Hello, I’m Dr Smita Vats and I’m a practising gynaecologist in Gurgaon from over a decade now. Today, we will be talking about the prevention of fractures and bone health protection in women.
Women form the axis of the basic framework of the society and they are the basic pillars of strength of the healthcare network of the family and the society. Yet they tend to neglect their own health in their daily responsibilities of workplace, and the household duties. It is important to know and understand that bone health is to critical to the day to day quality of life as well as the overall health of the individual. There are certain basic differences between the bone metabolism of men and women and it is important to understand those so that you can take proper care of your bones. This is because after puberty the rate of bone deposition and bone strengthening is faster in men as compared to women and the peak bone mass attained at the age of 25 years is more in men as compared to women. Thereafter, the bone’s mass stays constant in men whereas in women, the additional challenges of pregnancy and breast feeding put an added demand of calcium. If proper calcium supplement does not happen during pregnancy and breast feeding, then the extra demands of calcium of the baby are met through the calcium of the body of the mother and that leads to weakening of the bones, ligaments, and joints, later on in life. Moreover, after the age of fifty, after menopause, the rate of bone resorption and development of osteoporosis in women is much faster as compared to men. So all these factors along with certain lifestyle factors which include physical activity, dietary factors, and the other lifestyle modifications like smoking, alcohol intake etc. does hamper the bone health of an individual and should be looked after.
That brings us to the question as to how to look after the bone health of a woman properly?
First and foremost is the dietary and nutritional factor. Calcium and Vitamin D are the most important nutrients which are responsible for the proper bone strength of the body. Calcium intake, at least one thousand to twelve hundred milligrams per day is recommended. It can be achieved through dietary elements like milk and milk products – yogurt, cheese, curd etc. Apart from egg, meat, mutton, chicken, and other vegetarian products like wheat, raggi, soya bean and fruits and vegetables like black grapes, cauliflower, cabbage, beetroot, pistachio, almonds, all are great sources of calcium. It is important to remember that if the dietary factors do not meet eh regular demands of the body for calcium then one should be taking calcium supplements as prescribed by the doctor, especially during pregnancy and breast feeding women should not neglect the intake of calcium during those times. Apart from calcium, the other important aspect is the Vitamin D intake. The daily requirement of Vitamin D is about two hundred to four hundred international units in a day. The main source of Vitamin D is sunlight and as a result, in the urban population when people are not moving around too much in the sun or whenever they go out they are fully covered or using sunscreen. There is a high incidence of Vitamin D deficiency in this population. Apart from this, people who live in higher altitudes, have a dark skin colour, or are obese also have a risk of Vitamin D deficiency. Hence, such people should be taking Vitamin D supplements as subscribed by the doctor and especially vegetarians because the only dietary source of Vitamin D is through cog liver oil, fish, liver so that leaves very few options for the normal vegetarian population to attain Vitamin D through dietary intake.
Then the other aspect which is very important is the physical activity and regular physical exercise. At least half an hour to forty-five minutes of regular physical exercise is a must. To improve blood circulation and bone health and muscle health in the body. This is also important to improve the overall tone and balance of the body so as to prevent falls and fractures and the risks of injury which may hamper the quality of life in her later age groups. Apart from this, smoking, intake of alcohol etc. can also accelerate bone resorption and also deteriorates your bone health. Hence, it is important to look after all these factors.
For any further queries or any further details, you can send me queries through Lybrate or can meet me personally at my clinic in GNS Hospital or The Gynae Point near South City 2.
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Here are cause,symptoms and treatments of Polycystic Ovary Syndrome (PCOS)
Hello, I am Dr.Smita Vats and I am a practicing gynecologist at Gurgaon. My areas of specific interest are laparoscopic surgery and dealing with various gynae disorders like Uterine fibroids, Ovarian cysts, Endometriosis, Infertility and high rest pregnancy. So today we will be dealing with a very important disorder which is commonly found in urban population that is the Polycystic Ovarian Syndrome (PCOS). It is a complex disorder which is characterized by the presence of tiny fluid filled cysts in the ovaries which may be present in the one or both the ovaries and is also associated with irregularity of the periods or disturbance in the periods and also the presence of hypergonadism that is the presence of excess of man hormones in the body leading to more of male characters like excess of facial hair , more chest hair, hair on abdomen, thighs, buttocks etc. along with the presence of acne and may be scalp hair loss and this may be associated weight gain also and in the long term later on it may cause also pregnancy complications.
It may cause difficulty in conceiving a pregnancy, it may lead to loss of pregnancies, early abortions and development of diabetes and hyper blood pressure etc., and other complications in the pregnancy, so that it brings to the question that what causes Polycystic Ovarian Syndrome. Well the exact cause of PCOS is not really well known. There is a genetic predisposition for it and the genetic inheritance has been proven. But that does not mean that anybody who does not have genetic predispositions cannot have this disease. So it is a primarily a lifestyle disorder wherein even if you have genetic predispositions the disease usually manifests the signs and symptoms usually appear only when your lifestyle become sedentary. So it is primarily a problem seen in the urban population now-a-days because their lifestyle is sedentary and there is minimal physical activity involved. Now-a-days you spend 8-10 hours sitting in the office on the desk.
Apart from that there is hardly any physical activity. So in order to deal with that, obviously then we have to address the lifestyles also which is the most important factor and sometimes in a few patients a part from lifestyle modifications a few medications may be required which may be decided upon depending on if at all there is a hormonal imbalance or if at all there is any other disorder associated with it which needs to be treated medically. So in the lifestyle modification what you can do is you can include at least half an hour or 45min of rigorous physical activity every day in your routine and if not every day then you can include at least 4-5 days in a week. So include at least 45min of may be walking, jogging or dance, swimming, yoga, or whatever kind of exercise you enjoy. Include at least half an hour or 45min of that kind of physical activity in your daily routine.
Apart from that control your diet, avoid junk food that is avoid chips, burgers, fries, pizzas, high calorie diets and primarily refined foods, white breads and rice and all these things which give you a sudden burst of high calories and which may lead to hormonal imbalance also. Focus more on fresh fruits, fresh vegetables, curds, rice, and milk products whatever low fat milk products. Eat a healthy well balanced diet. A part from that PCOS patients mostly are obese and even a fight person of weight loss whatever their body weight is may lead to improvement of symptoms and help them deal with the disorder and if at all nothing else works then physical managements is required.
If you need any further information or further guidance regarding treatment of PCOS you can contact me on my clinic or online through Lybrate.read more
Dr. Smita Vats talking about managing pregnancy
Hello I am Dr. Smita Vats and I am a practicing gynecologist at Gurgaon. So my areas of specific interest are gynae- laparoscopic surgeries, treatment of gynae disorders like uterine fibroids, Ovariances, Endometriosis, infertility and high risk pregnancy. So today I will be giving a few suggestions to how to keep cool in summers while you are pregnant. So summers in India can be very hot and bother some time for most people and this version during pregnancy because during pregnancy the basal body temperature is already high and the increased heat and humidity outside can even make you more uncomfortable. Hence it becomes important to take a few steps to maintain your hydration and to keep your well-being during summers.
The first and the foremost thing which is the most important is that you can do to deal with hot weather is to maintain a good amount of liquid intake that is take at least 8-10 glasses of water every day. If it is difficult for you to consume plain water you can maybe add a little bit of mint or lime or slice of orange or whatever you like, whatever kind of flavor that you like to it. And take at least one glass of water for every hour that you are outside in the sun. So whenever you are going out carry a water bottle with you and make sure that you consume at least a glass of water every one hour or so and also minimize your intake of tea, coffee, and other caffeinated drinks because they make your body lose a lot of water as well as salt and electrolytes which can make you dehydrated and make you feel really sick.
Apart from drinking the right things, it is also important to eat right in pregnancy and you should be taking frequent small meals. Avoid very heavy, spicy, and oily food and instead of taking three large meals make sure that you eat a little amount everyone in the half to two hours so that you are not over-eating also and you are comfortable also. Apart from that to deal with heat of the summers make sure that you eat a lot of fruits and vegetables. Juicy fruits watermelon, melon, coconut etcetera, cucumber and all these things which contain a lot of water are a good suggestion for intake during the summer months and just avoid a lot of oily and spicy foods.
Then, when you are going out in the sun make sure that you don’t go out during the very hot part of the day that is between 12 to 4 pm. So plan your outside activities either in the early mornings or in the late evenings. If at all you need to go out in the sun between 12 to 4 pm make sure you keep drinking a lot of water in between and whenever you fell exhausted or you feel dehydrated or you are feeling nauseous or giddy or have any kind of discomfort make sure that you get back into the home, lie down for a while and consume a glass of water or any other liquid and maybe keep a wet cloth on your forehead or something just to make you feel better. If all these things don’t make you feel better than it is the time to contact your doctor and take a proper treatment for that.
For any other regarding pregnancy care, you can contact me at my clinic or at this main online query at the lybrate.com.
Book Clinic Appointment
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
It's been more than a year now, and I have noticed considerable change in myself. I thought that post treatment it won't happen again, but then after sometime, the symptoms re appeared. The delay periods problem was increasing day by day. She never gets frustrated, even when I ask a number of queries. Whatever tests the Smita Vats prescribed, were very correct and the gave they gave us an exact idea about my condition. Finally with hertreatment, I am completely cured from the problem. The Med Harbour Family Clinic (dr Smita Vats) was equipped with various facilities.
I was having very bad thoughts regarding my pregnancy. I consulted many doctors but was not able to conceive. By chance, I approached Dr Smita for second opinion and thank god, i did because, she treated me without any surgery and all. She told the reason and how the treatment will be done. I am so thankful to him for the treatment. I must say she is the best gynaecologist in the city.
My previous experiences were not so good, but Smita Vats has completely changed my opinion as she is very helpful and humble. Smita Vats has so much knowledge that for everything i take her reference. I was panicked, because I never thought I will suffer from infertility like this. Hygiene is very important, and I must Med Harbour Family Clinic (Dr Smita Vats) was extremely clean.
Due to my polycystic ovary synDrome my daily activities were suffering. I found the Med Harbour Clinic itself quite pleasant. Even in case of emergency, the staff is always willing to help. One of my cousin's referred to Dr Smita Vats. Never once that I felt that she is getting impatient, rather she has always responded to my each and every doubt with immense patience.
I was suffering from stomach pain. Dr Smita is really like God send person. So many doctors I consulted, but her treatment was the best. Her treatment suited me the best and now I am fine. Whatever tests she prescribed, were very correct and the gave they gave us an exact idea about my condition.The overall atmosphere in the Med Harbour Clinic is very soothing.
I was in too much pain because of no periods, but even after consulting a number of doctors, I was not getting any relief. She is not just friendly, but also is very motivating. I had lost hope, but the no periods treatment given by Smita Vats has helped me regain my confidence. The overall atmosphere in the Med Harbour Clinic is very soothing.
Dr. Smita Vats provides answers that are very helpful. Mam maine meri wife ke sath 7.6.17 ko un safe sex kiya tha ji or unke periods 18 ko suru hote h hmne pregnancy test bhi kiya 4 bar result hmesa negative aaya h ji or 28.6.17 ko unko periods suru ho gye ji kya vo pregnant h ya nhi mam please help me
I read about Dr Vats on one of the social media platform. The irregular periods treatment has helped me greatly and now I am perfectly fine. The best thing about her is that she prescribes limited no. of medicines. Even though there was a long queue, still the staff was very pleasant.
I visited The Gynae Point in Gurgaon to consult dr Smita Vats for my abortion. She guided me well and I found no problems in the treatment she gave me. She is a great doctor.
She is a very good doctor ...with extemly good hand ...my csec dn by her ..n i was all fit n fine in 6 week
I have been advise by my doctor to take the deviry tablet so I have already taken 3 pills. But my periods haven't started yet please suggest me something for getting periods.
I just want to know, can a girl be pregnant if I will rub my penis oh her part, after 10 days of her periods, Please reply need urgent, I am very sacred.
A menstrual cup is a flexible cup designed out of medical grade silicone or rubber, which can be inserted inside the vagina. It is not used for absorbing blood; rather it collects the menstrual blood.
Advantages of menstrual cups over tampons
- Tampons are disposable. Menstrual cups can be cleaned, rinsed and reused.
- Need not be changed after every few hours. One can go without changing a menstrual cup for more than 12 hours.
- Easier to use compared to a tampon. The insertion is smoother and it is generally not very uncomfortable if insertion is done correctly.
- The menstrual cups need not be replaced frequently. Tampons however are needed in large numbers every month.
- Tampons absorb almost all the vaginal fluid, leaving it dry and prone to irritation. Menstrual cups on the other hand, leave the beneficial bacteria in place and maintain vaginal pH.
- Menstrual cups help prevent menstrual odours as it is present internally.
Reasons why you should use menstrual cups
Menstrual cups rarely cause allergic reactions, unlike tampons. They are also the most environment friendly choice as there is no need to dispose them after every use. They prevent staining, leakage and do not increase muscle cramps. There is no risk of TSS (Toxic Shock Syndrome) from menstrual cups, which is a major risk from leaving tampons inside the body for too many hours. Menstrual cups are also helpful if you are a swimmer. They don’t make things difficult for you at all. Menstrual cups are made from 100% medically approved silicone and not cotton or rayon. If you are unable to use tampons, you may choose menstrual cups as the insertion is generally smoother.
However, it completely depends on individual preference. Menstrual cups also reduce the bulk of having to carry like sanitary napkins during travel, and urgent needs to change. Thus it makes a long journey worry free. No matter what protective measures you take, remember to be comfortable. Try and maintain a diet rich in nutrients, that can help regulate the blood flow and prevent painful blood clots. Also, it is important to remain physically active to prevent muscle cramps and back pain. If you wish to discuss about any specific problem, you can consult a gynaecologist.
My wife passed 1 years after her pregnancy, she enter her mens cycle after about 5 to 6 month later her delivery. But suddenly she got huge amount of bleed previous month. Two pad requires within 6 hr. We consult with Dr. And he give SYSRON NCR tablet for 20 days with iron folic tablet. But after completing that course she start bleeding again. My wife took rest after delivery about 8 weeks. My wife had C-SECTION delivery. After that normal house work done by her as we are alone. Is it normal for lactating women? Should I get worried about that? I am very tensed, please help me.
Hi I am 26 years old and I have PCOS and thyroid issue and Last month I had my period on 11 sep and I started taking the ova shield from 30 Sep and this month I have not got my period till now and I have taken the pregnancy test on 21 oct and its negative. I still did not got my period wat else to do.
Menstruation is the monthly discharge of blood from the vagina, which lasts for about 5 to 6 days. It is the shedding of the inner lining of the uterus, when pregnancy does not occur after the release of egg from the ovary. Menstrual periods are generally often accompanied by painful cramps in the lower abdomen, heavy bleeding, weakness, water retention, irritability and malaise.
What is Menorrhagia?
Very heavy or prolonged periods are medically termed as menorrhagia. It is abnormally heavy bleeding if there is a requirement to change sanitary napkins or tampons several times within a very short span of time. Passing large blood clots, night time bleeding, bleeding for over 7 -8 days, are other symptoms that one might be suffering from menorrhagia.
Common Causes Behind It
Heavy menstrual bleeding can be a result of hormonal imbalance.
Fibroids, cysts or polyps in the organs of the reproductive system, which includes the uterus, ovaries or fallopian tubes.
History of miscarriage or failed pregnancies.
Use of Intrauterine contraceptive devices can sometimes lead to heavy and prolonged bleeding during periods.
Infections of uterine lining can also lead to heavy and abnormal bleeding.
How can you treat heavy bleeding during menses
Change of diet: You must include more minerals, iron, magnesium and calcium in your diet. Your diet must comprise a lot of green vegetables, fresh fruits and dairy products.
Some non-steroidal anti-inflammatory drugs such as ibuprofen may be prescribed to reduce the blood loss.
Certain hormonal therapies to regulate the hormonal imbalances and menstrual irregularities.
Home remedies such as intake of certain herbs, ginger and coriander seeds help to control heavy bleeding.
Increasing magnesium intake to balance out levels of oestrogen.
It is best to stick to natural remedies, as it generally does not create complications in other bodily functions.
How you can treat Menorrhagia:
Menorrhagia can be managed with natural remedies as mentioned here but sometimes, the bleeding may not respond to such modifications & then you need to consult a Gynaecologist to find the exact cause and treatment for the heavy bleeding. Usually, the first line medication is a NSAID, which is a non-hormonal medication and needs to be taken during periods only. Other medications that may be used are hormonal tablets and other options which are best decided by a Gynaecologist.
If the bleeding cannot be controlled even after a change of diet and home remedies, you must consult the gynaecologist as soon as possible. Heavy bleeding is a serious problem, especially if accompanied by dizziness, fluctuations in the blood pressure, nausea and weight loss. Severe cramps and constant bleeding can hinder daily routine, therefore, the earlier you receive medical attention, the quicker you will get relief.
In case you have a concern or query you can always consult an expert & get answers to your questions!
If you want to have a safe pregnancy by curtailing all sorts of complications, then you have to promptly respond to warning bells. There are certain warning symptoms that should not be neglected at all as that might put your pregnancy in danger.
- Bleeding- Although a little spotting may happen at the time of implantation of the pregnancy at the time of the expected period, any bleeding at any time in pregnancy can be a warning sign of a problem with the pregnancy and hence should be promptly evaluated by your doctor.
- Swollen face or hands: Slightly swollen face or legs in pregnancy are normal, but if you observe excessive puffiness, especially on your feet and ankles or abdomen, then it is a warning sign as it might be a sign of toxaemia or PIH. Therefore, consulting a doctor is very much needed in this regard.
- Abdominal pain: Round ligament pain is quite normal, and you do not have to worry about the same. But if the pain is accompanied by bleeding, or keeps increasing in intensity or duration, then the danger of miscarriage might come into being, and thus you should be vigilant about it and visit your doctor for proper examination.
- Blurring vision or severe headache: Sudden development of headache, blurred vision or dizziness can be a sign of pre eclampsia and should not be ignored in pregnancy.
- Itching: Itching over abdomen & breasts is common during pregnancy mostly due to stretching and dryness of the skin. But if it continues for long,or involves the soles of feet & hands, then you should check the same with your doctor for avoiding liver disorder.
- Fever: The basal body temperature is a little higher in pregnancy and that is normal. However, during pregnancy the immunity against viral and bacterial infections is also reduced . Fever may be a sign of infection and may lead to preterm labour and other complications. Hence it should be promptly treated.
- Unwanted back pain: Mild backache in pregnancy is alright, but excessive pain might indicate bladder or kidney infections, preterm labour, miscarriage or cyst. All these conditions should be essentially avoided and promptly treated to ensure a healthy pregnancy.
- Gushing of fluid: If you are not in labour, but are feeling wet constantly, then it is better to see a doctor. There might be a possibility of breaking of water, and this can be quite harmful in the advanced stage of pregnancy.
- Less movement of baby: Experiencing baby kicking is quite natural during the second half of pregnancy, and if movements decrease significantly or stop suddenly, then it can be a sign of distress for the baby. Kicking patterns should be followed andand significant change should be evaluated
- Urinary symptoms: Increased frequency of urination is common in pregnancy , but if it is associated with pain/ burning sensation or bleeding, it can be a sign of Urinary tract infection which should be promptly treated to avoid complications. If you are facing any of the above symptoms, then immediately visit your doctor.
Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with pregnancy if you happen to have diabetes.
Complications: Pregnancy with diabetes can cause severe complications if the blood sugar levels are not controlled properly before pregnancy. This can cause the diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby’s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.
Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman’s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.
Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.
Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.