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Dr. Vaishali Sharma M D ( A.I.I.M.S) - Gynaecologist, Delhi

Dr. Vaishali Sharma M D ( A.I.I.M.S)

90 (169 ratings)
MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaeco...

Gynaecologist, Delhi

12 Years Experience  ·  1000 at clinic  ·  ₹1000 online
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Dr. Vaishali Sharma M D ( A.I.I.M.S) 90% (169 ratings) MD - Obstetrtics & Gynaecology, MBBS, Diploma In Speciali... Gynaecologist, Delhi
12 Years Experience  ·  1000 at clinic  ·  ₹1000 online
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Hi,<br/><br/>I am Dr Vaishali Sharma I am practicing as consultant gynaecologist and laparoscopic...

Hi,

I am Dr Vaishali Sharma I am practicing as consultant gynaecologist and laparoscopic surgeon and infertility specialist in South Delhi. Fibroids are non cancerous growth these are actually in a overgrowth of the normal tissue of the uterus commonly known as rasoli in normal layman term and we should not worry about the fibroids, most of the time we can find the fibroids incidently on Ultrasound, if we will do the ultrasound in hundred women than 50% of them will be having small one or two fibroids. So there is nothing to worry about until unless there are symptoms which are caused by the fibroids.

Like if a female is having increase bleeding during periods or pain during periods or she is unable to conceive or there is history of multiple abortions then we may need to treat the fibroids and investigate further. We need to look at the size of the fibroid what is the sight of the fibroid and the surgery also depends on these factors. So, in cases where the fibroids are small and these are away from the cavity in such cases the patient can go ahead with the pregnancy, there is no problem.

But in case is the fibroids which is a bit bigger like 3-4cm or more than, or just close to the uterine cavity then we need to treat that fibroid by surgery. There are many methods which are available for treatment medicines are there, injections are there, and the surgeries are also available which are needed only in a small subset of the patients. The Laparoscopic surgery can be used to treat the fibroids, they can be many fibroid, they can be large fibroids. Nowadays we can remove them with the laparoscopy and there are hardly 2-3 small scars on the abdomen. The patient has to get admitted for one or two days in the hospital and if the fibroid is inside the uterine cavity than those can we remove hysteroscopically, it is absolutely scar less surgery there is no suture or any scar in the abdomen and patient can go home either the same day or the next day. So in case if you have any further query or you need to know something more about the Fibroid, you can contact me via Lybrate.

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Hello, I am DR Vaishali Sharma. I am practising as a consultant Gynaecologist in South Delhi.<br/...

Hello, I am DR Vaishali Sharma. I am practising as a consultant Gynaecologist in South Delhi.

If you have any problem in conceiving naturally, then when to consult a gynaecologist. You should know that if your age is below 30-35 years then you can try naturally for one year. But if you are coming close to 35 years then I think that 6 months of natural conception is enough because you should not waste much time after the age of 35 years.

What are the options to increase the chance of pregnancy?

  • The best thing is that you should go for Pre- conceptional counselling. But if you are not doing so then you should know that the best chance of conception is during the mid cycle, that is, if you have a cycle of 28-30 days then the best time for pregnancy is 10-16 days after your cycle. The number of days we are calculating here are from the 1st day of the cycle. So, this is the best time from which you can calculate naturally.
  • The other thing is the kit that is available in the market to know what is the time of Ovulation, that is when the egg is released. So, these are the very commonly available in the market. YOu should use them from the 10th day of the cycle and then you have to use them daily, preferably in the afternoon period and you have to do the urine test yourself. If you find the two dark lines on it, that means you will be ovulating.
  • Then if you find that you will not be able to conceive from these methods then you should go the nearby gynaecologist. She may advise you basic investigation from basic workup. For example a blood test, semen analysis and so on. And if the basic investigation area coming normal, then you are advised to have medicines. These medicines are roughly for 5 days. This is called Ovulation Induction. They basically increase the chances of ovulation and egg release. So, this thing you can try for 3-4 months but this has to be done under the guidance of Gynaecologist. We advise them to take 5 tablets during their periods. We call them from the 9th day of their cycle and perform an ultrasound to see whether the eggs are formed or not. Once the eggs are there and the appreciable size of 18mm is attained, then we give the injection to release the eggs. After this, we tell the patients that this is an appropriate time to try the conception. This way if the couple is not able to conceive within 6-8 months, then we advise them to go for either the injections, which will help in the formation of eggs.
  • Or we advise them to go for IUI (Intrauterine Insemination). One most important point is that before suggesting IUI to the patient, the tubal testing is a must. That is usually advised HSG and SSG. In this way, we show that both the tubes are patent. In case there is a problem in semen or there is some problem with the male like the premature ejaculation or difficulty in performing. In such cases, we advise the patient to visit an endocrinologist. And the final option we give them is IUI. Through this, 50% of the patients are able to conceive in 6 months and another 50% of the patients are able to conceive in another 6 months. The cumulative success rate is come out to be around 75%.
  • In case the patient is not able to conceive after injections and IUI then we usually advise them to go for Laparoscopy treatment. This is a diagnostic and therapeutic option because, in this, the woman has to get admitted to the hospital and we directly look through the Laparoscope, that is camera through which we are able to know if the tubes are blocked, any difference in the location, a relationship between the ovaries and the tubes. In this way, we are able to detect and correct it. It is a painless procedure and the woman has to admit in the hospital for 8 hours. THis is minor operation in which 2-3 stitches are there. BUt this is mandatory before proceeding further. After doing laparoscopy we are going to tell patients that the tubes are open and you can continue with the Ovulation induction and IUI. In that way, you will have the chances of pregnancy. And even after the Laparoscopic surgery, the tubes are blocked, then we suggest our patients for the IVF that is the test tube baby. If the tubes are blocked then IUI will not be helpful.
  • IVF surgery is also advisable when the female partner is close to the age of 40 or so. After the age of 35 years, the quality of the eggs in the female ovary will decline sharply. So, sometimes the IVF is suggested directly to the patients in case ovarian reserves are poor.
  • In case IVF test tube baby is advisable, then we have lot many options.

So, if you want to take an appointment, you can visit me at Asian clinic in GK-1 or you can consult me through Lybrate for the audio and the video call consultations.

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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Vaishali Sharma M D ( A.I.I.M.S)
Recently recognised as the "Most Promising Gynecologist in North India" by Shri Amar Singh ji, Cabinet Minister Shri Chetan Chauhan ji and Padamshree Dr J K Singh ji at Global Healthcare Excellence Awards 2017 and trained in Germany at esteemed Kiel School of Gynaecological Endoscopy, Dr. Vaishali Sharma is a very famous and highly respected Gynecologist who is based in New Delhi. With an experience of over 11years in hand and numerous excellent patient reviews and ratings, she has been regarded as one of the most trustworthy Gynecologist whose treatment methods are highly advanced and up-to-date. You can either connect to her online via call or text or can avail her services at her clinic Asian Clinic (GK-1), FORTIS La Femme, (GK-2) and Milan Fertility Centre. Among the various services and treatment measures provided by her Infertility treatment, IVF , IUI, contraceptive advice, gynecology laparoscopy, Hysteroscopy, Painless delivery, caesarean section, pre and post-delivery supervision include the primary ones. All of these clinics are based in New Delhi. Prior to working in these clinics Dr. Vaishali Sharma used to work as a Registrar at AIIMS in New Delhi, as a Consultant at Alchemist Hospital in Gurgaon, as a Visiting Consultant at Milann Fertility and also as a Visiting Consultant at Asian Clinic. She completed her MBBS from GSVM Medical College in Kanpur in the year 2006 and MD in Obstetrics &Gynecology from All India Institute of Medical Sciences in the year 2010, based in New Delhi. The esteemed professional and medical associations she is connected with include Federation of Obstetric and Gynecological Societies of India (FOGSI) and Association of Obstetricians & Gynecologists of Delhi (AOGD) ISFP. She takes pride in the fact that she attends almost all the latest state and local seminars to stay current with the technological advancements and treatment planning.

Info

Education
MD - Obstetrtics & Gynaecology - All India Institute of Medical Sciences New Delhi - 2010
MBBS - GSVM Medical College Kanpur - 2006
Diploma In Specialised Advanced Gynaecological Endoscopy - Kiel College of Gynecological Endoscopy Germany - 2017
Languages spoken
English
Hindi
Awards and Recognitions
Most Promising Gynecologist In North India By Shri Amar Singh Ji Cabinet Minister Shri Chetan Chauhan Ji & Padamshri Dr J K Singh Ji At Global Healthcare Excellence Awards
Professional Memberships
Federation of Obstetric & Gynaecological Societies of India (FOGSI)
Association of Obstetricians & Gynaecologists of Delhi (AOGD)
ISFP

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Infertility - Causes, Risk and Treatment

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Infertility - Causes, Risk and Treatment

Infertility is a condition where a couple trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly.

So here are the causes, risks and treatment for this condition.

* Causes

There are many causes of infertility. It may be down to a condition present in one or both partners. As per a medical study, 20% of the cases of infertility are due to males, while 40% to 50% cases are due to problems in the female partner. 30% of the cases suffer from infertility due to problems in both males and females. Ovulation and fertilisation are the main elements of the conception process, and any condition in the female or male can upset either function which can make it difficult to conceive. While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard.

For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions. Also, factors like thyroid, cancer and medication leading to temporary infertility may be at play. 

* Risk

There are a number of factors that put a male or a female at risk of infertility. Being in your mid 30s usually has an adverse effect on the ovulation and production of well functioning sperm. Further, smoking and tobacco are among the main causes of infertility in either partner. Excessive alcohol consumption may also lead to this problem. Being overweight or underweight can also make a person infertile. Further, not getting enough exercise and routine activities out of your day, can lead to this condition as well. 

* Treatment

Male patients can go through treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal, and ART or assistive reproductive technology. Female patients can turn to medication that will stimulate ovulation, Intrauterine Insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery

If these methods fail, the patient or the couple can always turn to methods like In Vitro Fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception.
 

3 people found this helpful

Fibroids: Non-Cancerous Tumors Of The Uterus

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Play video

Hi,

I am Dr Vaishali Sharma I am practicing as consultant gynaecologist and laparoscopic surgeon and infertility specialist in South Delhi. Fibroids are non cancerous growth these are actually in a overgrowth of the normal tissue of the uterus commonly known as rasoli in normal layman term and we should not worry about the fibroids, most of the time we can find the fibroids incidently on Ultrasound, if we will do the ultrasound in hundred women than 50% of them will be having small one or two fibroids. So there is nothing to worry about until unless there are symptoms which are caused by the fibroids.

Like if a female is having increase bleeding during periods or pain during periods or she is unable to conceive or there is history of multiple abortions then we may need to treat the fibroids and investigate further. We need to look at the size of the fibroid what is the sight of the fibroid and the surgery also depends on these factors. So, in cases where the fibroids are small and these are away from the cavity in such cases the patient can go ahead with the pregnancy, there is no problem.

But in case is the fibroids which is a bit bigger like 3-4cm or more than, or just close to the uterine cavity then we need to treat that fibroid by surgery. There are many methods which are available for treatment medicines are there, injections are there, and the surgeries are also available which are needed only in a small subset of the patients. The Laparoscopic surgery can be used to treat the fibroids, they can be many fibroid, they can be large fibroids. Nowadays we can remove them with the laparoscopy and there are hardly 2-3 small scars on the abdomen. The patient has to get admitted for one or two days in the hospital and if the fibroid is inside the uterine cavity than those can we remove hysteroscopically, it is absolutely scar less surgery there is no suture or any scar in the abdomen and patient can go home either the same day or the next day. So in case if you have any further query or you need to know something more about the Fibroid, you can contact me via Lybrate.

2696 people found this helpful

Rotating The Fetus- What Are The Indications And Contradictions?

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Rotating The Fetus- What Are The Indications And Contradictions?

In a normal pregnancy, the baby develops with its head pointed down, and the head is usually the part which comes out first during normal delivery. However, in many cases, the baby could have its legs, feet, or buttocks pointing to the cervix. In a majority of cases, the baby may have this position, but rotates to have its head pointing down before the third trimester. However, this may not happen, and this is referred to as breech.

In a lot of cases, the doctor would try to move the baby’s head downwards usually around the 37th week, and this is referred to as external cephalic version (ECV) or even as version. The process is done externally by manipulation and hence the name external. It is done before labor and may allow for a vaginal birth. In very rare cases, it may be done during labor, but before the amniotic sac has ruptured. As a backup, there should be a provision for the patient to undergo C-section, if ECV is not successful.

Indications:

  1. Single pregnancy, into 36 weeks of pregnancy, with no complications, and preferably not the first pregnancy
  2. No engagement of the fetus (any part) in the uterus
  3. Adequate amniotic fluid, which will provide a good environment to move the baby with minimal injury

Contraindications:

  1. Suspected/known birth defects
  2. Multiple pregnancies (twins/triplets)
  3. Ruptured amniotic sac
  4. Fetus with a hyperextended neck
  5. Mother’s health is not optimal and is on cardiac medications
  6. Condition that mandates a cesarean section (placental separation from the uterus, placenta covering the cervix, etc.)

Procedure

The fetal position is first estimated using an ultrasound. The position of the placenta and the amount of amniotic fluid are also closely monitored. Under constant monitoring, the uterus is relaxed through medications. With one hand on the fetal head and another on the buttocks, the doctor tries to rotate the fetus. Depending on how much pressure the mother is able to tolerate and how flexible the uterus is, version may be successful (success rate is about 60%).

A second attempt under epidural anesthesia may be done, if the first one did not succeed. However, the chances of success with subsequent attempts is very doubtful. The fetus is constantly monitored through ultrasound and fetal heart rate monitoring. A fetus is considered healthy if the heart rate moves up during this procedure. However, if the heart rate seems abnormally high, the procedure would be abandoned.

After the procedure, the mother and the fetus would be monitored for a while before being sent home. As the fetus is constantly monitored throughout pregnancy, the doctor would be able to tell if this procedure is required.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3717 people found this helpful

Depression- How It Affects Your Pregnancy?

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Depression- How It Affects Your Pregnancy?

Pregnancy is that wonderful and beautiful phase that most women rejoice about. However, many may find it hard to believe that pregnancy can bring with it a condition known as ‘antenatal depression’. This is a common condition in expecting mothers and should not be ignored.

Depression during pregnancy like regular depression is a clinical condition and requires further investigation and management. Pregnancy is related to the female hormones and therefore, mood swings are common (as during PMS and menopause). However, depressed pregnant women would typically have the following associated symptoms too.

  1. Altered eating habits

  2. Altered sleeping patterns (too much or too less)

  3. Loss of attention/ability to focus

  4. Losing interest in activities which usually interest the person

  5. Feeling very anxious

  6. Constant feeling of sadness

  7. Uncertainty about the future

  8. Feeling of worthlessness

  9. Suicidal tendencies

It has been noted about 25% of women can get depressed during pregnancy for varying periods of time. Some potential reasons for this are as below.

  1. Strained relationships: One of the most important factors for a healthy pregnancy is a happy relationship, not just with the partner, but with immediate and close family members with whom there is a high level of regular interaction.

  2. Work stress: For working women, a stressful office environment could take a toll on their moods.

  3. Previous miscarriages: This can cause anxiety and depression about possible repeat incident.

  4. Potential complications: If the periodic examinations showed up possibility for complications in pregnancy, the chance of depression in the mother increase.

How it affects pregnancy?

A depressed mother would not be able to care for herself and  therefore, the baby may not get adequate nutrition for its development. Additionally, the potential for nicotine and alcohol abuse increases, which also negatively impacts the baby’s growth. There could be low birth weight, premature birth and developmental delays after birth.

How it can be managed?

While the hormonal changes during pregnancy causes mood swings, diagnosing if it is depression is important. A consultation with a psychiatrist may be required for some women.

Some of the options available for treatment include support groups, individual counseling, and medications.

  1. It is important to understand that this is a common condition and you are not the only one going through this. Talking to other women who feel depressed can help in mood uplifting of all involved.

  2. If you are too shy about it, individual counseling could be the next best thing.

  3. Stress management including light exercise, music, meditation, rest, diet, and support from close friends and family are highly recommended.

  4. Since most antidepressants would reach the baby, it is advisable to avoid these less you need them as a last resort.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3570 people found this helpful

Hello sir, I am 26 years and I have 1 year daughter and before marriage I am suffering from pcod. And now again I am suffering from irregular periods from last 1 month. My ovaries size are right 3.6, 2.6, 3.3 and left 3.4, 2.8, 2.7 and my weight is 88 kg. And tsh is 7.1.kindly help me out, what to do? And I did one abortion in month of may. After my pregnancy my period was regular but after my abortion. I am suffering from this.

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Hello sir, I am 26 years and I have 1 year daughter and before marriage I am suffering from pcod. And now again I am ...
Thyroid is a bit raised. You need to start on thyroid medicine. Also your weight is on higher side. Try to reduce it to 60 kg-65 kg. PCOD is directly related to weight. Greater the weight more severe the PCOD.
3 people found this helpful
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I am 29 years old female, married and have two kids. I have a solid lump in breast from five years. I keep getting an ultrasound for the same every 6 months-1 year. It has not changed. Recently, a radiologist suggested to remove it surgically. Should I consult an oncologist?

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Most likely its not cancer But its better to get a FNAC (Biopsy) done. Then you can continue the same. No need to get it removed.
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Uterine Fibroid - How Removing Them Will Help You?

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Uterine Fibroid - How Removing Them Will Help You?

It is very common for women to have heavy and painful periods or have a feeling of fullness in the lower abdomen. Although, it may not sound very alarming these could be the symptoms of uterine fibroids. These are the most common types of benign tumours found in women. The fibroids are basically some tissues and muscle cells that grow within the uterus, outside the uterus, or along the wall of the uterus. The fibroids are usually benign and asymptomatic and do not require any treatment unless they cause problems. 

Know the causes 

Though the exact cause of fibroid formation is not known, it is believed that the female hormones estrogen and progesterone have a role to play in their formation. Fibroids are formed only when a woman is producing these hormones and they are not seen in women in non-reproductive age i.e. before starting of menses or after stoppage of menses (menopause). If fibroids are persisting even after menopause or especially if increasing in size then it is an alarming sign. Such a fibroid needs to be taken care of immediately. 

What are the symptoms? 

Fibroids often remain quiet for long periods of time. They cause nonspecific symptoms in the pelvis and abdomen including: 

  1. Fullness in the abdomen 
  2. Low back pain 
  3. Irregular menstruation 
  4. Cramping with menstruation 
  5. Painful sex 
  6. Increased urgency to urinate 
  7. Anemia, leading to tiredness and weakness 
  8. Infertility Diagnosing the fibroids 

When these symptoms are recurrent, it is good to confirm the diagnosis. This can happen with a pelvic exam followed by ultrasound scanning to confirm the size and location of the fibroids. A blood test also may be done to confirm anemia, which is common due to heavy periods.

Treatment Options 

Management of fibroids can range from doing nothing to periodic monitoring to surgical removal. 

  1. If pain and heavy bleeding are the only symptoms, then pain killers like ibuprofen should suffice for symptomatic relief. Anemia, if severe, may require iron supplementation. 
  2. Embolization is an option which shrinks the fibroid, at the same time preserving the uterus. The blood flow to the fibroid is cut off, thereby preventing its further growth. It takes about 1 to 3 hours and requires some bed rest after the procedure. There could be some pelvic pain and vaginal bleeding, which will gradually subside. The fibroids may grow back, but the benefits of keeping the uterus are definitely there. This is suitable in case of single fibroid with specific blood supply. 
  3. The next surgical option is myomectomy, where the portion of the uterus which contains the fibroid alone is removed. This is done in women who still wish to get pregnant and in women who would like to retain the uterus. This can also be achieved laparoscopically( key hole surgery). In such cases, fibroids are cut into small pieces and then removed from the body. This procedure should be done by a doctor specialised in advanced gynecological endoscopy as all this cutting should be done in a bag to avoid any spillage of cells inside the abdominal cavity. This procedure is known as Laparoscopic Myomectomy with In-bag Moecellation. 
  4. In women who have crossed their pregnancy phase, hysterectomy or complete removal of the uterus is advised. In these women, the bleeding and pain may not have subsided even after years of treatment with hormones. The growing fibroids could be pressing on the adjacent organs, causing pressure. This is the only definitive treatment and should be done in women have completed their family and don’t desire to be pregnant. 
  5. Myomectomy and hysterectomy may be done laparoscopically or with an open method depending on the overall health, the size and location of the fibroids in the uterus.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3961 people found this helpful

I am suffering from growth of 2 -3 hairs below my umbilical region. Is it a symptom of PCOD?

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
I am suffering from growth of 2 -3 hairs below my umbilical region. Is it a symptom of PCOD?
2-3 hair is ok. If there is hair growth at other places also or if there is problem in menstrual cycles then there is possibility of PCOD.
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I had sex on july. I checked my pregnancy by lab urine test or home pregnancy test after 15 weeks. Both give me negative pregnancy result. But after that when I take ultrasound or again urine pregnancy test in a hospital. They told me that I am pregnant. Because of I have regular menses, fetus is only of some days. Is it possible.

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
I had sex on july. I checked my pregnancy by lab urine test or home pregnancy test after 15 weeks. Both give me negat...
If you did not have an intercourse after july then its not possible. But if you were in regular relationship then rarely pregnancy may be there even when you are having bleeding every month. Though its very rare but yaa there is a possibility. Just repeat pregnancy test yourself. If its positive then there is no question about pregnancy. You need to visit a gynaec at the earliest if you do not want to continue.
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