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Dr. Smita Vats - Gynaecologist, Gurgaon

Dr. Smita Vats

85 (192 ratings)
FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysterosco...

Gynaecologist, Gurgaon

17 Years Experience  ·  500 at clinic  ·  ₹300 online
Dr. Smita Vats 85% (192 ratings) FICMCH, Diploma In Laproscopic Surgery, Certified in Lapa... Gynaecologist, Gurgaon
17 Years Experience  ·  500 at clinic  ·  ₹300 online
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Hello, I m Dr Smita Vats and I m a practising gynaecologist in Gurgaon from over a decade now. To...

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.

Thank you

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Here are cause,symptoms and treatments of Polycystic Ovary Syndrome (PCOS)<br/><br/>Hello, I am D...

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.

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Dr. Smita Vats talking about managing pregnancy<br/><br/><br/>Hello I am Dr. Smita Vats and I am ...

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.


 

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Personal Statement

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; a......more
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.
More about Dr. Smita Vats
Dr. Smita Vats is a well renowned and experienced Gynecologist in Dayanand Colony, Gurgaon. She has had over 16 years of experience in the field of Gynecology. She has completed her FICMCH, Diploma in Laproscopic Surgery, Certification in Laparoscopy & Hysteroscopy along with a DNB (Obstetrics and Gynecology) and MBBS. She is currently based at Med Harbour Family Clinic in Dayanand Colony, Gurgaon. She specializes in Obstetrics, Gynecology, General Surgery and Laparoscopic Surgery of various degrees. She has completed her MBBS from J.L.N Medical College Ajmer, Rajasthan in the year 2000. She has completed her DNB (Obstetrics and Gynecology) from SDMH Hospital & Medical Research Institute in the year 2006 after which she availed her Diploma in Laproscopic Surgery from Germany in the year 2011. Dr. Smita Vats is an active member of various prestigious and recognized associations. The Federation of Obstetric and Gynaecological Societies of India (FOGSI), National Association for Reproductive & Child Health of India (NARCHI) and the Society of Endoscopic and Laproscopic Endoscopic Surgeons of India (SELSI) are to name a few.

Info

Education
FICMCH - National Association for Reproductive & Child Health of India - 2013
Diploma In Laproscopic Surgery - Germany - 2011
Certified in Laparoscopy & Hysteroscopy - Paul's Hospital Kochi - 2011
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DNB (Obstetrics and Gynecology) - SDMH Hospital & Medical Research Institute, Jaipur - 2006
MBBS - J.L.N Medical College Ajmer Rajasthan - 2000
Past Experience
2015 - 2015 Consultant Gynecologist at GNH Hospital Sector 15
2014 - 2015 Consultant at The Gynae Point
2014 - 2015 Consultant at Artemis
Languages spoken
English
Hindi
Professional Memberships
Federation of Obstetric and Gynaecological Societies of India (FOGSI)
National Association for Reproductive & Child Health of India (NARCHI)
Society of Endoscopic and Laproscopic Endoscopic Surgeons of India (SELSI)

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The Gynae Point

The Gynae Point, D-103, First floor, Rodeo Drive, Sector 49, Near South City 2 Gurgaon Get Directions
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"Sensible" 4 reviews "Thorough" 1 review "knowledgeable" 8 reviews "Caring" 6 reviews "Very helpful" 17 reviews "Practical" 4 reviews "Professional" 3 reviews "Well-reasoned" 2 reviews "Helped me impr..." 1 review

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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.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
I have been advise by my doctor to take the deviry tablet so I have already taken 3 pills. But my periods haven't sta...
It is difficult to comment without knowing what medications you are taking. However, If you have been advised tablets to get your periods, they will most probably be hormonal medications supposed to be taken for about 5 days. You will get your periods after you have completed the full 5 days' course, not while you are taking them.
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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.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
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 ...
Usually pregnancy occurs after penetration but If there has been ejaculation, it may lead to pregnancy in rare cases.
1 person found this helpful
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6 Advantages Of Menstrual Cups Over Tampons!

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
6 Advantages Of Menstrual Cups Over Tampons!

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

  1. Tampons are disposable. Menstrual cups can be cleaned, rinsed and reused.
  2. Need not be changed after every few hours. One can go without changing a menstrual cup for more than 12 hours.
  3. Easier to use compared to a tampon. The insertion is smoother and it is generally not very uncomfortable if insertion is done correctly.
  4. The menstrual cups need not be replaced frequently. Tampons however are needed in large numbers every month.
  5. 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.
  6. 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.

5 people found this helpful

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.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
My wife passed 1 years after her pregnancy, she enter her mens cycle after about 5 to 6 month later her delivery. But...
It is expected for a lactating woman to have slightly irregular periods, but if the bleeding is very heavy, it is advisable to consult the doctor. Heavy bleeding can be due to certain other reasons and hormonal disorders apart from a repeat pregnancy. Hence it is better to meet the doctor. 8 weks rest after C section is enough, so please don't worry.
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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.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
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 ...
Please get a hormonal evaluation done to assess the status of PCOS and if required get a swerum Beta HCG test done to rule out pregnancy. A good Gynaecologist nearby can help in evaluating the clinical status & deciding the further course of management. Longterm treatment for PCOS lies in regular physical exercise (45 minutes/ day ), diet control & weight loss (at least 5% of your current bodyweight)
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6 Ways To Treat Heavy Bleeding During Menses!

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
6 Ways To Treat Heavy Bleeding During Menses!

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

  1. Heavy menstrual bleeding can be a result of hormonal imbalance.

  2. Fibroids, cysts or polyps in the organs of the reproductive system, which includes the uterus, ovaries or fallopian tubes.

  3. History of miscarriage or failed pregnancies.

  4. Use of Intrauterine contraceptive devices can sometimes lead to heavy and prolonged bleeding during periods. 

  5. Infections of uterine lining can also lead to heavy and abnormal bleeding.

How can you treat heavy bleeding during menses

  1. Change of dietYou 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.

  2. Some non-steroidal anti-inflammatory drugs such as ibuprofen may be prescribed to reduce the blood loss.

  3. Certain hormonal therapies to regulate the hormonal imbalances and menstrual irregularities.

  4. Home remedies such as intake of certain herbs, ginger and coriander seeds help to control heavy bleeding.

  5. Increasing magnesium intake to balance out levels of oestrogen.

  6. 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!

3773 people found this helpful

Pregnancy - Warning Signs You Shouldn't Ignore!

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Pregnancy - Warning Signs You Shouldn't Ignore!

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. 

  1. 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. 
  2. 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. 
  3. 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. 
  4. 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.
  5. 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. 
  6. 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. 
  7. 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. 
  8. 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. 
  9. 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 
  10. 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.
1 person found this helpful

Diabetes In Pregnancy - Complications Related To It!

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Diabetes In Pregnancy - Complications Related To It!

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.

3799 people found this helpful

We are in relationship couple and planning to do sex first time but have a little doubt when and how to sex to not get her pregnant due to her period regarding uncertainty guide me coz I can't ask someone personally.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Please use a condom every time there is intercourse, remember that even the pre-ejaculate can contain sperms. That is the best way to avoid pregnancy & sexually transmitted diseases also.
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Im using 2.5 mg letrozole from 11 th day estradiol and ecosprin 75 mg and from 14th day progesterone for ovulation induction this is my third cycle im using same tablets. How many cycles I can use letrozole tablet? When evaluation is normal why im not conceiving my husband side also everything normal. My HSG report normal suggest me if any other treatment to get conceive fast.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Im using 2.5 mg letrozole from 11 th day estradiol and ecosprin 75 mg and from 14th day progesterone for ovulation in...
You can take letrozole for 3-6 months as advised by your doctor. Infertility treatments are long, meticulous treatments and may take upto 6 months for conceiving. Patience and keeping calm are important.
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Women Bone Health

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
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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.

Thank you

3115 people found this helpful

My hemoglobin level 10.2.i am 28 week pregnant of twins. How to increase my hemoglobin.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
My hemoglobin level 10.2.i am 28 week pregnant of twins. How to increase my hemoglobin.
Please take regular Iron & protein supplements. Also increase your dietary intake of the same by consuming more of green vegetables, beetroot, dates, jaggery, black gram, lentils, broccoli, Soyabeans, Paneer, sprouts etc. If you are a non-vegetarian, you can also increase your intake of red meat, eggs etc.
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I am 23 years old I had a six months discourage 27 April 2017. Before one days of miscarriage I felt unbearable pain continuously in the gap of 5 minutes and next day in the morning I start bleeding. I went hospital and doctor asked me your uterus mouth is open and baby came down and now it is nothing to do except abortion. I lost my baby it is a normal delivery. Doctor didn't give me any reason of miscarriage after that I am suffering from mentally disturbance and continuous bleeding. I consulted another doctor about the conditions she gave me medicine and perform transvaginal sonography and blood and urine test but she also did not give me reason of miscarriage .gives me N's drips for five days in two times. But my bleeding did not stop after drips and doctor give me medicine trenaxa 500 Gudcef 200 Nutricell Becalm 0.25 and Norlut -N to stop bleeding and. It has been more than 1 1/2 month .After taking medicine 13 days my bleeding start again today .Please suggest.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
I am 23 years old I had a six months discourage 27 April 2017. Before one days of miscarriage I felt unbearable pain ...
It is difficult to give advice in such cases from a long distance and we need to examine you properly and analyse the previous papers to give any opinion, but looking at the history as you have narrated, it seems that you may be having an incompetent cervix. It is a condition where the cervix is weak and is unable to hold the weight of the growing baby as the pregnancy advances. This may need application of a cervical stitch in the third month in next pregnancy but final opinion can be given only by the Gynaecologist who is examining you.
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How To Manage Endometriosis?

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
How To Manage Endometriosis?

When tissues that usually grow inside the uterus, start growing outside the organ, it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, extreme bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

  1. Age
  2. Severity of symptoms
  3. Severity of the disease
  4. Future plans for children

Depending on these the doctor might opt for any of the following treatments

  1. Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
  2. Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
    • Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
    • Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug.
    • Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation.
    • Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
  3. Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery.
  4. Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
3568 people found this helpful

Breast Cancer - The Most Common Cancer In India

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Breast Cancer - The Most Common Cancer In India

Breast cancer(स्तन कैंसर) is on the rise in india. Surveys show that every 4 out of 5 Indian women who have breast cancer, suffer from an advanced stage of the disease by the time they reach the doctor. Urban women are at two times more risk of being diagnosed with breast cancer than rural women. Being overweight, eating unhealthy food, and consuming excessive alcohol or tobacco are some of causes that can make you susceptible to this disease.

How you can avoid breast cancer?

  1. Every woman should do a self-breast examination every month after the periods. You should check for any abnormal lump, change in skin texture or any abnormal discharge from the nipples. Any abnormality above aspects should be promptly investigated by a doctor's appointment, and an ultrasound or Mammography, as required.
  2. Apart from self-examining your breasts every month for a lump, going for a mammography (an X-Ray of the breast) is vital for early detection of the problem.
  3. Consult a gynaecologist before going for the test as its frequency depends on your age and risk factor. About 80-90% of tumours can be traced through this screening.

Breast cancer may run in family. If there is no family history of breast cancer, you start doing mammogram at 40 yrs of age but if there is a family history you start even earlier as advised by your gynaecologist.

3692 people found this helpful

Healthy Diet During Pregnancy

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Healthy Diet During Pregnancy

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. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

3599 people found this helpful

I'm 27 years currently in 6th week of pregnancy. My 5th week scan showed my baby is situated in the corneal inside uterus. No much information about it in internet .how to overcome this. Will the implanted embryo moves to mid position. Till how many weeks we can abort with injection shot?

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
I'm 27 years currently in 6th week of pregnancy. My 5th week scan showed my baby is situated in the corneal inside ut...
Dear Lybrate user, A pregnancy in the cornual part of uterus maybe an ectopic pregnancy and it may have serious implications on your health and future reproductive potential. Please consult your Gynaecologist urgently for a thorough examination & a detailed workup to correctly diagnose your condition & plan immediate interventional measures for management of the condition. This is not a condition which can be treated on a long distance consultation & it is imperative to get in touch with your local gynaecologist as soon as possible. Regards.
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Management of Endometriosis

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Management of Endometriosis

When cells of tissues that are usually found lining the inside cavity of the uterus, start growing outside the organ, for eg over the ovaries/ fallopian tubes/ urinary bladder etc. it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, heavy bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

  1. Age
  2. Severity of symptoms
  3. Severity of the disease
  4. Future plans for children

Depending on these the doctor might opt for any of the following treatments

  1. Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
  2. Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
    • Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
    • Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug. 
    • Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation. 
    • Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
  3. Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery. 
  4. Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
1 person found this helpful

Menopause - How it affect your breasts?

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Menopause - How it affect your breasts?

Menopause is a natural change in a female body that occurs after or around the age of 45, when the ability to bear children stops permanently. The fertility diminishes and the menstrual cycle stops. A decrease in hormone production, especially in the levels of estrogen, happens after the onset of menopausal years.

During this time, there are a number of physical changes that take place inside the woman’s body. The noticeable changes happen in the female breasts.

Some visible changes to breasts during menopause

  1. Non-cyclical breast pain is mostly not related to menstrual cycle and slowly stops with time.

  2. Loss of glandular tissues is common and causes shrinkage in size.

  3. With age, the connective tissues also lose elasticity and causes sagging

  4. Breast pain could also be due to fibrocystic breast changes

  5. There could be a chance of developing breast cancer

  6. Density of the glands decreases inside the breasts and fat develops.

It is advisable to get any kind of discomfort examined by the doctor to make sure you are in the safe zone. Hormone replacement therapy (HRT) is not generally advised as it may create hormonal issues in the long run.

It is also important to follow a healthy diet comprising of protein, calcium , magnesium and other vital nutrients as advised by your doctor. Reduction in smoking and alcohol intake is highly beneficial and cuts down risk of major diseases. It is also necessary to exercise, remain physically active and maintain a healthy body weight during this time.

Regular check-ups, mammograms and self-examination of breasts help to diagnose and detect early signs of breast tumours and cancer and are highly recommended, especially for women who are in the perimenopausal and menopausal years. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

2812 people found this helpful

Ways to Treat Dysmenorrhea Effectively

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Ways to Treat Dysmenorrhea Effectively

Dysmenorrhea is a condition marked by severe menstrual cramps. This is caused due to contractions in the pelvic area during the menstrual cycle. While most women go through some degree of cramping, when the cramps become too serious and severe, it should be reported to a doctor to find out if there are any other related problems like Endometriosis, Fibroids, Adenomyosis or some infections.

Here are the ways in which this condition may be treated effectively:

  1. Medication: One of the main ways of dealing with this condition includes taking pain relievers that must be prescribed by your doctor. Also, one can take over the counter drugs to relieve the pain. These include ibuprofen as well as aspirin and non-steroidal anti-inflammatory drugs. Acetaminophen can also help in most cases. Some women may need antibiotics to take care of pelvic infections that cause pain in the pelvic region.

  2. Hormonal Birth Control: if your symptoms are too severe and debilitating, then the doctor can also put you on hormonal birth control treatment to bring down the pain and severity of the cramps. These are usually prescribed in the form of oral tablets which need to be consumed daily as advised by the Gynaecologist . Sometimes, some women may be unsuitable / unwilling for oral medications and in such cases, other routes for hormonal administration may be followed. This can be administered in the form of an injection. Also, you may wear the dose as a patch on the skin. A surgical procedure can also implant the same under your skin. This also comes as a flexible ring that the doctor can insert into your vagina with the help of an intrauterine device (IUD).

  3. Surgery: In very extreme cases, the doctor may recommend surgery. This is usually conducted in case there is an underlying condition like endometriosis or fibroids, which can create severe complications for the patient as well. The doctor may also carry out surgical removal of the patient's uterus in case there are many complications.

  4. Home remedies: One can exercise on a regular basis in a moderate manner so as to ensure that the cramps are not too severe. Also, you can use heat therapy in order to bring down the pain. This can be done by taking a hot bath and soaking in a tub of hot water. Also, you can use a heat compress so as to relieve the pain. Other dietary supplements can also be taken in order to reduce the cramps. For this purpose, one should regularly indulge in fish and flax seeds as well as other ingredients that are rich in omega three fatty acids. Also, vitamin B1 is an important ingredient that can be found in leafy green vegetables. Magnesium supplements can also be taken by the patient for such cramps.

  5. Stress: one will need to take care of the stress levels by staying away from stressful situations and also cutting back on the consumption of alcohol. One should also avoid smoking completely. Meditation & Yoga have been known to help in relieving stress and you can practise a little bit of these on a daily basis. Also, devoting time to your hobbies and listening to good music can be a stress-buster when incorporated in your daily routine.

So eat right, exercise right, think right and have a positive attitude- That helps take care of most non-pathological cases of dysmenorrhoea.

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