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Ramalingam

Ramalingam Kalirajan  |7337 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 29, 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
Iliyas Question by Iliyas on Jun 08, 2023Hindi
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Dear sir, this is Iliyas Khan from madhyapradesh, I'm a govt employee. currently I have 50 k salary in hand and I am investing in MF since last november.I don't have any other investments or don't have any term/life insurance. currently I have monthly Sip in these funds pls give the opinion about my AMC and fund ,risk and expected returns in 15 years.I am increasing my investments by 10% every year. 1. quant small cap fund 2000/- 2. Quant tax plan fund 500/- ,3.Quant absolute fund 1000/- 4,PGIM India mid cap fund 1000/- 5. Parag Parikh flexi cap fund 1000/- 6.Mirae asset emerging Blue chip fund 1000/- 7.ICICI PRUDENTIAL DIVIDEND YIELD EQUITY FUND 1000/- 8.icici prudential equity and debt fund 1000/- 9.icici prudential multi asset fund 1000/- 10.hdfc long duration debt fund 500/- Please guide me for my investments and other financial aspects may be required in future.thank you

Ans: Assessment of Mutual Fund Portfolio and Financial Planning:

Current Investment Portfolio:

Your disciplined approach towards investing since November, coupled with an annual increase of 10%, reflects a commendable commitment to wealth accumulation.
The selection of mutual funds spanning various categories indicates a diversified investment strategy aimed at achieving long-term financial goals.
However, it's crucial to review your portfolio periodically to ensure alignment with your evolving financial objectives and risk tolerance.
Analysis of Fund Selection and Risk:

Small-cap and mid-cap funds such as Quant Small Cap and PGIM India Mid Cap Fund offer growth potential but entail higher volatility.
Flexi-cap funds like Parag Parikh Flexi Cap Fund and Mirae Asset Emerging Blue Chip Fund provide a balanced approach by investing across market capitalizations, potentially reducing portfolio risk.
Equity income and dividend yield funds like ICICI Prudential Dividend Yield Equity Fund offer stable income but may exhibit lower capital appreciation compared to growth-oriented funds.
Multi-asset and hybrid funds like ICICI Prudential Equity and Debt Fund and ICICI Prudential Multi Asset Fund offer diversification across asset classes, providing stability during market fluctuations.
Long-Term Financial Planning:

Considering your investment horizon of 15 years, equity-oriented funds may offer higher growth potential compared to debt funds.
However, it's essential to maintain a balanced portfolio by allocating a portion of your investments to debt funds like HDFC Long Duration Debt Fund to mitigate volatility.
Regularly monitor your portfolio's performance and adjust asset allocation based on changing market conditions and financial goals.
As a government employee, you may have access to certain benefits like pension schemes, which can complement your investment portfolio and provide additional retirement income.
Risk Management and Insurance:

As you mentioned, you currently do not have any term or life insurance coverage. It's advisable to consider purchasing adequate insurance to safeguard your family's financial future in the event of any unforeseen circumstances.
Term insurance plans offer comprehensive coverage at affordable premiums, providing financial security to your loved ones in your absence.
Conduct a thorough assessment of your insurance needs and consult with a Certified Financial Planner to determine the appropriate coverage amount based on your income, liabilities, and future financial obligations.
In conclusion, while your mutual fund portfolio showcases a diversified approach towards wealth creation, it's essential to incorporate risk management strategies and insurance coverage into your financial plan for comprehensive protection and long-term financial security.

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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Sanjeev

Sanjeev Govila  | Answer  |Ask -

Financial Planner - Answered on Jun 16, 2023

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Dear sir, this is Iliyas Khan from madhyapradesh, I'm a govt employee. currently I have 50 k salary in hand and I am investing in MF since last november.currently I have monthly Sip in these funds pls give the opinion about my AMC and fund ,risk and expected returns in 15 years.I am increasing my investments by 10% every year. 1. quant small cap fund 2000/- 2. Quant tax plan fund 500/- ,3.Quant absolute fund 1000/- 4,PGIM India mid cap fund 1000/- 5. Parag Parikh flexi cap fund 1000/- 6.Mirae asset emerging Blue chip fund 1000/- 7.ICICI PRUDENTIAL DIVIDEND YIELD EQUITY FUND 1000/- 8.icici prudential equity and debt fund 1000/- 9.icici prudential multi asset fund 1000/- 10.hdfc long duration debt fund 500/-
Ans: According to my analysis of the portfolio, you have hugely over-diversified the amount in numerous funds of the same category. Ideally, we should have only 1 fund in each category. A brief view on funds held in your portfolio is as follows, but please note that selection and allocation of fund totally depends on your risk appetite, objective, investment horizon, and other peculiarities essential for making decision.

I would recommend reducing the number of funds to 4-6 in your current portfolio and increasing your SIPs by 10% or more if feasible based on income increment every year. Choose a fund totally based on your requirement and time frame. This will help you to grow your wealth substantially over time.
1. Quant Small Cap Fund – The fund invests in small-cap companies, which are riskier than large-cap companies. However, small caps have the potential to generate higher returns in the long term only (7-10 years).

2. Quant Tax Plan Fund – The fund provides tax savings up to Rs. 1,50,000 U/s 80C (Only if you choose the old tax regime) with a lock-in period of 3 years, and the fund's performance has been strong in the previous 5 years.

3. Quant Absolute Fund - The Fund is recommendable for investors who are looking for a moderate-risk investment with the potential for above-average returns. The fund's quantitative investment approach has helped it to generate consistent returns over the long term.

4. PGIM India Mid-cap Fund - The fund aims to achieve long-term capital appreciation by investing in equity and equity-related instruments of mid-cap companies. It is suitable for investors who are looking for long-term growth (5-7 years) and are willing to accept some risk.

5. Parag Parikh Flexi Cap Fund – The fund is doing well in the current market and has the potential to produce significant returns in the coming market but with discipline. It is advised to invest in this fund or to raise your SIPs in this fund since it diversifies your investment across domestic and international markets.

6. Mirae Asset Emerging Bluechip Fund - This fund invests in large and mid-cap companies that are expected to grow persistently. The fund has performed well, and you are advised to continue.

7. ICICI Prudential Dividend Yield Equity Fund - This fund invests in companies that are known to declare high dividends. Dividend fund generally defeats the main aspect of growth and affects compounding in the long run. Thus, it is suggested to cease the SIP.

8. ICICI Prudential Equity & Debt Fund - This fund is a hybrid fund that invests in a mix of equity and debt. It is a good option for investors who want to reduce risk via proportionate 20-25% investment in debt-oriented fund.

9. ICICI Prudential Multi-Asset Fund - This fund is a multi-asset fund that invests in a variety of assets, including stocks, bonds, gold, and commodities. It is a good investment option giving a taste of various asset classes in a single recipe.

10. HDFC Long Duration Debt Fund – This fund has durations of more than 7 years. Adding such a high duration in a portfolio is totally dependent on the interest rate cycle. It is not suggested to continue the SIP.
Disclaimer:
• I have just no idea about your age, future financial goals, your risk profile, other investments and whether you would have the nerves to not get unduly perturbed if stock markets go temporarily down.
• Hence, please note that I am answering your question in absolute isolation to other parameters which should definitely be considered when answering a question of this type.
• I recommend you to also consult a good financial advisor who would look at your complete profile in totality before you act on this advice given by me.

..Read more

Ramalingam

Ramalingam Kalirajan  |7337 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 30, 2024

Money
Hi, My name is Madhur and i am working in Private Job. I am regularly investing through SIP in below Mututal Fund from last 2 years and want to continue for 10-12 years. Please suggest if my choice of MF is correct or now. I am ready to take risk : Axis Bluechip Fund - GR 5000 Axis Long Term Equity Fund - GR 5000 Axis Mid Cap - GR 3000 DSP Midcap Fund - Reg GR 3000 ICICI Prudential Technology - GR 5000 Invesco India Midcap Fund - GR 3000 Kotak Emerging Equity Fund - GR - 3000 Kotak Flexicap Fund - GR 2500 Mirae Asset Emerging Bluechip Fund - GR 2500 Nippon India Pharma Fund - GR 5000 SBI Flexicap Fund - GR - 5000 Tata Digital India Fund - GR 5000
Ans: Hi Madhur,

It's commendable that you have been diligently investing through SIPs in mutual funds. Your dedication to growing your wealth over the next 10-12 years is inspiring. Let’s take a detailed look at your mutual fund portfolio and evaluate its alignment with your goals and risk tolerance.

Assessing Your Current Mutual Fund Portfolio
You have a diverse range of mutual funds, each with its unique investment strategy and focus. Here’s a breakdown of your current investments:

Bluechip Funds
Bluechip funds invest in large-cap companies known for their reliability and stable performance. These companies typically have strong financials and a proven track record. Bluechip funds are less volatile compared to mid-cap or small-cap funds, making them a relatively safer option within equity investments.

Mid-Cap Funds
Mid-cap funds invest in medium-sized companies with high growth potential. These funds can provide substantial returns, but they also come with higher risk and volatility. They are suitable for investors with a longer investment horizon and a higher risk appetite.

Flexi-Cap Funds
Flexi-cap funds have the flexibility to invest across large-cap, mid-cap, and small-cap stocks. This flexibility allows fund managers to adapt to market conditions, potentially optimizing returns. These funds offer a balanced approach to risk and reward.

Sectoral Funds
Sectoral funds focus on specific sectors such as technology or pharmaceuticals. While these funds can offer high returns, they are also subject to sector-specific risks. They should be a smaller part of a diversified portfolio to mitigate risk.

Evaluating the Diversification
Your portfolio includes a mix of bluechip, mid-cap, flexi-cap, and sectoral funds. This diversification helps in spreading risk across different market segments. However, a few adjustments can further optimize your portfolio:

Concentration in Mid-Cap Funds
You have significant investments in mid-cap funds. While these funds can provide high returns, they also come with higher volatility. Ensure that the proportion of mid-cap funds aligns with your risk tolerance and investment horizon.

Exposure to Sectoral Funds
Investments in technology and pharmaceutical funds indicate a high sector-specific exposure. These sectors can be volatile and cyclical. Consider limiting sectoral exposure to avoid excessive risk.

Flexi-Cap Funds
Flexi-cap funds offer the benefit of dynamic allocation across market caps. These funds can adapt to changing market conditions, making them a valuable part of your portfolio. Ensure that your investment in flexi-cap funds is balanced with other fund types.

Recommendations for Portfolio Optimization
Review Sectoral Fund Allocation
While sectoral funds can offer high returns, they also carry sector-specific risks. Ensure that your exposure to these funds does not exceed a comfortable level. Diversify further if needed to mitigate risk.

Consider Actively Managed Funds
Actively managed funds have the potential to outperform index funds. Skilled fund managers can make strategic decisions to maximize returns. Despite higher fees, actively managed funds often provide better returns due to their flexibility and professional management.

Increase SIP Contributions
Regularly increasing your SIP contributions can significantly enhance your portfolio’s growth. As your income rises, consider increasing the amounts you invest in each SIP. This approach leverages the power of compounding over time.

Disadvantages of Index Funds
Index funds passively track a market index and aim to replicate its performance. While they have lower fees, they also have limitations:

Lack of Flexibility: Index funds cannot adapt to changing market conditions or make strategic adjustments.

Potential for Lower Returns: Actively managed funds often outperform index funds due to active stock selection and market analysis.

Benefits of Investing Through a Certified Financial Planner
While direct funds have lower expense ratios, investing through a Certified Financial Planner (CFP) provides several advantages:

Expert Guidance: CFPs offer personalized advice tailored to your financial goals and risk tolerance.

Holistic Financial Planning: A CFP provides comprehensive financial planning, including tax planning, retirement planning, and risk management.

Ease of Management: Investing through a CFP ensures regular monitoring and rebalancing of your portfolio, keeping it aligned with your objectives.

Conclusion
Your commitment to long-term investing through SIPs is commendable. By reviewing your sectoral fund allocation, considering actively managed funds, and regularly increasing your SIP contributions, you can further optimize your portfolio. Engaging with a Certified Financial Planner will provide you with expert guidance and ensure your investments remain aligned with your financial goals. Keep up the excellent work in securing your financial future.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

Sanjeev

Sanjeev Govila  | Answer  |Ask -

Financial Planner - Answered on Feb 06, 2024

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Hello Sir,My name is Girish aged 38 years and I have been going through your suggestions on the MF.I have started SIP in the following mutual funds.1. ICICI Prudential Bluechip Fund (G) - investing since a month - 5,000 per month 2. SBI Blue Chip Fund (G) - investing since a month - 5,000 per month 3. HDFC Balanced Advantage Fund - Direct Plan (IDCW) - investing since 14 months - 2,000 per month4. Nippon India Large Cap Fund - Regular Plan (G) - investing since 2 months - 2,000 per month 5. Parag Parikh Flexi Cap Fund - Direct Plan (G) - investing since 2 years - 2,000 per month 6. UTI MNC Fund - Direct Plan (G) - investing since 14 months - 2,000 per month I would like to know if my portfolio is good. I will be planning to invest for the next 10-15 years. What would be the corpus at the end of 15 years?Do you foresee any changes to be made in my portfolio? Please suggest.
Ans: It's great that you're investing your monthly surplus in SIPs to build your wealth.

You have a well-diversified portfolio and the funds in your portfolio are performing well in the current market scenario. In the finance planning of any portfolio, we consider many factors, including client age, risk profile, current asset allocation, etc.

All mentioned funds are performing good and have good potential in long-term. However, UTI MNC Fund - Sectoral funds focus on a specific sector or industry and it is difficult to predict which sector will perform and how long. Hence, we recommend to go for diversified funds to avoid the concentration risk
.
If you continue the monthly investment of Rs 18,000 for the next 15 years the accumulated corpus will be 89.92 lakhs approx. at the average growth rate of 12% for 15 years.
Note - the amount may get differ at that time as the actual return can be vary.

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Pushpa

Pushpa R  |37 Answers  |Ask -

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I HAVE CONSTIPACATION PROBLEM WICH AASAN RELIVE FROM THIS PROBLEM
Ans: Constipation can be uncomfortable, but yoga is an excellent way to stimulate digestion and relieve this issue. Here are some simple asanas you can try regularly to help improve bowel movements:

1. Pavanamuktasana (Wind-Relieving Pose)
Lie on your back and bring one knee to your chest, holding it with your hands.
Press your knee gently into your abdomen while keeping the other leg straight.
Switch legs and repeat, or do both knees together.
This pose massages your abdominal organs and promotes digestion.
2. Marjaryasana-Bitilasana (Cat-Cow Pose)
Begin on all fours.
As you inhale, arch your back (Cow Pose) and look up.
As you exhale, round your back (Cat Pose) and tuck your chin to your chest.
Repeat slowly for 8-10 breaths to massage your digestive organs and improve gut motility.
3. Malasana (Garland Pose)
Squat down with your feet wide apart and palms together at your chest.
Keep your spine straight and hold this pose for a few breaths.
This pose helps open up the pelvic area, aiding digestion and elimination.
4. Paschimottanasana (Seated Forward Bend)
Sit with your legs straight and bend forward from your hips, reaching for your toes.
This stretches the abdominal area and stimulates digestion.
Tips:

Drink plenty of water and include fiber-rich foods in your diet.
Practice these poses daily, but avoid forcing your body into any position.
If constipation persists, consult a doctor and consider working with a yoga coach for personalized guidance.

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/

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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.
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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?
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.

The fact that you’ve tried to move on multiple times suggests that there is a deeper discomfort within you about the dynamics between you two. Trust is not just about fidelity; it’s about emotional safety, reliability, and mutual respect. If her behavior consistently makes you question her commitment or your place in her life, that erosion of trust can become difficult to rebuild.

As for her mental and medical challenges, it’s important to approach those with empathy, but also with a clear understanding that you cannot "fix" or "heal" someone unless they are actively seeking and working toward their own well-being. If she has not addressed her mental health or continues behaviors that affect the relationship without taking responsibility, it can lead to ongoing strain for you. Her mental health challenges are not excuses for harmful behavior, nor should they become reasons for you to sacrifice your own emotional health.

You’ve already shown patience and willingness to work through these challenges, but the repeated cycles of doubt and frustration may be a sign that the relationship is taking more from you than it’s giving. Ask yourself if you feel supported, valued, and emotionally safe in this partnership. Relationships should bring out the best in you and your partner, not leave you questioning your worth or constantly trying to accommodate behavior that feels unfair.

Taking a step back, as you’ve done now, can give you the clarity to evaluate what you truly want and need in a relationship. If trust feels irreparably broken or if her behaviors and values are fundamentally misaligned with yours, it may be time to consider whether staying in this relationship is the healthiest choice for you. You deserve a partner who respects your boundaries and builds a connection based on mutual trust and understanding.

If you decide to stay, open communication and possibly couples’ therapy could help bridge the gaps. If you choose to move on, trust that this decision is about prioritizing your well-being and finding a relationship that aligns with your values and needs. Either way, your happiness and emotional health should come first.

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

Asked by Anonymous - Dec 23, 2024Hindi
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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.

You’ve already demonstrated incredible strength by standing up to him and exposing the truth to his friends. That takes courage. But this is also a time to lean into your inner resilience and ensure you’re supported by professionals who can guide you through the legal and emotional complexities. Speaking with a family lawyer who understands the nuances of your situation will help you feel empowered to navigate his threats and protect your rights. At the same time, connecting with a counselor or therapist can offer a safe space to process your emotions and begin to heal from this trauma.

It’s okay to grieve the relationship and the betrayal. It’s okay to feel anger, sadness, or even numbness at times. These emotions are all part of the process of moving forward. Allow yourself to feel them without judgment, but also remind yourself that this pain is temporary and does not define you. You are more than what has been done to you.

When you feel ready, try to shift your focus away from him and his actions and toward your own well-being and future. You’ve worked so hard on your PhD and have built a life full of potential and possibility. This chapter doesn’t have to define the rest of your story. You are capable of creating a life that is free from manipulation and filled with self-respect, joy, and the kind of peace that comes from living authentically.

Lean on the people who believe in you, who see your value, and who can remind you of your strength when you feel unsure. Remember, you don’t have to handle this alone. Whether it’s through professional guidance or emotional support from trusted loved ones, there are paths forward that will help you rise above this situation. You deserve a life where your worth is honored, your boundaries are respected, and your happiness takes center stage.

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Kanchan Rai  |447 Answers  |Ask -

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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