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Dr. S. K. Sama

Gynaecologist, Delhi

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Dr. S. K. Sama Gynaecologist, 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. S. K. Sama
Dr. S. K. Sama is a popular Gynaecologist in New Delhi, Delhi. You can visit him at Sama Hospital in New Delhi, Delhi. Book an appointment online with Dr. S. K. Sama and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 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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MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Last week I got a call from one of my patients, who conceived after long period of infertility. She called me to remind me that, that very days was the birthday of her son, that is the wealth that she gained after long battle. And even the son tried to talk to me over phone with his soft voice. And this success is really rewarding for any Infertility Specialists.

Now, the inability to conceive- INFERTILITY, the problem is prevalent in our society and is increasing. But majority of common people don't have clear idea about the concept of fertility and the problems. Ability to have pregnancy depends on many factors both in male and female. Even in a normal couple (where both husband and wife are totally normal), there is chance of pregnancy if they practise regular intercourse in a particular time of the menstrual cycle (around ovulation). And even with that, the best chance is only 15-20%. But within one year of regular trying, 80% of couples manage to conceive. And out the rest 20%, 10 will conceive within next one year and the rest 5 in 3rd year. So, ultimately 5% of couple will have difficulty in conception.

So, we advise, if you tried regularly for one year and there is no pregnancy, don't get depressed. It may be due to some defects in husband, wife or both; or may be due to chance factor. But we have to make sure that there is no defect in any of the partners. If there is any defect, we will treat that. If no defect is found, then we have to increase the chance.

So, infertility treatment is actually based on stepwise manner. We initially advise some tests and then advise a treatment. If that treatment fails, we move to next treatment.

So, all the time, you have to keep patience. Eventually, majority of the couples will conceive. Don't give up hope. You have to win the race ultimately
7 people found this helpful

I am using frrpil kit according to doctor suggestion today is my day 14, in scanning report came as one egg ruptured and another egg size is 19mm what does the meaning ? please advice

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
It suggest that you are ovulating and that is normal. 19mm follicle also may get ruptured within a day or two. That means you will have another ovulation.
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Precocious Puberty

Visiting Consultant - Rajiv Gandhi Cancer Hospital, Saroj Super Speciality Hospital, D.N.B. PEDIATRICS, MD - Paediatrics, MBBS, Bhagwati Hospital, Rainbow Hospital- Panipat
Pediatrician, Delhi
Precocious Puberty

Precocious puberty is a medical condition in which the process of a child turning into an adult i.e. puberty is initiated at an earlier stage than what is considered as normal. Certain characteristics like rapid growth of bones and muscles change the body structure, its ability to reproduce and manifest during puberty. If puberty is initiated before the age of 8 in girls and 9 in in case of boys, then it is a case of precocious puberty.

Causes
Studies to determine the actual cause as to why precocious puberty occurs have been inconclusive. In some cases, due medical conditions, such as hormonal disorders, brain abnormalities, brain tumor, and infections might cause precocious puberty. Generally medication is prescribed in such conditions to delay the process of puberty until later.

Symptoms
In case of girls, if you notice the below mentioned symptoms in a child who is about 8 years of age then it is a sign of precocious puberty:

  • Breast Growth
  • Menarche (First Period)

In case of boys if you notice the below mentioned symptoms in a child who is about 9 years of age then it is a sign of precocious puberty:

  • Enlarged testicles and penis
  • Facial hair
  • Deepening voice

Also, there are few characteristics or traits which are common to both girls and boys and indicate precocious puberty if it occurs at an early age:

  • Underarm hair or pubic hair
  • Acne
  • Rapid growth
  • Adult body odor

Complications
Precocious puberty might induce a few complications. A few have been stated below:

Short height: Children who are suffering from precocious puberty in many cases grow taller at a quicker rate at first. This generally causes such children to be of below average height when they enter adulthood. By early diagnosis and treatment of precocious puberty, such a situation could be avoided and the child in question would be taller than he/she would if they did not undergo treatment.

Social and emotional problems: Children who undergo puberty before their peers can end up being self-conscious about their body, which may result in low self-esteem or in extreme cases substance abuse.

Treatment
Treatment of patients suffering from precocious puberty can be administered through medications like GnRH antagonist treatment. This is a monthly injection, which delays further development and has to be continued up to the point till normal puberty period sets in.

3959 people found this helpful

I am 23 years old girl. I skipped my periods from last few months. In thyroid test my tsh count is 0.023. Please explain this figure and suggest me what should I do.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
You seem to have hyperthyroidism. You need to provide detail information about your medical history in order to suggest you further.
1 person found this helpful
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Pcod patient go for iui Is it necessary after taking cause of fineova etc for 4-5 cycles.

MBBS
General Physician, Kolar
Madam if your gynaecologist has recommended iui for you it would be based on several factors, like your and your husband's fertility, your egg size in this cycle etc. So if he or she feels your egg in this cycle is of an optimal size and development iui would have been advised.
2 people found this helpful

I have taken contraceptive pill n I am bleeding before 15days of my periods and this one is not a normal period so is it a sign of pregnancy or something else?

BUMS
Gynaecologist, Mumbai
If you r irregular with your contraceptive pill than it will definitely happen. So please b regular with your ocp.
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Hi I had used an I pill last month and my periods were late but I got them on 27th . Will it be late this month too ? Because I still haven't got it and today is 26th.

DRCH, BHMS
Homeopath, Bareilly
Usually there is no chance of getting late this month. It might be late is hormonal upset took place.
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I am 42 years old female and trying to conceive for second child but my periods are irregular from past one year and I have to take medicine every month for getting regular every month. So it is possible that my periods can be regular and come every month on time.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Sapna, if you are trying for baby don't focus on periods now as you have to hurry because as women crosses 35years chances of getting pregnant will reduce rapidly. Share your details of clinical history, like period pattern, past history of any infection, surgery, hormone levels to guide you further.
2 people found this helpful
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I am a mother. I have 2 month baby. I have a question that. What should I can eat in fruit? And should I can have cold things like ice cream n cold drinks?

MBBS
Sexologist, Panchkula
You are a mother of two months old baby. I advise you to eat apple, guava, oranges, pear, water melon, melon and mangoes in fruits. You can take ice creams or cold drinks occasionally like once a week.
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My LMP was 09/08/16. I have done a home pregnancy check on 35th day of my missed period. Got a faint positive line, I have consulted a gynecologist on the same day and she have done blood test for beta hcg level. It came out positive with 658mlul. Before my pregnancy I was having mcbm69 tablet for a healthy conception. When I consulted this gynecologist she have suggested me a tablet named ME12 OD. I am still using it. My first ultrasound scan was at 26th of step 2016. It was a vaginal scan. As per my LMP, EGA is 7 weeks but the result shows it as follows The uterus is retroverted and has a gestational sac measuring 1.5 cm corresponding to 5 weeks 5 days. Yolk sac is seen, fetal pole not yet seen, decidual reaction is good. Ovaries are normal sized. A corpus luteum cyst of 1.8 cm is seen in the right ovary. Impression: Early intrauterine gestation of 5 weeks. Suggested follow up after 10 days to assess fetal viability and dating. From next day of my first scan I have got some coffee brown color discharge. It was lasted 9 days. After that I have white or light yellow color discharge. Actually my Dr. was suggested me a follow up scan on 21st of this month. But yesterday also I had the same discharge. So I went to my Dr. and she have done a scan. The result is below Uterus enlarged shows a single gestational sac which measures- 2.3 cms. Single yolk sac seen - 0.6 cms. Cardiac activity not present. Both ovaries appears normal. Decidual reaction is present. Cervix normal measures - 3.4 x 2.6 cms. Impression: intrauterine gestation of 6 weeks with no cardiac activity. Suggested clinical correlation. After my first scan my Dr. said that its normal and it may be a late conception that's y there is a difference in the weeks. Yesterday she said that its not growing and there is no heartbeat or blood circulation. So I have to wait for one week and after that they will do a scan again and if its in the same situation I have to do ?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Yours seem a delayed implantation only ... its correct wait for 1 wk and if there is no growth ... then better to go for medical termination
1 person found this helpful
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Hi am 20. My gf and I had oral sex but I rubbed my penis on her vagina may be inserted it half inch. I was worried so. I made her eat ipill. Yesterday but today she is feeling any problem or pain in stomach or anything. Is she safe? And I pill failed or not. She used ipill first time 2 months before that time she was suffering from pain but this is time no pain. Is everything ok?

MBBS, DGO
Gynaecologist, Dehradun
Hello As you have already taken I pill there is nothing to worry. I pill is a strong medicine and should not be used as a form of contraception so use a proper contraceptive method from next time.
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Hi doctor please help me out with this, I am not getting sleep from on week it's been 6 days I dint sleep, and more over I am planning to conceive a baby becoz of this problem I am scared weather I'll get pregnant or not ! And I am very disturbed with out sleep please tell me some tipd.

DGO, MBBS
Gynaecologist, Delhi
oh , take a deep breath dear. If you are so tense about getting pregnant that you don't sleep how would you conceive. You have to be physically and mentally healthy and relaxed to conceive.
1 person found this helpful
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I am 27 years age I am suffering from Urethris and Crystis I consultant so many doctors my problem not better than cure. Please best medicine for me I cure the health.

M.D. homoeopathy, BHMS
Homeopath, Noida
Drink lots of water and take homoeopathy to improve your immunity and permanant cure of these problems. Maintain proper hygiene, wash after using toilet everytime and before and after intercourse. Change your sanitary pads every 4 hours.
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Hi. I did not get my periods from 3 months. I did my blood test and urine test too. And I did my ultrasound as well. The doctor told me everything fine but my b12 is low so what should I do?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
You need b12 injections. And also I would advice you take hormonal pills to regularise your periods.
2 people found this helpful
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In 9th month off pregnancy baby heart beat sudden stop any changes of alive and what thing mother want to do for next child and after how much period they should have next baby.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
hello go for USG, FOR NEXT CHILD WAIT FOR 6 MONTH, AS THE GRIEF WILL be bad, remain stress free that is do not think of which you cannot chage. unnecessary thinking. have quality food and water, go for USG exam monthly from seven motn onward. if baby weight is good dr can go for CS in 8-9 month time. dont panic be calm.
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I am feeling instant pain in my right breast from last 2 months before 2 3 weeks of my periods. This started with temporary and sudden pain which lasts for 5 10 mins for few days. This month the pain is not acute but slight which lasts for 4 5 days. I am worried about this. please help me reg this.

MBBS, MS - General Surgery
General Surgeon, Udaipur
Hey lybrate-user, symptoms you are having like breast pain aggrevating before start of mensus with absense of any freely moving lump goes in favour of mastalgia or fibrodenosis. You might be having more pain during weather change too. This condition is treated medically. You can get relief by hot/cold fomentation, evening primrose oil capsules, vitamin Ecapsules.
2 people found this helpful
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I am planning to conceive a child and I want to ask one question that can we have a sex daily for that purpose. It's not any harm to have a sex daily if I want a child. Please help me how frequently I can have a sex if I want to conceive.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, There is no harm in having sex on daily basis. The frequency of having sex does not increase your conception chances. I would rather suggest having regular sex during your ovulation phase as this is the prime time for conceiving.
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