Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Dilatation And Curettage (D C) Procedure
Proton Therapy Treatment
Preimplantation Genetic Diagnosis (Pgd)
Pregnant Women Counseling
Prenatal And Birth Care
Musculoskeletal Pain Management
Ovarian Ablation Procedure
Treatment Of Female Sexual Problems
Egg Donation Procedure
Treatment Of Menstrual Problems
Treatment Of Menopause Related Issues
Treatment of Polycystic Ovary Syndrome In Adolesce
Pre And Post Delivery Care
Submit a review for Dr.Nalinee Garg's clinicYour feedback matters!
For many people, popping a calcium tablet is something which has benefits, but at the same time does no harm. After all, who does not want to have strong bones and healthy teeth? The unfortunate part is that things are not so simple and a lot of research has debunked this.
Take, for example, the findings that when an old woman has calcium, the fracture rates are not all that different as compared to one who has not had calcium supplements. In addition to this, it was also found as part of a study that there is no positive impact on the mineral density of the hip.
As a matter of fact, calcium tablets and supplements can pose a significant risk, as well. While it is true that calcium does help in the effort of getting heart disease, an amount which is greater than the dietary limit does not. Actually, the excess calcium may increase the risk. This is true when it comes to calcium from supplements and not calcium which is absorbed by the way of food. So, what sort of additional risk is there? A study found that people who receive calcium from a tablet or another similar source have about a 140% greater chance of a heart attack!
How much is too much?
A thousand milligrammes of calcium in excess of the requirement on a daily basis is said to increase the risk of death from CVD or cardiovascular disease by about a fifth. Not a trivial amount, by any measure.
But why does this happen?
The key to answering this question comes from how the calcium is absorbed by the body. When calcium from food is eaten, the rate of it being released is a lot slower as compared to calcium from tablets. Also, when there is excess calcium, it is not absorbed and kept in reserve by the body but is excreted in the form of urine. So, this calcium going through the kidneys can cause some trouble there, as well!
Yes or No?
So, what is to be done in order to make sure one is having a sufficient amount of calcium? Well, there are a lot of sources and consuming things such as dairy products and fish, along with dark leafy vegetables are some great ways to get natural calcium. Only if a person has very low calcium levels should calcium tablets be consumed? It is well worth remembering that too much of a good thing is a bad thing!
Smoking can cause irreparable damage to your mind and body. Chemicals in the tobacco travel to all parts of the body, leaving no area unaffected. According to available data, smoking causes 30% of all cancer deaths and about 80% deaths from emphysema and bronchitis. In addition to adversely affecting yourself, smoking also has a severe impact on your near and dear ones. According to WHO, about 600,000 people die every year from passive smoking. Out of the deaths that occur due to this, 1/3rd is that of children.
The Indian situation
While 85% of tobacco users worldwide consume it in the form of cigarettes, in India only 13% use it in that form. Additionally, 54% use it in the form of beedis. A study conducted on Indian smokers has revealed that an average of 8.2 cigarettes is smoked by an individual daily.
The study also revealed that the number of cigarettes smoked every year had grown to over 6 trillion. While 1 out of 10 adults dies from tobacco use worldwide, 5% of deaths in women and 20% of deaths in men in India are caused by cigarette and beedi smoking.
What happens when you smoke?
Cigarette smoke is made up of 4000 chemicals that are present either as tiny particles or gases and about 50 are known to lead to cancer, the toxin nicotine being one of them. In addition to nicotine, the chemicals that make up cigarette smoke also include tar and carbon monoxide. Prolonged exposure to these toxins can hamper your body's ability to filter air and clean the lungs. The smoke not only irritates the lungs but also causes excess production of mucus.
It also causes a paralysis of the tiny hair-like structures like cilia that line the airways and are responsible for removing dust and dirt from the organ. Paralysis of these hair-like structures also causes a buildup of mucus and toxic substances, leading to lung congestion. The extra mucus that is produced causes smokers to suffer from the very ubiquitous smoker's cough and chronic bronchitis.
It's also one of the many triggers of asthma, which brings about the narrowing and inflammation of the airways. Long-term exposure to tobacco smoke causes the destruction of the structure of the lung, walls of the airways as well as lung tissue. The result is a condition known as emphysema. Additionally, smoking also leads to cancer of the lung and over 80% lung cancer cases occur due to this habit.
I am 5th month pregnant. I am gaining weight fast, at the time of conceive my weight is 72 kg now 79. 6 kg.nd daily I do walking. please suggest me the food nd proper exercises.
It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.
The following are considered to be abnormal or dysfunctional uterine bleeding:
- A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
- No period for 3–6 months (amenorrhea) is abnormal
- Spotting or bleeding between periods
- Spotting or bleeding after intercourse
- Bleeding that is heavier or lasts longer than usual
- Spotting or bleeding after menopause
What can cause such a situation?
Some of the common causes leading to abnormal bleeding are as follows:
- Ectopic pregnancy
- Cervical or uterine infections
- Hormonal imbalances
- Problems with blood clotting
- Polycystic ovaries
- Endometrial hyperplasia
- Cancer of the reproductive tract
How to Diagnose it?
Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.
- Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
- Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
- Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding
How Best to Treat It?
This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.
- Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs.
- Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.
Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways.
Donor egg IVF is used by more than 70 percent of infertile women above 45 years to conceive. More than 8,000 babies are born in the US to women of all age groups by this method of Assistive Reproductive Technologies (ART). This kind of fertility treatment will become even more popular, in the days to come, because of advances in the egg-freezing technology.
What are donor eggs
Donor eggs are eggs given by a healthy, fertile woman to an infertile woman for in-vitro fertilisation or IVF.
How does the Donor Egg IVF program work?
Before you start this course of treatment, you must consult your doctor regarding its feasibility and effect on your health. Typically, the process has the following steps;
- After a donor has been identified, the infertile woman (referred to as ‘you’) and the donor are given medication so that the menstrual cycles of both are synchronised. You are also given medication so that your endometrium lining is ready for womb transfer.
- After their donation, the eggs are fertilised using the In Vitro Fertilization technique.
- Since the donor is under 35, not more than three embryos are transferred from her to your womb.
- Embryos are formed after fertilising donor egg with partner sperm.
In some cases, the embryos may be transferred after they have been fertilised. This line of treatment is undertaken to reduce the stress of this treatment on you.
In cases of men, the following procedures are followed;
- Unless the sperm belongs to another man, your partner will be required to give a sample of his sperm to check sperm quality.
- The partner must give another sample on the day the eggs are collected.
- In the next stage, the eggs and sperm are mixed together and in vitro fertilised.
Chances of success in Donor Egg IVF program
The chances of you conceiving through this program are 60-70%. This strike rate is significantly higher than a conventional IVF line of treatment.
How to start with Donor Egg IVF program?
- Finding an egg donor is not that difficult these days. You can find a donor through a fertility clinic, an egg bank, an egg donation agency, a family member or a close family friend. Donors coming from a frozen egg bank are usually screened for health and other reasons. Most donors are in the age group of 21-35 years.
- Make it legal i.e while getting donors is easy, the tricky part is to comply with the various legal issues. Consult your spouse, doctor and your attorney before taking this step.
- Get counselling i.e. you need expert counselling before you conceive because, let us face it, your baby is not your biological offspring. You and your spouse need to be adequately psychologically prepared for this important development in the family.
When a woman is expecting her child, she has a lot of responsibilities on her shoulders for the health and well-being of herself and her child. An expectant mother is recommended to follow certain rules and give up certain habits, so that during the pregnancy period she and the unborn child in her womb get all the nutrients for the healthy growth of the baby. There are certain preconception cares that the expecting mother must abide by.
Some of these are explained below:
- Giving up of bad habits: Smoking and drinking are not uncommon habits in today’s world. But when you are pregnant, it is advised that you give up these habits for some time at least. Smoking or inhalation of smoke makes it difficult for the child to breathe inside. Furthermore, if you are into substance abuse, then it is expected that you would give it up as well when you are pregnant.
- Health Supplements: Folic acid is a must during pregnancy. This is why medical practitioners often recommend you to take folic acid pills once a day to keep your immune system strong. It also provides you enough supplements for production of red blood cells and provides for the much needed iron in your body.
- Counselling: Many times people think that counselling is needed by those who are mentally unstable or in need of immediate help. But that is not the case. Counselling is important for every expectant woman. This is primarily to calm you down as you undergo several hormonal changes. Further, if you are pregnant for the first time then it is to guide you about the complications and side effects of pregnancy.
- Proper Immunization: There are a few vaccinations that you need to take when you are expecting. These would help in the proper development of the child, keep you away from severe diseases as well as boost your immune system. Thus, proper and timely vaccinations are a must during your pregnancy period.
Thus, these are some of the tips and rules that a pregnant woman must follow in order to make sure that she and her baby are healthy. These are often advised by the medical practitioner themselves, but on their own as well, woman take care of these points. These are just outlined to make the woman more cautious before the birth of her child. They are good for both the mother and the baby.
Hi I am in pcos I was trying to get pregnant for last 12 yrs. My Dr. give me ccq tablet from d2 to d6 now what I do for pregnant.
Married 1 year ago. Irregular periods consulted doc gave me tablets for 5 days ate after that I got my periods, took reports while on period FSH 4.62 mlu/ml AMH 3.02 ng/ml is there any prob in becoming pregnant? I haven't conceived till now and used no protection. Uterus thickness is also nomal. What should I do. Which medicines should I take.
I have frequent urination and back pain when my urine is filled a little it cause pain in lower pelvic but no infection in culture test and cause itching inside the vagina and clitoris I have infection before one year and it is totally cured.
Hi I am pregnant with 2nd baby by 10 weeks, 1st was through c sec in dec 2014 due to non progress of labour. I am considering abortion as I am not prepared for the pregnancy physically and mentally. Please suggest if the abortion can happen with pills (if yes until how many weeks it is possible) or else I will have to go with suction method. Is an abortion safe and are there any side effects of it. Thanks.
Hello doctor I am 23 years old 7 months pregnant I have done encircularge in 5th month can I do sex know is it safe or not please suggest me thank u.
I am 16 years old. I had my first period 3 years ago. Recently On first day of my period the colour of blood is brown and the flow is less. It is heavy on second and third day and then it again decreases on fourth and fifth day such that it seems too negligible. Is this due to deficiency of iron or hemoglobin?
Sir; m married recently and we don't wanna child for 2 years. My wife is not happy to use condoms so pls suggest any other medicine so that we can avoid child now.
I had oral sex 3 weeks ago without protection .I don't know about her that she was infected by hiv or not but I am very worried about myself. And please tell about symptoms.
I am 42 old I married 7 year till date I have not conceive all test are normal my wife age 38 also I done ivf last year but we fail now what I can do.
In this article I will discuss five different easy formulas or steps for an individual to attain or maintain a healthy lifestyle, which will avoid even deadly diseases.
1). Regular Exercise- mild to moderate intensity
2). Healthy diet preferably Organic, unprocesed food must be a NO . . . If required Dietary Supplements can be taken after consulting with your Nutritionally informed Healthcare Provider.
3). Proper rest and adequate sound sleep.
4). Occasional Manual Medicine checkup.
Is Green Tea Killing Your Libido !!
Worldwide, green tea is actually a more commonly consumed beverage than coffee. One of the reasons for this is the possible health benefits of green tea, which contains antioxidants that can be helpful for their anti-inflammatory properties which may extend to inhibiting tumor cell growth. It appears that this effect may be related to testosterone levels, but consult with your doctor before using green tea for medical purposes.
The testosterone side effects of green tea may actually be indirectly linked to another hormone. High consumption of green tea can increase bloodstream levels of sex hormone binding globulin, or SHBG. SHBG is instrumental in the process of converting testosterone into dihydrotestosterone, or DHT.
The direct lowering of testosterone levels may be a side effect of green tea. According to a research, high levels of green tea inhibit the amount of testosterone hormone in rodents. Researchers were also able to discover that the effects could be reversed if the green tea concentration was lowered.
Green tea has been touted as a weight-loss aid. In a study, after rats were injected with epigallocatechin gallate, a derivative of green tea leaves, they consumed less food and lost over a fifth of their body weight, apart from this it was also noted that the levels of testosterone in the rats had also been lowered, though it was not determined if that was a contributor to the weight loss.
A certain psychiatric condition, which causes a person to be functionally impaired in social and occupational settings is known as Impulse Control Disorder. Most of you are granted with the ability to think before you act but it isn't the case for people suffering with such a condition. People diagnosed with this condition are not able to withstand the urge to do something detrimental to themselves or other people.
This condition is similar to other disorders such as kleptomania, compulsive gambling and pyromania to name a few. Although people suffering from this disorder do not plan their acts, the acts they do perform generally fulfill their conscious wishes. Other disorders of such similar nature like Kleptomania and ADHD (Attention-deficit/hyperactivity disorder), which are associated with difficulty in controlling impulses but that is not their chief feature. Patients of impulse control disorder find it highly distressful and are hence often seen to lose control of their actions and consequently their lives.
What causes this disorder?
Some medical practitioners are of the opinion that this disorder is a subgroup of other conditions, such as stress, anxiety, OCD (Obsessive Compulsive Disorder) and etc. Scientists and researchers are not particularly sure what causes this condition but have determined that it can be caused due to a combination of physiological, emotional and psychological factors pertaining to cultural and societal aspects. Also, certain brain structures linked to emotions and memory functions in and around the frontal lobe are linked to planning functions and impulses.
Some studies show that certain hormones such as testosterone which are associated with aggression and violence may also play a role in forming such disorder. Aggressive and violent behaviors are apparent in people suffering from this disorder. Certain studies have shown a connection between certain forms of seizure disorders and aggressive impulsive behaviors.
People with such disorders are also more likely to contract addiction and mood disorders. Antidepressants are usually prescribed in treating such disorders. If you wish to discuss about any specific problem, you can consult a psychiatrist.