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Dr. Sunita Gupta - Gynaecologist, New delhi

Dr. Sunita Gupta

90 (52 ratings)
MBBS, MD - Obstetrtics & Gynaecology

Gynaecologist, New delhi

35 Years Experience  ·  700 - 800 at clinic  ·  ₹300 online
Dr. Sunita Gupta 90% (52 ratings) MBBS, MD - Obstetrtics & Gynaecology Gynaecologist, New delhi
35 Years Experience  ·  700 - 800 at clinic  ·  ₹300 online
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Treatment, symptoms and risk factor of PCOS<br/><br/>I m Dr. Sunita Gupta. I m a consultant gynae...

Treatment, symptoms and risk factor of PCOS

I’m Dr. Sunita Gupta. I’m a consultant gynaecologist with Max Hospital Saket and Panchsheel, and I, in my first video I talked to you about the PCOS and today I’m further going to go into depth on the disease. So, third symptom is excessive facial hair on the face and the body. That is also again because of the male hormone circulating in the blood, and again, the treatment remains contraceptive pills. So most of the patients respond to contraceptive pills, but it can take up to six months to show its effect, and whatever hair is already there on the skin that will not respond and the fresh hair will stop coming with this treatment. Whatever hair is already there has to be treated by the skin specialist, so they can advise laser treatment or any beauty treatment for that, or some local creams are also there to reduce the facial hair.

And the fourth symptom is irregular cycles. Irregular cycle are also because of the male hormones in the blood. They also respond very well to contraceptive pills, but sadly not all patients need to take contraceptive pills for irregular cycles, sometimes if you correct the insulin resistance which is the basic cause in polycystic ovary, then also the cycles can become irregular also, can become regular, and so we can give them Metformin or some insulin, some medicines which can tackle the insulin resistance, which is the basic cause of obesity. And sometimes patients with polycystic ovary have excessive hair fall, which is also related to the male hormone in the blood, and if we correct the PCOD the hair fall stops, and it can take up to three months to respond.

In Polycystic ovary patients, because of the male hormone in the blood, the egg formation doesn’t occur properly and that’s why they often have infertility problem, and they may have difficulty in conceiving. If normally paints have egg formation every month, in polycystic ovary patients they may have egg formation in three months, six months, so they take all that longer to conceive. So we have medicines that induce egg formation and if we correct the PCOD, then also egg formation, if we lose weight and regular exercise by that alone so many patients start ovulating every month and they can conceive. The hormones become alright. Because it has to be a perfect cocktail of hormone in your blood, then only it becomes favorable for egg formation and for conception. So that can happen only if with regular exercise and dieting.

Sometimes you may need treatment for egg formation and infertility also occurs because the lining of the uterus is thin in these patients. Again because the progesterone hormone is less in these patients. So we may need to give them progesterone hormones in the second half of the cycle to improve their chances of conception. PCOS patients also have more chances of abortions in the first three months of pregnancy, because they have less of progesterone hormone in their blood, and that is required for so that the seed can make its roots properly in the uterus, so we need to give they progesterone supplements sometimes if they even need estrogen supplements or even some medicines to improve the blood flow in the uterus.

So even the PC or the male hormone have to be kept under control so that the baby can grow properly. For that we need to give them something to control the insulin resistance so that automatically the male hormones in the blood go down. So first three months are very crucial for PCOS patients. If the first three months can be tackled, then the rest of the pregnancy normally goes uneventful. So that is all about PCOS I wanted to share with you.

And if you want to consult me any further, you can consult me on Lybrate.com, or you can consult directly in Max Hospital Saket.

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Brief knowledge about causes of PCOS<br/><br/>I'm Dr. Sunita Gupta. I'm Consultant Gynecologist a...

Brief knowledge about causes of PCOS

I'm Dr. Sunita Gupta. I'm Consultant Gynecologist at Max Hospitals, Saket, and Panchsheel. Today I'm going to talk about Polycystic Ovarian Syndrome.

Polycystic Ovarian Syndrome consists of three symptoms. One is Anovulation. Anovulation means there is no egg formulation in the ovary. Second is Hyperandrogenism which an is excess of male hormones in the body, and third is Cyst in the body which is visible in the ultrasound. So the main symptoms of Polycystic Ovarian Syndrome are obesity. Most of the patients of Polycystic ovary have obesity. Obesity worsens the Polycystic Ovary Syndrome and it is a vicious cycle and Polycystic Ovarian people have more obesity because what happens is that the female hormones get deposited in the fat and that's why there is deficiency of female hormone in blood of Polycystic patients and all that's why the male hormones starts dominating the system and all the male symptoms start appearing like acne, hair on the face or on he body, excessive hair on the body, irregular cycles. So, obesity is the main culprit in the patients. So, if they lose weight then all the symptoms regress because the hormone in the fat goes back to the blood and all the hormonal imbalance gets corrected and all the acne and facial hair everything will disappear.

Second thing is acne which is very common in Polycystic Ovarian patients. So many times patient go to a skin specialist for acne treatment and then they discover they have Polycystic Ovarian Syndrome. So for acne is again because of male hormones in the blood and sometimes it a response to local applications which the skin specialist gives to them. But sometimes they need to take hormonal treatment. We give the oral contraceptive pills to these patients for correcting the acne. Basically the oral contraceptive pills have perfect combination of female hormones which your body, ovary should be producing. But the in case of Polycystic ovaries the ovary is producing more of male hormones, little bit more male hormones.

So once we give pills from outside the body gets the signal that there are enough hormone in the blood and there is no need to make any more hormone. So the ovaries stops working and the male hormones also stop getting formed and all the symptom then gets regressed till the patient is on he pills. Once the patients stops the pills again the ovaries take over, again the male hormone starts getting formed by the ovaries and again the symptoms may slowly appear. So once the patient has been kept on OCPs for 6 months she may become alright for 1-2 years and again the symptoms may come back.

So Polycystic Ovary disease is a not disease which can be cured by a 6 months treatment or a one week treatment like any fever or antibiotic you give and the patient becomes alright. This is a lifestyle disease which is going to be there for the rest of your life. You can keep it under control by having a healthy lifestyle or maybe taking some medication if required or you if let it go if you allow yourself to gain weight then it can become worse and get out of hand.

If you want to know anything more about PCOS you can contact me on Librate.com or Max hospital, Sanket and Panchsheel.

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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Sunita Gupta
He has been a successful Gynaecologist for the last 34 years. He has completed MBBS, MD - Obstetrtics & Gynaecology. You can book an instant appointment online with Dr. Sunita Gupta on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. Find the best Gynaecologists online in new delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - All India Institute of Medical Sciences, New Delhi - 1982
MD - Obstetrtics & Gynaecology - All India Institute of Medical Sciences, New Delhi - 1985
Past Experience
Working at Consultant at Max Smart Saket Hospital 1996-2016
Worked at Senior Resident at Safdarjung Hospital 1985 - 1988
Languages spoken
English
Hindi
Awards and Recognitions
Thesis on Colposcopy
Passed E.C.F.M.G. English and Medical tests
Awarded Gold Medal for first position in Forensic Medicine
...more
Awarded MD Obstetrics and Gynecology from All India Institute of Medical Sciences, New Delhi in first attempt
Professional Memberships
Indian Medical Association (IMA)
Delhi Medical Council
Indian Fertility Society (IFS)
...more
Association of Obstetricians & Gynaecologists of Delhi (AOGD)
Federation of Obstetrics and Gynaecological Societies of India (FOGSI)
Indian Association of Gynaecological Endoscopist (IAGE)
Indian Menopause Society (IMS)
Infertility training from London

Location

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Dr Sunita Gupta's Clinic

B7/7 safdarjung enclaveNew delhi Get Directions
  4.5  (52 ratings)
700 at clinic
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Max smart Hospital

Saket Institutional Area, SaketDelhi Get Directions
  4.5  (52 ratings)
800 at clinic
...more
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First Trimester - 3 Changes To Expect

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
First Trimester - 3 Changes To Expect

The first 12 weeks of your pregnancy is a super important period when your pregnancy gets established and stabilized. There are so many little exciting and not so exciting changes happening in your body that it'll simply leave you amazed. If this is your first pregnancy and you are wondering what to expect, here is a quick view: 

1. The big discovery: This is one of the most trying times in a woman's life when her mind is swinging, wondering if those periods just decided to postpone themselves or if there is an exciting reason behind the miss. This period is often spent wondering when exactly is the right time to do your first pregnancy test. The opinion on this varies a lot. Some women have been able to detect their pregnancy even before they missed their period. Others have got a false negative one week after missing their periods. The safest bet is to wait for around 8 days after your missed period and do a blood HCG test which gives a sure shot confirmation. And that moment when you find out and share with your spouse is something you'll treasure for life. There really is no feeling in the world that can match knowing that a small little life is taking shape inside you.

2. The good and not so good changes: Though the kicking doesn't begin until later and the belly doesn't show, there are enough changes in your body to wonder what the little one is up to. 
a.    Morning sickness: One of the unfriendly side effects of pregnancy generally kicks in early during the first trimester. Unfortunately, it doesn't just last in the morning but mostly throughout the day. Some smells also trigger the feeling of nausea. Having small meals and keeping a good scent handy may help. 
b.    Mood swings: You can go from the heights of euphoria to the depths of depression with the speed of a roller coaster. The spouse is often the one bearing the brunt of this side effect leaving them confused. It is best to keep them in the loop so that they can take it to their stride and comfort you when you need it the most. 
c.    Weight loss / gain: Though it is too early to pile on the pounds, your first trimester will see you gain a few pounds. In other cases, appetite loss and nausea may actually result in some weight loss. Keep your daily calorie intake in check during this period and concentrate on eating nutritious food with extra pregnancy sustaining supplements.
 
3. Your baby's growth: In your first trimester, your baby goes from a single cell to a peach sized bundle that sprouts arms, legs, hands, feet, fingers and toes. And that first heartbeat - you are bound to skip a heartbeat when you hear that. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4524 people found this helpful

5 Signs Of Ovulation

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
5 Signs Of Ovulation

Your ovulation cycle is largely ignored until you decide to have a baby. Suddenly, the ovulation cycle becomes more than just a countdown to your next period. When you're trying to get pregnant, you need to identify when you're ovulating to calculate the time available to you to conceive a child. Ovulation occurs mid cycle, every month for most women. It is usually accompanied by a number of symptoms. Some of these are:

Ovulation pain
Some women may experience an abdominal pain when they ovulate. This can range from a mild sensation to a constant pain. The latter is not normal and may be caused by ovarian cysts or scarring by a previous surgery. 

Higher Basal body temperature
Basal body temperature is the lowest temperature recorded in the body when it is at rest. At the time of ovulation, this temperature normally increases as a result of the release of progesterone. To use this method to determine ovulation, you will need a basal thermometer. Take your temperature every morning as soon as you wake up and record it in a chart to spot temperature changes. Basal body temperature can also be used to determine if recent intercourse has resulted in a pregnancy or not. If the basal temperature remains elevated for 18 days after intercourse, it is safe to say that you are pregnant. 

Cervical mucus
The mucus released by the vagina changes according to the stage of the ovulation cycle. This is caused by the fluctuations of hormone levels. At the time of ovulation, cervical mucus is clear, slippery and highly elastic. This can be compared to a raw egg white in colour and consistency. After ovulation, this mucus will turn stickier and denser. 

Cervical position
Your cervix itself will shift at the time of ovulation. Some women can easily feel this change while it may take a little time for others to identify it. The cervix is usually positioned low and feels hard and closed. However, just before ovulation, it will usually open up and soften a little as well as pull back. Cervical position also needs to be regularly charted to determine when the position changes. 

Spotting
Spotting mid cycle is not always a sign of an early period. It may also signal ovulation. This is usually a result of the sudden drop in estrogen that precedes ovulation. Since the progesterone levels are not high at this time, the lining of the uterus may leak a little blood. 

Other signs of ovulation include:
*  Breast tenderness
*  Heightened sense of smell, taste etc
*  Increased libido
*  Increased energy levels and
*  Water retention. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4279 people found this helpful

Tampons v/s Sanitary Pads - 3 Comparison Factors

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Tampons v/s Sanitary Pads - 3 Comparison Factors

Menstruation is a reality of life for women. There are several options like pads, tampons, menstrual cups and panty liners to deal with menstruation. However, there is often a comparison between pads and tampons - as to which one is a better option. Here is an insight to guide you to what's better for you that also ensures your good vaginal health.

Comfort

Pads have been occupying the most favorite position among women since a long time and it's the best option if you have just started your period. Tampons are discreet and are the best option for swimmers and athletes as it allows greater freedom of movement. Both have been proven to provide efficient period protection but it really depends on your preference and comfort with a particular product.

Size and fragrance

Both pads and tampons come in various shapes and sizes suiting everyone's preferences. There are large, extra large and even pads with wings to cope with the intensity of flow. Both the products have fragrant variations to combat the pungent period smell.

Impact on vaginal health

The vaginal area harbors microorganisms which are needed to maintain its PH balance. Pads do not affect the PH level but the fragrance can cause irritation which is present in both the products. Pads and Tampons should be changed at regular intervals to avoid leakage or
infection. Pads do not have harmful effects on your vaginal health generally if you are not
allergic to the material which can cause skin rash. The impact of tampons on the vaginal health is a controversial topic.

Many studies show that tampons contain many chemicals to make them super absorbent, which are harmful. Small traces of dioxin are found which influences the reproductive tissue and immune system. Tampons have a tendency of absorbing everything including the microorganisms needed in the vagina to maintain its PH level.

Both tampons and pads have some impact on the vaginal health, but which one you choose really depends on your preference. It is advised to oversee their compatibility with the vaginal area before committing to any of them. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4413 people found this helpful

Bleeding In Pregnancy - 5 Ways To Manage It

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Bleeding In Pregnancy - 5 Ways To Manage It

Bleeding in early pregnancy or during the first trimester may or may not be a serious reason for concern, depending on the cause. But because bleeding can sometimes be a sign of something serious, it's important to know the possible causes, and get checked out by your doctor to make sure you and your baby are healthy. About 20% women have some bleeding during first 12 weeks. The possible reasons are implantation bleeding, miscarriage, ectopic pregnancy, molar pregnancy, cervical changes and infection. So how do you deal with it? Here's a quick list.

  • Hygiene: Ensure that hygiene is your first priority, especially during pregnancy.
  • Light Bleeding: Light bleeding or spotting that is dull red or brown in colour is a normal occurrence for many pregnant women. This can point to the foetus getting lodged and pressing against your womb's lining, or even the cervical changes that you may be going through due to the implantation and impending trimesters and eventual delivery. The best thing to do in such cases is to not panic.
  • Sex: Having sexual intercourse can also sometimes lead to mild spotting. Also, you should avoid using abrasive material and clothing during this time.
  • Ultrasound: Go for an ultrasound and ensure that your pregnancy is normally placed and not ectopic. An ectopic pregnancy can lead to bleeding which can later become fatal. It may cause cramps in the lower abdomen region as well. 
  • Infection: Speak with your gynecologist and ensure that there is no risk of infection. Usually, many women suffer from infection (can be on cervix or vagina) during the early stages of pregnancy. This may give rise to spotting and mild bleeding. Take necessary actions and precautions to ensure that the infection does not get out of hand and is treated right away. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4220 people found this helpful

Prevention Techniques Of Breast Cancer

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Prevention Techniques Of Breast Cancer

Medical science constantly challenges the boundaries by finding not only the cures to the most dangerous diseases, but finds a way to prevent them even before they occur. With years of research, practice and data available for analysis, scientists are using advanced technology in combination with years of research to create a predicting mechanism for often fatal diseases like cancer.

Breast cancer screening has always been done with mammography. The fact is that this method is only 75% accurate, laden with false positives and misses a whole set of women totally- and that too when cancer has already developed. Part of the problem comes from the dense breast tissue which one in three women have. This tissue masks the lumps, which makes it difficult for mammograms to accurately screen cancer.

Some breakthrough scientific methods are changing this by drawing on years of research to predict this deadly disease, years before it can manifest itself.

A genetic test to predict cancer 10-11 years ahead of time. This test was performed to see how environmental factors could influence cancer, along with habits like smoking, abusing alcohol or hormones, genetic changes that occur and are put a large percentage of the women at a high risk of developing this disease.

A simple blood test is used for the genetic analysis of hereditary cancer. Researchers found a biological marker, methylation of the ATM gene, which has a very high ability to predict the risk of developing cancer, several years before diagnosis. 'Methylation' concluded that when one biological indicator is exposed to carcinogenic substances, or other abusive substances like tobacco and alcohol, it may trigger the development of cancer.  On the flip side, this test will take time to reach the commercial market and even then cannot give an exact timeline as to when someone may develop the disease.

A simple blood test to predict breast cancer 5 years before it develops. This is the kind of medical miracle the world is looking for. Last year in April, researches in Denmark identified a simple blood test that can predict breast cancer five years before it actually develops with an accuracy of a whopping 80%.

It works by "measuring all of the compounds in the blood to build a 'metabolic profile' of an individual, in order to detect changes in the way chemicals are processed, during a pre-cancerous stage," says Laura Donnelly, health editor at The Telegraph, which covered this development. Danish researchers observed 57,000 participants over 20 years, gathering blood samples along the way, specifically comparing a set of 800 women who remained healthy or developed breast cancer within 7 years of their first blood sample. The researchers found they were able to predict, with 80 percent accuracy, which patients would be affected by the disease, just by looking at the metabolic profiles they built from the participants' blood samples. The results have been published in Metabolomics. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4274 people found this helpful

Briefing on PCOS

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Play video

Treatment, symptoms and risk factor of PCOS

I’m Dr. Sunita Gupta. I’m a consultant gynaecologist with Max Hospital Saket and Panchsheel, and I, in my first video I talked to you about the PCOS and today I’m further going to go into depth on the disease. So, third symptom is excessive facial hair on the face and the body. That is also again because of the male hormone circulating in the blood, and again, the treatment remains contraceptive pills. So most of the patients respond to contraceptive pills, but it can take up to six months to show its effect, and whatever hair is already there on the skin that will not respond and the fresh hair will stop coming with this treatment. Whatever hair is already there has to be treated by the skin specialist, so they can advise laser treatment or any beauty treatment for that, or some local creams are also there to reduce the facial hair.

And the fourth symptom is irregular cycles. Irregular cycle are also because of the male hormones in the blood. They also respond very well to contraceptive pills, but sadly not all patients need to take contraceptive pills for irregular cycles, sometimes if you correct the insulin resistance which is the basic cause in polycystic ovary, then also the cycles can become irregular also, can become regular, and so we can give them Metformin or some insulin, some medicines which can tackle the insulin resistance, which is the basic cause of obesity. And sometimes patients with polycystic ovary have excessive hair fall, which is also related to the male hormone in the blood, and if we correct the PCOD the hair fall stops, and it can take up to three months to respond.

In Polycystic ovary patients, because of the male hormone in the blood, the egg formation doesn’t occur properly and that’s why they often have infertility problem, and they may have difficulty in conceiving. If normally paints have egg formation every month, in polycystic ovary patients they may have egg formation in three months, six months, so they take all that longer to conceive. So we have medicines that induce egg formation and if we correct the PCOD, then also egg formation, if we lose weight and regular exercise by that alone so many patients start ovulating every month and they can conceive. The hormones become alright. Because it has to be a perfect cocktail of hormone in your blood, then only it becomes favorable for egg formation and for conception. So that can happen only if with regular exercise and dieting.

Sometimes you may need treatment for egg formation and infertility also occurs because the lining of the uterus is thin in these patients. Again because the progesterone hormone is less in these patients. So we may need to give them progesterone hormones in the second half of the cycle to improve their chances of conception. PCOS patients also have more chances of abortions in the first three months of pregnancy, because they have less of progesterone hormone in their blood, and that is required for so that the seed can make its roots properly in the uterus, so we need to give they progesterone supplements sometimes if they even need estrogen supplements or even some medicines to improve the blood flow in the uterus.

So even the PC or the male hormone have to be kept under control so that the baby can grow properly. For that we need to give them something to control the insulin resistance so that automatically the male hormones in the blood go down. So first three months are very crucial for PCOS patients. If the first three months can be tackled, then the rest of the pregnancy normally goes uneventful. So that is all about PCOS I wanted to share with you.

And if you want to consult me any further, you can consult me on Lybrate.com, or you can consult directly in Max Hospital Saket.

3012 people found this helpful

3 Ways To Treat Ovarian Cysts!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
3 Ways To Treat Ovarian Cysts!

Ovaries are a part of a woman’s reproductive system. The primary function of ovaries includes producing ‘ova’ or eggs and secreting hormones such as progesterone and estrogen. Cysts are fluid-filled sacs that form the ovaries; they usually do not cause any symptom and are not painful.

There are primarily two types of ovarian cysts:

1. Follicle cysts: During a woman’s menstrual cycle, the egg develops in a sac known as the follicle. Under normal circumstances, the sac breaks open and releases the egg. When this doesn’t happen, fluids start accumulating in the follicle to form a cyst.

2. Corpus luteum cysts: Follicle sacs dissolve after releasing the egg, but in some cases, these sacs remain and the opening of the sacs gets sealed. It again results in fluid accumulation, leading to the formation of corpus luteum cysts.

Symptoms

Usually, cysts do not cause any symptom. If the size of the cysts increases, they may cause symptoms such as stomach pain, pain during bowel movements and sex as well as pelvic floor pain. The breasts may become tender and one may experience rapid breathing. Other symptoms of ovarian cysts are fever, nausea and dizziness. Usually, rupturing of a cyst leads to these symptoms surfacing; hence you would know when exactly to call the doctor.

Treatment

The treatment options for ovarian cysts are:

  1. Laparoscopy: Laparoscopy is carried out if the cysts are small in size. An incision is made close to the navel, through which an instrument is inserted to get rid of the cyst.
  2. Birth control pills: For chronic ovarian cysts, oral contraceptives are prescribed to stop the ovulation process in order to arrest the formation of cysts.
  3. Laparotomy: In case of large cysts, this procedure is recommended. A relatively bigger incision is made in the abdomen, through which the cyst is removed.

Ovarian cysts, if left untreated, can certainly cause infertility. Pre-menopausal women and who suffer from frequent hormonal imbalances in the body are the most vulnerable to this condition. If you wish to discuss about any specific problem, you can consult a gynaecologist.

3984 people found this helpful

Reasons Why You Should Consult A Gynaecologist!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Reasons Why You Should Consult A Gynaecologist!

Women do not normally visit a gynaecologist, until they are suffering from any problem. Consulting a gynaecologist at regular intervals is important for good health.

Following are the 4 common reasons to visit a gynaecologist:

  1. Itchy vagina - Vaginal itching is very commonly ignored as most women consider it to be embarrassing, and as something that does not require any attention. However vaginal itching may be an indication of something more serious. Usually vaginal itching is a sign of fungal infection or a symptom of a STDs (sexually transmitted diseases). In the worst-case scenario, it can even be a sign of vulvar cancer (a cancer of the vulva, which is the external part of your vagina).
  2. Painful sex - Most women feel that it is normal to feel a little bit of pain in your vagina during sex. However, the truth is that pain during sex is not at all normal. If you feel pain while indulging in sexual activity, there are chances of you suffering from either vaginal dryness or a mild infection, which if left untreated can become worse. Some of these infections can even be STDs such as herpes, gonorrhoea etc.
  3. Lump in your breast - A lump in the breast, whether or not accompanied by a bloody discharge from your nipples, is most likely a warning sign of cancer. You should also watch out for any type of pain in your breasts or even an abnormal growth as all of these indicate the development of cancerous cells in the breasts.
  4. Considerable bleeding during periods - If you bleed heavily during your periods, so much so that you have to change your sanitary napkin 2-3 times in just one to two hours, it's a cause of concern. If this heavy menstrual flow is also accompanied with shortness of breath and rapid heart rate, you may be suffering from anaemia. In extreme cases (which is very rare), this can lead to extreme blood loss, which may require a blood transfusion.
3746 people found this helpful

Miscarriage - How To Diagnose it!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Miscarriage - How To Diagnose it!

Miscarriage is termed as the loss of the fetus in or before 20th week of pregnancy. Medically, miscarriage is known as spontaneous abortion though the word spontaneous is more of a keyword as it is not an abortion. Symptoms of miscarriage are weakness, back pain, fever, abdominal pain along with severe cramps and bleeding which starts from slow to heavy. Common cause of miscarriage is when the fetus is known to have fatal genetic problems and these are not related with the mother.

The other causes are:

Infection, medical problems like thyroid and diabetes, immune system rejection, hormonal imbalance, abnormalities of the uterus, and physical problems of the mother. If a woman is over 35 years of age, has thyroid and diabetes and has had an earlier miscarriage then that woman is at a high risk of getting a miscarriage.Sometimes a miscarriage might take place due to the cervical insufficiency. This is due to the weak cervix, also known as the incomponent cervix, which is unable to hold the pregnancy.

A miscarriage in this condition usually occurs in the second trimester. Though there are a very few symptoms in this but there might be a feeling of sudden pressure that the water is going to break and tissues from the placenta and fetus are released without any pain. This can however be treated by a stitch in the cervix at 12 weeks. This stitch helps to hold the cervix until the full term is completed. If it is first pregnancy and cervical insufficiency is diagnosed then also a stitch can be applied thus resulting in full term and avoiding miscarriage.

Diagnosis of Miscarriage: 

  1. The doctor does a pelvic test, an ultrasound and blood tests to confirm a miscarriage
  2. Blood tests are done to analyze the pregnancy hormone hCG. This is monitored regularly if miscarriage is suspected
  3. Genetic tests, blood tests and medication are important in women who have a history of prior miscarriages
  4. Pelvic ultrasound and hysterosalpingogram are tests which are done when there are repeated miscarriages
  5. Test like hysteroscopy is also done. In this the doctor observes the inside of the uterus with a device which is thin and like a telescope. This is inserted in the vagina and cervix.
  6. If the cervix is dilated, then the woman might be diagnosed with an incompetent cervix and this can be corrected by cerclage - a procedure done to close the cervix.
  7. If the blood type of the pregnant woman is Rh negative, she is prescribed a blood product called Rh immune globulin (Rhogam). This prevents from forming antibodies which could turn to be harmful for the baby. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
3903 people found this helpful

Causes of PCOS

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Play video

Brief knowledge about causes of PCOS

I'm Dr. Sunita Gupta. I'm Consultant Gynecologist at Max Hospitals, Saket, and Panchsheel. Today I'm going to talk about Polycystic Ovarian Syndrome.

Polycystic Ovarian Syndrome consists of three symptoms. One is Anovulation. Anovulation means there is no egg formulation in the ovary. Second is Hyperandrogenism which an is excess of male hormones in the body, and third is Cyst in the body which is visible in the ultrasound. So the main symptoms of Polycystic Ovarian Syndrome are obesity. Most of the patients of Polycystic ovary have obesity. Obesity worsens the Polycystic Ovary Syndrome and it is a vicious cycle and Polycystic Ovarian people have more obesity because what happens is that the female hormones get deposited in the fat and that's why there is deficiency of female hormone in blood of Polycystic patients and all that's why the male hormones starts dominating the system and all the male symptoms start appearing like acne, hair on the face or on he body, excessive hair on the body, irregular cycles. So, obesity is the main culprit in the patients. So, if they lose weight then all the symptoms regress because the hormone in the fat goes back to the blood and all the hormonal imbalance gets corrected and all the acne and facial hair everything will disappear.

Second thing is acne which is very common in Polycystic Ovarian patients. So many times patient go to a skin specialist for acne treatment and then they discover they have Polycystic Ovarian Syndrome. So for acne is again because of male hormones in the blood and sometimes it a response to local applications which the skin specialist gives to them. But sometimes they need to take hormonal treatment. We give the oral contraceptive pills to these patients for correcting the acne. Basically the oral contraceptive pills have perfect combination of female hormones which your body, ovary should be producing. But the in case of Polycystic ovaries the ovary is producing more of male hormones, little bit more male hormones.

So once we give pills from outside the body gets the signal that there are enough hormone in the blood and there is no need to make any more hormone. So the ovaries stops working and the male hormones also stop getting formed and all the symptom then gets regressed till the patient is on he pills. Once the patients stops the pills again the ovaries take over, again the male hormone starts getting formed by the ovaries and again the symptoms may slowly appear. So once the patient has been kept on OCPs for 6 months she may become alright for 1-2 years and again the symptoms may come back.

So Polycystic Ovary disease is a not disease which can be cured by a 6 months treatment or a one week treatment like any fever or antibiotic you give and the patient becomes alright. This is a lifestyle disease which is going to be there for the rest of your life. You can keep it under control by having a healthy lifestyle or maybe taking some medication if required or you if let it go if you allow yourself to gain weight then it can become worse and get out of hand.

If you want to know anything more about PCOS you can contact me on Librate.com or Max hospital, Sanket and Panchsheel.

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I had sex frequently with my bf nd now I do not have my periods for last 2 months. I used pregnancy test kit nd it shows that I am not pregnant. What will be actually my prob.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I had sex frequently with my bf nd now I do not have my periods for last 2 months. I used pregnancy test kit nd it sh...
It could be a cyst in the ovary, thyroid problem, low hemoglobin, excessive stress or it could be early pregnancy which has not been detected by the urine test.
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I had sex on last day (23rd nov) of my period which started on 20th nov. But now I am experiencing early signs of pregnancy can anyone explain this. I will take a test tomorrow morning and once again in case I miss my period this month (only if it is negative). I have a 36 day cycle. So I should be expecting my period around 23rd of this month.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I had sex on last day (23rd nov) of my period which started on 20th nov. But now I am experiencing early signs of pre...
Pregnancy can be detected by blood test 15 days after intercourse. Do blood test if urine test is negative. Chances of pregnancy are very less as last day of period is a safe period.
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Her beta HCG value is 422.6 miu/ml, her lmp was 17 Nov, she has confirmed her pregnancy via test kit. She has a 6 year old daughter, she has had a miscarriage last year at the end of first trimester. Her thyroid is normal Please advise if it is normal. Thanks Rohit.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Her beta HCG value is 422.6 miu/ml, her lmp was 17 Nov, she has confirmed her pregnancy via test kit.
She has a 6 yea...
repeat beta HCG after 48 hours.If it doubles then probably it is normal.We have to find the cause of the miscarriage and treat it so that it does'nt happen in this pregnancy
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Hello doctor, I am 25 years female. I have PCOD from last 5-6 yrs. I have taken medicine (3 cycles) several Times to regularise my periods. This time it has been 6 months since I got my last period. I have started taking primolut N twice day to get my periods .Is this dosage correct? Should I continue this dose for 5 days?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hello doctor, I am 25 years female. I have PCOD from last 5-6 yrs. I have taken medicine (3 cycles) several Times to ...
you have to take something for the insulin resistance which is the basic cause of PCOD.At least 4 periods in a year are required to keep the system normal.You could be having a cyst in the ovary,get an U/S lower abdomen done and consult online.
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I am 20 year old. I am suffering from PCOD and obesity as well. It was diagnosed 4 years back. What should I do to cure PCOD with just diet and exercise without medical aid, which has proved ineffective also how to reduce weight as sooner as possible.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 20 year old. I am suffering from PCOD and obesity as well. It was diagnosed 4 years back. What should I do to cu...
Stop taking sweets, potato and rice. Take lots of fruits and salads. Eat 1/2 chappati less than what you feel like. Almonds and walnut when you are Hungary. 1 hour exercise daily. Yoga is also good .medicines are sometimes necessary. Some different medicine can be tried if the earlier one did not work.
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Sir/ madam I'm 23 years old I noticed that small size ball in my left side breast I noticed this 1 and half year back some times it will be small some times it will increase the I dnt know what is this please help me to know about it thank u.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
It is most probably fibroadenoma, a benign lump in the breast. It can be left alone or you can have it surgically removed.
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I am 7 months pregnant and I feel as I am ignored by my husband he doesn't like to talk to me. He doesn't care for me. He doesn't make me feel special or pampers me. He doesn't have the time for me. He always give preference to others over me. He always love to talk to his sister and father and all this makes me feel ignored and bit depressed and in consequence I daily cry at night All alone. Will all this effect my unborn baby.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 7 months pregnant and I feel as I am ignored by my husband he doesn't like to talk to me. He doesn't care for me...
All of us come in this world alone and leave it alone. Pregnancy is a blessing, enjoy your baby. There are people who don't have a husband or are unable to get pregnant. Do not have too many expectations from your husband just because he married you. Let him be happy. It will not affect your baby, don't worry.
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