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Dr. Vivek Aggarwal

Endocrinologist, Delhi

Dr. Vivek Aggarwal Endocrinologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Vivek Aggarwal
Dr. Vivek Aggarwal is an experienced Endocrinologist in Paschim Vihar, Delhi. You can visit him at Sri Balaji Action Medical Institute in Paschim Vihar, Delhi. Book an appointment online with Dr. Vivek Aggarwal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 41 years of experience on Lybrate.com. You can find Endocrinologists 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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Sri Balaji Action Medical Institute

#FC 34, A-4 Paschim Vihar EAST. Landmark:-Opposite Dda Sports Complex, DelhiDelhi Get Directions
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Tubal Scarring and Infertility

M.B.B.S, M.S Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, Fellowship in Minimal Access Surgery, Diploma in Advanced Modern Cosmetic - Plastic Gynaecology, Diploma in Minimal Invasive Surgery(Germany), Fellowship of International College of Robotic Surgeons
Gynaecologist, Chennai
Tubal Scarring and Infertility

The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. 

Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories. 

  1. Blocked fallopian tubes
  2. One blocked and one open fallopian tube
  3. Tubal scarring

The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:

  1. STDs such as chlamydia trachomatis and neisseria gonorrhea
  2. Adhesions caused by ruptured ovarian cysts
  3. Appendicitis
  4. Peritonitis
  5. A history of ectopic pregnancies

Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.

  1. Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however, does not say much about tubal scarring.
  2. Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes. 

Treatment for infertility caused by tubal scarring is of two types:

  1. Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. He may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
  2. In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.
3792 people found this helpful

I am diabetic and on insulin and Gabapentin medication My bowel movement is very constipation Is there any medication to help regularize this condition Since my job involves lot of travel my eating habits are not regular My stomach is always in a bloated condition Any help would be appreciated.

M.sc - Nutrition Science
Dietitian/Nutritionist, Delhi
I am diabetic and on insulin and Gabapentin medication
My bowel movement is very constipation Is there any medication...
Hello sir, if you are taking insulin then don't skip your meal take 3 major meal & 2-3 small meal/ snacks. In traveling time you should carry some food items like roasted chana, sprouts, salad like cucumber, salty lassi or butter milk. Avoid simple sugar / simple carbs. Take high fiber diet it will help you in constipation. Take 4-5 meal of vegetables & salad. Don't forget to take sufficient water. Do regular walk/ exercise/yoga or any other physical activity. One most important thing take sufficient amount of food after taking insulin otherwise it can cause hypoglycaemia (low sugar). So always carry some toffee/sugar or any other sweets.
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How can I recover my diabetes problem in order that I should become healthier and be fit.

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
How can I recover my diabetes problem in order that I should become healthier and be fit.
To maintain proper blood glucose level you need following things to do- 1.Include more fibres in your diet. More soluble than insoluble. 2.Dont give food gap more than 2-3hrs between meals. 3.Drink min 2ltrs of water during day time. Reduce water consumption after 6pm onwards. 4. Increase your protein intake specially veg proteins. 5.Do exercises regularly min for 1hrs min. 6.Increase your vegetables and fruits consumption. 7. Avoid simple sugar.
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What time to take diabetes medicine in the day? Is diabetics totally cure by medicine?

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
What time to take diabetes medicine in the day? Is diabetics totally cure by medicine?
Hello, time should be given by the doctor, based on the tablet and your health condition. No, diabetics is just controlled by medicine, that is the reason, doctors suggest life long medication. But if you have proper nutritional values in your diet along with medication, slowly your sugar levels will come down, then doctor minimize the dosage, and slowly you can completely cure from diabetes.
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My mother is suffering with diabetes type 2 and she recently got into an accident. So, what is the care I should take to not to turn the wound into a septic wound? Thank you.

MBBS, MD, FAIIDR
Diabetologist, Vadodara
My mother is suffering with diabetes type 2 and she recently got into an accident. So, what is the care I should take...
For proper wound healing, two things are essential 1. Good wound care, 2. Good sugar control. Check with your doctor for adjustment of her insulin and other medication dosages, follow diet advise by him/her. Do proper wound care as advised by your doctor.
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I am 55 years old woman need some advice to how to keep check on increasing sugar level in my body.

MBBS,Doctor of Medicine, CCH
General Physician, Bhopal
I am 55 years old woman need some advice to how to keep check on increasing sugar level in my body.
Most important is to exercise regularly for at least 40 to 60 mins everyday. Eat food of low glycemic index eg salads, watered daal, light rotis. Avoid oily greasy food and fast foods.
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I have Tsh at level 20, want to understand how critical it is. Please specify any care to be taken?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I have Tsh at level 20, want to understand how critical it is. Please specify any care to be taken?
You have increase dose of thyronorm. If you want pregnancy then tsh must decrease less than 2.5.it is not dangerous as tsh may go up to 999. But we should careful.
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Common Cause of Infertility in Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Common Cause of Infertility in Females

Common Cause of Infertility in Females

Damage to fallopian tubes (tubal infertility)

When fallopian tubes become damaged or blocked, they keep sperm from getting to the egg or block the passage of the fertilized egg into the uterus. Causes of fallopian tube damage or blockage can include:

  • Pelvic inflammatory disease, an infection of the uterus and fallopian tubes due to chlamydia, gonorrhea or other sexually transmitted infections

  • Previous surgery in the abdomen or pelvis, including surgery for ectopic pregnancy, in which a fertilized egg becomes implanted and starts to develop in a fallopian tube instead of the uterus

  • Pelvic tuberculosis, a major cause of tubal infertility worldwide, although uncommon in the United States

Endometriosis

Endometriosis occurs when tissue that normally grows in the uterus implants and grows in other locations. This extra tissue growth — and the surgical removal of it — can cause scarring, which may obstruct the tube and keep the egg and sperm from uniting. It can also affect the lining of the uterus, disrupting implantation of the fertilized egg. The condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg.

Uterine or cervical causes

Several uterine or cervical causes can impact fertility by interfering with implantation or increasing the likelihood of a miscarriage.

  • Benign polyps or tumors (fibroids or myomas) are common in the uterus, and some types can impair fertility by blocking the fallopian tubes or by disrupting implantation. However, many women who have fibroids or polyps can become pregnant.

  • Endometriosis scarring or inflammation within the uterus can disrupt implantation.

  • Uterine abnormalities present from birth, such as an abnormally shaped uterus, can cause problems becoming or remaining pregnant.
    Cervical stenosis, a cervical narrowing, can be caused by an inherited malformation or damage to the cervix.

  • Sometimes the cervix can’t produce the best type of mucus to allow the sperm to travel through the cervix into the uterus.
    Unexplained infertility

  • In some instances, a cause for infertility is never found. It’s possible that a combination of several minor factors in both partners underlie these unexplained fertility problems. Although it’s frustrating to not get a specific answer, this problem may correct itself with time.

2 people found this helpful

I am taking groundnut alternate days in a week. I am a diabetic patient for last 10 years and taking medicine regularly. I have adoubt that intake of groundnut will increase blood sugar level high. I am aged 62 years. Please clear the doubt.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am taking groundnut alternate days in a week. I am a diabetic patient for last 10 years and taking medicine regular...
Mr. Lybrate-user, first thing is that ground nuts taken in small quantity, do not increase blood sugar level. They provide fair amount of protein and fats. There is hardly any carb. You have not mentioned the quantity of intake, that is important. About 30 g a day is fine. Plus having a tight sugar control is also very necessary. If your diabetes is in check, meaning fasting nearer 100 mg and pp between 150 to 160 mg and hba1c%<7, then it is good.
4 people found this helpful
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Being a diabetic patient, how to improve the metabolic structure of body. My flesh all gone. What type of additional food I have to take to improve the metabolism. I want to become slightly fat look.

MBBS
General Physician,
Being a diabetic patient, how to improve the metabolic structure of body. My flesh all gone. What type of additional ...
Being a diabetic pt you should take nutritious food like leafy vegetables, cereals, lean meat pk like chicken, fish, eggs etc go for morning walk followed by free hand exercises with few yoga and pranayum like kapal bhatee. Avoid alcohol and junk food you should maintain your body wt as per bmi.
1 person found this helpful

Her age is 60 and she is suffering from diabetes for last 10 years but still not able to control it. So what diet she needs to follow.

DNB (Medicine), MBBS
General Physician, Delhi
Her age is 60 and she is suffering from diabetes for last 10 years but still not able to control it. So what diet she...
Hi, more than diet she needs adequate medications to achieve good control of sugars. Consult me with fbs, ppbs, hba1c, kft and cbc reports for a definite treatment. She needs to take a balanced, diabetic diet which includes cereals, pulses, vegetables etc. She needs to avoid sugar, fatty foods, fried foods, fruits (most of them) and take regular exercise.
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I am 46 years old working suffering from thyroid and PCOD. Except thyroxine 50 mg. I am taking any kind of medicine. Please advise if I should start taking AMway's nutrilite daily or woman revital. Which one is better?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 46 years old working suffering from thyroid and PCOD. Except thyroxine 50 mg. I am taking any kind of medicine. ...
lybrate-user, Your BMI is 33.33 kgs/M2, showing grade 1 obesity. This points to an uncontrolled hypothyroidism also it does aggravate PCOD. You should seriously plan to reduce weight. Your ideal body weight should be 55 kgs. Plus there should be better control of TSh levels to keep hypothyroidism in check. On treatment TSH should be between 3 to 4 mU/L, then only all the symptoms are in check. For PCOD also you need to take some treatment. Regular exercise and properly planned diet are needed. As regards taking Nutrilite, an exorbitantly expensive product, there a re a number of alternative Indian products with whey protein. Those can be used. But first you have to work on reducing the weight. Thanks.
3 people found this helpful
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I am suffering fever since yesterday night. I took Dola 650 in night and morning, How many tables can take in day. Symptoms like joint pains, body pains and feverish. So please advise how many dola 650 can take in a day. Best one.

MBBS
Diabetologist, Bangalore
I am suffering fever since yesterday night. I took Dola 650 in night and morning, How many tables can take in day. Sy...
Hello Mr. lybrate-user, I understand you have fever with body pain and joint since one day. You can safely take paracetamol 650 mg upto 3 to 4 times/ day. Please get back to me if the fever doesnot settle in 3 days time.
1 person found this helpful
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My father age is 55. He goes toilet every night at midnight even he is shivering with cold. He thinks its diabetes also very bad smell is obervse sometimes in toilet and his health is going down by down his weight is nowdays around 60. He has a problem of critinine sugar so he has do all blood tests sugar critinine his reports are normal so he again do his tests again reports are normal now can't understand what's the reason. Why health is going down after reports are normal. I want to know the symptoms of sugar remedies causes of critinine remedy of critinine and also want to know food diet for such type and also age factor so I want to know diet for such so that his weight n health can be good day by day. Want some good advice suggestions honestly.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
My father age is 55. He goes toilet every night at midnight even he is shivering with cold. He thinks its diabetes al...
Hello , don't worry, he will be completely cured. He is already affected with diabetes, pls use the medicine prescribed by doctor. Bad smell in the toilet may come due to heavy medication. Make sure he doesn't drink water before sleep, add fruits and raw vegetables to his diet in the night hours like carrot, apple, beetroot etc. For his weakness, add milk, wheat, soya to his diet. Let me suggest some good natural food supplements from the brand called nurilite.Your father will be cured completely, just take a good care of him. Have a nice day.
1 person found this helpful
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How I completely free from diabetes. My fast meal report is 189 My post meal is 217.

BAMS, MD Ayurveda
Sexologist, Lonavala
How I completely free from diabetes.
My fast meal report is 189
My post meal is 217.
One of the simplest home remedies for your problem Natural home remedy using bitter gourds: 1. Remove the skin and seeds of 4-5 bitter gourds 2. Crush them to a make a paste 3. Press this paste on a sieve an extract the juice 4. Drink this juice on an empty stomach every morning This remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
1 person found this helpful
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Know More About Diabetes

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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Types and causes of Diabetes

3126 people found this helpful

Uric acid is increased nw it is 7.5 Suggest me to bring down it in specific limit.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Amit, To reduce uric acid level avoid organ meat, certain fishes like anchovies, herring, sardines, mussles, scallops, touts etc. and alcohol. Avoid vegetables like cauliflower, spinach, asparagus, mushroom and peas. You can consume been and lentils. Use milk and milk products. Avoid saturated fats and exercise so that weight is maintained.
11 people found this helpful
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Meri ammi ke feet and knees mai bhut pain rheta hai. Bhut preshaan rheti hai Raat bhar so nhi pate. Unhe diabetes and thyroid hai. Pls tell me how can I help my ammi.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Meri ammi ke feet and knees mai bhut pain rheta hai.
Bhut preshaan rheti hai
Raat bhar so nhi pate.
Unhe diabetes and...
Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day.
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I am boarder line diabetics person and very much well maintain but I have itching problem in entire body and every thrice in day I have to consume histamine tablet which gives me relax I would like to know the reason for it and how to overcome from this problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I will advise you a very good homoeopathic medicine for your problem formula -d (bakson) Chew 1 tab 2-3 hrly for 2 weeks nd then report me Do and donts take nutritious diet exercise regularly avoid use of cosmetic creams and lotions avoid fatty food like dry fruits, nut, chocolates, fried and spicy food as they increase the activity of sebaceous glands.
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I am male 56+ and having diabetes & hypothyroidism for the past 7 years. No blood pressure. Beginning medication was 1gm metformin + 25 mg thyroxine sodium. Past one year metformin increased to 2gms in divided dose. eltroxin 25 mg remained same. But 6 months back my dosage was increased as follows- metformin 1gms + 1 mg glimepiride (twice) + 50 mg eltroxin once. Now for the past one month it's as follows- Morning 50 mg eltroxin, then before breakfast 1gm metformin + 1 mg glimepiride. Nothing in the night. My sugar levels are well in control as I go out for vigorous walks (5-6 kms) and exercise 5 days a week. The problems is with my libido which has drastically reduced to nothing for the past one and half years. My erection is limp and goes limp very soon. My testerone and sperm levels are okay for my age as per test results done recently. I don't want to take medicines like viagra or such ayurvedic medicines which shoots my pressure to dangerous levels of 145/97 and all white light becomes blue in my sight. The after effects are also very bad for me. Please suggest correctly ,so that at least, I can have satisfactory sex once per week.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am male 56+ and having diabetes & hypothyroidism for the past 7 years. No blood pressure. Beginning medication was ...
Hello- Just like physical and mental health, sexual health is also of great importance. Proper medicines along with proper lifestyle habits can solve the problem and help in leading a healthy sexual life. Persons suffering from metabolic disorders must be treated with a different approach. Modern medicines are not effective in sexual weakness if the patient is suffering from any metabolic disease like diabetes, hypertension etc. Only Ayurveda has an answer (and specialized medicines) which can boost up sex life of persons suffering from serious metabolic disorders. I recommend you to consult your ayurvedic sexologist providing the detailed history, you will definitely be benefited.
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