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Dr. Garima Goyal

Gynaecologist,

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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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We regularly indulge into sex and leave my sperm inside my wife vagina then also she is not able to conceive. What is the reason.

Advanced Aesthetics
Ayurveda, Gulbarga
We regularly indulge into sex and leave my sperm inside my wife vagina then also she is not able to conceive. What is...
Some times its due to irregular periods or low sperm count you try for baby these days periods 12th day to 18th day.
125 people found this helpful
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My sister has become pregnant and in her legs a lot of swelling occurs and also pain what should we do? No other problem regarding routine checkup. Doctor avoided to use spray n move so any other optn.

Diploma in Naturopathy & Yogic Science (DNYS)
Ayurveda, Bangalore
My sister has become pregnant and in her legs a lot of swelling occurs and also pain what should we do? No other prob...
This is related to oxygen blockage of blood cells, this will spoil childs health. You should take some Ayurvedic supplements and medicine immediately. Consult with me privately and get medicine and other remedies. Thanks.
1 person found this helpful

Post Menopausal Sex - 5 Ways Tips To Reduce The Pain

M.A. (Scholar), BHMS
Sexologist, Mumbai
Post Menopausal Sex - 5 Ways Tips To Reduce The Pain

Sex which gives pleasure to most, can be painful for some. Many women, mostly in their menopausal or postmenopausal phase find intercourse and penetration extremely painful. Menopause results in hormonal imbalance, with a significant drop in the estrogen level. The reduced estrogen level results in Vulvovaginal Atrophy (dryness of the vagina and thinning and weakening of the vaginal tissues). In such cases, women experience irritation, Vaginismus (vaginal tightness) and soreness after sex. One can also experience a burning sensation during urination. There may be inflammation of the vaginal tissues. If untreated, the inflammation can cause infection and other complications. "Dyspareunia" or pain during intercourse is very common in postmenopausal women. The pain experienced during sex can be due to "Vulvodynia" as well. Vulvodynia is a condition whereby a women experiences chronic pain in the external genitals or vulva. A number of other factors can also contribute to the pain during sex. A thorough and detailed investigation is thus very important.

Treatment:

Many women find it extremely embarrassing to discuss menopausal problems with their partners and doctors. The key to effective treatment lies in timely diagnosis and medication. There is nothing to be embarrassed about. The postmenopausal changes can vary from person to person. Thus it is very important to discuss every minute detail with your physician.

Many options are available to make intercourse a less painful experience:

- Keep dryness at bay: In most cases, painful intercourse results from dryness of the vagina. Use of a lubricant can ease the pain to a great extend. A water based lubricant is highly recommended. Regular use of vaginal moisturizers is also effective to deal with vaginal dryness.

- Vaginal care and hygiene: It is very important to keep the vagina clean. Avoid using soaps, bath oils and shower gels. They do more harm than good to the vagina. It is advisable to wash the vagina with warm to lukewarm water. Undergarments should be changed twice daily.

- More is good: Having sex at regular intervals is a healthy practice. It not only enhances and improves the blood flow, but also helps to overcome vaginal dryness.

- The Pelvic Floor Therapy is immensely beneficial. In this therapy, a gentle pressure is exerted in the pelvic region to relax the stiffened and tightened muscles. One can also massage the area to relax the muscles.

- Squat is a very effective exercise to strengthen the buttocks and hip muscles. Exercises to strengthen the pelvic floor muscles are also very helpful.

- One can also opt for Local Estrogen therapy and Systematic Estrogen Therapy.

Menopause should not affect your conjugal and sexual life. Visit here to know more and forget painful intercourse forever. If you wish to discuss about any specific problem, you can consult a Sexologist.

6353 people found this helpful

Dear Dr. pls help मै चाहता हु की मैं अपनी पत्नी को जब सेक्स करू तो मेरा वीर्य उसके अंदर गिरे पर ऐसा नही होता जबकि हस्तमैथुन करने पर हो जाता है Pls help I want a baby.

BAMS, MD Ayurveda
Sexologist, Lonavala
Dear Dr. pls help मै चाहता हु की मैं अपनी पत्नी को जब सेक्स करू तो मेरा वीर्य उसके अंदर गिरे पर ऐसा नही होता जबकि हस्...
you can go for following remedy it will help you Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day Surely you will get results.
2 people found this helpful
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I have recently undergone an abortion. 10th of January. Due to unfavorable circumstances. I faced no complications whatsoever and the procedure was completed just with pills. I was 14 -15 weeks pregnant. What I want to know is how soon would it be feasible for me to become sexually active again? I am still bleeding. But again no other complications. My doctor said 90 days. But am not quite sure if that is the stipulated time. Please do let me know about the same. Thank you so much. And how long till I can try for another baby?

MBBS, DGO
Gynaecologist, Dehradun
Hello You should wait for atleast 6 months for your next pregnancy. As far as bleeding is concerned I think you should get an ultrasound done to rule out retained products as you have been bleeding since 10th plus you had second trimester abortion that is around 15 weeks. You can be sexually active after you have stopped bleeding and have no pain or any other complaints.
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My wife 37 have 0% interest in sex. And not conceived from last ten years. I am very disturbed. Few gynecologist suggest ayurvedic ointment and tablets but no good result. Now please suggest me medicine or advice. Basic information is of my wife.

BHMS
Homeopath, Sindhudurg
My wife 37 have 0% interest in sex. And not conceived from last ten years. I am very disturbed. Few gynecologist sugg...
There are lots of explanations and control of a low sexual libido in females. Stress, melancholy along with getting older are normal cause. Some tips and tricks: Talk openly with your partner about your sexual dysfunction . Daily exercise is helpful to increase sexual drive. Try to keep your body free from obesity. Take a balance diet filled with plenty of fresh vegetables and fruit Learn to relax and de-stress by meditating. Stop smoking . Alcohol has bad affects to sexual function and desire. Try to reduce the drinking of alcohol . Avoid illegal and powerful sexual drugs . Homeopathic treatments regarding very low interest in sex tend to be hormone-based. Homoepathic remedies like Lycopodium, Selenium, Agnus Castus, Ambra grisea etc improve the libido. You can Consult me for homoepathic treatment without side effects.
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after taking buttermilk my body become very heavy and painful take buttermilk with salt why.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
after taking buttermilk my body become very heavy and painful take buttermilk with salt why.
You are right, buttermilk doesn't suit some people. Eat or drink according to constitution. Take curds or milks instead.
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And that precum I think just touched outside the vagina as I didn't penetrated inside her thn? Will that precum can cause a major effect? Though she had got periods after I had asked the last question. Still can UT effect later on?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
And that precum I think just touched outside the vagina as I didn't penetrated inside her thn?
Will that precum can c...
No it can not affect her in future and as she had menses after the act she is not pregnant also. Also as you did not penetrated inside her, she is still a virgin.
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Impotency And its Causes!

Fellowship ,council of Sex Education and Parenthood , BAMS, B-Pharm
Sexologist, Jaipur
Impotency And its Causes!

With the fast changing scenario and advancement of research, the definition of ailments are also becoming precise. Earlier, one term 'Impotency' was used in wider sense to define all sexology related problems, such as erectile dysfunction (ED), low libido, low sperm count, infertility, and the inability to produce a child in both males and females. However today, with the advancement of research each problem has its own definition.  Impotency is the condition where you suffer from a sexual dysfunction. It can cause stress and might undermine your confidence when you and your partner have a sexual encounter. It might also cause uneasiness between the two of you or embarrassment for having a dysfunction. In men, impotency is mostly in the form of erectile dysfunction whereas in women it is the inability to get pregnant. It may be due to a physical condition or an emotional trauma that you might be facing.

Here are the two broad divisions of the causes of impotency:

  1. Psychological causes: Depression, anxiety or stress might be the major psychological causes for impotency. Also various mental disorders might take a toll on potency and your sexual libido. A sexual dysfunction might just start very suddenly after suffering from any psychological trauma. A very common psychological problem which men face at least once in their lifetime is a condition called performance anxiety. You become extremely conscious about whether you will be able perform well as the society expects men to take an upper hand while having sex. This burdens you and you get anxious about your performance in bed, causing you to suffer from a dysfunction. In cases of a marital dispute or lack of communication with your partner might also be a reason of an occasional dysfunction. 
  2. Physical causes in women: The physical causes may or may not be curable naturally. Sometimes surgeries are required to cure these causes. Some medicines have certain side effects which can cause a dysfunction to form. Often times not enough blood flows to the reproductive organs which results in impotency. Certain nervous and hormonal disorders also affect your potency. Disorders like Polycystic Ovary Syndrome, Pelvic Inflammatory Disease, blocked fallopian tubes, hormonal imbalances causing irregular periods, or improper egg implantation can cause impotency. In these cases it is extremely difficult for the women to become pregnant, i.e., you will not be able to conceive. 
  3. Physical causes in men: Having a low sperm count is the most common factor which results in impotency. Hormonal disorder like hypogonadism which results in a low sperm count is also a contributing factor. If you have a blockage in the testicles, it will again affect the sperm count negatively. Improper ejaculation is another common cause of impotency.

Although impotency may be extremely disheartening, you can be treated for it and have your own family eventually. If you wish to discuss about any specific problem, you can consult a sexologist.

4928 people found this helpful

Hello, my mom during periods every month. She will be getting huge stomach pain. Even she unable to get up r stand properly. So what is the solution? And she used to be fasting (without eating food) mostly.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Hello, my mom during periods every month. She will be getting huge stomach pain. Even she unable to get up r stand pr...
Medicine German reckeweg mag phos 200, single dose (4-5 drops in mouth) morning. buy medicine from good homoeopathic shop. food mixed fruit juice daily evening. please continue treatment.
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Hi doctor, Actually my tsh value is 3.35 and I want to conceive but failed every time. I am trying more 5 months. Can you please suggest what I should do? Totally confused.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi doctor,
Actually my tsh value is 3.35 and I want to conceive but failed every time. I am trying more 5 months.
Can...
Your TSH VALUE is in normal range and it may not be the cause of failure.. There are various other factors contributing to it... Like stress, anxiety, lack of proper technique, or low sperm count.. The first thing you need to do is overcome the anxiety and stress if you have about conceiving. Second thing after intercourse remain lied down and keep a pillow or two under your back to facilitate the easy movement of sperm. Etc...
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I took the ipill on 16th Feb and I had bleeding for 3to 5 days. Which is on my periods date. I can't understand that Wht it is? Period or anything? I had pain also which is causes during period. My age is 17. And I don't wnt to pregnant now. Is there any chance of pregnancy? please hlp.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I took the ipill on 16th Feb and I had bleeding for 3to 5 days. Which is on my periods date. I can't understand that ...
if you have had bleeding for 3 days after ipill , you are not pregnant you are only 17 years , not an adult to go through hormonal changes caused by ipills no abortion pill is safe
1 person found this helpful
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Low Libido - 7 Things That Can Cause It!

MD - General Medicine
Sexologist, Nashik
Low Libido - 7 Things That Can Cause It!

Low libido or a decreased intimate activity can affect a relationship in a big way. In some extreme cases, the impact is such that it leads to irreconcilable marital discords. Time and again, an individual, irrespective of their age, sex or occupation can go through phases of low libido. Decreased sexual desire over a longer period of time needs thorough investigation.

It could be an indication of something big and serious lying ahead. 7 critical factors attributing to low libido

  1. Hormonal imbalance: Women, mostly menopausal and post menopausal, experience low libido. This is because during menopause, there is a significant drop in the oestrogen level. Reduced oestrogen level can have a huge impact on sexual desires and performance. It can also make the vagina dry, resulting in painful penetration and intercourse. Hormonal imbalance or changes during pregnancy can also result in low libido in females. In males, low libido has been found to be associated with decreased levels of testosterone. 
  2. Stress:  An individual's mental and emotional state is greatly reflected in their sexual performance. A sound mental health can enhance a performance thousand folds. On the contrary, factors like depression, anxiety and stress lowers the sexual desires in a person. To enjoy a healthy and normal sexual life, it is important to keep stress and chronically blue moods at bay.
  3. Sound sleep to the rescue:  The benefits of a sound sleep are beyond imagination. A good 6- 8 hours of sleep can do your sexual desires or libido a world of good. A sleep deprived soul will be agitated and cranky, both on and off the bed. Continuous sleep deprivation can also lower the testosterone level, resulting in low libido.
  4. Medical ailemnts: Medical conditions like diabetes, cardiac problems, high blood pressure, or ailments of the coronary artery can rupture an individual's sexual life immensely. Improper functioning of the thyroid glands is another factor contributing to low libido. In such cases, it is best to consult a physician at the earliest. Rest Leg Syndrome can also contribute to low libido. It is a condition whereby a male experiences uncontrollable urge to move his legs.
  5. Smoking: A killer habit affecting a person's sexual activity is smoking. Drug abuse and drinking (to some extent) can be equally responsible for a low libido.
  6. Weight gain: A sudden change in body weight (gain or loss) can play a significant role in low libido. Take pride in your body structure. There is nothing to be ashamed of.
  7. Monotony: Boredom can mask your sexual life greatly. Break the monotony, take short breaks, go on vacations and low libido will be a thing of the past. If you wish to discuss about any specific problem, you can consult a Sexologist.
7260 people found this helpful

We had sex and the condom got torn But the sperm was not discharged inside her vagina and she was on he safe periods ! Is there a change of her getting pregnant and her long period days are 36 And short period days are 33 And her last period was on May 7 ! please tell me if its a safe sex day !

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
As per your data about long and short period length, the period should have come on 8th June or 11th June. As today is just 9th, and she has already passed 8th, it would be best to wait till 11th and if there is NO menses by 12, do a Urine Pregnancy Test on 12th morning using an early morning sample in a LAB......
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I have irritation, itchiness and white thick discharge from vagina since 4 days. I had diarrhea for about a month. I had consulted my doctor about the diarrhea but the medication didn't work. I had unprotected intercourse a months ago and had i-pill with 64 hours too so I fear this might have something to with all these. What should I do?

MS - Obstetrics and Gynaecology
Gynaecologist, Mumbai
I pill does not cause diarrhea for 1 month When was your last menses date White discharge may be candida infection Plenty of fluids ,curd Probioticsand treatment for white discharge.
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IVF - 3 Preparatory Measures

MD - Obstetrtics & Gynaecology, Advanced Infertility
IVF Specialist, Kolkata
IVF - 3 Preparatory Measures

Infertility is known to usher a lot of emotional stress in the lives of those who go through it. Often, an overwhelming sense of grief descends upon the couple who try to grapple with the sense of loss. The social and psychological ambience plays a very important role in reconciling one with the harsh reality and prepping one up for a fresh start. 

While IVF has proven to be a boon in the lives of many couples, many still take to IVF as the last resort. Another factor that makes the responses about IVF rather ambiguous is the uncertainty of the results. There are numerous factors like failure in embryo attachment or uterine incompatibility that often results in a failed IVF. Therefore, before opting for this surgery, one must be mindful of the consequences. 

Some of the ways, one can prepare oneself for IVF have been enlisted below: 

  1. Informed choice: Considering IVF is a rather stressful surgery, one needs to be well aware of the stakes. Reading up about the potential risks and the details about the process, helps one to be prepared for the consequences and deal better with the trauma.
  2. Take good care of your intimate relationships: Since IVF tends to take a toll on not just the mother, but also the close family, it is important to maintain a strong bond of trust and compassion in the course of the surgery. Hostility and discordance adds on the stress and sometimes inflict grave health implications upon the mother. It is important to support your partner through the entire journey. You may consider professional counselling too.
  3. Prepare yourself for all possible situations: While the advanced technology aims to minimize any hazard, the results can often be unpredictable. You might want to adequately monitor your cycle in order to anticipate the potential problem areas and the results thereof. You should discuss these with your loved ones to avert excessive stress. It is a good idea to keep oneself productively busy in the due course to avoid anxiety.

I am 26 years old and female. I have periods problem. From the date after the next month came I never had the cycle on the due time. Its start after 15 days from the date of previous months and the cycle stay for only 2 to 3 days.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I am 26 years old and female. I have periods problem. From the date after the next month came I never had the cycle o...
Take Sukumaram Kasayam--2tsp+6tsp luke warm water-:(mrng & evng) before food for 7 days Take Asokarishta-:1 ounce (3 times/daily) after food for 3 months Include dates, raisins, pappaya,til ladoo/til Patti in your food.
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I am married has two daughters. After delivery I became obese. My weight is 85kg and height 5.6feet. I want reduce my weight to 60kg. Please suggest diet plan. How much time it takes.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi, I am certain you have two beautiful daughters! it is important to bear in mind that a'diet plan' is not an entity with a deadline. You have to commit to a lifelong change of improved eating, behavior modification and an active lifestyle. I urge you to use the links below to better understand this school of thought:
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7 Foods that Boost Your Memory!

Dietitian,Nutritionist & Health Management, Sports Nutritionist, Health Coach
Dietitian/Nutritionist, Gurgaon
7 Foods that Boost Your Memory!

Eating healthy is very helpful for your mental and also your physical well-being. The mind requires nutrients just like your heart, muscles and lungs do. These can be derived from the following ingredients.

  1. Berries: Berries, particularly dark ones, such as cherries, blackberries and blueberries, are a great source of anthocyanins and different flavonoids that can boost your memory. Try to consume these in small portions at least twice a day. You can enjoy a handful in the form of snacks, add them in your cereal or bake them into a dessert like muffins or pancakes. Fresh, frozen or dried berries and cherries can reap you a lot of benefits other than memory boost as well.
  2. Avocados: Avocados are green powerhouse and are stuffed with mono-saturated fats containing both vitamin K and folate. Avocados prevent blood clots in the brain, protect you against strokes and enhance the cognitive capacity of the brain, both in terms of memory as well as concentration.
  3. Broccoli: Broccoli contains large amounts of vitamin K and choline. It tends to help keep your memory sharp. It is also filled with vitamin C where just one glass provides you with 150% of your recommended every day consumption.
  4. Coconut oil: Coconut oil fills in as a naturally calming, anti-inflammatory agent. It stiffens the cells in charge of inflammation and aggravation. It can help with memory loss as you age and will kill awful microscopic organisms that are present in your gut.
  5. Salmon: Salmon is a well-known ingredient amongst the most nutritious and healthy food items recommended for the brain. It is highly rich in Omega-3 unsaturated fats and keeps the brain running, gets rid of brain fog and improves memory.
  6. Pumpkin seeds: Highly rich in zinc than most seeds, pumpkin seeds supply this highly valuable mineral which is very important for improving memory and thinking abilities. These little seeds are also loaded with stress-busting magnesium, B vitamins and tryptophan that is a precursor to the good mood substance called serotonin.
  7. Walnuts: Walnuts are very well known for a positive impact on the heart's health. Walnuts may likewise enhance the working memory and boost it further. One can take them as a snack at any point in the day, be it to fulfill late morning hunger or add them to cereal or serving of mixed vegetables for crunch. You can also blend them into a vegetable panfry for additional protein.

Different kinds of food products have different effects on the body as well as the brain. To have a healthy body, one definitely needs to have a sound and healthy mind. Eating junk food blocks certain functions of the brain over the years whereas, a healthy diet may help in keeping you physically, mentally and psychologically healthy. If you wish to discuss about any specific problem, you can consult a doctor.

5477 people found this helpful

I Had five years gap after my first child. Now I am trying for second baby from four months but no results. Before I did not take any tablets also. Will there be any problem.

BHMS
Homeopath, Faridabad
I Had five years gap after my first child. Now I am trying for second baby from four months but no results. Before I ...
Hello, there should not be any problem if the first pregnancy was normal without any complications. Try few more months then revert with feedback.
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