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Dr. Vandana Chaddha

Gynaecologist, New Delhi

Dr. Vandana Chaddha Gynaecologist, New 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. Vandana Chaddha
Dr. Vandana Chaddha is a popular Gynaecologist in Vasant Kunj, Delhi. You can meet Dr. Vandana Chaddha personally at Dr Vandana Chaddha's Clinic in Vasant Kunj, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Vandana Chaddha on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 42 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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girls can have sex jst after the last day of periods without protection. Because I heard dis from some one. that after periods we can make out till 10 days without protection bcz in our stomach there is no eggs to fertilise. Is it true?

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
girls can have sex jst after the last day of periods without protection. Because I heard dis from some one. that afte...
Yes it's true and known as safe period for sexual intercourse. (but female must have regular menstrual cycle of fix days)
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Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2748 people found this helpful

If somehow the precum touches the outer part or near the vagina. But I had urinated after my last ejaculation. I didn't penetrate inside her. Still I am not sure that I touched with Precum to the outer part or not. So will there be any chance to get pregnant? We did it on 20th of July though her date of having period was on 29.

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
If somehow the precum touches the outer part or near the vagina. But I had urinated after my last ejaculation. I didn...
Dear lybrate user. I can understand. Whether precum contain sperm or not is still debated. Even though it had sperm cells, as you have not inserted, there is no chance of pregnancy. Don't worry. Take care.
3 people found this helpful
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I am married before 3 months, me and my wife doing intercourse daily we planned to get a baby but my sperm is too watery is there is any problem of having sex daily and what is the best solution to get that substance thick and what can we do to have pregnant my wife have a irregular periods too.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am married before 3 months, me and my wife doing intercourse daily we planned to get a baby but my sperm is too wat...
In some instances, watery semen may be a normal occurrence. For instance, pre-ejaculate is often clear and watery. Some studies indicate that a man's diet may also effect the consistency of his semen, and frequent ejaculation can also result in watery semen. Men with low sperm counts may also have semen that is thinner than normal. So get your semen analysis done.
1 person found this helpful
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I'm 44 year old .My wife period time blood west is high minimum 8 to 10 days last 3 months problem so please help

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Sabina 200 2 doses in difference of 15 mins/buy german medicine. Fruit juice 2 times a day Anar time to time. Milk cream for blood. Report me after next period.
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore

How The 7 Chakras Influence Our Endocrinal System.

No matter how life started in our universe, ancient knowledge and modern quantum biology agree on this essential principle: matter does not generate mind or consciousness but quite the other way around. Consciousness manifests the physical form or matter. Life is a very personal experience to each one of us. Yet we all share its fundamental building blocks: our core energy centers, called chakras in Sanskrit. The word chakra means wheel or vortex. They are the junction points between matter and the mind, between our body and our consciousness.



They are seven main chakras, intersections of vital forces, swirling, expanding and contracting, as a column of 3D spheres of energy extending, in the middle of our body, from the base of our spine to the crown of our head. Chakras are the master programs running our emotional and physical lives, each one of them expressing different characteristics essentials to our growth and well being. Unsurprisingly the seven chakras interact with our body through the endocrine system (a seven gland system) which is one of the body’s main control mechanisms

. The following description provides more detail about the chakras, their location, the related glands and the characteristics they govern.

Crown chakra (Sahasrara, color violet): top of the head, pineal gland, spirituality and divine awareness.

Third eye chakra (Ajna, color indigo): between eyebrows, pituitary gland, intuition.

Throat chakra (Vishuddhi, color blue): throat area, thyroid, communication and self-expression.

Heart chakra (Anahata, color green): heart area, thymus, compassion, love, and healing.

Solar plexus chakra (Manipura, color yellow): navel area, pancreas, self will, self esteem, courage, and personal power.

Sacral chakra (Swadhisthana, color orange): genital area, ovaries, creativity, emotion and sensuality.

Root chakra (Muladhara, color red): base of the spine, gonads, safety and survival, sense of belonging.


When the flow of the subtle energy in one or more of the chakras becomes blocked, it affects our endocrine system, which produces the hormones that stimulate or inhibit physiological processes. And we may develop physical and mental illnesses. So when we look at it this way, we realize that a change in our consciousness does affect our physical body.



Biostress Imagery can attune, unblock and balance your chakras, providing emotional, physical and spiritual healing which ultimately leads to a stress-free total health.
7 people found this helpful

My period date starting date is 15 july 16 and ending date is17 th july. What will be my ovulation period.

MBBS
General Physician, Chandigarh
My period date starting date is 15 july 16 and ending date is17 th july. What will be my ovulation period.
If your cycles are of 28 days then your date will be 29 th July and if longer cycles then it is approximately Teo weeks before the next cycle
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I had sex few days without any protection and my partner missed to take any contraceptive pills. Is there any way to minimize chance of pregnancy.

MBBS, MD
Gynaecologist, Delhi
I had sex few days without any protection and my partner missed to take any contraceptive pills. Is there any way to ...
Not now please wait till the Menstrual date whether it comes or not till date time use Condom please.
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Hello sir am married since from 9 months and my wife is pregnant of 3 and half month, the problem is she getting watery from her chest while I press it. It's happened same some before months and again it's been stated please suggest me good advice.

MD - Obstetrtics & Gynaecology
Gynaecologist, Faridabad
Hello sir am married since from 9 months and my wife is pregnant of 3 and half month, the problem is she getting wate...
Don't press breast during pregnancy. Breast discharge can be sign of underlying cancer or a disease, so get her checked by a doctor
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I have problem during menstruation. My stomach cramps a lot and bleeding amount is very high. Please suggest me what should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
I have problem during menstruation. My stomach cramps a lot and bleeding amount is very high. Please suggest me what ...
Thanks for expecting Healthier fitness solutions with Ayurved, this could be due to salty n sour food,drinks or offten late night food. Have warm water n cumin seeds prior couple of day. If persisted plz consult AYURVEDIC Dr
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I have irregular period problem. And also having right ovarian simple cyst. Ovaries: Right ovary: 5.8 -4.2 cms Enlarged in size with simple cyst measuring 4.5 -3.8 cms Left ovary: 2.7-1.3 cms Normal in size and echotexture. Doctor suggested to use T.femilon for 3 months from day 5 -21 days. And I am using the medicine from last 10 days. Now I am getting so much of weakness and headache and getting pimple. I am taking food properly but still having those above mentioned problems. So please help me on this scenario to reduce that things. Thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I have irregular period problem. And also having right ovarian simple cyst.
Ovaries:
Right ovary: 5.8 -4.2 cms Enlarg...
Hi Lybrate user, femilon can't give you weakness. You need to check for hemoglobin. Please also see vitamin B12 and thyroid levels. Femilon can cause acne and headache. Please take symptomatic treatment as of now, it will go once you stop it.
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I had sex with my boy friend 3 days ago and I don't want to get pregnancy how can I avoid suggest me the better way.

DGO, MBBS
Gynaecologist, Faridabad
I had sex with my boy friend 3 days ago and I don't want to get pregnancy how can I avoid suggest me the better way.
after 72 hrs there is no contraception awailable to prevent preg but if it happened in 1st 10 days or last 10 days of pds there are very few chances to get preg
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I am 37 weeks pregnant n hav breach position. Any possibility of normal delivery? Can we try for normal n if doesn't wor.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
I am 37 weeks pregnant n hav breach position. Any possibility of normal delivery? Can we try for normal n if doesn't ...
You can wait for another 2 weeks. Although it is a rarity, baby can change position till 39 weeks and the head can come down. I really wouldn't advise a normal delivery for a breech because it may have many long term negative effects on the baby. The advantages of a section are far far better than that of a normal delivery. Wishing you a safe delivery and healthy baby.
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My girl friend and me had participated in sex on 26/06/16 even tough we used condom but at one point just two time I just inserted without condom, her before period date was 10/05/2016 am afraiding that she will become pregnant now am making her to tensed too as the date was arriving I made her to eat three papaya Fruits in this time and will papaya will obert her in case if she did not get periods what should we do.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My girl friend and me had participated in sex on 26/06/16 even tough we used condom but at one point just two time I ...
Hi lybrate user, ask her to get a urine pregnancy test to rule out pregnancy. If pregnancy test is positive then pregnancy can be terminated with medications.
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Healthy relationships for a healthy mind

D.P.M(psychiatry) [Diploma in Psychological medicine] , MBBS
Psychiatrist, Jalna
Healthy relationships for a healthy mind
Healthy relationships for a healthy mind:-
68 people found this helpful

My sister is carrying. She is now in 4th month and will be going to deliver twins. We came to know that she is suffering from thyroid. Doctors are saying that it is common that this disease will trigger during pregnancy and will be automatically cured after delivery. Is this correct? Do we need to take extra care? Will this be a problem for babies?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My sister is carrying. She is now in 4th month and will be going to deliver twins. We came to know that she is suffer...
The most common cause of maternal hyperthyroidism during pregnancy is the autoimmune disorder Grave’s disease. In this disorder, the body makes an antibody (a protein produced by the body when it thinks a virus or bacteria has invaded) called thyroid-stimulating immunoglobulin (TSI) that causes the thyroid to make too much thyroid hormone. The most common cause of hypothyroidism is the autoimmune disorder known as Hashimoto’s thyroiditis. In this condition, the body mistakenly attacks the thyroid gland cells, leaving the thyroid without enough cells and enzymes to make enough thyroid hormone.
1 person found this helpful
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I am trying to get conceive. After my periods 7 th day to 9 th day I had sex. But now I feel some what uncomfortable in abdomen. If I check with an UPT card its negative, am I pregnant now.

D.Y.N., MD - Homeopathy, BHMS
Homeopath, Delhi
I am trying to get conceive. After my periods 7 th day to 9 th day I had sex. But now I feel some what uncomfortable ...
Between 10th to 20th day of your perioods you should try. If your periods are regular then this will definitly give you result.
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Hi sir, my wife is 3months pregnancy n it was by ivf. Now we were done blood test today tsh is. 09 n t4 is 2.03. Is there any risk to baby? Please suggest me a good solution please.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi sir, my wife is 3months pregnancy n it was by ivf. Now we were done blood test today tsh is. 09 n t4 is 2.03.
Is t...
Production of thyroid hormones T3 and T4 increases by about 50%. As a result, the normal thyroid-stimulating hormone (TSH) level during pregnancy is lower than the normal nonpregnancy level. The new recommendations for TSH levels during pregnancy are the following: First trimester: less than 2.5 with a range of 0.1-2.5.. You have to leave the decision to your doctor
1 person found this helpful
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Audiologist, Kolkata
Wash your ear softly one time in every week, and try to wash your mouth every day, it may be helpful for you.
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