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Dr. Rashida Boppai

Gynaecologist, Mumbai

Dr. Rashida Boppai Gynaecologist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rashida Boppai
Dr. Rashida Boppai is a renowned Gynaecologist in Mumbai, Mumbai. You can visit her at Saifee Hospital-Girgoan in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Rashida Boppai on Lybrate.com.

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I am facing PCOS from past 4 years. I have gone through ayurvedic. alopathic and homeo.

MBBS
General Physician, Cuttack
I am facing PCOS from past 4 years.
I have gone through ayurvedic. alopathic and homeo.
1.In PCOS (polycystic ovarian syndrome )many small cysts appear in ovary-causing hormonal imbalance and .there is production of excess Testosterone. Diet rich in Omega 3 Fatty acid reducece excess Testosterone and can be used in the treatment 2.They secrete more androgen 3.The symptoms are weight gain,acne, decreased ovulation, irregular period, infertility, depression, extra facial and body hair, hair loss from scalp, insulin resistance causing Diabetes. 4.it is genetically inherited,runs in families 5.it can be diagnosed by pelvic laparoscopy/vaginal ultrasound. 6.Treatment-surgery/anti androgen therapy 7.consult gynecologist for advice and treatment
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Hello doctors. Is there any natural mean by whom I can ovulate naturally and get pregnant. My doctor said i am not ovulating my follicles are only 14 mm on day 16th.

MBBS
Sexologist, Panchkula
Hello doctors. Is there any natural mean by whom I can ovulate naturally and get pregnant. My doctor said i am not ov...
There is no natural means for ovulation. You need to take proper treatment when you are planning for pregnancy. But you can do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning. Take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily. Avoid garlic and red chilly and non veg and eggs. This will definitely help you.
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Hai Dr. for under developing of foetus after 10/12 week's. My wife has to make ambition. 25 day's has been passed the bleeding stopped after one week. My question is can we have sex. If yes can it be unprotected/protected sex.

BAMS, MD Ayurveda
Sexologist, Lonavala
Hai Dr. for under developing of foetus after 10/12 week's. My wife has to make ambition. 25 day's has been passed the...
i m recommending you an following remedy which will surely help you Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This will help with your concern.
2 people found this helpful
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Respected Doctor, my daughter is 12 years old. Periods started for her from month before last month. The problem is periods doesn't stops. After 7 days of regular flow. It doesn't stops completely but bleeds very little everyday throughout the month and on the dates the bleeding is regular and again the same thing continues. Request you helpful suggestion.

MS - Obstetrics and Gynaecology
Gynaecologist, Bangalore
Respected Doctor, my daughter is 12 years old. Periods started for her from month before last month. The problem is p...
Initial periods are irregular. But continued bleeding is not normal. Please get a scan done and blood tests done for thyroid hemoglobin and bleeding and clotting problems and show to a gynecologist.
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Consumption of tobacco in any form along with chewing pan is very harmful

MDS
Dentist, Kolkata
Consumption of tobacco in any form along with chewing pan is very harmful as it leads to cancer of the mouth.
115 people found this helpful

I have this sudden urge sometimes of eating something like sand or chalk. Although I never do. I eat fennel seeds instead. Am I iron deficient?

MBBS, cc USG
General Physician, Gurgaon
I have this sudden urge sometimes of eating something like sand or chalk. Although I never do. I eat fennel seeds ins...
Hello, this habit may be due to anaemia so kindly get your 1. Cbc checked and 2. Serum vitamin b12 level let me know if you are having other symptom like stomach pain/ discomfort/ passage of warm form stool/ nausea etc. Consult physician for further management.
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Due to thyroid im getting irregular periods ,my gyno asked me to get the hormonal tests done, is it advisable, wat is this test done for, its quite expensive.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Due to thyroid im getting irregular periods ,my gyno asked me to get the hormonal tests done, is it advisable, wat is...
Hello, please get her evaluated for PCOD, hypothyroidism or hyperprolactinemia which can be other common causes of delayed menses after pregnancy has been ruled out. The tests are expensive as they involve fsh, lh, chess, 17ohp, thyroid profile, serum testosterone, estradiol levels, serum prolactin, serum fasting insulin levels.
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Menopause- How to tackle it

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Menopause- How to tackle it
Today 18th October is WORLD MENOPAUSE DAY....
Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause.

Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored.

But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.

Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.

Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup.

The worst problemof the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.

Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination.

“What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy).

Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc.

Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke.

Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required.

In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be overemphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.

I am 22 years old female ,height 5 feet 3 inch with weight 56.8 What should be my routine and eating habits so that I can lead healthy and balanced lifestyle?

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I am 22 years old female ,height 5 feet 3 inch with weight 56.8
What should be my routine and eating habits so that I...
You daily routine should be sleeping and waking up on time. Exercise for 40 mins daily and follow a healthy diet. Your Daily food intake should ideally consist of – a. Have plenty of nuts, dry fuits and seeds. Almonds, walnuts, sunflower seeds, pumpkin seeds, figs, dates and raisins. They are full of healthy fats needed by a human body. B. Good amount of fruits and vegetables – Bananas, apples, pomegranate, green leafy vegetables. Fruits and vegetables helps in absorption of food in the body and together, completes your daily nutrition need. C. If you are a non- vegetarian - Eat eggs, chicken etc. D. Eat whole grains – Try to have multi grains spread throughout the day. Wheat, brown rice, oats, bajra, daliya etc should be taken in multiple meals in a day. E. Eat Sprouts – Chana and moong which are full of protein and nutrients. F. You can supplement your diet with good quality multi-vitamin capsules. If you are lacking in protein, you can buy a high quality whey protein and have it with banana shake twice a day. G. You can take natural food items like wheat grass which is full of essential nutrients which helps in weight gain.
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I am married life 2 year, we want baby but we can not get any fruitful result, my sugar is 270 to 160, what should I to to get faster way to get a baby soon.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am married life 2 year, we want baby but we can not get any fruitful result, my sugar is 270 to 160, what should I ...
Hello, please consult with details about your semen analysis, blood sugar profile and your wife's investigations including hormonal profile or ultrasound and any history of illnesses in past, her menstrual cycle pattern. Kindly follow up through the site.
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I am 9 month pregnant, in my sonography report-" two umbilical cord loop is seen around foetal neck. Please suggest possibilities- easily normal delivery or operation.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am 9 month pregnant, in my sonography report-" two umbilical cord loop is seen around foetal neck. Please suggest p...
Normal delivery is possible only if fetal heart rate remains normal and there is progress and decent during labor pains. C-section can be done in case of emergency or by choice.
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Hello si Married this jan. Although we are enjoy ing healthy sexual life mine wife is not able to get orgasm during sex. She doesnt feel like having an orgasm. We both enjoy foreplay very much. But she doesnt get even of I use my finger to make her climax. I do play with her clitrious orally n fingers to make her orgasm. We both didnt know when she get orgasm or not. Please help me for this. She want to get orgasm but she didnt understand she gets it or not. She is 26 yrs old her hieght is 5.4 n her weight is 54.

DGO, MBBS
Sexologist,
In early months, even up to 1-2 years, of sexual life many women fail to achieve orgasm. Too much anxiety also is one of the causes. Moreover physical conditions like diabetes, thyroid problem, high prolactin levels etc. Too are often involved, so do blood tests hb, tc, dc, fasting sugar, prolactin, tsh. She will know only when she get it. Also there are medicines which can help if you want then only - ask private question.
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Dear Mam/Sir, I am 30 Years Old and had one baby of 8 year. My Problem is that I am having one day period with less bleeding. Any thing wrong for next conceiving. Please Suggest.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Dear Mam/Sir,
I am 30 Years Old and had one baby of 8 year. My Problem is that I am having one day period with less b...
periods getting lighter may be due to subclinical hypothyroidism esp with weight gain. please get your thyroid checked up
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Hi. Can any one suggest me to avoid pregnancy what are the different and safe option one can use apart from condom.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi.
Can any one suggest me to avoid pregnancy what are the different and safe option one can use apart from condom.
Hello, you may ask your partner to be on low dose oc pills for as long as pregnancy is to be avoided. Otherwise for men the only way is condoms.
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Helo Dr: Kindly help how to tighten the vagina. Actually when I don't discharge my hubbybis not able to intercroos but in discharge he is able to but we don't enjoy tht moment much. So kindly help how toh tighten it.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
You are having two problems, one is dry vagina which requires lubrication. This can be corrected by using s lubricant. The second one is loose vagina for which you should consult privately to know how the vagina can be tightened.
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Hi m 8 months pregnant, wearing glasses .no is -7.5 on each eyes .2 days ago I got to knw my 4.5 years daughter's eyes are also weak. Her no is -2 & -2.75.dr told me her power is cylindrical so neither it would increase nor decrease. Is it true? N is it possible dat my upcoming baby's eyes can also be affected becoz f heredity. please help me m so stressed.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Navi Mumbai
Hi m 8 months pregnant, wearing glasses .no is -7.5 on each eyes .2 days ago I got to knw my 4.5 years daughter's eye...
It is quite possible for your second baby, but take ur vitamins well, eat ur green leafy vegetables, carrots etc.. Nutrition definitely matters and reduce the risk
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Hii, I want to know about good time for pregnancy. My last monthly period started on 21 feb 2015 and stopped on 25 February 2015, I want a baby so in which date is best time for pregancy?

Doctor of Medicine, F.C.P.S.(Mid. & Gynae)
Gynaecologist, Mumbai
If your periods are regular & come every 28 to 30 days, then you should have intercourse al least every alternate day from 3rd March to 12th March for the best chances of pregnancy.
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I am not doing sex from last 3 month but this month my partner period is 5 days late. And we have sex last time by condom. So what is the solution of problem.

DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Kolkata
I am not doing sex from last 3 month but this month my partner period is 5 days late. And we have sex last time by co...
There are other reasons for delayed periods also other than pregnancy. If you are sure she can not be pregnant, go do a thyroid profile of your wife and one usg lower abdomen and pelvis. I f you have had sex durind last month then you should do a pregnancy test irrespective of using protection or not.
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Early Signs of Pregnancy

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Early Signs of Pregnancy
Early Signs of Pregnancy

Every woman is different. So are her experiences of pregnancy. Not every woman has the same symptoms or even the same symptoms from one pregnancy to the next.

1. Fatigue - If you're suddenly exhausted, it might be a response to the increasing hormones in your body. Don't treat fatigue with excessive caffeine if there is a chance you may be pregnant.

2. Sensitivity to certain Smells – Certain pleasant or unpleasant smells can make you nauseous. If you're repulsed by certain smells, or have an increased sensitivity to odors.

3. Nausea and Vomiting – This is due to rising hormones levels in early pregnancy

4. Breast Tenderness – Tender and heavy-feeling breasts, darkening of the areolas and even more pronounced veins on your chest can be a first sign that you're pregnant. Get a well fitted bra to ease the discomfort

5. Frequent Urination – In early pregnancy the uterus grows and pushes on the bladder, triggering the urge to urinate more often.

6. Shortness of Breath - This is because you need extra oxygen due to the growing embryo

7. Spotting and Cramping – This is due to implantation of the fertilized egg to wall of the uterus. Is it PMS or pregnancy? It's hard to tell, but if you're feeling crampy, it might be your uterus stretching to get ready for a baby.

8. Mood swings- These are also related to changes in hormones

9. Constipation - The higher levels of the hormone progesterone can make you constipated. You swear you fit in your skinny jeans just last week. If you're feeling a little puffy or backed up, it might be extra progesterone due to pregnancy, which slows down your digestive system.

10. Late Period
Many of the early signs of pregnancy are also symptoms of PMS. How to tell the difference? The most telling clue yet will be a missed period. If your cycle is fairly regular and you're late, you should head to the drugstore for pregnancy test kit or a gynecologist
A pregnant woman could have all of these or maybe have only one or two. If any of these symptoms become bothersome, then visit your Gynecologist and Obstetrician for consultation.

Dr. Jyotsna Gupta
http://gynecologist-delhi.webs.com
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