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Ramalingam

Ramalingam Kalirajan  |7336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Oct 28, 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 26, 2024Hindi
Money

I have paid 30 lakhs at 6 lakhs annually in SBI smart privilege LP for 5 years. It is complete now as on date. Is it worth to continue in it or withdraw and invest in MF for good returns in 3 years

Ans: Let's thoroughly assess your SBI Smart Privilege Life Plan (LP) investment and its potential in comparison to mutual funds (MFs) for generating good returns over the next three years.

1. Evaluating SBI Smart Privilege Life Plan's Potential
SBI Smart Privilege is a ULIP (Unit Linked Insurance Plan), which combines life insurance with market-linked investments. Given its structure, it has both advantages and limitations that need consideration for meeting your current financial goals.

High Charges: ULIPs typically include premium allocation, administration, and fund management charges, which can significantly impact returns. Over the policy term, these charges reduce your net investment value compared to mutual funds.

Moderate Flexibility: While ULIPs provide insurance coverage and tax benefits under Section 80C, they also carry limited flexibility. Investment in mutual funds may offer better control and liquidity, especially when aligning with short-term financial goals.

Lock-In Period and Surrender Charges: Although you have completed the mandatory five-year premium period, early withdrawal may still carry surrender charges, which could impact your returns. However, some policies waive this after a certain term, so confirming with SBI on exact charges is advisable.

2. Understanding the Three-Year Investment Goal
For your current objective of achieving growth within three years, the choice of investment needs to be strategic and aligned with optimal returns:

Short-Term Goals and ULIPs: ULIPs are generally better suited for long-term goals, as market-linked benefits are maximized over an extended horizon. For three years, the costs of maintaining a ULIP may outpace returns, especially if you are aiming for higher liquidity and growth.

Growth Opportunities in Mutual Funds: Mutual funds offer a flexible structure, allowing selection of funds based on investment tenure and risk tolerance. Actively managed funds, particularly in categories such as hybrid or equity-oriented funds, tend to outperform ULIPs in short-term returns due to lower charges and active management strategies.

3. Exploring Mutual Fund Advantages for a Three-Year Plan
Mutual funds bring various advantages that align well with short- to medium-term investment horizons:

Enhanced Flexibility and Liquidity: Mutual funds provide the flexibility to redeem funds whenever necessary, offering higher liquidity compared to ULIPs. This flexibility is ideal for achieving a target within three years.

Lower Expense Ratios: Actively managed mutual funds typically have lower expense ratios compared to ULIPs. By investing directly in a mutual fund portfolio, you gain the potential for better growth as fund returns aren’t diminished by high administrative charges.

Tax Efficiency: For equity mutual funds, long-term capital gains (LTCG) above Rs 1.25 lakh are taxed at 12.5%. Short-term gains (held less than one year) are taxed at 20%. Debt fund gains are taxed as per your income slab. This tax efficiency can further improve your returns over the investment period.

4. Active Management vs. Direct Fund Investment
Opting for a direct investment may seem cost-effective, but regular plans through a Certified Financial Planner (CFP) offer critical benefits. A CFP-backed investment route brings personalized guidance, portfolio monitoring, and tax-efficient rebalancing, which are essential in adapting to changing markets. In direct funds, you would need to manage these aspects on your own, which could lead to missed opportunities or unmanaged risk.

5. Suggested Mutual Fund Categories for Your Goal
Based on your three-year timeframe, the following categories may suit your risk-return expectations:

Hybrid or Balanced Funds: These funds mix equity and debt, giving a balanced risk profile. They aim for moderate returns with less volatility, which is favorable for short- to medium-term goals. This category can stabilize your portfolio without limiting growth.

Dynamic Asset Allocation Funds: These funds adjust their equity-debt allocation based on market conditions. By dynamically responding to market changes, these funds offer both growth potential and risk mitigation, making them suitable for three-year investments.

Debt Mutual Funds: If you prefer minimal risk, debt funds can be a suitable alternative. They invest in bonds and fixed-income instruments, generally providing more stable returns. Keep in mind, though, that debt funds may yield lower returns compared to equity but remain advantageous for safety-focused investments.

6. Portfolio Rebalancing and Periodic Reviews
Investing in mutual funds requires periodic reviews and rebalancing to keep the portfolio aligned with your goals. Reviewing the fund’s performance annually allows adjustments based on returns, market conditions, and any changes in your risk tolerance. A Certified Financial Planner can play a vital role here by managing rebalancing, enhancing tax efficiency, and providing advice tailored to your evolving needs.

7. Tax Implications and Efficient Withdrawals
Your mutual fund returns will be subject to capital gains tax based on the duration and type of fund:

Equity Funds: For equity funds, LTCG above Rs 1.25 lakh is taxed at 12.5%, while STCG is at 20%.

Debt Funds: Gains from debt funds are taxed as per your income slab, both for short- and long-term holdings. This taxation structure allows for tax-efficient planning and effective withdrawals.

By structuring your withdrawals and holding period, you can maximize post-tax returns, an important consideration for short-term growth.

8. Final Insights
Given your three-year timeframe and growth target, mutual funds are likely to provide higher returns with flexibility and control compared to continuing in the SBI Smart Privilege Life Plan. The fund flexibility, lower charges, and effective tax management options in mutual funds are strong advantages. Consulting a Certified Financial Planner will enable you to build a customized mutual fund portfolio with enhanced monitoring, rebalancing, and guidance that aligns with your goal. Moving funds from a high-cost ULIP structure to a targeted mutual fund portfolio may significantly improve your investment journey and results.

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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You may like to see similar questions and answers below

Ramalingam

Ramalingam Kalirajan  |7336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 16, 2024

Asked by Anonymous - Jul 15, 2024Hindi
Money
Hi evryone. I'm 34. I've invested in Sbilife smart privilege policy 6L per year.4th payment done two days ago. Inwas shocked to see the current fund value. The investment amount is 18L and it has become 19.9L in three yrs. It was invested in 70% bond fund and 30% bond optimiser fund. I was not very aware of how to invest in mutual funds during the start of this policy.now that I've started to research a bit I've understood that I should not hv mixed insurance with investment. So please don't come with comments like that. Please guide on me as to how to proceed with this. I've contacted them and they are now saying they ll invest this in 100% mid cap fund of sbilife. Which has good returns. And then I'll start seeing changes in 6months. There is a lock in period of 5yrs. Only one more payment left for now, which will be in next year. Wt to do now? Also if I consider withdrawing after five yrs and plan to invest in MF, I don't know if I'll invest 30L in mutual funds Please guide.
Ans: It’s great that you are taking steps to understand and improve your investments. You have invested Rs 6 lakhs per year in the SBI Life Smart Privilege policy, with a total investment of Rs 18 lakhs over three years. The current fund value is Rs 19.9 lakhs.

This policy invests in 70% bond funds and 30% bond optimiser funds. Now, they suggest shifting to a 100% mid-cap fund.

Understanding the Current Fund Performance

Your investment has grown from Rs 18 lakhs to Rs 19.9 lakhs in three years. This indicates a modest return. The current fund allocation in bond funds and bond optimiser funds typically yields lower returns compared to equity funds. This might be why the growth has been slower than expected.

Disadvantages of Mixing Insurance with Investment

It’s crucial to understand that insurance and investment serve different purposes. Insurance is meant for protection, while investment is for wealth creation. Mixing these often leads to suboptimal results for both.

Unit Linked Insurance Plans (ULIPs) like the one you have, combine insurance with investment. The charges involved can be high, and the returns may not be as attractive compared to other investment options like mutual funds.

Considering the Shift to Mid-Cap Funds

Mid-cap funds have the potential for higher returns. However, they also come with higher risk. The suggestion to move your investment to a 100% mid-cap fund could improve your returns but will also increase volatility. Since you have a lock-in period of five years, you cannot withdraw without penalty until then.

Exploring Mutual Funds as an Alternative

Mutual funds can be a better investment option for wealth creation. They offer a variety of funds catering to different risk profiles and investment goals. If you plan to withdraw your investment after five years, you can consider mutual funds for your future investments.

Benefits of Actively Managed Funds

Actively managed funds are overseen by professional fund managers who aim to outperform the market. These funds can provide higher returns compared to passive funds like index funds, which only track a market index.

Fund managers of actively managed funds perform thorough research and analysis to select stocks, adjust the portfolio based on market conditions, and capitalize on investment opportunities. This active management can result in better performance, especially in volatile markets.

Disadvantages of Index Funds

Index funds aim to replicate the performance of a specific index. While they have lower management fees, they lack the potential for higher returns. Index funds are limited to the stocks within the index and cannot exploit opportunities outside the index. Additionally, index funds cannot outperform the market; they can only match the market's performance, minus the fees.

Disadvantages of Direct Funds

Investing in direct funds without professional guidance can be risky. Without expert advice, you might make poor investment choices. Regular funds through a Mutual Fund Distributor (MFD) with a Certified Financial Planner (CFP) provide the advantage of professional advice. This can help in selecting the right funds, monitoring your investments, and making necessary adjustments.

Evaluating Your Options Moving Forward

Stay Invested in the Current Policy:

Consider staying invested in the current policy until the lock-in period ends.
This avoids penalties and makes use of the current investment.
Shift to Mid-Cap Funds:

Moving your existing investment to 100% mid-cap funds could improve returns.
Understand the associated risks and be prepared for higher volatility.
Plan for Post-Lock-In Investments:

Once the lock-in period ends, plan to withdraw and invest in mutual funds.
Consider a diversified portfolio based on your risk tolerance and financial goals.
Planning Your Mutual Fund Investments

When the lock-in period ends, and you consider investing Rs 30 lakhs in mutual funds, follow these steps:

Assess Your Risk Tolerance:

Understand your risk tolerance level.
Choose a mix of equity and debt funds based on your risk profile.
Set Financial Goals:

Define your financial goals, such as retirement, children's education, or buying a house.
This helps in selecting the right funds.
Diversify Your Portfolio:

Diversify across different types of mutual funds, such as large-cap, mid-cap, small-cap, and debt funds.
This spreads the risk and maximizes returns.
Consult a Certified Financial Planner:

Seek professional advice from a CFP.
They can help design a personalized investment plan, monitor your portfolio, and make necessary adjustments.
Building a Diversified Mutual Fund Portfolio

Large-Cap Funds:

Invest in large-cap funds for stability and moderate returns.
These funds invest in large, well-established companies.
Mid-Cap and Small-Cap Funds:

Allocate a portion to mid-cap and small-cap funds for higher growth potential.
These funds invest in medium-sized and smaller companies, which can offer higher returns but come with higher risks.
Debt Funds:

Include debt funds for stability and regular income.
These funds invest in fixed-income securities like bonds.
Balanced or Hybrid Funds:

Consider balanced or hybrid funds that invest in a mix of equity and debt.
These funds offer a balanced approach with moderate risk and returns.
Regular Monitoring and Rebalancing

Regularly monitor your mutual fund investments to ensure they align with your financial goals. Rebalance your portfolio periodically to maintain the desired asset allocation. This involves selling some overperforming assets and buying underperforming ones.

Building Good Financial Habits

Develop good financial habits to achieve long-term financial goals. These include:

Living Within Your Means:

Avoid overspending and live within your income.
Saving Regularly:

Save a portion of your income regularly.
Automate your savings to ensure consistency.
Avoiding High-Interest Debt:

Stay away from high-interest debt like credit card debt.
Investing Wisely:

Make informed investment decisions based on your risk tolerance and financial goals.
Importance of Financial Education

Enhancing your financial literacy empowers you to make informed decisions. Learn about different investment options, market trends, and financial planning strategies. This knowledge helps you take control of your financial future.

Engaging with a Certified Financial Planner

A Certified Financial Planner can provide valuable guidance. They offer personalized advice, help you design a comprehensive financial plan, and assist in selecting suitable investments. Engaging with a CFP ensures that your investments align with your financial goals and risk tolerance.

Considering Tax Implications

Understand the tax implications of your investments. Different investments have different tax treatments. For example, long-term capital gains from equity mutual funds are taxed at a lower rate than short-term gains. A CFP can help you design a tax-efficient investment strategy.

Final Insights

You have made a significant investment in the SBI Life Smart Privilege policy. The returns have been modest due to the fund allocation. Considering a shift to mid-cap funds could improve returns but also increases risk. Once the lock-in period ends, consider diversifying your investments into mutual funds.

Engage with a Certified Financial Planner to create a personalized investment plan. Regularly monitor and rebalance your portfolio to stay aligned with your financial goals. Enhance your financial literacy to make informed decisions. Developing good financial habits and staying disciplined will help you achieve 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 Dec 11, 2024

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Money
I have 20 lakhs in my account and a house in my name. At present I am not earning. I have taken SBI Life smart wealth builder with installment of 1Lakh, for 12 years and premium payment term of 7 years. Applicable tax rate is 18%. I also invested in MF and taken a health insurance. I am thinking if it would be wise to continue with the SBI life. If I close SBI life and invest that in MF will it be beneficial for me? I have taken a break from my career due to health issues, and planning to continue with my job soon with an expected income of 40-50k. I am 50 years old. I need to take care of my son's (18 years) higher studies and plan for my retirement.
Ans: You are in a transitional phase with important financial goals. Let’s assess your options to make informed decisions.

Assessing SBI Life Smart Wealth Builder Policy
High Cost of Policy: The policy includes administration charges, fund management fees, and taxes of 18%.

Limited Returns: ULIPs often provide lower returns compared to actively managed mutual funds.

Lock-in Period: Your policy locks funds, restricting liquidity for immediate goals.

Surrender Value: Check the surrender value. Early surrender might lead to penalties and reduced returns.

Potential Benefits of Investing in Mutual Funds
Higher Returns: Mutual funds, especially actively managed ones, often outperform ULIPs over time.

Flexibility: You can withdraw funds based on your needs, offering better liquidity.

Diversification: Mutual funds provide exposure to different asset classes, reducing risk.

Cost Efficiency: Investing through a Certified Financial Planner minimises hidden charges and optimises returns.

Managing Your Rs. 20 Lakh Corpus
Emergency Fund: Set aside Rs. 5-6 lakhs in liquid funds or fixed deposits for emergencies.

Education Planning: Allocate funds in short-term debt mutual funds or recurring deposits for your son’s higher studies.

Retirement Corpus: Invest the remaining amount in a mix of equity and debt mutual funds for long-term growth.

Health Insurance Adequacy: Review your existing health insurance to ensure sufficient coverage.

Planning Your Income Resumption
Once you resume work, save at least 20-30% of your income.

Prioritise retirement contributions alongside education planning.

Use surplus income to reduce financial dependency on investments.

Tax Efficiency
Mutual Funds: Equity mutual funds provide tax benefits but watch for LTCG above Rs. 1.25 lakh (taxed at 12.5%).

Surrendering ULIP: Check tax implications on surrender proceeds. ULIPs offer tax exemption if premiums don't exceed 10% of the sum assured.

Health Insurance: Claim Section 80D deductions for premiums paid.

Strategic Steps Forward
Review the policy surrender value. If penalties are high, consider continuing till break-even.

Consult with a Certified Financial Planner for a detailed portfolio review.

Set realistic timelines for education and retirement goals.

Maintain separate funds for short-term needs and long-term growth.

Finally
Your proactive approach will create a strong financial foundation. By reallocating your resources wisely, you can secure your son’s education and your retirement.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

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

..Read more

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Ravi Mittal  |475 Answers  |Ask -

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

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Asked by Anonymous - Dec 25, 2024
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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.

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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.

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.

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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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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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Health
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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