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Dr. Shivani Vashist

Gynaecologist,

Dr. Shivani Vashist Gynaecologist,
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Shivani Vashist
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Is sex during pregnancy is safe or not if it safe then What are the measures to take while sex.

DGO, MAOGD, MBBS
Gynaecologist, Panchkula
Hi you should avoid having sex in ist trimester and last trimester of pregnancy. It's safe to have sex between 4 to 7 months once placental localisation is being ruled out on ultrasound.
7 people found this helpful
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Hello sir/madam, I want to ask you if a unmarried girl discharge white liquid type on squeezing of one breast only then what does it mean? Actually my fiancee is facing the same situation. We noticed it yesterday and since then we both are getting tensed about it. Please suggest us what to do in this condition. Is there any problem in it or it is normal in girls? I will be wait for your reply please do it as soon as possible.

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
Hello sir/madam,
I want to ask you if a unmarried girl discharge white liquid type on squeezing of one breast only th...
Dear lybrate user. I can understand. It is normal that unmarried girls do produce liquid from mammary glands. There is nothing to worry about it. Take care.
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I am a 28 year old female and I am having some problem in the genital part since morning, I am worried if its an infection or a wound inside, its a kind of sensation there as I am not able to pee comfortable and completely in one time, I also noticed a little blood coming with urine. Is yesterday night sex a reason for this problem? Shall I go and see a doctor or wait for 2 days?

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Yes, you may be right. You may weight for two three days. Meanwhile drink plenty of liquids daily. Avoid spicy fried and junk food. You may take anti inflammatory drugs for symptomatic relief.
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This question is for gynecologist. Doctor only in summers I noticed that I get itching in my vagina. What should I do?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
India had hot and humid climate and due to this people tend to sweat a lot in summer and rainy months. The sweating is also present in the hairy region around the arm pit and private parts. Due to this dampness, there is a recurrence of fungal infections again and again which manifest as itching. Even if you do not have fungal infection, the damness can also make one itch. The best remedy for this is : 1. wear cotton free flowing clothes to allow flow of air in and around private aprts 2. wear cotton loose underwear 3. Do not wear synthetic underclothes as it prevents the sweat from getting dried 4. If you feel sweaty, you may have a bath 2 times a day 5. Keep the hairs around private parts trimmed so that the sweat evaporates faster. 6. If you sweat a lot,or even after bath, wipe the vulval area from front to back.......wiping the private part area from back to front can drag bacteria from anal region to vagina dn cause itching, and fungal or mixed infections. 7. If you are sweating a lot, avoid wearing underclothes at sleep, and if required use some dusting powder in groin region
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Treatments of Infertility

FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
Treatments of Infertility

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

  1. Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
  2. Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

  1. Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
  2. Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

  1. Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
  2. Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
  3. Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
  4. Bromocriptine: Used when the infertility is caused due to excess prolactin production.
  5. Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

  1. Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
  2. Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
  3. Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

  1. Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
  2. Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

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Got my iui procedure done on 25 May The doctor advised me to start duphaston 3tabs daily and susten to be used vaginally for 15 days Due date was 8 June where I have a normal cycle of 28-30 days Did two pregnancy tests 12 June and 13 June morning, both show negative results Please advise.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
The negative tests mean that you have not conceived. The period may be delayed as you have been given a high dose of progesterone ( Duphaston and Susten )....so wait for the menses to occur, or meet your Gynec, who may repeat the Urine test or ask for a Beta HCG levels
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BHMS
Homeopath, Solan
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Batch Flower Remedies: Emotional Group

BHMS, Master pharmaceutical medicine
Homeopath, Navi Mumbai
Batch Flower Remedies: Emotional Group

The batch flower remedies contain the life force of plant. The healing property within a flower may therefore be considered to be the outlet of the life force of that plant. They act not by attacking the disease but by flooding our bodies with the beautiful vibrations of our higher nature, in the presence disease melt away as a snow in sunshine! 

**it is always recommended to consult a specialised homeopath before you go for medication. None of these medicines should be taken without professional advice.

Emotional group flower remedies:

1. Fearful:
Rock rose, mimulus, aspen, red chestnut.

2. Uncertainty:
Cerato, gentian, gorse, wild oat.

3. A lack of interest in the world around: 
Clematis, honeysuckle, wild rose, olive.

4. Lonely:
Water voilet, heather

5. Over sensitive to others: 
Agrimony, centaury, walnut

6. Generally despondent or in despair:
Larch, pine, elm, sweet chestnut.

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I am a 25 year old married. TTC since 1 year. My cycles are regular no weight gain. I did Usg scan which showed right sided polycystic ovary. I took clomifene citrate and duphaston for 3 months but nothing worked. Later I did follicular study in that my follicle dint get rupture even after HCg shot of 5000IU. Later I did hormonal checkup a week ago in which everything was normal except 2 things I. E. SHBG 24.21nmol/L and a bioavailability testosterone percentage 49.4%. I was worried after seeing this but I wanted to know the significance of these 2 hormones and whether this can be improved naturally and I also wanted to know does these 2 cause infertility? I also wanted to what medicine I can take to rupture my follicle.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am a 25 year old married. TTC since 1 year. My cycles are regular no weight gain. I did Usg scan which showed right...
Duphaston is given to pregnant woman to retain pregnancy, it is progesterone hormone present in woman to give power for fertilisation and to retain embryo. It is released on 14th day of cycle, once follicle gets ruptured and egg is released, moves towards uterus for ferilization through fallopian tubes. If no pregnancy occurs like in unmarried girls, both hormones the feminizing estrogens and the masculining progesterone starts declining, becomes almost zero and cycle starts, if pregnancy occurs, there is a signal for both hormones to increase gradually. As an added security, for bad cases, duphaston (progesterone) is given to retain the embryo. By the way ipill has high doses of progesterone to stop pregnancy. I do not understand, how were you given clomifene (medicine ti increase the eggs) and duphaston together? now you have to wait for this hormone to come down, which it will on its own, being a fat soluble hormone, it may take few months for normal unaffected cycle to start and for natural follicles to erupt again. You can take syrup evecare 1 spoon per day. But remember no hormones and no erratic treatment for fertility at age 24, when nature is on your side. Regarding polycystic disease, you can take tablet metformin 500 mg /day. But forget getting pregnant till your cycle is normal and ultrasound shows normal follicles day 10 onwards which remain alive and keep growing till day 14, rupture around 48 hours later, doctors give medicines to make follicles strong and healthy. Do write back again.
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I am 30 year old female. In Sept 2014 had miscarriage in 3rd month of pregnancy. Was diagnosed to have subacute hypothyroidism (initially hyperthyroid and later hypothyroid) in September 2014. I am taking eltrxin 0.25mcg daily and now my TSH is 2.2. Iast my Cycles was in Aug 2015. No periods in Sept even after taking me prate for 5 days. Now taking L-arginine and folic acid. Kindly advise.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 30 year old female. In Sept 2014 had miscarriage in 3rd month of pregnancy. Was diagnosed to have subacute hypot...
You first need to go for detailed work up to diagnose the cause of miscarriage and then plan for pregnnacy. At the same time, control weight.
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My Gf is pregnant. Please let me know what help you can do in this. We are looking for some safe ways.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
My Gf is pregnant. Please let me know what help you can do in this. We are looking for some safe ways.
Hello lybrate-user! I think you're asking advise regarding safe abortion method. But abortion medicine can't be prescribed online. And getting an over the counter abortion kit is not safe at all without doctor's advise. So, it would be best if you visit a gynaecologist for this. Also don't delay, cos that would decrease your options getting it done with medicines.
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OPTION-72 is bad or good to take after unprotected sex. Is it any bad effect on a woman's health.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
OPTION-72 is bad or good to take after unprotected sex. Is it any bad effect on a woman's health.
The emergency contraceptive pill contains hormones.So, it is not advised to be taken after every act of unprotected intercourse. We recommend it only when the couple had tear in her condom while doing the act or after rape.T he periods become irregular after taking these tablets,so we don't recommend them often.
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Body is so precious gift from God So please save it ,

MD - Homeopathy, Certificate in Gynaecology & Obestric, BHMS
Homeopath, Delhi
Body is so precious gift from God So please save it ,
Avoid unnecessary surgery; it is better if you can take help from alternate medicines. Like during childhood tonsil, appendix, lymph nodes, polyp, nose problem, tumor, cyst, polyp, warts, lipoma, ganglion, uterine fibroid, pcod, endometroisis, ovarian cyst, fibroadenoma breast, abscess, renal stone, gall stone can be cured by homeopathy medicine.
43 people found this helpful

Hello! Main saat saal sa femilon tablet larahi ho. Mai 35 saal ki ho meri shaadi ho kar 13th saal huwa kya femilon mera liya safe hai kya.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello! Main saat saal sa femilon tablet larahi ho. Mai 35 saal ki ho meri shaadi ho kar 13th saal huwa kya femilon me...
Femilon has more progesterone hormone which causes masquiline changes in a woman and make periods stop earlier or making conception of a baby difficult when desired on giving up contraceptive. 7 years is too long a time and I am surprised that you have tolerated it that long without any side effects like break through bleeding, erratic periods or no periods to confuse a woman regarding failure of contraceptive and getting pregnant. You can get intake uterine device fitted.
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Managing Hypertension

Multi Speciality Clinic
Multi Speciality, Pune
Managing Hypertension

Hypertension, which is also known as high blood pressure is a prominent factor that is responsible for the development of many serious health issues like cardiac disorder, chronic kidney diseases, vision loss and stroke. The dominant causes of hypertension include troubled lifestyle style, genetics, environmental factors and internal imbalances. You cannot possibly control the chances of suffering from hypertension but you can always prevent and minimize the risk of the problems that are associated with hypertension.

The following are some lifestyle tips that can help you to manage and minimize the risk of developing hypertension:

Maintain a healthy body weight: weight plays a crucial role in the prevention of hypertension. People who are obese run the risk of developing hypertension. It is advisable to lose excessive body fat to maintain an ideal body weight. A well-maintained body weight minimizes the risk of hypertension.

Eat a healthy and balanced diet: unhealthy food intake is a primary factor that causes hypertension. Eating a healthy and balanced diet enables you to manage your blood pressure effectively. Incorporate plenty of fresh fruits and leafy vegetables, especially the ones rich in potassium. Limit excess intake of calories, sugar, and fat as they tend to increase the risk of hypertension.

Reduce consumption of salt: higher sodium intake increases your blood pressure level. Avoid high-sodium processed and packaged foods as they are high in sodium content. A low-sodium diet enables you to keep your blood pressure normal.

Exercise regularly: an active lifestyle is known to lower the risk of hypertension. Make sure to indulge yourself into some physical activities on a daily basis.

Limit the alcohol intake: excessive intake of alcohol can raise your blood pressure level. Limit your alcohol consumption to minimize the chances of hypertension.

Monitor your blood pressure: monitor your blood sugar level on a regular basis. Hypertension usually does not show any symptoms. If your blood pressure ranges between 120-139/80-89 millimeters of mercury it is an indication that you run a higher risk of developing hypertension. A raise in blood pressure demands moderation of lifestyle practices and controlled food intake.

Manage stress level: excessive stress and anxiety are not good for your blood pressure. Severe stress is known to shoot up your blood pressure level which leads to the development of many other health related complications including the improper functioning of crucial organs like heart and kidney.

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11 Benefits of Wheatgrass for Skin, Hair and More

B.A.M.S
Ayurveda,
11 Benefits of Wheatgrass for Skin, Hair and More
11 remarkable benefits of wheatgrass

Wheatgrass is the young grass of the wheat plant and is a rich source of minerals and vitamins including vitamin a, b12 and e; calcium, magnesium, iron and selenium. It has loads of living chlorophyll and also contains many antioxidants. Following are 11 of the many benefits of this amazing plant called wheatgrass -

1. Wonderful healer: wheatgrass heals effectively for the presence of proteins, minerals and amino acids. The chlorophyll content of wheatgrass helps in building blood cells.
2. Anti-ageing agent: the enzymes present in wheatgrass decay superoxide radicals present in human body to control age-causing factors, thus slowing down the ageing process.
3. Colon cleaner: the crude form of chlorophyll has cleansing effect on colon. It also helps in curtailing the development of harmful bacteria. Liquefied wheatgrass renews colon tissues to make them healthier.
4. Skin soother: application of wheatgrass paste or juice on skin cures it of dryness, burning sensation, itching, infection or even insect bites.
5. Sinus decongestant: the insertion of wheatgrass packs inside the sinuses dries it up and decongests it within a day. It throws out the toxins from the body and neutralizes their negative effect.
6. Energy provider: the starch present in wheatgrass gets transformed into simple sugars and renders quick energy on intake. Wheatgrass juice can be consumed by athletes for its rapid assimilation and release of energy.
7. Fertility restorer: the magnesium content in wheatgrass gives rise to friendly enzymes that help in the revival of sex hormones.
8. Body deodorizer: juice of wheatgrass can be effectively used as body deodorant.
9. Dental healer: daily intake of wheatgrass juice prevents tooth decay and renders relief from dental infection and toothache.
10. Hair vitalizer: application of wheatgrass juice to scalp and hair roots prevents hair fall, dandruff and delays graying.
11. Pain reliever: scientific evidences have shown that consumption of wheatgrass helped in minimizing pain of cancer patients going through chemotherapy without interfering with the efficacy of the treatment.

If you would like to consult with me privately, please click on'consult.
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She is suffering with pcdo problem since 2 years .all ready she is following by gynich instructions but no result. And she is suffering irregular periods and cold and headache which medicine is better for cure.

MBBS
General Physician, Mumbai
She is suffering with pcdo problem since 2 years .all ready she is following by gynich instructions but no result. An...
Whenever there is mucous discharge from the nostrils I will suggest you to take one tablet of cetrizine at night and For headache take tablet paracetamol 650 mg eight hourly and I will suggest her to do suryanamaskar daily as per your capacity for a minimum of six months.
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M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
HEALTHY TIPS

Exercise
Eat healthy
Reduce stress
Improve sleep
Meditation
Positive thinking
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I am 24 yrs old. I have problem of PCOD and problem in L4 L5 bone since 2 yrs. Now I am overweight. My wt is 70kg and height is 162cm. Guide for wt loss.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
There is no short cut, for anyone who wants too loose weight it is dieting (low calories but maintaining all essential parts) and excercises to loose calories. Dietician can guide you specifically.
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