Category Archives: gynecologist

BREAST CANCER

Every woman is at risk of Breast cancer
“The only person who can save you is you” – Sheryl Crow

SYNOPSIS

Breast cancer (BC) is the biggest killer-cancer of women in the world, and in India. In the next fifteen years, BC will kill over twelve lakh women in India. But it doesn’t have to. A few life style changes can reduce the incidence of BC; and early detection can increase the survival rate.

BC was a disease of old age. No longer. Twenty-five years ago, 69% of BC patients in India were age 50 and above. But now only 52% are 50 and above; 48% are less than 50; and a few are in the teens.

Every woman is at risk of BC. It cannot be prevented. The risk increases with age, heredity and genetic predisposition; and the risk reduces with healthy weight, regular exercise and healthy diet.

Early detection is the key to survival. Early detection can be by self-examination of breasts, or by screening by imaging devices such as X-ray, Ultra sound, and MRI. However, confirmation is only possible by biopsy.

Depending on the stage at which the cancer is detected, the treatment can be surgery, radiation, chemotherapy and other adjuvant therapies.

If detected early, BC is treatable. If detected late, it is fatal. Five-year survival rate for Stage 1 BC is 100%; for stage 4 is 22%.

So exercise and eat healthy and you would have done your bit to reduce your cancer risk. And do regular cancer screening and you would increase the probability of early detection and of successful treatment.

INTRODUCTION

Breast cancer (BC) will kill about 80,000 women in India in 2020. For every two women with BC, one will die. Many of these deaths are preventable simply by early detection. But detection is often late and thus fatal. Lack of awareness is the major reason for late detection.

Breast cancer is the most common cancer in women in India, 27% of all cancers, closely followed by cervical cancer at 22%. Incidence of and death due to BC is more than that due to cervical cancer. BC is rising at a rapid rate. By 2030, the number of BC cases will rise to about 200,000 a year and deaths to about 100,000 a year. India has the worst survival rate from BC, and the highest number of women dying from BC, in the world. Even if we start a cancer awareness program today, 20-30 years will pass before its effect becomes discernible.

BC was a disease of old age. Twenty-five years ago, 69% of BC patients were above the age of 50. Now 48% are below the age 50; and 20% of them below the age of 40.

Breast cancer cannot be prevented. But BC incidence can be reduced by a few simple lifestyle changes; and the survival rate can be improved by early detection.

WHAT IS CANCER ?

Our body is composed of many different types of cells. These cells grow and divide in a controlled manner to produce more cells as required by the body. Also, the older cells and the damaged cells die.

However, sometimes, the genetic material of one cell gets damaged or changed [mutation] and the cell becomes immortal: that is, it will not die. When this ancestor cell divides, its descendant cells are also immortal. This gives rise to a limitless number of immortal descendant cells. The number of cells is far in excess of what the body needs. The extra cells then form a mass that is called a tumour.

These immortal cells are called cancer cells. The cancer cells are: immortal; capable of limitless division, and thus of limitless growth in the number of cells; and capable of spreading [Metises] to other parts of the body through blood and lymph system.

There are more than 100 types of cancers. Not all cancers form tumours: cancers of the blood and the bone-marrow [leukaemia], for example, do not form tumours.

Most cancers are named for the body part in which they begin: colon cancer, prostate cancer, ovarian cancer, breast cancer and so on.

WHAT IS BREAST CANCER ?

Breast consists of lobules (milk producing glands), ducts (tiny tubes that carry the milk from lobules to the nipple) and blood and lymphatic vessels.
Breast cancer is a malignant tumour that starts in the cells of the breast. It begins in the ducts; sometimes in the lobules; and rarely, in other cells of the breast.

It then spreads through the breast lymph vessels to lymph nodes under the arms and thence to other parts of the body.

WHO IS AT RISK OF BREAST CANCER ?

Every woman is at risk of breast cancer. In India, one in 28 women will get breast cancer. Certain factors increase the risk of BC.

  •  AGE. Cancer is a disease of old age: most cancers begin to strike at age 60 and above. But now cancer is also striking, though only rarely as yet, the teenagers. Risk of breast cancer, for example, is about 0.25% for a 30-year old woman but increases to about 11% in a seventy-year old. In different countries, breast cancer risk in a 70-year old is 54% to 154% higher than in a 30-year old. Thus, as longevity has increased, so has the cancer incidence.
  • HEREDITARY. If first degree relatives [mother/father/brother/sister] had cancer, the risk of cancer is increased.
  • GENETICS. A person can be genetically predisposed to get cancer. A woman who has a family history of breast cancer is statistically more likely to get breast cancer. However, only a small percentage, less than 0.3% of population, is genetically disposed to get cancer. And less than 3-10% of all cancers are because of genetic predisposition. In women with BRCA 1 and BRCA 2, the probability of getting breast and ovarian cancer is more than 75%. Mutations in a few other genes [PTEN, CDH 1, TP 53 etc.] also increase the risk though not as much.
  • OBESITY. In obese postmenopausal women breast cancer risk is twice as much as in the non-obese women.
  •  DIET. Diet contributes to up-to 80% of cancers of colon, prostate and breast; and also contributes to cancers of pancreas, lung, stomach and esophagus. Alcohol, red meat, sugar increase the risk of cancer.
  • SMOKING, night work, no children or child born after age 30, recent use of oral contraceptives (reverts to normal on stopping), HRT, and Chemicals in environment – increase the cancer risk.
  •  MENOPAUSE. Late menopause increases the risk.

REDUCING THE RISK

Healthy weight, physical activity – brisk walking, cycling, swimming – 45-60 minutes five or more days a week, Breast feeding, no red meat, less sugar and less alcohol lowers the risk.

Controversy about whether diet rich in whole grains, fruits, vegetables and legumes and low in total fat (butter, oil), more vitamins, Marine Omega 3 fatty acids (found in seafood (e.g. fish oils) and in walnut, seeds, flaxseed oil etc.), and antiperspirants and bras reduce the risk. Abortion and Breast Implants have no effect.

Selective Estrogen Receptor Modulators such as tamofoxien reduce BC risk but increase the risk of thromboembolism and endometrial cancer.
So eat well and exercise and you would have done your bit to reduce your cancer risk.

EARLY DETECTION

Since cancer-prevention is not possible, the saying, “prevention is the cure” is amended to “early detection is the cure.”

Only about 10% of cancer deaths are because of primary tumour. Most of the deaths are because of metastasis – spreading of the cancer to other parts of the body. Once metastasis happens, it is very difficult to treat. Early detection of cancer is therefore of utmost importance.

Several ways of early detection:

1. SELF-EXAMINATION OF BREASTS
More than 80% cancers are detected by women doing self-examination of breasts. The examination should be done every month, 5-7 days after menorrhoea. Do the examination as shown in the three pictures. Look for the following:

  • Lumps in breast (less than 20% are cancer) or in lymph nodes in armpits.
  • Thickening of breasts
  • One breast becoming larger than other
  • A nipple changing position or shape or becoming inverted
  • Discharge from nipple
  • Constant pain in part of breast or armpit
  • Swelling beneath the armpit or around the collarbone

In case of palpated anomaly, consult your gynecologist.

The limitations of self-examination are:

• Only 20% women do self-examination of breasts.
• The tumour/changes are large by the time they are felt and this delay in detection can adversely affect the treatment outcome.

2. IMAGING TECHNIQUES
Early detection of cancer is required and is possible by using Imaging Techniques. Six Imaging Techniques are available:

• X-ray (Mammography)
• Ultra sound (Sonography)
• MRI
• Computer Assisted Detection (CAD)
• CT-scan
• PET

A visual inspection by endoscopy can also be done.

• MAMMOGRAPHY.
X-rays examination. Small neoplasmatic tissue formations can be seen.
• SONOGRAPHY
Sonography is done in addition to Mammography to rule out possible cysts and to estimate the size of the tumour. However, tumours smaller than 5 mm cannot be detected.
• MRI
MRI is used to find out if the breast has been affected by more than one tumour.
• COMPUTER ASSISTED DETECTION (CAD)
CAD is used to point out possibly diseased regions. It is used mainly as a second opinion to the report of the doctor.

LIMITATIONS OF IMAGING

• Imaging techniques magnify the tumour much as the magnifying glass magnifies the letters in a book. Normal letter size, called font, is 12. If the font size is halved, that is made 6, you may still be able to identify the letter. But if the font is reduced still further, say to 3 or 4, you will not be able to identify the letter even with the magnifying glass. In a similar way, the imaging techniques cannot identify tumours that are small.
• The QUALITY of cancer is more important than the QUANTITY. A small tumour can be more dangerous than a large tumour. Imaging can tell the quantity of the tumour, that is, its size, but cannot tell the quality of the tumour.

• Most of the time, Imaging cannot even tell whether a tumour is cancerous or not.

CONFIRMING CANCER

The only absolute way to confirm cancer is by biopsy: a small tissue from the tumour is taken and microscopically examined to check for cancer.

TYPES OF BIOPSY

• Punching Biopsy. Done in a locally-sedated state.
• Needle Biopsy. Done with a syringe and a special needle. As painful as venepuncture.
• Advanced Breast Biopsy Instrumentation (ABBI). Done with X-ray to ensure localisation of target. Only a few doctors are experienced in this technique.

Microscopic examination of biopsy is sufficient; but in a few rare cases specialized lab tests are required.

CANCER TREATMENT

Even small localised tumours have the potential of metastasis and therefore need to be treated. The treatment is surgery, medications (hormonal therapy and chemotherapy), radiation and immunotherapy.

Surgery offers the single largest benefit. Used along with chemotherapy and radiation, the local relapse rate is reduced and the overall survival rate may increase.

SURGERY

  • Mastectomy: remove whole breast.
  • Quadrantectomy: remove quarter breast.
  • Lumpectomy: remove small part of breast.
  • Breast Reconstruction Surgery or breast prostheses: to simulate breast.

Neo-adjuvant, that is prior to surgery, and Adjuvant that is after and in addition to surgery, medication is used as part of treatment. For example, Neo-adjuvant use of aspirin may reduce the mortality from Breast Cancer.

Adjuvant Therapies are:

Radiation (negative effect on normal cells) to kill cancer cells in tumour bed and regional lymph nodes that may have escaped surgery. It reduces the risk by 50 – 66 % (i.e., 1/2 to 2/3 reduction of risk). It is confined to region being treated. But only solid tumour can be treated.

Therapies using drugs/agents etc.

  • Chemotherapy (negative effect on normal cells). Uses drugs, usually two or more drugs in combination, to destroy cancer cells.
  • Targeted Therapy that became available in 1990s that uses drugs that inhibit enzymes.
  • Monoclonal Antibody Therapy in which the agent is an antibody
  • Immunotherapy that uses patient’s immune systems to fight cancer using drugs.
  • Hormone Blocking Therapy. Uses Estrogen Receptors (ER +) Tamoxifen and Progesterone Receptors (PR +) Anastrozole that block the receptors.

Experimental Cancer Treatment
1. Gene Therapy
2. Ultrasound Energy.

Alternative Medicine.

Patients with good prognosis are offered less invasive treatment – e.g. lumpectomy + radiation + hormone.
Patients with poor prognosis are offered more aggressive treatment – extensive mastectomy + radiation + chemotherapy + adjuvant medication.

TREATMENT SUCCESS RATE

If the cancer is detected early, that is at Stage 1, prognosis is excellent and usually chemotherapy is not required.

If detected in Stage 2 & 3 prognosis is progressively poorer with a greater risk of recurrence. Surgery, chemotherapy, and radiation are required.

If detected in Stage 4, that is metastatic cancer (spread to distant sites), prognosis is poor. Surgery, radiation, chemotherapy, and targeted therapies are used. But the 10-year survival rate is 5% without treatment and 10 % with optimal treatment.

In India, more than 60% of the BC’s are diagnosed at stage III or IV. Hence the low survival rate.

For Consultation with Best Gynecologist in Delhi  contact us : +91-9999886583, +91-9999889464

PSYCHOLOGICAL AND EMOTIONAL ASPECTS

Cancer patients need psychological and emotional support. Besides the family, such support can be provided by support groups who are trained and experienced in providing such support. ‘Cancer Sahyog’ is one such support group in India.

CONCLUSION

Cancer is a 3200 year old disease. It is endogenous, a part of life-process. So it can neither be eradicated, nor prevented, nor cured.

As yet.

Over the past 2000 years, the survival rate for many cancers has improved dramatically: life expectancy increased by 20-30 years. But for a few other cancers – metastatic pancreas cancer, metastatic breast cancer, in-operable gallbladder cancer – improvement has been marginal: life extended by just a few months.

Late detection of cancer is fatal. The causes for late detection are many but lack of awareness is the principal cause. Other main causes are: patient being shy, social stigma and doctors’ ignorance because of which the treatment is delayed. An awareness program with Best Gynecologist in south Delhi will address all these issues.

Present state of our knowledge makes us believe that cancer prevention or cure is not possible because cancer is a product of the processes essential to the life process.

Will some radical discovery in the future make cancer prevention and cure possible? We don’t know. But we can always hope.

Because as Richard Clauser, Director, National Cancer Institute, USA, says about the future of cancer cure, “There are far more good historians than there are prophets.”

REFERENCES

1. India still has a low breast cancer survival rate of 66%: study: For every 2 women newly diagnosed with breast cancer, one woman dies of it in India https://www.livemint.com/Science/UaNco9nvoxQtxjneDS4LoO/India-still-has-a-low-breast-cancer-survival-rate-of-66-st.html
2. Epidemiology of breast cancer in Indian women: Breast cancer epidemiology: https://www.researchgate.net/publication/313545712_Epidemiology_of_breast_cancer_in_Indian_women_Breast_cancer_epidemiology
3. Epidemiology of breast cancer in Indian women
https://www.ncbi.nlm.nih.gov/pubmed/28181405
4. BREAST CANCER INDIA
Correct information is .. half the war won already
http://www.breastcancerindia.net/statistics/trends.html
5. Breast Cancer Survival Rates
https://www.cancer.org/cancer/breast-cancer/understanding-a-breast-cancer-diagnosis/breast-cancer-survival-rates.html
6. The Top 5 Cancers Affecting Women Top 5 Cancers Affecting Women
https://www.everydayhealth.com/womens-health/cancers-affecting-women-today.aspx https://www.everydayhealth.com/womens-health/cancers-affecting-women-today.aspx https://www.everydayhealth.com/womens-health/cancers-affecting-women-today.aspx
7. The Emperor of All Maladies: A Biography of Cancer – a book by Siddhartha Mukherjee, a physician and oncologist. Available at Amazon and at Flipcart

Ban On The Life-saving Drug Oxytocin: What It Means To Us

OXYTOCIN BAN

“Oxytocin is a very vital drug” – Dr Shivani Chaturvedi
“Too much risk for too little benefit?” – Dr (Prof) Sadhana Kala

India has banned formulation of oxytocin by private companies, and its sale by retail chemists, from 31 August 2018.

Dr (Prof) Sadhana Kala, Best gynaecologist, Laparoscopic surgeon and best Infertility specialist in Delhi, explained the reason for the ban to SheThePeople.TV. She said, “Oxytocin is misused in the dairy industry to make livestock release milk at a time convenient to the farmer. It is also used to increase the size of vegetables such as pumpkins, watermelons, brinjals, gourds and cucumbers. To prevent such misuse, the govt. has banned the formulation of oxytocin for domestic use by the private manufacturer. The ban is effective from 31 August 2018. For domestic use, oxytocin will be formulated only by KAPL – a public sector company – and supplied to registered hospitals and clinics. Oxytocin in any form or name will not be sold through retail chemist.”

Dr Kala, best Infertility doctor in Delhi, feels, “It is a good move by the govt. But the supply chain will have to be worked out. So that the hospitals and clinics get a regular and uninterrupted supply of oxytocin from KPCL.”

Dr (Prof) Sadhana Kala, Best Laparoscopic Surgeon in South Delhi, said to SheThePeople.TV, “Oxytocin has been widely used for active management of labour since 1969 to augment the insufficient uterine action when labour was slower than average; and to reduce the caesarean section rate. However, recent studies in the UK have shown that in more than two third of the cases oxytocin use was injudicious resulting in disciplinary action and litigation and malpractice settlement; that reduction in caesarean section rate was marginal; and labour was shorter by 1.3 hours. Oxytocin will continue to have a place in childbirth. But the question will remain whether such marginal benefits justify the risk of use of Oxytocin. Too much risk for too little benefit?”

NB:Oxytocin is the first choice drug to prevent bleeding in women after childbirth. – WHO; and is listed as a life-saving drug in the National List of Essential Medicines. – Dr (Prof) Sadhana Kala

Laparoscopic & Robotic Gynec Surgeon

“I treat the patient, not the diagnosis”

Dr (Prof) Sadhana Kala
Laparoscopic & Robotic Gynec Surgeon
See:
www.drsadhanakala.com





FEMALE INFERTILITY TREATMENT

Fertility is God’s gift to women. And to men. But the gift is not equitable. A few have more of it, a few have less of it, and a few have none of it.

About 17% of couples have infertility. But with today’s technology, most of them can have a baby.

If a couple fails to conceive despite trying for 12 months, then it needs infertility treatment in Delhi. Since infertility can be in the man, or in the woman, both of them must be evaluated. In males, more than 90% of infertility is due to low sperm counts, poor sperm quality, or both. The remaining cases can be for several reasons: anatomical problems, hormonal imbalance, and genetic defects.

In females, infertility is mostly because of problems with ovulation or cervix, or damage to fallopian tubes or uterus, or abnormal cervical mucus. Also, as a woman ages, her fertility decreases.

DIAGNOSIS

Female infertility is a contributory factor in about half of all infertility cases; and the only factor in about one-third of all the cases. Most frequent causes of female infertility are:

• Ovulation problems • Damaged fallopian tubes or ovary • Cervix problem • Abnormal cervical mucus which prevents, or makes it difficult, for the sperm to reach the egg and to penetrate it • Age: as a woman ages, her fertility decreases.

Infertility specialist in Delhi diagnoses female fertility by physical, pelvic and breast examination, medical history and one or more tests such as:
• Urine or blood tests to check for infection, hormone problem and thyroid function • Ovarian reserve tests to determine the quality and quantity of eggs available for ovulation. • Cervical mucus and tissue test to check for ovulation. • Ultrasound to look at the uterus and ovaries’ abnormalities or problems. • Hysteroscopy to look for uterine abnormalities and growth inside the uterus. • Laparoscopy to see endometriosis, scarring, blockages or irregularities of the fallopian tubes, and problems with the ovaries and uterus and surrounding area. • Genetic tests to find if a genetic defect is causing infertility.

Depending on the cause, your age, and how long you have been infertile, one or more therapies may be needed to restore fertility.

TREATMENT

In India, 10-15 out of 100 couples (22-33 million couples) need Infertility treatment. And the number is increasing. Female infertility treatment may be medication or surgery or Assisted Reproductive Technologies (ART).

Medication:

• Antibiotics for infections.
• Hormones for hormone imbalance, endometriosis, or a short menstrual cycle.
• Medicine to stimulate ovulation.
• Supplements to enhance fertility.

Laparoscopic surgery to:

• Correct an abnormal uterine shape.
• Remove:
 Endometrial polyps and fibroids that misshape the uterine cavity.
 Pelvic or uterine adhesions.
 Blockage or scar tissues from the fallopian tubes, uterus, or pelvic area.

ART

• Intra Uterine Insemination (IUI). In IUI, ovulation is monitored and millions of healthy sperms are placed inside the uterus at the time of ovulation.

• In Vitro Fertilization (IVF). In IVF, mature eggs are retrieved from the woman, fertilized with a man’s sperm in a dish in a lab, and the embryo is then transferred to womb. IVF cycle takes several weeks and requires frequent blood tests and hormone injections.

IUI is less physically demanding and a much shorter, and much cheaper (for three cycles, IUI, ₹ 10-15,000; IVF, ₹ 3-5 lakh) process than IVF; but IUI has a higher risk of multiple pregnancy.

Also, IUI success rate after three cycles is about 55%; for ART, it is 75-94%. For IUI, the rate dips sharply with woman’s age: dips to 3-14% for a woman of 45. For IVF the dip is hardly any.

For women in their late 30s and above, going directly for IVF may be a more cost-effective option.

But remember, ART is an art, not just science. Just as art depends on artist, so ART depends on the ARTist – the infertility specialist in Delhi. Just as the artist becomes more skilled with practice and experience, so does the ARTist, the doctor. So the right question to ask is not what the success rate of ART is; the right question to ask is what the success rate of the ARTist, the infertility doctor in Delhi, is.

Infertility is a complex disorder. Treatment demands significant financial, physical, psychological and time commitments. Be prepared for that.

Blog 04

Preventive Care Tips by Gynecologist in Kalkaji Delhi

Gynecologist in Kalkaji Delhi has a dedicated unit for Gynecology and to treat disorders of the reproductive system. She will guide you right from the commencing when you have decided to be a mother through the whole period of pregnancy till the birth of the child and afterward. With highly experienced specialists as part of the gynecology, you can totally rely on her and be assured you’re in safe hands.

gynaecological issues in women

Because a woman’s health needs change with each stage of life, Best Gynecologist in Kalkaji, Delhi caters quality, feel for care from adolescence through climacteric.

From well-woman exams to treatment for self-gratification, overactive bladder, pelvic prolapse and many other disorders, you can count on the Dr. (Prof.) Sadhana Kala, Best Gynecologist in Delhi.

And when you are in a situation that’s troubling you, causing you discomfort, concern or embarrassment, you should not have to wait and bear. That’s why Dr. (Prof.) Sadhana Kala, Gynecologist in Kalkaji, makes appointments available quickly.

With Dr. (Prof.) Sadhana Kala, Gynecologist in Delhi, much of her attention is dedicated to the increasing medical needs of today’s women to cater the care possible at its best. She caters several Gynecological services through latest techniques and minimally invasive procedures.

With Dr. (Prof.) Sadhana Kala, Gynecologist in Kalkaji, she focuses on care of all women, from the cradle to climacteric, and she is one of the potent and powerful advocates for women’s health. As a highly qualified Gynecologist, she has an energy that is incomparable. She has a compassionate and deep esteem for variant morals, principals, and faiths, yet she works in a seamless way. She realizes that all women have different desires, and we customize the care accordingly.

Dr. (Prof.) Sadhana Kala, Gynecologist in South Delhi, specializes in preventive care and cure. She thinks beyond the patient’s immediate medical requirements by offering holistic and seamless unified care.  She caters comprehensive services under one roof.  As a Specialist, she covers multiple areas, including check-ups, Laparoscopy, Dysfunctional Uterine Bleeding, and Fibroids.

The services range from diagnosis to curing, aiding and even emotional and psychological support. You will feel the Warmth and Care of Dr. (Prof.) Sadhana Kala, Best Gynecologist in South Delhi, Exceptional Care for You and your Baby by her backed by modern, up to the minute equipment.

Infertility Treatment

Infertility Treatments Offered by the Best Gynecologist in South Extension

Today, witnessing the infertility concerns are very common the couples. 3 out of 10 couples are looking for the infertility treatment near their local area. And if you are among those couples, then wait, you don’t have to worry more about getting pregnant. Dr. Sadhana Kala is the best Gynecologist in South Extension, holding the degrees of MS, FIAMS, and FACS from USA, FICOG, MAAGL. She is an expert in the field of Gynecology and Obstetrician. She says that “I have come across many patients are facing complications with conceiving a child, such couples start feeling frustrated just after the few attempts of unprotected sex. But, having patience is the key and our team of doctors has successfully given the gift parenthood to many couples”.

best Gynecologist in South Extension Delhi

Infertility is the inability of getting pregnant even after having a year of unprotected intercourse. Both the partners can be responsible for infertility. Discussing female infertility, Dr. Sadhana Kala says that undergoing the treatment at right time is really vital for the couple that is planning to expand their family. She is trusted as leading Gynecologist in South Extension Delhi and many couples have undergone the medical assistance of her and her team and attained the delights of parenthood.

Infertility treatment:

Fertility drugs – These drugs are useful in balancing the fertility hormones in both male and female. These drugs are helpful even in the case when the actual causes are not known. The fertility drugs can be taken with a combination of other treatments like Intrauterine Insemination (IUI).

What is Intrauterine Insemination (IUI)? When the male’s sperm need help to get to the female partner’s egg, then a concentrated sample of sperm is placed directly into the uterus of the female partner at the proper time that can improve the chances of getting pregnant.

Surgery – As the best Gynecologist in South Extension, she states that the surgery is conducted if a female partner is having blocked fallopian tubes, fibroids, endometriosis, anatomic problems with reproductive organs, or ovarian cysts.

Consult Gynecologist in Hauz Khas for Healthy Marriage Life

Dr. Sadhana Kala is a Chief Emeritus and currently is known as Sr. Gynecologist consultant in Delhi. She is an expert Laparoscopic surgeon and robotic surgeon who has completed her learning from the University of Tucson, USA and North Shore University Hospital, Manhasset, New York respectively. She is the most trusted Gynecologist in Hauz Khas dealing with the health issues of the female reproductive organ including vagina, ovaries, and breasts. Based on her years of experience, she shares that today the couples are facing problems in their married life because of either of the partners is not sexually active or does not participate in the sexual activities willingly. Based on her experience, she has observed that there are many factors behaving as sex-drive killers in one’s life affecting the relationship between them and their partner.

gynecologist in Hauz Khash

Stress – The major and key sex-drive killer is stress. We are living in a competitive edge where the desire to lead the race makes a person stressed. Some degrees of stress is good, but, if it crosses the boundary, then it is high time to consult the best Gynecologist in Hauz Khas. Dr. Sadhana Kala has resolved many cases in which either of the partners is stressed and due to that their sex life gets highly affected.

Partner problems – Sex is the key to any healthy marriage and avoiding the problems like infertility, low libido, quick ejaculation, etc. can make the partners feel betrayed. Here, you will get the best treatment to diagnose the sexual problems that make both the partner apart.

Alcohol – Consuming too much alcohol can numb the sex drive. Being too much drunk turns off the partner leaving the sexual desire of the other partner to keeps burning.

Unbalanced diet – At our consultation session, Dr. Sadhana Kala, Gynecologist in Hauz Khash, advises to follow a healthy and protein-full diet because the food we intake makes a huge difference in the sexual life of married couples. It is recommended to completely avoid consuming sodas, junk food, high calories, and fat.

Eliminate the High Risk of Pregnancy with Best Gynecologist in Green Park

Do you feel hesitated and awkward visiting a Gynecologist and sharing issues relating to your reproductive organ? Well, you don’t need to worry because this is a case for many people. You must be willing to visit a Gynecologist who is calm, patience, and clearly understands your hesitation. Then for sure, your search is over. Dr. Sadhana Kala is a medical professional in the field of Gynecology since last 41 years. She is calm, polite, patience, and makes you feel comfortable while sharing the gynecologic problems. She is the well-known and experienced Gynecologist in Green Park, Greater Kailash, Lajpat Nagar, East of Kailash, Defence Colony, South Extensions, New Friends Colony, Kalkaji, Malviya Nagar, Chitranjan Park, and Hauz Khas.

Gynecologist in Green Park

Dr. Sadhana Kala is experienced in diagnosing the conditions of high-risk pregnancy. As an experienced Gynecologist in Green Park, she values the emotions of an expecting mother and makes every effort to have a healthy baby and mother as she understands that motherhood is the inexpressible feeling. Here she explains what can be the factors responsible that cause the high-risk pregnancy. Basically, there are four factors and they are:

  • Existing health conditions
  • Age
  • Lifestyle
  • Conditions of pregnancy

Existing health conditions – Of course, the existing health conditions of a patient can put the pregnancy at risk such as high blood pressure, polycystic ovary syndrome, diabetes, kidney disease, autoimmune disease, thyroid disease, obesity, infertility, and/or HIV-AIDS.

Age – Yes, age makes a huge difference for the risks of pregnancy. For instance, pregnancy in the teenagers is more likely to develop anemia and high blood pressure. Whereas, conceiving a baby for the first time after the age of 35 can increase the risk of delivery complications, cesarean, prolonged labor or an infant with a genetic disorder.

Lifestyle – What you eat, what you drink, and how much hours of sleep do you take, all of these lifestyle factors influence the risk of pregnancy.

Pregnancy conditions – The Best Gynecologist in Green Park, Dr. Sadhana Kala, explains that multiple gestations, gestational diabetes, and preeclampsia and eclampsia conditions can also be the risk factor.

Best Gynecologist in Malviya Nagar for Treating Gynecological Issues

There are many couples who complain that their sex life stood not good enough after few years of marriage. And for any successful marriage, having healthy sex is something that makes the love between both the partners to last long. Gynecologist in Malviya Nagar Dr. Kala has observed that with the busy lifestyle and poor eating habits, every day there are patients consulting for healthy sex life. Yes, the food and lifestyle play a major role in increasing the desire to have sex despite the increased libido. For most of the married couples, lack of sexual desire can turn soon turn into a low-burning flame, which makes the relationship go shatter.

Best Gynecologist in Malviya Nagar Delhi

Here are some foods that can improve your relationship after marriage.

Banana – Yes, banana contains plenty of carbohydrates that are good in providing energy and potassium to your body. It also contains muscle-relaxing mineral preventing from muscle spasms and cramps during the intercourse, which will initially increase the intimacy time giving more pleasure to both the partners.

Nuts – The Best Gynecologist in Malviya Nagar states that if you wish to fulfill the sexual desire of your partner then add some nuts to your diet. Peanuts, pistachios, and walnuts are good in amino acid L-arginine which helps in developing nitric oxide blocks (a naturally occurring gas that helps your partner to maintain their erections). You can have it with the yogurt, put it with some salad, or keep it some into a baggie.

Spinach – Do you remember Popeye – the sailor man? Of course, you do as it used to be the favorite cartoon of the generation. Popeye had a point while getting full of energy after having a bunch of spinach. This is loaded with water-soluble B vitamin – folate, which is good in serving the red blood cells to the body.

Watermelon – Yes, you read it right. Watermelon is a rich source of citrulline, an amino acid that strengthens the erection time by increasing blood flow to the penis.

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:

  • Laparoscopic Surgery
  • Hysteroscopic Surgery
  • Infertility
  • High Risk Pregnancy
  • Gynecology Surgery
  • Obstetrics

Gynecologist in Delhi

Laparoscopic Surgery – Laparoscopy is a surgical procedure to examine and diagnose the conditions inside the abdomen. The surgical procedure uses an instrument called a laparoscope (a thin and long tube with a high-resolution camera and a high-intensity light) that makes it possible for us to look us inside the abdominal organs. The instrument is inserted inside the abdominal wall through the small incisions. This surgical procedure lets us see the inside conditions of the organ by monitoring the images on the video monitor.

Hysteroscopic Surgery – It is a type of minimally invasive surgery and as a leading gynecologist in Delhi, Dr. Sadhana has diagnosed many patients with the Hysteroscopic surgery. In the process, a hysteroscope (a tiny telescope) is inserted into the uterus through the cervix. This tiny telescope lets us visualize inside the uterus and analyze the condition like the shape of the uterus, the lining of the uterus, openings to the fallopian tubes, and also looks for any other signs of intrauterine pathology (fibroids or polyps).

Infertility – Based on the 41 years of experience and as the Best Gynecologist in Delhi, Dr. Sadhana has observed that the infertility conditions are most common among the working couples. Either of the partner losses the fertility due to factors like stress, unbalanced lifestyle, unhealthy diet, consuming alcohol, medications, age, and unhealthy sex life. Male infertility can be caused due to the lower sperm counts, sperm damage, or certain diseases, whereas, female infertility can be caused because of uterine problems, ovulation problems, blocked fallopian tube, and uterine fibroids.