Dr Nandita Palshetkar

Answered on Dec 26, 2024

Question by Junior - Dec 20, 2024Hindi

18-Year-Old Took Emergency Contraceptive - Period Late by 8 Days: What to Do?

Ans: Hello! If you have taken emergency contraception
4 days prior to periods,
There are high chances your periods can get delayed.
The morning-after pill, also known as the I-pill, can delay your period by up to one week. However, in rare cases, your period may be delayed for several weeks. If your period is more than a week late, or if it is lighter than usual, you should take a pregnancy test and speak to a doctor.
The I-pill is an emergency contraceptive tablet that contains a synthetic hormone that mimics progesterone. It's not intended to be used as a regular method of birth control.

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Answered on Dec 26, 2024

Asked by Anonymous - Dec 19, 2024Hindi

Trying to Conceive at 35 with Blocked Fallopian Tubes: What are my Options?

Ans: History noted.
Considering your age 35 years, trying to conceive since, one year and few test done, one of which suggest possibility of tubal blockage, there are various modalities of treatment.
Firstly, you can do laparoscopy to note the severity if blockage and do tubal cannulation.
Tubal cannulation is often the first line of treatment for patients with blocked fallopian tubes because it's a non-invasive procedure that's widely available.
Tubal cannulation is a procedure that can unblock fallopian tubes and is highly successful for proximal tubal blockages, with a success rate of over 80%. However, it may not be successful for all patients and is not recommended for distal tubal occlusions.
This procedure if successful can avoid IVF procedure. Laparoscopy has…
Yes, before ivf get all your blood test, ecg, 2 D echo, xray chest to rule out any illness
Same with your husband to get semen analysis and viral markers with blood sugars to be done.

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Answered on Dec 26, 2024

Question by KHUSHI - Dec 18, 2024

I m 21...i had my last period on 1 oct and had sex on 11 and 12 nov and taken ipill on 13th nov...i didnt get periods yet

Ans: Firstly, period was on 1st October
Taken Ipil on 13 November with intercourse prior 2 days
Kindly get urine pregnancy test done first and foremost
Secondly
Ipills can cause irregular or delayed menses also.
If still no periods in one week with negative urine pregnancy test, visit your gynec and get good usg pelvis and few hormonal tests done.

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Answered on Dec 26, 2024

Asked by Anonymous - Dec 17, 2024Hindi

Is Irregular Periods, Weight Gain and Acne a Sign of PCOS in My 20s?

Ans: Hello, noted your concerns
You are in late 20’s with irregular periods, acne, weight gain,
You are undergoing hormonal imbalance
We need to do certain blood test like
CBC, tsh prolactin fasting insulin level
Hba1c, testosterone level
DHEA, LH FSH ESTRADIOL LEVEL
Amd AMH level to check for fertility level
Usg pelvis to rule out
Pcos
The mainstay treatment. For pcos is lifestyle changes
1) Daily exercise, walks. Zumba, running
2) Good nutritious food with proteins, vitamins, minerals, low carbs and fats
3) good adequate sleep 7 to 8 hours
4) stress management: yoga meditation, breathing exercise
5) supplements to controls effects of pcos
6) low dose OC PILLS TO regularize the cycles

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Answered on Dec 20, 2024

Asked by Anonymous - Dec 13, 2024Hindi

How to counsel my 13-year-old daughter's period-related behavior changes?

Ans: Hello
Since your daughter is 13 years old and just started getting periods that is menarche, she is in her puberty. She is undergoing lots of hormonal changes which is very common in this age group from 10 to 12 to 14 to 16 years of age group.
She will be having physical, cognitive and psychosocial changes. She is bound to have mood swings, irritation, change in behavior. During this phase they are in establishment of own identity, autonomy, sexuality. Not going to school can happen cause if awkwardness in periods, scare of staining clothes, not able to perform activities as routine due to pain or bleeding.
All these are common behavioral changes in most teenagers.
1) We as a parent we need to make ourselves available for open communication. With our children without hesitation.
2) We should be more like friends to them than parents.
3) Openly speak to them regarding periods, all emotional and behavioral changes to them and reassure them that these are normal changes to happen and accept them with grace and understanding.
4) Engage the kids in other activities likes their hobbies and physical exercises to control adverse behavior.
5) Talk openly about sex to your children so that they know about self-care.

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Answered on Dec 17, 2024

Asked by Anonymous - Dec 11, 2024Hindi

I'm 20, Took Morning-After Pill, No Period for 1.5 Months, Negative Test: What Should I Do?

Ans: 20 years old
Taken ipill
Not got periods for 1.5 months and pregnancy test negative.
We need to understand i pill is an emergency contraception which contains lenonorgestrel which acts by blocking LH AND FSH hormones, prevent ovary by releasing egg or prevent egg sperm fertilization.
It does not regularize periods. Infact ipill can cause delayed or irregular periods or at times periods can happen as spotting.
Since pregnancy test is negative, I would advise repeat pregnancy test after one week if you dent get periods and then consult your doctor. She will advise you tablets to get periods.

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Answered on Dec 16, 2024

Asked by Anonymous - Dec 10, 2024Hindi

Male Fertility Tests: What Should I Get After 4 Years of Trying to Conceive?

Ans: Fertility test for males is
Semen analysis with 3 days of abstinence which gives information of sperm count and motility.
If any issues with it then we do hormonal test like
Tsh, Lh, Fsh, testosterone level, prolactin level
If needed, we do
Usg scrotum with doppler
These test help to find out
Less sperm count or no sperm count
Defect in sperms morphology ,
Low motility of sperms or any infections .
DNA FRAGMENTATION TEST help to detect
the degree of DNA damage present in a semen sample.

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Answered on Dec 16, 2024

Asked by Anonymous - Dec 09, 2024Hindi

Trying to Convince My Sarcastic Wife (41) Not to Have Children at 45: Advice Needed

Ans: History noted, you are being 45 years and wife being 41 years, married since 6 years, staying separately since 4 years, now together since 5 months and with all the challenges.
Every woman has a right to plan for family and have a baby.
Considering financial challenges, future expense can be taken care of with mutual discussion Between you both.
Age factor: can be explained to your wife that fertility level might be compromised with age than if needed can undergo ivf treatment and chances if getting blood pressure and diabetes.
Sarcastic behavior can be tackled with couple counselling, family support psychological therapy and eliminating the root cause.
The above said things are manageable
Being a gynaec and obstetrician, i can take away the right of a woman from being mother and motherhood.

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Answered on Dec 16, 2024

Asked by Anonymous - Dec 09, 2024

I have PCOS and I had unprotected intercourse with my partner. The very next day I took Ipill to avoid risk. Since my cycle is irregular my last period was on 25th October. I had pill on December 3. Still how many days it takes for my periods.

Ans: Hello
Your period was on 25th October
And taken i pill on 3rd December
If taken within the first 24 hours, it is claimed to be highly effective at more than 95%.
Since pco and irregular periods and taken i pill, withdrawal bleed can take5 to 10 days
But if you don't get periods in 3 week's time
Please check pregnancy test
Since you have pcod with irregular periods and taken i pil there can be change in period cycle also.

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Answered on Dec 16, 2024

Asked by Anonymous - Dec 06, 2024Hindi

Seeking reassurance about IVF: 36-year-old school teacher nervous about potential risks

Ans: Hello Priya, since you are 36 years, married since 4 years, primary infertility, yes, ivf is a better option.
Many patients have lots of myths regarding ivf treatment. But with modern injections and process of egg retrieval it's not that difficult as it seems to be.
The injections which have to be given for 10 to 12 days are either intramuscular in the muscle) or subcutaneous (just below the skin). Easy to be taken. We get injections in PEN form too like insulin injection which is easy to operate and can be self-injected. The effects of the injections are till the process. It doesn't have long lasting side effects.
The main side effects:
1) nausea vomit
2) breast tenderness
3) bloating
4) headache
5) mood swings and hot flushes
6) fatigue
7) pain after egg retrieval
8) cramping
9) constipation due to progesterone therapy
10) ovarian hyperstimulation
Ovarian hyperstimulation syndrome (OHSS) occurs when fertility drugs overstimulate the ovaries, causing them to swell and release chemicals into the bloodstream.
Symptoms:
Severe abdominal pain.
Severe, persistent nausea and vomiting.
Blood clots.
Decreased urination.
Shortness of breath.
Tight or enlarged abdomen.
To consult the doctor if above symptoms to decide if need of hospitalization
So, tat investigations and necessary treatment can be done
But with regular ultrasound and modern injections, ohss is become very rare and treatable

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Answered on Dec 13, 2024

Question by SHABRIN - Dec 06, 2024Hindi

37-Year-Old Unable to Conceive: Seeking Advice for PCOS, Weight Loss, and Irregular Periods

Ans: Hello
Since you are 37 years, married since, 5 years, primary infertility with weight gain with irregular periods and stressor
I would first advise you series of hormonal test to be done like TSH, prolactin, HBA1C, fasting insulin level, fasting and post lunch sugars, cortisol level, testosterone level, vit D and vit B12 and CBC and most importantly AMH LEVEL to know about fertility level
To do usg pelvis to rule out ovarian cyst or pcos or any other gyneac pathology.
Lifestyle modification
Daily walks, yoga, meditation, stress management or any other form of exercises which help to release endorphins, dopamine and good hormones which help to regulate the cycle
Diet: nutritious diet, green veggies, fruits, nuts, proteins, chicken, eggs (if you are non veg).
Please visit your doctor, because considering your age it's better to understand to concentrate on fertility then regularizing your cycles.

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Answered on Dec 09, 2024

Asked by Anonymous - Dec 05, 2024Hindi

Trying to conceive: What tests & lifestyle changes before IVF?

Ans: Hello Neha considering you are 34 years, and trying to conceive since 3 years
First of all, you both need to undergo blood test
1) Neha:
CBC, Blood Sugars, Vit B12, Vit D, Liver and Kidney screening, hormonal (TSH AND PROLACTIN), viral markers test and most important AMH LEVEL to know ovarian reserve.
Usg pelvis tp rule out fibroids, ovarian cyst
2) Husband:
Blood Sugars
Semen analysis to know about sperm count, motility.
These tests can give an idea about both. Fertility level and any particular supplements needed and chances of successful pregnancy.
Considering hectic lifestyle certain measures to be taken
1) stress management: yoga, walks, exercise, meditation
2) adequate sleep at least 6 to 7 hours
3) Adequate exercise and walks which releases endorphins , dopamine and good hormones needed for hormone circulation.
4) Good nutrition:
Contains antioxidants
Vit B6, Vit B12, Omega 3 fatty acids, iron, zinc, magnesium, calcium, Vit D, green veggies, fruits, eggs, chicken for protein
5) your gynec will advise certain supplements to be taken for additional supplements.

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Answered on Dec 09, 2024

Question by Ritika - Dec 05, 2024Hindi

Painful periods: What can I do for relief?

Ans: Hello
If you have pain and cramps in your periods, it's called dysmenorrhea
You can take anti spasmodic medicines or pain killers like paracetamol
Use heat. Soaking in a hot bath or using a heating pad, hot water bottle or heat patch on your lower abdomen might ease menstrual cramps.
Try dietary supplements. A number of studies have indicated that Vitamin E, Omega-3 fatty acids, Vitamin B-1 (Thiamin), Vitamin B-6 and Magnesium supplements might reduce menstrual cramps
Reduce stress. Psychological stress might increase your risk of menstrual cramps and their severity.

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Answered on Dec 06, 2024

Question by D - Dec 04, 2024Hindi

Should I worry about my fibroids even with normal periods?

Ans: Hello
You are 51 with fibroids, with menorrhagia
Firstly,
1) We Need to get usg 3 D pelvis done with fibroid mapping.
2) Blood test to see for CBC, tsh , prolactin, tsh level
Since you are 51 and if your hemoglobin is maintained and bleeding controlled, we can wait and observe with regular usg monitoring for fibroids
Since you are 51, there are chances of you being in perimenopause and menopause, so there are chances fibroids reduce in size, and you become asymptomatic because post menopause estrogen level drops and fibroids are estrogen dependent.
If wish to go for conservative management:
a) Cyclic Oc pills or continuous Oc pills to create pseudoamennorhoea which will control dysmenorrhea and bleeding
B) Lupron Depot is a synthetic hormone that reduces the body's production of estrogen and progesterone, causing a temporary menopause-like state. This can shrink fibroids, stop menstrual periods, and improve anemia.
Uterine fibroid embolization:
This minimally invasive procedure involves injecting small particles into the uterine artery to block blood flow to the fibroids.
Radiofrequency ablation (RFA):
This treatment uses microwave energy to treat smaller fibroids in people who haven't reached menopause.
Progestin-releasing intrauterine device (IUD)
This option is for women with fibroids that don't distort the uterus. It can reduce heavy bleeding but doesn't treat the fibroids.
But if symptoms like
Heavy periods
Pain
Frequent periods
Drop in hemoglobin
Disturbed quality of life
Then best option will be removal of uterus keeping ovaries intact if ovaries are healthy to maintain hormones.

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Answered on Dec 04, 2024

Question by Sumanth - May 18, 2024Hindi

Concerned Mom: Daughter (16+) Missed 2 Periods, Should I See a Gynecologist?

Ans: A girl's body may not follow an exact schedule. It's common, especially in the first 2 years after a girl starts getting her period, to skip periods or to have irregular periods.
Irregular periods happen because of hormonal changes, weight gain, or rapid weight loss, illness, stress, sedentary life or gynecological issues.
But if periods become very frequently irregular
Please visit your gynecologist
And will advise
1) hormonal test
2) usg pelvis to rule out any ovarian cyst or pco
And will treat accordingly
1) lifestyle modification: regular walk, exercises are needed for hormonal circulation and for release of good hormones
2) avoid junk and have good nutritious food.
3) stress management, yoga, walks meditation

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Answered on Dec 02, 2024

Asked by Anonymous - Nov 28, 2024Hindi

Pregnant and Feeling Sick? What to Eat at 16 Weeks with Acute Morning Sickness

Ans: When pregnant, you should eat a variety of foods to ensure you, and your baby get the nutrients they need:
Fruits and vegetables:
Eat a variety of fruits and vegetables, including dark leafy greens, to get vitamins and minerals.
Whole grains: Eat whole grains like brown rice, barley, quinoa, and whole-wheat bread.
Protein: Eat a variety of proteins, including lean meats, poultry, fish, eggs, beans, peas, nuts, and seeds.
Dairy: Choose pasteurized dairy products like milk, cheese, and yogurt.
Folate and folic acid: Eat foods that are high in folate and folic acid, such as cereal, spinach, beans.
Omega-3 fatty acids: Eat foods that are high in omega-3 fatty acids, such as fish liver oil, salmon, shrimp
Flax seeds
Iron: Eat foods that are high in iron to make up for the increased amount of blood in your body, green veggies, dates, jaggery, beet root carrots, prepare food in iron pan.
Fiber: Eat enough fiber to prevent constipation, which is common during pregnancy.
Food that can be eaten during acute morning sickness is
1) Ginger
2) Lemon
3) Mint
4) Curd
5) Coconut Water
6) Rice Water
7) Khichdi
8) Bananas
9) Watermelon
10) Toast
11) Jeera Water
12) Ajwain
13) Cardamom
14) Pomegranate Juice
15) Bland Biscuits and Crackers

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Answered on Dec 02, 2024

Asked by Anonymous - Nov 28, 2024Hindi

Trying to Conceive at 37: What are the Chances of My Baby Having Down Syndrome?

Ans: Considering your age 37 and husband 39 and planning to have a baby
The chance of having a child with Down syndrome increases with the mother's age:
Age 25: The chance is about 1 in 1,200
Age 35: The chance is about 1 in 400
Age 40: The chance is about 1 in 100
Age 45: The chance is about 1 in 30
If you're over 35 and thinking about getting pregnant, you can:
Get genetic counseling to learn more about your risk
Get regular checkups
Eat a variety of healthy foods
Get regular exercise and plenty of rest
Avoid smoking, vaping, drinking alcohol, and using cannabis or other drugs
To start folic acid (vit B6 and B 12) and DHA 3 months prior to conception.
Learn about prenatal testing for chromosomal conditions like your gynae will perform serial ultrasound at different trimesters like NT SCAN, anomaly scan, fetal 2 D echo and blood markers like dual marker and NIPT to rule out any form of congenital anomalies.

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Answered on Dec 02, 2024

Asked by Anonymous - Nov 28, 2024Hindi

41 & Single: Can I Still Have a Healthy Baby?

Ans: While stories about women giving birth in their 50s, 60s, and even 70s make for good headlines, these pregnancies are usually accomplished with donor eggs and in vitro fertilization (IVF). There is no set oldest age when you can get pregnant naturally, but fertility starts to decline as you age.
Due to advances in technology surrounding fertility, pregnancy, and delivery, it's possible to safely have a baby at age 40. However, any pregnancy after age 40 is considered high risk.
Pregnant people over age 35 are more at risk for complications like miscarriage, congenital disorders and high blood pressure.
Firstly, we like to investigate an completely
Baseline blood test
Hormonal test
Amh level (to know fertility potential)
Usg pelvis to rule out any fibroids, cysts
Xray ecg
Then can plan pregnancy
We can screen for babies well-being during pregnancy by serial ultrasound and blood markers and nipt to rule out any abnormalities.

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Answered on Dec 02, 2024

Asked by Anonymous - Sep 09, 2024Hindi

Worried About Shrinking Breasts After Surgery? - 46 Year Old Woman Seeks Advice

Ans: According to Mayo Clinic, during pregnancy, the ligaments that support a woman’s breast might stretch as it gets fuller and heavier. This stretching is often one of the common causes of breast sagging post-pregnancy.
Foods that are rich in estrogen include:
Soy products: Tofu, edamame, tempeh, soy yogurt, and soymilk are rich in isoflavones, which are phytoestrogens.
Nuts and seeds: Almonds, flaxseeds, peanuts, sesame seeds, and sunflower seeds are rich in estrogen.
Fruits: Apples, berries, grapes, peaches, pears, and plums are rich in estrogen.
Vegetables: Broccoli, Brussels sprouts, kale, onions, spinach, and sprouts are rich in estrogen.
Grains: Barley, oats, and wheat germ are rich in estrogen.
Plant-based liquids: Beer, coffee, olive oil, red wine, and tea are rich in estrogen.
Eggs and milk: These animal products contain high levels of estrogen.

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Answered on Nov 27, 2024

Asked by Anonymous - Nov 15, 2024Hindi

36 Year Old Woman with Low AMH Seeks Fertility Advice and Weight Management Strategies

Ans: Hello noted
Since you are 36 years and gonna turn 37
Amh is 1.67
And weight 69
So, considering your age and amh being 1.67 one year back, we need to repeat your AMH. Amh is supposed to reduce with age, it means the egg forming capacity of the ovary diminishes with age.
So, you need to focus of conception. At the same time, you can do exercises and dietary changes to reduce your weight
Let both happen hand in hand
And yes, correction of vitamin D, tsh is needed
Have nutritious food, antioxidants, proteins in your diet
Have supplements which help in improving the quality of eggs.

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Answered on Nov 26, 2024

Asked by Anonymous - Nov 22, 2024Hindi

Should I take a pregnancy test if my period is late after using an emergency contraceptive pill?

Ans: Hey, since you are 44 years, you are in your peri menopausal phase which causes hormonal imbalance
But since have consumed IPILL, which is an emergency contraception, periods can be up to a week late and sometimes even later. If your period is more than a week late, we recommend taking a pregnancy test. You may have some irregular bleeding after you take the Ipill, and before your next period. This can range from spotting to heavy bleeding.
So please do home pregnancy test once to rule out pregnancy. If its negative, then await normal regular periods.

Asked on - Nov 26, 2024 | Answered on Dec 03, 2024

Thank you for your reply. I have done a pregnancy test, and it is negative. Now that one week has passed and I still haven't gotten my period, should I wait or consult a doctor?

Ans: Yes please if pregnancy test is negative
You please visit your gynec
She will advise u the blood hormonal test and usg pelvis if needed
If all good then, you will be given medicines to get your periods.

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Answered on Nov 26, 2024

Asked by Anonymous - Oct 30, 2024Hindi

Adopting a child at 47: Is it too late?

Ans: Noted
Wife 47 yrs and husband 50 years having son 16 yrs old, having a startup business
Can adopt a child but not of same gender which you have from the marriage
The minimum age difference between the child and the prospective adoptive parent must at least 25 years
Composite age of husband and wife is 97 years (if composite age between 90 to 100 years. Can adopt child above 2 years and upto 4 years)

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Answered on Nov 26, 2024

Asked by Anonymous - Oct 22, 2024Hindi

Can a 42-year-old man and a 46-year-old woman have biological children?

Ans: Noted
Husband 42 yrs
Wants to marry a woman 46 yrs and concerned about conception
Firstly, ita important to understand that as age advances the egg forming capacity of women diminishes and same with males, the sperm quality, quantity, motility also gets affected.
We need to evaluate the AMH LEVEL in woman to detect the ovarian function and other hormonal test also.
We need to do semen analysis in males after 3 to 4 days of abstinence
Chances of conception above 40 is 3 to 5 percent
But it's not impossible and can happen with assisted reproductive techniques.
Ivf Icsi techniques

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Answered on Nov 26, 2024

Question by paresh - Nov 24, 2024Hindi

Is this menopause? 43-Year-Old with Short Periods, Acidity, Weight Gain, Hair Loss, and Breast Discharge

Ans: At age of 43, there is a hormonal imbalance which can result in weight gain, scanty menses, hair fall, discharge from nipple.
It can be due to stress, diet changes or lifestyle changes
Watery discharge from nipple can be due to impaired, raised prolactin level which can and treated with medicine under supervision of your doctor
To check for hormones
TSH, prolactin, LH, FSH, estradiol level, and correct accordingly
Weight gain can be taken care by correcting hormonal imbalance, dietary changes (including proteins less carbs, less oily and fatty food), exercises (Zumba, cardio, daily walks)
Hair fall can be taken care of by improving nutrition, including vitamin A, C, D, iron, biotin, zinc, protein, essential fatty acids and taking supplements under doctor supervision

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Answered on Nov 26, 2024

Asked by Anonymous - Nov 21, 2024Hindi

Help! My wife hasn't had her period since October - Am I a father again?

Ans: History noted
Since she missed her periods, tsh higher side
Urine pregnancy test twice negative
I would advise
1) to get one usg pelvis done to rule out any cyst
2) hormonal test
Tsh , prolactin
Since TSH is high, advisable to start thyroid medications tab thyronorm to bring down the tsh level to within normal limits
If usg pelvis is normal
Can give withdrawal bleed in form of progesterone pills to get periods.
Keep a watch on further cycles
If still irregular, then to keep on cyclic oral contraceptive pills to regularize periods
To maintain menstrual diary
To control TSH LEVEL

Asked on - Nov 28, 2024 | Answered on Nov 30, 2024

Thanks Doctor and your advice means a lot for my wife health. I will follow your advice and I will report you after diagnostic tests and med

Ans: Yeah, please if pregnancy test is negative
You please visit your gynec
She will advise you the blood hormonal test and usg pelvis if needed
If all good then, you will be given medicines to get your periods.

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Answered on Nov 26, 2024

Asked by Anonymous - Nov 22, 2024Hindi

44-Year-Old Woman Worried About Delayed Period After Emergency Contraceptive Pill

Ans: Hey, since you are 44 years, you are in your peri menopausal phase which causes hormonal imbalance
But since have consumed IPILL, which is an emergency contraception, periods can be up to a week late and sometimes even later. If your period is more than a week late, we recommend taking a pregnancy test. You may have some irregular bleeding after you take the Ipill, and before your next period. This can range from spotting to heavy bleeding.
So please do home pregnancy test once to rule out pregnancy. If its negative, then await normal regular periods.

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Answered on Nov 26, 2024

Question by Twisha - Nov 19, 2024Hindi

What can I do to manage my PCOD? (18 year old female facing irregular periods and financial constraints)

Ans: Polycystic ovary syndrome (PCOS) is a hormonal condition that can cause irregular or absent menstrual periods.
Higher amounts of androgens in PCOS can interfere with egg development and ovulation, leading to skipped or absent periods.
One of the best ways to cope with PCOS is to maintain a healthy bodyweight, eat nutritious foods and exercise regularly.
LIFESTYLE CHANGES:
Eating healthy foods, exercising regularly, and maintaining a healthy weight can help regulate your menstrual cycle
BIRTH CONTROL PILLS:
Combination oral contraceptives (COCs) can help regulate menstrual periods and treat acne and hirsutism. It can take up to six months to see if birth control is effective.
ANTIESTROGENS:
These medicines can help with skin and hair growth problems
METFORMIN
This diabetes medicine can help control ovulation and androgen levels, which can make menstrual cycles more regular
Supplements containing
Myo ionositol, chirositol, vitamin D, chromium also helps in maintaining pco

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Answered on Nov 25, 2024

Question by sanjeev - Nov 02, 2024Hindi

Can my 53-year-old wife who hasn't had periods for 6 years get pregnant?

Ans: Menopause is the end of a woman's reproductive years and is marked by the cessation of menstrual periods for at least 12 months. During menopause, the ovaries stop producing estrogen and progesterone, and stop releasing eggs, making it impossible to conceive.
So, it's impossible to become pregnant after menopause, until you undergo infertility treatment

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Answered on Nov 25, 2024

Question by Silk - Sep 09, 2024Hindi

Is there a way to lower bad cholesterol levels while managing menopause weight gain?

Ans: Yes, menopause is a condition where lot of hormonal changes happen and lots of physical change too.
But we can take care of bad cholesterol by certain dietary changes in exercises:
1) eat soluble fibers which bind with cholesterol and leave the body like beans, peas, oats, apple, carrot
2) eat more plant sterols and stanols which can prevent the body from absorbing cholesterol
3) eat food rich on omega 3 fatty acids, walnuts, flax, avocado, olive oil
4) eat soy protein which bring down cholesterol by 3 to 5 percent like Soya milk, Tofu, soy nuts
5) eat more nuts which lower cholesterol
6) eat food low in cholesterol and saturated fat
7) weight loss with aerobic activity, daily walks and exercise
8) some women need statins to low cholesterol
9) HRT have positive response to low cholesterol but to consult doctor before start

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Answered on Nov 09, 2024

Asked by Anonymous - Oct 10, 2024Hindi

6 Weeks Pregnant, No Heartbeat: What's Next?

Ans: Considering you are 6 weeks pregnant, its early pregnancy, usg reveals gestational sac
I would advise to repeat usg after one week because have need to wait till 7 weeks
Normally heart beats appear till 7 weeks of pregnancy

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Answered on Nov 07, 2024

Asked by Anonymous - Oct 10, 2024Hindi

Morning Sickness & Fatigue During Pregnancy: Tips for a Working Mom-to-Be?

Ans: Considering you are in your early pregnancy Your bound to experience
Morning sickness, fatigue, mood swings, curling up and laying at one corner, increase urination, constipation
There are certain tips:
1) Severe morning sickness with vomit you can take anti emetic medications, doxinate , antacid if severe acidity (syp. gelusil or cold milk)
2) Maintain hydration, lemon juice, coconut water, electral, enerzal to maintain electrolytes lost in vomit
3) To have small frequent meals
4) To have toast, dry biscuit, overburnt toast, lemon ginger to overcome acidity and nausea
5) Avoid eating outside food
6) To continue folic acid and multivitamins
7) Can do yoga, stretching, breathing exercises for improving mental health
8) To get regular gynec checkup, blood test and usg as advised by the doctor
9) Monitor blood pressure and weight during pregnancy
10) Al food in moderation
Avoid papaya pineapple chinese , . Salt and sweet in moderation

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Answered on Nov 04, 2024

Asked by Anonymous - Oct 10, 2024Hindi

Pregnant at 41: Fears and ensuring a safe delivery

Ans: Since you are 41 years old, had three previous miscarriages, and were conceiving after ten years, there were certain measures that needed to be taken.
1) To have a BOH profile completed in order to gain insight into specific blood characteristics that aid in determining whether aspirin or low molecular weight heparin (blood thinner) is necessary.
2) Taking age into account, keeping an eye on blood pressure, blood sugar, and weight growth during pregnancy
3) To use an early screening scan for routine screening to find any type of congenital abnormality, use an anomaly scan or NT scan with dual markers.
4) To use nipt for accurate trisomy 21, 13, and 18 diagnoses
5) To do routine prenatal screenings with routine blood work and scans
6. To keep up wholesome eating practices. Protein supplements or a high-protein diet in the form of powder or biscuits.
7) To practice meditation yoga. Breathing techniques to preserve mental health
8) To adhere to your obstetricians' advice on the choice between vaginal birth and elective LSCs
9) To take multivitamins together with iron and calcium supplements.
10) To finish the influvac and tetanua vaccination program with booster shots

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Answered on Oct 28, 2024

Asked by Anonymous - Jun 12, 2024Hindi

Dear Dr, I am 41.and having irregular menstrual on and off for past 4 years. whenever I consult gynaecologist they scan and say everything fine and give combined pill for 6 months and my regular periods are back. This is now for 3 years... I am worried about taking combined pill on and off... My gynaecologist is of opinion this irregular menstruation may last till menopause... Is there any way to avoid combined pill and to regulate periods naturally.

Ans: The best method to control irregular periods at age 41 is to take OC pills.
Long-term OC pills don't have negative side effects, but they do help prevent endometrial and ovarian cancers. In addition to ocpills, we may want to think about iuds that release progesterone, which can regulate menstrual blood flow and other issues. Natural methods 1) Modification of lifestyle (2) Restful sleep (3) Healthy eating that includes dry fruits, vegetables, eggs, chicken, and low fat and low carbs and high protein (4) Consistent yoga, meditation, and exercise (5) Managing stress

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Answered on Oct 28, 2024

Asked by Anonymous - May 26, 2024Hindi

Hi to the health expert(gynaecologist), I am a 24yr old lady working in an MNC with moderate work stress. I've pcos since i m 14 yrs old. I matured at the age of 11. I m a second daughter to my parents. During my teenage(5'4 height , weighed between 47-50kg , watery body with no muscle or bone mass), since i was too ambitious about getting a job and working hard in my studies, i didn't focus on eating well enough. I never skipped my meals or ate any kind of outside food(not even chips or biscuits). It's just that i am mostly stressed due to studies and eat only till my stomach says i m full. I didn't workout or ate enough protein till 22yrs old. Since last year , i m starting to look online and doctors suggestion regarding pcos and started taking care of my nutrition, lifestyle. Currently from the recent checkups I found out that have B12 and D3 deficiencies. Other than PCOS, my thyroid, insulin, prolactin, testosterone, female hormones, lipid profile etc.., everything is good. Currently, my height is 5'4, weight is 55kg, mostly water body with average muscle in legs atleast. I m focusing to take dry fruits , enough protein(eggs, dal, paneer, chicken) in my diet, along with working out atleast 3-4 times a week, sleeping peacefully. Getting periods between every 30-50 days. I m at the start of the journey to improve my health and nutritional deficiencies. I m not sure when I'll be married or gonna plan kids. Please advise me on how much time my body may take for regularising the periods since my body was irregular for 10yrs and how to understand if my health is good for child planning. Please advise me regarding any additional care required.

Ans: History noted. Taking into consideration your age of 24, with Pcos with consistently irregular periods, vitamin D and B12 deficiency, and stress factor as the prime motivator in your studies
Following advises: 1) You can continue taking low-dose ORAl contraceptive pills for a few months if you have irregular periods.
2) To prevent withdrawal bleeding, take progesterone-only pills if your periods last longer than six weeks. 3) To cure deficiencies in vitamins, B12 and D, take 60 k of vitamin D once a week for 12 weeks. For three months, both
4) PCO supplements that include metformin, melatonin, myoionositol, and chiroioinositol 5) Changes in lifestyle: 45-minute walk every day. Zumba, yoga, meditation, and more. 6) 7 to 8 hours of restful sleep 7) Diet: proteins (eggs, paneer, dal, and pulses) and green vegetables, Fruits with color, Dehydrated fruits. For omega-3 fatty acids, flax seeds
Taking fertility health into account tests for amh levels and specific hormones, such as TSH, prolactin, fasting insulin, and HbA1c, can be performed. To maintain your fertility, you can also proceed with freezing your eggs.

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