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Dr. Asha Sharma

Gynaecologist,

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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Am 42 year old female with bipolar disorder and under going treatment for that. As of now my craving for sweet has increased tremendously and eating disorder also can be noticed. My body weight has always been towards the heavier side but recently it has increased and irregular periods also have started. What can the doctor suggest?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Am 42 year old female with bipolar disorder and under going treatment for that. As of now my craving for sweet has in...
irregular periods may be due to increase in body weight and also due to effects of medicines. I would advice you to do the following tests- serum FSH,LH,PROLACTIN,TSH ,Hb and a Transvaginal USG first.
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I am 28 years I don't marry idont test hiv test iam feeling that I am having hiv what should I want to do symptoms I am having getting headache and penis pain while doing sex and urine also.

MBBS
Sexologist, Panchkula
You should not worry these symptoms are not of hiv patients. You consult a government hospital and get your hiv test.
4 people found this helpful
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Is Sedentary Lifestyle Causing Infertility?

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist,
Is Sedentary Lifestyle Causing Infertility?

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 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.

I am 44. Years old. After 2 years of irregular periods I got my last one in march 2014. After 13 months I got it again yesterday. Not heavy. What should I do. Had lot of stress last year.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi, u will be fine after sepia 1m single dose. Inform me if u r having doubts. Take care. God bless u.
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I am 35, I am trying for my first baby. I have 17 days late period but still negative test what is the region behind this?

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
For starters, 35 is leaving it a bit late for your first baby - it not only becomes more difficult, but can cause complications. However, you can bolster your system with selected vitamins, minerals and essential elements.
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What is the safe time during menstrual cycle to have unprotected sex with low chance of pregnancy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
What is the safe time during menstrual cycle to have unprotected sex with low chance of pregnancy.
Hello Aniky 4 days before n 4 days after periods is the safe period with low risk for pregnancy. U can ask for further information.
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Hi my daughter is 2 months old and I breastfeed her after sucking for few minutes she sleeps while feeding and I don 't understand whether her stomach is full or not, so since last few days i've started pumping my milk through a manual machine n feeding her will it decrease the supply of my breast milk? please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
All babies sleep while feeding and most of the say time. If sh e sleeps you have to scratch her feet or ear and wake her up. Using pump will not be needed then and it is not known to decrease milk
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Hi I am married 6 months ago. And we having sex frequently. Still no hope for pregnancy. What can I do.

DNB (Obstetrics and Gynecology), DGO
Gynaecologist, Mumbai
Hi I am married 6 months ago. And we having sex frequently. Still no hope for pregnancy. What can I do.
Plan your relations from day 8-20 of menstrual cycle. Try for another 3-4 months. If still no result then consult a gynaec.
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Maine gf ke sath without protection sex kiya 24 fav ko uske period 18 ko ate h pr is baar nhi aye use koun si medicine de ki use period a jaye.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Maine gf ke sath without protection sex kiya 24 fav ko uske period 18 ko ate h pr is baar nhi aye use koun si medicin...
Please Consult a gynecologist we do not give medication names here carelessly. The patient has to consult us we have to know several details before we decide on a medicine chart. First get a home pregnancy test done with the first sample of the morning urine after she wakes up if it shows negative give it a week and repeat the test again if it still is negative then she won't be pregnant if it shows positive you need to go to a gynecologist in person. Also always use protection otherwise it will be very hard to prevent unwanted pregnancy and sexually transmitted diseases. Take care.
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Why am not getting pregnant even after having sex everyday from one year with my partner.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Why am not getting pregnant even after having sex everyday from one year with my partner.
Both you and your partner need to be examined and investigated to find out the cause. Consult a gynaecologist.
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Emergency Contraceptive Pill

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Emergency Contraceptive Pill
Emergency Contraceptive Pill:

Prevention of unplanned pregnancies will go a long way in improving the reproductive health of women in India. A woman faced with the prospect of an unplanned and unwanted pregnancy can, in many cases, avoid the pregnancy by using Emergency Contraception. Emergency contraceptives act as interceptive agents i.e. ovulation, fertilization or implantation` is prevented depending on the phase of menstrual cycle.
Remember, these pills are not intended as regular forms of contraception. If you are looking for a regular contraceptive, there are many options available to you. Ask your doctor to help you find one, which works best for you.

Emergency Contraceptive Pill? Commonly available in marked with the names of I-Pill, unwanted72 etc..
Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse (sex), to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.
The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy. Also, emergency contraception does not protect against sexually transmitted infections, like HIV .

When to take ECP?
Emergency contraception offers women a last chance to prevent pregnancy after unprotected intercourse. If you are not using any other contraceptive methods and you have had intercourse. The condom broke down or came off during the act. If you have missed at-least 2 or 3 of your regular birth control pills, or if you were forced to have sex.

Side effects of emergency contraception
Side effects include nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue. These usually do not occur for more than a few days after treatment, and they generally resolve within 24 hours. There are not much evidence of long term side effects of these medicines but there are some studies or beliefs that these pills have long term effects on the women’s body like irregular menses, mastalgia and infertility.

Effects on Pregnancy
There have been no conclusive studies of births to women who were already pregnant when they took ECPs or following failure of ECPs

Whether to consult a doctor before taking ECP?
Not really! However if you suffer from high blood pressure, diabetes, previous tubal pregnancy, it's a good idea to discuss it with your doctor when going for a health check.

When to contact a doctor after taking the ECP?
If you experience the following symptoms:
• Severe abdominal pain.
• Chest pain or shortness of breath.
• Severe headache.
• Eye problems like blurring of vision.
• Severe leg or arm pain.
How long effect of ECP last?
The use of ECP is only for 1-2 acts of unprotected sex and that too within 72 hours, if you happen to have sex after 72 hours you should be looking for alternative and regular form of contraception.

When to expect periods after taking ECP?
Your next period may come sooner or later than expected, however most women get their period within 7 days of expected date. Your period may also be heavier or lighter than normal. If you do not get your period within 21 days or if you think you could be pregnant, get a pregnancy test done.

Does Weight Affect Emergency Contraception effectiveness?
Yes,if you have a body mass index (BMI) that's higher than 25, it's less effective. If you have a body mass index (BMI) that's higher than 30, it may not work at all.
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What Are Fats?

Dietitian/Nutritionist, Ahmedabad
What Are Fats?

Bad fat: trans and saturated
Good fat: polyunsaturated fat and monounsatured fat. 

Where you can find? 
Here, olive oil, fish, avocados, egg yolks. 
 

All About Embryo Transfer

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
All About Embryo Transfer

After the eggs are collected and fertilised in the laboratory, the embryo transfer takes place. Usually and this entirely depends on your situation, about one or three embryos of the best quality are selected to be transferred to the womb. After introduction to the uterus, the egg attaches itself to the wall of the uterus for the pregnancy to come into effect. Embryo transfer is the last step in the IVF cycle.

Procedure:
The procedure chosen for transferring embryos usually depends on the clinic chosen. But most of them involve the following steps:

  1. The eggs take two or three days to fertilise. When they are ready, the embryos with the best quality are selected. These are then transferred to your uterus.
  2. A speculum is inserted into your vagina by the doctor. Then using ultrasound for guidance, a catheter is passed through the cervix. This catheter is used to pass down the embryos into the uterus.
  3. Your lifestyle after the transfer should be docile and cause you minimum stress.
  4. A pregnancy blood test will be given to you two weeks after the transfer. If the test comes out as positive, an ultrasound is scheduled after another two weeks.

Risks:
In the process of transferring the embryo, there are no significant risks involved. There might be problems during passing the embryos through the catheter, if you never have had a baby before or your cervix was not assessed before the IVF cycle was initiated.

Chances of Successful Pregnancy:
With age, female fertility declines. It helps if you are younger when using your own eggs. After a survey it was found that women:

  1. aged below 35 have 40.6% chance of success
  2. aged between 36-37 have 35.5% chance of success
  3. aged between 38-39 have 28.1% chance of success
  4. aged between 40-42 have 21.2% chance of success
  5. aged between 43-44 have 11.2% chance of success
  6. aged 45 and over have 3.4% chance of success. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
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6 Foods That Remove Toxins From Your Body!

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
6 Foods That Remove Toxins From Your Body!

Do you want a flawless skin and a perfect figure to grab eyeballs? Are you a fitness freak? Do you believe that your daily dose of exercise can gift you a beautiful body? Well, it’s time you update your knowledge a bit on this issue. Running on the treadmill or spending hours on meditation or yoga is just not enough for a healthy body, skin and mind. You need to flush out the toxins from your body as well. You need to include food items in your regular diet, which have the ability to detox your body.

Believe it or not, there are a plenty of detoxifying natural food items. These food items promote the health of your organs like kidneys, intestines and liver, which help you to get rid of the toxins. Don’t go for any medications or artificial ways of detox. Here are some natural food items that can cleanse your body thoroughly:

  1. Artichokes: This food item is rich in prebiotic inulin, which helps the growth of probiotics in the gut. Probiotics are the essential and good bacteria. They promote the process of digestion. It improves the health of the gut and facilitates its smooth functioning.
  2. Brussels sprouts: Cruciferous vegetables like sprouts, cabbage, cauliflower, etc are a must for your health. They improve the health of liver, kidneys and gut. They also facilitate bowel movement. Researchers claim that these foods are rich in phytochemical sulforaphane. This compound protects your body from the adverse effects of pre-carcinogenic cells.
  3. Oranges: As we all know, oranges have the goodness of vitamin C. Moreover, it is also rich in antioxidants. Vitamin C and other antioxidants keep the liver functioning proper and therefore detoxify the body. Intake of oranges boosts the production of a compound called glutathione. This compound is a must for detoxification of the liver.
  4. Eggs: If you are thinking that eggs can only help in body-building by giving you the right amount of protein. You are wrong. They do a lot more help to you. They contain an amino acid called cysteine. This is needed for breaking down acetaldehyde, it comes as a by-product of alcohol metabolism. Therefore, eggs are the best food items to get your body purified after an over-night booze party.
  5. Sweet potatoes: These are rich in Vitamin B. Vitamins B6, B12 and vitamin B folate help in overall digestion and metabolism.
  6. Lentils: They provide your body with zinc. This mineral is needed for boosting up the immune system of our body and promoting digestion and metabolism. If you wish to discuss any specific problem, you can consult a dietitian-nutritionist.
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When I have sex with my wife she feel pain and no enjoying sex she think when he quit sex then I sleep and I also no long time have sex with my wife. So please suggest for both of us

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
When I have sex with my wife she feel pain and no enjoying sex she think when he quit sex then I sleep and I also no ...
Women are slower to get aroused than men, and there's a grain of truth in the stereotype that women need more foreplay. But figuring out what works for you is half the battle. The solution" foreplay needs to be exciting to you, and may you have premature ejaculation problem take some tips 1. Do yoga exercises regularly which increase your blood in body particular to those organs involved in sex. In addition 2-eat healthy nutritious diet like fresh green salad with meal 1 tomato 1 onion 1 cucumber daily use 3. Avoid fried food like chicken fish egg spicy food 4-drink warm milk before sleep consisting with walnuts or dry dates 5-may take ayurvedic remedies for fast effective result.
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I was having loss of periods for 2 months then Dr. asked to take NORETHINDRONE ACETATE for 3 days then I had my periods on 3rd of completing dose. Then Dr. asked me to start medroxyprogesterone from 10th days of cycle n continue till 25th day. Its been 21 days after completing dose but yet I did not get periods. Y. Please help me out of it.

BHMS
Homeopath, Delhi
I was having loss of periods for 2 months then Dr. asked to take NORETHINDRONE ACETATE for 3 days then I had my perio...
Hello I advise you to go for ultrasonography of abdomen to rule out any cysts in ovary. Taking these medicines which you have mentioned is a temporary solution for the problem as they are sort of hormone replacement therapy. Your weight is not very high so hormonal profile doesn't seems necessary right now. I suggest you to take following homoeopathic medicine and report afterwards 1. Puls. 200/ once daily morning/2 days 2. Saclac 30/thrice daily/7 days.
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I have severe cramps during my periods starting from one day before period starts till after bleeding stops on 3rd or 4th day. I am 30 years old and married for last 10 years. I do not have children and have decided to remain childless. We currently use condoms as contraception. I visited a gynecologist who clearly said that I have primary dysmenorrhea and there is no cure except for painkillers. He also suggested me to have child to get rid of period pain permanently. I have been thinking about using oral contraceptives hoping that it may reduce pain or if I continue taking oral contraceptives without break, I may avoid having periods. Am I thinking correctly. Kindly suggest what oral contraceptive (name & chemical composition please) would be suitable for me!

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I have severe cramps during my periods starting from one day before period starts till after bleeding stops on 3rd or...
what you are suffering is Pre menstrual syndrome and dysmenorrhea. This occurs due to some hormonal factors and the dysmenorrhea could be spontaneous or due to some some fibroids, ovarian cysts or pelvic infections. There are many ways to cure dysmenorrhea, but taking pain killers is the cheapest and commonest way Yoga, mild exercises, accupressure, can also be used to reduce period pain For premenstrual syndrome you can take some tablets which are nutraceuticals and this can help your pain factor before menses, but these tablets have to be taken atleast 5 days before menses. Yes, Oral contraceptives can help you with relief from dysmenorrhea and PMS. So you can use them. Unfortunately, ONE CANNOT prescribe on a chat forum like this without a prior consultation in person. so if possible meet a Gynecologist and get examination done. It;s OKAY if one has to take painkillers for pain at each menses, THEY dont harm you so much. Pain killers ALWAYS have to be taken after a good meal But one must take anti acidity tablets too before consuming pain killers. If you paln to remain childless, then the unopposed estoigens can cause some problems like tumors in breast, or uterus ( fibroids) which are common in unmarried elderly patients
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I am 26 years old married. I have polycystic ovarian syndrome. I was on contraceptive pills for 6th month. After stop taking pills I got my period regular for 2 months. I have missed my period last April. I have done pregnancy test and test was positive My doctor did not repeat test again. I just want to know is prega news test results accurate?

Diploma in Advanced Gynaec Laparoscopic Surgery, Fellowship in Laparoscopic and Robotic Onco-Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Zirakpur
I am 26 years old married. I have polycystic ovarian syndrome. I was on contraceptive pills for 6th month. After stop...
Hi lybrate-user Preganews tests are pretty much accurate for confirming pregnancy event at the earliest. But the subjective confirmation is found only on ultrasonography. I suggest you should go for ultrasound. There are few advantages of getting ultrasound done: 1) confirmation of pregnancy 2) confirmation of pregnancy INSIDE uterus (chances of pregnancy in tubes need to be ruled out in any case) 3) As in your case, prolonged cycles, we need to confirm the gestational age as the earliest ultrasound parameters of the baby decides the baseline for future reference. 4) Any congenitally abnormal development of baby can be diagnosed as earliest as possible. It is a standard protocol in OBGYN practices that the ultrasound be conducted as soon pregnancy is diagnosed.
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I'm 30 years old female. I had protected sex with a condom who is of low quality with my partner. After the intercourse it he next day I found burning n pimples with itching on vagina. I took fluconazole for two months n antibiotics as prescribed by my doctor. I was get relief. Then after two months my problem reoccurred. My doctor prescribed me terbinafine. After two months I got white cheese discharge from vagina this time also my doctor prescribed me itaspor. I have tested myself for std and it has negative for 1 year till. But my partner has herpes simplex igg 1n 2 positive. From the starting of this problem I have not made any relationship with him. please tell me am I safe now I have my sore throat. I have taken many itrscsnazole n antibiotics in this two months. Now I have sore throat with irritable bowl syndrome. I have tested all std negative. please help me with future can I continue drugs of fungal? For maintaining therapy. My overall health has affected. I have ovarian cyst of 5 cm. Should I get test for more because I have got tested all std negative in one year till. please help I am in great depression. My va ginal problem has resolve now but sore throat n ibs is happen. What diet should I take.

M.D.(HOMOEOPATHY), BHMS
Homeopath, Kanpur
I'm 30 years old female. I had protected sex with a condom who is of low quality with my partner. After the intercour...
Take precautions in sex. Don't sex with multiple partners. It will always harm you. Do not worry about std at present. Take homoeopathy for your problems Start with thuja 30 one dose only and report For your problem homoeopathic treatment is safe and effective.
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Garlic for Sexual Health Stamina

RMP
Sexologist, Delhi
Garlic for Sexual Health   Stamina

Garlic can do wonders to your libido. Garlic has always been seen as a miracle herb that heals body organs. It normalizes the blood flow especially towards the penis. Many ancient civilizations have used garlic to increase and heal the sexuality. I have personally tried garlic and can vouch for its powers. It is not only good for vitality and little jhony it is also great for your general health.

How to Use:

You can eat three to four garlic cloves daily for a if you are having difficulty getting an erection. You can cut that down to three times a week after a month. that is if you start feeling better down there. you can also use grated garlic in your meat to get the desired result but raw garlic cloves work much better. Your breath will be awful but I am sure your partner won’t complain after your performance in bed.

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