Dr. Tripti Raheja is a Gynaecologist in kalyan Vihar, Delhi. Book Appointment, Consult Online, View Doctor Fees, Contact Number, User Reviews and Ratings for Dr. Tripti Raheja | Lybrate

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Delhi

India

NCT of Delhi

kalyan Vihar, Delhi

Hello, Good morning, I am Dr. Tripti Raheja, I am a Senior Consultant, Gynecologist and Obstetrician. So, aaj hum discuss karne wale hai menopause aur uss se hone wali samasyao ke baare mein. Menopause ek mahila ki life mein takreeban 50 saal ki umar mein aata hai aur ye ek natural prakriya hai jis se ovary mein eggs khatam ho jaane ki wajah se ovulation ka process ruk jaata hai. Aur ovulation process rukne se blood mein estrogen hormones ki kami aa jaati hai. Estrogen hormones ki kami ki wajah se menstrual period hona stop ho jata hai, permanently stop ho jata hai. Aur estrogen ki kami ki wajah se menstruation stop hone ke alawa aur bhi kai samsayein shareer mein aani shuru ho jati hai. Jaise ki sabse pahli samsya jo mostly mahilaien face karti hai vo hai hot flashes. Ek sudden feeling of heat aati hai jis se ki bahut tezi se garmi lagti hai, mostly night ke samay sote huve hota hai ye, aur suddenly bahut pasina aa jata hai aur bahut hi uncomfortable ek mahila mahsoos karti hai. Iske alawa vagina ki dryness, painful intercourse bhi menopause ke baad kaafi common hai. Because estrogen hormone urine bladder ke aas paas ke tissues ki strength ke liye important hota hai, estrogen ki kami se vo tissue weak ho jata hai, uske weak hone ki wajah se urine leakage ki samsya kaafi commonly aane lagti hai. Jaise ki suddenly hasne pe, khansne pe, urine bladder weak hone se, urine leak kar jaata hai. So these are very common symptoms, iske alawa mood changes, depression, irritability, anxiety, sudden weight gain ye problems hai jo menopause hone ke baad commonly dekhne ko milti hai. Then there are certain serious health issues also jo ki menopause hone ke baad dikhayi dete hai, jaise ki, haddiyo mein calcium ki kami hona shuru ho jaata hai, jise hum osteoporosis bolte hai. Aur osteoporosis ki wajah se bones bahut weak ho jaate hai aur jara se chot lagne par bhi bones pe fracture hone ka risk badh jaata hai. Then heart attack aur stroke ka risk menopause hone ke baad kaafi badh jata hai. Then there are certain cancers jinka ki risk menopause hone ke baad kaafi badh jata hai. So, inn samsyao ko hum bahut simple life style changes se kaafi had tak control kar sakte hai, jaise ki, suppose aap hot flashes se pareshan hai toh aap apni bed sheets kaafi light colour ki use karna start kar dijiye, aap kapde bilkul light colours ke pahan na shuru kar dijiye. Do ya teen layers mein kapde pahn na shuru kar dijiye jis se ki suddenly aapko garmi ka ahsas ho, suddenly sweating ho toh aap ek adh layer utar payein. Then thanda paani apne aas paas rakhiye so that suddenly agar apko garmi lag rahi ho toh you can have some water and relax. And agar bahut pareshani hai, agar bahut jyada hot flashes se pareshan hai toh harmones replacement therapy bhi dete hai hum log patients ki certain parameters check karke. Aur usme mein estrogen hormone supplement dete hai, jisse ki hot flashes cure ho jaate hai for the time being. Aur otherwise agar hum koi treatment na le toh bhi kuch salo ke andar ye apne aap thik ho jaate hai. Second ek jo bahut hi common samsya hai vo hai vagina ki dryness and painful intercourse ki. So usko handle karne ke liye you can use koi bhi lubricating jellies, easily milti hai market mein, vo aap log use kar skte hai, ya fir doctor ki salah se koi bhi estrogen cream ka istemal kar sakte hai locally lagane ke liye. So once in a week agar aap estrogen cream vagina mein regular lagate rahenge toh dryness ki problem se aap bache rahenge. Then third bahut common problem hai, urinary leakage ki, because bladder pe control utna achcha nahi rahta hai. So thoda bhi agar pressure badha pet ka, haste huve ya khaste huve toh urine leak ho jata hai. So iss problem ko handle karne ke liye bhi apko thode changes karne hai, jaise ki ek regular interval pe urine pass karne ki aadat daal lijiye, har 2 se 3 ghante mein aap urine paas karein, adequate quantity mein aap paani lein, spicy aur oily food na le, uss se aapka bladder irritate nahi hoga. Then ek bahut is important cheez hai, vo hai kegel exercise ki, ye jo problem hai bladder ki, muscles ki weakness ki wajah se hoti hai mostly. So unko strong karne ke liye agar aap regular kegel exercise karti rahengi, iss area ki muscle strong rahengi toh iss problem se aap kaafi had tak bachi rahengi. Then haddiyo mein calcium ka loss estrogen ke kami ki wajah se menopause ke baad bahut jaldi pahle ek do saal mein hone lagta hai, jis se ki bones kaafi weak ho jaati hai aur suddenly fracture kar jaati hai. So iss se bachne ke liye aap regularly calcium aur vitamin D ke supplements lete rahiye. It is very important ki menopause ke baad aap regular basis pe calcium lete rahiye aur regular exercise kijiye, weight-bearing exercise karna jaroori hai jaise ki brisk walking aur jogging, atleast aadha ghanta regularly apko exercises karni hai jis se ki aapke bones strong bane rahenge. Apne bones ki health ka dhyan rakhiye aur regular intervals pe apna Dexa scan karate rahiye. Dexa scan se apko idea rahega ki aapki bones kahi weak toh nahi ho rahi hai aur fracture risk kitna hai. So agar apke bones weak ho rahe hai, fracture risk high hai, so in that case we can give you certain medicines, hormone replacement therapy de sakte hai, jis se ki apki bones strong rahe. Then apne heart ko protect karne ke liye bahut important hai ki aap ek achchi healthy diet le, apni diet mein aap green vegetables and fruits ki quantity ko kaafi badhayein. Fast food na lein, oily food, refined sugar ka intake kam karein, regular exercise karein aur apna blood pressure, cholesterol aur sugar, ye teeno bilkul control mein rakhein. Apne wajan ko control mein rakhein. Agar aap overweight honge toh aapko heart attack aur stroke ka risk kaafi jyada hai. Iske alawa kuch cancers hai jo menopause ke baad bahut common hai. Jaise ki, breast ka cancer, uterus ka cancer, uterus ke mouth ka cancer, jise hum cervical cancer kahte hai. So inse bachav ke liye aap apna regular health check-up karwate rahein. Regular interval pe aap apna PAP smear, mammography karwate rahiye. Jisse ki agar koi bhi changes aa rahe hai, vo bahut early stage mein pata chal jaye aur uska aasani se treatment ho paye. You can book an appointment through Lybrate. Thank you.

Hello,

Good morning, I am Dr. Tripti Raheja, I am&nbsp;a&nbsp;Senior Consultant, Gynecologist and Obstetrician. So, aaj hum discuss karne wale hai menopause aur uss se hone wali samasyao ke baare mein. Menopause ek mahila ki life mein takreeban 50 saal ki umar mein aata hai aur ye ek natural prakriya hai jis se ovary mein eggs khatam ho jaane ki wajah se ovulation ka process ruk jaata hai. Aur ovulation process rukne se blood mein estrogen hormones ki kami aa jaati hai. Estrogen hormones ki kami ki wajah se menstrual period hona stop ho jata hai, permanently stop ho jata hai. Aur estrogen ki kami ki wajah se menstruation stop hone ke alawa aur bhi kai samsayein shareer mein aani shuru ho jati hai. Jaise ki sabse pahli samsya jo mostly mahilaien face karti hai vo hai hot flashes. Ek sudden feeling of heat aati hai jis se ki bahut tezi se garmi lagti hai, mostly night ke samay sote huve hota hai ye, aur suddenly bahut pasina aa jata hai aur bahut hi uncomfortable ek mahila mahsoos karti hai. Iske alawa vagina ki dryness, painful intercourse bhi menopause ke baad kaafi common hai. Because estrogen hormone urine bladder ke aas paas ke tissues ki strength ke liye important hota hai, estrogen ki kami se vo tissue weak ho jata hai, uske weak hone ki wajah se urine leakage ki samsya kaafi commonly aane lagti hai. Jaise ki suddenly hasne pe, khansne pe, urine bladder weak hone se, urine leak kar jaata hai. So these are very common symptoms, iske alawa mood changes, depression, irritability, anxiety, sudden weight gain ye problems hai jo menopause hone ke baad commonly dekhne ko milti hai. Then there are certain serious health issues also jo ki menopause hone ke baad dikhayi dete hai, jaise ki, haddiyo mein calcium ki kami hona shuru ho jaata hai, jise hum osteoporosis bolte hai. Aur osteoporosis ki wajah se bones bahut weak ho jaate hai aur jara se chot lagne par bhi bones pe fracture hone ka risk badh jaata hai. Then heart attack aur stroke ka risk menopause hone ke baad kaafi badh jata hai. Then there are certain cancers jinka ki risk menopause hone ke baad kaafi badh jata hai.

So, inn samsyao ko hum bahut simple life style changes se kaafi had tak control kar sakte hai, jaise ki, suppose aap hot flashes se pareshan hai toh aap apni bed sheets kaafi light colour ki use karna start kar dijiye, aap kapde bilkul light colours ke pahan na shuru kar dijiye. Do ya teen layers mein kapde pahn na shuru kar dijiye jis se ki suddenly aapko garmi ka ahsas ho, suddenly sweating ho toh aap ek adh layer utar payein. Then thanda paani apne aas paas rakhiye so that suddenly agar apko garmi lag rahi ho toh you can have some water and relax. And agar bahut pareshani hai, agar bahut jyada hot flashes se pareshan hai toh harmones replacement therapy bhi dete hai hum log patients ki certain parameters check karke. Aur usme mein estrogen hormone supplement dete hai, jisse ki hot flashes cure ho jaate hai for the time being. Aur otherwise agar hum koi treatment na le toh bhi kuch salo ke andar ye apne aap thik ho jaate hai. Second ek jo bahut hi common samsya hai vo hai vagina ki dryness and painful intercourse ki. So usko handle karne ke liye you can use koi bhi lubricating jellies, easily milti hai market mein, vo aap log use kar skte hai, ya fir doctor ki salah se koi bhi estrogen cream ka istemal kar sakte hai locally lagane ke liye. So once in a week agar aap estrogen cream vagina mein regular lagate rahenge toh dryness ki problem se aap bache rahenge.

Then third bahut common problem hai, urinary leakage ki, because bladder pe control utna achcha nahi rahta hai. So thoda bhi agar pressure badha pet ka, haste huve ya khaste huve toh urine leak ho jata hai. So iss problem ko handle karne ke liye bhi apko thode changes karne hai, jaise ki ek regular interval pe urine pass karne ki aadat daal lijiye, har 2 se 3 ghante mein aap urine paas karein, adequate quantity mein aap paani lein, spicy aur oily food na le, uss se aapka bladder irritate nahi hoga. Then ek bahut is important cheez&nbsp;hai, vo hai kegel exercise ki, ye jo problem hai bladder ki, muscles ki weakness ki wajah se hoti hai mostly. So unko strong karne ke liye agar aap regular kegel exercise karti rahengi, iss area ki muscle strong rahengi toh iss problem se aap kaafi had tak bachi rahengi. Then haddiyo mein calcium ka loss estrogen ke kami ki wajah se menopause ke baad bahut jaldi pahle ek do saal mein hone lagta hai, jis se ki bones kaafi weak ho jaati hai aur suddenly fracture kar jaati hai. So iss se bachne ke liye aap regularly calcium aur vitamin D ke supplements lete rahiye. It is very important ki menopause ke baad aap regular basis pe calcium lete rahiye aur regular exercise kijiye, weight-bearing exercise karna jaroori hai jaise ki brisk walking aur jogging, atleast aadha ghanta regularly apko exercises karni hai jis se ki aapke bones strong bane rahenge. Apne bones ki health ka dhyan rakhiye aur regular intervals pe apna Dexa scan karate rahiye. Dexa scan se apko idea rahega ki aapki bones kahi weak toh nahi ho rahi hai aur fracture risk kitna hai. So agar apke bones weak ho rahe hai, fracture risk high hai, so in that case we can give you certain medicines, hormone replacement therapy de sakte hai, jis se ki apki bones strong rahe.

Then apne heart ko protect karne ke liye bahut important hai ki aap ek achchi healthy diet le, apni diet mein aap green vegetables and fruits ki quantity ko kaafi badhayein. Fast food na lein, oily food, refined sugar ka intake kam karein, regular exercise karein aur apna blood pressure, cholesterol aur sugar, ye teeno bilkul control mein rakhein. Apne wajan ko control mein rakhein. Agar aap overweight honge toh aapko heart attack aur stroke ka risk kaafi jyada hai. Iske alawa kuch cancers hai jo menopause ke baad bahut common hai. Jaise ki, breast ka cancer, uterus ka cancer, uterus ke mouth ka cancer, jise hum cervical cancer kahte hai. So inse bachav ke liye aap apna regular health check-up karwate rahein. Regular interval pe aap apna PAP smear, mammography karwate rahiye. Jisse ki agar koi bhi changes aa rahe hai, vo bahut early stage mein pata chal jaye aur uska aasani se treatment ho paye. You can book an appointment through Lybrate.

Thank you.

Menopause - What Should You Know?

Hello,

I am Dr Tripti Raheja, I am working as a senior consultant in Max super speciality hospital Shalimar Bagh. Today we are going to discuss a recovery after laparoscopic removal of uterus or removal of the uterus by keyhole <a href='https://www.lybrate.com/topic/surgery' target='_blank'>surgery</a>. Laparoscopic removal of the uterus is a very common procedure done for various reasons like abnormal uterus <a href='https://www.lybrate.com/topic/bleeding' target='_blank'>bleeding</a>, fibroid uterus, and <a href='https://www.lybrate.com/topic/endometriosis' target='_blank'>endometriosis</a> etc. So this procedure is done under general <a href='https://www.lybrate.com/doctors-for-anaesthesia' target='_blank'>anaesthesia</a> that means you are completely put to sleep during the procedure. Modern anaesthetic agents are very short lasting and usually, you are completely fine by 24 hours after surgery. However, in first 24 hours, you may feel more sleepy than normal. In this surgery you will find 2 to 4 small scars on your abdomen, each scar will be around 0.5 to 1 cm long and they will be placed on different part of your abdomen, they are closed by stitches and they are covered by the dressing. Internally there will be stitches in the top of your vagina, the external abdominal stitches are usually removed 7 to 8 days after surgery, whereas, internal vaginal stitches are dissolvable and they dissolve on their own in few weeks. So in few days to few weeks after <a href='https://www.lybrate.com/topic/delivery' target='_blank'>delivery</a>, you may find the stitches to coming out of your vagina with <a href='https://www.lybrate.com/topic/vaginal-discharge' target='_blank'>vaginal discharge</a>, so this is completely normal. Then immediately in the postoperative period, immediately after surgery, you will find a <a href='https://www.lybrate.com/lab-test/culture-and-sensitivity-catheter-tip' target='_blank'>catheter</a> or tube coming out of your urinary bladder this is put there to allow drainage of urine because you are unable to walk in first few hours after surgery. Usually, this tube or catheter is removed 24 hours after surgery. However, in some cases, it may be kept for more than 24 hours. So immediately you find a drip in your arm to provide you iv fluids since you are unable to take orally after your surgery. Once you are able to take then you will be allowed liquid <a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>diet</a> initially followed by soft diet. Then we have a pack inside your vagina, pack is a long length of gauze, which is kept inside the vagina to reduce the chance of bleeding and if the bag is packed it is removed before your discharge, you will also have pain and discomfort in the lower part of your abdomen for few days for lying surgery you will require a painkiller medicine medication, initially injection and tablets to control this pain and you may also have a <a href='https://www.lybrate.com/topic/shoulder-pain' target='_blank'>shoulder pain</a> following the surgery. It is very common to have shoulder pain after <a href='https://www.lybrate.com/topic/laparoscopic-surgery' target='_blank'>laparoscopic surgery</a> in this <a href='https://www.lybrate.com/topic/pain' target='_blank'>pain</a> subsides on its own. To reduce the formation of blood clots you will be advised by the <a href='https://www.lybrate.com/physiotherapist' target='_blank'>physiotherapist</a> to move as early as possible and as much as possible following surgery. Even when you are resting you will be advised to do some exercises by the physiotherapist. Usual length of staying in hospital is 2 to 4 days, you are usefully admitted on the day of surgery and kept for around 48 hours after the surgery once you are discharged you may also notice some bleeding or spot through vagina this bleeding can be Red or brown in colour the small amount of bleeding is absolutely normal. It goes away in 1-2 week of time however I would like to tell you about some red flags signs for which you are supposed to consult your doctor these signs are high <a href='https://www.lybrate.com/topic/fever' target='_blank'>fever</a> associated with gels or if you have burning sensation or changing sensation by passing urine which can indicate urine <a href='https://www.lybrate.com/topic/urinary-tract-infection' target='_blank'>urinary tract infection</a> if there is some redness or pain in the excessive pain in the skin around the stitches or it increases pain or distinction of abdomen or if there is Red Hot swollen leg which can indicate some blood clot formation so in the end I would like to say it is a very commonly performed procedure and it&rsquo;s a quiet safe procedure. If we compare it by with open removal of the uterus in which a long cut is given on the abdomen to remove uterus the recovery is comparatively very smooth and very fast. So it is very well accepted procedure by the patient.


If you want to consult with me further you can contact me by <a href='https://www.lybrate.com/lab-test/free-doctor-consultation-on-lybrate/health-feed' target='_blank'>Lybrate</a> you can have a desk consultation or you can come to me at my clinic in Vijay Nagar North Delhi. Thank you.

Recovery Tips After Uterus Removal 

&nbsp;

Hello,

I am Dr Tripti Raheja, I am working as senior consultant gynaecology in Max Super Speciality Hospital in Shalimar Bagh. Today, we are going to discuss <a href='https://www.lybrate.com/topic/fertility' target='_blank'>fertility</a> Problems and their treatment. Inability to conceive or reduce fertility is a very common problem it affects 15% of the couples. This reduce fertility can be due to male factors, female factors or unknown factors. In man we have reduced fertility because of poor quality of sperm or poor sperm count in their semen, women may have reduced fertility because ovaries do not produce eggs regularly or there can be some blockage in the fallopian tube so that the sperms cannot reach eggs in around 25% of couple the reason for reduced fertility remains unknown this is known as unexplained <a href='https://www.lybrate.com/topic/infertility' target='_blank'>infertility</a>. There are certain lifestyle changes which are likely to improve fertility, these are- stop <a href='https://www.lybrate.com/topic/smoking' target='_blank'>smoking</a>, reduce alcohol intake to less than 1 to 2 units, not more than once or twice a week, reduce intake of <a href='https://www.lybrate.com/topic/benefits-of-tea-and-its-side-effects' target='_blank'>tea</a> <a href='https://www.lybrate.com/topic/benefits-of-coffee-and-its-side-effects' target='_blank'>coffee</a> or soft drink, do regular exercises, then maintain a healthy body with BMI should be between 20 to 25. It is a well-known factor if you are <a href='https://www.lybrate.com/topic/underweight' target='_blank'>underweight</a> or if you are overweight you are likely to suffer from infertility related problems. Men are advised not to wear a tight undergarment because they increase the temperature in the <a href='https://www.lybrate.com/lab-test/doppler-scrotum/health-feed' target='_blank'>scrotum</a> around the testis, so it deteriorates the sperm quality. If a couple is <a href='https://www.lybrate.com/topic/trying-to-conceive' target='_blank'>trying to conceive</a> for more than 1 year and if they are unable to conceive so they are offered the certain test. So in men, we use really advice semen analysis to know the quality of sperms and to know the sperm count. If the first semen analysis report come out to be abnormal then again you will be advised to have it again after the gap of 3 months or maybe earlier as advised by your doctor if the repeat test also comes out to be abnormal then you will be advise, some blood test like hormone test and <a href='https://www.lybrate.com/topic/ultrasound' target='_blank'>ultrasound</a> of the squadron. So if you have low gonadotropic hormones levels in your blood, you will be given gonadotropic injections to improve sperm count. If you have some blockage in the flow of sperm from the testicles then a <a href='https://www.lybrate.com/topic/surgery' target='_blank'>surgery</a> may be beneficial for you to correct that blockage. Otherwise, if you have male factor infertility and if you are unable to conceive for more than 2 years it is advisable to go for In Vitro Fertilization or you normally called a test tube baby.


A woman may have reduced fertility because of reduced production of or irregular production of egg in their ovary. So they are advised to go for the test to know the ovulation and this test can be in the form of a blood test to check hormone levels or ultrasonography, this test also helps us to know how well your ovary will respond to fertility drugs. There is 1 more test which is usually, advised to women that is tubal patency test to check whether your fallopian tubes are blocked or then missed and that this can be done by <a href='https://www.lybrate.com/lab-test/x-ray-upper-arm-left-ap-view/health-feed' target='_blank'>x-ray</a> or ultrasound even the sometimes an operation is necessary, operation <a href='https://www.lybrate.com/topic/laparoscopy' target='_blank'>laparoscopy</a> is necessary to check the <a href='https://www.lybrate.com/topic/pregnancy' target='_blank'>pregnancy</a> of your fallopian tube. So, if there is some problem in the production of eggs by ovaries, you will be given some treatment in the form of tablets usually to stimulate the formation of the egg from the ovary in few women however gonadotropic injection may lead to be given to stimulate the formation of eggs in the ovary. If you have a blockage in fallopian tubes and if the blockage is my mild, then you will be advised to undergo surgery to correct the blockage. But if the blockage is serious, surgery is usually not helpful and in such circumstances, you are advised to go for In Vitro Fertilization. In cases of unexplained fertility, the cause is unknown and the couple is unable to conceive for more than 2 years they are advised usually, to go for In Vitro Fertilization. So in end, I would like to say, that the fertility-related problems, reduce fertility is a very common problem and in most of the cases are easily treatable. So do not lose hope, consult a qualified <a href='https://www.lybrate.com/gynaecologist' target='_blank'>gynaecologist</a> and after having the proper treatment you should be able to conceive.

If you want to consult me further you can text me via <a href='https://www.lybrate.com/lab-test/free-doctor-consultation-on-lybrate/health-feed' target='_blank'>Lybrate</a> you can have a text consultation or you can come to visit me at my clinic in Vijay Nagar, North Delhi. Thank you.

Fertility Problems

Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciality Hospital, Shalimar Bagh, Delhi. Today we are going to discuss a very important topic that is Diabetes during Pregnancy. We call it Gestational Diabetes. Gestational Diabetes is a very common condition that develops when the body can not produce Insulin to meet extra requirement during pregnancy. So, this leads to high blood glucose level. It affects 15-20% women during pregnancy. Chances of developing diabetes during pregnancy are more if the patient is obese or if there is any past history of Diabetes or if any family member suffers from diabetes. Usually, it develops n the middle or later part of the pregnancy. So, to diagnose a Gestational Diabetes, we advise a test, which is called glucose tolerance test after 24-28 weeks of pregnancy. So, Gestational Diabetes is an easily treatable condition if it is diagnosed on time, if it is treated properly, if the sugar level is maintained in the body, so it leads to healthy pregnancy which is a healthy baby. But is it is not diagnosed and not treated, it will lead to various complications. Most important of these complications is a large sized baby. So, if the baby is excessively large then you likely to have caesarian section delivery. And if you have a normal delivery, there are more chances of tears or injuries to the birth canal and there are more chances of injury to the baby in the form of nerve injury or fractures. And the new born babies are likely to have fluctuation in the blood sugar level. Even in later stages, these babies are more likely to develop Type 2 diabetes. So, in order to avoid all these complications, it is advisable to diagnose this problem on time, take proper treatment and keep your sugar level in control. Most important treatment for GEstational Diabetes is maintaining a healthy diet plan and regular exercises. So, if you are diagnosed with Gestational Diabetes, you will be given a diabetic diet plan and advised for regular exercise for 30 minutes daily. In 80-85% women, these two measures work nicely and blood sugar levels are controlled in a week or 2 weeks. But if the blood sugar levels are still high after 2 weeks of healthy diet and a regular exercise, then you need additional treatment in the form of Insulin. The growth of the baby is continuously monitored during the pregnancy by repeated ultrasounds and scans. So, Gestational diabetes gets better immediately after the child birth.So, the child birth is planned around 38-40 weeks of pregnancy. It can be done by the mode of the Caesarian section or the normal delivery, depending on the individual circumstances. Immediately after the child birth, you are advised to stop all the medicines which you were taking for Diabetes or Insulin injections. Once you are discharged, it will be checked if you are sugar level has come to normal. THen again you will be advised to get your blood sugar test done after 6 weeks to 45 days after the delivery to check whether they have completely returned to normal. And if they are still abnormal, then you will have to refer a Diabetes specialist. You should also have glucose tolerance test 6 to 8 weeks after your delivery. It is important to do this test to check if your blood sugar level has come to normal. In some women, the blood sugar level is found abnormal even after child birth and they may require continuous treatment. It is also advised that you should check your blood sugar level every year. And the women who had suffered from Gestational Diabetes, they are advised to check their blood sugar level after every 5 years. In the end, I want to say that Gestational Diabetes is a very common problem but it can be diagnosed very easily and can be treated. If it is treated properly, it can lead to healthy pregnancy. If you need further informatio, you can contact me through Lybrate where you can have text consultation and you also fix up an appointment at my clinic. Thank you.

Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciality Hospital, Shalimar Bagh, Delhi. Today we are going to discuss a very important&nbsp;topic that is <a href='https://www.lybrate.com/topic/diabetes' target='_blank'>Diabetes</a> during <a href='https://www.lybrate.com/topic/pregnancy' target='_blank'>Pregnancy</a>. We call it <a href='https://www.lybrate.com/topic/gestational-diabetes' target='_blank'>Gestational Diabetes</a>.

Gestational Diabetes is a very common condition that develops when the body can not produce Insulin to meet extra requirement during pregnancy. So, this leads to high blood glucose level. It affects 15-20% women during pregnancy. Chances of developing diabetes during pregnancy are more if the patient is obese or if there is any past history of Diabetes or if any family member suffers from diabetes. Usually, it develops n the middle or later part of the pregnancy.

So, to diagnose a Gestational Diabetes, we advise a test, which is called glucose tolerance test after 24-28 weeks of pregnancy. So, Gestational Diabetes is an easily treatable condition if it is diagnosed on time, if it is treated properly, if the <a href='https://www.lybrate.com/topic/sugar' target='_blank'>sugar</a> level is maintained in the body, so it leads to healthy pregnancy which is a healthy baby. But is it is not diagnosed and not treated, it will lead to various complications. Most important of these complications is a large sized baby. So, if the baby is excessively large then you likely to have caesarian section <a href='https://www.lybrate.com/topic/delivery' target='_blank'>delivery</a>. And if you have a normal delivery, there are more chances of tears or injuries to the birth canal and there are more chances of injury to the baby in the form of nerve injury or fractures. And the new born babies are likely to have fluctuation in the blood sugar level. Even in later stages, these babies are more likely to develop Type 2 diabetes.

So, in order to avoid all these complications,&nbsp;it is advisable to diagnose this problem on time, take proper treatment and keep your sugar level in control. Most important treatment for GEstational Diabetes is maintaining a healthy <a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>diet</a> plan and regular exercises. So, if you are diagnosed with Gestational Diabetes, you will be given a diabetic diet plan and advised for regular exercise for 30 minutes daily.


In 80-85% women, these two measures work nicely and blood sugar levels are controlled in a week or 2 weeks. But if the blood sugar levels are still high after 2 weeks of healthy diet and a regular exercise, then you need additional treatment in the form of Insulin.

The growth of the baby is continuously monitored during the pregnancy by repeated ultrasounds and scans. So, Gestational diabetes gets better immediately after the child birth.So, the child birth is&nbsp;planned around 38-40 weeks of pregnancy. It can be done by the mode of the Caesarian section or the normal delivery, depending on the individual circumstances. Immediately after the child birth, you are advised to stop all the medicines which you were taking for Diabetes or Insulin injections. Once you are discharged, it will be checked if you are sugar level has come to normal. THen again you will be advised to get your blood sugar test done after 6 weeks to 45 days after the delivery to check whether they have completely returned to normal. And if they&nbsp;are still abnormal, then you will have to refer a Diabetes specialist.

You should also have glucose tolerance test 6 to 8 weeks after your delivery. It is important to do this test to check if your blood sugar level has come to normal. In some women, the blood sugar level is found abnormal even after child birth and they may require continuous treatment. It is also advised that you should check your blood sugar level every&nbsp;year. And the women who had suffered from Gestational Diabetes, they are advised to check their blood sugar level after every 5 years.

In the end, I want to say that Gestational Diabetes is a very common problem&nbsp;but it can be diagnosed very easily and can be treated. If it is treated properly, it can&nbsp;lead to healthy pregnancy.

If you need further informatio, you&nbsp;can contact me through <a href='https://www.lybrate.com/lab-test/free-doctor-consultation-on-lybrate/health-feed' target='_blank'>Lybrate</a> where you can have text consultation and you also fix up an appointment at my clinic.

THank you.
<a href='https://www.lybrate.com/topic/type-1-diabetes' target='_blank'>Type diabetes</a>

Gestational Diabetes

Hi, I am Dr Tripti Raheja. I am working as consultant obstetrics and Gynaecology in Max Hospital Pitampura. This video will provide information regarding nausea and vomiting of pregnancy and hyperemesis gravidarum which is a severe form of this condition. Nausea and vomiting during pregnancy are a very common symptom of pregnancy. Most pregnant women experience it to some degree. Usually it starts very early in pregnancy around 5 to 7 weeks of pregnancy. It settles down by 12 to 14 weeks of pregnancy. In some women it may continue till 20 weeks of pregnancy and occasionally may last until the end of pregnancy. Usually it is most severe in the morning, so, that is why it is called as morning sickness. Though it can happen at any time, day or night. It is more severe if you are carrying more than one baby. Nausea and vomiting of pregnancy can become so serious sometimes. It can lead to significant weight loss and dehydration. Features of dehydration are feeling very thirsty, feeling drowsy feeling and or change of colour of urine from bright yellow to dark yellow. This condition is called hyperemesis gravidarum. Women with hyperemesis gravidarum may require and should go to hospital. There is no evidence that it can cause any harm to your baby rather if you have vomiting during your pregnancy then there is a less chance of miscarriage. However, in some women who have hyperemesis gravidarum or who have severe vomiting persistently for a long time may have baby there that are lower than expected birth rate. You can deal with nausea and vomiting of pregnancy by simply doing; Diet changes, proper diet is necessary in order to overcome this problem. You should take small frequent meals at regular interval. You should increase carbohydrate intake your diet and decrease the intake of food. You should avoid food or smell that can Trigger your symptoms. You can take medicines also with the help of your doctor. These medicines are safe during pregnancy. In some cases where the vomiting is very severe, persistent leading to dehydration or leading to normality in the blood test patient may require admission to the hospital and treatment by IV Fluids. If you want to consult me for that you can connect me with Lybrate. You can book an online consultation, you can check, you can do video call or you can fix up an appointment with my clinic person.

Hi, I am Dr Tripti Raheja. I am working as consultant obstetrics and Gynaecology in Max Hospital Pitampura.

This video will provide information regarding <a href='https://www.lybrate.com/topic/nausea' target='_blank'>nausea</a> and <a href='https://www.lybrate.com/topic/vomiting' target='_blank'>vomiting</a> of <a href='https://www.lybrate.com/topic/pregnancy' target='_blank'>pregnancy</a> and hyperemesis gravidarum which is a severe form of this condition.

Nausea and vomiting during pregnancy are a very common symptom of pregnancy. Most pregnant women experience it to some degree. Usually it starts very early in pregnancy around 5 to 7 weeks of pregnancy. It settles down by 12 to 14 weeks of pregnancy. In some women it may continue till 20 weeks of pregnancy and occasionally may last until the end of pregnancy. Usually it is most severe in the morning, so, that is why it is called as <a href='https://www.lybrate.com/topic/morning-sickness' target='_blank'>morning sickness</a>. Though it can happen at any time, day or night. It is more severe if you are carrying more than one baby.

Nausea and vomiting of pregnancy can become so serious sometimes. It can lead to significant <a href='https://www.lybrate.com/topic/weight-loss' target='_blank'>weight loss</a> and <a href='https://www.lybrate.com/topic/dehydration' target='_blank'>dehydration</a>. Features of dehydration are feeling very thirsty, feeling drowsy feeling and or change of colour of urine from bright yellow to dark yellow. This condition is called hyperemesis gravidarum. Women with hyperemesis gravidarum may require and should go to hospital. There is no evidence that it can cause any harm to your baby rather if you have vomiting during your pregnancy then there is a less chance of <a href='https://www.lybrate.com/topic/miscarriage' target='_blank'>miscarriage</a>. However, in some women who have hyperemesis gravidarum or who have severe vomiting persistently for a long time may have baby there that are lower than expected birth rate.


You can deal with nausea and vomiting of pregnancy&nbsp;by simply doing;

<ul>
	<li><a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>Diet</a> changes, proper diet is necessary in&nbsp;order to overcome this problem.</li>
	<li>You should take small frequent meals at regular interval.</li>
	<li>You should increase carbohydrate intake your diet and decrease the intake of food.&nbsp;</li>
	<li>You should avoid food or smell that can Trigger your symptoms.</li>
	<li>You can take medicines also with the help of your doctor. These medicines are safe during pregnancy.</li>
</ul>

In some cases where the vomiting is very severe, persistent leading to dehydration or leading to normality in the blood test patient may require admission to the hospital and treatment by IV Fluids.

If you want to consult me for that you can connect me with <a href='https://www.lybrate.com/lab-test/free-doctor-consultation-on-lybrate/health-feed' target='_blank'>Lybrate</a>. You can book an online consultation, you can check, you can do video call or you can fix up an appointment with my clinic person.

Nausea and vomiting or Hyperemesis Gravidarum in Pregnancy

Here are symptoms, effects, and treatments of PCOS. Hi I am Dr. Tripti Rheja. I am working as consultant, Gynea and obstetrician, Max Hospital Pitampura. This video will provide you information regarding PCOS or Polycystic Ovarian Syndrome. Polycystic Ovarian Syndrome is a very common condition that affects up to 10-20 percent of women in India. Polycystic Ovarian Syndrome is a condition that affects your periods, your fertility, your hormone levels and also your appearance. It also affects your long term health. Symptoms of Polycystic Ovarian Syndrome are irregular period or absent period, increase facial hair or body hair there could be loss of body hair from head or there could be acne, oily skin and many come with complain of decreased fertility. They find difficulty in conceiving. It can affect your long term health also and it can cause diabetes in around 10-20 percent of patients later in the life. If diabetes remain untreated then it can lead to damage other internal organs also. Then in some women it can cause high blood pressure since most of these women are overweight and if hypertension or high blood pressure remains untreated then it can cause heart problems also. Then if you have irregular period and if you bleed less than three times a year then there could be the thickening of the lining of uterus which can later on develop into cancer of uterus in some women. To reduce the risk to long term health you can do certain lifestyle modifications. You should have a healthy diet which should contain lots of fruit, vegetables. You should cut down the intake of salt, sugar, caffeine or alcohol. You should exercise regularly. You should exercise for at least 30 minutes in a day for a minimum of three days a week. Then in addition to losing weight is going to help you if you have PCOS. If you can lose weight there are several benefits like periods will become more regular. You will find conceiving easier than your appearance will improve, there will be the reduction in acne, reduction in facial hair and then there is a benefit to your long term also. There will be less chance of development of diabetes or high blood pressure or cancer of uterus. In addition to these lifestyle changes there are medicines you can take after consultation with your gynecologist. These medicines can help you reducing the symptoms and consequences of Polycystic Ovarian Syndrome. If you want to consult me further you can connect me via lybrate. You can do chat or you can do video call or you can book an appointment via lybrate.

Here are symptoms, effects, and treatments of <a href='https://www.lybrate.com/topic/pcos' target='_blank'>PCOS</a>.

Hi I am Dr. Tripti Rheja. I am working as consultant, Gynea and <a href='https://www.lybrate.com/obstetrician' target='_blank'>obstetrician</a>, Max Hospital Pitampura. This video will provide you information regarding PCOS or <a href='https://www.lybrate.com/lab-test/polycystic-ovarian-disease-panel/health-feed' target='_blank'>Polycystic</a> Ovarian Syndrome.

Polycystic Ovarian Syndrome is a very common condition that affects up to 10-20 percent of women in India. Polycystic Ovarian Syndrome is a condition that affects your periods, your <a href='https://www.lybrate.com/topic/fertility' target='_blank'>fertility</a>, your hormone levels and also your appearance. It also affects your long term health. Symptoms of Polycystic Ovarian Syndrome are irregular period or absent period, increase facial hair or body hair there could be loss of body hair from head or there could be acne, <a href='https://www.lybrate.com/topic/oily-skin' target='_blank'>oily skin</a> and many come with complain of decreased fertility. They find difficulty in conceiving. It can affect your long term health also and it can cause <a href='https://www.lybrate.com/topic/diabetes' target='_blank'>diabetes</a> in around 10-20 percent of patients later in the life. If diabetes remain untreated then it can lead to damage other internal organs also.

Then in some women it can cause <a href='https://www.lybrate.com/topic/high-blood-pressure' target='_blank'>high blood pressure</a> since most of these women are overweight and if <a href='https://www.lybrate.com/topic/hypertension' target='_blank'>hypertension</a> or high blood pressure remains untreated then it can cause heart problems also. Then if you have irregular period and if you bleed less than three times a year then there could be the thickening of the lining of uterus which can later on develop into cancer of uterus in some women. To reduce the risk to long term health you can do certain lifestyle modifications. You should have a healthy <a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>diet</a> which should contain lots of fruit, vegetables. You should cut down the intake of salt, <a href='https://www.lybrate.com/topic/sugar' target='_blank'>sugar</a>, caffeine or alcohol. You should exercise regularly. You should exercise for at least 30 minutes in a day for a minimum of three days a week.


Then in addition to losing weight is going to help you if you have PCOS. If you can lose weight there are several benefits like periods will become more regular. You will find conceiving easier than your appearance will improve, there will be the reduction in acne, reduction in facial hair and then there is a benefit to your long term also. There will be less chance of development of diabetes or high blood pressure or cancer of uterus. In addition to these lifestyle changes there are medicines you can take after consultation with your gynecologist. These medicines can help you reducing the symptoms and consequences of Polycystic Ovarian Syndrome.

If you want to consult me further you can connect me via <a href='https://www.lybrate.com/lab-test/free-doctor-consultation-on-lybrate/health-feed' target='_blank'>lybrate</a>. You can do chat or you can do video call or you can book an appointment via lybrate.

PCOS

Here are some treatments and symptoms of uterine fibroids

Here are some treatments and symptoms of <a href='https://www.lybrate.com/topic/uterine-fibroids' target='_blank'>uterine fibroids</a>

Treatments and Symptoms of Uterine Fibroids

Dr. Tripti Raheja is a popular Gynaecologist in kalyan Vihar, Delhi. She has been a successful Gynaecologist for the last 30 years. She has completed M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS . She is currently practising at Raheja Ortho And Gynae Clinic in kalyan Vihar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Tripti Raheja on Lybrate.com. Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 28 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.

Tripti Raheja

Raheja Ortho And Gynae Clinic

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.

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