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Dr. Nirmala

Gynaecologist, Gurgaon

500 at clinic
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Dr. Nirmala Gynaecologist, Gurgaon
500 at clinic
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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. Nirmala
Dr. Nirmala is one of the best Gynaecologists in Sector-29, Gurgaon. You can consult Dr. Nirmala at Umkal Hospital in Sector-29, Gurgaon. You can book an instant appointment online with Dr. Nirmala on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 37 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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Umkal Hospital

Plot No A-520,Esco Chowk,Sushant Lok Phase 1. Landmark: Near Iffco Metro Station, GurgaonGurgaon Get Directions
500 at clinic
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I had 2 ultrasound for my abdomen.in January I was diagnosed with 3.1 x 2.5 cm follicular cysts right ovary. And in august I was diagnosed with 41x35 mm right ovarian cyst. Please suggest if its dangerous as im planning for pregnancy now.

MBBS, DGO
Gynaecologist, Sirohi
I had 2 ultrasound for my abdomen.in January I was diagnosed with 3.1 x 2.5 cm follicular cysts right ovary. And in a...
Size of ovarian cysts are increasing. Firstly get treatment for their suppression. Than go for infertility treatment. Otherwise they may increase if take infertility treatment right now.
1 person found this helpful
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Madam, Me & my fiance in trouble please suggest us earlier. We have do sex on 14th & my menstrual date on 18th, we do sex without protection. Have any chance to conceive? What we will do right now?

BAMS
Ayurveda, Ambala
Madam, Me & my fiance in trouble please suggest us earlier. We have do sex on 14th & my menstrual date on 18th, we do...
Dear, the chances of conception are very less. Because you have done intercourse in the safe period. So you do not need to do anything now but if periods will not come upto 19-20 then you should take contraceptive pills.
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REPORTING PLATELET COUNTS IN DENGUE – MANUAL OR AUTOMATED ? Which is more reliable ?

MD - Pathology
Pathologist, Noida
REPORTING  PLATELET COUNTS IN DENGUE – MANUAL OR AUTOMATED ? Which is more reliable ?
 Platelets are the smallest type of blood cells. They are important in blood clotting. When bleeding occurs, the platelets swell, clump together, and form a sticky plug that helps stop the bleeding. If there are too few platelets, uncontrolled bleeding may be a problem.
In the current season, dengue is not the only cause of decrease in platelet counts. Other causes like malaria, other viral infections, Vitamin B12 and folate defiiency etc can also cause reduction in platelet counts. That said, dengue patients may also clinically present without any decrease in platelet counts.

It is well-known that thrombocytopenia ( reduction in platelet counts) is one of the critical parameters in patient management. Therefore, it is very important that laboratories assess platelet counts with utmost accuracy. The normal range of platelet count in a healthy adult individual is 150000 - 400000/μL. Babies and children have different reference ranges.compared to adults Therefore please check on the lab report for normal age wize reference range. A count of 1.5 lacs would be considered as normal in adults but would qualify as decreased count in a child.

Platelets can be counted either on automated machines( automated method) or on manual blood smear by pathologist.(manual method).

Generally hospitals and laboratories measure platelet counts on automated hematology analyzers- as .these are simple to use and give fast results.However, they suffer from a very big disadvantage. This disadvantage is based on the principle on which these machines work.The machines are programmed in such a manner that any blood particle falling within a predermined size range is counted as platelet and above this range is counted as red cell(RBC – which contains hemoglobin and is responsible for red colour of blood).Although this concept works well in majority of cases, but machine readings are seldom reliable , especially when platelet counts are below 30,000/ cmm. Giant platelets will be counted as RBCs and the machine will give a factitiously low reading of platelets. - Again , if the sample has not been properly mixed at the time of collection, platelets will stick and form clumps. Again the size of these clumps will be more than that of individual platelets and machine will count these as RBCs , thus give a falsely low platelet count. Also, if the sample is collected in a periphery and takes a lot of time to reach the main lab , by this time the platelets would have swelled up due to presence of additives in the blood tube, and not be counted in platelets.but as RBCs instead. (due to size factor)
So what is the solution, ?
All such cases, where platelets are reported low on analyzers, must be screened on peripheral smear by pathologist. Only on looking at the peripheral smear , will the pathologist be able to confirm whether the platelet counts are actually low or not.

Summary : The analyzer is reliable in majority of cases . However, for all cases with low platelets, manual screening by a pathologist is must for confirmation and to avoid unnecessary panic and unrequired platelet transfusions.
176 people found this helpful

When will I feel that my baby is delivery position? I am 9th month pregnant. Tell me the symptoms of labour is near.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
When will I feel that my baby is delivery position? I am 9th month pregnant. Tell me the symptoms of labour is near.
Pre-labor: One to four weeks before labor Your baby “drops” Your cervix dilates. You feel more cramps and increased back pain. Your joints feel looser. You have diarrhea. You stop gaining weight (or lose pounds) You feel extra-tired. Or you have an urge to nest. Your vaginal discharge changes color and consistency.
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My 20 week fetus has been diagnosed with cdh and dextrocardia. His stomach is on the left and heart on the right. His lhr ratio is 0.91 please advise me what should I do now. I conceived this through ivf I know its tough decision so I m confused what to do. Some doc says they aren't sure and can't say till birth all depends on how pregnancy proceeds please advise me on what best to do.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
checkup with a cardiologist, since having an abnormal child will give more suffering then pleasure and also think of child' life. How child will grow. Let the cardiologist check and give opinion, be realistic. You will be blessed with healthy child again, you r still young.
3 people found this helpful
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Health benefits of honey.
25 people found this helpful

Hi sir/madam Am 3 months pregnant and have craving of having a soft drink such as pepsi ,sprite or thumsup. Is it harmful for me and my foetus.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Hi sir/madam
Am 3 months pregnant and have craving of having a soft drink such as pepsi ,sprite or thumsup. Is it har...
Many women craves soft drinks during pregnancy. But it is not healthy to drink it. One, it contains high amount of sugar which will absorb more water in the womb. Two, caffeine which is also not good. If you have such craving you can instead drink fresh fruit juices which are more healthy, contain natural sweetness and vitamins.
1 person found this helpful
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I had an unprotected sexual relation with my husband on my 8th day of menstrous cycle which is repeating with in 30 days. I thing there is no chance to get pregnant. Is'nt it?

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
I had an unprotected sexual relation with my husband on my 8th day of menstrous cycle which is repeating with in 30 d...
What do you mean by" repeated with in 30 days. Is it 30 days cycle or +/-- 30 days. You have to very clear about it. 8th day is borderline, can fall on either side i. E. Can fall under fertile / safe phase depending on duration of cycle i. E. 28 days/30 days. So don't take any chance and give full detail including your lmp (date of last menstrual period) so I can help you.
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Dr. I am a girl of 21 years old I was married in small age I was married in 20 years last days an suffering from allot of pain in my left stomach side when I go to the toilet for the urine the pain becomes increasing when I intimated with my hubby the pain is increasing so what to do please suggest me medicine for decrease my pain.

BAMS, MD - Ayurveda
Ayurveda, Thane
Dr. I am a girl of 21 years old I was married in small age I was married in 20 years last days an suffering from allo...
Check urine routine You may be suffering from urine infection. Take Tab: Chandraprabha 2---------2 Syrup: Ushirasav 3tablespoon 2 times.
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