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Dr Archana

Dr Archana Bajaj  | Answer  |Ask -

Gynaecologist, Obstetrician, IVF Expert - Answered on Apr 05, 2023

Dr Archana Dhawan Bajaj is an infertility specialist with over two decades of experience in IVF and reproductive medicine.
She founded The Nurture IVF Clinic in New Delhi in 2003.
Dr Bajaj has completed her MBBS from Maulana Azad Medical College and has a diploma in gynaecology and obstetrics and DNB (obstetrics and gynaecology) from the Sir Ganga Ram Hospital.
She has an MMSc degree in assisted reproductive technology from the University of Nottingham, UK.... more
Ashwini Question by Ashwini on Mar 19, 2023Hindi
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Hi doctor, I've been having periods problems past 3 years.. I was earlier diagnosed with pcos, with and deit and weight maintanence the condition is reversed, yet I'm facing irregular periods I underwent multiple scans the test results were positive( like there are no cysts and issue with the ovaries in the ultrasound scan and fsh tsh and hormone results are positive). I'm 5'4 65 kg, I workout regularly and eat healthy and only rarely I eat junk food. Only with help of hormone tabs I'm able to mensurate. Could anyone suggest what needs to be done like any test I need to take up ?

Ans: PCOS is a condition of the ovary that one is born with. You can optimize the hormonal imbalances in PCO, but the condition never factually reverses because it is a type of theory. So, lifestyle modifications and medication are sometimes necessary to ensure that regular ovulation happens with PCO. Lifestyle modification in terms of diet control, exercise, medication like metformin, MYO inositol. In exceptional cases, cyclical contraceptive pills, etc., may be needed to regulate cycles and ensure hormonal imbalances in PCO, PCOS with androgen excess, men need medication like spironolactone and aldactone to optimize their hormonal imbalances. Weight loss often helps to optimize the condition and resume ovulation in cases of PCOS. Since you weigh 64 kilos, it might be a good idea to lose around 7 to 8 kgs of weight, which will help further improve the cycles.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Nandita

Dr Nandita Palshetkar  |51 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Nov 26, 2024

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Hello mam, I am a girl 18years old I had pcod since my period started I got my period when I was 13years that time everything was ok but after few months I was bleeding heavy getting menses 2-3in a month so my mom got very worried and she takes me to a gynaecologist and she prescription and tablets like "novelon"and then I am ok but after that I didn't get my periods for few months and also that time lockdown happened so we can't go to a gynaecologist and then after everything got normal and hospitals we go to the doctor and she asked from how many time you don't get your menses and then I replied from past 6months and she shouted on me and immediately told me to have ultrasound and after seeing the reports she said you have pcod then the rest of the story you know I am still suffering from this disease I don't get my periods if I don't take the tablets now I can't understand what to do even I changed a lot of gynaecologists but nothing happened and they this is a incurable disease you have to take tablets for lifetime and also I am not even financially strong
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

..Read more

Dr Nandita

Dr Nandita Palshetkar  |51 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Dec 26, 2024

Asked by Anonymous - Dec 17, 2024Hindi
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Hello Doctor, I’m in my late 20s, and lately, I’ve been feeling like something’s off with my body. My periods either show up way too early, sometimes not at all for months. And, I’ve been putting on weight even though I haven’t changed my diet or exercise routine. My skin has also turned into a battlefield with acne all over, which I never used to have before. My cousin, who’s around my age, just found out she has PCOS, and her mom (my aunt) went through something similar when she was younger. Now, I’m scared because I’ve been hearing all these horror stories about how it can affect fertility, and I’m not even married yet. What if it’s a family thing and I end up facing the same problems? My mom says, ‘Don’t worry, it’ll be fine,’ but I can’t stop thinking about it. Should I see a gynecologist, or is there another kind of doctor I should be visiting? What tests should I do to get to the bottom of this before it gets worse? Honestly, I’m feeling overwhelmed and just want to know what’s going on before it’s too late.
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

..Read more

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Ramalingam

Ramalingam Kalirajan  |7873 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Feb 07, 2025

Money
Dear Sir, I'm single 28 years Male. Recently took loan of 40 lacs. Currently 31 lacs has been disbursement. EMI will be started in next months. My EMI is 35,100 and interest rate is 8.65% from PSU bank. Per month salarly is 1 lac. I'm confused that should focus on re-payment of loan as quickly as possible or remaining amount after expense + loan emi should be invested in mutual fund. Could you please help to understand more on it.
Ans: You are 28 years old and earning Rs. 1 lakh per month.

You have taken a loan of Rs. 40 lakh, with Rs. 31 lakh already disbursed.

Your EMI is Rs. 35,100 per month at an 8.65% interest rate.

You need clarity on whether to prepay the loan or invest in mutual funds.

Your financial decisions today will impact your long-term wealth and stability.

Key Factors to Consider
1. Interest Rate vs. Investment Returns
Your home loan interest rate is 8.65% per annum.

A well-diversified mutual fund portfolio can deliver higher long-term returns.

If investment returns exceed 8.65%, investing will build wealth faster than prepayment.

If returns are lower than 8.65%, prepayment will save more money in the long run.

The choice depends on your risk appetite and financial goals.

2. Liquidity and Emergency Fund
Loan prepayment reduces future liabilities but also locks up funds in the property.

Investing ensures liquidity, allowing easy access to funds if needed.

Before deciding, ensure you have an emergency fund of at least six months' expenses.

Emergency funds should be in liquid instruments, not tied to long-term investments.

3. Tax Benefits on Home Loan
Home loan interest payments offer tax deductions under Section 24(b) up to Rs. 2 lakh per year.

Principal repayment qualifies for deductions under Section 80C up to Rs. 1.5 lakh per year.

Prepaying the loan reduces tax benefits, while investments provide wealth creation.

Consider the tax impact before choosing prepayment over investment.

4. Future Financial Goals
List your short-term and long-term financial goals.

If planning major expenses in the next 3-5 years, maintaining liquidity is better.

If long-term wealth creation is the focus, investments can be prioritized over prepayment.

A balanced approach can ensure financial flexibility while reducing loan burden.

Pros and Cons of Loan Prepayment
Advantages of Loan Prepayment
Reduces total interest paid over the loan tenure.

Improves cash flow in the future by reducing EMI burden.

Provides peace of mind by becoming debt-free earlier.

Disadvantages of Loan Prepayment
Reduces liquidity, making it harder to manage unexpected expenses.

Leads to lower tax savings on interest payments.

Misses the opportunity to generate higher returns through investments.

Pros and Cons of Investing in Mutual Funds
Advantages of Investing
Has the potential to generate higher returns than loan interest rates.

Keeps your funds liquid and accessible for future needs.

Offers flexibility to diversify across asset classes.

Provides tax-efficient wealth creation in the long run.

Disadvantages of Investing
Market fluctuations can impact short-term returns.

Requires disciplined investing and a long-term perspective.

Returns are not guaranteed, unlike the fixed benefit of interest savings from prepayment.

Balanced Approach: Best of Both Worlds
Instead of fully prepaying or only investing, a balanced approach works best.

Allocate funds for prepayment and investments based on your financial priorities.

Consider prepaying small amounts yearly to reduce loan tenure without losing liquidity.

Continue investing systematically to build wealth alongside reducing debt.

Steps to Follow for an Optimal Decision
1. Build an Emergency Fund First
Save at least six months’ worth of expenses before considering prepayment or investment.

Keep this fund in a liquid asset like a savings account or liquid mutual fund.

2. Check Loan Prepayment Terms
Some banks charge penalties on prepayment, especially for fixed-rate loans.

Ensure there are no additional costs before making a decision.

If prepayment charges exist, investing may be a better option.

3. Invest in Mutual Funds for Long-Term Growth
Investing a portion of your surplus ensures wealth accumulation over time.

Choose diversified funds for a balance of growth and stability.

Invest systematically through SIPs to average out market volatility.

Regular funds through a Certified Financial Planner ensure professional fund management.

4. Make Partial Prepayments Annually
Instead of bulk prepayment, consider making small additional payments each year.

Even Rs. 1 lakh per year can significantly reduce loan tenure and interest burden.

This allows you to maintain liquidity while still reducing debt faster.

5. Reassess Your Strategy Periodically
Financial priorities change over time, so review your approach annually.

If interest rates increase, prioritize prepayment.

If market conditions favor investments, increase mutual fund contributions.

Stay flexible to maximize financial benefits.

Finally
Loan prepayment and investing both have their advantages.

A balanced approach ensures financial security and wealth creation.

Maintain an emergency fund before committing to either option.

Invest systematically to build long-term wealth.

Make small prepayments yearly to reduce the loan burden.

Review your strategy regularly to stay aligned with financial goals.

The right choice depends on your comfort with risk, tax benefits, and long-term objectives.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

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