Dr. Nidhi Agarwal is a Gynaecologist in DLF Phase 4, Gurgaon. Book Appointment, Consult Online, View Doctor Fees, Contact Number, User Reviews and Ratings for Dr. Nidhi Agarwal | Lybrate

Use barrier method i.e. Condoms now to avoid pregnancy. But the best contraceptive for a newly -wed is using oral contraceptive pills. So, go to a gynaecologist who will get a few tests done before prescribing you oral pills which are to be starte...

Hi
I am going to get married in next 5 days would like to understand about the safe precaution measure I and my husband can undertake to avoid early pregnancy.

Preventing Pregnancy

Give time to yourself as a couple. If your wife is less than 35 years of age, then you should follow the method of alternate day intercourse b/w 12th to 18th day of cycle for another 6 months. If still your wife doesn't conceive then you should pr...

We are trying to convince for last 5 month but no conception, my wife's period was regular between 27 to 30 day ,and we are trying to intercourse between 12 to 18 day alternate day. We are married 4 years ago. And use only condom. Pls suggested me.

Trying to Conceive

With all the treatment your wife has taken, it is sure that she must have had formed good and mature eggs and that is why your doctor must have given her HUCOG injection. So, don't stress. Trust your doctor and your wife will conceive in due cours...

My wife aged 25 years is suffering from PCOD problem. She is getting treatment from Gynecologist since 8 months. Nearly 10 tests have been done to diagnosis the exact problem like FSH, LH, TSH, Prolactin etc. And found results are within good limit. Still Eggs are not maturing due to multiple cysts around the ovary. She has been doing regular exercises, yoga etc. She is prescribed for Myocyst M tabs for 2 months twice daily. And after that, CCQ 100 tabs for D2 to D6 & Valest 2 tabs for D7 to D12 and USG (Ultrasound) suggested, which resulted good and provided Hucog HP 5000 injection. Again suggested for being in contact for next 5 days. What is the chance for her eggs maturation. Please suggest.

Living with Polycystic Ovarian Syndrome

Take cabgolin as advised by your doctor to lower your prolactin levels. Once it is in normal range and there are no other factors affecting your wife's fertility, she will conceive without any problem.

My wife suffers with vaginal infection .now it's almost cured with one year course. But prolactin level is high approx 25 .it keep fluctuating. She used cablogomin tablet as per Doctor prescription to lower prolactin. But is der any chances of baby conceive .I m too tense. IVF is possible or not in this case.

Maintaining Vaginal Health

No, please don't stop thyronorm. Go to your doctor who started with this medication and she/he will decrease the dose of thyronorm so that TSH remains less than 3.Nothing to worry.

My wife TSH was very high (9) during her 5th week of pregnancy and she has been prescribed with Thyronorm 88 Mcg. Now after taking the pills for last one and half month, her TSH level is extremely low (0.021), whether she need to stop the medicine.

Having a Healthy Pregnancy

Gurgaon

India

Haryana

DLF Phase 4, Gurgaon

Good morning, I m Dr Nidhi Agarwal, I am a consultant gynaecologist, based in Gurgaon. Now today I ll speak on Polycystic Ovarian Disease that is PCOD which is very common in women in recent years. PCOD actually occurs in young women. They usually present to us with irregularity with their periods. The ovaries in PCOD patients actually become bigger and denser. As the name suggests, poly means many that is many cysts are formed in the ovaries. This lady usually presents with a disruption in the normal menstrual cycle. Now, what happens in a normal lady who menstruates every month? There is one egg which is selected by nature which increases in size, and when it becomes bigger and appropriate in size, it is ruptured in the ovary which is then taken up by the Fallopian tube. And if it doesn t meet the sperm and pregnancy doesn t occur, then the lady menstruates. This should happen monthly up to 35 days. In PCOD patients, this natural selection of the egg every month doesn t occur. Instead, many small cysts are formed in the ovaries. So that is why there are many cysts formed in the ovaries, and then the patient does not have normal periods. That is why we say it a Polycystic Ovarian Disease. Now how does a patient of PCOD present to us? A patient of PCOD, if she is a young girl in her teens or in the early twenties, she usually comes to us saying that she is not having her monthly periods. She menstruates at one and a half months, two months, two and a half months, and when she menstruates, she usually has excessive bleeding with clots. If a lady is in her late twenties and has got married, and she is not able to conceive, then also the patient presents with the problem in conceiving. Also, there is usually an excess of hormones produced by the ovaries, that is an excess of estrogen as well as androgen which is the male hormones. The lady usually presents with male like pattern of hair growth that is hair growth on her chin on her face, around the nipples of her breasts, in her lower abdomen, especially over her thighs and she says that along with excessive hair growth, she has developed excessive acne and things also appear all over her scalp. These are basically because of an excess of androgens, which are the male hormones. This change in the hormonal value occurs because of Polycystic Ovarian Disease. Also, very often, patients come to us saying that she is gaining weight excessively. A patient comes and says that in the last 5 months, I have gained 10 kgs of weight. So patients usually present to us with symptoms of insulin resistance, in which there is overweight. Now, PCOD has actually become very common and patients who are as small as 11-12 years of age come to me, young girls presenting with PCOD. And the incidence is very very very high; 1 out of 10 women are now having PCOD. How do tackle this PCOD? See, there are three criteria which are very important. As I have told you, first is a presentation, that the lady is not ovulating, that is the egg which is formed every month is not released. Instead, multiple eggs multiple cysts form which we call in their ovaries. So, if the ultrasound shows that they are polycystic ovaries if the patient presents to us with less ovulation, or anovulation which we say which occurs when the patient is not having her regular periods, or there are signs of excess androgen that is male hormone with features of hirsutism. Then, out of these three, if two criteria are there in the lady someone is having PCOD. Very often patients ask me, Why do we, why am I suffering from PCOD? So if you ask me, there is no one particular cause which I can see, that this is the reason you have got. There are so many factors, it could be just genetic- your mother or sister has been suffering from PCOD, then your chances of having PCOD are always higher. There could just be low-grade information in her ovaries, which has disturbed the ovaries to an extent that it is releasing more of male hormones, making them bigger in size and that is causing the ovaries not to ovulate. Or it could just be because of obesity and high insulin levels. Again, because of high insulin in the body, it puts stress on the ovaries and they don t ovulate. So there are so many causes, you have to investigate the patient, there are a lot of investigations that have to be done and we can come to a diagnosis, it is possible. So, I ll just conclude by saying that PCOD is very very common nowadays. If you are having problems with your menstrual cycle, if you are gaining weight abnormally, if you have excessive hair growth anywhere which is not expected in females, face acne or hair loss, please do see us, see your local gynecologist, so if there is any problem, it can be sorted out in time. I m Dr Nidhi as I already told you, I am based in Gurgaon, and you can contact me for any queries for PCOD or its treatment at LivWell clinic which is at Galleria Market and also you can contact me through Lybrate. Thank you.

Good morning, I&rsquo;m Dr&nbsp;Nidhi Agarwal, I am a consultant <a href='https://www.lybrate.com/gynaecologist' target='_blank'>gynaecologist</a>,&nbsp;based in Gurgaon. Now today I&rsquo;ll speak on <a href='https://www.lybrate.com/lab-test/polycystic-ovarian-disease-panel/health-feed' target='_blank'>Polycystic</a> Ovarian Disease that is PCOD which is very common in women in recent years.

PCOD actually occurs in young women. They usually present to us with irregularity with their periods. The ovaries in PCOD patients actually become bigger and denser. As the name suggests, &lsquo;poly&rsquo; means many that is many <a href='https://www.lybrate.com/topic/cysts' target='_blank'>cysts</a> are formed in the ovaries. This lady usually presents with a disruption in the normal menstrual cycle.

Now, what happens in a normal lady who menstruates every month? 

There is one egg which is selected by nature which increases in size, and when it becomes bigger and appropriate in size, it is ruptured in the ovary which is then taken up by the Fallopian tube. And if it doesn&rsquo;t meet the sperm and <a href='https://www.lybrate.com/topic/pregnancy' target='_blank'>pregnancy</a> doesn&rsquo;t occur, then the lady menstruates. This should happen monthly up to 35 days. In PCOD patients, this natural selection of the egg every month doesn&rsquo;t occur. Instead, many small cysts are formed in the ovaries. So that is why there are many cysts formed in the ovaries, and then the patient does not have normal periods. That is why we say it a Polycystic Ovarian Disease.

Now how does a patient of PCOD present to us? 

A patient of PCOD, if she is a young girl in her teens or in the early twenties, she usually comes to us saying that she is not having her monthly periods. She menstruates at one and a half months, two months, two and a half months, and when she menstruates, she usually has excessive <a href='https://www.lybrate.com/topic/bleeding' target='_blank'>bleeding</a> with clots. If a lady is in her late twenties and has got married, and she is not able to conceive, then also the patient presents with the problem in conceiving. Also, there is usually an excess of hormones produced by the ovaries, that is an excess of estrogen as well as androgen which is the male hormones. The lady usually presents with male like pattern of <a href='https://www.lybrate.com/topic/hair-growth' target='_blank'>hair growth</a> that is hair growth on her chin on her face, around the nipples of her breasts, in her lower abdomen, especially over her thighs and she says that along with excessive hair growth, she has developed excessive acne and things also appear all over her scalp. These are basically because of an excess of androgens, which are the male hormones. This change in the hormonal value occurs because of Polycystic Ovarian Disease. Also, very often, patients come to us saying that she is <a href='https://www.lybrate.com/topic/gaining-weight' target='_blank'>gaining weight</a> excessively. A patient comes and says that in the last 5 months, I have gained 10 kgs of weight. So patients usually present to us with symptoms of <a href='https://www.lybrate.com/topic/insulin-resistance' target='_blank'>insulin resistance</a>, in which there is overweight. Now, PCOD has actually become very common and patients who are as small as 11-12 years of age come to me, young girls presenting with PCOD. And the incidence is very very very high; 1 out of 10 women are now having PCOD. 

How do tackle this PCOD?

See, there are three criteria which are very important. As I have told you, first is a presentation, that the lady is not ovulating, that is the egg which is formed every month is not released. Instead, multiple eggs multiple cysts form which we call in their ovaries. So, if the <a href='https://www.lybrate.com/topic/ultrasound' target='_blank'>ultrasound</a> shows that they are polycystic ovaries if the patient presents to us with less ovulation, or anovulation which we say which occurs when the patient is not having her regular periods, or there are signs of excess androgen that is male hormone with features of <a href='https://www.lybrate.com/lab-test/hirsutism-profile' target='_blank'>hirsutism</a>. Then, out of these three, if two criteria are there in the lady someone is having PCOD.

Very often patients ask me, &lsquo;Why do we, why am I suffering from PCOD?&rsquo; So if you ask me, there is no one particular cause which I can see, that this is the reason you have got. There are so many factors, it could be just genetic- your mother or sister has been suffering from PCOD, then your chances of having PCOD are always higher. There could just be low-grade information in her ovaries, which has disturbed the ovaries to an extent that it is releasing more of male hormones, making them bigger in size and that is causing the ovaries not to ovulate. Or it could just be because of <a href='https://www.lybrate.com/topic/obesity' target='_blank'>obesity</a> and high insulin levels. Again, because of high insulin in the body, it puts <a href='https://www.lybrate.com/topic/stress-disorder' target='_blank'>stress</a> on the ovaries and they don&rsquo;t ovulate.

So there are so many causes, you have to investigate the patient, there are a lot of investigations that have to be done and we can come to a diagnosis, it is possible. So, I&rsquo;ll just conclude by saying that PCOD is very very common nowadays.

If you are having problems with your menstrual cycle, if you are gaining weight abnormally, if you have excessive hair growth anywhere which is not expected in females, face acne or <a href='https://www.lybrate.com/topic/hair-loss' target='_blank'>hair loss</a>, please do see us, see your local gynecologist, so if there is any problem, it can be sorted out in time. I&rsquo;m Dr Nidhi as I already told you, I am based in Gurgaon, and you can contact me for any queries for PCOD or its treatment at LivWell clinic which is at Galleria Market and also you can contact me through <a href='https://www.lybrate.com/lab-test/free-doctor-consultation-on-lybrate/health-feed' target='_blank'>Lybrate</a>.

Thank you. 
&nbsp;

Polycystic Ovarian Syndrome (PCOS)

She has been a successful Gynaecologist for the last 15 years. She has completed MBBS, MD - Obstetrtics & Gynaecology. Book an appointment online with Dr. Nidhi Agarwal on Lybrate.com. Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. Find the best Gynaecologists online in gurgaon. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Nidhi Agarwal

Kamna Fertility & IVF

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.

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Dr. Nidhi Agarwal - Book Appointment, Consult Online, View Fees, Contact Number, Feedbacks | Gynaecologist in Gurgaon

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Dr. Nidhi Agarwal

Kamna Fertility & IVF

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