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Dr. Joti Yadav

Gynaecologist, Gurgaon

100 at clinic
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Dr. Joti Yadav Gynaecologist, Gurgaon
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Joti Yadav
Dr. Joti Yadav is an experienced Gynaecologist in New Gurgaon, Gurgaon. She is currently associated with Kamla Hospital in New Gurgaon, Gurgaon. You can book an instant appointment online with Dr. Joti Yadav on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 25 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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Hindi

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Kamla Hospital

Sec -10, Nr Radha Swami Sant Sang Bhawan, GurgaonGurgaon Get Directions
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Recently I tried to mate with my girlfriend, it was her first time, she had terrible pain, due to that she stopped me. Is that any problem with her. Please advice me how to make it easy for her.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
It completely natural.. it always happens for first time.spend more time on foreplay to make her more excited and comfortable
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Why I have vaginal infections daily. At least one year .I consult more than three times. But it's not cure. It come soon. Is it yeast infection. White.yellow. Cheese type. Itching.I have.

DNB - Obstetrics & Gynecology, DGO, MNAMS - Obstetrics & Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Mumbai
Oh dear. Seems chronic take the FAS 3 kit and a full course of fluconazole and you should be sorted.
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Ayurvedic Treatment for Dysmenorrhea

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Ayurvedic Treatment for Dysmenorrhea

A three month therapy of ayurvedic medicines can cure your menstural cramps and associated problems.
Tips.
1. Ayurvedic medicines
2. Hot fomentation
3. Clove tea
4. Warm oil massage

2 people found this helpful

I am 27 year old married woman. I want a baby, I am trying since 6-7 months. But couldn't conceive. I am frustrated. please tell me what medicine or vitamins I should take to get pregnant fast.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
I am 27 year old married woman. I want a baby, I am trying since 6-7 months. But couldn't conceive. I am frustrated. ...
Please read the following article Introduction When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”. What is needed for pregnancy? In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina. In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm. It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy. Thus, to summarise, pregnancy requires 1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes 2.Transport of these sperms through the sperm conducting ducts from testes to penis 3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina 4.Transport of these sperms from vagina through cervix to the uterus and the tubes 5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries 6.Pick up of the eggs by the tubes 7.Approximation of eggs and the sperms to form the embryo 8.Transport of embryo from the tubes into the uterus 9.Acceptance of the embryo by the uterus and its growth What is Infertility? Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor. It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%. The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage. What causes Infertility? Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned. Thus the common causes may be 1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes. 2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress. 3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out. Treatment of Infertility To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress. In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.
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Breast Cancer - Know More to Say 'No' More!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Breast Cancer - Know More to Say 'No' More!

Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer – breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

  1. A lump in either of the breasts or armpits
  2. Change in size, shape, or contour of either breast
  3. Redness of your breast or nipple
  4. Discharge of clear or bloody fluid
  5. Thickening of breast tissue or skin that lasts through a period
  6. Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
  7. One area on the breast that looks very different from the other areas
  8. Hardened area under the breast skin

Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

  1. Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
  2. Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
  3. Age: Women over 50 are at higher risk of developing breast cancer.
  4. Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
  5. Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
  6. Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
  7. Obesity and alcohol abuse are also likely to increase a woman’s chances of developing breast cancer.

Stages: Starting from stage 0, higher stages indicate advanced disease.

  1. Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
  2. Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
  3. Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
  4. Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
  5. Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

  1. Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
  2. In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
  3. Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
  4. Ultrasound screening can also be given in addition to mammograms.
  5. Breast MRI is another way to screen for breast cancer if the risk is greater.

Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

  1. Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
  2. Tamoxifen is used in women who are at high risk for breast cancer.
  3. Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
  4. In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.

2622 people found this helpful

Sensory Integration Therapy with Sensory Issues - What To Expect

Bachelor of Occupational Therapy (BOT), Master of Occupational Therapy (MOT)
Occupational Therapist, Gurgaon
Sensory Integration Therapy with Sensory Issues - What To Expect

Sensory integration therapy has been specially designed to assist children who are facing issues in processing sensory information. As a part of this therapy, children undergo repetitive exercises that helps them to experience touch and other sensations more accurately. Sensory integration therapy aims to adjust the way children respond to physical sensations.

Autism's symptoms include difficulty in processing sensory information, such as textures, smells, brightness, sounds, tastes and movement. These difficulties can make ordinary situations feel overwhelming and interfere with daily function leading to isolation of individuals and their families.

Sensory integration therapy uses play activities designed to check how the brain reacts to sight, touch, movement and sound. Some children experience an overload of sensory information and are hypersensitive to certain types of stimulation. When they have sensory overload, their brains have difficulty in processing or filtering many sensations at once. On the contrary, other children are under sensitive to some kinds of stimulation, which means that they do not process sensory messages quickly or efficiently. These children struggle to understand, respond and organize to the information they take in from their surroundings and finally get isolated from their surroundings. The therapy is designed for children with sensory processing issues, including dyspraxia, ADHD, autism and spectrum disorder. It might also be used with young children who show signs of developmental delay.

Sensory integration therapy is fun for kids because it resembles playtime. It is done in a specially designed setting where kids are required to play with balls of different sizes, textures and weights. Sessions involve playing with clay and other materials. Children are asked to bounce, swing or spin on special equipment.

The therapist gradually makes these activities more challenging and complex. The therapy exposes children to sensory stimulation in a structured, repetitive manner. This is based on the theory that the brain will adapt and allow them to process and react to sensations more efficiently in the due course of time. Sensory integration therapy is provided by occupational therapists certified in sensory integration, which effectively means that therapist can plan strategies for use in therapy sessions to help a child with sensory issues. As therapists may only see a child an hour or two a week, therapy extends into the home and in school in form of a sensory lifestyle. Caregivers work with therapists to create a detailed schedule of therapies specific to each child, which may require adaptations to make the home such as creating quiet spaces and reducing visual clutter, are often suggested.

There's no harm in having ones child try sensory integration therapy. But one must be aware that there may be more effective ways to help the child with sensory issues. The protagonists of this therapy claim that it can help kids learn and pay attention in a more efficient manner.

Hello sir, Could I insert my penis into my wife's anus? Is their any problem in this.

B.A.M.S
Ayurveda, Mandsaur
Dear Mr Rehman,in India ,we dont prefer and advise anal sex,because practically it is very pain ful.I will advise to avoid anal sex.
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I am pregnant for 45 days and it's in the early stage of pregnancy. Whether it is safe to travel by two wheeler and train during this period. Whether having sex with my husband is safe during this period. For how many month it is critical to do physical works.

MD
Gynaecologist, Mumbai
I am pregnant for 45 days and it's in the early stage of pregnancy. Whether it is safe to travel by two wheeler and t...
If the preg is ok acoid bad roads and safe travel is always better the safe period of hAVING SEX IS UPTO 28-30 WEEKS BUT MUST CHECK WITH GYN RE PROBLEMS IF ANY.
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I am 32 weeks 4 days pregnant. There has been a 2 days lag in the growth of the baby and my gynecologist suggested a doppler along with usg. The usg today shows 33 weeks 1 day growth of the baby. But the fetal renal pelvis is mildly prominent and also there's an absence of diastolic blood flow in MCA. Can I please know how this affects the baby. Thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 32 weeks 4 days pregnant. There has been a 2 days lag in the growth of the baby and my gynecologist suggested a ...
Hi lybrate-user, your baby is having growth retardation, dilated renal pelvic is not measure issue it can be managed after delivery. Absent diastolic flow is indicative towards early delivery, please visit gynaecologist for internal examination and plan delivery as per finding also make sure that you will receive steroid injection for baby's lung maturation. Wish you good luck!
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I Took menofit plus to induce my period last month. I took 4 hot which were all negative. No intercourse in September and october. My periods should have started on 22nd October and I am 3 days late now. I have no problem . Can I be pregnant even after getting periods induced by menofit plus.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I Took menofit plus to induce my period last month. I took 4 hot which were all negative. No intercourse in September...
Yes it's possible to get pregnant if periods are normal with medicine but no medicines once you confirm pregnancy.
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