Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}
Call Doctor
Book Appointment
Dr. Laxmi Goel  - Gynaecologist, Faridabad

Dr. Laxmi Goel

90 (29 ratings)
MBBS, MS - Obstetrics & Gynaecology

Gynaecologist, Faridabad

15 Years Experience  ·  200 - 800 at clinic  ·  ₹300 online
Dr. Laxmi Goel 90% (29 ratings) MBBS, MS - Obstetrics & Gynaecology Gynaecologist, Faridabad
15 Years Experience  ·  200 - 800 at clinic  ·  ₹300 online
Submit Feedback
Report Issue
Get Help
Reviews
Services
Feed

Videos (1)

Hello!<br/><br/>I am Dr. Laxmi Goel, infertility and IVF specialist, and consultant gynaecologist...

Hello!

I am Dr. Laxmi Goel, infertility and IVF specialist, and consultant gynaecologist at Fortis Bloom Fertility Centre. Today I am going to speak about infertility, its causes, and treatment. Infertility is a very common problem in today's world. When do we say that the couple is infertile when they are having unprotective intercourse for 1 year and they are not able to conceive. It is called infertility. But if the female's age is more than 30 years then we wait for 6 months i.e. if they had in protective intercourse for 6 months and they are not able to conceive then it is termed as infertility. Then they should seek a doctor and start the treatment. Now we come to the causes of infertility.

Overall the causes of infertility, the female accounts for 30-40% and male accounts for the 30% of the cases of infertility. So, we should not only treat the females, males also should be treated. And malefactors should also be assessed. Now we come to the female factors. Among the females, the common causes of infertility include the ovulatory dysfunction. That means the female is not able to produce the eggs or if she is producing the eggs, the ovulation is not happening. The 2nd cause is the tubal factor that means the fallopian tubes are blocked. The 3rd cause is the uterine factor. There can be some infection in the uterus, tuberculosis which is very common in India. It can also hamper the uterine cavity which can lead to infertility and there can be cervical factors. So, whenever the couple is coming, we should always assess these factors and we always treat according to the cause.

Among the malefactors, the oligospermia that means the sperm count is low and when the sperm motility is very low. Now when we come to the treatment part. Sometimes there is no cause that is called unexplained infertility. It means we have evaluated everything. We have done follicle monitoring that means the patient is producing the egg, she is ovulating but her tubal factor, we have done HSG for that. Whenever we are going with treatment, first of all, we go with the simple treatment. In which we give 2-3 cycle. Follicular monitoring is done on the 2nd day then on 9th days, 11th days and 13th days till the mature follicle is 18-20 mm and then we give the trigger shot and when the follicle rupture, we tell the couple to have the natural intercourse and try these steps for 2-3 cycles. If the pregnancy does not happen in 2-3 months then we go for the next step that is IUI. In this process, when the female has produced the eggs i.e. of 18-20 mm, we give the trigger shot and we take the semen sample to process it and wash it and then transfer the semen sample inside the uterine cavity of the female.

It increases the chances of pregnancy by 5-10%. We go for IUI for 2-3 cycles. If the pregnancy is not happening then we go for laparohysteroscopy. With the help of laparoscope and hysteroscope we assess the uterus from inside, outside and we assess the tubes and the ovaries. After that, if everything is normal that we go for 2-3 cycles of IUI. But if we see anything abnormal like if we have locked tubes or we have endometriosis or we have decreased ovarian reserves we counsel the couple for IVF. We give 10 days of injections to the female and have her follicles are mature enough that means 18-20mm than we take the eggs out and we also take the sperm of the male to form the embryo outside with the help of IVF or ICSI.

And when the embryo is formed, on day 3 or day 5, we transfer back to the uterine cavity. So, this is the procedure of IVF. We have multiple advances in this field. So, a couple should not hesitate to go to the doctor because so many new things are coming up. You should always consult a doctor. Should always consult an infertility specialist if you are not able to conceive.

Thank You!

read more

Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Laxmi Goel
Dr. Laxmi Goel is a popular Gynaecologist in Sainik Colony, Faridabad. She has helped numerous patients in her 15 years of experience as a Gynaecologist. She studied and completed MBBS, MS - Obstetrics & Gynaecology . She is currently practising at Mother & Child Clinic in Sainik Colony, Faridabad. Save your time and book an appointment online with Dr. Laxmi Goel on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 25 years of experience on Lybrate.com. Find the best Gynaecologists online in Faridabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Maulana Azad Medical College New Delhi - 2003
MS - Obstetrics & Gynaecology - Lady Hardinge Medical College New Delhi - 2009
Languages spoken
English
Hindi
Professional Memberships
Member of Federation of Obstetrics and Gynaecological Societies of India (FOGSI)
Member of AOGD
ISAR Delhi

Location

Book Clinic Appointment with Dr. Laxmi Goel

Mother & Child Clinic

J-3111, Sainik Colony, Sector-49Faridabad Get Directions
  4.5  (29 ratings)
200 at clinic
...more

Fortis Bloom Fertility Centre -Faridabad

Neelam Bata Road, NIT, FaridabadFaridabad Get Directions
  4.5  (29 ratings)
800 at clinic
...more
View All

Consult Online

Text Consult
Send multiple messages/attachments. Get first response within 6 hours.
7 days validity ₹300 online
Consult Now
Phone Consult
Schedule for your preferred date/time
15 minutes call duration ₹400 online
Consult Now

Services

View All Services

Submit Feedback

Submit a review for Dr. Laxmi Goel

Your feedback matters!
Write a Review

Patient Review Highlights

"Saved my life" 1 review "Very helpful" 5 reviews "Caring" 4 reviews "Practical" 2 reviews "Sensible" 1 review "knowledgeable" 6 reviews "Inspiring" 1 review "Well-reasoned" 1 review

Reviews

Popular
All Reviews
View More
View All Reviews

Feed

Causes And Treatment For Infertility

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
Play video

Hello!

I am Dr. Laxmi Goel, infertility and IVF specialist, and consultant gynaecologist at Fortis Bloom Fertility Centre. Today I am going to speak about infertility, its causes, and treatment. Infertility is a very common problem in today's world. When do we say that the couple is infertile when they are having unprotective intercourse for 1 year and they are not able to conceive. It is called infertility. But if the female's age is more than 30 years then we wait for 6 months i.e. if they had in protective intercourse for 6 months and they are not able to conceive then it is termed as infertility. Then they should seek a doctor and start the treatment. Now we come to the causes of infertility.

Overall the causes of infertility, the female accounts for 30-40% and male accounts for the 30% of the cases of infertility. So, we should not only treat the females, males also should be treated. And malefactors should also be assessed. Now we come to the female factors. Among the females, the common causes of infertility include the ovulatory dysfunction. That means the female is not able to produce the eggs or if she is producing the eggs, the ovulation is not happening. The 2nd cause is the tubal factor that means the fallopian tubes are blocked. The 3rd cause is the uterine factor. There can be some infection in the uterus, tuberculosis which is very common in India. It can also hamper the uterine cavity which can lead to infertility and there can be cervical factors. So, whenever the couple is coming, we should always assess these factors and we always treat according to the cause.

Among the malefactors, the oligospermia that means the sperm count is low and when the sperm motility is very low. Now when we come to the treatment part. Sometimes there is no cause that is called unexplained infertility. It means we have evaluated everything. We have done follicle monitoring that means the patient is producing the egg, she is ovulating but her tubal factor, we have done HSG for that. Whenever we are going with treatment, first of all, we go with the simple treatment. In which we give 2-3 cycle. Follicular monitoring is done on the 2nd day then on 9th days, 11th days and 13th days till the mature follicle is 18-20 mm and then we give the trigger shot and when the follicle rupture, we tell the couple to have the natural intercourse and try these steps for 2-3 cycles. If the pregnancy does not happen in 2-3 months then we go for the next step that is IUI. In this process, when the female has produced the eggs i.e. of 18-20 mm, we give the trigger shot and we take the semen sample to process it and wash it and then transfer the semen sample inside the uterine cavity of the female.

It increases the chances of pregnancy by 5-10%. We go for IUI for 2-3 cycles. If the pregnancy is not happening then we go for laparohysteroscopy. With the help of laparoscope and hysteroscope we assess the uterus from inside, outside and we assess the tubes and the ovaries. After that, if everything is normal that we go for 2-3 cycles of IUI. But if we see anything abnormal like if we have locked tubes or we have endometriosis or we have decreased ovarian reserves we counsel the couple for IVF. We give 10 days of injections to the female and have her follicles are mature enough that means 18-20mm than we take the eggs out and we also take the sperm of the male to form the embryo outside with the help of IVF or ICSI.

And when the embryo is formed, on day 3 or day 5, we transfer back to the uterine cavity. So, this is the procedure of IVF. We have multiple advances in this field. So, a couple should not hesitate to go to the doctor because so many new things are coming up. You should always consult a doctor. Should always consult an infertility specialist if you are not able to conceive.

Thank You!

3790 people found this helpful

Uterine Fibroid - How To Treat It?

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
Uterine Fibroid - How To Treat It?

It is very common for women to have heavy and painful periods or have a feeling of fullness in the lower abdomen. Although, it may not sound very alarming these could be the symptoms of uterine fibroids. These are the most common types of benign tumours found in women. The fibroids are basically some tissues and muscle cells that grow within the uterus, outside the uterus, or along the wall of the uterus. The fibroids are usually benign and asymptomatic and do not require any treatment unless they cause problems. 

Know the causes 

Though the exact cause of fibroid formation is not known, it is believed that the female hormones estrogen and progesterone have a role to play in their formation. Fibroids are formed only when a woman is producing these hormones and they are not seen in women in non-reproductive age i.e. before starting of menses or after stoppage of menses (menopause). If fibroids are persisting even after menopause or especially if increasing in size then it is an alarming sign. Such a fibroid needs to be taken care of immediately. 

Type of fibroids depending upon the location- 

  1. Submucosal 
  2. Intramural 
  3. Subserosal 

What are the symptoms? 

Fibroids often remain quiet for long periods of time. They cause nonspecific symptoms in the pelvis and abdomen including: 

  1. Fullness in the abdomen 
  2. Low back pain 
  3. Irregular menstruation 
  4. Cramping with menstruation 
  5. Painful sex 
  6. Increased urgency to urinate 
  7. Anemia, leading to tiredness and weakness 
  8. Infertility Diagnosing the fibroids 

When these symptoms are recurrent, it is good to confirm the diagnosis. This can happen with a pelvic exam followed by ultrasound scanning to confirm the size and location of the fibroids. A blood test also may be done to confirm anemia, which is common due to heavy periods.

Treatment Options 

Management of fibroids can range from doing nothing to periodic monitoring to surgical removal. 

  1. If the patient complains of pain and bleeding then mefenamic acid and tranexamic acid are given for symptomatic relief. For control of bleeding various hormonal medicines are prescribed such as OCPs, GnRH analogs injections, ulipristal but if hormonal treatment does not work then resort to surgical treatment as already mentioned in content. Also if the patient has come with infertility with fibroid uterus the en location of fibroid is very important as submucosal fibroids must be removed hysteroscopically and intramural fibroids with submucosal indentation must be removed under laproscopy guidance.
  2. Embolization is an option which shrinks the fibroid, at the same time preserving the uterus. The blood flow to the fibroid is cut off, thereby preventing its further growth. It takes about 1 to 3 hours and requires some bed rest after the procedure. There could be some pelvic pain and vaginal bleeding, which will gradually subside. The fibroids may grow back, but the benefits of keeping the uterus are definitely there. This is suitable in case of single fibroid with specific blood supply. 
  3. The next surgical option is myomectomy, where the portion of the uterus which contains the fibroid alone is removed. This is done in women who still wish to get pregnant and in women who would like to retain the uterus. This can also be achieved laparoscopically( key hole surgery). In such cases, fibroids are cut into small pieces and then removed from the body. This procedure should be done by a doctor specialised in advanced gynecological endoscopy as all this cutting should be done in a bag to avoid any spillage of cells inside the abdominal cavity. This procedure is known as Laparoscopic Myomectomy with In-bag Moecellation. 
  4. In women who have crossed their pregnancy phase, hysterectomy or complete removal of the uterus is advised. In these women, the bleeding and pain may not have subsided even after years of treatment with hormones. The growing fibroids could be pressing on the adjacent organs, causing pressure. This is the only definitive treatment and should be done in women have completed their family and don’t desire to be pregnant. 
  5. Myomectomy and hysterectomy may be done laparoscopically or with an open method depending on the overall health, the size and location of the fibroids in the uterus.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3760 people found this helpful

Toxic Shock Syndrome (TSS) - What Are The Symptoms And Causes?

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
Toxic Shock Syndrome (TSS) - What Are The Symptoms And Causes?

Toxic shock syndrome (TSS) is a potentially life-threatening condition that causes a steep drop in blood pressure, resulting in deprivation of oxygen to the organs, which in severe cases leads to death. This disease has been associated with menstruating women who use superabsorbent tampons. It was first recognized in the 1970s and 80s when women using tampons of certain brands were affected by this syndrome and those brands were immediately taken off the market. This disease primarily affects tampon wearers and harmful effects of cervical caps, diaphragms, and menstrual sponges have surfaced.

New mothers are susceptible to TSS as well as those who are recovering from a surgery, are wounded or are using prosthetics. It is important to know about its symptoms so that you can identify the disease and seek professional help at the earliest.

Symptoms

Warning signs of TSS include:
-Seizure
-Headaches
-Muscle aches
-Diarrhea
-High fever
-Nausea

Causes
An overgrowth of bacteria called staphylococcus aureus (staph) causes this disease. It can be found primarily in female bodies. This is one of the many staph bacteria that lead to skin infections in burn victims and patients recovering from surgical wounds. Group a streptococcus (strep) bacteria is another cause of this syndrome.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3600 people found this helpful

Oligospermia - What Are The Causes And Treatment?

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
Oligospermia - What Are The Causes And Treatment?

Oligospermia, also known as low sperm count, is a condition in which the fluid men ejaculate during orgasm contains less than 15 million sperm per milliliter. Consequently, low sperm count reduces your ability to father a child although there are certain treatments which can help alleviate the condition. Environmental factors, as well as your lifestyle, can affect your sperm count. It can also be a side effect of other medical conditions and diseases. Following are the causes and treatments for Oligospermia:

Causes

1. Medical causes - Medical conditions like varicoceles result in reduced sperm count along with complications like allergies and ejaculation problems. Antibodies in the form of immune system cells can also contribute to Oligospermia. Alterations in the hormones and defects of tubules that carry the sperm can cause significant damage to the sperm quality. Certain medications, celiac disease, tumors are also among other medical causes which can result in low sperm count.


2. Environmental causes - Environmental causes comprise of industrial chemicals like benzenes and pesticides along with heavy metal exposure, which reduces sperm production. High amounts of radiations in the form of X-ray can be responsible for permanently affecting the production of sperms. Overheating can also impair sperm production and limit the sperm count.

3. Lifestyle and health - Repeated drug abuse and excessive alcohol consumption are among the leading causes behind Oligospermia. Lower sperm count is also a condition among men who are obese and suffer from emotional stress. Moreover, studies reveal that smoking is also closely linked to infertility issues in men.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3266 people found this helpful

Hysteroscopic Treatment - How Can It Help You?

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
Hysteroscopic Treatment - How Can It Help You?

Abnormal uterine bleeding, also known as AUB, is one of the most common causes requiring gynecologic evaluation. Hysteroscopy is a procedure wherein a thin camera called hysteroscope is introduced into the uterus via the vagina and this light helps in a thorough examination of the uterus. In cases where there are cysts or fibroids or even cancerous growths, this is used to get more details on the lesions. However, hysteroscopy also has a therapeutic use in that it is used to treat conditions like abnormal uterine bleeding. Read on to know more about AUB and how hysteroscopy helps in treatment. 

Causes of Abnormal Uterine Bleeding: Vaginal bleeding that occurs more often than 21 days and farther apart than 35 days is known as abnormal uterine bleeding. The bleeding is also abnormal if it lasts longer than 7 days and more than 80 mL of blood is lost during each cycle. 

Some causes include: 

  1. Hormonal imbalance 
  2. Cancer 
  3. Uterine polyps 
  4. Uterine fibroids 
  5. Cervical infections 

Diagnosis/Treatment: 

When a woman has abnormal bleeding, further diagnosis is required to confirm the exact cause of the bleeding. This is where the hysteroscopy comes into the picture. Hysteroscopy, literally translates to viewing the uterus from inside directly through a camera. 

How it is done: 

Hysteroscopy is done as an outpatient procedure and normally takes about 3 to 4 hours. General or spinal anesthesia may be used depending on complexity and overall patient health. The uterus is filled with a fluid like saline or glycerin and a thin lighted instrument called the hysteroscope is inserted through the vagina, up the cervix, and into the uterus. This tube is flexible and so can be moved across the uterus to identify any areas of abnormality. It also has a camera and so can be used to take pictures of suspicious areas. 

Causes for infertility may also be detected using hysteroscopy. Small knives can also be used to remove the lesion like fibroid or polyp. These are often the cause of abnormal bleeding. Samples can also be taken for biopsy to confirm if any cancerous growth is detected.

Hysteroscopy is a safe and effective way to examine the cervical canal and uterine cavity. It is better to accompany D&C with hysteroscopy instead of going for blind dilatation and curettage, especially in women who are peri or premenopausal. Hysteroscopy is a safe procedure if done by a doctor, specialised in gynecological endoscopy and helps in both diagnosis and treatment of abnormal uterine bleeding.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3245 people found this helpful

Hi, Please suggest me Sperm count -- 21 million/mm3 Active --61 % is it sufficient to pregnant a lady?

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
Hi, Please suggest me Sperm count -- 21 million/mm3
Active --61 %
is it sufficient to pregnant a lady?
Yes it's a good count as the latest guidelines say minimum count of 15 million and progressive motility of 32percent.
2 people found this helpful
Submit FeedbackFeedback

I'm a 29 years old female. Married and have 4 years old baby. How to detect hormonal imbalance? Please advise

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
I'm a 29 years old female. Married and have 4 years old baby. How to detect hormonal imbalance? Please advise
If your periods are not regular then you must get S. TSH and S. Prolactin tests on day 2 of periods.
1 person found this helpful
Submit FeedbackFeedback

I am having vaginal white discharge after having unprotected sex with my fiancee. Am I pregnant?

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
White discharge doesn't indicate pregnancy. Do a urine pregnancy test if you miss your period. And if it's not more than 72 since unprotected intercourse then you can take I pill.
1 person found this helpful
Submit FeedbackFeedback

I got married 10 months back. Trying for having a baby but no results. Is any specific time period for having sexual intercourse to have a child. So n so days before or after the womens periods. Or etc. Or anytime if we have intercourse we can get successful. please clarify.

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
I got married 10 months back. Trying for having a baby but no results. Is any specific time period for having sexual ...
Hello! if your wifes' menstrual cycle is regular of 28 days then you should have intercourse between 10 to 16th day of cycle.
6 people found this helpful
Submit FeedbackFeedback

Me and my girlfriend often have sex. We trust each other and we do not use condoms. Still there is high risk of unwanted pregnancy. We were thinking of using regular contraceptive pills. Is it safe? How can we use it?

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
Me and my girlfriend often have sex. We trust each other and we do not use condoms. Still there is high risk of unwan...
Yes she can use regular low dose contraceptive pills like tab femilon or loette starting from day 2 of period for 21 days followed by 7 days pill free period and then again a new pack.
3 people found this helpful
Submit FeedbackFeedback
View All Feed

Near By Doctors

91%
(705 ratings)

Dr. Indu Taneja

DNB, DGO, MBBS
Gynaecologist
Fortis Escorts Hospital(General OPD), 
300 at clinic
Book Appointment
91%
(17 ratings)

Dr. Ravinder Kaur Khurana

MBBS, DGO, DNB
Gynaecologist
Fortis Escorts Hospital & Research Centre, 
300 at clinic
Book Appointment
93%
(10 ratings)

Dr. Meenakshi Gupta

MBBS, Md - Obs & Gynae
Gynaecologist
Fortis Escorts Hospital Faridabad, 
300 at clinic
Book Appointment
88%
(676 ratings)

Dr. Anjuli Dixit

DGO, MBBS
Gynaecologist
Pushpanjali Medical Centre, 
250 at clinic
Book Appointment
93%
(324 ratings)

Dr. K S Anamika

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS, Masters in Reproductive Medicine(UK)
Gynaecologist
Midas Clinic, 
300 at clinic
Book Appointment
89%
(2737 ratings)

Dr. Indira Das

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
Ammrit Hospital, 
300 at clinic
Book Appointment