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Should I stay with Nippon smallcap after 9.8K return?

Samraat

Samraat Jadhav  |2127 Answers  |Ask -

Stock Market Expert - Answered on Oct 18, 2024

Samraat Jadhav is the founder of Prosperity Wealth Adviser.
He is a SEBI-registered investment and research analyst and has over 18 years of experience in managing high-end portfolios.
A management graduate from XLRI-Jamshedpur, Jadhav specialises in portfolio management, investment banking, financial planning, derivatives, equities and capital markets.... more
Pradeep Question by Pradeep on Oct 18, 2024Hindi
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I am investing 6000/- month in Nippon India Nifty smallcap 250 Index fund since Feb 2024 and it has given a normal return of 9.8K till now. Shall I continue with it or change to other Index or ETF fund?? Please suggest as I want to invest in Index or ETF for long time.

Ans: Dear Pradeep, plz understand small cap investing is atleast for 10yrs. The real magic you will see after 12yrs. Stay invested and enjoy the journey of wealth creation.
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

Ramalingam Kalirajan  |7336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 21, 2024

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Sir, Shall I invest in UTI Nifty200 Momentum 30 Index Fund - Regular Plan - Growth @ N.A.V. - Rs. 23/= Is it a good investment for long term - 10 years ?
Ans: Avoiding UTI Nifty200 Momentum 30 Index Fund for Long-Term Investment

When considering long-term investments like retirement planning or wealth accumulation, it's crucial to evaluate the suitability of various investment options. While index funds offer simplicity and low costs, opting for actively managed funds may provide distinct advantages, especially over an extended investment horizon like 10 years.

Why Index Funds May Not Be Ideal for Long-Term Investment

Limited Growth Potential: Index funds, including the UTI Nifty200 Momentum 30 Index Fund, aim to replicate the performance of a specific market index. However, they are inherently limited in their growth potential as they cannot outperform the market significantly.

Passive Management Constraints: Index funds adhere to a passive investment strategy, meaning they track the composition of a predefined index. This approach lacks the flexibility and agility of active management, making it challenging to capitalize on market opportunities or adapt to changing economic conditions effectively.

Market Volatility Exposure: During periods of market volatility or downturns, index funds may experience significant fluctuations in value without the active management needed to mitigate risks or exploit investment opportunities.

Advantages of Active Funds for Long-Term Investing

Potential for Superior Returns: Actively managed funds are led by skilled fund managers who actively research and select investments with the aim of outperforming the market. This active management strategy can lead to potentially higher returns over the long term.

Dynamic Portfolio Adjustments: Active fund managers have the flexibility to adjust the portfolio holdings based on changing market conditions, economic trends, and company fundamentals. This dynamic approach enables them to seize opportunities and navigate market risks more effectively.

Risk Management: Active managers can employ risk management techniques such as diversification, sector rotation, and asset allocation adjustments to mitigate downside risks and preserve capital, providing investors with a smoother investment experience.

Considerations for Long-Term Investors

Investment Goals and Risk Tolerance: Assess your long-term investment objectives and risk tolerance before making investment decisions. If you seek potentially higher returns and are comfortable with active management, actively managed funds may be more suitable for your investment goals.

Diversification and Asset Allocation: While considering actively managed funds, ensure diversification across different asset classes, investment styles, and fund categories to manage risk effectively and enhance portfolio resilience.

Cost-Benefit Analysis: While actively managed funds may have higher expense ratios compared to index funds, evaluate the potential returns and added value provided by active management to determine whether the higher costs are justified based on your long-term investment objectives.

Final Recommendation

Given the limitations of index funds for long-term growth and the potential benefits offered by actively managed funds, it would be prudent to explore alternative investment options that provide the potential for superior returns and effective risk management over a 10-year investment horizon.

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 27, 2024

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I am 25. I am investing 12.5k in HDFC Nifty 50 index fund, 10k in Parag Parikh Flexi cap, 10k in Quant Small Cap, 12.5k in ICICI nasdaq 100 index fund. Will this be good for a long term investment? What should I change in my portfolio? By what % should I increase my investment?
Ans: Your investment journey at 25 is commendable. Let's evaluate your portfolio and suggest improvements.

Current Portfolio Assessment
Investments:

Rs 12.5k in HDFC Nifty 50 Index Fund
Rs 10k in Parag Parikh Flexi Cap
Rs 10k in Quant Small Cap
Rs 12.5k in ICICI Nasdaq 100 Index Fund
Benefits of Actively Managed Funds
Limited Returns in Index Funds:

Index funds track the market. They offer average returns.
They lack flexibility. They can’t outperform the market.
Advantages of Actively Managed Funds:

Active funds offer better returns. Fund managers make strategic decisions.
They adapt to market changes. This improves potential gains.
Recommendations for Portfolio Adjustment
Reduce Index Fund Allocation:

Decrease investment in index funds. Focus more on actively managed funds.
Diversify Portfolio:

Add more diversified and balanced funds. This reduces risk and improves stability.
Focus on Long-Term Growth:

Invest in funds with a strong track record. This ensures consistent growth.
Suggested Portfolio Allocation
Equity Funds:

Increase investment in equity funds. This enhances growth potential.
Balanced Funds:

Allocate a portion to balanced funds. They offer a mix of equity and debt.
Diversified Funds:

Add diversified funds. They spread risk across sectors.
Increasing Investment Percentage
Annual Increment:

Increase investment by 10% annually. This helps keep pace with inflation and growth.
Monthly Contributions:

Review your financial status regularly. Increase contributions as your income grows.
Detailed Financial Plan
Investment Review:

Monitor your investments quarterly. Adjust based on performance and goals.
Professional Guidance:

Seek advice from a Certified Financial Planner. This ensures optimal investment strategies.
Long-Term Perspective:

Stay focused on long-term goals. Avoid frequent changes based on market fluctuations.
Disadvantages of Direct Funds
Complex Management:

Direct funds require constant monitoring. This can be time-consuming.
Professional Assistance:

Regular funds offer expert management. This reduces the burden on investors.
Convenience and Expertise:

Investing through a Certified Financial Planner ensures professional oversight. This improves returns and reduces risks.
Final Insights
Disciplined Investing: Consistent and strategic investments are key.
Professional Advice: Certified Financial Planners offer valuable guidance.
Future Planning: Always plan for future needs and adjust your investments accordingly.
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 25, 2024

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Sir, I have invested Rs. 200000/-in Nippon India Nifty I T Index fund in the month of Feb, 2024. Is it worth stay invested or switch over?
Ans: You invested Rs 2,00,000 in the Nippon India Nifty IT Index Fund in February 2024. Here’s a detailed evaluation.

Understanding Index Funds
1. Passive Investment:

Index funds replicate market indices.
They offer average market returns.
2. Low Management:

Lower expense ratios due to passive management.
Limited scope for beating the market.
3. Market Volatility:

Performance tied to the market index.
Susceptible to market downturns.
IT Sector Performance
1. Growth Potential:

IT sector shows strong growth.
High potential for long-term gains.
2. Volatility:

IT stocks can be volatile.
Sector-specific risks can impact returns.
Advantages of Actively Managed Funds
1. Higher Returns:

Actively managed funds aim to outperform indices.
Fund managers adjust based on market conditions.
2. Professional Management:

Expert fund managers make strategic decisions.
Better adaptability to market changes.
3. Diversification:

Actively managed funds can diversify across sectors.
Reduce risk by spreading investments.
Disadvantages of Index Funds
1. No Market Outperformance:

Index funds cannot beat the market.
Returns are limited to index performance.
2. Lack of Flexibility:

Fixed to the index composition.
Cannot adjust to market opportunities.
3. Sector Concentration:

Heavy exposure to one sector increases risk.
IT sector concentration may not be ideal for all investors.
Evaluation of Your Investment
1. Investment Horizon:

Your investment horizon is crucial.
Longer horizons can mitigate short-term volatility.
2. Risk Tolerance:

Assess your risk tolerance.
Higher risk tolerance suits IT sector investments.
3. Diversification Needs:

Diversify your portfolio to reduce risk.
Consider adding actively managed funds.
Recommendations
1. Stay or Switch:

If you have high risk tolerance and long horizon, stay invested.
For diversification and potential higher returns, switch to actively managed funds.
2. Regular Review:

Monitor your investment regularly.
Adjust based on market performance and personal goals.
3. Seek Professional Advice:

Consult a Certified Financial Planner (CFP).
Get personalized recommendations.
Final Insights
Your investment in Nippon India Nifty IT Index Fund has potential but consider diversifying. Actively managed funds can offer higher returns and better risk management. Regularly review and seek professional advice for optimal results.

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 Sep 22, 2024

Money
Hi Sir, Myself and Mywife investing in Mutual fund in Nippon india growth fund -10k,Nippon india Nifty 250 small cap index-13k.Can you pls suggest whether shall i continue with this fund
Ans: You and your wife are investing Rs. 10,000 in a growth fund and Rs. 13,000 in a small-cap index fund. This is a thoughtful step towards wealth building, but let’s carefully review whether these funds are aligned with your financial goals and risk profile.

It’s great that you are consistently investing, but we should evaluate these funds based on risk, returns, and suitability.

Understanding the Growth Fund
Growth funds, in general, focus on companies with strong earnings potential. They are designed for wealth creation over a longer term.

Consider the following:

Risk Factor: Growth funds are typically high-risk, high-reward. If you have a long-term investment horizon of 7-10 years, this may align well with your goals.

Return Expectations: The returns from growth funds are tied to market performance. During bullish markets, these funds may deliver excellent returns. However, in bear markets, they can underperform.

Volatility: These funds are more volatile than large-cap funds or balanced funds. It’s important to assess whether you and your wife can tolerate short-term volatility in exchange for potential long-term gains.

Overall, if your risk appetite allows, you can continue with this fund, but let’s further analyze whether you should diversify into other fund categories as well.

Evaluating the Small-Cap Index Fund
You have also invested Rs. 13,000 in a small-cap index fund. Index funds track market indices and are passively managed, meaning they attempt to replicate the performance of an index.

However, there are some considerations:

Disadvantages of Small-Cap Index Funds:

Lack of Active Management: Unlike actively managed funds, small-cap index funds simply follow the index. There is no fund manager adjusting for market conditions or picking outperforming stocks. This can be a disadvantage in volatile markets.

Market Volatility: Small-cap stocks are more volatile than large-cap and mid-cap stocks. During downturns, they tend to experience larger declines. If you are not comfortable with sharp market fluctuations, this fund might not be the best fit.

Underperformance in Certain Markets: Index funds may underperform actively managed funds in certain market conditions because they cannot shift out of underperforming sectors.

Limited Upside: Actively managed small-cap funds can potentially generate better returns because fund managers can select high-potential companies instead of blindly following an index.

Benefits of Actively Managed Small-Cap Funds:

Strategic Stock Selection: Fund managers in actively managed funds can pick small-cap stocks with the highest growth potential.

Risk Management: They can avoid underperforming sectors or stocks, thus mitigating some of the risks associated with small caps.

If your goal is wealth generation from small caps, I would recommend considering an actively managed small-cap fund. This will give you more flexibility and may result in better returns over time.

Diversification: A Key Element for Risk Management
While it’s good that you are investing in a growth fund and a small-cap fund, diversification is essential to manage risk.

Why Diversify?

Risk Spread: By diversifying into funds across different market segments, such as mid-cap or multi-cap funds, you can reduce the overall risk of your portfolio. This ensures that not all your investments are exposed to one market segment.

Balanced Growth: A combination of growth funds, mid-cap funds, and balanced funds can provide both stability and growth.

Avoiding Sectoral Concentration: Since small-cap stocks are more prone to sector-specific risks, adding funds that invest across sectors helps reduce volatility.

You and your wife might benefit from adding a multi-cap or flexi-cap fund. These funds invest in companies across market capitalisations (large, mid, and small), allowing you to take advantage of growth opportunities while managing risk.

Benefits of Regular Funds Over Direct Funds
Since your investments are through regular funds, this decision can bring you several advantages. While some may promote direct funds for their lower expense ratios, I strongly believe investing through a Certified Financial Planner (CFP) or Mutual Fund Distributor (MFD) is more beneficial in the long run.

Disadvantages of Direct Funds:

Lack of Guidance: Direct fund investors must choose and monitor funds on their own. This requires a deep understanding of the market, which many investors may not have the time or expertise for.

Portfolio Management: A CFP can regularly review your portfolio, reallocate assets, and provide strategic advice based on market conditions.

Long-Term Planning: Investing isn’t just about returns—it’s also about reaching your financial goals. A CFP can help you align your investments with these goals, something that direct funds do not offer.

By continuing with regular funds through a CFP, you can ensure that your investments are actively managed and reviewed. This helps in long-term wealth building and achieving your financial goals.

Assessing Your Overall Financial Goals
Before committing to these specific funds, it’s essential to assess your overall financial objectives and risk tolerance.

Points to Consider:

Time Horizon: If you are investing for the long term (more than 7-10 years), growth funds and small-cap funds can be suitable. The key is consistency and patience.

Emergency Fund: Ensure that you have an emergency fund in place. This should ideally cover 6-12 months of your living expenses.

Financial Goals: Are you investing for retirement, your child’s education, or any specific financial goal? Your investment choices should align with these objectives.

Debt and Liabilities: Consider any outstanding loans or liabilities. If you have ongoing EMI commitments, ensure that your SIPs are not straining your cash flow.

Aligning your investments with your overall financial goals ensures that you stay on track and make well-informed decisions.

Evaluating Your Risk Tolerance
Risk tolerance is an important factor in determining whether these funds are suitable for you and your wife. Small-cap funds, in particular, carry a higher degree of risk.

Assessing Risk Factors:

Market Volatility: Both growth funds and small-cap funds can be volatile. Are you comfortable with seeing fluctuations in your portfolio? If not, you may want to consider more conservative funds like large-cap or balanced funds.

Investment Horizon: For aggressive funds like growth and small-cap, a long-term horizon is essential. If you foresee needing this money in less than 5-7 years, it may be worth reallocating to safer funds.

Risk Appetite vs. Returns: While small-cap and growth funds have the potential to generate high returns, they can also lose value during market downturns. You must weigh your comfort with this risk against the potential rewards.

The Importance of Reviewing Your Investments Regularly
Regularly reviewing your mutual fund portfolio is critical for maintaining its health. Markets change, and your investment strategy may need to adapt.

Why Portfolio Review is Essential:

Market Changes: A sector that is performing well today may underperform tomorrow. It’s important to have your portfolio reviewed to ensure it aligns with current market trends.

Rebalancing: A Certified Financial Planner can help you rebalance your portfolio based on changing financial goals, risk tolerance, and market conditions.

Goal Alignment: As your financial goals evolve, your investment portfolio should reflect those changes. Regular reviews help in realigning your investments to match your goals.

Make it a habit to review your portfolio at least once a year with your Certified Financial Planner. This ensures that you stay on top of any required adjustments.

Finally
You and your wife have made a good start by consistently investing in mutual funds. However, continuing with the same funds depends on whether they align with your long-term goals, risk appetite, and market conditions.

Key takeaways:

Growth funds can offer high returns but come with volatility.

Small-cap index funds might not be the best choice due to their passive nature and high risk. Consider actively managed small-cap funds instead.

Diversify your portfolio by adding funds across various market capitalisations.

Invest through regular funds with the guidance of a Certified Financial Planner to receive professional advice and portfolio management.

Take the time to review your portfolio regularly, ensure your financial goals are clear, and don’t hesitate to make adjustments when necessary.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
Instagram: https://www.instagram.com/holistic_investment_planners/

..Read more

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Ravi

Ravi Mittal  |475 Answers  |Ask -

Dating, Relationships Expert - Answered on Dec 26, 2024

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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
Relationship
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.

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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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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.

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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.

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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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Health
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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