Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 26 years of experience on Lybrate.com. Find the best Gynaecologists online in New Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Yuvakshi Juneja
Management of Pregnancy
Management of Abortion
Treatment of Infertility
Management of Menopausal Disorders
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 PCOS
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Submit a review for Dr. Yuvakshi JunejaYour feedback matters!
Your body goes through drastic changes when you are pregnant. Your body makes more blood during pregnancy; for instance, prior to pregnancy, your body made approximately 5 litres of blood, but now it produces 7 to 8 litres of it.
- Being extremely fatigued
- Miscarriages, premature birth, or low birth-weight
- The baby can inherit anaemia from the mother
- The child can have certain developmental delays
- Postpartum depression (post-childbirth depression)
How it can be prevented?
To prevent such risks, it is important to implement the proper diet. Here are some dietary tips to prevent anaemia during pregnancy:
1. Consume iron-rich foods: Foods that provide you with the best source of iron are
- Poultry and eggs
- Dark green and leafy vegetables (for example: spinach, broccoli and kale)
- Seeds and nuts
- Beans and lentils
- Ripe bananas
2. Don't forget the supplements: Foods are great sources of the nutrients you require, but they may be lacking at times. Ask your doctor for supplements like vitamin, folic acid and iron supplements mostly. Consuming supplements before pregnancy can go a long way in preventing anaemia.
3. Folic acid is important: Folic acid is very important for pregnant women. You must consume 400 milligrams of it to prevent anaemia and birth defects in babies. Foods that are rich in folic acid include:
4. Vitamins are crucial: Vitamin C helps in iron absorption which boosts haemoglobin production. Some foods rich in vitamin C include
- Citrus fruits
- Bell peppers
5. Be vigilant while cooking: Sometimes while cooking foods, the wrong method can strip them of their iron content. So be careful not to fry, boil or stew such foods too much. Certain foods are best consumed raw; read the labels properly if in doubt.
If you are experiencing heartburn during pregnancy, it is important for you to know about the ways of dealing with it. Heartburn, which is a fiery, painful sensation, occurs when the lower esophageal sphincter (LES) starts leaking or relaxing. This makes your stomach acids to flow up into the esophagus, resulting in acidity or heartburn. Pregnant women are more susceptible to heartburns because the relaxing hormone slows down the rate of digestion, thereby keeping food in the stomach for longer duration and triggering acidity.
- Follow regular eating patterns: Overeating triggers heart burns, and hence, you should eat less. During pregnancy, there is much less space in the stomach for it to expand. Maintaining a healthy diet in lesser quantities will help you in eliminating the heartburn throughout your pregnancy. You should eat several small meals a day instead of having two or three large meals. It is easier for your body to digest smaller meals.
- Avoid trigger foods: You need to identify the common foods, which trigger your heartburn, and eliminate them from your diet. You should abstain from consuming acidic food items like tomatoes, citrus fruits, fried and spicy food, coffee, carbonated drinks, and alcohol.
- Focus on fluids: A liquid diet causes much lesser problems compared to solid food products as they can move through your stomach quickly. You should consume milkshakes, soups, yoghurt, smoothies, puddings, and protein shakes. Try to take liquids, which are rich in protein like dairy products. While having solid foods, ensure that you chew them very well.
- Sleep properly: In order to avoid heartburn during the night, you must not eat anything three hours before going to sleep. You should make the head of your bed elevated by placing books or any solid object under the bed’s legs. You should sleep on your left side, which will make it difficult for stomach acids to travel up to your esophagus.
- Sit or stand up right after a meal: After taking any meal, you should take a short walk, undertake some housework, or sit down for a while. Avoid lying down, and abstain from doing anything for which you have to bend over.
- Wear comfortable clothes: You should wear loose-fitting clothes for dealing with acidity or heartburn during pregnancy. Tight clothing puts extra pressure on your abdomen, which is already crammed. This is capable of worsening acid reflux. Therefore, you should choose loose fitting maternity wear for eliminating acidity and heartburn.
Burning urination or painful urination is also called dysuria, and it is one of the most common complaints amongst women. Another common problem is frequent urination. What are the causes of these two conditions? Are they in fact related?
Frequent urination, in simple terms, is also sometimes called overactive bladder and it is the need to urinate more than you normally would. This can cause loss of bladder control too. You may feel extremely full even after using the toilet and the feeling is extremely uncomfortable. Medical practitioners bracket urinating every two hours or more as frequent urination.
- A urinary tract infection or UTI is the most common cause of frequent urination. UTIs happen when bacteria enters your urinary bladder through the urethra. Men also get UTIs, but it is less common than women as the ladies have shorter urethras. This means that bacteria have less distance to travel before they can infect the urinary tract causing UTIs. UTIs in women can be prevented by proper wiping after using the toilet, which will protect the urethra from E.coli bacteria. Proper hygiene also is a deterrent, especially after intercourse.
- Medical conditions affecting muscles, nerves, and tissues. Weakening of nerves due to hernias in the lower back etc. can also cause an overactive bladder.
- Oestrogen deficiency caused due to menopause can cause an overactive bladder and a woman finds it difficult to hold the urine for long.
- Obesity can also place extra pressure on the bladder.
Burning sensation while urinating
Common reasons behind it
- Frequent urination does not point to any gynaecological issues but burning urination is a common symptom of sexually transmitted diseases or STDs like Chlamydia and Gonorrhea which cause symptoms like pain when urinating and vaginal discharge. Burning urination usually occurs after intercourse when sexually transmitted infections are present.
- Burning while urination can also be caused due to UTIs and it is often accompanied by other symptoms of UTIs like painful urination or dysuria or blood in the urine.
- Kidney stones are solid masses of crystalized calcium or other materials that start in the kidneys but can pass through the urinary tract causing pain and discomfort.
- Urethral stricture is a condition when the urethra narrows and this causes burning and pain during urination in women.
- Urethritis is the inflammation of the urethra in women can cause burning on urination.
- Pelvic inflammatory disease is an infection of the reproductive organs in women and causes abdominal pain especially during urination or sex.
- Bladder cancer
- Vulvovaginitis is a common infection of the vulva and vagina, both, and it causes burning and itching while urinating and increased vaginal discharge.
When it comes to pregnancy, caring for your body begins even before conception. Preconception health care focuses on what you need to do before getting pregnant and increases your chances of having a healthy baby. For some women, it can take a merely a few months to prepare their body for pregnancy while for others, it can take longer.
- Visit the doctor: Your first visit to a doctor should be scheduled long before you conceive a child. Your doctor will typically want to know what medication you are on and if any vaccinations are scheduled. He or she will also discuss your medical history and any medical conditions that may affect the baby’s development. You may be asked to undergo a routine blood and urine test to check your hormone levels and rule out any infections. A visit to the dentist is also a good idea.
- Start nutritional supplements: Expectant mothers are almost always advised to start folic acid supplements early in the pregnancy. This helps the development of the baby in its first few weeks of life and helps prevent birth deformities such as spina bifida. Other supplements that may be recommended include zinc and calcium. However, it is always a good idea to take these supplements only after consulting a doctor.
- Make positive lifestyle changes: If you drink alcohol or smoke, now would be a good time to stop. Alcohol and nicotine can affect your baby’s health and hence it is important to cleanse your body of these toxins before conception. Alcohol and caffeine have both been linked to the risk of miscarriages and lower the chances of conceiving a baby. Consider moving if you live around a toxic atmosphere and shifting jobs if your work stresses you out too much.
- Exercise: Regular exercise helps keep you fit and boosts your stamina and immunity. Regular exercise also helps avoid pregnancy complications such as preeclampsia and diabetes. Additionally, it helps keep weight gain under control and can help shorten labour time. However, do not start anything extremely strenuous but limit yourself to simple exercises like walking and swimming.
- Maintain a healthy weight: Being overweight can increase your risk of pregnancy complications and hence if you are planning on conceiving a child, now is the time to reach a healthy BMI. To do this, you must follow a healthy diet and exercise regularly. Being underweight can also trigger problems and hence you should talk to your doctor about finding a way to reach the optimum weight.
One of the most severe forms of pain is the pain that a woman experiences during the process of childbirth. On a scale of 1 to 10, with 10 being the most severe, it is believed to be 8 to 10. In the earlier days, a number of women would die during childbirth and survival was considered as a second lease of life. This belief has however, changed with the advancements in medical science. The delivery has now become an almost painless procedure.
How it works: The pelvis and the lower limbs receive nerve supply through the nerves coming out of the spinal cord. A strong anesthetic is injected into the lower back to numb the pelvis and down below. This ensures that the mother is comfortable and awake during the whole procedure and is able to see the child being delivered but has reduced pain in the lower half of the body.
What are its benefits?
- The mother has a painless delivery and is conscious and able to see the process of delivery.
- Significant relief from the painful experience of childbirth. The pain induces secretion of stress hormones in the mother, which adversely affects both the mother and the child.
- Blood pressure is better controlled using this procedure.
- Additional instruments can be used during the delivery if required without the need for additional anesthesia.
- If required, the procedure can be converted to a cesarean section too, by adding an epidural catheter.
- The duration of childbirth has been significantly decreased.
- Suitable for patients who have preeclampsia and heart disease
It has some disadvantages too
There are minor complications, including:
- This can develop after the painless delivery and the onset and intensity vary from one individual to another
- Post-procedure headache
- Pain at the site of injection
- Difficulty during urination
- The normal pushing effect by the woman is reduced due to the numbness and so vacuum may be used or delivery may have to be converted to a cesarean one.
- In rare cases, there could also be a sudden drop in the blood pressure
In the following cases, the doctor would advise the mother to go for a painless delivery
- Medical conditions like preeclampsia, high BP, or other heart conditions
- Subsequent births after having had a cesarean section (VBAC – vaginal birth after cesarean)
- People who have previously had prolonged or complicated labor, a painless delivery is easy on both the mother and the child
When it should be best avoided
In some cases, like the ones listed below, the painless delivery should be avoided
- Women with bleeding disorders.
- Women who are on blood thinners like aspirin, heparin, etc.
- Women who have had prior low back surgeries
- Women with neurological conditions
A detailed discussion with your gynecologist is the best way to identify, if this would work for you.
Menopause is a condition that marks the end of the menstrual cycle. It is a normal phenomenon that women experience with age. Menopause affects the bone health adversely. Bone health is directly tied to oestrogen, the hormone responsible for reproductive cycles, pain sensitivity. As a woman moves out of her fertile years there is an internal change in the reproductive system and the consequences can be seen and felt all over the body, including the bones.
The years just preceding menopause, with their hormonal fluctuations can set the stage for later health issues like bone weakening. As the oestrogen level drops, the bone density starts to decline which continues for a long period of time. The bone loss can become significant during perimenopause (the decades making up to menopause) and will speed up in the first few years of menopause.
The oestrogen level directly affects the process known as bone remodelling; the constant breakdown and the remodelling of the bone in the skeleton. With less oestrogen in the body cells called osteoclasts are able to absorb bone at a faster rate than osteoblasts (bone-building cells) are able to regenerate new bone. Thus the bone remodelling equation is no longer equal and the bone density continues to decline.
The osteoporosis risk after menopause is a serious one, yet so many women refuse to pay it much attention. Perhaps it’s because the bone damage isn’t visible, or that bone loss continues so gradually for so many years. While the bone loss cannot be completely halted, there is plenty that can be done to slow it down. Here are some ways to take care of your bone health before or after menopause.
- Stay active: Adopting an active lifestyle after menopause helps in protecting the bones. It's recommended that adults between 19 to 64 years of age should do moderate to intense activity. This could include activities such as cycling or brisk walking. Sitting for long hours should be avoided. Weight-bearing exercises and resistance exercises are particularly important for improving bone strength and helping to prevent osteoporosis.
- A balanced healthy diet: A healthy, balanced diet that includes calcium and vitamin D will help maintain healthy bones after the menopause. Good sources of calcium include green, leafy vegetables (but not spinach), nuts, seeds, dried fruit, tinned fish with the bones in, and dairy products like milk, yoghurt and cheese. Good food sources of vitamin D include oily fish, eggs, and fat spreads or breakfast cereals
- Hormone replacement therapy: HRT can be an effective treatment for common menopausal symptoms like night sweats, sleep disturbance and achy joints. It works by replacing oestrogen, which naturally begins to lower post menopause. HRT can also help to maintain bone density and reduce the risk of osteoporosis.
Oh, it is that time of the month again! There are a lot of women (and men who deal with the women) who would have repeatedly said this when they are experiencing the premenstrual syndrome. Most women (and men!) get used to it and know how to deal with it. As the adage goes, this too shall pass!
The female body and mind are controlled by a whole lot of female hormones which affect her health. During the premenstrual phase, when there is a surge in the hormone levels, there are a set of symptoms which any woman dreads. These include increased mood swings, irritability, abdominal cramps, migraines, breast tenderness, food binging, and back pain to name a few. About 80% of the woman experience these, so it is common, yet easily manageable. Some of the best ways to deal with the PMS are listed below.
- Stay active: Moving in any way to keep the body in motion and energy flowing is the key to managing PMS. Whether aerobic exercise, dancing, jogging, swimming, or walking, whatever works for you, go ahead and take your pick. Getting at least 30 minutes of physical activity can help get rid of the anxiety and manage stress.
- Deep breathing: This is not just a way to give your body more oxygen and therefore energy, it also helps manage the abdominal bloating that is commonly seen during PMS. Deep breaths help in releasing the held up air, which causes the belly to soften.
- Quit smoking: Smoking women are twice as likely to experience PMS symptoms as nonsmokers. Period. Reason enough to quit smoking??!!
- Soak in the sun: The sun not just gives vitamin D, it also relieves PMS by soothing the effect of the hormones.
- Get creative: The reproductive organs are the ‘creators’ in you, so when the hormone levels are higher, your creative energies are higher too. Check out for yourself and you will find that you will be extra-good at drawing, singing, writing and painting during these days. They also take your mind off the stress and symptoms of PMS and make you feel good.
- Yoga: Yoga does wonders for PMS symptoms, and staying upside down works wonders for the woman’s body.
- Healthy diet: Eat clean, green foods during your cycles. Whole grains, leafy vegetables, fresh fruits, legumes and nuts should find their way into your plates. Reduce the whites – sugar, salt, white rice, and even dairy if possible. Drink loads of water and keep above-average hydration levels.
- Limit alcohol and caffeine: They may boost your feeling temporarily, but do a lot of harm, so avoid them.
So, while PMS is not rare, there are simple effective ways to manage it too. In case you have a concern or query you can always consult an expert & get answers to your questions!