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Dr. Minakshi Tabar

Gynaecologist, Delhi

150 at clinic
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Dr. Minakshi Tabar Gynaecologist, Delhi
150 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Minakshi Tabar
Dr. Minakshi Tabar is a renowned Gynaecologist in Chhawla, Delhi. She is currently associated with Anuradha Hospital & Trauma Center in Chhawla, Delhi. Book an appointment online with Dr. Minakshi Tabar and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 28 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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Anuradha Hospital & Trauma Center

D-635, 60 Feet Road, Chawla Colony, Ballabgarh, Chhawla. Landmark: Near Shiv Mandir, DelhiDelhi Get Directions
150 at clinic
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Breast Lumps & Mastectomy - How To Prepare For The Surgery?

MBBS, MS - General Surgery, Laparoscopic, Burns & Plastic
General Surgeon, Delhi
Breast Lumps & Mastectomy - How To Prepare For The Surgery?

A breast lump is a tissue growth that develops in the breast. Lumps can be of different types based on how they feel and look. The lump can be perceived as a growth, thickness, fullness, swelling, mass etc. If the lump appears in one breast, it might look larger than the other one. A breast lump can aggravate breast cancer, if a person does not seek proper medical attention on time. To treat lump, a surgical procedure known as the Mastectomy is often employed by on-surgeons. All breast tissues are taken out to prevent breast cancer. Often a surgical reconstruction of the breast is performed post a mastectomy.



What are the different types of mastectomy?

  1. Modified radical mastectomy: This is a procedure that involves the removal of the entire breast including the nipple, tissue, lymph nodes, areola etc. It is performed for large tumors.
  2. Total mastectomy: This is a procedure that involves removing the breast concluding areola, breast tissue, and nipple. A lymph node biopsy is required to perform this procedure.
  3. Skin-sparing Mastectomy: This is a procedure that involves removal of the areola, nipple and the breast tissues but not the skin. A breast reconstruction procedure can be performed immediately after this procedure.
  4. Subcutaneous Mastectomy: This is a procedure that involves removal of only the breast tissues, but keeping the rest of the breast tissues undisturbed.


What happens before the procedure?

Mastectomy without a reconstruction typically takes about 2-3 hours to perform. A patient might have to spend a day in the hospital. If in case both the breasts are removed, a patient might have to stay more than a couple of days in the hospital. A sentinel biopsy might be performed before the surgery, to check the lymph nodes. A patient is generally asked to arrive several hours before the surgery is scheduled.

What happens after the procedure?
Once the surgery is over, a patient is shifted to the recovery room where, breathing, blood pressure and pulse is continuously monitored. A dressing bandage is wrapped around the surgical area. Since the patient is given general anesthesia before the surgery, she might not feel any pain immediately after the surgery but there could be discomfort, numbness and pain few hours after the surgery. Pain medication and the antibiotic is prescribed, before discharging releasing the patient from the hospital.

How to prepare for the surgery?
For starters, it is important to reveal to the doctor, the names of the medications, supplements or vitamins that a patient might be consuming to her doctor. It is also necessary to stop blood-thinning medicine or aspirin, to avoid unnecessary complication with the surgery. Doctors typically advise not to eat or drink anything for 12 hours, before the surgery. A patient should be prepared for a hospital stay. In case you have a concern or query you can always consult an expert & get answers to your questions!

1772 people found this helpful

She has pain near breasts. Normally she feels it in night. She is having a 10 months old baby and she feeds him. What should we do?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
She has pain near breasts. Normally she feels it in night. She is having a 10 months old baby and she feeds him. What...
Please try to use a simple analgesic like calpol 1gm three times a day and see if that helps ; provided is not allergic also use cold sponge compress in between feeds and then wait for the temperature to pick up before feeding baby. Support bras is also very helpful.
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I have been diagnosed with PCOD from 2009. Now the doctor suggested for APCOD SACHET along with OVRAL L. Is APCOD can be taken without glycomet. As I'm using glycomet and aldactone from long time, doctor suggested to stop both. Please suggest me on using the APCOD along with OVRAL L. My hight is 160 CMs and weight is 67 kgs. My periods are irregular when stopping OVRAL L.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gorakhpur
I have been diagnosed with PCOD from 2009. Now the doctor suggested for APCOD SACHET along with OVRAL L.
Is APCOD can...
Yes you have been given right advice. Start Apcod obis instead of apcod along with ovaral l for two cycles then stop ovaral l two months and see whether your cycles get regular or not. After 3-4 months if you wish to conceive then start with ovulation induction along with follicular monitoring and planned coitus or go ahead with assisted reproductive techniques as per your reports and doctor's advice.
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How To Deal With Hirsutism In Women?

MD - Dermatology, MBBS
Dermatologist, Hyderabad
How To Deal With Hirsutism In Women?

Are you growing hair in unusual places where you do not want them to be such as on the neck, chest, chin and back? Hirsutism is a medical term, which refers to excess body hair and facial hair in women. It occurs because of an increased production of androgens or male hormones. The increased sensitivity of the androgen receptors in the skin follicles also causes hirsutism.

Diagnosis
Hirsutism is diagnosed using two methods:

  1. The Ferriman Gallwey model involves the visual inspection for detecting the presence of excess hair. The amount of hair growth in nine areas of your body is quantified in this model. However, this is not an ideal method as many women shave or pluck their hair.
  2. Blood test for excess androgens is another method for diagnosis of hirsutism. The different tests include free testosterone, total testosterone and DHEAS or dehydropiandosterone sulphate. Women with PCOS are likely to have increased levels of free testosterone in their body because of the absence of enough sex hormone binding globulin.

Removing excess hair
There are several ways by which you can get rid of excess body and facial hair. They are as follows:

  1. Plucking is a way of hiding hair during early stages. It is an easy fix. However, plucking from the follicle may lead to the distortion of the follicle, which may cause hair to thicken and turn darker.
  2. Depilatories is another way of removing excess hair due to hirsutism. Depilatories remove excess hair by the use of a chemical which dissolves the hair.
  3. Waxing is also effective for removing excessive hair. In waxing, warm wax is spread over the affected areas; a strip of cloth is placed over it, and rubbed on the wax. After holding the skin tight, the cloth is pulled off.
  4. Several medicines are used for dealing with hirsutism in women such as oral contraceptives, which help in removing the amount of androgens in the body. The androgen production may decrease as a result of oral contraceptives. The amount of circulating concentration of androstenediones and total testosterone are also reduced. Anti androgen medicines are also prescribed in some cases.
  5. Electrolysis is opted as a measure of managing excessive hair. In the process, a needle gets inserted along the hair shaft. After this, an electric pulse is sent to the root. This makes the hair release from the follicles and they are pulled out.

Laser hair removal is the final option for hirsutism treatment. In this method, light from the laser eliminates several hairs in the affected area. The pigment present in the hair absorbs the energy from the laser and gets destroyed.

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

2889 people found this helpful

An Ayurvedic Approach to Seasonal Allergies

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Dehradun
An Ayurvedic Approach to Seasonal Allergies

An Ayurvedic Approach to Seasonal Allergies

Our immune system is a complex and wonderful system. When in balance, it does a seamless job of identifying and eliminating potential threats to our health, such as toxins, bacteria, viruses, and cancer cells. However, sometimes our immune system responds too vigorously to a substance in the environment that is usually harmless, such as pollen, animal dander, or mold. As the body acts to eradicate the perceived threat, we can experience the uncomfortable symptoms of an allergy reaction, including a runny nose, nasal congestion, coughing, and itchy, watery eyes. In addition, an exaggerated immune response can lead to symptoms in the lungs (asthma) and skin (hives, eczema). Allergies affect a large percentage of the population at one time or another and can significantly limit activity. Although the body can mount allergic responses to many things, including food, medicines, and other foreign material, in this article we will discuss the common phenomenon of environmental or seasonal allergies.

The Underlying Causes of Allergies

You may wonder why one person can spend an afternoon walking through blossoming fields without any symptoms, while someone else can't step out the front door without experiencing severe allergic symptoms. Heredity is one of the major distinguishing factors. As scientific research has found, your risk of developing allergies increases by approximately 30% if one of your parents is allergic. If both of your parents have allergies, your risk is greater than 60%.

From an Ayurvedic perspective, in addition to inherited tendencies, several other key factors determine whether a person experiences an allergic reaction and how severe that reaction will be. These include the strength of the individual's digestive fire, or inner resilience (known as agni), the quantity of allergen that enters the body, and a person's current state of balance/imbalance in the doshas. Fortunately, there are techniques to strengthen our agni, avoid allergen exposure, and improve our state of doshic balance. By addressing all of these factors, we can help prevent allergies as well as keep them under control.

Strengthening Agni

Ayurveda considers a strong agni, or digestive fire, one of the most important factors for our health. When our agni is strong, we can take in energy and information from our environment, extract whatever is beneficial to us, and eliminate everything we don't need. In addition, when agni is burning brightly, our body won't mount an aggressive response to foreign material such as pollen, but will instead remove it in a healthy, beneficial way. In other words, our body is more resilient to the changes in the environment.

One way to keep our agni strong is to develop a regular meditation practice. When we calm the mind and body, we are less likely to respond to foreign 'invaders' aggressively. We increase our ability to take in nourishment from our environment, as opposed to seeing them as threats. Other mindfulness practices, such as yoga and conscious breathing also strengthen agni.

One breathing technique that is useful for strengthening agni is ujjayi, or ocean's breath. Ujjayi (pronounced oo-jai) is an ancient yogic breathing technique that helps calm the mind and body. Ujjayi has a balancing influence on the entire cardiorespiratory system and releases feelings of irritation and frustration.

Here is how to perform ujjayi breath:

Take an inhalation that is slightly deeper than normal. With your mouth closed, exhale through your nose while constricting your throat muscles. If you are doing this correctly, you should sound like Darth Vader from Star Wars.
You can also get the hang of this practice by practicing exhaling the sound haaaaah with your mouth open. Now make a similar sound with your mouth closed, feeling the outflow of air through your nasal passages. Once you have mastered this on the outflow, use the same method for the inflow breath, gently constricting your throat as you inhale.
Another important way to strengthen agni is to eliminate ama, which is a Sanskrit word for toxicity. Ama includes both physical and emotional toxicity that accumulates in our physiology and can interfere with our natural healing. One herb that is helpful in treating allergies by cleansing ama is triphala. The recommended dosage is 500-1000mg, taken at bedtime.

Reducing the Quantity of Allergens That Enter the Body

Another step to controlling and preventing allergy symptoms is to be mindful of how much of the aggravating allergen is in our environment and making conscious choices to eliminate them as much as possible. According to Ayurveda, we are in constant dynamic exchange with our external environment. When we put ourselves in an environment where we have high levels of exposure to an allergen, it becomes difficult to control symptoms, despite our best efforts.

While it is sometimes difficult to completely avoid an allergen, you can protect yourself from direct contact with it by using a few Ayurvedic healing practices. One effective practice for prevention and treatment of allergy symptoms is using a neti pot to perform a gentle saline rinse. A neti pot is a small container with a spout that is placed in your nostril as you tip your head sideways, allowing warm salt water to flow in one nostril and out the other. By performing this saline rinse once or twice daily, you can flush out any foreign material that has come into your body through the nasal passages.

After using the neti pot, it is very helpful to follow up with an Ayurvedic technique known as nasya, which consists of applying a few drops of oil to the nasal passages. The oil forms a protective layer on the nasal tissues and prevents allergens from directly attaching themselves to nasal membranes.

Balancing the Doshas

A person's primary dosha, or mind-body constitution, can often predict which allergy symptoms will manifest, so it's important to understand your dosha type as well as your current imbalances.

In addition to understanding our primary dosha and individual tendencies, it is important to understand that each of us has all of the doshas within us and can therefore experience imbalances in of any of the doshas. Different types of allergy symptoms represent imbalances in different doshas. By recognizing this, we can more specifically guide the treatments.

Kapha Allergy Symptoms

In Ayurveda, the typical allergy symptoms in the spring season - congestion, runny nose, watery eyes, and sneezing - are described as an accumulation of the Kapha dosha, which is made up of earth and water elements. This leads to the feeling of 'heaviness' and excessive mucus in the head and sinuses. Other symptoms are sluggishness and feeling tired. For the classic Kapha-type allergy symptoms, there are several simple and effective therapies that will relieve acute symptoms.

Nasal Cleansing

As mentioned above, the neti pot is a useful tool in treating allergies. In addition to the benefits of removing allergens, from a doshic perspective, it is especially effective in decreasing Kapha in the head and sinuses. The use of nasya oil with invigorating scents, such as eucalyptus, camphor or juniper, can act as a natural decongestant, thus reducing the symptoms of heaviness.

Other treatments that help relieve acute Kapha allergy symptoms include the use of pungent and bitter (astringent) herbs and spices to reduce Kapha, including ginger, cayenne, pepper, basil, cumin, cardamom, sage, turmeric, and cinnamon. An easy remedy is drinking hot honey water, or ginger lemon tea. A classical Ayurvedic herbal treatment to reduce Kapha is trikatu, which can be taken daily. In addition, treatment should be geared toward lightening the body in other ways, such as daily exercise and use of a dry sauna.

Pitta Allergy Symptoms

When allergy symptoms occur in the summertime, the underlying source is often an out-of-balance Pitta dosha. Pitta is governed by the elements of water and fire, and in the summer, excess heat can produce inflammation in the respiratory tract or skin. These symptoms are usually rash, headache, burning or red eyes, and inflammation in the sinuses and airway (sinusitis, bronchitis).

To pacify Pitta and the resulting allergy symptoms, Ayurveda recommends ingesting cooling herbs, such as coriander and cilantro. In addition, herbs such as shatavari, guduchi, amalaki, and neem may be helpful. Ingestion of clarified butter, or ghee, as well as aloe, can calm the inflammatory reaction that is typical of Pitta imbalance. From a biochemical perspective, these herbs contain healthy anti-inflammatory and antioxidant properties that support our immune system.

Vata Allergy Symptoms

When Vata is out of balance, the allergic symptoms include headache, wheezing, sneezing, and generalized muscle aches. These may be seen more typically in the fall as the air becomes cold and dry. This is due to the accumulation of the lighter elements of space and air in the mind-body physiology. Other manifestations of this Vata imbalance include dry cough, restlessness, and dry eyes.

To balance the excess space and air elements, it is important to stay hydrated and drink warm liquids, such ginger tea with honey. To bring Vata back into balance, use calming herbs such as ashwagandha, which is also an immune modulator that calms the immune system's response to allergens. Another useful tool in calming Vata is performing a self-massage, or abhyhanga.The most nourishing and warming oil for balancing Vata is sesame.

When our agni is restored, we avoid aggravating allergens and ama (toxicity) by making conscious choices, and we maintain balance of our internal energies, or doshas, we are less likely to experience ill health, such as allergies. Instead of seeing our environment as a threat, we can begin to calm the excitability of the immune system and, instead, experience our connection to the external world as nourishing. Ayurveda provides us with the tools to experience this connection and move closer to our natural state of health and balance.

I newly married since 5 month. Now I want to sex with my wife ass hole. Is that very painful for her or bleeding from her ass hole its her first time .Please tell.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
No it is not painful. Simply slight bleeding may occur due to ruture of hymen. Enjoy youself. Use safe unsafe period chart.
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I'm stable on aripiprazole 10mg from 2yrs. withdrawal of it lead to relapse episodes. I want to conceive, please suggest me, aripiprazole safe in pregnancy or not? Im very tensed.

BHMS
Homeopath, Sindhudurg
I'm stable on aripiprazole 10mg from 2yrs. withdrawal of it lead to relapse episodes. I want to conceive, please sugg...
There is no yes or no answer to this question. When deciding whether or not to take aripiprazole during pregnancy it is important to weigh up how necessary aripiprazole is to your health against the possible risks to you or your baby, some of which will depend on how many weeks pregnant you are? Remaining well is particularly important during pregnancy and while caring for a baby. For some women treatment with aripiprazole in pregnancy may be necessary.
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Palliative Care

MD - Family Medicine, MBBS, Pain & Palliative Care Specialist
General Physician, Anand
Palliative Care

WHO Definition : An approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.

I am a Palliative Care Physician, actively involved in relief of suffering of patients with Cancer, Chronic liver disease, Kidney failure, Paralysed patients, Bed ridden patients.

Pain relief is the most important in these patients. Currently, Palliative care is developing in India.

1 person found this helpful

Hi, I am having irregular periods and I dint get my periods in the last 8 months and when I consulted doctor, they mentioned that I have PCOS and prescribed T-Regestrone for 3 days (3 times a day). I got my period after 5 days. 1. My doubt is, is there a chance of me conceiving this month (as its been long time I got my periods)? 2. And if I conceive will the baby be healthy? 3. Is there a chance to conceive if we take Regestrone tablets regularly to regularize my periods?

MBBS
General Physician, Mumbai
Hi, I am having irregular periods and I dint get my periods in the last 8 months and when I consulted doctor, they me...
To clear your doubts you can get your urine checked for pregnancy and follow up with reports and you can conceive once regesterone tablet course is over and remember your ovulation day through multiple ultrasound so that you can plan sexual activity accordingly.
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Hi sir, I am taking ovitrop r injection from my 4th day of cycle. Is it good do workouts whole taking injection or not.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Hi sir, I am taking ovitrop r injection from my 4th day of cycle. Is it good do workouts whole taking injection or not.
U need counselling which wil u give correct perception of transformation ur problem for dat we have to take detail case taking So plz follow below guidelines for u but overall Everything is not for u but overall Everything is not for u Its in general GUIDELINES FOR YOU Just for information
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