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Dr. Viajy Laxmi Nayar

Gynaecologist, Gurgaon

Dr. Viajy Laxmi Nayar Gynaecologist, Gurgaon
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Viajy Laxmi Nayar
Dr. Viajy Laxmi Nayar is a popular Gynaecologist in Sector-14, Gurgaon. She is currently practising at Miracles Mediclinic in Sector-14, Gurgaon. You can book an instant appointment online with Dr. Viajy Laxmi Nayar on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 43 years of experience on Lybrate.com. You can find Gynaecologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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SCO - 1,2 & 3 , Gurgaon Sector 14. Landmark: Near Payal cinemas, GurgaonGurgaon Get Directions
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Main cause of Unconsummation in females.

MD-Dermatology, MBBS
Sexologist, Pune
Main cause of Unconsummation in females.
UNCONSUMMATION DUE TO VAGINISMUS

Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.
Vaginismus may be mild, moderate or severe. In some females, even the anticipation of vaginal insertion may result in muscle spasm and prevention of penetration. Desire, pleasure and orgasmic capacity may not be impaired. The condition may disrupt relationship. Unconsummated marriage and infertility have been found to be associated with condition. Diagnosis is made during the routine gynecological examination when the contraction of vaginal outlet is observed. Contraction of the muscles may cause pain.
In some vaginismus cases occurs during sexual activity but not during gynecological examination. This disorder found more in younger women. Vaginismus is a psychosomatic problem. Women can experience orgasm by getting effective sexual stimulation, without penetration. Husband may become ‘impotent’ being persistently unsuccessful in penetration or because of not wanting to hurt his wife. We are treating such cases at WNHO Clinic, Pune. Detail Information help line Mob. No. 9822006427.

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She is 2week pregnant now. We want 2 abort it. How can we abort it? I asked this question before, but forgot to tell date of menstrual period. The date was feb 22 or 23. Pls help doctor.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
She is 2week pregnant now. We want 2 abort it. How can we abort it? I asked this question before, but forgot to tell ...
Hello, if pregnancy is confirmed then you can opt for medical abortion under a gynaecologist's supervision at a registered mtp centre.
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I am 26 years old I have pcos problem I am gaining weight like anything. please suggest.

DHMS (Hons.)
Homeopath, Patna
I am 26 years old I have pcos problem I am gaining weight like anything. please suggest.
Hello, Lybrate user, You are obeased by 40 kg, approx,inviting the complication of PCOD. Take, simple, breakfast: Poha, phulkas, with vegetables, sandwich ,milk, Lunch & dinner: Rice (white/red/ brown) or, phulkas, or, khichadi (white / brown/broken rice) or oatmeals, chapaties,or Ravi balls,(1000-1300 calories) Liquid: 3/4 litters of water/day or from assorted sources e.g.milk, juice,milk shakes, Vit 'C' -gooseberry, guava,oranges, tomatoes to improve immunity & to prevent constipation, Vit'A' Papaya, sweet potatoes, oranges,to maintain skin & and good vision. Vit' B complex -Green leafy vegetable: Palak, methi leaves, drumsticks leaves, to check, constipation. Iron- pomegranate to increase haemoglobin level * go for cycling, jogging,skipping, gardening,swimming, either Under noted Foods b avoided. Row eggs, smoked seafood, Over indulgence in coffee & tea. Restaurant food, junk food, containing MSG & taste enhancer. Mango & jackfruits. Fried food. Tk homoeo medicines/ @ PhytoberryQ-10 drops, thrice before meal with little water. Stay, healthy. * Your feedback be appreciated for further follow up, please. PCOD can b successfully be cured in homoeopathy.
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Hello Doctor, My mother (54 years) after her menopause, she was getting bleeding. So she undergone a TAH (Uterus removal) surgery on 28.12. 2015. Doctor had sent her uterus for Testing and report came as like this" Endometrium: Features are suggestive of Endometrioid Endometrial Adenocarcinoma - FIGO Grade 1. Myometrium: Inner 1/2nd of Myometrium InfiltratedLeiomyoma. Cervix: Chronic Cervicitis. Ovaries: Corpora Albicantia. Tubes: Normal HistologyResected (Lateral Soft Tissue) Margins - Free of tumour. Please give me some suggestion and I am so afraid of it.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
It is early stage cancer of uterus. We need to review the slides and then consider whether she needs further treatment or not. In most cases, this cancer patients remain well for long time.
2 people found this helpful
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My girlfriend got her period normally , we had protected sex not for a long too and even now I'm afraid is she pregnant help me!

DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
If she got her periods normally after protected intercourse, it is clear enough that she is not pregnant.

My girlfriend and me have unprotected sex regularly 4 times on a single day .her period starts on 17-3-17 and we had sex on 1-04-17 .i had given her unwanted 72 after completing 4 time unprotected sex in single day. Is she will get pregnant. Help.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
My girlfriend and me have unprotected sex regularly 4 times on a single day .her period starts on 17-3-17 and we had ...
Hi Mostly these pills are effective so if you have done intercourse only on one day i. e. 1/4/17 and given tablets then she will not be pregnant. Don't worry.
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I had a sex with prostitute. She had done blow job to me. And had used condom while having sex. Is this safe or spread infection?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Abraision or cut of any type should not have occurred in any of you which is the highest source of infection by direct mixing of bloid.
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Having sex in periods with out condom is that good for health or it cause any health problem.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Having sex in periods with out condom is that good for health or it cause any health problem.
Dear user. TO CAUSE PREGNANCY on a woman, sperm should be ejaculated inside the vagina or fresh sperm should be inseminated inside the vagina with some means during the fertility period of the woman. There are many determinants of pregnancy. You should be sexually matured. Your partner should be sexually matured. The period of your partner should be in the fertile stage. Her egg and your sperm cells should be healthy enough. Then her uterus should be capable to get conceived. If all these were satisfied, the pregnancy could be a result. Semen do not pass through clothes to make pregnancy. Sex during periods do not cause pregnancy. In the given case, there are less chances of pregnancy. Take care.
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My wife had cesarean delivery on 30 November 15 with horizontal cut. Now she have to perform a 500km road journey by car after 9 days of surgery. 1-Is it safe for her? 2-Otherwise how many days she should wait for journey?

MBBS
General Physician, Chandigarh
My wife had cesarean delivery on 30 November 15 with horizontal cut. Now she have to perform a 500km road journey by ...
It's not advisable to take such a long journey so soon after delivery you should give a gap of atleast 6weeks.
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Hi my sister is suffering from the stomach pain while monthly period happens. please help her doctor?

CCH, CGO, CVD, BHMS
Homeopath, Mumbai
Hi my sister is suffering from the stomach pain while monthly period happens. please help her doctor?
Its natural pain during menstruation. Take tab dysmen three times during menses. Start homoeopathy mag phos 200 chamomiila 200 during menaces.
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What is ICSI. How should v know that whether should go. Icsi or ivf. Kindly help. M planning for it. problem is of Pcos n low sperm count.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
What is ICSI. How should v know that whether should go. Icsi or ivf. Kindly help. M planning for it. problem is of Pc...
Hi lybrate-user. Icsi is a part of ivf only. There are many ways to achieve a healthy conception in ivf treatment and icsi is one of them. It is usually done when sperm count is low. It is procedure in which sperms are taken, visualised under microscope and a healthy sperm is selected and injected into the egg to make a zygote (very early baby). Hope this information has been helpful. All the best.
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Hi. I am 23 years old unmarried female, for past 2 years sometime I have late period but not often like its regular for 3 to 4 months then for next month its not regular. Pls suggest me wat I do. Will I have problem in conceiving after marriage because of this.

MBBS
Sexologist, Panchkula
In females periods are usually irregular by 4 to 5 days. So you need not worry you can conceive after marriage.
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I am 22 years old. Experiencing a lot of hair fall since a year and it has worsened in last three months. I was having irregular menstruation and doctor recommended some medications and the hair fall started then. What should I take for hair regrowth. Food, supplement, medications etc?

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am 22 years old. Experiencing a lot of hair fall since a year and it has worsened in last three months. I was havin...
You should take Acupressure therapy and take Biochemic Calc phos 200x +Nat mur 12x, 4 tab each thrice a day with warm water and take it 5 days
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I often think of having anal sex with my partner. Pl guide is it safe and pleasurable.. My penis gets more erected for anal than regular vaginal intercourse. Please advice.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
anal sex is completely unnatural and there are a lot more chances of contracting severe infections during this...try to avoid it and follow the natural mechanism only
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Meri shadi ko 4 saal ho chuke hai koi baby nhi h. Meri tube block thi jiska maine 2013 m laproscopy bhi karaya tha. Or for 9 month ki dots ki medicine bhi li thi or 3 bar tube m dawayi bhi dali.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Meri shadi ko 4 saal ho chuke hai koi baby nhi h. Meri tube block thi jiska maine 2013 m laproscopy bhi karaya tha. O...
Hello 4years of marriage is a good time for conception. Since your tunes are blocked, you can go for ivf without wasting time.
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She delivers a male child before a month by c section. She is feeding mother and to know how many days or month I should not make relation with my husband and by mistake it happen with in month after delivery, how can check that pregnant or not again. Heard by other, periods take time to continue after delivery, so pls advice my cousin. She is very tens. thanks.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
She delivers a male child before a month by c section. She is feeding mother and to know how many days or month I sho...
Hello- Firstly you can't get pregnant during breast feed stage, body provides natural contraception for an year after delivery. Secondly wait for three months, let the wound heal properly and thn go for sex, no issue.
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I'm 22 years old having skin itching, skin redness. I had tried everything but it happen quite frequently. Also this time I didn't have my periods on time it's 35 days late. Please suggest.

MBBS, cc USG
General Physician, Gurgaon
I'm 22 years old having skin itching, skin redness. I had tried everything but it happen quite frequently.
Also this ...
kindly tell me 1. Do you have dry skin also? 2. Is this problem is related to any season? 3. is redness also present? 4. which soap you are using? Kindly follow advise given below: 1. Do not use harsh soap 2. You can use Calamine lotion local application for Itching for 3-5 day 3. Avoid Synthetic cloth and prefer cotton cloth 4.consult skin specialist if symptom persist or worsen normal gap between period is 22-35 days you can consult gynaecologist
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DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:

 

  •     Coughing during or right after eating or drinking
  •     Wet or gurgly sounding voice during or after eating or drinking
  •     Extra effort or time needed to chew or swallow
  •     Food or liquid leaking from the mouth or getting stuck in the mouth
  •     Recurring pneumonia or chest congestion after eating
  •     Weight loss or dehydration from not being able to eat enough

As a result, adults may have:

 

  •     Poor nutrition or dehydration
  •     Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
  •     Less enjoyment of eating or drinking
  •     Embarrassment or isolation in social situations involving eating

Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:

 

  •     Swallowing therapy
  •     Dietary changes and
  •     Feeding tubes

Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:

  1.     A nasogastric tube - a tube that is passed down your nose and into your stomach
  2.     A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach

Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes. 

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery. 

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus. 


Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
 

I am 32 weeks 4 days pregnant. There has been a 2 days lag in the growth of the baby and my gynecologist suggested a doppler along with usg. The usg today shows 33 weeks 1 day growth of the baby. But the fetal renal pelvis is mildly prominent and also there's an absence of diastolic blood flow in MCA. Can I please know how this affects the baby. Thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 32 weeks 4 days pregnant. There has been a 2 days lag in the growth of the baby and my gynecologist suggested a ...
Hi lybrate-user, your baby is having growth retardation, dilated renal pelvic is not measure issue it can be managed after delivery. Absent diastolic flow is indicative towards early delivery, please visit gynaecologist for internal examination and plan delivery as per finding also make sure that you will receive steroid injection for baby's lung maturation. Wish you good luck!
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