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Dr. Urmila Karya

Gynaecologist,

at clinic
Dr. Urmila Karya Gynaecologist,
at clinic  ·  ₹ online
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Urmila Karya
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I am 21 year old girl. Till now I had my regular periods but this month I am getting it twice. I just wanna make sure that is this normal or a big issue.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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I am 21 year old girl. Till now I had my regular periods but this month I am getting it twice.
I just wanna make sure...
Hello, polymenorrhea if its has bene the first episode is likely to be stress induced and one needs to observe the next 2 cycles as well for similar bleeding before establishing a diagnosis. You may opt for antifibrinolytics if bleeding is to be controlled.

My wife is pregnant, her weight is very low and he is very weak how to gain her weight.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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My wife is pregnant, her weight is very low and he is very weak how to gain her weight.
hi Gopal it is not necessary that she should be obese during pregnancy. she should have healthy balance diet.

I asked about a very easy problem related to women that what we should do when female of aged 42 is suffering from the problem mild dysplasia and chronic infection in utres.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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Mild dysplasia is not worrisome, if total examination has been done. Infection treatment depends on the extent of infection.

I am 30 years old .me and my wife had sex during her period of 5th day. Without using safety and I should not on her vagina outside the vagina is there any chance to get pregnancy.

MHA, PGDPMC, DGO, MBBS
Gynaecologist
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I am 30 years old .me and my wife had sex during her period of 5th day. Without using safety and I should not on her ...
The chances of pregnancy are from day 10 to day 18 only. So any unprotected sex on other days is pretty safe.

Planning a Baby

Partners in Health
Multi Speciality
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Becoming a parent is the most cherishing moment in a couple's life, hence it is important to ensure that both the mother and the baby are healthy. In today's world lot of factors like environmental, socio-economic, lifestyle associated, and addictions such as smoking and alcohol affect the health of both men and women. If the parents have ill health or unhealthy lifestyle practices, the same can complicate matters and also cause infertility.

Prenatal counseling:

Today's life, especially in the metro cities, is fast and becoming more stressful. Pregnancy is a period when the health of the baby is directly dependent on the health of the mother and father. Also during the early phase of pregnancy the development of a baby inside the womb is very rapid and is the base for its future. Preconception counseling helps parents to understand and identify the different factors affecting the growth of the baby along with the modifications or complete illumination of these factors (if possible) to maintain the healthy development of the baby and the health of the mother as well.

Hence preconception counseling is a good initiative towards a healthy outcome. It not only guides the parent about the healthy lifestyle but also helps to find out the genetic factors causing any malformation or medical conditions, affecting the baby- the mother- the whole family through an emotional, psychological, social and economic point of view. It helps the parents to understand the condition, its future consequences so that they are able to take informed decisions.

Planning a baby 1

The prenatal counseling guides about-

-the right height and weight as per the bmi. This highlights the right attributes needed for conception

-blood pressure to check any abnormality

-medical history - whether they have had any medical treatment for any particular disease. If yes, then what are the medications? they check whether these are safe medications for pregnancy or not. The doctors then alter them accordingly to avoid any harmful effect on pregnancy.

-abdominal & pelvic examination to rule out any abnormality

-rubella screening- it is important to have a vaccine. As rubella causes abortions or congenital birth defects in baby.

-varicella screening to assess any chances of future abnormalities

-depression screening as its medication are harmful for the baby & also if mother is not prepared for pregnancy then the outcome is usually affected.

-blood tests like urine analysis, complete blood count, sugar, blood group & tests for -stds (hiv, vdrl), hepatitis b, thyroid dysfunction

-the importance of well-balanced nutritional diet and how to opt it

-the change or modification in the lifestyle to reduce stress

-exercise and its benefits

-any family history of any disease like haemophilia and the steps towards it

-quitting alcohol and smoking as they have adverse effects on the growth and development of baby

-any kind of drug addiction having ill effect on the health of both mother and baby

Thus prenatal counseling in planning a baby is a step towards ensuring a healthy outcome.
Planning a Baby

How to over come pcod. I am taking medicine ovacare myo for the last 1mnth but still am facing scanty period and couldn't conceive. please help.

MD-HM, MD-HRM, PGDMLS, AFIH, MBBS
General Physician
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How to over come pcod. I am taking medicine ovacare myo for the last 1mnth but still am facing scanty period and coul...
Takes time. Regular Walk Drink more water Regular sex No junk food No calorie rich items like cold drinks, chocolates etc Avoid hormonal medicines

Pulmonary Hypertension: How to Treat It?

MD PULMONARY, DTCD
Pulmonologist
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Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common treatments for pulmonary hypertension:

Medications

1. Blood vessel dilators (vasodilators): vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (flolan, veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (iv) catheter via a small pump that you wear in a pack on your belt or shoulder.

2. Ventavis: another form of the drug, iloprost (ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.

3. Treprostinil (tyvaso, remodulin, orenitram): it is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.

4. Endothelin receptor antagonists: these medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.

6. Sildenafil and tadalafil: sildenafil (revatio, viagra) and tadalafil (cialis, adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.

6. High-dose calcium channel blockers: these drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (norvasc), diltiazem (cardizem, tiazac, others) and nifedipine (procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.

7. Soluble guanylate cyclase (sgc) stimulator: soluble guanylate cyclase (sgc) stimulators (adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.

8. Anticoagulants: your doctor is likely to prescribe the anticoagulant warfarin (coumadin, jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.

9. Digoxin: digoxin (lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.

10. Diuretics: commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.

11. Oxygen: your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries

1. Atrial septostomy: if medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.

2. Lung transplantation: in some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing complications

1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail

2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
Pulmonary Hypertension: How to Treat It?

List out the foods which I supposed to avoid eating because m in conditions like obesity osteoporosis joint pains pcod white hair hair fall.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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List out the foods which I supposed to avoid eating because  m in conditions like obesity osteoporosis joint pains pc...
Hi lybrate user, please avoid junk food like pizza, sandwich, bread, white floor products. Avoid sugar, potato, rice. High protein diet like pulses, egg whites, milk.

My wife is 21 year old and taking dose of 1500 mg levera tablets (500 mg in day 1000 mg in night )everyday since last one and half year. Now we are planning for baby. Is it safe use of these tablets during pregnancy or it has some side effect on child/mother during pregnancy. Please guide us we are very much anxious.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist
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My wife is 21 year old and taking dose of 1500 mg levera tablets (500 mg in day 1000 mg in night )everyday since last...
Hello the tablet is anticonvulsant and it is category C drug during pregnancy.That is benefits outweigh the risks.If it is more beneficial for your wife's condition it can be continued during pregnancy.In the current dosage level it is not secreted in breast milk .Even if it will be minimal.So consult you doctor and decide.

Adding Spice to Sex Life- G Shot

Fellow,European Committee of Sexual Medicine, Diploma in Psychological Medicine, M.B.,B.S
Sexologist
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Adding spice to sex life- g shot

The ultimate pleasure one gets from sex is by experiecing orgasm or climax many women do not feel orgasm by peno vaginal sex because when they are aroused, there is swelling of labia and clitoris. The clitoris moves behind the labia during arousal so that penis can't rub against it during trusting movements. For women seeking ultimate pleasure, this is frustrating and can lead to perception of inadequacy in both men and women
This can be improved in many cases by appropriate sex positions, your technique to stimulate your partner but still many times it is inadequate

These can be helped by surgical procedures like vaginoplasty (tighten the vagina! and g shot. G shot is opd procedure, no hospital addmission is needed and sex can be resumed after 2 weeks the g spot becomes more prominent, making sure you get adequate penile stimulation during sexual activity cost is affordable results are very very good
Adding Spice to Sex Life- G Shot

anemia

DGO, MBBS
Gynaecologist
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During pregnancy, try to maintaine haemoglobin above 11. O gm/dl.
anemia

Dr. I mated with my would be on 17th feb. I did not get periods on 1st week of march (normally I get 1st week of month. We waited for next month even though I did not get periods. Urinary pregnancy test was doubt ful. If I get positive upto what date I use medical methods to abort this. please mention date and month. Suggest pill also. Thank you.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Dr. I mated with my would be on 17th feb. I did not get periods on 1st week of march (normally I get 1st week of mont...
Hi lybrate-user. If a pregnancy test is positive after your periods gets delayed by a week then it indicates that you are pregnant. Pregnancy can be terminated by medicines upto 9 weeks and surgically upto 12 weeks. Hope this information has been helpful. Let me know if I can be of any further assistance to you.

My friend was bleeding after completion of periods this month. She was bleeding from 5th-9th (periods) this month and suddenly today again a little amount of blood came from vagina. What is the cause for this? Is there any way to reduce this problem.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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My friend was bleeding after completion of periods this month.
She was bleeding from 5th-9th (periods) this month and...
Hello, This could be an ovulation bleed which is in form of spotting, lasting for 1-2 days and especially during mid cycle.

My wife and I planning for baby, we want to know what's the best time when she can conceive. How do we identify most fertile days? Kindly suggest.

MD-Dermatology, MBBS
Sexologist
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My wife and I planning for baby, we want to know what's the best time when she can conceive. How do we identify most ...
If menses are regular than starting from 1 day of menses usually ovulation occurs on 14 day. So leaving first and last 8 days that is from 9 th to 21st day are considered most fertile.

I had sex 3 times before 6-7 months with my boyfriend. Then we break up but now I can not control myself and get attracted to an another person. I am depressed. Please help me out.

MBBS
Sexologist
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I had sex 3 times before 6-7 months with my boyfriend. Then we break up but now I can not control myself and get attr...
as now you are attracted towards another person ,you need a consideration of person's age marital status ,and take your age into consideration. you can try masturbation.

I used to maturbate almost daily, and have sex on mind always, im 31 years male married but wife is unromantic. What should I do?

Advanced Aesthetics
Ayurveda
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I used to maturbate almost daily, and have sex on mind always, im 31 years male married but wife is unromantic. What ...
Side-effects of masturbation other than an immediate need for a towel or tissue, the effects of masturbation upon the male body were: fatigue. Feeling tired all the time lower back pain thinning hair / hair loss soft / weak erections premature ejaculation eye floaters or fuzzy vision groin / testicular pain pain or cramp in the pelvic cavity or/and tail bone. For treatment and any queries ask privately.

My question is about irregular periods. I diagnosed with pcos in minor. What should I do? What should be my workout and diet? I got married on 5 december ? I want to conceive in this year? What is the homeopathy treatment for this?

DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist
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My question is about irregular periods. I diagnosed with pcos in minor. What should I do? What should be my workout a...
Lifestyle modification is the primary treatment. Lose weight and avoid all fatty food. Excercise daily. And keep trying for coception. Generally treatment for infertility not started by doctors before 1 year of marriage. So you keep trying and follow the advice.

Managing periods

Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma in Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopath
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Hello,
During menstruation, women can get more stressed out and suffer from uncomfortable symptoms such as fatigue, mood swings, breast tenderness, bloating, cramps, headache, food cravings and constipation or diarrhea.
By eating the right foods and avoiding the wrong foods can help reduce stress and lethargic and stay bright and breezy.
Avoiding certain foods during your period may help discomfort.-----
Beverages: restrict consumption of beverages such as coffee, tea and soft drinks which worsen symptoms like anxiety, depression and breast tenderness. Instead have herbal tea and plenty of water to keep body hydrated.
Salt: controlling salt consumption can help you avoid bloating and the puffy, heavy feeling that comes with it.
High-fat foods: hormone changes during the menstrual cycle shows symptoms such as bloating and breast tenderness. Avoid foods such as whole-milk dairy products, sausages, burgers, cheese.
Sugary foods: due to hormonal changes during menstruation, blood sugar levels become unstable, and many women crave sweets. Eating foods high in sugar adds to your blood sugar fluctuations resulting in mood swings, tension, lethargic, immune system imbalance and fatigue.
Recommended foods during periods:-----
Beans: the high fiber content in beans helps reduce congestion, cramps, constipation and diarrhea.
Vegetables: green vegetables are rich in calcium, magnesium and potassium and thus help prevent menstrual pains, excessive bleeding and clot the blood.
Water: water retention is one of the main causes for cramps. To reduce water retention, drink enough water.
Whole grains: eating small amounts of carbohydrates every three hours and before bed can help combat premenstrual syndrome and also reduces neuromuscular tension, fatigue and depression.
Yogurt: yogurt contains live cultures and active bacteria which promote healthy digestion and also a good source of calcium.
Take care.



Managing periods

Dr. Mujhe utress main 2 fibroids hai jo ki bhut small hai bt uski vja se mujhe periods problem hai period tm is 7to 8 days and very painful. My age is 42. Kya mujhe operation karana chaiye. Ya only treatment. Thanku.

B.H.M.S
Homeopath
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1. Staphasgaria cm one drop twice daily for 5 days. 2 graphities 30 one drop twice daily for one month.

I had intercourse today and my bf ejected inside mee my last periods cycle is 28th july. And mine is a 20days cycle should be worried now wil I be pregnant now.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I had intercourse today and my bf ejected inside mee my last periods cycle is 28th july. And mine is a 20days cycle s...
If your perio cycle is of 20 days, it means that your next periods were due on 16 aug, means that your cycle has already exceeded by 3 days when you had intercourse. So there are no chances of any pregnancy.
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