Infertility Evaluation and Treatment in Delhi

Couples and individuals who want to have children never imagine that it could be difficult to get pregnant. If the pregnancy has not occurred after trying for 1 year, the best gynecologist in Delhi will diagnose infertility.

Road to greater well-being

Infertility is evaluated in several ways. It will probably include a pelvic exam, lab tests, imaging tests, a review of your medical and menstrual history, and certain procedures. For women, the first test is a pelvic exam. During a pelvic exam, your gynecologist in Delhi will check the size and shape of your uterus and ovaries.

Laboratory tests include checking the basal body temperature. This evaluates its resting temperature (which will be a little higher when it is ovulating). Additional laboratory tests include a urine test, a progesterone (hormone) test, thyroid function tests, prolactin (hormone) level tests, and an ovarian reserve test (checking your ovum supply).

Imaging tests may include an ultrasound (moving a device over the upper part of the stomach to create images of your uterus, ovaries, and fallopian tubes) and hysterosalpingography (an x-ray test that examines the uterus, ovaries, and tubes).

Infertility procedures include a hysteroscopy (insertion of a thin tube connected to a camera to examine the uterus) and a laparoscopy (a small surgical procedure in which the doctor inserts a small thin tube through the stomach to see your uterus, ovaries, and fallopian tubes). You may not have to perform all these tests and procedures. Some are performed based on the results of previous tests and procedures. Some are done in the doctor's office. Some are done in the laboratory or in the hospital.

When performing these evaluations, the infertility doctor in Delhi is looking for the cause of your infertility. These may include:

• Endometriosis This is the growth of endometrial tissue outside your uterus.
• Ovulatory Dysfunction This means that it is not producing enough ovules. This also happens with a medical condition known as polycystic ovary syndrome.
• Tubal obstruction. An obstruction in the fallopian tubes prevents an egg from reaching the sperm.
• Pelvic inflammatory disease (PID)This is an infection that can lead to infertility.
• Sexually transmitted disease or infection (STD or STI). Certain sexually transmitted diseases increase the risk of infertility.
• The more adult a woman is, the harder it is to get pregnant.
• Low sperm count. If a man has a low sperm count, it means there is less sperm trying to reach the egg.
• Cancer treatments. Some treatments may postpone trying to get pregnant (for men and women). Other cancer medications can actually stop your menstrual cycle for a period of years. This makes it almost impossible to get pregnant.
• Sometimes doctors cannot determine the cause of your infertility. In some cases, all tests are normal.

Infertility treatment in Delhi depends on the reason you cannot get pregnant. Common treatments include:

• Ovulation medications. Your gynecologist in East of Kailash may prescribe a medication to stimulate the ovaries. This causes the ovaries to produce more eggs than normal. With more eggs, they have a better chance of getting pregnant. However, the risk of multiple births increases. There are also medications to treat polycystic ovary syndrome.
• Laparoscopic surgery can help unlock the fallopian tubes and eliminate the growth of endometrial tissue outside your uterus (endometriosis).
• Hormones Certain hormones can stimulate those hormones that are low in your body. Another type of hormone can put your body in a state of false menopause. This causes the body to stop having menstrual periods. This is particularly useful for the treatment of endometriosis. Endometrial tissue growth increases every time you have your period. When you stop having your period, it gives your body time to eliminate excess growth.
• This treatment takes the male sperm and prepares it to insert it into the woman's vagina, cervix or uterus while she is ovulating. There are two types. Intrauterine insemination (IUI) is the least expensive form. It can be done in the doctor's office. The doctors have you asked to use an ovulation kit to determine when you are ovulating. Once it is, the uterus is inseminated with the sperm of its male partner (collected in the office that day or with sperm from a sperm bank). It does not generate much discomfort. Artificial insemination inserts sperm into a woman's vagina or cervix.
• In vitro fertilization. This is a much more complex and expensive treatment. It involves combining the ovum with the sperm in a laboratory and then transferring it to the woman's uterus. Many months of preparation are needed to prepare the woman's body with hormones.

Aspects to consider

The evaluation and treatment of infertility can have physical, economic and emotional repercussions on you.

Physically, pelvic exams and laboratory tests do not cause much discomfort. Laboratory tests involve providing a urine sample or having a simple blood test. There is a slight discomfort associated with the procedures. For example, during a laparoscopy, the doctor will inject a small amount of gas into your abdomen. This is to help separate your organs so he or she can get a better view of your uterus and ovaries. After the test, the gas makes her feel swollen. It also causes a slight amount of shoulder discomfort, explains gynecologist in Chittaranjan Park.

For most people, infertility testing and treatment can have a great emotional cost. Testing and treatment can take months, even a year. That's because infertility specialist in Delhi has to coordinate it with their ovulation and menstrual cycle. This only happens once a month. You often have to take time off from work for tests and treatments. And there is a certain cost. Many people feel emotionally exhausted from the experience. This makes it even more difficult when friends, family, and co-workers get pregnant easily. Therefore, it is important to talk with your spouse or partner to address these issues and know how they will get over it when things get tough.

Back Pain During Pregnancy

Low back pain is one of the most common reason to see a gynecologist in Delhi during pregnancy. Most pregnant women have some degree of back pain. Women who had previous back pain or are overweight have an increased risk of back pain during pregnancy. Below are possible causes, as well as ways to prevent and relieve back pain.

The road to greater well-being

There are several causes of back pain during pregnancy. These are due to the changes that occur in your body.

Pressure on the back muscles:

As your baby grows, your uterus expands and becomes heavier. This increases the weight on the back muscles. You can find yourself leaning back or arching your lower back. Pressure can cause back pain or stiffness.

Weakness in stomach muscles:

Your growing baby also puts pressure on the stomach muscles. This can cause them to stretch and weaken. Your stomach and your back muscles are connected. The back muscles have to work harder to compensate for the belly.

Position:

Pregnancy can change your center of gravity. The way you move, sit and stand can cause pain in your back and other parts of your body. A compressed nerve due to poor posture can also cause pain.

Pregnancy hormones:

Many hormones change for different reasons when you are pregnant. When your pregnancy progresses, hormones increase to relax the muscles and ligaments of the pelvis. This prepares your body for childbirth. If your muscles and ligaments become too loose, they can cause back pain.

Stress:

Anxiety and accumulated tension can tighten or stiffen the back muscles.

To help prevent back pain, consider how you feel, stop and move, and how you sleep.

• Sit in a way that supports your back. Choose a lumbar support chair or place a pillow behind your lower back. Try to lift your feet to increase blood flow and avoid slouching.
• Sit down and stand straight. Try to keep your back aligned with your bottom and legs, instead of arching your lower back. Do not sit or stand in the same position for a long time. It could pinch a nerve. Do not lock your knees. If you have to stand for long periods, try resting one foot at a time on a box or stool.
• Wear low-heeled shoes that are comfortable and support your entire body. It may be useful to use anatomical insoles. Avoid shoes with heels that can make you lose your balance.
• Sleep on a mattress that is not too soft and offers support. When you are pregnant, it is better to sleep on your side. Place pillows under your stomach and between your legs for added support. Try to avoid sleeping on your back. This can put pressure on your uterus and cut off the blood flow to your baby.
• Do not twist or make sudden movements that can tighten the back or stomach muscles.
• Don't lift things leaning forward. Instead, keep your back straight and stand up with your legs instead of your back. Be careful not to lift or carry too much weight at a time.
• Exercise a lot This will help strengthen the muscles of the back and stomach, and improve posture. Talk to the best gynecologist in Delhi about what type of exercise is safe. Walking and swimming often do well. If you were very active before pregnancy, you can continue doing the same level of activity. Certain movements and stretches, such as Kegel exercises, also prepare you for childbirth.
• Wear maternity pants. Wide elastic waistband provides additional support.

If you have back pain, these tips can help relieve pain and stiffness.

• Apply heat or a cold compress on your back. Avoid putting extreme temperatures in your stomach.
• Take acetaminophen.
• Look for ways to relieve stress. Learn breathing exercises or take a prenatal yoga class.
• Get a prenatal massage from a certified therapist.
• Ask your gynecologist in South Delhi about alternative medicine. This could include acupuncture or a chiropractic adjustment, or also osteopathic manipulation. It moves your muscles and joints by stretching them and exerting gentle pressure.

Aspects to consider

The best gynecologist in South Delhi does not recommend some imaging studies when low back pain has been present for less than six weeks. The exception is if there is a serious risk, such as a neurological problem. Research shows that images taken before 6 weeks do not improve results. Health care costs increase. Some imaging diagnoses may not be safe during pregnancy. Talk to your gynecologist in Lajpat Nagar about the benefits and risks of all medication options.

When to consult the gynecologist in Delhi

Contact your gynecologist in East of Kailash if:

• Your pain gets worse or does not go away after two weeks. Back pain could be a sign of premature delivery.
• Loses sensation in the back, legs, pelvis or genital area.
• You have a fever, burning sensation when urinating or vaginal bleeding. You may have a urinary tract infection (UTI) or a kidney infection.
• You have an injury or trauma that causes back pain.

Questions to ask your gynecologist in Defence Colony

• How do I know if my back pain is intense or not?
• What type of exercise is safe during pregnancy?
• Is it safe to receive a massage during pregnancy?
• Will my back pain go away after giving birth?

High Risk Pregnancy: Causes, Care and Treatment

One of the main concerns of women who want to have a baby is to have a High-Risk Pregnancy.

It is a type of pregnancy that, either due to pre-existing maternal disease or produced by the pregnancy itself, requires a more exhaustive control of it.

Next, we want to help you know how to detect a high-risk pregnancy and, also, that you know the complications arising from this situation. Keep in mind that, in these cases, thorough gestation control is essential to prevent problems from increasing.

What is a High Risk Pregnancy and how is it detected?

When we talk about a high-risk pregnancy, we are referring to the fact that, due to the pregnancy itself, the woman or the baby may have some type of health complication. We have to emphasize that this is a very specific problem, since it only affects 10% of women in a state of pregnancy, however, it is important to know its existence and diagnosis.

During a high-risk pregnancy, some gynaecological, medical and obstetric situations usually occur that may endanger the health of those involved. This does not mean that, because of having this pregnancy, something bad is going to happen but that, simply, precautionary measures must be taken.

The Diagnosis of a High Risk Pregnancy

But how is a high risk pregnancy detected? There are different ways to detect the existence of this type of condition:

·        Prior detection: it is possible that, due to the gynaecological history of the future mother, there are more chances that she can develop a high-risk pregnancy. Normally, the doctor is in charge of testing to detect the woman's health condition (by blood tests, urine tests, etc.). The pre-pregnancy pathology determines that it is considered high risk

·        During pregnancy: another way to detect that a pregnancy is being at high risk is during the 9 months of gestation. Here some health problems may occur that cause gynecologist in Delhi to identify you as a pregnancy of this type (gestational diabetes, preeclampsia, multiple pregnancy)

Symptoms of High-Risk Pregnancies

If you want to be able to detect if the pregnancy you are having may have some type of risk for you or your baby, it is important that you know some of the symptoms of this condition. In general, the signs that may indicate that you are at risk are:

·        Vaginal bleeding

·        Constant and very severe headaches

·        Emergence of contractions

·        Loss of amniotic fluid before 37 weeks.

·        Blurry vision

·        Twin or triple pregnancies are considered high-risk pregnancies.

·        Chronic hypertension, pregestational diabetes, kidney, haematological or cardiac diseases prior to pregnancy also constitute a high-risk pregnancy.

However, it should always be the best gynaecologist in Delhi who diagnoses this condition. Therefore, it will be vital that, before any abnormal symptoms, go to the doctor for an exam.

Complications of a High Risk Pregnancy

It is essential that you detect in time if you suffer from a high-risk pregnancy because, otherwise, you could endanger your health and that of your baby. By consulting the gynecologist in South Delhi and following the guidelines that you set, you can better control the evolution of pregnancy and minimize the risks to the fullest.

And it is that high-risk pregnancy can cause some serious complications such as those indicated below:

·        Having a baby with a weight much lower than healthy and safe

·        Premature delivery

·        Haemorrhages

·        Malformations in the baby

·        In extreme cases, the death of the mother or the baby

For all these reasons, it is vitally important that, during pregnancy, you undergo a regular gynaecological check that checks your baby's evolution and health status.

High Risk Pregnancy Treatment in Delhi

As we have seen in the previous section, there are several causes of high-risk pregnancy. Consequently, high risk pregnancy treatment in Delhi should always focus on the origin of the risk situation.

For example, in cases of maternal hypothyroidism it is necessary to keep a regular check. It can be done through analytics that collect thyroid hormone levels.

On the other hand, if the mother is diabetic or suffers from gestational diabetes, it is important to take care of food and control blood glucose.

The same happens in cases of hypertension, where blood pressure will be monitored regularly to prevent the foetus from having repercussions.

In addition to these specific measures, there are a number of guidelines that are common in any high-risk pregnancy. The most prominent are the following:

·        Go to each and every review with your medical team.

·        Rest and avoid situations of stress or emotional overload.

·        In the case of a family history of any disease, notify the doctor immediately.

·        Do not take medication other than the usual one without consulting the specialist: not all drugs are accepted during pregnancy. Some produce malformations and other alterations on the foetus.

·        Avoid eating raw meat and fish. Sausages are also included in this group.

·        Do not smoke or drink alcoholic beverages.

·        Avoid eating sweets and ensure a good supply of liquids.

How to prevent a High Risk Pregnancy?

Some preventive measures include:

·   Plan your pregnancy:  If you are considering having a baby, we recommend consulting with a specialist. The best gynecologist in South Delhi will indicate all the necessary care you should have. If you have a medical condition, you can receive the appropriate and timely treatment so that you can have a healthy and risk-free pregnancy.

·     Go to all your medical appointments:  Going to all your medical appointments will help you keep better control of your baby's health. In addition, you will know if a problem is developing or if you need special care.

·   Eat a healthy diet:  It is essential to have a healthy diet during pregnancy. You will need larger amounts of calcium, iron, folic acid, among other essential nutrients. You can supplement your diet with vitamin supplements. Consult your doctor if you need to eat a special diet.

·    Stop bad habits:  Avoid smoking, drinking alcohol, using drugs, self-medicating among other bad habits. Which only harm your health and that of your baby.

·      Gain weight properly: Obtaining the ideal weight will help you contribute to the proper development of your baby. In addition, it will be much easier to carry the extra weight. We recommend you check with your doctor so you can know the exact weight you need.

If you find yourself going through a high-risk pregnancy, you will most likely feel scared and anxious. Unfortunately, anxiety can affect your health and that of your baby. Consult with your doctor about the appropriate forms and techniques of relaxation that you can apply. For example, imagining positive things or good experiences will help you lower anxiety levels. Another excellent option is to listen to music or read interesting books to help you clear your mind.

Gynecological Problems That Challenge Emotional Well-Being

The female genitals are changing throughout life, especially during pregnancy, childbirth, and menopause. These changes usually lead to gynecological problems that also affect the emotional well-being of women. Next, we review the main disorders and how to prevent them in order to enjoy positive sexual health.

The vaginal atrophy, dryness, vaginal laxity, urinary incontinence, the decrease in pelvic organs (uterus and vagina) or constant itching in the genital area are some of the gynecological problems most commonly affecting a large number of women of all ages.

Many of the women who suffer from these genital disorders feel embarrassed to talk about them and even feel misunderstood. This brings with it pictures of emotional instability, depression or loss of self-esteem and even breakups.

According to Dr. Sadhana Kala, gynecologist in Delhi, women are getting more aware of these problems.

Partly because women go more to consultation and also because there are more gynecological women, she points out, "which helps women open up to tell about problems they didn't feel supported before."

Until now, gynecologists used to focus on issues more related to pregnancy control and childbirth. However, “we did not realize that the genitals are changing throughout life. Until recently we did not know.”

“More than half of the women who go to the clinic to perform their gynecological examination after childbirth, do not count that they have frequent urine losses or vaginal dryness, which causes pain in their sexual relations or lack of pleasure or sexual desire”.

When do the changes arrive?

Gynecological problems and discomforts in sexual intercourse can come with pregnancy, childbirth, continuous activities that produce abdominal overexertion (such as running, doing abdominal crunches, steps, etc.), age or menopause.

Commonly, genital disorders tend to appear in the fourth decade of life. That is when oestradiol levels begin to drop in women. The alteration of this female hormone causes symptoms such as dryness or lack of lubrication in sexual intercourse. The change in metabolism also plays an important role at this stage.

Like almost all parts of the body, the woman's genitals will change throughout her life, however, "this is information that is practically not explained to them." The pregnancy and childbirth "are key moments in the life of a woman suffer pelvic floor were some very important changes."

Also, the type of delivery influences. "If it has been instrumented or not, depending on the weight of the baby, the hours of expulsion, etc ... All these influences that we see more or less damage to the pelvic floor."

“Many women assume that their sex life will not be the same after delivery. They believe that it is the price they have to pay for being mothers and that, they bear it many times with great frustration.”

Therefore, a gynecologist in South Delhi warns of the mistake that not long ago was committed by "trying to reassure them, simply telling them that their condition would improve and that it is only a matter of time."

How to prevent gynecological problems

The following table summarizes the five preventive strategies to avoid genital disorders and maintain optimal sexual health:

Having healthy sexuality and not avoiding relationships

Sexual intercourse is essential to keep the genitals healthy and feel good. "Maintaining sex contributes to genital health," she says.

Many patients who spend long periods of sexual inactivity encounter tremendous discomfort when they try to resume their sexual intercourse.

Genital hydration

Vaginal dryness causes pain and the inability to have sex. Depending on the severity, there are different solutions:

• Early pelvic floor rehabilitation exercises
• Genital laser (to tighten and rejuvenate vaginal tissue)
• Creams with oestradiol (to improve tissue quality of both the vulva and the vagina)
• Genital hyaluronic acid infiltrations

Perform pelvic floor exercises

The purpose is to prevent tissue laxity, bladder, uterus or rectum descent, hypermobility of the urethra, among other problems related to the loss of urine.

"It is very important to emphasize that these exercises should be guided by a specialist physiotherapist" and thus, avoid possible complications in cases of patients with certain pathologies.

Periodically go to the gynecologist

The best gynecologist in Delhi should be visited at least once a year or at any symptom or alarm signal. "Any doubt should always be consulted without fear of a specialist," she says.

Be alert to the changes in our body

Paying attention to any symptoms or changes observed in the body is essential. The moments of most alterations in a woman's life will be during pregnancy, postpartum and menopause.

The speed with which they begin to take care of the genital organs will stop the onset of gynecological problems. "For example, during the first three months of postpartum, thanks to the hormonal alteration, the body is very receptive to respond to treatment and completely recover abdominal and pelvic muscles, visceral descents or hyperreactive behaviors."

Polycystic Ovary Syndrome

Dr. Sadhana Kala, the best gynecologist in Delhi, specialized in the diagnosis and treatment of Polycystic Ovarian Syndrome (PCOS). It is estimated that this problem affects between 8-13% of the female population of reproductive age and can have a significant impact on fertility and quality of life. In addition, in the long term, it can favor the onset of metabolic disorders and cardiovascular health problems.

For this reason, it is important to treat this disease from a multidisciplinary point of view, which includes lifestyle control measures and medical monitoring from various specialties: gynecology, endocrinology, nutrition, and reproductive medicine. In some cases, psychological support may also be indicated, as it may affect physical appearance, sexual intercourse, and fertility.

At Moolchand Hospital, we have specialists in all these areas that work in coordination. This fact allows us to address this disease from an interdisciplinary point of view, and adapt the treatment to each case and to the lifestyle and needs of each patient, as recommended by the gynecologist in Delhi.

What does it consist of

PCOS is a dysfunction of the ovaries that can cause hormonal and metabolic alterations, as well as irregularities in the menstrual cycle. In addition, it can occur in a very diverse way: acne, high body mass index (BMI), a tendency to obesity, anovulation, excess body hair, etc. Although its cause is not known exactly, it is believed that there is a genetic predisposition and there are several factors that can aggravate it, such as a sedentary lifestyle or improper diet.

Dr. Sadhana Kala, a gynecologist in South Delhi, explains how this problem can be kept under control.

In which cases, a medical visit is recommended

PCOS has very varied symptoms, and not all are present or occur jointly in patients suffering from it. Here, the best gynecologist in South Delhi indicates some of the most frequent. If you have at least two of them, you should request a visit:

• Irregular cycles or absence of rules for long periods.
• Excess hair in areas where women usually have little hair.
• Acne and oily skin.
• Hair loss.
• Difficulty losing weight or tendency to obesity.
• Difficulty getting pregnant
• The ovulation test always negative.
• Ovaries of polycystic appearance, that is, they have a very high number of follicles.

What treatments are there?

The way in which this syndrome is presented is very different in each woman, so we cannot generalize the treatment. The first thing to do is to confirm the diagnosis.

To do this, in addition to a first visit to know the family history and medical history, it is necessary to perform several tests, such as a blood test and a gynecological ultrasound, which will determine if the patient has a higher level of male androgen hormones -androgens- than normal and polycystic ovaries.

The first option is the implementation of dietary control measures and lifestyle. With this, it is possible to prevent weight gain and reduce the risk of metabolic disorders and cardiovascular problems, in addition to improving menstrual regularity, ovulation and the probability of pregnancy.

In some cases, pharmacological treatment may be indicated, by taking contraceptives, which keep the ovaries at rest, which contributes to reducing excess body hair and acne.

If you want to get pregnant but do not ovulate regularly, a hormonal stimulation treatment to induce ovulation may be indicated, and if you have an added fertility problem, the start-up of an assisted reproduction treatment would be studied.

Implantation failure, what is it and why does it occur?

Implantation failure is reproductive failure after embryo transfer. Although there is always a probability after in vitro fertilization that the embryo does not implant in the mother's womb, there is a type of infertility that bears his name and is the failure or failure of embryonic implantation, explains gynecologist in Lajpat Nagar. The patient with this diagnosis is the one who, after the transfer of 6 embryos, cannot get pregnant. If the implantation failure occurs in the first treatment, after an in vitro fertilization , it is an acceptable failure, taking into account that with own eggs the  IVF success rate It is 47% and with donated eggs 65%. The problem is when this failure is repeated and the patient cannot manage, after having received several embryonic transfers.

Embryo transfer and implantation

Embryo transfer It is a personalized procedure that will depend on the development of embryos. Depending on the evolution of these, the transfer will be made one day or another. “While it is true that the range of days in which the embryo transfer is carried out is between day 2 and day 6 after the egg has been fertilized, provided that the conditions allow it we transfer embryos in the stages of the most advanced development possible, since this allows us to evaluate them better and therefore select those that are most likely to implant, ”explains infertility specialist in Delhi. Embryonic selection is key to avoid implantation failure and achieve gestation, so we increasingly transfer more embryos in a blastocyst state.

Implantation bleeding 

The implantation bleeding is slight bleeding may well be confused with menstrual bleeding. It occurs because the uterus is very irrigated and this can make it bleed easily. It is not a red bleeding but more brownish, however, sometimes it is difficult to differentiate it. The most indicated in these cases is to consult with the infertility doctor in Delhi at the beginning of this bleeding. She will give the most timely indication, depending on the day on which it occurs after the embryo transfer.  

What tests to deal with repeated implantation failure

As we said at the beginning of this post, one or two implementation failures during infertility treatment in Delhi are not a sign of repetition. The patient must have transferred at least 6 embryos of good quality and not have achieved implantation to consider a study and proceed to:

• Discard the presence of a uterine, myoma and uterine malformation with low receptivity.
• Examine the karyotype of both parents to see if there is a structural alteration in one of the chromosomes that predisposes to abortion or the failure of IVF treatments.
• Evaluate thyroid hormones.
• Discard thrombophilias and autoimmune diseases.
• Study of the alloimmune cause.

These tests may show some problem that indicates the cause of repeated implantation failure. If so, an appropriate treatment can solve the problem to achieve implantation, says gynecologist in Delhi.

Can you be a mother with Polycystic Ovarian Syndrome?

The quick answer is yes, you can be a mother with polycystic ovarian syndrome, but you have to take into account the nuances that we explain in this post. Although pregnancy is possible, it is necessary to diagnose polycystic ovarian syndrome (also known by its acronym SOP or as Stein-Leventhal syndrome) and make adequate treatment from best gynecologist in Delhi for each woman to get pregnant.

What is polycystic ovarian syndrome and how is it diagnosed?

The polycystic ovarian syndrome is an endocrine disorder that affects female fertility because of the irregularity of the rule and anovulation (failure to release any eggs in the menstrual cycle). Since there is an alteration in ovulation, it is more likely to encounter difficulties at the time of seeking pregnancy.

This syndrome is behind 30% of cases of infertility of female origin and it is estimated that 1 in 10 women suffer from it. In short, this reproductive pathology is the most common in women of childbearing age.

Polycystic ovarian syndrome and pregnancy

Women who suffer from this pathology have a greater difficulty in becoming pregnant, so it is advisable to go to an infertility specialist in Delhi to receive advice to receive the necessary guidelines to achieve pregnancy. In addition, it should be borne in mind that the process can be lengthy, so it is convenient to go to the infertility doctor in Delhi as early as possible to assess the particular case.

Although in some cases it is possible to restore fertility by modifying the patient's lifestyle and / or with some drugs that regulate hormonal alterations, in cases where fertility cannot be restored, it will be necessary to resort to assisted reproduction techniques as in vitro fertilization or artificial insemination to achieve pregnancy, suggests gynecologist in Delhi.

What are the symptoms of polycystic ovarian syndrome?

The most common symptoms that manifest in women suffering from PCOS are:

• Irregular menstruation (less than 9 annual rules) or absence of menstruation.
• Hirsutism: excess hair
• Alopecia or hair loss
• Acne
• Hormonal alterations
• Insulin resistance
• Obesity

How to treat polycystic ovarian syndrome?

Although the origin of this pathology is unknown, it is important to diagnose and treat it correctly. For this, the gynecologist in Lajpat Nagar must perform tests such as anamnesis, transvaginal ultrasound, hormonal analysis.

Once PCOS is diagnosed, it is important to have adequate infertility treatment in Delhi to prevent associated diseases, and it is essential to follow a healthy lifestyle with a balanced diet and regular physical activity.

The success rates with the correct advice and assisted reproduction treatments are very high, the best gynecologist in Lajpat Nagar has extensive experience in cases of this type.

If you have polycystic ovarian syndrome or suspect it and are planning to become a mother, go to a specialized gynecologist in Delhi to answer your questions and have the appropriate guidance for your case.

11 Things To Know Before Giving Birth

If you are a first-time mom, they say that nothing can really prepare you for what is coming during birth and beyond. I have found this to be entirely true for me. If you are in the final stages of your pregnancy, you are naturally getting things ready for the big day and taking care of your baby afterwards.

During this intensely transitional period you need to divide your time and attention between keeping yourself and baby healthy; getting organized for the labor and baby care, while keeping your sanity and your family together.

11 Things You Need To Take Care

To help you prioritize, here are the 11 most important things you should be focusing on suggested by best gynecologist in Delhi.

Trust Your Body

Giving birth to your baby is one of the most life-changing experiences. It will require strength, patience and a lot of love from you and your partner to push your baby out of your body and into this world.

While we do not have full control over how things will evolve during birth, know that your body knows exactly what to do. Trust that everything will be ok for you and your baby.

Create A Birth Plan

Choose carefully and wisely how you want to give birth, who is going to be with you, where and how you wish the birth to proceed if things don’t work as expected.

Choose Experienced Professionals

Having a doula and a dedicated midwife by your side could make things easier during labor. Choose gynecologist in Delhi who are experienced with whom you feel comfortable and safe, also make sure you meet them several times to catch up, especially during the third trimester.

Eat Well

Pregnancy is a critical period for long-term development and health of your baby. The third trimester is no exception. The quality and quantity of nutrients you eat and give to your baby will help build a strong body and brain. So, focus on eating real, wholesome and nutrient-dense meals that nourish both of you. Adequate protein and healthy fats are very important at this phase says gynecologist in South Delhi.

Prenatal Supplement Is Vital

Get the best quality prenatal supplement you can afford. Pregnancy is not the time to cut corners. Your baby needs the highest quality of nutrients to develop and thrive. Ideally, you will keep taking your top notch prenatal during breastfeeding as well, so make it count.

Be Happy

Your feelings and mood matter throughout pregnancy! Studies show that the babies of women who were happy and relaxed during their pregnancy are healthier in the long run.

Do Yoga

Generally, it is safe to engage in light prenatal exercise after the critical first trimester. Prenatal yoga has scientifically proven with health benefits for both mommy and baby, such as reduced risk for pregnancy complications and preterm birth.

It will also reduce lower back pain, which you are probably experiencing pretty intensely in the third trimester, and strengthen your pelvic floor muscles. Trust me, you will be grateful during birth and beyond. Meet your best gynecologist in South Delhi to know more about prenatal exercises.

Be Prepared

Start preparations for your little one soon, especially if you are a first-time mom. Taking care of a new born will absorb immense amount of time, energy and attention, especially during the first three to six months. So, get ready, collect all the essentials and buckle up!

Stay Strong

Mental preparation is essential. Having a baby is a significant milestone, which is inevitably accompanied with stress and a chaotic transition that will lead to a beautiful family bond.

Call In Helpers

If you are planning to breastfeed your little one, make sure you will have proper support from an experienced midwife or lactation consultant immediately after giving birth. While breastfeeding is highly recommended and an entirely natural process, several things could make it difficult. The first hours after birth offer a golden opportunity to breastfeed your new born and create the foundation of a life-long bond.

Take Loads of Picture

Enjoy the last weeks of your pregnancy, despite the increasing discomfort. You will miss the moving and kicking of your baby inside your body. Take loads of pictures and make keepsakes that will help you remember those days in the years to come and maybe one will make wonderful gifts for your grownup children!

Laparoscopic Surgery in Delhi By Dr. (Prof.) Sadhana Kala

Laparoscopic Surgery
As Dr. (Prof) Sadhana Kala, best gynaecologist in Delhi, shares with us, Laparoscopic surgery is about the method which is by large used the practicing surgeons in order to perform surgeries with the help and support of several tiny holes in the body of the patient which is aided by a high definition camera. This particular surgical method is also known as minimally invasive method of surgery.
These holes in the body of the patient so miniscule which are never required in the conventional way of surgeries. The surgery more or less remains the same as like the conventional method but only the incisions created are way smaller than the usual ones.

Advantages
Laparoscopic surgeries most often keep the smaller duration of stay for the patient in the hospital. It also inflicts lesser wounds on the patient body along with less pain to be born by the patient and a much quicker recovery. From the point of view of the Doctor, these kinds of surgeries would also allow easier access to abdominal tissues which are very helpful for the surgeon performing the operation.
Indications
Nowadays, those surgeries which were used to be done as the open surgeries which included longer incisions in the patient body are being performed laparoscopically. Since this can be operated upon several organs in the patient body and is not limited towards any particular part of the body only. The surgeon takes a call whether the patient body is ready for the laparoscopic surgery since it needs to be seen whether any past surgery related scars are there or not on the patient body. Certain medical conditions or diseases will also have to be an exception for the laparoscopic surgery.
Various Surgeries done by Laparoscopic Surgery
The Gallbladder surgery is a common one which done on the patients in India and it goes off very well with the laparoscopic method. Apart from this, usage of this method in gallbladder surgery has been beneficial to so many patients and is now a very popular choice for both surgeon and the patients as well.
Small Intestine related surgeries are usually performed to re correct the hernia or the ruptures of the wall and in order to remove the segments in the intestine. These may contain focal areas or any related tumours as well.
Liver related surgeries are also on the list which are being done with the help of laparoscopic method.
It is also used involving the pancreas whenever it is found that there is a possible concern which is related to a cancer tumour. It helps in the examination of the lower abdomen in detail any possible tumour signs.
Dr. (Prof) Sadhana Kala is one of the best doctor for Laparoscopic Surgery in Delhi/NCR region and very popular for treatment of such cases. She offers treatment for all type of female problems including infertility treatment in Delhi. 

Dr. Sadhana Kala is the best Gynecologist in Delhi holding an experience of 41 years. Based on her experience, she shares some of the tips to the married couples because she has observed that in this competitive era, the partners are too busy meeting their professional objectives that they forget they are having their personal lives as well.

One of the most common reasons for inactive sexual life is premature ejaculation. The hectic schedule, stress, smoking and alcohol, and dependency on medications highly affect the duration of sexual intercourse. As the best Gynecologist in Delhi what Dr. Kala has observed is that the premature ejaculation is the most common sexual dysfunction in male. It can affect the emotions of both the partners by causing loss of self-esteem in male partner and frustration for the female partner. Basically, premature ejaculation is termed as “pre-mature” only if the partners are not satisfied with the intercourse duration. The condition can get worse if the male partner ejaculates before the female partner reach orgasms. The factors for the cause might include lack of chemistry, performance anxiety, increased penile sensitivity, etc.

Understanding the consequences, Dr. Kala, Best Gynecologist in Delhi and her team offer the best treatment to make your marriage life more healthy and full of chemistry. Here are some tips suggested by Dr. Kala for preventing the situation of premature ejaculation:

• Foreplay with your partner for at least up to 15-30 minutes
• Masturbate before starting intercourse
• Follow a stop and restart method

Best Gynecologist in Delhi – Get Variety of Gynecology Conditions Diagnosed

Dr. Sadhana Kala is the best Gynecologist in Delhi holding a degree of MBBS (1971) and MS in Obstetrics and Gynecology (1975). She was a university topper during her academics and has achieved several certificates, Gold & silver medals of Honor, and Distinction in Medical field. She has an experience of working in the medical field for more than 41 years. She is expertized in:

Some Important Reasons You Need Immediate Visit to Gynecologist in Delhi

Gynecologist visit is important for every woman with growing age. Visiting a gynecologist in Delhi does not make you feel bad but actually it makes you feel confident and healthy about the changes that are occurring in your body. Whenever you feel something wrong about your health, visiting a doctor is the best option rather that making the condition more serious.

An honest discussion with the doctor is always important. Proper diagnosis and right treatment is done by the gynecologist to evaluate your health. Here are some important reasons that you should visit them are –

Best Gynecologist in Delhi Explains the Affecting Factors for Sexual Desire

We all know that sex is among those basic needs of a human being without which he can’t imagine surviving through his life. Many research studies had proved that the sexual satisfaction increases the bond between the two people and the love and affection between them. But, apart from these research findings and all the recommendations from the sexologists, the changing lifestyle of people has tremendously affected the sex life of couples. Best Gynecologist in Delhi says that getting intimate for at least 2 to 3 times a week makes the marriage healthy and also improves the health of the two. But the unbalanced lifestyle has lowered the desire of sexual intimacy. There are a lot of factors affecting the sexual life of a couple, some of them are:

Gynecologist in Delhi Explains the benefits of Healthy Sex Life

SEX! A term we all hesitate to talk about. But it is a big fact that sex is one of the basic needs of the human being. Just like the food, shelter, and cloth, sex is also something without a person cannot imagine their life. But, everything is good only to some extent; beyond that, it has its specific adverse effects. Various research studies have proved that having a healthy sex relation with the partner, increases the love between the two and also helps the two to live longer. Gynecologist in Delhi states that “having healthy sex relation improves the quality of the life, and decreases the risk of so many diseases like stress, depression, heart stroke, headache, cold, flu, etc. IgA is the defensive component that fights against the cold and flu, and thus, couples who intimates a couple of times every week are more likely to have a higher amount of IgA (antibody immunoglobulin) than the couples who have less sex. IgA immune system is the first defense line of the body.

Visit Best Gynecologist in Delhi for Best Treatment of Gynecological Problems

Women are meant to play an important role in a family. She is considered as a pillar of strength of their family. There are times when woman suffer from various health problems. Most of the time women neglect such things which can later on becomes a key reason behind severe gynecological problems. Visiting a best gynecologist in Delhi is highly recommendable for every woman to keep her in a good physical health.

Mental and reproductive health is prime issue that should always be considered important by women. In different phases of life women have to survive from different problems that can be treated effectively with a proper gynecological consultation. Some of these problems are –

• Pregnancy & child birth –

Pregnancy and child birth is the most crucial phase in every woman. This is the time to take complete care. Several gynecological problems are related to this phase.

• Reproductive health –

Sexual and reproductive health issues are common in females between 15 – 44 years of age. This is a major risk factor behind women infertility and problems in pregnancy.

• Cancer –

Breast and cervical cancers are among the most common cancer type that is faced by females due to negligence of proper diagnosis.

Gynecologists are best to address variety of issues such as menstrual irregularities, infertility, pregnancy issues etc. They will provide you with the necessary tips to remain healthy. They will assure you that everything is going fine and there are no problems. Women usually feel shy in sharing their problems. But discussing your problems openly with your doctor will help them in proper diagnosing and treatment. Have self-confidence and ask as many questions as you have.

Your comfort level is supreme to have a good working relation with your doctor. Best gynecologist in Delhi provides consultation and solutions for wide range of gynecological problems. You can get good medical treatment and quality care when you visit them.  They provide best service in diagnosing and treating illnesses and infections so as all women get rid from all such problems and enjoy a better life.

When You Need to Visit a Gynecologist in Delhi?

Gynecology is a female oriented branch of medicine which studies the woman’s reproductive system, such as ovaries, womb, and fallopian tubes. Gynecologist in Delhi treats the complete health of their female patients, diagnosing problems and diseases of the female reproductive system such as breast and hormonal problems, urinary tract and pelvic disorders, and cervical cancer as well. They are an expert of obstetrician as well.

Here is when you need to consult a gynecologist in Delhi:

• Dysmenorrhea: It refers to the symptom of painful menstruation. It can be separated into 2 broad classifications: primary, which is occurring in the absence of pelvic pathology and secondary, which is resulting from identifiable organic diseases. Menstrual cramps are affected by contractions in the uterus, which is a muscle.  If the uterus contracts too muscularly, it can press against nearby blood vessels, cutting off the supply of oxygen to the muscle tissue of the uterus.
• Urinary tract Infection (UTC): These are caused by bacteria and are 10 times more common amongst women than men. More than 50% of women will have at least one UTI during their lifetime. About 30 - 40% of UTIs recur within 6 months after the initial episode. 
• PCOD (Poly Cyst Ovarian Disease): The cause of polycystic ovary syndrome (PCOS) is not fully understood, but genetics may be a factor. PCOS problems are caused by hormone changes in the early teens after the first menstrual cycle.

Thus, Gynecologist in Delhi suggests the following symptoms not to be ignored:

• Bleeding in between the periods- There can be several factors for spotting or bleeding when you are not having your period including hormonal fluctuations, taking birth control pills, and per-menopause.
• Pain during intercourse- This actually indicates that there is an underlying medical problem.
• Painful periods- The possible reasons for aching periods may include endometriosis, uterine fibroids, or pelvic inflammatory disease. 
• Excessive chronic swelling- The swelling related with ovarian cancer can be chronic. Ovarian cancer whispers because the symptoms can be vague and dismissed as indigestion or part of middle age weight gain.

Gynecologist in Delhi Helps in Maintaining Women’s Health & Wellbeing

The need to visit a gynecologist occurs in every women life at some of point of life. Gynecology is specialization in women's health that is vital in keeping women healthy for years to come. The visit becomes extremely important if you are suffering from heavy or irregular periods, going through menopause, or want to get pregnant. Just like there is no reason to skip your general doctor checkup, there is no reason to avoid your gynecology checkup. Visiting gynecologist in Delhi helps you to avert major diseases and issues that would otherwise threaten your health.

While many might sense fear or discomfiture when going to one, it is not something to skip simply based on that. Since the doctor would be observing the intimate part of your body, it is very crucial for you to choose a gynecologist you feel very contented with. You can actually start by asking referrals from your family and friends and deciding if you prefer a male or female doctor.

While many might feel embarrassment when going to visit a specialist, it is not something to ignore simply based on that. It is always best to have a little time to visit one so that any specific issues may be talked privately. This is also the time to establish yourself as the patient and let know that you need to be able to look for guidance when the need arises. Though nobody wants to be a hypochondriac, you should never be scared to consult with your doctor if something doesn't feel quite correct with your reproductive organs-or anywhere in your body.

Prevention and early recognition are the best methods to deal with some of the physical concerns that women face, and regular gynecological check-ups can also keep you away from worrying. Gynecologist in Delhi provides excellence in women’s health in a helpful setting, and offers a comprehensive package of women's health services and education. They have a proven reputation in your wellness as well as the expertise and unique ability to understand individual needs.

Visit Gynaecologist in Delhi for Female Related Problems

There comes a period in each young lady's life that she should begin seeing an OB/GYN. Conversing with your best gynecologist in Delhi about things like vaginal release may appear to be odd in case you're not used to discussing that stuff, but rather your OB/GYNs occupation is to make you feel good about the uncomfortable. The following are few things each young lady ought to know before heading off to the Best Gynecologist in Delhi

 

You needn't bother with motivation to plan your first arrangement. It's suggested young ladies 13-15 years of age see their gynecologist to begin and assemble a relationship to talk about sexually transmitted contamination screening, aversion, and other medicinal services counsel. You need to build up a transparent relationship where you feel great to make inquiries that may make you squirm in your seat or become flushed.

Being anxious is ordinary, however a bit much.

It is ordinary to be apprehensive about setting off to the specialist, particularly to address an issue as private and individual as conceptive wellbeing. Patients ought not give this a chance to overpower them. There will be a female chaperone if a pelvic exam is required, regardless of the possibility that the clinician is a lady.

You can carry somebody with you, or you can have them hold up outside. It's dependent upon you.

It would be ideal, if the patient picks, to have one companion or relative present amid the visit. A few patients incline toward for that individual to remain for the examination, in the event that one is shown.

On the off chance that you have your period, it's a smart thought to reschedule.

Having your period and getting a gynaecologic exam is not a smart thought. On the off chance that you have a pap spread amid your period, blood can make the outcomes off base. Hormonal changes amid your period can make a bosom exam truly uncomfortable and vaginal draining makes a pelvic exam chaotic. It's best to reschedule your gynaecologic exam.

You don't have to give a blood test.

The uplifting news is whether you are having a routine gynaecologic exam, which means you are not having any medical issues, it is far-fetched you should have your blood drawn. In the event that you are having unpredictable periods or need an entire sexually transmitted contamination screening, a blood test is likely.

See a Best Gynecologist in Delhi

Going to see a gynaecologist — a specialist who concentrates on ladies' regenerative health —means you're assuming liability for your body in new ways. It can be exceptionally energizing to know you're ensuring all is running admirably with adolescence, your regenerative system, and that's just the beginning.

Remember that different specialists likewise can help with gynaecological issues. For instance, an immature drug master, family specialist, or paediatrician can answer addresses and might have the capacity to look at your vagina, as well.

Seeing a best gynaecologist in Delhi can--

Help you comprehend your body and how to look after it

Give you and the specialist a feeling of what is typical for you so you can see any issue changes, similar to indications of a vaginal infection.

Give the specialist a chance to discover issues early so they can be dealt with

Clarify what an ordinary vaginal release ought to look like and what could be an indication of an issue

Show you how to ensure yourself on the off chance that you engage in sexual relations

Your gynecologist can answer any inquiries you have about the numerous progressions that might happen to your body. It's extraordinary to fabricate an association with your gynaecologist throughout the years so he or she comprehends your health and what is important to you.

In the event that you don't go around then, you ought to make a point to visit a Best Gynecologist in Delhi, other health proficient who can deal with ladies' regenerative health if:

You have ever engaged in sexual relations (vaginal, oral, or butt-centric) or suggest sexual contact

It has been three months or more since your last period and you haven't gotten it once more

You have stomach pain, fever, and liquid originating from your vagina that is yellow, dim, — all of which are conceivable indications of a genuine condition called pelvic provocative infection (PID) that requirements prompt treatment

You are having issues with your period, similar to a considerable measure of pain , draining vigorously, or seeping for longer than normal, or it has quit coming frequently .See a perfect gynecologist for you.