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Dr. Madhu Khandelwal

MD - Obstetrtics & Gynaecology

Gynaecologist, New Delhi

23 Years Experience  ·  400 at clinic
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Dr. Madhu Khandelwal MD - Obstetrtics & Gynaecology Gynaecologist, New Delhi
23 Years Experience  ·  400 at clinic
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Madhu Khandelwal
Practising in Rajouri Garden with an Experience of more than 25 yrs.

Info

Education
MD - Obstetrtics & Gynaecology - S.M.S. Medical College, Jaipur - 1995
Languages spoken
English
Hindi

Location

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Dr.Madhu khandelwal

135-A Dda ,Lig Flats Near Cambridge SchoolNew Delhi Get Directions
400 at clinic
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Dear Concern, My wife had thyroid and now she is pregnant of 17 weeks she take 75.2 mg Thyronorm right now. Before one month she took 37. 5 mg when FSH-4.5 but now FSH is 3.37, but doctor increased power of 75.2 mg. When we asked the reason then he said its time to maintain normal after few month the power of dosages would be decreased. But why he increased dosage power we still can not understand if thyroid decreased into normal range. please answered asap.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Hyderabad
Dear Concern,
My wife had thyroid and now she is pregnant of 17 weeks she take 75.2 mg Thyronorm right now. Before on...
lybrate-user, it's not fsh it's TSH levels. First it's 4.5 so depending on the weight of the patient 1 mcg per kg of thyronorm to be started. At 17 weeks TSH 2.5 is normal if patient is taking 75 mcg thyronorm for 3.37 continue taking it and After 1 month repeat ft4, ft3,TSH levels visit endocrinologist for the further opinion.
2 people found this helpful
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Breast Lump Detection - How Can It Be Done?

Diploma In Medical Radio-Diagnosis, DNB - Radio Diagnosis, Post Doctoral Fellowship In interventional Radiology - Sir Ganga Ram Hospital, New Delhi
Radiologist, Jaipur
Breast Lump Detection - How Can It Be Done?

A breast lump is a restricted swelling, projection, lump, or knot in the breast that doesn't feel like a breast tissue. There are diverse reasons why breast lumps occur.

Not all lumps are cancer. These can also be breast conditions that are not harmful and which can be easily curable.Knots that feel harder or are not the same as the rest of the breast need to be checked. This kind of irregularity might be an indication of breast cancer.

A self-examination should be your starting point. This is how you can detect a lump on your own:

Step 1: Begin by taking a look at your breast in the mirror. Keep your shoulders straight and your arms on your hips.

This is what you need to search for:

  1. Breasts that are their typical size, shape, and shading
  2. Breasts that are uniformly formed without distortion or swelling

In the event that you see any of the changes mentioned below, convey them to your doctor:

  1. Dimpling, puckering, or protruding of the skin
  2. A nipple that is not in its initial position
  3. Redness, rash or swelling

Step 2: Now, raise your arms and look for the changes mentioned above.

Step 3: While you're in front of the mirror, search for any indications of liquid or blood discharge from the nipples.

Step 4: Next, examine your breasts while resting.Use Your right hand to feel your left breast and use your left hand to feel your right breast. Cover the whole breast from your collarbone to the highest point of your mid-region, and from your armpit to your cleavage to search for any lumps.

Step 5:Examine your breasts while either standing or sitting. Many women find that the easiest approach to examine their breasts is when their skin is wet, so this step could be done while taking a bath as well.

Diagnosis:

  • Mammogram: Mammography is a technique using X-rays to diagnose and locate tumours of the breasts.
  • Breast ultrasound: Breast ultrasound utilises sound waves to create pictures of the breasts from the inside.
  • Breast MRI:This involves using an effective and attractive field, and radio frequency pulses to create photos of the insides of the breasts.
  • Ultrasound-guided biopsy: During this sort of biopsy, utilising ultrasound imaging to discover the bump, a radiologist will give you anesthesia and afterward insert a needle into the lump to evacuate some tissue for assessment under a magnifying lens. Stereotactic biopsy and an X-ray-guided biopsy may also be used.

Possible treatments:

  1. In case the knot turns out to be cancerous, surgery is typically performed.
  2. You may have a few discussions with different doctors for additional treatment, including radiation treatment and chemotherapy or hormone treatment.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3219 people found this helpful

Bladder Tumour - What Causes It?

MBBS, MS ( Surgery ), MCH ( Urology ), DNB ( Urology )
Urologist, Lucknow
Bladder Tumour - What Causes It?

The bladder is a hollow storage organ that collects urine from the kidneys and stores it until it can be passed out of the body through the urethra during the process of micturition or urination. It has a thin inner lining of cells called urothelial cells and a thick muscular wall, which exerts pressure to push the urine out of the body.

Causes of Bladder Tumors

In most cases, the bladder tumour develops on the inner layer due to a combination of some of the following factors.

  1. Hereditary: A strong family history of cancer predisposes a person to cancer.
  2. Gender: Men are 3 times more prone for bladder cancer than women.
  3. Ethnicity: White people are more prone for bladder cancer black people.
  4. Smoking: Smokers develop bladder cancer 2-6 times more frequently than non-smokers. Cigarettes contain toxic, carcinogenic substances which reach the kidney and are stored in the bladder, leading to their damage.
  5. Occupational hazards: Some workplaces have a higher likelihood of causing bladder cancers, especially dye and rubber industries. The effects can be damaging, and the person may develop cancers years after the exposure has happened.
  6. Recurrent bladder infections: In some people, this can also lead to bladder cancer in the long run.

Types of Bladder Tumor

Depending on the extent of the cancerous spread, it can be of two types:

  1. Non-muscle-invasive bladder tumours: The tumor spread is limited to the inner part of the bladder (urothelial cells)
  2. Muscle-invasive bladder tumour: The tumour has spread to the thick muscular outer layer. This is more advanced and prognosis is poor compared to the noninvasive type.

The most common and diagnostic symptom of bladder cancer is the presence of blood in the urine, known as hematuria. This will be intermittent and happens whenever the tumour bleeding happens. Other symptoms include pain in the lower abdomen and frequent urination.

Diagnosis

From the most noninvasive to the most invasive diagnostic test, these include:

  1. Urine microscopy to detect cancer cells in the urine
  2. Cystoscopy A tube inserted into the urethra to look into the inner wall of the bladder is highly diagnostic
  3. Ultrasound, CT Scan, and biopsy can also be further used to identify severity of the tumour.

Treatment

Once the tumour is diagnosed, treatment would depend on the severity of the tumour. For both invasive and noninvasive tumours, definitive therapy is surgery, known as transurethral resection of the bladder tumour (TURBT). The cancerous bladder tissue is removed through a cystoscope as done for diagnosis. The bladder is then flushed with chemotherapy agent to kill any residual cancer cells in the bladder. This is then followed by BCG vaccine, which is again done 1 to 4 weeks for several months to avoid recurrence. In some cases, radiotherapy may also be included.

1 person found this helpful

My periods were always normal and on time. From the last two months I am having health problems as my hemoglobin level is very low and even Vitamin D3. I feel weak and thus this leads to stress. Sometimes I have little pain in my lower abdomen. My problem is that I haven't got periods from the last two months. Is it normal? I am very stressed. Can you suggest any medicine or home remedy to make my periods regular, as I am 24 years old and am a teacher.

MBBS
General Physician, Sambalpur
My periods were always normal and on time. From the last two months I am having health problems as my hemoglobin leve...
Dear Lybrate user. The menstrual periods abnormalities, weakness are due to haemoglobin deficiency along with vit D deficiency as you have clearcut mentioned earlier no menstrual problems. Vit D plays an important role in Ca absorption and it's deficiency also leads to lower abdominal pain due to uterine cause. I think you are unmarried so no chance of pregnancy. Rx 1.Syp Ferikind 10 ml twice daily before food (before lunch and dinner) for 3 months. 2.Cap Caldikind 1 cap twice daily before food (before breakfast and snacks in the evening) for 3 months. 3.Syp Zincovit 10 ml twice daily after food for 3 months. Don't take calcium tablet or calcium rich food like milk, butter with iron tablet at the same time as calcium decreases the absorption of iron. You should avoid tea, coffee, antacids as these decreases the absorption of calcium and iron from the gut. Take protein rich nutritious diet, fruits vegetables and avoid fast food. You can take one glass of milk at breakfast daily. Report me after 3 months with a Hb and calcium, vit D levels report.
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Hi, I had my last period on 6th October. My cycle is usually 30-31 days long. I had protected sex with my bf on 27th to 2nd Oct. We were very careful each time. I did not get my period till now (11th Oct). According to my cycle my period was expected on 6-7th Oct. Should I be worried? Can I be pregnant? Should I take a test?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Hi, I had my last period on 6th October. My cycle is usually 30-31 days long. I had protected sex with my bf on 27th ...
Dear user. FERTILE PHASE is the phase of a female's menstrual cycle when an egg (ovule) is released from the ovaries. In humans, ovulation occurs about midway through the menstrual cycle, after the follicular phase. The few days surrounding ovulation (from approximately days 10 to 18 of a 28 day cycle), constitute the most fertile phase. So if you have ejaculatory sexual inter course from day 10 from the first day of period and to day 20, the chances of pregnancy are much more. There are many determinants of pregnancy. You should be sexually matured. Your partner should be sexually matured. The period of your partner should be in the fertile stage. Female egg and male sperm cells should be healthy enough. Then female uterus should be capable to get conceived. If all these are satisfied, the pregnancy could be a result. Talk to a gynecologist for advice. Take care.
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I have been going through a kind of eczema on penile shaft and due to which itchy bumps has occurred. It's looking very ulgy and infact it's very irritating. Kindly help me with it.

BHMS
Homeopath, Sindhudurg
Croton tig 200 4pills 3 times skinorex syrup 1spoonful 3 times daily bio comb no 20. 4pills 3 times daily Chrysarbinum cream twice daily.
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Do I become pregnant when have sex on 25 as that 14 days from day I started my period

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Do I become pregnant when have sex on 25 as that 14 days from day I started my period
Dear Lybrate user. YES. If every other aspect is right and every other requirements are met, you have the chance of pregnancy. Take care.
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Usual my cycle is 25 days but when I start my treatments. My cycle was 27 day after 3 month I go for hsg test nd 11th days I was go for hsg Nd 21st day of cycle spotting on my panty. Nd second day little boy heavy bleeding. I don’t understand why pls help.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Usual my cycle is 25 days but when I start my treatments. My cycle was 27 day after 3 month I go for hsg test nd 11th...
It is may be due to treatment. It is also normal to have 3-5 days early or late. You can consult me through lybrate for Homoeopathic treatment and further guidance
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I am looking to insert copper t when to insert it to get it effective. Also tell me what is the cost.

BAMS
Ayurveda, Bangalore
I am looking to insert copper t when to insert it to get it effective. Also tell me  what is the cost.
Hi, Copper T is inserted usually on 4 th or 5th of the periods. So please inform your gynae doctor immediately after you get your periods so that it can be planned for insertion.
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M female 19 and my menstrual cycle comes within in 24 dayz with severe pain. What should be done in this case?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
M female 19 and my menstrual cycle comes within in 24 dayz with severe pain. What should be done in this case?
You need to get a pelvic USG done. If normal I would advice you to consider a short course of contraceptive pills like femilon to see if it makes a difference.
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