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Dr. Joti Shah

Gynaecologist, Delhi

150 at clinic
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Dr. Joti Shah Gynaecologist, Delhi
150 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Joti Shah
Dr. Joti Shah is a trusted Gynaecologist in Najafgarh, Delhi. She is currently practising at Khushi Medical Centre in Najafgarh, Delhi. Book an appointment online with Dr. Joti Shah and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 43 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Khushi Medical Centre

Rz-190, Dharam Pura-1, d, Najafgarh. Landmark: Old Kakrola Road, DelhiDelhi Get Directions
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Endometriosis - 4 Reasons Behind it!

MRCOG, MD -gynaecology, obstretition, MBBS
Gynaecologist, Ghaziabad
Endometriosis - 4 Reasons Behind it!

The abnormal growth of the endometrium tissue outside the uterus is known as endometriosis. Ideally, the abnormal tissue is supposed to break down and exit the body. However, in this condition, the tissue is unable to pass out of the body. As a result, the surrounding tissue tends to get irritated and leads to the formation of scar tissues.

The various causes of endometriosis include:

  1. Immune system disorder: Complications in the immune system might render it incapable of destroying the endometrial tissue that grows outside the uterus.
  2. Surgical scar implantation: Certain surgeries such as a C-section may result in the attachment of endometrial cells to the incision area.
  3. Embryonic cell transport: These cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
  4. Retrograde menstruation: Instead of passing out of the body, under this condition, the blood flows back into the pelvic region via the fallopian tubes. When these cells attach themselves to the pelvic cavity, it causes endometriosis.

Symptoms
1. Pain during sexual intercourse
2. Pain during periods including pelvic pain, especially during periods, lower back pain and abdominal pain.
3. Excessive bleeding during periods
4. Fatigue
5. Constipation
6. Bloating

The major complication that results is fertility problems. Endometriosis may prevent the combination of the egg and the sperm and thus, impairs your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder also tends to increase the risk of ovarian cancer in some women.

How can it be treated?

Endometriosis is usually done using surgery or medications. 

  1. Medication: It usually involves painkillers.
  2. Hormone therapy: Some of the hormonal therapies include:
    1. Hormonal contraceptives
    2. Progestin therapy
    3. Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
  3. Conservative surgery: If a patient wants to become pregnant, surgery is done as much as possible without harming the uterus and ovaries. Suggested procedures include laparoscopy and traditional abdominal surgery.
  4. Assisted reproductive technologies: An example of this form of treatment is In Vitro Fertilization.
  5. Hysterectomy: Under severe circumstances, total hysterectomy is conducted in order to facilitate the removal of cervix and uterus. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
2878 people found this helpful

I got intimate with my girlfriend without any protection 3days before her period. Is there any chances to be pregnant? Please inform me quick.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I got intimate with my girlfriend without any protection 3days before her period. Is there any chances to be pregnant...
Hi it has very low chance to get pregnant. If she get period in next week that means she is not pregnant.
10 people found this helpful
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I am ninth month pregnant.I have foot swelling and my blood pressure 150. Please solution this problem..

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am ninth month pregnant.I have  foot swelling and my blood pressure 150. Please solution this problem..
If you r in nine month and blood pressure is high with swollen feet, that means you r suffering from pre-eclampsia which needs to be hospitalisesd and depending on your blood pressure reading and urine albumin report, delivery may be required to prevent complications in both mother and baby.
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Trigeminal Neuralgia - Understanding the Treatment Options!

MD, FIPM, CCEPC, Fellowship in Pain Management
Pain Management Specialist, Jaipur
Trigeminal Neuralgia - Understanding the Treatment Options!

Trigeminal neuralgia can be best described as an ongoing condition that affects a group of nerves called the fifth cranial nerve which is responsible for sensation in the face. Individuals suffering from this pain say that the pain feels like that of an electric shock and sometimes it becomes unbearably severe. According to medical experts, the trigeminal neuralgia is the acutest pain that an individual can suffer from where the pain mostly affects the lower portion of the face along with the jaw and may also affect the lips, nose, ears and eyes. Trigeminal neuralgia is thought to affect over 1 million people across the world and 1 person in every 15,000 people suffers from this disease.

Understanding the causes of trigeminal neuralgia
The human face comprises of two trigeminal nerves, one on each side of the face and each splits into 3 branches which aid in transmitting sensations of pain as well as a touch from the teeth, mouth, and face to the brain. Most cases of trigeminal neuralgia are said to be triggered by the blood vessels, which sometimes presses the root of the trigeminal nerve. This is known to make the nerve transmit signals which lead to the feeling of stabbing and throbbing pain in the facial regions.

The exertion of pressure on the nerves is mostly caused by multiple sclerosis and tumor and some other suspected causes of trigeminal neuralgia include, pressing of the blood vessel against the root of the trigeminal nerve, demyelization of the trigeminal nerves during the advanced stages of multiple sclerosis, physical damage to the nerve caused by an injury, a surgical procedure or a severe infection, although rare, pressing of a tumor against the trigeminal nerve may also cause it and family history and genetic conditions are also responsible for causing trigeminal neuralgia

Diagnosing trigeminal neuralgia:
If the primary health care provider feels that the symptoms of facial pain are indicative of trigeminal neuralgia, then the patient’s face is required to be examined and evaluated more carefully to detect the affected parts with precision. Other conditions which may have similar symptoms including tooth problems and sinusitis would be eliminated first. Then an MRI scan would be performed which would help understand whether the trigeminal neuralgia is triggered by some underlying medical issues. But the MRI would not be able to reveal the reasons behind the irritation of the nerve unless tumor or multiple sclerosis is the cause. This is because it is not possible to visualize the blood vessel that stands next to the nerve root.

Getting the right treatment for trigeminal neuralgia:

  1. Interventional Treatments: 
    • Percutaneous Radiofrequency(RF) Ablation of Gasserian Ganglion 
    • Percutaneous Glycerol Rhizolysis 
    • Percutaneous Baloon Micro compression 
  2. Surgical Microvascular Decompression (MVD) 
  3. Gamma Knife Stereotactic Radiation Therapy

If you wish to discuss any specific problem, you can consult a pain management specialist.

3794 people found this helpful

Pregnancy - How Eating Disorders Affect It?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Ahmedabad
Pregnancy - How Eating Disorders Affect It?

There are three main types of eating disorders. These are bulimia nervosa, anorexia nervosa and binge eating. Anorexia nervosa is an exaggerated fear of gaining weight all the way to the point when the patient becomes abnormally thin. Bulimia nervosa is eating too much and then vomiting it out on a regular basis. Binge eating is when an individual eats an excessive amount of food in one go. All three types of eating disorders have adverse effects on pregnancy. 

Here is how eating disorders affect pregnancies:

1. Unplanned pregnancies: Women with eating disorders are much more likely to have an unplanned pregnancy. This is true both for women who had eating disorders in the past as well as women who have eating disorders at the moment. In a study by University College London and King's College London consisting of 11000 women showed, only 28% of women reported that they had an unplanned pregnancy without suffering from any eating disorder as compared to the 41% who did have an eating disorder at some point in their life. The reason for this is that women tend to think that they do not need contraceptives due to an irregular menstrual cycles, which is one of the consequences of eating disorders during pregnancy. 

2. Happiness about their pregnancy: The same survey of 11000 women conducted by University College London and King's College London reported that 71% of women were happy about their pregnancies. However, the number would have been a lot higher if there were fewer women with eating disorders. It has been said that 10% of women were unhappy to discover they were pregnant, if they had an eating disorder in the past as compared to 4% who never had an eating disorder.

3. Consider pregnancy a 'personal sacrifice': It has also been said that women who have had or have eating disorders during or before their pregnancy tend to consider pregnancy as a 'personal sacrifice' much more often than women who have no history or eating disorders.

Even though mostly, eating disorders affect pregnant women mentally rather than physically, it is crucial that women try to fix this problem before their pregnancy so they actually can enjoy having a baby. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2832 people found this helpful

What are the symptoms and side effects of early labor delivery? Why early labor causes?

BHMS
Sexologist, Noida
What are the symptoms and side effects of early labor delivery? Why early labor causes?
These babies are known as preemies or premmies. Symptoms of preterm labor include uterine contractions which occur more often than every ten minutes or the leaking of fluid from the vagina. These risks are greater the earlier a baby is born. The cause of preterm birth is often not known.
1 person found this helpful
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I am having lot of itching and irritation in my left side of vagina and it has been 5-6 months I also have left ovary cyst is this irritation and itching because of cyst?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
No it's not bcz of cyst, it may be due to Vaginal Infection for which you need to take Antibiotics, anti-allergic Medicines, along with keeping a good Personal hygeine. And drinking lots of water.
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I am 25 years old .i had sex 6_7 times two year ago. And after this I even not think about sex. But a little fingering some times. Now I have done hymenoplasty operation. Sir I want to know that is after this my vagina also become tight. Bcoz sir mere marriage hai 1 saal bad. So please tell me that k mere vagina apne app tight hojayegi. please help me

MBBS, MS OBSTETRICS & GYNAECOLOGY, DNB OBSTETRICS & GYNAECOLOGY, MRCOG PART1, PGDMLS
Gynaecologist, Thane
I am 25 years old .i had sex 6_7 times two year ago. And after this I even not think about sex. But a little fingerin...
Vagina will be slightly tighter than what it was, due to surgery of hymenoplasty. Do not worry nobody can make it out.
3 people found this helpful
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Mai pregnant hun 5th month hai mere breast me say paani niklta hai agr breast ko dubao to bahot zyda niklta hai kya isse koi problem to nai hai, Please ans me fast plz.

Diploma in Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Mai pregnant hun 5th month hai mere breast me say paani niklta hai agr breast ko dubao to bahot zyda niklta hai kya i...
This is normal. Do not press to check. Wear a comfortable and supportive innerwear and feel free to talk to your doctor when you visit for your pregnancy check up.
1 person found this helpful
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I am 22 years old unmarried, m not getting my periods on time, earlier it was on time now it takes delay of 1or 2 weeks, I also hv gained my weight, sometimes I feels the problem of mood swings also during periods my BP also gets high. Doc has prescribed me to take mychiro tablets for 10 days. Suggest me with some solutions. Someone has told me not to hv this tablet. Please help.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I am 22 years old unmarried, m not getting my periods on time, earlier it was on time now it takes delay of 1or 2 wee...
In majority of the cases irregular menses are accredited to hormonal imbalance, but in some cases it may be pathological and secondary to some pathology of ovaries mostly. Now if you want to regularized the menses then you must establish permanent balanced, first and this can be achieved only with homoeopathy, because in modern medicine we get only a hormonal support with a very temporary relief. But with homoeopathy you can strike the hormonal balance permanently which later on also give you regular menses even if you stop the medicine.
2 people found this helpful
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Want to know pregnancy friendly natural lubricant which is safe to use and had no side effects?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Want to know pregnancy friendly natural lubricant which is safe to use and had no side effects?
Hello- Use" SEHCHARADI OIL" ayurvedic oil for lubrication during sex. It is safe, herbal and promotes the chances of pregnancy.
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I have unprotected sex today and yesterday was the last day of my gf periods and she is taking crimson 35 since 2 month so the periods may regular, so should I need to give her i-pill or she should continue on crimson 35, which one will she have to take both or one of two and which one?

MD - Homeopathy, BHMS
Homeopath, Vadodara
I have unprotected sex today and yesterday was the last day of my gf periods and she is taking crimson 35 since 2 mon...
If it was the last day of menses...then it is considered as safe period...least chances of pregnancy...and crimson should be sufficient... But my personal advise is avoid taking such pills...they have many side effects... Better'use condoms if u really care for her.
1 person found this helpful
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Dr. My wife is pregnant for 5 month and her age is 25 and she is suffering from cough for 5 days please suggest me some medicine syrup of cough used in pregnancy thank you.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dr. My wife is pregnant for 5 month and her age is 25 and she is suffering from cough for 5 days please suggest me so...
SHe may be infected by a bacteria and need antibiotics and you cannot take any risk in pregnancy . AScoril plus syrup is safe
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I am eight months pregnant and having gestational diabetes what to do now. And does it effect my baby? Please advise.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
If your sugar is high, you have to be on insulin through out pregnancy under supervision of some doctor.
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My period is 2 weeks late. My period is regular ever since. But I have an active sexual life. We use the pull out method and always make sure that no sperm esp. The first burst will be inside me. I'm not just sure if he excreted it in front of my vagina. I'm afraid it came in. In happened on February. I remember I got my period on Feb. 14, and lasted til Feb 19. I expected my period to come from March 20-26. I had sex on March 23. We made sure he didn't cum inside. Now my period won't come. It's almost 2 weeks late. I used pregnancy test several times. All negative. I think i'm using in right. I used pregnancy test strips, even pregnancy test cassetes. It's all negative. I'm always feeling dizzy last March but I think that's because I don't get enough sleep. I'm often stress out and not feeling well to. I feel something in my belly I can't describe. My vagina is sometimes dry, sometimes it releases white sticky substance. But results are always negative. Am I pregnant? Thank you so much!

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
My period is 2 weeks late. My period is regular ever since. But I have an active sexual life. We use the pull out met...
Chances are extremely low for pregnancy as test is negative. The method which you are using is called coitus interruptus and that has high failure rate so don't depend on it. For you not getting period as such you have to go to Gynecologist for examination, may be reports and hormonal treatment at that time learn about different family planning methods and choose one.
3 people found this helpful
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My wife missed her period date as on 28 Dec. As 1 month, as she got period 3-4 day early every month. Is she pregnant?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife missed her period date as on 28 Dec. As 1 month, as she got period 3-4 day early every month. Is she pregnant?
Hello, you may rule out pregnancy with a serum beta hcg test. If the hcg levels are less than 3mIU then she is not pregnant.
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My sis is pregnant. 6-7 months. She is having swollen legs during evening n night time. And also having cough from long time. please help us n tell us d reasons for this?

DGO, MBBS
Gynaecologist, Satara
My sis is pregnant. 6-7 months. She is having swollen legs during evening n night time. And also having cough from lo...
Hi. First about swollen legs. Normally as preg advances ,leg swelling increases because of gravide uterus pressure and some physiological changes that may cause same complaint. Avoid long time sitting on chair n standing. Have daily morning or evening walk on plain ground .prefer to sit on floor or sofa with legs fold. Stil your sister complaining increased swelling go through BP monitoring by obstetrician. And for cough you can take opinion of MD medicine as it's long lasting.
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My wife has bicornuate uterus and breech position, which week would be safe for cesarian.

F.MA.S. FELLOWSHIP IN MINIMAL ACCESS SURGERY, I.V.F. AND CLINICAL EMBRYOLOGY, FOETAL MEDICINE TRAINING, PREVENTIVE ONCOLOGY TRAINING, MS - Obstetrics and Gynaecology
Gynaecologist, Mumbai
Hi congratulations to you, your wife and family on account of having a pregnancy in a bicornuate uterus. Let me tell you that I had a patient of bicornuate uterus and she had first pregnancy in right horn and the second in the left horn of uterus and both were at term. There was one more patient of biacornuate uterus but she has two abortions. In your case I wish your pregnancy goes till term. If everything goes well I will get a cesarean done at 38 weeks as this is a very precious pregnancy. My best wishes are with you. Take care. Just let me know when your pregnancy reaches term and cesarean is done. I am collecting a data of these patients as they are extremly rare and so your feedback will helpus manage these patients well. Thanks.
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