Exercises for gynecological health: Dr. Mugdha Raut

crop2_240x240_7thoct14Dr. Mugdha Raut is the Managing Director of Dr. Raut’s Women’s Hospital which was founded in 1997. She brings over 22 years of experience of qualified gynecology right from counseling to establishing her cause for enjoying Motherhood through the launch of ICPRM – Immunotherapy Centre for Prevention of Repeated Miscarriages.

ICPRM (Immunotherapy Centre for Prevention and Repeated Miscarriages), is dedicated to diagnosing, treating and providing women suffering from miscarriages a chance of having a successful pregnancy outcome through Immunotherapy. She specializes in personal counseling and has trained in advanced Endoscopic Surgery and Assisted Reproductive Technique.

Dr. Raut answered Sify readers’ queries related to the above in an exclusive chat. Read the transcript below.

Is a hormone imbalance is a serious problem? Can lead for pregnancy complications?
Yes it is. It can lead to a miscarriage, diabetes, high blood pressure in pregnancy and later it can lead to uterine cancer or breast cancer.

What are some remedies for dissolving cysts from ovaries?
I would like to know what kind of cysts are these. As you have not mentioned more details I cannot advise further.

Hi My 4 year old girl is having white discharge occasionally. I found yellow stains on her white panty. what could be the reason. and should i take her to the doctor?
Yes definitely. The reasons could be infections or a foreign body, etc. Please take her immediately to a doctor.

what are the reasons for intra-uterine fetal death.My sister just lost a baby ,she was in her 30th week .
There can be many reasons like high blood pressure in pregnancy, immunoligal cause can also be the reason, jaundice in pregnancy and infections could also be the resons.

Is it true that hormones can cause problems without the reports being abnormal? How does this happen?
I NEED MORE DETAILS BEFOREI ADVISE SOMETHING.

Good afternonn Dr. I need your advise on hormonal treatments. Are they safe?
FOR WHAT YOU HAVE NOT MENTIONED SO I CANNOT ADVISE ANYTHING..

There are so many IVF Centres today. How do I know which the best one?
You can take some reference or talk to people who have undergone IVF TREATMENT.

Do children born out of IVF treatment generally develop abnormalities?
No.

is pregnancy also possible after menopause? If yes how Madam?
It is possible but then you need your eggs from a egg donor.

Can a female aged 47 years, if menstruating, opt for IVF treatment?
Yes.

What is your opinion on freezing of embryos for later use?
It is definitely good.

Hello Doctor! My age is 41 yrs and I have 5 yr old son. I had missed abortion last month, I want to know the reason. And if again I conceive are there any changes of same, or I can have normal pregnancy?
You need to be investigated for the cause of the abortion and then only we can tell you about the chances.

What are the charges for surrogacy treatment now days?
It is between 10-12 lakhs.

Please guide me in brief how do I go about being a single parent through surrogacy?
No this is not possible as surrogacy laws are restricted.

Hello dr Raut, I am male aged 36years. I want to be a single parent through surrogacy. Can this work out?
In India the laws are restricted.

I had read somewhere that cutting down on salt intake and adding flax seeds to one’s diet helps in a healthy cycle. What is your advise on this?
Excess salt is harmful to anyone’s body and flax seeds are healthy for any body. But otherwise you do need to maintain a healthy lifestyle.

I get a lot of water retention during menses. What can I do to minimize this?
Its better to restrict your salt and water intake before your periods.

What type of physical workout is suited during the menstrual cycle or complete rest is better?
If you heavy bleeding then excess physical workouts are not suggested. Otherwise if periods are normal then you need not stop your workouts during periods.

My am 36yrs, with 2 kids 14,12. My doc has given me Noveleon. (to stop post menses spotting) I am having it for last 4 months. it is giving me lot of acne…pls advice
You need to go for certain hormonal test to find the cause as ideally Noveleon should not cause acne.

What are the charges for Immunotherapy?
Investigations cost around Rs.25,000 and the immunotherapy around Rs. 40,000

Is Immunotherapy available at all leading gynaecological clinics or is it exclusively at your centre?
It is exclusively at our centre. You can find out more on www.icprm.in

Doctor how does successful pregnancy results from Immunotherapy?
Immunotherapy helps a woman’s immune system to understand that the husband’s tissue is normal and should not be rejected. This helps the protective antibodies to form around the uterus which prevents the immunological rejection of the baby.

What can be done on our part to have and maintain a normal menstrual cycle?
Healthy lifestyle with healthy eating habits. Learn how to manage stress.

What is the right age to begin a gynecological check and how often is it recommended?
Once the girl starts her periods. It may not be an internal check up but external check up and guidance.

Do women who have scanty bleeding during their menses, likely to develop some complications during pregnancy or child birth?
No.

I do take a crocin to curb my pain during periods. Is it safe or should all kinds of painkillers be avoided during the menstrual cycle?
It is very safe.

Do all oral contraceptives have some side effects?
Yes minor side effects. If a woman smokes then she might have major side effects like blood clotting.

Madam can you please give an update on some safe birth control options for females?
This needs to be discussed individually. A lot of factors are involved like the woman’s health, her weight, habits, any other illnesses.

Are fibroids the main cause for menstrual pain?
No.

crop3_240x240_7thoct14Is there some diet or some natural source by which small fibroids can be got rid of?
No.

Do fibroids disappear on their own at a later stage of life?
They will disappear only after menopause as fibroids are estrogen dependent tumours.

What type of risks are involved M’am during pregnancy or child birth if one has small fibroids?
This depends on where the fibroids are located. If they are closer to a birth canal, it is always suggested to deliver through the caesarian. There would be bleeding during birth or there might be a premature delivery or there may be abnormal placentations, foetal malpositions.

Is it that, if a woman has a caesarean section for the first child then she will never be able to have a normal delivery?
Its not true.

How can I overcome the fear of vaginal birth?
Have a very positive attitude, regular exercise with your physiotherapist, labour analgesia are suggested.

I have heard that delivery through caesarean section is not good for the mother in the long run. How true?
THE TECHNIQUES OF CAESARIAN HAS CHANGED FROM LAST 35 YRS MAKING IT VERY SAFE FOR THE MOTHER.

What all should be done from my side so that I have a normal delivery?
The definition of normal delivery is the mother and the baby being normal whether the root of delivery is caesarian or vaginal.

Good afternoon Doctor, I am 36yrs female 5 months pregnant with my first to be born baby. What are your suggestions to me for a healthy baby?
Eat the right kind of food, exercise under supervision, regular check ups and a positive attitude.

What type of exercise is the best for gynaecological health? Is cycling really good?
I would recommend brisk walking and light weight training that is cardio training and muscular training, not to forget yoga and meditation.

How can a woman prepare herself to handle menopausal symptoms?
A WOMAN NEEDS TO ACCEPT THAT SHE IS GOING INTO MENOPAUSE, COMPLETE BODY CHECK UP FROM A GYNECOLOGIST, COMPLETE MENOPAUSAL COUNSELLING IN WHICH SHE WILL KNOW WHAT WILL HAPPEN TO HER BODY, SO THAT SHE LEARNS TO ACCEPT IT GRACEFULLY. SHE SHOULD REMEMBER THAT MENOPAUSE IS NOT THE END OF LIFE.

What is the right age group to get menopause?
Menopause can set in at any age between 35yrs to 55 yrs.

Is it fine to get menstrual cycle earlier than 28days, that is like in 24-25 days?
Yes it is normal. From 21-35 days is a normal sign.

I usually get a little pain for around 15-20 mins when the ovulation occurs every month, generally on my left side. This has always been happening. I am 40yrs now. Is it normal?
Yes it is normal. Some women get this pain during ovulattion when the egg ruptures out of the ovary.

Are miscarriages hereditary?
No.

Can our diet also be responsible for miscarriage?
Medically not really.

What conditions generally lead to miscarriage?
Would be chromosomal, anatomical, hormonal cause, infections, male factor and immunological factor.

Hello dr, I am 27yrs. I am planning to have a child in near future. Are there any precautions I should take to avoid miscarriage?
A miscarriage cannot be avoided but a prepregnancy check up and counselling of both husband and wife are important.

Please suggest a few healthy tips for women aged above 40yrs.
Regular exercise, and diet schedule should be followed. Reduce your sugar, fried foods and rice intake. Avoid smoking and minimize alcohol.

Is menopause arrival related to one’s genes?
Yes.

Can I opt for an IUI treatment at 45yrs age?
Of course you can!!

I want to know what are the main risks involved for both mother and child once she crosses 42/43yrs of age?
The risks to the mother if she is not fit before pregnancy would be developing high blood pressure in pregnancy which could in turn effect the baby. The risk to the baby would be the chances of the baby being chromosomally abnormal.

Hi Doctor. I am a woman aged 45 yrs. I have still not conceived a child due to personal reasons. Reports are normal. Can I think of conceiving a child at 45/ 46 yrs?
You can, depending on your reports and whether your ovaries are still functioning or not. If the ovaries are aging then it is better to go for a egg donor.

Share