Bad eating habits and stress cause PCOD: Dr. Shubhangi

Dr Shubhangi has been practising as an Obstetrician and Gynaecologist in Mumbai for the last 38 years.

She has worked extensively in conditions associated with high risk pregnancies such diabetes and hypertension.

An expert in infertility, menopause, polycystic ovarian diseases (PCOD) and adolescent care, Dr Shubhangi is a pioneer in the use of music therapy in managing normal pregnancies.

She is also the Principal of YCMO University (Maharashtra) which trains health care assistants.

Dr. Shubhangi took time off her busy schedule to answer Sify readers’ questions on PCOD, infertility and more. Read the complete chat transcript here.

dear dr they detected fibroids when i was expecting my second child 7 yrs ago. but so far no problems symptoms whatso ever everything is fine do need to check their size now and then????? iam 42 with no health probs
If you don’t have any fibroids now then I don’t think you need to worry but pls go for a sonography every year to find if the size of fibroids is increasing or not…

Doctor ! I have cyst in my both ovaries and endometriosis on the uterus and severe pain in abdomen,i have tried to conceive through ivf but 2 attempts were unsucessful, i am taking meprate pill daily to avoid pain and periods. pls suggest.
Actually for endometriosis the treatment is denazol…ask your Docter and take the treatment accordingly…

Problem with getting regular periods and maturing the eggs. I didn’t get pregnant, doctor suggested me birth control pills to getting periods + clomid 100mg +14th ultrasound still follicle at 9mm on her research needs to use Clomid with steroids
This is the recent research … Pls go ahead with it but after consulting an expert gynecologist..

my wife aged 45years recently did’nt have her mens for a month,which gave us an impression that she has reached her menopause. But next month she has had heavy flow.Now is it unusual or is it natural.
Its natural…

I’m 21 yrs with PCOD. Doctor prescribed Diane for 6 months. After taking medicine, I’m getting regular periods. Doctor told to get blood test. (SHBG is 13.3) Normal level – 18 to 114. My SHBG levels are low. Is there any medicine to improve the leve

No you should not take any other medicines bcoz PCOD is not a disease but a Syndrome.. pls get blood investigated for insulin, thyroid,etc.

A pt is on depoprovera from last one month ,after a unsafe contact ,she has taken a emergency contraceptive pill. Since than she had a recurrent episodes of bleeding. How to deal?
Because of the I Pill and depoprovera she has been bleeding so don’t take any harmonal tablet now..if the bleeding is more take medication to stop the bleeding but no hormones… Consult an expert Gynaecologist..

Doctor I dont have children for past 9 years because of less counting in my husband sparms, now I am 40 we are taking english medician . I am medile class people, But I want children, please guide me and help me.
Pls adopt…

I am 36 Yrs Old having one daughter 7 Yrs Old my husband is dibetic so pl advice me for second child
After the age of 35 to conceive is difficult and there are chances of congenital defects in the foetus… so consult your obstetrician pls…

What are the dangers/ risks when a pregnant women has subserous fibroid in the right side of th utereus? Will it affect the growth/development of the baby?
No it does not effect the growth of the baby…

had suffered from “Chickenguniya” during the 6th week of my pregancy. Will my baby be affected due to that?
Hi Latha..Normally any infection during the first trimester of pregnancy might effect the child so pls consult an expert Obstetrician…

What are the dangers during pregnancy when a pregnant lady has subserous fibroid?
No dangers during pregnancy but after delivery she might go post par tum haemorrhage… so a Doctor needs to keep a watch regularly…

what are all the symptoms to pregnancy. approximately from what days onwards it will reflect?.please convey your answer madam.
Vomitting, giddiness, loss of appetite, nausea are the common symptoms…it reflects as soon as she misses her periods…

Every month my wife getting a period of 35 th day.For this month she is completed almost 43 days now can i check the pregnancy test . For this 43 days completion can i do sex with my wife please answer my question madem
If you want to be a good father pls take care of the mother..would be! Yes certainly she can go for the pregnancy test and find out whether she is pregnant or not.. Alll the Best!

have very scanty flow during my periods time which last for hardly two to three days.i am unmarried ,29 years old.is it normal?what can be done to be on a safer side?
First get married as soon as possible so that you do not have any problems regarding child bearing in future.. consult an expert..

Cann Ganaeological problems in women be responsible for Hypertension.My wife has high systolic BP upto 170.Cardiologist checking heart on several occasions concluded perfact heart flow and doubts some gynaecology complications for this?
fIRST OF ALL YOU FORGOT TO MENTION HER AGE.. STRESS IS THE MAIN CAUSE OF HYPERTENSION… IT DEPENDS ON THE LIFESTYLE TOO… PLS CONSULT AN EXPERT WITH ALL THE DETAILS…

Hello Dr., We have been trying for a baby from last two years. we have been tested thrice ultrasound, blood tests & semen analysis,all the results are fine. Drs are saying to try. Now taking Metformin as well as Elevit. Can you please suggest
You can go for IUI …and if that fails then pls try IVF….

I have taken norethisterone 5mg tablets for 5 days 3 times daily and have not got my period. Its almost 10 days past .I took the pregnancy test and it shows negative, so whats the reason for my delay in period.I always have irregular cycles.
You have a hormonal problem.. I do not know your age… it could also be related to your age…

34yrs- 2 kids C sec.F plan operdone. Problem- heavy bleeding for 3 yrs.Using Tranexa. no relief. Some times with pain. Pl. suggest me.
Ask a gynecologist to give you a hormonal treatment…

MY WIFE BEING NOT ABLE TO CONCIEVE THE BABY FROM LAST 01AND YEARS.TREATMENT IS GOING ON FROM LAST 01 YEAR.MEDICINE IS FOLININE,DEVIRY.MY WIFE HAS ONLY ONE TUBE ON RIGHT SIDE.SHE GONE THROUGH OVULATION MONITORING ALSO TWICE. ALL REPORTS ARE CLEAR
She will conceive… One tube with good ovary and function a lady can conceive…

I am a mild pcod with lh/fsh being 4/1 (lean). My periods are regular with 30 day cycle. I would like to know if I can concieve naturally and have a safe pregnancy. What is the role of fertyl in people like me. How can I prevent gestational diabetes.
You cannot prevent gestational diabetes especially if you have a family history… control your diet…Yes you can conceive naturally…

Its about my better half. She is suffering from a severe pain in lower abdomen region from last 1 month. She is taking treatment from PGIMS, Rohtak. My pain is well now. But sometime it became very painful. All the tests & reports are normal.
Do you have children? Plan a child and the pain should go away… The pain is called dysmenoria…

Dr. I am 37, wife 32, Wife – normal periods, normal reports. count normal, motility 10-20% … . Tried 9 nos. cycle ICSIs, All failed. Dr. asking to try some more cycles till we get pregnancy. Again trying ICSI with FET. Any chances of success?
Try… its the modern treatment… You can only take a chance and trust God…1!

I am 32 yrs old & 3 yrs now since I am married. We have been trying for a baby for past 2 yrs but no luck. Tests like HSG, internal scan, progesterone, sperm count are normal. My cycle is 26 or 28 days. Have thyroid but on regular check up. Please advice.
You can conceive…try IUI.. and take a treatment for thyroid.. All the best…

im48 gujarat muje menopause period hai. 3 se 4 mahine kuchh nahi hota aur 15 din ya 25 di tak bleeding davaiya leti hu. to kya kare. hesterctomy full ya partial ? gujarat me kaha par. amita soni, Gujarat
Apko agar bleeding jyada hota hai toh hi Hesterctomy kijiye nahi toh worry mat kijiye.. apne aap theek ho jaoge.. pls ultra sonography ek dafe karva lijiye…

i got married 5 months back. now on my ultrasound got recognized with polycystic ovaries. plz tell wht can be the reason for this and wil it be a problem in pregnency.. or can it have some serious health consequences.. also suggest wht can be done now..
First of all if you want a child pls go to an obstetrician asap….

Madam, I am 34 years old . From the 15/16 day of mense, my breast becomes hard and painful vagina starts itching as white sticky fluid flow from vagina. After mense everything becomes normal. Only the flow of white fluid continues. PLEASE HELP!!!!
Its natural… its only hormonal changes in the body…

My daughter is 15 & having irregular periods cycle, if starts not stops for mnths(1-2 mths) tab stops it & comes only by taking tab. X-ray was normal, experts said harmonal imbalance & normalize by age. Her period started at 11.
It will normalize … pls maintain a proper balance diet for her…

Missed abortion 7w, no FHR. (6w FHR=91). 1st miscarriage. TORCH panel test:IgG shows +ve for Rubella IgG(56.72), Cytomegalovirus IgG (33.54), Herpes Simplex Virus I IgG (9.56), rest negative for IgM. what does this TORCH panel test result mean?
TORCH is a viral infection..there is a treatment to it.. you can consult an expert and get pregnant…

I have Pcos, Its been 5 months i got married. whats the best treatment to cure this. can this create any problem when i would try to be pregnant.
You need to consult an Obstetrician for this treatment… And you can get pregnant so don’t worry…

I have PCOD. What foods should be avoided?Also is drinking coffee bad for people with PCOS. I have only 2 cups of coffee a day.Can you please clarify if coffee has any impact on PCO condition?
No coffee doesn’t effect PCO conditions and two cups daily is fair enough!

Hello Doctor, Is it necessary to take Folic acid and iron tablet during the time of conceiving? Also is it necessary to take calcium tablet during menopause stage?

Yes very much!

Hello Doctor, Nowadays, Polycystic ovarian disease is very commonly reported among young girls. Is that a severe complication? What is the reason for the occurrence of PCO and what is the treatment for PCO?
Because of the stress and the eating habits this has become common… it depends a lot on one’s lifestyle.. but it has a treatment so do not worry!

my wife age 30 yrs her both fallopian tubes are blocked and dr. advice us for surgery and they also said this surgery cannot success so they advice us for IVF but our financial condition is not well
Adopt a child from a poor family..

I am suffering from irregular periodical cycle i have consulted a gyno but after all the tests conducted by them they say i am ok but problem has not solved any suggestion madam
Do not know about your status so cannot answer well enough…

Hello Dr , My wife and i have been planning to have a baby for the past 2 months now and she has not been able to conceive despite our best efforts , so is there anything else that you would suggest that we should be doing .
You can wait till one year and then may be opt for IUI Treatment…

We have been married for 4 years and trying for a baby for 2 years without success. I had done my Semen test and my wife has done everything upto laproscopic examination. All came normal.Please suggest a way to get a baby
IUI ..or IVF…

bcz of white discharge hvng severe back pain, swallowed body, nt able to reduce my weight, also thyroid at border line taking homeopath medicine for the same.

White discharge is natural like the tears in the eyes and saliva in the mouth… pls monitor your weight and maintain a balanced diet…

eavy white discharge resulting lower ab swelling, unmarried, 32 yrs. also dc. said my uterus is at very lower side in stomach, plz suggest
Its a pelvic organ so it has to be on the lower side.. this could be a congenital defect… see an expert…

Hello Doctor I have been prescribed Estrol(Evalon) cream. Are there any side effects please? Thank you
I need to know more details…you haven’t mentioned for what it was prescribed to you and when…

My wife aged 28 has been detected with cyst in the right ovary. She has been adviced to take Femilon(manufactured by Schering Plough) for
3 months. Please let us know if the cyst is curable by medication and will it affect her chances of pregnancy

There is no medicines for cyst.. it needs to be removed.. it all depends on the size of the cyst..

I want to know is the copper T will be effective for a sessarian by two times women…
Yes…

Doctor, I had done a histeroscopy due to my endeometry polyp in my uterus in 29th April,2011. Is it possible to occurence in 2nd time ?
We can’t say.. all depends on your hormonal changes…

My spouse is undergoing health issue regarding mensural periods. from last two months she is having periods every 15 days , for a period of 5 days.
Get investigated pls…

How can i improve my hemoglobin amount ? Plz , mention some foods name.
Jaggery, dates, bananas, green vegetables, carrots and all cereals.. if you are non-veg.. liver and egg would help… take a balnced diet.. and pls avoid fast food.. take Deworming tablets…

I am 34 year married girl. I have no child till now. We are facing some financial problem, so we can’t try also. My hemoglobin is very low upto 6 or 7. And my hemoglobin type is “E” . Can i have normal prenancy ? Plz, give me advise.
First improve your hemoglobin and then plan a child…All the best!!

My Wife has undergone Abdominal Myomectomy due to Fibroids during December Middle 2011. When we can have intercourse together since we got married only 06 months back. Whether she can become pregnant without any problem.
Wait for another 2 months and then plan a child…

I am 7 months pregnant, expecting baby May 2nd week. pl. suggest type of food [vegetarian] and what I should avoid as I am little bit obese. Also suggest me simple exercises to reduce my weight after delivery of baby.
Pls consult an expert dietitian and and a yoga trainer…

Are hormone injections helpful during/after menopause to reduce effects of lower estrogen ?
There are no injections but tablets.. and they are helpful…

I am suffering from Hepatitis B positive. My Husband and son has fully immunized through vaccination. Is there any risk or chance of transmitting the disease to them. What precaution should I take to preventing the spreading of disease to them.
It doesn’t spread by staying together…

My wife (41) has been suffering from bleeding for more than 3 weeks. USG reports uterus enlargement and no other abnormality. What causes this? any further tests needed?
Go for DNC and do the histopathology of the products of DNC…

I HAVE BEEN MARRIED FOR THE PAST 9 MONTHS AND NOW MY WIFE IS CONCEIVED AND IS 6 MONTHS PREGNANT. I AM NOT AT ALL INTERESTED IN HAVING A CHILD AT THIS STAGE. NOW THAT SHE IS IN HER 6TH MONTH OF PREGNANCY, IS IT POSSIBLE FOR SAFE ABORTION OR TERMINAT
No..Not all… Its a sin..

what does IUI cost in India? how many times do we need to try IUI ? If that fails, what would IVF cost ?
IUI costs around 5,000-7,000 and IVF costs around 1.5-2 Lakhs.. You can try IUI 3-4times and IVF ..it depends on your pocket..

Dr., My daughter recently married on May’11 past few months she is experiencing white discharge & vaginal itch. Please suggest some medicine as of now she is in US
This might be a vaginal infection…consult an expert and maintaining hygiene is very important..

I am 29 & have been married for 8 months now, but unable to conceive though having intercourse during 13th – 17th day after period start date. Is this something to worry and any suggestions/ precaution for conception ( like food habits, position etc)

Wait for 6months atleast and if you do not conceive go to a fertility clinic…

what is the ideal age for pregnancy.
From 18-35yrs…

I am Himangshu Dey. My age is 35 yrs. Actually I want a beautiful child and I will try just 6 months. But my result is ZERO. Then I test my Semen. My Semen report is abnormal. So I ask you, how I improve? Kindly you suggest me.
Pls consult a male gynecologist and take the treatment…

i got marriege last two years back , still now i didn’t get pragnent, could you please suggest o this
IUI or IVF is apt you… but get properly investigated before both of you decide on a treatment…

Dear Doctor, i am 32 years old and i always experience severe abdominal pain, back ache and that leads to vomiting during my Menstruation cycle every month. Kindly advise.
Its natural hormonal change.. so need not worry ..take a symptomatic treatment…

Madam my wife overweight meshe was above 70 kgs weight because she was facing pregnancy problem so please give me if suggestion or any clue for lost of weight got pregranncy
Consult a dietitian and a fitness trainer before pregnancy…

My wife is 23 years old and she is having her first pregnancy with 8th month running. She is having low blood pressure in these days but a pregnent woman used to have high blood pressure in common. Why my wife is having such problem.
Low blood pressure is not a disease ..ask her to sleep on her left side so that the baby gets a good blood supply… and eat a balanced diet…

Wife is suffering from lyocoriya. She is not interested in intercourse. She feel cold and tired. always want to sleep (10 to 12 hrs.) pl. tell me the soulation. we are new couple.
Take her to a counsellor…

In my first preg, had gestat diabs in last trimes. Planning second baby nw. If I concieve second time, will the gestational diabetes start from the begining of pregnancy? Are there chances that it remains after delivery also? Are there any other risks?
They can occur after the delivery after the delivery depending on the age of the patient…No there are no delivery risks but risks for the baby…

suffering from severe pain before and during period. I have to always visit my local doctor for a pain killer injection. I had taken out my fibroids earlier and my stomach keeps on becoming big before my periods. Can take out my uterus at the age of 34.
If you have already become a mother then you can go ahead with it…

What are the chances of conceiving through IFV, and what are the risk in delivery with chronic HSV1 and 2 infection
Conceiving through IVF.. the chances are 50% and for chronic HSV1 and 2 infection you need to take care.. consult an expert…

I am 7 wks pregnant; did vaginal ultrasound baby’s heartbeat is good. have back ache, left hip pain my lower abdominal region pain. When I informed doc she said that too early to get kind of pains; suggested foam mattress. Are these pain normal?
Yes this is not related to pregnancy.. Foam mattress is fine .. Take rest…

I am female 27 married since 3+ years 2 times i had miscarraige my husbands sprm count is also low around 26 million per ml. please advice me how do i plan now for concieving.
Pls go to a infertility clinic nearby… you can go for IUI or IVF..

I am 32 years old, last year I was pregnant and I lost my baby in the womb that Is I was completed 9 months and 6days but the doctor declared that there was no blood circulation for the baby for 2 days.
Don’t worry you can conceive again and pls consult a better obstetrician this time… and also find out the reason and the cause that why the baby had no blood circulation for 2 days.. and my advice to you is next time be under an expert supervision till 9 months and keep a watch on the foetal movement after that… All the best!!

for my better half two days before they had done a test called paps smear & EMB . results awaited. pls suggest
What can I suggest.. wait for the report and take the expert consultation…

I came to US last yr; irregular periods since.After marriage was on pill for 2yrs9 mths. doc say because of change in atmosph and hormonal issues. put on Ortho-Tri cyclene low 3 mths. after I stopped,had 1 period,later it is the same.trying to conceive
Come to India and pls visit an infertility clinic..

My wife is 45, she has undergone uterus removal process through hyhsterectomy. Please advise when we can start our normal sexual activity
Whenever the wife permits..!! On a serous note you can plan it after 3 months…

I am 22, weigh 57kgs. was 65kgs 3 mths back. have irregular periods because of PCOD. gain wt very soon. gng to gym reduced 8kgs. Will i still have PCOD? periods regular after losing weight.
Go for a sonography and you will know about it…

I have reached menopause and i had my last periods in june 2011 how long will one have to wait for unprotected sex after menopause
For one year.. but it depends a lot on your age too…

Im 37, 11 yrs of marr, one 5yr oldboy; trying for sec preg with trtmnt unsuccessful. reports fine; regular periods 28day cycle; will trtmt give side effects; have low bone mass density and joint pain;on vit D calcium; am abroad; want details
You can try for a second child…

Hi Doctor , After testing my Semen Analysis , i got to know that i have Liquification defect , the Doctor suggested for IUI method for my wife……….but can i expect normal conceiving or should i go for IUI ??
IUI is better..

Our marriage in the year 1997 but she got pregnancy in the year 2004 and December 2004 abortion due to BP (6 months completed 7 month running). After that till now no pregnancy so please give me suggestions.
Get investigated from a good consultant pls…

we have been married for 4.5yr. and planning to conceive since 2yr. i am having irregular periods by using Letroz 5mg for 5days from the 2dy of periods, then i will get proper periods.
Letroz tabs are banned.. take Fertyl tabs-50mg for 5 days from 2nd day…

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