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42, 1.9L Take Home, How to Invest 75k/month?

Ramalingam

Ramalingam Kalirajan  |7336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Nov 04, 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 - Oct 28, 2024Hindi
Money

I am 42, and my current take home is 1.9 lakh per month. I have a home loan for which I paying 50K EMI. Currently my only investment is 5k monthly SIP and monthly EPF for 22k with current balance of 13 lakh. Now after all expenses I am am able to save 70-75k monthly. Can you please share a road map where I should invest money with 30k amount as high liquidity and flexibility and 40 as long term investment and any other suggestions for investment

Ans: Your dedication to securing a well-rounded financial future is excellent. Based on your profile, I’ll outline an investment roadmap that balances liquidity, growth, and long-term wealth creation.

Key Focus Areas for Your Financial Growth
For a comprehensive strategy, it’s essential to look at both liquidity needs and long-term growth. Given your current savings capacity, we’ll divide your Rs. 70-75k monthly savings effectively.

Here’s how to structure your investments with a balanced approach:

1. Allocating Rs. 30,000 for High Liquidity and Flexibility
In this portion, we’ll target investments that offer quick access to funds while providing a safety net for emergencies and short-term goals.

Liquid Funds
Liquid funds are low-risk and give quick access to cash within a day or two. These funds invest in short-term securities, providing stable returns with high liquidity. This option helps you build an emergency reserve without sacrificing flexibility.

Ultra-Short-Term Funds
Ultra-short-term funds offer slightly better returns than liquid funds but still maintain liquidity. They suit short-term goals and unexpected expenses. Ultra-short-term funds usually require a holding period of three months for optimal returns.

Recurring Deposits (RD)
If you prefer traditional investments, consider an RD with a 6-12 month term. It’s ideal for conservative investors seeking stable growth in liquid funds. It adds a disciplined approach to your savings without tying up funds long-term.

Money Market Funds
Money market funds provide a stable place for parking cash with moderate returns. They invest in high-quality, short-term debt instruments, offering security and fast access to funds. You can liquidate these investments quickly if needed.

2. Allocating Rs. 40,000 for Long-Term Wealth Creation
Long-term investments form the backbone of your financial growth. We’ll focus on higher-growth instruments for wealth building.

Equity Mutual Funds for High Returns
Equity mutual funds are ideal for a 5-10 year horizon and have high growth potential. With actively managed funds, your investment is continuously optimised by fund managers to outperform the market. Unlike index funds, actively managed funds allow for strategic shifts based on market conditions.

Balanced Advantage Funds for Stability and Growth
These funds blend equity and debt, balancing risk while delivering steady returns. They dynamically adjust between debt and equity, helping reduce volatility. They’re a safe choice if you want exposure to equity with controlled risk.

Public Provident Fund (PPF)
PPF is a government-backed option with tax-free returns and long-term benefits. It’s an excellent choice for retirement planning and fits well into a tax-efficient portfolio. It provides a 15-year horizon, aligning with long-term goals.

Debt Funds for Low-Risk Growth
Debt funds are suitable for steady, low-risk income. They invest in corporate bonds and government securities, providing reliable returns. They’re tax-efficient for long-term investors, especially if your income tax slab is high.

Assessing Your Home Loan and EMI Payment Strategy
Paying Rs. 50,000 monthly towards EMI affects your cash flow. You may consider partial pre-payments when feasible to reduce the loan burden. This strategy can help reduce interest over time and ease cash flow, freeing funds for further investment.

Strengthening Your Emergency Fund
An emergency fund is essential to manage unexpected expenses without disrupting your investments.

Set aside six months’ expenses in a high-liquidity option.

Liquid funds or ultra-short-term funds are excellent choices for this buffer.

Aim to allocate a portion of your Rs. 30,000 liquidity funds toward building this reserve.

Enhance Long-Term Security with Retirement Planning
Your monthly EPF contribution of Rs. 22,000 is a strong start. However, considering your future expenses, bolstering your retirement fund will help you secure financial freedom.

National Pension System (NPS)
NPS provides tax-efficient growth for retirement. It invests in equity and debt based on your chosen risk profile, ensuring consistent growth for retirement. NPS offers benefits under Section 80C and 80CCD, giving you tax savings along with growth.

PPF Contributions
Consider supplementing EPF with PPF to balance your retirement fund. PPF provides assured returns, tax efficiency, and can serve as a reliable income source in retirement.

Avoid Direct Funds for Optimized Guidance and Security
Direct funds require continuous market knowledge and time to manage. Instead, consider investing through a Mutual Fund Distributor (MFD) with Certified Financial Planner (CFP) credentials. This guidance brings expertise and helps you make strategic choices in volatile markets, giving better returns without direct fund challenges.

Tax Implications for Your Investments
Your investments should also focus on tax efficiency to maximise post-tax returns.

Equity Mutual Fund Taxation
Long-term capital gains (LTCG) above Rs. 1.25 lakh are taxed at 12.5%. Short-term capital gains (STCG) are taxed at 20%. Equity investments should be held long-term to gain tax benefits.

Debt Fund Taxation
Debt funds are taxed as per your income slab, whether LTCG or STCG. They’re tax-efficient for those in high tax brackets and suit a stable, long-term portfolio.

Diversifying Your Investment Portfolio for Balanced Growth
To achieve a balanced portfolio, you’ll want diversity across asset classes, combining high growth with stability.

Gold Bonds
Gold bonds are government-backed, low-risk, and help hedge against inflation. They’re also tax-efficient and have no capital gains tax if held to maturity, making them ideal for a diversified portfolio.

Large-Cap and Mid-Cap Funds
Large-cap funds provide stability and lower risk, while mid-cap funds offer higher growth. Combining these funds aligns with your risk appetite and long-term growth goals.

Final Insights
A well-planned investment strategy can create financial stability and growth for your future. By focusing on a balanced approach, with Rs. 30,000 for liquidity and Rs. 40,000 for long-term investments, you secure flexibility and future wealth.

Stay consistent with these contributions, and make adjustments as needed. Working with a Certified Financial Planner can further refine this roadmap, helping you optimise each step of your investment journey.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment
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 May 13, 2024

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Hi, I am 28 years old. Have not made any investment till now but have saved about 4 lacs in past 2 years. My in hand is about 1lac. And have been saving 30k pm. I want to invest that 30k. My rent is 20k, emis are like 20k and 20k is misc and personal,10k buffer, split into invest or personal depends. If there is a better split, please suggest that as well. And please suggest how should I invest that 30k.
Ans: Financial Planning for a 28-Year-Old
Current Financial Situation:
• Age: 28 years
• Savings: Accumulated 4 lakhs in the past 2 years.
• Monthly Income: In-hand income of 1 lakh.
• Monthly Savings: Saving 30,000 rupees per month.
• Expenses Breakdown:
• Rent: 20,000 rupees
• EMIs: 20,000 rupees
• Miscellaneous and Personal Expenses: 20,000 rupees
• Buffer Fund: 10,000 rupees
Analysis and Recommendations:
1. Emergency Fund:
• Ensure the buffer fund of 10,000 rupees is maintained as an emergency fund.
• Aim to build an emergency fund equivalent to 6-12 months of living expenses to cover unforeseen financial needs.
2. Debt Repayment:
• Consider allocating a portion of your savings towards accelerating debt repayment, especially if the interest rates on your EMIs are high.
• Prioritize paying off high-interest debts to reduce financial burden and improve cash flow.
3. Investment Allocation:
• With 30,000 rupees available for investment, consider a balanced approach between wealth accumulation and personal needs.
4. Investment Strategy:
• Long-Term Wealth Accumulation:
• Allocate a significant portion of your monthly savings towards long-term investments to harness the power of compounding.
• Consider investing in a diversified portfolio of equity mutual funds or index funds to benefit from potential market growth over time.
• Start a SIP (Systematic Investment Plan) to invest a fixed amount regularly, enabling disciplined wealth creation.
• Short-Term Goals and Personal Expenses:
• Allocate a portion of your savings towards meeting short-term financial goals and personal expenses.
• Maintain liquidity for immediate needs and future financial goals such as travel, further education, or purchasing assets.
5. Revised Expense Allocation:
• Evaluate your monthly expenses and consider adjusting the allocation based on priority and necessity.
• Ensure a balance between essential expenses, debt repayment, savings, and discretionary spending.
6. Regular Review and Adjustments:
• Regularly review your financial situation, goals, and investment portfolio to make necessary adjustments.
• Stay informed about market trends and seek professional advice if needed to optimize your investment strategy.
Conclusion:
• By adopting a balanced approach between long-term wealth accumulation and meeting short-term needs, you can achieve financial stability and pursue your life goals with confidence.
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 May 23, 2024

Asked by Anonymous - May 16, 2024Hindi
Money
Hi Sir, I'm 35 having 4 lakhs on MF and stocks. I earn 1.3 lakhs per.month having a plot loan of 12 lakhs and have a kid . My wife earns 1.2 lakhs and I use most of the salary amount from both of us upto 1 lakh on pre payment of plot loan every month including the emi. I spend around 40k on monthly expenses and 10k for house rent. Could you please guide us how to invest more and which sector to invest to have a stable income in near future within 5 years.
Ans: Financial Planning for Stable Income within Five Years
You are 35 years old with a combined family income of Rs 2.5 lakhs per month. You have a plot loan of Rs 12 lakhs and an investment of Rs 4 lakhs in mutual funds and stocks. Managing finances while raising a child and pre-paying your plot loan is commendable. This guide will help you optimize your investment strategy to achieve stable income within five years.

Genuine Compliments and Understanding
Your dedication to managing loans and saving for the future is impressive. Balancing expenses and investments while planning for stability shows great foresight and discipline.

Current Financial Overview
Income and Expenses
Combined monthly income: Rs 2.5 lakhs
Monthly expenses: Rs 40,000
House rent: Rs 10,000
Plot loan pre-payment and EMI: Rs 1 lakh
You have a disciplined approach towards loan repayment, which is excellent for reducing debt quickly. However, it is essential to balance loan pre-payment with investments to ensure future stability.

Evaluating Your Financial Goals
Short-Term Goals (Within 5 Years)
Achieve Stable Income: Focus on creating multiple income streams to ensure financial stability.
Reduce Debt: Continue paying off the plot loan to become debt-free sooner.
Increase Investments: Build a diversified investment portfolio for growth and stability.
Long-Term Goals
Retirement Planning: Start planning for retirement to ensure financial security in later years.
Child’s Education: Save for your child’s education to avoid financial strain in the future.
Investment Strategy
Balancing Debt Repayment and Investments
While pre-paying your plot loan is a prudent strategy, it is also crucial to allocate funds towards investments. This ensures that you are building wealth for future needs while reducing debt. Consider the following steps:

Allocate a Fixed Amount for Investments: Set aside a portion of your monthly income specifically for investments. This can be in addition to the amount allocated for loan pre-payment.
Emergency Fund: Maintain an emergency fund equivalent to 6-12 months of expenses. This fund acts as a financial cushion for unforeseen circumstances.
Diversifying Investments
Diversification is key to managing risk and achieving stable returns. A balanced portfolio with a mix of equity, debt, and other instruments can provide growth and stability.

Equity Investments
Actively Managed Mutual Funds: Actively managed funds can potentially outperform the market due to professional management. They offer diversified exposure to equities.
Sector-Specific Funds: Consider investing in sector-specific funds that have growth potential. Sectors like technology, healthcare, and finance can offer good returns.
Direct Stocks: Continue minimal investments in stocks, focusing on fundamentally strong companies with growth potential.
Debt Investments
Debt Mutual Funds: Invest in debt mutual funds for stable returns. These funds are less volatile compared to equities and provide regular income.
Fixed Deposits and Bonds: Consider fixed deposits and bonds for guaranteed returns. They offer safety and regular interest income.
Benefits of Actively Managed Funds
Actively managed funds are guided by professional fund managers who make strategic decisions based on market research. These managers aim to outperform the market by taking advantage of investment opportunities. Regular funds, accessed through a Mutual Fund Distributor (MFD) with a Certified Financial Planner (CFP) credential, provide valuable professional advice and management.

Financial Planning with a Certified Financial Planner
Consulting a Certified Financial Planner (CFP) is crucial for tailored advice based on your financial goals, risk tolerance, and investment horizon. A CFP can help you create a balanced investment strategy, ensuring you achieve your long-term objectives.

Portfolio Diversification and Risk Management
A well-diversified portfolio balances risk and reward. By spreading investments across equities, debt, and other asset classes, you can manage risk effectively. Equities offer growth potential, while debt provides stability.

Increasing Savings and Investment Contributions
Consider increasing your savings and investment contributions as your income grows. Allocating a higher portion of your income towards diversified financial instruments will accelerate your wealth accumulation.

Systematic Investment Plans (SIPs)
Systematic Investment Plans (SIPs) are an excellent way to invest regularly and benefit from the power of compounding. Increasing your SIP contributions over time will significantly enhance your investment corpus.

Efficient Tax Planning
Effective tax planning can maximize your investment returns. Utilize tax-saving instruments and strategies to minimize your tax liability. For instance, investing in Equity-Linked Savings Schemes (ELSS) can provide tax benefits under Section 80C of the Income Tax Act.

Emergency Fund and Insurance Coverage
Maintaining an emergency fund is crucial for financial security. This fund provides a financial cushion for unexpected expenses, ensuring you don’t need to dip into your investments. Adequate insurance coverage protects against unforeseen events, safeguarding your financial health.

Conclusion
Your decision to either construct a residential building or sell the plot and reinvest the proceeds depends on your financial goals, risk tolerance, and lifestyle preferences. Both options have their merits and drawbacks. Constructing a building can provide steady rental income and asset appreciation, but requires significant initial investment and management. Selling the plot offers liquidity and investment flexibility, potentially yielding higher returns with professional management.

By following the strategies outlined in this guide and consulting with a Certified Financial Planner, you can make an informed decision that aligns with your long-term financial goals.

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 Jun 04, 2024

Asked by Anonymous - Jun 04, 2024Hindi
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Hi I have around 30 lakhs in MF, 5 lakhs in equity , 4.5 lakhs in PPF AND around 1.5 lakhs in PF. I am 28 as of now how should i plan my investment i can invest 50-60 k per month. I have my parental home so i do not have an immediate goal of buying a home.
Ans: Assessing Your Current Financial Position
You have already made significant progress in your investments. Your portfolio includes mutual funds, equity, PPF, and PF.

Mutual Funds: Rs. 30 lakhs

Equity: Rs. 5 lakhs

PPF: Rs. 4.5 lakhs

PF: Rs. 1.5 lakhs

You are 28 years old, which is a great age to build a strong financial foundation.

Monthly Investment Capacity
You can invest Rs. 50,000 to Rs. 60,000 per month. This is a substantial amount for wealth creation.

Goals and Time Horizon
Define your financial goals and their time horizons. Common goals might include:

Emergency Fund: Immediate

Retirement: Long-term

Higher Education for Children: Medium to long-term

Travel or Lifestyle Upgrades: Medium-term

Emergency Fund
Maintain an emergency fund to cover 6 to 12 months of expenses. This should be easily accessible.

Retirement Planning
Start planning for retirement early. Invest in a mix of equity and debt for a balanced approach.

Investment Strategy
Your investment strategy should balance growth and safety.

Equity Investments
Mutual Funds: Continue investing in mutual funds. They offer diversification and professional management.

Direct Equity: Direct equity investments can provide high returns but come with higher risk.

Disadvantages of Direct Funds
Time-Consuming: Managing direct funds requires constant research.

Lack of Professional Guidance: You may miss out on expert advice.

Benefits of Regular Funds
Professional Management: Regular funds are managed by experts.

Convenience: Saves time and provides professional insights.

Debt Investments
PPF: Continue investing in PPF for tax-free returns and safety.

Debt Mutual Funds: These provide stable returns and are more tax-efficient.

Balanced Portfolio
A balanced portfolio reduces risk and maximizes returns.

Suggested Allocation:

Equity: 60% to 70%

Debt: 30% to 40%

Systematic Investment Plan (SIP)
Invest through SIPs for rupee cost averaging and disciplined investing.

Tax Planning
Consider tax-efficient investments to minimize your tax burden.

Reviewing and Rebalancing
Review your portfolio regularly and rebalance it to align with your goals.

Professional Guidance
Seek advice from a Certified Financial Planner (CFP) for personalized planning.

Conclusion
Your financial journey is off to a great start. Continue investing wisely and review your plans regularly.

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 Jul 19, 2024

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Hello Sir, I am a 30 yesr old male. Currently Unmarried. My salary is 1 lakhs (in hand) per month. I recently took a home loan with 32k emi oer month. I still do not have any ppf or nps or any other kind of savings or investments. Please guide me on how and where to invest. I have to complete the interiors of the house i bought and I am also planning to buy a 4 wheeler under 8lakhs in the next 2 years. Please Guide sir
Ans: You are 30 years old and unmarried. Your monthly salary is Rs. 1 lakh. You have a home loan with an EMI of Rs. 32,000. You need to complete the interiors of your house. You plan to buy a car worth Rs. 8 lakhs in the next two years. You currently have no savings or investments.

Financial Goals
Complete home interiors
Buy a car in two years
Start saving and investing for the future
Monthly Savings and Budgeting
1. Emergency Fund:

Set aside funds for emergencies. Aim to save 6 months of expenses. This should be around Rs. 3 lakhs. Start by saving Rs. 10,000 per month.

2. Home Interiors:

Estimate the cost for home interiors. Allocate Rs. 10,000 per month for this. This will help you avoid taking more debt.

3. Car Purchase:

Save for your car purchase. Aim to save Rs. 8 lakhs in 2 years. Save Rs. 30,000 per month for this goal.

Investment Strategy
1. Public Provident Fund (PPF):

PPF offers tax benefits and guaranteed returns. It's a good long-term investment. Invest Rs. 5,000 per month.

2. National Pension System (NPS):

NPS helps build a retirement corpus. It offers tax benefits too. Invest Rs. 5,000 per month.

3. Mutual Funds:

Actively managed funds can offer better returns. Avoid index funds as they may have lower returns. Start with Rs. 10,000 per month in mutual funds. Choose funds with a good track record.

4. Debt Funds:

Include debt funds for stability. They offer lower risk and steady returns. Invest Rs. 5,000 per month in debt funds.

Risk Management
1. Diversification:

Diversify your investments. Spread them across different assets. This reduces risk and ensures stability.

2. Insurance:

Ensure adequate insurance coverage. Health insurance and term insurance are essential. They protect you and your assets.

Tax Planning
1. Tax-efficient Investments:

Invest in tax-saving instruments. PPF, NPS, and ELSS offer tax benefits. Plan your investments to reduce tax liability.

2. Tax-saving Strategies:

Utilise tax-saving strategies. Maximise benefits under Section 80C, 80D, and other sections.

Monitoring and Review
1. Regular Monitoring:

Monitor your investments regularly. Track performance and make necessary adjustments.

2. Annual Review:

Review your financial plan annually. Assess progress towards your goals. Adjust investments based on performance.

Final Insights
Start by building an emergency fund. Allocate funds for home interiors and car purchase. Invest systematically in PPF, NPS, mutual funds, and debt funds. Diversify your portfolio and ensure adequate insurance coverage. Regular monitoring and annual reviews will help you stay on track. With disciplined planning, you can achieve your financial goals and secure your future.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

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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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Hi, My GF of last 2.5 years gets attracted to men very often and shares her feelings with me as well. She developed feelings for a guy a year back and he kissed her once when they were drunk. She said she didn't had time to react and Later they had a talk, she informed me that they chose to be friends, she doesn't seems to in talking terms any more with him. She talks to lot of male friends who she claims are from LGBTQ community which I doubt whether all are or not. I always say she has the freedom to move on any given day but she can't cheat but she doesn't think getting attracted to multiple men and acting on it as cheating . She says, she is free spirited and she is ok even if I visit a prostitute house. She is in her early 30s. She had a crush another guy on insta and said she will definitely try him if he wasn't lot younger than her but later said he is her best friend and she is in constant touch. Lately, she says vibe doesn't match and have problem saying I am her BF. I tried to move on from relationship 2-3 times because of her above traits and now stopped talking since few days. She had both mental and medical issues. Can I trust her and will she have any mental issues again?
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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.

It might also help to set gentle boundaries. For instance, you could say, “I appreciate that you care for me, but I’d like our time together to focus on enjoying each other’s company instead of discussing remarriage.” It’s okay to redirect conversations or take a break from them when you feel cornered.

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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