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Dr. Neeraj Khanna

Gynaecologist, Mumbai

Dr. Neeraj Khanna Gynaecologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Neeraj Khanna
Dr. Neeraj Khanna is a renowned Gynaecologist in Mulund West, Mumbai. He is currently practising at Saarthi Healthcare Multispeciality in Mulund West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Neeraj Khanna on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 29 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Saarthi Healthcare Multispeciality

st Floor, Jamuna Sadan, M G Road, Mulund West, Landmark: Near Paach Rasta, MumbaiMumbai Get Directions
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My father is suffering from herpes. please can someone tell why this happens? What could be d actual cause of this disease to occur? & what r d precautions to be taken.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
It is viral infection it can happen to any one .whenever body resistance decrease. but it is v infectious from 2 wk .avoid contact with the person .give him immunobooster.
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We had sex and the condom got torn But the sperm was not discharged inside her vagina and she was on he safe periods ! Is there a change of her getting pregnant and her long period days are 36 And short period days are 33 And her last period was on May 7 ! please tell me if its a safe sex day !

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
As per your data about long and short period length, the period should have come on 8th June or 11th June. As today is just 9th, and she has already passed 8th, it would be best to wait till 11th and if there is NO menses by 12, do a Urine Pregnancy Test on 12th morning using an early morning sample in a LAB......
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Hello sir, This month 20th I met in sex with my fiancee, actually her period was this month 24 but after met in sex on 20th she didn't get period on 24th ,then she also ate the papaya to get her period early but till now she didn't get what was the reason can you please help me.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Sex done so late in cycle that too four days before periods doesnt cause pregnancy. It may be a hormonal problem
1 person found this helpful
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How Much Do Your Nutritional Needs Change as You Grow Older?

Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery
Dietitian/Nutritionist, Delhi
How Much Do Your Nutritional Needs Change as You Grow Older?

A Quick Guide to Geriatric Nutrition

Special nutritional needs are often required in special circumstances. Unlike adults from 20 to 60, children and elderly people have specific needs as their physical requirements are different. Just like pregnant women need tailor-made diets for their specific needs, children and elderly people also require appropriate diets without too much variation.

The requirement for geriatric or elderly nutrition

As the body ages, certain functions within are slowed down and thus, the processes are not able to completely recuperate and replenish what was lost. Certain functions are affected more than others and hence, need specific nutrients to regenerate.

Tips for Geriatric Nutrition

Let's take a look at some of the specific diet requirements as well as certain items, which should be avoided.

1. Consumption of calcium rich foods - Bones are a part of the human body that tend to suffer a lot of wear and tear and they start showing signs of weakening after 60. It is thus, important to replenish calcium in the body to help the bones get their building blocks. Some examples of calcium-rich foods are almonds and green leafy vegetables like kale. Dairy products are also good as long as the fat content within them is low.

2. Keeping the body hydrated - Although physical activity reduces with age, dehydration can still occur within senior people and thus, it is important that they remain hydrated. Simply drinking water may not be enough and juices or other water-rich foods such as watermelons should be used to supplement for hydration.

3. Lessening sodium within the body - The presence of excess sodium in the body can cause blood pressure to shoot up and result in high blood pressure, which may then further result in more ailments like strokes. It is pertinent that foods rich in sodium such a red meats be lessened or cut out of the diet altogether.

4. Lessening sugar consumption or any other foods that may exacerbate diabetes - Another factor to consider is the consumption of sugar and sugar-filled products. Not just for diabetics, but elderly people have a tendency to develop high blood sugar and hence, it is prudent to reduce sugar intake.

If you would like to consult with me privately, please click on 'Consult'.

Related Tip: Dieting Vs Fad Dieting: How can you spot the FAD?

4224 people found this helpful

Ovulaion date me sex krne se pregnancy confirme Hain? Period k kitne din bad ovulaion date aati Hain? Ovulaion ka symtrom kya hain?

MBBS
General Physician, Cuttack
There is increased chance of pregnancy during sex at the time of ovulation.It occurs during mid cycle between 14th to 16th day of a regular cycle.Consult gynecologist for further detail
1 person found this helpful
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Diet in Pregnancy

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Diet in Pregnancy

Pregnancy is a very special time in a woman's life when there is an added focus to take care of yourself and your unborn child. The adage 'you are what you eat' takes on a whole new meaning during this period as it becomes the soon to be mother's responsibility to pack in extra nutrition to nourish her growing bump. Doctors often add in a dose of vitamins to ensure that the both mother and child are well nourished. But beyond that, the food choices you make will maintain a healthy weight gain for you and your baby and eventually even help when you want to shed the extra weight after your child is born.

Here are some tips to have a perfect diet during your pregnancy

  1. Load up on the good stuff: Even if you've always been eating healthy, it is time to crank things up a notch and include more proteins, vitamins, minerals especially folic acid and iron and some extra calories for energy and increase it as you progress in your pregnancy. But eating to get more nutrients doesn't have to mean eating more in general. If you are already at a healthy weight, then you don't need extra calories in the first trimester. In the second trimester, you need about 340 extra calories a day and about 450 extra calories a day in the third trimester. The numbers will change if you are underweight or overweight.
  2. Say no to some: During pregnancy, give a skip to food items like raw seafood and undercooked meat and poultry. This could lead to potentially dangerous infections. Other foods to steer clear from include unpasteurized milk and soft cheese. All of these are possible sources of bacteria that can be harmful to an unborn child. It is always good to give your fruits and veggies a good extra wash, as always. Try to avoid the known culprits like popular local fruits that may be laden with artificial ripeners. Also avoid food with excess oil or preservatives. You will also have to say a complete no to alcohol or smoking during this period. While most sites suggest that you also ditch your caffeine fix, you can best keep it less than 200 mg or 12 ounces in a day. Stick to decaffeinated tea and sodas when possible. Some other foods that have to be avoided during pregnancy are packaged food, cold drinks, preserved food items as they contain preservatives, which are harmful. Also, chinese food should be avoided as it contains monosodium glutamate, which is again harmful due to teratogenic chemical.
  3. Diet a big no: Another big no during pregnancy is dieting or controlling the intake of food to lose weight. Pregnancy is the time you actually, for once, get to legally gain weight and be happy about. Don't mess up your natural system with forced diets.
  4. Keep the food coming: Pregnancy is the time for food craving at all odd hours and the time to give into them without an ounce of guilt! If you are dealing with nausea and food aversion, try to stick to small meals throughout the day. Replace the chips with carrot sticks and the pizza slice with soup. If that sweet tooth starts acting up, give it a frozen fruit dessert or shake.
3186 people found this helpful

Hello Sir, can you please tell me whether having frequent sex or having sex with multiple partners loosens the vagina of a woman? Does sex before marriage creates any problem after marriage for a woman?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
yes repeated sex do cause loosening of vagina. sex before marriage as such doesnot create problem unless one doesnot get any infection
1 person found this helpful
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Know All About Gynae Laparoscopy Surgery

Panchkula & Delhi
Mother and Child Care, Panchkula
Know All About Gynae Laparoscopy Surgery

Q1. What exactly is Laparoscopy?

Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.

Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?

Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.

Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?

Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.

Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?

Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.

Q5. Will there be much pain or discomfort after Laparoscopic Surgery?

There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.

Q6. When can I be discharged from hospital?

Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.

Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?

Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.

4326 people found this helpful

BHMS
Homeopath, Solan

Can you suggest twin delivery mother caring tips. Looks milk is not producing enough. Can we use milk powder to babies. If yes. What are they?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
There is nothing special care for tweens except mother has to feed look after two babies in similar way. Milk shall be sufficient for both babies. Give good balanced nurishing diet to mother.
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Vaidya Visharad
Sexologist, Narnaul
आयुर्वेद और रोग
छिलकों में भी छुपे हैं गुण
छिलकों के घरेलू प्रयोग आजमाएं
नींबू और संतरे के छिलकों को सुखाकर अलमारी में
रखा जाए तो इनकी खुशबू से झिंगुर व अन्य कीट
भाग जाते हैं।
ऐसे सूखे छिलकों को जलाने से जो धुआं होता है
उनसे मच्छर मर जाते हैं।
इसकी राख से दांत साफ किए जाएँ तो दुर्गंध दूर
हो जाती है।
नींबू निचोड़ने के बाद बचे हुए हिस्से को त्वचा पर
रगड़ने से त्वचा की चिकनाई कम होती है।
इसके रगड़ने से मुंहासे भी कम होते हैं और रंग
निखरता है।
पीतल और तांबे के बर्तन इससे चमकदार बनते हैं।
नींबू के छिलकों को कोहनी और नाखूनों पर
रगड़ने से कालापन कम होता है और गंदगी हट
जाती है।
इन्ही छिलकों को नमक, हींग, मिर्च और
चीनी के साथ पीसने से स्वादिष्ट
चटनी बनती है।
संतरे का रस तो चेहरे को कांतिमय बनाता ही है,
छिलकों को यदि छाया में सुखाकर पीसा जाए
तो यह उबटन का काम करता है जिससे चेहरे के
दाग-धब्बे हटते हैं और त्वचा खूबसूरत बनती है।
संतरे के छिलके को पानी में डालकर नहाने से पसीने
की दुर्गंध दूर होती है और ताजगी आती है।
9 people found this helpful

I am pregnent. 8 weeks. In torch test rubella igg 62 cmv129 hsv27. But igm -'ve. Can my baby healthy?

Diploma in Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Dear igg+is a sign of immunity which means you are immune to rubella, cmv and hsv. You have very good chances of a normal pregnancy. Infact these are the tests are not recommended nowadays. Feel free to contact me if you any issues with your pregnancy.
3 people found this helpful
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Hi I am about to get married this month end. We are planning to not to have children for 1 year. But we want to involve in sex. Can you please provide some suggestions. What are the side effects if we use any contraception pills. When should she take that pills. Can you please help on this.

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
Hello Mr. Lybrate-user, congratulations on your upcoming plans. It seems you have already searched and come to the right choice of planning your family. Oral contraceptives are very reliable form of contraception provided your wife remembers to pop one pill every night without fail. In case she forgets to take it at night, please remember to pop the forgotten pill immediately next day morning and also take the usual dose of pill on the same night. If used consistently the chances of failure of oc pills are next to none. Start your pack of tablet juliana on the first day of your period, mark the day of the week, e. G. If you start first pack on a wednesday, you will finish 21 tablets in 21 days, wait for 7 days after the pack is over and then restart next pack on the next wednesday again. You may experience some side effects like breast tenderness, mild nausea, or leg pains weakness the first cycle which will eventually go away. There might be some spotting or congestion. Please report to your doctor. Please read the leaflet what comes with the pack and if you have any of the mentioned disease conditions in the past, please report to your doctor before starting the pills.
1 person found this helpful
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8 Effective Ways You Can Manage Vaginal Irritation

MD, MBBS
Sexologist, Kolkata
8 Effective Ways You Can Manage Vaginal Irritation

It is common for women to experience genital irritation and itching. At some point of time, every woman is likely to experience some form of vaginal irritation. It is a condition which often causes great distress and embarrassment. Vaginal irritation is commonly caused by a yeast infection. Irritation may also occur due to certain chemicals and sanitary pads, which are used during menstruation. Persistence of such irritation and itching may cause vaginal pain.

Vaginal irritation can be managed in several ways. Here are some tips on how to manage and control vaginal irritation using simple remedies:

  1. Use apple cider vinegar: Apple cider vinegar contains antibacterial and antifungal properties. It helps in removal of irritation completely when caused by a bacterial or fungal infection. Take two spoonful of apple cider vinegar, add hot water to it and wash your vagina using this water. The vagina is made acidic due to which the bacteria does not last long.

  2. Apply cold compress: Vaginal irritation during the night can be quite troublesome and is likely to hamper your sleep, leaving you fatigued. Apply a cold compress or ice cubes directly to the vagina. This will provide substantial relief to the irritation.

  3. Take a salt bath: Salt is effective in eliminating bacteria and itching. In case you suffer from itching,  wash your vagina using concentrated salt water. This will provide instant relief from the irritation and the risk of further bacterial growth gets reduced.

  4. Use garlic paste: Garlic contains antibacterial properties, which are quite effective in providing relief from irritation and itching symptoms in the vagina. The smell of garlic is also considered effective. Make a garlic paste and apply it inside your vagina.

  5. Use yogurt: Yogurt contains active cultures, which remove bad bacteria by the addition of abundant good bacteria. Have a cup of pure yogurt without sugar regularly. Yogurt takes care of yeast infections quite fast. You may also apply it on the vagina, especially in the area prone to irritation.

  6. Use basil leaves: Basil leaves contain antifungal, antimicrobial and antibacterial properties. Boil basil leaves in water and drink the water. This method eliminates bacteria, which causes vaginal irritation.

  7. Antibacterial talc: You can use any antibacterial talc of either medical or herbal variety. A herbal, homeopathic talc is mild on the body, but takes some time to heal the infection. Medicated talcs provide faster healing. The talc destroys bacterial and fungal infections, which may occur because of the moist surroundings.

  8. Keep it dry: Keep your vagina dry as bacterial and fungal infections commonly affect wet areas, which result in irritation. For prevention of vaginal irritation, always wear loose clothes. If the irritation gets out of control, you must consult a doctor.

4958 people found this helpful

Recurrent Miscarriage - How to Deal With It?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Recurrent Miscarriage - How to Deal With It?

What is recurrent miscarriage?

If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.

Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being. 

If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.

Treatment of Recurrent Pregnancy Loss

Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.

A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.

Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.

Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.

Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.

Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid

Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.

Role of IVF

Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.

In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.

4149 people found this helpful

I have my irregular periods. M married since two years. When I got intimation with my husband I had lots of pain in my body nd feel weak why this happens.

MBBS
Sexologist, Panchkula
You have irregular periods and got pain in your body and feel weakness after getting intimidated with your husband. This is due to your underweight. Your weight should be 58 kg.
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Hi doc, my son is 5 months old. I am giving both breastfeeding and bottle for him. Once I started with formula his poo changed from yellow to green colour and it's smelling awful. But he seems to be fine. M giving nan pro 1. Is he fine? Or I need to change another brand.

MD - Paediatrics, MBBS
Pediatrician, Jodhpur
The rule of thumb is exclusive breastfeeding till 6 months of age. Bottle feeding at any age is more harmful to health.
1 person found this helpful
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doctor I have pcos I am on dose since two and half months can you please tell me when will I conceive. What are the symptoms that tell you its getting recovered.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
It is difficult to answer your question completely. Medicines are 70-80% effective in helping you conceive. The dose may be increased if needed or alternative medicines or injections may be added. You will need to wait patiently. There are no symptoms of recovery but you need to control your body weight to get good results.
11 people found this helpful
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