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Dr. Sandhya Pophale

Gynaecologist, Mumbai

300 at clinic
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Dr. Sandhya Pophale Gynaecologist, Mumbai
300 at clinic
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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. Sandhya Pophale
Dr. Sandhya Pophale is one of the best Gynaecologists in Fort, Mumbai. She is currently associated with Pophale's Nursing Home in Fort, Mumbai. You can book an instant appointment online with Dr. Sandhya Pophale on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 31 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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Pophale's Nursing Home

Indian Merchantile Mansion,3rd Floor, Opp Regal Cinema, Madam Cama Road, Fort. Landmark: Opp to Museum, Mumbai Get Directions
300 at clinic
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BHMS
Homeopath,

Signs of Gynecological Cancer

MBBS, DGO
Gynaecologist, Gurgaon
Signs of Gynecological Cancer

Being diagnosed with cancer is something no one looks forward to and Gynaecological Cancer is every woman’s worst nightmare. However, if diagnosed in time, it can be treated. Cancer in any part of a woman’s reproductive system is termed as gynecological cancer. It is of five types:

  1. Cervical cancer

  2. Ovarian cancer

  3. Vaginal cancer

  4. Vulvar cancer and

  5. Uterine cancer

Paying attention to your body and understanding its natural rhythm can help you recognize signs of gynecological cancer. This is because signs of gynecological cancer can be difficult to identify unless you know your body. Here are a five signs to watch out for-

  1. Abnormal Vaginal Bleeding: Bleeding in between periods is okay once in a while but if it happens continuously over a period of 2 to 3 months, do not ignore it. Vaginal bleeding after menopause should also never be ignored. Abnormal bleeding could be triggered by a number of conditions including cancer of the lining of the uterus. Sudden changes in your menstrual blood that persist for over 2 cycles such as heavy bleeding can also be a symptom of uterine cancer. Heavy bleeding can be defined as a period that lasts for over 7 days.

  2. Changes in the Vulva: Any change in colour of development of bumps, sores of thickened skin should be immediately shown to a gynecologist. Any form of vulvar itching or burning should also not be ignored. These conditions could be symptoms of vulvar cancer. Hence, it is important to know what your vulva looks like normally.

  3. Bloating: Persistent bloating that lasts for over a fortnight can be a sign of ovarian cancer. This is especially true in cases of bloating accompanied by sudden weight loss or between-period bleeding.

  4. Change in Bathroom Habits: Due to the proximity of the bladder to the reproductive organs, a tumour or swelling in the reproductive organs can trigger symptoms similar to those of a urinary tract infection. This includes pain while urinating, difficulty passing urine, diarrhea or constipation. Urinary incontinence could also a sign of gynecological cancer.

  5. Abdominal or Back Pain: In rare cases, lower back pain could be a sign of ovarian cancer or uterine cancer. Pain in the lower abdomen or pelvic area can also be a sign of ovarian cancer.

The above could also be signs of other health disorders. The only way of knowing for sure is by consulting a doctor. Hence, understand your body and if you notice any of these symptoms consult your gynecologist at the earliest.  

2385 people found this helpful

5 Things You Would Experience After Menopause

Diploma in Advance Endoscopy, Royal College of Obstetricians and Gynaecologists (MRCOG), MS, MBBS
Gynaecologist, Delhi
5 Things You Would Experience After Menopause

Menopause is the loss of a woman's natural ability to conceive as she approaches the age of 50. The levels of the female sex hormones estrogen and progesterone begin to drop disrupting the ovulation and menstruation cycles. There are also associated symptoms of menopause, such as weigh gain, low sex drive and hot flashes. You can also take the package for Living Healthy - Woman.

Here are 5 other problems you may experience after menopause:

  1. Increased level of cholesterol: The human body comprises two types of cholesterol primarily: High Density Lipoprotein (HDL) and Low Density Lipoprotein (LDL). The former is known as "good cholesterol". Estrogen helps to keep your HDL high and LDL low. After menopause, the levels of LDL or "bad cholesterol" naturally go up even if HDL levels remain unaltered. Regular physical exercise can prevent the rise in the levels of LDL.
  2. Dry skin: Estrogen is responsible for controlling the production of oil in your body. As estrogen levels fall, the oil secretion falls too. This leads to dry and scaly skin, especially skin of the face and arms. You can use moisturizers and creams to prevent flaking of the skin.
  3. Hair fallThis is also a result of dry skin. The skin of the scalp dries up and cannot provide nourishment to the hair. This causes hair fall. The variability in the levels of the hormones also causes deficiency of certain proteins that are essential for the nails and hair. Use mild herbal shampoos to deal with the problem. Chemical treatment procedures often do more harm than good.
  4. Unsocial tendencies: The irregularities in the production of the female hormones have an impact on your emotional and social behavior. You may want to spend more and more time by yourself instead of socializing with friends and relatives. These are not symptoms of depression or any other psychological condition. It is simply an emotional transference period.
  5. Drowsiness: While insomnia is one of the most symptoms of menopause, the situation somewhat reverses after some time. Menopause causes changes in the body weight, hormone cycles and metabolism. All of these, in turn, affect your energy levels. You feel extremely sleepy during the day, especially in the afternoon. However, sleeping during the day can cause sleeping problems at night. So, do not take a nap for more than half an hour during the day.

If you wish to discuss about any specific problem, you can consult a specilized gynaecologist and ask a free question.

2637 people found this helpful

All About Back/Neck Pain!

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
All About Back/Neck Pain!

What is the cause for my back/neck pain?

The most common cause of back/neck pain is strain or injury due to bad posture during the daily routine activities like sitting, bending forwards and lifting weights etc. Lack of regular exercise to the back and abdominal muscles, age related wear and tear changes in the discs and bones in the spine, obesity are other contributory factors. Severe wear and tear changes (degenerative changes) in the spine can lead to instability and pain that is worse on certain activities. Mechanical back pain usually gets better with bed rest.

A small percentage of patients have a serious problem like a fracture, infection or tumour in the spine causing the back pain. Any pain that is not relieved by rest or is worse at rest, pain that wakes you up from sleep should be considered serious and that needs a consultation with your doctor.

What should I do when I have significant back/neck pain?

If the back/neck pain is not very severe and is of a short duration, then complete bed rest for two to three days will help reduce the pain significantly. Applying ice packs and light massage with a pain balm/gel is helpful. Consult your doctor if the pain is severe, running down in to the legs/arms, not getting better with rest, night pain, if there is numbness/tingling sensation or weakness in the limbs, is associated with fever, or if the pain started after a significant injury/fall. Thorough clinical evaluation by the doctor will help identify those with possible serious causes of back pain and further investigations are advised accordingly.

Is my back pain due to a kidney stone/problem?

Possible. But not always.

Kidney problems, especially renal or ureteric stones can lead to pain in the mid and lower back, usually limited to one side, often pain radiating down to the groin or lower abdomen. There are certain indicators to differentiate pain coming from kidney or other organs in the abdomen from the pain originating in the spinal structures. In general, spine related pain is mechanical i. E, it is worse in positions where the spine is loaded like while in upright posture, walking or bending or getting up from reclined position and generally gets relieved by resting in reclined position.

Pain from the kidneys can start suddenly in any position, can be waxing and waning and may not change related to a particular posture. It may not get relieved by rest and can be severe even while reclined. These are only general indicators and it is always better to check with your doctor and get the right treatment advise.

I have back/neck pain even though my mri says my spine is normal! why?

A very common cause of back or neck pain is bad posture related stress to the spinal structures that happens during the daily routine activities. Sitting/standing posture, especially at work, has a major role in producing significant pain and disability even though the x rays/mri of the spine may be normal.

Bad sleeping posture can lead to pain in the neck/back. Sleep is important to allow the spine to recover from the daily stresses it undergoes while we are awake. Reduced sleeping time and lack of proper sleep can lead to accumulated stress in the spine and result in pain. Lack of adequate exercises to keep the spine flexible and muscles strong is another important factor leading to pain.

So, right posture and regular exercises are the two most important treatments to prevent such pain from troubling you.

Other structures close to the spine can also lead to back pain. So if the mri of spine is normal, further evaluation might be ordered by your doctor depending on the clinical picture.

Is my back pain due to the spinal/epidural injection that was given in my back many years ago for an abdominal or leg surgery?

No. It is a common perception that the spinal / epidural injection that was given in the past for anaesthesia purpose is the cause for back pain. Many patients associate their back pain to that injection as they remember it as painful event and think that the present pain is related to that procedure. Spinal anaesthesia related back pain doesn't usually last more than 3 to 4 days and almost never beyond one week. So the back pain that continues beyond one week or that starts much later after the spinal anaesthesia is not because of that injection and it needs evaluation by your doctor to find the right cause and treat appropriately.

Is my back pain due to my body weight / pot belly?

Overweight is an important factor contributing to back pain, especially in the lower back. Excess weight and a large belly lead to some changes in posture. The pelvis tilts forwards and the lumbar spine is also pulled forward and this posture can lead to back pain due to additional stress on the spinal joints and muscles. Lack of exercises weakens the back and pelvic muscles and contributes to the problem. Back pain due to other problems in the spine can get worse if overweight is associated. Weight reduction and core strengthening exercises in obese people are helpful in reducing the back pain.

I have back pain. Is it due to slipped disc/disc prolapse?

Not necessarily. Although disc is a predominant source of back pain, all back pains are not because of a disc prolapse. The other structures in the spine like the facet joints, ligaments, vertebrae (bones) or the muscles of the back can be the cause of pain in the back. Less commonly, pain related to abdominal organs like kidneys or pelvic organs can be perceived as back pain.

Does the disc bulge/prolapse seen on my mri get reversed again naturally?

No. The changes that happen in the disc that lead to the prolapse or bulge are not reversible. They are due to age related wear and tear changes and we all know that ageing doesn't get reversed. But usually, the symptoms and signs that are related to a disc prolapse get relieved with appropriate treatment, although the mri picture may continue to be the same. So the treatment decisions are mostly dependent on patient’s symptoms and signs rather than in mri picture alone. Only if the prolapsed disc is causing persistent symptoms and significant neurological deficits, a surgical intervention is considered.


Is lumbar disc prolapse a cause of erectile dysfunction/impotency?

Rarely a large lumbar disc prolapse can result in severe compression of lumbar spinal nerves causing numbness and weakness in both lower limbs and loss of urine and bowel control - a condition called “cauda equina syndrome”. It is only in this condition that a disc prolapse can affect the erectile function. An erectile dysfunction in isolation, without other neurological symptoms and signs, cannot be caused by a disc prolapse.

Does the disc problem affect the ability to become pregnant in future?

No. A disc prolapse/bulge doesn’t affect the ability to get pregnant. But, there is a possibility that the back pain due to a preexisting spinal problem may get worse during pregnancy due to the extra weight that is carried and the relaxation of ligaments of pelvis and spine that occurs as a result of pregnancy related changes.

Does it help to sleep on the floor/hard surface without a bed to cure back pain?

No. It is not advisable to sleep on the floor when there is a back problem. Sleeping on the floor when there is significant back pain can actually make it worse as you need to put an extra strain on the spine while getting up from the floor. Sleeping on the regular cot with a firm mattress is alright. It is advisable not to sleep on a very soft mattress that doesn’t support the spine well and can aggravate the back pain. Do not use a thick pillow or multiple pillows while sleeping as it can cause or aggravate neck/upper back pain. A thin pillow or a rolled sheet supporting the neck is an ideal kind of head rest.

I exercise only when I get back/neck pain!

Many patients say this when asked about any exercise they do. It is not advisable to start exercise when there is significant back or neck pain. But it is essential to start exercises after the pain subsides, to prevent the pain from coming back again. Exercises can help strengthen your spinal muscles, increase flexibility and protect you from recurrent episodes of pain. So it is important to keep exercising when there is no pain, to keep the pain from coming back and troubling you. So do not start exercising when there is pain.

My new born baby is unable to take breast feeding. He is 17 days old. When he born oxyzen is not reached properly in his mind. So doctor take him in NICU for 15 days. The child come home from hospital. But he is unable to take mother breast feed. Please help me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
You have not mentioned birth wt. however, your appears premature born by about 8 weeks and could not breath just after birth necessiating him to keep in NICU. If mother's nipples are normal and baby is able to suck, go on keeping him on breast for some time and then give him breast expressed milk with spoon. If it does not work, consult pediatrician particularly for neurologial assessment too.
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I am a 23 year old female and my partner and I have unprotected sex every time we do it. Since September, I have not had my period but there was the occasional discharge. Now I am having an increase in this discharge starting towards the end of April. Also I took a pregnancy test and it showed nothing. Am I infertile? Please help. Its been 8 months since ive missed my period.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
It is very unusual for a woman to have missed her periods for 8 months without pregnancy. Have you got a ultrasound done. You might be having secondary amenorrhea. You need to get some blood tests done to rule out major hormonal imbalance.
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I used i-can urine test tube result is negative and than why don't have periods on this date.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I used i-can urine test tube result is negative and than why don't have periods on this date.
Change in hormones ia another possible reason in addition to other causes. Meet gynaecologist who can diagnose.
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3 Common Eating Disorders that People Develop Unknowingly!

MD, MBBS
Psychiatrist, Delhi
3 Common Eating Disorders that People Develop Unknowingly!

Eating disorders can be defined as conditions that influence your eating behaviour significantly and which may give rise to serious health issues. Eating disorders are associated with behaviours like compulsively counting calories, puking after meals, living on a rigid diet etc. which often leads to a feeling of self-loathing and obsessive thoughts about food and weight.

Here are the three most common eating disorders and the symptoms by which they can be identified.

1. Anorexia nervosa - This disorder is considered to be a mortally dangerous condition in which the body weight reduces drastically. An individual is terrified about gaining weight and can take extreme steps to maintain their weight and shape, often leading to starvation, vomiting and many other health problems.

Common symptoms include:

-Reducing the amount of food to be consumed to cut down the calories
-Exercising beyond capacity to burn calories
-Recurrently monitoring your shape, weight and appearance
-Skipping meals
-Avoiding social gatherings where you will be offered food
-Irregular menstrual cycles in women
-Erectile dysfunction in men

2. Bulimia nervosa - Mostly observed among people in their mid-teens, Bulimia nervosa is a serious type of eating disorder associated with episodes of bingeing and purging with the individual being unable to regulate their eating habits. Moreover, the person suffering from this disease often feels guilty and horror-struck about weight gain and forces himself/herself to vomit.

Normally, people suffering from this condition exhibit the following habits:

-Binge eating
-Use of laxatives or throw up forcibly to get rid of calories
-Feeling exhausted and guilty
-Experiencing irregularity in their menstrual cycles
-The inability to maintain normal weight, in spite of trying to eliminate calories

3. Binge-eating disorder - This disorder is characterised by overeating, eating even when you don't feel hungry and continuing to eat even after feeling full. People suffering from this disorder cultivate a feeling of guilt inside them for overeating but do not try to nullify its effect by vomiting or exercising intensely. Some of the most prominent symptoms of this disorder include:

-Eating alone to hide the embarrassment caused due to overeating
-Eating quicker than normal people
-Being overweight
-Binge eating at minimum one instance every week

Related Tip: Eating disorders - What do they even mean? And what are its causes? 

3544 people found this helpful

I am 19 years old girl and my menstruation Is not in regular. I consulted Dr. and at that it was normal. If periods came it will be in 6days only that is normal. But it is not coming regular. Please help me. I am soo worried about this. Can this be any problem for me? I hope you will solve my problem.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am 19 years old girl and my menstruation Is not in regular. I consulted Dr. and at that it was normal. If periods c...
Hello lybrate user- irregular menses might occur due to two causes, first if you have developed anaemia (low hb count) or you have experienced sudden gain in your weight occur in pcod (poly cystic ovarian disease). It will affect your ovulation and hence your fertility after marriage. Try this ayurvedic treatment- a) tab kuberaksha vati 1 tab twice daily. B) tab hyponid 1 tab thrice daily. C) do basti treatment by nearby ayurvedic doctor (it is a very effective treatment in ayurveda for pcod). D) maintain proper eating routine, avoid fast foods and spicy diet.
1 person found this helpful
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Hai I am married over two years. .For me one baby 7 month .but now I want to sex with my wife but she don't because pregnancy. .what suggestions with me.

MBBS
General Physician, Cuttack
Hai I am married over two years. .For me one baby 7 month .but now I want to sex with my wife but she don't because p...
You can have protected sex by using condom or your wife can use IUCD. Consult doctor for further advice
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Stay Healthy

BDS
Dentist, Navi Mumbai
Stay Healthy

Munching foods like apples, pears, carrots or celery after brushing can help in preventing discoloration as they trigger tooth-bathing saliva which helps in keeping the teeth whiter.

4 people found this helpful

hello i am priyanka.i suffer lot of pain in stomach during my periods.please suggest me what to eat or what not during my periods. thanku

BHMS
Homeopath, Faridabad
hello i am priyanka.i suffer lot of pain in stomach during my periods.please suggest me what to eat or what not durin...
Hello. We can minimize the pain during menses with diet and medicines (which are safe to take).. Diet: - Calcium is a mineral associated with building healthy bones and teeth. However, it may have some applications in minimizing the harmful effects of menstrual cramping. So,increase your intake by eating low-fat dairy products such as milk, yogurt and cheese or green leafy vegetables. - Your body uses vitamin B-6 to manufacture new red blood cells. When you lose red blood cells via menorrhagia, your body will need more to build new cells. Also, vitamin B-6 is required for your blood sugar to stay at healthy levels. This can help prevent menstrual cramping-related mood swings and fatigue. Vitamin B-6 is found in fortified cereals, bananas, spinach, sunflower seeds, avocados, tomato juice and salmon. - Just as foods can help reduce the symptoms of menstrual cramping and bleeding, foods can aggravate your symptoms. This includes eating excessive amounts of sugar -- such as cakes, cookies and pies. These are known to contribute to water retention, which make you feel bloated and uncomfortable. High-salt content foods -- french fries, pizza and other fried foods --- can also contribute to bloating. Caffeine-containing beverages like tea and coffee should be avoided as they can contribute to headaches, mood swings and trouble sleeping. - If you're craving chocolate, make sure it's over 70 per cent cocoa. This bittersweet treat will help you relax your muscles. - We all know fluids are essential when your body is cramping or bloating. Drinking two to three litres of water during your period is essential. - Tea is an easy way to replace your caffeine craving. Green tea to soothe cramps. now, even though green tea contains caffeine, try decaffeinated green tea instead ? but be aware, you may lose some health benefits with a decaf version. Caffeine is another no-no. Drinking lots of coffee or pop during your period can increase higher levels of tension and anxiety. - Avoid anything that can damage your liver should be off the list. So, avoid alcohol. - Red meat, Smart says, is also know to cause stomach upsets and cramps. Medication: Start taking homoeopathic medicines - Mag. Phos. 6x and Colocynthis 200 - every 2 hrly. during the time of menses. And take Five Phos. and Alfaalfa Tonic - thrice daily for 1 month. Revert me back.
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I am 26 year married woman I feel so irritation after sex . I am pregnant of 3 month. What can I do ?

MICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
I am 26 year married woman I feel so irritation after sex . I am pregnant of 3 month. What can I do ?
Maintain your perineal hygiene always pass urine after sex get a pelvic examination done by a nearby gynecologist.
5 people found this helpful
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Hello, My 4 month pregnancy is going on now few days ago I had check up my blood test and sonography also. But in my thyroid test T3 is 129 ng/DL and T4 is 6.78 ng/DL. I want to asked, is it normal or save for baby?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello,
My 4 month pregnancy is going on now few days ago I had check up my blood test and sonography also. But in my ...
Hello, Thanks for the query. Most important is TSH value, that is not mentioned at all. It should be <2.5 in 1st trimester, <3 in 2nd and 3rd trimester. Only then proper fetal development and healthy outcome of pregnancy can be expected. Thanks.
1 person found this helpful
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I m 25 years old n my periods cm 5 to 7 days late is it normal. And wen to check abt pregnancy.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I m 25 years old n my periods cm 5 to 7 days late is it normal. And wen to check abt pregnancy.
Hello, a menstrual cycle of 23-35 days is considered normal so even if menses are late 5-7 days and if this has been since long then its normal in your case. Pregnancy should ideally be checked with urine pregnancy test after 8 days post missed periods.
11 people found this helpful
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Super Fact of the Day: Women’s tears decreases sexual arousal in men

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Super Fact of the Day: Women’s tears decreases sexual arousal in men
When men were told to sniff women’s tears brought on by negative emotions, it reduced the levels of sexual arousal and testosterone and men.

Would you like to share this interesting fact with family or friends? Go ahead and Share!
982 people found this helpful

My wife period was begin 3rd on this month from 7th to 14th we had unprotected sex so now she is suffering from hiccups so is it any sign of pregnancy or normal please suggest.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My wife period was begin 3rd on this month from 7th to 14th we had unprotected sex so now she is suffering from hiccu...
Hi lybrate user, hiccups is not sign of the pregnancy. But you had sex in unsafe period so possibility of getting pregnant can't be ruled out if she misses a period let her do urine pregnancy test to rule out pregnancy.
1 person found this helpful
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I am having PCOS and my gynae suggested me to have ginette 35 tablets. But from later I am suffering from so much anger and I m shouting on everyone and I am feeling depressed, crying all the day and sleeping like 13-14 hrs a day and I ma suffering from fever also. Is these effects bcoz of ginette 35 or fever or some other thing? Please help me becoz I am loosing relations bcoz of my anger.

MBBS
Sexologist, Panchkula
Medicine usually don't have such side effects. You can do this, do slow and deep breathing relaxation exercises in the morning to be mentally strong. About 30 times. Take proper balanced vegetarian diet. Avoid garlic and red chilly and non veg and eggs. Take 8 to 10 glasses of water daily.
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Hello I got conceived before one year but due to ectopic pregnancy aborted still nw trying for pregnancy .shall we go for iui whether it will b positive .my weight is 5 KGS more than normal whether this weight factor affects iui .whether it will work out pls suggest me.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hello I got conceived before one year but due to ectopic pregnancy aborted still nw trying for pregnancy .shall we go...
You need not go for immediate IUI, take ovulation induction, get follicular monitoring done and try normal sex for 5-6 cycles. It is always better to maintain correct body weight.
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