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Dr. Amarpalli

Gynaecologist, Gurgaon

250 at clinic
Dr. Amarpalli Gynaecologist, Gurgaon
250 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Amarpalli is one of the best Gynaecologists in Sector-1, Gurgaon. You can visit him/her at Yash Lok Medical Centre in Sector-1, Gurgaon. You can book an instant appointment online with Dr. Amarpalli on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 36 years of experience on Lybrate.com. You can find Gynaecologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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1/355, Sector-1, Industrial Model Township Manesar,Landmark:- Near DDM Market, GurgaonGurgaon Get Directions
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IVF Protocol - When You Have Low Ovarian Reserve

MD
IVF Specialist, Delhi
IVF Protocol - When You Have Low Ovarian Reserve

The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 25,000 to 5,00,000 eggs at puberty and ends up with 1000 eggs at menopause.

Causes:
Low reserves are caused by

  1. Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
  2. Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.

IVF Protocols:
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:

  1. Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
  2. Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
  3. Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
  4. Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
  5. Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results. If you wish to discuss about any specific problem, you can consult a gynaecologist.
4348 people found this helpful

Hi Dr. I am 36 years old. My first baby is 6 months old now. Breastfeeding is still going. I want to conceive soon for second baby. Please suggest regarding breastfeeding and how I can know that my body is ready for 2nd baby. I have pcod also.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi Dr. I am 36 years old. My first baby is 6 months old now. Breastfeeding is still going. I want to conceive soon fo...
Better wait for 2 years before next pregnancy. Good for health of both children. Gradually replace breast feed with weaning food.
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Fellowship of College of General Practice (FCGP), MD - General Medicine, MBBS
General Physician, Nagapattinam
Exercise at least four days a week for 20 to 30 minutes each day. If it’s all not possible at a go, break your workouts into smaller sessions.
22 people found this helpful

I am not interested in having children. What alternatives to hysterectomy are available?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am not interested in having children. What alternatives to hysterectomy are available?
Hello, You can very well opt for copper -t application as an IUCD and can prevent pregnancy for as long as 10 years.
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My lh is 26.47 and fsh 7.07 I am 19 years old. My doc said I have pcos. Can you please explain it to me how based on these levels? Wat is wrong with my hormonal profile. He has started me on krimson 35 but I do not get how it will bring my hormonal profile back to normal. Pleaseeeee helpppppp.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
My lh is 26.47 and fsh 7.07 I am 19 years old. My doc said I have pcos. Can you please explain it to me how based on ...
Your FSH level is good. but the LH is high, in assessing the possibility of PCos we use the lh:fsh ratio. in your case its high due to high levels of LH. the best available treatment is to give oestrogene progesterone combination to try to regulate the lh levels. you need to take the tab krimson 35 which is a combination of oestrogen and progestin for some months hoping body will regulate the lh levels and regulate your periods, which will help in relieving the cysts in the ovary.Its only time consuming and every thing will be alright. Good luck
1 person found this helpful
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Endometriosis and Complications Associated With It

MBBS, DGO, Gynaecological, Endoscopy & Allied Procesdures
Gynaecologist, Mumbai
Endometriosis and Complications Associated With It

One of the silent diseases in the female population, endometriosis can be symptomless for years and sometimes even decades, but can sometimes manifest itself quickly. The uterus is lined on the inner side by a tissue known as endometrium. When this tissue is found in other parts (fallopian tubes, abdomen, near the ovaries, etc., it is known as endometriosis.

Causes: The exact cause for endometriosis is not clear. There is a possibility that during the regular period, there could be spilling of the tissue back into the fallopian tube, from where it reaches the ovaries or other organs and gets implanted.

There are certain predisposing factors for a woman to develop this condition, including genetic correlation and non-menopausal women. The female hormone estrogen is essential for the development of endometriosis. There are also immunological reasons attributed to the development. It can range from minimal to mild to moderate to severe.

Symptoms: From being completely benign to causing severe pain, endometriosis can present itself in varying ways. The implanted tissue can be minimal like a small lump to large clumps. The symptoms are not dependent on the size of the implanted tissue, however, 

  1. Painful menstruation: One of the most common causes of non-menstrual cramps, the pain is different from usual menstrual pain, starts a few days before the period and can last up to after the period.
  2. Pelvic pain: One of the most common causes of pelvic pain, this can happen wherever the implanted tissue is. In severe cases, this tissue can also bind different organs, forming what are called adhesions. The bladder or the bowels may adhere to the uterus. These are more painful than individual lumps of tissue outside the uterus.
  3. Intermenstrual bleeding: There could be spotting to severe bleeding between the regular cycles.
  4. Painful sex: There is a deep pain within the pelvis and it can lead to losing interest in sex.
  5. Infertility: The most severe symptom and complication is not being able to become pregnant.

Diagnosis: A detailed patient history, discussion on symptoms followed by ultrasound and laparoscopy can help in diagnosing endometriosis.

Treatment: If there is no symptom and fertility is not an issue, then it is possible that no treatment is required. However, depending on symptoms and complications, the following are done.

  • If pain is the only main problem, painkillers are administered
  • Surgical treatment may be required if there is severe bleeding and adhesions complicating the situation. 

This will also relieve other symptoms:

  1. Hormone therapy is also an option for treating endometriosis.
  2. If you are having pelvic pain and irregular bleeding, bring it up with your doctor. Even if it is not endometriosis, a thorough check up will put your mind at rest.
2430 people found this helpful

How To Deal With GERD

Fellowship Minimal Access Surgery(FMAS), DNB ((Surgical Gastroenterology), MS (General Surgery), MBBS
Gastroenterologist, Delhi
How To Deal With GERD

Gastroesophageal reflux disease, or GERD, as it is commonly known is a digestive disorder that is caused primarily due to intestinal distress. GERD is caused in the muscle that lies between the oesophagus and the stomach, when the acid is produced in the stomach, it starts to flow backwards. For patients suffering from GERD, the acids flow back into the oesophagus instead of the stomach, causing symptoms like severe heartburn, chest pain and nausea, amongst others. So what does one do to deal with GERD? Here's a brief list!

  • Obesity: Being overweight and obese are two of the most important factors that contribute to discomfort in GERD patients. Working towards a healthier weight is a sure shot way of dealing with this ailment.
  • Alcohol and Smoking: The muscle ring that can be found between the stomach and the oesophagus relaxes with the intake of alcohol or with smoking, which prevents it from closing to stop the stomach's juices from reaching the oesophagus. So, giving up both substances would be a good idea if you are a GERD patient.
  • Go Gluten Free: Adopting a gluten free diet can help you cut out ingredients including grains and dairy products that contain more protein than what your digestive tracts can handle.
  • Other Dietary Measures: In order to handle GERD effectively, you will need to remove or reduce chocolate, fatty food, spicy food, and even oily and fried food from your diet. You may need the help of food with extra fibre, like fruit so that it can pass through the digestive tract faster.
  • Smaller and Well Timed Meals: Eating meals regularly and dividing them into smaller meals that can be digested quickly and more efficiently is one of the best ways of dealing with GERD to prevent the onset of backward flowing of stomach acids.
  • Exercise: Ensuring that you do not take a nap or lie down right after a meal and putting in a small amount of exercise everyday will also help in doing away with the uncomfortable and painful symptoms of this disease.

Making lifestyle changes is one of the best ways to deal with GERD. Yet, it would be best to see a doctor regarding severe cases where the symptoms do not abate and medication may be required.

4600 people found this helpful

PCOS (Polycystic Ovarian Syndrome)

MBBS, Diploma in Gynaecology & Obstetrics, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
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Causes, symptoms and treatment for PCOS

3 people found this helpful

My periods is 2 month delayed and still pregnancy test is negative so what is problem?

Fellowship in Minimal Access Surgery, Diploma in Minimal Access surgery, MS - Obstetrics and Gynaecology, M.B.B.S (Cal)
Gynaecologist, Kolkata
Hello, you should test your blood for thyroid profile, prolactine, hb, sugar for better evaluation. Thanx.
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What reason about baby girl 2 kg weight? And after birth three day can not come feeding and my baby has expired. Why it happen? I can eat very well during pregnancy but I lost my child.

PHD, MD
Ayurveda, Udupi
What reason about baby girl 2 kg weight? And after birth three day can not come feeding and my baby has expired. Why ...
The cause for underweight baby not only depend on amount of the food consumed during pregnancy. Along with good number of medical cause it also depend on occupational-physical-mental stress during pregnancy. Environmental factors also play important role in the growth of the baby. Nothing to worry try to come out from current stress at the earliest and plan pregnancy minimum of 6month gap. Be hopeful. God bless you.
1 person found this helpful
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I am 30 years female, I am having irregular periods. I am not having thyroid problem, my scan report is normal. My weight is 62. Please send solution for this problem. I am having this problem from starting itself. When I take meprate only I got periods.

Advanced Aesthetics
Ayurveda, Gulbarga
U start ayurvedic medicines for irregular periods. Factors that are responsible for this condition include the increased intake of sour salty hot. Pungent and heavy food physical exertion walking riding wt lifting. Psychological condition such as grief anger and lust and anxiety are also known to play a key role in aggravating menstrual problems.
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4 Things You Should Know About PCOD

MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
4 Things You Should Know About PCOD

PCOD or Polycystic Ovary disease is one of the most common hormonal disorders faced by women today. The trigger for PCOD varies from person to person, and can range from poor diet and stress to fluctuating insulin and hormonal disturbances. PCOD patients have an enlarged ovary with a number of small follicular cysts. If you or a loved one has PCOD, here are a few things you should know. 

Acknowledge the symptoms

PCOD is hard to diagnose. Some of its symptoms are irregular periods, high insulin levels, abnormal hair growth, low thyroid, acne, obesity and high blood pressure. Checkups at regular intervals are needed to confirm a PCOD. 

A change in lifestyle is the best form of medication

Medication for PCOD addresses its symptoms. For example, you could take medication to correct Insulin resistance or pills to control acne and hair growth. However, a lifestyle change in the form of a well balanced diet and regular exercise is essential for PCOD patients. In terms of diet, PCOD sufferers should have lesser carbohydrates and sugars, and increased amounts of fiber and protein. Exercise helps control weight and the balance between male and female hormones. PCOD patients also need to find ways to lower their stress levels. Yoga and meditation can be very helpful to this effect. Without this, no medication will be effective. 

If left untreated PCOD can lead to many other problems

Diagnosing PCOD is difficult and even when diagnosed, regular checkups are essential for PCOD. When left unchecked, PCOD can lead to many more problems such as diabetes, high cholesterol, high blood pressure and even endometrial cancer. PCOD can also result in difficulties at the time of conception and lead to miscarriages if not treated properly. 

You can have a baby even if you have PCOD

A PCOD diagnosis can make it hard to get pregnant, but does not limit your ability to conceive a healthy baby. If the patient has fertility problems because of PCOD, doctors often prescribe treatments to stimulate the ovaries into producing more eggs. Women with PCOD are often recommended to plan an early pregnancy, as advancing age adds to the limited capacity of the ovaries. 

Lastly, know that you aren't alone and PCOD should not embarrass you. Instead of bottling up your feelings and thoughts, find supportive friends and family members that you can talk to. You can also find support online through a number of discussion forums. 

3704 people found this helpful

Sir since 2010 main Blood ki investigation karai thi tab HBsag Positive nikla tha. Meri shaadi 6 month pahle ho gayi hei. Meri biwi pregnant hai. Maine wife ka HBsag test kara liya hei result negative nikla. Iska koi bura prabhav padtha hei to kripya mujhe advice di jiye. Koi medicine iske liye ho to bataiye.

PDDM, MHA, MBBS
General Physician, Nashik
Sir since 2010 main Blood ki investigation karai thi tab HBsag Positive nikla tha. Meri shaadi 6 month pahle ho gayi ...
Chances of transmission to child are there but very less. What you can do is get your child vaccinated as soon as he is born.
2 people found this helpful
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Know How to Make Nails Hard

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Chandigarh
Know How to Make Nails Hard

Dip your gentle Nails into warm Olive oil every once in a while for 15-20 minutes to make them hard.

8 people found this helpful

Dear sir, Pls suggest what is the good time of remove coperti for taking pregnancy. Bcz my wife use Coperty but now we want a baby so pls suggest when we remove coperti from the time of menses.

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
Dear sir,
Pls suggest what is the good time of remove coperti for taking pregnancy. Bcz my wife use Coperty but now w...
get it done on last day of your periods, its less painful at this time and if any spotting occurs gets masked in menses
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I am 39 week pregnant and now thick discharge is started for 3 days. What does it mean? And when labour will start?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 39 week pregnant and now thick discharge is started for 3 days. What does it mean? And when labour will start?
Thick white discharge is nothing but cervical mucus which is expelled first in the process of delivery. This means that any time your labor will start.
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Hello Doctor. I am suffering from mixed infection, mainly in case of STD. My blood VDRL is normal (non reactive). Please consult some medicine for me. Thanks.

PhD Human Genetics
Sexologist,
Please see a venereologist or skin specialist near you. It does not do you good to seek online consultation in infections.
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Dear I am 28 years old married women. Recently I have been diagnosed with uti and traces of blood in urine. My pulse rate is also slightly high i.e 107 pm. What could be the reason. I am having norflox tz for this infection.

MD - Homeopathy, BHMS
Homeopath, Palakkad
Dear I am 28 years old married women. Recently I have been diagnosed with uti and traces of blood in urine. My pulse ...
Urinary tract infections can be completely cured with homoeopathic medicines. No side effects at all. 100% rapid and effective results. Drink plenty of water. Take following homoeopathic medicines for 3 days which help you to solve the problems soon. Can notharis 200, uva ursi q and ferrum phos6x tabs. Nothing to worry. For treatment please be free to consult me. Thank you.
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Hello doctor my is suffering with monthly periods with irregularities kindly help me, we have some many doctors but the problem continues.

BHMS
Homeopath, Faridabad
Hello doctor  my is suffering with monthly periods with irregularities kindly help me, we have some many doctors but ...
Hi, kindly elaborate the symptoms and the details and associated complaints, etc. with me with reports.
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I am 25. I have acidity problem, stomach clearing problem, irregular period and I am fat too. I always feel too hungry also. Suggest me something that reduce my hunger and I also want to lose my weight. So suggest something.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I am 25. I have acidity problem, stomach clearing problem, irregular period and I am fat too. I always feel too hungr...
Hello your weight is on higher side and you can go for a sonogram and hormonal status checked. Get your blood sugar levels also checked. For losing weight, diet and exercise are the best answer. You should take plenty of water and liquids. Avoid junk food and fats in the diet.
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