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Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
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Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciality Hospital, Shalimar Bagh, Delhi. Today we are going to discuss a very important topic that is Diabetes during Pregnancy. We call it Gestational Diabetes.
Gestational Diabetes is a very common condition that develops when the body can not produce Insulin to meet extra requirement during pregnancy. So, this leads to high blood glucose level. It affects 15-20% women during pregnancy. Chances of developing diabetes during pregnancy are more if the patient is obese or if there is any past history of Diabetes or if any family member suffers from diabetes. Usually, it develops n the middle or later part of the pregnancy.
So, to diagnose a Gestational Diabetes, we advise a test, which is called glucose tolerance test after 24-28 weeks of pregnancy. So, Gestational Diabetes is an easily treatable condition if it is diagnosed on time, if it is treated properly, if the sugar level is maintained in the body, so it leads to healthy pregnancy which is a healthy baby. But is it is not diagnosed and not treated, it will lead to various complications. Most important of these complications is a large sized baby. So, if the baby is excessively large then you likely to have caesarian section delivery. And if you have a normal delivery, there are more chances of tears or injuries to the birth canal and there are more chances of injury to the baby in the form of nerve injury or fractures. And the new born babies are likely to have fluctuation in the blood sugar level. Even in later stages, these babies are more likely to develop Type 2 diabetes.
So, in order to avoid all these complications, it is advisable to diagnose this problem on time, take proper treatment and keep your sugar level in control. Most important treatment for GEstational Diabetes is maintaining a healthy diet plan and regular exercises. So, if you are diagnosed with Gestational Diabetes, you will be given a diabetic diet plan and advised for regular exercise for 30 minutes daily.
In 80-85% women, these two measures work nicely and blood sugar levels are controlled in a week or 2 weeks. But if the blood sugar levels are still high after 2 weeks of healthy diet and a regular exercise, then you need additional treatment in the form of Insulin.
The growth of the baby is continuously monitored during the pregnancy by repeated ultrasounds and scans. So, Gestational diabetes gets better immediately after the child birth.So, the child birth is planned around 38-40 weeks of pregnancy. It can be done by the mode of the Caesarian section or the normal delivery, depending on the individual circumstances. Immediately after the child birth, you are advised to stop all the medicines which you were taking for Diabetes or Insulin injections. Once you are discharged, it will be checked if you are sugar level has come to normal. THen again you will be advised to get your blood sugar test done after 6 weeks to 45 days after the delivery to check whether they have completely returned to normal. And if they are still abnormal, then you will have to refer a Diabetes specialist.
You should also have glucose tolerance test 6 to 8 weeks after your delivery. It is important to do this test to check if your blood sugar level has come to normal. In some women, the blood sugar level is found abnormal even after child birth and they may require continuous treatment. It is also advised that you should check your blood sugar level every year. And the women who had suffered from Gestational Diabetes, they are advised to check their blood sugar level after every 5 years.
In the end, I want to say that Gestational Diabetes is a very common problem but it can be diagnosed very easily and can be treated. If it is treated properly, it can lead to healthy pregnancy.
If you need further informatio, you can contact me through Lybrate where you can have text consultation and you also fix up an appointment at my clinic.
Hii. I would like to know what measures can be taken or changes be made in my diet so as to get some relief from abdominal and severe back pain during periods instead of taking pain killers. The pain killers seem to reduce the blood flow. I had taken some soya milk last month but it did not provide complete relief.
What is premenstrual syndrome (PMS)? In a layman's language, it is that time of the month you don't really want to unnecessarily bother a woman or you might have to face the brunt of an emotional outburst. In medical terms, it is a combination of emotional, physical, psychological changes that occur in a woman after ovulation and culminates with the ending of her menstrual flow. The most common mood-related symptoms are irritability, depression, crying, oversensitivity, and mood swings.
The most common physical symptoms are fatigue, bloating, breast tenderness, acne, and appetite changes with food cravings. In severe cases, anger, irritability, anxiety and tension leads to loss of the functioning ability of a woman. If you've been there or are suffering, you are not alone. There are scores of women around the world who experience these symptoms. Here are ways to minimize and get rid of PMS.
1. Control PMS with diet changes: Certain food types in general are not a healthy choice but can cause more harm than good during PMS. Depending on what factor affects you the most, cut down on these types of food.
- Salt: Excess salt can lead to bloating
- Caffeine: Can lead to anxiety, sleeplessness and irritability
- Alcohol: The concoction for depression
- Sugar: Can cause mood swings
As always, eating more fruits, veggies and grains at the right time can keep you healthy and prepared for those dreaded days.
2. Exercise: Exercise is a mood lifter. It gets you into shape, adds to your stamina and slowly but steadily boosts your confidence to become slimmer, stronger, and fitter. The trick is to pick up on an exercise you love. Hit the road and run free with your thoughts or turn on the music and dance with aerobics.
3. Stock up on vitamins: Hormonal imbalances are the primary cause behind PMS. Though it is not proven, stocking up on some essential vitamins like calcium, potassium and minerals can give you more strength to fight the symptoms.
4. Herbal remedies: They've been around for hundreds of years and you are likely to have an aunt or grandma swear by one of these cures. From ginger to primrose oil, these cures can balance your hormonal activity in a natural way. You will need to experiment to see what really suits your need.
5. Take a break: No matter what physical or emotional trauma you go through, it can double up because of stress and lack of sleep. Knowing your 'off' days, it's best you find a way to take some time off for yourself at a spa or try meditation and deep breathing. Do what you love to do to. Keep your mind calm and clear. Listen to music, take a walk with your dog or simply read a good book.
To start with, change your diet, take a few supplements and herbs, and start exercising, and you should see the change in the first few cycles itself. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
I was on ova shield D S and progynova ths mnth. According to d scan I ovulated on the 5th of august. Wen wil I get my periods? Do these drugs cause a delay in d periods?
The female reproductive organ is an area of the human body where many microbial organisms inhabit together and it is a necessary requirement for its health. These organisms may include fungi and bacteria and play important roles individually in maintaining the pH levels (the acidic and alkaline balance) levels of the vagina. However, when one of these, especially the fungi go out of balance and begin to propagate, it results in a vaginal yeast infection.
A yeast infection or vaginal candidiasis is a fungal infection that causes extreme itchiness of the vulva (which is the opening of the vagina) and the further insides of the vagina as well. It may result in a white discharge from time to time and causes vaginal inflammation. Some of the other symptoms are:
- Pain in the vagina akin to a burning sensation while urinating or when having sex
- Rashes in the vagina
- General soreness and pain
- White odorless discharge, which is thick in consistency
- Colorless watery discharges can occur as well
- Swelling and redness near the vulva or the vagina in general
The type of fungi that causes vaginal yeast infections is the ‘candida fungus’. Usually, this fungus is present within the vagina, but is kept in check by the Lactobacillus bacteria. These are bacteria naturally present within the vagina and secrete acids, which keep the fungi in check. However, when the levels of bacteria are reduced, it will cause the levels of fungi to increase causing a yeast infection.
The below mentioned factors can aggravate the risks of this disease:
- Problems brought on by diabetes
- A compromised immune system
- Pregnancy may also disturb the balance
- Starting to use or stopping the use of oral contraceptive pills
- Hormone therapy
- Usage of antibiotics that may kill off lactobacillus bacteria within the vagina
Generally, yeast infections are not considered to be sexually transmitted, although yeast infection could be spread through sexual contact as well.
The primary treatment includes a course of anti fungal oral medication to lessen the levels of the fungi within your vagina. It could be supplemented with vaginal creams, which may reduce the itching and the inflammation. If you have recurrent infection multiple times within a year, then you may have to go for a longer course of treatment and correct the underlying conditions that may be causing it. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
My periods are delayed since 10 days and I m getting whitish discharge. Is dis prove I m pregnant or wat?
irregular menstrual flow harm fertility? What may be the causes of irregularity in menstruation? what can be the protective measures for irregularity?
Which type of tonic powder or churn taken for effects of over masturbation in female and retain strength in ayurvedic.
With cricket being such a favourite sport in our country, almost everybody takes to it. What starts off as playing during summer holidays in open grounds can take more professional and committed routes with an obsession to become national and international players. It is very important to understand that it is not about the game, but about overall fitness, both of the mind and the body. It requires extreme physical fitness and focus and therefore planning a meal for cricketers is of extreme importance.
A cricketer’s diet should include the following. It would depend, of course, on how much you are playing, age, build, metabolism, etc.
- A good source of energy as everything requires energy, including standing on the field through long hours. About 40% of the diet should include carbs, which should come from whole grains and cereals. Processed foods and packaged foods are best avoided. Ditto for white rice and flour.
- Fats from nuts, seeds, yoghurt, and other dairy products is advised. Avoiding excess fat, as it can reduce agility and speed on the field, be it during fielding or running between the wickets. Fried and oily foods are a strict no-no. Grilled foods are great any day!
- Sufficient quantities of protein which can come from cottage cheese, spinach, greens, legumes, chicken, fish, and other seafood. About 30% of the diet should include proteins.
- Fresh fruits and vegetables and hydration cannot be ignored. These not just give fiber, but also give the required vitamins, antioxidants, and minerals for optimal body and mental functioning. Specifically, sodium and potassium are essential for the muscles.
- Avoid caffeine and alcohol in excess. Green tea is a great substitute
- Sports drinks are filled with not just energy, but are also carbonated and sugary. Not recommended daily except for a sugar rush when playing.
- It is advisable to eat with people you play with. It helps boost each other's food habits, which could be different from others.
- On a daily basis, the foods should be spread through the day.
- Eating should be spread out as, breakfast – pre workout – workout - post workout – lunch – training – post training – evening meal/snack – dinner.
- In addition to eating, a good amount of hydration (water predominantly, can also include other natural drinks like tender coconut and fruit juices and milk shakes) is essential to keep the body and mind fit.
- The meal should be planned to ensure the body is provided with a constant source of energy instead of large amounts of sugar rushes.
- If there is a need to lose weight, this might need to be revisited to achieve the target weight. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.