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Dr. Virna Misra

Gynaecologist, New Delhi

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Dr. Virna Misra Gynaecologist, New Delhi
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Virna Misra
Dr. Virna Misra is a trusted Gynaecologist in Janakpuri, Delhi. You can consult Dr. Virna Misra at Dr Virna Misra's Clinic in Janakpuri, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Virna Misra on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 33 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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Hello sir, I got oral sex with one lady 2 years back. After 2 days of oral sex knee pains started in my body. All knees effected and pain! What type of disease is this.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hello sir, I got oral sex with one lady 2 years back. After 2 days of oral sex knee pains started in my body. All kne...
Knee pains have nothing to do with the oral sex you had 2 years back. Both are unrelated to each other. Knee pains can be due to inflammation of joints. Or infections or deficiencies of essential nutrients.
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What is diet preference for polycystic Ovary. My left measures as 6.1-4.5 and right is 2.9-1.9 I am little worried now for conceiving.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
What is diet preference for polycystic Ovary. My left measures as 6.1-4.5 and right is 2.9-1.9
I am little worried no...
Balanced healthy diet rich in green vegetables fruits and milk, and good moderate physical activity, apart from the Medicines to be taken for harmonal imbalance if any.
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Process of Fertility

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
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Good morning everybody. I am Dr Vandana Hegde. I am practising reproductive medicine, the department of Hegde fertility centre for the last 10 years. Today I would be speaking about the various aspects of fertility. So I will start from the basics to know what happens exactly and what are the problems that arise.

So here is a normal menstrual cycle of the female. There are certain things you need to know. What happens is during the onset of the periods, when the menstrual cycle starts, the eggs start maturing. Now, this egg grows in a wall filled substance which is called Follicle. So normally when the egg starts maturing, it reaches the complete maturity level on the 14th day of the cycle, an average of 12-16 days. As the egg starts maturing, the follicle size increases. Now when the maximum diameter of an egg is reached, the follicle burst and egg comes out. This process is called Ovulation.

If this ovulation happens on the correct 14th day of our cycle, over the next 14th day if there is no pregnancy then a girl will resume her menses which is a failure to conceive. If it happens regularly then the girl will have a regular menstruation cycle of 28-30 days. And if a girl is having the irregular menstrual cycle, then the ovulation is not happening correctly on time. So this is known as Ovulatory disorders. Now, what happens after the ovulation round.

Once the egg is released, it is caught by fallopian tubes. Fallopian tube has finger like projection and the eggs are normally kept on the last part of the tubes. Now when the couples meet, the sperm is released in the vagina. The sperms have basically the head, body and the tale. As I had mentioned earlier, once the ovulation happens, the eggs do not have any tale, so it needs a tube to collect it an d store it in the tube. The sperms will move into the uterine cavity and move into the fallopian tube and have to reach the other part of the tube. So at this point, the sperms will be reaching the egg.

There are certain criteria for normal semen. So when do we know that it is a fertile semen for which there are some criteria like the volume should be atleast more than 1.5 ml ejaculate.And the sperm count should be more than 15 million per ml of sperm. Because of the tale fraction of the mortality, there should be active mortality of the sperm for more than 30%. So when the sperm enters the egg, the process is called Fertilization. And the egg and the sperm will fuse to form an Embryo. The early embryo is called Zygote which is a single cell. So when this forms, the embryo has to divide. In that tube the embryo undergoes division. So in that cell, the embryo will divide into 2 cells, 4 cells, 8 cells. As the embryo is progressively dividing, the tube is going to push the embryo back slowly into the uterine cavity. During this process of egg maturation, the follicle growth, the ovulation, there is another process happening in the uterus.

So here is the uterus and this is the Uterine bed. So, as the follicles are increasing in size, so it produces a hormone called estrogen which is actually acting on the uterine bed. And the uterine bed is ready, there is an increase in thickness for an embryo to come here. And once the ovulation happens, there is a pregnancy favouring hormone called Progesterone which is increasing in the second half of the menstrual cycle. When this comes, there is a lot of blood flow coming to the uterine bed. So this is the time when the embryo is actually reaching the uterine bed. This process, when the embryo reaches the uterine bed and when the embryo sticks to the uterine bed, this process is called Implantation. Basically what is happening here is the blood collection between the uterus and the embryo. That is how the nutrients from the mother's body are transferred to the embryo which grows further and establishes a pregnancy.

So when the couples conceive, these are the things which have to happen in a natural way for them to conceive. Now what happens when they do not conceive when they try for more than a year after the marriage and still unable to conceive, so we evaluate the problems. Evaluation of problem depends on the steps which I have told.

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I am 13 weeks pregnant I have two fibroids one fungal 8.5 cm and other anterior wall 8.7 cm they r growing big week by week. I am worried about baby. How can I shrink my fibroids.

PhD SEXUAL MEDICINE, DGO, MBBS
Sexologist, Ahmedabad
I am 13 weeks pregnant I have two fibroids one fungal 8.5 cm and other anterior wall 8.7 cm they r growing big week b...
There are no medicines available to make it small. If it does not bother baby, usually you do not need to worry, but consult regularly your Gynaecologist for progress.
2 people found this helpful
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Iam 23 yrs. Old. My LMP was onjan 1st. And now today is Feb 1 st. There was no delay in my menses. And I didn't get periods today. And there were abdominal cramps for some period of time today in the evng. Is there any chance of getting pregnant.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Iam 23 yrs. Old. My LMP was onjan 1st. And now today is Feb 1 st. There was no delay in my menses. And I didn't get p...
Hello, If you have not been sexually active then you can safely wait for your menses to return for another week, if not then you should get a serum beta hcg test to rule out pregnancy.
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I had sex for the 1st time using a plastic bag as protection. He ejaculation outside me and he has te packet on the full time so if precum was there it must hv been caught inside the bag. Yet I was scared so I tool 2 unwanted 72 one 10 mins before and one after 22 hours of the intercourse. Then again I hv pcos so my ovulation is irregular. I had bleeding on 11th of the month and intercourse on 20th. Please tell me that I will not get pregnant still after all these as I am very scared. I am 19 years old.

MD - Ayurveda
Ayurveda, Bangalore
Hi, firstly, plastic bag is not a contraceptive method. Please do not harm yourself with such measures. Coming to the point of conception, if your last menstual period was on 11th, the 20th would be your 10th day of your cycle. Ovulation generally happens around 14th day. With the history of pcos and hormonal irregularities, taking such tablets are also not recommended. Take care, Take proper precautions before intercourse, because becoming pregnant is not the only thing you should be worrying about, as ther are a number of STD s that you can catch.
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Hi. I am 28 years old with height 5.4" and I am a working women. My weight is 65 kgs. I am planning for my first baby. Bt I am little bit worried about my weight. Is my weight ok for healthy pregnancy or I need to reduce it? Thanks. Your suggestions are valued.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi. I am 28 years old with height 5.4" and I am a working women. My weight is 65 kgs. I am planning for my first baby...
Hello, Your BMI should be less than 25 in any case to allow a healthy ovulation and hence conception so please aim for reducing at least 5 kgs.
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If my wife is injected with sperm injection how many hours should she take rest and will that work be done successful and can she become a pregnant will there be any harm to baby and after how many days she can become conceive.Please tell.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
If my wife is injected with sperm injection how many hours should she take rest and will that work be done successful...
Resting has no proven beneficial role in increasing the sucess after sperm insemination. Conception test usually should follow after 14 days.
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I am 20 years old girl I do have acne problem from last 2-3 years. I took treatment too but after leaving medicine pimple started again. And my maturation cycle is also irregular. When periods get late or time comes near it get more. Please suggest some permanent treatment.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Good n proper information for online point of view consultation thanks use cow pathy soaps, face wash, facial bar n ubtan powder pl its all harmless products use r10 20 drops 3- times in a day before meals its a homoeopathic remedy n report after 3- month
3 people found this helpful
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My wife had her last period on 6th september we also gone through a doctor and had a pregnancy and urine test the result is negative she also completed the course of deviry 10mg tablet i. E. 2 tab for 7 days and already 7 days past of course of tablets still she did not have a periods. Suggest me doctors I am worried.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
My wife had her last period on 6th september we also gone through a doctor and had a pregnancy and urine test the res...
Hello lybrate-user, sometimes after deviry is stopped it may take upto 10 days also to get a period. So do not worry. If her period does not come after 2--3 days then pls do a sonography and that should help us to get an answer.
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