Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 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.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Veena Ganju MallaYour feedback matters!
Hello sir / mam Meri date 21dec ki thi n 27 dec ko sex kiya tha is Jan 27, 28 ko teen bar test kiya teen alag company kit se teeno bar result negative aya but dats abi tak nai ayi hai please help me even mai deviry 10 mg 5 days b leli please help me n yes agr mai aboration pill lelu ki to koi problem to nai hogi I want ki periods start ho jaye I am 22 year old n unmarried please suggest me any medicine.
Oral Health Complications During Pregnancy
Recent findings have reported that oral bacteria and their by-products can possibly pass the placental barrier keeping oral health at prime importance during pregnancy. An awareness related to oral health during pregnancy cannot be neglected or avoided in order to minimize the complications.
This article focuses on few points related to the necessity of oral health during pregnancy.
Pregnancy comes with many responsibilities making expecting mothers more concerned about their health. However, many pregnant women may not be aware of oral health and its effect on the developing child. Negligence of oral health is quite common during pregnancy due to lack of alertness of oral hygiene and its effect on systemic health.
Moreover, pregnancy discomforts like frequent bouts of nausea, increased physical demands, weight gain or certain dental problems like pregnancy gingivitis or inflammation of gums may be dangerous to developing fetus.
Risk of oral problems during pregnancy:-
Few common oral problems associated with pregnancy are as follows.
Hormonal changes during pregnancy leads to pregnancy gingivitis. It is a condition of bleeding gums, redness. Moreover inflammation, swelling and tenderness are also observed. Ignorance of such problems may lead to serious gum disease. Frequent cleaning can avoid such dental issues. Progesterone levels are elevated during pregnancy which stimulates the production of prostaglandins and leads to inflammation of blood vessels in gums.
Diet during pregnancy is of high importance. It is designed to nourish both mother and unborn baby. Diet rich in carbohydrates actually increases the risk of tooth decay. The morning sickness increases acid secretion in the mouth which is harmful to enamel.
Overgrowth of tissue on gums in pregnant women are called as pregnancy tumors. They are noncancerous and generally observed in the second trimester of the gestation period. It is nothing but swollen gums between teeth. The bleeding and reddening of gums observed in such conditions.
Periodontal disease and preterm birth:
Untreated gum disease or periodontal problems can development periodontitis characterized by inflammation and infection of the gums and supporting structures of the teeth.
This ultimately leads to loss of supporting material and finally the teeth themselves.
A study result has revealed that there is a relation between preterm birth and presence of gum diseases in the pregnant women. The reason is not yet known.
However, research study findings have evidence that oral bacteria or their byproducts can pass placental barrier. This initiate inflammatory response leading to preterm birth.
Another correlation exists between the gum disease and the increased rate of pre-eclampsia, a condition of high blood pressure during pregnancy. The positive correlation suggests that gum disease may cause stress to the blood vessels of the mother, placenta and the fetus.
The basic periodontal therapies like oral hygiene instructions, scaling, root planing and prophylaxis can substantially decrease the level of prostaglandin responsible for inflammatory response.
The regular treatment and follow-up in pregnant women can maintain good oral health and minimize the risk of preterm birth.
Dental treatment during pregnancy:
The dental procedures mostly include the use of X-rays and use of anesthesia. In the case of pregnancy, these procedures can be used with precaution.
Therefore, before sitting on dental chair patient should declare her pregnancy to the physician. Untreated dental infections can harm fetus as well as the mother.
The emergency situations request use of dental radiographs which can’t wait. The radiation of dental x-ray is generally very low and precaution is always taken for lowest radiation exposure. A leaded apron including collar, shields can be used to prevent abdominal exposure to the x-ray radiation.
Use of dental X-ray is not at all contraindicated in pregnancy when used with precaution.
The use of local anesthesia is also not contraindicated in the pregnancy.
A clinical trial result showed that there is no harm in the use of local anesthetics during pregnancy. It is not linked with increased risk for major medical problems like cerebral palsy, cleft lip and heart defect in newborns.
The medication prescribed during dental treatment mainly includes local anesthetics, analgesics, and antibiotics. Most of them can be used with safety precautions. Each drug has its own pregnancy category which should be considered during its use.
The antibiotic like tetracycline can permanently cause discoloration of developing teeth.
Dentists can educate patients with following points to avoid problems associated with oral hygiene.
- The patient should declare the pregnancy to the Dentist
- Follow routine oral checkup.
- Undergo all elective and emergency procedures.
- Follow good oral hygiene practice ask for a better toothpaste.
- In the case of morning sickness avoid sweets and snacks which increase the risk of tooth decay.
- Have healthy and balanced diet.
Awareness of oral health during pregnancy is a must to avoid complications.
1. Reduce your cancer risk
A compound found in raw carrots reduced the risk of cancer developing in rats, according to a study published in the journal of agricultural and food chemistry. Rats that ate carrots, or feed with added falcarinol (a substance in carrots that gives the vegetable protection against fungal diseases) were one third less likely to develop full-scale tumours than rats not fed carrots or feed with falcarinol.
2. Get your folate
Add a couple of medium sliced parsnips to your veggie roasting tray and you’ll get more than 20 percent of your daily folate. This b vitamin is essential if you are trying to conceive, are pregnant or are breastfeeding, as it helps prevent neural tube defects.
3. Absorb more iron
Toss a cup (250 ml) of diced white ‘turnip into the pot the next time you make a stew or curry. It has about one third of your daily needs of vitamin c, ‘a powerful antioxidant that helps with the absorption of iron and also assists the body in making collagen for bones and cartilage.
4. Increase your exercise stamina
Drinking beet juice could help you exercise longer, according to a study published in the journal of applied physiology in 2009. After drinking two cups (500 ml) of the juice daily for six days, eight male participants were able to cycle up to 16 percent longer than when they drank a placebo. The study shows how the nitrate contained in beet juice leads to an improved use of oxygen. In another study, drinking the same amount of beet juice daily was found to significantly reduce blood pressure.
5. Boost your beta
Putting carrots into your favourite winter soup or chicken pot pie lets you take full advantage of an excellent source of beta-carotene. The body converts this antioxidant into vitamin a, which is important for vision and bone growth. It also helps to regulate the body’s immune system.
Is it advisable for ladies to eat eggs and chicken (white egg broiler? If yes how much quantity for eggs.
I am suffering from itching, irritation n heavy curdy White discharge from my vagina. I even have burning sensation sometimes. I had this problem even before and reduced after going for medication. Am I suffering from yeast infections or any other problem? Is it dangerous? How can I overcome this problem? Why am attacked with this problem repeatedly?
I have pcos. I don't understand that my ovulation test still positive for 3 days. What does that mean? Is this false positive?
Hi doctor I want to get pregnant my first baby. But I have ovarian cyst of 4.07*2.98cm I need to ask as ovarian cyst caused to prevalent pregnancy. How can I get pregnant if I have cyst. Please tell me Dr. Thanx
Hi, I had sex with my girlfriend. After six hours she took pill (unwanted 72), but after seven days she got bleeding for one and half day. This is bleeding happen to the effect of pill? Her period date was on 20th, Its more than 5 days of delay, still now she didn't observe periods. This is due the pill or is she got pregnant?
Lymphogranuloma venereum (LGV) is a STD caused by the three different types of the “Chlamydia trachomatis” bacterium. LGV is generally a disease of the lymphatic system. It is characterized by small, asymptomatic skin lesions along the pelvis or groin region. It has been noticed that men are more prone to this than women.
What are the symptoms of lymphogranuloma venereum?
The symptoms may start within a few days or months after coming in contact with the bacteria. Some of the common symptoms are:
1. Pain during bowel movement
2. The growth of small painless sores in the genital area
3. Your skin might swell and turn red.
4. There can be drainage from the lymph nodes in the groin.
5. Blood and puss may pass from the rectum as well
What are the possible complications related to lymphogranuloma venereum?
1) The patient may have brain inflammation although this is very rare
2) The patient may suffer from infection in joints, eyes, heart, and liver
3) The rectum may get narrower and scary
4) There may be long-term swelling and inflammation of the genitals
How can you diagnose lymphogranuloma venereum?
1. Generally, doctors suspect lymphogranuloma venereum when the patient is suffering from genital ulcers, swollen lymph nodes and proctitis (inflammation of the rectum and anus).
2. Rectal specimens, genital lesions, and lymph node specimens are taken to test for Chlamydia trachomatis. This is detected by culture, nucleic acid detection, and direct immunofluorescence tests.
What are the treatments available for lymphogranuloma venereum?
People with LGV must be treated with antibiotics and drainage of the bulbous growths may also be necessary for symptomatic relief. Generally, two antibiotics are used to treat such patients:
1. Doxycycline, may be used to treat patients who are not pregnant.
2. Erythromycin is used in other cases and especially for women who are pregnant.
HIV positive patients and HIV-negative patients are treated in the same way. However, HIV patients may have to continue the treatment for a longer period of time due to the compromised immune system. The patients have to abstain from sexual activity till the completion of the antibiotic dose. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Hi Sir Me and my wife are planning for a baby since last 3months and we were unsuccessful. Both me and wife are having thyroid and vitamin b12 deficiency. But we take thyronorm tab and for both the thyroid is in control now. We request you to please advice us with the fastest way to give a birth to the healthy child. I am stressing up for the baby.
Hello sir, I observed rashes inside my penis so I had consult dermatologist so he said it is Herpes. But I never have sexual contact with anyone. I did masturbate but twice a month not more than that. Now it's more than 6 months after taking medication still some rashes are there .please provide some suggestions to cure it earlier.
Using contraceptive methods is the easiest method for a couple to avoid pregnancy and enjoy a tension free physical relationship. People have used birth control methods for thousands of years. Today, we have many safe and effective birth control methods available to us.
All of us who need birth control want to find the method that is best for us. If you're trying to choose, learning about each method may help you make your decision. Only you can decide what is best for you. Some contraceptives, such as condoms, will also protect a person from STDs (sexually transmitted diseases).
The methods can be categorised into temporary and permanent methods:
1. Withdrawal method: This involves removing the penis from the vagina before ejaculating. Ejaculation should be away from the introitus. However, it requires extreme self-control on the part of your man.
2. Barrier methods: These methods prevent sperm from entering the uterus. Barrier methods are removable. Types of barrier methods include:
a. Condom: This is the oldest barrier method. A condom is a thin tube that the man puts over his penis. This keeps the sperm from getting to the egg. Condoms are also called rubbers.
b. Female condom: This is like a condom, but it goes in the woman's vagina.
c. Diaphragm and cervical cap: These are put in the woman's vagina to cover the cervix
d. Contraceptive sponge: This is a sponge that is filled with spermicide and is put in the woman's vagina over the cervix.
Barrier methods can be easy to use and have few side effects.
3. Hormonal methods: These can only be used by women. Hormonal methods cause changes in the woman's reproductive cycle and include birth control pills, birth control patches, emergency contraception pill, Implants and so on. Unlike barrier methods, hormonal methods do not interfere with sex.
4. Intrauterine methods: In this method an object called an intrauterine devices or IUD is put in the woman's uterus. There are two types of IUD: the copper IUD or an IUD with hormones implanted on it. The hormonal IUD has better protection against pregnancy but costs more. You need not do anything once it is inserted. Also, it is effective for up to 10 years.
Of course, the permanent methods are more effective for preventing pregnancy than the temporary methods. The decision to proceed with a permanent method should only be made if a person is absolutely sure that no more children are desired. The biggest problems after a permanent procedure is regret that it was done.
Sterilization is a permanent form of birth control that prevents a woman from getting pregnant. These procedures usually are not reversible.
a. A sterilization implant is a non-surgical method for permanently blocking the fallopian tubes. The doctor places a coil in each Fallopian tube through the vagina and uterus block each tube completely. It may take up to 3 months to completely block the tubes.
b.Tubal ligation is a surgical procedure in which a doctor cuts the fallopian tubes. This procedure blocks the path between the ovaries and the uterus. The sperm cannot reach the egg to fertilize it and the egg cannot reach the uterus.
c. Vasectomy is a surgical procedure that consists in cutting the tubes that carry sperm. This procedure blocks the path between the testes and the urethra due to which the sperm cannot leave the testes and hence cannot reach the egg. It can take as long as 3 months for the procedure to be fully effective. If you wish to discuss about any specific problem, you can consult a gynaecologist.
I am having my periods for only 2 days from past 8-9months. Is it normal or I need to consultant a doctor
I am suffering from an unknown disease since 4to 5 months I had a medical check-up from more than 5 to 6 doctors including neuro surgeon and general physician after several blood tests city scans they said I have no disease only kamjori and blackness of blood. Well the symptoms which I am suffering is periodically I get in sleep and in this sleep my teeth are not movable they got fixed I am able to hear all the sounds from my surroundings but not able to open my eyes and not ablw to speak these sleep happens normally 1-2 times a day at the starting for approx half an hour but gradually time period extends now to 7-8 hours the time period isn't fixed sometime I awake after 2 hours sometimes it get 4to 5 hoursvand in the worse condition it reaches 7 to 8 hours. One thing I want to mention here that in the sleep my mouth periodically release a vast amount of liquid I don't know whether it is saliva it looks like detergent boubles please guide me from what disease I am suffering. I takes several medicines and health tonics also given by several doctors the only one thing all doctor did is whenever I am in sleep condition they gave me glucose in body.
I hve sex after a week of my periods we use condom bt accidentally it broke bt in 12 hours I taken precautions I pill is there any chance of getting pregnant?
Meniscus refers to the soft ligament in your knee joint, which cushions your bones and protects it from wear and tear. It is vital for the fulfilment of regular activities and the health of your bones. Thus, a damage to the meniscus can be extremely painful. menisci is exposed to injuries and shocks in case of rigorous activities and this is a fairly common injury faced by athletes and sports persons. It can cause a substantial amount of pain and generally impairs movement to a large extent. It potentially gets worse as the inflammation sets in and the swelling grows. The risk of a menisci tear increases with age. The treatment for a torn menisci depends upon the degree of tear. While minor tears repair on their own, for graver injuries, the following therapies may prove effective.
Symptoms of a torn meniscus
- You might be able to experience a popping sensation in your knee joint
- Stiffness and swelling
- You will experience pain, especially while you are trying to twist your knee
- You might not be able to straighten your knee completely
The treatment for a torn meniscus depends upon the degree of tear. While minor tears repair on their own, for graver injuries, the following therapies may prove effective:
1. Light exercises: For slightly serious meniscus tears, there are certain knee exercises which are recommended to abort any further damage as well as to repair the wound. Limiting the activities which might exert pressure on the knees, getting adequate rest, using ice packs and wearing neoprene sleeves always aid in recovery.
2. Anti-inflammatory medications: Often, meniscus tears are cured with the help of anti-inflammatory drugs like Ibuprofen. They not only reduce pain but also enable the mending of the injured tissue. However, one needs to be aware of a few side effects which often become natural repercussions of such drugs. Possibility of ulcers and bleeding get increased by leaps and bounds on the intake of such drugs.
3. Surgery: For all other forms of meniscus tears, if healing is not happening through non-surgical methods, the only option available is that of surgery. Such a situation arises when the pain becomes unbearable and the meniscus tear does not respond favorably to superficial treatments. These surgeries are less complicated than replacement surgeries. They usually do not involve any life threatening hazard and cautious and efficiently conducted surgeries release all pains and handicaps. The surgery is done through a small incision, called as arthroscopic surgery or key hole surgery, where in the torn meniscus is either repaired or trimmed. If you wish to discuss about any specific problem, you can consult an Orthopaedist.