Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 36 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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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Family Planning Procedure
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Patient Review Highlights
Syed Mujtaba Hassan
Dr. Samriti Uppal provides answers that are very helpful, thorough, well-reasoned, sensible and professional. Thanks for advice. Can you guide me with respect to selection and administration of formula milk. Or should I consult with gynecologist or child specialist for formula milk selection. Kindly advise.
I found the answers provided by the Dr. Samriti Uppal to be very helpful. Very helpful yo decide my travel.
Dr. Samriti Uppal provides answers that are very helpful. Thank you madam...very helpful for my confussion
I found the answers provided by the Dr. Samriti Uppal to be sensible. Any solution of unwanted pregnancy
Dr. Samriti Uppal provides answers that are caring. Thanks for the advice and the prompt reply.
Dr. Smriti Uppal provides answers that are very helpful. 22.4 mm sac size
The placenta is a rich vascular tissue seen in the inner wall of the uterus. It provides nutrition to the growing baby through the umbilical cord. It also helps in removal of wastes from the developing baby. The placenta is usually present on the upper part of the uterus and grows during pregnancy in size and vascularity.
However, if this placenta is towards the lower portion near the cervix, it is known as previa, meaning prolapse. This could happen during the third trimester of pregnancy. There are chances that it will block the cervix, which is the opening of the uterus into the birth canal. This may hinder normal delivery and can be one of the reasons necessitating cesarean section. As the baby tries to push through the placenta, the highly vascular placenta can tear and cause significant bleeding. It can be a big risk to both the mother and the baby.
Placenta previa is quite common and can happen for every 1 in 200 pregnancies. Though what causes it is not very clear, some of the predisposing factors include the following:
- Advanced maternal age (35 or more)
- Smoking mothers
- Have had children
- History of C-section
- Carrying twins or triplets
- History of uterine surgeries
There could be complete previa or total previa.
- If the placenta is in the lower portion of the uterus, but not close to the cervix, with about 2 cm distance between the cervix and the placenta tip, it is termed as low-lying placenta.
- If the placenta sits on the border of the cervix, but does not cover the opening, it is partial or marginal previa.
- When it is in the lower portion and completely covers the cervix, it is complete previa.
Placental position is monitored throughout pregnancy, and by the second trimester, the doctor can suspect potential previa. Though the placenta may be in the lower half of the uterus during the first trimester, it usually moves up towards the end of the second trimester. If it does not, then the doctor might request for periodic testing to ensure it is in place.
- Fresh bleeding during the third trimester is indicative of previa. Managing previa depends on how far you are into the pregnancy and how severe the bleeding is.
- If it is minimal, then only observation will suffice. Bed rest with no intercourse, no pelvic exams, and limited travelling is recommended.
- If the previa is confirmed and there is no bleeding, a C-section will be scheduled at 37 weeks.
- If delivery cannot wait, then the baby will be immediately delivered at the end of 34 weeks, post which the baby and mother will be kept under observation.
Irregularity in the menstrual cycle is one of the most common issues to be fixed since the hormones responsible for the menstrual cycle is affected by several factors and systems of the body. According to a report published in the Journal of Clinical Endocrinology and Metabolism in 2011, it came to the fore that frequent missing of periods over an extended period is a common problem affecting over 5 percent of women at any given time. But what’s more important is that most women suffer from irregular periods all through the reproductive span of their life.
LH (Luteinizing Hormone) and FSH (Follicle Stimulating Hormone) produced by pituitary gland stimulate the ovaries to produce estrogen and progesterone and will cause the release of the egg. When there are fluctuations in LH, FSH, estrogen, and progesterone, the menstruation cycle gets irregular. For successful treatment of irregular periods, it is crucial to determine the cause. A few predominant causes of irregular periods are:
- High levels of stress: When you are stressed out for a long time, your body learns to save energy by stopping ovulation. If you experience a traumatic event or you undergo excessive day to day stress, it can suddenly cause the adrenals to work hard which can interrupt the production of estrogen, thyroid hormones, and other reproductive hormones. Restrictive eating and over-exercising can also lead to hypothalamic amenorrhea, a condition wherein the menstruation stops for several months altogether.
- Poor diet: If your daily diet lacks antioxidants, vitamins, protein, and minerals, then there could be an adverse effect on the thyroid levels and the adrenal glands. Fried and processed foods along with sugary items can raise the adrenal fatigue and cortisol which, in turn, hinders the functionality of other necessary hormones. If you are suffering from irregular periods, you should take foods rich in antioxidants, proteins, and antioxidants.
- Extreme loss of weight: When the body mass index or BMI reaches below 18, you will start missing your periods due to low body fat. Body fat is crucial for creating estrogen, and lack of this hormone also causes issues such as anorexia and bulimia. But it is important to note here that not all women suffering from irregular periods are underweight.
- Thyroid disorders: The fluctuations of thyroid hormones often cause an irregularity of periods. According to some experts, thyroid problems are one of the leading causes of irregular menstruation. Both hypothyroidism and hyperthyroidism can cause symptoms like alterations in cortisol and estrogen levels.
- Food allergies: If you are sensitive to gluten or have celiac disease which has remained undiagnosed, it can cast an impact on the hormone levels. As these conditions may cause nutrient deficiencies, it can affect the gut health and add stress to the adrenal glands. As a result, all these together disrupt the secretion of sex hormones and cause irregular menstruation.
Several treatments are available to treat the causes that would slowly bring back your menstruation cycle to normal.
Menopause is a condition that marks the end of the menstrual cycle. It is a normal phenomenon that women experience with age. Menopause affects the bone health adversely. Bone health is directly tied to oestrogen, the hormone responsible for reproductive cycles, pain sensitivity. As a woman moves out of her fertile years there is an internal change in the reproductive system and the consequences can be seen and felt all over the body, including the bones.
The years just preceding menopause, with their hormonal fluctuations can set the stage for later health issues like bone weakening. As the oestrogen level drops, the bone density starts to decline which continues for a long period of time. The bone loss can become significant during perimenopause (the decades making up to menopause) and will speed up in the first few years of menopause.
The oestrogen level directly affects the process known as bone remodelling; the constant breakdown and the remodelling of the bone in the skeleton. With less oestrogen in the body cells called osteoclasts are able to absorb bone at a faster rate than osteoblasts (bone-building cells) are able to regenerate new bone. Thus the bone remodelling equation is no longer equal and the bone density continues to decline.
The osteoporosis risk after menopause is a serious one, yet so many women refuse to pay it much attention. Perhaps it’s because the bone damage isn’t visible, or that bone loss continues so gradually for so many years. While the bone loss cannot be completely halted, there is plenty that can be done to slow it down. Here are some ways to take care of your bone health before or after menopause.
- Stay active: Adopting an active lifestyle after menopause helps in protecting the bones. It's recommended that adults between 19 to 64 years of age should do moderate to intense activity. This could include activities such as cycling or brisk walking. Sitting for long hours should be avoided. Weight-bearing exercises and resistance exercises are particularly important for improving bone strength and helping to prevent osteoporosis.
- A balanced healthy diet: A healthy, balanced diet that includes calcium and vitamin D will help maintain healthy bones after the menopause. Good sources of calcium include green, leafy vegetables (but not spinach), nuts, seeds, dried fruit, tinned fish with the bones in, and dairy products like milk, yoghurt and cheese. Good food sources of vitamin D include oily fish, eggs, and fat spreads or breakfast cereals
- Hormone replacement therapy: HRT can be an effective treatment for common menopausal symptoms like night sweats, sleep disturbance and achy joints. It works by replacing oestrogen, which naturally begins to lower post menopause. HRT can also help to maintain bone density and reduce the risk of osteoporosis.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hi. I'm married almost 2&half years gone without kids. Aftr 1 years of married life I crossed several irritating qunz abt pregnancy frm my relatives & others. We finally noticed our problem then gone under exam & found I have PCOD. Now almost 1 & half years gone I still worry about my pregnancy Finally this month I feel vomiting in a day. Bloating/gas filled my stomach. Un easy to sleep in different positions. White discharge. Mild headache. My periods date r near. Fear to take pregnancy test. Can't able to accept if it's -ve. Please guide me.
I am 32 week pregnant. When do I get to know weather normal delivery or C section. My scanning report is normal but Sugar is on border FBS 88, PPBS 122.
Hello doctor. Actually intercourse happened 2 times. Frst on 24th of feb which was protected still I have taken ipill on 26th of feb nd second on 5th of march which was unprotected but he didn't put his sperm in nd I took ipill within 24 hours. My expected period date was 12th of march but I got lil spotting on 11th. Nd on 12th morning flow got heavier. Nd it ended on 14th. But proper bleeding happened only for 2 days 12 & 13th. Nd after that I have done almost 4 pregnancy test at home on 16-17-18-21 all were negative. So doctor that bleeding was my periods or implantation bleeding? Is there any risk of pregnancy? My urine is also dark in color. Nd doctor the bleeding was lil less than my periods but flow was good. So doc is there any chance of getting pregnant? Or there is no risk now?
Menstrual cramps that occur during menstruation cycle can impair your regular activities. The menstrual cramps, also called dysmenorrhea, are caused by the uterine contractions. The intensity of the pain that a woman feels can be related to the woman’s prostaglandin glands. Those who are with elevated levels of prostaglandin suffer from intense than those with lesser levels.
Though the menstrual cramps are harmless, they do get unmanageable at times. Like dealing with any other pain, a relief becomes necessary. Several remedies and treatments are available to reduce menstrual cramps, and some of them are listed below.
- An Improved Diet: The easiest way that you can adopt to tackle menstrual cramps is to improve your diet. You must reduce consuming fats and turn to vegetables as your primary food. Low-fat diet always helps to decrease the overall inflammation in your body. Its effects on menstrual cramps have also been noticed. Thus, it is beneficial to stop consuming saturated unhealthy fats and start consuming unsaturated healthy fats.
- A Painkiller is Effective: The most popular remedy for pain has always been a painkiller. Though treating your menstrual cramps with pills is rare, but a safe painkiller with no steroids can seal the deal. However, as it with any medicine, consult your doctor before consuming any.
- Tea: Just plain tea or herbal teas can be helpful to reduce the menstrual cramps. Though the research on this particular relief method is extremely scarce, it is a traditional remedy and has been giving some refuge to women under cramps. Tea with cramp barks and tea with peppermint oil are a few of the most popular home remedies to manage the pain.
- Fish Oil and Vitamin B1: Fish oil supplements and vitamin B1 has been proved to be useful in treating menstruation cramps. A study published in September 2014 in Global Journal of Health Science showed that women who were consuming fish oil supplements or Vitamin B1 or both showed reduced effects on cramps than the women who didn’t take any. Moreover, consumption of fish oil supplements or vitamin B1 or both disappeared the cramps faster than usual.
- Essential Oil Massage: A study published in the Journal of Obstetrics and Gynaecology Research in May 2012, showed that a massage with aromatic essential oil over the abdominal region, both upper and lower, helped to reduce the pain and the cramps. Take a few drops of the oil and massage frequently over the course of your period, and it will provide you with some relief.
- Hot Pad: Perhaps the most followed remedy to menstrual cramps is the hot pad. Curl up with a hot pad over your lower abdomen, and it is sure to give you relief. This is great for minor cramps.
Traditional and home remedies provide relief in most cases. However, if the pain is unbearable and occurs along with vomiting or other problems, visiting your gynecologist is advised.
In case you have a concern or query you can always consult an expert & get answers to your questions!
In case you are focused and happy during your pregnancy, you will, in all probability, have a sound and healthy baby. It is normal to be somewhat worried about the complications that are going on in your life and in your body.
However, in case you are not resting and are on edge without stopping for even a minute, in such a case you must approach your maternity specialist or doctor for assistance. Regardless, increased amount of tension may affect your child. That is on account of the anxiety hormone cortisol that can cross the placenta and affect the building squares of your child's growth and advancement.
Here are some tips to reduce the baby stress:
- Rest and concentrate on your child: Resting is beneficial for you and your child, so do not feel regretful about it. Invest significant energy to concentrate on your baby. Listen to your body. In case you are feeling tired, go to bed early. Your body is striving to feed your developing baby and you require all the rest you can get.
- Discuss it: In case you are stressing over your infant's growth, or an individual matter, you can simply go to your birthing specialist for discussion. Try not to be scared to express how you are genuinely feeling. If you are straightforward, you will probably get the boost you require.
- Eat well: Eating healthy is useful for your brain and your body. A sound eating diet of omega-3 unsaturated fats, vitamins and minerals can lift your energy levels. The omega-3 unsaturated fats found in slick fish and fish may decrease the stress. Try to have salmon, fish, mackerel, sardines, pilchards and trout.
- Work out: Exercise can improve your health. It is usually recommended to exercise during pregnancy. In case you did not exercise before you were pregnant, now may be a decent time to begin. Make it delicate work out, however. Swimming is perfect, as it keeps you conditioned, without being too hard on your joints.
- Plan for birth: You can likewise take free online antenatal classes. In case you are having an arranged cesarean, speak with your birthing assistant or obstetrician about what will occur on the day. Drawing up a cesarean birth plan can help you feel more sure, confident and in control.
- Adapting to driving: Driving can be a noteworthy source of stress, and it tires you all the more intensely. Inquire as to whether you can keep away from peak hours, maybe beginning and completing work sooner than .usual. This should not be too difficult since your boss and your company are mostly obligated to grant you with such demands. In case you have a concern or query you can always consult an expert & get answers to your questions!