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Dr. Sheetal Agarwal

Gynaecologist, Delhi

500 at clinic
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Dr. Sheetal Agarwal Gynaecologist, Delhi
500 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. Sheetal Agarwal
Dr. Sheetal Agarwal is a renowned Gynaecologist in East Of Kailash, Delhi. He is currently practising at Nova Hospital in East Of Kailash, Delhi. Book an appointment online with Dr. Sheetal Agarwal on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 26 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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Nova Hospital

Nova Hospital, East of kailash, DelhiDelhi Get Directions
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Conceiving After PCOS Or Endometriosis - How Can IVF Help?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
Conceiving After PCOS Or Endometriosis - How Can IVF Help?

Getting pregnant can become an immensely frustrating experience for women with endometriosis or cyst with IVF treatment. Many women with endometriosis worry about whether they will be able to conceive and bear a child. This is because, in such a case, there is a collection of endometrial tissues outside the uterus that results in a painful inflammation along with the formation of blood-filled cysts in the ovary and bands of scar tissues.

How does PCOS or endometriosis affect the process of reproduction?
When a woman has any of these fertility issues, there could be endometrial growths of the tissue hindering the normal functioning of the reproductive organs. When the endometrial tissue formation involves the ovaries, there is a restriction on the release of eggs. On the other hand, when the fallopian tubes are affected, it would prevent the sperm from reaching the egg or it may also stop the fertilized egg from travelling to the uterus. Though each of these instances may sound challenging, experts suggest that IVF treatment can be helpful in offering desired results. It is estimated that about one-third of women suffering from endometriosis can conceive naturally without any treatment whatsoever. But for the rest of the women that suffer from endometriosis, IVF can be the best bet.

How can IVF help in getting pregnant in this scenario?
In order to make pregnancy possible for women with multiple adhesions, endometriosis or PCOS, the doctor would definitely begin with a comprehensive evaluation of hormones along with the presence of other chemicals in the body. Diagnostic tests such as hysteroscopy, hysterosalpingography, and laparoscopy can also be of great value in offering an insight into the individual patient’s condition.

When the IVF process has been successful, the embryo will get implanted in the uterus and cause the much-desired pregnancy. If there is any embryo remaining, it may be stored for use in future or donated to other couples. IVF is deemed successful for overcoming most of the female factor caused infertility including cyst, PCOS, and even endometriosis. There are 5 fundamental steps in IVF and they are:

  1. Super-ovulation or the process of stimulating the reproductive organs of a woman for releasing numerous healthy eggs. This is the first point of contradiction between IVF and normal pregnancy where a single egg is released and ovulated.
  2. The second step constitutes retrieval of eggs and sperm collection
  3. Then there is insemination as well as fertilization of the eggs with the help of the sperm
  4. Development of embryos and subsequent genetic evaluation when needed
  5. Transfer of the embryo in the uterus of the woman

Since IVF allows a controlled interaction between the egg and the sperm, it offers a high rate of success even when the patient is affected by complex disorders such as endometriosis, PCOS or cyst. Hence, discuss with your doctor if it is a viable option for the given situation. In case you have a concern or query you can always consult an expert & get answers to your questions!

5453 people found this helpful

Multivessel Stenting Or Bypass Surgery - Understanding The Difference!

Multi-Speciality Clinic
Cardiologist, Hyderabad
Multivessel Stenting Or Bypass Surgery - Understanding The Difference!

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.


Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

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

3753 people found this helpful

How To Know Your Fertility Status?

MBBS, DNB - Obstetrics and Gynecology, Fellowship In Reproductive Medicine
IVF Specialist, Delhi
How To Know Your Fertility Status?

Everyone should know their fertility status before planning for pregnancy. These days couples are planning to start a family at a later date. Hence is the importance of getting a fertility check done.

For males the gold standard investigation is semen analysis. If semen analysis is within normal limits then no further investigations are needed for male partner. 

In case of female partner- serum. Amh or anti mullerian hormone estimation is of prime importance. Amh levels give a fair idea about the fertility status. If levels are borderline or low then delaying family is not advisable. Unmarried girls can go for fertility preservation with egg freezing. Married couples should not delay conception & take help of a specialist if they are facing problems in conceiving.The othet test for female fertility is ultrasound to check for antral follicles. These give a fair idea about fertility status too.

In case a male or female gave undergone any surgery which can impact their fertility them help should be seeked earlier. 
 

What Is Polycystic Ovarian Syndrome (PCOS)?

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
What Is Polycystic Ovarian Syndrome (PCOS)?

PCOS is a common condition among women characterized by an imbalance in female sex hormones and large ovaries with many cysts/ follicles that do not produce egg.

PCOS is associated with many long-term health risks like diabetes mellitus, obesity, heart disease etc. Early diagnosis and treatment can help in reducing these risks.

Symptoms-

  1. Menstrual irregularities- Periods may come early or late and may be too light or heavy.

  2. Excess hair growth or acne on chin, face, chest, abdomen or back.

  3. Features of insulin resistance- acanthosis ( dark, thick skin markings on neck, armpits etc) or skin tags.

Long-term health risks-

Other health problems associated with PCOS are- Diabetes mellitus, High blood pressure, weight gain and obesity, high cholesterol and heart disease.

Diagnosis-

Blood tests for hormones, ultrasound pelvis and tests for blood sugar, cholesterol etc are required to make diagnosis and rule out associated diseases.

Treatment-

  1. Weight loss ( even 5-10% of your initial weight) can help treating these hormonal changes as well as associated complications.

  2. Medicines are prescribed depending on the symptoms of the patient and whether the patient is planning a pregnancy or not.

  3. Local treatment in the form of laser/ electrolysis for permanent hair removal may be required.

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

1993 people found this helpful

I have period problem. I used novelon tablets last 9 months. Btut last 15 days I dont used any tablets. & the problems begin. Doc told me that I have a hormon problem. My period is irregular & too much pain. What should I do?

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Hi mam, read my tip on pcos take sepia 1 m twice dy for 3 days. Oopho12 c 4times day inform progress on 10 th day take care thnks.
3 people found this helpful
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I am a 34 year old lady who has delivered a second child four months back. I want to reduce weight as fast as possible. what is the best way ?

M.Sc -Food and Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi, 1) have frequent meals 5-6 meals per day 2) eat healthy like fresh vegetables and fruits and whole grain cereals, pulses, skimmed dairy products, nuts, egg white, chicken (2 times in a week if you are non veg), fish 2-3 times in a week (avoid fatty fish). 3) drink water before eat meals 4) do your house chores work or do physical activity 30-45 minutes every day. 5) avoid oily snacks, processed, refined and junk foods. Hope I have answered your query. Best wishes.
1 person found this helpful
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What is the safe sex period not chances in pregnancy if a lady had 28 days cycle? which day to which day I pfter for safe sex if the bleeding day of cycle is count 1?

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
With regular 28 days cycle, chances of getting pregnant are more between 11th to 18th day of cycle, rest are safe days.
1 person found this helpful
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Orgasmic Dysfunction - 3 Symptoms

MBBS, MHSc (Reproductive & Sexual Medicine), Certified Sexologist
Sexologist, Bangalore
Orgasmic Dysfunction - 3 Symptoms

Orgasmic dysfunction, or inhibited sexual excitement, or simply anorgasmia, is a condition whereby a woman fails to attain orgasms even when sexually aroused. This can prove to be a major sexual problem and is the cause of disputes and conflicts in a relationship because of the lack of sexual intimacy and satisfaction.
In order to be sexually excited, both mind and body are involved in a series of complex processes which finally result in a peak sexual response. Thus, both need to be functioning well in order to stimulate an orgasm.
Causes of orgasmic dysfunction:
Here are various causes that may lead to orgasmic dysfunction:
1. Boredom or lack of interest in sexual indulgences
2. Hormonal disorders or changes brought on by menopause
3. Chronic illnesses that affect sexual interest
4. Acquired negative attitudes (usually from childhood or adolescence) towards sex
5. Previous traumatic experiences relating to rape or sexual abuse
6. Certain prescription drugs like anti-depressants
7. Stress or high fatigue
8. Medical conditions affecting the nervous system around the pelvis
9. Medical conditions causing chronic pelvic pain

Symptoms of organic dysfunction may include:
1. Inability to attain orgasms
2. Taking longer than normal to reach an orgasm
3. Not having satisfying orgasms
Treatment:
It is important to note that when treating problems associated with orgasmic dysfunction, you must maintain a healthy attitude towards sex, in addition to having sufficient knowledge pertaining to sexual stimulations and responses. Learning how to communicate and how to express your needs and desires clearly is another important step in the treatment of anorgasmia. Here are a few other ways to improve your sex life:
1. Eat well and get enough rest
2. Reduce your consumption of alcohol, drugs or smoking
3. Engage in Kegel exercises which involve tightening and relaxing the muscles of the pelvis
4. Use birth control methods that both you and your partner agree to
5. Engage in other sexual activities apart from sexual intercourse
6. Educate yourself more about reaching orgasms by focusing on clitoral stimulation or directed masturbation
7. Take up sexual counseling to learn helpful exercises. If you wish to discuss about any specific problem, you can consult a sexologist.

3013 people found this helpful

My periods is not regular. It comes after 2-3 month. N also my period session is very painful in first 2-3 days.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My periods is not regular. It comes after 2-3 month. N also my period session is very painful in first 2-3 days.
Hello, there is a possibility that you are suffering from pcos which needs to be investigated with a hormonal profile and an ultrasound pelvis.
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