Doctor in Dr. Jayita Chakrabarti's Gynec Clinic
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
Submit a review for Dr. Jayita Chakrabarti's Gynec ClinicYour feedback matters!
One of the major milestones in a woman’s life is the entry into motherhood. For most women, when this does not happen in the natural logical sequence of things, there is anxiety and lot of pressure from family and friends. However, with advancements now, there are options like intrauterine insemination and in vitro fertilisation (IUI and IVF) available, which can help increase the chance of conception and pregnancy.
IVF is where the egg is retrieved from the woman’s womb, fertilised externally and then transplanted back into the uterus where it grows to full term. However, there are always unanswered questions like how long to wait before going for IVF, is it the right procedure for me, etc.
Read on to find answers to some of these questions.
- Maternal age: As a woman reaches 35 and a man reaches 40, the fertility rates drop significantly. The chances that a woman at 35 will conceive is about 20%, which goes down to 5% if the woman is 40. However, this rate can be significantly increased by using IVF, moving it up to about 80%. The quality of the egg would gradually deteriorate, and so if a woman is nearing 40, it is better to consider IVF as the ovarian reserve would be optimal with IVF.
- Failed intrauterine insemination: In couples who have problems with the sperm reaching the uterus, intrauterine insemination (IUI) is first attempted. However, if 3 or more attempts of fail, it is time to consider IVF.
- Duration of inability to conceive: While some couples conceive quite promptly in a month or two, most take about 6 to 8 months of unprotected sex to conceive. Therefore, IVF can be an option if you are failing to conceive even after a year. Less than a year, don’t fret. Take it easy and it might just do the trick.
- Medical health: Both the partner’s medical health should be taken into account. Lifestyle changes like smoking, alcohol abuse, drug abuse should be considered, which can account for poor sexual performance and therefore lead to an inability to conceive. Health conditions like diabetes and heart disease can also lead to infertility. Hypothyroidism in women is another thing that must be ruled out, as it often leads to an inability to conceive.
- Sexual problems with the partner: One of the first things to do before going for IVF is to check that the male does not have any issues. Be it erection issues or ejaculation issues or sperm issues, they need to be ruled out. Sperm quality, quantity, and motility have to be analysed, and if they are optimal, IVF can be considered.
Sexual intimacy is a normal human need. But for some, sexual behaviour becomes compulsive and gets out of control, even when people might not express it openly. Sexual addiction means the affected person repeatedly participates in a sexual activity, which causes detrimental effects on his/her relationships, job, self-esteem and overall life. It is used as an escape from unpleasant and unwanted feelings.
Like any other addiction, sexual addiction is difficult to talk about until the person accepts that there is a problem and becomes aware of how his/her behaviour is affecting their life along with the lives of people around them.
Here are some ways to help cope up with the addiction for yourself or someone you know.
- Accept the problem: Being aware of your condition and accepting it is the first step to recovery. Admit that you have a problem, make your mind to control it and seek for timely help.
- Know the triggers: Awareness is the most crucial element in treating any condition. Identify the cause of your addiction. There are triggers which precede sexual behaviour, leading to your addiction. Identify these triggers and try getting rid of them. They could be certain emotions, people or situations which make you feel the urge to perform sexual activity.
- Seek help: It is very difficult to address any problem alone. When you think you have a problem, seek help immediately. Confide in loved ones, family or friends about your condition. Join support groups that help people with sexual addiction. Seek professional help when you feel things are going out of control. Visit a therapist who can explain the condition to you and help you find ways to deal with it.
- Stop feeling embarrassed: Addictions come with a lot of shame and embarrassment when you realize your problem. Focus on the positive aspect that you have finally realized and figured out your problem. Forget about the past and concentrate on what you can do to help yourself. Nobody is judging you or going to make you feel bad. Your family and friends are there to support you and help you get out of the situation. Stay away from people who tend to behave otherwise and enforce their negative emotions and thoughts on you. Trusting the person who is going to help you is the key. Remind yourself that you are seeking help to get healthier and happier.
- Channelize your energy: When you stop doing addictive sexual activities, the excess energy in your body needs to be released. Channelize that energy on healthy productive forms of recreation like exercise, running, swimming, yoga etc. Search for an activity which stimulates your mind, body and soul making you feel happy and content to the end. In short, stay occupied always.
Although sexual addiction makes life difficult for an individual, following these tips will definitely help you deal with the situation more effectively.
We are living with a ticking time bomb as several bacteria are becoming resistant to major antibiotics, which means that soon a simple wound may kill us. All living beings have an inherent quality to adapt. Bacteria and Viruses are not excluded from this. They have developed resistance against many antibiotics and form a major challenge for medical science.
In 2008, the International Journal of Cancer published a paper showing an increased risk of cancer proportional to antibiotic use in people. They found that in people who have taken 2-5 prescriptions of antibiotics, their risk of cancer was increased by 27%, and greater than 6 prescriptions led to an increased risk of 37%. An earlier study (2004) showed that antibiotic use was associated with an increased risk of breast cancer. For those taking antibiotics for more than 500 cumulative days, the risk of breast cancer doubled.
Over 100 leading integrative medicine specialists in the U.S. urgently called for a new strategy to confront the very dangerous challenges of the post-antibiotic era... including adding homeopathy as an adjunct therapy.
The Father of Immunology and winner of the Nobel Prize in medicine: Dr. Emil Adolf von Behring - discovered in the 1890s, during extensive experimentation, that homeopathic remedies produced enhanced immunogenic activity. Homeopathy is extremely safe, holistic and very effective.
Their conclusions: Patient survival was statistically significantly higher in the homeopathy group than in the placebo group.
As current research and epidemiological evidence show: Though homeopathy is not a money maker for the pharmaceutical industry, it is a safe and effective treatment option for infectious diseases, with no potential to create drug-resistant germs. In a nutshell, Homeopathy is needed to save humanity. Homeopathy is gentle and cost effective. If you wish to discuss about any specific problem, you can consult a homeopath.
The age old Ayurveda has answers to most problems regarding physical as well as mental health. Ayurveda states the presence of certain bodily energies throughout the body and mind which help in governing all the physical and mental processes. These energies are called doshas and Ayurveda classifies these doshas into three different parts, the Vata dosha, composed of space and air; the pitta dosha, composed of fire and water; the kapha dosha, composed of Earth and water.
The pitta dosha
As already discussed, the pitta is derived from the elements of fire and water and this is that energy which is in charge of all the heat, transformations and metabolism in human bodies. The pitta governs the digestion of food, metabolism of sensory perceptions, discrimination between right and wrong. So basically, pitta controls the fire in the body and is liquid in nature. The pitta carries out its functions through carrier substances like bile, enzymes, hormones and organic acid.
Qualities of pitta dosha
The various qualities exuded by pitta dosha include oily, hot, moving, sharp, liquid, acidic, and light and a pitta person will reflect these qualities in both the balanced as well as imbalanced states.
Location and task of pitta dosha
Pitta is mainly located in the small intestine, stomach, liver, pancreas, spleen, eyes, blood, and sweat. Pitta basically provides the body heat by breaking down the food molecules into absorbable units. Mentally, the pitta controls the inner joy, will power, courage, anger, mental perception, jealousy.
It can be comfortably said that the reason behind an individual’s anger, rage and jealousy is because of an unbalanced increase in pitta. Also pitta individuals tend to have oily skin. However, a balanced pitta individual usually has a very sharp intellect, a happy disposition towards life, enormous courage and drive to achieve. Imbalanced pitta can also cause inflammations, rashes, ulcers, fever, heat burns, and infections. So, it is very important to have a balanced pitta.
Here are some ways to balance pitta dosha
- Eating is peace
- Eating a balanced pitta diet
- Engaging in activities to calm the body and mind
- Meditating on a daily basis
- Spending time in nature
- Performing yoga and other calming exercises
Eating while angry, eating pitta increasing food, drinking coffee, tea, alcohol, smoking cigarettes; working more than necessary, and unnecessary competition are certain reasons for imbalance in the pitta dosha. Hence, controlling the inner fire and taming it, is mostly in the hands of the individuals themselves.
Parents need to do everything possible to ensure their kids are in good health and shielded from preventable diseases. Vaccination is an ideal approach for the same. Vaccination shields children from serious sickness and the complications of diseases that can be prevented by vaccination. This can include removal of an arm or leg, loss of motion of limbs, hearing loss, paralysis, brain damage and even death. Vaccination is very safe and is always successful. All the vaccines go through a long and cautious survey by researchers, specialists, and the government to ensure they are safe to use.
Here are a few reasons as to why vaccination is very important:
- It will keep you healthy: The Center for Disease Control and Prevention (CDC) prescribes vaccination for the duration of your life to protect you against numerous infections and diseases. When you skip vaccination, you expose yourself and make yourself helpless against sicknesses, for example, chicken pox, pneumonia, flu and HPV and hepatitis B, both being the leading causes of cancer.
- Preventing the ones around you from getting ill: A vaccine preventable disease that may make you sick for a week or two could prove to be deadly for your children, grandchildren, or parents in case it spreads to them. When you get vaccinated, you are preventing this. For instance, grown-ups are the most widely recognised sources of pertussis (whooping cough) disease in newborn children, which can be fatal for babies.
- Some diseases have expensive treatments: A normal flu sickness can last up to fifteen days, regularly with five or six missed workdays. Grown-ups and adults who get hepatitis can lose at least one month of work and can get chronically ill in some cases. This can hinder your work which in turn can burn a hole in your pocket. Some of these vaccine-preventable diseases are very expensive to treat.
- Young and healthy people get ill too: Newborn children and the elderly are at a more serious danger for dangerous infections and diseases, however, vaccine-preventable diseases can strike anybody. In case you are young and healthy, getting vaccinated can help you remain as such.
- Vaccines are important to overall health besides a good diet: Like eating solid foods, working out, and getting regular check-ups, vaccination assumes a crucial part in keeping you sound and healthy. Antibodies are a standout amongst the most advantageous and most secure preventive measures available.
- They protect the future generations: Vaccines have decreased and, now and again, eliminated a number of diseases that were responsible for seriously handicapping a large number of people until a couple of years back. For instance, smallpox or chicken pox vaccines have been responsible for decreasing the infection around the world. This is the reason why your children do not require the smallpox shots anymore because the infection does not exist on the ground and has been completely eliminated.
Morning after pill is an emergency form of contraception. It is a type of birth control which can prevent unwanted pregnancy which is a potential risk after unprotected sexual intercourse. The typical name, “morning after pill”, is on account of the fact that it is usually taken on the morning after you have had unprotected sex the earlier night.
How does it work?
It primarily works by inhibiting or delaying ovulation. It does not cause abortion, but merely stops ovulation temporarily and thus, prevents fertilization of the egg with the sperm. It is required to be taken within 72 hours or 3 days after having unsafe sex for it to work effectively, but the sooner you take it, the better it is.
Risks associated with the Morning after Pill
Although the prospect of using this pill seems very useful and handy, there are risks associated with it as well.
It is not a reliable form of birth control like condoms, copper-Ts or IUDs as you might still get pregnant.
It can lead to bleeding between your periods or heavy menstrual bleeding can be experienced. It can even make your menstrual cycle irregular.
In serious cases, it can even lead to cerebral haemorrhage (bleeding inside the brain) and cerebral thrombosis (formation of clots in the brain).
It does not protect you from any sort of STD (Sexually Transmitted Disease) or STI (Sexually Transmitted Infection).
If taken multiple times, it can even affect your fertility in the future as it can alter the pH levels of your uterus.
- It is an emergency contraceptive and not recommended for routine use.
Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.
The gallbladder is a pear-shaped organ that rests beneath the right side of the liver. Its main purpose is to collect and concentrate a digestive liquid (bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion in most people.
What Causes Gallbladder Problems?
Gallbladder problems are usually caused by the presence of gallstones which are usually small and hard, consisting primarily of cholesterol and bile salts that form in the gallbladder or in the bile duct.
It is uncertain why some people form gallstones but risk factors include being female, prior pregnancy, age over 40 years and being overweight. Gallstones are also more common as you get older and some people may have a family history of gallstones. There is no known means to prevent gallstones.
These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal pain, vomiting, indigestion and, occasionally, fever. If the gallstone blocks the common bile duct, jaundice (a yellowing of the skin) can occur.
- Ultrasound is most commonly used to find gallstones.
- In a few more complex cases, other X-ray test such as a CT scan or a gallbladder nuclear medicine scan may be used to evaluate gallbladder disease.
Gallstones do not go away on their own. Some can be temporarily managed by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Treatments to break up or dissolve gallstones are largely unsuccessful.
Surgical removal of the gallbladder is the time-honored and safest treatment of gallbladder disease.
What are the Advantages of Performing Laparoscopic Gallbladder Removal?
- Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
- Patients usually have minimal post-operative pain.
- Patients usually experience faster recovery than open gallbladder surgery patients.
- Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.
Are you a Candidate?
Although there are many advantages to laparoscopic gallbladder removal (cholecystectomy), the procedure may not be appropriate for some patients who have severe complicated gallbladder disease or previous upper abdominal surgery. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if laparoscopic gallbladder removal (cholecystectomy) is an appropriate procedure for you.
Food craving is absolutely normal during pregnancy. Junk food craving is a cause of concern, be it a pizza or a doughnut or any other junk food you can think of.
From the very onset of your pregnancy to delivery, you and your baby are undergoing constant changes. Major ones are:
- Food cravings
- Your weight
- Blood pressure fluctuation
- Blood sugar levels
- Mood swings
The following are the Do's and Dont's to ensure that your food cravings are healthy and benefit you and young one!
- Absence of Whole Grain: Fibre is a nutrient essential for energy and also helps in smooth bowel movements. The doughnut or pizza base does not have whole fibre even if they claim to, so there are more chances of you having bouts of constipation.
- Salt from Mayonnaise and Sauces: Without an extra blob of mayonnaise that Sub sandwich will not taste as good and moreover it has high amount of salt, which is just not friendly to a fluctuating blood pressure, it may also cause swollen feet due to water retention in your body.
- Limited Nutrient Quotient: Junk food has very limited meat or vegetables. The major portion of any junk food is the fattening, less nutrient cheese. This will surely affect the nutrient intake of the expecting mother and her baby.
- Sugars and Fats: Many expecting mothers have a craving for nibbling chocolates at unearthly hours. Foods high in sugar are known to cause mood swings and irritations. This could shoot up your blood pressure or even include gestational diabetes as a chain reaction.
- Expecting Mother to the Baby: By eating all the fast food which is fully loaded with sugar, salt and fat; rest assured it goes directly to the baby. Babies born obese and with other health disorders, tend to develop associated health disorders in their growing years or later on in life.
Tips to Stop Junk Food Cravings?
'You are what you eat' and so is your unborn baby. To make sure both of you get the rightly balanced, healthy, good nutrition, it is very important that you completely avoid fast food during pregnancy. Some tips to tackle junk food cravings:
- Clean your Kitchen Stock: Get rid of all junk food in the house and stock it up with healthy snacks – preferably organic. You can opt for baked options, rather than fried. Buying an oven is an excellent idea, so that you can make and eat tasty, healthy and nutritious snacks at home without preservatives and additives.
- Snack on Fruits and Nuts: These are so much better than artificially prepared munch bites you get from the local supermarkets. Have fruits and always keep dry fruits handy to fulfil the craving in you. Always eat fruits as soon as you cut them, as they lose their nutrients soon after they are cut.
- Photograph Therapy: Put up a nice, huge photograph of a curvy you, prior to pregnancy. The more you eat now, the harder you will have to struggle to get back into shape after delivery hence; this will surely make you strong enough to escape the lure of junk food.
It is important for you to always keep a watch on your pregnancy diet what you eat and want to eat. If you can't, do take the help of a family member or a friend to keep you away from junk food.
Kidney stones are one of the most common urinary tract disorders. These stones are the result of an abnormal concentration of urine. The stones might get unnoticed, till it moves around the kidney or passes into the ureter. The stones are basically small deposits of calcium that can cause excruciating pain.
Here is a list of signs that can indicate that a person might be suffering from kidney stone disorder:
- Painful Urination: The most common sign of kidney stones is a sudden urge to urinate. The urination occurs even though an individual has maintained the normal rate of fluid intake. When an individual does try to urinate, the amount of urine expelled is less than normal. In case of a normal volume of urine, an individual might experience extreme pain. The pain is the result of kidney stones travelling from the bladder to the urethra.
- Back Pain: People suffering from kidney stones often suffer from localized back pain in the early stages. The pain initiates at the side and back, just near the kidney area. As the condition worsens, the pain might spread to the groin, lower abdomen and lower back area. The waves of pain might last from a few minutes to few hours, depending on the number and size of the stones. For men, the pain might also be felt in the testicles and scrotum area.
- Blood In Urine: Apart from pain and discoloration, visible signs of blood in the urine are seen in patients who have kidney stones. The color of urine might vary from brown, pink to slightly red with stains of blood. With kidney stones increasing in size, it blocks the urethra, thereby ticking blood along with urine. This condition is referred to as hematuria.
- Vomiting and Nausea: People suffering from kidney stones often complain of nausea. It can become so severe that can lead to vomiting. Some other complications related to this condition include dehydration, nutritional deficiency etc. Another theory suggests that, throwing up is the result of body’s endeavor of clearing the toxic material from the body.
- Pungent Smell: It is quite common among patients suffering from kidney stones to have a pungent smelling urine. The smell is foul and sticks for a long time. The smell is the result of creatinine waste being accumulated and slowly passing through the urine from time to time.
- Difficulty in Sitting: Once the kidney stones gain in size, it becomes increasingly difficult for a patient to sit or lie down for a longer duration. Sitting or lying down puts pressure in the kidney area thereby causing intense pain. People try to combat this condition, by frequently standing up or by having a small walk.
Traditional open surgery requires an 8-10 cm incision to expose the surgical area of the abdomen which needs to be operated. This large incision is a major post-operative side-effect which results in longer recovery period.
The alternative technique, laparoscopy also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5–1.5 cm are made far from the location of the operation. One or more such holes on the abdominal wall serve as passageways for a specialised instrument called a laparoscope. A long, thin tube headed by a high-resolution camera and a high-intensity guiding light is inserted through the incision. As the instrument moves along, the camera transmits images to a video monitor enabling your surgeon to see inside without opening up your body for surgery.
This process is used to diagnose unidentified abdominal or pelvic pain. Minimally invasive surgery (MIS) is usually performed when all non-invasive alternatives have been tried. Imaging techniques like ultrasound, computed tomography (CT) scan or magnetic resonance imaging (MRI) are sometimes unable to provide enough data for diagnosis.
Laparoscopic surgery is used for the removals of an inflamed appendix, gall bladder, hernias, and cancer-affected organs, fibroids from the uterus, the womb (hysterectomy) and also for performing weight-loss surgeries.
Laparoscopy has a lot of advantages over the more common, open procedure. They are:
1. Less post-operative pain
2. Smaller scars
3. Reduced haemorrhaging and blood loss
4. Shorter recovery period
5. Less pain medications and analgesia requirements
6. Reduced exposure to internal organs
7. Faster return to normal activity
8. Reduced risk of infection
Laparoscopy is a proven safer choice with a fast-healing process side-stepping conventional surgery!