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Dr. Smiriti Agarwal

Gynaecologist, Delhi

150 at clinic
Dr. Smiriti Agarwal Gynaecologist, Delhi
150 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. Smiriti Agarwal
Dr. Smiriti Agarwal is a trusted Gynaecologist in Tri Nagar, Delhi. You can visit her at Agrawal Nursing Home in Tri Nagar, Delhi. Save your time and book an appointment online with Dr. Smiriti Agarwal on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 36 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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Agrawal Nursing Home

#2528,Tota Ram Market, Tri Nagar. Landmark:- Opp Mother Dairy Booth, DelhiDelhi Get Directions
150 at clinic
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I am 42 years old, I have fibroid 2.9cm in posterior wall of uterus, is it dangerous, what treatment should I take for that.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
If you do not have problems with pain or heavy bleeding or pressure symptoms from the fibroid impinging on the rectum you do not need immediate surgery
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Is it possible to go to Gym after 46? Can I use weights ?i am 46 years old male, my weight is 93 kg, sugar patient, taking tablets for sleeping from a psychiatrist for the past 6 years, pressure level is normal. Hoping to have a linen reply. Thanks.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Is it possible to go to Gym after 46? Can I use weights ?i am 46 years old male, my weight is 93 kg, sugar patient, t...
Hello, Age is no bar. It's just that you should be comfortable with whatever exercises you do. You haven't mentioned your height, if you need to lose weight, exercise is very crucial. Exercise also helps to curb depression.
1 person found this helpful
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Is it possible to treat endometriosis completely with the help of homeopathic medicine? I hv 6 mm endometrioma in my left ovary n m unable to conceive. Married 2 years ago.

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Is it possible to treat endometriosis completely with the help of homeopathic medicine? I hv 6 mm endometrioma in my ...
We are allopathic doctors, so we cannot comment on homeopathic medicine. But 6mm endometrioma is a very small endometrioma which shouldnt be a problem for you to conceive. However you can undergo laparoscopy to see whether your tubes are open or not and on laparoscopy the extent of endometriosis can also be seen.
1 person found this helpful
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I am having stomach pain when my periods comes every month and also vomiting and lossmotion. Sometimes I feel so much tired without doing any work so please suggest me what should I do to get rid from these problems?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I am having stomach pain when my periods comes every month and also vomiting and lossmotion.
Sometimes I feel so much...
Don't worry. These problems are due to extreme sensitivity to the hormonal changes during periods. You must have an exercise schedule on a daily basis. That will raise the pain threshold, so the pain during cycles will be more bearable. Excess salty foods, chips, acidic foods, colas, and fried foods can increase the sensitivity and should be avoided or minimised. Water intake should be increased. Use a hot water bottle during the cramps tightly against the lower stomach. Flaxseed oil, ginseng, fish oils are recommended since they are anti- inflammatory. But cost and availability are the concerns here. Stress can be managed with regular sleep, low fat diet and daily exercise (30 mins walking/jogging), swimming, cycling, badminton or tennis. If still there is no response, visit a doctor for check up and medicines.
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I am 5 months pregnant my local doctor advice me to eat iron tablet bt whenever I eat this tablet it never digest I keep vomiting all day whenever I eat this. What should I eat in diet that recover the iron kindly suggest any fruit or vegetable instead of tablet.

M,S GYNAE&OBST
Gynaecologist, Jaipur
I am 5 months pregnant my local doctor advice me to eat iron tablet bt whenever I eat this tablet it never digest I k...
Palak, and other green leafy vegetables. You should check your haemoglobin by cbc method, if it is less than 9 you can be given injection of iron sucrose.
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Tip for Improving Skin Health

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mohali
Tip for Improving Skin Health

It is very important to keep the essential oils of your skin intact. Use warm water for bathing to preserve those oils because hot water will make your skin devoid of those oils and leave it dry.

I am 27years old and I am now pregnant 4months old and also I have migraine headache since my childhood tried many like home, ayurvedic, etc. But none worked for me. Being a pregnant I feel so tired can any one suggest?

DGO, FRM
Gynaecologist, Salem
I am 27years old and I am now pregnant 4months old and also I have migraine headache since my childhood tried many li...
Don't worry. Migraine will get suppressed in pregnancy. Tiredness is also a very common minor ailment in pregnancy. Take plenty of oral fluids in this summer.
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My friend girl friend had his period on 7th september but till now she did not get periods? What she has to do? And if she is pregnant means which medicine she has to use for abortion in home? Its nearly 38 days now please rply for this answer.

BAMS
Ayurveda, Bangalore
My friend girl friend had his period on 7th september but till now she did not get periods? What she has to do? And i...
Hi, Ask her to check her urine for pregnancy test. If it is positive, then consult a gynae doctor for further treatment.
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Treating Infertility Caused by PCOS With IVF

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Treating Infertility Caused by PCOS With IVF

PCOS is an abbreviation for Polycystic Ovarian Syndrome. It is a problem that is caused in women when their hormones are out of balance. It affects menstrual periods and can even hinder conception when aggravated to an advanced stage. Many women having PCOS develop small cysts on their ovaries. These cysts might not be harmful, but they lead to hormonal imbalances. 

Common symptoms include:

  1. Gain of weight or Weight loss problems
  2. Acne
  3. Excess hair on body and face
  4. Irregularities in periods
  5. Fertility problems
  6. Depression

It is possible for most women with PCOS who fail to attain pregnancy easily to use other treatments to get pregnant. Using In vitro fertilization (IVF) is one such mode of treatment. The procedure is helpful if done within the age of forty. You should undergo IVF only in a high quality clinic under the supervision of an experienced doctor.

There is a considerable amount of risk of having a higher order multiple pregnancy due to treatment of PCOS infertility using injectable gonadotrophins. Recent developments have allowed the patients to maintain high rates of pregnancy while simultaneously controlling the risk of multiple pregnancy. A variant of the standard IVF treatment known as Blastocyst embryo transfer is useful in the control of multiple birth rates. Generally, success rates for IVF treatment in cases where infertility is caused due to PCOS is quite high.

IVF Protocols for PCOS
There are two simulation protocols that are commonly used with PCOS:

  1. Ganirelix with Lupron trigger protocol: Used to avoid ovarian hyperstimulation syndrome.
  2. PCOS down-regulation protocol

This protocol combines:

  1. Oral Contraceptive Pills
  2. Metformin

A calendar is followed for the down regulation protocol for PCOS. Before starting with Lupron, a dosage ( 500 mg, 3 times a day) of metformin is followed daily. After this, oral contraceptive pills are prescribed for around 21 days. Lupron coincides with the last 3 pills of birth control. 

Lupron is a subcutaneous injection of a medicine that is taken once daily. Simulation of the ovaries is initiated after 6 or 7 days without using pills. It is very important with polycystic ovary that the dose of FSH hormone is properly controlled and that the ovarian response is cautiously monitored. Over response to the treatment can cause ovarian hyperstimulation syndrome. This should be avoided.

1 person found this helpful

After conceiving how many days after the symptoms start? Does it start immediately after the fertilization.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
After conceiving how many days after the symptoms start? Does it start immediately after the fertilization.
Depends from person to person, sometimes the symptoms starts immediately, and sometimes there are no symptoms at all.
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Hi Doctor, My wife is feeling breast pain from last 4 -5 days. Can it may be symptoms of pregnancy? But 8-9 days still remain in next period. We didn't observe other pregnancy symptoms except Brest pain which she never felt earlier like that. When we can go for pregnancy test. Please advise. Thanks.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi Doctor, My wife is feeling breast pain from last 4 -5 days. Can it may be symptoms of pregnancy? But 8-9 days stil...
Breast pain sometimes is also there at the premenstrual phase, so ideally you should wait for the due date, and if you miss your due date by 4 to 5 days you may do a Urine pregnancy test to confirm for pregnancy.
3 people found this helpful
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Herniated Disc - What are the Risk Factors?

DNB(Neurosurgery)
Neurosurgeon, Ahmedabad
Herniated Disc - What are the Risk Factors?

The symptoms caused due to herniated disc can be very severe and can also cause a bit of disability. The disc of the spine is like a cushion and separates the set of bones on the backside. The discs are shock absorbers of the spine and are mainly composed of 2 parts, a soft jelly centre called the nucleus and a tough outer covering called the annulus.

Effects of Herniated Disk
A herniated or cracked disc is a severe condition and it seems to happen most commonly in the lower back.  It happens when a fraction of the soft centre gets pushed through the destabilized area due to degeneration, trauma or by putting pressure on the spinal cord. 

Nerves are located precisely at the back of every disc and are responsible for controlling everything in our body. While a disc gets herniated, the external covering of the disc tears and creates a bulge. The soft jelly gets shifted from the centre of the disk to the region where the damage has occurred on the disc. Most commonly, the bulge occurs in areas where the nerve is located and it causes strain on the affected nerve. It has been observed that individuals do not feel any painful sensations even if their disc gets damaged.

When is Surgery Recommended for Herniated Disc?
Surgery for herniated disc is recommended only after options like steroid injections, pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then it becomes important to go for surgery. There are certain risks involved in this surgery like infection, bleeding or nerve damage. 

There are chances that the disc may get ruptured again if it is not removed. If you are a patient suffering from degenerative disc disease, then there are chances that problem occurs in other discs. It is very important that a patient maintains healthy weight to prevent any further complications.

The main factor that increases the risk of herniated disc is excess body weight, which causes a lot of stress on the lower back. A few people become heir to a tendency of developing this condition. Even individuals with physically demanding jobs are prone to this condition. 

Activities like bending sideways, pushing, twisting, repetitive lifting can increase the risk of a herniated disk. At times, emergency surgery is also required to avoid paralysis in a patient. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

1907 people found this helpful

I got married 1 year ago. Now me and my wife are planning for a baby. We got intercourse from last three months but hadn't got success. My question is what is the appropriate time to have sex to get pregnant. How many times the process is to be follow.?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I got married 1 year ago. Now me and my wife are planning for a baby. We got intercourse from last three months but h...
3 month is not suffiecinet. Try for at least 6 months before consulting doctors. Try regularly during middle of the mens cycle.
3 people found this helpful
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advice in sesonal time

Diploma in Venerology & Dermatology (DVD)
Dermatologist,
advice in sesonal time
As weather is changing, new water is getting mixed with old water and due to water pits and water storage in and around houses; there is increasing chance of mosquito breeding. Try to keep surroundings clean, avoid pits around houses. There is increased risk of diarrhea so drink clean and hygienic water to avoid many viral diseases.
25 people found this helpful

Dear sir my wife (34) is suffer thyroid problem. Her period is irregular. Tsh is 11.5. Now she is taken medicine thyrox 12.5 we have no baby. So that what can I do. Please suggested me. Thanks you sir.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dear sir my wife (34) is suffer thyroid problem. Her period is irregular. Tsh is 11.5. Now she is taken medicine thyr...
her dose is very low according reports. pl. take tab. thyrox-75 mcg. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, go for walk. avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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I am pregnant from 20-25 days. My age is 16 year old and weight 49 kg. Can I use Iron and Calcium tablets?

MBBS
General Physician, Chandigarh
I am pregnant from 20-25 days. My age is 16 year old and weight 49 kg.
Can I use Iron and Calcium tablets?
You should start these tabs only after completing three months at present you can take tab folic acid once daily under the guidance of a gynaecologist
1 person found this helpful
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Benefits of Artificial Insemination

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Benefits of Artificial Insemination

There are many reasons why the problem of infertility occurs in many humans. Few of the main reasons of this are the inability of male partner to produce sperms and inability of the fertilized egg to get rooted in the uterus. It is in such conditions that the procedure of artificial insemination is carried out to infuse the sperm into the uterus of the female.

Steps Involved in Artificial Insemination-

There are certain steps that need to be followed before you get pregnant if you are planning on artificial insemination, and that would be of great use in providing an economically safe pregnancy. Artificial insemination is a technique that is of great use to couples who cannot get pregnant. The procedure is simple, but it has its own side-effects. It is a commonly used procedure and which is less expensive than other treatment options for infertility. The success rate of this procedure is about 86%, and a couple needs to make a few attempts to get pregnant.

Need for Artificial Insemination-

The effectiveness of the artificial insemination process plays a vital role for the women having fertility issues, especially while selecting the treatment. Many couples prefer the procedure of Intrauterine Insemination when fertility medicines do not work effectively. The procedure of artificial insemination which is a reproduction technique comprises of introducing the semen into the vagina, uterus, or cervix of a woman without sexual intercourse.

The artificial insemination procedure is made use not only in humans but even for breeding in animals. Sometimes the procedure is done if a woman has a condition called endometriosis or in other words, abnormality in her reproductive organs. The method is also suggested by the Doctors when the real reason for infertility cannot be identified.

Why Artificial Insemination?

The procedure is a great benefit for a woman who is single and desires to have children. The best part is that during the artificial insemination, the sperm used during the treatment is tested for any genetic disorder. This way, it reduces the chance of any disorder being transmitted to the child from a parent. The procedure is much cheaper than natural reproduction, and the main benefit of artificial insemination is that desirable characteristics of the parent are passed on quickly to the child.

Overall, the benefits of this procedure are that it is very effective and prevents any genetic disorder in the child, and the cost of the procedure is comparatively lesser.

2650 people found this helpful

In my pregnancy test one dark one light line docter advised me bed rest as my hormone lvl is low. please suggest me what to do.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
In my pregnancy test one dark one light line docter advised me bed rest as my hormone lvl is low. please suggest me w...
You can take injections of hcg hormones for better development of baby. Low hormones affect the growth and also carry a risk of a miscarriage.
2 people found this helpful
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My wife ultrasound report showing ovarian cyst fluid filled with size 98*89 mm. Now doctor has asked me to go for Pelvis MRI while this is to be removed anyhow. please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
While surgery quickly removes cysts but tendency to form again doesn't go. 'kaphavritt' channels are blocked causing cysts etc. These are managed by AARTAV SHUDDHI procedure by oral administration of herbal decoctions and combos. this curetts the blockades in female reproductive system by 'lekhan' (scraping) action of herbs. This is non invasive, non surgical and safe.
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