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Dr. Neeraj Maheshwari

DGO

Gynaecologist, Vadodara

9 Years Experience  ·  300 at clinic
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Dr. Neeraj Maheshwari DGO Gynaecologist, Vadodara
9 Years Experience  ·  300 at clinic
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Personal Statement

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. Neeraj Maheshwari
Dr. Neeraj Maheshwari is a trusted Gynaecologist in Adharpura, Vadodara. He has over 9 years of experience as a Gynaecologist. He has completed DGO . He is currently practising at Maheshwari Hospital & Maternity Home in Adharpura, Vadodara. Book an appointment online with Dr. Neeraj Maheshwari on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 26 years of experience on Lybrate.com. You can find Gynaecologists online in Vadodara and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
DGO - Bangalore University - 2008
Languages spoken
English
Hindi

Location

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Maheshwari Hospital & Maternity Home

B 46/47, Laxmi Nagar Society ,Maneja, Opposite CNG Petrol Pump, Makarpura Vadodara Get Directions
300 at clinic
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My husband is using condoms regularly since last 1 year. He did use last month too. But I missed my period this month. Please advice for best anti pregnancy tablets which can be taken regularly.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
My husband is using condoms regularly since last 1 year. He did use last month too. But I missed my period this month...
Dear madam, to avoid pregnancy it is most safest method to go through condom use. If you are not satisfied try to maintain w withdrawal method by husband before ejaculation. Any drug or oral contraceptive will yield some reactions with body change. So many contraceptives available in market, but try to avoid, go natural process followed with cation. Ok.
2 people found this helpful
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After having sex, my wife occasionally feels some pain above vagina May be on mouth of uterus, is there any worry or its usual?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
It can be due to swelling some where in urerus if your wife do not experience any discharge problem.Just avoid frequent intercourse for few days and do not indulge in aggressive sex for few days and start taking below given homoeopathic medicine CIMICIFUGA 30 ( Dr Reckeweg) Drink 2 drops in 1 spoon fresh water 3 times daily for 30 days and report me thereafter.
1 person found this helpful
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I am 20 years old. I am getting period from the age of 12. Since then my periods are never irregular. But this time I am not getting my periods. My last period came on date 18-8-2016. I have also gained weight. I have fat deposit in my tummy shoulders cheeks and breast. Tell me why my periods are late. Also tell me some powerful home made remedies to get my period within 2-3 days. Thank you.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am 20 years old. I am getting period from the age of 12. Since then my periods are never irregular. But this time I...
Hello Lybrate user- Irregular menses might occur due to two causes, first if you have developed anaemia (low hb count) or you have experienced hormonal disturbances occur in PCOD (Poly cystic ovarian disease/Thyroid. According to ayurveda there is a Fat (meda dhatu) and blood (rakta dhatu) symbiosis in the body, whenever the patient indulge in practices like irregular and unhealthy diet (fast food etc.) and irregular daily schedule (late night workout ,sleeping in day time etc.) this symbiosis gets disturbed and body start making fat in excess thus minimizing the production of blood in proper quantity and quality. This the main reason behind your irregular periods. 1. Use Black sesame seeds before meals. 2. Chew Garlic bud empty stomach in the morning. 3. Apply Castor oil on your belly daily at night. These tips will make your periods normal.
4 people found this helpful
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Hello Sir, I am 30 years old female. Mujhe breast ke niche ghat h jo na hi increase hoti h or na he decrease. Pain bhi nahi hota koi .kabi kabhi thori si tees jaise feel hota h maine surgeon se consult kiya h wo bole ki koi prblm nahi h pls consult me best for me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello Sir,
I am 30 years old female. Mujhe breast ke niche ghat h jo na hi increase hoti h or na he decrease. Pain bh...
Hello, This could be just a benign fibroadenoma or a fat lump. As there is no pain or increase in size, there is no need to worry or operate.
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My Partner turned 17 today we had an unprotected sex @21 Dec and she took unwanted 72 within next hour and then she bled on 26th dec today we had an unplanned intercourse again and had to take that pill again the next hour. She has decided not to take ipill again so womt have unprotected. So what are the causes now and for what she has to wait so that we can be relieved please help.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
My Partner turned 17 today we had an unprotected sex @21 Dec and she took unwanted 72 within next hour and then she b...
It is a highly irresponsible behaviour on your part. You created a situation where your gf had to take ipill twice within one week. Ipill is not an ordinary pill for you to take as you like. Your gf's hormonal system could be damaged permanently for which you would be held responsible.
3 people found this helpful
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After 14 weeks of pregnancy she got little blood what should we do please advise.

MD - Homeopathy, BHMS
Homeopath, Vadodara
After 14 weeks of pregnancy she got little blood what should we do please advise.
If is has stopped then don't panic... and consult your usual gynecologist as she can tell what's wrong after proper physical examination... To prevent abortion or any complication you may consider taking homoeopathic medicine...
1 person found this helpful
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What Is Polycystic Ovary Syndrome (PCOS)?

Ayurveda, Delhi
What Is Polycystic Ovary Syndrome (PCOS)?

What is Polycystic Ovary Syndrome (PCOS)?

Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's:

  • Menstrual cycle
  • Ability to have children
  • Hormones
  • Heart
  • Blood vessels
  • Appearance

With PCOS, women typically have:

  • High levels of androgens (AN-druh-junz). These are sometimes called male hormones, though females also make them.
  • Missed or irregular periods (monthly bleeding)
  • Many small cysts (sists) (fluid-filled sacs) in their ovaries

How many women have PCOS?

Between 1 in 10 and 1 in 20 women of childbearing age has PCOS. As many as 5 million women in the United States may be affected. It can occur in girls as young as 11 years old.

What causes PCOS?

The cause of PCOS is unknown. But most experts think that several factors, including genetics, could play a role. Women with PCOS are more likely to have a mother or sister with PCOS.

A main underlying problem with PCOS is a hormonal imbalance. In women with PCOS, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.

Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Many women with PCOS have too much insulin in their bodies because they have problems using it. Excess insulin appears to increase production of androgen. High androgen levels can lead to:

  • Acne
  • Excessive hair growth
  • Weight gain
  • Problems with ovulation

What are the symptoms of PCOS?

The symptoms of PCOS can vary from woman to woman. Some of the symptoms of PCOS include:

  • Infertility (not able to get pregnant) because of not ovulating. In fact, PCOS is the most common cause of female infertility.
  • Infrequent, absent, and/or irregular menstrual periods
  • Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
  • Cysts on the ovaries
  • Acne, oily skin, or dandruff
  • Weight gain or obesity, usually with extra weight around the waist
  • Male-pattern baldness or thinning hair
  • Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
  • Skin tags — excess flaps of skin in the armpits or neck area
  • Pelvic pain
  • Anxiety or depression
  • Sleep apnea — when breathing stops for short periods of time while asleep

Why do women with PCOS have trouble with their menstrual cycle and fertility?

The ovaries, where a woman's eggs are produced, have tiny fluid-filled sacs called follicles or cysts. As the egg grows, the follicle builds up fluid. When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.

In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. The follicles may start to grow and build up fluid but ovulation does not occur. Instead, some follicles may remain as cysts. For these reasons, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Plus, the ovaries make male hormones, which also prevent ovulation.
 

Does PCOS change at menopause?

Yes and no. PCOS affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.

How do I know if I have PCOS?

There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.

Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.

Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.

Pelvic exam. Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.

Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.

Vaginal ultrasound (sonogram). Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.

How is PCOS treated?

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:

Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:

  • Limiting processed foods and foods with added sugars
  • Adding more whole-grain products, fruits, vegetables, and lean meats to your diet

This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.

Birth control pills. For women who don't want to get pregnant, birth control pills can:

  • Control menstrual cycles
  • Reduce male hormone levels
  • Help to clear acne

Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). But, progesterone alone does not help reduce acne and hair growth.

Diabetes medications. The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.

Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets). Treatment options include:

  • Clomiphene (KLOHM-uh-feen) (Clomid, Serophene) — the first choice therapy to stimulate ovulation for most patients.
  • Metformin taken with clomiphene — may be tried if clomiphene alone fails. The combination may help women with PCOS ovulate on lower doses of medication.
  • Gonadotropins (goe-NAD-oh-troe-pins) — given as shots, but are more expensive and raise the risk of multiple births compared to clomiphene.

Another option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, IVF is very costly.

Surgery. "Ovarian drilling" is a surgery that may increase the chance of ovulation. It's sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.

Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills.  These medications should not be taken if you are trying to become pregnant.

Before taking Aldactone, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia.

Other options include:

  • Vaniqa (van-ik-uh) cream to reduce facial hair
  • Laser hair removal or electrolysis to remove hair
  • Hormonal treatment to keep new hair from growing

Other treatments. Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.

Researchers continue to search for new ways to treat PCOS. To learn more about current PCOS treatment studies, visit ClinicalTrials.gov. Talk to your doctor about whether taking part in a clinical trial might be right for you.

How does PCOS affect a woman while pregnant?

Women with PCOS appear to have higher rates of:

  • Miscarriage
  • Gestational diabetes
  • Pregnancy-induced high blood pressure (preeclampsia)
  • Premature delivery

Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).

Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.

Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.

Does PCOS put women at risk for other health problems?

Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:

  • More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
  • The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
  • Women with PCOS are at greater risk of having high blood pressure.
  • Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
  • Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.

Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.

Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

I have PCOS. What can I do to prevent complications?

If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include:

  • Eating right
  • Exercising
  • Not smoking

How can I cope with the emotional effects of PCOS?

Having PCOS can be difficult. You may feel:

  • Embarrassed by your appearance
  • Worried about being able to get pregnant
  • Depressed

Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.

 

 

 

9 people found this helpful

MD - Ophthalmology, MBBS
Ophthalmologist, Delhi
Pregnant women if noticed hypertension or already suffering from hypertension before pregnancy make sure to check Neuro ophthalmologist @regular interval to avoid fatal risks to mother and baby in womb.
2 people found this helpful

Me & my wife we are meeting twice in a week this kind of meeting is problem for the pregnancy.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Me & my wife we are meeting twice in a week this kind of meeting is problem for the pregnancy.
Hello, you may get pregnant if you are having sex unprotected during your fertile period during the meet.
1 person found this helpful
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I am 19 years married girl, which medicine would be best for me to avoid pregnancy.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 19 years married girl, which medicine would be best for me to avoid pregnancy.
It all depends on your health, specially menstrual pattern, status of heart, bp< liver, lipid, diabetes etc and also the frequency of imtimacy.
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Hello Doctors My age is 31 and I am going to get married soon and my wife is 22. So I just want to ask will this 9 years age difference will be create any problem for our future. Regarding any sexual issue's like having sexual intercourse and having baby and all. I heard that there will be a problem of infertility if having a big age difference between husband and wife. please somebody tell me about it. Thanks.

DHMS (Hons.)
Homeopath, Patna
Hello Doctors
My age is 31 and I am going to get married soon and my wife is 22. So I just want to ask will this 9 ye...
Hello, Lybrate user, I know a married couple with a difference of 10th years of age, enjoying their successful conjugal life with 3 healthy children. So ,relax! both of you should have faith in each other to lead a glorious conjugal life. Tk, care.
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I have white water salty discharge from breast. It is serious problem. What is the treatment for it. Pls answer me.

PhD Human Genetics
Sexologist,
I have white water salty discharge from breast. It is serious problem. What is the treatment for it. Pls answer me.
It doesn't sound serious, but any discharge from the breast needs a medical check up. Please visit a gynecologist.
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Hi I got my last period on 18 jan 17. Than I tested the upt was negative I consulted a normal physician. She informed me to check it once again. My lower abdomen is paining as it pains during period and I am getting frequently urine. Is this are symptoms of pregnancy. When should I check again whether am I pregnant.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi I got my last period on 18 jan 17. Than I tested the upt was negative I consulted a normal physician. She informed...
Hello, Please repeat urine pregnancy test and if negative then get an ultrasound pelvis done to check for endometrial thickness.
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Pregnancy hone ke kitne mahine baad abortion kar sakte hai? Please reply in Hindi language.

BHMS PGCGO
Homeopath, Hubli-Dharwad
menses ki last tariq se 50din tak tab se abortion karwasakte ha. agar ap ko d and c karwana ha to teen mahine tak karwa sakte ha
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My wife is in the first trimester of pregnancy. She is having cold and cough and our doctor advised not to take talked. So what is the home remedy to be followed?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My wife is in the first trimester of pregnancy. She is having cold and cough and our doctor advised not to take talke...
Most cough and cold is caused by viral infection or it I allergic If fever she can take paracetamol and warm saline gargles and steam inhalation It will stop in 7 days completely
3 people found this helpful
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Hello, my wife is a nursing a 22 days old baby, my query is that what kind of food she can have as the baby born is through a cesarean delivery. What kind of food is preferred and which one to avoid Regards.

MD
Gynaecologist, Mumbai
Hello, my wife is a nursing a 22 days old baby, my query is that what kind of food she can have as the baby born is t...
Normal food pl take care not to EAT FOR TWO! putting on wt under the belief of nutrition gets many problems later.
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Meri delivery operation se hui thi. Or Ab Mera pait bhi Nikal raha h Ise Kaise Kam karu. Meri delivery ko 5 month ho gaye h.

MSc
Dietitian/Nutritionist, Hyderabad
Being a dietitian my views: there is no single diet chart for everyone. To plan a specific diet we do collect lot of information like height, weight, food frequency, digestive history, medical history, likes, dislike, lifestyle, eating habits. Remember one thing to follow a diet it should be personalized according to person's body type and not generalized. Starting with there is no pills or powder or shake which can help you to lose weight in a healthy way. To lose weight eat an hour within walking up and dinner at least 2 hours before you sleep. Avoiding eating anything after dinner. Breakfast should be your king size have good complex carbohydrates and protein rich. Eat every 2 hours small frequent meal do help in weight loss. And do not overeat. One can come to ideal body weight with few lifestyle modification. Have green tea only 2 cups a day. For exercise I would say diet plays 80 % role and exercise plays 20 % role in losing weight. Personal advise on gym. You should not make your body habituated with machines rather do simple walk or surya namaskar or planks. So only with healthy eating one can lose weight.
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Me and my wife trying for pregnancy. Her last period was delayed by 50 days. She never had irregular periods. Got after 50 days. Now we are desperately trying for pregnancy. Please help with tips.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Me and my wife trying for pregnancy. Her last period was delayed by 50 days. She never had irregular periods. Got aft...
Hello, You must practice sex during her fertile period from day 12-20 in a 28-30 days cycle to increase her chances of conception, else you may try using ovulation kits to track ovulation period.
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