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Dr. Manika

Gynaecologist, Gurgaon

400 at clinic
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Dr. Manika Gynaecologist, Gurgaon
400 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Manika
Dr. Manika is a renowned Gynaecologist in Sector-29, Gurgaon. Doctor is currently practising at BHARDWAJ HOSPITAL in Sector-29, Gurgaon. You can book an instant appointment online with Dr. Manika on Lybrate.com.

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.

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English
Hindi

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BHARDWAJ HOSPITAL

NH-1, Noida Sector-29.Landmark: Opp. Ganga Shopping Complex, And Opp.Botanical Gardens Metro Station, GurgaonGurgaon Get Directions
400 at clinic
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Early Puberty: Causes and Effects

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
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Puberty
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.

Thank you
 

3718 people found this helpful

Hi Sir, Period shuru hone ke 2 se 4 din pahle sex karne se pregnancy ho sakti hai kya.

BHMS
Homeopath, Hooghly
Nahi period suru hone k 2-4 din pehle sex karne se pregnancy ka koii khatra nahii rehta haii, wohh safe period hota hai.

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.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello sir,  I am having a serious problem. I wants a baby now. But Its not happening though I am trying since 3 years...
Since you have been trying for three years and not conceived, so there might be some problem with you or your wife. Also you told that your wife's cycle is not regular, it can also be one of the reasons that you are not able to conceive. So to find out the exact cause you need to get these tests done:- lh fsh tsh prolactin amh usg for antral follicle count and pelvis and husband semen analysis.
1 person found this helpful

How To Tackle PCOS Naturally

MBBS, DGO
Gynaecologist, Pune
How To Tackle PCOS Naturally

Women with pcos (polycystic ovarian syndrome), are researched to be at a greater risk for heart diseases, obesity, diabetes and infertility.

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.

7 people found this helpful

Hello doctor my AMH is 0.03 is there any chance to get pregnant please suggest me.

MBBS, DGO, MD - Obstetrtics & Gynaecology
Gynaecologist, Chennai
Hello doctor my AMH is 0.03 is there any chance to get pregnant please suggest me.
Dear Ms. lybrate-user, Thanks for your enquiry. Check for your other hormonal analysis and go for Follicular Study and take medicines to improve your ovarian reserve.
1 person found this helpful

I am 24 year old female. From I'm facing issues during my menstrual cycle. When I go to washroom in my periods I can see some fibroids with urine passing from by bladder. What should I do?

MBBS, DGO, DNB
Gynaecologist, Noida
I am 24 year old female. From I'm facing issues during my menstrual cycle. When I go to washroom in my periods I can ...
Actually urinary tract and vagina are very close so during washroom you may feel that you r passing bloody urine when actually it is menstrual blood. So nothing wrong and don't worry.

I am 21 years old. I am female. I am suffering from vaginal itching, redness, swelling and some discharge also for last few days. Give me suggestion or medication to remove this problem.

MD - Homeopathy, BHMS
Homeopath, Vadodara
HI Sonali... it can be a fungal infection and should be treated properly... don't take random medicines .. you can consult me through lybrate ....

Hi my wife missed the period and she has PCOD problem and when we check HCG it is showing 8.36. Can anyone please suggest whether she is a pregnant or not.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrtics & Gynaecology
Gynaecologist, Bhubaneswar
Hi my wife missed the period and she has PCOD problem and when we check HCG it is showing 8.36. Can anyone please sug...
Hcg at 8 is quite low to establish pregnancy, but repeat the test after 7 days and do an ultrasound to rule out pregnancy after 7 days.
3 people found this helpful
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