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Dr. P Kalra

Gynaecologist, Gurgaon

Dr. P Kalra Gynaecologist, Gurgaon
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. P Kalra
Dr. P Kalra is a popular Gynaecologist in New Gurgaon, Gurgaon. You can consult Dr. P Kalra at Dr P Kalra's Clinic in New Gurgaon, Gurgaon. You can book an instant appointment online with Dr. P Kalra on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 27 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.

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B-644, Sushant Lok, Phase-I,GurgaonGurgaon Get Directions
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Having sex with elder woman cause any problems? Condom or pills is more protective?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Having sex with elder woman cause any problems? Condom or pills is more protective?
No it does not depend on age, problem depends on sexual partner having sexually transmitted diseases. Pills are more protective for pregnancy but condoms more protective for sexually transmitted diseases.
1 person found this helpful
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Recently I tried anal with my gf with baby oil, since then she's complaining that her pain is increasing, she feels burning down there, what went wrong please help.

MBBS
General Physician, Mumbai
She might have developed fissure in ano and hence she is complaining pain and anal sex is an unnatural way of performing this activity
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Will doctor say if I am pregnant by checking my body because my urine pregnancy test kit said negative. I have my regular periods and thyroid is normal and also prolactin is also normal. No periods for 7 days. So If I go to the doctor and will they be able to the result.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Will doctor say if I am pregnant by checking my body because my urine pregnancy test kit said negative.
I have my reg...
Yes an experienced gynaecologist can ascess by the size of uterus, but it is always advisable to get your betahcg done to confirm pregnancy. And if no periods for more than 15 days, an ultrasound lower abdomen should be done along with a few more tests like thyroid etc. Should you need any further information or advice you may get back to us.
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Miscarriage and Tips to Ensure a Healthy Conception

DGO, MBBS
Gynaecologist, Delhi
Miscarriage and Tips to Ensure a Healthy Conception

 

Miscarriage refers to a pregnancy that has ended prematurely, within 20 weeks. Research shows that around 10-25% of all clinically recognized pregnancies end in miscarriages. Chemical pregnancies cause 50-75% of all miscarriages. The condition happens when a pregnancy is lost not long after implantation, bringing about bleeding that happens around the time of her normal period. The woman may not understand that she has conceived when she encounters a chemical pregnancy.

The normal period where miscarriages are expected to occur is during the first 13 weeks of pregnancy. While pregnancy can be an overwhelming and exciting experience, it is beneficial that the woman keeps herself informed about the possibilities of miscarriages.

Some types of miscarriage are:

  • Threatened Miscarriage
  • Inevitable or Incomplete Miscarriage
  • Complete Miscarriage
  • Missed Miscarriage
  • Recurrent Miscarriage
  • Blighted Ovum
  • Ectopic Pregnancy
  • Molar Pregnancy

Symptoms:
In case of any of the following signs, the doctor should be consulted immediately,

  • Mild to Severe Pain
  • White-Pink Mucus
  • Weight Loss
  • True Contractions
  • Sudden Decrease in Signs of pregnancy
  • Tissue made of clot-like material passing from the vagina
  • Bright red or Brown bleeding with or without cramps
  • Investigations

Ultrasound:

  • The majority of women will require a transvaginal ultrasound (TVS) and 98% of complete miscarriages can be diagnosed in this way.
  • If a transvaginal ultrasound scan is unacceptable to the woman, then a transabdominal ultrasound scan should be offered and the woman should be made aware of the limitations of this method of scanning.
  • If there is no visible heartbeat then a second scan should be performed. This is either done at a minimum of 7 or 14 days, depending up the measurements of the crown-rump length or the mean gestational sac.
  • Be aware that a woman with a pregnancy of unknown location may have an ectopic pregnancy.
  • Serum hCG
  • Serum hCG tests can help to exclude an ectopic pregnancy in women with a complete miscarriage (or pregnancy of unknown location), determined by ultrasound.
  • Serial tests are required but results should complement clinical assessment and not replace it. Two tests are taken as close as possible to 48 hours apart:
  • >63% increase suggests ongoing pregnancy.
  • >50% decrease suggests pregnancy is unlikely to continue.
  • A woman with results between these parameters should be reviewed in the EPAU withing 24 hours.
  • Slow doubling times are associated with miscarriage and declining values have high sensitivity of 93-97% in diagnosing a complete miscarriage[1].
  • Rare causes of a raised hCG should also be borne in mind, including gestational trophoblastic disease or cranial germ cell tumour, which must be considered.

Progesterone

One meta-analysis has shown that a single low progesterone measurement for women in early pregnancy, presenting with bleeding or pain and inconclusive ultrasound assessments, can rule out a viable pregnancy. However, a very low serum progesterone can be seen in normal viable pregnancies, so progesterone should not be used as the definitive diagnostic test without other evidence.

Management

  • Admission to hospital can be avoided in 40% of women with threatened or actual early pregnancy loss.
  • Following a miscarriage, all women should have access to support, follow-up and formal counselling when necessary.
  • Anti-D rhesus prophylaxis (250 IU) should be offered to all rhesus-negative women who have a surgical procedure to manage a miscarriage.
  • However, anti-D rhesus prophylaxis does not have to be given to those women who:
  • Receive solely medical management for an ectopic pregnancy or miscarriage.
  • Have a threatened miscarriage.
  • Have a complete miscarriage.
  • Have a pregnancy of unknown location.
  • Women need evidence-based information to guide their decisions, as well as access to support and counselling; leaflets, web addresses and helpline numbers for support organisations should be offered to all women experiencing miscarriage.
  • There is no evidence to support a couple delaying attempts to conceive following a miscarriage.

Treatment:

The main purpose of treatment is to prevent haemorrhage and infection. It is common that the body expels all the fetal fluid during the earlier stages of the pregnancy. In case it doesn t, a procedure known as D&C (Dilution & Curettage) is performed to remove the fluid and prevent infection.

Since most miscarriages occur due to chromosomal abnormalities, nothing significant can be done to prevent them.

Tips to be taken to ensure a healthy conception are:

  • Regular Exercise
  • Stress Management
  • Daily consumption of folic acid
  • Not smoking

 

5 people found this helpful

I am having vaginal infection 9 months back but after that I started having rashes on vaginal lips which keep on coming on and off now. It is more than 9 months but it is not going. Have taken docxycline, azrthoymicin and using mometae and fuisidum for 14 days bit relief but not totally cured.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, yOu are likely suffering from fungal infection and hence not getting cured with antibiotics, so please get a vaginal swab culture done.
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MBBS, MS OBSTETRICS & GYNAECOLOGY, DNB OBSTETRICS & GYNAECOLOGY, MRCOG PART1, PGDMLS
Gynaecologist, Thane
Females over age of 40 years should include sono mammography in their routine health check up. For those who do not have a positive family history or other risk factors with previous normal mammography report, it can be done every 2yrly. For those with positive family history or having history of lump/ cancerous lump of one breast should do it every yearly. It helps to pick up lesions well in advance and females can be cured of the problem permanently with regular follow up thereafter. Self breast examination should be practiced by all females of any age. Report to general surgeon or oncosurgeon preferably if you notice any lump on either side or in axilla, at the earliest. Ca breast is the most common cancer in females worldwide. But if picked up early, they can continue to live normal life and enjoy.

Hi I am 24 years recently married missed my periods but preganews test done twice showing negative please guide also what to do if pregnant we are not planning baby for next 3 years.

MICOG, MS, MBBS
Gynaecologist, Delhi
Hi I am 24 years recently married missed my periods but preganews test done twice showing negative please guide also ...
Urine preg test is a very reliable test and if it is neg you're not pregnant, but for 100% sure get a lower abdomen scan then medicine for period
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Can girl get conceive/pregnant if she have no periods from last 2 year. Please advise.

DGO, MBBS
Sexologist,
Can girl get conceive/pregnant if she have no periods from last 2 year. Please advise.
Yes if she does sex then she can become pregnant though chance is less. But she must do tests to know the cause of absent periods for 2 yrs.
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I am 26 years old female. I got c-section delivery before 8 months I gave breast feeding to my male baby. I got malaria fever I stopped feeding for one month I do not have milk now again I want milk supply what can I do pls.

Diploma in Child Health (DCH), MBBS
Pediatrician, Mumbai
Hi lybtrate user, even if you are not getting milk that's ok. You can start the baby with semisolid food and slowly you can give her solid food.
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She has participated in sex with me many times but she never got pregnancy. Can I have your suggestions?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Bangalore
She has participated in sex with me many times but she never got pregnancy.
Can I have your suggestions?
Are her cycles regular or not? when she is planning to concieve she should not eat papaya and pineapple. You should have intercourse between 10 to 20 th day of cycle on alternate days. If she is not able to concieve for 6 mths. Both of you should meet a gynaecologist.
2 people found this helpful
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I had taken i-pill last month. Now the date of my periods had came. But it doesn't bleeds. Is there any problem.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had taken i-pill last month. Now the date of my periods had came. But it doesn't bleeds. Is there any problem.
Hello, The scanty bleed can be due to ipill itself but its better to rule out pregnancy anyhow with serum beta hcg test.
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My friend is worried about her married life she has a relation with her boyfriend. And her vagina is so loose so what can she do. Plx help her. Suggest any homeopathic medicine.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Vaginal tightening is only achieved by kegel exercises if done correctly. Surgery to tighten vagina is not the solution for you as it can leave a scar. Having sex does not relax vagina that much, so you should not be much concerned about it. Only childbirth trauma relaxes the vagina which needs to be tightened. There is no homeopathy medicine available for tightening of vagina and if anyone is suggesting you this then please do not fall for it.
1 person found this helpful
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Are You Pregnant? Take Care of Your Diet

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
Are You Pregnant? Take Care of Your Diet

Pregnancy is that period of time in a woman's life when she is excited about giving birth to her baby. She is not only responsible to keep herself healthy, but her baby is also her responsibility. What she eats, how she lives and her daily routine will affect the baby. Thus, to have a healthy pregnancy it is necessary that you exercise regularly and eat well. You should also avoid those things that may hurt your baby. 

Take care of what you eat:
During pregnancy it is important to get proper nutrition so that you and your baby are healthy. For slow and gradual weight gain, it is necessary to pay close attention to the folic acid, calcium and iron intake. However, if you are obese, then your weight gain regime will be different from others. 

The diet during pregnancy should include:

  1. Intake of fruit and vegetables is important as they are good sources of vitamins, minerals and even fiber. They are good for digestion and also help in preventing constipation. Eat fresh fruits and vegetables daily.
  2. During pregnancy carbohydrates are also important as they act as an important source of energy. Different food items that are rich in carbohydrates are potatoes, bread, breakfast cereals, pasta, rice, noodles, millet, maize, oats, yams, sweet potatoes, and corn meal. It is better to eat whole grains and potato with the skin on as they are rich in fiber. 
  3. Intake of protein is very important during pregnancy, and thus you should take lean meat, pulses, beans, nuts, fish, and eggs. All these items should be cooked well so that you do not face any problem in digestion during pregnancy. 
  4. It is also necessary to eat dairy products like milk, cheese, butter and yoghurt during pregnancy. They are important because they contain the calcium and nutrients that are necessary for the growth of the baby. 

What to avoid?
Just as you should eat certain food items to be healthy, there are certain foods that must be avoided to be fit and healthy. Avoid the following during pregnancy

  1. Drugs and alcohol
  2. Medicines that are not prescribed by your physician
  3. Smoking tobacco
  4. Fried and oily food
  5. Fishes those are rich in mercury like shark, tilefish, swordfish and those fishes that are caught in local waters are not considered safe. 
  6. Too much intake of caffeine is also hazardous for a pregnant lady. 

Thus, by following the above-mentioned  diet tips you can keep your baby and yourself healthy. Always get advice from your physician for any decision that you take during pregnancy.

4023 people found this helpful

My hands and legs are constantly very cold. What's the matter. Is anything to worry about?

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
My hands and legs are constantly very cold. What's the matter. Is anything to worry about?
Hello. The most effective and natural remedy for keeping your body and in your case hand temperature normal is" tulsi" there are 2 kinds of tulsi leaves we come across one is" ram tulsi" (which is lighter in shade) and the other one is" shyam tulsi" (which is darker in shade) you have to consume 10-15 leaves of" shyam tulsi" which means the leaves with darker shade. Take 10 to 15 leaves of shyam tulsi and grind it into a paste. Boil this paste in 200 ml of water until the water comes down to the level of 100 ml. Consume this water chewing the leave remains daily in 3 installments without break. I guarantee you that you will feel better after some days. Besides natural remedies doesn't even have any side effects along with them. Thanks.
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I listen So many females getting breast milk on between 15 to 20 years age on maturity. Is it true. Can you explain. And Milk come out On teen age years between 15 to 20 years age. When it will produces on breast.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Mangalore
Usually milk secretion from the breasts occurs once female get pregnant, but milk secretion is depends on hormone prolactin. Any stimulation of the nipple regularly in non pregnant lady can stimulate prolactin secretion, that lee's to milk secretion.
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Me and wife are having sex from past 8 to9 months, but she has not conceived, pls tell us any remedy.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Me and wife are having sex from past 8 to9 months, but she has not conceived, pls tell us any remedy.
Dear lybrate-user, It is hard to suggest any remedy without seeing all investigations and proper history. Kindly visit nearest gynae doctor for any problem. There are a lot reasons to not conceive.
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I am pretty sure that my girlfriend is a virgin and never had sex before I did lick her vagina many times as well as kissed her cracked lips but never had intercourse so I wanna know can I get HIV from her if yes how?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
I am pretty sure that my girlfriend is a virgin and never had sex before I did lick her vagina many times as well as ...
Licking the vagina can cause infection in the one doing the licking and in the vagina. Diseases and bacteria can be passed by contact with sexual fluids and saliva. Sexually transmitted diseases like herpes, gonorrhea, syphilis, and hiv can be passed between partners performing oral sex.
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