White Discharge, PCOD & Period Sex Explained | Women's Health Q&A | Dr Nikhila Reddy | Gynecologist
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00:00What is your passion to choose this particular profession?
00:09My passion is to become an ophthalmologist or dermatologist in M.E.B.S.
00:16But when I joined in my internship, my first posting was gynecology.
00:20When I used to deliver a baby, the happiness which I had seen in a mother's face, I think that had inspired me more towards this journey.
00:33What is the most common problem that women face?
00:36If I have to say more, it is white discharge.
00:39In youngsters, it is PCOD, irregular periods or heavy bleeding.
00:44If we compare with the past, PCOD problem is more in many people.
00:49What is the exact reason behind it?
00:51As far as I know, it is PCOD.
00:57Because of this, I think the lifestyle has changed a lot, which is leading to PCOS or PCOD.
01:02During periods, what is the difference between taking this food and not taking this food?
01:07Many girls take chocolate or ice cream cravings. Is it safe to take it?
01:15They can have it.
01:21So, if you take food with magnesium content, there will be less cramps in the period.
01:25Can you have sex during pregnancy?
01:28Yes, it is safe.
01:29In today's generation, they have sex before 18.
01:33They are taking pills or supplements before pregnancy.
01:38How much does it affect?
01:40There is nothing wrong in contraception before pregnancy.
01:43It is very safe.
01:44Because the woman has to decide when she wants to get pregnant.
01:47So, she has all the rights to take a contraception.
01:51Because they can use condoms, they can use OC pills or hormone tablets or injections.
01:57But,
02:00Otherwise, contraception is safe.
02:02In the previous time, when they were 13-14 years old, they were maturing.
02:06Now, they are 8 years old.
02:08What is the exact reason behind it?
02:10To be exact,
02:16Because they are maturing so early, will there be any long-term effects?
02:21If they mature so early, they will not have education on menstrual hygiene.
02:25How they have to maintain.
02:26Because, when they go to school, how they have to change pads, how many times they have to change.
02:31They will not understand this hygiene so soon.
02:35So, that's the only thing.
02:37Looking back 20 years, they were getting married after 18.
02:42Due to current goals and career restrictions, they are doing it after 30.
02:46Correct.
02:47They are thinking how to do it.
02:48Will they have any problem during pregnancy?
02:52There is no problem during pregnancy.
02:54But, this is also one of the factors for infertility.
03:01Now, people who are 19 years old also look like 25 years old.
03:05What is the reason?
03:06Obesity.
03:07Bad food.
03:08Getting fat.
03:09Using different medicines.
03:16So, without any guidance, following all these is little dangerous.
03:21What is the most challenging case you have faced in all these years?
03:25There are so many challenging cases.
03:35Because, they may or may not get pregnant again.
03:40Today, our guest is Gynecologist, Dr. Nikhila Reddy.
03:43Hello, Nikhila Reddy.
03:44Hello.
03:45How are you?
03:46I am fine.
03:47When did you start your journey as a Gynecologist?
03:52My journey started from 2006.
03:55I have to take it from my M.A.B.S. days.
03:57So, I have been in this field since more than 15 years.
04:01Fortunately, my father is also a doctor.
04:03So, I grew up seeing doctors.
04:07I grew up in the environment of doctors.
04:09So, I wanted to become a doctor.
04:12I wanted to become a doctor since my childhood.
04:15I never thought of becoming a doctor before that.
04:18If I had not become a doctor, I would have thought of going into the fashion field.
04:22But, generally, doctors' parents guide them in the path of becoming a doctor.
04:26Your father influenced you a lot.
04:28Yes.
04:29What is your passion to choose this profession specifically?
04:32My passion is to become an ophthalmologist or dermatologist in M.A.B.S.
04:39But, when I joined in my internship, my first posting was Gynecology.
04:43So, I was doing that in the Government Hospital, KMC Varangal.
04:47When I used to deliver a baby,
04:49the happiness which I had seen in a mother's face,
04:52I think that had inspired me more towards this journey.
04:55So, different cases, there are very high risk pregnancies.
04:59So, if I deliver such complicated pregnancies at a very high risk and send them home safely,
05:05when they follow up again, we will see that happiness.
05:08I think that influenced it.
05:09What is the most common problem that women face?
05:12If I have to say more, it is a common problem called white discharge.
05:16If we look at youngsters, it is PCOD, irregular periods or heavy bleeding.
05:21We see this day to day, regularly.
05:23This is the most common.
05:24But, in recent times, infertility has also increased.
05:27So, there are more people trying for children.
05:30That is why we are seeing how many infertility centers are coming.
05:33If you look at it now, the percentage has increased a lot.
05:37If you compare it with the past, the PCOD problem is very high.
05:42What is the exact reason behind it?
05:44As far as I know, it is due to work pressure.
05:47Or maybe because they have to achieve their goals in the work.
05:51Like, for people who work in IT companies,
05:53they have to achieve their goals because they have to gain that income.
05:58And, sedentary lifestyle, obesity, no physical activity, junk foods.
06:05So many fashion foods have come out.
06:07Wherever we see, there are too many restaurants, too many fast foods.
06:10So, because of this, I think the lifestyle has changed a lot.
06:14Which is leading to PCOS or PCOD.
06:16In periods, what is the difference between taking this food and not taking this food?
06:21I mean, is it safe for girls to take chocolates or ice creams?
06:29They can have it.
06:30But, they should take it in limited quantity.
06:32Because, generally, during periods or maybe before periods,
06:36due to hormonal changes like estrogen and progesterone,
06:39ups and downs, they will have these cravings.
06:41So, if you eat excessively, bloating, weight gain, water retention,
06:47these can be there.
06:48But, they can have in limited portion.
06:50There is nothing wrong.
06:51So, if you take foods with magnesium content,
06:53there will be less cramps in the period.
06:55Antioxidants, vitamin C, zinc, magnesium.
06:58So, if you take such foods, it is good.
07:01During periods or before periods.
07:03So, to handle premenstrual symptoms, mood swings.
07:06Some people have complaints like vomiting, headache, unable to get out of bed.
07:13So, if you have physical activity and a healthy diet,
07:16you can definitely overcome this problem.
07:18There is a lot of hormonal imbalance.
07:20Yes.
07:21Because of that, there is so much risk.
07:23Because of hormonal imbalance, there is no life risk.
07:26But, the main thing is, irregular periods and infertility issue.
07:30Ok.
07:31So, infertility issue is the main problem.
07:33Because, even if you have irregular periods from the first,
07:35you can manage with medications.
07:37But, after marriage, when you have to conceive or plan for a pregnancy,
07:41then you will start facing the problem with hormonal imbalance.
07:45Since you said pregnancy,
07:47some people want to exercise a lot during pregnancy.
07:50Some people want to take total bed rest.
07:53What do you say?
07:55It is selective, depending upon what type or which kind of pregnancy it is.
07:59Is there any high risk in pregnancy?
08:01First thing.
08:02It is completely under the illusion.
08:04So, there are more chances of bleeding.
08:06So, we tell them to do limited exercises.
08:09Until the placenta is under the illusion.
08:12Until it goes up.
08:13Or, there is hypertension.
08:15Severe, uncontrolled.
08:16In them.
08:17Or, previous history.
08:19Means, they were delivered early.
08:21The uterus is small.
08:23We have stitched it.
08:24So, we have to select such pregnancies.
08:26Means, which pregnancy is in this mother.
08:29When it comes to exercises, all pregnant women can do exercise.
08:33There is no doubt in that.
08:34But, it has to divide.
08:36Means, first trimester.
08:37What exercises should be done in the first three months?
08:39What should be done in the next three months?
08:41What should be done in the last three months?
08:43How long should it be done?
08:44How frequently should it be done?
08:46So, this all has to be dealt with.
08:49So, when will this come?
08:50When you come and get educated with a physiotherapist.
08:53Or, there are child birth educators.
08:55So, in them, if they come and take classes.
08:57Then, they will understand.
08:58Is this percent to percent different?
09:00Yes.
09:01Women to women, it varies.
09:02Pregnant women to pregnant women, it varies.
09:04Can we have sex during pregnancy?
09:07Yes, it is safe.
09:08In the current generation.
09:10They are having sex before 18.
09:12And, they are taking pills or supplements before pregnancy.
09:17How much will it affect?
09:19There is nothing wrong in contraception before pregnancy.
09:22It is very safe.
09:23Because, a woman has to decide when she wants to get pregnant.
09:26So, she has all the rights to take a contraception.
09:30Because, they can use condoms.
09:32They can use OC pills or hormone tablets or injections.
09:36But, it depends upon if they are newly married.
09:41Is she unmarried?
09:42Previously, do they already have kids or not?
09:45So, depending upon that, we have to decide.
09:47But, otherwise, contraception is safe.
09:49In the previous 13-14 years, they were maturing.
09:54Now, it is 8 years.
09:56What is the exact reason behind it?
09:58To be exact, it is basically upon the bad food what they are having.
10:03That's why I think the hormonal changes that are happening in the body.
10:08That is one.
10:09Second thing, they have to study, study, study.
10:12Or, they have to get it for the first time.
10:16They might be stressed at home or in college.
10:20I can't say specifically about college.
10:26But, we have to balance it.
10:28So, if the kids don't have physical activity for at least an hour,
10:32at this age, I think after 20s, they don't get used to that.
10:37So, we have to train them from that age.
10:40The more physical activity they have,
10:43the more peaceful they can meditate,
10:46I think they can study more.
10:48They can gain more, they can retain more,
10:51before the exams and all.
10:53And, lack of sleep.
10:55Sleep is very important.
10:56They study throughout the night.
10:58Or, addiction to mobile phones.
11:00At this age, I think even after 2 years,
11:04they have to open YouTube.
11:06They are eating only after opening YouTube.
11:09They are eating only after using cartons.
11:12They are sleeping only after listening to songs.
11:14Listening to stories.
11:15Like, if they don't use mobile phones, they get depressed.
11:18Depression, exactly.
11:19The generation of telling stories,
11:21mothers or grandmothers, is gone.
11:24They are all electronic babies now.
11:26So, because they mature so early,
11:29will there be any long term effects?
11:31There might not be that much.
11:33But, if they mature so early,
11:35they don't have that much education.
11:37Menstrual hygiene.
11:38How they have to maintain.
11:39Because, when they go to school,
11:41how to change their pads,
11:43how many times to change.
11:45They don't understand this hygiene so early.
11:48So, that's the only thing.
11:50If we look back 20 years,
11:52they are getting married after 18.
11:55Due to the current goals,
11:56due to the current career distinction,
11:58they are getting married after 30.
11:59Correct.
12:00They are thinking how to get married.
12:01Will they have any problem during pregnancy?
12:05There is no problem during pregnancy.
12:07But, this is also one of the factors for infertility.
12:09Because, they keep postponing it.
12:11So, I have to do it after I settle down.
12:13I have to do it after I move forward in my career.
12:15Thoughts.
12:16It is good to have that thought.
12:18But, I don't know if it will be good if it happens at any age.
12:20That's my personal opinion.
12:22But, we have to respect each individual's opinion.
12:25So, we can't comment on that.
12:27So, if it happens during pregnancy,
12:29there won't be any effect?
12:30There won't be any effect.
12:31They can plan.
12:33But, they have to maintain a healthy lifestyle.
12:35What is the reason for people who are 19 years old to look 25 years old?
12:41Obesity.
12:42Bad food.
12:43Getting fat.
12:45Using different medicines.
12:47It is a different factor to consult a doctor.
12:51Watching videos on YouTube or Instagram.
12:54Taking self-medications.
12:56Supplements.
12:58So, following all these without any guidance is a little dangerous.
13:02Without consulting a doctor,
13:04supplements or pills.
13:06The doctor might have recommended it once.
13:10But, they will use it again before recommending it again.
13:13Will it have side effects then or in the long term?
13:16If we take hormone tablets,
13:19small medications like Paracetamol or Mephthal Spas.
13:23They are okay.
13:24Because, you can take that.
13:26They will be available over the counter.
13:28So, you can take for small people.
13:30Otherwise, they are going to come to the hospital.
13:32But, medications like hormonal tablets.
13:35Because, watching different videos on contraception and taking self-medications is very dangerous.
13:40Because, hormone tablets.
13:42A person has health issues.
13:46Kidney disease.
13:47Liver disease.
13:48History of cancers.
13:50So, we have different contraception for them.
13:53It varies from individual to individual.
13:56So, we have to look at the history and prescribe.
13:59So, do not consult a doctor.
14:01People who are below 18.
14:03After sex, they take pills to stop the pregnancy.
14:08What are the side effects for them?
14:10Once or maybe rarely.
14:13Once in a while, if they take, it does not affect much.
14:15But, if you take regularly on the same basis.
14:18It definitely affects on the reproductive health.
14:21And, it is not very safe.
14:23So, definitely, sex education is very important.
14:26For all the children who are there at school.
14:30Because, they should definitely know how they have to have a safe and a protected sex.
14:35Because, it is not an unwanted subject.
14:40They go to unwanted pregnancies.
14:42Again, they have to suffer later.
14:44Because, they are very small.
14:45They do not know the future.
14:46They have a lot of future.
14:48They have to think about that.
14:49Now, as you said, children feel awkward to discuss the topic of reproduction.
14:54So, what do you say about that?
14:56What is the best age for it?
15:00I think, from 9th class onwards, it has to be there in the subject.
15:04Generally.
15:05Because, by then, the girls will be matured.
15:07So, by then, the maturity will come.
15:09They also have anxiety about sex.
15:14Because, they do not know about that.
15:16So, they have to know about it.
15:17They have to know about it.
15:18They cannot open up to their parents.
15:19I think, parents also should be friendly with the women.
15:23And, they should talk with the girls.
15:25So, then only, they can ask and they can open up.
15:27Otherwise, they want to do everything in a hidden way.
15:29Then, there will be problems.
15:30Exactly.
15:31It should not be like a taboo.
15:32There should not be a space.
15:33So, I think, the guidance also is very important from the family.
15:37Now, they are giving injections to the buffaloes to milk them.
15:41Is there a chance for the girls to get affected by the injections?
15:48It may or may not be.
15:49Because, we do not have that much evidence.
15:53So, without that, we cannot talk about it.
15:55Not everyone does it.
15:57So, maybe, few people are doing like that.
16:00Like, compared to the previous one, now, there is more hormone imbalance.
16:03Yes.
16:04So, it is not because of that.
16:05Maybe, in non-veg also, it is the same.
16:07Some are giving it in birds also.
16:08Like, hormone and medications.
16:09Like, they are raising the hens in the same way.
16:12Everyone is talking about that.
16:14But, maybe, without evidence, we cannot talk.
16:16Mostly, what is the reason for the hormone imbalance?
16:20Mostly, it is in this condition.
16:22Hormonal imbalance is mostly PCOD.
16:25PCOD means, Multiple Neutrophils in the ovary.
16:28So, it changes.
16:29Generally, when a baby mother is in the womb,
16:33they deliver the baby with some follicles or genetic factors.
16:37So, maybe, because of that,
16:39if the baby already has the genetic defects,
16:43with that, the sedentary lifestyle,
16:45junk foods,
16:46excessive deep fried and oil foods,
16:49more storage in plastic boxes,
16:52all these are the add-on factors.
16:54So, all these together, it will show you on the hormones.
16:58What birth control method would be best for healthy life?
17:02Condoms are very safe.
17:04And then, birth control pill,
17:07depending upon the individual.
17:10Suppose, if a woman has come to us,
17:12we should see the age.
17:14And then, we have to see her marital status.
17:16So, married or unmarried.
17:18Previously, do you already have children?
17:20So, how many years space do you need?
17:225 years, 10 years?
17:23We have to see.
17:24Her chronic health issues.
17:26Is there any cardiac or heart related problem?
17:30Is there any blood clot in the brain?
17:32Previous history.
17:33Is there any chronic liver disease?
17:35Is the cancer already suffering?
17:37Have you already taken treatment?
17:38So, in these, we use different methods.
17:40So, in some, we use injections.
17:42In some, we use hormonal tablets.
17:44In some, contraception,
17:46hormonal medicines, we will say against.
17:48So, the family is complete,
17:50different health issues,
17:52heavy bleeding,
17:53and they don't want children,
17:54and they won't use contraception.
17:56Maybe, we will go for surgery also.
17:58We might advise.
17:59Depending upon the individual.
18:01So, depending on the condition,
18:03we have to decide.
18:04Now, diabetes,
18:05like, generations pass.
18:07Like, PCOD problem also,
18:09like, from mother to daughter.
18:11May be.
18:12That's why, it is called genetical factor.
18:14So, genetically also, PCOD can come.
18:16Like, what are the advanced technologies now?
18:19Like, how are you implementing?
18:21See, PCOD is always like a triangle.
18:23You have to use medication,
18:25you should do exercise,
18:26and follow the diet.
18:27So, if you miss,
18:29if you use medication for 6 months,
18:31if you don't follow your regular and healthy diet,
18:34and exercise,
18:35again, you will come back to square one.
18:37So, it is always important,
18:39that you follow it.
18:40It's a cycle.
18:41Normally, girls,
18:42from what age,
18:43they can be consulted for gynecology regularly?
18:45At the age of maturity.
18:47Suppose, may be 13 years,
18:4814 years.
18:49Because,
18:50they have many doubts.
18:51So, just matured people,
18:53what should they use?
18:55So, what kind of pads are healthy?
18:57We can also educate them,
18:59regarding the menstrual cups.
19:01So,
19:02from the age of 18,
19:03definitely,
19:04gynecologists should be consulted at least once.
19:06Because, they will have a lot more doubts.
19:08May be, regarding the acne,
19:10regarding hair fall,
19:11irregular cycles,
19:12about the sex.
19:13So, there are so many things.
19:15Contraception,
19:16what they can use,
19:17about the pubic hair,
19:18cosmetic parangagani.
19:20So, there are so many doubts.
19:22Specially, they have to come and visit,
19:24so that we can also educate them,
19:26regarding cervical cancer vaccine.
19:28So, I feel that,
19:29a woman,
19:30who attains menarche,
19:31or if they doesn't attain menarche also,
19:33by the age of 14,
19:34they should visit a gynecologist.
19:36Only if there is a problem,
19:38there is no need to go to a gynecologist.
19:40Because, we are also not devils.
19:42Just simply,
19:43if there is a problem,
19:44I think we can also,
19:45help them to guide,
19:47and support,
19:48and give knowledge.
19:49So, what is good,
19:50what is not,
19:51and all.
19:52Is there any food,
19:53that should be completely avoided?
19:55Not only in periods,
19:57but also in regular time.
19:59Processed food,
20:00stored food.
20:01See, like,
20:02if we go for a restaurant,
20:04or not just a restaurant,
20:06if we go to a supermarket,
20:07there are stored foods in that.
20:08And ready,
20:09you can go home,
20:10and prepare it.
20:11If it is spoiled,
20:12for so many days,
20:13definitely,
20:14there is some preservative in it.
20:15So, I think,
20:16this is what they have to avoid.
20:17My opinion it is.
20:19How to deal with UTI?
20:21In UTI,
20:22generally,
20:23hydration is very important.
20:25So,
20:26if there is more water,
20:27it does not mean,
20:284 to 5,
20:296 liters,
20:30to overload the kidney.
20:31May be,
20:323 liters.
20:33Recently,
20:34there was an article,
20:35about a girl,
20:36who was on a diet,
20:37and died.
20:38That's why,
20:39they say,
20:40if there is more water,
20:415 to 6 liters,
20:42to drink it,
20:43and it will come back to life.
20:44So, it is not like that.
20:45Everything you have to take it,
20:46in a certain,
20:47specified quantity.
20:48So, may be,
20:492 to 3 liters of water,
20:50for dieting,
20:51having fruit juices,
20:52barley water,
20:53like,
20:54soaked water.
20:55So,
20:56if you take,
20:57these repeatedly,
20:58and,
20:59UTI,
21:00not only,
21:01for these,
21:02if it is repeated,
21:03it means,
21:04there is a white discharge infection,
21:05or history of diabetes,
21:06which is uncontrolled.
21:07So,
21:08they also have a chance,
21:09to have repeated UTIs.
21:10So,
21:11health wise,
21:12if they are anemic,
21:13may be,
21:14other infections,
21:15like HIV,
21:16or hepatitis.
21:17So,
21:18other infections,
21:19even if there are,
21:20severe infections,
21:21we have to treat them.
21:22So,
21:23they also have a chance,
21:24to have UTIs.
21:25Ok.
21:26Can we have sex,
21:27during periods?
21:28During periods?
21:29It is safe.
21:30We don't say that,
21:31it is unsafe during periods.
21:32It depends upon,
21:33the comfort of a woman.
21:34Ok.
21:35If she is comfortable,
21:36then she can have.
21:37Like,
21:38some patients,
21:39even if they consult you,
21:40they panic,
21:41to tell the exact problem,
21:42like,
21:43their sex life,
21:44or their problem,
21:45how do you deal with them,
21:46madam?
21:47So,
21:48recently,
21:49cosmetic gynecology,
21:50a fellowship,
21:51was added,
21:52for gynecology.
21:53Ok.
21:54So,
21:55what about it,
21:56exactly,
21:57means,
21:58women who cannot,
21:59open up and talk,
22:00few problems,
22:01like vaginismus,
22:02means painful sex,
22:03means,
22:04first time,
22:05even once,
22:06they have not exposed,
22:07to the sex,
22:08after marriage.
22:09They will come to know this,
22:10after marriage.
22:11So,
22:12such problems,
22:13or excessive,
22:14vaginal discharge,
22:15or,
22:16postmenopause,
22:17means,
22:18after periods,
22:19vaginal dryness.
22:20So,
22:21such problems,
22:22commonly,
22:23they will come and talk,
22:24not before,
22:25but now,
22:26they are coming,
22:27they are opening up,
22:28and they are talking,
22:29about these problems.
22:30So,
22:31now,
22:32skin,
22:33hair,
22:34face,
22:35should be beautiful,
22:36so,
22:37vagina is also,
22:38like,
22:39same.
22:40So,
22:41some women,
22:42prefer that area,
22:43to be beautiful,
22:44and look beautiful.
22:45So,
22:46this area,
22:47also,
22:48we can do.
22:49This vaginismus problem,
22:50especially,
22:51painful sex,
22:52for that,
22:53we have physiotherapy,
22:54then,
22:55we use biofeedback mechanism,
22:56means,
22:57how tight the muscles are,
22:58then,
22:59we use dilators,
23:00so,
23:01they train the vagina,
23:02for that.
23:03And,
23:04laser treatments,
23:05we use a laser probe,
23:06and we treat vagina,
23:07so that,
23:08the dryness goes away,
23:09and there is lubrication.
23:10This,
23:11especially,
23:12after menopause,
23:13postmenopausal women,
23:14also,
23:15we'll use it.
23:16PRP treatments,
23:17we do.
23:18Like,
23:19how we do for the hair.
23:20So,
23:21this is all,
23:22what we are doing now,
23:23latest,
23:24in gynecology.
23:25So,
23:26to have sexual satisfaction,
23:27so,
23:28to improve the mood,
23:29who are not,
23:30having the pleasure,
23:31so,
23:32treatments,
23:33now,
23:34we are doing.
23:35Previously,
23:36they used to not,
23:37talk about that,
23:38but now,
23:39definitely,
23:40they have right,
23:41to talk about it.
23:42Normally,
23:43some women,
23:44want to get pregnant,
23:45but,
23:46due to hormonal imbalance,
23:47due to different,
23:48problems,
23:49like,
23:50they cannot.
23:51So,
23:52what kind of treatment,
23:53you give them,
23:54like,
23:55how do you motivate them?
23:56To avoid pregnancy,
23:57there are different,
23:58conditions.
23:59So,
24:00we also,
24:01have to look into,
24:02male partner,
24:03and female partner.
24:04So,
24:05in females,
24:06is there PCOD?
24:07How are the tubes?
24:08Is obesity,
24:09low?
24:10Is ovulation,
24:11happening or not?
24:12So,
24:13there are multiple factors,
24:14like,
24:15how is the egg count?
24:16How is the quality?
24:17We have to look into all these.
24:18In males,
24:19sperm count,
24:20we look into semen analysis.
24:21So,
24:22based on these multiple factors,
24:23we have to treat a woman.
24:24If there is nothing,
24:25it comes under,
24:26unexplained infertility.
24:27It is very less,
24:28but,
24:29there is 5 to,
24:308% of,
24:31unexplained infertility,
24:32definitely.
24:33So,
24:34again,
24:35for them,
24:36we have to give them options,
24:37IUI,
24:38IVF options,
24:39depending upon the age.
24:40Is it 50 years plus?
24:4130 years less?
24:4240 years?
24:43How many years of married life?
24:4510 years?
24:4615 years?
24:47So,
24:48we have to look into all the factors.
24:49And then,
24:50we have to give them options.
24:51Now,
24:52you have a new advanced technology,
24:53laparoscopic surgery.
24:54What can you tell us about it?
24:56Laparoscopy,
24:57actually,
24:58it has been around for many years.
25:00But,
25:01what we are doing now,
25:02is,
25:03big fibroids,
25:04like,
25:056 months,
25:067 months size,
25:07like,
25:0810 to 15 cm fibroids,
25:09we are removing them,
25:10in a small,
25:11keyhole surgery.
25:12So,
25:13that is what is advanced,
25:14in IUI.
25:15In that,
25:16again,
25:17endometriosis.
25:18So,
25:19because there are cysts in big ovaries,
25:20this is also one of the causes for infertility,
25:21main cause.
25:22So,
25:23women suffer a lot,
25:24because they have very painful,
25:25menstrual,
25:26bleeding,
25:27excessive bleeding,
25:28and all.
25:29So,
25:30even such big cysts,
25:31we are able to remove it,
25:32laparoscopically.
25:33This is advanced.
25:34So,
25:35in laparoscopy,
25:36the next step is,
25:37what we are doing is,
25:38so,
25:39robotics is more,
25:40doctor convenient.
25:41Because,
25:42we can sit and,
25:43do the surgery,
25:44comfortably.
25:45Bleeding is very less,
25:46it is very,
25:47it has very less bleeding in it,
25:48and,
25:49recovery is very fast.
25:50So,
25:51this is more advanced.
25:52Like,
25:53in period time,
25:54because of pain,
25:55they are taking a lot of medication,
25:56madam.
25:57Because of that,
25:58are there any side effects?
25:59So,
26:00it depends on what kind of medication,
26:01they are taking.
26:02And,
26:03second thing,
26:04every month,
26:05when pain comes,
26:06why it comes,
26:07it is very important to take medication.
26:08There may be fibroid,
26:09there may be adenomyosis,
26:10there may be endometriosis.
26:11So,
26:12without knowing anything,
26:13simply taking medication is not good.
26:16And,
26:17that is not an ultimate treatment.
26:19Without diagnosis,
26:20you cannot treat.
26:21So,
26:22once,
26:23if you are diagnosed,
26:24because of ultrasound,
26:25or because of medical tests,
26:26once we are diagnosed,
26:28if you are facing severe pain,
26:30you can have a tablet.
26:32There is nothing wrong.
26:33Because,
26:34your day to day life activity also,
26:35should not affect with this.
26:36Yes.
26:37So,
26:38there is nothing wrong in taking medication,
26:40after diagnosis.
26:41Will laparoscopic surgery help,
26:43to avoid pain completely?
26:46Suppose,
26:47there is nothing,
26:48like,
26:49there is no cyst,
26:50there is no muscle,
26:51there is nothing.
26:52So,
26:53laparoscopy will not help.
26:54Ok.
26:55So,
26:56there is no role for laparoscopy in that.
26:57If there is any specific disease in it,
27:00then only the laparoscopy can help.
27:02If it is treated,
27:03it will decrease.
27:04Ok.
27:05Otherwise,
27:06it is just the hormonal changes,
27:07that happens in the body.
27:08Prostaglandins will be released,
27:09during periods.
27:10So,
27:11because of that,
27:12the muscle will have the cramps and all.
27:14In all these years of journey,
27:15what is the most challenging case,
27:16that you have faced,
27:17madam?
27:18So,
27:19there are many challenging cases,
27:20if I have to say like that.
27:21Placenta previa,
27:22that is,
27:23there is a possibility,
27:24that the cyst will bleed excessively,
27:25and the uterus will be removed.
27:27There are chances.
27:28Big fibroids,
27:29like,
27:30treating pregnancies with 20 cm fibroids,
27:33then,
27:34treating cancers with pregnancies,
27:36is very challenging.
27:37Because,
27:38cancer you have to treat,
27:39at the same time,
27:40we also have to give the baby.
27:42Because,
27:43there is a possibility,
27:44that they might get pregnant again.
27:45After chemotherapy,
27:46follicles in the ovary,
27:48all those will be reduced.
27:49Quality and quantity.
27:50So,
27:51we cannot say,
27:52that they will get pregnant again.
27:53Now,
27:54for a cancer patient,
27:55for a pregnancy patient,
27:56is the baby safe?
27:58In the cases,
27:59that we have done till now,
28:01it is safe,
28:02but,
28:04maybe,
28:05we cannot wait till the 9th month.
28:06Because,
28:07they have to undergo chemotherapy,
28:08radiation therapy.
28:09So,
28:10we have to deliver early,
28:11depending upon the count.
28:12That is,
28:13what type of cancer,
28:14and,
28:15what is her condition,
28:16and how fast she has to take the treatment.
28:18So,
28:19we have to decide the pregnancy.
28:20Since,
28:21we have come to the topic of cancer,
28:22in women,
28:23what are the reasons for cancer?
28:26Specifically,
28:27there is no specific reason.
28:28Because,
28:29if we think like that,
28:30there will be no cancer.
28:31If we avoid this reason,
28:32there will be no cancer.
28:33So,
28:34it is just that.
28:35In women,
28:36it may be due to smoking,
28:37or drinking.
28:38Even if we do not do that,
28:39it may come.
28:40It depends upon the genes,
28:41the genetical history,
28:42or the family history,
28:43previously.
28:44So,
28:45all these,
28:46and maybe,
28:47exposure also,
28:48to the pollution,
28:49to the toxins,
28:50chemicals,
28:51and all what we are exposing
28:52day to day.
28:53In your years of journey,
28:54like,
28:55what is the most toughest
28:56pregnancy case?
28:57As I said,
28:58mostly,
28:59the pregnancies with cancer,
29:00one thing,
29:01IVF pregnancies,
29:02in the 6th month,
29:03the delivery happens,
29:04in the 7th month,
29:05the delivery happens.
29:06Otherwise,
29:07the uterus is stuck.
29:08Being stuck is different.
29:10In the cases of previous caesarean,
29:12the uterus is stuck.
29:13That is,
29:14it is stuck to the bladder,
29:15to the uterus.
29:16This is more challenging.
29:18Because,
29:19in the 5 minute span,
29:20of delivery,
29:21liters,
29:22liters of blood,
29:23she will pump.
29:24So,
29:25within those 15 minutes,
29:26we have to act,
29:27and we have to remove the uterus,
29:28or treat her.
29:29So,
29:30this is the most challenging.
29:31For women,
29:32properly,
29:33to cancel the pregnancy,
29:34like,
29:35men and women,
29:36at what time,
29:37should they meet properly?
29:38Ovulation time.
29:39So,
29:40to check the ovulation time,
29:41we can have a tracker,
29:43calendar,
29:44or there are many apps.
29:45Otherwise,
29:46they can also use ovulation kits.
29:47Okay.
29:48Because,
29:49some have a 25 day cycle,
29:50some have a 30 day cycle,
29:51some have a 35 day cycle.
29:52So,
29:53depending upon that,
29:54they have to track their ovulation date.
29:55Okay.
29:56So,
29:57for that,
29:58you can follow these methods.
30:00Otherwise,
30:01you can use ovulation kits.
30:02But,
30:03otherwise,
30:04the most,
30:05the method we follow is,
30:06after the periods,
30:07after the bleeding,
30:08normally,
30:09on the 5th or 6th day,
30:10from the 9th day onwards,
30:11if they have intercourse,
30:12daily,
30:13till she gets the next period,
30:14or,
30:15at least,
30:16alternate day,
30:17the success will be more.
30:18I remember one thing,
30:19madam.
30:20Like,
30:21in pregnancy kits,
30:22sometimes,
30:23it is shown wrongly,
30:24right?
30:25Yes.
30:26So,
30:27because of that,
30:28they use unnecessary medicines,
30:29right?
30:30Correct.
30:31What do you say about that,
30:32madam?
30:33Yes,
30:34definitely,
30:35there can be false kits.
30:36So,
30:37what they can do is,
30:38they can test it in the blood,
30:39which is 100% sure.
30:40Okay.
30:41So,
30:42to be reassured.
30:43Otherwise,
30:44the second time,
30:45again,
30:46take the early morning sample,
30:47and test it again in the kit.
30:48Is there a treatment for
30:49cervical cancer,
30:50madam?
30:51There is a treatment for
30:52cervical cancer,
30:53but,
30:54taking the vaccine without coming,
30:55now,
30:56in this mid-term,
30:57we are doing it.
30:58Cervical cancer is,
30:59is a type of oral cancer.
31:00We generally call it
31:01the cervical cancer.
31:02So,
31:03this is the cancer related to that.
31:04After coming,
31:05rather than taking the treatment,
31:06before that,
31:07we should diagnose it,
31:08and taking the treatment
31:09in the first stage,
31:10is better.
31:11Okay.
31:12So,
31:13prevention is better,
31:14than cure.
31:15So,
31:16that is why,
31:17we do Pap smears.
31:18So,
31:19Pap smears,
31:20means,
31:21we take smear from
31:22the cervical cancer.
31:23We will take the mucoid
31:24discharge,
31:25and then smear it,
31:26Once in five years, this is the most important test that all women should be given.
31:33If there are any cancer cells in this, we do a biopsy.
31:36So, we know whether there is 100% in it or not.
31:39After this, cervical cancer.
31:41In the meantime, all gynecologists are talking about this awareness.
31:46There are two types of vaccines in it.
31:48Gardasil and Cervarix.
31:50When can we take this vaccine?
31:52Who can take it?
31:54If you are younger than 15 years, you can take 2 doses.
31:58So, if you are 13 or 15 years old, you can take 2 doses.
32:02If you are older than 15 years, you can take 3 doses.
32:06So, when can we take it?
32:08This month, 0, 2 and 6.
32:10If you take 3 doses.
32:11If you take 2 doses, it will be 0 and 6.
32:13So, 0 and 6 months.
32:15This is the gap.
32:17If you take it before the first intercourse, the protection is more.
32:2190% of protection it will have.
32:23If they are already married and exposed to sexual life, can they take it?
32:27Yes, definitely they can have.
32:29It will also have 50 to 60% protection.
32:32Till what age they can take?
32:34Till 55 years age of women, they can take cervical cancer vaccine.
32:37Now, there is a PMC problem in girls.
32:40There are people who come twice a month, right?
32:43Yes.
32:44So, what do you say about that?
32:45So, if it comes twice a month, that is something which is abnormal.
32:48It is not abnormal.
32:50In that, irregular periods will come down.
32:53Again, is there PCOD?
32:55Or is progesterone hormone insufficient?
32:58Or is the hormone excessive?
33:00Do you have fibroids?
33:02Or any other adenomyosis?
33:04We have to diagnose all these again.
33:06Because it is not normal for periods to come twice.
33:09Normally, the period is 25 to 35 days.
33:12We accept it as normal.
33:15Is there any treatment for that?
33:16Is there a chance to cure with medicine?
33:18Yes, it can be cured with medicine.
33:19It depends on the type of disease.
33:21Is it cyst?
33:23Is it enomyosis?
33:24Or is it adenomyosis?
33:25Is it fibroid?
33:26What is the size?
33:27How much bleeding is there?
33:29What is the age?
33:30Is the family complete?
33:32Is the family not complete?
33:33Are they taking care of the children?
33:34So, again it depends upon various factors.
33:37What are the symptoms in the body?
33:39Don't ignore women or men.
33:42From our regular activities, something which is very abnormal.
33:46Anything is abnormal.
33:47In our day to day life, if we look at our body.
33:50Suppose, for example, we have a heartburn.
33:54If there is a fever, what do they think?
33:56They think it is gastritis and take tablets.
33:58But it can also be a heart attack.
34:00So, in our regular lifestyle,
34:02if we find anything abnormal,
34:04definitely you have to go and have a general health checkup.
34:07Okay.
34:08Which is very safe.
34:10There is no harm in changing one health checkup once a year.
34:14What foods can be taken to increase sperm quality in boys?
34:19If we talk about foods,
34:21first we have to avoid junk foods.
34:23Smoking and alcohol they should avoid.
34:26Excessively, tea, coffee, maybe green tea also.
34:30You don't know what it is made out of.
34:32Because of caffeine.
34:33Yes, caffeine.
34:34So, if you take in limited quantity like 20 to 30 ml,
34:36there is no harm in it.
34:37But don't take it excessively.
34:39Then, when it comes to foods,
34:41Antioxidants rich food,
34:43Zinc, Omega 3 fatty acids,
34:46Vitamin C.
34:47So, if you choose such foods,
34:50like walnuts, avocados,
34:53fruits, all kinds of fruits.
34:56You don't have to eat this fruit.
34:58Millets.
34:59Okay.
35:00So, in all such foods you will see,
35:02fish rich in Omega 3 fatty acids.
35:04So, they have to include it in their diet.
35:07But it shouldn't be deep fried.
35:09If it is deep fried in oil,
35:11even if we take good food,
35:13all those proteins will die.
35:15So, it won't be of much use.
35:17Just it should be pan fried.
35:19For good menstrual health,
35:21what kind of food should women take?
35:24Healthy menstrual diet,
35:28vitamins and minerals are very important.
35:33First thing.
35:34We have already talked a lot about junk foods.
35:37Don't eat deep fried food.
35:39So, if you avoid all these,
35:41all you will have is healthy food.
35:43Milk products.
35:45Some people have lactose intolerance.
35:47They can have almond milk,
35:50soya milk, oats milk.
35:52So, they have substitutes too.
35:54Or protein food.
35:56Tofu, soya, etc.
35:58Our foods shouldn't have only protein.
36:04They should also be fat percentage.
36:06They should also be carbs and also protein.
36:09If they take all these,
36:11they can have constipation.
36:13So, fiber is equally important.
36:15So, if you take a plate,
36:17it should be colorful.
36:19It should have protein,
36:21it should have fiber,
36:23it should have fat and carbs.
36:25Because now,
36:27there are fancy diets.
36:29Anti-inflammatory diet,
36:31pulling juice diet.
36:34Because every body is different.
36:36Your body will respond differently
36:38to a different diet.
36:40My body will respond differently
36:42to a different diet.
36:44I am saying this with self-experience.
36:46I have followed many diets.
36:48I might have followed N number of diets.
36:50Intermittent fasting,
36:52keto diet, anti-inflammatory diet, etc.
36:54But nothing helped me.
36:56Because I was 102 kgs.
36:58When I delivered, my weight was 104 kgs.
37:00Now, I am 60.
37:02I had followed N number of diets.
37:04But I didn't respond to any of that.
37:06So, my self-diet which is helping me
37:08is like small quantity
37:10with regular intervals.
37:12In more intervals,
37:14I eat in limited quantity.
37:16Daily, I do 1.5-2 hours of exercise.
37:18Ultimately, everything has changed in my life.
37:20And it improved my confidence.
37:22I think this is what everyone has to know.
37:24This keeps everything in path.
37:26Take menstrual health,
37:28infertility issues,
37:30or cosmetic fitness.
37:34Whatever it is,
37:36it will change the life.
37:38Like you said,
37:40some people follow only juice diet.
37:42That's what I am saying.
37:44How does this affect in long term?
37:46At that time, they look healthy.
37:48Yes, they look healthy.
37:50But we don't know what the inner body is saying.
37:52Or inner voice is saying.
37:54Because salads is very healthy.
37:56Definitely.
37:58Only that you can't.
38:00Because sometimes it can also lead to kidney stones.
38:02So, that's the only important thing.
38:04You also have to see the other.
38:06Because gut bacteria,
38:08we also have to...
38:10Gut bacteria should be healthy.
38:12If that healthy bacteria dies,
38:14you also have to
38:16depend on medications.
38:18So, microbiome is very important
38:20in our gut.
38:22We have to eat rice,
38:24fruits, and vegetables.
38:26Recently,
38:28there is a trend in HK.
38:30Like their injections,
38:32surgeries,
38:34there are many side effects
38:36for women and men.
38:38What are the side effects for women?
38:40Weight loss.
38:42If they are obese,
38:44BMI is more than 40, 45,
38:46more than 120 kgs.
38:48I think it will help them.
38:50Because,
38:52suddenly they can't reduce their weight.
38:54So, we have to
38:56take care of their health.
38:58What are the side effects
39:00if they reduce fast?
39:02Appetite decreases.
39:04Laziness,
39:06tiredness, anemia,
39:08B12 deficiency.
39:10Absorption decreases because
39:12they have to reduce their stomach.
39:14These are called bariatric surgeries.
39:16But now, it has advanced.
39:18So,
39:20there are different surgeries
39:22and injections.
39:24So,
39:26they have to take care of side effects
39:28and they are doing their good job.
39:30They have to do permanent make-up.
39:32Permanent make-up, permanent lips.
39:34So,
39:36what are the in-body effects?
39:38There are no in-body effects.
39:40Maybe,
39:42they have to go to a specialist.
39:44They have to take care of the specialist
39:46who is specialized in that.
39:48Dermatologist who did cosmetology.
39:50So, they have more
39:52idea.
39:54They have to go to a parlor
39:56and get trained.
39:58Dermatologist who is certified.
40:00They will explain in detail.
40:02What are the future side effects?
40:04Pigmentation? Blackening?
40:06Acne?
40:08Any sessions?
40:10Does PCOD have any link with that?
40:12No.
40:14Some doctors recommend
40:16to avoid milk products.
40:18What do you say about that?
40:20There is no need to avoid milk products.
40:22Because, we have been taking milk
40:24since our childhood.
40:26Now,
40:28we have already discussed about
40:30buffalo skin injections.
40:32So, it will affect us.
40:34If you take cow milk
40:36or buffalo milk, why does it affect?
40:38It is a natural source again.
40:40It depends on the source.
40:42We are seeing that
40:44A2 cow milk is healthy.
40:46For those who don't want milk,
40:48substitutes are almond milk,
40:50oat milk,
40:52or soya milk.
40:54People who go to gym take protein powders.
40:56Yes.
40:58What are the side effects for men?
41:00What are the side effects for women?
41:02We have seen
41:04irregular menstruation.
41:06Fibroids.
41:08We have observed it.
41:10We cannot say it is 100%.
41:12But, what we have seen
41:14depending upon the brand or company,
41:16what it is made out of,
41:18how much percentage is there in it.
41:20How long is it safe to take protein powders?
41:22It is good to take it
41:24until weight loss.
41:26But, if you take it
41:28for months or years,
41:30it may affect your kidneys.
41:32Thank you, madam,
41:34for your valuable time and information.
41:36Thank you so much. It is my pleasure.
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