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Ramalingam

Ramalingam Kalirajan  |7336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jun 25, 2024

Ramalingam Kalirajan has over 23 years of experience in mutual funds and financial planning.
He has an MBA in finance from the University of Madras and is a certified financial planner.
He is the director and chief financial planner at Holistic Investment, a Chennai-based firm that offers financial planning and wealth management advice.... more
Asked by Anonymous - Jun 24, 2024Hindi
Money

Hi, I am 41 years old with 1.5lakhs pm salary. Cleared home loan using PF amount, so own a flat in Bangalore. Daughter is 8 years old. Have term (1.5cr) and health insurance (7L), parents covered under corporate insurance. Coming to investments, have 7.5L in mutual funds, 4.5L in stocks, 3L in PF and 3L in NPS. 30k goes for investment, 40k for car emi on 3 year corporate lease, 65k for expences including parents (dependents) staying in another town. I want fo retire at 50 with a retirement corpus of 5 cr. Am i on right track? Please suggest if i have to make any changes to my existing routine.

Ans: First off, congratulations on your disciplined approach to financial planning. Owning a flat in Bangalore, having term and health insurance, and a clear home loan are significant achievements. Let’s evaluate your current financial status and align it with your goal of retiring at 50 with a retirement corpus of Rs 5 crore.

Current Financial Snapshot
Let’s summarize your current financial situation:

Salary: Rs 1.5 lakhs per month
Term Insurance: Rs 1.5 crore
Health Insurance: Rs 7 lakhs (parents covered under corporate insurance)
Investments:
Mutual Funds: Rs 7.5 lakhs
Stocks: Rs 4.5 lakhs
Provident Fund (PF): Rs 3 lakhs
National Pension System (NPS): Rs 3 lakhs
Monthly Investments: Rs 30,000
Monthly Car EMI: Rs 40,000
Monthly Expenses: Rs 65,000 (including support for parents)
Retirement Goal Analysis
Goal: Rs 5 Crore Retirement Corpus by Age 50
You have nine years to achieve your retirement goal of Rs 5 crore. Let’s break down the steps needed to reach this target.

Evaluate Current Savings and Investments
1. Mutual Funds: Rs 7.5 lakhs

2. Stocks: Rs 4.5 lakhs

3. Provident Fund (PF): Rs 3 lakhs

4. National Pension System (NPS): Rs 3 lakhs

Total Current Investments: Rs 18 lakhs

Monthly Investment Plan
Increasing Your SIP Contributions
Your current SIP contribution is Rs 30,000 per month. Considering your goal, it’s essential to evaluate whether this amount is sufficient.

Growth Rate: Assume an annual growth rate of 12% for your mutual funds and stocks.

Future Value: Calculate the future value of your current investments and SIP contributions over the next nine years.

Additional Investments
You might need to increase your monthly SIP contributions to bridge any shortfall. Let’s evaluate potential strategies.

Assessing and Adjusting Your Portfolio
Diversification
Diversifying your investments can help in achieving better returns and reducing risks.

Mutual Funds: Continue investing in diversified equity mutual funds. Consider adding some large-cap and mid-cap funds for a balanced portfolio.

Stocks: Regularly review and rebalance your stock portfolio. Focus on fundamentally strong companies with growth potential.

National Pension System (NPS)
NPS is a good option for long-term retirement planning due to its tax benefits and potential for high returns.

Equity Allocation: Consider increasing the equity allocation in your NPS to maximize growth.
Provident Fund (PF)
Continue contributing to your PF. It’s a safe and tax-efficient investment.

Managing Expenses and EMI
Your monthly car EMI is Rs 40,000. Once the EMI is over, reallocate this amount towards your retirement corpus.

Expense Management
Current Expenses: Rs 65,000 per month
Investment Opportunities: Post EMI period, use the freed-up funds for additional investments.
Insurance and Contingency Planning
Term Insurance
Your term insurance cover of Rs 1.5 crore is adequate. It provides financial security to your family.

Health Insurance
Health insurance of Rs 7 lakhs is good. Ensure it’s sufficient to cover medical emergencies. Review the policy annually.

Additional Steps for Financial Security
Emergency Fund
Ensure you maintain an emergency fund equivalent to 6-12 months of your monthly expenses. This provides a cushion during unexpected situations.

Regular Reviews
Regularly review your financial plan with your Certified Financial Planner. Adjust your investments based on market conditions and life changes.

The Importance of Professional Guidance
A Certified Financial Planner can provide the expertise needed to navigate complex financial decisions.

Customised Strategies: Tailored investment strategies to suit your specific goals and risk tolerance.

Regular Monitoring: Continuous monitoring and rebalancing of your portfolio to ensure alignment with your goals.

Disadvantages of Direct Funds
1. Lack of Professional Guidance: Managing direct funds requires significant time and expertise.

2. Higher Risks: Without professional advice, the risk of making suboptimal investment choices increases.

3. Market Volatility: Direct funds are susceptible to market volatility, which requires constant monitoring and adjustments.

Benefits of Regular Funds
1. Professional Management: Fund managers actively manage the investments to maximize returns and minimize risks.

2. Flexibility: They can adapt to market changes, unlike index funds which passively track market indices.

Future Planning for Your Daughter’s Education
Education Costs
Plan for your daughter’s higher education expenses. Start a dedicated SIP for this goal.

Estimate Costs: Factor in inflation and rising education costs.

Investment Strategy: Choose equity mutual funds for long-term growth.

Final Insights
Your disciplined approach to financial planning is commendable. You have a solid foundation with your current investments and insurance coverage. To achieve your retirement goal of Rs 5 crore by age 50, consider the following steps:

Increase SIP Contributions: Evaluate and possibly increase your monthly SIP contributions.
Diversify Investments: Ensure your portfolio is well-diversified across different asset classes.
Reallocate Post-EMI Funds: Once your car EMI is completed, redirect this amount towards your retirement corpus.
Regular Reviews: Regularly review and adjust your financial plan with your Certified Financial Planner.
Focus on Long-Term Goals: Stay focused on your long-term goals and make informed investment decisions.
By following these steps and maintaining your disciplined approach, you are well on your way to achieving your retirement goal.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Users are advised to pursue the information provided by the rediffGURU only as a source of information to be as a point of reference and to rely on their own judgement when making a decision.
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Ramalingam Kalirajan  |7336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 10, 2024

Asked by Anonymous - Jul 10, 2024Hindi
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Hello Sir, I am 38 yeras old,leaving in bhubaneswar with monyhly rent of 7000, i have 2 kids,1 is in UKG and small 1 is 6 month old. I have 30 lakhs in PPF, 30 lakhs in FD,monthly SIP 25000, and i have done helath insurance of 5 lakhs for my family,term insurance 50 lakhs, LIC and PLI premium paid 20 lakhs, Plz guide me, i want to retire at the age of 50, My monthly income is 70000 Plz guide me
Ans: I’m glad you reached out for advice. Let's break down your situation and explore the best strategies for achieving your goal of retiring at 50.

Understanding Your Current Financial Position
You have a strong foundation to build on. Here’s a summary:

Monthly income: Rs 70,000
Monthly rent: Rs 7,000
Monthly SIP: Rs 25,000
PPF: Rs 30 lakhs
FD: Rs 30 lakhs
Health insurance: Rs 5 lakhs
Term insurance: Rs 50 lakhs
LIC and PLI premium paid: Rs 20 lakhs
2 kids (one in UKG, one 6 months old)
You’re managing well and investing actively, which is commendable.

Evaluating Your Investments
Your investments are diversified across different instruments. Let’s evaluate each one:

Public Provident Fund (PPF)
PPF is a safe investment with tax benefits. However, the returns are relatively low compared to other investment options. It's a good foundation but should be complemented with other high-return investments.

Fixed Deposits (FD)
FDs are low-risk but offer limited growth. They are excellent for safety but not ideal for wealth creation. It's crucial to diversify beyond FDs for higher returns.

Mutual Funds
Your monthly SIP of Rs 25,000 in mutual funds is a great step. Mutual funds offer potential for high returns through various categories:

Equity Funds: These funds invest in stocks and have high growth potential but come with higher risk.
Debt Funds: These invest in bonds and are safer but with moderate returns.
Balanced Funds: A mix of equity and debt, offering balanced risk and return.
Health and Term Insurance
Your health insurance cover of Rs 5 lakhs for the family is essential. Term insurance of Rs 50 lakhs ensures financial security for your family in case of an unfortunate event.

Recommended Strategies for Retirement at 50
Achieving retirement at 50 requires a focused and strategic approach. Here’s a comprehensive plan:

Increase SIP Investments
Consider increasing your SIP amount gradually. Mutual funds, especially equity funds, have the potential for significant growth due to the power of compounding.

Review and Realign Insurance Policies
If you hold LIC or PLI policies, evaluate their returns. Insurance-cum-investment plans often offer lower returns compared to pure investment plans. Surrender low-yield policies and reinvest the amount into mutual funds.

Diversify Your Portfolio
Diversification is crucial for balancing risk and return. Here are some categories to consider:

Large-Cap Funds: Invest in well-established companies. These are less volatile and offer stable returns.
Mid-Cap and Small-Cap Funds: Invest in growing companies. These can offer higher returns but come with higher risk.
International Funds: Exposure to global markets can provide growth opportunities and diversification.
Emergency Fund
Maintain an emergency fund equivalent to 6-12 months of expenses. This can be in a liquid fund or savings account for easy access.

Power of Compounding
The power of compounding works best with time and consistent investments. Starting early and staying invested in mutual funds can significantly grow your wealth.

Long-Term Growth
Equity mutual funds are ideal for long-term growth. Despite market volatility, historical data shows that long-term equity investments can offer substantial returns.

Risk Management
Balancing risk is key. Your current portfolio has a good mix of safe and growth-oriented investments. As you approach retirement, gradually shift towards safer investments to preserve capital.

Regular Portfolio Review
Regularly reviewing and rebalancing your portfolio ensures alignment with your financial goals. A Certified Financial Planner can help in making informed decisions.

Kids' Education and Future Needs
Plan for your kids' education and future expenses. Consider investing in child-specific plans or education funds that grow with your child’s needs.

Focused Education Planning
Start an education SIP specifically for your kids. Education costs are rising, and early planning can ease future financial burdens.

Retirement Corpus Calculation
Determine the retirement corpus required to maintain your lifestyle post-retirement. Factor in inflation, healthcare costs, and other expenses.

Assessing Monthly Needs
Calculate your monthly expenses post-retirement, aiming for a corpus that supports these expenses without depleting your savings too quickly.

Health Insurance Enhancement
Consider enhancing your health insurance cover as medical costs are rising. A top-up policy can provide additional coverage without a high premium.

Comprehensive Coverage
Review your health insurance to ensure it covers all critical aspects, including hospitalisation, surgeries, and chronic illnesses.

Importance of Estate Planning
Create a will to ensure your assets are distributed according to your wishes. Estate planning provides peace of mind and security for your family.

Legal Assistance
Consult a legal expert to draft a will and manage your estate planning effectively. This ensures your wealth is passed on smoothly.

Tax Efficiency
Invest in tax-efficient instruments to maximise returns. Utilise all available deductions and exemptions to reduce taxable income.

Tax-Saving Investments
Explore options like ELSS (Equity Linked Savings Scheme) for tax benefits under Section 80C while gaining equity exposure.

Avoiding Common Pitfalls
Avoid common investment mistakes like chasing high returns without assessing risk, ignoring inflation, and not reviewing your portfolio regularly.

Long-Term Perspective
Maintain a long-term perspective with your investments. Short-term market fluctuations should not deter your investment strategy.

Role of Certified Financial Planner
A Certified Financial Planner can provide personalised advice, considering your unique financial situation and goals. They help in creating a holistic financial plan.

Expert Guidance
Seek expert guidance to navigate complex financial decisions. A CFP ensures your investments align with your retirement goals.

Final Insights
You have a solid financial foundation. By enhancing your investments, managing risks, and planning meticulously, you can achieve your goal of retiring at 50.

Stay focused, review your investments regularly, and make informed decisions. Financial discipline and a strategic approach will lead you to a comfortable and secure retirement.

Best Regards,

K. Ramalingam, MBA, CFP

Chief Financial Planner,

www.holisticinvestment.in

..Read more

Ramalingam

Ramalingam Kalirajan  |7336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Nov 07, 2024

Money
My investment as of now 2 Girls SSY with 16 lakh and 9 lakh depositing very year 3 lakh combined for both daughters. NPS 1.5 lakh with 50 K per year . PF 44Lakh with 10 K additional deduction per month. Mutual fund 40 Lakh with 80 K per month. Shars 11.5 Lakh . NSC of 12 Lakh re investing every 5 years. want to retire at 46 right now age 40 per month salary in hand 1.65 lakh is 8 CR enough as I own my house. what should i do more to have 8 CR at the age of 46 means in another 6 to 7 years. daughters age 8 years and 4 years . Family of 4
Ans: You have diligently built a robust portfolio and taken critical steps to secure your family’s future. Your investments across the Sukanya Samriddhi Yojana (SSY), NPS, Provident Fund, mutual funds, and stocks showcase a well-rounded approach to growth and stability.

Your goal is to accumulate Rs. 8 crore by age 46, which is 6-7 years away. Let’s examine your current allocations and recommend strategies to help you achieve your target with minimum risk while ensuring long-term growth for your family.

1. Review of Current Investments

Your investments reflect a thoughtful approach across different instruments. Here’s an overview of their potential impact:

Sukanya Samriddhi Yojana (SSY): With Rs. 16 lakh and Rs. 9 lakh invested for your daughters, contributing Rs. 3 lakh annually is ideal for long-term growth. The SSY interest rate is attractive, offering good returns that can cover educational expenses.

National Pension System (NPS): A yearly investment of Rs. 50,000 in NPS provides moderate growth. However, note that NPS is primarily for retirement benefits, with partial liquidity before 60.

Provident Fund (PF): Your PF of Rs. 44 lakh and Rs. 10,000 monthly addition offers stability. PF rates are generally higher than most fixed-income products, making it a great retirement vehicle.

Mutual Funds: Investing Rs. 40 lakh in mutual funds with an Rs. 80,000 monthly SIP indicates a strong equity focus. This will support higher returns in the long term, aiding in reaching your corpus goal.

Stocks: A portfolio of Rs. 11.5 lakh in direct stocks adds diversification. Continue monitoring these holdings for optimal growth.

National Savings Certificate (NSC): Your Rs. 12 lakh in NSC, reinvested every five years, offers secure returns, though generally lower than equity. NSC is a good component for capital preservation.

2. Retirement Corpus Analysis

To achieve Rs. 8 crore in 6-7 years, let’s consider a balanced growth-focused approach. Your current portfolio value and ongoing contributions provide a solid base. Given a mix of equity, fixed income, and SSY, your potential to reach Rs. 8 crore looks realistic, provided market returns align favorably over time.

Suggested Strategy Adjustments:

Increase SIPs marginally for mutual funds over the next few years. A 10-15% SIP increment can significantly compound your wealth by your target age.

Evaluate your stock portfolio periodically. Aim for quality growth-oriented stocks and avoid high-risk or speculative investments to preserve capital.

3. Enhancing Your Portfolio Strategy

A clear roadmap to enhance growth while managing risk is essential. Here’s a refined strategy for your goal of Rs. 8 crore:

Mutual Funds: Continue prioritizing actively managed funds over index funds. Actively managed funds allow better control over market volatility and have the potential to outperform. Consider increasing your SIP in diversified funds and explore funds that focus on mid- and large-cap equities for stable returns. Avoid direct funds; regular funds through an MFD with a Certified Financial Planner (CFP) provide valuable guidance, optimizing returns with tailored investment insights.

National Savings Certificate (NSC): Consider NSC as a fixed-income backup. Given its low return rate, prioritize reinvestment only if its returns remain competitive against alternative fixed-income options.

National Pension System (NPS): NPS will add value post-retirement, but it lacks liquidity before retirement age. While your annual Rs. 50,000 investment benefits from tax deductions, avoid further increasing it as it will not contribute to your 6-7 year goal.

4. Tax Efficiency and Portfolio Rebalancing

With long-term capital gains (LTCG) on equity mutual funds and short-term gains taxed at 20%, consider:

Setting a long-term strategy to avoid frequent transactions. This will minimize LTCG tax, enhancing net returns. Only redeem equities if essential.

For debt funds, consider short-term fixed-income instruments as they align better with your income tax bracket.

5. Education and Marriage Fund for Your Daughters

Planning for your daughters' future is crucial. SSY is a good foundation, but enhancing it with additional investments will strengthen this corpus:

Balanced Funds: Consider adding balanced mutual funds for your daughters’ future needs. They offer moderate growth with lower risk, making them ideal for long-term goals.

SIPs with Step-Ups: A 10% yearly step-up in your SIPs allocated for their education and marriage could accumulate a strong corpus by the time they reach college-going age.

6. Emergency Fund and Insurance Coverage

Your focus on wealth accumulation should not overlook risk management. Here are essential adjustments:

Increase Emergency Fund: Ensure that your emergency fund covers at least 12 months of expenses. Allocate Rs. 8-10 lakh across liquid instruments like short-term debt funds for instant access during unforeseen events.

Insurance Adequacy: Ensure you have sufficient term insurance to cover your family’s financial security. Verify that your life insurance covers liabilities and future education and lifestyle expenses for your children.

7. Structured Approach Towards Asset Allocation

Balancing your portfolio to align with a moderate risk tolerance for the next 6-7 years will reduce potential losses while achieving growth.

Fixed Income: Gradually increase your PF and other debt allocations, as these provide stability and guaranteed returns. This ensures a steady income during volatile market phases.

Equity Allocation: Keep equities dominant in your allocation, as they are the main growth driver. Equity mutual funds, specifically, will play a significant role in achieving your Rs. 8 crore target.

Regular Portfolio Review: Annually review and adjust your portfolio. A CFP can guide you on specific fund performances and market conditions, ensuring your portfolio stays on track.

8. Aligning Goals with Family Security

Since you aim to retire early, ensuring the financial security of your family is essential. Here’s how to safeguard your family’s future:

Establish a Family Trust: Consider setting up a family trust if you aim to secure and pass on assets seamlessly. It can reduce inheritance issues and provide tax-efficient transfers for your children’s benefit.

Child-Specific Funds: Allocate a separate, conservative fund for each child’s major expenses (e.g., marriage or higher education). Consider child plans with a mix of equity and debt, specifically designed to build wealth for such milestones.

9. Final Insights

Your financial journey so far has been effective and well-structured. Minor adjustments, increased SIPs, and a focus on asset allocation will strengthen your goal of achieving Rs. 8 crore by age 46. Regularly consult a Certified Financial Planner (CFP) to stay on track with evolving market trends and optimize your wealth.

Implementing these strategies will not only help you achieve your retirement corpus but also ensure a secure and comfortable future for your family.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

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

..Read more

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I am talking to a boy for arranged marriage. He said me that come to Bangalore you will have a good career. But he is also asking me if I can leave my job if I have got some responsibility in life to which I said yes. Then I said that I prefer own cooked food over cook cooked food. Then he asked me if I can cook for 2 people to which I said that I will have to look if I can do. He seems to be supportive when he talks on phone. Is he brain washing me, should I say yes or no. Is he a red flag. What should I do.
Ans: Dear Moumita,
It isn't fair to label someone as a red flag over a few days of conversation; seeing women take up responsibilities of home and disregard their own career or needs might be what he has seen growing up and it's not him being a red flag intentionally. A lot has to do with upbringing. What I can suggest with confidence is that if you love having your own job, and your own financial independence then please be vocal about it. Just because he is asking you to leave your job doesn't mean you have to do it- you are only in the talking phase. You are not married yet. You have ample time to rethink your choice. Cooking and housework shouldn’t just be your responsibility, just like earning and providing shouldn’t only be his. It’s about sharing the load equally. Having said that, I should also mention that every relationship is different, and each couple finds their own way of balancing things. Ultimately, everything boils down to what you are comfortable with- please take some time to figure that out and only then decide whether or not to take this relationship ahead.

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Asked by Anonymous - Dec 25, 2024
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Ans: While it’s commendable that she is honest about her feelings and gives you the freedom to make your choices, it’s equally important to consider whether her values and actions align with what you need in a partner. Relationships thrive when there’s mutual respect, understanding, and agreement on boundaries. If her actions or mindset make you feel undervalued or emotionally unsafe, it’s crucial to reflect on whether this relationship is truly serving your well-being.

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Relationships Expert, Mind Coach - Answered on Dec 26, 2024

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Hi Anu, My husband is in living relationship with another lady since April in another country. At the same time, he acused me as selfish for doing my PhD in my native country and put me in mental trauma by verbally accusing.Also,he was very clever, he step by step get rid of all the things related to our relationship and took bank all the bank fund in my name.After that he blocked me.I had doubts on his extra marital and asked him 1000 times. But he simply insulted and blocked me from all social media eventually. After finishing my PhD pre submission, when i went to meet him, in his place. I found him, shifted to another apartment. But i somehow, found it and there i came to knew, he is staying with a lady there for past months. I broke down and informed all his friends. Now he is threatening me for signing mutual consent, otherwise he will make false allegations and tore my good name..Already he partially did that. When I talked to his friends, he was crooked enough to tell them, i am a psycho, ademant, career oriented lady. I told him i am ready to give him mutual divorce after once we met in person. I want to ask him why he cheated me.but he is not ready to meet, he is asking me to talk to his advocate. What shall I do now?
Ans: While it’s natural to want answers and closure, sometimes people who betray us in such profound ways refuse to provide the accountability we seek. Closure doesn’t always come from the other person. It can come from recognizing that their actions stem from their own flaws and failings, not because of anything lacking in you. It can come from choosing to let go of the need for explanations and focusing instead on rebuilding your own sense of peace and purpose.

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Relationships Expert, Mind Coach - Answered on Dec 26, 2024

Asked by Anonymous - Dec 23, 2024Hindi
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Hello, I am a 35-year woman from Manali, divorced for three years now. My family is constantly pushing me to get remarried, saying it’s ‘for my own good.’ But honestly, I don’t feel the need for marriage again. I’m financially stable, have great friends, and I genuinely enjoy my independence. Despite explaining this to my family multiple times, they keep bringing up alliances and even guilt-trip me, saying things like, ‘Who will take care of you when you’re older?’ or ‘What will society think?’ I’m exhausted from these arguments and feel like I’m being cornered into something I don’t want. How do I stand firm in my decision while maintaining my relationship with my family? How do I help them understand that being single is a choice, not a problem to fix?
Ans: When speaking to your family, try to approach the conversation from a place of empathy. Acknowledge their intentions by telling them you understand their worries and that they want what they believe is best for you. Express gratitude for their care—it often helps diffuse their defensiveness. However, it’s equally important to gently but firmly assert that your happiness is not dependent on remarriage. Share how content you are with your current life, emphasizing your financial stability, fulfilling friendships, and personal growth.

Sometimes families struggle to accept choices that diverge from traditional norms, often driven by fears about societal perceptions or imagined futures. Reassure them that your decision is rooted in thoughtful consideration and self-awareness, and that you’ve built a life that brings you peace and joy. If they bring up concerns like loneliness or old age, you can address these by expressing how you’ve cultivated strong support systems and how your independence equips you to face challenges.

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Lastly, remember that changing deeply ingrained beliefs takes time. Your family might not immediately understand your perspective, but consistency and calm communication will help over time. It’s not your responsibility to conform to their expectations if doing so diminishes your sense of self. By staying true to your values while showing compassion for their concerns, you’re paving the way for mutual respect and understanding.

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Dr Nandita

Dr Nandita Palshetkar  |36 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Dec 26, 2024

Asked by Anonymous - Dec 19, 2024Hindi
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Dr, I’m 35 years old from Jamnagar, and my husband and I have been trying for a baby for the past year, but nothing seems to be working. I recently visited a fertility clinic in neighborhood , and after a few tests, they mentioned that I might have blocked fallopian tubes. The gynaec also talked about possible treatments like surgery or IVF, but I’m really confused and worried. Should I go for a laparoscopy to check the severity, or are there any other alternatives that could help me? I’m really anxious and just want to understand my options better before making any decisions.
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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Dr Nandita

Dr Nandita Palshetkar  |36 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

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