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Dr. Radhika Kandula - Gynaecologist, Hyderabad

Dr. Radhika Kandula

87 (97 ratings)
MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine

Gynaecologist, Hyderabad

16 Years Experience  ·  300 at clinic  ·  ₹300 online
Dr. Radhika Kandula 87% (97 ratings) MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive ... Gynaecologist, Hyderabad
16 Years Experience  ·  300 at clinic  ·  ₹300 online
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Brief description on infertility and its treatment<br/><br/>I am Dr. Radhika gynecologist and inf...

Brief description on infertility and its treatment

I am Dr. Radhika gynecologist and infertility specialist from Institute of Women's Health and Fertility. Infertility almost in about 10-15% of couples trying for pregnancy are facing problem with conception. This is almost a rising trend that nowadays almost 1 in 6-7 couples have problem in conception.

When we call it infertility? Infertility is nothing but when a couple is trying to conceive without any protection or without any means of protection for almost 1 year of unprotected intercourse we call it infertility. Let me just explain how an infertile couple is taken through an infertile clinic? During the first visit the couple is analysed and they are taken in detail history as what is the cause to infertility? What is the duration of infertility? What is the duration of married life? What is the age of the couple that is the age of the female partner and the male partner? Had there been any pregnancy in the past? Is there any miscarriage in the past? Once the examination and history is taken we go for work up of the patient. That is we see for the ovarian function to ensure that ovary is functioning well that is to ensure that ovulation is going fine. We also look for the tubal factors. Tubal factor analysis is done by a test called salpingogram or hysterosalpingogram. If there is a problem in hysterosalpingogram that is tubes are looking blocked then we analyze with the further test called further the surgical assessment; like laparoscopy.

Once the tubes are cleared we also analyze how the uterus is with the hysterosalpingogram? As I already told you male factor is analysed by Semen analysis after an abstinence of 2 to 5 days. Once all these are ruled out we get to analyze or we get to reach to a conclusion as what may be the probable cause of these infertile couple? There may be few factors like peritoneal factors like an endometriosis. We have the endometrium of the inner layer of the uterus growing elsewhere outside the uterus. That is the inner layer of the uterus or endometrium grow in the ovaries or may grow in the pouch of Douglas. That is behind the uterus or may grow near the tubes. These all cause an addition or attachment of the uterus to the tubes. And they impair the easy pick up of the ovum or the egg from the end of the tube to the ovum end that is the inner end of the tube. When there is no egg pick up there is no pregnancy. Some most of the time in which simple infertility treatments and simple infertility counselling how they have to go about natural conception and when they have to try when the egg is being released? With all these thing itself 70% of the couples would conceive. And only in about 10 to 15% will go to the next step like IUI or further steps like test tube baby procedures. IUI is intrauterine insemination where sperm sample is collected in the laboratory. It is washed off the impurities and the good motile sperms are injected into the uterus through a thin canella or a catheter. This sperms have to travel a very short distance from the uterine cavity into the tube when egg is already picked up and stay. So this distance to be travelled is very short thereby increasing the chance of pregnancy. IUI is of major benefit in minimal or mild male factor infertility.

Once we have seen the other factors are also ruled out and ensure that everything is fine then we counsel the couple for IVF or test tube baby procedure. IVF is in vitro fertilization. What we do in this one is give injections or give continuous injections to the lady which will cause superovulation. Once the eggs attain a mature size we collect all of them through a thin needle into the test tube washed off the impurities and then incubated. The same time the sperm is collected in the laboratory. The egg under sperm is inseminated together and embryos are grown in the laboratory. Once these embryos are grown they are pushed back or transferred back to the womb using a thin capita that is the embryo transfer catheter. After 48 to 72 hours usually or even after 5 days sometimes.

But, in few men or in few couples the problem is the severe male factor infertility. That is we find only few sperms or in the ejaculate we find only few sperms or sometimes not even a few sperms in the ejaculate. In that condition we can surgically aspirate the sperm from the testicular tissue and see if it is already there. Once we get a good sperm from the testicular tissue we inject that good sperm tissue in the cytoplasm of the egg so that we have maximum chance of fertilization. This particular process is called ICSI or Intracytoplasmic sperm injection. So this increases the chance of fertilization and this further increases the chances of pregnancy also. That's it about infertility over you.

Thank you And if you have any issues regarding infertility or regarding counselling about how conception occurs are how to go about trial for pregnancy you can visit us.

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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and well being of my patients and to develop professional and personal relationships with them. Book......more
My favorite part of being a doctor is the opportunity to directly improve the health and well being of my patients and to develop professional and personal relationships with them. Books written - Critical Issues in Obstetrics and Gynecology ELSEVIER , Co-author in Chapter Stress and Immune modulation in Pregnancy.
More about Dr. Radhika Kandula
The field of endocrinology and the female reproductive system are two things that may not seem like the likeliest of partners. Yet, with her roster of qualifications and skill, Dr Radhika Kandula has ensured that she brings her multi niche expertise to the table when she calls herself a reputed gynecologist from Hyderabad. To begin with, her AFMC and MBBS background ensures that she does not merely practice and know her way around the field of medical science, but also ensures that she conducts herself with military precision. This has helped her build a name for herself in the often competitive world of gynaecology where precision and skill matter, especially in a place like Hyderabad where specialists are dime a dozen. In such a scenario, her human touch and her caring nature stand out as she seeks to get to the bottom of the case with a high level of emphasis on the root cause for any condition. She is also practicing in the very challenging field of infertility. This field requires years of experience before you can render relevant service so that you build a loyal following of patients who trust and rely on you. With a membership in the Indian Society for Assisted Reproduction, she has proven her worth and mettle when it comes to various scenarios in the field of gynaecology in Hyderabad, including Cesarean Section, Pre and Post Natal Care as well as contraceptive advice and even surrogacy treatment. With her widespread knowledge and skill, Dr Radhika Kandula is making giant strides in her chosen field of expertise and know how.

Info

Education
MBBS - AFMC - 2001
DNB (Obstetrics and Gyneacology) - National Board of Examinations - 2008
FNB Reproductive Medicine - National Board of Examinations - 2012
Past Experience
Medical Officer at Army Medical Corps
Medical Officer at Remedy Hospitals - Kukatpally, Hyderabad
Infertility Specialist & F.N.B Resident at Institute of Reproductive Medicine -Kolkata
Languages spoken
English
Professional Memberships
Indian Society for Assisted Reproduction (ISAR)

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Institute of Women Health and Fertility

Plot No 334, Aditya Nagar, Opp. JNTU KukatpallyHyderabad Get Directions
  4.4  (97 ratings)
300 at clinic
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Postpartum Menstrual Pain - Common Causes Behind it!

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Postpartum Menstrual Pain - Common Causes Behind it!

Having a child is one of the best things that can happen to a woman. While giving birth to a child is a very happy scenario, something called ‘postpartum menstrual pain’ can act as a damper. Postpartum menstrual pain occurs during the first period post-delivery. To understand it in a better way, here is a detailed overview that should help you out:

Period after childbirth
Periods usually return after 7-8 weeks of the delivery, provided there is no breast feeding. If you breast feed, then the timing of the period can vary. In some cases, a woman misses out on her periods for the entire duration of breast feeding; whereas in others, the period returns irrespective of whether she is breast feeding or not.

Once the periods start post-delivery, tampons are recommended against. Women who are breastfeeding don’t usually have their periods due to hormonal changes in the body. Hormones that induce periods are suppressed by the hormones which are responsible for the production of breast milk. The entire process of ovulation gets suppressed, thus leading to the absence of menstruation.

Difference in periods
Once your periods begin after the delivery, it will be different from the ones you have had before childbirth. As the body adjusts to the menstruation process post childbirth, one generally experiences the following symptoms:

  1. Stronger cramps
  2. Heavy menstrual flow
  3. Formation of small blood clots
  4. Pain during periods

Postpartum menstrual pain happens because of the following reasons:

  1. Pain in the vagina: The childbirth process may lead to swelling and stinging in the vagina. Painful periods will persist till the swelling subsides.
  2. Contractions of the uterus: Post childbirth uterus contractions are common as it comes back to its regular size; this may be a source of the pain.
  3. Breast feeding: Breast feeding can also trigger menstrual pain as it results in the release of ‘oxytocin’, which causes contractions in the uterus.

This problem of painful periods doesn't last longer. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4274 people found this helpful

Talking About Infertility

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Play video

Brief description on infertility and its treatment

I am Dr. Radhika gynecologist and infertility specialist from Institute of Women's Health and Fertility. Infertility almost in about 10-15% of couples trying for pregnancy are facing problem with conception. This is almost a rising trend that nowadays almost 1 in 6-7 couples have problem in conception.

When we call it infertility? Infertility is nothing but when a couple is trying to conceive without any protection or without any means of protection for almost 1 year of unprotected intercourse we call it infertility. Let me just explain how an infertile couple is taken through an infertile clinic? During the first visit the couple is analysed and they are taken in detail history as what is the cause to infertility? What is the duration of infertility? What is the duration of married life? What is the age of the couple that is the age of the female partner and the male partner? Had there been any pregnancy in the past? Is there any miscarriage in the past? Once the examination and history is taken we go for work up of the patient. That is we see for the ovarian function to ensure that ovary is functioning well that is to ensure that ovulation is going fine. We also look for the tubal factors. Tubal factor analysis is done by a test called salpingogram or hysterosalpingogram. If there is a problem in hysterosalpingogram that is tubes are looking blocked then we analyze with the further test called further the surgical assessment; like laparoscopy.

Once the tubes are cleared we also analyze how the uterus is with the hysterosalpingogram? As I already told you male factor is analysed by Semen analysis after an abstinence of 2 to 5 days. Once all these are ruled out we get to analyze or we get to reach to a conclusion as what may be the probable cause of these infertile couple? There may be few factors like peritoneal factors like an endometriosis. We have the endometrium of the inner layer of the uterus growing elsewhere outside the uterus. That is the inner layer of the uterus or endometrium grow in the ovaries or may grow in the pouch of Douglas. That is behind the uterus or may grow near the tubes. These all cause an addition or attachment of the uterus to the tubes. And they impair the easy pick up of the ovum or the egg from the end of the tube to the ovum end that is the inner end of the tube. When there is no egg pick up there is no pregnancy. Some most of the time in which simple infertility treatments and simple infertility counselling how they have to go about natural conception and when they have to try when the egg is being released? With all these thing itself 70% of the couples would conceive. And only in about 10 to 15% will go to the next step like IUI or further steps like test tube baby procedures. IUI is intrauterine insemination where sperm sample is collected in the laboratory. It is washed off the impurities and the good motile sperms are injected into the uterus through a thin canella or a catheter. This sperms have to travel a very short distance from the uterine cavity into the tube when egg is already picked up and stay. So this distance to be travelled is very short thereby increasing the chance of pregnancy. IUI is of major benefit in minimal or mild male factor infertility.

Once we have seen the other factors are also ruled out and ensure that everything is fine then we counsel the couple for IVF or test tube baby procedure. IVF is in vitro fertilization. What we do in this one is give injections or give continuous injections to the lady which will cause superovulation. Once the eggs attain a mature size we collect all of them through a thin needle into the test tube washed off the impurities and then incubated. The same time the sperm is collected in the laboratory. The egg under sperm is inseminated together and embryos are grown in the laboratory. Once these embryos are grown they are pushed back or transferred back to the womb using a thin capita that is the embryo transfer catheter. After 48 to 72 hours usually or even after 5 days sometimes.

But, in few men or in few couples the problem is the severe male factor infertility. That is we find only few sperms or in the ejaculate we find only few sperms or sometimes not even a few sperms in the ejaculate. In that condition we can surgically aspirate the sperm from the testicular tissue and see if it is already there. Once we get a good sperm from the testicular tissue we inject that good sperm tissue in the cytoplasm of the egg so that we have maximum chance of fertilization. This particular process is called ICSI or Intracytoplasmic sperm injection. So this increases the chance of fertilization and this further increases the chances of pregnancy also. That's it about infertility over you.

Thank you And if you have any issues regarding infertility or regarding counselling about how conception occurs are how to go about trial for pregnancy you can visit us.

3425 people found this helpful

Infertility: How Best to Treat It?

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Infertility: How Best to Treat It?

Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. For women aged 35 and older, inability to conceive after 6 months is generally considered infertility. Repeated pregnancy loss (2 or more spontaneous pregnancy losses) can also be considered infertility. Recent estimates indicate infertility affects 10-15 percent of the population in their childbearing years.

If you experience recurrent pregnancy loss, or if you have not been able to become pregnant within a year (six months if the woman’s age is over 35, 2-3 months if over 40), then you may benefit from assessment and treatment by a reproductive endocrinologist - a doctor with a special interest, training and expertise in the area of infertility. It’s a state that results in the abnormal functioning of the male or female reproductive system.

The causes for infertility could be:

  1. Male factor - erectile dysfunction, ejaculatory dysfunction, problems with quality, count and quantity of semen

  2. Female factor - tubal factor, ovulatory problems, abnormality of uterus, hormonal imbalance 

  3. Antisperm antibodies

The prime symptom is very obvious i.e. unable to have baby despite of having sex without any contraceptives.

Factors affecting fertility:

  1. Age: Female fertility gradually declines in the 30s, particularly after age 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant.

  2. Smoking: It increases risk of getting infertile and reduces the chances of treatment.

  3. Alcohol: Consumption of alcohol is said to lower the sperm count in men.

  4. Obesity: An overweight person has a higher chances of having sperm abnormality.

  5. Workout: Less or very heavy work out is said to increase the chances of infertility.

  6. Mental Stress: Studies suggests that ovulation and sperm production may be affected by mental stress. If at least one partner is stressed it is possible that the frequency of sexual intercourse is less, resulting in a lower chance of conception.

  7. Sexually Transmitted Infections can also adversely affect the fertility of a person.

When to take further advice and course of action?

In case the women trying to conceive is less than 35 years of age, then 12 months and if more than 35 years, then in 6 months itself one needs to get in touch with the Specialist/Reproductive Endocrinologist/Gynaecologist or a Urologist for a complete diagnosis.

Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors in both men and women.

There are many treatments available that improve the chances of having a baby. Such treatments include:

  1. Hormones Treatment

  2. Drugs for fertility

  3. Surgery in some cases

Also one the oldest form of medications such as Ayurveda as well as Homeopathy is said to have a wonderful treatment of Infertility. With the developments in medical sciences, there are lot of treatments available; however, such treatments sometimes become the victim of their own success causing multiple births – Two, Three or may be more.

Some Assisted Treatments are:

  1. Intrauterine insemination

  2. In Vitro Fertilization

  3. Intracytoplasmic sperm injection

  4. Donation of Sperm or Egg

  5. Assisted Hatching

  6. Electric or Vibratory Stimulation to achieve ejaculation

  7. Surgical Sperm Aspiration

It is important to understand the complete treatment before going ahead and be aware of the possible outcomes and be psychologically ready.

Please do not keep it to yourself and consult an expert. Never go for self medication!

4076 people found this helpful

Hot Flashes: Is it Due to Menopause or Something Else

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Hot Flashes: Is it Due to Menopause or Something Else

Menopause is the time in a woman's life when the menstruation ceases, bringing an end to a woman's childbearing years. There are a number of symptoms that mark this stage, including hot flashes, which are very commonly experienced in such cases. Hot flashes are like a feeling of a red hot flush that may wash over the body and lead to excessive sweating. It occurs in the blood vessels that are closest to the surface of the skin. Yet, menopause is not the only reason why one may experience these hot flashes.

Here are some of the reasons that may trigger these hot flashes:

1. Carcinoid syndrome: This is a disease that may cause hot flashes as a symptom. In this condition, a tumour will usually release varied chemicals into the body, which can create varied symptoms that seem like hot flashes.

2. Hyperthyroidism: Overheating of the body and the system from within is something that many patients suffering from hyperthyroidism may experience. This usually happens when the thyroid glands end up producing too much of the thyroid hormone that brings about many symptoms ranging from depression to weight loss and even hot flashes. In hyperthyroidism, the body goes into a hyper mode, which usually leads to overheating of the same. This gives rise to frequent and often severe hot flashes.

3. Hormonal changes: There are many hormonal changes that may affect various men and women from time to time. A drop in the level of the estrogen hormone is something that many women go through on a regular basis. This may happen due to pregnancy as well. Also, this condition usually brings about symptoms like hot flashes.

4. Eating disorders: The way we eat and nurture our body is the way the body reacts. When there is a case of an eating disorder like dyslexia or bulimia, it may lead to varied symptoms, including hot flashes. This is due to the fact that the body's hormonal levels as well as the nutritional level plunge to an all-time low. In many such cases, hot flashes are the body's way of demanding better nutrition. These disorders can also give rise to related conditions like the hypothalamus disorder.

5. Hypothalamus disorder: Hypothalamus disorder may also cause hot flashes. This is a condition that is caused due to poor eating habits. This disorder is characterised by a major drop in one's nutrition levels and also leads to many hormonal changes. These changes often lead to symptoms like hot flashes and other related complications.

3780 people found this helpful

My wife is 26 years old and suffering from pcos problem. We are trying for three years for baby. Today my wife 's transvaginal sonography is done. She has bicornuate uterus. Is there something difficulties for conceive having bicornuate uterus. Please suggest we are so anxious.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
My wife is 26 years old and suffering from pcos problem. We are trying for three years for baby. Today my wife 's tra...
Hello, PCO may cause delay in conception but bicornuate uterus as such is not a cause of infertility. Bicornuate uterus may cause problems during pregnancy sometimes. As you are quite young, needn't worry. If there is no conception even after one year of trial please contact a good infertility specialist who can help you with the process. All the best.
1 person found this helpful
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Pelvic Pain During Pregnancy

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Pelvic Pain During Pregnancy

During pregnancy a woman’s body undergoes constant changes. The entire body tries to accommodate place for the growing uterus as hormones levels drastically fluctuate and ligaments stretched. Pelvic pain and the ensuing discomfort around this time is a common phenomenon experienced by most women. 

Though the pain may be harmless, at times it may also lead to serious repercussions. Therefore the identification of the causes that lead to pelvic pain during pregnancy is crucial. Some of them are: 

  1. Accommodation pain: In the initial stages of pregnancy, women may experience cramps which are akin to the pain that precedes menstruation. However, in the case of pregnant women, the pain leads to no bleeding, but in all probability, is caused due to the expansion of the uterus.
  2. Round ligament pain: Amidst the host of changes that the body goes through, the ligament that goes from the uterus to the groin also undergoes a change; it expands. This is responsible for the pain in the sides especially when women are walking or getting up from a chair.
  3. Baby’s weight: As the weight of the fetus begins to increase it exerts a pressure on the nerves that move from the vagina to the legs. This causes a dull pain in the pelvic region which increases considerably with walking and riding a car. This is most commonly felt by women who are in their third trimester.
  4. Urinary Tract Infection: According to reports, most women suffer from urinary tract infection or UTI during pregnancy. This results in uncontrolled, often times, bloody urination and a pain in the abdomen. This is a major cause of concern as, if untreated, it infects the kidneys which in turn increases the risk of an early labour.
  5. Miscarriage: In the first trimester, a pain in the abdomen may be an indication of a miscarriage. In such a situation, the pain is followed by bleeding and cramps.
  6. Early labour: During pregnancy, an intermittent pain in the pelvic area and a back ache can also be suggestive of an early labour. If the contractions continue for over two hours after taking the necessary precautions like urinating and taking rest, it may be a sign of an early labor.
4324 people found this helpful

Hello doctors. Can PCOS be cured? Can any woman be pregnant having pcos? If possible then share some tips how it can cured. Please.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Hello doctors.
Can PCOS be cured? Can any woman be pregnant having pcos? If possible then share some tips how it can ...
hello, pco is a very common problem in reproductive age. in most it is just a coincidental finding, they won't have any problems with periods or with conception. first of all ensure your ovulation, if you are not ovulating you will need help in that front. please follow healthy lifestyle, avoid refined sugars - refined flour, sweets, starchy foods etc. regular exercise or walking for 30 to 45 min daily. most of the times such modifications are sufficient for keeping pco under control and help you conceive. all the very best
1 person found this helpful
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Pregnancy - First Trimester Guide

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Pregnancy - First Trimester Guide

So you have just found out that you are pregnant and you and your partner are over the moon about it! While congratulations are in order, so are a host of tips, which will help you settle into the pregnancy. It is important to remember that the first trimester of your pregnancy is a crucial phase where you may not change that much physically, but will be prone to many emotional changes. It is also a phase where you will make way for the changes that will inevitably come in the next two trimesters and for a long time after delivery of the baby too. Read on to unravel our first trimester guide.

  1. Pregnancy Test: You must ensure that you know you are pregnant by monitoring your menstrual cycles closely so that even one missed period points at the possibility of pregnancy. This test can be a home based kit available at the chemists' or can even be conducted with a lab test based on a urine sample. Despite the results that you may get on a home pregnancy test, it is best to get a professional opinion as well.
  2. Finding the Right Doctor: In this phase of your pregnancy itself, it is imperative to home in on a gynaecologist who will put you ease. Take care to pick someone who may be recommended by family and friends. Have a talk with the doctor a few times to see how well he or she engages you as a patient and if you are suitably convinced with the sessions and appointments.
  3. Activity: While heavy activities may not be recommended by all doctors as the foetus needs to latch on, one can indulge in plenty of walks and a normal routine as well. Ensure that your pregnancy is a normal one and ask your doctor about any precautions that you may need to take with the progressing trimesters. Also, find ways to deal with any morning sickness with the help of the doctor. 
  4. Supplements: In this crucial phase, ensure that your doctor gives you plenty of folic acid supplements that you must ingest on a regular basis. This will keep any risk of neural tube birth defects at bay. 
  5. Other Medications: Find out more about over the counter drugs or any medication that you may have been taking as this may have to be stopped or adjusted for the pregnancy. The doctor should be able to guide you on this aspect too.

The other activities during the first trimester include taking pre natal appointments and choosing and interacting with your caregiver who will also be a support after you have had the baby.

Related Tip: "First Trimester Pregnancy - What to Expect"

3094 people found this helpful

As I asked last time we r trying for baby since last 5 month n this month had tested my hormone test its estradiol 47pg/ml wch done in second day of period n doctor said it's high but other doctor said normal in confusion which to follow n doctor suggested for please pls suggest.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
As I asked last time we r trying for baby since last 5 month n this month had tested my hormone test its estradiol 47...
estradiol level of 47 on day 2 of period is absolutely fine and you can go ahead with your trial comfortably. all the very best
1 person found this helpful
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I have been married for 1 year and 5 months now. We have been trying to conceive for last 2 months. My period is due on 3rd July. Usually, my stomach starts to hurt 2,3 days prior to my date. However, this time its been 10 days that I am experiencing an unusual pain in lower abdomen . My lower abdomen feels very heavy and I also feel a kind of pressure or thrust (which worsens as the day progresses). What could be the possible reasons for the condition ?

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
I have been married for 1 year and 5 months now. We have been trying to conceive for last 2 months. My period is due ...
Hello, usually ovulatory cycles are painful or they are uncomfortable. Pain durinh ecpected period may be due to pregnancy sometimes or else there may be a cyst formation. Either ways please wait till 3rd july. Take a pregnancy test of you do not get your periods. If at all there is a cyst it usually disappears with period. All the best.
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I'm 10 weeks 5 days pregnant I have brownish discharge I got scanned baby is fyn with 166 hb and cervix is completely closed from where this brownish discharge is coming sometime light red I'm taking secure o and ecosprin tablet for that and I'm nauseated too and tired I'm really scared because I lost my baby in 5 month because of chromosomal abnormality I don't want to lose it too please help me out I'm really scared I need this baby very badly.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
I'm 10 weeks 5 days pregnant I have brownish discharge I got scanned baby is fyn with 166 hb and cervix is completely...
Hello, usually brownish discharge means an old bleed. Shouldn't be a concern of fetal heart is fine now. If it continues, discontinue ecosprin for a few days. But to rule out chromosomal problems you need to get a nt scan and a double marker test between 11 and 13 weeks 6 days. It gives an idea about chromosomal anomalies. All the best.
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Good morning sir/mam my marriage is done on the year 2007, I have no children. When I consultant a doctor should scared n told me that I have pcod problem, she gave sum medicine for some months n after she did loprocopy also but no use. I trying since 8 years but no use. I have dine i. U. V also recently i. E 5, 6 months . I have used countless medicine now I am getting depressed n what to do. If there is anyone please help me.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Good morning sir/mam my marriage is done on the year 2007, I have no children. When I consultant a doctor should scar...
Hello, first of all please do not get disheartened. Pcod may be a reason for infertility in few but many pco women have normal and natural conceptions. How are your tubes and ovulatory status? follow healthy lifestyle -diet rich in fibre and restrict intake of refined carbohydrates. Go for a regular brisk walk for 30 to 45 min daily. Along with these follow the medication given by your infertility consultant. You will surely conceive. Don't worry, all the best.
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My period was skipped there is no chances of conceive also I have taken deviry 10 mg for 5 days 2 days r over still my period not came what will be the reason or I go for ultrasound please help me.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
My period was skipped there is no chances of conceive also I have taken deviry 10 mg for 5 days 2 days r over still m...
Hello, you need to wait for atleast 10 days after finishing the tablets for your periods to start. Even after that if your periods do not start, please consult a gynecologist for advice. Good luck.
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Dear sir/madam, how to identify the day of ovulation, is there any test available to identify it. As I have heard that sex on that results in 100 % pregnancy chances, is it true.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Dear sir/madam, how to identify the day of ovulation, is there any test available to identify it. As I have heard tha...
Hello, ovulation can be predicted at home by 1. Body temperature chart - 0.5 degrees rise in temp may be noted around ovulation. 2. Vaginal discharge pattern- around ovulation discharge is more profuse and stretchy. 3. Ovulation kits available in the market. Or by ultrasound monitoring to look for folliculometry and ovulation. But trying on that day need not necessarily end in a pregnancy.
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Polycystic ovarian syndrome and lifestyle modification

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad

Polycystic ovarian syndrome is one of the commonest endocrine disorders encountered. No single cause accounts for abnormalities in pcos. It leads to menstrual irregularities, central obesity, infertility, impaired glucose metabolism and in a long run to hypertension, diabetes and cardiovascular problems.
Lifestyle modification plays a major role in reducing the risk and improving the fertility outcomes. Diet modifications should include low calorie, low fat diet with low saturated fat and high fibre. Don’t severely restrict carbohydrates, instead choose complex carbohydrates rich in fibre and low glycaemic index.
Regular exercise for 30 to 45 min helps lower blood sugar and prevents insulin resistance and helps in weight reduction. Reproductive system is tightly coupled with energy balance and hence changes in status of energy balance through changes in physical activity has an impact on reproductive system.
So lifestyle modification, a comprehensive programme of diet, exercise and behavioural therapy plays a major role in reducing the risks of pcos both short term and long term.


1 person found this helpful

Polycystic ovarian syndrome and lifestyle modification

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Polycystic ovarian syndrome and lifestyle modification

Polycystic ovarian syndrome is one of the commonest endocrine disorders encountered. No single cause accounts for abnormalities in PCOS.

It leads to menstrual irregularities, central obesity, infertility, impaired glucose metabolism and in a long run to hypertension, diabetes and cardiovascular problems.

Lifestyle modification plays a major role in reducing the risk and improving the fertility outcomes.

Diet modifications should include low-calorie, low-fat diet with low saturated fat and high fibre. Don't severely restrict carbohydrates, instead, choose complex carbohydrates rich in fibre and low glycemic index.

Regular exercise for 30 to 45 min helps lower blood sugar and prevents insulin resistance and helps in weight reduction. Reproductive system is tightly coupled with energy balance and hence changes in the status of energy balance through changes in physical activity has an impact on the reproductive system.

So lifestyle modification, a comprehensive programme of diet, exercise and behavioural therapy plays a major role in reducing the risks of PCOS both short term and long term.

1 person found this helpful

Doc my wife din gt a monthly periods dis month n more over v din hav any sexual intercourse frm past 2 months. Wt is d reason fr dis.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Doc my wife din gt a monthly periods dis month n more over v din hav any sexual intercourse frm past 2 months. Wt is ...
Hello, had she been having regular periods earlier? if this is the first time of irregular periods you need not worry, once in a while it may happen due to hormonal problem. So don't worry. But if it continues you need to take help from a gynecologist. Good luck.
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Hello Doctor. We are trying to conceive for the past one year. And for the past 3 months we are consulting infertility specialist they told my husband and me are normal after all check up we can able to conceive and now we are following the prescribed medicines. And now doctor advising to take laparoscopy treatment to conceive. Could you please confirm can I take this treatment now. And please let me know what they will do in laparoscopy treatment?

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Hello Doctor. We are trying to conceive for the past one year. And for the past 3 months we are consulting infertilit...
Hello Ms. Lybrate-user, it's just been one year that you are trying for pregnancy. In one year about 70% women conceive and in 2 years about 80-90%. So if your tubes and other parameters are fine you should try for a few more months before anything invasive. Laparoscopy is a surgery where camera is passed through a small cut to look at pelvic structures and any abnormalities like adhesions etc and do necessary procedure simultaneously if possible. All the best.
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I get period regularly. But it stays only for 1 and half days. Is this be a problem?

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
I get period regularly. But it stays only for 1 and half days. Is this be a problem?
Hello, periods which are regular and lasting for anything between 2 and 7 days are normal. As you have periods extending to second day and moderate flow, it is fine. Good luck.
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She is taking medc of blood pressure and thyroid. She faced a heavy bleeding. Trapee medc also not helped her to stop bleeding. Even the test report of sonography, pap test is normal. She is age of 50 now. She want to remove her uterus but doctor recommended DIC endometrial Biopsy but she fears. Can anyone help me with a best solution.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
She is taking medc of blood pressure and thyroid. She faced a heavy bleeding. Trapee medc also not helped her to stop...
Hello, at the age of 50 with abnormal bleeding pattern one has to rule out precancerous or cancerous conditions. Surgery would be different if there is any such suspicion. So to rule that out it is always better to get endometrial biopsy and papsmear before a major surgery. It is a very simple procedure, need not worry about it. Or there is sn office procedure done as outpatient itself which is further simpler. All the best.
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