Dr Nandita Palshetkar

Answered on Nov 09, 2024

Asked by Anonymous - Oct 10, 2024Hindi

I am 6 weeks pregnant. Only the gestational sac is visible. There is no heartbeat. I am worried and sad. What could be the possibility? Please help.

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

I am entering the second month of pregnancy. My husband and I haven't told anyone yet as it is too early. I am having morning sickness and fatigue. I am also working. I am taking folic acid medication. Can you please suggest some tips?

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

I am 41 and my husband is 45. After 3 miscarriages, we are having our first baby after 10 years of marriage. I am scared and anxious because of my age. Will there be any complications to the baby? My gynaec has advised some genetic tests but I am worried about the results. How can we ensure to have a safe delivery for a healthy baby?

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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