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Dr. Suman

Gynaecologist, Delhi

50 at clinic
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Dr. Suman Gynaecologist, 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. Suman
Dr. Suman is a popular Gynaecologist in Bapa Nagar, Delhi. Doctor is currently practising at Veera Devi Charitable Jain Dispensary in Bapa Nagar, Delhi. Book an appointment online with Dr. Suman and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 25 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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Veera Devi Charitable Jain Dispensary

Pocket D 3, DDA Market, Rohini Sector 11. Landmark: Near Mother Dairy, DelhiDelhi Get Directions
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I had ectopic pregnancy rapture last year. I got conceived again, my last cycle was 10-19 December 2017. Due to personal reasons I want to terminate my pregnancy, I am healthy and there is ni sign of ectopic. Can I take abortion pill at home?

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
I had ectopic pregnancy rapture last year. I got conceived again, my last cycle was 10-19 December 2017. Due to perso...
You cannot take an abortion pill at home, you need to consult your obstetrician and you need to do ultrasonography to rule ou ecopic pregnancy.
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Painful Intercourse Or Dyspareunia

BHMS
Sexologist, Lucknow
Painful Intercourse Or Dyspareunia

Dyspareunia is pain prior to, during, or after, sexual intercourse. Dyspareunia is more common in women but can affect either sex. Dyspareunia can have several different causes. For instance, vaginismus is a ‘spasm’or contractions of the muscles surrounding the vagina.

  • Dyspareunia is pain prior to, during, or after, sexual intercourse. Dyspareunia is more common in women but can affect either sex. Many women will experience dyspareunia at some time in their life. Sometimes a medial or physical etiology may not be obvious and psychosocial factors also can play an important role. In men, dyspareunia can be related to an allergic reaction to a condom or spermicidal. An infection of the prostate or prostatitis may also cause pain. If a female partner has a vaginal infection or dryness, the male can experience discomfort during intercourse.
  • Dyspareunia can have several different causes. For instance, vaginismus is a “spasm” or contractions of the muscles surrounding the vagina. Women with vaginismus have pain with insertion of tampons as well as with penile penetration.
  • Vulvodynia and vulvar vestibullitis are both conditions that are characterized by painful intercourses. They are also characterized by vulvar burning and itching. The discomfort may not necessarily be associated with intercourse.
  • In older women vaginal dryness is a common cause of dyspareunia. This is a common problem for women that are not on hormone replacement. Dyspareunia can also be caused by abnormalities of the uterus or pelvic organs. Woman may describe the pain as feeling that something is being “pushed” or “bumped” during intercourse. An enlarged uterus or ovary can cause painful intercourse especially during deep penetration. A prolapsed or “dropped” uterus or bladder may also cause discomfort. Dyspareunia can also result from previous pelvic surgery or infection. These conditions can reduce movement of the pelvic organs resulting in pain with deep penetration.
  • Women who experience trauma such as rape or sexual assault may also experience dyspareunia. Unfortunately, many women may have difficulty sharing this information with their health care providers.
  • In order to treat dyspareunia appropriately the cause must be identified. The time at which the pain occurs during intercourse and other associated symptoms can help determine the potential etiology. For instance, pain during entry may have a different etiology than pain with deep penetration.

It is also important for a health care provider to know when in a woman’s life symptoms began. For example, if a woman’s symptoms began around or shortly after menopause; her symptoms could result from atrophic vaginal tissue. She may describe her symptoms as burning or “friction” with intercourse. Vaginal lubricants or estrogen can improve dryness and decrease pain. For women with a history of endometriosis, pelvic surgery, or infection, treatment of dyspareunia is aimed at restoring pelvic organs to their normal positions and reducing scar tissue. Surgical management may also be recommended for women with symptomatic prolapsed of the uterus, rectum, or bladder.

Women with a history of sexual abuse or treatment may benefit from psychological evaluation and treating any depressive symptoms that are present.

Types of dyspareunia:

It is useful to differentiate between the different types of dyspareunia to arrive at the appropriate diagnosis, treatment, and eventual prognosis.

1. Superficial dyspareunia. Vaginismus is a specific type of dyspareunia that refers to spasms of the levator ani and perineal muscles, making intercourse difficult, painful. Undesirable, and often impossible. May clinicians have defined vaginismus as an almost certain psychogenic illness. However, organic disorders of the external genitalia and introital areas can cause such severe discomfort that any attempts at penetration can leas to spasm. This particular cycle, primarily caused by situational and anticipatory anxiety, can become self perpetuating often both organic and functional and can be solely a result of recognized disease entities.
2. Deep dyspareunia refers to a deeper pelvic pain that is experienced at any time during intercourse. Again, this may be secondary to pelvic abnormality, or it may be functional in origin. It also tends to overlap more with chronic pelvic pain syndrome.
Etiology of dyspareunia:

The presence of organic disease is often the cause of dyspareunia. Virtually all gynecologic disease entities list dyspareunia as a possible symptom.

Prominent in the list of diseases associated with dyspareunia are the following:

  • Chronic pelvic infection.
  • Endometriosis
  • Pelvic carcinoma
  • Extensive prolapsed or organ displacement
  • Episiotomy.
  • Acute vulvovaginitis
  • Cystitis
  • Urethral syndrome or other urinary tract disorders.
  • Introital, vaginal, and cervical scarring.
  • All space occupying lesions.
  • Levator ani myalgia.
  • Vulvar vestibulitis.

1. As with chronic pelvic pain syndromes, gastrointestinal (gi) diseases (e. G, bowel motility disorders) must be excluded.

2. Estrogen deprivation, irritating vaginal medications, sympathomimetic drugs, amphetamines, and cocaine are also causes, primarily in superficial dyspareunia and vaginismus.

3. The most common causes of superficial dyspareunia include vaginitis (atrophic or infectious) or lack of lubrication (either caused by physiologic conditions or suboptimal sexual technique.

4. Lesions in the cul-de-sac are said to correlate most often with deep penetration dyspareunia.

5. Women who have deep penetration dyspareunia and who do not have superficial pain on penetration or vaginismus usually do not have a causative external inflammatory syndrome.

6. Some individual with external dyspareunia or vaginismus have small, almost imperceptible scar tissue secondary to surgery or childbirth.

7. Two clinical syndromes not usually recognized involve broad ligament varicosities and the broad ligament tear syndrome.
8. Frequently unrecognized etiology, particularly on first, interview, is a history or sexual assault or abuse.

Diagnostic workgroup

It is extremely important to look for evidence of sexual abuse both on history and physical examination before undertaking an expensive workup. Routine studies include a cbc, sedimentation rate, urinalysis, urine culture and sensitivity, and vaginal smear and culture. A pap smear should also be done. If pregnancy is suspected, a pregnancy test should be done. If there is a pelvic mass, pelvic ultrasound may be helpful. A referral to gynecologist is usually made before ordering this study, however. If vulval dystrophy is suspected, a vaginal biopsy may be useful. If the vaginal examination is normal, perhaps a psychiatrist should be consulted.

  • Normal pelvic examination
  • Abnormal pelvic examination
  • Difficult penetration
  • Difficult during intercourse
  • With abnormal rectal examination
  • Inflamed
  • Hymeneal
  • Orifice
  • Bartholinitis
  • Vulvitis
  • Vulval
  • Dystrophy
  • Cystitis
  • Urethritis
  • Difficult during intercourse
  • Salpingooophoritis
  • Retroverted
  • Uterus
  • Endometriosis
  • Ovarian cyst.
  • With abnormal rectal examination
  • Hemorrhoids
  • Anal fissure
  • Impacted
  • Feces
  • B-normal pelvic examination

With sexual desire 2. Without sexual desire
Functional dyspareunia not true dyspareunia

Differential diagnosis

Sexual pain disorder: persistent recurrent genital pain or nonorganic cause associated with sexual stimulation.

Vaginismus: painful, involuntary spasm of the vagina, preventing intercourse

Vulvar vestibulitis: a chronic and persistent clinical syndrome characterized by severe pain with vestibular touch or attempted vaginal entry, tenderness in response to pressure within the vulvar vestibule, and physical findings confined to various degrees of vestibular erythema.

Vulvodynia: chronic vulvar discomfort (e. G. Burning, stinging, irritation, rawness).

Female sexual dysfunction (disorders of desire, arousal, or orgasm)

Homeopathic remedies.

1. Bellis perennis
Bruised sensation in the vagina, if intercourse is interrupted.

2. Cactus grandiflora
Vagina squeezes shut when intercourse is attempted. Intercourse may be easier just before menses.

3. Coffea
Over sensitivity of the vulva and vagina. Heat and itchiness. Vaginismus with pain.

4. Cuprum
Cramping in the vagina and sometimes also in the legs, during intercourse.

5. Ferrum
Vagina feels dry, painful and raw. No feelings of arousal.

6. Gelsemium
Anxiety before intercourse. Tendency to vaginismus.

7. Lycopodium
Dry, burning vagina during and after intercourse. May have varicose veins in vulva.

8. Natrum mur
Dryness, with smarting and burning pains. Acrid discharge.

9. Platina
Strong sexual desire. May have erotic dreams. Difficult to have intercourse as vulva is extremely over-sensitive. Intercourse is painful and causes bruised sensation.

10. Rhus tox
Soreness during and after intercourse, often accompanied by physical restlessness.

11. Sepia
Dryness with bleeding after intercourse. (if you have this symptom seek medical advice.) feeling that everything will prolapse. Suits women who are exhausted and want to escape from their situation.

12. Staphisagria
Extremely useful remedy for pain after loss of virginity or in instances of rape or sexual assault.

13. Thuja
Vagina is over-sensitive making intercourse painful and difficult. Pains: burning, sore, bruised. May be helpful where there is a history of sti’s or if there are feelings of shame and self-disgust in relation to intercourse.

But before taking these medicine please consult your homoeopathic doctor.

4 people found this helpful

I am taking Metformin and ovabless for pcod, can it also help regularize my period as I have also irregular period problem.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am taking Metformin and ovabless for pcod, can it also help regularize my period as I have also irregular period pr...
Along with the medicines start doing regular exercise and take dietary measures, i.e take healthy diet including fruits and green vegetables & low fat dairy products. Quit coffee & fried food.
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The Science Of Orgasm - Why Orgasms Feel So Good?

MD-Pharmacology, MBBS
Sexologist, Delhi
The Science Of Orgasm - Why Orgasms Feel So Good?

The mention of the word "orgasm" is enough to numb your senses. It is like a pleasure trip that nobody wants to end. It gives a person an inexplicable eternal feeling, a climax that most couples wait for with bated breath. As known to all, an orgasm is a zenith of a sexual interaction or intercourse. You will seldom come across a person who doesn't enjoy an orgasm. 

Sex without an orgasm can be quite dull and boring. 
Have you ever been intrigued as to why an orgasm feels so good? What is it that makes an orgasm such an enjoyable experience? This article is an attempt to unravel this simple yet important query that has been baffling people for long. 

An orgasm is a way our body reacts physiologically on being sexually aroused. Though the level of excitement and its impact may vary from person to person, most people (both men and women) feel good and euphoric on reaching an orgasm. There is an interesting science behind this. It is important to mention that the brain plays a pivotal role in an orgasm. As in any other organ of the body, there are numerous nerve endings present in the genitalia. These nerve endings are in turn connected to the brain and the spinal cord via the large nerves. 

In this regard, the nerves that are instrumental in sending the signals and the stimulation to the brain (different regions of the brain) on being aroused or excited sexually include 

  1. The Pelvic nerve is responsible for sending signals from the rectum (in both the sexes) and also from the vagina and cervix (women). 
  2. The Hypogastric nerve is responsible for sending signals from the prostate (men) and also from the uterus and the cervix (women).
  3. The Vagus nerve (the longest of the 12 cranial nerve) is only involved in sending the signals from the cervix, uterus, and vagina in women. 
  4. The Pudendal nerve transmits the signals from the scrotum and penis in men. In women, it transmits the signals from the clitoris. 

The signals sent to the brain during an orgasm results in its activation, especially the reward circuits or the pleasure center. The pleasure center is responsible for all kinds of pleasurable feelings in a person. The areas mainly affected by the sexual excitement include 

  1. Amygdala: It is mainly involved in the regulation of emotions like sweating, increased heart rate, and blood pressure. •    Ventral tegmental area (VTA): It is responsible for the release of the neurotransmitter, Dopamine. 
  2. Nucleus accumbens: The nucleus accumbens is an important part that controls or regulates the release of dopamine. 
  3. Others: Cerebellum (maintains and coordinates the muscular activities in the body) and the Pituitary gland (responsible for the release of vasopressin, oxytocin, and beta-endorphins). 

The arousal, followed by activation, acts as a catalyst which further results in release of neurotransmitters and hormones. The more these neurotransmitters and hormones are released, more pleasure and excitement is experienced during the act. In case you have a concern or query you can always consult an expert & get answers to your questions!

4363 people found this helpful

5 Foods To Avoid Before Having Sex

Vaidya Visharad
Sexologist, Narnaul
5 Foods To Avoid Before Having Sex
These 5 surprise foods lower your libido and dampen your sex drive.1. Coffee- Too much caffeine can cause stress and hormonal imbalances.2. Artificial Sweeteners- Artificial sweeteners contain aspartame, an ingredient that causes trouble for your body’s happy hormone (serotonin), without which your mood and libido tends to suffer.3. Dairy products- Overconsumption of dairy products like cheese induces toxins that interfere with the production of the natural, mood uplifting hormones.4. Crispy delights- A pack of chips by your bedside is enough to lower your libido.5. Corn flakes- Did you know that Dr John Harvey Kellogg, made this cereal as a part of a bland diet to lower people’s sex drive? It is best to stay away from corn flakes before going to bed.



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1491 people found this helpful

Doctor my husband is asking me for anal sex but I'm afraid what to do how to overcome pain is there any lubrication we have tried once because of pain I didn't allow him how to do it.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Castor oil application will help but as far as possible please avoid anal sex as it is risky and addicting.
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Is there any bad effect on baby if had sex during pregnancy? Is there any time period during pregnancy, when sex should not be done?

IPHH Delhi, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Panchkarma, Diploma in Acupuncture
Sexologist, Gurgaon
Is there any bad effect on baby if had sex during pregnancy? Is there any time period during pregnancy, when sex shou...
Normally there is no bad effect if pregnancy is normal. But you should always cross check with your gynecologist. In the last trimester of pregnancy one should take care that there is not much pressure on abdomen. Lateral positions are better way to avoid undue pressures.
1 person found this helpful
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I am 24 years old female I got married 1 year ago I recently consulted doctor regarding not getting pregnancy under the suggestion from my parents doctor told that there is no need of using tablets and she had given me to use vito dha tablets whether it is necessary for me if yes why if not why tell me detailed answer regarding this one. If there is any problem for me if I use that tablet and she had given me syrup named EVECare syrup to take 6spoons daily for 1 month is it necessary why if not why tell me answer in detail please.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am 24 years old female I got married 1 year ago I recently consulted doctor regarding not getting pregnancy under t...
Hye. Thankyou for the query. You must always have faith in your doctor. Also it is very important to ask your doctor regarding the medication you are taking and why it is given. It is your right and responsibility to know what is the problem and what is the treatment. You have not mentioned what problem you are having with regards to your infertility. But as for medications prescribed vito dha is a folic acid supplement and EVECARE is to improve your menstrual irregularities and help fertility. Always be clear with your doctor. Don't be unaware of your own body or health or the medication you are putting into your body.
1 person found this helpful
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