Dr. Himani Gupta

Consultant Gynaecologist & Obstetrician

Experienced and Trusted Gynaecologist & Obstetrician in Navi Mumbai. She is available in multiple hospitals. She is Director of Clinic Mother N Care.Call and book instant Appointment.

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Gynaecology Questions and Answers
Dr. Himani Gupta, Mother N Care Clinic - Women's Health care and fitness Center, Pregancy Care Center

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Videos Abortion tablets, Maternity, Copper-T

FAQ Irregular periods, PCOD, D&C, Fibroids

Oral contraceptive pills, are they safe?

Once a couple requests of oral contraceptive pills as a method of family planning to their Gynecologist, a complete body check up of the lady will be done and some blood tests will be suggested.
After seeing the normal report, once a day regular oral contraceptive pills will be prescribed.
Government of India also promotes this method of family planning and spacing between children.

How common is the misuse of emergency contraceptive pills?

It is commonly seen in the gynecology clinical practice that many unmarried women as well as married ones too will take emergency contraceptive pills repeatedly, without doctor’s prescription after having had unprotected intercourse.
The fact that these pills are available over the counter, facilitates this .
IMPORTANT INFORMATION
The emergency contraceptive pill contains very high dose of hormones. This may delay the next menses or may make it iretcregular
ADVISE
If a lady is in stable relationship, she is advised to adopt regular methods of contraception like once a day regular oral contraceptive pill, condoms etc.

What are the most common reasons for having irregular menstrual cycle?

Having irregular menstrual cycle is a very common complaint. Either the menses come very late or the bleeding is not proper.
The most common reasons for this type of clinical picture are hormonal imbalance.
-Thyroid hormone is less-hypothyroidism
-PCOS- Polycystic Ovarian Syndrome- Imbalance of multiple hormones like LH( Leutinizing Hormone) and FSH( Follicle Stimulating Hormone)
-Prolactin hormone is high- hyperprolactinemia.

What are the required tests and treatment for irregular menses?

-Your Gynaecologist will suggest some hormonal tests in blood. An ultrasound of pelvis will also be suggested.
-Depending on the test results, hormonal treatment of 3-6 months duration may be suggested to you

Why is semen analysis an important test for male infertility

-Semen analysis of husband is an important and basic investigation for couples who are undergoing work up for infertility.
There are many parameters which will determine if this test is normal
  eg-volume of ejaculate, number of sperms per ml of ejaculate, presence of abnormal looking  sperms,motility of sperms-just after ejaculation and after couple of hours,evidence of infection,presence of  fructose
                               Sperm anatomy
There are different reasons for abnormalities of different parameters.
Likewise, the treatment options also vary.
Some patients will require simple oral medications.
Others may require surgery
Still some may require advanced fertility treatments like test tube baby
This simple investigation answers many questions that the treating doctor is seeking.
Based on this test result further management is decided.

How is follicular study done

When a Gynaecologist is investigating a female patient for infertility, Follicular study is one of the first line investigations that are prescribed.

Female fertility cycle is very unique .A normal fertile woman menstruates  once in a month.

Once the menstrual cycle is over, growth and maturation of ova starts. Somewhere in the middle of the cycle around 14th -16th day, ovulation occurs and released ova is picked up by Fallopian tube and is ready to be fertilized by sperm , hence occurs origin of life.

Follicular study is an ultrasonographic investigation done serially every 2nd or 3rd day starting generally from Day 6 or 8 of menstrual cycle. This study is deemed complete once it has detected ovulation.

Follicular Study

Clinical importance lies in the fact that once Gynaecologist knows that ovulation has occurred,further treatment to help her conceive can be offered eg-timed intercourse, IUI-Intra uterine insemination.

 

I have missed my periods. How can I be sure that I am pregnant?

A) There are three ways of knowing
1)Pregnancy test in urine
2)Blood test- Serum Beta HCG
3)Ultrasound

I am having to go to pass urine frequently and its burns when I pass urine. There is pain in lower abdomen too. What may be the cause? What should I do?

These symptoms are suggestive of urine infection. You should get the urine test done and start antibiotics course on advice of your doctor

There is a family function at home and my periods are coinciding with it. Is there any medicine that can be taken now so that I can prepone it?

There are no medicines available to prepone menses. However, hormonal medicines can be taken on advice of Gynaecologist which can postpone the menses.

I am newly married woman and don’t want to become pregnant. What precaution can I use?

Oral contraceptive pills are a very good option. Seek your doctor’s advice before starting and to know how to take them correctly. They are coitus independent, free from side effects and have very good efficacy. You can also ask your husband to use condoms regularly.

My family is completed and I want to go for permanent sterilization. Will my menses become irregular if I do operation?

Permanent sterilization operation for females involves surgical blocking of Fallopian tubes. Ovarian and uterine function which are responsible for getting menses remain undisturbed. Your menses will remain normal after tubectomy operation.

Presenting features of pregnancy with Copper-T in situ

-Woman will complain of missed periods
-Her pregnancy test will be positive
-Sonography will show presence of contraceptive device with pregnancy side by side

My periods have become irregular over past few months. They come late and the flow is very less. What may be the problem?

These symptoms are of hormonal disturbance. PCOS (Polycystic Ovarian Syndrome) is the most common clinical situation. A Gynaec checkup is necessary along with blood tests and sonography. Treatment is available.

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About Dr Himani Gupta

She is a Gynaecologist and Obstetrician practising in Kharghar, Navi Mumbai. She is Director of Clinic Mother 'n' Care , My Gynaec World and is famous for social initiatives. Services & treatment provided through our clinic and attached multi-speciality hospitals are- Care of pregnant woman and delivery, abortion by tablets & surgery,Copper-T, menstrual irregularity & D&C, counselling, adolescent problems, health lectures, cervical cancer screening & vaccination etc.
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