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Dr. Sushma Kwatra

Gynaecologist, Rewari

Dr. Sushma Kwatra Gynaecologist, Rewari
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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. Sushma Kwatra
Dr. Sushma Kwatra is a renowned Gynaecologist in Sector-6, Rewari. You can meet Dr. Sushma Kwatra personally at Dr Sushma Kwatra's Clinic in Sector-6, Rewari. You can book an instant appointment online with Dr. Sushma Kwatra on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 37 years of experience on Lybrate.com. Find the best Gynaecologists online in Rewari. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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I missed my monthly period this month n i think its bcoz of my changed lifestyle i m 19 yrs old n is on break from studies i m kinda sleeping late like 1.30 and getting up by 11 or 12 sometimes. So of my change i think i m not getting periods. I m still waiting for it . Hope it starts . Can u please tell me how can i get my periods every month on time as it really bothers me.

Vaidya Visharad
Ayurveda, Narnaul
Hello Dear,Periods occur when the egg formed during each menstrual cycle in the female body is not fertilized and hence ejected out of the reproductive system along with blood and several other tissue cells. The duration of each menstrual cycle is about 28 days Most women will experience their monthly period right from the time they are 13 to the time they are 50. For many women, their monthly period is nothing more than an annoyance; but other women may suffer some problems. Visit us at www.Malhotraayurveda.Com
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What is a Hysterectomy and Why Do You Need Uterus Surgery?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
What is a Hysterectomy and Why Do You Need Uterus Surgery?

What is a hysterectomy and why do you need it?

A hysterectomy is a surgical procedure to remove the uterus, which is a muscular organ that carries and nourishes the baby during pregnancy. This surgery may be done to remove all or parts of the uterus; if there are any associated problems in fallopian tubes/ ovaries, they may also be removed simultaneously, during hysterectomy.

Types of hysterectomy procedures

Hysterectomy may be done through surgical cuts in the belly, known as abdominal hysterectomy or through vaginal hysterectomy where the uterus is removed through the vagina. Majority of the hysterectomies are now done with laproscope, due to the advantage of faster recovery. Which procedure is chosen will depend on why the hysterectomy is being performed along with the medical history of the patient.

Depending on the reason of the surgery, removal of the whole uterus or just parts of it may be required. The types of surgery are:

- Partial hysterectomy is the removal of just the uterus while keeping the cervix in place

- Total hysterectomy is the removal of the uterus and cervix

- Radical hysterectomy is the removal of the uterus, ovaries, fallopian tubes, lymph nodes, cervix and the upper part of the vagina, and is generally only advised in cases of cancer

- Oophorectomy is the removal of ovaries and it may be done with a hysterectomy

Why is it needed?

There may be many reasons to have a hysterectomy and some of them include:

Heavy periods

These may be very uncomfortable and painful, sometimes caused by other diseases. A hysterectomy may be opted for when all other treatments have failed to treat this condition.

Fibroids

They are non-malignant tumors in the uterus that cause constant bleeding, anemia and pelvic pain along with bladder pressure. They may also cause very heavy periods.

Endometriosis

It is a condition where the tissue lining the uterus also grows on the ovaries, fallopian tubes, or pelvic or abdominal organs. It causes severe abdominal pain, heavy periods and sometimes even infertility.

Uterine prolapse

When the tissues and ligaments supporting the uterus become weak, the uterus may slip down from its normal position and descend into the vagina. It can result in urinary incontinence (leakage of urine), pressure in the pelvis and problems in bowel movements.

Cancer of the uterus, ovaries, fallopian tube, cervix or the lining of the uterus (endometrium)

A hysterectomy may be recommended for these types of cancers.

'Consult'.

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Hi my wife Now 18 th month pregnant. First scanning made on 12 th Week in dat report amniotic fluid index is normal. In last scanning at 18 th week the anomaly usg scan showed amniotic fluid moderately reduced. So why it is reduced? Apart from all the scanning is normal but amniotic fluid index only reduced. So is it normal? In future it will be normal or not? Tell me details. We r worrying lot. So please ans me. Thank u.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Hi my wife Now 18 th month pregnant. First scanning made on 12 th Week in dat report amniotic fluid index is normal. ...
When pregnancy occurs along with the baby, a structure named placenta is formed. This placenta is the one which forms the amniotic fluid. The baby passes urine which also maintains the amniotic fluid volume. So if the amniotic fluid is reduced it means there could be a problem with the placental function or baby's kidneys or both. Anomaly scan determines structure of a baby and its organs, even if it is normal it cannot say anything about function. It is better to take medicines to improve the amniotic fluid and if it does, to keep it in normal limits. If the amniotic fluid goes down further, to become severe oligohydramnios, at times it is an indication to terminate the pregnancy. So keep a watch and ask your wife to take 2.5 liters of water daily along with emdicines prescribed by your gynecologist.
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Does Quality of Eggs Affect IVF Treatment

Health and Medical ARC Fertility
IVF Specialist, Chennai
Does Quality of Eggs Affect IVF Treatment

The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.

There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:

  1. Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality.
  2. Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
  3. Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.

Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the best option is to have donor eggs.
 

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Diploma in Obstetrics & Gynaecology
Gynaecologist, Delhi
Your baby's health is directly related to your health. So, avoid travelling to low altitude areas, and doing scuba diving or mountain climbing. Or it will interrupt the flow of oxygen to your baby.
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Since I had my last periods on 25th feb. So can I use prega news card on 30th march just to check the pregnancy. Will it show true result?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Since I had my last periods on 25th feb. So can I use prega news card on 30th march just to check the pregnancy. Will...
Hello, urine pregnancy test should be done 8 days after missed periods to confirm or rule out pregnancy.
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Hi doctor I have egg not growing problem so which medicines and how much months I have to take please tell me periods became regular weight also reduced please tell me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hi doctor I have egg not growing problem so which medicines and how much months I have to take please tell me periods...
Hello, It takes the optimum body temperature for growth and ovulation of an egg. This temperature is provided by good quality blood. If you are overweight or suffering from blood deficiency disorder thn your egg will surely not grow and ovulate as natural. Ayurvedic medicines like Kumari asava etc. Help recovering the condition and can help you achieving pregnancy.
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Hello doctor, 1 month before I got family planning surgery and now i'm alright. But I want some suggestions and precautions about this surgery. So please give some tips.

MBBS
Sexologist, Panchkula
Hello doctor, 1 month before I got family planning surgery and now i'm alright. But I want some suggestions and preca...
There are no specific precautions. But take proper balanced vegetarian diet. Take lots of water and fluids. Do meditation for mental strength.
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I am 27 years old and I have high BP and taking medicine for past 5 years metpurexl50 daily once Omnitan 25 twice a day BP is under control I'm going to get married within 6 months is there any problems due to this medicine in my marriage life and will it cause any infertility to me or impotent.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 27 years old and I have high BP and taking medicine for past 5 years metpurexl50 daily once
Omnitan 25 twice a d...
No it will not cause any problem in your married life. As with any health concern, especially leading up to pregnancy or after conception, discuss all concerns with your healthcare provider. Hypertension (high blood pressure) can cause problems with erection, either directly or as a side effect of medication, as some medications used to treat hypertension in men can lead to decreased fertility. Spironolactone, which is found in several medications for high blood pressure, is believed to interfere with sperm production. Other blood pressure medicines can interfere with the sperm's ability to fertilize an egg. There are a number of things that you can do to help preserve and promote your fertility. Eat a healthy, balanced diet. Take regular exercise. Try to maintain your weight in the ideal range. Don't smoke & quit alcohol consumption. Don't use recreational drugs. Try to reduce stress.
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I'm 1n half month pregnant went for a blood test reported tat teitz fundamental of clinic chemistry of 6th edition. So wat does it mean? I'm 21 years old female. please answer me soon.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm 1n half month pregnant went for a blood test reported tat teitz fundamental of clinic chemistry of 6th edition. S...
Teitz fundamental of clinical chemistry is the name of book. Lab must be using reference values published in that book as a reference level for the blood test performed.
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Sir mera wife ka breast kuch dino se size 32 se 36 ho gaya isko kam karne ka koi solution hai kya?

BAMS
Ayurveda,
Sir mera wife ka breast kuch dino se size 32 se 36 ho gaya isko kam karne ka koi solution hai kya?
There are two ways to reduce naturally and medication like using cream and capsule. So details her life style and food habit.
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I have sex with my gf without any protections but I squirt the sperm outside her vagina. Is there any chances of pregnancy?

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
I have sex with my gf without any protections but I squirt the sperm outside her vagina. Is there any chances of preg...
Hi. Even if you ejaculate outside the vagina, there are always chances that small quantity of semen is released during foreplay / precum. Even a drop of semen contains sperms. Though chances of pregnancy is less but not impossible.
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My wife is pregnant of 4 months can we do sex in this situation is their any harm to baby and my wife.Please tell.

MICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
My wife is pregnant of 4 months can we do sex in this situation is their any harm to baby and my wife.Please tell.
If she has no bleeding if placenta is not low lying if there is no other high risk factor, you can do sex.
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My tym (periods) not come before 3 moths. I wanna to come my period. Tell me what can I do?

BHMS
Homeopath, Thane
My tym (periods) not come before 3 moths. I wanna to come my period. Tell me what can I do?
Hi, Please mention the details of your cycle and how is the discharge ?What other complaints you have during your menses?So that accordingly medicines can be given.
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Sir, when I am sucking my wife's breast milk is coming. Already we have children but they are above 10 years. What to do. Can I drink the milk. Please help me in regarding to.

MS - General Surgery
General Surgeon, Patan
U can but until you stop doing it, it will not stop secreting. So its up to u. Otherwise its not a matter of worry. Just hormonal factors.
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I am suffering from improper urination, that is I have frequent urge, unsatisfactory urination & it drips afterwords & wets my underwear. No diabetes, but my father died of prostate cancer. More over I possess hypersexuality which I don't want as my wife is not that interested in sex & I don't want to try any other way to fulfill this need. Please guide me.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
I am suffering from improper urination, that is I have frequent urge, unsatisfactory urination & it drips afterwords ...
Hi dear -for both of your problems you need a regular course--2 months its package is available -any how you can start with, homeo med;- -can notharis 30 --3 times a day --4 days and report me.
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Hello Sir my fiancy have some problem of black bleeding in vagina after 15 days gone of time period and this bleeding are during when she done after urination so what problem are there.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Pune
it may be due to hormonal imbalance . follow the schedule Use warm water for drinking,take healthy ,warm food,fresh fruits,dry fruits,take proper rest,sound sleep,do regular exercise, yoga,pranayam. Avoid- chilled water,cold drink, foods kept in fridge,oily,spicy,outside food,water, avoid late night works, travelling ,overexertion during menstruation. best luck..
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I and my gf had a sex on 22 jan his last period finish on 22 or 23, dec there is any chance to got pregnant. Reply fast.

MBBS, DGO, MRSH, DGO,
Gynaecologist, Gurgaon
I and my gf had a sex on 22 jan his last period finish on 22 or 23, dec there is any chance to got pregnant. Reply fast.
Can't say, though it's very unlikely to be pregnant but still wait for the cycle date ,if she misses her period, go for urine pregnancy test and confirm.
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Intestinal Worms – A silent Disease " You may be carrying one"

DCH, MBBS (MAMC)
Pediatrician, Delhi
Intestinal Worms – A silent Disease " You may be carrying one"
• Worm infestation is one of the common problems not only in children but also in adults. They are major cause of childhood anemia and malnutrition, which leads to growth retardation, cognitive impairment, and poor academic performance.
• Worm infections are more prevalent among school children aged 5-14 years. They are seen in about 50% in urban and 68% in rural school children.
• Children are carrying worms in their intestine without their knowledge. Worms stick to intestine and keep on sucking blood and other nutrition. There are many types of worm like roundworm, thread worm, pin worm, hook worm etc. which can cause infection.
• Severity of infection depends on worm burden. A large majority of cases are asymptomatic. Infection is first identified when parents notice worms in stool .
• They can cause serious complication like Intestinal obstruction, liver disease, Pneumonia and even brain infections.

How we get worm infection?

• When people defecate in the open, millions of roundworm eggs are deposited in the soil or environment. They cans be carried around freely by dust, wind and rain.
• The infective eggs enter into the human body when we swallow or ingest fecal contaminated water or food. Or we pass onto food by infected hands, dirt under the nails, cups and plates.
• A child playing in a compound picks up infective eggs through dirty hands or play objects.
• Dirty human feet and animals walking in and out of houses bring the roundworm eggs into the home, and thus contaminate the home environment.
• In addition, flies, cockroaches and rats are also common vehicles that carry the roundworm eggs into the home where they infect humans.
• swimming in polluted rivers, eating without washing hands, geophagy (eating soil), eating unwashed fruits and vegetables.

In endemic areas eggs contaminate numerous domestic and public sites, including the following-

• Chopping boards • Coins• Door handles • Dust• Fingers• Fingernail dirt• Fruits and Vegetables
• Furniture • Paper money• Pickles• Public baths and restrooms• Public transportation (eg, buses)
• School rooms• Wash basins

How to prevent it?

• People need to adopt good hygiene habits by washing both hands properly with soap before eating or feeding children and after defecation.
• Wash vegetables thoroughly, especially when eating them raw.
• Cook food and vegetables properly to destroy the worm eggs.

• Hygiene and health education of school children is the most important activity to motivate children to change their behaviors and to take home the good hygiene habits.
• They can be shown photos of worm’s diseases, so that they can be easily persuaded to follow good hygienic habits.

How to identify worm infection?

• 85 % of patients are asymptomatic so it remains undiagnosed.
• Stool microscopic examination, for worms egg is a simple and cheap method of diagnosis .
• If the child is looking anemic, malnourished, weak, stomach pain or having anal itching, get his stool test done.

Treatment –
• Worm Infection can be easily cured. We have very good medicines available for worm infections.
• Consult your pediatrician for medication advice.
• But medication does not prevent re-infection.
• So the main treatment is, Prevention through Education of children and parents about importance of good hygiene.

Take Home message

Make it your family culture - Wash Hands with soaps just before eating food.
Wash fruits and vegetables thoroughly before eating.

For any queries, feel free to contact at penguinclinic.com
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