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Dr. Sharmila O Bist

Gynaecologist, Delhi

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Dr. Sharmila O Bist Gynaecologist, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sharmila O Bist
Dr. Sharmila O Bist is a renowned Gynaecologist in Mandawali, Delhi. She is currently associated with Mother, Child & Chest Clinic in Mandawali, Delhi. Book an appointment online with Dr. Sharmila O Bist on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across 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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English
Hindi
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Indian Medical Association (IMA)

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Mother, Child & Chest Clinic

Main Road Fazalpur, Mandawali, DelhiDelhi Get Directions
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What To Do When You Are Low On Ovarian Reserve?

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Noida
What To Do When You Are Low On Ovarian Reserve?

Every woman is born with a finite number of viable eggs that can be fertilized. At puberty, most women have 2,50,000-5,00,000 viable eggs available. With age, the number of eggs available decreases. By the time a woman reaches her thirties, the number of viable eggs available can reduce to 27,000. The quality of these eggs also reduces considerably. This is known as a low ovarian reserve or diminished ovarian reserve. In many cases, though the number of viable eggs may reduce, the ovaries may still function normally. A low ovarian reserve can make it difficult for the woman to become a mother.

A low ovarian reserve is caused mainly by advancing age. However, the speed at which the quantity and quality of eggs deteriorate can be influenced by certain factors. These factors include:

  1. Smoking
  2. Genetic abnormalities
  3. Radiation treatment such as treatment for cancer
  4. Surgery on the ovaries such as surgery for endometriosis

In some cases, no clear trigger may be identifiable. There is no way to stop the deterioration of eggs but this does not necessarily mean that the woman will not be able to have a family. Women with low ovarian reserves who want to conceive can be aided through assisted reproductive technology. This includes:

Egg Preservation
Modern medical technology has found ways for a woman to preserve her eggs. This involves harvesting the eggs from her ovaries and freezing them until they are needed. The best time for a woman to do this is while she is young and has a richer ovarian reserve.

Ovarian Superovulation
Sometimes by the time low ovarian reserve is diagnosed, it may already be too late for the woman to freeze her eggs. In such cases, the doctor may advise ovarian superovulation. This can be described as an aggressive form of inducing ovulation. The treatment involves injecting the woman with hormones to induce the ovulation of multiple eggs at a time. These eggs are then harvested and can be preserved for later use or used for an IVF cycle.

Pregnancy with donor eggs
Using a donor egg is the last course of treatment for women with low ovarian reserves. In such cases, the donor egg will be fertilized by the woman’s partner’s sperm cells. The fertilized embryo will then be implanted in the patient’s uterus. The baby born will not have the patient’s genes but she will get the opportunity to carry her pregnancy to full term and give birth.

Therefore, it is best to visit an IVF specialist as soon as possible to avoid complication caused due to age.
 

I am 26 years old and my periods as about 3 weeks delayed but urine pregnancy test is negative. Is it possible in spite of pregnancy the results come negative. What should I do.

BHMS
Homeopath, Rudrapur
Yes sometime test doesnt show the positiveness. So test with the morning urine for confirmed diagnosis. And if it negative then take homeopathy drugs for regular menses.
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Irregular periods. USG done and hormone tests also. Everything is normal. Dunno the reason and what treatment to opt for.

MBBS
General Physician, Mumbai
Irregular periods. USG done and hormone tests also. Everything is normal. Dunno the reason and what treatment to opt ...
We can start with hormonal pills for two months after clinical examination to regularlise your periods
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Mam, after birth my children by CS, I am suffering from swelling in whole my entire body since last 10 year ago. I have no any diseases. I am normal but weight above 85 and age 44.

MBBS
General Physician, Delhi
Mam, after birth my children by CS, I am suffering from swelling in whole my entire body since last 10 year ago. I ha...
Dear Lybrate User, Its been 10 years of your CS, weight is now not related to CS, instead try to loose weight by doing some regular exercises like walk for 40 mins daily or jogging or some gymning, avoid oily and fried junk foods, Weight needs to be controlled now because you may gradually develop metabolic diseases like Diabetes / hypertension / joint pains due to weight .In case any special diet chart, you may try and reach us via Lybrate.
1 person found this helpful
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Mediterranean Diet!

Dietitian/Nutritionist, Panchkula
Mediterranean Diet!

Consuming a mediterranean diet - rich in fruits and fish - while decreasing the intake of soft drinks may help prevent the risk of developing colorectal cancer by nearly 86 per cent, suggests a new study. Colorectal cancer develops from intestinal polyps and has been linked to a low-fibre diet heavy on red meat, alcohol and high-calorie foods.


" We found that each one of these three choices was associated with a little more than 30 per cent reduced odds of a person having an advanced, pre-cancerous colorectal lesion, compared to people who did not eat any of the mediterranean diet components" said naomi fliss isakov from tel-aviv medical centre, in israel.


" Among people who made all three healthy choices the benefit was compounded to almost 86 per cent reduced odds" isakov added.


For the study, presented at the esmo 19th world congress on gastrointestinal cancer, the team included 808 people who were undergoing screening or diagnostic colonoscopies who were between 40 and 70 years old and had adhered to a mediterranean diet.

  • A balanced diet can help cut down sugar cravings.
  • A typical mediterranean diet was defined as consumption levels above the group median for fruits, vegetables and legumes, nuts and seeds, whole grains, fish and poultry and a high ratio of monounsaturated to saturated fatty acids, as well as consumption below the median of red meat, alcohol, and soft drinks.
  • Consumption of even two to three components of the diet, compared to none, was associated with half the odds of advanced polyps, the study showed.
6 people found this helpful

I have pcod detected previous year and I was taking treatment of ayurvedic medicines but found no such improvements so I dropped that and now I m taking homeopathic since last month. What should I do? Its been 4months since my last date.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
You can continue with homeopathy fo r 4-5 months more as homeopathy has very positive results for this problem. Still if any problem in future you can consult me. With all your reports till date.
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I am 30 year old female. I am married since three years I am trying to get conceived from past 2 and half year but all effort are in vain, always I got a disappointment. My all test are done even including HCG which is also ok, no tubes problem. What I have from start a irregular period. My periods always come late may b PCOS. My husband also gone for test and his reports are also ok. What should I do for pregnancy. Pls suggest. Should I go for IUI.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Nagpur
I am 30 year old female. I am married since three years I am trying to get conceived from past 2 and half year but al...
As per age get an amh level which will give idea about ovarian reserve. Then pills are given for formation of eggs. Yes iui should be the next thi g you should go for if you hav already had pills for 5 days in a month for couple of months.
1 person found this helpful
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My periods going on from last 20 days from the day I took medicine to abort, please guide.

BHMS
Homeopath, Hooghly
My periods going on from last 20 days from the day I took medicine to abort, please guide.
Yaaa it's for the medicine you hv taken. This are the complications that happen After taking abortive pills. Take ors daily. Take high protein in your diet. Take guava, apple,banana, pomegranate everyday. Consult with a gynaecologist if flow continues.
2 people found this helpful
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Antibiotic Resistance - Steps You Can Take To Manage It!

MD - General Medicine, CCEDM, Fellowship In Neurology & Stroke, Post Graduate Diploma in Clinical Endocrinology & Diabetes
Internal Medicine Specialist, Navi Mumbai
Antibiotic Resistance - Steps You Can Take To Manage It!

Ever been in a situation where a medicine you used to take regularly to deal with something, has suddenly stopped being effective? This is because of antibiotic resistance. This refers to the ability of bacteria to change their structure so as to resist the antibiotic. Thus, an illness that was once easily treatable is no longer affected by the same medicines and the bacteria causing the infection multiplies, thus worsening the condition.

How do bacteria develop antibiotic resistance?

When you take a drug, not all the bacteria present is affected equally. While some bacteria die out, others turn dormant. Repeated and improper use of antibiotics can lead multiplication of the dormant bacteria, which results in spreading of disease, instead of containing the same. One of the main causes of this is using strong antibiotics to treat minor viral illnesses.

What can you do to fight antibiotic resistance?

  • Follow your prescription: When taking a course of antibiotics, it is also essential to complete the course and not leave it midway just because you are feeling better. Antibiotics are also most effective when taken regularly. Hence, avoid skipping a dose in your treatment. Doing this does not completely cure the infection, but increases the bacteria's resistance to the drug.
  • Do not take someone else's medicine: Self medication can do more harm than good. Each drug attacks a particular combination of symptoms. Taking medication prescribed for someone else can increase the bacteria's resistance to antibiotics. It can also delay correct treatment, thus allowing your condition to worsen.
  • Discard the leftover medication: When stored for a long period of time, medicines lose their potency. Thus if you were to take them later, they would be less effective against the bacteria.
  • Do not take antibiotics for a viral infection: In any case, antibiotics to not address viruses and hence, the medicine will not have a beneficial effect on the virus. However, it can affect the bacteria present in your body by making it resistant to the drug.
  • Do not use antibiotics for an extended duration: Use of antibiotic for treating issues such as acne can contribute to antibiotic resistance. If you must take any such medication, ensure that you are being cared for by a healthcare professional. Most doctors will suggest giving your body breaks between antibiotic courses when it comes to long term medication.
  • Try natural remedies: Many common bacterial infections can be successfully treated naturally in their early stages. Aloe Vera, turmeric, garlic and tea tree oil are some of the natural cures for a range of bacterial infections. The biggest advantage of these natural cures is their lack of side effects.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5463 people found this helpful

Chronic Pelvic Pain - Common Causes Behind It + Related Symptoms!

DGO , MBBS
Gynaecologist, Pune
Chronic Pelvic Pain - Common Causes Behind It + Related Symptoms!

Are you suffering from chronic pelvic pain? Well, then it is time to consult your doctor. Chronic pelvic pain can be the indication or symptom for other serious disorders. It is often difficult to figure out the exact cause of the pain. Chronic pelvic pain refers to the persistent pain in the pelvic region that has been lasting for over six months. Your doctor needs to carefully examine your symptoms to know the source of the pain.

Here are some of the causes that lead to chronic pelvic pain:

Endometriosis: In this disease, cells that form the lining of the uterus grow abnormally. These cells grow on organs like the ovaries, urinary bladder or rectum. Symptoms that can be accompanied with pelvic pain in Endometriosis.

  • Pelvic pain or cramps before or during your period
  • Pain during or post sex
  • Pain at the time you ovulate
  • Pain during bowel movements
  • Rectal bleeding during period
  • Pain during urination
  • Lower back pain
  • Infertility
  • Spotting in between periods
  • Bloating

AdenomyosisThis disease is similar to endometriosis. Cells lining the uterus tend to invade the uterus and muscle tissues of the uterine wall. In many cases, women with adenomyosis are devoid of any symptoms. Some of the common symptoms are:

  • Pain during period
  • Pressure on bladder or rectum
  • Massive periods
  • Long periods

Interstitial CystitisWomen suffering from interstitial cystitis have inflammation of the urinary bladder. The inflammation is due to any infection. This affects women as a result of their aging. Symptoms:

Bacteria cause urinary tract infections. This, in turn, leads to pelvic pain. Infections can affect any part of the urinary tract. It can also affect the kidneys, bladder, and urethra. Urinary tract infections are common in women mainly. Symptoms:

  • Pressure in lower pelvis
  • Pain or a burning sensation during urination
  • Needing to urinate frequently
  • Cloudy urine
  • Blood in urine

When to visit a doctor?
It is difficult to know and assess the right time to visit the doctor. But the pain may be very irritating. It can also lead to fatal and chronic disorders. Therefore, it is best to consult a doctor if the pain persists for a long period and doesn’t vanishes with the home-based remedies or medication. The doctor may conduct lab tests, laparoscopy, or radiological tests to come to a conclusion.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5251 people found this helpful
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