Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 29 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.
Book Clinic Appointment with Dr. Manika
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. ManikaYour feedback matters!
Hi, I am Dr IPS Kochar, a pediatric endocrinologist. I’m going to talk about puberty, precautions puberty or early puberty.
Puberty is a time when the child is growing in height and weight along with some feature which comes when a child matures. Now there are conditions when a child starts getting early features. If a girl starts getting breast before the age of 8 or if a boy whose testicle volume increases more than 4 ml before 9 years of age, these children are getting into early puberty. A girl if she starts getting pubic and underarm hair before the age of 8 body odour or there are lots of behavioural changes or she suddenly shot up in height. This child may be having early puberty. So these are the symptoms concerned in a girl.
In boys the testicle volume increases more than 4 ml, increase in height velocity, 6 to 8 to 10 cms in 1 year, hair on the lips and the arm, an underarm or pubic area in less than 9 years of age, behavioural changes, mood swings, the appearance of acne. The child may be going through early puberty or precautious puberty. These things they must keep in mind because there will be a change in growth pattern. Initially, the child will grow more but later the growth will be stunted. The child will not grow up to his final height. If these points are there one should be very careful. if there is early puberty you can always go to the doctor, examine the child. So, if a girl is having breasts before the age of 8 one should definitely find out what is happening with the child and same in a boy if there is an increase in testicle volume or breaking of voice or hair anywhere in his body you should always consult a doctor. There are certain specific tests which are done where lS and FSH when they can only make a diagnosis.
In a girl, you can go for ultrasound and in a boy, you can go for MRI as to know why it is happening. These are certain things that you should keep in mind especially if the boy is having breaking of voice pubic hair armpit hair, appearance of acne one should definitely go and find out what is happening. So in a girl if there is budding of breast, pubic hair and mood swings you should definitely find out what’s happening. Girls are getting early menarche at 9 and a half years and the growth is less.
So if your child has any of these symptoms you should see a pediatric endroconologist. I’m available at lybrate.com or you can come to my clinic.
Hi I am bagya. Married 11 month ago. I am taking a infertility treatment like. They check my hormone level and uterus and tube tests ,after my periods. Then they inject hcg.in 12 th day. Every alternative day they are checking my follicles size 16 th day my overy egg will be ruptured releasing fluid after that 19 th day we in relationship (becoz my hus in another country) this time is correct for relationships and I had any chance for conceiving.
Hello sir, I am having a serious problem. I wants a baby now. But Its not happening though I am trying since 3 years to conceive my wife. What may be the reasons? The cyclic period of my wife keeps on changing. Some time 15 days, 25 days, 40 days even. Other than that we don't have any problem. Please give me all possible suggestions regarding this matter.
A few dietary guidelines to combat pcos
Try to select lower glycemic index foods such as whole grains (jowar, bajra, whole wheat, green vegetables, etc) as they will cause a slower rise in blood sugar levels. For example, oat flakes or wheat daliah (10 gm fiber/1/2 cup) has a lower glycemic index than cornflakes (1 gm fiber/1/2 cup. Simply put, add fiber in your diet by selecting wheat breads over white breads, wheat rotis over rice or maida naans, fresh fruits over fruit juices.
Do cut down your carbohydrate levels so low that you induce ketosis. Try to space the carbohydrates evenly through the day and eat small and frequent meals rather than 3 large meals.
Restrict intake of those carbohydrates that trigger more hunger or cravings (i. E. Refined sugar, sweets, candies or chocolates which triggers craving for some people). Choose dates or honey to meet your sugar cravings.
Suggested vitamin/ mineral supplements: taking calcium 1000 mg - 1500 mg (take two - three 500 mg pills a day as prescribed but be sure to space them out as you can only absorb 500 mg at a time). You may also add a multivitamin with minerals like folic acid, especially so, if you are trying to get pregnant.
Drink at least 8-10 glasses of water per day as a high fiber carbohydrate intake can cause dehydration.
For heart health, limit foods high in saturated and trans-fats (i. E, whole milk and products, butter, red meat, fried foods, rich desserts, etc.). Select mainly monounsaturated fats (i. E. Olive oil, canola oil, nuts) and omega 3 fats -fatty fish (such as bangda, rohu, sardines, and surmai), flaxseed, and nuts as these fats are heart friendly. Exercise on a regular basis to lose weight and improve insulin response.