Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 31 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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Management of Abortion
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
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Dr. Shilpa Dhameja provides answers that are very helpful, knowledgeable, well-reasoned, caring and sensible. Thank u doctor I’ll try to have sex with her
I found the answers provided by the Dr. Shilpa Dhameja to be very helpful. Thank you mam for your response..
I found the answers provided by the Dr. Shilpa Dhameja to be very helpful. Im so happy
She was very helpful and polite. Explained each and everything in detail.
It is good
PCOD or polycystic Ovary Disorder is one of the most common disorders of hormones among women in the age of reproduction. It is yet not discovered why some women become susceptible to this disease and it is believed to be a genetic disorder. The word “polycystic” refers to multiple cysts and a woman suffering from PCOD has multiple cysts in her ovary. This is due to the imbalance of hormones, which don’t allow the ovary to release eggs every month and these numerous unreleased eggs present in the ovary cause it to become polycystic.
What are the symptoms of PCOD?
The regular release of eggs from the ovaries directs a woman’s fertility and allows her to have a normal menstrual cycle. Therefore, women with PCOD face difficulty in conceiving along with irregular, low and absent periods. Some of the most common symptoms of PCOD include infertility and even miscarriage, elevated insulin levels, high blood pressure, diabetes, acne, unhealthy weight gain and obesity. It also leads to loss of hair from the scalp and excessive growth of hair on the body. This is due to over production of male hormones that lead to male pattern of growth of hair, such as on chest, cheek, chin and inner thighs. The hormonal imbalance leads to weight gain and obesity makes the hormonal imbalance even worse, turning it into a vicious cycle.
How is PCOD diagnosed and treated?
Your gynaecologist would be able to determine whether you have PCOD by checking your symptoms. Then she would recommend you to do a few blood tests along with a pelvic ultrasound scan to confirm whether you have PCOD. Though this disease is not reversible, its symptoms may be reduced or minimised. Most women can lead a trouble-free and healthy life if they take proper precautions at the right time.
It has been pointed in several studies that reduction in weight can help in the improvement of most PCOD symptoms because fat contributes to the production of certain hormones. Your doctor will prepare a treatment plan depending on the aspect from which you are suffering. For instance, if you are suffering from irregular periods, your doctor may prescribe you some contraceptives which can help in restoring normal menstrual cycle. But this treatment is definitely unsuitable for those who are trying to conceive. The infrequent and irregular ovulation can make it difficult to conceive and it can be artificially induced with the aid of medications. So, you must consult a gynaecologist to help your situation.
The placenta is a link between you and your baby during pregnancy. It helps your baby to grow normally by providing it with food and oxygen. When the placenta is not able to do its work properly, the condition is called placental insufficiency or dysfunction.
Placental insufficiency is a serious complication of pregnancy and can happen when the placenta does not develop properly or is damaged. If this condition develops, the baby doesn’t get the nutrition and oxygen it needs to grow and can develop complications like low birth weight, premature birth, and birth defects. The mother can also develop dangerous complications if it’s left undiagnosed. Thus placental insufficiency must be diagnosed as early into the pregnancy to avoid these complications.
Causes of placental insufficiency
Actually, placental insufficiency is a blood flow disorder which happens due to a reduction in the mother’s blood supply. It can be triggered by vascular disorders, medications, lifestyle and the following:
- Chronic hypertension
- Blood clotting disorders
- Serious anemia
- Blood thinners
- Drug abuse
Other causes of placental insufficiency are cases where the placenta doesn’t attach properly to the uterine wall or if the placenta breaks away from it.
Unfortunately, there are no symptoms of this dangerous condition in the mother except that she may notice that the size of her uterus is smaller than in previous pregnancies. She may also notice that the fetus is moving less than before. As far as symptoms of placental abruption or disruption go, there may be vaginal bleeding or pre-term labour contractions. In case placental insufficiency is not diagnosed, the mother can experience a serious fatal condition called Preeclampsia, which means high BP and protein in the urine as well as disruption of the placenta and pre-term birth. The picture for the baby is pretty dim too. The earlier placental insufficiency happens, the more grave the risk for the baby. The baby can suffer from:
- Cerebral palsy and learning disabilities
- Low body temperature
- Low blood sugar
- Premature birth
- Cesarean delivery
Placental insufficiency can’t be cured, but it can be managed. Once diagnosed, it can be managed through proper prenatal care like treating maternal high blood pressure or diabetes, education on preeclampsia and ways to self-monitor for the disease, frequent doctor visits, bed rest to conserve energy for the baby and consultation with a specialist. These can improve the baby’s chances of normal growth.
Proper prenatal care of pregnant women is thus, very important as it can diagnose placental insufficiency early. A simple ultrasound can diagnose this dangerous condition by measuring the baby's size and growth, and assessing the size and placement of the placenta.
Like most things in life, the uterus also has both good and bad sides to it. It is a symbol of womanhood and also carries the developing baby. The bad side is that it brings with it (and its appendages) many problems including dysfunctional uterine bleeding, endometriosis, fibroids, pelvic inflammatory disease, uterovaginal prolapse, adenomyosis, a pelvic pain of unknown origin, cancer of the uterine cavity and other obstetric complications.
Hysterectomy is one of the most commonly performed procedures and ensures complete relief from these symptoms. There are however, multiple procedures, which can be used to manage these conditions without having to resort to removal of the uterus. This can help in preventing complications from hysterectomy including prolonged recovery, infertility in women of childbearing age and loss of womanhood.
Read on to know some of the emerging conservative alternatives to hysterectomy:
Myomectomy: Where there are fibroids, which are in the smooth muscles of the uterus and show symptoms like pain and discomfort. In these, it is advisable to go for a myomectomy. This removes only the fibroid, leaving the uterus in place. It can be done in one of the 3 ways traditional surgical process through an incision; laparoscopically through minute incisions; and then through vagina. In all these, only the fibroid is removed and sent for biopsy to confirm it is benign. It is less invasive, requires less recovery time and helps retain the uterus.
Uterine endometrial ablation: In cases of dysfunctional uterine bleeding or menorrhagia with no fibroids, the lining of the uterus could require removal. In these women, thermal balloon ablation, cryoablation, and radiofrequency ablation can be used. A small amount of extreme heat or cold or radio frequency waves are used to remove the uterine lining, thereby managing symptoms.
Uterine artery embolization: In women with fibroids, the feeding arteries could be cauterised to ensure blood supply is stopped so that fibroid growth is stopped. With very promising success rates, this is gaining popularity as a conservative method.
Laparoscopy and endometriosis excision: In endometriosis, where the uterine tissue is growing in areas outside the uterus, it could be removed laparoscopically after identifying the area of growth on ultrasound and laparoscopy.
Vaginal pessary: In women with uterine prolapse, the uterus drops from its normal position, pushing against the vaginal walls. This can be due to vaginal childbirth, age, smoking and obesity. Vaginal pessary is where a removable device is placed into the vagina to prevent it from falling down. It is a temporary solution, but very useful in holding the uterus in place and relieve symptoms partially or completely.
In all these, medical management (painkillers and hormone replacement), stress and weight management, quitting smoking, reducing alcohol are also essential. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 30 week pregnant, My Age 28 years. I am taking Folic acid tab, iron and calcium supplements, Multivitamin tab and Duvadilan tab. Recently I checked my haemoglobin level which is 10.8 gm/dl. What should I do now and which food can help to increase my haemoglobin level?
My friend had an unprotected sex with her boy friend on may 2.She took an i -pill on the next day within 12 hours. What are the chances of her getting pregnant?
I am 26 years old. I am unmarried girl. I have pcos problem. I am using medical tablets and ovulac tablets. I completed one pack of ovulac. I got periods now. But my period completed on 5th day. 7th day spotting occurred. Again 9th day spotting occurred. Alternate days it happened. please tell me the reason and give some suggestions.
Hello doctor. My question is I had unprotected sex on 27th april so I took ipill on 28th morning. Today morning I started bleeding. Is there any chance of pregnancy? I had my last period on 19th april.
I am 18 I had sex I took the home pregnancy test two times and they were negative and I am not experiencing and symptoms of pregnancy but I missed my period so I took the abortion pill but till now I am not bleeding but spotting can be seen.
Infertility is defined as a condition where a woman is unable to conceive a child despite having 1-2 years of unprotected sexual intercourse with a male partner but help for conception can be sought after 6 months of trying pregnancy. In over half the cases, infertility is usually with the male partner which is characterised by a low sperm count. Infertility causes social anxiety as well as relationship problems among couples and can severely affect the self-esteem of the person.
Male infertility tends to have certain tell tale signs some cases or no apparent reasons in other cases. In some cases, male infertility occurs due to underlying medical conditions like genetic problems, widened veins around the testicle or hormonal imbalances and some of the symptoms could be like:
- Recurrent problems during sexual intercourse due to severe pain in the testicular zone.
- You might lose your ability to smell due multiple instances of infections of the respiratory system.
- There might be a reduction in the body hair.
- Abnormal sperm count.
- Lack of sexual desire
Some of the common causes of male infertility could be:
- past injury or surgery of the testicles.
- erectile dysfunction.
- premature ejaculation.
- sexually transmitted infections.
- testicular deformation along with low sperm count.
- Blockage of the ejaculatory
In other cases, the reasons could be:
- old age
- mental anxiety
- excessive alcohol consumption
- diabetes or as a
- side effect of radiation therapy
- prescribed medications to treat other existing ailments within the body
Diagnosis and Treatment
The infertility of the male partner is usually diagnosed by your specialist by evaluating the medical condition and past histories of surgical procedures, sexual practices etc. Infertility can also be diagnosed by analysing the semen.
The treatments for male infertility are varied and depend on the severity and the exact cause of the condition. Male infertility can be treated by hormonal replacement therapies and procedures, counselling or medication (for erectile dysfunction and premature ejaculation) and procedures to retrieve sperm which is then used for artificial insemination.
Pelvic Inflammatory Disease, also known as PID, is characterized by an infection that occurs in a lady's reproductive organs. Usually this occurs as a result of a complications arising from a STD. The disease causes severe damage to the ovaries, fallopian tubes and the uterus. It is one of the bigger causes of infertility in women.
The cervix which is the entry to the uterus has the function of stopping bacteria that are present in the vagina from spreading to the other organs. Once infected by a STD, the cervix can no longer perform its function of preventing the bacteria from spreading to other organs. PID develops when the infection spreads from the cervix to the upper areas of the genital tract.
There are certain factors which increase the chances of being affected by PID:
- Being sexually active
- Already affected by STDs such as gonorrhea
- Past history of PID
- Having multiple sexual partners
Women may experience pain while urinating and engaging in sexual intercourse, coupled with sore feeling in the stomach along with nausea. Abnormal vaginal discharge and a rise in body temperature are common symptoms as well.
Once the disease has been diagnosed by a doctor, a treatment plan is devised. The treatment options that you can avail of are:
- Medications: If the symptoms are mild, then the doctor will prescribe antibiotic medications. Usually the antibiotics are administered by mouth unless the symptoms are severe, when the drugs are administered intravenously. Your partner would also require medications if you happen to be diagnosed with PID, so that he/she does not catch it.
- Surgery: Surgery is recommended by the doctor in case of tissue inflammation and the presence of pus (abscess). The aim of surgery is to get rid of the abscess to prevent any further infection.
In addition to the treatment methods, there are certain precautionary measures that you can adopt to be safe:
- Have protected sex.
- Try and stick to one sexual partner.
- Visit your gynecologist for regular checkups.
In case you have a concern or query you can always consult an expert & get answers to your questions!