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Dr. Mukesh Agarwal

Gynaecologist, Mumbai

800 at clinic
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Dr. Mukesh Agarwal Gynaecologist, Mumbai
800 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Mukesh Agarwal
Dr. Mukesh Agarwal is a popular Gynaecologist in Malad West, Mumbai. He is currently associated with New Hope Fertility IVF Center in Malad West, Mumbai. Save your time and book an appointment online with Dr. Mukesh Agarwal on Lybrate.com.

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New Hope Fertility IVF Center

1st Floor, Valeram Tower,Gautam Buddha Road, Marve Road, Near Marve Bakery, Malad West,Landmark: Near Orlem Church, MumbaiMumbai Get Directions
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SET (Sequential Embryo Transfer)

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
SET (Sequential Embryo Transfer)

SET (Sequential Embryo Transfer)

Sequential embryo transfer-(SET) is an improved method of increasing pregnancy rates and implantation rates in infertile couples.  According to the  American Society for Reproductive Medicine (ASRM), the average  pregnancy rate is about 20% for patients undergoing in vitro fertilization (IVF) treatment.  Patients undergoing SET have a pregnancy rate of over 50%!     SET is the transfer of two groups of embryos in the same menstrual cycle of a woman undergoing IVF treatment for infertility. One group of embryos-the best looking and fastest growing embryos are transferred to the uterus 2 or 3 days after the oocytes (human eggs) are collected from the ovary.  The second, more highly developed, group of embryos are transferred to the uterus a few days later-when at least one embryo has reached the expanded blastocyst stage-an advanced stage when an embryo is about to hatch from its shell called the Zona Pellucida  and attempts to implant in the lining of the uterus called the endometrium.  SET has an increased implantation rate ( embryos implanting from the total number of embryos).

Not all patients have embryos that survive to the blastocyst stage. Embryos may have arrested development in the first few days after fertilization – some embryos just arrest-no matter what the laboratory conditions are- and some embryos just were not destined to become babies because of inherent problems-such as genetic defects. The window of implantation of  human embryos is between 7 to 10 days after ovulation.  After 10 days, if the embryo does not at least start to implant, the endometrial lining may start to fall apart and not be able to sustain the embryo. Therefore, any early stage embryos placed in the uterus on Day 2 or  3 must depend on the uterus for a few more days until they develop to the blastocyst stage. Only the blastocyst stage embryo can implant in the uterus.

We believe -

Embryos talk to the uterus!

SET may be better than just one transfer for many patients for many reasons: First,  embryos communicate with the uterus using hormones called cytokines.  The presence of these cytokines can help the uterus prepare for implantation.  The exact makeup of fluids in the oviduct and uterus of each patient may be impossible to determine.  Perhaps the embryo  can tell the uterus what it needs to implant and develop. The presence of one group of embryos on Day 3 may help the implantation of the second group of embryos by getting the uterus properly prepared.  SET also provides a better method of selecting the best of the extra embryos to transfer and decreases the need to cryopreserve (freeze) extra embryos that may not be survivors. Obviously, the ability to decide which embryos are the best increases the chance of implantation and pregnancy.  Blastocysts not transferred fresh can still be cryopreserved and thawed later for a frozen embryo transfer (FET).

1 person found this helpful

My menses date was 23rd my menses was regular but this month date has been missed I have not got my periods suggest me medicine to get my periods soon.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My menses date was 23rd my menses was regular but this month date has been missed I have not got my periods suggest m...
Hello, Please rule out pregnancy first and if negative then the delay can be stress induced and you can safely wait for menses to resume naturally for next 7-10 days.
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Hi, if am ovulating on 12th day of my periods, then will it be a successful attempt if I try to conceive on 14th and 16th day?

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Hi, if am ovulating on 12th day of my periods, then will it be a successful attempt if I try to conceive on 14th and ...
how was your ovulation detected was it by ultrasound?You can have relations between 10 to 16 day of your periods.
1 person found this helpful
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Hie I am 26 years old n I hv 2 children first is normal delivery a boy and second is baby girl with c section now I wanted to lose my weight so my baby is 10 month old what should I do to lose my weight please help me.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hie I am 26 years old n I hv 2 children first is normal delivery a boy and second is baby girl with c section now I w...
With a 10 month old baby are you feeding the baby? don't do drastic dieting if so. Eat more proteins like toned warm milk and curd with banana for minerals. Eat minimum or no sugar. Reduce grains also. Eat more of seasonal fruits and vegetables and exercise by going for simple walks but baby care if you are on your own is a full time exercise but do go out for walks to exercise and to meditate.
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I never had sex before but I want know if my hymen still or not because I severely beaten in my sensitive area please Doctor help me.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
please check up with sexologist, you cant get online guidance for this, you can meet in privacy with your friend or relative or alone. All men/women are different in their sexuality and health. You need to go for check up with sexologist to know the cause and get guidance/treatment for improvement. If you value your sexual health and want to enjoy quality sex in marriage then understanding and learning about sexuality is needed.
1 person found this helpful
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Is dark chocolate vil help for hysterectomy women to get sexual feeling arousal and to increase low libido for women?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Is dark chocolate vil help for hysterectomy women to get sexual feeling arousal and to increase low libido for women?
It's a vogue in western culture but as per ayurveda principles we are not in favour. Female sex desire booster okg developed by us is very successful which distressed, nourishes dhatus and give a boost in overall energy to achieve ultimate sex pleasure.
1 person found this helpful
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Hi doctor, Main 26 saal ki hu. Mujhe pcos hai. Last month mera period 23 feb ko aya tha. Meri gynecologist ne mujhe fertyl 50 mg di. But abhi kal meine ultrasound krwaya to usme small collection of fluid cul de sac. Aya ab mujhe pain bhi hai lower abdomen main bahut. Main pregnant hona chahti hoon. Please suggested me what I do?

PG Hom, London, BHMS
Homeopath, Mumbai
Hi doctor, Main 26 saal ki hu. Mujhe pcos hai. Last month mera period 23 feb ko aya tha. Meri gynecologist ne mujhe f...
Hello lybrate-user, one of the best supportive treatment for pcos is yoga and homeopathy. If you perform regular yoga exercises like - paschimottanasana, uttanasana, svanasana, etc. Your problems will reduce. Keep your weight in control. Continue taking fertyl. All of these will reduce the pcos and will also help you in conceiving.
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What is the durability of a hymenoplasty? I mean an artificial hymen would be intact for how long? If anyone gets it done now, would it be intact for next 2-3 years at least? I've heard it stays intact for one year only.

MBBS, MS - General Surgery, M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Gurgaon
Hymenoplasty is done to create a new hymen which lasts for one sexual act. However remnants of new hymen remain and can last for some years.
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I have a small cysts in my ovaries, my got my periods after 65 days ,can I get pregnant this month.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I have a small cysts in my ovaries, my got my periods after 65 days ,can I get pregnant this month.
Every month when sexual intercourse happens thare is a chance but low if there are some problems. Pregnancy is possible only on one day of cycle, day of ovulation when ovum is released from ovary of woman. That is why couple should have 12 to 24 cycles of unprotected sex around time of ovulation before going to Gynecologist or infertility specialist for further evaluation and advise. Those who have some problem should reach to them early.
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FRAS, MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Alternative Medicine Specialist, Ernakulam
HOW TO PREVENT SEXUALLY TRANSMITTED DISEASES ?

The best ways to avoid getting an STD are to abstain from any sexual contact and be in a monogamous, long-term relationship with an uninfected partner. To reduce the odds of getting STDs:
Ask your partner if he or she has an STD.
Ask partners to be tested before sexual activity.
Use condoms.
Avoid sexual activity if your partner has signs of an STD.
Be aware of symptoms and get regular checkups with your health care provider.
1 person found this helpful

Hi, If I had sex with my partner in her periods, is it safe, will she get pregnant.

MD Hom., Certificate in Food and Nutrition, BHMS, Diploma In Yoga
Homeopath, Indore
Hi, If I had sex with my partner in her periods, is it safe, will she get pregnant.
The probability is that she would not get pregnant having sex during her period. Apart from being messier and less desirable, having sex during her period will more than likely not result in getting pregnant. More than likely, your ovulation is several days away decreasing any chances of conceiving during this time. However, there are exceptions. The above applies to women who have typical 28 to 30 day or longer cycles. If she happen to be one of the individuals who has a shorter cycle there is a chance she could get pregnant while having sex during her period. For this she needs to know her ovulatory calender and then the safe period in which she cannot get pregnant after having sex will be evaluated. For more queries contact us.
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What is the recommended advice for vomiting at the starting age of baby in pregnancy and feeling uneasiness, unconsciousness feeling?

M.D.(HOMOEOPATHY), C.S.D.(MUMBAI), BHMS
Homeopath, Bareilly
What is the recommended advice for vomiting at the starting age of baby in pregnancy and feeling uneasiness, unconsci...
The patient you are talked about is sensitive mentally as well as physically. She is an introverted lady and her emotions leads to mental restlessness. She keeps on thinking about her pregnancy and some other things. If the above statement I made about her is true then make it a point do not go for any medication for vomiting only two things are helpful for her 1. Couselling 2. Homoeopathic medication.
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Does Quality of Eggs Affect IVF Treatment?

M.Sc, MD, MBBS
IVF Specialist, Delhi
Does Quality of Eggs Affect IVF Treatment?

Whenever a couple opts for IVF, the main question in their mind is that will it be successful? The chances depend on a number of factors, the most important one being the quality of eggs. If the eggs are not good, they will not be able to get fertilized, or even if they get fertilized the embryo they will form will be abnormal. Thus to be precise, IVF treatment requires a successful embryo implantation which can be only possible if the eggs are good. Thus, directly or indirectly, the egg quality influences the success of IVF treatment. If an embryo looks good, it does not mean that the implantation will be carried out successfully. Many internal factors too contribute to the quality of eggs and thus the success of IVF treatment. These factors are discussed below.

Hormonal Imbalance
Hormonal imbalance is one of the most widespread reasons behind many problems, and IVF treatment is no exception. When a woman is reported to have more than normal levels of the Follicle Stimulating Hormone or FSH on the third day of her menstrual cycle, then a popular term is used by the doctors, that is, “diminishes ovarian reserve.” What does this really mean? This means that the woman’s eggs are not healthy. Although they would look healthy and even get fertilized normally.

Not only this but they will also experience embryonic cleavage in a totally normal way. But the difference is that they won’t divide further beyond the eight-celled stage and implantation is impossible. What happens is that the ovaries do not produce enough signals that are required and the pituitary gland does not receive the signals that it should. So the body synthesizes more FSH to stimulate the ovaries. This ultimately leads to a diminished ovarian reserve and thus a decreased egg quality. Since implantation is not possible, IVF becomes a failure.

Advancing age of the woman
Imbalance in the FSH levels is not the only reason behind IVF failure. Even if the levels are okay, the age of the woman may also lead to failure. You must be wondering why. So here is the answer to your question. With age, the spindle fiber gets broken, and thus the chromosomes are not separated equally. This leads to unequal division of the chromosomes. Ultimately the eggs become abnormal genetically, and the embryo that results from them become abnormal too.

IVF success relies on a number of factors and egg quality is just one of them. But it is also one of the crucial factors. Speak to your doctor and be sure from beforehand about your egg quality so that your efforts do not go waste.

If you want to discuss any other problem, Consult an IVF Specialist.

3370 people found this helpful

I had tubactomy one year back n my period is regular nw this month only I have less period only 2 3 drops my husband live with only 2 days before my period. please why it's happening it never happen before. I check by scan not have pco not have a thyroid then.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had tubactomy one year back n my period is regular nw this month only I have less period only 2 3 drops my husband ...
Hello, The scanty menses as being just episodic, could might as well be stress induced during this cycle. Please watch your bleeding pattern for at least next 2 more cycles.
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My wife has 22 years, now she is pregnant of 4 months. In prenatal tests we found she has hbsag positive, after I too did that test but my result is hbsag negative. Can any help me how our life style should change from now onwards. How my wife cure from that disease.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Protection in sex, vaccination for you and child, follow up and treatment as required for your wife. Best is both of you should meet gastro-enterologist.
1 person found this helpful
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I have slept with my gf. Next morning I see a blood mark on my underwear while bathing. At night light was off. My part easily enter into her. Now please tell me that it was her first or not.

M.Sc - Psychology, MS- Sexualty
Sexologist, Visakhapatnam
No one can say first time or not. Blood stain may result rupture of hymen or lacerations of genital organ sensitive tissues. Don't think too much about blood stain.
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Benefits of Yoga + Walking Vs Gyming

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Benefits of Yoga + Walking Vs Gyming

To keep up good health, it is absolutely necessary for one to indulge in physical exercise or activities. Physical activities, in general, are linked to a host of good benefits, such as reduced stress and a healthier and better outlook, besides increasing the body's resistance against complications like heart problems, high blood pressure, diabetes and muscle pain among others problems.

Similarly, the practice of yoga is an ancient tradition well known for its health benefits. In addition, walking can further complement the practice of yoga and they can together prove to be highly advantageous, to the extent where they can be possibly regarded a better alternative to the act of gyming.

Benefits:
Here are a few benefits of gym workouts followed by the benefits of yoga plus walking: 

Benefits of gym and other exercises:

  1. Keep muscles fit
  2. Enhance respiration and perspiration
  3. Helps in weight loss
  4. Relieve stress
  5. Increase appetite and food consumption

Benefits of yoga and walking:

  1. Keep you active throughout the day
  2. Help bowel movement
  3. Increase mind control over the body
  4. Improve blood circulation
  5. Relieve anxiety and keeps one stress free
  6. Can be practiced anywhere and everywhere

Differences:
Although it can be argued that gym workouts are better than yoga and vice-versa, the subject matter is highly ambiguous and debatable. Since both activities are good for your health, physically as well as mentally, it is very difficult to say which one is better; perhaps a detailed comparison of the differences between the two may be more helpful:

  1. While gymming and other exercises focus on building the body and helping you attain the desired body figure, yoga and walking aims at regulating the entire body mechanism, with more emphasis on mental control.
  2. While gym workouts may be more expensive, yoga requires minimal accessories and is therefore, more economically convenient.
  3. Yoga is suitable for people of all ages, whereas gymming and other intense physical activities are not advisable for old people or those with specific medical ailments like hypertension and heart problems.
  4. There are minimal withdrawal effects with yoga, in contrast to gym workouts.
  5. Gymming requires you to go to the gym, whereas yoga and walking can be done anywhere and everywhere.
5033 people found this helpful

Sir I have a problem that my wife have a thyroid at time of her pregnancy we talked with any Dr. (endocrinologist) and after the treatment her thyroid is normal and Dr. Suggest us that after pregnancy the test of baby and mother (after 72 hr of delivery) want to check we did this test for baby and mother both (TSH.

MS - Obstetrics and Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Mumbai
Sir I have a problem that my wife have a thyroid at time of her pregnancy we talked with any Dr. (endocrinologist) an...
Yes, it's mandatory to check thyroid of baby at 72 hrs. Also mother should continue treatment till delivery. Thyroid will be treated again after 6 weeks to decide whether to continue treatment.
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I had sex continuously alternative every week probably and had ipill all the time now my vagina is swollen and internally it pains my legs are just going with unbearable pain all of the sudden pain. Occurs in down stomach may I know the reason y it happens.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
I had sex continuously alternative every week probably and had ipill all the time now my vagina is swollen and intern...
You have taken a very high dose of hormones. Ipill is an emergency contraception drug and not used for somany times. Consult a gyn.
1 person found this helpful
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My wife is two months pregnant. What are the things she must always remember till delivery the foods she must eat n avoid.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is two months pregnant. What are the things she must always remember till delivery the foods she must eat n a...
Hello, A pregnant woman should take utmost caution of what she eats. A nutritious diet rich in proteins, iron, calcium and omega 3 fatty acids is recommended. Overall besides normal food make sure she takes a big glass of milk daily, 2-3 eggs in a week, chicken/ fish twice a week, take 2 helping of fruits and salads daily. Taking 5-6 almonds alone a piece or two of walnuts daily should overall take care of your nutritional requirements. Hope this helps you.
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