#depression anxiety clinic in janakpuri

[drashitabhtiwari]

The Best Psychiatry in Janakpuri: Transforming Lives Through Mental Health Care

In today's fast-paced world, mental health has become a significant concern for many individuals. With increasing awareness about the importance of mental well-being, the demand for effective psychiatric care has surged. Janakpuri, a bustling locality in Delhi, is home to some of the best mental health facilities, with Dr. Ashitabh Tiwari leading the way as a prominent figure in the field. His expertise and compassionate approach have transformed the lives of countless individuals grappling with mental health challenges.

Understanding the Need for Quality Psychiatry

Mental health disorders can affect anyone, regardless of age, gender, or socioeconomic background. Conditions such as depression, anxiety, bipolar disorder, and schizophrenia require expert intervention and care. The stigma associated with seeking psychiatric help often prevents individuals from pursuing treatment. However, with the right support and resources, recovery is possible.

In Janakpuri, residents are fortunate to have access to some of the best psychiatric services, focusing on comprehensive care tailored to each patient's unique needs. Dr. Ashitabh Tiwari’s practice stands out for its commitment to providing holistic mental health solutions.

Dr. Ashitabh Tiwari: A Beacon of Hope

Dr. Ashitabh Tiwari is recognized as one of the best neuro psychiatrists in Janakpuri. With years of experience and extensive training, he specializes in diagnosing and treating various mental health disorders. His approach combines medical expertise with empathetic patient care, ensuring that individuals feel understood and supported throughout their treatment journey.

Dr. Tiwari emphasizes the importance of building a strong doctor-patient relationship. He believes that open communication is key to effective treatment. By actively listening to his patients and understanding their concerns, he creates a safe space for individuals to share their experiences and feelings.

Comprehensive Services Offered

One of the primary services offered by Dr. Tiwari is the depression anxiety clinic in Janakpuri. This specialized clinic provides targeted interventions for individuals struggling with depression and anxiety disorders. These conditions are prevalent in today's society, often exacerbated by stress, lifestyle changes, and external pressures. The clinic offers a range of services, including:

Individual Therapy: Tailored sessions focusing on cognitive-behavioral therapy (CBT), mindfulness, and other therapeutic techniques to help patients manage their symptoms effectively.

Medication Management: For many, medication can play a crucial role in treatment. Dr. Tiwari carefully assesses each patient to determine the most appropriate medication and monitors their progress closely.

Family Counseling: Mental health issues often impact not just the individual but also their families. Dr. Tiwari provides family counseling sessions to educate loved ones and foster a supportive environment for recovery.

Psychoeducation: Understanding mental health is vital for both patients and their families. Dr. Tiwari offers educational resources to help patients comprehend their conditions and the available treatment options.

Support Groups: Group therapy can be immensely beneficial, allowing individuals to connect with others facing similar challenges. Dr. Tiwari facilitates support groups that provide a platform for sharing experiences and coping strategies.

Why Choose the Best Psychiatry in Janakpuri?

Choosing the right psychiatrist is crucial for effective treatment. Here are some reasons why Dr. Ashitabh Tiwari is the preferred choice for many residents of Janakpuri:

Expertise: With a deep understanding of various mental health disorders, Dr. Tiwari employs evidence-based practices to ensure the best outcomes for his patients.

Holistic Approach: He focuses not just on the symptoms but also on the underlying causes of mental health issues, promoting overall well-being.

Personalized Care: Every individual is unique, and Dr. Tiwari tailors treatment plans to meet the specific needs of each patient.

Community Engagement: Dr. Tiwari is actively involved in mental health awareness initiatives, helping to reduce stigma and educate the community about the importance of mental well-being.

Testimonials from Patients

Many patients have shared their transformative experiences under Dr. Tiwari's care. One patient, who had struggled with severe depression for years, remarked, “Dr. Tiwari changed my life. His understanding and approach made me feel safe and supported. I finally found hope.”

Another patient expressed gratitude for the support group sessions, stating, “Connecting with others who understand my struggles has been incredibly healing. I no longer feel alone in my journey.”

Conclusion

Mental health is an essential aspect of overall well-being, and the need for quality psychiatric care has never been more pressing. In Janakpuri, Dr. Ashitabh Tiwari stands out as a leading figure in the field, providing comprehensive and compassionate mental health services. Whether you're seeking help for anxiety, depression, or any other mental health issue, you can trust that you’ll receive the best care possible. With his guidance, many individuals have embarked on a journey of healing and transformation, proving that with the right support, recovery is attainable.

If you or someone you know is struggling with mental health issues, consider reaching out to Dr. Tiwari and experience the benefits of the best psychiatry in Janakpuri. Your path to recovery starts here.

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Dr. Kala Sengupta is a Consultant Psychologist in Tilak Nagar. She is currently practicing at multiple locations i.e. A Beautiful Mind Clinic in Janakpuri and Shishu Sadan Multi Speciality Children's Hospital in Tilak Nagar, West Delhi.

Dr. Kala Sengupta has more than 35 years of experience. She is a qualified Psychologist in Tilak Nagar.

As a Psychotherapist & Psychologist, her area of expertise includes Autism, Psychotherapy, Anxiety, Behavior, Depression, Counselling, Pharmacotherapy, IQ Assessment, Family Therapy, Substance Abuse, Psycho Therapies, Psych Diagnostic, Eating Disorders, Family Counseling, Personality Profile, Child & Adolescent, Behavior Therapies, Sensory Integration, Learning Disabilities, Child Psycho Therapies, Individual Counseling, Child & Adolescent Problems, Family Adjustment Problems, Autistic Spectrum Disorder, Cognitive Behavior Therapy, Overactive & Attention Problems and Oppositional Defiant Disorder (ODD). Patients from Janakpuri, Tilak Nagar and entire West Delhi come to Dr. Kala Sengupta with lots of hopes and the doctor ensures that the patients are satisfied with the treatments, with her experience and fully equipped clinic.

[kidneyhospital]

Treatment of chronic testicular pain

Treatment of chronic testicular pain

As a best urologist in Palam, West Delhi, I have decided to write this post after having treated in my practice, in recent weeks, several patients who had this problem and had long been going around trying to solve without success. In general, the patients I see in the kidney hospital in Palam, West Delhi have been evaluated by a multitude of specialists, they have undergone all kinds of tests, they have undergone multiple treatments ... without solving chronic pain.

The first thing we should do with a patient who is consulting for chronic testicular pain is a good clinical history in which we value:

Analysis     of pain and its circumstances: from when you have     it; possible causes (previous surgeries in the linguino-scrotal,     abdominal or retroperitoneal area, traumatisms, infections or inflammations     in these areas, etc.); characteristics and intensity of     pain; irradiation thereof; triggering factors (when sitting,     when urinating, when having an erection, when making a bowel movement,     when the testicle is palpated, etc.); associated symptomatology     (urinary frequency, urgency, nocturia, rectal or urinary     tenesmus); etc.

Physical     examination:  of the testicle, epididymis, deferent,     spermatic cord, inguinal canal (hernias), abdomen, fist, renal percussion,     etc.

Essential     tests:  fractionated urine and semen culture, testicular     eco-Doppler, abdominal and urological ultrasound. In some cases, it     may be useful to perform Magnetic Nuclear Resonance of the pelvis.

With respect to treatment, our approach is as follows:

First, treatment     of any process that could have caused the pain: torsion of testicular     appendix, varicocele, epididymitis, orchitis, inguinal hernia, testicular tumour,     tension hydrocele, etc. One should not lose sight of the so-called     referred pain, that is, when the pain is caused by problems in other     abdominal viscera but the patient locates it in the testicle (for example,     kidney or ureter stones, appendicitis, etc.).

Second, use     of analgesics. We use Paracetamol, Tramadol or the combination of     both, depending on the intensity of the pain. In some cases, it is     necessary to resort to specific treatments for what we call neuropathic pain     (pain caused by disease or direct problem of the somatosensory nervous     system). Among these neuropathic pain treatments, we have:     carbamazepine, gabapentin, pregabalin, tricyclic antidepressants, etc.

In     many patients, especially if the pain is of moderate or severe intensity,     very constant, long evolution, etc. it is advisable to resort     to psychological or psychiatric support to avoid anxiety,     depression, stress, etc. associated with this situation.

If the     pain does not remit with medication, we can resort to infiltration of the     spermatic cord with anaesthetics and corticosteroids; radiofrequency; etc.

But in a high percentage of cases (possibly in more than 50% of patients) none of the above solves the problem. In these patients the only solution is surgery of denervation of the testicle. This is a technique that consists in sectioning all the nervous branches that collect the sensitivity of the testicle, thus avoiding the transmission of the painful sensation to the central nervous system. As a preliminary step, we should perform a cord block with local anaesthetics to confirm the possible efficacy of the subsequent surgical intervention. If the aesthetic block is effective, we will have a guarantee that the surgery will solve the pain. The surgical procedure must be performed by the best urologist in Janakpuri, West Delhi with the help of a surgical microscope that allows us to identify the arteries (testicular and deference); the veins; the lymphatics and the vas deferens, which will be the only structures that will be respected.

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Dr. Manika Khanna Gaudium | Gaudium IVF Greater Kailash | Elawoman

Dr. Manika Khanna Gaudium Trained at Melbourne IVF, Australia & the University of Kiel, Germany, she founded Gaudium IVF & Gynae Solutions Centre to fulfill her long standing dream of bringing international standards of fertility care to India. The unprecedented success of the first Gaudium IVF Greater Kailash in Delhi paved the way for Gaudium to evolve into the best IVF clinic chain in India.

Hailed as the youngest consistent achiever in infertility and IVF care, Dr. Manika has over 10,000 successful IVF treatments to her credit with healthy Gaudium babies growing in over 30 countries.

Born and raised in Delhi in a family of freedom fighters and doctors, Dr. Manika is a Gold Medallist from Baroda Medical College, Gujarat. After completing her MBBS in 1996, followed by MD (Obstetrics & Gynaecology) in 1999, she completed her Diploma Training in Advanced Gynaecological Endoscopic Surgery (D.A.G.E.) at the Department of Obstetrics and Gynaecology, University Hospital Schleswig-Holstein, Campus Kiel, Germany. This was followed by an advanced training course in Assisted Reproduction in Humans (IVF) from Melbourne IVF, Australia.

Before founding Gaudium IVF & Gynae Solutions Centre in 2009, Dr. Manika served as Consultant Physician at Deen Dayal Upadhyay Hospital, New Delhi and later as Senior Consultant and Head of Department, Gynaecology and Obstetrics at Sri Balaji Action Medical Institute, New Delhi for several years.

An acclaimed infertility expert with over 17 years of clinical experience, Dr. Manika has done pioneering work in the field of IVF and gynaecology-related medical conditions. She is particularly experienced in treating serious infertility conditions such as recurrent IVF failure, recurrent miscarriage, polycystic ovarian syndrome (PCOS), endometriosis and uterine fibroids. Besides heading a team of top fertility experts at Gaudium IVF & Gynae Solutions Centres, she is on the expert panel of infertility units of various renowned hospitals.

In 2014, she created history in IVF treatment in India by successfully treating a patient with 15 previously failed IVF cycles. The patient gave birth to a healthy baby boy at Gaudium IVF and Gynae Solutions Janakpuri after an agonising 17 years of immense physical, emotional and financial strain.

Founded the Gaudium Foundation to provide free and subsidised treatment to economically weak patients.

In 2015, initiated Naari Jeevan Strot, a unique women & child health campaign by Gaudium Foundation that has connected the largest network of cities and districts in 5 major North Indian states of Delhi-NCR, Haryana, Chandigarh, Punjab and Himachal Pradesh. The initiative, which provides health education and free and subsidised medical relief to the less privileged through health camps and nukkad natak (street plays), has touched the lives of nearly 10 million women and was recognised as the best philanthropy project of the year 2014-2015 by Healthcare Leaders’ Forum & Awards 2015.

Established the Poor Patient Fund (PPF) at Gaudium IVF — a unique and innovative way for well- to-do families to donate for the treatment of underprivileged fertility patients. The initiative, which has received tremendous support from our dear patrons, provides for the treatment of 3 to 4 patients each month and has so far supported over 120 disadvantaged couples.

Active member of the Ekta Mission, a Delhi-based organisation working to provide elementary health services for underprivileged women and children.

Working proactively for the cause of the Girl Child – felicitated by the Lions Club for raising awareness against female infanticide.

Active ongoing participation in raising AIDS awareness through strategy-formulation summits, lectures and seminars.

Awarded by the Ekta Mission for outstanding contribution to the field of medicine.

An ethical, compassionate and committed medical professional, Dr. Manika is revered in the medical community for her exemplary contributions to infertility treatment in India.

With a vision to provide the best of advanced fertility care, Dr. Manika established Gaudium IVF, she has emerged as the Global Icon in IVF by delivering the highest success rate and over 10,000 IVF babies all over the world and again by treating the most complicated and challenging infertility conditions.

She has been consistently recognised and honoured with several awards such as “Asia’s greatest Health leader”, “Mahila Achiever Award” and the prestigious “Delhi Ratan”.

Dr. Manika has been credited with some of the highest IVF success rates and unequalled success in cases of recurrent IVF failure, male factor infertility, endometriosis and high-risk pregnancies.

There could not have been a better name for an institution, Gaudium, Delhi IVF Clinics that has brought a lifetime of joy to thousands of families across the world.

Gaudium, Latin for joy, has ushered a new era of affordable and effective IVF clinic in Delhi, India, emerging as the preferred destination for patients seeking fertility care they can trust. A leading Government-approved IVF centre with 9 state-of-the-art centres across North India, Gaudium IVF centre combines advanced reproductive technology with world-class clinical expertise to bring you customised fertility solutions that work. Each patient who walks into a Gaudium facility is treated with utmost compassion and respect and receives personalised attention from a dedicated team of experts.

Today there are over 10,000 Gaudium babies all over the world — a resounding affirmation of unparalleled success of Gaudium IVF centre which has brought us numerous awards and honours along and unprecedented global acclaim.

At Gaudium IVF Centre, we treat your dream as our own and work tirelessly to help you have a healthy baby to take home. We provide the best surrogacy services and IVF treatment to infertile people at our IVF clinic. We are determined to offer our patients the best IVF treatment at affordable cost.

One of the main gynecologists of the city, Dr. Manika Khanna (Gaudium Ivf And Gynae Solutions) in Janak Puri has built up the facility and has picked up a devoted customer base in the course of recent years and is additionally as often as possible went to by a few VIPs, trying models and other decent customers and global patients too. They likewise anticipate growing their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The proficiency, devotion, exactness and empathy offered at the center guarantee that the patient's prosperity, solace and needs are kept of best need.

Dr. Manika Khanna (Gaudium Ivf And Gynae Solutions) in Delhi treats the different diseases of the patients by helping them experience top notch medicines and methodology. Among the various administrations offered here, the center gives medications to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears - Pre-Invasive Cervical/Vaginal Disease and Vulva Conditions.

An Infertility Evaluation is usually initiated after one year of regular unprotected intercourse in women under age 35 years and after six months of unprotected intercourse in women age 35 years and older. However, the evaluation may be initiated sooner in women with irregular menstrual cycles or known risk factors for infertility, such as endometriosis, a history of pelvic inflammatory disease, or reproductive tract malformations.

The basic evaluation can be performed by an interested and experienced primary care physician or an obstetrician-gynecologist. The primary care physician generally should refer the patient to a specialist for treatment of infertility. Many gynecologists initiate treatment prior to referral to a reproductive endocrinologist. This decision depends upon the results of infertility tests and clinician experience.

Multiple tests have been proposed for evaluation of female infertility. Some of these tests are supported by good evidence, while others are not. This topic will provide an evidence-based approach to the evaluation of female infertility. The etiology and treatment of female infertility, as well as the etiology, evaluation, and treatment of male infertility, are discussed separately.

INITIAL APPROACH — Both partners of an infertile couple should be evaluated for factors that could be impairing fertility. The infertility specialist then uses this information to counsel the couple about the possible etiologies of their infertility and to offer a treatment plan targeted to their specific needs.

It is important to remember that the couple may have multiple factors contributing to their infertility; therefore, a complete initial diagnostic evaluation should be performed to detect the most common causes of infertility, if present. When applicable, evaluation of both partners is performed concurrently [1].

The recognition, evaluation, and treatment of infertility are stressful for most couples [2]. The clinician should not ignore the couple's emotional state, which may include depression, anger, anxiety, and marital discord. Information should be supportive and informative. (See "Psychological stress and infertility".)

History and physical examination — Findings on history and physical examination may suggest the cause of infertility and thus help focus the diagnostic evaluation. Components of the infertility history are listed in the table (table 1).

History — The most important points in the history are:

●Duration of infertility and results of previous evaluation and therapy.

●Menstrual history (cycle length and characteristics), which helps in determining ovulatory status. For example, regular monthly cycles with molimina (breast tenderness, ovulatory pain, bloating) suggest the patient is ovulatory and characteristics such as severe dysmenorrhea suggest endometriosis.

●Medical, surgical, and gynecological history (including sexually transmitted infections, pelvic inflammatory disease, and treatment of abnormal Pap smears) to look for conditions, procedures, or medications potentially associated with infertility. At a minimum, the review of systems should determine whether the patient has symptoms of thyroid disease, galactorrhea, hirsutism, pelvic or abdominal pain, dysmenorrhea, or dyspareunia. Young women who have undergone unilateral oophorectomy generally do not have reduced fertility since young women have many primordial follicles per ovary; however, prior unilateral oophorectomy may impact fertility in older women as they may develop diminished ovarian reserve sooner than women with two ovaries [3].

●Obstetrical history to assess for events potentially associated with subsequent infertility or adverse outcome in a future pregnancy.

●Sexual history, including sexual dysfunction and frequency of coitus. Infrequent or ineffective coitus can be an explanation for infertility.

●Family history, including family members with infertility, birth defects, genetic mutations, or mental retardation. Women with fragile X premutation may develop premature ovarian failure, while males may have learning problems, developmental delay, or autistic features.

●Personal and lifestyle history including age, occupation, exercise, stress, dieting/changes in weight, smoking, and alcohol use, all of which can affect fertility.

Physical examination — The physical examination should assess for signs of potential causes of infertility. The patient's body mass index (BMI) should be calculated and fat distribution noted, as extremes of BMI are associated with reduced fertility and abdominal obesity is associated with insulin resistance.

In the setting of primary amenorrhea, incomplete development of secondary sexual characteristics is a sign of hypogonadotropic hypogonadism. A body habitus that is short and stocky, with a squarely shaped chest, suggests Turner syndrome in patients with absent periods.

Abnormalities of the thyroid gland, galactorrhea, or signs of androgen excess (hirsutism, acne, male pattern baldness, virilization) suggest the presence of an endocrinopathy (eg, hyper- or hypothyroidism, hyperprolactinemia, polycystic ovary syndrome, adrenal disorder).

Tenderness or masses in the adnexae or posterior cul-de-sac (pouch of Douglas) are consistent with chronic pelvic inflammatory disease or endometriosis. Palpable tender nodules in the posterior cul-de-sac, uterosacral ligaments, or rectovaginal septum are additional signs of endometriosis.

Vaginal/cervical structural abnormalities or discharge suggest the presence of a müllerian anomaly, infection, or cervical factor.

It is difficult to predict the likelihood of pregnancy based upon the results of semen analysis alone, as there is extensive overlap between the semen parameters of fertile and infertile men. If the semen analysis is abnormal, the clinician should review details of specimen collection and transport with the patient, repeat the test due to the marked inherent variability of semen analyses, and consider referral to a urologist or other specialist in male reproduction.

The techniques for semen analysis and interpretation of results are discussed in detail separately. (See "Approach to the male with infertility", section on 'Semen analysis'.)

Assessment of ovulatory function — Assessment of ovulatory function is a key component of the evaluation of the female partner since ovulatory dysfunction is a common cause of infertility. The treatment of women with ovulatory dysfunction is aimed at improving or inducing ovulatory function; a variety of treatment strategies is available. (See "Treatments for female infertility".)

Women who have regular menses approximately every 28 days with molimina symptoms prior to menses (breast tenderness, bloating, fatigue, etc.) are most likely ovulatory. In women who do not describe their cycles as such, laboratory assessment of ovulation should be performed. Ovulation is most easily documented by a mid-luteal phase serum progesterone level, which should be obtained approximately one week before the expected menses. For a typical 28-day cycle, the test would be obtained on day 21. A progesterone level >3 ng/mL is evidence of recent ovulation .

An alternative is to have the patient use an over-the-counter urinary ovulation prediction kit. These kits detect luteinizing hormone (LH) and are highly effective for predicting the timing of the LH surge that reliably indicates ovulation. Home kits have a 5 to 10 percent false positive and false negative rate. Therefore, serum confirmation can be useful in patients who are unable to detect a urinary LH surge.

Other methods of determining ovulation, such as daily ultrasounds to follow the development and ultimately the disappearance of a follicle (the most accurate method of documenting ovulation  and endometrial biopsy to document secretory changes in the endometrium are too expensive or invasive for routine diagnostic assessment of ovulation.

If the mid-luteal progesterone concentration is <3 ng/mL, the patient is evaluated for causes of anovulation. The minimal work-up includes serum prolactin, thyroid-stimulating hormone (TSH), FSH, and assessment for polycystic ovary syndrome (PCOS). The etiology and diagnostic evaluation of anovulation are reviewed separately. (See "Evaluation and management of secondary amenorrhea".)

Assessment of ovarian reserve — Diminished ovarian reserve can refer to diminished oocyte quality, oocyte quantity, or reproductive potential [7]. The identification of diminished ovarian reserve is an increasingly important component of the initial infertility evaluation as patients are presenting for diagnostic evaluation later in their reproductive lifespan. Guidelines for testing from national organizations are available [7,8]. However, there is no ideal test for assessing ovarian reserve. A number of screening tests are utilized, but no single test is highly reliable for predicting pregnancy potential. Therefore, coordination of tests provides the best assessment.

We test ovarian reserve with an anti-müllerian hormone (AMH) level and a day 3 follicle-stimulating hormone (FSH) and estradiol levels. Other tests such as the clomiphene citrate challenge test (CCCT) and antral follicle count are utilized by some specialists and in special circumstances. These tests have good specificity for predicting a poor response in in vitro fertilization (IVF) cycles, but have more limited value for predicting IVF outcome.

Day 3 FSH and CCCT — Both the day 3 FSH level (where day 1 is the first day of full menstrual flow) and the CCCT, which is a provocative test for measurement of FSH, are widely used for screening ovarian reserve. The CCCT involves oral administration of 100 mg clomiphene citrate on cycle days 5 through 9 with measurement of day 3 and day 10 FSH levels and day 3 estradiol level.

The premise of these tests is that women with good ovarian reserve have sufficient production of ovarian hormones from small follicles early in the menstrual cycle to maintain FSH at a low level. In contrast, women with a reduced pool of follicles and oocytes have insufficient production of ovarian hormones to provide normal inhibition of pituitary secretion of FSH, so FSH rises early in the cycle [9].

Meta-analyses of nonrandomized studies concluded that basal cycle day 3 FSH and the CCCT perform similarly for predicting ability to achieve a clinical pregnancy in women undergoing infertility treatment [10,11]. With either test, a normal result is not useful in predicting fertility, but a highly abnormal result (we use FSH >20 mIU/mL) suggests that pregnancy is unlikely with treatment involving the woman's own oocytes, particularly in women of more advanced reproductive age.

Based on these findings and the cost advantage and simplicity of the day 3 FSH, we obtain a day 3 FSH concentration and consider a value less than 10 mIU/mL suggestive of adequate ovarian reserve, and levels of 10 to 15 mIU/ml borderline. The upper threshold for a normal FSH concentration is laboratory dependent; cutoff values of 10 to 25 mIU/mL have been reported because of use of different FSH assay reference standards and assay methodologies.

We also check a cycle day 3 estradiol level, although there are conflicting data as to whether it is predictive of ovarian reserve and the response to ovarian stimulation (as in IVF) [12,13]. We consider a value <80 pg/mL suggestive of adequate ovarian reserve, but other cut-offs are also utilized. In one prospective study of women undergoing IVF, day 3 estradiol levels >80 pg/mL resulted in higher cycle cancellation rates and lower pregnancy rates, and estradiol levels >100 pg/mL were associated with a 0 percent pregnancy rate [14].

Elevated basal estradiol levels are due to advanced premature follicle recruitment that occurs in women with poor ovarian reserve. High estradiol levels can inhibit pituitary FSH production and thus mask one of the signs of decreased ovarian reserve in perimenopausal women. Thus, measurement of both FSH and estradiol levels helps to avoid false-negative FSH testing.

Dr. Manika Khanna Gaudium, MBBS, MD, D.A.G.E (Germany) is an award-winning Infertility Specialist and Laparoscopic Surgeon who has been facilitated with numerous honours and awards for her exemplary achievements in the field of Assisted Reproduction. She is the Best Gynecologists in Delhi.

If CCCT is performed, we consider FSH less than 10 milli-international units/mL on both day 3 and day 10 suggestive of adequate ovarian reserve; a borderline FSH of 10 to 15 milli-international units/mL and an elevated FSH level on either day 3 or day 10 suggests decreased ovarian reserve. Estradiol can be measured on day 3, but a cycle day 10 estradiol is not part of the standard CCCT as it reflects the magnitude of the ovarian follicular response to clomiphene 100 mg daily for five days, not ovarian reserve.

If the day 3 FSH or CCCT is abnormal, the patient should be referred to a reproductive endocrinologist to discuss further diagnostic and treatment options. These options depend on the results of other diagnostic tests, the patient’s age [15], and other factors and may include aggressive ovulation induction, IVF, or use of donor oocytes. However, patients with markedly diminished ovarian reserve rarely conceive without the use of donor eggs.

Anti-müllerian hormone (AMH) — Anti-müllerian hormone (AMH) is a member of the TGF-beta family and is expressed by the small (<8 mm) preantral and early antral follicles. The AMH level reflects the size of the primordial follicle pool, and may be the best biochemical marker of ovarian function across an array of clinical situations [16]. In adult women, AMH levels gradually decline as the primordial follicle pool declines with age [17]; AMH is undetectable at menopause [18].

●AMH <0.5 ng/mL predicts reduced ovarian reserve with less than three follicles in an IVF cycle

Assessment of fallopian tube patency — We perform HSG as the first-line test for evaluation of tubal patency because of therapeutic, as well as diagnostic, benefits [38]. HyCoSy is a reasonable alternative; the choice of test is determined by availability.

When the diagnosis is in doubt, more invasive tests can be used to confirm the diagnosis and provide an opportunity for concurrent therapeutic intervention. These tests include laparoscopy with chromotubation and fluoroscopic/hysteroscopic selective tubal cannulation.

Hysterosalpingogram — HSG is the standard of care to look for tubal occlusion in all patients, unless laparoscopy is planned [39,40]. In HSG, water or lipid soluble contrast media is used. HyCoSy is a reasonable alternative. HSG also provides information about the uterine cavity. Women with abnormalities on HSG should be referred to a reproductive endocrinologist to discuss treatment options. (See "Hysterosalpingography".)

HSG is not useful for detecting peritubal adhesions or endometriosis [39]. We perform diagnostic laparoscopy and chromotubation in women suspected of having endometriosis or pelvic adhesions related to a previous pelvic infection or surgery. Ablation of implants and lysis of adhesions, when indicated, can be performed at the same procedure (see 'Role of laparoscopy' below).

A meta-analysis of 20 studies involving 4179 patients compared HSG and laparoscopy with chromotubation (the gold standard); the calculated sensitivity and specificity for diagnosis of tubal patency were only 65 and 83 percent, respectively [39]. However, when subgroups of women undergoing HSG were analyzed, HSG appeared to have very high specificity and sensitivity for diagnosing distal tubal occlusion or major distal tubal adhesions, but much lower specificity for diagnosing proximal tubal occlusion.

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Elevating Mental Health: Dr. Ashitabh Tiwari - The Beacon of Psychiatry in Janakpuri

In the bustling heart of Janakpuri, amid the fast-paced rhythm of urban life, there shines a beacon of hope and healing for those grappling with mental health challenges. Dr. Ashitabh Tiwari, a prominent name in the field of psychiatry, has established himself as a cornerstone of mental wellness in this vibrant locality. Let's delve into the exceptional services offered by Dr. Tiwari and why he stands out as one of the best psychiatrists in Janakpuri.

Compassionate Care and Expertise:

Dr. Ashitabh Tiwari brings a unique blend of compassion and expertise to his practice, making him a trusted ally for patients seeking mental health support. With years of experience and a deep understanding of psychiatric disorders, he offers comprehensive assessments and personalized treatment plans tailored to each individual's needs.

Holistic Approach to Mental Well-being:

One of Dr. Tiwari's defining qualities is his holistic approach to mental health care. He emphasizes the interconnectedness of mind, body, and spirit, incorporating a range of therapeutic modalities such as psychotherapy, medication management, lifestyle interventions, and mindfulness practices. This holistic perspective ensures that patients receive well-rounded and effective treatment.

Specialization in Diverse Mental Health Disorders:

Dr. Ashitabh Tiwari's expertise spans across a wide spectrum of mental health disorders, including but not limited to:

Depression and Anxiety: He provides compassionate support and evidence-based therapies for individuals struggling with depression, anxiety disorders, panic attacks, and related conditions. Bipolar Disorder: Dr. Tiwari offers comprehensive management strategies for bipolar disorder, focusing on mood stabilization, psychoeducation, and relapse prevention. Psychotic Disorders: With a nuanced understanding of psychotic disorders such as schizophrenia, he provides integrated treatment plans combining medication, therapy, and social support. Trauma and PTSD: Dr. Tiwari specializes in trauma-informed care, helping individuals navigate past traumas, PTSD symptoms, and associated challenges with empathy and skill. Community Engagement and Advocacy:

Beyond his clinical practice, Dr. Ashitabh Tiwari is actively engaged in community outreach and mental health advocacy efforts. He conducts awareness campaigns, workshops, and seminars to educate the public about mental health issues, reduce stigma, and promote early intervention and support.

Patient-Centered Care and Empowerment:

What sets Dr. Tiwari apart is his unwavering commitment to patient-centered care. He prioritizes open communication, active listening, and collaborative decision-making, empowering patients to play an active role in their healing journey. This approach fosters trust, resilience, and long-term well-being among his clients.

Conclusion:

In Janakpuri, Dr. Ashitabh Tiwari shines as a beacon of hope and healing, offering compassionate care, expertise, and a holistic approach to mental wellness. His dedication to serving the community, coupled with his commitment to patient empowerment, makes him a standout figure in the field of psychiatry. For those seeking top-notch Best Psychiatry in Janakpuri Dr. Tiwari's practice stands as a testament to excellence and compassionate care.

[drashitabhtiwari]

Best Psychiatry in Janakpuri Delhi for Anxiety Treatment

Are you looking for the best psychiatrist in Janakpuri Delhi for Anxiety Treatment? Look no further! With an experienced team of board-certified psychiatrists and experienced clinicians, we are here to provide you with exceptional mental health services. We understand the unique needs of each individual and strive to provide evidence-based treatments that are tailored to your specific needs. Our goal is to help you take control of your mental health and regain balance in your life.

Where Can You Find the Best Psychiatrist in Dwarka, Best Anxiety Doctor?

Mental health is just as important as physical health, and it’s crucial to find the right psychiatrist to help you manage any mental health concerns. If you’re living in Dwarka, India, and looking for the best psychiatrist in the area, you have come to the right place. In this blog post, we will discuss where you can find the best psychiatrist in Dwarka, as well as the best anxiety doctor in the area.

Max Smart Super Speciality Hospital: Max Smart Super Speciality Hospital is one of the best hospitals in Dwarka, with a team of highly qualified psychiatrists and mental health professionals. The hospital offers a wide range of mental health services, including assessment, diagnosis, treatment, and counseling. They also have specialized programs for children and adolescents, and they offer services in both English and Hindi.

Venkateshwar Hospital: Venkateshwar Hospital is another top hospital in Dwarka, with a dedicated mental health unit. The hospital has a team of experienced psychiatrists, psychologists, and counselors who provide comprehensive mental health care services. They offer a range of treatments for various mental health conditions, including anxiety disorders, depression, and bipolar disorder.

Bensups Hospital: Bensups Hospital is a multi-specialty hospital in Dwarka that has a team of highly experienced psychiatrists who provide comprehensive mental health care services. The hospital has a well-equipped mental health unit that offers diagnosis, treatment, and counseling services for various mental health conditions. They also provide specialized care for children and adolescents.

Aastha Medical Centre: Aastha Medical Centre is a well-known medical center in Dwarka that offers a range of medical services, including mental health care. The center has a team of experienced psychiatrists and mental health professionals who provide personalized care to patients. They offer a range of treatments for various mental health conditions, including anxiety disorders, depression, and schizophrenia.

Dr. Ashitabh Tiwari’s Psychiatry Clinic: Dr. Ashitabh Tiwari’s Psychiatry Clinic is a well-known mental health clinic in Dwarka that offers personalized care to patients with various mental health conditions. Dr. Ashitabh Tiwari is a highly experienced psychiatrist who has been practicing for over 20 years. He specializes in the treatment of anxiety disorders, depression, and bipolar disorder.

In conclusion, if you’re looking for the best psychiatrist in Dwarka or the best anxiety doctor in the area, you have plenty of options to choose from. It’s important to do your research and find a mental health professional who can provide personalized care and treatment for your specific needs. Consider factors such as the doctor's experience, qualifications, and patient reviews before making a decision. Don’t hesitate to seek help if you’re struggling with a mental health condition. Remember, mental health is just as important as physical health, and seeking help is a sign of strength.

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Dr. Kala Sengupta is a Consultant Psychologist in Tilak Nagar. She is currently practicing at multiple locations i.e. A Beautiful Mind Clinic in Janakpuri and Shishu Sadan Multi Speciality Children's Hospital in Tilak Nagar, West Delhi.

Dr. Kala Sengupta has more than 35 years of experience. She is a qualified Psychologist in Tilak Nagar.

As a Psychotherapist & Psychologist, her area of expertise includes Autism, Psychotherapy, Anxiety, Behavior, Depression, Counselling, Pharmacotherapy, IQ Assessment, Family Therapy, Substance Abuse, Psycho Therapies, Psych Diagnostic, Eating Disorders, Family Counseling, Personality Profile, Child & Adolescent, Behavior Therapies, Sensory Integration, Learning Disabilities, Child Psycho Therapies, Individual Counseling, Child & Adolescent Problems, Family Adjustment Problems, Autistic Spectrum Disorder, Cognitive Behavior Therapy, Overactive & Attention Problems and Oppositional Defiant Disorder (ODD). Patients from Janakpuri, Tilak Nagar and entire West Delhi come to Dr. Kala Sengupta with lots of hopes and the doctor ensures that the patients are satisfied with the treatments, with her experience and fully equipped clinic.

Dr. Kala Sengupta has completed his MBBS from Stanley Medical College, Chennai in 1996 and DNB from Institute of Human Behavior and Allied Sciences, Delhi in 2004 to be Psychotherapist & Psychologist.