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Dr. Reena

Gynaecologist, Mumbai

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Dr. Reena Gynaecologist, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Reena
Dr. Reena is a popular Gynaecologist in Andheri East, Mumbai. You can consult Dr. Reena at Indu Maternity & Surgical Nursing Home in Andheri East, Mumbai. Save your time and book an appointment online with Dr. Reena on Lybrate.com.

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Indu Maternity & Surgical Nursing Home

Kalpana Building, Plot No 183, Sher E Punjab Society, Mahakali Caves Road,Andheri East. Landmark:-Opposite To Tolani College, MumbaiMumbai Get Directions
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Pregnancy - Understanding Fertility After Early Miscarriage!

DNB (Obstetrics and Gynecology), FICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
Pregnancy - Understanding Fertility After Early Miscarriage!

Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.

Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn’t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.

The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.

Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn’t possible to pass a common judgement about fertility in this scenario.

The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.

Ways to Increase Fertility

If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-

  1. The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It’s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
  2. Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
  3. Eat healthy. If depression was experienced due to the miscarriage, it’s possible that the woman’s diet has not been the healthiest. It’s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.

Talk to a Doctor

If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.

If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.

The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.

Bottom Line

Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.

The decision to try again is not an easy one. However, fertility won't typically be an issue.

2 people found this helpful

I am 40 years old women and I am missing my periods since last four months I am worried about it, is it time of menopause, while I think menopause will come at age of 45-46.Help me.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
I am 40 years old women and I am missing my periods since last four months I am worried about it, is it time of menop...
Yes it can be the time for menopause. Usual age of menopause is 45 years but in some cases it can start at early age as well. You should start taking m2 tone daily. Consult me in pvt for more specific treatment and guidance
4 people found this helpful
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Small size of overies hai chek up karwaya tha kya kare sir uski bajha se date nahi aa rahi hai.

BHMS, VLIR Belgium, Canadian Academy Of Homeopathy
Homeopath, Navi Mumbai
Small size of overies hai chek up karwaya tha kya kare sir uski bajha se date nahi aa rahi hai.
Small size hai to definitely, ovaries acche se kaam nahi kar rahe hain. Isiliye aapko menses ka issue hai. Homeopathy se aisi problems puti tarah se thik ho sakti hai. Aap acche homeopathic treatment ke liye mujhse sampark kar sakti hain.
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I have anal sex with my gf for first time. I want to know that what should I prescribe to my gf that will reduce the swollen. because when I did it the blood comes.

DHMS (Hons.)
Homeopath, Patna
Hello, Anal sex cause injury with pain & bleeding. Give her the homoeopathic medicine:@.Arnica. Mont 200-6 pills, thrice. She should tk, plenty of water to hydrate her body making anal orfice more flexible. Tk, care.
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Hello doctor, am 21 year old I have married 5 years ago and I don't have any kid but last few days I have suffers irregular period and I consulted to a doctor then in usg report I have a big tumor/cyst in right ovary and doctor says operate is the only way and i am very sad now I don't have any kid but I need a kid what I need to do ? any effect for in pregnancy for this cyst operation please help.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Hello doctor, am 21 year old I have married 5 years ago and I don't have any kid but last few days I have suffers irr...
All cysts are not to be removed. Even when they need to be removed, we can preserve ovaries and thus undisturbing the chance of pregnancy.
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HAVING S-E-X FOR THE FIRST TIME

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
HAVING S-E-X FOR THE FIRST TIME



For both partners:


How do I have" good" sex?
What follows is not a set of rules. Rules about sex are impossible-- what should matter is that what you do makes you feel good. And" feeling good" should last past the sex itself-- you should not feel anxious afterwards about getting her pregnant or catching some horrible disease, so planning ahead about contraception and safe sex is part of the idea.

What time should we have sex?
When you have sex doesn't really matter. What should matter instead is that you and your partner have sex when you are both comfortable. Some people prefer to make love at the break of dawn, some in the afternoon sun, some in the darkness of night. More important than time of day is the time you have to spend. Give yourself a lot of time to have sex the first time. A weekend is ideal, but at least the whole day, including sleep time.

Should we eat or drink anything before sex?
Avoid eating a heavy meal, since that'll just make you sleepy. Eat light, don't drink too much alcohol, if any at all. It may help you shed inhibitions, but it may also make his erection much more difficult to achieve and you want to spend more time in the bedroom than the bathroom anyway, right?

Where should we have sex?
Where you have sex is probably a more important decision. Finding a place where you both can be private for up to forty-eight hours can be difficult at that age where most people are planning on losing their virginity. But it's worth it.
A bed is probably the best thing to make love in, still. Hopefully you'll have a room to yourself, with all the amenities that a bedroom affords, including heat, comfort, space, and the bathroom. Take a shower together! if you're about to have sex, you've probably had your hands all over each other before now. Get to know each other's bodies. Take your time. That's what lovemaking is about.


What do we need to bring?
Bring what you need to make you comfortable. Birth control pills, condoms.
Will we come at the same time?
Don't worry about making orgasm simultaneous. Some women do not orgasm during intercourse until they have gained experience, and even if you both are capable of climax, the odds are very much against the two of you coming together the first time. Enjoy yourselves, and rely on one another to tell the truth about what is pleasurable and what is satisfying.


For her:


What do I do first?
You can't expect him to know what makes you feel good. You'll have to tell him or show him, and that may mean taking some of the initiative, taking his hands and placing them where they make you feel good. Don't be afraid to ask him to" be gentler" or change positions. Go slow. If it's his first time, he may well be totally nervous about what you're about to do, and his penis may not respond at first. Patience, gentleness, and understanding are required to bring it back to life, and that may be hard for you to achieve, but that's why we told you to give yourselves lots of time.


Will it hurt?
You have probably heard horror stories about how much losing your virginity hurts. For a few women, it does, but with the right touch and the right partner, you should be able to take his penis into your body without pain. Have him take his time, use a lubricant, and press his fingers into you, opening you up slowly. Tell him when it feels good and when it hurts.

What position should I use?
Many women prefer to have sex the first time being on top, where they can control the first entry. Others want to be on the bottom and give their lovers that control. Choose what's best for you. Just remember to tell him to go slow, take your time, and if you feel the need, use a commercial lubricant.

For him:


What if I can't get it up?
It may sound funny, but your penis, which has worked great for years, may suddenly go on strike at your first chance at" real" sex. That's natural-- you're nervous. Take a deep breath. Do something else for a while with your hands, your lips and your tongue. Try to forget about your anxiety, and your penis will respond. It's only a temporary thing.


Should I tell her if i'm a virgin?
Many men think that because they're men, they should be in charge of the sex, regardless of who has the more experience. If you're a virgin and she's not, tell her, and let her lead if she wishes. This is as much a learning experience as a loving one. Don't be afraid to confess the truth. A lot of women would rather know that your fumbling is inexperience, rather than just sheer ineptitude, and will gratefully show you the ways of the world.


What if I orgasm too soon?
If you actually climax much too soon before you wanted to, take your time, take a nap, and try again. The second time you should be much more relaxed and ready to take your time-- so will your penis.


Am I big enough? too big? the right shape?
Size of the penis is a common concern. The average penis is slightly more than five and a half inches in length when erect, and that's more than enough to hit every major nerve center of the clitoris and the vagina, the legendary g-spot included. The vagina is capable of stretching to take a large penis, or shape itself to pleasure a small one. Size has very little to do with your ability as a lover.
Another common issue is shape. Some men become concerned because their penis bends downwards, or to the left, and assume that because they never see men like them in erotic movies that they're not normal. Others worry that a downward bend will make sex difficult or painful because the vagina isn't shaped with that bend in mind.
Keep in mind that sex can be performed in any number of positions. The penis and vagina can be matched in many different ways, and each new position can bring new pleasures to you and your partner. Some people believe that a downward-bending penis is much easier to perform oral sex upon.


Will I be a good lover?
Being a good lover doesn't happen automatically. With the right partner, time, care, and practice, you have everything you need to become a great lover. Your first times, for both you, will be fumbling and awkward, but hopefully they'll be the start of great times for the rest of your lives

9 people found this helpful

IVF - 3 Preparatory Measures

MD - Obstetrtics & Gynaecology, Advanced Infertility
IVF Specialist, Kolkata
IVF - 3 Preparatory Measures

Infertility is known to usher a lot of emotional stress in the lives of those who go through it. Often, an overwhelming sense of grief descends upon the couple who try to grapple with the sense of loss. The social and psychological ambience plays a very important role in reconciling one with the harsh reality and prepping one up for a fresh start. 

While IVF has proven to be a boon in the lives of many couples, many still take to IVF as the last resort. Another factor that makes the responses about IVF rather ambiguous is the uncertainty of the results. There are numerous factors like failure in embryo attachment or uterine incompatibility that often results in a failed IVF. Therefore, before opting for this surgery, one must be mindful of the consequences. 

Some of the ways, one can prepare oneself for IVF have been enlisted below: 

  1. Informed choice: Considering IVF is a rather stressful surgery, one needs to be well aware of the stakes. Reading up about the potential risks and the details about the process, helps one to be prepared for the consequences and deal better with the trauma.
  2. Take good care of your intimate relationships: Since IVF tends to take a toll on not just the mother, but also the close family, it is important to maintain a strong bond of trust and compassion in the course of the surgery. Hostility and discordance adds on the stress and sometimes inflict grave health implications upon the mother. It is important to support your partner through the entire journey. You may consider professional counselling too.
  3. Prepare yourself for all possible situations: While the advanced technology aims to minimize any hazard, the results can often be unpredictable. You might want to adequately monitor your cycle in order to anticipate the potential problem areas and the results thereof. You should discuss these with your loved ones to avert excessive stress. It is a good idea to keep oneself productively busy in the due course to avoid anxiety.

I am 34 year female with past record of pcod. Now after ultrasound I have found that my endometrial thickness is 12 mm. Doctor suggested dns. What should I do?

MD, DGO, MBBS
Gynaecologist, Chennai
Dear , good afternoon! 2 mm endometrial thickness is normal after 14 days of menstruation. What was the day of menstruation on scan day? what was the reason for scan? what is dns? is it d& c?
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My wife had 3 miscarriages and same reason 2 months ago baby's heartbeat loss so what could be the reason? Kindly advise.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Reason could be genetic problems in baby, problems in semen of husband, problems in blood of wife, hormonal problems etc. Treatment is to detect the cause and then treat it.
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Dear Dr. Weather sustain 200mg tab l increase the length of monthly period cycle.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Dear Dr. Weather sustain 200mg tab l increase the length of monthly period cycle.
Sustain contain progesterone hormone. Progesterone is a hormone released by the ovaries. Changing progesterone levels can contribute to abnormal menstrual periods and menopausal symptoms. Progesterone is also necessary for implantation of the fertilized egg in the uterus and for maintaining pregnancy. It also cause delayed menses too.
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Hi. I am getting white discharge very much because of it I have go boils in vagina that is very painful n irritating what should I do to stop it?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Cook a handful of rice in a half a lit of water in an open pan. When rice is ready don’t throw the residue water drink reason this water when it remains that much hot that you can consume. Drink it on adding 1 tsp of sugar. This relieves your leucorrhoea that within a week. This is one of the most common home remedies for leucorrhoea.
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I am planning for a second baby, due to some over weight doctor suggested to reduce some weight. So I'm in doing till now I lost 4 kgs last 3 months. Does dieting effects internally not to become pregnant. I have a gap of four years from my first pregnancy. Iam worried of it.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am planning for a second baby, due to some over weight doctor suggested to reduce some weight. So I'm in doing till...
If you loose weight and get back to tour normal bmi <25 then it will help in getting pregnant. More weight prevents you from getting pregnant. Your current bmi is 27.1. You should reduce weight further to 60 kg before you start planning for pregnancy.
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I have polycystic ovary disease and I take medicine from 4 years and problem in monthly cycle. What to do? Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Treatment for PCOS is not curative. Treatment focuses on controlling symptoms and managing the condition to prevent complications. The treatment will vary from woman to woman, depending on specific symptoms. A healthy diet and regular exercise is recommended for all women with PCOS, particularly those who are overweight. This can help to regulate your menstrual cycle and lower your blood glucose levels. Women who don’t want to become pregnant may be prescribed birth control pills. These can help treat acne, regulate the menstrual cycle, and lower levels of male hormones, such as testosterone, in the body. If a woman with PCOS is suffering from infertility, fertility drugs may be administered to aid in ovulation. Anti-androgens are drugs that reduce male hormone levels. These can help stop excess hair growth and reduce acne. Diabetes medications may also be prescribed to lower blood glucose and testosterone levels. Surgery may be recommended for some women with PCOS. Ovarian drilling is a procedure in which your doctor punctures your ovary with a small needle that carries an electric current, in order to destroy part of the ovary. This is a short-term solution that can promote ovulation and reduce male hormone levels.
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I am a 21 weeks pregnant women. Now am suffered joints pain near pelvic and leg. Past few days I suffered lot. While standing and sitting doesn't pain created but in sleeping position I can't turn from left side to right side it creates more pain. Also while wakeup from bed its create more pain. Please give me some suggestions.

BHMS
Homeopath, Pune
I am a 21 weeks pregnant women. Now am suffered joints pain near pelvic and leg. Past few days I suffered lot. While ...
Eat less rice. Eat brown rice. Eat whole grains. Brown bread. Vegetables. Eat 5 times small portions. No mealing only snacking. Sleep with pillow between legs while on sides.
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My age is 58 and my wife is 50. What should be the ideal frequency of sex per month so that no weakness is felt in our body. We feel pain after sex in thigh for some time. I have problem of Erectile. What do you suggest for me?

PDDM, MHA, MBBS
General Physician, Nashik
My age is 58 and my wife is 50. What should be the ideal frequency of sex per month so that no weakness is felt in ou...
The treatment depends on the cause of erectile dysfunction. Some of the common causes are, 1. Diabetes. 2. Prostate Enlargement. 3. Heart problems. 4. Problems in low back affecting the low back nerves. 5. Low testosterone levels. In this regard I would like to advise you to get the following tests done and revert back with reports. Fasting and postprandial blood sugars, TSH, Ultrasound pelvis and scrotum, Serum testosterone levels. Once the cause is corrected Erectile dysfunction will resolve automatically.
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I am 29 years old. I want some medicine name for my wife. Make her ready for sex.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
This problem needs to be addressed sensitively as in women, often there are hormonal and other problems. If we don' t treat it, the problem will not be solved.
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Can I take crisanta tablets 19 pills instead of 21 pills? Will it effect my cycle?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Can I take crisanta tablets 19 pills instead of 21 pills? Will it effect my cycle?
Hi Subhagya... These tablets have many side effects... And used for many reasons..... For contraception use condoms If you have menstrual irregularities then start homoeopathic treatment... But avoid these tablets... It has many side effects..
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Hi, I am 29 years old and I have a 6 months old baby. I would like to check if I can take an I pill contraceptive incase if I have had an intercourse without protection. I am also breast feeding my baby. Kindly help to clarify.

BUMS
Gynaecologist, Mumbai
Hi, I am 29 years old and I have a 6 months old baby. I would like to check if I can take an I pill contraceptive inc...
as u wrote u should prefer intrauterine contraceptive device. like copper t.... it will the best for u n baby
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Body Detoxification

BHMS
Homeopath, Raebareli
Body Detoxification

Detoxification is a process in which a person makes lifestyle changes to clear body of toxins. These lifestyle changes involve abstaining from harmful things. Some changes are temporary, such as following a cleansing diet, others are permanent.

Toxins are substance that can be poisonous or cause negative health effects, it can be metals, chemicals, pollutants, artificial food ingredients, pesticides, and poisons.

The Body and Detoxification

  • The excretory system in the body plays the largest role in detoxification. The main organs involved in excretion are the skin, liver, lungs, large intestine, and kidneys.:
  • The liver filters and excretes waste, hormones, drugs, and other foreign substances.
  • The lungs help remove carbon dioxide.
  • The large intestine converts waste into stool that is expelled from the body through defecation.
  • The kidneys filter the blood and help remove waste from the body through urination.
  • The entire body relies on this system to live a healthy life.
  • Your body is detoxifying itself all the time, around the clock, 24x7

Ways To Detox Your Body:

Right Foods
Take green vegetables and fruits over fast food and other processed foods. Avoid pesticide contaminated foods

Exercise & Meditation

  • Exercise and meditation help maintain a healthy body. Exercising helps body to sweat, and this helps release toxins through your skin.
  • Meditation helps to keep your mind clear and reduces stress.

Diet

  • Few foods stuffs that aids in detoxification like garlic, lemon, broccoli sprouts, mung beans, and raw vegetables.
  • Raw diet – like uncooked fruits and vegetables along with raw nuts, seeds, and sprouts.
  • Juices – made from fresh fruits and vegetables.

Breathe Clean Air

  • Breathing clean air reduces your exposure to toxins especially over your home and work areas.
  • Proper ventilation at home and work placePlanting.Planting house plants which act as natural air purifier.

Water
Drinking Luke warm water a glass everyday is a powerful tool to detoxify the waste in body. Bathing with luke warm water also soothes and remove toxins from body.

15 people found this helpful

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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