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Dr. Namita Verma

Gynaecologist, Lucknow

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Dr. Namita Verma Gynaecologist, Lucknow
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Namita Verma
Dr. Namita Verma is a renowned Gynaecologist in Indira Nagar, Lucknow. She is currently practising at Dr Namita Verma's Clinic in Indira Nagar, Lucknow. Don’t wait in a queue, book an instant appointment online with Dr. Namita Verma on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. Find the best Gynaecologists online in Lucknow. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Treatment and Care for Lower Back Pain

MBBS, Post Graduate Diploma In Orthopedics , Gold Medalist - MS Orthopedics, Super Specialisation - Mch Orthopedics, FELLOWSHIP- American Academy of Orthopaedic Surgeons
Orthopedist, Kolhapur
Treatment and Care for Lower Back Pain

Back pain is a common source of pain, which can be acute, subacute or chronic in nature. Back pain is classified along the segments of the spine and can be divided into neck pain, middle back pain, lower-back pain or tailbone pain.

Lower back pain is a type of back pain, which affects the lower back portion of the body. It may occur from arthritis or due to sudden jerking during movement. Lower-back pain may cause serious discomfort and aching and may disable a person from moving about. It should be treated and cared for properly.

Here are several treatments and care procedures for lower-back pain:

  1. Take some rest: Most people who get lower-back pain get obsessed with it and end up getting MRI scans, x-rays done and take injections without recognizing the intensity of the pain. It is advised not to rush into the matter. A simple way to cure the pain is by resting. 90% of lower back pains resolve by themselves in 6 weeks and so you must give your back a break instead of taking medical action and give your back some to heal.
  2. Pills: Sometimes, a lower back pain can suddenly become severe. In this case, you should intake anti-inflammatory pills such as ibuprofen or naproxen. These pills will help you ease the pain. However, you should not take them for more than ten days at a stretch as continuous pill consumption can cause side effects.
  3. Hot & cold compress: Apply a bag of frozen peas or an ice pack to the affected area in your lower back for 48 hours after the pain appears. Every session should be about of 20 minutes and you should take several sessions each day. After two days, repeat the same procedure using a heat pad. The cooling procedure shuts down your blood capillaries, reducing the flow of blood to the affected area. The swelling is then eased. The heating, on the other hand, loosens tight muscles and helps to increase blood circulation.
  4. Replace your mattress: People who sleep on firm mattresses and cushions on their beds are at a higher risk of experiencing lower-back pain. If you sleep on a medium-firm mattress, your chances of getting lower-back pain are less. In case your mattress is sagging or is very old, you should replace it.
  5. Acupuncture: When your lower-back pain is very severe, you can take acupuncture injections, which provide efficient pain relief. The injections change the way your nerves react and inflammation gets reduced.

Lower-back pain is likely to cause great discomfort and trouble. You will be unable to carry out your daily chores because of the pain. Therefore, proper treatment and care are required for lower-back pain.

3787 people found this helpful

I am pregnant for two and half months. Pls tell me about the precaution during pregnancy. Tell me about the diet during pregnancy. What should I eat? When should I make sonography. What medicines are needed. I have vomit 2-3 times daily,.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I am pregnant for two and half months. Pls tell me about the precaution during pregnancy.
Tell me about the diet duri...
It is advisable to consult a good gynaecologist throughout the antenatal period for care and advice. Choose a good one around your locality, who is experienced, can handle all complications and is in your budget.
2 people found this helpful
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Hi, I'm 28 years old male I have small penis 2 inch only when it's erected it's 3 inch the problem is when I have sex with my wife I have some erecting problem and also I released only less amount of sperms and also and after having sex the sperms coming out of my wife's vagina after sometimes. Is there any major problem is there any problem to my wife be pregnant please solve my problem. Before marriage I masturbate frequently is that affecting now. Please suggest something effectively.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Hi, I'm 28 years old male I have small penis 2 inch only when it's erected it's 3 inch the problem is when I have sex...
Just stop worrying and take things sportively and casually as that will help more than the size of penis or the problem. Keep pillow under her after sex and ask her to lie like that for some time that will help alot don't worry we ll see later if this does not help.
4 people found this helpful
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Hi I am 37 years old my problem is my 1st daughter is 9th years and i am tring for 2nd chance but I am try to 5 to 6 months but I am not getting pregnant whats problem.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi I am 37 years old  my problem is my 1st daughter is 9th years and i am tring for 2nd chance  but I am try to 5 to ...
Hello, Please get a hormonal profile done including FSH, LH and amh LEVELS TO CHECK FOR OVARIAN RESERVE FIRST.
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I am 16 years old and I matured 2 years back but still I dont get periods correctly and even the flow is less than normal and on just first day.

BHMS
Homeopath, Secunderabad
Sometimes slight imbalances in hormones also causes irregular periods. Nothing to worry. We have excellent medicines in homoeopathy to cure this problem. Now are you taking any medicines for this?
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What Is Polycystic Ovary Syndrome (PCOS)?

Ayurveda, Delhi
What Is Polycystic Ovary Syndrome (PCOS)?

What is Polycystic Ovary Syndrome (PCOS)?

Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's:

  • Menstrual cycle
  • Ability to have children
  • Hormones
  • Heart
  • Blood vessels
  • Appearance

With PCOS, women typically have:

  • High levels of androgens (AN-druh-junz). These are sometimes called male hormones, though females also make them.
  • Missed or irregular periods (monthly bleeding)
  • Many small cysts (sists) (fluid-filled sacs) in their ovaries

How many women have PCOS?

Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. As many as 5 million women in the United States may be affected. It can occur in girls as young as 11 years old.

What causes PCOS?

The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.

A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.

Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels can lead to:

  • Acne
  • Excessive hair growth
  • Weight gain
  • Problems with ovulation

What are the symptoms of PCOS?

The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:

  • Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
  • Infrequent, absent, and/or irregular menstrual periods
  • Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
  • Cysts on the ovaries
  • Acne, oily skin, or dandruff
  • Weight gain or obesity, usually with extra weight around the waist
  • Male-pattern baldness or thinning hair
  • Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
  • Skin tags — excess flaps of skin in the armpits or neck area
  • Pelvic pain
  • Anxiety or depression
  • Sleep apnea — when breathing stops for short periods of time while asleep

Why do women with PCOS have trouble with their menstrual cycle and fertility?

The ovaries, where a woman's eggs are produced, have tiny fluid-filled sacs called follicles or cysts. As the egg grows, the follicle builds up fluid. When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.

In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. The follicles may start to grow and build up fluid but ovulation does not occur. Instead, some follicles may remain as cysts. For these reasons, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Plus, the ovaries make male hormones, which also prevent ovulation.
 

Does PCOS change at menopause?

Yes and no. PCOS affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.

How do I know if I have PCOS?

There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.

Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.

Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.

Pelvic exam. Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.

Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.

Vaginal ultrasound (sonogram). Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.

How is PCOS treated?

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:

Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:

  • Limiting processed foods and foods with added sugars
  • Adding more whole-grain products, fruits, vegetables, and lean meats to your diet

This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.

Birth control pills. For women who don't want to get pregnant, birth control pills can:

  • Control menstrual cycles
  • Reduce male hormone levels
  • Help to clear acne

Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). But, progesterone alone does not help reduce acne and hair growth.

Diabetes medications. The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.

Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets). Treatment options include:

  • Clomiphene (KLOHM-uh-feen) (Clomid, Serophene) — the first choice therapy to stimulate ovulation for most patients.
  • Metformin taken with clomiphene — may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins (goe-NAD-oh-troe-pins) — given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.

Another option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, IVF is very costly.

Surgery. "Ovarian drilling" is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.

Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills.  These medications should not be taken if you are trying to become pregnant.

Before taking Aldactone, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia.

Other options include:

  • Vaniqa (van-ik-uh) cream to reduce facial hair
  • Laser hair removal or electrolysis to remove hair
  • Hormonal treatment to keep new hair from growing

Other treatments. Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.

Researchers continue to search for new ways to treat PCOS. To learn more about current PCOS treatment studies, visit ClinicalTrials.gov. Talk to your doctor about whether taking part in a clinical trial might be right for you.

How does PCOS affect a woman while pregnant?

Women with PCOS appear to have higher rates of:

  • Miscarriage
  • Gestational diabetes
  • Pregnancy-induced high blood pressure (preeclampsia)
  • Premature delivery

Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).

Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.

Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.

Does PCOS put women at risk for other health problems?

Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:

  • More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
  • The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
  • Women with PCOS are at greater risk of having high blood pressure.
  • Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
  • Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.

Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.

Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

I have PCOS. What can I do to prevent complications?

If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include:

  • Eating right
  • Exercising
  • Not smoking

How can I cope with the emotional effects of PCOS?

Having PCOS can be difficult. You may feel:

  • Embarrassed by your appearance
  • Worried about being able to get pregnant
  • Depressed

Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.

 

 

 

9 people found this helpful

I am 31 years old. Suffering with pcod. Suddenly Experiencing pain upper left side of my stomach and feel the pain mostly when I use washroom. Is it related or could be muscular?

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I am 31 years old. Suffering with pcod. Suddenly Experiencing pain upper left side of my stomach and feel the pain mo...
Hi, PCOD and your pain are not related.Upper abdominal pain on left side has many reasons. If it is paining consistently take a scan abdomen and see.
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She had pregnancy in tube and some infection as well. Doctor had to do surgery and cut one tube. Doctor told her that her other tube is failed. So she can not have baby in future. What are chances of getting pregnant in this case ?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
She had pregnancy in tube and some infection as well. Doctor had to do surgery and cut one tube. Doctor told her that...
hi Shailesh, it is very sorry to hear about ectopic pregnancy. please don't give up if one tube Is damaged she can conceive with other tube but chances will low. their are many new techniques to solve this problem don't worry.
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She is about 41age she want to conceive now. Her husband age about 30aged. Is she can conceive. If yes how is it? They marriage about 4 years, they are trying but they could not. They also take consult with doctors but still no symptoms. Is there any alternate process please let them help.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
She is about 41age she want to conceive now. Her husband age about 30aged. Is she can conceive. If yes how is it? The...
At 41 years of age, women can get pregnant, if she is menstruating normally and the treatment for getting pregnant should be started asap with medicines. If menses are not regular, then her fertility potential needs to be assessed with amh blood test before any treatment.
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I am pregnant for 8 weeks .fetal growth is normal but a small blood clot is found is that serious?

Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Alwar
I am pregnant for 8 weeks .fetal growth is normal but a small blood clot is found is that serious?
Some time it happened. Consult your local gyne, do take progesterone regularly till 18 to 20 weeks of pregnancy.
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hello am 24 years old. I have lakorea problem from a long time. My periods cycle is always late. My mensuration period time is 30-40 days.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
hello am 24 years old. I have lakorea problem from a long time. My periods cycle is always late. My mensuration perio...
You need to get a Pelvic USG and a hormonal assay done- TSH ,FSH ,LH ,Prolactin to see the reason for delayed periods. For white discharge I would advice you to take Cansoft-CL vaginal pessaries- insert in vagina for 3 consecutive nights and see if it helps.
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I am suffering from dark brown spotting nd slit pain in my lower abdomen, Its my 12th day of periods, and I am not sexually active, please help me, I am so worried.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am suffering from dark brown spotting nd slit pain in my lower abdomen, Its my 12th day of periods, and I am not se...
Please apply coconut oil on that area before taking bath. Gently massage. Then during bath clean that area. You can also have foaming gel in a foam. And cleanse that area.
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I am suffering from other pcos. I am trying to conceive but I failed. Someone told me to do exercise so I joined the gym. So I am asking whether it's OK to do gym. While I am trying to conceive? N which all exercises should I do in gym so that my fertility is increased?

BHMS
Homeopath, Chennai
I am suffering from other pcos. I am trying to conceive but I failed. Someone told me to do exercise so I joined the ...
Homoeopathic medicines cure PCOS permanently.Homeopathy believes that the human body has been perfectly enabled by nature to keep itself disease free. It is only when the immunity or its own internal vitality is deranged that the body becomes incapable of keeping itself disease free. Therefore Homeopathy tries to restore the balance of that vitality. Once the vitality regains its original balance, it is able to nurse itself back to health without any external aid. That is why homeopathic medicines are given in very minute doses A homoeopathic constitutional treatment will give you a permanent cure naturally You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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I have pcod problem in 2013 I had a miscarriage now I am conceiving this month what can I do.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I have pcod problem in 2013 I had a miscarriage now I am conceiving this month what can I do.
Hello lybrate user- ayurvedic concept of pcod (poly cystic ovarian disease) is somewhat different than modern concept, it generally occurs due to irregular food and daily habits done specially at the time of menstrual bleeding period. Pcod effect the ovulation process thus makes it difficult for the female to conceive and get pregnant. Some general tips to avoid pcod are- a) avoid spicy food fast food during the bleeding and take fresh indian food. B) use wet sponging instead of taking bath on those days. C) avoid running, skipping and other exercises on those days. D) use dashmoolarishtha 2 tsp twice daily with water ten days before menses.
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I have a pcos problem from 5 years. Is that any problem in future and give me a solution for this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
there are many reason for pcos. Excess insulin. Insulin is the hormone produced in the pancreas that allows cells to use sugar (glucose) — your body's primary energy supply. If you have insulin resistance, your ability to use insulin effectively is impaired, and your pancreas has to secrete more insulin to make glucose available to cells. Excess insulin might also affect the ovaries by increasing androgen production, which may interfere with the ovaries' ability to ovulate. Low-grade inflammation. Your body's white blood cells produce substances to fight infection in a response called inflammation. Research has shown that women with PCOS have low-grade inflammation and that this type of low-grade inflammation stimulates polycystic ovaries to produce androgens. Heredity. If your mother or sister has PCOS, you might have a greater chance of having it, too. Researchers also are looking into the possibility that certain genes are linked to PCOS. Regulate your menstrual cycle. To regulate your menstrual cycle, your doctor may recommend combination birth control pills — pills that contain both estrogen and progestin. These birth control pills decrease androgen production and give your body a break from the effects of continuous estrogen, lowering your risk of endometrial cancer and correcting abnormal bleeding. As an alternative to birth control pills, you might use a skin patch or vaginal ring that contains a combination of estrogen and progestin. During the time that you take this medication to relieve your symptoms, you won't be able to conceive. If you're not a good candidate for combination birth control pills, an alternative approach is to take progesterone for 10 to 14 days every one to two months. This type of progesterone therapy regulates your periods and offers protection against endometrial cancer, but it doesn't improve androgen levels and it won't prevent pregnancy. The progestin-only minipill or progestin-containing intrauterine device are better choices if you also wish to avoid pregnancy. Your doctor also may prescribe metformin (Glucophage, Fortamet, others), an oral medication for type 2 diabetes that improves insulin resistance and lowers insulin levels. This drug may help with ovulation and lead to regular menstrual cycles. Metformin also slows the progression to type 2 diabetes if you already have prediabetes and aids in weight loss if you also follow a diet and an exercise program.
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Hi, am female. I got married in August 2016. From past 1 and half month am participating in sex except on mensuration period. From 2 days while am participating in sex am getting pain at entrance of my G-spot. Am having sensation like I need to urinate. But am unable to urinate as regularly. Could you please suggest me what could be the reason do I need to undergo any treatment. Please suggest any medicines. Thanks in Advance.

DGO, MBBS
Gynaecologist, Delhi
Hi, am female. I got married in August 2016. From past 1 and half month am participating in sex except on mensuration...
You need to get your urine test urgently as it appears you might be having urine infection as well as vaginal infection. And please visit a gynaecologist with the report. Plenty of fluid intake helps.
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All About Breast Cancer

MS, MBBS
Gynaecologist, Delhi
All About Breast Cancer

Breast cancer is a type of cancer, which occurs due to the development of cancerous cells in breasts. Women are usually affected by breast cancer and breast cancer is one of the most common forms of cancer after skin cancer. Usually fatal if not diagnosed in its early stage, breast cancer is a very serious medical ailment. Read on more to find all about the different symptoms, causes, preventive measures and treatment of breast cancer.

Symptoms: Breast cancer has few distinct characteristics and if you have a few or all the following symptoms you could be more likely to suffer from breast cancer. 

  • The formation of a lump in your breast, which is different from the surrounding tissue and usually more thickened.
  • The discharge of bloody fluid  material from the nipples.
  • Sudden change of the size, shape and appearance of the breast.
  • Certain distinct changes to the skin over the breast for example an indentation in the skin similar to that of a dimple.
  • Appearance of an extra nipple which is inverted.
  • If the darkened area around the nipples known as the areola is flaking or peeling off. 

Causes: Studies and researches remain inconclusive on what causes breast cancer. Breast cancer occurs due to abnormal division of the cells located in the breast, which over time accumulate and form lumps. They
might spread to other parts of the body. Breast cancer is caused mainly due to a complex interaction of personal genetics, environment and lifestyle choices. Breast cancer can also be caused due to genetics as about 5% to 10% of cases are due to gene mutations which pass onto generations.

Risk factors: There are certain factors, which increase the probability of contracting breast cancer. Increasing age, personal and family history of breast cancer, obesity, radiation exposure, pregnancy at an older age, postmenopausal hormone therapy are some of the factors that increase the chances of breast cancer.

Treatment: Several forms of surgical methods exist to treat breast cancer. Depending on the condition and spread of the disease a suitable surgery is performed. These include mastectomy, lumpectomy, axillary lymph node dissection and removal of both breasts. Other forms of treatment include chemotherapy or the use of high doses of drugs to destroy cancerous cells. Radiation therapy where X-rays are used to destroy the cancer cells is also effective.

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