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Dr. Sanjay Goel

Gynaecologist, Delhi

300 at clinic
Dr. Sanjay Goel Gynaecologist, Delhi
300 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Sanjay Goel
Dr. Sanjay Goel is a renowned Gynaecologist in Bapa Nagar, Delhi. You can consult Dr. Sanjay Goel at Sharma Maternity & Surgical Centre in Bapa Nagar, Delhi. Save your time and book an appointment online with Dr. Sanjay Goel on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 31 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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H-482, Vikaspuri. Landmark:- Near KR Mangalam School, DelhiDelhi Get Directions
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Hello doctor, I am pregnant and its 4 month is about to complete in days. But from last three days I have pain on my lower back. Pain its like its same as in period its happened. Will you please suggest me is this normal?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hello doctor, I am pregnant and its 4 month is about to complete in days.
But from last three days I have pain on my ...
If pain is like periods then you must consult Gynecologist urgently. Otherwise backache is common and will increase as number of days increase.
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My wife having periods since last 1 month, we have 2 children, she is 32 years old, any suggestions what needs to be done

Bachelor of Ayurveda, Medicine and Surgery (BAMS), diploma in anorectal disease
Ayurveda, Kolhapur
Having periods monthly is normal thing but not having it for one month ,you should go for Urine pregnancy test or USG.
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My girl friend is got before marriage pregnancy 2 month. What should I do.?

CCST, Accredation in Colposcopy, MRCOG, MD, DGO
Gynaecologist,
My girl friend is got before marriage pregnancy 2 month. What should I do.?
If you are marrying soon then the best advise is to continue with the pregnancy. Else go ta doctor for tests and advice on termination.
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Homoeopathic Treatment For Abortion/Miscarriage

BHMS
Homeopath, Surat
Homoeopathic Treatment For Abortion/Miscarriage

Being a mother is the greatest gift to womankind. Every woman dreams of bearing a child. The feeling of being a mom is beyond any description. For some women, conception becomes a long and painful struggle. The fetus requires a complete 28 weeks to mature. Women who are unable to hold fetus or where fetus ceases to grow to suffer complications. Abortion is a term used for medical termination of pregnancy. It can be induced by drugs or surgery. However, complications can arise within any trimester causing a miscarriage. Miscarriage refers to the loss of a fetus before 20 weeks of pregnancy. A miscarriage is medically known as spontaneous abortion that may occur due to fetal or maternal complaints.

The symptoms of a spontaneous abortion are severe pain, cramps or heaviness in abdomen, fluid or tissues passing from the vagina or vaginal spotting or bleeding. These are warning signs and immediate gynaecologist attention is required in case of any such symptoms.

Let’s look at some of the causes of miscarriage:

  1. Faults in the genetic makeup of the fetus or chromosomal abnormalities can cease fetal growth.

  2. Immune system disorders

  3. Infection such as syphilis, rubella, poliomyelitis can lead to fetal death

  4. Trauma and injury due to accidents may cause loss of fetus

  5. Lifestyle factors such as excessive smoking, drinking, drug abuse can lead to fetal death.

  6. Women with fibroids, cysts, menstrual issues or uterine abnormalities have a tendency for recurrent abortions.

  7. Women with hormonal imbalances also tend to suffer miscarriages.

Homeopathy, with its holistic systems approach, provides highly individualised treatment for recurrent abortions. This all natural treatment targets the symptoms of the disease in totality. Homeopathic treatment of miscarriages goes beyond treating complications in conception and aims to restore uterus health and hormonal balance. It also deals with psychological symptoms like mood swings, irritability, anger, depression and fear that become associated due to recurrent failures in pregnancy. Morning and evening sickness can also be effectively managed through homeopathic medication.

Apart from this, homeopathy effectively combines a preventive and curative approach to treatment. It ensures that the patient is treated for the miscarriage and her health be restored for further conception

  1. Arnica is a well-known remedy for miscarriages in case it happens due to falls, lifting weights or violent concussion. If given in time, it may reduce the chance of miscarriage.

  2. Caulophyllum: deals with the tendency of miscarriage due to weakening of uterine tissues.

  3. Crocus Sativa: Deals with the tendency of abortion in Ist or 2nd month and issues like mood swings, violence, repentance and sadness.

  4. Erigon: effective remedy for irritability, abortion due to exercise and profuse bleeding.

  5. Sepia: Deals with morning sickness, depression, the tendency to abort in 5th to 7th month.

These and many other remedies are available for effective and long term treatment. Remember to consult a qualified homeopathic doctor for the same.

1 person found this helpful

My sister is pregnant and it is 4th month of her pregnancy but every 15 days interval she suffers from bleeding how can we solve this problem.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My sister is pregnant and it is 4th month of her pregnancy but every 15 days interval she suffers from bleeding how c...
There must be some clot there which is coming out. I hope ultrasound is done and treatment for the same is going on from a gynecologist. Bleeding sometimes suggest that abortion process is going on which needs treatment.
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Health Quote of the Week

MBBS, MD - Dermatology
Dermatologist, Gurgaon
Health Quote of the Week

Include ahas and bhas in the form of cleansers or moisturizers to erase discolorations and imperfections.

2 people found this helpful

Age: 36 years First Trimester: 10 weeks pregnant Location: India Since week 6 of pregnancy, diagnosed with Bronchitis. Dry cough is persistent, white or light color mucous in morning. Constant cough while lying down. Difficulty in swallowing food and pain in throat is present. My Gynecologist and Physician have refused medicines for bronchitis as I am pregnant. I am taking foliate [folic acid medicine for pregnancy]. As advised I am only taking steam for some relief from cough. Please Suggest some home remedies or alternate pregnancy safe medicines for this as I am unable to take the cough and pain.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Age: 36 years
First Trimester: 10 weeks pregnant
Location: India
Since week 6 of pregnancy, diagnosed with Bronchitis...
Hi lybrate user, please treat bronchitis if it is persistent it may create problems to baby like may lead to early delivery and preterm baby. Please you can have warm water with ginger daily morning. Salt water gargels, nebulisation with budesonide, salbutamol.
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Sir I am 24 years old when I was in senior inter I found that I have a pcod problem. On that time I have irregular periods I took treatment. Doctor said me after 6 months stop medicine it is enough for you. Last three years I am getting regular periods is it pcod problem cured. Pcod problem can clove permanently. Is there any further problems in future. Please give me some home remedies for weight loss and pcod problem. Thank you sir.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Sir I am 24 years old when I was in senior inter I found that I have a pcod problem. On that time I have irregular pe...
No PCO does not go away completely as it is a genetically determined condition. However most of the symptoms can be controlled by a combination of Diet, exercise and medicines. Since you are doing well now without medicines I would advice you to eat a healthy diet rich in proteins , vitamins and minerals and do regular exercise. Avoid sweets and fried foods.
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I have irregular periods .from 2 months I dint get my periods .I have white discharge .how can I get it cure.

DHMS (Hons.)
Homeopath, Patna
I have irregular periods .from 2 months I dint get my periods .I have white discharge .how can I get it cure.
Hello, Lybrate user, Menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 polls, thrice. * Ensure, sound sleep in d night for at least 7 hrs. * Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care.
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My wife is pregnant of 4 months can we do sex in this situation is their any harm to baby and my wife.Please tell.

MICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
My wife is pregnant of 4 months can we do sex in this situation is their any harm to baby and my wife.Please tell.
If she has no bleeding if placenta is not low lying if there is no other high risk factor, you can do sex.
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I am 31years old female. I am suffering an urticaria problem since 2006. I did so many treatment about same but did not any change, temporally I feel relaxibility so I tired from all tablets so kept all that medicines and alternate I have been taken a cetragen tablets. Pls guide me how I will free from this urticaria, and also I want carry pregnancy but do not conceive. In last three years I missing my unmature pregnancy from 3 month. So pls advice and proper guide.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 31years old female. I am suffering an urticaria problem since 2006. I did so many treatment about same but did n...
For urticaria you need to consult dermatologist. And for pregnancy we can help you. As you told that you have miscarriage in early stages of pregnancy it may be because of stress, infection or any uterine anomaly. To rule out these you need to get these tests done before conception i. E. Tb pcr, torch, usg for uterus and adenexa, lh, fsh, tsh, prolactin, amh done, and discuss the reports with us.
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My wife check pregnancy test and it is positive now so please advise me. We don't want child now. We have one boy and now he is 10 months old. First pregnancy of my wife is normal.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
My wife check pregnancy test and it is positive now so please advise me. We don't want child now. We have one boy and...
Hello, Please rule out ectopic pregnancy first with an ultrasound pelvis and then you can opt for medical termination of pregnancy under gynecologist.
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How is anemia related to urinary tract infections in pregnancy? Please advice.

CCST, Accredation in Colposcopy, MRCOG, MD, DGO
Gynaecologist,
How is anemia related to urinary tract infections in pregnancy? Please advice.
Any infection in pregnancy suppresses the bone marrow and hence the anaemia. Also in certain infection there can be break down of red blood cells and passage in urine.
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Last week I had the urine with some bloods 2 traps and my body is over heat daily, it is pregnancy symptoms ?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Last week I had the urine with some bloods 2 traps and my body is over heat daily, it is pregnancy symptoms ?
Mean you did the urine pregnancy test which is showing 2 lines yes if it is showing two lines then you are pregnant.
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My wife have pregnant for 5 month is she good eat papaya? Some say papaya is not good for pregnant women. I am confuse please advise.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My wife have pregnant for 5 month is she good eat papaya? Some say papaya is not good for pregnant women. I am confus...
Hello, A moderate intake of ripe papaya will infact help her getting high dose of vitamin A and will also help ease constipation. Papaya in raw form should be completely prohibited.
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First Vaccine Again Dengue

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
First Vaccine Again Dengue

Dengvaxia - First vaccine against dengue:

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

 

Read more:-

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

 

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: Dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: Children less than 9 years of age should not receive the vaccine.

 

Side effects:

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: If any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10,000 people), after receiving any vaccine.

Other side effects: The following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): Injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): Infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): Uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: Uncommon (may affect up to 1 user in 100), Itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: If the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

 

Interactions:

Using other medicines and dengvaxia: Dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

 

Caution for usage:

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1:1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

 

Storage

Store in a refrigerator (2°c-8°c). Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

 

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

 

Mechanism of action:

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - First vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

 

Sanofi pasteur - Dengue vaccine frequently asked questions

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Hi dr. I did sex wd my gf at last month but she said her cycle is miss so how should i stop the pregnency if she has

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, Actually you are late for any emergency contraceptive measure. Now get a urine pregnancy test done and check for pregnancy. If positive then MTP can be opted for unwanted pregnancy under a physician's supervision. Regards
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