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Dr. Karuna Sharma

Gynaecologist

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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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C/o mr. Puneet bhalla, Gali no.1,Aliwal road,near desraj public school, Batala Get Directions
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When time does girl get pregnant during mc periods or normal day. How to find time to make her pregnant.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
When time does girl get pregnant during mc periods or normal day. How to find time to make her pregnant.
Dear user. FERTILE PHASE is the phase of a female's menstrual cycle when an egg (ovule) is released from the ovaries. In humans, ovulation occurs about midway through the menstrual cycle, after the follicular phase. The few days surrounding ovulation (from approximately days 10 to 18 of a 28 day cycle), constitute the most fertile phase. So if you have ejaculatory sexual inter course from day 10 from the first day of period and to day 20, the chances of pregnancy are much more. There are many determinants of pregnancy. You should be sexually matured. Your partner should be sexually matured. The period of your partner should be in the fertile stage. Her egg and your sperm cells should healthy enough. Then her uterus should be capable to get conceived. If all these were satisfied, the pregnancy could be a result. Take care.
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I am married and have a child of 12 years however the sex in my life is insignificant not due to my side. My wife works abroad from past 7 years and she claims she does not like sex. When do I take it as a mental issue and tell her to consult a doctor or just leave her and continue with my life. Please advice

Masters in Clinical Psychology
Psychologist, Lucknow
I am married and have a child of 12 years however the sex in my life is insignificant not due to my side. My wife wor...
Hi Mr. If she doesn't have any urge to have sex she can use some supplements consult a psychiatrist and psychologist for psychotherapy. If she is willing, if not then you will have no choice but to continue with life. It's not mental issue but a bodily issue may be, if there is no arousal at all.
1 person found this helpful
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I am a 26 year old female. I took I-pill on 20th October 2016 and I had withdrawal bleeding on 26th October. Today it's 16th November and still I didn't get my regular periods. Should I wait or should I take a pregnancy test. How long should I wait?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
I am a 26 year old female. I took I-pill on 20th October 2016 and I had withdrawal bleeding on 26th October. Today it...
Hello lybrate-user that bleeding was your periods n now your cycle will start from that particular day. U can ask for further information n details.
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I have my periods in 40 days for the 2 months before that i got my periods regularly what to do to get regular periods? and what is reasonfor that?

Ayurveda, Indore
In married ladies generally the cycle is from 28 to 32 days. Sometimes due to hectic life style. Any psychic strain or internal medicine taken it happens. Dietary changes?
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I have tremendously increased weight. What should I do. Exercise and diet control not helping. I am getting irregular periods. And I also from a month facing problem of bones pain.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
I have tremendously increased weight. What should I do. Exercise and diet control not helping. I am getting irregular...
Polycystic Ovary Syndrome. ... It is also believed that insulin is related to PCOS; too much insulin can increase the production of androgens, which also cause problems with ovulation. If you believe your irregular periods and weight gain are because of PCOS, speak with your doctor.
1 person found this helpful
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Hello doctor I am recently married. Her age is 22. She is now in 3rd month of pregnancy. We want to know whether we can have sex or not. Upto which month or trimester we can have sex. Please guide us. Thank you Regards.

MBBS
General Physician, Chandigarh
Hello doctor
I am  recently married. Her age is 22. She is now in 3rd month of pregnancy. We want to know whether we ...
If her pregnancy is normal then its okay to have sex occasionally but very gently till 6 months you should avoid it in the last trimester.
2 people found this helpful
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Hi. My boyfriend and I haven't had sex. But he ejaculated when top of me in a bath tub. It was not near my vulva though. The water was cool. It was my 21st day of my cycle. This was one week back. Is there any chance of pregnancy and if there is anything I can do to terminate it.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Hi. My boyfriend and I haven't had sex. But he ejaculated when top of me in a bath tub. It was not near my vulva thou...
Even if he didn't ejaculate inside you it's quite possible that the sperms swim into your cervix, and cold water always promotes the life of the sperms. Had you contacted us with a day or two of the incidence we could have given you appropriate medical advices now that you have crossed the seventh day even the emergency pill won't work for you. Hence wait for a week get a home pregnancy test done if it's positiv then go to a good competent gynecologist and get a chemical termination done which can be done up to 7 weeks only. It's will be like your normal p riots but a. Little heavy flow. Henceforth be careful as protection is needed for you to prevent sexually transmitted infections and unwanted pregnancies too. Good luck.
3 people found this helpful
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My Gynaecologist has suggested me to undergo hysteroscopy for examining the uterus? What are its side affects and what is the cost of the procedure?

MBBS, MS -GYNECOLOGIST
Gynaecologist, Varanasi
My Gynaecologist has suggested me to undergo hysteroscopy for examining the uterus? What are its side affects and wha...
It is done under short GA ,generally having no major side effects .It is a day care procedure and its cost depends on cetre.
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Please suggest me any medicine to postponed my periods which will be safe and after which I may continue in my regular periods. Please help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Please suggest me any medicine to postponed my periods which will be safe and after which I may continue in my regula...
Hello, Postponement can be practiced from day 22 of your cycle till as long as you wish to delay your menses with progesterone pills. For prescription, you need to contact through paid query.
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It's my 47th day of pregnancy. I am feeling so tired all the time. I feel giddiness, body pains, hunger ,I always want to sleep. Can you suggest me if I can work?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
It's my 47th day of pregnancy. I am feeling so tired all the time. I feel giddiness, body pains, hunger ,I always wan...
hi Dipthi congratulations! sleep is due to hormonal fluctuations. don't worry about it. lethargy, weakness could be due to low hemoglobin please check for it. have a healthy balance diet. wish you healthy pregnancy.
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Hi, my wife delivered a baby normally (vacuum though) on 2nd April. Doctor said there were lot of stitches. Can some one please comment, till how many days we should refrain from intercourse? Also, any other point which you think we should take care of while having the first few intercourses post delivery? Any suggestions are highly appreciated, thanks in advance.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi, my wife delivered a baby normally (vacuum though) on 2nd April. Doctor said there were lot of stitches. Can some ...
lybrate-user ,u should wait for atleast three months before resuming to normal sexual life, also make sure you use a contraceptive so that she should not get pregnant soon. And most important is she should continue to take iron vitamin and calcium supplements especially if she is feeding the baby.
1 person found this helpful
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I have vomiting in pregnancy time. I use medicine for vomiting but no use. please suggest.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
I have vomiting in pregnancy time. I use medicine for vomiting but no use. please suggest.
U should avoid taking tea or coffee empty stomach. .avoid too fried and spicy. take dry toast in the morning n more of fluids. dint remain empty stomach for a long time as it causes gastritis. try changing ur medicine.it might help.
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I am an engineering student in VIT university. My basic problem is I am on more weight than it has to be for my height. I can reduce it by doing exercises or anything but the problem is I am thin on the upper part and fatty on the bottom. I hope you got me. Also my hip was somewhat wide but that was from my mother genes. So with this I looked like very thin feature from face, neck,hands, abdomen and from there it looks like an unmatched one. Is there any solution that I could get out of this because it does not look good when I wear series for any functions. Please do tell me.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am an engineering student in VIT university.
My basic problem is I am on more weight than it has to be for my heigh...
shed weight the healthy way minus diet harts or rigid exercise plans. give up sugars and take less carbs like wheat/rice/bread/maida. reduce salt to minimum but you can sprinkle some spices on salads. boiled eggs/ roasted chane/ nuts are filling an d good source of proteins and healthy fats. eat as much as you like and can digest- seasonal fruits and vegetables one meal a day during evening only-roti-daal-subji-rice. no munching. walking is simple exercise cum meditation. swimming is good if facility available. get back after a month. since you are in a professional college and you have to study lots , do not do extra dieting /exercise.
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Hi i Am a boy 23 year old. When I taking sex with my partner suddenly small quantity of spem is coming (i don't know correctly it is a spem) after sometimes spem comes and. But I don't know what is coming first so we get confused. Is there any chance for pregnant.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Pre Seminal fluid is the clear, colorless, viscous fluid that is emitted from the urethra of the penis during sexual arousal. It is similar in composition to semen but has some significant chemical differences. There have been several small-scale studies that conclude no sperm is present, and thus, pre-ejaculate is ineffectual at causing pregnancy.
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I am trying to conceive since last 4 months Though I have regular periods but my ultra sound reports say I have pcos symptoms What should I do.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am trying to conceive since last 4 months Though I have regular periods but my ultra sound reports say I have pcos ...
Hi Yashoda, you should get basic blood work up done to rule out other associated conditions. Please as your husband to check for semen analysis. If everything is normal then you can plan for pregnancy with follicular study and ovulation induction.
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Happiness: Through Internal Control

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
Happiness: Through Internal Control

The most powerful way to take internal control is to have a healthier lifestyle. Start by taking care of yourself; be a little more active each day, eat one extra piece of fruit, be aware of which physical activities make you feel better and make them part of your routine.

How Does Endometriosis Affect Fertility And Pregnancy?

MBBS, MS - General Surgery
General Surgeon, Kota
How Does Endometriosis Affect Fertility And Pregnancy?

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue’s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

  • A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
  • A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
  • Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis

Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Can hymen be broken with the use of tampons I am virgin but i did not bleed when i had sex first time what's the reason? Is reason use of tampon or anything else? Please advise.

DHMS (Hons.)
Homeopath, Patna
Hello, it depends upon d handling of tampon while inserting it, in d vagina of a vergin, there is every possibility of hymen being raptures with d use of tampon, carelessly. Stay aware.
1 person found this helpful
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Anti Cancer Fruits

MD - Consultant Physician
General Physician, Bhopal
Anti Cancer Fruits
Anti Cancer Fruits
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