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W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 25 years of experience in treating thousands of happy......more
W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 25 years of experience in treating thousands of happy patients across multiple hospitals and clinics in India.

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Videos (5)

PCOS: What Increases Your Risk?

Hi friends, I am Dr Shakuntala Kumar I am practising obstetrician and gynaecologist at New Life Hospital Delhi and Fortis Hospital Shalimar Bagh. Today we will be discussing ovary commonly encountered problem name Polycystic Ovarian Syndrome. Are you suffering from problems like hair fall, excess facial and body hair, very-very oily skin along with acne, frequently encountered menstrual abnormalities or problems in periods of difficulty in becoming pregnant, chances are you may be suffering from the Polycystic ovarian syndrome. A polycystic ovarian syndrome is because of a hormonal imbalance namely the female hormones like estrogen and progestogen imbalance between the excess of male hormones happening in these women. These women also have insulin resistance in their body, leading to several other disorders like high blood pressure, diabetes and high cholesterol levels in their body. Friends because of a Polycystic ovarian syndrome is at the interplay of hormonal disbalance compounded with environmental factors, like the lifestyle of the person because of this there is a development of multiple eggs in the ovary rather than formation of one single egg. These small-small eggs coming up in the ovary do not allow a dominant egg to form because of which there is an ovulation or non-development of eggs. This is the main reason why these women face difficulty in conceiving and are facing several hormonal imbalances.

Now let us talk about the diagnosis of a polycystic ovarian syndrome, so friends just an ultrasound finding of multiple cysts in the ovary of these women is not the sole criteria. We have certain criteria because of which we diagnose Polycystic ovarian syndrome a woman will be having normal ovaries but suffering from PCOS, on the other hand, she may be having polycystic ovaries but she is in a normal lady. So the diagnosis depends on certain clinical and investigational and certain ultrasound findings of the women. Which is not one single criteria of polycystic ovaries coming up in the ultrasound. Coming to the treatment part of these women that treatment depends on the problem that is these women are facing but in the root cause of these problems lays the obesity part of these women. So the most important part of the treatment is weight loss and lifestyle management, so please listen to your doctor, when she is saying and requesting you to lose weight. That is possible through a healthy lifestyle, a healthy diet and workout plans. Secondly, if this woman is suffering from menstrual irregularities we will correct that by improving her lifestyle and by giving her certain drugs, if she is suffering from acne or excess body hair we will be giving certain drugs to tackle that, if she is suffering from anovulation or by that I mean difficulty in conceiving or becoming pregnant, we will be giving certain drugs to induce ovulation, this may require the intake of tablets or sometimes intake of certain injections. So friends polycystic ovarian syndrome is no longer an enigma, it can very much cure. The only thing that is required is you helping your doctor curing it by managing a very healthy lifestyle and through the drug that we prescribed you taking them diligently. Thank you very much.

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Abnormal Uterine Bleeding - Causes and Symptoms

Hello, I am Dr Pallavi Vasal consultant Obstetrics and gynaecologist. Today I will be talking about abnormal uterine bleeding so, abnormal uterine bleeding is bleeding anywhere from the genital tract which is unusual. It can occur as in the form of spotting or bleeding before the periods or in between periods, after sex or it can be longer than a normal period, heavier than normal or if the bleeding is happening after menopause. If we divide the causes of abnormal uterine bleeding if we see young girls who have it as they started with the menstrual period. It usually because of trauma and any foreign body, irritation of the genital tract or an urine tract infection, but we have to be very careful about this sexual abuse, in young girls if it is happening, In adolescence during the teenage it can be during the first few years of the after the attaining the menstrual cycles it can happen in the first few years. This is because of the hormonal changes, which are happening in the girl’s body. But in that case, also we need to rule out any kind of pregnancy, infection any bleeding disorders or any other medical illness. In the reproductive age, group pregnancy has to be ruled of first because that is the most common cause of the abnormal bleeding in the reproductive age group. Then it can be because of the abnormal gain in weight or sudden loss in weight, intake off or any hormones or in use of any contraceptive intrauterine contraceptive virus, in pre-menopause that is between the age of 40 to 50 years of age, it can be because of the Ovulatory dysfunction that means there they are changes in the hormones when the periods are about to end because of that the hormones they are dysregulated that lead to abnormal bleeding. It can be because of fibroid in the womb or it can be because of the increased thickness of the lining of the womb or the growth of the endometrial polyp. So pregnancy precancerous or the cancers of the cervic, so any kind of cancers this also needs to be taken care off. And in the postmenopause, so in the postmenopause it is very important to see if a lady has started bleeding again after attaining the menopause, this leads to being because we need to rule out cancer because it is very scary and if it is diagnosed at a very early stage it can be treated very nicely. The another most common cause in menopause age group is atrophic days, thinning of the lining of the vagina and the womb sometimes that leads to irregular bleeding or growth of polyp for fibroid or infection in the uterus that can also lead to abnormal bleeding in women who are menopause. Now the symptoms as we discussed the symptoms are like bleeding or spotting in between the periods, the periods are less than 26 days more than 35 days heavy bleeding or prolonged bleeding during the periods. As we go ahead you need to go to a gynaecologist get a general checkup done along with the abdominal examination and the internal examination and then usually ultrasound is very much required in these cases to rule out anything which can be treated by surgery or the treatment can be with the medicines. Now a couple of blood test like CBC, the complete blood count, the hormonal profile, the infection screen, the pregnancy test all these needs to be done. The treatment is based on the cause, if there is no significant pathology identified then hormonal correction is required and this is done with hormonal therapy, which can be oral, injectable or in the form of intrauterine contraceptive device or if there is a particular cause like fibroid or polyp, then that needs to be removed through the surgery. In menopause age group we advise endometrial biopsy even if there is nothing but significant in the ultrasound because we need to rule out cancer in a patient who has attained menopause but still are having periods. So the important things I would say is too young girls especially avoid taking an excess of hormones or you should maintain a healthy weight and healthy lifestyle and there is very much there is a very high intake of I pills and adolescent that should be avoided because they have screwed up your periods and leads to irregular bleeding. For further queries, you can talk to me or connect me through Lybrate.

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Is It Risky To Have A Baby After 35?

Hello, everyone, I am Dr Pallavi Vasal consultant of Obstetrics and Gynaecologist. Today I am discussing about pregnancy after the age of 35 years which is becoming fairly common nowadays and as the carrier orientation is increasing more and more women are conceiving after the age of 35. So, major concerns which arise after the age of 35 whether you are going to have a healthy baby or not and whether the pregnancy is going to be a smooth one or not. So what happens naturally is the egg production peeks at the age of 24 to 26 years and during this time the production of eggs is of very good quality but as the age increases there is a decline in the quality of the eggs as well as quantity of the eggs which are being produced in a female body. So there are issues which might arise because of it so what happens if we go for the risks in cases of the baby so what happens if the risk of down syndrome which is a congenital malformation rich is very closely link with the age of mother if the risk is one in 2000 at the age of 20years it increases to one in 350 at the age of 35 and further one in 100 at the age of 40years. So, with the increasing age of mother, there are chances of having a baby with Down syndrome. But nowadays we have excellent test and wonderful results we can expect with the levels of testing which are available nowadays like we go for double marker, quadruple marker even there is a test which is called Non-invasive prenatal test so that we can filter the baby cells from the mother cells and study than in detail whether the baby is having any abnormality or not.

All these are screening test and if needed further we can go for the confirmatory test like amniocentesis and coronary vessel tissue sample. Another thing with age is the doubt of having sugar during pregnancy, the problem with blood pressure developing during pregnancy but all these things come in to pregnancy only if you have the previous health has not been very good or if you have being diabetic or if you have already being hypertensive, then they put in a major issue otherwise they don’t. So if you have a good health before pregnancy so there are high chances that you will have a healthy pregnancy even after the age of 35 years beyond this if you have any doubt you can consult me or you can consult me through Lybrate and you can book an appointment through Lybrate.

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Tuberculosis: Treatment and Management

Hello everyone, I am DR. Pallavi Vasal, consultant of Obstetrics and Gynaecologist, working at Gurgaon. Today I will be discussing Tuberculosis in pregnancy. The class of patients which we deal with and the surrounding around is, we always think that tuberculosis is not that common in our class but it is not so. India has the largest number of cases of tuberculosis cases in the whole world, around 1 in 600. The incidence of tuberculosis in India is around 1 in 600 and in our country tuberculosis is still very prevalent. It is transmitted through respiratory droplets, though it is very important that you be very careful about your surroundings. Now during pregnancy, we are particularly discussing tuberculosis in pregnancy because during pregnancy your immunity comes down and because of this, you become most acceptable to any kind of infection and usually we catch an infection from the surrounding. So you need to be very careful about the workers you are hiring like your maid, your driver, your gardener, you need to screen them before you hire them because they are the ones who might be carrying tuberculosis. And if you screen them it will be helpful for you also and for them also. Untreated tuberculosis is the greater risk to the mother and the baby then does the drug have. So it is very important to screen and treat tuberculosis timely and quickly as soon as it is diagnosed. Most commonly the bacteria it affects the lungs otherwise it can affect the all the organs of the body. Now, when usually the symptoms of tuberculosis are like evening rise of temperature, loss of appetite, you don’t feel hungry, despite being pregnant you start losing weight, crowning cough lasting for more than 3 weeks, generalised tiredness, breathlessness and nausea. What happens in pregnancy is the physiological changes which happen in pregnancy makes the diagnosis of tuberculosis during pregnancy a bit tricky. So it is usually based on your history then your sputum which is coming out that is examined at least 2 times and chest X-Ray can even be done in the pregnancy if you are in a high-risk category with the abdominal shielding so that the baby is unharmed. Now there is another test called tuberculosis PCR which is tested in your sputum, culture can also be sent. And there is one more test called GeneXpert which also tells us about the resistance of the tuberculosis bacteria.

The treatment of tuberculosis depends upon the intensity and the severity of the disease. It can vary from 6 months to 9 months depending upon your condition. Usually, most of the drugs can be safely taken during pregnancy even in the first trimester, except a couple of drugs like streptomycin which is not advisable to take in the first trimester of pregnancy. In India the incidents of drug-resistant tuberculosis are also increasing, so once you are tested positive you need to take a complete treatment otherwise there are high chances of relapse and you developing a multi-drug resistant TB, which is very difficult to treat. Once you diagnose with TB, it takes 2 to 3 weeks after the starting of the treatment for you to become non- infectious. Till that time you have to keep your hygiene very good and keep wearing a mask if you are having lung TB, wash your hands repeatedly, eat healthy food and get a lot of fresh air, so that in general your health remains very good. Now be regular with your visits to the gynaecologist and with the physician for the treatment of tuberculosis and for the treatment of pregnancy as well. As pregnancy advances, if the TB is treated properly, it doesn’t cause much risk but there are chances of early labour, premature delivery and rarely the baby might also carry a form of TB which is known as congenital TB. But all these can be very well presented with the drug treatment if it is taken very timely and very efficient. So if you have any doubts regarding any of these issues then we can further. We can make an appointment through Lybrate or we can fix an appointment.

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Causes, treatment and adverse effects of heart attack

Causes, treatment and adverse effects of heart attack

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Doctor in W Pratiksha Hospital

Dr. Rohan Khandelwal

MBBS, MS - General Surgery, MRCS (Edinburgh), Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery
Oncologist
89%  (208 ratings)
10 Years experience
1000 at clinic
₹500 online
Available today
09:30 AM - 12:00 PM

Dr. Pallavi Vasal

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist
90%  (112 ratings)
13 Years experience
1000 at clinic
₹300 online
Available today
10:00 AM - 12:00 PM
02:00 PM - 05:00 PM

Dr. Kapil Agarwal

DM, MD, MBBS
Neurologist
87%  (22 ratings)
18 Years experience
1200 at clinic
₹800 online
Available today
09:30 AM - 04:30 PM

Dr. Pooja Mehta

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB -Obstetrics & Gynecology
Gynaecologist
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
89%  (10 ratings)
19 Years experience
600 at clinic
₹300 online
Available today
06:00 PM - 08:00 PM

Dr. Vaneet Parmar

MD - Paediatrics, MBBS
Pediatrician
22 Years experience
900 at clinic
Available today
03:30 PM - 05:30 PM
11:00 AM - 02:00 PM

Dr. Sandeep Singh

MS - Orthopaedics, Fellowship in Adult Spine Surgery
Orthopedist
89%  (29 ratings)
20 Years experience
1000 at clinic
Available today
11:30 AM - 01:30 PM

Dr. Mayank Manjul Madan

MBBS, MS - General Surgery, Fellowship in Minimal Access Surgery
General Surgeon
20 Years experience
1200 at clinic
₹500 online
Available today
09:45 AM - 05:30 PM

Dr. Neeraj Gupta

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Pulmonary Medicine
Pulmonologist
21 Years experience
1000 at clinic
Available today
11:00 AM - 04:00 PM

Dr. M. K. Singh

MBBS, MD - Medicine, Fellow of Indian College of Physician
Internal Medicine Specialist
27 Years experience
1000 at clinic
Available today
04:30 PM - 08:00 PM

Dr. Ratna Vasistha

MBBS
Gynaecologist
3 Years experience
1000 at clinic
Available today
05:00 PM - 06:30 PM
10:00 AM - 12:00 PM

Dr. Surinder Kumar Anand

MBBS, Diploma in Otorhinolaryngology (DLO)
ENT Specialist
40 Years experience
1000 at clinic
Unavailable today

Dr. Poohar Barua

MBBS, MS - ENT
ENT Specialist
21 Years experience
1000 at clinic
Unavailable today

Dr. Tushar Tayal

MBBS, MD - Medicine, Fellowship In Diabetology(Boston School of Medicine, USA
Internal Medicine Specialist
13 Years experience
1000 at clinic
Available today
04:30 PM - 08:30 PM

Dr. Jitender Verma

MBBS, MS - General Surgery, Fellowship In Laparoscopic and Robotic Surgical Oncology
General Surgeon
12 Years experience
1000 at clinic
Available today
11:00 AM - 04:00 PM

Dr. Mandakini Chopra

BPTh/BPT, MPTh/MPT
Physiotherapist
11 Years experience
900 at clinic
Available today
08:00 AM - 01:30 PM
02:00 PM - 04:30 PM

Dr. Pratibha Dogra

MBBS, MD (TB & Res. Dis)
Pulmonologist
18 Years experience
1000 at clinic
Available today
10:00 AM - 07:00 PM

Dr. Jharna K Doshi

MBBS, DNB - Pediatrics
Pediatrician
12 Years experience
900 at clinic
Available today
05:30 PM - 07:30 PM

Dr. Ritambhara Lohan

MBBS, MD - Pediatrics
Pediatrician
6 Years experience
900 at clinic
Available today
02:00 PM - 03:00 PM

Dr. Preeta Mathur

MBBS, DNB - Paediatrics
Pediatrician
25 Years experience
900 at clinic
Available today
02:00 PM - 03:00 PM

Dr. Vaibhav Bhola

MBBS, DNB - Anaesthesia
Anesthesiologist
19 Years experience
1000 at clinic
Available today
05:00 PM - 08:00 PM
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Specialities

Gynaecology

Gynaecology

A branch of medicine reserved especially for treating female conditions of the reproductive system
Pediatrics

Pediatrics

Aim to offer the best form of childcare to infants and children up to 18 years
Internal Medicine

Internal Medicine

Deals with the careful understanding and treatment of adult diseases
Urology

Urology

Offers cumulative treatment of problems of the Urinary tract and male reproductive organs
Psychiatry

Psychiatry

Offers specific care to patients with any kind of mental illness or behavioural disorders
Ophthalmology

Ophthalmology

Concerns itself with the treatment of diseases related to the eye
Cardiology

Cardiology

Aims to provide effective diagnosis and treatment related to cardiac and circulatory problems
Psychology

Psychology

Deals with management of emotional and behavioural problems
Dermatology

Dermatology

Aims to deliver the highest quality of care to patients with skin disorders
Physiotherapy

Physiotherapy

Effectively treats physical injury or diseases through vigorous massages and exercises
Pulmonology

Pulmonology

Offers specialized care in the treatment of pulmonary diseases and conditions
Ear-Nose-Throat (ENT)

Ear-Nose-Throat (ENT)

Aims to offer special care to patients with conditions related to the ear, nose and throat
Gastroenterology

Gastroenterology

Offers qualitative care to patients suffering from stomach and intestine problems
General Surgery

General Surgery

Offers extensive care to patients suffering from abdomen related medical issues
Nephrology

Nephrology

Deals with the diagnosis and treatment of conditions affecting the kidneys
Orthopaedics

Orthopaedics

Concentrates on efficient treatment of injuries and problems of the musculoskeletal system
Dietitian/Nutritionist

Dietitian/Nutritionist

Expertly offers advice in dietetics, including recommendations on planned diets to patients
Pediatric Surgery

Pediatric Surgery

General Physician

General Physician

Aims to provide best quality care to patients with acute and chronic problems
Anesthesiology

Anesthesiology

Concentrates on preoperative medicine and the administration of anaesthetic drugs prior surgery
Endocrinology

Endocrinology

Offers quality care to patients with medical problems related to the endocrine glands and hormones
Pain Management

Pain Management

Concerns itself with the effective diagnosis and management of various kinds of pains
Cosmetic/Plastic Surgery

Cosmetic/Plastic Surgery

Offers various surgical and non-surgical procedures to patients willing to enhance their appearance
Oncology

Oncology

Offers high quality care to patients with tumours, especially those that are cancerous
Neurosurgery

Neurosurgery

Aims to deliver cumulative healthcare for disorders related to the brain and spinal cord
Neurology

Neurology

Offers specialized healthcare to patients suffering from disorders of the nervous system
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IVF or IUI - Which One Should You Opt for?

IVF Specialist, Gurgaon
IVF or IUI - Which One Should You Opt for?

Intrauterine insemination (IUI) and in vitro fertilization (IVF) are two commonly used methods of fertility treatment, which increase a couple’s chance of becoming pregnant.

The Procedure

IUI - IUI is a procedure during which processed and concentrated motile sperm are inserted directly into a woman’s uterus. This procedure is timed according to a woman’s ovulation, and may be performed single/double IUI in the days immediately following the detection of ovulation. After ovulation a woman’s egg is picked up by the fallopian tube and waits there for the sperm. Since the IUI procedure deposits higher concentrations of good quality sperm close to where the egg is waiting, the chances that the egg and sperm will find one another are increased.

IVF - IVF is the most successful method of fertility treatment utilized today to help couples to conceive. The basic components of the IVF process include stimulation of the ovaries to produce multiple eggs at a time, removal of the eggs from the ovary (egg retrieval), fertilization of the eggs in the laboratory, and subsequent placement of the resulting embryos into the uterus (embryo transfer). The chance of pregnancy from IVF depends primarily on the age of the woman, the cause of infertility, and factors related to the quality of the IVF laboratory.

Success Rates

IUI Treatment - There is a marked difference between IVF and IUI pregnancy rates. IUI has a success rate between 5% and 20%, but it can even be as low as 1-2 %, depending on the woman’s age and fertility levels. The chances of conceiving through IUI is higher if fertility drugs are administered along with the treatment.

IVF Treatment - IVF has a high success rate – between 20% and 35% and it can even go as high as 40%. This may not seem like a lot, but it is very high, considering that an average young and fertile couple has only a 15-20% chance to conceive in a month. It is important to understand what IVF and IUI success rates mean and the factors that affect it before deciding on a fertility treatment. You can also use any reliable online IUI vs IVF comparison tool to determine your approximate success rates with each of these treatments, depending on your age, lifestyle, and medical history.

You should use online sources of information to understand more about fertility problems, how age affects fertility levels, and whether freezing your eggs is a good option for you. However, discuss all these issues with your doctor to ensure that you have the right information and that you have understood it correctly. Fertility specialists provide you with personalized fertility plans based on your health which is why you should always talk to them before you make any decision.

1 person found this helpful

Does Quality Of Eggs Affect IVF Treatment?

IVF Specialist, Gurgaon
Does Quality Of Eggs Affect IVF Treatment?

The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.

There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:

  1. Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality but this test has its own drawbacks so recently more newer tests are available to measure ovarian result like AMH, AFC etc in addition to FSH.

  2. Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.

  3. Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.

Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the alternative option is donar eggs.

Interventional Cardiology

IVF Specialist, Gurgaon
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There are cardio procedures like angioplasty and angiography where there are radiations exposure and may seem expensive to many patients too. However, W Pratiksa Hospital has come up with an advanced set up of interventional cardiology which can benefit many.

6 people found this helpful

Breast Cancer

IVF Specialist, Gurgaon
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Symptoms of breast cancer include a lump in the breast, bloody discharge from the nipple and changes in the shape or texture of the nipple or breast.

1 person found this helpful

Why PCOS is so prevalent?

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
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Hi friends, I am Dr Shakuntala Kumar I am practising obstetrician and gynaecologist at New Life Hospital Delhi and Fortis Hospital Shalimar Bagh. Today we will be discussing ovary commonly encountered problem name Polycystic Ovarian Syndrome. Are you suffering from problems like hair fall, excess facial and body hair, very-very oily skin along with acne, frequently encountered menstrual abnormalities or problems in periods of difficulty in becoming pregnant, chances are you may be suffering from the Polycystic ovarian syndrome. A polycystic ovarian syndrome is because of a hormonal imbalance namely the female hormones like estrogen and progestogen imbalance between the excess of male hormones happening in these women. These women also have insulin resistance in their body, leading to several other disorders like high blood pressure, diabetes and high cholesterol levels in their body. Friends because of a Polycystic ovarian syndrome is at the interplay of hormonal disbalance compounded with environmental factors, like the lifestyle of the person because of this there is a development of multiple eggs in the ovary rather than formation of one single egg. These small-small eggs coming up in the ovary do not allow a dominant egg to form because of which there is an ovulation or non-development of eggs. This is the main reason why these women face difficulty in conceiving and are facing several hormonal imbalances.

Now let us talk about the diagnosis of a polycystic ovarian syndrome, so friends just an ultrasound finding of multiple cysts in the ovary of these women is not the sole criteria. We have certain criteria because of which we diagnose Polycystic ovarian syndrome a woman will be having normal ovaries but suffering from PCOS, on the other hand, she may be having polycystic ovaries but she is in a normal lady. So the diagnosis depends on certain clinical and investigational and certain ultrasound findings of the women. Which is not one single criteria of polycystic ovaries coming up in the ultrasound. Coming to the treatment part of these women that treatment depends on the problem that is these women are facing but in the root cause of these problems lays the obesity part of these women. So the most important part of the treatment is weight loss and lifestyle management, so please listen to your doctor, when she is saying and requesting you to lose weight. That is possible through a healthy lifestyle, a healthy diet and workout plans. Secondly, if this woman is suffering from menstrual irregularities we will correct that by improving her lifestyle and by giving her certain drugs, if she is suffering from acne or excess body hair we will be giving certain drugs to tackle that, if she is suffering from anovulation or by that I mean difficulty in conceiving or becoming pregnant, we will be giving certain drugs to induce ovulation, this may require the intake of tablets or sometimes intake of certain injections. So friends polycystic ovarian syndrome is no longer an enigma, it can very much cure. The only thing that is required is you helping your doctor curing it by managing a very healthy lifestyle and through the drug that we prescribed you taking them diligently. Thank you very much.

2747 people found this helpful

Abnormal Uterine Bleeding

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
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Hello, I am Dr Pallavi Vasal consultant Obstetrics and gynaecologist. Today I will be talking about abnormal uterine bleeding so, abnormal uterine bleeding is bleeding anywhere from the genital tract which is unusual. It can occur as in the form of spotting or bleeding before the periods or in between periods, after sex or it can be longer than a normal period, heavier than normal or if the bleeding is happening after menopause. If we divide the causes of abnormal uterine bleeding if we see young girls who have it as they started with the menstrual period. It usually because of trauma and any foreign body, irritation of the genital tract or an urine tract infection, but we have to be very careful about this sexual abuse, in young girls if it is happening, In adolescence during the teenage it can be during the first few years of the after the attaining the menstrual cycles it can happen in the first few years. This is because of the hormonal changes, which are happening in the girl’s body. But in that case, also we need to rule out any kind of pregnancy, infection any bleeding disorders or any other medical illness. In the reproductive age, group pregnancy has to be ruled of first because that is the most common cause of the abnormal bleeding in the reproductive age group. Then it can be because of the abnormal gain in weight or sudden loss in weight, intake off or any hormones or in use of any contraceptive intrauterine contraceptive virus, in pre-menopause that is between the age of 40 to 50 years of age, it can be because of the Ovulatory dysfunction that means there they are changes in the hormones when the periods are about to end because of that the hormones they are dysregulated that lead to abnormal bleeding. It can be because of fibroid in the womb or it can be because of the increased thickness of the lining of the womb or the growth of the endometrial polyp. So pregnancy precancerous or the cancers of the cervic, so any kind of cancers this also needs to be taken care off. And in the postmenopause, so in the postmenopause it is very important to see if a lady has started bleeding again after attaining the menopause, this leads to being because we need to rule out cancer because it is very scary and if it is diagnosed at a very early stage it can be treated very nicely. The another most common cause in menopause age group is atrophic days, thinning of the lining of the vagina and the womb sometimes that leads to irregular bleeding or growth of polyp for fibroid or infection in the uterus that can also lead to abnormal bleeding in women who are menopause. Now the symptoms as we discussed the symptoms are like bleeding or spotting in between the periods, the periods are less than 26 days more than 35 days heavy bleeding or prolonged bleeding during the periods. As we go ahead you need to go to a gynaecologist get a general checkup done along with the abdominal examination and the internal examination and then usually ultrasound is very much required in these cases to rule out anything which can be treated by surgery or the treatment can be with the medicines. Now a couple of blood test like CBC, the complete blood count, the hormonal profile, the infection screen, the pregnancy test all these needs to be done. The treatment is based on the cause, if there is no significant pathology identified then hormonal correction is required and this is done with hormonal therapy, which can be oral, injectable or in the form of intrauterine contraceptive device or if there is a particular cause like fibroid or polyp, then that needs to be removed through the surgery. In menopause age group we advise endometrial biopsy even if there is nothing but significant in the ultrasound because we need to rule out cancer in a patient who has attained menopause but still are having periods. So the important things I would say is too young girls especially avoid taking an excess of hormones or you should maintain a healthy weight and healthy lifestyle and there is very much there is a very high intake of I pills and adolescent that should be avoided because they have screwed up your periods and leads to irregular bleeding. For further queries, you can talk to me or connect me through Lybrate.

3767 people found this helpful

Pregnancy After 35 Years of Age

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
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Hello, everyone, I am Dr Pallavi Vasal consultant of Obstetrics and Gynaecologist. Today I am discussing about pregnancy after the age of 35 years which is becoming fairly common nowadays and as the carrier orientation is increasing more and more women are conceiving after the age of 35. So, major concerns which arise after the age of 35 whether you are going to have a healthy baby or not and whether the pregnancy is going to be a smooth one or not. So what happens naturally is the egg production peeks at the age of 24 to 26 years and during this time the production of eggs is of very good quality but as the age increases there is a decline in the quality of the eggs as well as quantity of the eggs which are being produced in a female body. So there are issues which might arise because of it so what happens if we go for the risks in cases of the baby so what happens if the risk of down syndrome which is a congenital malformation rich is very closely link with the age of mother if the risk is one in 2000 at the age of 20years it increases to one in 350 at the age of 35 and further one in 100 at the age of 40years. So, with the increasing age of mother, there are chances of having a baby with Down syndrome. But nowadays we have excellent test and wonderful results we can expect with the levels of testing which are available nowadays like we go for double marker, quadruple marker even there is a test which is called Non-invasive prenatal test so that we can filter the baby cells from the mother cells and study than in detail whether the baby is having any abnormality or not.

All these are screening test and if needed further we can go for the confirmatory test like amniocentesis and coronary vessel tissue sample. Another thing with age is the doubt of having sugar during pregnancy, the problem with blood pressure developing during pregnancy but all these things come in to pregnancy only if you have the previous health has not been very good or if you have being diabetic or if you have already being hypertensive, then they put in a major issue otherwise they don’t. So if you have a good health before pregnancy so there are high chances that you will have a healthy pregnancy even after the age of 35 years beyond this if you have any doubt you can consult me or you can consult me through Lybrate and you can book an appointment through Lybrate.

3237 people found this helpful

Tuberculosis During Pregnancy

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
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Hello everyone, I am DR. Pallavi Vasal, consultant of Obstetrics and Gynaecologist, working at Gurgaon. Today I will be discussing Tuberculosis in pregnancy. The class of patients which we deal with and the surrounding around is, we always think that tuberculosis is not that common in our class but it is not so. India has the largest number of cases of tuberculosis cases in the whole world, around 1 in 600. The incidence of tuberculosis in India is around 1 in 600 and in our country tuberculosis is still very prevalent. It is transmitted through respiratory droplets, though it is very important that you be very careful about your surroundings. Now during pregnancy, we are particularly discussing tuberculosis in pregnancy because during pregnancy your immunity comes down and because of this, you become most acceptable to any kind of infection and usually we catch an infection from the surrounding. So you need to be very careful about the workers you are hiring like your maid, your driver, your gardener, you need to screen them before you hire them because they are the ones who might be carrying tuberculosis. And if you screen them it will be helpful for you also and for them also. Untreated tuberculosis is the greater risk to the mother and the baby then does the drug have. So it is very important to screen and treat tuberculosis timely and quickly as soon as it is diagnosed. Most commonly the bacteria it affects the lungs otherwise it can affect the all the organs of the body. Now, when usually the symptoms of tuberculosis are like evening rise of temperature, loss of appetite, you don’t feel hungry, despite being pregnant you start losing weight, crowning cough lasting for more than 3 weeks, generalised tiredness, breathlessness and nausea. What happens in pregnancy is the physiological changes which happen in pregnancy makes the diagnosis of tuberculosis during pregnancy a bit tricky. So it is usually based on your history then your sputum which is coming out that is examined at least 2 times and chest X-Ray can even be done in the pregnancy if you are in a high-risk category with the abdominal shielding so that the baby is unharmed. Now there is another test called tuberculosis PCR which is tested in your sputum, culture can also be sent. And there is one more test called GeneXpert which also tells us about the resistance of the tuberculosis bacteria.

The treatment of tuberculosis depends upon the intensity and the severity of the disease. It can vary from 6 months to 9 months depending upon your condition. Usually, most of the drugs can be safely taken during pregnancy even in the first trimester, except a couple of drugs like streptomycin which is not advisable to take in the first trimester of pregnancy. In India the incidents of drug-resistant tuberculosis are also increasing, so once you are tested positive you need to take a complete treatment otherwise there are high chances of relapse and you developing a multi-drug resistant TB, which is very difficult to treat. Once you diagnose with TB, it takes 2 to 3 weeks after the starting of the treatment for you to become non- infectious. Till that time you have to keep your hygiene very good and keep wearing a mask if you are having lung TB, wash your hands repeatedly, eat healthy food and get a lot of fresh air, so that in general your health remains very good. Now be regular with your visits to the gynaecologist and with the physician for the treatment of tuberculosis and for the treatment of pregnancy as well. As pregnancy advances, if the TB is treated properly, it doesn’t cause much risk but there are chances of early labour, premature delivery and rarely the baby might also carry a form of TB which is known as congenital TB. But all these can be very well presented with the drug treatment if it is taken very timely and very efficient. So if you have any doubts regarding any of these issues then we can further. We can make an appointment through Lybrate or we can fix an appointment.

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Stress - Can It Make You Infertile?

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
Stress - Can It Make You Infertile?

Infertility is a condition that refers to the inability to conceive, even after regularly having unprotected sex for a period of 6 months at least. In most cases, infertility may also refer to the biological inability of a person to contribute to the process of conception; or to a woman who is incapable of carrying a pregnancy to its full term.

There are several causes behind infertility; but taking the current lifestyle of the people into account, stress and a sedentary lifestyle are emerging as major factors behind this condition.

How do stress and a sedentary lifestyle cause infertility?

1. Stress: Stress is turning into a major cause of infertility, esp. in women. A research carried out by Emory University observed 16 women between their mid 20s-30s, with normal weights for a period of 6 months to come to this conclusion. It found out that each of these women did not get their periods for the 6 months under observation due to high amounts of cortisol (stress hormone) in their body. Each of these women had really hectic work lifestyles, which indicated that women with stressful jobs are at a higher risk of experiencing infertility due to stress.

In fact, both the partners, when going through a period of stress, are unable to conceive. However, during periods when they felt good, their chances of having a baby increased dramatically.

2. A Sedentary Lifestyle: Again, more of a risk factor for women than men.
Amongst women, a sedentary lifestyle during teenage causes hormonal imbalance and anovulatory cycles more commonly seen in PCOD (polycystic ovarian disorder - the development of multiple small cysts in the ovary) patients, which is a major cause for infertility.


As for men, those with a sedentary lifestyle generally tend to be overweight or obese, which can lead to low sperm quality. This, in turn, can significantly reduce a couple’s chances of conceiving.

What can do you to prevent infertility?

1. Stay Active: Acupressure, regular exercising, daily brisk walking, practicing yoga and meditation are some of the ways by which you can alleviate the problem of infertility. Each of these activities help in improving the flow of blood to your reproductive organs, which helps in the release of toxins from the body. They also help in enhancing the movement of the pelvic region and in reducing any type of inflammation and pain in the area, thereby increasing your chances of conceiving. The added benefit of practicing these is a significant reduction in your stress levels.

2. Eat Right: Diet too plays a major role. Certain foods are known to boost your fertility, while maintaining proper hormonal balance and reducing the chances of miscarriage. Foods like cold water fish, raw dairy, eggs, tomatoes and dark leafy greens among others should be a part of your daily diet. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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How to reduce the increase bone of heel. It is paining so much and increase backside of heel.

MS - Orthopaedics, Fellowship in Adult Spine Surgery
Orthopedist, Delhi
How to reduce the increase bone of heel. It is paining so much and increase backside of heel.
There is no way to reduce the increase in bone. Use soft shoe wear, do hot water fomentation and use pin killers SOS.
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