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Providing you personalized, ethical and quality health care....more
Providing you personalized, ethical and quality health care.

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10:00 AM - 05:00 PM

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209, 2nd Floor, Galleria Towers, DLF Phase - 4
Gurgaon, Haryana - 122002
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Good morning, I m Dr Nidhi Agarwal, I am a consultant gynaecologist, based in Gurgaon. Now today ...

Good morning, I’m Dr Nidhi Agarwal, I am a consultant gynaecologist, based in Gurgaon. Now today I’ll speak on Polycystic Ovarian Disease that is PCOD which is very common in women in recent years.

PCOD actually occurs in young women. They usually present to us with irregularity with their periods. The ovaries in PCOD patients actually become bigger and denser. As the name suggests, ‘poly’ means many that is many cysts are formed in the ovaries. This lady usually presents with a disruption in the normal menstrual cycle.

Now, what happens in a normal lady who menstruates every month?

There is one egg which is selected by nature which increases in size, and when it becomes bigger and appropriate in size, it is ruptured in the ovary which is then taken up by the Fallopian tube. And if it doesn’t meet the sperm and pregnancy doesn’t occur, then the lady menstruates. This should happen monthly up to 35 days. In PCOD patients, this natural selection of the egg every month doesn’t occur. Instead, many small cysts are formed in the ovaries. So that is why there are many cysts formed in the ovaries, and then the patient does not have normal periods. That is why we say it a Polycystic Ovarian Disease.

Now how does a patient of PCOD present to us?

A patient of PCOD, if she is a young girl in her teens or in the early twenties, she usually comes to us saying that she is not having her monthly periods. She menstruates at one and a half months, two months, two and a half months, and when she menstruates, she usually has excessive bleeding with clots. If a lady is in her late twenties and has got married, and she is not able to conceive, then also the patient presents with the problem in conceiving. Also, there is usually an excess of hormones produced by the ovaries, that is an excess of estrogen as well as androgen which is the male hormones. The lady usually presents with male like pattern of hair growth that is hair growth on her chin on her face, around the nipples of her breasts, in her lower abdomen, especially over her thighs and she says that along with excessive hair growth, she has developed excessive acne and things also appear all over her scalp. These are basically because of an excess of androgens, which are the male hormones. This change in the hormonal value occurs because of Polycystic Ovarian Disease. Also, very often, patients come to us saying that she is gaining weight excessively. A patient comes and says that in the last 5 months, I have gained 10 kgs of weight. So patients usually present to us with symptoms of insulin resistance, in which there is overweight. Now, PCOD has actually become very common and patients who are as small as 11-12 years of age come to me, young girls presenting with PCOD. And the incidence is very very very high; 1 out of 10 women are now having PCOD.
How do tackle this PCOD?

See, there are three criteria which are very important. As I have told you, first is a presentation, that the lady is not ovulating, that is the egg which is formed every month is not released. Instead, multiple eggs multiple cysts form which we call in their ovaries. So, if the ultrasound shows that they are polycystic ovaries if the patient presents to us with less ovulation, or anovulation which we say which occurs when the patient is not having her regular periods, or there are signs of excess androgen that is male hormone with features of hirsutism. Then, out of these three, if two criteria are there in the lady someone is having PCOD.

Very often patients ask me, ‘Why do we, why am I suffering from PCOD?’ So if you ask me, there is no one particular cause which I can see, that this is the reason you have got. There are so many factors, it could be just genetic- your mother or sister has been suffering from PCOD, then your chances of having PCOD are always higher. There could just be low-grade information in her ovaries, which has disturbed the ovaries to an extent that it is releasing more of male hormones, making them bigger in size and that is causing the ovaries not to ovulate. Or it could just be because of obesity and high insulin levels. Again, because of high insulin in the body, it puts stress on the ovaries and they don’t ovulate.

So there are so many causes, you have to investigate the patient, there are a lot of investigations that have to be done and we can come to a diagnosis, it is possible. So, I’ll just conclude by saying that PCOD is very very common nowadays.

If you are having problems with your menstrual cycle, if you are gaining weight abnormally, if you have excessive hair growth anywhere which is not expected in females, face acne or hair loss, please do see us, see your local gynecologist, so if there is any problem, it can be sorted out in time. I’m Dr Nidhi as I already told you, I am based in Gurgaon, and you can contact me for any queries for PCOD or its treatment at LivWell clinic which is at Galleria Market and also you can contact me through Lybrate.

Thank you.
 

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Pharmacy
Diagnostic Lab Service

Doctors

Dr. Rajiv Goel

MBBS, MS - Surgery, M.Ch - Urology
Urologist
19 Years experience
800 at clinic
₹500 online
Available today
04:00 PM - 05:00 PM

Dr. Nidhi Agarwal

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist
92%  (209 ratings)
16 Years experience
500 at clinic
₹300 online
Available today
10:00 AM - 05:00 PM
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Specialities

Urology

Urology

Offers cumulative treatment of problems of the Urinary tract and male reproductive organs
Gynaecology

Gynaecology

A branch of medicine reserved especially for treating female conditions of the reproductive system
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Urinary Tract Infection (UTI) Treatment

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Reconstructive Urology

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Male Sexual Problems Treatment

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Sexually Transmitted Disease (STD) Treatment

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Female Sexual Problems Treatment

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Prostate Laser Surgery

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Open Prostatectomy

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Transurethral Incision of The Prostate (TUIP)

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Transurethral Resection of The Prostate (TURP)

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Urinary Tract Obstruction Treatment

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Castration Surgery

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Laparoscopic Urology

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Male Infertility Treatment

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Sexual Dysfunction Treatment

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Renal ( Kidney ) Stones Treatment

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Urinary Incontinence Treatment/Surgery

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Varicocele Surgery

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Circumcision Procedure

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Hydrocele Treatment (Surgical)

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Blood in Urine (Hematuria) Treatment

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Urinary Tract / Bladder Stones Treatment

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Vasectomy Procedure

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Male hypogonadism Treatment

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Lithotripsy

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Erectile Dysfunction Treatment

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Men's Health Problems

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Ureteroscopy

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Cystoscopy

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Nephrectomy (kidney removal)

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Pre-Marital Counselling

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Infertility Evaluation Treatment

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Pre-Pregnancy Counselling

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Assessment & Handling of High Risk Pregnancy cases(includes Deliveries)

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Management of Menopause

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Management of Heavy / Irregular periods

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Evaluation of Abnormal Pap Smears

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Evaluation and Management of pelvic pain

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Management of Ectopic pregnancy

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Management of Adenomyosis / Endometriosis

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Treatment of Fibroid Uterus

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Treatment of uterine / endometrial / fibroid polyps

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Evaluation and management of Ovarian cysts / tumors

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Gynecological Endocrinological Disorders

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Management of Adolescent Gynecological conditions

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Vaginal Infection Treatment

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Treatment of Urinary Infections

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Hi I am going to get married in next 5 days would like to understand about the safe precaution measure I and my husband can undertake to avoid early pregnancy.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi
I am going to get married in next 5 days would like to understand about the safe precaution measure I and my husba...
Use barrier method i.e. Condoms now to avoid pregnancy. But the best contraceptive for a newly -wed is using oral contraceptive pills. So, go to a gynaecologist who will get a few tests done before prescribing you oral pills which are to be started from first or second day of your periods. Till that, use condoms.
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Stress Incontinence Post Pregnancy - How to Treat It?

Urologist
Urologist, Gurgaon
Stress Incontinence Post Pregnancy - How to Treat It?

Many women experience stress incontinence during some time of their pregnancy or post pregnancy. The experience of incontinence varies from woman to woman and it is caused due to stretching of muscles and tissues that support the uterus, bladder and womb. It is also caused due to the weight of the growing baby in the womb as well as due to hormones. The tissues and muscles mainly represent the pelvic floor and on the birth of a baby, these pelvic floor muscles get stretched even more.

What you should know?

  • Stress incontinence is not a problem post pregnancy and especially once the child is born. However, some women continue to have issues at times due to weakening of pelvic floor muscles.
  • It is the weakening of the muscles that causes incontinence of a bladder which is overactive. Incontinence can also occur, if the fine nerves that surround the bladder are damaged at the time of delivery.
  • Women having problems controlling their bladder are more likely to have stress incontinence during pregnancy.

Simple treatment options to treat stress incontinence

  • There are some simple treatment options that can be followed to control urinary incontinence during pregnancy. The simplest option is definitely managing the fluid intake as well as scheduling visits to bathroom at regular intervals. In this way by setting a proper schedule, stress incontinence can be treated.
  • There are medical devices also available that help to strengthen the pelvic floor muscles and that can be used, if incontinence is persistent. The medical device can be used to block the urethra. The other simple option that can be effectively used to control incontinence post pregnancy includes toning the affected tissues and muscles. The urethra can function in an improved manner and any incontinence can be minimized after child birth by performing the Kegel exercises regularly, which provide great benefit.

Imperative tips
The foremost symptom of stress incontinence includes urine leakage and that happens at times when a woman is physically active, coughing, sneezing or while having intercourse. It is very important that a woman urinates when she feels the urge and does not hold it. In this way, the leakage of urine will be reduced. It is also essential that they avoid running around or jumping. It is advisable to quit smoking as it can reduce irritation of the bladder. Spicy food items, citrus fruits and carbonated drinks must be avoided as they can cause irritation to the bladder.

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

1007 people found this helpful

Blood In Urine - Is It Actually Serious?

Urologist
Urologist, Gurgaon
Blood In Urine - Is It Actually Serious?

Most people would panic on seeing slightly red urine being passed. A common urologic condition, this happens because blood cells are leaking into the urine. There are multiple reasons which can cause it, and not all of them are major causes for concern.

Read on to know more about some common causes, and how to manage this.

  1. Urinary tract infections: There could be an infection of the entire urinary tract including the kidneys, the ureters, the bladder, and the urethra. In addition to blood in the urine, there could also be an urge to urinate, pain with urination, fever, and flank pain.
  2. Enlarged or infected prostate: The prostate naturally enlarges with age and can obstruct the urethra, causing pain and blood in the urine. There is a constant urge to urinate and difficulty initiating the stream. Infection of the prostate also produces similar symptoms along with fever and pain.
  3. Kidney diseases: In addition to infections, other kidney diseases including glomerulonephritis, which can also lead to hematuria. Kidney stones, which are quite common, are also another reason, and this will be characterised by the sudden sharp pain around the flank which is very diagnostic of kidney stones. Injury to the kidneys from trauma or sports is another reason for hematuria.
  4. Cancers/tumours: Cancers in the kidney, bladder, or prostate can cause blood to appear in the urine, but this would happen once cancer has reached some advanced stage, not very early in the process.

Listed below are some risk factors for hematuria.

  1. Age: Men older than 50 are more prone to hematuria
  2. Sex: While men are more likely to have stones or prostate infections, UTIs are quite common in women below 50s.
  3. Family history: though not hereditary, if kidney stones or cancers or infections are in the family, chances of developing hematuria also goes up.
  4. Medications: Aspirin, blood thinners, NSAIDs, and some antibiotics increase the chances of hematuria.
  5. Exercise: Long distance runners are shown to be more prone to developing hematuria.

Diagnosis: In addition to a physical exam, blood tests, imaging (CT scans and/or MRI) and cystoscopy might be required to confirm the diagnosis. Identifying the cause is extremely important as treatment would depend completely on the causative agent. Though hematuria is just one of the symptom, the underlying cause could have severe adverse effects on the whole body system.

Treatment: Whether it is an infection or enlarged prostate or kidney stone or tumour, once the cause is identified treatment is customised accordingly. Antibiotics for the infections, laser treatment for the stones, etc. are recommended.

If you see your urine turning slightly pink in colour, talk to your doctor immediately. Identifying the underlying cause and treating it will help solve the problem of hematuria.

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

3086 people found this helpful

Smoking - Can It Lead To Bladder Cancer?

Urologist
Urologist, Gurgaon
Smoking - Can It Lead To Bladder Cancer?

As per myriad medical reports the world over, lung cancer is the number 1 killer cancer in the world, and one of the most common as well. This is closely followed by breast cancer. Yet, there are a number of types of cancer that can affect people all over the globe. Bladder cancer is one of the most common forms of cancer which takes place due to the abnormal growth of cells in the inner lining of the bladder.

There are many causes of bladder cancer, including genetics and smoking as well as exposure to a number of chemicals. Read on to know more about the same, and why it is imperative to give up smoking to avoid bladder cancer, or to treat it effectively.

  1. Smoking: Smoking and the use of tobacco is one of the most important causes of bladder cancer. It is a common misconception that smoking can only cause lung cancer. It can cause many types of cancer, including bladder cancer, because of the chemical exposure that happens when a person smokes. There are approximately 7,000 chemicals that are used when one cigarette is created, as per many studies and reports. These can have a harmful effect on the various organs of the body.
  2. Smoking and its effect on the bladder: So what happens to the bladder when you smoke? Cigarettes contain a number of chemicals, which are mostly carcinogenic. These get into the urinary tract and start to clog the inner lining of the bladder, because they do not get flushed out like normal waste with the urine. Eventually, these chemicals begin to erode the inner lining which leads to the accelerated and abnormal rate of cell growth in the region. This leads to the manifestation of a tumour, which may or may not be malignant.
  3. Urine and chemicals: When the chemicals from the cigarette begin to gather in the urinary tract, the bladder tends to remain in prolonged contact with this carcinogenic infested urine. This can lead to exposure to the elements, which can trigger abnormal cell growth and problems in the bladder. These high concentration levels of toxins in the urine eventually affect the functioning of the bladder.
  4. Smokers and non-smokers: As per many medical studies, those who do not smoke but have a family history of the condition as well as other environmental factors like exposure to certain types of chemicals in their workplace or other areas may be twice as susceptible to the growth of bladder cancer. But as per the same studies and medical reports, those who smoke, are actually four times more susceptible to bladder cancer.

Therefore, it is imperative to stop smoking so as to prevent the onset of this potentially fatal disease.

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

3062 people found this helpful

My wife aged 25 years is suffering from PCOD problem. She is getting treatment from Gynecologist since 8 months. Nearly 10 tests have been done to diagnosis the exact problem like FSH, LH, TSH, Prolactin etc. And found results are within good limit. Still Eggs are not maturing due to multiple cysts around the ovary. She has been doing regular exercises, yoga etc. She is prescribed for Myocyst M tabs for 2 months twice daily. And after that, CCQ 100 tabs for D2 to D6 & Valest 2 tabs for D7 to D12 and USG (Ultrasound) suggested, which resulted good and provided Hucog HP 5000 injection. Again suggested for being in contact for next 5 days. What is the chance for her eggs maturation. Please suggest.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
My wife aged 25 years is suffering from PCOD problem. She is getting treatment from Gynecologist since 8 months. Near...
With all the treatment your wife has taken, it is sure that she must have had formed good and mature eggs and that is why your doctor must have given her HUCOG injection. So, don't stress. Trust your doctor and your wife will conceive in due course of time. Since the eggs have formed in this cycle, it doesnot mean that she will conceive definitely in this cycle (chances of conception are 15--20%). So, don't stress and give time to yourself as well as the doctor and your wife will definitely conceive.
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My wife suffers with vaginal infection .now it's almost cured with one year course. But prolactin level is high approx 25 .it keep fluctuating. She used cablogomin tablet as per Doctor prescription to lower prolactin. But is der any chances of baby conceive .I m too tense. IVF is possible or not in this case.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Take cabgolin as advised by your doctor to lower your prolactin levels. Once it is in normal range and there are no other factors affecting your wife's fertility, she will conceive without any problem.
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My wife TSH was very high (9) during her 5th week of pregnancy and she has been prescribed with Thyronorm 88 Mcg. Now after taking the pills for last one and half month, her TSH level is extremely low (0.021), whether she need to stop the medicine.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
My wife TSH was very high (9) during her 5th week of pregnancy and she has been prescribed with Thyronorm 88 Mcg. Now...
No, please don't stop thyronorm. Go to your doctor who started with this medication and she/he will decrease the dose of thyronorm so that TSH remains less than 3.Nothing to worry.
1 person found this helpful
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I did sex 14th oct I took ipill 16th oct within 48 hr my last period came 9oct to 15oct now when I get my next period after taken ipill? 7 days done but I nt got my period so please tell its worry or not?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I did sex 14th oct I took ipill 16th oct within 48 hr my last period came 9oct to 15oct now when I get my next period...
It is not necessary that you will have periods after taking these pills but your periods can be irregular after taking this tablet.Use condom in every act of intercourse in this cycle. Don't stress as nobody can tell that when you will have your next periods as they may happen early or they may be delayed.
1 person found this helpful
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Colour of Your Urine - What It Says About Your Health!

Urologist
Urologist, Gurgaon
Colour of Your Urine - What It Says About Your Health!

Urine is known as the liquid waste that is discharged by the body on a regular basis, many times during the day and even during the night. Most of us do not give too much importance to this aspect of our being. Yet, this is an important indication of many things regarding your health. One of the vitals that are usually checked when we are having any symptoms of ailments and serious conditions, includes the urine.

The colour, odour and even consistency of the urine can point at the state of your health. There are many chemicals and toxins that are there in your urine which may be checked in order to decipher the level of the waste going out and the chemicals in the same. This is an indication on the type and severity of the disease that a patient may be suffering from. Here are the things that the colour and odour of the urine can tell you.

  1. Pale hued: If your urine is pale hued, then it means that your health is in normal condition. This colour may also tend towards golden. This colour of the urine is down to the pigment called urochrome, which exists in the liquid waste.
  2. No colour: If your urine is colourless, then it means that you have been drinking plenty of water or even ingesting a substance known as a diuretic that is known for flushing out the bodily fluids at a faster rate. This lack of colour usually means that your fluids and waste are both getting flushed out routinely and that everything is fine with your body and your health in general.
  3. Brown: If your urine colour is dark and appears brown, then you may want to see the doctor immediately. This may also come with episodes of burning and pain during urination, which can point to a range of problems. Very dark coloured urine with a moderate odour may point towards an infection in the urinary tract or even the onset of a kidney dysfunction. Brown-hued urine may point at conditions that have to do with the kidneys as well as the liver, which will need to be checked immediately to make the correct diagnosis on a timely basis and begin treatment for the ailment in question. You may need more fluids in order to get the colour back to normal, as it may also be a sign of dehydration.
  4. Orange: Orange urine may point at a high dosage of vitamin B12, and may show that you are dehydrated, while pink or red urine must be reported to the doctor on an emergency basis, as it may point at a urinary tract infection (UTI) or prostate problems. Consult an Expert & get answers to your questions!
3431 people found this helpful

Overactive Bladder - Is There A Solution?

Urologist
Urologist, Gurgaon
Overactive Bladder - Is There A Solution?

A large number of women visit the doctor for common ailments like involuntary urination or incontinence, which occurs due to weakening of the sphincter muscles around the urethra. An overactive bladder is an embarrassing as well as an annoying condition and it comes in forms like urinary urgency, urge incontinence, nocturia and frequency. Yes, there are solutions to this problem and the main solution that can be adapted is a change in lifestyle.

Imperative tips to follow to treat an overactive bladder

  1. It is very important that the diet pattern be changed and food items as well as drinks that worsen the condition be avoided.
  2. It is best to avoid spicy food, especially those that contain hot peppers. Citrus fruits like grapefruit, orange and tangerine must be avoided; tomato products and tomato paste must be avoided.
  3. It is also best to avoid alcoholic beverages and even drinks that contain caffeine.
  4. It is important to maintain a healthy diet. To improve bladder problems, it is obligatory that food products that contain more fiber are included in the diet.
  5. These fibrous food items could include whole wheat bread, fresh fruits, cereals and beans. To maintain bowel regularity, it is very important that women follow a regular exercise program.

Women must take charge of their treatment and it is most important that before taking any medication, they must make behavioral modifications. It is important to record the input of the fluid consumed as well as to keep a check on the number of times they urinate. Women must not only maintain a healthy weight, but also quit smoking. Smoking cigarettes can irritate the muscles of the bladder and excess coughing can lead to leakage of urine. Non-irritating fluids that can improve the bladder condition can be taken 3-4 times in a day; so it is best to avoid beverages that are acidic or caffeinated. The techniques that would help you to control an overactive bladder can be learnt under the guidance of a doctor to decrease the urge to urinate.

Consult your doctor for medications to treat an overactive bladder. Some doctors even prescribe certain medications to treat an overactive bladder and these include anticholinergics. These drugs help to control the muscle spasms, which mainly lead to an overactive bladder. The most common anticholinergics recommended by doctors are solifenacin, oxybutynin, fesoterodine, propantheline and dicyclomine. If you wish to discuss about any specific problem, you can consult a Urologist.

3110 people found this helpful

7 Most Common Causes Of Miscarriage

Urologist
Urologist, Gurgaon
7 Most Common Causes Of Miscarriage

What is Miscarriage?

Miscarriage is defined as the spontaneous loss of the foetus before it is able to survive on its own outside the womb. Miscarriage usually occurs within the first trimester of the pregnancy. It is a very common complication in early pregnancies.

Miscarriage can be a common complication, but it can have devastating effects on the minds of the parents.

Signs and Symptoms of Miscarriage:

The most common visible signs are slight to heavy bleeding from the vagina. But the other common symptoms are:

  1. Dizziness, light-headedness

  2. Discharge from the vagina

  3. Tissue discharge from the vagina

  4. Cramping and pain in the abdomen

It is advised to go visit your doctor if you experience any of the above signs and symptoms.

What causes a miscarriage?

  1. Chromosomal Abnormalities: A lot of miscarriages are caused due to mismatched chromosomes. Some women who have experienced miscarriage over two times may learn through tests that there are chromosomal abnormalities that may not affect them but prevent them from getting pregnant.

  2. Abnormalities in the Uterus: Sometimes, the uterus may be too hostile to house a foetus. It can be a genetic disorder or a non-genetic disorder like fibroids or cysts that can lead to a spontaneous abortion.

  3. Hormones: Low levels of progesterone in the body can lead to problems with implantation of the foetus.

  4. Obesity: Studies have shown that every 1 in 4 women who are obese before the conception lose the foetus to spontaneous abortion.

  5. Drugs and Toxins: Consuming alcohol or smoking during the pregnancy is seen to increase the risk of miscarriages manifold. Also, women who are exposed to toxins present in plastic such as Bisphenol A are seen to undergo miscarriage more often than women who are not exposed to such toxic substances. Coffee can be consumed in moderate levels during pregnancy.

  6. Infections: Infections including Mycoplasma can infect the uterine lining and unknowingly cause complications such as miscarriage. Women who have undergone multiple gynaecologic procedures are seen to be at increased risks.

  7. Diabetes: When the diabetes becomes uncontrolled, it can increase the risks of miscarriage. If you wish to discuss about any specific problem, you can ask a free question.

3031 people found this helpful

hello Dr. I took medicine unwanted 72 in this month. My period is delayed 5 days. Still not came. please help me give me right suggestion.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
hello Dr. I took medicine unwanted 72 in this month. My period is delayed 5 days. Still not came. please help me give...
Do a urine pregnancy test and if it negative, wait for your periods for one week. If still after one week your bleeding does not start ,then see a gynaec. However, if your test is positive, then see a gynaec immediately.
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Sir been trying to conceive last month got period on 30th today I see blood only when I pee not one drop on pad so can please tell why is that so.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Sir been trying to conceive last month got period on 30th today I see blood only when I pee not one drop on pad so ca...
You will probably start with your periods soon. Try to lose 5-6 kg weight and if your periods are regular, try to do intercourse between 12th to 18th day of your periods. Take one tablet of 5 mg folic acid daily. If you have been trying to conceive since 6--9 months, then there is no harm in seeing a doctor who can guide you better with face to face conversation.
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I am 17th weeks pregnant now but I am not feeling any baby movement still now. This is my first time pregnancy. I just want to know why I am not feeling baby movement? From which month I can start feel baby movement?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 17th weeks pregnant now but I am not feeling any baby movement still now. This is my first time pregnancy. I jus...
Baby movements in first pregnancy usually start between 18-20 weeks. So, you too will be feeling these movements when your time comes i.e. In 2 -3 weeks time.
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Polycystic Ovarian Syndrome (PCOS)

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Play video

Good morning, I’m Dr Nidhi Agarwal, I am a consultant gynaecologist, based in Gurgaon. Now today I’ll speak on Polycystic Ovarian Disease that is PCOD which is very common in women in recent years.

PCOD actually occurs in young women. They usually present to us with irregularity with their periods. The ovaries in PCOD patients actually become bigger and denser. As the name suggests, ‘poly’ means many that is many cysts are formed in the ovaries. This lady usually presents with a disruption in the normal menstrual cycle.

Now, what happens in a normal lady who menstruates every month?

There is one egg which is selected by nature which increases in size, and when it becomes bigger and appropriate in size, it is ruptured in the ovary which is then taken up by the Fallopian tube. And if it doesn’t meet the sperm and pregnancy doesn’t occur, then the lady menstruates. This should happen monthly up to 35 days. In PCOD patients, this natural selection of the egg every month doesn’t occur. Instead, many small cysts are formed in the ovaries. So that is why there are many cysts formed in the ovaries, and then the patient does not have normal periods. That is why we say it a Polycystic Ovarian Disease.

Now how does a patient of PCOD present to us?

A patient of PCOD, if she is a young girl in her teens or in the early twenties, she usually comes to us saying that she is not having her monthly periods. She menstruates at one and a half months, two months, two and a half months, and when she menstruates, she usually has excessive bleeding with clots. If a lady is in her late twenties and has got married, and she is not able to conceive, then also the patient presents with the problem in conceiving. Also, there is usually an excess of hormones produced by the ovaries, that is an excess of estrogen as well as androgen which is the male hormones. The lady usually presents with male like pattern of hair growth that is hair growth on her chin on her face, around the nipples of her breasts, in her lower abdomen, especially over her thighs and she says that along with excessive hair growth, she has developed excessive acne and things also appear all over her scalp. These are basically because of an excess of androgens, which are the male hormones. This change in the hormonal value occurs because of Polycystic Ovarian Disease. Also, very often, patients come to us saying that she is gaining weight excessively. A patient comes and says that in the last 5 months, I have gained 10 kgs of weight. So patients usually present to us with symptoms of insulin resistance, in which there is overweight. Now, PCOD has actually become very common and patients who are as small as 11-12 years of age come to me, young girls presenting with PCOD. And the incidence is very very very high; 1 out of 10 women are now having PCOD.
How do tackle this PCOD?

See, there are three criteria which are very important. As I have told you, first is a presentation, that the lady is not ovulating, that is the egg which is formed every month is not released. Instead, multiple eggs multiple cysts form which we call in their ovaries. So, if the ultrasound shows that they are polycystic ovaries if the patient presents to us with less ovulation, or anovulation which we say which occurs when the patient is not having her regular periods, or there are signs of excess androgen that is male hormone with features of hirsutism. Then, out of these three, if two criteria are there in the lady someone is having PCOD.

Very often patients ask me, ‘Why do we, why am I suffering from PCOD?’ So if you ask me, there is no one particular cause which I can see, that this is the reason you have got. There are so many factors, it could be just genetic- your mother or sister has been suffering from PCOD, then your chances of having PCOD are always higher. There could just be low-grade information in her ovaries, which has disturbed the ovaries to an extent that it is releasing more of male hormones, making them bigger in size and that is causing the ovaries not to ovulate. Or it could just be because of obesity and high insulin levels. Again, because of high insulin in the body, it puts stress on the ovaries and they don’t ovulate.

So there are so many causes, you have to investigate the patient, there are a lot of investigations that have to be done and we can come to a diagnosis, it is possible. So, I’ll just conclude by saying that PCOD is very very common nowadays.

If you are having problems with your menstrual cycle, if you are gaining weight abnormally, if you have excessive hair growth anywhere which is not expected in females, face acne or hair loss, please do see us, see your local gynecologist, so if there is any problem, it can be sorted out in time. I’m Dr Nidhi as I already told you, I am based in Gurgaon, and you can contact me for any queries for PCOD or its treatment at LivWell clinic which is at Galleria Market and also you can contact me through Lybrate.

Thank you.
 

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Hello .my wife have used the MTP kit and got abortion. And we have undergone ultra scan in that the there is a blood endometrial canal. And then doctor suggested the cytolog at 29/04/17. And one on 30. Night 10: 30 she used it but no bleeding is started.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
You don't have to worry. The blood in the endometrial cavity will get absorbed if it has not come out after taking cytolog. Do a urine pregnancy test after 1 week and if it is negative, then all is well.
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Good morning doctor. Before a year I had a pcod problem. But from past 6 to 8 month I am getting my period regularly. But this month I don't get periods. I am worried. I also did pregnancy test, it's negative. Kindly advise.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Good morning doctor. Before a year I had a pcod problem. But from past 6 to 8 month I am getting my period regularly....
May be that you still have PCOD which is responsible for delay in periods. Repeat your urine pregnancy test after 1 week and if it is still negative, you go and see a local gynaecologist who will start you with the treatment. Reduce your weight.
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My rubella igg is positive I am 7 month pregnant and igm is negative my pregnancy is at risk or not. Igg effect pregnancy or igm.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
My rubella igg is positive I am 7 month pregnant and igm is negative my pregnancy is at risk or not. Igg effect pregn...
If IgG is positive that means that you have suffered from infection in the past and you are immune to it. So, you need not worry about it at all. If IgM is negative it means that you don't have any recent infection and so you and your baby are doing well. Relax!
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It's been six months since we got married. .my wife getting weaker and weaker after marriage. She has aborted an issue 3 months before .what can be done to attain more weight and health?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
It's been six months since we got married. .my wife getting weaker and weaker after marriage. She has aborted an issu...
Ask her to eat a diet which is rich in proteins like eggs, non-vegetarian food twice weekly and if she is a vegetarian, lots of pulses like black gram and rajma, fruits, paneer, tofu, dry fruits etc. She should take 6-8 dates everyday and ghur i.e jaggery after every food. One glass of lime water is also good for her. A good iron tablet or syrup alongwith multi-vitamin tab is advised for at least a month. She should improve with good diet and iron and multivitamin tablets. If she doesnot feel better after 10 days of this treatment, she should consult a physician for the same.
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I am 18 and going to have sex do I have a chance to be pregnant and I have irregular periods? If yes, how do I avoid my chances of pregnancy while having sex?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 18 and going to have sex do I have a chance to be pregnant and I have irregular periods? If yes, how do I avoid ...
Yes, you can become pregnant even if you have irregular periods.Use barrier contraceptive i.e condom to avoid pregnancy as well as sexually transmitted diseases.Your chances of getting pregnant are minimal if the condom doesn't slip or get torned during the act.
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