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Dr. Sajal Gupta

Gynaecologist, New Delhi

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Dr. Sajal Gupta Gynaecologist, New Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sajal Gupta
Dr. Sajal Gupta is a renowned Gynaecologist in Bapa Nagar, Delhi. You can consult Dr. Sajal Gupta at Dr Sajal Gupta's Clinic in Bapa Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Sajal Gupta on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 34 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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Pregnancy test karne k lye kis time ka urine lenge? Ya fr kisi v time we can check.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Pregnancy test karne k lye kis time ka urine lenge? Ya fr kisi v time we can check.
Dear user. I can understand. If you have irregular period or are not sure when you ovulated, you can do a URINE HOME PREGNANCY TEST 14 days after you last had unprotected sex. However for accuracy of result, it is recommended to do the test 21 days after intercourse. To TEST PREGNANCY AT HOME simply add urine to a small piece of soap, if froth forms, or if the soap bubbles up, the test is positive. Mix ¼ cup of tuna juice and ¼ cup of vinegar in a plastic cup. Now pee in a separate cup and then add your urine to this mixture. After a few minutes, if the color changes to green, then you are pregnant. Take care.
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I am 22 years old. Doc I want to know about 2 days ago I had sex with my partner as well as anal sex also. But now she is started getting weakness, body pain n fever also. Is it a symptom of getting pregnant? Is yes, how to prevent pregnancy. Kindly assist me on this query.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am 22 years old. Doc I want to know about 2 days ago I had sex with my partner as well as anal sex also. But now sh...
It is difficult to ascertain pregnancy in 2 days of having intercourse. What best yiou can do is keep a watch on her next scheduled periods. If she get her scheduled period on time, you need not worry of pregnancy. If she misses it then you need to rule out pregnancy.
2 people found this helpful
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I had physical contact with a girl. Wil she become pregnant? If so what is the solution.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had physical contact with a girl. Wil she become pregnant? If so what is the solution.
Hello, if the contact was unprotected and she was in her fertile period, then there are all chances that she may get pregnant.
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I am 19 girl. Doctor please suggest me how to get normal stool. From last two days ive passed today. What is the time duration of being normal. I even drink a lot of water. Morning empty stomach I am drinking mint leafs lemon in warm water from 2-3 days and bedtime honey lemon water from last 2 months Since 7-8 months I have less bleeding during periods within 2 days it has high bleeding and then till 6-7 days it turns to very very less. Is there any danger symptoms? I am very afraid please help me.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
I am 19 girl. Doctor please suggest me how to get normal stool. From last two days ive passed today. What is the time...
Hi lybrate-user. Do not worry. U shud increase the amount of green vegetables in yur diet. That wud help. Try having a cup of warm milk at bedtime. Also there are sum medicines for this kind of a problem which can be prescribed. These are safe and do not have any side effects and most importantly. These are not habit forming. So if yu are keen you can get back to me for a prescription.
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I am not virgin as I have done sex with my boyfriend and now i'm getting married with another guy and I do not even touch my vagina from 2 years as I want to be tight does vagina becomes tight in these 2 years I have done for about 1 year 8 to 9 times every month.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
I am not virgin as I have done sex with my boyfriend and now i'm getting married with another guy and I do not even t...
THE VAGINA IS A DISTENSIBLE TUBE AND THERE NO QUESTION OF IT BEING TIGHT. I AGREE THAT LOOSENESS OF THE VAGINA COMES AFTER NORMAL DELIVERY. OTHERE WISE WHEN YOU HAVE LOST YOUR VIRGINITY ITS GOING TO BE A LITTLE LOOSE. TIME IS NOT GOING TO HAVE ANY IMPACT ON IT
1 person found this helpful
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I am 23 year old boy. me and my wife try to have baby but we are not able to conceive a baby we try from last 4 months. How we can conceive a baby. so, please tell me?

MBBS
Sexologist, Panchkula
I am 23 year old boy. me and my wife try to have baby but we are not able to conceive a baby we try from last 4 month...
Get your semen analysis test done and hysterosalpingography for your wife to rule out tube blockage, if periods are normal.
1 person found this helpful
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I had sex with my wife who is pregnant with 8 month and just after that her ovary is paining, is it something serious?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Sex leads to uterus cramps, if the cramps are severe and the person is having constipation issue it can result in abdominal pain. Avoid sex as it can cause miscarriage.
2 people found this helpful
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Hello Dr. sir my wife is 31 weeks pregnet having b negative blood and my is A postive .is any complections in my wife pregency she is ist tym pregnant having b negative blood and my is A postive .is any complections in my wife pregency she is ist tym pregnet. thanks complications positive .is any complections in my wife pregnancy she is ist tym pregnet. Thnks.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello Dr. sir my wife is 31 weeks pregnet having b negative blood and my is A postive .is any complections in my wife...
Hello, There should not be any complications but she should receive ANTI-D injection at 28 weeks and also with 72 hrs after delivery, to prevent isoimmunization.
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Hello I had sex yesterday without protection and I had ipill after that and I already have periods problem not coming regularly so is there any changes of me becoming pregnant?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello I had sex yesterday without protection and I had ipill after that and I already have periods problem not coming...
Hello, You have to wait for the withdrawal bleed in next 5-7 days , if it arrives then you are pregnancy safe.
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What is the best method to ensure birth control? We do use condom while having sex, but I don't know if it assures birth control 100%. Please help.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
What is the best method to ensure birth control? We do use condom while having sex, but I don't know if it assures bi...
Condoms-male have afailure rate of 10-12%. But they have an additional advantage as they protect from std's contraceptive pills if taken regularly without missing a single dose is 99.9% effective iucd (copper-t, multiload) are 99% effective. Is aone time method, can be inserted for 3, 5or 10 years according to your requirements. Whenever you want it can be removed.
1 person found this helpful
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Hi. I didn't get my periods for almost three months. I m gaining weight due to that. Pls tell me what can I do to get my periods. I have never experienced this before. This is the first time. Pls help.

Advanced Aesthetics
Ayurveda, Gulbarga
Hi. I didn't get my periods for almost three months. I m gaining weight due to that. Pls tell me what can I do to get...
Some time its hormonal imbalance like pcos and thyroid advised for usg abdomen and blood test. hb and t3 . t4 and tsh ? Production of hormones like estrogen and progesterone trigger the development of a woman's body ? Menstruation is a natural process and women experience various problems before and during menstruation Symptoms to look for: ? Abdominal cramps ? Pain ? Excessive flow ? Sudden stoppage ? Development of clot Natural home remedy using sesame seeds: 1. Sesame seeds have pain relieving properties and also cure vomiting 2. Crush 4 tsp of sesame seeds into powder 3. Add 1 glass of water 4. Mix well 5. Drink 2 times a day Tips: ? Avoid caffeine ? Drink 8 glasses of water everyday to keep the body hydrated These remedies are based on the principles of Ayurveda, the ancient Indian science of healing, and are completely natural, non-invasive, and can be prepared at home. Consult your doctor if the symptoms persist. For further assistance you can concern me privately.
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I am 21 year old female, my nipples are paining badly, it is felt around the breast too. Any movement or jerk in my body makes me feel pain sometimes they protrude or else be soft. Red in appearance. What might be the problem. Is anything serious. Awaiting for your reply. Thanking you!

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
I am 21 year old female, my nipples are paining badly, it is felt around the breast too. Any movement or jerk in my b...
Don't worry. There is no cause for concern as it is normal for a lot of young women. It is related to our hormones. Take good diet. Plenty of water and be happy. God bless.
1 person found this helpful
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I am getting irregular periods from past 2-3 months. And suffering from cramps too.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am getting irregular periods from past 2-3 months. And suffering from cramps too.
Your problem can be due to Anaemia or hormonal imbalance due to stress.I will advice you below given homoeopathic medicinesfor 2-3 months nd surely you will be normal PULSATILLA NIG 30 ( Dr Reckeweg) Drink 5 drops in 1spoon fresh water daily night MENSOAID SYRUP ( BAKSON) Drink 2 sspoons in evening. DYSMIN ( SBL) Chew 4 tab 2-4 hrly depending on severity of pain during periods nd report after 3 months FERRUM SIP ( SBL) Drink 1 spoon twice daily Things to do 1.Daily intake of atleat 2 fruit from Apple,banaba,pomegranate,papaya,grapes, 2.2 glass milk daily 3.Lots of water daily 4.Have a sound sleep 5.Start taking a good iron supplement
1 person found this helpful
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Cushing's Syndrome - Sign's You Are Suffering From It!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Cushing's Syndrome - Sign's You Are Suffering From It!

The adrenal glands are present above the kidneys (hence the name) and produces an important hormone known as cortisol. Cortisol is responsible for regulating multiple body functions, including controlling the blood pressure, protein and carbohydrate metabolism, and anti-inflammatory response, and stress management.

Under natural circumstances, the body produces excessive cortisol in the following situations:
Physically stressing situations like illness, surgery, injury, pregnancy, etc.

  1. Emotionally stressed situations
  2. Alcoholism
  3. Athletic training
  4. Malnutrition
  5. Depression
  6. Panic disorders

Causes: Cushing’s syndrome is a group of symptoms that manifest when there is too much cortisol in the body. It is more common in women than men, in the age group of 25 to 40. Some of the common causes for Cushing’s syndrome are listed below:

  1. Consuming too much of prednisone (and other steroids) or for prolonged periods can cause Cushing’s syndrome. These are strong anti-inflammatory medications and are used in asthma, arthritis, lupus, transplants, etc., to control the body’s inflammation reaction. It is therefore advisable to use topical steroids than oral steroids or injections as their effects are more noticeable and severe.
  2. Adrenal gland tumours can cause excessive production of cortisol.
  3. Pituitary gland tumours or adenomas also can also cause excessive production of cortisol, leading to Cushing’s syndrome.

The first type is known as exogenous Cushing’s disease and the others are known as endogenous Cushing’s disease.
Signs and symptoms: Cushing’s disease produces characteristic features which are referred to as the Cushingoid appearance. These features include the following:

  1. A rounded, plump face with a pinkish hue
  2. A moon face, with fat deposits on the face
  3. A buffalo hump with fat deposits between the shoulders
  4. Stretch marks on the abdomen, thighs, and arms
  5. Weak muscles, especially in the hips and shoulder
  6. Significant weight gain
  7. Skin that gets thin and bruises easily
  8. Extreme tiredness
  9. High blood pressure
  10. High blood sugar
  11. Thin arms and legs
  12. Delayed healing of cuts and injuries
  13. Increased facial hair in women
  14. Menstrual disorders
  15. Reduced libido, infertility, and erectile dysfunction in men
  16. Emotional issues like depression, anxiety, irritability
  17. Increased thirst and urination
  18. Bone loss, and eventually fractures
  19. Affected bone growth in the developing years
  20. Increased susceptibility to infections

Complications: Untreated Cushing’s disease can lead to bone fractures, hypertension, full-blown infections, kidney stones, etc.

Treatment: This would depend on the cause. If you are on long-term steroids, the dose would need to be adjusted. This should always be done under medical supervision, as it requires constant adjustment. Underlying tumours (pituitary or adrenal) need to be diagnosed and treated. There are other hormones too which come into the picture and need to be monitored. If you wish to discuss about any specific problem, you can consult an endocrinologist..

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Sir I had been operated for goitre but it has left a deep cut on my neck kindly recommend me some cream.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gurgaon
Sir I had been operated for goitre but it has left a deep cut on my neck kindly recommend me some cream.
Lybrate-user you can apply forever aloe propolis cream with aloe vera gelly on your neck to vanish d scar completly.
1 person found this helpful
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Unconsummated Marriages - A Leading Cause Of Infertility!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Unconsummated Marriages - A Leading Cause Of Infertility!
  • Chances are you've never heard of vaginismus (or, as it is now known, genito pelvic pain penetration disorder) before. Why? Because it's the disorder nobody wants to talk about, least of all those whom it most affects - women. Vaginismus is musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty.
  • Among the male factor infertility, erectile dysfunction was found to be the top ranking cause accounting for 79.37% followed by premature ejaculation 12.01%, Lack of sexual desire 3.92%, homosexual orientation 2.79%, sexual aversion disorder 1.31% and disorders of sexual preference 0.61%. 
  • Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual or imagined negative experiences with penetration and/or organic pathology. Women with vaginismus have also been noted to have a lack of sex education.  Vaginismus was the 63.9% , ed 11.9% , PME 8.3% , low male sexual desire 2.7%, low sexual desire in female 13.9% dysfunctional underlying non consummation of marriage is largely treatable. Adaptation to the situation usually occurs and associated factors add to the primary cause. Treatment of the underlying dysfunction can challenge the relationship.
  • Sexual dysfunction is a common problem which leads to inter-personal problems and marital discord. defined as recurrent or persistent involuntary spasm of the with coitus and causes distress and interpersonal difficulty. 

 Treating vaginismus merits a two-front approach which includes behavioral sex therapy techniques and relational intervention. When appropriate, the behavioral intervention consists of prescribing dilators (from smallest to largest) that the wife is to use in the privacy of her own home to gradually desensitize herself to penetration (the fourth and usually largest dilator is roughly the size of a penis).  While the husband may be called upon to help his wife insert the dilators (depending on his wife's comfort level), for the most part his job is to ease off the pressure for her to perform, be supportive, and try to understand his role in the marital dynamic (usually an enabling one) and the associated symptom.
Ascribing to a psychodynamic model of treatment, is helpful for a couple to understand where their symptom came from, but I'll admit this is not always necessary for them to achieve a positive outcome. Nevertheless, employing the psychodynamic systems approach to uncover any conflicts that might be behind or exacerbating the vaginismus. These underlying causes may include prior sexual abuse, chronic control struggles experienced in the family of origin, negative messages or beliefs about sex emanating from the family of origin, religious values that conflict with sexual pleasure, to name a few. I also pay close attention to the couple's interactional style in order to assess whether it, too, is a contributing factor.

 What causes it?

 

  • "Both [primary and secondary conditions] are psychologically based. "It's a physical condition, but it's a psychological condition as well.
  • "To treat it correctly, you need to treat both the physical and psychological aspects."
  • while there are many hypotheses on possible causes, its actual etiology is unknown, probably in part due to the fact sufferers are so reluctant to come forward.
  • "It's a really complex thing, And while it is influenced by many things -- there are lots of hypotheses -- the big link, for primary vaginismus anyway, seems to be strong correlation between being raised in a religious environment.
  • "This may be due to several factors including lack of information, insufficient premarital education, a cultural context strongly proscribing sexual behavior, and the expectation that intercourse take place immediately after the wedding, necessitating a radical shift from sexual abstinence to sexual intercourse.
  • Often the anxiety resulting from repeated attempts at intercourse contributes to the sexual dysfunction. One or both partners may be anxious that penetration will be painful, that there will be bleeding, or that the woman will get pregnant.  While a certain amount of anxiety surrounding sexual activity is normal, when one or both partners are overly anxious, sexual function can be affected in the following ways: The male partner may have difficulty maintaining an erection strong enough to allow penetration or he may lose his erection just prior to intercourse. Anxiety may contribute to premature ejaculation, also just prior to reaching penetration. Anxiety may prevent the woman from relaxing enough to allow penetration. She may close her legs or contract her vaginal muscles. This presentation is referred to as vaginismus, defined as the persistent or recurrent difficulty of a woman to allow vaginal entry of a penis, a finger, and/or any object, despite her expressed wish to do so. While anxiety may indeed be a factor contributing to and perpetuating many sexual problems, there are many components to sexual problems, including physiological ones. Therefore, each partner in a couple presenting with an unconsummated marriage should undergo a physical exam. 
  • Physical presentations of the female partner that might prevent intercourse can include sexual pain disorders such as localized vulvodynia, also known as vulvar vestibulitis syndrome. This fairly common condition is characterized by pain with touch at the entry to the vagina, which can prevent intercourse. A woman's hymen may be a barrier to intercourse. Some women have a very thick hymen, or a septate hymen, which is a thin piece of membrane running vertically which separates the vagina in to two sides. While most of these conditions can be addressed with sexual counseling and  physical therapy, including use of vaginal dilators, in most cases a septate hymen needs to be repaired surgically.
  •  Frequently, lack of knowledge about sexual anatomy and physiology may contribute to a situation whereby attempting intercourse feels awkward and un-natural. Often all that  is needed is some basic anatomical information  and positioning advice. For example, a couple may report that the woman's vagina feels dry and excess friction prevents intercourse. In this case, the couple may  be  advised to ensure that intercourse take place when the woman is sufficiently aroused after plenty of exciting foreplay. Over the counter lubricants may be very helpful.  While some people are physically active, very aware of their bodies, and comfortable with movement, other people are less so and may simply have not figured out how their bodies move in order to comfortably find a position for intercourse. One or both of the partners may have mobility problems or difficulty getting in to or maintaining a position. A woman may have difficulty keeping her legs open or a man may not be able to hold his weight up on his arms.  In these cases as well, consultation with a physical therapist may be helpful in providing exercises and positioning advice.
  • While behavioral solutions may be found for many couples, it is important to note that couples in unconsummated relationships, particularly of long standing duration, may benefit from couples therapy directed by a competent Sexologist. A doctor working with such a couple may wish to gain understanding in how the couple presents and organizes around the problem: How is the presenting problem perceived by each partner? Is there attribution of blame?  What is the significance of the dysfunction itself and how is that perceived by the couple? Who is aware of this situation and in what way is outside intervention (community, parents, and religious leader) perceived in assisting or perpetuating this condition?  Identifying the various factors contributing to the condition and dealing with them with physical, psychosexual, and couples therapy, may be the key to consummation and the commencement of a satisfying intimate life.
    "So we are talking about people who are raised in conservative faith, who may not have looked at their anatomy in the mirror," Small continued. "They haven't touched themselves, they haven't looked at themselves -- they may view the entire thing as being dirty."
    "In terms of the secondary form, this is a result of some kind of trauma or sexual issue, and can be triggered by something later on.
    "Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children."
  • Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children.

How to treat it

  • Most women who experience vaginismus choose to live with it rather than come forward and have it treated. Even those in long-term relationships may try to conceal what is happening from their partner or forgo sexual relations all together.
  • "If they don't do that, they cut that part of intimacy out of their relationship altogether and choose to shut down any intimate feelings they might have. They end up having a very different kind of relationship.
  • "What is important to say is there is a cure and they can be helped. That's the message that needs to get out there. Treatment for vaginismus have included systematic desensitization along with insertion of graded dilators/fingers11, drugs like anxiolytics, botulinum toxin injection,12 
  • and sex therapy. An In the Indian scenario where the talk about sex is taboo and limited among partners it becomes very essential to first improve their communication so as to improve the sex related issues. eclectic approach involving education, graded insertion of fingers, Kegel's exercises and usage of anaesthesia with vaginal containment was tried.
  • As Small previously mentioned, the best approach in terms of a cure is to seek both psychological and physical treatment.
  • For the psychological side of things, she recommends seeking out a competent female sexologist.
  • Physically, many women are taught how to use vaginal dilators in conjunction with relaxation techniques.
  • "With vaginal dilators, basically how they work is you start off very very small, and then, using relaxation techniques, slowly work your way up in terms of size.
  • "It's imperative these women have a gentle introduction and remember they are in control of the situation.
  • "There is also something called saturation therapy which is often undertaken with their partner. Using dilators, they are able to discuss their mental state and what their thoughts are at any stage. There has actually been incredible results with that. Something like 90 percent of participants report sexual success afterward." there has been some preliminary research done into the effectiveness of Botox, but states at this stage, the research is still too new to offer any kind of conclusive evidence.

Steps to take

  • If you think you or your partner might have vaginismus, it's extremely important to understand treatment is available, and, better yet, comes with a high level of success rates.
  • "The first step is to see a competent female sexologist. "It is one of those things that, when it presents, it is pretty obvious it is on a psychological basis.
  • "A sexologist may double-check everything is okay, but typically what they will find is anatomically they are fine and everything is in order and working -- the cause stems from a psychological basis.
  • "The big thing about it is it's treatable, and it is possible to lead a really fulfilled life.
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My doctor advice me yaz tab after my first c- section delivery I had intercourse but my husband didn't use precautions Can I become pregnant again What is the benefit of yaz tab My period is continue after one month of my delivery.

MBBS, DGO, DNB - Obstetrics & Gynecology
Gynaecologist, Noida
My doctor advice me yaz tab after my first c- section delivery
I had intercourse but my husband didn't use precaution...
Tab yaz is contraceptive pill, it will avoid pregnancy but this is usually not prescribed if one is lactating, kindly review again to your gynaecologist if you r lactating.
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I have taken mifepristone 200 mg 1 tab yesterday at 1 pm and then taken 1 tab of 200 mg Misoprostol tab after 6 hour and 1 tab today morning after 12 hour (all orally), did I take it right way. 2 tab left of 200 mg Misoprostol tab left which I am thinking of taking after 12 hour each, pls suggest did I follow right method.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have taken mifepristone 200 mg 1 tab yesterday at 1 pm and then taken 1 tab of 200 mg Misoprostol tab after 6 hour ...
Yes you are following right schedule. Ideally misoprotol tablet, 4 of them should be taken twice a day starting from next day of single tablet of mifepristone. But now for remaining 2 tabs, do take then with a gap of 12 hours. If it's less than 8 weeks expulsion will occur or if it's just a few days up then also medical abortion fails. Do read the fine print on pack. Consult a doctor after a week of last dose taken. Incomplete abortion is a dangerous side effect of medical abortion. It does lead to hemorrhage and infection and woman keeps waiting for bleeding to stop and is scared of doctors.
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