20 से 30 की उम्र में महिलाएं अक्सर करियर, पढ़ाई और परिवार के बीच अपनी सेहत को नजरअंदाज कर देती हैं। इस खास बातचीत में Dr. Preeti Chowdry, Director, Obstetrics & Gynaecology, Asian Hospital, ने PCOS, पीरियड्स, प्रेग्नेंसी, हेल्दी डाइट, एक्सरसाइज, जरूरी स्क्रीनिंग और
महिलाओं से जुड़े आम मिथकों पर महत्वपूर्ण जानकारी साझा की है।
Women in their 20s and 30s often ignore their health while managing career, studies and family responsibilities. In this special conversation, Dr. Preeti Chowdry, Director, Obstetrics & Gynaecology, Asian Hospital, discusses common health mistakes, PCOS, period problems, pregnancy myths, pre-conception care, healthy lifestyle, screenings and the importance of regular gynecological consultations.
#WomensHealth #WomenHealth #Gynecology #Gynecologist #UterusHealth #Fibroid #Adenomyosis #PeriodsProblem #Menopause #Perimenopause #WomensHealthIndia #HealthTips #HealthAwareness #DrPreetiChowdary #HealthPodcast
~HT.318~ED.120~PR.115~VG.HM~
महिलाओं से जुड़े आम मिथकों पर महत्वपूर्ण जानकारी साझा की है।
Women in their 20s and 30s often ignore their health while managing career, studies and family responsibilities. In this special conversation, Dr. Preeti Chowdry, Director, Obstetrics & Gynaecology, Asian Hospital, discusses common health mistakes, PCOS, period problems, pregnancy myths, pre-conception care, healthy lifestyle, screenings and the importance of regular gynecological consultations.
#WomensHealth #WomenHealth #Gynecology #Gynecologist #UterusHealth #Fibroid #Adenomyosis #PeriodsProblem #Menopause #Perimenopause #WomensHealthIndia #HealthTips #HealthAwareness #DrPreetiChowdary #HealthPodcast
~HT.318~ED.120~PR.115~VG.HM~
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LifestyleTranscript
00:00Hello everyone, I am Sawamya Keshree and we are here at the Asian Institute of Medical Sciences
00:05and we are having here Dr. Preeti Chaudhary who is gyaknologist.
00:10Hello ma'am, how are you?
00:11I am good.
00:13Okay ma'am, my first question is,
00:15जो certain age की 30s, 20s के age की वोमन होती है, वो ऐसे क्या हेल्थ मिस्टेक्स करती है आज
00:21के दुरह में?
00:23आज के ताइम में बीट विमन और में हेल्थ मिस्टेक्स करना बहुत एजी है.
00:30Because the lifestyle is such की हमारी eating habits बहुत गड़ण है,
00:35physical activity नहीं है, तो इन सारी चीजों का ध्यान रखना बहुत जरूरी है.
00:40Health mistakes यह है की, if we talk about women,
00:44women are like, they just don't want to think about themselves.
00:4920 और 30 की age group ऐसी होती है,
00:51when they are struggling with their career or their studies and they are not taking care of their health.
00:57So, अपनी health का ध्यान रखना should be priority.
01:01Because women are nurturers,
01:03जो हम लोग हमेशा मानते हैं, यह सच भी है कि women are nurturers,
01:08तो उनको अपनी health का ध्यान रखना बहुत जरूरी है.
01:11Especially in the age group of 20 to 30,
01:14वो ऐसा age group होता है, जब आपकी studies complete हो रही होती है,
01:17या फिर आप करियर में बिलकुल एंटर करते हैं और you are newly married.
01:22So, वो एक ऐसा time period होता है,
01:24जब most of the women are not able to take care of their health.
01:28तो इसलिए हमें उस time में भी अपनी diet का भहत ध्यान रखना चाहिए.
01:33diet should be very very nutritious और आपकी physical activity कुछ ना कुछ in the form of some kind of
01:39exercise,
01:41yoga, walk, jogging, whatever you want, maybe dance, aerobics.
01:46So, कुछ ना कुछ टाइब की physical activity रखना बहुत important है.
01:51और if I talk about age group of 20 to 30 years,
01:55उस time में आपको जो है एक cervical cancer vaccine जरूर लगवा लेना चाहिए,
02:01which is important starting from age group of 9 to 45 years of age group.
02:06So, all women should take cervical cancer vaccine which is for the prevention of cancer of the mouth of cervix.
02:14अगर उसे हम ताइम दी लगवा लेते हैं, तो it has a prevention rate of more than 90 percent.
02:20So, it is very important.
02:22Okay, when is a period regular or normal and when it need to be investigated?
02:28See, ये periods का problem आजकल बहुत कॉमन है.
02:32Because हमारा lifestyle as I have already told you is not that good.
02:37We are not that physically active.
02:40The junk food, that diet is just a call away.
02:45आप जोमेटो से, स्विगी से order कर लेते हैं और दस मिनट में आपके पास किसी भी टाइप का खाना
02:50अवेलेबल हो जाता है.
02:51So, eating healthy is actually difficult nowadays.
02:54So, इसलिए डाइट को, one should refrain from eating मैदा बेस्ट फूद और जूंक फूद, बेरी ओली फूद, बेरी ओली
03:03फूद,
03:03because it causes hormonal imbalance in females.
03:06And at the same time, physical activity नहीं है, exercise नहीं है, बैठे बैठे पूरा ताइम आप पढ़ रहे हैं,
03:14तो उस ताइप का physical work जो किसी time में होता था, वो बिल्कुल missing है.
03:19Body, कोई physical activity की need है.
03:21Need है, because these things, these things cause hormonal imbalance in the body,
03:27उसकी वज़े से जो है, periods का problem is very, very common.
03:31If I talk about these things in my OPD, I daily see 4 or 5 girls in this age group,
03:39in 20s, in their early 20s with periods problem.
03:43So, periods का problem तो बहुत कामन है.
03:48PCOS has become an extremely common concern among young women.
03:51How much of it linked to lifestyle, weight, stress?
03:55Absolutely. It is absolutely a lifestyle problem.
03:59क्यूंकि PCOD, जैसे we have already discussed the causes of PCOD,
04:03it is totally a lifestyle problem.
04:07इसमें, the diet should be very healthy, there should be some kind of physical activity.
04:12और आजकल, if I talk about even school girls,
04:16एक peer pressure बहुत जादा होता है, screen time बहुत जादा है.
04:21तो अगर आप पूरा time screen में है, you are seeing so many things,
04:25and you have to cope up with your friend circle.
04:28तो एक stress, studies का है या नही है, लेकिन एक peer pressure बहुत जादा है.
04:33So, all these things cause hormonal imbalance,
04:36and these are definitely the cause of polycystic ovarian syndrome.
04:41And what should women actually do when they suspect PCOS,
04:45and then simply taking medicines, supplements, they should consult?
04:49Yes, PCOD के लिए consult करना बहुत ज़रूरी है,
04:54because there is lack of knowledge amongst females regarding PCOD.
04:59PCOD एक hormonal imbalance है, which is a lifestyle problem,
05:03और उसकी वज़े से ऐसा नही है कि सिरफ periods का ही problem होता है.
05:08There are other cosmetic problems also, like facial hair, acne, obesity, hair loss,
05:16and if it is kept untreated, it can cause infertility also,
05:20और unchecked अगर इसे हम रखते हैं,
05:22तो it can cause early onset diabetes, hypertension,
05:26and even cancer of the uterus also.
05:30So, the knowledge, getting knowledge about PCOS is very important,
05:34जो कि आपको एक doctor ही बहुत अच्छे से समझा सकता है.
05:37Okay, so PCOS automatically means fertility problem alert also.
05:42Yes, if PCOS, I will not say कि it definitely causes infertility,
05:48but yes, it can cause fertility issues.
05:51If you don't check your lifestyle, if you are not thinking about yourself,
05:56keep on eating, your lifestyle is not healthy,
05:59then if it is kept uncontrolled, then definitely it will cause difficulty in conceiving.
06:05Okay, so what should women know before they conceive?
06:09This is a very important question.
06:12See, when you get married, most of the time,
06:16जो है, ऐसा होता है कि, हम लोग अपने रूटीन टेस्स नहीं कराते हैं,
06:21whenever you planning to conceive, you should consult a gynaecologist
06:26because few basic tests should be done before conception.
06:31There are some kind of vaccinations which are given after checking whether that problem is there or not,
06:39some vaccinations are also required.
06:41And at the same time, some multivitamins are,
06:45if they are given at proper time before pregnancy,
06:48they reduces the risk of malformations in the baby to up to the level of 70%.
06:53So, conceive करने से पहले, एक गानेकोलजिस्ट को मिलना,
06:58एक हल्दी प्रेगनेंसी के लिए बहुत इंपर्टेंट है.
07:01Some people think कि, if they are pregnant, उन्हें बेडरेस्ट करना चाहिए,
07:06but this is okay, or they should do more exercise on that time.
07:10सबसे पहले तो ये समझना बहुत जरूरी है कि प्रेगनेंसी कोई बिमारी नहीं है,
07:15it's just a physiological condition of the woman.
07:19Yes.
07:19She should enjoy pregnancy.
07:22अगर प्रेगनेंसी आपकी ठीक ठाक चल रही है,
07:25कोई risk factor नहीं है, everything is okay,
07:28you are regularly in touch with your gynecologist,
07:31तो प्रेगनेंसी दोस्क्राइब बेडरेस्ट,
07:34you should keep doing all your routine activities,
07:37physical activity, definitely you can keep doing everything,
07:41but you have to be a little bit careful about some things,
07:45like sudden jerks one should avoid,
07:48she has to be careful while walking कि गिरना जाए,
07:51और regular अगर आप check-ups कराते रहते हैं,
07:54कोई high risk factors नहीं है,
07:56तो bed rest is not recommended in normal pregnancy.
08:00Yes, many couples start preparing after pregnancy,
08:03only after that they become pregnant,
08:05what should a woman ideally do before conception?
08:09Before conception, as I have already told you,
08:12few basic tests like thyroid profile,
08:15her sugars, some infection,
08:17tests regarding some infections,
08:19your hemoglobin level is normal or not,
08:21and there are some kind of vaccines,
08:24if there is some infections you suspect,
08:26then that vaccination should be given,
08:28and some multivitamines should also be taken before pregnancy.
08:34And what are the most common myths around pregnancy?
08:40Pregnancy means myths in India,
08:43pregnancy is full of myths,
08:45so I will be telling you few,
08:48like as we have already discussed,
08:50because if you are pregnant,
08:53then people think that they stop going to their work,
08:58they keep on eating,
09:00and if you are pregnant,
09:01then we have to eat two people for two people.
09:03So the first myth is regarding nutrition,
09:06and your diet should be healthy,
09:10that doesn't mean that you have to eat double or triple or whatever you have to eat.
09:16Pregnancy does not mean that you have to be craving,
09:18so you have to eat anything.
09:19Your diet should be healthy.
09:21Number one,
09:22aisa nahi hai ki,
09:24baby hai toh doh logon ka khana khana hai,
09:26you just need a little bit more calories,
09:30600 grams of protein more,
09:33and a healthy diet,
09:34that's it.
09:35Number two,
09:36khatta khana hai,
09:37ya meethha zahada khana hai,
09:39yeh jo hai,
09:39myths,
09:40gaad bad hai.
09:41Regarding physical work,
09:43people think ki pregnancy ho gahi,
09:45toh ab hume kuch nahi karna,
09:46aisa nahi hai.
09:47You have to do all your routine activities,
09:50if there is no such problems.
09:52There are certain myths regarding eating some kind of foods,
09:57ki yeh khayenge toh aboshan ho jayega,
10:00haana yeh ho ga toh aisa ho jayega,
10:02definitely India mein pregnancy means lot of myths.
10:05Toh agar aapke koji myths hai,
10:07toh you should consult your gynecologist,
10:09bajayay ki aap parishan hoote rhe,
10:11ki mujhe yeh karna hai ya nahi karna,
10:14you should definitely consult your obstetrician,
10:16she can guide you properly,
10:18whether it is a myth or it is a fact.
10:21And what changes should women expect above 40,
10:24particularly during menopause?
10:27Si, 40 is that age group,
10:29when there are lot of hormonal changes
10:31are going inside the body of a woman,
10:34because it is the time of perimenopause.
10:38Perimenopause wo time hota hai,
10:40jab it is like 4-5 years,
10:42sometimes it is like 4-5 years
10:43before actually having menopause.
10:45So, is time mein jo body mein hormonal changes hota hai,
10:49usse a woman can have lot of physical changes in her body,
10:55there can have mental changes,
10:57and also many gynecological changes.
11:00Physical changes are in the form of,
11:02there will be weight gain,
11:04like there will be hair fall,
11:06there will be aches and pains inside,
11:08in bony pains may happen,
11:10because of calcium loss.
11:12and gynecological problems like periods
11:16related problems,
11:17mostly in this age group mein zahada dekhne ko milti hai.
11:21Periods ki problem in a way ki patients ko,
11:24she may have heavy periods,
11:26irregular periods, either it is early or late periods,
11:30periods are painful and sometimes there are many problems,
11:34you must have heard ki fibroids,
11:36rasoliyan jise hum bolte hai hai,
11:38fibroids ho jate hai,
11:39adenomyces ek problem hai,
11:41ovarian cyst ho te hai,
11:42ye sare isi age group mein zahada commonly dekhne ko milte hai hai.
11:46And in this age group,
11:48one should take care of cancer screenings,
11:52cancer screening like cervical cancer screening,
11:56and transvaginal scan for screening of cancer of the uterus,
12:02and mammography,
12:03there are few tests which a woman should get regularly done,
12:08for prevention of a major problem.
12:12So these are the things which should be done
12:14in this perimenopausal period.
12:16And another thing is mental issues.
12:19Yeah.
12:20Females become more irritable,
12:22but gharwaale samajte nahi hai ki isko kya ho raha hai,
12:25which is very normal.
12:26They think she is doing drama.
12:28She is doing drama, right.
12:30So it is all due to the hormonal changes,
12:32the family should support the female in this age group.
12:36And if she has any kind of gynae problem related to her period,
12:40she has excessive white discharge,
12:42periods are painful,
12:44or otherwise also if she has pain in the abdomen,
12:47she should meet her gynecologist,
12:49know the cause,
12:50and get herself treated.
12:53As you have patients,
12:56they will think that why we have a gynecologist,
12:58why do we have a gynecologist?
12:59They feel that it is not good to see it.
13:02Is it like this?
13:04Yes, it is like this.
13:06I will say that it is not like this in rural areas,
13:09even in urban areas also.
13:12Females,
13:13if we say that you have a screening test in the form of pap smear,
13:19they are still reluctant,
13:21but they should know that prevention is always better than cure.
13:25Exactly.
13:26Screening test means that if we have a disease
13:44in the form of pap smear,
13:44it will be possible that you have a pick-up in the early stage,
13:47and it will be an earlier treatment.
13:50Okay,
13:51many women go to the gynecologist only when they have a problem.
13:55What prevention checks should women routinely discuss
13:59with their doctor?
14:00See, if I talk about starting from the age group of 20 years or adolescent age group.
14:07In adolescent age group, if she is having periods problem,
14:11she should consult a doctor.
14:13Any irregular period, she should consult a gynecologist.
14:17For cervical cancer vaccination, she should consult a doctor.
14:22Preconceptionally, preconception is not a problematic period,
14:25but as we have discussed, she should consult a doctor.
14:28During pregnancy, at least four to five visits should be there
14:33for a healthy pregnancy outcome.
14:35She should consult a doctor.
14:37And also, I would suggest every woman yearly should get all her basic investigations done,
14:45and all the screening tests should be done as and when required.
14:49So, these are the things which a woman should always take care of herself.
14:54And another thing is regarding her supplements.
14:58There are some supplements which are required at individual age group,
15:03in the earlier age group, in the middle age group.
15:05So, the type of supplements which she has to take, they should consult a doctor.
15:10And not, it is in India that you have to take self-medication, which is very wrong.
15:16Yes.
15:17If you had given Indian women a simple health rule book, what it would be?
15:22In today's scenario, I would say, keep your lifestyle very, very healthy.
15:28Start eating healthy food.
15:30Start doing some kind of physical work.
15:33And most important, don't ignore your health.
15:37Whenever you have problem, go to a doctor, get yourself investigated and get yourself treated.
15:45And my last question is, what is the one piece of health advice you wish every mother
15:51gave to her daughter and every woman followed herself?
15:54As a mother, I am also a mother.
15:56So, what I would like to tell my daughter is once we, as a doctor also and as a mother,
16:03that she should take care of your health, keeping her diet very healthy,
16:07doing some kind of physical work.
16:09And girls should be very, very strong mentally.
16:13They should be able to, they should be very, very independent.
16:17They should be able to do most of the work themselves.
16:22The dependency on others should be less.
16:25And they should have the confidence that yes, they can do it themselves.
16:30What is the period problems in the age of 40s and what is the treatment of it?
16:34Yeah, periods problems are mostly seen in this age group, which is 40 plus minus 4-5 years.
16:41So, during this time, there are hormonal changes, the problem may occur, periods problem may occur
16:47because of that.
16:48There may be fibroids, adenomyosis, ovarian cyst, endometriosis.
16:53These are all problems which are more common in this age group.
16:57And people have a perception that if someone has fibroids or periods problem may occur in this age group,
17:06that means hysterectomy.
17:08Hysterectomy means uterus will be removed, which is not true.
17:13People think that if we go to the hospital, periods problem may occur, uterus will be removed.
17:20We have a lot of treatment, we have medical management also.
17:25There are many kinds of medicines available which can treat all these problems.
17:30It's not that I want to say it very clearly that fibroids or adenomyosis or periods problem
17:37does not mean removal of uterus.
17:39There are other methods also.
17:41There are medicines for controlling your periods problem.
17:44There are short of major surgery, other things also like mirena insertion is one of the things
17:51which is a very small procedure and which can help in controlling the periods problem of the woman.
17:59So fibroids or adenomyosis ka matlab bilkul yeh nahi hai ki aap aao ge aur uterus nikaal denge.
18:11So don't think periods problem means hysterectomy.
18:15This is not true.
18:16They are treatable.
18:16Yes, these are treatable without removing uterus.
18:19What are the new surgical treatments have came for gynae problems?
18:24Gynae problems, so you are talking about the surgical procedures in gynae.
18:29Yes, if we talk a few years ago, maybe 30 years ago we talked about the procedure
18:37which was a uterus removal of uterus was removed from the chest.
18:41Okay.
18:42It was cut off the abdomen and it was removed from the uterus and it was removed from the uterus.
18:46It was the case that the patients were not able to get up on the bed many days.
18:51They had a lot of support for their help and they had a lot of support for their home.
18:57Now we have other methods which we call minimally invasive surgery.
19:02Yes.
19:03In which we operate from a key hole which is a very small cut in the abdomen, there are two
19:10methods,
19:11two-three methods like one is laparoscopy which we generally call Durbin surgery or in common language
19:18people call it laser surgery.
19:20It's not laser, it is a laparoscopic surgery.
19:24Now a days robotic surgery is also there.
19:28So these are two methods where the surgery is done so beautifully that patient is up and about
19:35the same day, next day we discharge the patient and within a week patient can start doing all her
19:43normal activities.
19:44So we are doing lot of laparoscopic and robotic surgeries.
19:48So agar kisi patient ko uterus removal ki zarurat bhi hai toh the surgeries can be done
19:55not only about uterus removal if she has a cyst or adenomyasis or khali myoma nikalna hai.
20:01Toh the type of surgery which we are doing is very very comfortable.
20:06It can be done through a small like keyhole and big fibroids can be removed through those keyholes
20:14and patient can join her routine activities within a week.
20:19She can be discharged the very next day.
20:21Other advantages of this kind of surgery is the blood loss is very less.
20:27Chances of infections are minimal and the risk of the need for blood transfusion is
20:34very less.
20:36And the surgery can be performed very fast also and it is almost painless kind of surgery.
20:42So now there is no worries on it.
20:44Yes.
20:45So agar aapko operate karna bhi hai toh bhoat aise koi bhoat chinta karne ki zarurat nahi hai.
20:50So these methods like laparoscopy, some surgeries can be done hysteroscopically where no cut is given
20:57over the abdomen.
20:59So these are all such beautiful surgeries ki if you need a surgery don't worry.
21:03This can be done very nicely with hysteroscopy, laparoscopy and robotic surgeries.
21:11And ma'am, abortion ke cases apki time mein as compared to earlier,
21:16wohh bhadh gaya hai ya phil kam ho hai?
21:18Abortion ke cases bhadh gaya hai pehle se.
21:22If I say aaj ki date mein conceive karna bhi thoda difficult hai, the rate of infertility has increased.
21:33And at the same time, once you conceive, usko continue karna till nine months is difficult.
21:41So that's why we are saying ki iska reason ye hai ki the girls are now conceiving in an older
21:49age group.
21:49Jahaan pehle 24-25 saal mein pregnancies ho jati thi, now marriage hi 30 ke aaspaas ho rhi hai.
21:56Conceive karte karte 35 ho jata hai.
21:58So this is one risk factor which reduces the fertility.
22:02So aase cases mein definitely conceive karna bhi difficult hai and with age, with this kind of lifestyle,
22:09when there are hormonal imbalances with fibroids and other issues, definitely risk of abortion pehle se bhadh gaya hai.
22:18And what is the perfect age of pregnancy?
22:22Perfect age toh batana bada muskil hai, but yes before 30.
22:27And in some areas nowadays also, bachiyo ki shadi bilkul kam age me kar deete hai and 12-13 me
22:36hi wo pregnant ho jati hai.
22:37That is good.
22:38So this is absolutely wrong, this is absolutely wrong, marriageable age is in India is 18 or I think nowadays
22:48it's 21 shahid.
22:51Toh wo marriage ki age jo government ne banai hai wo bhot soch samaj ke banai hai.
22:57So pregnancy before age group of 18, number 1 it is wrong, number 2 it is illegal, number 3 health
23:06wise also
23:07So it can it can be very very dangerous for the girl child because she is very young, she is
23:14not her body is not prepared for pregnancy.
23:17So the pregnancy right age group for pregnancy should be after 21 years.
23:24Okay, thank you so much.
23:25Thank you, thank you so much.