Remember defeating the stress may be the solution to your worries.

  1. Reduce stress in your life: The issues in your life may be work or result related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.
  2. Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering so much about the future.
  3. Let few things be the way they are: Stop getting bothered about people. Remember by nature everything will fall in place. Let few things be the way they are.
  4. Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose options where there is less stress.
  5. Sleep well: A good rest is essential for a healthy mind and body. Meditate, do yoga or seek counseling. Go for facials if it sooths you.

Please note that if your fertility reports are normal, then it's just a matter of time. Give you, your partner and your body time. There are certain medical complications or disorders that can also be responsible for infertility. Be calm and composed so that you are able to face the rough waters clearly with your partner. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2879 people found this helpful

Sir/madam my mom have diabetes she is loosing her weight more frequently. So what to do in order to increase her weight.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir/madam my mom have diabetes she is loosing her weight more frequently. So what to do in order to increase her weight.
Mr. lybrate-user, If blood glucose is not well controlled then it is possible that patient may be loosing weight. So please ensure that blood glucose levels are well controlled. Ideally FBS should be closer to 100 mg, PP 150 to 160 mg & HbA1c% <7. If this is done weight loss can be controlled. So treatment has to be be properly done. Thanks.
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I am suffering from thyroid. It was 12.50 two months back. I put on around 10 kgs in 2 -3 months. What should I do to lose weight asap?

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
You need to correct your TSH by taking an adequate dose of your medications. Once it is corrected you need to follow proper Diet & regular exercise regimen to lose weight.
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In the case of a diabetic person, fast and post prandial test should be taken with the prescribed intake of medicines (glycomet recommended to be taken after food) or without medicines to check the actual glucose level.

MBBS, CCEBDM
Diabetologist, Bangalore
In the case of a diabetic person, fast and post prandial test should be taken with the prescribed intake of medicines...
Hi Blood sugars in diabetics are always checked with intake of medicines to make sure the medicines are helping them in controlling their diabetes and also it helps in deciding the dose. If you check it without taking medicines it will definitely show high values as you are a diabetic. So always check your blood sugars without stopping your diabetes medicines.
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Hello doctor ref-thyroid. Report on 08/03/15. F/42. T3-1.89. T4-10.15. Tsh-7.41. Medicine-thyrox-50 od early morning. Dr. Says it is enough. Is it so? please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
50 mcg of thyroxine should be enough. You may check again after 3 months and then if need change the dosage.
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Hi im 21 years old and my grandfather is 81 years old he had first heart stroke 2 months before in sleep and he is also a diabetes patient so I just wanted to know the diet and precautions for him please suggest me as soon as possible.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Hi im 21 years old and my grandfather is 81 years old he had first heart stroke 2 months before in sleep and he is al...
The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc. Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important. Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more) Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)
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She is having diabetic symptoms how to reduce that .what food she has to avoid and what diet she has to doo to get off diabetic symptoms.

BAMS
Ayurveda, Bangalore
She is having diabetic symptoms how to reduce that .what food she has to avoid and what diet she has to doo to get of...
Hi, Please follow these tips: - Avoid all whites like rice, sugar, maida, etc. - Eat in small quantities 4-5 servings per day. - Walk daily for 1 hour. - Avoid intake of oil fried food and sweets. - Take medicines prescribed by the doctor regularly. - Visit your doctor regularly for follow up check-ups. - Get your sugar levels checked once in a month and try to keep it under control. - Get rid of mental tensions and worries. - Be active always and avoid sedentary life style. - Perform yoga and meditation to keep your mind calm. - Consume lot of fiber in your diet which lowers your cholesterol levels.
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I am a sugar patient. Now I am only58 kg of weight. My age is 52 yrars and hight is 5'3. My fasting sugar level is 158. How can I increase my weight.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am a sugar patient. Now I am only58 kg of weight. My age is 52 yrars and hight is 5'3. My fasting sugar level is 15...
Take pranacharya diabeto and shilajeet capsule 1-1 twice a day. Take neem capsule 1-1 twice a day. Walk for minimum 45 minutes a day. Take small diet in every two hour. Avoid junk food. Avoid stressfull life. Follow diabetic diet.
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HI I am 44 years old lady with diabetes ii and on medication, From past one week I have itching in vaginal area and I used v-wash and salt water but no relief please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
HI
I am 44 years old lady with diabetes ii and on medication, From past one week I have itching in vaginal area and I...
lybrate-user, Thanks for the query. Diabetes if not well controlled or some times even with fairly well controlled glucose levels, can cause fungal infection leading to vaginitis. Only vaginal wash may not be beneficial. First and foremost is to achieve a strict blood glucose control with FBG < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. I am not aware how good glucose control you have as nothing is mentioned. Plus you may have to take an antifungal drug for some time. Plus looking at your weight and height I notice that with a BMI of 26.41 kgs /M2 you are overweight. That also adds to bad glucose control. In this communication we are supposed to provide only general guidelines, no prescriptions are allowed. So you will have to come in a private conversation for specific treatment advice. Thanks.
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Cab diabetes can be cured? And if sugar level is increased can it be treated? Or it stick to a person for his/her whole life?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Cab diabetes can be cured? And if sugar level is increased can it be treated? Or it stick to a person for his/her who...
Mr. lybrate-user, Thanks for the query. Diabetes can only be controlled with appropriate drugs, diet restriction and regular exercise and weight control. Once diagnosed then treatment has to be taken for lifetime. If not properly treated then patient can get a number of long term complications affecting almost every single vital organ in the body. Thanks.
1 person found this helpful
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I'm diabetes patient .I've many injuries from last year? please help me someone.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I'm diabetes  patient .I've  many  injuries from last year? please help me someone.
Hye, thanks for the query. You need to maintain good blood sugar levels to avoid any complications due to uncontrolled diabetes. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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I am suffering from Hypothyroidism since 1 year and it is getting bad day by day. I want some diet chart and foods that are to be strictly avoided.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am suffering from Hypothyroidism since 1 year and it is getting bad day by day. I want some diet chart and foods th...
Herbal tea with ginger is beneficial for thyroid functioning. In fact, beverages including coffee, tea, carbonated drinks and alcohols should be avoided by patients afflicted with thyroid disorders. In its place herbal tea may be an alternative option...Application of watercress's paste on the enlarged neck is also an effective remedy....take punarnavadi mandoor and kanchnar guggul 1-1 tab twice a day
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Hi, this is ved prakash mishra. From vapi. I am suffering from diabetes since last 2 years. Even I am using allopathic medicine named glimison m1. It is fine but the ration is 150,&110. And not coming on ideal level. Hence I am losing my health and and losing weight. It declined 5 kgs in half n year. Probably it will continue so far. And secondly I am losing sex pleasure time. And cuming timing. So pls suggest to control diabetes and improve my sex power.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi, this is ved prakash mishra. From vapi. I am suffering from diabetes since last 2 years. Even I am using allopathi...
Mr. lybrate-user, Thanks for the query. I have gone through the details and understand your concern. But please clarify what do you mean by" It is fine but the ration is 150,&1" 10. And not coming on ideal level" The information not clear. Please give following details: age, weight, height, fasting, PP blood glucose levels, HbA1c%, extent of daily exercise, dietary pattern, dosage of the drugs being taken, BP readings & lipid profile. It will be better if you come in a private conversation with all the above details, then I can give specific advise and even the drug prescriptions. In this communication we are supposed to give only general guidelines. No drug prescriptions are allowed. Hence if you are really keen then do come back as suggested. Thanks.
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Dr. Fr drink karela juice sugar wil go completely Hw much juice to drink daily 3 teaspoon I gave to my mthr is it good ya sme more juice I gave to my mthr.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dr. Fr drink karela juice sugar wil go completely Hw much juice to drink daily 3 teaspoon I gave to my mthr is it goo...
To treat diabetes, it is essential to take anti diabetes medicines. Karela juice has literally no role in reducing sugar level, whatever quantity one may drink. It may be used as a supportive therapy. Thanks.
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I am newly diagnosed diabetes malites. My hba1c is 7.8. What I do., I am 31 years old.

M.sc in dietetics and community nutrittion management
Dietitian/Nutritionist, Kolkata
I am newly diagnosed diabetes malites. My hba1c is 7.8.
What I do., I am 31 years old.
Do regular exercise for better health.Along with this follow balanced diet.Eat lots of whole fruits,vegetables.Use unrefined foods.Eat extra protein.Use healthy fat in cooking.Avoid fats foods,junk foods,processed foods,sugar,sweet,sweetened juice,fruit juice,soft drinks.Avoid underground vegetables,banana,pumpkin.Drink lots of water specially before meals.Avoid smoking,alcohol.You can use nutritional supplement for diabetes control.Adjust your medication with diet.Diet and exercise will help you to reduce medicinal dose.
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I am 42 year old married for 5 years. Diagnosed with diabetes for 3 years. I am unable to have strong erection. Lost erection in less than 5 minutes. Unable to have sexual life. Please help. I am on glynase 5 mg twice a day sugar levels less than 200 random.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello if blood sugar levels are not near normal that is fasting about 100mg & after food around 140 mg, lot of complications occur. One of these is failure of erection. Therefore you have get full checkup including hba1c then improve treatment and also try tablet diagram 50 mg 1 hour before having sex. This might help.
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I have TSH level 6.19 but I have no any other complication except weight loss and tiredness. Is that I have hyperthyrodisam or not. If yes than what is treatment for that.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
I have TSH level 6.19 but I have no any other complication except weight loss and tiredness. Is that I have hyperthyr...
Tsh normal range is 0.4-4.2. You sure have hyperthyroidism consult endocrinologist go for thyroid profile complete.
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I am a 32 years female has been suffering from thyroid and my today thyroid report isTOTAL TRIIODOTHYRONINE (T3: 71 ng/dl TOTAL THYROXINE (T4): 5.3 μg/dl THYROID STIMULATING HORMONE (TSH) C.L.I.A: 66.89 μIU/ml .When I saw TSH out of range I was shocked because at present I am consuming 75 mcg tablets. But I discontinued consuming of 75 mcg for one week due to unexpected reasons. Please suggest me the remedy. And proper dose.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
As per weight you require 131 ug. But tablet of that strength is not available, so you start 125 ug and repeat test after one month. If it doesn't come to normal then you increase the dose.
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Hypothyroidism: Homeopathy Treatment

BHMS
Homeopath, Agartala
Hypothyroidism: Homeopathy Treatment

Homeopathic Remedies for Polycystic Ovarian Syndrome

Most women dread the thought of menses or periods, but irregularities and unusual changes in the menstrual cycle can be a nightmare. Delayed or irregular menses, absent menses for various months, prolonged menses — all these are indications of an endocrine disorder known in medical terms as polycystic ovarian syndrome (pcos). The other symptoms of pcos are excess hair growth on the face or other unusual parts of the body and acne. A few women also suffer from hairfall. Ultrasound studies show the presence of cysts (fluid-filled structure) in ovaries with the enlargement of ovaries. The tendency to gain weight and obesity are common with pcos too. It is a syndrome that affects women in the reproductive age group and is one of the leading causes of female infertility. Hypertension and diabetes mellitus are also associated with pcos. Homeopathic remedies for polycystic ovarian syndrome are made of natural substances with zero side effects and has the cure for polycystic ovarian syndrome.

Homeopathic treatment for polycystic ovarian syndrome

Polycystic ovarian syndrome is curable with the homeopathic mode of treatment. Homeopathic treatment for polycystic ovarian syndrome is very safe and free from any side effect. Which homeopathic medicine is required to extract the disease from its roots varies from case to case. Both the physical and mental spheres of the patient are thoroughly investigated while prescribing the homeopathic medicine. The complete cure of pcos is a time-consuming process and it cannot be expected in a few days. It requires complete observation regarding the change of symptoms in the patient and frequent clinical follow-ups.

Top homeopathic remedies for polycystic ovarian syndrome

Sepia: Best homeopathic remedy for cure of pcos

Sepia occupies the top position among the homeopathic medicines for treatment for polycystic ovarian syndrome. The menstrual symptom for homeopathic remedy sepia is late and scanty menses. In most of the cases, this is accompanied by bearing down sensations in the pelvic region. The ovaries remain enlarged with fluid-filled cysts in them. Homeopathic medicine sepia acts very efficiently to regulate the menstrual cycle to appear at the proper expected time. Sepia can also be considered to treat infertility cases due to pcos. Abnormal hair growth on the face, especially on upper lips, can also be well controlled with homeopathic medicine sepia. Other general symptoms to look for before taking sepia are sensitivity to cold air, mental irritability, and indifferent behaviour towards loved ones.

Pulsatilla: Homeopathic medicine for suppressed menses for long duration

Pulsatilla is a natural homeopathic medicine for treating pcos. It is especially beneficial for treating pcos cases in females who suffer from suppressed periods for a long duration. In women requiring pulsatilla, the periods when they appear remain very scanty and extremely painful. Homeopathic medicine pulsatilla removes the obstacles that cause the periods to be suppressed and the periods start to flow normally. Homeopathic remedy pulsatilla increases the body’s power and directs its path towards removing the obstacle, thus re-establishing the menstrual flow. Pulsatilla is of great help for young girls at puberty who suffer from pcos with irregular periods. The physical general symptoms to consider for using pulsatilla include the total absence of thirst and a desire for cool open air. Open air overall seems to provide relief to the patient. And in the mental sphere, the significant features to take note of are mild, sensitive nature with weeping tendencies. Such a woman weeps at the slightest instance and feels somewhat better when given consolation.

Calcarea carb: Homeopathic medicine for prolonged and profuse periods

Calcarea carb, a natural homeopathic medicine, is of great help in the treatment of pcos and is particularly suited when a woman with pcos suffers from profuse periods that are prolonged more than the usual duration. The women with pcos facing the problem of weight gain and obesity are also the candidates requiring calcarea carb. Homeopathic medicine calcarea carb helps such women in reducing the excessive weight gain very efficiently. There are a few physical general symptoms to look out for while choosing to take calcarea carb. The first is excessive sweating on the head. The second is extreme sensitivity to cold air. And the last is a peculiar craving in eating habits like a desire for boiled eggs and in a few cases, strange things like chalk and lime.

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