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Dr. Astha Dayal

Dr. Astha Dayal

MBBS, MD, MRCOG (UK), Fellowship in Laparoscopic Surgery, Fellowship in Infertility
CK Birla Hospital

OPD TIMINGS

  • Monday09:00 am - 03:00 pm
  • Tuesday09:00 am - 03:00 pm
  • Wednesday09:00 am - 03:00 pm
  • Thursday09:00 am - 03:00 pm
  • Friday09:00 am - 03:00 pm
  • Saturday09:00 am - 05:00 pm

Dr Astha Dayal is a leading obstetrician and gynaecologist with a rich clinical experience of more than 16 years. She is a renowned expert and fellowship-trained laparoscopic surgeon with an experience of more than 70,000 surgeries and deliveries. She is also extensively trained in Water birthing and has the unique distinction of having administered the first waterbirth in Gurgaon. She keenly advocates for preventive wellness for women. Dr Astha has more than 16 years of experience at hospitals of repute including Lok Nayak Hospital, Maulana Azad Medical College (Delhi), Royal College (London), Medanta, Artemis and The Cradle.

She is proficient in laparoscopy, hysteroscopy, robotics, and fertility-enhancing surgery.

Areas of interest
  • High-risk pregnancies and deliveries
  • Minimally Invasive Gynaecological Surgeries
  • Water birthing
  • Management of PCOD
  • Advanced Laparoscopy and Hysteroscopy
  • Uro-Gynecology
  • Reproductive Endocrinology
  • Robotic Surgery
Conditions treated
  • Endometriosis
  • PCOD
  • Labour & birthing complications
  • Gynaecological cancer
  • Menopausal problems
  • Pregnancy complications
  • Pelvic floor disorders
  • Uterine fibroids
  • Ovarian cysts
  • Menstrual disorders
Education & Training
  • MBBS from Maulana Azad Medical College, Lok Nayak Jai Prakash Hospital / Maulana Azad Medical College, Delhi
  • MS in Obstetrics & Gynaecology from Maulana Azad Medical College, Delhi
  • MRCOG(UK) from Royal College of Obstetricians and Gynaecologists, London
  • Diploma and Fellowship in Minimally invasive surgery MAS, (WALS)
  • Fellowship in advanced infertility and ART (Sir Gangaram Hospital)
Authored blogs
White discharge during pregnancy: Should I be worried?

White discharge during pregnancy: Should I be worried?

Pregnancy will bring about a rollercoaster of emotions. You will feel happy, teary, excited and anxious, all at once. But emotions are not all that is pregnancy about. Your body will experience tremendous variations of physical changes and as an expectant mother, these changes can be puzzling at times. One such event that can raise suspicion is white discharge during pregnancy – a sign prevalent in nearly 43% of pregnant women. 

Most women are familiar with the different types of vaginal discharge but what does discharge during pregnancy mean? 

In this article, Dr Astha Dayal – a leading obstetrician in Gurgaon will explore everything there is to know about vaginal discharge during pregnancy and how to deal with it. 

What is white discharge during pregnancy?

As the name denotes, white discharge during pregnancy is a discharge that women experience during their pregnancy. It is thin, white coloured and milky textured. 

With or without pregnancy, vaginal discharge is a common phenomena. Before we move on to discuss milky white discharge during pregnancy, let us understand the concept of normal discharge aka leukorrhea. 

What is leukorrhea?

Leukorrhea is the medical term for vaginal discharge. Vaginal discharge is the fluid made by the vagina and cervix that helps to keep your vagina moist and clean. It also helps to protect you from infection. 

There are different types of vaginal discharges based on their colour, texture or cause. Some common types include – 

  • Clean and watery
  • Clear and stretchy
  • Brown or bloody
  • Yellow or green

The vaginal discharge during pregnancy is known as leukorrhea pregnancy. It is usually odourless or, sometimes, can be smelled mildly. 

You may have more vaginal discharge than usual when you become pregnant. But a change in your vaginal discharge could be a sign of something that needs treatment. It’s important to know what’s normal, and when to get medical help.

If you are a newly pregnant woman, leukorrhea pregnancy discharge will not feel any different from what you experienced between periods. Leukorrhea pregnancy is also considered early pregnancy discharge. You are likely to notice a change in your normal discharge one or two weeks before conception. 

Most women feel an increase in their present discharge which continues to happen throughout the course of pregnancy. The thick white discharge during pregnancy will become more dense as your pregnancy develops. It is, usually, the thickest as your gestation approaches an end. 

Why does leukorrhea happen?

Leukorrhea or vaginal discharge is a normal body function indicating good health. Almost all women experience the passage of vaginal discharge during their reproductive years. There are multiple reasons why leukorrhea happens. 

Primarily, it is your body’s natural way of cleaning the vagina. Through normal body discharge, your body is paving a way for protecting itself against several types of bacteria. Besides its body function, normal vaginal discharge can be caused by bacterial or yeast infection.

Why does leukorrhea pregnancy happen?

However,the reasons for leukorrhea pregnancy can be slightly varying. There are various reason for white discharge during pregnancy (abnormal) that include:

  • Sexually transmitted infections – Gonorrhea and chlamydia are a few STIs that can cause abnormal milky white discharge during pregnancy
  • Pelvic inflammatory disease
  • Cervical cancer 
  • Yeast infections: Sometimes, the thick white discharge during pregnancy may be a sign of yeast or fungal infection/ vaginal infection.

Is white discharge in pregnancy normal?

Vaginal discharge is a highly common occurrence. Likewise, in pregnancy white discharge is normal, however, you should keep a track of any abnormal changes. 

As mentioned above, early pregnancy discharge is thin, white and less smelly, if you notice anything atypical or distinct from this description, make it a note to aware your obstetrician about it. 

You can maintain a diary to record the colour, texture and odour changes in your vaginal discharge to avoid any pregnancy complications for yourself and your child. 

When to seek help for abnormal clear discharge during pregnancy?

As we discussed above, leukorrhea is a healthy bodily function. However, it is important to address any atypical signs, especially during pregnancy. 

Now that you know what a healthy leukorrhea pregnancy is like, you would be able to identify abnormal signs. Some common atypical signs to watch out for are:

  • Yellow, gray or green coloured discharge 
  • Excessievly strong and fouly smell
  • Itching and redness on the vulva
  • Fever 
  • Pain in the abdomen 
  • Unexplained and sudden weight loss
  • Fatigue 
  • Bleeding 
  • Increased urination 

A pink or brown coloured discharge may highlight a sign of implantation bleeding. Even light vaginal spotting during pregnancy is not a cause for concern. However, it is ideal to visit your obstetrician for any concerns. 

While trying to conceive, it is advised that you and your partner get tested for STIs to avoid undergoing speculating reason for white discharge during pregnancy. 

Furthermore, an abnormal discharge can be indicative of possible pregnancy complications. You should not be alarmed if you experience any of the above given symptoms. Your healthcare provider is the right person to identify the exact problem and offer appropriate treatment for it. 

A ‘show’ as your body prepares for birth

Many pregnant women experience a ‘show’ in the last few days of their pregnancy. This is where you notice you have some vaginal discharge. It’s generally creamy white and splashed with a pink jelly-like material.

This happens when the mucus that has been present at the neck of your womb (cervix) comes away. This is a sign that your body is preparing for birth. Some women have several shows before they go into labour.

If you have a show, you should contact your obstetrician immediately if:

  • you are less than 37 weeks pregnant
  • the mucus is bright red and there is more than a small amount of bleeding from your vagina

How to get rid of white discharge during pregnancy?

Despite the fact that it is almost an everyday occurrence, pregnant women may feel irritable due to the presence of constant discharge. The dampness and associated wetness can make a woman highly irritable. However, there are effective ways on how to get rid of white discharge during pregnancy. 

Here are some top home remedies to help you offer relief:

  • Take a bath regularly: Bathing everyday and changing your undergarments is the first step you can take. A fresh bath can instantly clean your genitals and get rid of discharge. Before more of the vaginal discharge gets collected in your undergarments, it might already be the time to take another bath. Furthermore, bathing everyday can avoid accumulation of bacteria and keep infections at bay. 
  • Wear breathable cotton undergarments: Whether you are pregnant or not, the quality of your undergarments can indicate the health of your genitals. If your undergarments are not breathable, the chances of you developing a infection are high. Cotton padded wear are ideal because they absorb excess discharge. Additionally, you should make sure that the other layers of clothing such as your jeans or leggings are comfortable and not extremely tight. 
  • Avoid using any products on your vagina: Do not use any cosmetic or cleansing products on your vagina unless advised by your obstertcian. Such products can further harm your genital area or cause inflammation. 
  • Practice good bathroom hygiene: Your trips to the bathroom are likely to increase during pregnancy. You should make sure to clean your vagina everytime you pass urine. 
  • Eat healthy foodsYour cerival mucus can also be impacted by the type of food items you eat. Do not eat foods that cause inflammation or digestion issues. Despite the food cravings, it is suggested that you keep your sugar intake in control to avoid discharge. Talk to your healthcare provider about which foods are suitable to be eaten in order to avoid the possibility of infections. 

What is the treatment of white discharge during pregnancy?

Sometimes, the above given homes remedies are not effective. If your symptoms are severe and likely to interfere with your health, it is advised that you consult a verified practioner and take an appropriate treatment of white discharge during pregnancy. 

The treatment for leukorrhea pregnancy is unique for each patient. Ideally, it depends upon the reason for white discharge during pregnancy. 

If you have developed a bacterial infection induced by pregnancy, your obesterician will prescribe you relevant antibiotics. On the other hand, if your discharge is caused by sexually transmitted infections, your healthcare provider will aim to treat it in order to alleviate symptoms. 

Your healthcare provider will, first, assess your condition and determine the cause before indicating any treatment. 

The concluding note 

Experiencing white discharge during pregnancy is not alarming. Nevertheless, since you will feel various new symptoms and changes during this time, it is in your best interest to be informed about what they mean. 

To learn more about pregnancy or basic gynaecological health, book an appointment with Dr Astha Dayal – best obstetrician & gynaecologist at the CK Birla Hospital today. 

FAQs

Ques: When should I be worried about discharge during pregnancy?

Ans: White discharge during pregnancy is a normal occurrence. You should, however, seek clinical help if the discharge is yellow, brown, pink or green-coloured, foul smelling, accompanied by fever, abdominal pain and itching. 

Ques: Can white discharge mean miscarriage?

Ans: Milky white discharge during pregnancy is healthy. However, if your vaginal discharge is tinged with blood, you should meet your obsterician immediately. 

Ques: How much white discharge is normal in pregnancy?

Ans: You will experience that the white discharge during pregnancy will increase gradually throughout pregnancy. Increased discharge is normal if it not associated with atypical signs.

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Watch out for these warning signs of Pregnancy

Watch out for these warning signs of Pregnancy

Congratulations on your pregnancy! You can now prepare to go through a rollercoaster of emotional and physical changes during the next 9 months. While pregnancy is mostly a joyous life event, it is also a time that calls for caution. You need to stay informed and practice watchfulness at every step. It is, therefore, important to learn about the warning signs of pregnancy. 

In this article, Dr Astha Dayal, one of the best obstetricians in Gurgaon explains the most common warning signs during pregnancy. 

Facts about warning signs of pregnancy

  • According to UNICEF India, pregnancy-related complications is the number cause of death among younger girls.
  • As per the World Health Organisation (WHO), India is the top country with most preterm births. 
  • Around 800 women succumb to childbirth complications all over the world. 

What are the warning signs of pregnancy?

You can expect to feel the effects of pregnancy as growing a baby inside your belly is no easy task. However, sometimes, a woman may experience bad pregnancy symptoms. These symptoms should not be mistaken for ordinary body changes. 

You should proactively monitor your health and stay alert of the following warning signs during pregnancy:

1. Vaginal bleeding

There are diverse reasons that cause bleeding during pregnancy. During the first trimester, vaginal bleeding could be a sign of ectopic pregnancy. An ectopic pregnancy is when the embryo is implanted outside the uterus. Ectopic pregnancies can lead to complications for the mother and child. 

Bleeding during pregnancy, in the second trimester, may indicate a loss of pregnancy or miscarriage. 

While bleeding during the final trimester is a sign of placental abruption. At any stage of gestation, bleeding should be considered a warning sign. You should consult your gynaecologist even if you experience spotting and not heavy blood flow.

2. Persistent back pain during pregnancy

Severe back pain should not be taken lightly at any stage during pregnancy. The several changes in your body can lead to some level of discomfort. Nonetheless, persistent back pain during pregnancy requires clinical care. 

3. Dizziness

Unlike popular opinion, fainting during pregnancy is not common. You can expect to feel a certain amount of light-headedness. However, fainting or feeling extremely dizzy in pregnancy is not a healthy sign. 

4. Severe nausea and vomiting

It is highly common to feel nauseated and vomit during the first trimester of pregnancy. These symptoms are popularly called ‘morning sickness’. 

However, if these symptoms persist for a longer time, it could be a cause of concern. This warning of pregnancy can also lead to a condition called hyperemesis gravidarum. Excessive nausea and vomiting could dehydrate your body and harm fetal health. 

5. Headache and abdominal pain during pregnancy

Your hormones may be a reason for frequent headaches and abdominal pain during pregnancy. However, if your aches are persistent and unbearable, you may need to see your gynaecologist. 

Consistent pain is among the bad pregnancy symptoms. It may indicate high blood pressure and lead to the development of preeclampsia (a fatal pregnancy complication). 

6. Change in vision

A sudden change in vision or blurry vision is one of the top pregnancy symptoms you should never ignore. This warning sign is an indicator of preeclampsia or gestational hypertension. 

7. Painful urination

If you feel a sense of pain or burning during urination, you might have contracted a urinary tract infection (UTI). If not treated, this warning sign can lead to other serious infections or even preterm labour

8. Itching

One of the most serious pregnancy symptoms you should never ignore is itching all over the body. It could be a sign of cholestasis during pregnancy. 

Cholestasis is a liver condition. In this illness, the production of bile juice from your gall bladder is either stopped or disrupted. Cholestasis does not form any kind of rash. 

Skin dryness and itching are not unusual for pregnant women. Your skin stretches to accommodate your baby and can become dry over time. Nonetheless, if the itching is extreme and beyond control, you should immediately consult your healthcare provider. 

9. Early contractions

Early contractions in the uterus could be a sign of preterm labour. Preterm labour is the one that starts before 37 weeks of pregnancy. Preterm labour can cause multiple birth complications. 

Sometimes, a pregnant woman may confuse these contractions as false labour. You should ask your OB-GYN to explain the difference between true and false labour.

10. A decline in baby’s activity

Through the 9 months of gestation, you will become accustomed to the different types of movements made by your baby. You can begin to feel these movements between 18 and 25 weeks of pregnancy. 

Your baby will turn, kick and flutter. If you feel a decline in this activity, you should meet your healthcare provider. It is essential to keep a track of these movements over time. 

You can lie down and notice how long it takes for your baby to kick, roll or flutter 10 times. You can eat a light snack and lie down again if you do not notice any movement for over an hour. 

11. Water breaking

If you feel a rush of fluid flowing down your vagina before 37 weeks, you should consider it a warning sign during pregnancy. This phenomenon indicates an early rupture of membranes. 

12. Sudden weight gain or swelling

Undoubtedly, you will gain weight during pregnancy, However, the weight gain is associated with swelling in legs and hands could be a sign of preeclampsia. 

Some of the above-given symptoms are misinterpreted for normal events during pregnancy. This is why it is significant to educate yourself and your partner about the bad pregnancy symptoms. 

You should not panic if you experience any of these atypical symptoms. Simply contact your OB-GYN and seek clinical intervention. Your healthcare provider will assess your situation and offer the relevant treatment.  

The concluding note

An expecting mother should actively monitor her health. You can maintain a notebook to highlight any warning signs of pregnancy. You should also have a detailed discussion with your gynaecologist on what are the warning signs of pregnancy.  

If you wish to learn more about maternal health during pregnancy, you can book an appointment with Dr Astha Dayal, obstetrician and gynaecologist at the CK Birla Hospital. 

Also, read: Tips to ensure a healthy pregnancy

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Common Causes and Symptoms of Endometriosis | CK Birla Hospital

Common Causes and Symptoms of Endometriosis | CK Birla Hospital

According to the Endometriosis Society of India, an estimated 25 million Indian women suffer from endometriosis. However, in spite of its rising prevalence around the world including India, there is insufficient awareness about this painful condition.  

Even today, thousands of women are unaware about the warning signs of endometriosis, silently suffering from painful periods without getting the necessary treatment. If left unchecked, endometriosis can also result in infertility. In fact, many women are diagnosed with this condition when they seek medical advice for difficulties in conceiving.  

In this article, Dr Astha Dayal (Department of Obstetrics and Gynaecology at the CK Birla Hospital) explores endometriosis in further detail by answering a few common questions about endometriosis. For more information about this condition and to screen yourself, you can book an appointment with Dr Astha Dayal here

What is endometriosis? 

Your uterus is lined with a layer of tissue called the endometrium. During your menstrual cycle, this tissue builds up in preparation for pregnancy. If you don’t become pregnant, this layer is shed and is passed out during your period.  

In the case of endometriosis, tissue similar to the endometrial tissue is formed outside the uterus. This generally occurs in other parts of your reproductive system or inside the abdominal cavity. Every month, this tissue also grows and sheds along with your menstrual cycle, causing swelling and scarring of the normal tissue in the affected regions.  

What causes endometriosis? 

While the exact causes of endometriosis are still unclear, some familiar causes of this condition are as follows:  

  • Reverse menstruation when the flow of menstrual blood goes backwards into the pelvis and fallopian tubes rather than exiting the body 
  • An embryonic cell development when there is embryonic cell development in the pelvic and abdominal regions 
  • Dysfunctionality in the immune system when the immune disorder is preventing the body from eliminating tissues from extrauterine sites 
  • Genetic predisposition when there is a certain genetic role involved in passing this condition 

Does endometriosis cause infertility? 

While women with endometriosis can sometimes be infertile, but researchers do not know exactly why this is the consequence. A recent study declared that endometriosis could make natural conception tougher but it does not equal infertility. Endometriosis causes adhesions and scar tissue, which result in the internal organs to get stuck to each other. This may cause blockage of tubes or ovaries. With timely medical intervention and treatment, women may even be able to conceive naturally without requiring any assisted reproductive techniques.  

Also, read: What to do when you suspect infertility

What are the symptoms of endometriosis? 

Some of the common symptoms of endometriosis include 

Pain: Pain is the most significant and common symptom associated with endometriosis. Pain caused by endometriosis can be of different types such as  

  • extremely painful menstrual cramps which worsen as your period progresses 
  • Chronic or persistent pain in your lower back and/or pelvis 
  • Pain during or after sexual intercourse 
  • Intestinal pain 
  • Painful bowel movements or urination during your periods 

Bleeding or spotting: Light bleeding between your periods can indicate endometriosis 

Infertility: Difficulties in becoming pregnant or infertility can be a result of endometriosis 

Gastric problems: Diarrhoea, constipation, bloating, nausea etc during your periods can indicate endometriosis in some cases. 

What are the complications that can arise due to endometriosis? 

Painful periods are not the only unpleasant outcome of endometriosis. The abnormal growth of tissue can cause complications such as: 

  • Blockage in the fallopian tubes resulting in ovarian cysts 
  • Inflammation 
  • Scar tissue formation and adhesions that can cause difficulties in natural conception 
  • Bladder and gastrointestinal problems 

How is endometriosis treated? 

Endometriosis is generally treated by medication or surgery. Treatment protocols depends on the severity of the condition in that individual. In some cases, over the counter medications are enough to manage the symptoms. This is also combined with hormone therapy in case the patient is not aiming for a pregnancy.  

In more severe manifestations of endometriosis, surgery might be required. If you are trying to become pregnant, the surgeon might perform a conservative surgery to remove the abnormal tissue. This surgery is usually done laparoscopically.  

Can endometriosis be prevented? 

Unfortunately, there are no steps you can take to completely eliminate the risk of developing endometriosis. Following a healthy diet and lifestyle can go a long way in managing symptoms. Getting regular gynaecological check-ups can also go a long way in monitoring the health of your reproductive system.  

If you are experiencing extreme menstrual pain, you should consider getting screened for endometriosis. Book your visit to meet Dr Astha Dayal and other top gynaecologists in Gurgaon.  

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Patient testimonials

Dr Astha Dayal is the most brilliant doctor for maternal health. She is compassionate, skilled and very focused on caring for her patients. She is the best obstetrician in Gurgaon. She was my doctor when I got pregnant with my second child. She was always available. There were times when I had called her late in the night to ask about my doubts and concerns and she has always given me time and helped me. I am very fond of her approach. Very good doctor

Monika

I consulted Dr Astha Dayal for treatment of PCOD. She is the best gynae in Gurgaon. My health was getting highly affected. I gained so much weight. I had irregular periods and lots of facial acne. It really affected my self-image and confidence. I wanted a long term solution. I had heard about Dr Astha from a friend of mine. She was a regular patient and she had praised Dr Astha and her method of practice to me. So I decided to consult her as well. I am very pleased with my decision. She is really the best doctor. She understood my concerns and worked with me on this journey. It is all because of her help and care that I am very healthy today

Khyati

Dr Astha Dayal is a very knowledgeable person and the best gynecologist near me. What I like most about her is that she promotes a healthy lifestyle in her everyday practice. She is very honest and forthright but also very friendly and compassionate. My experience under her care was excellent. I thank her and her team and recommend them to everyone seeking gynaecological care.

Reshma