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Dr. Sulekha Joshi

Gynaecologist, New Delhi

Dr. Sulekha Joshi Gynaecologist, New Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sulekha Joshi
Dr. Sulekha Joshi is an experienced Gynaecologist in Bapa Nagar, Delhi. She is currently practising at Dr Sulekha Joshi's Clinic in Bapa Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Sulekha Joshi on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 32 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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Psychological Stress

M.A-Philosophy, Masters in Psychotherapy and Counselling, B.A.M.S
Psychologist,
Psychological Stress
Psychological stress is causing many physical disease. Hypertension, diabetes,
Hyperacidity, psoriasis, migraine, ibs, chronic fatigue are some examples of stress induced disease.
Along with medicines patients should learn to manage stress. Improving self awareness is first step of it. Mindfulness meditation is very useful to improve self awareness. Because of this awareness person can choose thought to ponder or to ignore. It is important learning.
Irrational thoughts are the main culprit for our anxiety and stress. Mindfulness helps to slow down internal clutter. Mindful walking. Mindful eating changes default mode of our brain. Our brain is always thinking. It is similar to computer. If there are too many files opened simultaneously the computer will get slowed and crashed. You should scan it and close some open files. Similarly our brain is stressed due to continuous thinking.
Meditation helps to shut down some files in our brain for some time. Five to ten minutes of meditation will revitalize your brain.
Meditation is non religious. Anyone can learn it and experience it's benefits by one month regular practice. There are many research papers published worldwide on effects of meditation. Dr. Herbert benson from howard university named it as relaxation response. He found that meditation is helpful on many stress induced disease. Meditation can be learned by online coaching. There is no need to meet so called spiritual or religious guru. It is better to learn it from doctor because he can synergistically teach meditation with psychotherapy.
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In 1.5 months of my marriage I come to know that my wife has a long period cycle. It's almost 35 days from last period and still nothing till now. Does this cause issue in marriage life? What will be longest time which I assume it's safe?

PG Hom, London, BHMS
Homeopath, Mumbai
In 1.5 months of my marriage I come to know that my wife has a long period cycle. It's almost 35 days from last perio...
Hello lybrate-user, it is ok to have a 35 day cycle. So long as she is getting her periods regularly, you don't have to worry. You can calculate her fertile period by following formula- shortest period minus 18= first day of fertile period and longest period minus 10=last day of fertile period.
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INFERTILITY

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Sexologist, Chennai
INFERTILITY
What Is Infertility?

Infertility is defined as not being able to become pregnant after a year of trying—or after six months, if you are 35 or older . And it’s not just a woman’s problem. One-third of infertility cases are due to male-only problems, one-third to female-only problems, and the final one-third to a mix of male and female problems or unknown problems

What Causes Infertility?

To become pregnant, many steps in the reproductive process have to be precisely aligned:

A woman’s ovary must release an egg (ovulation).
The egg must then travel through the fallopian tube toward the uterus, which is also called the womb.
A man’s sperm must be in the woman’s body during this specific time. It must also meet and join with (fertilize) the egg as it is traveling through the fallopian tubes.
The fertilized egg must then reach the uterus.
At the uterus, it must push its way inside and implant itself (implantation).

If there is a problem with any of these steps, infertility can occur.

Infertility in Women

Female infertility is most often caused by problems in ovulation—marked by irregular or absent periods. These problems may be related to hormonal disorders, such as polycystic ovarian syndrome (PCOS), or primary ovarian insufficiency (POI), when a woman’s ovaries stop working before age 40.

Other causes include:

uterine fibroids, benign growths that can keep fertilized eggs from implanting properly in the uterine lining
scar tissue after surgery
early menopause
blocked or scarred fallopian tubes, due to infection or endometriosis

Endometriosis is an often painful condition in which the uterine tissue that is supposed to line the inside of your uterus begins to grow outside the uterus, causing it to become trapped as it has no place to go (uterine tissue inside the uterus is shed each month during the menstrual cycle). The surrounding body tissues become inflamed, and scar tissue may form—sometimes inside the fallopian tubes.

Infertility in Men

Problems with sperm production and delivery, low sperm count, and low motility (the ability of sperm to swim and fertilize the egg) can all affect male fertility.

Varicocele is a disorder where the veins servicing a man’s testicles have incompetent or leaky valves. The backflow of blood can enlarge the blood vessels and can raise the temperature of the testicles causing a low sperm count or abnormal sperm. Testicles are generally slightly below the core body temperature.

Lifestyle Factors

Other lifestyle choices can impair healthy egg and sperm production, including:

smoking
heavy alcohol use
drug use
being overweight or underweight
an excessive amount of exercise
stress
In men, environmental toxins, such as pesticides, and high temperatures (for example, in hot tubs) have also been shown to affect sperm count.
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From the last two months I hd irregular periods. So I hd blood test nd my reports are--(T3) 1.02, T4 (6.0), TSH (3.25). So, I wanted to knw dat do I have THYROID. If yes then what I should do nw. Plzzzz help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
From the last two months I hd irregular periods. So I hd blood test nd my reports are--(T3) 1.02, T4 (6.0), TSH (3.25...
Nazimaji, The results of thyroid assay are quite normal. Hence, you are not having hypothyroidism. The reason for irregular periods could be different. Better to consult a gynaecologist regarding menstrual disturbances.
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Hi dr. I gave birth to a girl child on 11 dec, however got my periods for 40 days. Later after a weeks time I got it again for a week and for another week I was free, then it startef again and is still continues. Can you please advise the reason for the same?

DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
This may happen if there is subinvolution of the uterus (uterus has not returned to its pre-pregnancy size) due to any cause like retained products of conception or fibroid uterus. It may also happen because the hormones in your body have not fully settled yet. It is better to see your Gynaecologist for the evaluation of the causes in your case and treatment of the same. Meanwhile, make sure that you are taking your iron supplements without fail.
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Sir period nhi aarha hai hmesa 28-aur 2 Ke bich aajata tha but is bar nhi aaya aane ke jesa fil ho rha h bt aa nhi rha koi problm ho sakti h kya.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Sir period nhi aarha hai  hmesa 28-aur 2 Ke bich aajata tha but is bar nhi aaya aane ke jesa fil ho rha h bt aa nhi r...
Hello, if pregnancy is ruled out then the delay can be stress induced. You may wait a few days to allow menses to resume naturally.
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Hello doctor I'm 24 years old having irregular periods. But trying to conceive. Maximum On 20th day of my period I'm getting thick white discharge like curd. Is this my ovulation? Or else how can I found my ovulation time? Please help me asap.

MBBS
General Physician, Chandigarh
Hello doctor I'm 24 years old having irregular periods. But trying to conceive. Maximum On 20th day of my period I'm ...
Ovulation discharge is not thick and curd like that indicates infection which as a matter of fact delay your conception so consult a gynaecologist and get treated for that ovulation you can check with ovulation kit which are available in the market.
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Hi recently I got married everyday morning I am getting Breast pain why I am getting like that and even before marriage also Breast pain is there but will not get daily but after marriage now getting pain daily. Thanks in advance.

MBBS, DNB - Obstetrics and Gynaecology
Gynaecologist, Mumbai
Hi recently I got married everyday morning I am getting Breast pain why I am getting like that and even before marria...
If it is jst before u get periods it is fibroadenosis which is due to mild hormonal imbalance .It is a kind of MPS. U can use Primrose oil capsules once a day.
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What you mean by that I'm just trying find out if after sex I stay still for 30 minutes and don't move if any will come out and if does will I study get pregnant and how long after do I leave it before goto toilet so none come out.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
What you mean by that I'm just trying find out if after sex I stay still for 30 minutes and don't move if any will co...
HELLO, the extrusion of sperms occur due to vaginal muscular spasms and hence lying down with cross legs with waist up position helps retain ejaculate inside the vagina.
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Had sex with my partner a day after her periods. Ejaculated in her. Can she get pregnant?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Had sex with my partner a day after her periods. Ejaculated in her. Can she get pregnant?
Dear Lybrate user. In the given scenario, there is no chance of pregnancy. Female eggs are born after around 7 days from period. Sperm need to find an egg to fertilize. Sperm can be alive only for 4 days. So there is no chance of pregnancy. Take care.
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Before marriage my breast size was 30. But after marriage now it is 36ç. please help me to reduce my breast size.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Before marriage my breast size was 30. But after marriage now it is 36ç. please help me to reduce my breast size.
The breast size increase after marriage due to Hormonal variations in female body.The size can be reduced in a natural way by mean of exercise and Diet . Identify your problem first, you need to know why your Breasts are big, this can only be because of: 1. Genetics 2. Obesity 3. Lactation( for lactating mothers) 4. Hormonal Changes 5. Drug side effects You must understand if you are large because of your genes, there is not much you can do without medical intervention. The best is to control your body weight and keep your breast tissue firm to avoid any health hazards. Rest all the other causes can be treated and taken care of with exercises, change in drugs and of course some prescribed medicines. The causes are dealt with in depth here. Body fat reduction plan consists of three phases- food plan , exercise to reduce body fat and then striking the balance between both – your diet and exercise pattern. Now, you must be wondering how body fat reduction can help me in reducing breast size – this will be taken care when you know that your breast consists of mainly fat tissue and reduction in body fat will result in automatic size reduction of breasts. This is quite an effective method but this will not help ladies who have:  Big breasts because they are genetically big.  Big bust size and the breast is less of fat and more of glandular tissue – thus this may help some and may not prove too effective for others. Exercising is always good and this makes your body firm and devoid of flab. The best exercises are cardio exercises like running, jogging and cycling. Apart from cardiovascular training when you are planning to reduce breast size you must add definite strength training exercises too to your fitness regime, as this helps in building and toning of your pectoral muscles that is chest muscles and firms the breast tissue as well. Bench press and pushups are best for your breast muscles and they are simple as well you can do it twice a week in gym or at home as well. The only thing you need to be careful about is the weights you carry, do not go for heavy weight as this will only lead to building up your muscles and makes you look broader and heavier. Below I have listed down some best exercises that will help you Reduce breast eventually  Pushups  Dips  Barbell Bench Press  Pec Deck Butterflys Using a Pec Deck machine, seat yourself in it accordingly. Perform the exercise by squeezing your forearms and elbows in together so that you virtually touch them together at the peak of the movement. Be sure to really squeeze your pecs at the peak of this movement for a one-count. Return to the start position and repeat.  Decline Dumbbell Flyes Position yourself on a decline bench, flat on your back. Have your spotter hand you each dumbbell. When you begin this movement, you want your arms to be stretched out wide to your sides with your elbows slightly bent and your palms facing inward, toward one another. When you lift the dumbbells up together, visualize hugging a giant tree trunk. At the peak of the movement, really squeeze your pecs together for a one-count. Be sure to lower the dumbbells in a slow and controlled fashion. Repeat this movement for as many repetitions as you can until failure. Remember to always use a spotter when performing this and almost every other free weight exercise! With all this you must take care of your diet too – eat healthy and apt food , do not go for crash diet as it may lead to weakness as you have taken up a exercise plan and you need to take some calories to burn them. Big size Breasts although attract a lot of attention- they may cause you embarrassment sometimes too so to avoid physical and mental pain from your big bust you must stick to some given food choices: 1. Fruits – Fruit diet is what is always recommended, a bowl full of fruits that are rich in nutrients and water content should be your first preference. Fruits contain antioxidants that help you reduce weight and remain healthy. This will help you maintain your body fat proportion and thus a natural way to reduce breast fat. 2. Vegetables- Having lot of vegetables is also recommended as like fruits Vegetables are also good source of nutrients and antioxidants that keep you metabolically active. Being active means you will not tend to put on weight and managing weight is the key to your over grown bust. Veggies like Spinach, Brussels sprouts, broccoli, cauliflower etc. that have no starch are best. 3. Fish- best protein source- For your daily protein source you must rely on fish only this is the lowest calorie protein source. This will help your muscles in getting healthier and toned. Fats are minimal in fish. Fishes like Tuna, trout &salmon are best to use. 4. Nuts- nuts are also source of energy and necessary antioxidants and nutrients which are necessary for a female body to cope up with everything. Best nuts that you must include in your diet are walnut, almond and Brazilian nuts along with macadamia nuts that are neither salted nor coated with sugar. The intake of nuts helps you maintain healthy metabolism again the key to weight management. The food management is an important part. If you have a healthy diet you tend to manage weight and have less body fat which leads to automatic and natural reduction of breast. This regime if combines with exercise works best.
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Sir generally period time is 28 days, but sometimes why is this taking too much time?

BAMS, YIC, DEC
Ayurveda,
Sir generally period time is 28 days, but sometimes why is this taking too much time?
Hi the cycle s depend on stress, and general conditions of the body it varies from 28 to 35 day its normal, its varies from each cycle.
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BDS
Dentist, Mumbai
Consumption of counter pain relievers is advisable. A pain killer which reduces inflammation is highly recommendable. Some common ones are ibuprofen and aspirin.
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My wife is pregnant from 5 month she is getting problem of vomiting which is not stopping and 5 to 6 times blood also seen while vomit It is dangerous or When will stop vomit And some pain in throat after vomiting.Please tell.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
My wife is pregnant from 5 month she is getting problem of vomiting which is not stopping and 5 to 6 times blood also...
vomiting in pregnancy is always because of intolerance to smell. she has to understand what smell is causing a problem n staying away from it. alternatively ask her to take a full glass if orange juice in the morning n eat dry toasts. she can also take tab.pregnidoxin thrice daily
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Hello Dr. I have done the home pregnancy test on 14th Jan. Bt the results were negative. So, I decided for a blood test. I get it done from my nearby diagnostic centre. They tested my blood as well as my urine. The urine test reports were negative & in my blood test reports, the H. C. G. Level was 24. So, am I pregnant or not? I am worried about my missing periods. Dr. I would like to tell you that I had sex on 17th DEC. & after that I was having light bleeding from the vagina on 30th DEC. & 31st DEC. & my L. M. P. Was 8th DEC. Bt this month ai missed my periods! Can you tell me. What could be the reason for this?

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
Hello Dr. I have done the home pregnancy test on 14th Jan. Bt the results were negative.
So, I decided for a blood te...
Mam, hcg levels above 25 are considered for +ve pregnancy. So you r on borderline levels. Pls wait for one week and you may repeat the'urine strip test' of hcg level to confirm. Also meanwhile consult a gynaec doctor for further advices.
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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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Ways Diabetes Can Affect Your Sexual Health

M.D.MEDICINE , Diploma in Diabetology
Sexologist, Jaipur
Ways Diabetes Can Affect Your Sexual Health

Diabetes is often considered as deadly as cancer. It is a disease that requires lifestyle changes and diet modifications. It is also a disease that affects almost the entire system of your body. Whether you have Type 1 or Type 2 diabetes, it will do you a world of good to understand the effects of diabetes. Neurovascular damage is one of the most common effects, this means that diabetes will affect the nerves and blood supply of the body.

While Type 1 diabetes makes its presence felt much earlier and is hereditary quite often, Type 2 appears later in life with age and cumulative stress. The effects of diabetes are related to the duration of the disease. Therefore, people with Type 1 diabetes are more likely to have the symptoms early on and need to learn to manage them. Type 2 makes its appearance later, but needs good monitoring for the effects to not surface or prolong the severity of symptoms.

As we all know, all body systems are affected by diabetes, sexual health is no exception. Diabetes decreases blood supply and impacts the nerves in the genitals, thus causing a series of issues right from reduced libido and erectile dysfunction in males to vaginal dryness and painful coitus (perunia) in females.

Listed below are issues diabetic men and women face in terms of sexual health:

In Men:

  1. Diabetes reduces testosterone levels, which is directly reflected in reduced libido. Altered nerve function does not provide proper signals to the penis and there is also reduced blood flow to the organ. Both these can diminish the chances of a good erection. Studies have shown that among men who have had diabetes for 10 years, about 50% have experienced erectile dysfunction.
  2. The affected nerve function also leads to difficulties in reaching a climax. Diabetes in men can additionally cause Peyronie's disease, which leads to a curved penis, and this leads to painful and difficult erections and coitus.

In Women:

  1. It leads to reduced sexual desire due to testosterone levels. Vaginal dryness is very common in females with diabetes and therefore, there is a definite decline in the urge.
  2. The above mentioned neurovascular damage also prevents women from reaching a good climax, as the nerve supply is affected.
  3. Diabetes also increases the predisposition to urinary tract infections, which can lead to painful sexual experience due to additional vaginal dryness and itching.

Finally, as much as it may sound as a cause for concern, it is not. People with diabetes know that making small lifestyle changes can go a long way in terms of onset of symptoms, their severity, and the leading of a normal life. Modifications in diet and lifestyle to include healthy eating, reduced stress, and exercising are very useful. It is also very important to talk to your doctor about how your sexual health has changed with diabetes. It is a sensitive and private topic, but if you are concerned about it, then do not hesitate to seek help.

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