Pushpanjali Medical Centre

Hi,

I am Dr. Anjuli Dixit, Gynaecologist. I am talking about preventive health care in pregnancy. I will tell you about 2 vaccines - Flu and T-dap. These vaccines are given to both mother and child at the time of the pregnancy. They both are at the risk of developing disease due to the lack of immunity and infections. With the help of these vaccines, both are safe and protected. This vaccine can be given if there is any episode of flu. Otherwise, we give after 26 weeks. Baby is also able to survive or handle all those infections. These vaccines can be given at any reputed nursing homes or by any gynecologist at the clinic. These should always be given at any pregnant patient between 26-36 weeks.

For any help or query, you can contact me through Lybrate.

Thank You.

Hello!

I am Dr. Anjuli Dixit and today I am today talking about signs of infertility which you can diagnose early and then you can consult any gynecologist nearby your area to treat your infertility at the earliest. These signs differ in female and male. In the female, the signs are Dysmenorrhea, intermenstrual bleeding or spotting, irregular periods, weight gain with facial hair growth, hair growth on abdomen and chest, pelvic pain. It may also be associated with infertility. In case of chronic pelvic pain, you should consult a gynecologist to rule out any gynaecological abnormality in your pelvic area. Other signs and symptoms include white discharge.

If it is a long-term then you should consult any gynaecologist because this white discharge may be due to pathogenic development of some organism in your vaginal area or in your cervical area which may lead to infertility. If this white discharge is changing according to your cycle then it is normal but if it changes the colour then it is pathological and you should meet any gynaecologist. Besides these, if you are having intermenstrual spotting and bleeding then this may also be because of any polyp or any fibroid present in uterus which may lead to infertility. So you should consult at the earliest at a gynecologist. In cases of male, the signs are different.

These are difficulty in ejaculation, difficulty in erection or difficulty in penetration. This may also be because of hormonal imbalance or due to some abnormality in the genital organs. So in case of these changes you should consult any male andrologist for infertility process. Besides these symptoms their may also be low sperm count or abnormal sperms present in semen. This may also lead to male infertility. Some swelling in genital organ also lead to or some swelling in testis also leads to infertility. So in case you find any problem you should consult at the earliest to an andrologist or gynaecologist to diagnose any problem which may lead to infertility early in the married life.

Thank you!

Hello!

I am Dr. Anjuli Dixit running a nursing home at sector 84 J-Block, Greater Faridabad. I am going to talk about something regarding cervical cancer. Cervical cancer is the second most prevalent cancer among women which infects about 80 to 90% of the girls before attaining menarche. So it is important to discuss something about this. What is cervix? Cervix is the part connecting uterus to the vagina of the woman and this is the part through which sperms passes into the uterus. So this is the most important organ which gets involved during sexual intercourse. So this is the part which gets infected even before attaining menarche and we should know something regarding this because it is the most common cancer of the women. What causes cervical cancer? Cervical cancer is caused by HPV virus which is present in vaginal secretions and in the environment which infects vaginal discharge and causes cervical cancer.

How it infects the woman? It may cause infection through skin, through sexual intercourse or through secretions which may infect the women. Who are the potential candidates for the cervical cancer? Girls after attaining menarche, girls which start early sexual intercourse, in girls who are having multiple partners and cigarette smokers are also potential candidates for this cervical cancer. How does it present? It may present through genital warts, through vaginal warts, through cervical erosion and any long-lasting infection which infects the cervix. Pain, abnormal vaginal bleeding, pelvic discharge which is long lasting, pelvic pain leading to dyspareunia these are the symptoms which it affects the women and which causes women to seek medical advice. When we should seek advice? We should get Pap smear done even at the age of 20-25 years or just after becoming sexually active.

And early detection always improves the outcome of the cervical cancer treatment because it is a very slow growing disease and its effect, infects the part early and it presents the disease in a later stage. So even in early 20s or 30s women may get infected with HPV but it may present the disease at the age of 50. Earliest detection always brings better outcome. We should get Pap smear done at the age of 25 years. We can even prevent the infection before being infected by cervical cancer vaccine which can be given at the age of 9 years.

It may be given in 2 doses between the age of 9 to 14 year and then 3 doses at the age of 14 years and it can be given up to the age of 45 years. It will prevent cervical cancer because this is the only cancer which can be prevented by vaccine and early detection may lead to better outcome of the disease so early detection and treatment always prevents the cervical cancer spread.

Thank you!

My self Dr Anjuli Dixit speaking on the topic of Polycystic Ovarian disease. Polycystic Ovarian disease is a syndrome affecting most women of reproducing age group. It includes many melodize such as hormonal imbalance, obesity, menstrual irregularity. Generally, it is according to rotatom criteria developed in 2003 any of the 3 features if found they are labelled as Polycystic Ovarian disease. This includes ovulation, metabolic dysfunction or any polycystic ovaries diagnosed on ultrasonography if those not included in diagnosing this as Polycystic Ovarian but insulin resistance and Hyperinsulinemia are generally found in patients of Polycystic Ovarian disease. And it is, through studies we have come to know that Polycystic Ovarian disease patients have Hyperinsulinemia and insulin resistance in 40 to 50% of the patient either they are lean or they are OBs. In OBs patient’s insulin resistance is found to be in 80% of the cases and we treat them according to this insulin resistance and we try to reduce this insulin resistance. Give them insulin sensitizing drugs and diet and exercise. If you want any treatment regarding Polycystic Ovarian disease you can contact me either at Anjuli Nursing home or through Lybrate.

Hello, I am Dr. Anjuli Dixit working in Anjuli Nursing Home sector 84, BPTP. I am talking on the subject to of contraception must after delivery. If you have just delivered a baby or you are planning to have a baby than delaying another pregnancy is not the most pressing pressing issue in your mind but it is always wise to decide which type of contraception you can to use before leaving hospital or before delivering a baby. So if you are planning to breastfeed your, baby, or if you are planning to start breastfeeding then it is all, it is the most excellent idea because breastfeeding has a very good impact on the health if your child and on mother but if you are planning to breastfeed your child then your contraception must be, taking in view that it should not affect your breastfeeding. It should not have any effect on growth and development of your child and it should not also have any medical or any side effect on your body. So your maternal condition, medical condition and fetal growth and development keeping in view all of these things we decide the method of contraception you can use. And all the contraceptive methods are covered in the insurance plan so there are having no health issues also or any financial burden on your pocket. So it is always better to decide which type of contraception you can use before leaving the hospital. If you want, you can come and meet me at Anjuli Nursing Home sector 84, or you can contact Lybrate for using your contraceptive.

Why is Antenatal Care Important?

Hello, I am Doctor Anjuli Dixit, practicing at Anjuli Nursing home, greater Faridabad sector 84. I want to talk regarding Antenatal care.

Antenatal care is a very important part of a pregnant woman’s life as it gives you direction to get a healthy motherhood and a healthy child. If you become booked under some gynecologist or an obstetrician, then you get many directions regarding the health issues of your fetus and you, yourself. So, I think it is very important for you to get booked under some gynecologist and get many questions which are unanswered for you to be answered as there are many issues which may become hidden because you are not knowing about them as some congenital malformation and some diseases which are prevailing inside the fetus but you are not knowing about them to become exposed if you are getting good antenatal care.

So, I think every pregnant woman should go under antenatal care and become booked under any obstetrician or gynecologist of her area. If you want to get booked then you can contact me at Anjuli Nursing Home, sector 84, Faridabad or you can consult me on lybrate.com .