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Dr. Hitu Madan

Gynaecologist, Gurgaon

350 at clinic
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Dr. Hitu Madan Gynaecologist, Gurgaon
350 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Hitu Madan
Dr. Hitu Madan is a trusted Gynaecologist in Sector-10, Gurgaon. You can visit him at Gautam Hospital in Sector-10, Gurgaon. You can book an instant appointment online with Dr. Hitu Madan on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 34 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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Gautam Hospital

Sco 101, Sector 10A, Sector 10. Landmark: Near HDFC Bank, GurgaonGurgaon Get Directions
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Infertility

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
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I am Dr Rita Bakshi, chairperson of international fertility centre situated in the Green Park, Delhi. I have been in the field of fertility for last nearly 18 years and I have found people very anxious for fertility, let me just tell then there is no way one cannot get pregnant nowadays if one decides to get pregnant because, so many donor services are available. So you can have donor sperm, you can have donor egg and you can have surrogacy and the replacement of sperm, egg or uterus. Let me talk of my topic and that my topic is AMH yes Anti Mullerian Hormone as a test of fertility for females the only important test that I look at in a couple is first and foremost is serum AMH that been serum Anti Mullerian Hormone. Now this test can be done on any day of the cycle, it is not important that one should be on day 2 or day 3 it can be done on any day of the cycle. Secondly, it is a blood test now this test tell us the number, the quantity of eggs a women has for example all females are born with a finite number of eggs unlike men who have sperms been produced all throughout their life. Women are born with a certain number of eggs which are fixed, so some are born with less eggs some are born with more eggs but why is it important, it is important to know because if you decide not to get married at 30 or 31 and you decide that ok I have children do I have how many years do I have before I can plan a marriage or the pregnancy. Then by doing this test I can say that yes your AMH is good you can wait or it is not that good please don't wait at all. It also indicate that of people who wants to postpone their pregnancy they are married, they are working, career are important, so they don't know how many years they can postpone. So by doing this test I can say that yes you can wait for may be a year, 2 years or no not do not wait at all. I can also say when people come for fertility whether they would require donor eggs or is there own fertile potential, the eggs good enough them or not by just looking at AMH. AMH normally is between 3 to 5 nanogram per ml. So if it is say very less .5, .4, .3 then you know it is very low she does not have a good quantity of eggs at all. She may require the help of a donor egg and if the AMH is just very high safe if it is 6, 7, 8, 9, 10 that means she probably is suffering from PCOS polycystic ovary. In these cases, it will be very important when I do IVF that she could hyper stimulate and therefore AMH is a very good indicator letting me know how much drug to use and how much not to use. So in a way, especially if ovarian cancers are there, there fertility preservation is there, the women who do not want to you know want to freeze their eggs. So we can make out that the eggs can be frozen for a limited number of time by looking at AMH. So in all to submit all AMH is very- very important fertility predictor of a woman of the number egg, quantity of an eggs a woman possesses and she can plan her fertility according to the AMH level. Thank you.

2904 people found this helpful

Dyspareunia (Painful Coitus)

MD-Dermatology, MBBS
Sexologist, Pune
Dyspareunia (Painful Coitus)

Dyspareunia (Painful Coitus)

Recurrent or persistent genital pain associated with sexual intercourse in either male or a female.

In females, the pain may be superficial during penetration or deep during penile thrusting. The intensity of pain may range from mild discomfort to sharp pain. On examination, no genital abnormalities are seen. Repeated genital pain during coitus may result in the avoidance of sexual activity, disrupting existing sexual relationships.

Females : Dyspareunia can be of psychogenic or organic in origin.

Pain in vaginal outlet and clitoris : If the hymen is intact, this is a source of irritation. Episiotomy scar can cause pain. Smegma accumulated under the foreskin of clitoris

Irritates the area and causes intense burning.

Pain in the vagina : One of the common causes is the failure to lubricate. This happens when the women have no affection, respect or understanding for her husband. Because of various fears like fear of pregnancy or of coitus, her natural response will be inhibited. Many women does not lubricate because of aging. Thin walls of vagina crack and bleed easily during the intercourse, causing discomfort that lasts for hours to days. Homosexual women will not lubricate in heterosexual activity. Infections of the vaginal or urinary tract will give rise to burning, itching or pain in the vagina. When there is itching and burning but no infection, sensitivity to the rubber of condom is a possibility.

Pain deep in the pelvis : Laceration or tears in the ligaments which support the uterus, caused by gang rape or criminal abortion may result into pain deep in the pelvis. It is associated with a backache, throbbing in pelvis, tired feeling


And painful menstruation . Endometriosis, infection in the cervix, uterus, and tubes cause pain during thrusting . Infection can be due to gonorrhea or of E.coil.Hysterectomy, tumors, and ovarian cysts can cause pain deep in the pelvis.

: Some men do not retract the prepuce during masturbation. Their glans of penis remains hypersensitive to touch. They find pain during coitus. In men with poor hygiene, the smegma accumulates on the glans, causing pain during coitus. Phimosis can cause pain during coitus. Allergy to condom rubber, jellies, foams and douching materials can give hypersensitivity reaction to the males. Infection of vaginal canal causes burning and itching. Fibrosis of penile tissue following a trauma causes pain during masturbation and intercourse.
: Reassurance, countering myths and misconceptions and supportive psychotherapy will be helpful in dyspareunia of psychogenic origin. Insufficient foreplay may lead to failure of lubrication in females. Thick hymen will need excision. Accumulation of smegma needs cleaning daily. Senile vaginitis requires hormonal replacement. Homosexual women are not amenable to any treatment.

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I am trying to conceive from last 4 months but I am unable to conceive. What should I do? I have been married for 5 years and have a baby boy of 4 years I gave birth to son under C Section.

DGO, MBBS
Gynaecologist, Bangalore
I am trying to conceive from last 4 months but I am unable to conceive. What should I do?
I have been married for 5 y...
Continue trying for another 6 months and if you are still not getting pregnant, consult your gynaec.
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Hello, I am facing excessive hair loss for last 3-4 months. I was diagnosed with pcod by a gynecologist who did sonography by herself in her clinic. She said that in both ovary pcod has developed. But after that I went to sexologist and she said that pcod is in only one (left) ovary with 11-12 follicles. Then I went to endocrinologist, who said that at this age (36 yr) pcod is not a big problem as my all blood reports came normal (I.e.hormonal, thyroid and all other reports are within normal range) and periods are very regular i.e. Exactly 30 days cycle. With this she said that hormonal therapy should not be given after 35 years and suggested me follihair and evacuate. Even I am totally not interested in taking hormonal therapy, as my mother had stroke and is paralyzed for last 7 years, but even after taking follihair and evacure for 1 1/2 months, hair fall is there. I am so worried, losing hair at high speed. I'll highly appreciate if you could help me. Thx a lot.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hello,
I am facing excessive hair loss for last 3-4 months. I was diagnosed with pcod by a gynecologist who did sonog...
In general, you lose about 50-100 strands of hair each day, but the loss is not visible as new hair grow in their place. However, if you lose more than a 100 strands in a day and more than 200 strands on the day you shampoo, you may be suffering from what is known as excessive hair fall. Certain factors or reasons may cause you to lose hair at an alarming rate, which are, 1. Thyroid problems Your thyroid is responsible for your body’s overall functioning. The hormones (primarily T4 and T3), which it produces help in regulating metabolic activities. Problems with your thyroid gland can cause your hormone levels to rise or fall to unhealthy levels, which can result in hair fall. You can improve the functioning of your thyroid gland through a diet rich in calcium, iodine, magnesium, protein and Vitamins A, B and C. 2. Scalp infections-Infections of the scalp can also be one of the factors that may cause your hair to fall at an alarming rate. Of the different scalp infections, the ringworm scalp infection is the most common. Although this fungal infection can occur in any part of your body, when it develops on your scalp, you end up losing clumps of hair. Alongside the use of anti-fungal medications, even anti-fungal shampoos and creams can provide you with respite from the problem. 3. Poor diet, Gorging on unhealthy foods or going on a crash diet can result in the lack of essential nutrients in your body, which are required to maintain healthy hair. Furthermore, since hair is made of protein, having a balanced diet consisting of proteins and vitamin- rich foods is a must. 4. Stress gives rise to certain conditions such as alopecia areata, telogen effluvium (hair loss caused post-pregnancy or surgery) and trichotillomania (an impulsive need to pull your hair out), which can cause you to lose significant amount of hair. To avert a hair loss crisis caused by stress, make it a point to do some simple stress-reducing exercises, such as meditation or breathing exercises. 5. Using hair styling products like hair colours and straighteners can cause you to experience hair fall problems. Your hair not only becomes dull and dry due to their use, but also becomes weak and brittle, leading to a gradual loss of hair. Regular oiling and use of homemade hair masks are some of the ways you can try to counter the negative effects of these hair styling products. 6. The drugs that are used in the treatment of cancer not only destroy the fast-growing cancer cells, but also the healthy blood cells in your body. For this reason, consuming foods that possess cancer-fighting properties (like oatmeal, tomato, almonds, garlic etc) is a sure-shot way of fighting the disease as well as averting any side-effects that may arise because of the treatment. 7. Alopecia areata. Lastly, hair fall can also be caused by alopecia areata, which is a kind of hair loss that takes place when your body’s immune system erroneously attacks your hair follicles, and prevents growth of new hair. 8. Genetics. The origin of your severe hair fall or baldness can be traced back to your ancestors. So, your genes can be a factor behind your hair fall problem. If this is the cause, your body then becomes unable to produce new hair. Apart from the changes that you can make in your lifestyle to address the causes of your hair fall, there are also techniques out there that you can employ to permanently treat your problem, such as platelet rich plasma, mesotherapy, stem cell therapy, ozone activated platelet rich plasma & hair transplant. In order to have healthy volume of hair on your head, the rate of hair loss and replacement should be in tandem. With age, your hair growth cycle shows signs of slowing down and factors like age, disease, and hormonal changes among others affect the pace at which an individual hair follicle moves through the 3 phases of the hair cycle. A disruption in your hair cycle can give rise to loss of hair that’s rapid and unexpected. Hair loss or alopecia can affect both men and women. So what can cause your hair to fall at an alarming rate? The reasons behind hair loss could be many, but here are 6 major ones: 1. Lack of protein in your diet When you exclude protein from your diet, your body starts to conserve the protein that it has by altering the growth cycle of your hair. In such cases, your hair enters into the resting stage, resulting in zero hair growth. In India, 9 out of 10 people are said to suffer from low amounts of protein in their diet, with 91% vegetarians reporting protein deficiency. 2. Iron deficiency Iron plays a very important role in the transportation of oxygen to the different organs of the body. Lack of iron in your diet (which is the principle reason behind anaemia) can give rise to several health problems including hair loss. Your body attempts to direct oxygen to important organs so as to support their functioning. As a result, your scalp witnesses a low supply of oxygen, which causes hair loss. 3. Vitamin D-3 deficiency Deficiency of vitamin D-3 gives rise to a type of hair loss called Telogen Effluvium (TE). This is a temporary hair thinning phenomenon that takes place when the all the hair on your scalp enter the resting phase at the same time, subsequently causing you to shed a large amount of hair later on. 4. Smoking Smoking can also affect the health of your hair, especially the rate at which it falls and the number of strands lost in a day. A research carried out by the Harvard School of Public Health has revealed that smoking can cause a rise in a hormone called dihydrotestosterone (DHT). An increase in DHT level prevents new hair cells from growing and causes hair follicles to reduce in size with each hair cycle. As a result, the area on your scalp that gets affected by DHT experiences a lack of hair growth. 5. Use of testosterone supplements in gym Intake of testosterone in the form of supplements and injections to build muscle mass can trigger hair loss in men. This takes place when the testosterone in these supplements gets changed into DHT, thereby affecting your hair loss rate and amount. 6. Past illnesses (dengue, TB and typhoid) Falling of hair can also be brought on by illnesses such as typhoid, TB and dengue as the hair growth cycle comes to a stop. Hormonal or metabolic stress that is experienced during the course of such diseases may cause hairfall. What are the treatments available to cure hair loss? 1. Hair transplant Hair transplant is a minimally invasive surgical technique that transfers hair follicles taken from other parts of your body to the balding area. Known by the name of Follicular Unit Transplantation, this hair loss treatment can help to bring back the natural appearance of a fuller head of hair. Hair follicles are harvested using two procedures- follicular unit extraction and strip harvesting. Procedure can vary from 4-8 hours or more depending on the case. 2. Platelet- Rich Plasma (PRP) Platelet- Rich Plasma (PRP) is another treatment alternative that can reverse hair loss. It’s a simple non-surgical procedure that lasts about 60-90 minutes. In this form of hair treatment, the patient’s own blood cells, more specifically blood platelets are injected into the scalp. Usually 8 sittings are required with each sitting being 2 weeks apart for better results. 3. Low Level Laser (Light) Therapy (LLLT) This form of hair therapy utilises light energy of a specific wavelength and threshold to stimulate cellular activity, thereby promoting hair growth. Various controlled clinical tests have revealed its effectiveness in encouraging hair growth in both the genders.
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Is white discharge is the cause of not having pregnancy? I have white discharge after periods every month. Pcod. Please suggeset want to conceive height 5.6 weight 63.

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician, Bangalore
Thanks for your query. You seem to have a pelvic infection. You need to take antibiotics. As for pcod you need help from a gynaecologist to conceive. Please feel free to ask a private question.
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Dear sir or a madam , recently I have done my engaged and me and my fiyancee relationship is good. But one type of fear in mind a when I have do a first time sex with my fiyancee after mrg so that time blooding from my wife vagina is compulsory? If yes so how many blooding is come that time ?

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
No its not necessary. It's actually a misconception that girls who doesn't bleed on their first time of intercourse are no longer virgins. It is okay not to bleed, most women don't. There are many reasons behind it, the cause of bleeding is the breaking of the hymen that is done through penetration. The hymen is a very thin and can be easily broken. Athletes commonly because of stretching and exercise breaks the hymen which means that they no longer will bleed while having sex. Not bleeding on your first time is not something to be scared about especially if you masturbate, we can already assume that you won't bleed. The definition of virginity is not yet able to experience sexual intercourse. If you haven't been penetrated by a male reproductive organ then you are still a virgin. And to bleed or not to bleed is no longer relevant. The other comments had already explain a lot. If you are not satisfied with the provided information you can just research about it.
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I have miscarriage of one & half month baby by mifrostone medicine course. Now I have 10 month gone. I am not going to pregnant again. I tested no thyroid blood group of husband wife is b+ & not any same problem of my hubby. please recommend any thing who helps me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have miscarriage of one & half month baby by mifrostone medicine course. Now I have 10 month gone. I am not going t...
To get pregnant you need to have fallopian tubes patent which is checked by hsg test as you had one miscarriage before. Once the above test is normal, then treatment with clomiphene citrate is started with monitoring of egg. Tests which r done for you are useless and will not benefit u. It looks like probably you have gained weight so you might be suffering from pcod, which again can be diagnosed on sonography.
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I want to ask that I was pregnant till now my 9th month is finish as I told before only the baby is upper side of stomach what I have to do now and I have little bit stomach pain please tell me what I have to do.

Mbbs,, MS OBGY
Gynaecologist, Pune
I want to ask that I was pregnant till now my 9th month is finish as I told before only the baby is upper side of sto...
Follow your concern obstetrician advise. Keep daily fetal movement count. Weekly follow up. Position of baby depends on your birth canal, head diameter, water around baby, cord, placenta and many other things. So concerned obstetrician is best person who can comment at this moment.
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Suffering from pcod. Mujhe last year pta chala ki mujhe pcod hua h.main November se iske liye medicine le rahi hu mere cysts ka size bhi bhot kam ho gya tha but this month I am facing the same problem of not having period.

M.Phil - Psychology, BHMS
Homeopath,
Suffering from pcod. Mujhe last year pta chala ki mujhe pcod hua h.main November se iske liye medicine le rahi hu mer...
Hi, Don't worry. PCOD is curable with regular homeopathic treatment. But sedentary life is the maintaining cause. So be active. Exercise regularly to maintain a normal weight. Avoid junk food, fatty &fried foods, sweets. Consult near by homeopathic Dr. for treatment. Good luck.
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