Archive for the ‘ Women’s Health ’ Category

PCOS: Symptoms, Causes, Treatment & Everything Indian Women Need to Know

Monday, April 27th, 2026

One in five women in India is estimated to have PCOS, and a significant number of them do not know it yet. They attribute irregular periods to stress, unexplained weight gain to lifestyle, and persistent acne to diet. They spend years managing symptoms they have been told are “normal” before a diagnosis finally connects the dots.

Dr. Neha Abhijit Pawar

● Author

Dr. Neha Abhijit Pawar

Gynaecology  ·  Oncology & Critical Obstetric Care

Consultant, Gynaecology  ·  Gynec. Oncology & High Risk Obstetrics

MS (ObGyn), Fellowship Gynec. Oncology – Columbia University, New York  ·  KDAH Mumbai  ·  English, Hindi, Marathi


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PCOS, or Polycystic Ovary Syndrome, is one of the most common hormonal conditions affecting women of reproductive age, and one of the most underdiagnosed. If you have been experiencing symptoms that something feels off with your cycle, your hormones, or your body, this article is for you. Timely consultation with the best gynaecologist in Mumbai can make a significant difference in how well PCOS is managed over the long term.

What Is PCOS? Understanding the Basics

In clear terms, PCOS is termed as Polycystic Ovary Syndrome, a hormonal imbalance in which the ovaries produce excess androgens (male hormones that are normally present in small amounts in women). This hormonal disruption interferes with the normal development and release of eggs during the menstrual cycle.

The name can be misleading. Not everyone with PCOS has visible cysts on their ovaries; the “cysts” referred to are actually small, undeveloped follicles that have not completed ovulation. PCOS is a systemic hormonal condition, not simply an ovarian one. It simultaneously affects the menstrual cycle, fertility, skin, weight, metabolism, and mental health.

PCOS affects approximately 8–13% of women of reproductive age globally, making it one of the most prevalent endocrine disorders in women. In India, estimates suggest the prevalence may be even higher, with lifestyle and dietary factors contributing.

PCOS vs PCOD: Are They the Same Thing?

These two terms are often used interchangeably in India, but they are not identical.

PCOD (Polycystic Ovarian Disease) refers specifically to a condition where the ovaries release immature or partially mature eggs, which over time accumulate as cysts. It is generally considered a milder condition that responds well to diet and lifestyle changes.

PCOS (Polycystic Ovary Syndrome) is a broader metabolic and endocrine disorder. It involves significant hormonal dysregulation, elevated androgens, insulin resistance, and disrupted ovulation which carries higher risks for long-term conditions like Type 2 diabetes, cardiovascular disease, and infertility.

All PCOS involves hormonal imbalance, but not all PCOD progresses to PCOS. The distinction matters for treatment planning, which is why an accurate diagnosis from a specialist is essential.

PCOS Symptoms And What to Watch For

PCOS symptoms vary widely between individuals, which is part of why the condition is frequently missed or misattributed. Here are the signs organised by category:

Menstrual & Reproductive Symptoms

  • Irregular periods, cycles shorter than 21 days or longer than 35 days
  • Missed periods or very infrequent menstruation (fewer than 8 cycles per year)
  • Very heavy or very light menstrual bleeding
  • Difficulty conceiving due to irregular or absent ovulation
  • Recurrent miscarriages in some cases

Hormonal & Physical Symptoms

  • Excess facial or body hair (hirsutism), commonly on the chin, upper lip, chest, or abdomen
  • Acne that is persistent, cystic, or unresponsive to standard skincare
  • Thinning hair or hair loss from the scalp (similar to male-pattern baldness)
  • Darkening of skin in body folds – neck, underarms, groin (a sign of insulin resistance called acanthosis nigricans)
  • Oily skin

Metabolic & Internal Symptoms

  • Unexplained weight gain, particularly around the abdomen
  • Difficulty losing weight despite consistent effort
  • Fatigue and low energy levels
  • Mood changes, anxiety, and depression
  • Sleep disturbances, including increased risk of sleep apnoea (blocked breathing during sleep)

It is important to note that pcos symptoms do not follow a single pattern. Some women have all of the above; others have only two or three. The absence of one symptom does not rule out PCOS.

What Causes PCOS? The Hormonal Story Explained Simply

The exact pcos causes are not yet fully understood, but several key factors have been identified:

Insulin resistance: The most significant driver in many cases. When the body’s cells do not respond effectively to insulin, the pancreas compensates by producing more. Excess insulin stimulates the ovaries to produce more androgens, which disrupts ovulation. Approximately 70% of women with PCOS have some degree of insulin resistance – including those who are not overweight.

Elevated androgens: Higher than normal levels of androgens, testosterone and DHEA, suppress ovulation and cause physical symptoms such as excess hair growth and acne.

Low-grade inflammation: Women with PCOS often have elevated markers of chronic inflammation, which stimulates the ovaries to produce additional androgens.

Genetics: PCOS tends to run in families. If your mother, sister, or aunt has PCOS or Type 2 diabetes, your risk is higher.

Lifestyle factors: Sedentary habits, a diet high in refined carbohydrates and sugar, chronic stress, and disrupted sleep all worsen insulin resistance and hormonal imbalance, making symptoms more severe even if they did not cause PCOS initially.

How Is PCOS Diagnosed?

There is no single test for PCOS. Diagnosis is typically based on the Rotterdam Criteria, which requires at least two of the following three features:

  • Irregular or absent ovulation
  • Clinical or biochemical signs of elevated androgens (excess hair growth, acne, or elevated androgen levels on blood tests)
  • Polycystic ovaries on ultrasound

Your doctor will also order blood tests to assess hormone levels (LH, FSH, testosterone, insulin, thyroid), rule out other conditions with similar symptoms, and evaluate metabolic health including blood sugar and cholesterol.

PCOS Treatment Options And What Actually Works

PCOS treatment is highly individualised and depends on your primary concern, whether that is regulating periods, managing symptoms, improving fertility, or reducing long-term health risks.

Lifestyle modification is the most powerful first step:

  • A low-glycaemic diet that reduces insulin spikes
  • Regular physical activity – even 30 minutes of moderate exercise five days a week significantly improves insulin sensitivity
  • Stress management and consistent sleep

Medications commonly used:

  • Combined oral contraceptive pills: Regulate periods and reduce androgen-related symptoms like acne and excess hair
  • Metformin: Improves insulin sensitivity, helps regulate cycles, and supports weight management
  • Anti-androgens : Reduce excess hair growth and acne
  • Ovulation induction : Used when fertility is the primary goal

For weight management: Even a 5–10% reduction in body weight in women with PCOS who are overweight can significantly restore ovulation and improve hormonal balance. Structured support from a specialist in weight loss in Mumbai can make this process safer and more effective.

PCOS symptoms and treatment are closely linked – addressing the underlying hormonal imbalance is more effective than treating each symptom individually.

PCOS and Mental Health — The Connection Nobody Talks About

PCOS significantly increases the risk of anxiety, depression, and disordered eating, yet this dimension of the condition is rarely discussed in clinical settings.

The reasons are both hormonal and psychosocial. Elevated androgens and insulin resistance directly affect mood-regulating neurotransmitters. The visible symptoms – weight gain, acne, hair changes which affect self-esteem and body image. The uncertainty around fertility compounds anxiety further.

Women with PCOS are reported to have significantly higher rates of depression and anxiety compared to the general population. If you are experiencing persistent low mood or anxiety alongside physical symptoms, this deserves the same attention and care as any other aspect of PCOS management.

PCOS and Long-Term Health Risks

Without management, PCOS is associated with several serious long-term health conditions:

  • Type 2 diabetes: Women with PCOS have a significantly elevated lifetime risk due to chronic insulin resistance
  • Cardiovascular disease: Higher risk of hypertension, elevated cholesterol, and heart disease
  • Endometrial cancer: Prolonged absence of periods means the uterine lining continues to thicken without being shed, increasing cancer risk over time
  • Sleep apnoea: More prevalent in women with PCOS, particularly those with central weight gain
  • Infertility: PCOS is one of the leading causes of ovulatory infertility, though with appropriate treatment, the majority of women with PCOS can conceive

PCOS in Teenage Girls — A Rising Problem in India

PCOS is increasingly being diagnosed in adolescent girls in India, often dismissed as “hormones settling down” in the early years after puberty.

Warning signs in teenagers include:

  • Irregular periods more than two years after the first menstrual cycle
  • Severe acne unresponsive to standard treatment
  • Unexplained weight gain, particularly around the abdomen
  • Excess facial or body hair

Early diagnosis in teenagers allows for timely intervention – preventing the escalation of symptoms and reducing long-term metabolic risks significantly.

Diet & Lifestyle Tips for Managing PCOS in India

Practical, India-specific steps that support hormonal balance:

  • Reduce refined carbohydrates: Replace white rice, maida, and sugary foods with millets, whole grains, and legumes, all widely available in Indian kitchens
  • Prioritise protein at every meal: Dal, paneer, eggs, and legumes help stabilise blood sugar and reduce insulin spikes
  • Increase fibre intake: Vegetables, fruits with skin, and whole grains slow glucose absorption
  • Move daily: Walking, yoga, and strength training all improve insulin sensitivity, start with 20–30 minutes and build gradually
  • Manage stress actively: Chronic stress elevates cortisol, which worsens insulin resistance. Breathing exercises, adequate sleep, and social support all matter
  • Limit processed and packaged foods: High in sugar, sodium, and refined fats,  all of which worsen inflammation
  • Sleep consistently: Disrupted sleep worsens hormonal balance in PCOS, aim for 7–8 hours at a consistent time

When Should You See a Doctor for PCOS?

Do not wait for multiple symptoms to appear before seeking an evaluation. See a specialist if:

  • Your periods are consistently irregular, very heavy, or absent
  • You have been trying to conceive for more than 6–12 months without success
  • You have noticeable excess facial or body hair, persistent acne, or unexplained hair loss
  • You have been told you have elevated blood sugar or insulin resistance
  • You are experiencing persistent low mood, fatigue, or anxiety alongside any of the above

Kokilaben Dhirubhai Ambani Hospital’s best gynaecologist in Mumbai provides a full PCOS evaluation. For fertility, our best IVF centre in Mumbai works in close coordination with endocrinology/gynaecology.

Conclusion

PCOS is not a life sentence. It is a manageable condition – one that responds meaningfully to the right combination of lifestyle change, medical support, and consistent care. The earlier it is identified and addressed, the better the outcomes across every dimension: menstrual health, fertility, metabolic health, and emotional well-being.

If you have been living with unexplained symptoms, irregular cycles, or persistent hormonal concerns, you deserve clear answers and a care plan built around you.

Book a consultation at Kokilaben Dhirubhai Ambani Hospital today. Because understanding your body is the first step to taking care of it.

Frequently Asked Questions

Q1: Can PCOS cause miscarriage? 

Yes. PCOS is associated with a higher risk of miscarriage, likely due to hormonal imbalance and elevated androgens affecting early pregnancy. With appropriate medical management, many women with PCOS go on to have successful pregnancies.

Q2: Does PCOS affect both ovaries? 

Not necessarily. PCOS is a hormonal condition, the ovarian changes are a result of that imbalance, not the cause. One or both ovaries may show the characteristic appearance on ultrasound, but the condition itself is systemic.

Q3: Can a woman with PCOS have regular periods? 

Yes. Some women with PCOS do have regular cycles but still have elevated androgens and other metabolic features of the condition. Regular periods alone do not rule out PCOS.

Q4: Can you have PCOS without weight gain? 

Yes. Lean PCOS is well documented. Women of normal weight can have all the hormonal and metabolic features of PCOS, including insulin resistance and elevated androgens, without visible weight changes.

Q5: Is PCOS more common in certain body types? 

PCOS affects women across all body types. However, central obesity – weight carried around the abdomen – is associated with more severe insulin resistance and more pronounced symptoms. Weight is one factor, not the defining one.

Pregnancy Diet: A Complete Guide to Eating Well for a Healthy Pregnancy

Friday, January 30th, 2026

Pregnancy changes everything about how you eat. Suddenly, every meal isn’t just for you – it’s nourishing the tiny life growing inside you. A proper pregnancy diet gives your baby the nutrients needed to develop healthy organs, bones, and brain while keeping you energized and healthy throughout these nine transformative months.

Many pregnant women feel overwhelmed by conflicting advice about what to eat when pregnant. The truth is simpler than you think: food for pregnant women doesn’t require fancy supplements or expensive specialty items. It’s about eating a balanced variety of whole foods that provide essential nutrients.

A well-planned pregnancy diet helps prevent complications like gestational diabetes and preeclampsia, reduces morning sickness, maintains your energy levels, and prepares your body for labor.

This guide breaks down everything you need to know about a healthy pregnancy diet plan – essential nutrients, best foods, foods to avoid, and a practical diet chart for pregnant lady to guide you through each trimester.

What Is Antenatal Diet?

An antenatal diet, also called a pregnancy diet, is a carefully planned eating pattern designed to meet the increased nutritional demands of pregnancy. “Antenatal” means “before birth,” so this diet supports both maternal health and fetal development from conception through delivery.

The diet for pregnant women differs from regular healthy eating in several ways. First, calorie needs increase – you need about 300 extra calories daily in the second and third trimesters. Second, certain nutrients become critically important: folic acid, iron, calcium, protein, and specific vitamins need significant increases.

The antenatal pregnancy diet plan also considers timing and frequency of meals. Eating smaller, frequent meals helps manage morning sickness, heartburn, and maintains steady blood sugar.

A proper diet during pregnancy isn’t a temporary restriction – it’s an enhanced version of healthy eating that prioritizes nutrient-dense foods. Understanding what antenatal nutrition means helps you appreciate why certain foods become more important during pregnancy and why others should be avoided.

Nutritional Requirements During Pregnancy

Your nutritional needs change significantly during pregnancy. Here’s what must a pregnant woman eat in terms of key nutrients:

Folic Acid: 600-800 mcg daily. Essential for preventing neural tube defects. Sources: leafy greens, lentils, fortified cereals, oranges.

Iron: 27mg daily. Prevents anemia. Sources: red meat, spinach, lentils, fortified cereals, chicken.

Calcium: 1,000mg daily. For baby’s bones and teeth. Sources: milk, yogurt, cheese, paneer, fortified plant milk, leafy greens.

Protein: 70-100g daily. Essential for baby’s growth. Sources: meat, poultry, fish, eggs, dal, rajma, chana, nuts, paneer.

DHA (Omega-3): 200-300mg daily. Critical for brain development. Sources: fatty fish like salmon, walnuts, chia seeds.

Vitamin D: 600 IU daily. Helps absorb calcium. Sources: sunlight, fortified milk, eggs, fatty fish.

Iodine: 220 mcg daily. Essential for brain development. Sources: iodized salt, dairy, eggs, seafood.

Meeting these requirements through a balanced pregnancy diet ensures optimal development for your baby.

Best Foods for Pregnancy

The best food for pregnant women includes nutrient-dense options:

Eggs: Protein, choline, vitamin D. Eat fully cooked.

Dairy: Milk, yogurt, paneer, cheese provide calcium and protein. Choose pasteurized products.

Legumes: Dal, chickpeas, rajma, moong offer protein, iron, folate, and fiber.

Whole Grains: Brown rice, quinoa, oats, jowar, bajra, ragi provide complex carbohydrates, fiber, and B vitamins.

Lean Meats: Chicken, turkey offer high-quality protein and iron.

Fish: Salmon, sardines provide protein and omega-3. Limit to 2-3 servings weekly, avoid high-mercury fish.

Nuts and Seeds: Almonds, walnuts, chia seeds offer healthy fats, protein, and minerals.

Sweet Potatoes: Rich in beta-carotene, fiber, and potassium.

Leafy Greens: Spinach, kale, methi provide folate, iron, and calcium.

Indian Foods: Dosa, idli, poha, khichdi, dal preparations, paneer dishes, vegetable curries.

Including these foods regularly ensures a well-rounded diet for pregnant women.

Fruits and Vegetables to Eat During Pregnancy

Fruits and vegetables should form a significant part of your pregnancy diet:

Best Fruits:

Oranges (vitamin C, folate), bananas (potassium, B6 for nausea), berries (antioxidants), apples (fiber), pomegranates (iron, folate), ripe papayas (vitamin C), dates (natural sugars, iron).

Best Vegetables:

Spinach, kale, methi (folate, iron, calcium), broccoli (folate, calcium, fiber), carrots (beta-carotene), sweet peppers (vitamin C), tomatoes (vitamin C, folate), bottle gourd, ridge gourd, beans, okra.

Wash all fruits and vegetables thoroughly. Choose a variety of colors to ensure diverse nutrient intake in your pregnancy diet plan.

Foods to Avoid During Pregnancy

Understanding foods to avoid is as important as knowing what to eat when pregnant:

Raw or Undercooked Foods: Raw eggs, undercooked meat, sushi, unpasteurized dairy can contain harmful bacteria.

High-Mercury Fish: Shark, swordfish, king mackerel. Limit tuna consumption.

Unpasteurized Products: Soft cheeses (feta, brie), unpasteurized milk and juices.

Raw Sprouts: Can harbor bacteria. Cook them thoroughly.

Unwashed Produce: Wash thoroughly to remove potential parasites.

Excess Caffeine: Limit to 200mg daily (one cup of coffee).

Alcohol: No amount is safe during pregnancy.

Processed Junk Food: Minimize chips, cookies, sodas.

Being cautious protects your baby while the diet during pregnancy provides everything needed for healthy development.

Pregnancy Diet Chart – Month by Month

Here’s a diet chart for pregnant lady with a sample daily meal plan:

Meal TimeFirst Trimester (Months 1-3)Second Trimester (Months 4-6)Third Trimester (Months 7-9)
Early Morning (7:00 AM)Soaked almonds (5-6) with warm waterSoaked almonds (6-8) with dates (2)Soaked almonds (6-8) with dates (3-4)
Breakfast (8:30 AM)2 moong dal chillas OR 2 idlis, sambhar, chutney OR oats upma with vegetables2 whole wheat parathas with paneer OR 3 idlis, sambhar, chutney OR poha with peanuts and vegetables2 vegetable parathas OR ragi dosa (2) with chutney OR vegetable daliya with sprouts
Mid-Morning (11:00 AM)1 banana with handful of walnuts OR fresh fruit juice OR coconut waterFresh fruit bowl with yogurt OR pomegranate juice OR mixed nuts (handful)Fruit smoothie with milk OR Greek yogurt with berries OR buttermilk with roasted jeera
Lunch (1:00 PM)2 small rotis OR 1 bowl rice, dal (1 bowl), vegetable curry, salad2 rotis OR 1 bowl brown rice, dal/chicken curry, 2 vegetables, curd, salad2 rotis OR 1 bowl rice, fish/chicken/paneer curry, dal, vegetables, raita, salad
Evening (4:00 PM)Sprouts salad OR toast with peanut butter OR fruit with cheeseMasala chaas OR vegetable sandwich OR roasted makhana OR boiled chanaVegetable soup OR besan chilla OR paneer tikka OR sattu drink
Dinner (7:00 PM)2 rotis, dal, light vegetable, salad2 rotis, dal khichdi OR chicken soup with rice, vegetablesVegetable khichdi with ghee OR 2 rotis, dal, vegetables, light raita
Before Bed (9:30 PM)Warm milk with turmericWarm milk with saffron OR badam milkWarm milk with turmeric and dates

Key Notes:

  • Calories: Normal intake in first trimester, add 300-350 extra in second and third trimesters
  • Drink 8-10 glasses of water daily
  • Include variety of colorful vegetables
  • Eat small, frequent meals in third trimester

Consulting with a nutritionist in Mumbai or your area can help personalize this pregnancy food plan based on your specific needs.

First Trimester Pregnancy Diet

The first trimester pregnancy diet focuses on managing morning sickness while ensuring adequate folic acid:

Managing Morning Sickness:

  • Eat small, frequent meals every 2-3 hours
  • Keep crackers or dry toast by your bedside
  • Sip ginger tea or lemon water
  • Stay hydrated with small sips

Essential First Trimester Foods:

Folate-rich foods (leafy greens, lentils, fortified cereals, oranges), easy-to-digest carbs (toast, crackers, rice, poha), protein sources (eggs, dal, nuts), hydrating foods (watermelon, cucumber, oranges), vitamin B6 foods (bananas, chickpeas, potatoes).

If you can’t keep anything down, contact the best doctor for pregnancy in India or your healthcare provider, as severe morning sickness needs medical treatment.

Protein & Weight Gain During Pregnancy

Protein Needs:

Aim for 70-100g daily. Include protein in every meal: eggs (6g per egg), dal (15g per cup), chicken (25g per 100g), fish, paneer, yogurt, nuts, legumes.

Healthy Weight Gain:

Expected weight gain depends on pre-pregnancy BMI:

  • Underweight: 28-40 pounds
  • Normal weight: 25-35 pounds
  • Overweight: 15-25 pounds
  • Obese: 11-20 pounds

Weight gain should be gradual. The pregnant lady diet should support appropriate weight gain. Consulting the best gynaecologists in Mumbai or your area ensures your weight gain stays on track.

Supplements & Fluids During Pregnancy

Even with a perfect pregnancy diet, supplements are usually necessary:

Essential Supplements:

Prenatal vitamins, folic acid (600-800 mcg daily), iron, calcium (if needed), vitamin D, DHA/omega-3 (if you don’t eat fish regularly).

Hydration:

Drink 8-10 glasses (2-3 liters) of water daily. Include water, coconut water, buttermilk, fresh juice, milk, and herbal teas in your pregnancy food plan.

Conclusion

A balanced pregnancy diet is one of the best gifts you can give your growing baby. The diet chart for pregnant lady we’ve outlined provides a framework, but remember that every pregnancy is unique. Listen to your body and work with your healthcare provider.

The key to a successful pregnancy diet plan is consistency, not perfection. Focus on eating a variety of nutritious food, staying hydrated, taking prescribed supplements, and avoiding harmful foods. Understanding what must a pregnant woman eat empowers you to nourish both yourself and your baby through these incredible nine months.

FAQs

What foods should be avoided in early pregnancy?

Avoid raw or undercooked eggs, meat, and fish; unpasteurized dairy and soft cheeses; unwashed fruits and vegetables; high-mercury fish; alcohol; and excessive caffeine. Also avoid raw sprouts and deli meats unless heated. These foods pose risks in the diet during pregnancy because your immune system is slightly suppressed.

Which fruits are best during pregnancy?

Best fruits for food for pregnant women include oranges (vitamin C and folate), bananas (potassium and B6 for nausea), berries (antioxidants and fiber), apples (fiber), pomegranates (iron and folate), and ripe papayas (vitamin C). Dates are excellent in late pregnancy. Avoid unripe papayas. Wash all fruits thoroughly.

How much protein does a pregnant woman need?

A pregnant woman needs 70-100g of protein daily, about 25g more than before pregnancy. Include protein sources in every meal of your pregnancy diet plan: eggs, dal, chicken, fish, paneer, yogurt, nuts, and legumes. Protein supports baby’s tissue development and maternal health.

Is milk safe during pregnancy?

Yes, pasteurized milk is safe and beneficial during pregnancy. Milk provides calcium, protein, and vitamin D – all are crucial. Aim for 3 servings of dairy daily. Choose pasteurized milk, avoid raw milk completely. If lactose intolerant, try lactose-free milk or fortified plant milk.

What is the best diet during the first trimester?

The best first trimester pregnancy diet focuses on folic acid-rich foods (leafy greens, lentils, fortified cereals), easily digestible carbs (toast, crackers, rice, poha) for nausea, small frequent meals, adequate hydration, and vitamin B6 foods (bananas, chickpeas) to reduce morning sickness. Take prenatal vitamins and eat what you can tolerate.

उन्हाळ्यात मूत्रमार्गामध्ये संसर्ग होण्यापासून स्वतःचा बचाव करा.

Tuesday, November 18th, 2025

डॉ वैशाली जोशी,
कन्सल्टन्ट, ओब्स्टेट्रीशियन आणि गायनॅकोलॉजिस्ट,
कोकिलाबेन धीरूभाई अंबानी हॉस्पिटल, मुंबई 

मूत्रमार्गामध्ये संसर्ग होणे ही सर्रास आढळून येणारी आणि अतिशय वेदनादायक समस्या आहे. हा त्रास कोणालाही होऊ शकतो, उन्हाळ्यात याचे प्रमाण खूप जास्त वाढते. उन्हाळ्यातील उष्ण व आर्द्र हवामानामुळे हा त्रास होण्याचा धोका वाढतो.

मूत्रमार्गामध्ये संसर्ग झाल्याची लक्षणे व यामागची कारणे 

मूत्रमार्गामध्ये जेव्हा जिवाणूंचा शिरकाव होतो आणि त्यांची अनेक पटींनी वाढ होते तेव्हा तिथे संसर्ग होतो. परत-परत लघवीला जावेसे वाटणे, लघवी करतेवेळी जळजळ होणे, थोडीथोडी लघवी होणे, लाल रंगाची, ढगाळ किंवा उग्र वासाची लघवी होणे, पोटाच्या खालच्या भागात, हिप बोनच्या मध्ये वेदना होणे ही मूत्रमार्गामध्ये संसर्ग झाल्याची लक्षणे आहेत. जर तुम्हाला यापैकी कोणतीही लक्षणे जाणवत असतील तर पुढील गुंतागुंत टाळण्यासाठी लवकरात लवकर मल्टी-डिसिप्लिनरी दृष्टिकोन व पूर्णकालीन डेडिकेटेड डॉक्टरकडे जाणे गरजेचे आहे. हा संसर्ग किडनीपर्यंत पोहोचला तर भरपूर ताप, थंडी वाजून येणे, मळमळणे, उलट्या होणे असे त्रास होऊ शकतात.

मूत्रमार्गातील संसर्ग कोणत्या वयोगटाला सर्वात जास्त प्रमाणात होतो?

मूत्रमार्गातील संसर्गाची समस्या पुरुषांपेक्षा स्त्रियांमध्ये जास्त प्रमाणात आढळून येते, याचे कारण म्हणजे महिलांची शरीररचनाच अशी असते की, जिवाणूंचा मूत्रमार्गात प्रवेश अगदी सहजपणे होऊ शकतो. लैंगिकदृष्ट्या सक्रिय असणे, काही प्रकारची गर्भनिरोधके, शरीराची रोगप्रतिकार क्षमता कमजोर असणे, मधुमेहासारखे आजार असणे यासारख्या काही बाबींमुळे धोका वाढू शकतो.

मूत्रमार्गातील संसर्ग सर्व वयोगटातील व्यक्तींना होऊ शकतो. वृद्ध आणि महिलांमध्ये ही समस्या सर्रास आढळून येते. रजोनिवृत्तीनंतर महिलांच्या एस्ट्रोजेन स्तरांमध्ये घट होऊन मूत्रमार्गामध्ये बदल होत असल्याने हा त्रास होण्याची शक्यता वाढते.

उन्हाळ्यामध्ये मूत्रमार्गातील संसर्ग होणे टाळण्यासाठी टिप्स 

  • भरपूर पाणी प्या:  शरीर हायड्रेटेड असेल तर मूत्रमार्गामधून जिवाणू बाहेर पडण्यास मदत होते व मूत्रमार्गात संसर्ग होणे टाळले जाते. दर दिवशी कमीत कमी ८ ते १० ग्लास पाणी प्या.  साखरयुक्त किंवा कॅफिन असलेली पेये घेणे टाळा, त्यामुळे मुत्राशयाला त्रास होऊ शकतो.
  • सैलसर कपडे वापरा: घट्ट कपड्यांमध्ये मॉइश्चर व उष्णता धरून ठेवली जाते, जिवाणूंच्या वाढीसाठी हे दोन्ही अनुकूल ठरतात. उष्ण व आर्द्र हवामानात सैलसर, हवा खेळती राहील असे कपडे वापरा, त्यामुळे संसर्ग टाळण्यात मदत होईल.
  • जेव्हा जेव्हा लघवीची भावना होईल तेव्हा प्रत्येकवेळी वॉशरूमला जा: लघवी खूप काळ रोखून धरल्यास मूत्रमार्गात जिवाणूंची संख्या अनेक पटींनी वाढू शकते. वारंवार, खासकरून संभोग किंवा व्यायाम केल्यानंतर लघवीला जा.
  • योग्य स्वच्छता राखा: लघवी केल्यानंतर पुढून पाठपर्यंत सर्व भाग स्वच्छ करा, असे केल्यास गुद्द्वारातील जिवाणू मूत्रमार्गात पसरणे टाळता येईल. संभोग करण्याच्या आधी आणि नंतर जननेंद्रिये स्वच्छ करा.  योनीमधील जिवाणूंचे नैसर्गिक संतुलन बिघडेल अशी कोणतीही स्वच्छता उत्पादने वापरणे टाळा.

मूत्रमार्गात संसर्ग होणे टाळण्यासाठी या सवयींचे पालन रोज करा:

  • आरोग्याला पोषक आहार घ्या: फळे, भाज्या, संपूर्ण धान्ये यांचा समावेश असलेला संतुलित आहार घेतल्यास शरीराची रोगप्रतिकार क्षमता वाढते, मूत्रमार्गात आरोग्यदायक जिवाणूंच्या वाढीस प्रोत्साहन मिळते आणि त्यामुळे मूत्रमार्गात संसर्ग होणे टाळता येऊ शकते. 
  • नियमितपणे व्यायाम करा: नियमितपणे व्यायाम केल्यास तुमच्या एकंदरीत आरोग्यात सुधारणा होऊ शकते तसेच रक्ताभिसरणामध्ये सुधारणा होऊन शरीराची रोगप्रतिकार क्षमता मजबूत होते . यामुळे मूत्रमार्गात संसर्ग होणे टाळता येते.
  • ताणतणावांचे व्यवस्थापन: ताणतणावांमुळे शरीराची रोगप्रतिकार क्षमता कमजोर होऊ शकते आणि संसर्ग होण्याची शक्यता वाढते. दीर्घ श्वसन, ध्यानधारणा, योगसाधना यासारख्या तंत्रांचा वापर करून ताणतणाव कमी करण्याचा प्रयत्न करा. 

धूम्रपान करू नका: धुम्रपानामुळे मूत्रमार्गाचे नुकसान होऊ शकते तसेच शरीराची रोगप्रतिकार क्षमता कमजोर होते.  त्यामुळे मूत्रमार्गात संसर्ग होण्याचा धोका वाढतो. 

Early Puberty in Girls: What Every Parent Needs to Know

Monday, July 21st, 2025

Are you a busy parent balancing your child’s academic performance, nutrition, and extracurricular activities? Have you recently noticed any changes in your daughter – physical and emotional health? Many parents are concerned about early puberty in their children and are seeking paediatric consultations. While the normal puberty age is between 8 to 13, statistics suggest that about 10 to 15% of girls get their periods at age 7 or younger, a phenomenon known as precocious puberty.  While puberty is a natural developmental phase, in cases when it starts early, especially before 8 years, it may lead to questions and emotional stress for both the child and parents.

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What is Early Puberty?

Early puberty, also known as precocious puberty, is when a child’s body begins showing the signs of puberty too soon – before age 8 in girls. It can involve changes such as pubic hair, breast development, rapid height increase, and sometimes the onset of menstruation. This may occur due to early hormonal changes that triggers this phase prematurely.

Common Causes and Risk Factors

Though the precise reason for precocious puberty is still not understood, evidence indicates that it begins when the hypothalamus of the brain tells the pituitary gland to begin releasing sex hormones prematurely.

Some causes and risk factors include:

  • Brain abnormalities: Tumors, cysts, or previous radiation treatment.
  • Genetic syndromes: Like McCune-Albright syndrome or congenital adrenal hyperplasia.
  • Obesity: Increased body fat can contribute to hormonal imbalances.
  • Hormone exposure: From outside sources such as creams with estrogen or testosterone.

Early Warning Signs

As a parent, paying attention to your daughter’s emotional and physical changes can go a long way. Some of the common early signs of puberty in girls are:

  • Development of breasts at an age younger than 8
  • Development of underarm or pubic hair
  • Apparent height growth suddenly
  • Menstruation
  • Mood swings and heightened emotional sensitivity
  • Adult body odour

If you observe any of these symptoms, it is essential that you talk to your pediatrician or endocrinologist for further advice.

Possible Health Complications

Without timely intervention, early puberty can lead to certain health and emotional challenges:

  • Shorter adult height
    Although initial growth is rapid, bones may mature faster, reducing final height potential.
  • Psychosocial stress
    The hormonal surges and psychosocial stress of looking different from peers may cause mood disorders, social anxiety, or eating disorders.
  • Breast Cancer risk
    Earlier and longer exposure to estrogen may increase the risk of girls with early menarche having a higher risk of breast cancer later in life.
  • Behavioural problems
    Such as anxiety, low self-esteem, and academic challenges.

Treatment Options

Treatment varies with the cause. In the majority of instances of central precocious puberty, the treatment of choice includes GnRH analogue therapy. These drugs stop the release of the hormones and delay the development of puberty until the right age. With this treatment comes counselling and therapy as well to assist the child in coping with the emotional changes more effectively. For expert care, consider consulting the best pediatricians in Mumbai at Kokilaben Dhirubhai Ambani Hospital.

How Can Parents Support Their Daughter?

Parents must support their child conscientiously during this phase with utmost sensitivity and care.  Here are some tips:

  • Use simple language to explain the changes.
  • Reassure your daughter that these changes are natural.
  • Avoid teasing or passing comments at home and give her space and privacy.
  • If your daughter is experiencing signs of anxiety or mood swings seek therapy.
  • Educate her on menstrual hygiene.
  • Promote a balanced diet, regular physical activity, and good sleep.

When Should You Consult a Doctor?

Consult your pediatrician or a pediatric endocrinologist if your daughter:

  • Shows any signs of puberty before 8
  • Displays rapid growth spurts
  • Experiences immense mood changes
  • Complains of breast pain or vaginal bleeding

The best paediatric hospitals in India offer multidisciplinary support, including pediatricians, endocrinologists, and child psychologists, to guide you through this phase with empathy and medical care.

Early Puberty Care at Kokilaben Dhirubhai Ambani Hospital

Premature puberty among girls is increasingly common in urban areas and may be linked to genetic, environmental, and lifestyle factors. Although the diagnosis may be distressing, early intervention and empathetic parenting can help. Consult specialists at our Centre for Paediatrics for prompt medical care and emotional guidance to help your daughter grow into a confident, healthy young adult. If you suspect early puberty or have questions, don’t hesitate to consult the best paediatricians in Mumbai at Kokilaben Dhirubhai Ambani Hospital for further assistance.

Lifestyle and Dietary Tips Every Woman Should Follow for Healthy Aging

Saturday, March 8th, 2025

Aging is a natural process that every woman experiences, but how you age largely depends on the lifestyle choices you make. While genetic factors play a role, your diet, physical activity, and overall lifestyle choices significantly impact your well-being in later years. Women often experience unique health challenges with age, including hormonal shifts, loss of bone density, and changes in metabolism. By adopting the right nutrition and exercise habits, women can maintain vitality, prevent chronic diseases, and improve overall quality of life.

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Healthy Aging in Women

It is not just about living longer but also about maintaining physical, mental, and emotional well-being. As women age, their bodies undergo significant changes, including muscle mass decline, bone density reduction, and joint stiffness. Without proper attention to nutrition and an active lifestyle, these changes can lead to osteoporosis, cardiovascular diseases, and mobility issues.

Importance of Nutrition for Older Women

Nutrient requirements change as a woman ages, and deficiencies can accelerate age-related decline. Here’s why proper nutrition is crucial:

  • Supports bone health
    Adequate intake of calcium and vitamin D helps prevent osteoporosis.
  • Maintains muscle mass
    Protein-rich foods support muscle strength and mobility.
  • Boosts immunity
    A diet rich in vitamins and antioxidants can help the body fight infections.
  • Enhances cognitive function
    Omega-3 fatty acids and other brain-boosting nutrients support mental clarity and memory.
  • Promotes heart health
    A balanced diet with healthy fats and fiber lowers the risk of cardiovascular diseases.

Nutrition Tips to Follow for Healthy Aging

  • Increase Protein Intake
    Women naturally lose muscle mass with age, but consuming enough protein can help slow this decline. Include lean meats, eggs, fish, dairy, legumes, and soy products in your diet.
  • Prioritize Bone-Strengthening Nutrients
    Vitamin D and calcium are essential for bone health. Dairy products, leafy greens, fortified cereals, and fish like salmon are excellent sources.
  • Incorporate Omega-3 Fatty Acids
    Found in fatty fish, walnuts, and flaxseeds, omega-3s reduce inflammation and support heart and brain health.
  • Stay Hydrated
    Dehydration becomes a bigger risk with age. Ensure adequate water intake and consume hydrating foods like cucumbers, melons, and oranges.
  • Add Antioxidant-Rich Foods
    Berries, nuts, dark chocolate, and green tea help combat oxidative stress and support skin and immune health.
  • Consume More Fiber
    Whole grains, fruits, and vegetables help regulate digestion and prevent cardiovascular issues.

If dietary intake is insufficient, discuss multivitamins, calcium, vitamin D, and omega-3 supplements with your family doctor.

How Does Aging affect a Woman’s Body?

Aging brings several physiological changes in women, including:

  • Loss of muscle mass
    Women lose 5-8% of muscle mass per decade after 30, leading to weakness and reduced mobility.
  • Joint pain and stiffness
    Cartilage loss can cause discomfort and increase the risk of arthritis.
  • Decreased bone density
    Estrogen declines during menopause, leading to osteoporosis risk.
  • Slower metabolism
    Weight gain is common due to metabolic slowdown and hormonal changes.
  • Changes in skin and hair
    Collagen loss leads to wrinkles and reduced skin elasticity.

Exercise Tips to Follow for Healthy Aging

Physical activity is one of the best ways to maintain health and prevent age-related conditions. Women should aim for a balanced workout routine that includes:

  • Strength training is recommended 2-3 times per week.
  • Cardiovascular exercises must be performed regularly.
  • Balance and flexibility workouts help improve overall mobility.
  • Low-Impact workouts like swimming and water aerobics are recommended.

Healthy Lifestyle Changes for Women to adapt for Healthy Aging

Apart from diet and exercise, making lifestyle modifications can significantly impact the aging process. These include:

  • Preventive care, such as mammograms, bone density tests, and lipid profile checks are advised.
  • Aim for 7-9 hours of sleep each night.
  • Practice meditation, deep breathing exercises, or mindfulness to manage stress effectively.
  • Engage in community activities, family gatherings, or hobbies to maintain emotional well-being.
  • Quit smoking and avoid alcohol intake.
  • Keep your mind sharp with reading, puzzles, or learning new skills.

Aging gracefully is about making conscious choices that prioritize physical, mental, and emotional health. A combination of a nutrient-rich diet, regular physical activity, proper health screenings, and a positive mindset can ensure women stay strong and independent in their later years.Follow these recommended lifestyle and dietary changes to enjoy a fulfilling, healthy life at every stage. If you have any medical concerns, reach out to specialists in the field of gynaecology, orthopaedics and endocrinology at Kokilaben Dhirubhai Ambani Hospital, Mumbai for expert care. Please find below our website link for more details: https://www.kokilabenhospital.com/departments/clinical.html

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