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Initially the symptoms of female sexual problems treatment were not that severe but then it became worse. I feel so great after the completion of treatment. Both Dr Sandhya Mishra and staff were very helpful. She is very talented and seasoned doctor. By chance, I approached her for second opinion and thank god, i did because, she treated me with full patience. I am glad that I visited her for my treatment.
I am really grateful as herdelay periods treatment has give me a ray of hope. It was a bad case of delay periods. Hygiene is very important, and I must Ankur IVF Centre & Matritva Maternity was extremely clean. She is a very practical doctor. Sandhya Mishra has so much knowledge that for everything my family takes herreference. It was amazing, the Ankur IVF Centre & Matritva Maternityl was so nicely made.
I wanted a good and a experienced doctor to go through my abortion process because I was very worried about it and I had read that it is very risky. Somebody suggested me Dr Sandhya Mishra from Ankur IVF centre and Matritva Maternity located in Varanasi. She is a wonderful doctor and is always ready to help. Thankyou, Doctor!
I was facing some issues after my menopause. I consulted Dr Sandhya. She is very courteous and behaves very aptly with elder patients. With the help of her Hormonal replacement therapy ,I am feeling so great. I would definitely suggest to consult her if anyone facing the same issue.
Many people gave very positive feedback for Dr. Sandhya Mishra she did my breast examination. It was an amazing experience as everyone in the Ankur IVF Centre & Matritva Maternity is so nice. Sandhya Mishra has expert knowledge in the field.
I wanted fertile period treatment for which I consulted Dr Sandhya Mishra who is famous Gynaecologist In Varanasi. The traetment eh gave wa extremely beneficial for me. I had a great experience in Ankur IVF Centre & Matritva Maternity.
Dr Priya Singh
I found the answers provided by the Dr. Sandhya Mishra to be very helpful. Thank u so much mam
I found the answers provided by the Dr. Sandhya Mishra to be very helpful. Thanx
It's said that blocked fallopian tube is the most common cause of female infertility in about 40% women. Fallopian tubes are channels through which the egg travels to reach the uterus and blockage of these tubes can put a stop to this from taking place. Depending on the different parts of the tubes, this form of blockage is of several types.
What are the different types of fallopian tube blockages?
- Proximal tubal occlusion: This form of fallopian tube blockage involves the isthmus (an area of about 2 cm long, this part of the fallopian tube connects the infundibulum and ampulla to the uterus). This problem occurs due to complications associated with abortion, cesarean section or PID (pelvic inflammatory disease).
- Mid-segment tubal obstruction: It occurs in the ampullary section of the fallopian tube and is most frequently a result of tubal ligation damage. The procedure of tubal ligation is performed to put a stop to pregnancy permanently.
- Distal tubal occlusion: This is a kind of blockage wherein the section of the fallopian tube that is close to the ovary is affected and is commonly associated with a condition known as hydrosalpinx (a condition in which the fallopian tube is filled with fluid). The latter often happens due to Chlamydia infection, leading to fallopian tube and pelvic adhesions.
The conditions that may give rise to this problem can include:
- Genital tuberculosis (the TB infection that occurs in the genital tract)
- Ectopic pregnancy (pregnancy in which the embryo places itself outside the uterus)
- Tubal ligation removal
- Complications related to surgery of the lower abdomen
- Pelvic inflammatory disease (PID)
- Uterine fibroids (benign growths that occur in the uterus)
- Endometriosis (development of uterine tissue outside of the organ)
These disorders can lead to the development of scar tissue, adhesions, polyps or tumors to form inside the pathway. Additionally, the tubes can also get stuck to other body parts such as ovaries, bladder, uterus and bowels. Two things can happen to the fallopian tubes, either they can become twisted or the tubes walls may stick together, leading to a complete blockage. Moreover, even if the fallopian tubes are partially damaged, they can remain open so as to enable pregnancy to occur, while increasing your risk for ectopic pregnancy.
I am 6 month of pregnant. My doctor give me iron tablet (elredin/folinine) but I unable to eat when I eat bomoting what can I do?
Hi I have cesarean delivery on 24 April 2017 now it's 2 and half months gone. My tummy is to loose and looking bigger than my whole body. please guide me for my tummy and getting my figure back.
My Gynaecologist has suggested me to undergo hysteroscopy for examining the uterus? What are its side affects and what is the cost of the procedure?
Pelvic Inflammatory Disease (PID) is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.
- Causes: Sexually Transmitted Diseases (STD) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.
- Symptoms: The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina.
- Associated symptoms: High fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.
- Diagnosis: A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries. Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause PID. An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs. A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.
- Treatment: The treatment procedures of PID vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.
During first month of pregnancy my weight is 43. Now i'm going to complete fifth month but my weight is still 45. It's not increasing so I just want to ask what should I do. Is there any problem or complications in my pregnancy. I 'm very worried about it. Please suggest me something. As soon as possible. thank you.
With an upsurge in the number of women suffering from dysfunctional reproductive systems and a myriad of gynecological problems, resulting in irregular periods, infertility and several other complications, it is of paramount importance to keep a record of the dates and duration of your monthly cycles. This is not only useful for future reference when you visit a gynecologist, but it also helps you to understand if there are delays in period or excess of bleeding in any particular month.
Why is tracking your menstrual cycles important?
Keeping a track of the menstrual cycles is a mandatory exercise for women who are thinking about pregnancy or those trying to avoid it. It is advisable to abstain from intercourse for a few days before and after the period, which is the prime time for ovulation. Keeping track of your periods gives you a clear indicator of whether you have become pregnant because delay in the menstrual onset implies pregnancy. The reverse is also true; if you are trying to get pregnant, conception is usually fruitful on these days of maximum ovulation, which you can easily calculate based on your well maintained menstrual record.
How should you go about keeping track of your menstruation?
While it not possible to note down every possible aspect of the menstruation in a notebook, the easiest way of maintaining a planner is to mark the first day of each period on the calendar. The difference between two consecutive periods will give you your cycle lengths.
In addition you can choose to make a note of how heavy the bleeding is, or if there are changes in mood and appetite on those days. You will then be well prepared for your next visit to the gynecologist.
'Congratulations! You're pregnant!' Almost all women long to hear these words and nothing should come in the way, even diabetes. So, if you are a Type 1 or Type 2 diabetic, here are a few things you should keep in mind to have a healthy baby.
Your blood sugar must be monitored regularly
The most important thing you can do to have a healthy baby is to keep your blood sugar as close to normal before and during your pregnancy. Testing is recommended a minimum of four times a day. Glucose passes through the mother's blood to the fetus and hence if your blood sugar fluctuates, so will your baby's. High blood sugar levels are especially harmful during the first 8 weeks of pregnancy when the baby's brain, heart, kidneys and lungs are formed.
Your pregnancy is considered high risk
High blood sugar levels can increase the risk of a miscarriage as well as the risks of your baby being born with birth defects. Diabetes can also increase the risk of developing preeclampsia during the second half of your pregnancy. This could result in a C section or premature birth. Thus, maintain regular checkups and keep your doctor in the loop of all your activities.
You should watch out for signs of Ketosis
When you have low blood sugar, the body produces ketones that can be passed on from you to your baby. This production of ketones is a result of the body's burning of fat instead of glucose to provide energy and can develop a condition called ketosis. Symptoms you should watch out for are stomach aches, nausea, fatigue, muscle stiffness, frequent urination and fruity breath.
You need Vitamins and Supplements
Most women require vitamin and mineral supplements at the time of pregnancy. Of these, folic acid, iron, calcium and vitamin D are the most important. These supplements help in the healthy growth of the baby.
You should exercise regularly
Maintaining a regular physical activity routine is very important for diabetics who are expecting a baby. This will help you regularize your blood sugar, relieve stress and strengthen your heart. Avoid activities that increase your risk of falling and aim for at least thirty minutes of daily exercise such as walking, swimming or yoga.
Check your medication
Some medication can be detrimental during pregnancy such as cholesterol and blood pressure medication. Consult your doctor to find a suitable alternative, if needed. You may also need to change the kind of insulin you take and its frequency and amount. As you get closer to the delivery date, your insulin requirement may even double or triple.
The key to preventing complications during pregnancy is controlling your diabetes. So take your insulin regularly, maintain regular checkups and eat healthy. You need to be seen by your obstetrician more frequently. Your pregnancy will be monitored closely by more frequent ultrasounds and NST. If your sugar level remains under control and pregnancy is advancing well, a natural onset of pains is aimed for and a normal delivery is expected. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
The amount of emotional upheaval that periods, or no periods (for that matter) can cause, is something that every woman is aware of. It's normal to miss your period for different reasons occasionally, but it is a matter of concern if this absence persists over a period of time. The condition is then termed as a case of secondary amenorrhea. Although most people are quick to consider pregnancy while dealing with the various reasons for missed periods, there are a number of possibilities which are seldom mulled over, but should be considered in order to take effective precautions and seek proper medical care:
- Weight: Body weight is responsible for affecting hypothalamus and this may, in turn, upset your menstrual cycle. BMI level under 18-19 may result in triggering irregularities since enough estrogen will not be created. This is also why underweight women, who suffer from bulimia or anorexia, tend to miss their periods frequently. On the other hand, overweight women may stop ovulating due to increase in the production of estrogen and therefore, have heavy, infrequent periods. Therefore, it is essential that body weight be regulated to avoid any disappointment at 'the time of the month.'
- Stress: Any type of physical or emotional stress is bound to affect your cycle. This is because, the production of stress hormones in the body increases and an elevated level of adrenaline and cortisol may impair the functioning of the reproductive system. Under stressful situations, the body employs its amino acids to assist the neurotransmitters to produce stress hormones over sex hormones. As a consequence, the chances of missing your periods increase.
- Exercising Too Much: While regular workout is indispensable for battling a sedentary lifestyle, overdoing it might cause your body to produce lesser estrogen and delay your periods. Women, who are into athletics and gymnastics, are more likely to suffer from amenorrhea. In fact, other aspects of over-exercising, like sleeping less, fasting, and infections also contribute to such irregularities.
- Breastfeeding: Prolactin is the hormone that aids in milk production and may also repress ovulation for a while. Many breastfeeding moms may not get their periods for a month or more as a result. But this doesn't do away with your chances of getting pregnant. A span of three months is expected to pass before the abnormalities are done away with.
- Food Allergies: Celiac Disease or untreated gluten allergy can directly harm hormone production. They are directly related to your gut health and your adrenal glands which is why they can influence the sex hormone creation. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Hi I am 25 years old girl and I am sexually active so last week around 27 and 28 Feb I had sex with no protection but afterwards I had an ipill but today I bleed little much initially I thought I might be in periods but now it has stopped so I am in doubt about what it is exactly. Are there chances of getting pregnant Thank you.
Indulged in sexual activity on 4th Feb 2017 and in which there was no penetration, my boyfriend touched my vagina for few seconds and safety purpose I took ipill in 72 hours n I had some bleeding on 12th February 2017 for 4 days and my period date was 16 February 2017 and last period date was 16/1/2017 .I took pregnancy test on 23 February afternoon which was negative and again on 25th February afternoon which was also negative on 3rd March also which is negative. When will I get my period and what does it all means? Should I need to do more pregnancy test? What should I do? Any medicine or treatment for regulating period?
Generally identified as a rare and uncommon phenomenon, vaginal cancer most often occurs in the cells present in the outer lining of the vagina, also called the birth canal. Although primary vaginal cancer is rare and unusual, there are various other types of vaginal cancer that originate elsewhere in the body, but have spread over to your vagina.
Depending upon the nature of origin, vaginal cancer can be divided into the following types:
- Vaginal adenocarcinoma, beginning in the glandular cells on the surface of your vagina
- Vaginal sarcoma, developing in the connective tissue cells and multiple cells lining the walls of your vagina
- Vaginal squamous cell carcinoma, originates in the squamous cells lining the surface of the bacteria
- Vaginal melanoma, developing in melanocytes, the pigment producing cells in your vagina
Symptoms: As vaginal cancer progresses from one stage to the next, you may experience any one of the following signs and symptoms:
- Diluted, watery vaginal discharge
- Painful urination
- Odd cases vaginal bleeding, for instance, after menopause or after intercourse
- Formation of lumps in your vagina
- Frequent and regular urination
- Pelvic pain
Causes: Normally, cancer develops when healthy cells undergo genetic mutations, subsequently leading to the uncontrollable growth of abnormal cells. Cancer cells are known to break off from pre-existing tumors and can easily spread everywhere, in what is referred to as metastasize.
Beyond the natural process of development, here are a few factors, which may further contribute to the growth of cancerous cells:
- Increasing age
- Vaginal intraepithelial neoplasia
- Exposure to miscarriage prevention drugs
If you wish to discuss about any specific problem, you can consult an oncologist.