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Dr. Smita Vats - Gynaecologist, Gurgaon

Dr. Smita Vats

92 (182 ratings)
FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysterosco...

Gynaecologist, Gurgaon

17 Years Experience  ·  500 at clinic  ·  ₹300 online
Dr. Smita Vats 92% (182 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
...more
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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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.
1 person found this helpful
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Women Bone Health

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

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

3114 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.
3 people found this helpful
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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.
1 person found this helpful
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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.
3567 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.
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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.

4044 people found this helpful

Polycystic Ovary Syndrome (PCOS)

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

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.

3994 people found this helpful

Preventing Uterine Cancer

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

Uterine cancer is also known as endometrial cancer and it mostly affects the middle aged women. The uterus of a woman is a muscular organ. The cancer can affect any part of the uterus and is more common in women having obesity, diabetes and hypertension. In most cases, the cancer starts in the endometrium, hence called endometrial cancer. Uterine cancer can be cured using any of the following methods:

  1. Surgical removal of the uterus along with ovaries, lymph nodes and fallopian tubes
  2. Radiation therapy
  3. Chemotherapy

Although uterine cancer is curable, it's always a better option to prevent it. You cannot control all the causes for uterine cancer like those related to heredity. But other than that, here are a few ways in which you can prevent suffering from uterine cancer:

  1. Control body weight: Keep your body weight in control. Obesity can pose a huge risk of getting affected with uterine cancer. The fat in the body produces estrogen, which promotes the growth of uterine lining that is the Endometrium and may lead to Endometrial cancer.
  2. Breast feed: If you are lactating, then the risk of the cancer decreases, as breast feeding decreases ovulation as well as estrogen activities.
  3. Treat abnormal bleeding: If you are suffering from any type of abnormal bleeding, be that heavy periods, bleeding even after you reached menopause or if you start bleeding between two period cycles, consult your doctor immediately. Abnormal bleeding is the symptom of endometrial hyperplasia, which might eventually turn cancerous.
  4. Exercise: As already said earlier, keep your weight under control to avoid uterine cancer. Exercise to avoid increase in weight leading to obesity. It also reduces the estrogen level in your body.
  5. Healthy food: Healthy food is the key to avoid any disease, be that a common cold or uterine cancer. Eat a healthy and balanced diet everyday to be fit and bouncing. 
  6. Birth control pills: It is believed that the intake of birth control pills helps to keep uterine cancer at bay.

So eat healthy, exercise and adopt healthy habits. Then nothing can stop you from enjoying life to the fullest.

4337 people found this helpful

Coping With the Heat in Pregnancy

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

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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What Causes a Uterine Prolapse?

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
What Causes a Uterine Prolapse?

The uterus is a muscular structure held in place inside your pelvis with the help of muscles, ligaments, and tissues. These muscles weaken in women due to pregnancy, childbirth or delivery complications and can lead to severe complications. One such complication is a uterine prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position into the vaginal canal.

The causes of uterine prolapse are varied and include:

- Delivering a large baby
- Pregnancy
- Difficulty in labor and delivery
- Reduction in estrogen levels post menopause
- Traumatic childbirth
- Loss or weakening of the pelvic muscle
- Conditions which lead to increased pressure in the abdominal area such as a chronic cough, straining, pelvic tumors or accumulation of fluid in the abdomen
- Loss of external support due to major surgery in pelvic area

Uterine prolapse can be complete or incomplete depending on how far the uterus sags into the vagina. Women who have minor uterine prolapse may not have any visible symptoms. However, if the condition worsens, it manifests itself in visible signs.

Symptoms of moderate or severe prolapse are:

1. A feeling of fullness or pressure in your pelvis when you sit
2. Seeing the uterus or cervix coming out of the vagina
3. Vaginal bleeding or increased discharge
4. Painful sexual intercourse
5. Recurrent bladder infections
6. Continuing back pain with difficulty in walking, urinating and moving your bowels

Without proper attention, the condition can cause impairments in the bowel, and can also affect bladder and sexual function.

'Consult'.

Related Tip: What Makes One Lose Control of the Urinary Bladder?

4879 people found this helpful

4 Exercises That'll Help You During Labour

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
4 Exercises That'll Help You During Labour

4 Exercises that’ll help you during labour

There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:

1. Kegel Exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of  the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-

Slow kegels: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.

Fast kegels: To do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.

 

2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here’s what you should do:

1. Begin by standing behind a chair for support with your feet wide apart

2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor

3. While inhaling and exhaling deeply, push into your legs and go back into a standing position

 

3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. Here’s how it’s done:

1. Get down on both your hands and knees while keeping your head in a parallel position with your back

2. While arching your back, pull in your stomach

3. Hold this position for a few seconds before releasing

The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold over your back and stomach.

 

4. Tailor Pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:

1. While keeping your back straight, sit comfortably on the floor

2. Placing the soles of both the feet together, press your knees gently towards the floor

3. Keep the position for 10-15 seconds. You can repeat the exercise for 5-10 times.

 

'Consult'.

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I am regularly having Sex with my boyfriend and I am having I-pill within 3 days. But lastly I had Sex with him on Thursday and I forgot to have I-pill on Saturday. But I have taken I-pill on Monday. What should I do. Please tell.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
I am regularly having Sex with my boyfriend and I am having I-pill within 3 days. But lastly I had Sex with him on Th...
I-pill is not very reliable for birth control especially if used frequently. Please do a pregnancy test if you miss your period and switch over to a reliable contraceptive.
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I am working in an Software company and for 10 hrs I sit in front of computer which is leading to weight and fats gain. Even I am having PCOD problem. Suggest me how to control weight gain.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
I am working in an Software company and for 10 hrs I sit in front of computer which is leading to weight and fats gai...
Exercise 45 minutes every day. There is no replacement for that. Avoid fried, oily food n food high in fats/sugars lose weight.
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