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Dr. Garima Goyal

Gynaecologist

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Dr. Garima Goyal Gynaecologist,
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Personal Statement

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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I regularly do Oral sex in my Wife's Vagina. Please advice if Oral sex is safe to practice?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Cunnilingus or oral sex is safe kind of sex as compared to vaginal or anal sex. Chlamydia, human papillomavirus (hpv), gonorrhea, herpes, hepatitis (multiple strains), and other sexually transmitted infections (stis/stds), can be transmitted through oral sex if the partner is infected with any one of these. But carrying these kind of diseases in a known partner is extremely rare. Risk of sti infection, however, is generally considered significantly lower for oral sex than for vaginal or anal sex, with hiv transmission considered the lowest risk with regard to oral sex.
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I M 27 WEEKS PREGNANT AND I DO not HAVE THYROID ,BUT MY GYNAC SUGGESTED ME TO TAKE THYROXINE sodium ,Eltroxin 25 mcg EVERY MORNING BEFORE EATING ,SINCE THEN I M TAKING THYROXINE sodium ,Eltroxin 25 mcg EVERYDAY, CAN U TELL ME WHY IT IS TAKEN DURING PREGNANCY ,IS IT SAFE DURING PREGNANCY, HOPE IT DOES NOT EFFECT MY BAB.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I M 27 WEEKS PREGNANT AND I DO not HAVE THYROID ,BUT MY GYNAC SUGGESTED ME TO TAKE THYROXINE sodium ,Eltroxin 25 mcg ...
Sometimes subclinical hypothyroidism during pregnancy causes a little high level of TSH which needs to be treated to avoid problems. This is safe for your baby
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We are newly married couple and her period are every 10 of the month but this month she missed her date what should we do now pls explain in brief.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
We are newly married couple and her period are every 10 of the month but this month she missed her date what should w...
Most important symptom of pregnancy is missed period. There r other symptoms but all of them appear 2 weeks after the missed period. Those r nausea, vomiting, breast fullness and increased urination. If you have a missed period then you should get urine pregnancy test done at home after 7 days of missed period to confirm it. I. E. On 17-19 march you should test with home pregnancy kit.
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Health Tip for Pregnant Women

DNB (Diplomate of National Board of Examinations ), DGO (Diploma in Obstetrics & Gynaecology)
Gynaecologist, Mumbai
Health Tip for Pregnant Women
Whenever you get diagnosed with pregnancy register with your obstetrician. And follow standard protocols of visits and events as follows.
1. Early scan at 6 weeks for confirmation of pregnancy with routine blood tests. (hb, blood group, hiv, hbsag, hcv, vdrl, urine routine examination).
Medicines- folic acid 5mg once a day and doxinate tablet three times a day for vomiting
2. At 11 to 13.6 weeks- dual marker test with nt nb scan.
If you have crossed 12 weeks and no vomiting constipation then start iron calcium and protein supplementation.
Diet consultation should be done.
3. At 16 weeks get your first tetanus toxoid injection as per who. Some may prefer taking later.
4. At 18weeks- anomaly scan to be done. And prenatal classes can be started.
5. At 20 weeks- 2nd tetanus toxoid injection.
6. At 22 weeks- fetal 2d echo, if you are suffering from diabetes, heart problem, hypertension, previous baby having anomalies etc.
7. At 24 weeks- fasting and post prandial blood sugar levels or dipsi test. (dipsi test can be done at first visit also)
8. At 28 weeks- routine ultrasound with colour doppler. Repeat blood investigations. Get yourself booked with hospital. Take fluvac if not taken previously.
9. At 32 weeks- visit your doctor for routine check up and discuss regarding hospital and delivery.
10. At 36 weeks repeat scan for growth, lie, presentation, and fetal wellbeing.
11. At 37 weeks- pelvic adequacy to check whether you can go for normal delivery. It helps obstetrician and patient in ruling out whether fetal head can pass through pelvis or not. And decision making regarding trial of labour. This is s poo specific for primi patients.
12.36 weeks onwards weekly nst should be done to check fetal heart monitoring.

Disclaimer:
This is standard protocol what we follow in practice. Others may vary or defer with it. Depending on different practice scenario and academic patterns.

All the best!
4 people found this helpful

8 Types Of Abdominal Incisions You Should Know!

MBBS
General Surgeon, Guwahati
8 Types Of Abdominal Incisions You Should Know!

At the time of a surgical procedure, while making an incision a doctor has to take care of a number of factors before making an incision. Considering a number of factors, different types of incisions have come into fore, such as 

  1. Midline Incision: It’s the commonest incision and is done along the linea alba (fibrous structure running through the mid of the abdomen). These are preferred, especially in diagnostic laparotomy as it permits a wide access to the abdomen.
  2. Pfannenstiel Incision: It is transverse in nature, extending from the umbilicus to the pubic-symphysis. It is generally employed for abdominal hysterectomy of benign nature and cesarean section (c-section).
  3. Chevron Incision: It is an incision under the rib-cage and is done on the abdomen. It starts from beneath the ribs on the right abdomen and extends till the other mid axillary line. Thus, the entire abdominal width is incised for proper reach into the liver. The incision can be up to 2 feet.
  4. Kustner Incision: It is transverse in nature and extends from the symphysis pubis till the iliac spine (anterior). This type of incision takes time to perform. A Pfannenstiel incision offers more exposure than a Kustner incision.
  5. Lanz Incision: It is a variation of the more common mcburney-incision (also known as Gridiron’s incision). It is generally used for open appendectomies. There are quite a few variations for this type of an incision.
  6. Gridiron’s incision: It is done for appendectomies. It is an oblique short incision which is done in the lower right quadrant in the abdomen.
  7. Kocher’s Incision: It is oblique in nature, extending from the abdominal upper right quadrant and is generally used for performing an open cholecystectomy. Gallbladder, biliary tract and certain liver operations can be suited for a Kocher’s incision. This however is different from the same named incision used for the thyroid gland surgery.
  8. Cherney Incision: It is transverse in nature. It allows a great range of exposure for the pelvic sidewall. It is less painful than a midline incision. It allows for the greatest pelvic exposure and hence is a widely preferred and practiced incision. If you wish to discuss any specific problem, you can consult a general surgeon.
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I am 34 years female trying to conceive. Last month I had symptoms during ovulation but after 3days bleeding near my menstrual cycles no symptoms. Could I be pregnant because bleeding was little lighter than my regular 28days cycles?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 34 years female trying to conceive. Last month I had symptoms during ovulation but after 3days bleeding near my ...
If you r pregnant then bleeding will be only in the form of spotting around the day of due date for menses. As you had less than normal bleeding still it does not qualify for the bleeding of pregnancy which is called as implantation bleeding which is in the form of spotting. Still if you have doubt, you can do urine pregnancy test after 7 days.
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My friend had unprotected sex with his gf at 11 morning on 27th April. She took ipill at 12night. They did it again on 28th morning at 10 am. Unprotected. She needs to take another pill? What should be done. Her period cycle is like 14th/15th every month. What is recommended in this situation rn.

MBBS
General Physician, Cuttack
My friend had unprotected sex with his gf at 11 morning on 27th April. She took ipill at 12night. They did it again o...
Since she had taken one I Pill within 72 hours of sex no further pill is required. However do a pregnancy test 10 days after the missed period if any and consult doctor for advice.
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I get motion 5 to 6 times in morning and I feel very tired nowadays I am having irregular mensuration cycle too I am having back pain and abdomen pain I can not do heavy work now and I have waist pain too pls suggest me to overcome my this problem I will be very thankful to you .i am 38 years old.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
I get motion 5 to 6 times in morning and I feel very tired nowadays I am having irregular mensuration cycle too I am ...
Change your diet and lifestyle eat home food only no outside food stop all diary products go to a specialist surgeon / gastroenterologist and get an colonoscopy done to rule out IBS / IBD get treated depending on the scopy results.
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