Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 33 years of experience on Lybrate.com. You can find Gynaecologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Nikam Komal
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Nikam KomalYour feedback matters!
Agar period regular Na ho toh pregnant hone ka chances kam hota h kya? I mean to ask that can I be pregnant if I missed my period for 3 months.
My wife infertility problem. Hypothyroid and fibroid uterus (3×3 cms) after diagnostic laparoscopy. Gynaecologist prescribed thyronorm 37. 5 mcg.and ultra q300 and active b12 for 3 months is. This is a right treatment for fibrous uterus or I may go to any other infertility specialist.
What is ectopic pregnancy??
Ectopic pregnancy is also known as tubal pregnancy, is a complication wherein, the fertilised eggs attach themselves outside the uterus. In most cases, it causes severe internal bleeding and serious infections. It is a very serious condition that warrants prompt medical attention as soon as it is diagnosed. Mostly, in this type of pregnancy, the fertilised egg attaches itself to the fallopian tube inside the body; the reason why it is known as tubal pregnancy. In rare cases, the egg might attach itself to the cervix, ovary or parts of the abdomen.
Symptoms of ectopic pregnancy include:
- Salpingitis (inflammation and infection of one’s fallopian tubes)
- Rupture of the corpus luteum cyst (a kind of ovarian cyst)
- Urinary tract infection
- Severe abdominal pain
- Excessive vaginal bleeding
- Pelvic pain
- Nausea and vomiting
- Peritonitis (inflammation of the membrane that lines the abdomen cavity)
- Rupture in the fallopian tubes which can lead to fainting and excessive pain
- Pain on one side of the body
Treatment for ectopic pregnancy
This complication in pregnancy can be diagnosed by an ultrasound as the doctor sees the growth on the fallopian tube. A pregnancy test or a pelvic exam also helps in detecting ectopic pregnancy. If not treated on time, ectopic pregnancy can prove to be fatal.
Listed below are a few treatment options for ectopic pregnancy:
- A particular medication known as methotrexate is used to end an ectopic pregnancy.
- In some cases, one might need surgery to get rid of the pregnancy. In certain complicated cases, it might be necessary to remove the tube with the foetus. This kind of surgery which removes the foetus and the tube is calling salpingectomy. The surgeon usually makes a small incision near the navel and removes the tube using a laparoscope.
- Having an abortion due to this complication can be heartbreaking and emotionally distressing for the mother as it is just like an abortion where the entire tissue is removed from your fallopian tube. To get over the trauma of losing a baby, you could join pregnancy loss groups or avail help from a therapist. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
I have been on contraceptive pill from 21st March after doing my MTP. The foods was out in the ultrasound. However I have missed my one day medicine out of my course of contraceptive, but I have Been regular otherwise. I am now seeing some blood coming out. What could be the reason for it?
How to start:
If you have been practising yoga already, you can continue during your pregnancy. However, if you are planning to start yoga as a form of exercise during pregnancy, it is ideal to do so in the second trimester. Yoga can be performed once a week or every day. The duration can range from 5 to 60 minutes per session. Follow these guidelines while practising yoga:
✓ Listen to your body carefully. If you feel any discomfort, stop. You will probably need to modify each pose as your body changes.
✓ Avoid lying on your back after the first trimester; it can reduce blood circulation to the uterus.
✓ Avoid poses that stretch the muscles too much. You are more at risk for strains, pulls and other injuries right now because of the pregnancy hormone relaxin, which softens and relaxes joints and connective tissue.
✓ From the second trimester – when your centre of gravity starts to shift – do all standing poses with your heel against the wall or use a chair for support, to avoid losing your balance and risking injury to yourself or your baby. Here is the most comprehensive second trimester dos and don’ts for you to follow.
✓ While twisting, move from the shoulders and back, rather than the waist, to avoid putting pressure on your abdomen. Twist only as far as it feels comfortable – deep twists are not advisable in pregnancy. Here are three simple exercises that can boost blood circulation during pregnancy.
1. Palm tree
Imagine you are a palm tree swaying in the wind.
Benefit: This pose stretches and strengthens the torso
Stand upright, raise your arms overhead and interlock your fingers.
Now stretch slowly and gently to the right and then the left, imitating the swaying movement of a palm tree.
2. Modified triangle pose
Can you position your body in such a way that it forms three triangles?
Benefit: This pose regulates the digestive system and massages internal organs like the liver.
Stand with your feet wide apart and arms extended at shoulder level parallel to the floor.
Stretch your left hand overhead and bend down to the right side and touch your knee. Look up at your left hand.
Return to starting position and switch sides.
3. Modified forward bend
Reach forward with your hands, with a chair for support.
Benefit: This pose stretches the back and legs.
Stand tall in front of a chair.
Lift your arms and reach towards the chair; press your palms on the chair. Keep your back straight and bend from your hips. Hold.
Return to standing position.
4. Seated twist
Twist to the right and then to the left, to improve the mobility of the spine.
Benefit: This pose stretches the spine, improves digestion and relieves constipation.
Sit with your legs stretched out in front of you. Bend your right knee and take the right foot over the left knee.
Bring the left arm and elbow over the right knee. Keep your right hand behind you on the fl oor for support. Now twist your torso to the right and turn your head back.
Return to starting position and switch sides.
5. Cat-camel pose
Imitate a cat and then a camel. Arch your spine like a cat and then lift it up like the hump of a camel.
Benefit: releases spinal stress
Get down on all fours on your mat. Place your hands directly below your shoulders. Now lift your tailbone up towards the ceiling so that your lower back is concave. As you do this your head will lift up naturally towards the ceiling.
Now round your back like the hump of a camel and roll your head towards your chest. Make the movements as fluid as possible.
6. Butterfly pose
Imitate a butterfly.
Benefit: Increases mobility of the hip joints and stretches the inner thigh.
Sit with your legs outstretched on the mat. Bend your knees and bring your feet in as close as possible, towards you. Bring the soles of your feet together.
Keep your spine straight and gently move your legs down and up, resembling the movement of a butterfly as it flaps its wings.
7. The modified corpse
You need to relax in order to feel rejuvenated.
Lie on your left side; place a pillow between your legs and below your head for support.
Close your eyes and relax your mind.
To make the poses more comfortable, use blankets, pillows, cushions and chairs for support if you need them. For instance, you can perform seated positions on a folded blanket. If maintaining an erect spine is difficult, lean against a wall for support. Also, breathing the correct way during pregnancy is vital, here are a few breathing exercises you can practise for better oxygen intake.
Follow these tips while performing the yoga asanas:
• Yoga can be practised anywhere – indoors or outdoors. Just make sure it is a calm and quiet environment with adequate ventilation.
• Yoga gear should be comfortable, convenient and simple. All you need is loose, comfortable clothing and a yoga mat, rug, blanket or carpet.
• Hold each yoga pose for 10 to 60 seconds.
• Set aside a fixed time for yoga.
• If you have never tried yoga before, first learn the different poses under supervision. Start slowly and relax for 2 to 3 minutes after every asana if required.
• Yoga can be performed once a week or every day. The duration can range from 5 minutes to 60 minutes per session.
• Never force your body into a stretch or pose. Regular practice will make seemingly impossible poses more accessible.
• If you feel any pain or nausea, stop and contact your doctor immediately.
Ayurveda includes ahara (food) as one of the trayopasthambha, one of the three pillars to keep the body healthy. The term ahara stands for the healthy eating habits. The disciplined eating habit will nourishes and keep a person healthy, on the other hand undisciplined eating habit can lead to serious health issues.
Virudhahara (incompatible food) is the main output arising from the undisciplined eating habit.
It can be consider as one of the major thread for the new age diseases.
- Viruddha (incompatibility)
What is viruddha?
Those substances which cause the imbalance of doshas in the body but do not expel them out are known as viruddha and so they remain antagonistic to the dhatus. When foods with different qualities, heating or cooling properties and different post digestive effect are combined in one meal they suppress the digestive fire (agni) and lead to accumulation of toxins in our body.
Bad effect of viruddha:
The use of viruddha food will produce boils, swelling, toxicity, abscess, tumors, cancer, weakness, loss of vigor loss of strength, loss of memory, loss of sense perception and intellect. Also causes fever, hemorrhagic disorder, skin diseases, diabetes etc.
Avoiding the incompatible food combination from the food habit is the first line to prevent the bad effect arising from virudhahara. If a person already in the habit of taking foods which is incompatible, advised to reduce the quantity of such foods gradually from the diet rather than stopping it suddenly. Ayurveda explains the panchakarma (5 purificatory therapy - vamanam, virechanam, vasthi, nasyam and raktha mokshanam) as a real solution to expel out the toxins accumulated in the body.
- Viruddha ahara (incompatible food)
Milk with fish, horse gram, black gram, salt, sour things, bananas, meat, melons, curd, bread containing yeast, cherries
Meat of aquatic animals with honey, jaggery, sesame, milk, black gram, raddish, germinated grains
Lakucha with curd, jaggery, honey, ghee
Banana with curd, buttermilk, fish, meat, melons, curd, sour fruits, bread containing yeast, cherries
Leafy vegetables with butter
Melons with dairy, eggs, fried food, grains, starches, cheese
Equal quantity of honey and ghee
Equal quantity of honey and water
Beans with fruit, cheese, eggs, fish, milk, meat, yogurt
Eggs with fruit (especially melons), beans, cheese, fish, milk, meat, yogurt
Hot drinks with mangos, cheese, fish, meat, starch, yogurt
Lemon with cucumbers, milk, tomatoes, yogurt
Potato with melon, cucumber, dairy products
Radish with bananas, raisins, milk
Tapioca with fruit, especially banana, mango, beans, raisins, jiggery
Yogurt with fruit, cheese, eggs, fish, hot drinks, meat, milk, potato
Chilies are incompatible with, yogurt, milk, melon, cucumber
Yogurt is incompatible with milk, sour fruits, melons, hot drinks, meat, fish, mangos, cheese
Mangos are incompatible with yogurt, cheese, cucumbers
Corn is incompatible with dates, raisins, bananas
Pigeon meat prepared in mustard oil, honey after heating
Drink hot water immediately after honey intake, cold water immediately after ghee intake, immediate exposure of extreme hot to cold and vice versa, cold drinks put down the digestive fire especially when taken with the meals, intake of milk when the body is heat, intake of food immediately after physical work
- Ayurveda offers some advice concerning eating habits:
There should be at least 6-hours interval between the meals.
Do not drink water one hour before and one hour after eating. It is advisable to have like warm water along with the meal.
Do not eat many items in one meal.
Eat according to your own digestive capacity.
Do not mix fruits with your meal. Substitute one of the meals with fruits or eat them between the meals.
There should be at least 4 hours between the last meal and going to bed.
Sleeping in day time especially immediately after a meal is harmful.
A short walk after a meal helps digestion.
Do not eat when you are worried or depressed.
Do not eat if you are not hungry.
Eat in a clean and pleasant environment.
Do not read a newspaper or watch the tv while eating
Do not eat too fast or too slow
- Taste and food: according to ayurveda there are six basic tastes: sweet, sour, salty, pungent, bitter and astringent. They are composed of the five principal elements.
1) water and earth - sweet taste.
2) earth and fire - sour taste.
3) water and fire - salty taste.
4) fire and air - pungent taste.
5) air and ether - bitter taste.
6) air and earth - astringent taste.
Tastes not only influence digestion, but they also have a profound influence on our doshas. A basic principle in ayurveda is similar increases similar.
1) sweet taste is composed of water and earth element. It increases kapha dosha which is composed of the same elements, but reduces vata and pitta dosha. Sweet foods are bread, rice, milk, sugar and most of the fruits. They are necessary for every constitutional type, but in excess they increase kapha and lead to overweight, increase of the mucus secretion in the nose and sinuses, increase of the mucus in the lungs, create e feeling of
Heaviness, laziness and causes diabetes.
2) sour taste is composed of the elements fire and earth. Sour foods are mostly beneficial for vata dosha. Small quantity may be used by kapha and a very small by pitta dosha. Sour foods are citrus fruits, yogurt, vinegar, cheese, all foods produced by fermentation. Used in moderation they stimulate appetite and salivation, improve digestion and refresh one's mind. Used in excess they cause thirst, burning sensation, indigestion and may help progression of different diseases.
3) salty foods are used in small quantities by all types, but are mostly beneficial for vata and increase pitta and kapha. Salty foods are sea salt, rock salt, kelp. Salty taste has laxative effect, reduces spasms in the colon, supports the electrolyte balance, stimulates salivation, improves the taste of foods and helps digestion and elimination. Used in excess it may disturb the balance of pitta and kapha. It causes hypertension, deterioration of heart conditions, skin diseases and causes early formation of wrinkles.
4) pungent taste is mostly beneficial for kapha, may be used in small amounts by vata and in very small quantity by pitta dosha. Pungent foods are many varieties of peppers, onion, radishes, garlic and ginger. They improve digestion, clean the sinuses, stimulate nasal and eye secretion. Excessive use may cause burning sensation, thirst, ulcer, skin diseases, diarrhea and insomnia.
5) bitter taste is good for all doshas in small quantities. It is mostly beneficial for pitta dosha. Bitter foods are coffee, aloe, curcuma, salads. Bitter improves the taste of foods in combination with other tastes. It is considered antitoxic. It cleans the body and the liver from toxins. It relieves the burning sensations and itching in skin diseases, reduces the fever and improves digestion. It has a drying potency and causes reduction of the adipose tissue. Excessive use is not recommendable. It causes dryness of the skin, weight reduction and sexual disturbances.
6) astringent taste should be used in pharmaceutical quantities. It may be used by all doshas in small amounts, but pitta and kapha a little bit more than vata dosha. Astringent are pomegranates, beans, cherries and foods rich of tannins. Astringent is constricting, reduces secretions, helps wound healing and reduces bleeding. Excessive use may cause
Dryness in throat and mouth, constipation, gas, weight loss.
- Advise according to dosha
People with vata dominant constitution should avoid bitter, pungent and astringent foods. Good for them are sweet, salty and sour foods. Light, dry and cold foods are not recommendable. It is good if everything is cooked, warm, with oil because vata dosha is light and dry.
People with pita dominant constitution should avoid sour, salty and pungent foods like citrus fruits and pickles. Beneficial for them are sweet, bitter and astringent foods. They must not be warm and with a lot of oil, but only with a small amount of sunflower oil or ghee.
People with kapha dominant constitution should avoid sweet, sour and salty foods. Beneficial for them are bitter, pungent and astringent foods. They have to be warm, with only a small amount of oil, mainly sunflower or corn oil.
We hope that this article will improve your eating style and health too.
Keep enjoy healthy eating:)