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Dr. Usha Mohan

Gynaecologist, Delhi

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Dr. Usha Mohan Gynaecologist, Delhi
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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. Usha Mohan
Dr. Usha Mohan is an experienced Gynaecologist in Fatehpur Beri, Delhi. You can consult Dr. Usha Mohan at Tirath Ram Shah Hospital in Fatehpur Beri, Delhi. Book an appointment online with Dr. Usha Mohan and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 31 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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#2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Civil Line. Landmark- Near Metro Sation, DelhiDelhi Get Directions
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#2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Landmark : Near Metro SationDelhi Get Directions
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Pulmonary Hypertension: How to Treat It?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Pulmonary Hypertension: How to Treat It?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
3614 people found this helpful

Mam I was breastfeeding my son. Now I stopped it. My breasts are sagging how to make it normal. If I wear tight bra will it become normal?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Mam I was breastfeeding my son. Now I stopped it. My breasts are sagging how to make it normal. If I wear tight bra w...
Hello, You may apply aloe vera gel and wear wired bra to allow support your breasts and then take to pectoral exercises.
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I'm 17. My breasts become sore an they hurt alot and half before my periods and the soreness lasts till my periods start. Is it okay?

MS-General Surgery, MBBS
General Surgeon, Hyderabad
I'm 17. My breasts become sore an they hurt alot and half before my periods and the soreness lasts till my periods st...
It is normal. It happens in most girls due to hormone changes. Take some simply pain killer. If problem persists then consult a general surgeon.
1 person found this helpful
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During sex when I enter penis into vagina she says her vagina is burning due to intercourse some time. Please help me.

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
Dear Lybrate user. The burning could be due to the friction inside the vagina. Don't insert your penis onto her vagina on the beginning of the sexual act. Take time for doing foreplay. Cuddle her private parts for around 5 minutes and then slowly, try to enter her. This increases the vaginal moisture and penetration will be easy. In spite of this step, if the dryness continues, use some vaginal lubricating gel. Take care.
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I would like ask one thing that my wife is pregnant now and I would like to do sex with her and even she also asking me to do that so is it safe to baby if am doing this with wife.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate-user you can have sex safely with use of condom in order to avoid infection from 4-6 month of pregnancy provided no other complications. Individual case is different. Please share ultrasound report to guide you in best possible way.
11 people found this helpful
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What is the safe period for sex after and before periods to avoid pregnancy.

BHMS
Homeopath,
What is the safe period for sex after and before periods to avoid pregnancy.
Safe period for having sex is , 1week before menses appear and 1 week just after the completion of menstrual cycle.
1 person found this helpful
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My wife have due pregnancy Last month January how can start her pregnancy any Medicine tell me name.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
My wife have due pregnancy Last month January how can start her pregnancy any Medicine tell me name.
There is nothing like 1 drug for that. It needs detailed medical history, examination and reports to advise so meet Gynaecologist for same.
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Hi doctor, I'm 27 years old female. I'm trying to get pregnant since 6 months. I have regular cycle of 26 days. These time I did not get my period. On day 30 I had pregnancy strip test at home. It was negative. Still I did not get my period.. Should I consult doctor. Or should I wait until next period.

DGO
Gynaecologist, Hyderabad
Hi doctor, I'm 27 years old female. I'm trying to get pregnant since 6 months. I have regular cycle of 26 days. These...
Consult doctor n take tablets for withdrawal bleeding. Get these investigation n let me know 1. Thyroid profile 2. Lh, fsh, prl 3. Semen analysis for husband.
16 people found this helpful
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Doctor, my wife gets severe pain when periods start to her. What should be done to reduce the pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Doctor, my wife gets severe pain when periods start to her. What should be done to reduce the pain.
Pain during menses is a common problem but it depends on the severity of the pain. If she has unbearable pain and you have to take her to hospital so she needs a gynaec, otherwise normal painkillers can solve the issue.
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3 things to avoid when you have knee pain

Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
3 things to avoid when you have knee pain
3 things to avoid when you have knee pain due to osteoarthritis of knee joint.

1) avoid sitting on floor.
2) avoid too much of climbing and going down the stair case
3) avoid using indian toilet style.
2 people found this helpful

I took a unwanted 72 last month I had 2 days periods after that . I did my home pregnancy test recently it came negative but I am not having any periods . I am 5 days late from my periods days when can I expect my next periods please tell me.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I took a unwanted 72 last month I had 2 days periods after that .
I did my home pregnancy test recently it came negat...
I-pills can occasionally mess your normal periods. If your periods fail to occur in two weeks please repeat a urine pregnancy test.
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I am 36 yrs old women I have my monthly period for 2 or 3 days Pls is it safe or pls suggest me medicines to it.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
I am 36 yrs old women I have my monthly period for 2 or 3 days Pls is it safe or pls suggest me medicines to it.
Hello lybrate-user, the periods for any woman can range between 2 days to 8 days. The number of days of bleeding depends on many factors. With increasing age also sometimes the bleeding quantity may reduce. So do not worry. 2--3 days is fine.
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Mam. I am pregnant or not when I should check it by prega news whats the right time.Please tell.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Mam. I am pregnant or not when I should check it by prega news whats the right time.Please tell.
Hello, for urine pregnancy test like preganews, you should be checking only after 8 days post missed periods to avoid chances of false negatives.
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How Browsing on the Phone Can Effect on Health?

MD - Anatomy, MBBS
General Physician, Gurgaon
How Browsing on the Phone Can Effect on Health?

Browsing on the phone before you sleep can potentially cause serious damage to your health. According to studies the side effects can be far reaching and detrimental for your overall health. It can disrupt your sleep and contributes to several complications like heart diseases, obesity, etc.

Following are the bad effects of browsing on the phone before bed:

  1. Browsing on the phone till late in the night affects your sleeping pattern and deprives your body from the rest it requires. Loss and lack of sleep significantly contributes to various health problems like poor sleep, depression, stroke, cardiovascular problems, obesity etc.
  2. Staring at a bright screen for a long time before sleeping can slow down the activity of neurons that make you sleepy, thereby, keeping you in a state of wakefulness. Staring at artificial lights suppresses melatonin, the sleep hormone, which affects the sleep wake cycle of your body.
  3. Browsing on the phone before sleep also takes a toll on your eyes. It can cause serious damage to your eyes if you make a habit out of it. You can see visible signs if you wake up with dark circles in the morning and feel tired and lousy. Looking at brightly lit screen for a long time especially in the dark puts a lot of strain in your eyes and also affects mental health.
  4. Browsing on the phone till late in the night will make it difficult for you to wake up on time. The light on your cell phone affects your sleep, which can even trigger insomnia. Lack of sleep affects your alertness and concentration level and makes you feel drowsy and exhausted.

Related Tip: "Get better sleep"

4631 people found this helpful

I am 28 years old and currently 38 week pregnant. In recent sonography my water level shows 5.3 Doctor said it's normal and asked me to do non stress test... Will that cause any problem in my delivery as the baby's position is still showing on upper side What if doctor asked for c section?

MBBS DGO PGDCC
Gynaecologist, Belgaum
I am 28 years old and currently 38 week pregnant. In recent sonography my water level shows 5.3
Doctor said it's norm...
5.3 is very less. If it is breech presentation & nst shows non-reactive pattern, then better to go for c-section. Anyway your gynecologist will decide at that time what to.
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I am 32 years old. I took "I pill" within 24 hrs of sex, that is on 14 Dec I took the pill. But had no bleeding after that and even missed my periods. Which was due on 27-29 Dec. Does that mean I have conceived?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
I am 32 years old. I took "I pill" within 24 hrs of sex, that is on 14 Dec I took the pill. But had no bleeding after...
Hello- I pill induce strong uterine contractions and hence abort accidental pregnancy. If you haven't faced any bleeding since you took I pill, it is fairly possible that it has been failed and you might be pregnant. Do Urine pregnancy test at home for further confirmation.
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My periods date was on 23/12/2016. I hv checked preganews on dat date also it was negative den again I did check on 25/12/2016 it was negative. And again I checked on 28-12-2016 it was negative. Bt still my periods are due so wht will be the reason.

DHMS (Hons.)
Homeopath, Patna
My periods date was on 23/12/2016. I hv checked preganews on dat date also it was negative den again I did check on 2...
Hello Lybrate user, Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 30-6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. • Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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What could be precaution in second month of pregnancy in risky pregnancy and monthly diet best.

BHMS
Homeopath, Faridabad
What could be precaution in second month of pregnancy in risky pregnancy and monthly diet best.
hello, you should consult a good gynaecologist and Nutritionist. They will suggest you everything in a proper manner according to the medical condition. Take care.
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Im 7 month pregnant and my blood level is 9.1 gm. If my blood level will not increase there is any complication during cesarean delivery. Plzz answer.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Im 7 month pregnant and my blood level is 9.1 gm. If my blood level will not increase there is any complication durin...
Till full term you've time to increase hb to 12 too14 gms by taking suplements (iron, proteins, calcium vitamins. Green leafy vegetables, palakh, beetroot, pomegranate, dry frits, sprouts. Etc. Your gynaec will take necessary action tomake you fit,
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Meri gf ka period pichle month 23 ko aaya tha is month abhi tak nahi aya hai . Hamane os bich koi sex bhi nai kiya hai . Kya kare?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Meri gf ka period pichle month 23 ko aaya tha is month abhi tak nahi aya hai .
Hamane os bich koi sex bhi nai kiya ha...
Hello, if there was no sex involved then a delay of just 1 day is no delay at all, this can be stress induced. So she just wait for a week to allow her menses to start naturally.
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