Gynae and ENT Clinic

Hi,

I am Dr. Pooja Choudhary, Gynaecologist. Today I will talk about PCOD. Ye aaj ki date mein most common problem hai. PCOD mein hormonal imbalance ho jaata hai and male hormones badh jaate hain. Jiski vajaha se ovaries mein cyst ho jaate hain. This may lead to menstrual dysfunction, fertility problem, change in appearance and later on heart pe bhi effect aata hai. Causes are not well known but most common are genetics and lifestyle. It is also related to the lifestyle. Aap ka food intake kya hai, regular exercises kar rahein hain aap ya nahi. Jadatar patients mein dekha gaya hai ki patients ko periods nahi aate hain ya fir irregular ho jaate hain. Kabhi kabhi patient mein periods rukte bhi nahi hai. Ismein fertility isue bhi ho jaata hai kyuki eggs toh bahut sare hote hain but quality achi nahi hoti hai.

Agar patient mein pregnancy tehar bhi jaati hai toh complications bhi badh jaate hain. Abortion ho sakta hai, preterm labor ke chances ho sakte hain. It may also cause the change in your appearance. The patient may become overweight. Acne and pimples ka breakout kisi kisi mein bahut jayada ho jaata hai. Unwanted hair aa jate hain like facial hair. Kuch patients hairfall ki complaint bhi karte hain. Other related complications are diabetes and rise in bad cholesterol. Ye aap ka blood pressure badha sakta hai and later on it may lead to heart disease also. Kisi kisi patient mein uterine cancer ka risk bhi badh jaata hai. Diagnosis mein patient ka appearance humare lia bahut important hai. Patient ka history bahut important hai.

Patient ka hum ultrasound along with some tests karate hain which helps in diagnosing the PCOS. It is a lifelong syndrome. Symptoms hum sirf control kar sakte hain kyuki iska koi cure nahi hai. So, the most important part of the treatment is balanced diet and regular exercise. Agar aap junk food nahi kha rahein hai toh ye PCOD ke patients ko bahut help karta hai. Jo patients concieve nahi kar paate hain sare precautions lene ke baad bhi, unmein hum eggs stimulate karne ke lia medicines de sakte hain so that they can conceive and sugar ke lia hum systematic treatment dete hain so that patient can lead a healthy life. Agar aap ko inmein se koi bhi preshani hoti hai toh aap mujhse contact kar sakte hain.

Thank You!

Hello Everyone, I am Dr. Pooja Choudhary, Obstetrics & Gynaecology.

Today I will speak about infertility in women. Infertility refers to unable to conceive even after 1 year of regular unprotected intercourse. Hum test husband se shuru karte hain. Husband semen analysis karate hain. Uske normal hone ke baad hum wife ka investigation karte hain. Agar koi bhi problem cervical, uterus or tubes or ovaries me problem hone pr infertility ho sakti hai. Infertility ke causes mein ovulatory disorder ek major cause hai. Ye 30% cases me dekha jaata hai.

PCOS aaj ki date me bhut common hai. Kayi baar egg banta hai but follicle se release nhi ho pata hai. Kayi bar agar koi woman athelete hai ya sports me active hain ya fir body weight kam hai or extensive exercise karte hain to us case me bhi hormones secret nahi ho pate hain. Smoking bhi ovulation ko hamper karta hai. Kuch cases me dekha jata hai ki egg ban raha hai but tube pick nahi kar pa rahi hai. Is case me hum tubal factor krte hain identify kr ke. Uterine cause me agar lining me problem hai to sperm connect nhi kr pata hai.

Cervical canal agar bhut jyada stenosed hai or koi polyp hai cervical me to infertility ka problem hota hai quki sperm enter nahi kar paata hai. Ye sare problem treatable hain. Agar apko 1 year try karne ke baad bhi pregnancy nahi ho rahi hai to immediately Dr se consult karen. Aap mujhse Lybrate ke through contact kar sakte hain. Thank You.

Hello!

I am Dr. Pooja Chaudhary, MBBS MD-Obstetrics & Gynaecology . Today we are going to talk about 5 simple steps for a healthy pregnancy. The mother has to consult a doctor as soon as she gets to know that she is pregnant so that doctor can tell her about the prenatal care. The fact that she is pregnant that she should consult a gynecologist immediately because the pregnancy brings with it a new set of responsibilities the patient has to take care of a baby as well as her own health is also equally important. Now the five simple steps for a healthy pregnancy includes prenatal care, diet, exercise, sleeping habits and food habits. As we talk about the prenatal care the first and foremost thing is as she gets to know that she is pregnant she is put on Folic acid for the development of the baby and to prevent neural tube defects in the baby. It is essential that she takes healthy diet.

With the healthy diet of substantial amount of Carbohydrates, Proteins, Vitamins and Minerals as well as Fibre intake. Carbohydrates like rice, roti should be included. She should have five small portions for every meal. During pregnancy we tell the patients to have small frequent meals. This is done just to avoid constipation, gastric problems and because these problems increase during pregnancy mainly because of the hormonal imbalance. Her water intake should be very good. She should drink at least 10-12 glasses in hot and humid climate. This will take care of a urine infection. This will help her avoid constipation and this will also help her in digestion of the food. As far as proteins are concerned, if she is a vegetarian she can take pulses, soybean or paneer, dal and the non-vegetarian people can take egg, chicken or fish but it is advisable to avoid smoked seafood in the first three months of the pregnancy.

Then comes the exercise where we simply tell the patient not to go for a brisk walk. Just simple walking is enough. 15 to 20 minutes post meal walking is good for the patients. Patient can also opt for Ketal exercises which helps in vaginal musculation. Exercise is really important in pregnancy because it improves your back pain, it improves constipation, it also improves your muscular endurance, it helps in normal vaginal delivery. As far as the weight is concerned, for a normal patient with normal height, the weight during the entire pregnancy can range between 12 to 15 kgs. But in case it is a twin or the pre-pregnancy weight is already on a higher side your doctor can explain you better about the how much weight you can gain during pregnancy. Lifestyle changes is also very important part of pregnancy. Those who do smoking or drink alcohol are requesting not to do so because it causes many complications like preterm birth, abortions, stillbirths, miscarriages.

Avoid travelling on an uneven jerky surface. And one must remember that during pregnancy whatever testing is done it is very time limited. If you do the test before the limited time period or after that time period, then it carries little value. At the time they are monitoring the pregnancy they would also do genetic screening of the babies and the genetic screening is very time limited. If it is done in around three months it has to be done around three months.

If you miss that deadline then the scanning is not valid and you will miss the opportunity of getting a screening done for the baby. So whenever your doctor prescribes that this test has to be done during this time then it carries importance. So you make sure that you do your testing on a regular basis. You stay in touch with your doctor on a regular basis so your baby can be screened and ultrasound scan be done at a time when it is required to be done. In case of any queries you can contact me at my clinic in Safdarjung Enclave or you can contact me through lybrate itself.