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Dr. Shashi Khetarpal

Gynaecologist, New Delhi

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Dr. Shashi Khetarpal Gynaecologist, New Delhi
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Shashi Khetarpal
Dr. Shashi Khetarpal is an experienced Gynaecologist in Tagore Garden, Delhi. You can consult Dr. Shashi Khetarpal at Dr Shashi Khetarpal's Clinic in Tagore Garden, Delhi. You can book an instant appointment online with Dr. Shashi Khetarpal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 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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Ways To Manage Excessive Bleeding

DGO, MBBS
Gynaecologist, Delhi
Ways To Manage Excessive Bleeding

Heavy or prolonged bleeding during menses is medically known as 'menorrhagia'. It is more common as you approach menopause but can occur at any age. The bleeding has to be severe enough to interfere with your daily activities.

The cause could be hormonal, pregnancy complications, bleeding disorder or a structural lesion like a fibroid, polyp, endometriosis or adenomyosis.

In advanced age cancer of the uterus or cervix has to be ruled out.

Symptoms of heavy periods

  1. Soaking a pad or tampon every 2-3 hrs or less in a day
  2. Passage large blood clots during menstruation
  3. Your period lasts more than seven days
  4. You become anemic due to excessive blood loss

Investigations

  1. Women can be asked to complete a pictorial representation to assess the volume of blood loss.
  2. FBC is important. Every woman presenting with heavy menstrual bleeding should have FBC taken. The most common cause of iron-deficiency anaemia in women is menorrhagia.
  3. Tests for endocrine abnormalities, including TFTs should be performed only if there is clinical suspicion.
  4. Assessment of bleeding disorders is only indicated if there is clinical suspicion.
  5. Consider ultrasound scan in women who have symptoms or signs suggestive of underlying pathology.

How to manage excessive bleeding

1. Increase your intake of fluids and salt

You should increase your intake of fluids and especially salty fluids during heavy menstruation. You can have vegetable juices like tomato juice as well as salty broths during such times. This will help you especially when your blood volume goes down (which is characterized by dizziness or pounding of heart) when you get up after lying down. Your body would need more than four to six cups on such a day.

2. Increase the intake of iron

Increase your iron intake through natural sources like green vegetables, egg yolks, red meat, liver and dried fruits like raisins and prunes. You can also start an iron tablet once a day for faster recovery from anemia

3. Visit your gynecologist

A good history, few blood tests, and a simple ultrasound generally leads to the diagnosis. Sometimes a biopsy is required to rule out cancer. Multiple new drugs have been added in the last few years which have avoided the need for surgery

An early diagnosis ends up with better results. Hence, it is important to act early

2759 people found this helpful

Bedwetting - Can Homeopathy Help in Curing it?

Diploma in Diet and Nutrition, M.Sc - Psychology, BHMS
Homeopath, Delhi
Bedwetting - Can Homeopathy Help in Curing  it?

Children may run around having fun and growing in the process. Some children may be more active than the others and some may be more attentive at school. All children go through some sort of trouble while growing up. This is because of the drastic changes that the bodies of little children constantly go through. One such problem commonly faced by the children is bedwetting. This problem may be a common one, but it should be brought under control as soon as possible so that the children do not have to face social embarrassment as they grow older. Learn more to improve child's immunity system.

Apart from providing a healthy and happy living to the children, it may be essential to find a way of treatment that may not leave the child affected by the harmful ingredients of the regular allopathic medication. One of the safest and the most effective ways to be able to treat bedwetting is homeopathy. Homeopathy is a branch of medicine and treatment that works on the body of the user with the most natural ways. The medicines in homeopathy are made using basic ingredients from plants and other organic materials.

Homeopathy for children:
The use of homeopathy for problems that affect the children in particular is essential because of the fact that they have growing systems and the growth may get adversely affect with the strong and highly potent allopathic drugs. It is also important to understand the nuances of controlling the bedwetting issue in children and also know what the causes of the problem may be:

  1. When the children are highly fatigued, they may wet the bed due to the deep sleep that they may be experiencing after a tiring time.
  2. In times of winter when the cold is uncontrollable or much more than usual, it may be natural for some children to not be able to control their bladder.
  3. In a lot of cases, the children may also wet the bed when they have had a scary or traumatic experience.

Just as the causes of the problem are varied, it must be realized that the medications are also supposed to be administered according to the issue.

Homepathic medication for betwetting
Homeopathy is a stream of medicine that treats the body in the most delicate manner, which is why it is a safe alternative for children. However, it must also be ensured that proper medical intervention is attained to start a course of homeopathic medication as well, so that bedwetting may be treated within a desired amount of time and the child may feel free from the embarrassment of wetting the bed. Why homeopathy is best for children?

6903 people found this helpful

What medicines to be taken after sex. Which are 100% effective for not getting pregnancy?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
What medicines to be taken after sex. Which are 100% effective for not getting pregnancy?
Hello, you may opt for an emergency contraceptive pill like ipill within 72 hrs of intercourse to prevent pregnancy.
1 person found this helpful
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Focus on Deep Breathing

MBBS, FIAGES-MInimal Access Surgery
General Surgeon, Kota
Focus on Deep Breathing
  • When you are trying to juggle multiple things at a time, you are bound to be stressed. Five to ten minutes of deep breathing can help in relaxing you and reducing anxiety.
  • You can also close your eyes and focus on relaxing and tensing each muscle group while taking deep, slow breaths. The best part about this is that you can do it any time, at home, workplace or even on the road.
3 people found this helpful

My GF is 22 n I am 35. She is not getting her periods regularly and if she gets then very few drops. V do the pregnancy test every Month but it's negative. N she discharges lots of white fluid from her vagina everyday. Can you guide me please Is her vagina infected by oral sex?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, there is likely that she is suffering from vaginal candidiasis and should seek treatment for it. She would require antifungals. Irregularity in menses would have to be evaluated in detail. please follow up.
1 person found this helpful
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I've a big swelling in vaginal area probably at clitoris part. Its itching and also I've pain and unable to walk, sit or sleep even. Im 28f and would need some advice badly. I can't go to a Dr. as it being a private area I'm shy and scared to go and meet directly. Hope this q is kept private. Waiting for a reply. Thanks.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
it is due to fungal infection.apply anti-fungal cream or ointment on vaginal portion for itching.keep dry and clean vaginal portion.take healthy diet.
2 people found this helpful
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I have low lying anterior placenta in my 20th week now I take scan in my 30th week it was normal now. There is a way to get normal delivery.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I have low lying anterior placenta in my 20th week now I take scan in my 30th week it was normal now. There is a way ...
Yes if your placenta has moved up there should be no reason why you cannot try for a normal delivery unless there are some other problems.
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HIV/AIDS Practice safer sex

Advanced Aesthetics
Ayurveda, Gulbarga
HIV/AIDS  Practice safer sex
Safer sex

Taking simple steps to prevent getting or spreading HIV will pay off both for you and for those you love. The only 100 percent effective way to prevent the spread of HIV through sex is to abstain — to not have sex of any kind. If you do have sex, practice safer sex methods. These are the steps you can take to help prevent HIV infection from sex:

Abstain from sex. Not having vaginal, anal, or oral sex is the surest way to avoid HIV. If you do decide to have sex, you can reduce your risk of HIV by practicing safer sex.
Get tested. Be sure you know yours and your partner's HIV status before ever having sex.
Use condoms. Use them correctly and every time you have sex. Using a male condom for all types of sex can greatly lower your risk of getting HIV during sex. If you or your partner is allergic to latex, use polyurethane condoms. If your partner won't use a male condom, you can use a female condom. It may protect against HIV, but we don't have much evidence that it does, so it is better to use a male condom, which we know has a high rate of preventing HIV infection. Do not use a male and female condom at the same time. They do not work together and can break. "Natural" or "lambskin" condoms don't protect against HIV. Condoms are easy to find, and some places give them out for free. Contact your local health department or a health clinic for information about places in your area that may give away free condoms. For instance, the New York State Health Department offers a cellphone app that can help youth find free condoms in their area.
Talk with your partner. Learn how to talk with your sexual partner about HIV and using condoms. It's up to you to make sure you are protected. Remember, it's your body!
Practice monogamy (be faithful to one partner). Being in a sexual relationship with only one partner who is also faithful to you can help protect you.
Limit your number of sexual partners. Your risk of getting HIV goes up with the number of partners you have. Condoms should be used for any sexual activity with a partner who has HIV. They should also be used with any partner outside of a long-term, faithful sexual relationship.
Use protection for all kinds of sexual contact. Remember that you don't only get HIV from penile-vaginal sex. Use a condom during oral sex and during anal sex. Dental dams also can be used to help lower your risk as well as your partner's risk of getting HIV during oral-vaginal or oral-anal sex.
Know that other types of birth control will not protect you from HIV. Other methods of birth control, like birth control pills, shots, implants, or diaphragms, will not protect you from HIV. If you use one of these, be sure to also use a male condom or dental dam correctly every time you have sex.
Don't use nonoxynol-9 (N-9). Some contraceptives, like condoms, suppositories, foams, and gels contain the spermicide N-9. You shouldn't be using gels, foams, or suppositories to prevent against HIV — these methods only lower chances of pregnancy, not of HIV and other sexually transmitted infections (STIs). N-9 actually makes your risk of HIV infection higher, because it can irritate the vagina, which might make it easier for HIV to get into your body.
Get screened for STIs. Having an STI, particularly genital herpes, increases your chances of becoming infected with HIV during sex. If your partner has an STI in addition to HIV, that also increases your risk of HIV infection. If you have an STI, you should also get tested for HIV.
Don't douche. Douching removes some of the normal bacteria in the vagina that protects you from infection. This can increase your risk of getting HIV.
Don't abuse alcohol or drugs, which are linked to sexual risk-taking. Drinking too much alcohol or using drugs also puts you at risk of sexual assault and possible exposure to HIV.
Take time to talk before having sex

Talking about sex is hard for some people. So, they don't bring up safe sex or STIs with their partners. But keep in mind that it's your body, and it's up to you to protect yourself. Before having sex, talk with your partner about his or her past and present sexual behavior and HIV status, and talk about using condoms and dental dams. Ask if he or she has been tested for HIV or other STIs. Having the talk ahead of time can help you avoid misunderstandings during a moment of passion. Let your partner know that you will not have any type of sex at any time without using a condom or dental dam. If your partner gives an excuse, be ready with a response.
From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.
40 people found this helpful

Hi, My wife's pregnancy reports are positive and now I am asking you can I do intercourse with her and how many times I can do now please give me answer thanks.

MBBS
General Physician, Mumbai
Hi, My wife's pregnancy reports are positive and now I am asking you can I do intercourse with her and how many times...
It's better to avoid jerky movements and anykind of pressure on the abdomen in the first four months of pregnancy because of risk of missed abortion
1 person found this helpful
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