Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 34 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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I want to know about hymenoplasty surgery. What are its complications, cost, best doctor for the same etc, also wanted to know the approx. Cost for it.
My spouse period time 16 date but she can not on a period yet. I have a doubt so done the urine pregnancy test thorough prega news so it indicated the only one pink line which was negative. Then what is the problem to she can not on a period?
My wife is 32 years old, she is about 107 kg weight & height 5'5" Also not consuming pregnancy. She is not doing any exercise also. Consulted many doctors about pregnancy but they are saying about test tube baby, which is so costly. What should I do.
i am aged 23. I had my last periods on 9 th april which last for 5 days. On 18th I had sex with my partner. I took emergency pill aftr 10-12 hours. I got slight periods aftr 2 weeks. But I difnt get my periods on my actual period daye and 6 days have passed. What should I do. Help me.
Doctor will my girlfriend get pregnant if some of my pre ejection fall just above her vagina. She was having PMS that day. Please help me out doctor.
There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.
Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).
Poor sperm perms motility
Semen where sperm concentration is low
Male infertility with unidentifiable cause
Poor sperm quality, with sluggish sperms
Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
Useful in couples who have failed IVF.
What to expect?
The following outlines some of the steps for both male and female before and during the procedure.
Before the procedure - males:
First step is the sperm collection; a screening is first done
Sperms collection happens through either masturbation or directly from the testicles via a small incision
Sperms could be collected fresh or collected and frozen for later use
Before the procedure – women:
In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release
During the procedure - How ICSI happens:
A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization
This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %
If you wish to discuss about any specific problem, you can consult a gynaecologist.
As a parent, we all love our children deeply. And most of us will agree that these days parenting is very demanding and exhausting instead of pleasurable and joyous process.
What has changed?
It is not that children are any different. The difference is in the environment around them with stronger social influences; and this also affects the way we parent. In today's more democratic and egalitarian world;'do as I say and not as I do' style of parenting does not work. But'i will do as I see you doing' phrase from kids define our parent child relationship.
With change in social environment and influence, our strategies for correcting their behaviour and impart discipline has to undergo adaptation! when there are so many confusing and conflicting signals reach to our kids from their environment, whether we like it or not, we are still their role models.
How positive parenting style will help?
The core principle of positive parenting is to accept your child as an individual. We are in a democratic society and family is a small yet important part of society. Democracy does not mean allowing disrespectful and irresponsible behaviour; rather to effectively help kids change their behaviour and create harmonious and cooperative relationship with them. It also means that we as a parent need to learn to think, act and react in a different way.
Through, positive parenting, you will learn respectful disciplining methods, which would work better than demanding compliance. Through these principles and tips you will get your child to listen without screaming, nagging, reminding or evoking rebellious behaviour. More importantly this is all about building stronger relationship bond with your children and nurture them through early childhood to teen age years as they become independent, responsible, capable, kind, happy and successful young adults.
Tips to get you started:
Everyone deserves to be treated with respect and dignity, including children.
When your kid misbehaves instead of shouting or hitting, control your anger and respond in a calm and respectful way. Calmer but firmer tone and lower voice, yet not giving into their repeated demand, is much more effective as a discipline tool compare to nagging.
Understandable that you have a lot on your plate, such as work, managing and keeping the home in order, managing meals and other outside responsibilities, kids sports or extracurricular activities, family obligations and so on. It is easy to get lost in all these'have to do' activities. Parenting shouldn't be just one more task to deal with. Reconnecting with your parenting goals and aspirations periodically will help take the stress out of it and add fun into it. Spend some time daily (1/2 an hour will do as well!) to just listen and enjoy your child (without correcting them or giving them suggestion to improve!).
Let your love for them be the driving force. Shift your internal conversations from'have to' to'want to. As you do enormous things for your child each day, think how you are supporting their ambitions. How you are helping them become independent and strong. How you are nurturing qualities like compassion and deep listening by extending yourself.
Give promises and keep them. As your children grow they need much more than your words to trust and rely on you. Keeping your promises, letting them know if you need to change the plan, taking their opinion in appropriate matter will go a long way.
Seek to understand and do not impose yourself on your child. Especially when they are in their teenage, as a parent you have lot of worries, you are afraid of them making mistakes and of course you want to protect them from vices. Listening to them while keeping your focus on genuinely understanding them is the only way to go, when they know you understand them and they can trust you, the street between both of you turns two way street! they will be open to your wisdom and suggestion when they are at the cross road.
Last but not the least'be a role model. Don't preach. If they see you disrespecting others, they will not respect you. If they see you hooked on your smart phone; that is their license to keep theirs in front of their eyes 24/7. If you are hooked in front of the tv till late night and haven't picked up a book in last 6 months. Advice about reading is going to fall on dumb ears. In short, be the change you want to see in your children.
Have family nights at least once in a week, play cards, board games or go for a walk together. Talk and listen. Just be there and listen without judgement and criticism, without thinking about how to correct them. Just enjoy each other's company and see how they are changing their opinion about you. Positive parenting doesn't mean you will never have problems in your family. You will? If you are alive and growing family. Positive parenting style will open up the avenues to keep communication alive; it will open your children to your influence. Isn't it something that we all wish for!
My daughter who will be 16yrs next month has menstruation problems. She has not been getting her periods properly. Sometimes it is delayed upto 5 months now last month she got it for 5 days after almost 6 months. So what treatment do you suggest. Of late she has been gaining weight too.
Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.
People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:
Make healthy choices in eating
Engage in regular physical activity or exercise
Take medications, if required.
Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.
People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.
People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.
People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.
It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?
Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.
Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.
People with diabetes have an impaired ability to produce insulin, use insulin, or both.
People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.
People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.
The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.
The three different types of carbohydrates are starch, sugar, and fiber.
Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.
Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.
Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.
Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.
There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.
The type and amount of carbohydrate will affect post-meal blood sugar levels.
Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?
High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.
Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.
One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.
Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?
Some grains are better than others for managing diabetes.
A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.
White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.
Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.
Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.
Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.
Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice
Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.
Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.
The instructions are as follows:
Bring rice and water to a boil in an uncovered pot
Cover the pot and simmer for about 20 minutes
Turn off heat and let the covered pot sit for at least 10 minutes.
Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.
Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.
Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice
Because rice is high in carbohydrates, it should be accompanied by other foods.
Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.
Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.
Many foods can serve as substitutes for rice.
Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes
A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"
Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.
Season to taste with salt, pepper, lemon juice, and herbs.
Full recipe from the food network.
2. Cilantro lime quinoa
Low-sodium chicken broth
Juice of limes
Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.
(giloy, glo, guduchi)
Giloy satva or guduchi satva
It is a very common and economic but wonderful ayurvedic medicine, often neglected by well -to-do people because of mere low cost of the medicine.
It is obtained by extracting starchy content of indian tinospora plant by soaking in water for six to eight hrs, macerated and allowing starchy content to settle down and collected.
This powder has immense curing capabilities. People spend thousands of rupees by way of lab tests, antibiotics when pyrexia of unknown origin (puo) can't be treated. Similarly anaemia, jaundice, hyperacidity, polythrist etc are often take long time to recover. It is here that this wonderful gift of nature is very useful. It is a very fine immunity booster.
Nasal bleeding, menorrhagia, rectal bleeding, burning feet and hands can be cured very well with it as also it is useful in pthisis, emaciation and also lowers blood glucose levels.
Giloy satva when combined with chirayata satva (swertia chirata plant) cures toughest of fevers.
Both of above can be given independently or combined. By giving these with water boiled with holy basil leaves (tulasi) make it manifold effective.
Giloy satva - 1/2 gm to 1 gm
Chirayata satva - 1gm to 2 gm
There are many more uses of such simple things. Patients' attendants need little patience. These are non synthesised and non toxic naturals. Hence little slow. Can be given with any other medicine also. These do not counteract.
People should plant giloy and tulasi at common places in this rainy season so that everyone can benefit when needed. Can be grown in pots also.
LOW BACK PAIN IN PREGNANCY
- Both during and after pregnancy women are subjected to altered mechanical stresses which affect the low back and frequently result in low back problems.
- As the new infant develops in the mother's womb, two simple changes take place which influence her posture.First, there is the gradually increasing bulk and weight of the developing infant. In order to maintain balance during standing and walking, the mother must lean further backward to counterbalance her altered weight distribution. The result of this postural adjustment is an increase in lordosis.
- In the final weeks of pregnancy the lordosis may become excessive, and this may lead to overstretching of the tissues surrounding the joints of the low back.
- Second, to prepare the body for the impending delivery of the baby, the joints of the pelvis and lower back are made more flexible and elastic .
- This greater elasticity means that the joints involved become more lax and are easily overstretched when subjected to mechanical strains.
- After the child is born the mother is often too busy to care for herself properly, and sometimes the postural fault which has developed during pregnancy remains present for the rest of her life. If your back problems commenced during or after pregnancy, it is likely that your lordosis has become excessive and your problems are caused mainly by postural stresses. If this is the case, the extension exercises recommended for the majority of people with low back pain are unsuitable for you at the present time, and you should concentrate mainly on correction of the standing posture.
- Problems caused by postural stresses are always resolved by postural correction. For one week you must watch your posture very closely. At all times you should maintain the correct posture, not only during standing but also while walking. You must stand tall and walk tall and not allow yourself to slouch. If after one week of postural correction the pain has disappeared or reduced considerably,faulty posture is to be blamed for your back problems.
- If your back problems commenced during or after pregnancy and you feel worse when standing and walking but much better when sitting, extension exercises again are not suitable for you.
Hi I'm 3 months pregnant now and I'm spotting in dark brownish colour but the scan says the baby is healthy but why am I still spotting, ? Anything wrng ?
Kindly suggest about my non-continuous bleeding with some abdominal pain after taking Gestapro (combination of Mifepristone and Misoprostol tablets) taken on 2nd January night. Unfortunately next day I miss to keep 2 tablets to keep in mouth for half an hour and had taken it with water and repeated the same on next day too. Brief information in this matter is due to no growth of fetus earlier, doctor successfully surgically abort it on 12 October and since than once I completed menstrual cycle and next time on being unintended pregnant, tried Gestapro (combination of Mifepristone and Misoprostol tablets) taken on 2nd January night. Kindly suggest. I don’t wish to visit doctor.
Hi doctor I took duphaston at my doctor advice for 10 days from 16th day of my period. I usually get my period after 3 days of stopping medicine. But this month 7 days past I stop duphaston. My period not came. I had little spotting twice at my period 12th and 14th day. I am so worried. What should I do? I don't have any specific symptoms of pregnancy. I am trying for baby. My ultrasound, blood test, thyroid are normal. Please suggest. Doctor.
I am 32 yrs old female. Never had sex with my husband. Suffering from pcos. Can I go for ivf instead of iui. Please suggest. Urgent.
Cuts and bruises, which you may get from a wide variety of sources, is one of the most commonly overlooked issues that many of you face on a regular basis. Cuts and grazes can be treated easily with homeopathy.
There are many great homeopathic remedies, which deal with pain, inflammation and the general healing process. Here they are.
- Arnica: Arnica is an excellent remedy when you have a bruise on your body. It helps reduce the swelling as well as the pain, in whichever part of the body you have swelling on. However, it is worth noting that Arnica does not help much with muscle pain.
- Hypericum: It is worth note that arnica works best on parts of the body which do not have as many nerve endings. For example, the legs and arms are excellent places to administer arnica and it works very well there. However, it is worth note that arnica is not as good with parts of the body which have many nerve endings. This is where Hypericum comes in. Bruises to the fingers, toes and spinal cord heal better with Hypericum than they do with arnica.
- Calendula: Calendula is a medicine, which can be applied as a tincture. A tincture is when a medicine is dissolved in alcohol. Apart from a tincture, Calendula can also be used as a cream, spray or gel. It can heal shallow cuts very rapidly in all of these forms.
- Millefolium: Millefolium is the best homeopathic remedy when there is excessive bleeding and the wound is not clotting properly.
- Staphisagria: This is another medicine used for cuts. However, it is worth noting that Staphisagria is a very good medicine when it comes to treating cuts which are deep or have a stinging sensation.
Related Tip: "Wounds Vs Bruises"