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Dr. Kavita Katoch

Gynaecologist, Delhi

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Dr. Kavita Katoch Gynaecologist, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Kavita Katoch is a trusted Gynaecologist in Vasant Vihar, Delhi. You can meet Dr. Kavita Katoch personally at Holy Angels Hospital in Vasant Vihar, Delhi. Save your time and book an appointment online with Dr. Kavita Katoch on Lybrate.com.

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P No-B, Behind Priya Cinema, Basant Lok, Vasant Vihar, Landmark:-Lok Commercial Central, DelhiDelhi Get Directions
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Nipple Discharge - 4 Common Causes

MBBS, DGO
Gynaecologist, Delhi
Nipple Discharge - 4 Common Causes

Nipple discharge is a common part of breast functioning, which normally occurs during breast-feeding or pregnancy. It is often associated with the changes of menstrual hormone. The milky discharge post breast-feeding usually continues for up to two years after stopping nursing. The condition normally gets resolved on its own but if the situation persists for a long time resort to medical assistance.

The following are some of the causes of normal nipple discharge:
- Stimulation: Normal nipple discharge can arise due to stimulation; chafing of your breast skin due to tight bras or vigorous exercises.
- Pregnancy: Most women tend to witness clear nipple discharge in the early stages of their pregnancy. Towards the later stages, this discharge usually turns watery and becomes milky in color
- Stopped Breast-feeding: In some cases, nipple discharge continues for some time after the mother has stopped breast-feeding her newborn
- Hormonal Imbalance: Some women notice tenderness in breasts and nipple discharge during their menstrual cycle

What is an abnormal nipple discharge?
An abnormal nipple discharge is usually bloody in color and is accompanied with tenderness of the breast. Papilloma is a non-cancerous tumor that is often responsible for bloody nipple discharge. Continuous nipple discharge from one of the breasts or nipple discharge that arises without any stimulation or external irritation is abnormal in nature.

The possible causes of abnormal nipple discharge include:

1. Abscess- It is an assortment of pus that get accumulated within the tissues of your body. It is usually accompanied by redness, pain and swelling. Boils and carbuncles are types of abscess. Formation of abscess in breasts may result in nipple discharge.

2. Breast cancer- Breast cancer often results in bloody nipple discharge and is often found with a presence of lump in one of the breasts.

3. Mastitis- It is a breast infection that affects the tissues of the breast and is usually prominent during breastfeeding. Fatigue, fever and body aches are common in this situation.

4. Ductal carcinoma in situ (DCIS)- Normally characterized by the growth of cancerous cells in the milk ducts of your breasts, it is generally identified through mammography screening.

5. Fibroadenoma- In this situation most young women witness an appearance of solid, tumor like structure

6.Galactorrhea- Galactorrhea is nipple discharge of milk when not pregnant or breastfeeding. The discharge can vary in color and can be expressed from either or both breasts.

What Causes Galactorrhea?
Galactorrhea is commonly caused by hyperprolactinemia, especially when it is associated with amenorrhea. Hyperprolactinemia is most often induced by medication or associated with pituitary adenomas or other sellar or suprasellar lesions.

The release of prolactin from the pituitary is held in check by dopamine from the hypothalamus. Prolactin release is encouraged by serotonin and thyrotropin-releasing hormone. This balance can be disrupted by medication (ie. antipsychotics), underactive thyroid function, pituitary tumors, hypothalamic tumors, damage to the pituitary stalk, nipple stimulation, chest trauma, herpes zoster, and emotional stress as well as a variety of other factors. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4707 people found this helpful

Hi, I am 24, sometime after 2 -3 days sudden inching starts happening in my vagina, but pain is not there. I dnt know why it happens kindly suggest me some medicine. It is happening from last 2-3 months.

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
Hello its infection attack. Please tell me clear all n complete history. N I can help you in better way advices n treatment. Ok.
2 people found this helpful
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BHMS, MD - Homeopathy
Homeopath, Chennai
Inflammation of the Cervix (Cervicitis)

The cervix is the lower part of the uterus that extends into the vagina. This is where menstrual blood exits the uterus. During labor, the cervix dilates to allow a baby to pass through the endocervical (birth) canal. Like any tissue in the body, the cervix can become inflamed for a variety of reasons.

Inflammation of the cervix is calledcervicitis. According to the U.S. National Library of Medicine, more than half of all women will be affected by this condition at some point in their adult lives 

nflammation of the Cervix (Cervicitis)

OverviewSymptomsComplicationsDiagnosisTreatmentPreventionTrending Now

Part 1 of 6

What Is Cervicitis?

The cervix is the lower part of the uterus that extends into the vagina. This is where menstrual blood exits the uterus. During labor, the cervix dilates to allow a baby to pass through the endocervical (birth) canal. Like any tissue in the body, the cervix can become inflamed for a variety of reasons.

Inflammation of the cervix is calledcervicitis. According to the U.S. National Library of Medicine, more than half of all women will be affected by this condition at some point in their adult lives (PubMed Health, 2012).

The most common cause of this inflammation is an infection. Infections that cause cervicitis may be caused by sexual activity, but are not always. The condition is typically categorized as acute or chronic. Acute cervicitis involves a sudden onset of symptoms. Chronic cervicitis lasts for several months.

Acute cervicitis is typically caused by a sexually transmitted infection, such as:

herpeschlamydiatrichomoniasishuman papillomavirus (HPV)gonorrhea

It can also be caused by an infection due to other factors, such as an allergy to spermicide or condom latex, a cervical cap or diaphragm, or sensitivity to the chemicals found in tampons. Regular vaginal bacteria can also cause cervicitis.

Chronic cervicitis is common after childbirth. It may also occur during pregnancy because increased hormone levels cause increased blood flow to the cervix.

What Are the Symptoms of Cervicitis?

Some women are asymptomatic, but when symptoms are present, they can include:

abnormal vaginal bleedingpersistent gray or white vaginal discharge that may have an odorvaginal painpain during intercoursea feeling of pelvic pressurebackaches

If cervicitis progresses, the cervix can become very inflamed. In some cases, it can develop an open sore. Pus-like vaginal discharge is a symptom of cervicitis of this severity.

Part 3 of 6

Complications of Cervicitis

Cervicitis caused by gonorrhea or chlamydia can move to the uterine lining and fallopian tubes, causing pelvic inflammatory disease (PID). PID causes additional pelvic pain, discharge, and fever. PID that is untreated can cause fertility problems.




Inflammation of the Cervix (Cervicitis)

OverviewSymptomsComplicationsDiagnosisTreatmentPreventionTrending Now

Part 1 of 6

What Is Cervicitis?

The cervix is the lower part of the uterus that extends into the vagina. This is where menstrual blood exits the uterus. During labor, the cervix dilates to allow a baby to pass through the endocervical (birth) canal. Like any tissue in the body, the cervix can become inflamed for a variety of reasons.

Inflammation of the cervix is calledcervicitis. According to the U.S. National Library of Medicine, more than half of all women will be affected by this condition at some point in their adult lives (PubMed Health, 2012).

The most common cause of this inflammation is an infection. Infections that cause cervicitis may be caused by sexual activity, but are not always. The condition is typically categorized as acute or chronic. Acute cervicitis involves a sudden onset of symptoms. Chronic cervicitis lasts for several months.

Acute cervicitis is typically caused by a sexually transmitted infection, such as:

herpeschlamydiatrichomoniasishuman papillomavirus (HPV)gonorrhea

It can also be caused by an infection due to other factors, such as an allergy to spermicide or condom latex, a cervical cap or diaphragm, or sensitivity to the chemicals found in tampons. Regular vaginal bacteria can also cause cervicitis.

Chronic cervicitis is common after childbirth. It may also occur during pregnancy because increased hormone levels cause increased blood flow to the cervix.

What's This Rash? Pictures of STDs

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Part 2 of 6

What Are the Symptoms of Cervicitis?

Some women are asymptomatic, but when symptoms are present, they can include:

abnormal vaginal bleedingpersistent gray or white vaginal discharge that may have an odorvaginal painpain during intercoursea feeling of pelvic pressurebackaches

If cervicitis progresses, the cervix can become very inflamed. In some cases, it can develop an open sore. Pus-like vaginal discharge is a symptom of cervicitis of this severity.

Part 3 of 6

Complications of Cervicitis

Cervicitis caused by gonorrhea or chlamydia can move to the uterine lining and fallopian tubes, causing pelvic inflammatory disease (PID). PID causes additional pelvic pain, discharge, and fever. PID that is untreated can cause fertility problems.

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Part 4 of 6

How Do I Know If I Have Cervicitis?

If you have symptoms of cervicitis, see your doctor for an accurate diagnosis. The symptoms of cervicitis can also be signs of other vaginal conditions. Sometimes, cervicitis is discovered during a routine exam if you aren’t having any symptoms.

There are multiple ways cervicitis can be diagnosed.

Pelvic Exam

For this test, your doctor will insert a gloved finger into your vagina while also applying pressure to the abdomen. This way, he or she can detect abnormalities of the pelvic organs, which include the cervix.

Pap Test

For this test, also called a Pap smear, your doctor will take a swab of cells from your vagina and cervix. These cells will then be tested for abnormalities.

Cervical Biopsy

This test is often performed only if your Pap smear detected abnormalities. For this test, also called a colposcopy, your doctor will insert a speculum into your vagina. He or she will then take a cotton swab and gently clean the vagina and cervix of mucus residue. Then, the doctor will direct a light and colposcope (a type of microscope) at your vagina to examine the area. He or she will then take tissue samples from any areas that look abnormal.

Culture of Cervical Discharge for Microscopic Examination

Your doctor may also decide to take a sample of the discharge from your cervix. He or she will then place the sample under a microscope. This test can determine if you have a yeast infection (candidiasis), bacterial vaginosis, or trichomoniasis, among other conditions.

Tests for sexually transmitted infections (STIs) may also be performed. If a specific infection is contributing to your cervicitis, the infection will be treated. This should heal the cervical inflammation.

Part 5 of 6

How Is Cervicitis Treated?

There is no standard treatment for cervicitis. Your doctor will determine the best course for you based on several factors, including your overall health, your medical history, the severity of your symptoms, and the extent of the inflammation.

Commonly used treatments include:

antibiotics to kill any infectionswatchful waiting, especially after childbirthcryosurgery or silver nitrate in severe cases when there is damage to cervical cells (Cryosurgery involves using freezing temperatures to freeze abnormal cells in the cervix, which then destroys them. Silver nitrate may also be used to destroy abnormal cells.)

When the cause of your cervicitis is determined, it can be treated. Without treatment, however, cervicitis can last for years, causing painful intercourse and worsening symptoms.

Can I Prevent Cervicitis?

There are ways to reduce your risk of developing cervicitis. Abstaining from sexual intercourse will protect you from cervicitis caused by an STI. Reduce your risk of contracting an STI by using a condom every time you have sexual intercourse.

Avoiding chemical solutions, such as douches and scented tampons, can reduce your risk of an allergic reaction. If you insert anything into your vagina, such as a tampon or diaphragm, follow the directions for when to remove it and how to clean it.

Thank you - Speak to Doctor for more clarification.

My wife is thyroid patient. Her blood test result T3 - 1.41 T4- 8.81 T. S. H- 0.53 She is taking tyrox 100 mg We got married just four months before. Now we want a child. So is there any problem for her in getting pregnancy at this time. Is there any problem in 100 mg? Can it cause abortion? Medicine was prescribed by a doctor. She is losing her hair also. Please help.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My wife is thyroid patient. Her blood test result
T3 - 1.41
T4- 8.81
T. S. H- 0.53
She is taking tyrox 100 mg
We got ...
Hello, her tsh level which is 0.53 milli units/l is with in the recommended level (by american thyroid assocn), for conception. Before conception it is better to have tsh between 0.1 to 2 milli units and even during first trimester. Later 2nd trimeste it should be 0.3 to 3 mill uits and 3rd trimester 0.3 to 3.5 milli units/l. So my suggestion is you can go ahead and try for pregnancy. Hair fall is usually the last thing to get corrected once hypothyroidism comes in control. There is no need to reduce the dose of thyroxine 100 mcg now. May be post delivery you can look at that. Thanks for the question.
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I am suffering from hair fall but no dandruff, above 100 hair fall per day. I also have pimple problem, and also menstruation problems (irregular and painful with less bleeding) indigestion during periods.

DGO, MBBS
General Physician, Delhi
I am suffering from hair fall but no dandruff, above 100 hair fall per day. I also have pimple problem, and also mens...
please maintain scalp hygeine , avoid excess of oiling on head and scalp, wash you hair minimum on every alternate days with a good hair shampoo and do apply conditioner ,take iron rich diet and also take multivitamin pills after personal consult with doctor . for menstual irregularity make a chart of its dates for 2-3 months and get back to me.

Hi Sir/Mam am 21 years old I had sex with my girlfriend inches way my condom was broken after that my sperm entered in her body. After 1 hr she took Unwanted 72. There is any chances of pregnancy? Please reply.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Hi Sir/Mam am 21 years old I had sex with my girlfriend inches way my condom was broken after that my sperm entered i...
Dear user there are no chances of pregnancy if she has taken the pill. But you should watch her periods. Thnx.
4 people found this helpful
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I get periods irregular on and off. I don't eat much. Still not losing weight. My thyroid is normal. I was diagnosed wt pcod a year ago. I ve thin hair too. Pls help.

BHMS, DEMS
Homeopath, Pune
I get periods irregular on and off. I don't eat much. Still not losing weight. My thyroid is normal. I was diagnosed ...
Delayed or irregular menses, absent menses for various months, prolonged menses — all these are indications of an endocrine disorder known in medical terms as Polycystic Ovarian Syndrome (PCOS. The symptoms in the syndrome are acne, irregular or absent periods, obe­sity, hirsutism (excessive growth of bod­ily hair) and infertility. Not all patients have every symptom. In fact some peo­ple are not overweight. This can cause difficulty when doctors are not inclined to refer for investigations if the patient does not fit all the categories. Polycystic ovarian syndrome is curable with the homeopathic mode of treatment. Homeopathic treatment for Polycystic ovarian syndrome is very safe and free from any side effect. Which homeopathic medicine is required to extract the disease from its roots varies from case to case consult me for treatment.
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Hi I am taking Novelon 21 day pill from june. Missed second last doubled with the last, break of 6 days from 2-7 july. Menses from 5-7july. New pack from 8th july. Protected intercourse but condom used thrice on 9th july (first timw intercourse) Next fully protected on 14th july (last intercourse) Missed 21st july pill doubled 22nd july night. Light bleeding on 22nd july morning (breakthrough bleed or implantation bleed?) Pill ended on 28th july menses from 1-6 aug. Negative hpt at 4,5,6,7,8,11,12 weeks all negative hpt done with first morning urine with different brands. No pills or intercourse after 1-6aug. Periods due on 1st sept as it dint came did a usg and hcg beta on 8th sept (10 weeks from first and 9 weeks from last intercourse) Hcg was 0.11 and usg shows pcod (no mention of pregnancy) Dr. Prescribed deviry 2 tab for 5 days for withdrawal bleed. But after taking just a single dose bleeding started from 11-16th sept. It was heavy. On 21st sept morning when I woke up I can feel my pelvic bone in the front Scared went for usg on 21st sept (12 weeks ftom first and 11 weeks from lasr intercourse) Usg only showed bulky ovaries with pcod. I asked him if my uterus was normal he said its absolutely normal. Usg was transabdominal I did not have any intercourse after 14th july. Moreover have done hpt with first morning urine with two different brand both says negative. It is 16 weeks from intercourse. I t was negative within the time frame and it remained until after 12 hours when I was about fo to discharge the kit. It showed a grey line on one brand. Did a usg again on 20th october almost 4 months after last intercourse it showed only pcod. menses did not occur till now. Before 20th cm was stretchy n egg white but after 28th it has turned into thick and non stretchy Is their still any risk of pregnancy? Do I need to repeat BHCg? Or hpt?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
Hi I am taking Novelon 21 day pill from june.
Missed second last doubled with the last, break of 6 days from 2-7 july...
Hello lybrate-user no need to repeat test again the irregularities r due to pcod take good ayurvedic treatment for that n take good diet which will help you, you can ask for further information n details.
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Hi, Greetings to you. Please can you advise us what we have to eat in the first trimester of pregnancy. What a pregnant lady has to eat in her first trimester. What not to eat? What precautions has to take? We really don't know about these days. Your valuable suggestions will help us a lot. Thanks in advance for your time & help.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi,
Greetings to you.
Please can you advise us what we have to eat in the first trimester of pregnancy.
What a pregna...
food likes change during pregnancy whatever she likes she can eat more water fruits ,vegetables,.frequent small meals,avoid spicy and outside food .avoid exersion
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Hi, I am 33 yr old and having Hypothriod. It was diagnosis in Dec. 2014 ie 11.34ng/ml and Dr. prescribed me Thyronorm 50 mcg. When I did TSH test in July 2015 it was cme 0.03 ng/ml then Dr. Told me to take thyronorm 25 mcg. Recently in September I took TSH test and it cme 7.27 ng/ml. Can I take Thyronorm 50 mcg again? I have also PCOD and Uterine Fibroid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi, I am 33 yr old and having Hypothriod. It was diagnosis in Dec. 2014 ie 11.34ng/ml and Dr. prescribed me Thyronorm...
you can take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, Avoid few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also. consult gynae. doctor for pcod .
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