Hi friends, I am Dr Shakuntala Kumar I am practising obstetrician and gynaecologist at New Life Hospital Delhi and Fortis Hospital Shalimar Bagh. Today we will be discussing ovary commonly encountered problem name Polycystic Ovarian Syndrome. Are you suffering from problems like hair fall, excess facial and body hair, very-very oily skin along with acne, frequently encountered menstrual abnormalities or problems in periods of difficulty in becoming pregnant, chances are you may be suffering from the Polycystic ovarian syndrome. A polycystic ovarian syndrome is because of a hormonal imbalance namely the female hormones like estrogen and progestogen imbalance between the excess of male hormones happening in these women. These women also have insulin resistance in their body, leading to several other disorders like high blood pressure, diabetes and high cholesterol levels in their body. Friends because of a Polycystic ovarian syndrome is at the interplay of hormonal disbalance compounded with environmental factors, like the lifestyle of the person because of this there is a development of multiple eggs in the ovary rather than formation of one single egg. These small-small eggs coming up in the ovary do not allow a dominant egg to form because of which there is an ovulation or non-development of eggs. This is the main reason why these women face difficulty in conceiving and are facing several hormonal imbalances.
Now let us talk about the diagnosis of a polycystic ovarian syndrome, so friends just an ultrasound finding of multiple cysts in the ovary of these women is not the sole criteria. We have certain criteria because of which we diagnose Polycystic ovarian syndrome a woman will be having normal ovaries but suffering from PCOS, on the other hand, she may be having polycystic ovaries but she is in a normal lady. So the diagnosis depends on certain clinical and investigational and certain ultrasound findings of the women. Which is not one single criteria of polycystic ovaries coming up in the ultrasound. Coming to the treatment part of these women that treatment depends on the problem that is these women are facing but in the root cause of these problems lays the obesity part of these women. So the most important part of the treatment is weight loss and lifestyle management, so please listen to your doctor, when she is saying and requesting you to lose weight. That is possible through a healthy lifestyle, a healthy diet and workout plans. Secondly, if this woman is suffering from menstrual irregularities we will correct that by improving her lifestyle and by giving her certain drugs, if she is suffering from acne or excess body hair we will be giving certain drugs to tackle that, if she is suffering from anovulation or by that I mean difficulty in conceiving or becoming pregnant, we will be giving certain drugs to induce ovulation, this may require the intake of tablets or sometimes intake of certain injections. So friends polycystic ovarian syndrome is no longer an enigma, it can very much cure. The only thing that is required is you helping your doctor curing it by managing a very healthy lifestyle and through the drug that we prescribed you taking them diligently. Thank you very much.read more
Hello, I am Dr Pallavi Vasal consultant Obstetrics and gynaecologist. Today I will be talking about abnormal uterine bleeding so, abnormal uterine bleeding is bleeding anywhere from the genital tract which is unusual. It can occur as in the form of spotting or bleeding before the periods or in between periods, after sex or it can be longer than a normal period, heavier than normal or if the bleeding is happening after menopause. If we divide the causes of abnormal uterine bleeding if we see young girls who have it as they started with the menstrual period. It usually because of trauma and any foreign body, irritation of the genital tract or an urine tract infection, but we have to be very careful about this sexual abuse, in young girls if it is happening, In adolescence during the teenage it can be during the first few years of the after the attaining the menstrual cycles it can happen in the first few years. This is because of the hormonal changes, which are happening in the girl’s body. But in that case, also we need to rule out any kind of pregnancy, infection any bleeding disorders or any other medical illness. In the reproductive age, group pregnancy has to be ruled of first because that is the most common cause of the abnormal bleeding in the reproductive age group. Then it can be because of the abnormal gain in weight or sudden loss in weight, intake off or any hormones or in use of any contraceptive intrauterine contraceptive virus, in pre-menopause that is between the age of 40 to 50 years of age, it can be because of the Ovulatory dysfunction that means there they are changes in the hormones when the periods are about to end because of that the hormones they are dysregulated that lead to abnormal bleeding. It can be because of fibroid in the womb or it can be because of the increased thickness of the lining of the womb or the growth of the endometrial polyp. So pregnancy precancerous or the cancers of the cervic, so any kind of cancers this also needs to be taken care off. And in the postmenopause, so in the postmenopause it is very important to see if a lady has started bleeding again after attaining the menopause, this leads to being because we need to rule out cancer because it is very scary and if it is diagnosed at a very early stage it can be treated very nicely. The another most common cause in menopause age group is atrophic days, thinning of the lining of the vagina and the womb sometimes that leads to irregular bleeding or growth of polyp for fibroid or infection in the uterus that can also lead to abnormal bleeding in women who are menopause. Now the symptoms as we discussed the symptoms are like bleeding or spotting in between the periods, the periods are less than 26 days more than 35 days heavy bleeding or prolonged bleeding during the periods. As we go ahead you need to go to a gynaecologist get a general checkup done along with the abdominal examination and the internal examination and then usually ultrasound is very much required in these cases to rule out anything which can be treated by surgery or the treatment can be with the medicines. Now a couple of blood test like CBC, the complete blood count, the hormonal profile, the infection screen, the pregnancy test all these needs to be done. The treatment is based on the cause, if there is no significant pathology identified then hormonal correction is required and this is done with hormonal therapy, which can be oral, injectable or in the form of intrauterine contraceptive device or if there is a particular cause like fibroid or polyp, then that needs to be removed through the surgery. In menopause age group we advise endometrial biopsy even if there is nothing but significant in the ultrasound because we need to rule out cancer in a patient who has attained menopause but still are having periods. So the important things I would say is too young girls especially avoid taking an excess of hormones or you should maintain a healthy weight and healthy lifestyle and there is very much there is a very high intake of I pills and adolescent that should be avoided because they have screwed up your periods and leads to irregular bleeding. For further queries, you can talk to me or connect me through Lybrate.read more
Hello, everyone, I am Dr Pallavi Vasal consultant of Obstetrics and Gynaecologist. Today I am discussing about pregnancy after the age of 35 years which is becoming fairly common nowadays and as the carrier orientation is increasing more and more women are conceiving after the age of 35. So, major concerns which arise after the age of 35 whether you are going to have a healthy baby or not and whether the pregnancy is going to be a smooth one or not. So what happens naturally is the egg production peeks at the age of 24 to 26 years and during this time the production of eggs is of very good quality but as the age increases there is a decline in the quality of the eggs as well as quantity of the eggs which are being produced in a female body. So there are issues which might arise because of it so what happens if we go for the risks in cases of the baby so what happens if the risk of down syndrome which is a congenital malformation rich is very closely link with the age of mother if the risk is one in 2000 at the age of 20years it increases to one in 350 at the age of 35 and further one in 100 at the age of 40years. So, with the increasing age of mother, there are chances of having a baby with Down syndrome. But nowadays we have excellent test and wonderful results we can expect with the levels of testing which are available nowadays like we go for double marker, quadruple marker even there is a test which is called Non-invasive prenatal test so that we can filter the baby cells from the mother cells and study than in detail whether the baby is having any abnormality or not.
All these are screening test and if needed further we can go for the confirmatory test like amniocentesis and coronary vessel tissue sample. Another thing with age is the doubt of having sugar during pregnancy, the problem with blood pressure developing during pregnancy but all these things come in to pregnancy only if you have the previous health has not been very good or if you have being diabetic or if you have already being hypertensive, then they put in a major issue otherwise they don’t. So if you have a good health before pregnancy so there are high chances that you will have a healthy pregnancy even after the age of 35 years beyond this if you have any doubt you can consult me or you can consult me through Lybrate and you can book an appointment through Lybrate.read more
Hello everyone, I am DR. Pallavi Vasal, consultant of Obstetrics and Gynaecologist, working at Gurgaon. Today I will be discussing Tuberculosis in pregnancy. The class of patients which we deal with and the surrounding around is, we always think that tuberculosis is not that common in our class but it is not so. India has the largest number of cases of tuberculosis cases in the whole world, around 1 in 600. The incidence of tuberculosis in India is around 1 in 600 and in our country tuberculosis is still very prevalent. It is transmitted through respiratory droplets, though it is very important that you be very careful about your surroundings. Now during pregnancy, we are particularly discussing tuberculosis in pregnancy because during pregnancy your immunity comes down and because of this, you become most acceptable to any kind of infection and usually we catch an infection from the surrounding. So you need to be very careful about the workers you are hiring like your maid, your driver, your gardener, you need to screen them before you hire them because they are the ones who might be carrying tuberculosis. And if you screen them it will be helpful for you also and for them also. Untreated tuberculosis is the greater risk to the mother and the baby then does the drug have. So it is very important to screen and treat tuberculosis timely and quickly as soon as it is diagnosed. Most commonly the bacteria it affects the lungs otherwise it can affect the all the organs of the body. Now, when usually the symptoms of tuberculosis are like evening rise of temperature, loss of appetite, you don’t feel hungry, despite being pregnant you start losing weight, crowning cough lasting for more than 3 weeks, generalised tiredness, breathlessness and nausea. What happens in pregnancy is the physiological changes which happen in pregnancy makes the diagnosis of tuberculosis during pregnancy a bit tricky. So it is usually based on your history then your sputum which is coming out that is examined at least 2 times and chest X-Ray can even be done in the pregnancy if you are in a high-risk category with the abdominal shielding so that the baby is unharmed. Now there is another test called tuberculosis PCR which is tested in your sputum, culture can also be sent. And there is one more test called GeneXpert which also tells us about the resistance of the tuberculosis bacteria.
The treatment of tuberculosis depends upon the intensity and the severity of the disease. It can vary from 6 months to 9 months depending upon your condition. Usually, most of the drugs can be safely taken during pregnancy even in the first trimester, except a couple of drugs like streptomycin which is not advisable to take in the first trimester of pregnancy. In India the incidents of drug-resistant tuberculosis are also increasing, so once you are tested positive you need to take a complete treatment otherwise there are high chances of relapse and you developing a multi-drug resistant TB, which is very difficult to treat. Once you diagnose with TB, it takes 2 to 3 weeks after the starting of the treatment for you to become non- infectious. Till that time you have to keep your hygiene very good and keep wearing a mask if you are having lung TB, wash your hands repeatedly, eat healthy food and get a lot of fresh air, so that in general your health remains very good. Now be regular with your visits to the gynaecologist and with the physician for the treatment of tuberculosis and for the treatment of pregnancy as well. As pregnancy advances, if the TB is treated properly, it doesn’t cause much risk but there are chances of early labour, premature delivery and rarely the baby might also carry a form of TB which is known as congenital TB. But all these can be very well presented with the drug treatment if it is taken very timely and very efficient. So if you have any doubts regarding any of these issues then we can further. We can make an appointment through Lybrate or we can fix an appointment.read more
Doctors in W Pratiksha Hospital
Patient Review Highlights
I found the answers provided by the Dr. Subhash Chandra Chanana to be caring, prompt and very helpful. Sir I have got blood test done all normal, as a senior doctor advice me to do sonography to check if there is PUS formation...it is clear there is NO PUS formation...they asked me to do 2 D test for Kawasaki...2 D reports are CLEAR...as the reports are clear, doctor has adviced us to wait for some days as they feel the lump could be a reaction of something which is not clear. He is asking me to wait for some days if the baby is eating well, playful and the growth of the baby is regular, we should not rush for biopsy. He is asking us to watch babies activity regularly and if there is anything unusual we will check. Request your opinion on this Sir.
I thought it was something very normal, but then I realised the polycystic ovary synDrome is something else. I am so happy with the results of my treatment, that I will surely recommend Pallavi Vasal to anyone gladly. Both Pallavi Vasal and staff were very helpful. Even though my problem was very big, the entire experience of undergoing polycystic ovary synDrome treatment was very relaxing. W Pratiksha Hospital had all the amenities, a patient requires. No matter how critical be the situation, she is always very calm. I was in too much pain because of polycystic ovary synDrome, but even after consulting a number of doctors, I was not getting any relief. Pallavi Vasal has so much knowledge that for everything my family takes her reference.
Dr. Erum Naaz
Hello. I am a doctor myself. So its extremely overwhelming to compliment another Doctor. Dr. Rohan is one of the nicest, most polite, extremely understanding and reliable as a doctor. His genuine approach towards my mother made us believe in his treatment and judgement. His expertise in his profession is something that stands out the most. The Hospital staff at W Pratiksha hospital are extremely helpful and make sure you feel at home. Of course how can anyone just forget about his million dollar smile that greets you whenever he meets you, so you feel relaxed that from now on, everything is going to fall in place. Sir..thank u is a very small word compared to how good you take care of your patients.. Still... THANK YOU SO MUCH.
I was beyond impressed with my experience at the doctors office. If you are looking for a doctor whose medical knowledge is encyclopedic, treats the whole person, and takes the time to be caring even while maintaing a very efficient office, then Dr. Biplav Agarwal is someone you should consider visiting. Dr. Biplav Agarwal and his staff are all I could have hoped for in a medical practitioner. Dr Biplav Agarwal was really knowledgeable and made me feel comfortable throughout the appointment! I would highly recommend Him to all my friend circle. Doctor I have ever had that concentrated on wellness of the mind, body, and soul by understanding, sympathetic, private practice, and always accompanies his diagnosis.
I had an itching issue since an year and had consulted a couple of doctors but nothing helped. Upon visiting Dr Biplav, he immediately asked me to get a test done and he was right in hitting the bulls eye in the first go. The report was positive and he put me on a medication of 3 months. I followed everything he said and noted the improvement in my health dramatically. After 3 months I repeated the test and all reports are normal. He did an outstanding job. My sincere thanks to him. Not just this but he also treated my wife’s eczema problem by giving her some tips in the general lifestyle and daily routine that we all follow. Simply amazing
Atul Sharma is really like god send person. The overall outlook of the W - Pratiksha Hospital, Gurgaon was very nice. I am so happy that I chose this Dr.Atul Sharma for my treatment as now I am perfectly fine. Never thought I will suffer from something gastric problem like this. Many people gave very positive feedback for this Atul Sharma. With great ease Atul Sharma explained us the problem and how the treatment will be carried out. The entire W - Pratiksha Hospital, Gurgaon was spotlessly, clean. I have consulted so many doctors , but no one was able to solve my gastric problem.
My skin around neck and upper back had started to pigment and it was disturbing as its natural progression would have been face. So I decided to go by practo reviews and visited Dr. Biplav. The meeting went by pretty smooth and doctor assured me that he'll be in touch with me throughout the medication, which was quite reassuring. To my surprise, the pigmentation vanished in a Week's time and so was my worry. One additional point is he prescribes generics and this could save us momey as well! All in all a consistently good experience.
I thought it was something very normal, but then I realised it is diabetes. My previous experiences were not so good, but DR. Abhay Ahluwalia has completely changed my opinion as he is very helpful and humble. I have had therdiabetes from quite some time. Even in case of emergency, the staff is always willing to help. It's been more than a year now, and I have noticed considerable change in myself. The interior of the Columbia Asia Hospital - Palam Vihar was no nicely done. i have been better now.
I had lost hope, but the gynae problems treatment given by Pallavi Vasal has helped me regain my confidence. It was a bad case of gynae problems. The overall atmosphere in the W Pratiksha Hospital is very soothing. Pallavi Vasal has a very positive attitude towards all the patients. I read about the Pallavi Vasal on one of the social media platform. She definitely is aware about the latest and advanced ways to treat serious cases. W Pratiksha Hospital can handle all types of emergency cases.
I was diagnosed with irregular periods. It has been quite some time that i was suffering from it. I'am almost on the path to recovery, Thanks to Dr Pallavi's perfect advice. The overall cleanliness in the Pratiksha Hospital was amazing. I read about her on one of the social media platform. My previous experiences were not so good, but she has completely changed my opinion as she is very helpful and humble. she has in depth knowledge and ensures that she explains the problem in detail.
I was suffering from hyperthyroidism. I am so thankful to Dr Abhay Ahluwalia for giving me the best advice and I am now finally able to get back to my normal self. During the complete hyperthyroid treatment program he always supported and motivated me. He is a very practical doctor. Even after my treatment with my old doctor, I never felt so much relief, but he has treated my completely. The overall atmosphere in the Columbia Hospital is very soothing.
I am suffering from vitiligo and consulted with Dr.Biplav as recommended by one of my relative. I must say he is the best because before consulting him I have consulted 2-3 doctors but they didn't gave me the reason of vitiligo But Dr.Biplav did all the things which is effective for me and told me to avoid certain foods and yeah I can see excellent progress and very much satisfied and will also recommend to others.
In my opinion a doctor must always be ready to answer queries and address doubts of their patients very patiently and Dr.Biplav did just that.I was extremely skeptical before I started my treatments but I would say it was really a good decision to come to Dr.Biplav me and my daughter both are extremely happy with the services the staff is great and what’s more it’s pocket friendly too
I had a breast lump which i showed to my gynaec in Gurgaon but she ignored it. As it kept on increasing, I met Dr Khandelwal after a reading his blog. He suspected it to be cancerous and my worst fears came true when the biopsy report came out as positive. Fortunately, he picked it on time and I just required surgery& RT for the management on cancer. Thankful to Dr. Rohan Khandelwal
She is One of the best Psychologist in Gurgaon. My married life was in deep trouble due to adjustment issues, difference of opinion, social status and acceptance. Me and my wife both got benefited immensely following her suggestion. Her relaxation, Psycho & Hypno therapies worked like a magic and changed us to a different couple altogether. I am really indebted to her.
I was shocked to experience the symptoms of thyroid disorders. Thanks to Dr Abhay for the thyroid disorders treatment he gave me has given brilliant results. My previous experiences were not so good, but Dr Abhay has completely changed my opinion as he is very helpful and humble. The guidance he gave me has helped me immensely with my situation.
I always had Inhibitions of visiting a dermatologist... Until I met and got my treatment done by Dr. Biplav. I followed his genuine advice and the results have been phenomenal. Not only he takes care of the treatment but I am impressed by the follow up as well! I am very happy and satisfied with the services and I keep coming back here.
MY premature child was suffering from ROP due to which I was quite depressed. BUt Dr Pallavi helped with this issue. She is one of the best physicians in city. She is quite knowledgeable gynaecologist. I owe her a big thank for the treatment she provided. My child is now normal. The ROP treatment benefitted to a great extent.
As someone I knew, consulted Dr Reema Das and they referred us. She is one of the best physicians in city. Reema Das has so much knowledge that for everything my family takes her reference. she did my lasik surgery. The nurses at the Wellness Eye Center were really helpful. Her treatment suited me the best and now I am fine.
I am so happy with the results of my thyroid treatment, that I will surely recommend Dr Abhay to anyone gladly. In the past i consulted so many doctors, but nobody was able to help me with my thyroid disorders, but he has helped me immensely. He is a very practical doctor. And I am quite benefitted with his treatment.
From quite some time i was suffering from pain, but never gave much importance to it. With the help of Dr Abhay's treatment for thyroid disorders I am feeling so great. He is not just friendly, but also is very motivating. I am impressed with the way he treated me. I have noticed outstanding changes post treatment.
I was having very bad thoughts regarding my hypothyroid. I am so thankful that Dr Abhay Ahluwalia has given me the best advice and I am now finally able to get back to my normal self. I consulted a number of specialists but the way he treated me was the best. I found the Columbia Hospital itself quite pleasant.
Hi. From 2 years I'm feeling lump in my right breast. From two days there is pain while touching it. Is it something serious. I'm very much afraid if it is cancer cell. And there are no other symptoms. Please help me. What tests shall I take?
I have trace of blood in urine and feel inflammation some times often in urine track. I got positive result in UFMC test from PGI Chandigarh and then CT SCAN of abdomen and CT urography showed scan as normal, then second UFMC test showed no malignant cells and further BTA STAT test showed'non reactive.Please advise what should I do next?
My mother has gallbladder stones and one of its size is 16.5 mm. And also she is suffering from jaundice from 2 months. Doctors have told me she has cancer too. Is there any treatment to cure all these diseases?
There are a number of eye conditions that make the use of glasses and eye lenses mandatory for a more comfortable life where your vision is as normal as is medically possible. Poor eyesight and conditions like inward eyelids and others can lead to the prescription of contact lenses and glasses. Contact lenses are delicate optical tools that glide easily over your eyes and need a lot of care. One should also know how to wear them properly. If one does not wear and care for the contact lenses properly, it may lead to a variety of complications. Read on to know how you can take better care of your contact lenses.
Cleanliness: To begin with, keeping the lenses clean is of utmost importance. Since these lenses will go on to the eye and remain there for most part of the day, it is imperative that they should be clean so that no dirt comes to settle on the eye to cause complications and even possible infections in the long run. While the disposable soft contact lenses do not need a whole lot of care as they can be disposed as and when the wearer needs a new pair, the soft lenses are the ones that need regular care so as to avoid vision affecting problems in the long run.
Clean Hands: Before you handle the contact lenses, you must wash and clean your hands thoroughly with a non cosmetic soap that is free of additives like fragrances and artificial perfumes, oils and other lotions. These may get transferred to the lens which will leave you with blurry vision. Dry your hands properly using a lint free towel.
Makeup: If you have to wear makeup, we would suggest doing so after you have safely installed the contact lenses in your eyes. Also, you must remember to remove your lenses before you begin the makeup removal procedure. This is to be done so that you do not get any makeup on to the delicate surface of the lens.
Disinfecting Solution: When you buy your contact lenses, you will also get a disinfecting solution as well as a set of instructions for taking care of your lenses. So ensure that you use the correct disinfecting solution, eye drops as well as the prescribed enzymatic cleaners to keep your lenses clean and free of germs with a light rubbing action. Let the lenses stand in this solution at night too so that the germs cannot travel to the surface.
Never use tap water or your mouth to clean these lenses as the microorganisms found even in distilled water can latch on to the surface. In case you have a concern or query you can always consult an expert & get answers to your questions!
Sir I am volleyball player. My both knee in very pain. According to MRI is cartilage damage is both knee. Plzzzz tell me solutions sir?
I have 7 mm gallstone. But I have no pain or other problem. Treatment is necessary? After some time it can be convert in cancer?
The term fast food refers to those particular food items that can be quickly prepared and served instantly. From pizzas to chips, pastries, burgers, candy, soft drinks, fried and salted snacks, everything falls under fast food. There is no doubt that they appear irresistible and are equally delicious. But do you know that they can end up seriously affecting your stomach? Yes, for those who follow a diet, which is based on fast foods, it's time to know the effects of them on your digestive system.
- Discomfort to the Stomach and Kidney: As fast food contains various toxic elements, chemicals and high amount of sodium, these naturally increase the risks of developing bloating, stomach ulcers and sometimes even stomach cancer. As more salt is consumed by your body (through fast food), greater amount of water will be held by the sodium, which cannot only result in swelling or bloating of the abdomen but also may cause stomach discomfort.
- Fast Food Diet Increases Constipation: Dietary fiber, which is found in fruits, vegetables, seeds, whole grains, and nuts, plays a crucial role in the maintaining a smooth digestive system. Not only do they keep the digestive tract functional, but also helpsin excreting the waste out of the body. But unfortunately, when your diet becomes filled with fast food, you lack the necessary fiber intake as fast food contains little or no dietary fiber. Less fiber means less absorption of water, resulting in constipation, which causes discomfort in the stomach as well.
- Peptic Ulcer May Be Next: Continuously having fast food often leads to stomach ulcers. Peptic ulcer disease or peptic ulcer is probably the most common form of ulcer that damages the gastrointestinal tract severely. For ages, intake of excessively spicy foods, alcohol and leading a stressful life have been considered to be the root cause of stomach ulcer. However, scientific studies have highlighted the consumption of fast foods too as a cause of ulcers.
- It Invites Liver Diseases: The liver is another victim of regular fast food intake. If you think that the stomach doesn't have to bear the side effects of liver disease due to fast food consumption, then you are wrong. Whether it's liver disease or any kind of liver damage, it may lead to a bloated abdomen, swelling of the veins or bleeding veins around the stomach, the esophagus and even pain in the stomach, interrupting the digestive process.
Those who consume fast food regularly or whose diet comprises of mostly fast food items should consult a medical professional or a gastroenterologist to be more specific, in case they experience pain and discomfort in the stomach. Dependence on a fast food diet for long often leads to life-threatening conditions, which can only be dealt with through medical attention. In case you have a concern or query you can always consult an expert & get answers to your questions!