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Dr. Punam Jha

Gynaecologist, Gurgaon

150 - 200 at clinic
Dr. Punam Jha Gynaecologist, Gurgaon
150 - 200 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. Punam Jha
Dr. Punam Jha is a popular Gynaecologist in Sector-7, Gurgaon. He is currently practising at Jagdamba Medical Centre in Sector-7, Gurgaon. You can book an instant appointment online with Dr. Punam Jha on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 28 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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Hindi

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#246/28, Street No. 5, Madan Puri, Jyoti Park, Main Road. Landmark: Main Jyoti Park Road, GurgaonGurgaon Get Directions
200 at clinic
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Plot no.32/36,Rajender park. Landmark: Near railway station, GurgaonGurgaon Get Directions
150 at clinic
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Bachelor of physiotherapy,BPTh, Certified Manual therapist, Master of Physiotherapy ,MPTh. (Orthopedics)
Physiotherapist, Ghaziabad
Herniated Intervertebral Disc Disease

The vertebral column (backbone) is made up of 33 vertebrae separated by spongy disks and classified into four distinct areas. The cervical area consists of seven bony parts in the neck; the thoracic spine consists of 12 bony parts in the back area; the lumbar spine consists of five bony segments in the lower back area; five sacral bones (fused into one bone, the sacrum); and four coccygeal bones (fused into one bone, the coccyx).

Between each vertebra is a fibrous disc with a jelly-like core. These cushions of cartilage allow the body to accept and dissipate load across multiple levels in the spine and still allow for the flexibility required for performing normal activities of daily living. As the body twists, bends, flexes and extends, the intervertebral discs are constantly changing their shape.

Causes

When discs degenerate, becoming less supple due to age or back strain, the disc may prolapse — squeezing out some of the soft core. This loss of cushioning may cause pressure on local nerves and cause back or neck pain, numbness or tingling in the arms, or searing pain down one or both legs. If the prolapse is severe it can damage the spinal cord. As a part of the aging process the discs lose their high water content and their ability to cushion the vertebrae. This is called degenerative disc disease. As the discs deteriorate, the spine can initially become less stable. Bony spurs can develop as a result of this instability and can cause pressure on nearby nerves leading to leg or arm pain. Narrowing of the neural canal by these bony spurs is known as degenerative spinal stenosis.

By the age of 35, approximately 30% of people will show evidence of disc degeneration at one or more levels. By the age of 60, greater than 90% of people will show evidence of disc degeneration at one or more levels on MRI. In some patients, this disc degeneration can be nearly asymptomatic; in others, disc degeneration can lead to intractable back pain.

The outer layer of the discs themselves can also tear. When this occurs, the inner, gelatinous layer can herniate out (a “herniated” or “ruptured” disc) and also cause pressure on an adjacent nerve. If the herniation occurs in the neck and causes pressure there, it can cause pain that radiates into the shoulder and arm; if it occurs in the lower back, the pain produced can radiate down into the hip and leg.

Symptoms

Patients with disc disease in the cervical, thoracic, or lumbar spine experience variable symptoms depending on where the disc has herniated and what nerve root it is pushing on. The following are the most common symptoms of lumbar disc disease:

Intermittent or continuous back pain (this may be made worse by movement, coughing, sneezing, or standing for long periods of time)Spasm of the back musclesSciatica — pain that starts near the back or buttock and travels down the leg to the calf or into the foot.Muscle weakness in the legsNumbness in the leg or footDecreased reflexes at the knee or ankleChanges in bladder or bowel function

The symptoms of lumbar disc disease may resemble other conditions or medical problems. Always consult your physician for a diagnosis.

In rare cases, patients with large disc herniations may experience weakness in an extremity or signs of spinal cord compression such as difficulty with gait, in coordination, or loss of bowel/bladder control.

Treatment

Treatment for disc disorders must be closely tailored to the patient, based on:

The history and severity of their pain whether or not they have had prior treatments for this problem and how effective they have been and whether or not there is any evidence of neurologic damage such as weakness of an extremity or the loss of reflexes

Some of the treatments used include

Activity modification patient education on proper body mechanics (to help decrease the chance of worsening pain or damage to the disc)Physical therapy, which may include ultrasound, massage, conditioning, and exercise programs
Weight control medications (to control pain and/or to relax muscles)
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Recently we had sex with my partner. Mostly we use safety, but missed once. So my doubt is usually how many days after sex should I go for urine pregnancy test. Also suggest are there any reliable test than urine test.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Most important symptom of pregnancy is missed period. There r other symptoms but all of them appear 2 weeks after the missed period. Those r nausea, vomiting, breast fullness and increased urination. If you have a missed period then you should get urine pregnancy test done at home after 7 days of missed period to confirm it. Urine pregnancy test give you accurate result but make sure you purchase good company card like velocit or cipla.
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She is suffering from pcos from long time. And her 1 month of the 3 month treatment has been Completed. So how do she know that she is getting better. She had period of 5 days last month. please tell me the all symptoms of getting better.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
She is suffering from pcos from long time. And her 1 month of the 3 month treatment has been Completed. So how do she...
Her symptoms will improve slowly over 3 months, her menstrual cycle will be regular when she is on pills.
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We are a newly married couple. We just want to know that when its safe to have sex without using any protection though we don't want a child right now.

MD - General Medicine
Sexologist, Nashik
We are a newly married couple. We just want to know that when its safe to have sex without using any protection thoug...
strictly use condom or oral pills if want 100% protection safe period are there but may give pregnancy as still u dont know her pattern. to your answer 3 days after period stops is safest days.
70 people found this helpful
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She isn't having her normal cycle after having a birth control pill. Is it quite normal?

BAMS
Ayurveda,
She isn't having her normal cycle after having a birth control pill. Is it quite normal?
Yes, but randomly uses of birth pills is bad for her health even miscarriage arises in near future. So be alert. Ok.
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My sister is married and recently she got c section delivery recently mein 1 years back after that she mostly suffer from severe legs pain what is the problem we can not understand mein thing is she is only 20 years pls tell us what is the reason why it would be happening thanks.

FAMS, MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Indore
My sister is married and recently she got c section delivery recently mein 1 years back after that she mostly suffer ...
Dear lybrate-user, namaskar, most of the times the cause of such pain is simple. Calcium and iron deficiency and the awkward postures adopted by a young nursing mother. Give her ca + vit. D3 and fe tonics, high protein diet and consult a physiotherapist for posture and exercises of the lower limbs and back. She will settle soon. Take care.
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I am 18 years old female having hormones imbalance. Menstrual cycle is abnormal and I am having very less bleeding. I am taking treatment from 2 years but I am not feeling better. Please help me.

BHMS
Homeopath,
I am 18 years old female having hormones imbalance. Menstrual cycle is abnormal and I am having very less bleeding. I...
Take homoeopathic medicine pulsatilla200 - 6 pills daily and gossipium mothertincture 10 drops half cup of water 3 times a day.
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I am 32 years, I delivered a baby 3 months back. Today I got my periods, but I am having itching in my vagina. Also developing rashes on both sides of private part. Please can you suggest an ointment or a medicine.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 32 years, I delivered a baby 3 months back. Today I got my periods, but I am having itching in my vagina. Also d...
Hi Pratibha, as expected this could be due to moisture in local area .you can apply candid cream locally. Change pad frequently and use cotton undergarments. Try to keep area dry.
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How much water we should drink for a day?

MS - Obstetrics and Gynaecology
Gynaecologist,
Hi, daily water intake depends upon many factor including your health, your activity, the climate you live in & whether you pregnant or lactating or not. On an average adult female must have at least 2 liters of water daily / it should be enough so that you rarely feel thirsty and your urine is colourless or light yellow.
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Hi Sir/ Madam, I am 24 years old, my first baby is 20 months old, and this is my second pregnancy, now I am 4months, last week I have done my NT scan, in that the doctors said, everything is normal, but the placenta is low lying. Is that create any problem?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi Sir/ Madam,
I am 24 years old, my first baby is 20 months old, and this is my second pregnancy, now I am 4months, ...
During pregnancy, the placenta moves as the uterus stretches and grows. It is very normal for the placenta to be low in the uterus in early pregnancy. But as the pregnancy continues, the placenta typically moves to the top of the uterus. By the third trimester, the placenta should be near the top of the womb, so the cervix has a clear path for delivery. If the placenta attaches to the lower part of the uterus, it can cover part or all of the cervix (the entrance to the womb). When the placenta covers part or all of the cervix during the last months of pregnancy, this is a condition known as placenta previa, or low-lying placenta. This condition can cause severe bleeding before or during labor.
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Me ane my wife use to have sex without condom as we both won't like using it but m fed up of ejaculating outside. Can you please tell me the days when its safe to ejaculate inside her?

Vaidya Visharad
Ayurveda, Narnaul
Sexual intercourse averages two minutes, usually ending as the male partner reaches climax. However, a woman requires eight to twelve minutes of constant stimulation to reach climax. Premature ejaculation is the number one cause for shortened sex. For further assistance you can concern me privately.
8 people found this helpful
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Hello doctor, i'm 25 year old female. I have some doubt regarding gentical infection. Like. I have little burning sensation during urination, but its not all the time when I urinate also have abdominal pain some time, but I don't have any discharge problem but during intercourse I do have some little pain? so I juz want to kne dat i'm having infection or its juz normal?

MD - Maternity & Child Health
Gynaecologist, Bangalore
Its not normal. You might be having urine and also vaginal infection so I advice to consult gynecologist and follow proper teatment to get rid of infection.
2 people found this helpful
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Hi I am 22 old female I had pcod problem, so I have tablet ovaa cc ,I missed period of 2 days and this is the 2 day I done pregnancy test it was negative ,what can I to do become pregnant with pcod, pls help me.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
Hi I am 22 old female I had pcod problem, so I have tablet ovaa cc ,I missed period of 2 days and this is the 2 day I...
Hi lybrate-user. PCOS is a very common hormonal problem. Lot of women with PCOS can easily get pregnant with some assistance. The main problem with PCOS is that you don't ovulate every month. So taking medicines for egg development at the beginning of each cycle will help you get pregnant. Consult your Gynec regarding what medications will suit you best.
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MD
Sexologist, Srinagar
Weight gain between pregnancies may influence baby’s chance of survival
A novel study from Karolinska Institutet and University of Michigan in the U.S. shows that gaining weight from one pregnancy to the next can increase the risk that women will face stillbirth or lose their second babies within the first year of life.


SWEDEN : A novel study from Karolinska Institutet and University of Michigan in the U.S. shows that gaining weight from one pregnancy to the next can increase the risk that women will face stillbirth or lose their second babies within the first year of life. The findings are being published in The Lancet and build on data from more than 450,000 women in Sweden.

"These tragic events are still very rare among infants of mothers with high weight gain. However, as many women gain weight between pregnancies, our results are very important from a public health perspective", says principal investigator Sven Cnattingius, professor of reproductive epidemiology at Karolinska Institutet.

In their study, researchers reviewed data from the first two pregnancies of nearly 457,000 women who gave birth in Sweden from 1992 to 2012. The women's information was recorded in the Swedish Medical Birth Register, which since 1973 has collected information on about 98 percent of all births in that country. Weight was assessed at the beginning of each pregnancy. The results show that stillbirth risk rose with larger gains in body mass index (BMI) from first to second pregnancy. Compared with women who kept their weight, women whose BMI increased more than four units had a 50 percent increased risk of stillbirth.

Among women of normal weight in first pregnancy, high weight gain also increased the risk of infant mortality: when their BMI increased by 4 units or more, risk of infant mortality increased by 60 percent. On the other hand, the results also point to the opposite situation. Women who were overweight by their first pregnancy, defined as a BMI of 25 or more (corresponding to at least 70 kg of women with average height), but who lost weight before the second pregnancy, reduced their risk of infant mortality.

Every fifth women in the study material gained so much weight that it influenced risks of stillbirth and infant mortality (i.e. at least 2 BMI units, corresponding to 5.5 kg). However, the researchers point out that stillbirth and infant mortality are very rare events in Sweden, and only 2.4 per 1000 births resulted in a stillbirth and 2.1/1000 in infant mortality. There are annually around 100,000 births in Sweden.

"Previously, we have published that risks of stillbirth, infant mortality and morbidity increase with maternal weight, and in this new study we find that find that weight gain influence mortality risks. Taken together, our results support the conclusion that mother's weight per see may influence infant chances of survival", says Dr Cnattingius. "Still, the explanation for the findings is still speculative. We cannot differentiate from the data whether it is the weight gain during the pregnancy or in between pregnancies that is of significance".

Financial support was provided by the Swedish Research Council for Health, Working Life and Welfare, and a Karolinska Institutet Distinguished Professor Award to Sven Cnattingius.
5 people found this helpful

Sir I am a lady. I have severe pain in my both breast from one years. What is the cause of this and what I can do for it.

MD - Homeopathy
Homeopath, Hyderabad
Sir I am a lady. I have severe pain in my both breast from one years. What is the cause of this and what I can do for...
Breast pain may normally before period or after period or mid period, not for every one only for few members, and when tumors are there then also you will get the pain to know first you go for scanning for breast then we can decide the treatment.
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Hi, We have make sex with condom. And it has over 3 days of period. So is there any possibility of pregnancy?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Hi,
We have make sex with condom.
And it has over 3 days of period.
So is there any possibility of pregnancy?
Delayed menses do not mean one is pregnant. Do a urine test in a lab and see. Condoms are good for protection from pregnancy but their efficacy is not 100%. During use, at tiems condoms can break, rupture or leak and this may cause some spillage of sperms in the vagina. If such action happens around ovulation then chances of pregnancy are there. Hence possibility of pregnancy can not be ruled out until you do a urine pregnancy test in a lab.
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What are the chances of getting STD's, if you have intercourse once in two days frequency with a single partner only, with protection and without protection.

BHMS
Homeopath, Delhi
if u hv sex with one partner there is less risk of std. but when ur partner hv any infection then u can get infected. avoid improper sex. precaution is necessary.
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Steroid abuse

MBBS, MD - Dermatology
Dermatologist, Gurgaon
Steroid abuse

Never use potent steroids cream like Betnovate,Lobate,quadriderm,panderm,fourderm,for any skin problem on any part of body because after initial improvement of symptoms like itching, these steroid creams will aggravate the problem and may cause long lasting and somtimes permanent side effects like rashes, sensitive skin, recurrent infection,acne , dryness stretch mark etc.

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I have done sex on 7 November and her period was ended at 4 November only so at a time I ejaculate into her but I have given her ipill in 1 hour and other after 24 hours that was unwanted 72 her period days is of 25 days so next date is around 7 December but I read on many articles that within a 10 days period will occur after taking a pill and I have given her 2 pills still no progress so we both are tensed give us necessary guidance.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
I have done sex on 7 November and her period was ended at 4 November only so at a time I ejaculate into her but I hav...
You are using pills on your own without consulting a doctor which is dangerous. There was no need for giving unwanted 72. You have disturbed the fine hormonal balance in the body. Please consult a good gynecologist to set right things.
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