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Dr. Ramesh Paul

Gynaecologist, Delhi

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Dr. Ramesh Paul Gynaecologist, Delhi
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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. Ramesh Paul
Dr. Ramesh Paul is a trusted Gynaecologist in Paschim Vihar, Delhi. He is currently associated with Paul Nursing Home in Paschim Vihar, Delhi. Book an appointment online with Dr. Ramesh Paul and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 38 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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4 Infections That May Affect Vulva!

MS - Obstetrics and Gynaecology
Gynaecologist, Jaipur
4 Infections That May Affect Vulva!

There are several medical conditions that can adversely impact the vulva in females. There can be infections ranging from mild to high as per the skin condition. The vulva is also at the risk of developing cancer in some cases. It is advisable to consult a doctor, whenever you find any bleeding, rash or lump in the vulva. Your doctor will be in a position to tell whether you need immediate treatment or not. Your symptoms will help him to determine the cause behind the changes.

What is the vulva?
Vulva forms the outer (external) sex organs of a woman. It is made up of two pairs of muscular 'lips'. The outer pair is called the labia majora. The outer pair is covered in pubic hair. The inner pair is called the labia minora. The inner pair is thinner and is very delicate and sensitive. You will find two openings in between these lips. These lips lead to uterus and urethra separately. There is a tiny organ called clitoris that lies just in front of the vulva.

What are the symptoms linked to vulva related diseases?
The symptoms will depend obviously on the underlying condition. Ranging from pain, itching, and finding a lump, you may notice several kinds of symptoms. All these changes are related to the appearance of the vulva. The symptoms decide the gravity of the situation. It is advisable to not wait and take prompt medical help in case of lumps in the vulva. A doctor will be able to tell what has happened to tell you by means of physical examination first. Later, you might have to take tests like internal swab test. A swab is nothing, but a small ball of cotton attached to a thin stick. It will be rubbed inside vulva to collect samples for testing. The doctor may also go for a biopsy to confirm the presence of carcinogenic cells in the vulva lump.

What infections can affect vulva?
Vulva can be affected by infections that are caused by germs such as bacteria, viruses and fungi. You may be affected due to the following infections:
1. Thrush: It is a common infection in women. It leads to a whitish discharge. It makes the vulva red and very itchy. It can be treated with anti fungal creams.
2. Genital herpes infection: It is a sexually transmitted infection and spreads by skin-to-skin contact. Many people who are infected might not have symptoms. But they are carriers and can pass on to a healthy person. There is an occurrence of mild soreness or blisters.
3. Genital warts: It is caused by viral infection due to close sexual contact.
4. Other infections: You vulva can be affected by scabies and pubic lice.

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

3773 people found this helpful

BHMS
Allergist/Immunologist, Jaipur
4 Surprising Foods Packed With Estrogen ? The Chemical Linked to Obesity and Sexual Dysfunction

It is no secret that our bodies and our environment are swimming in estrogen. Puberty is occurring as early as eight years old in children and recently babies in China have developed breasts. Frogs and fish are becoming "intersex" and losing their male characteristics from excreted estrogens in the environment and waterways. In England, the Daily Mail ran a feature on the phenomenon of women's bra cup sizes increasing independent of their weights, likely because of environmental and livestock chemicals. The website Green Prophet speculated that women in the Middle East are not yet experiencing cup inflation because their environments have not become similarly estrogenized.

While many people are fans of big boobs, the larger issue of feminized women, men and wildlife should be a wakeup call. Estrogen is blamed for everything from breast and prostate cancer and other hormone-linked conditions to obesity, sexual dysfunction, dropping sperm counts and depression and mood disorders. In studies of women given prescribed hormone drugs, estrogen was linked to lung cancer, ovarian cancer, skin cancer, gall bladder cancer, cataracts urinary incontinence and joint degeneration.

Most of us know we unwittingly get synthetic estrogens (endocrine disrupters) from plastics like BPA, petroleum based products, detergents, cosmetics, furniture, carpeting, thermal receipts and on our food from agriculture chemicals like pesticides, herbicides and fungicides (a good reason to buy organic). But we also get a lot of "natural" estrogens from foods we may eat every day. While these "phytoestrogens" are not as bad as synthetic chemicals, women who are plagued with PMS, fibrocystic disease and water retention, or who are at risk for breast cancer and men who do not want to be feminized may want to use them moderately.

Here are some "good" and "bad" foods that have more estrogen than you may realize?or want.

1. Flax

Flax and especially flax meal has the image of being a healthy superfood. But when you look at a list of the top phytoestrogen-containing foods, flax and flax products are at the very top. A hundred grams of flax packs an astounding 379,380 micrograms of estrogen compared with 2.9 micrograms for a fruit like watermelon. Flax is now widely found in baked goods like bread, bagels and muffins, snack foods, cereals, pasta, drink mixes and used in poultry, swine, beef and dairy cow feed.

It became a popular alternative to fish oil which had been promoted to improve mood, the immune systems and to prevent heart attacks and strokes, especially as concerns about mercury risks in some fish surfaced. A tablespoon of flaxseed oil, which contains alpha-linolenic acid (also found in walnuts and some oils) is "worth" about 700 milligrams of the omega-3 found in fish oil says the Harvard Medical School Family Health Guide. Flax also provides fiber, a substance lacking in our over-processed diets. But there is another reason it may not be the superfood it appears besides its estrogen wallop. Like so many edible plants today, genetically modified versions of flax are rampant, spreading and rarely labeled. Buyer beware.

2. Soy

What is the second highest phytoestrogen-containing food in most lists? Soy, which packs 103,920 micrograms of estrogen per 100 grams. Low in calories and with no cholesterol, soy has been a mainstay protein of many cultures for centuries and is considered nature's perfect alternative to meat by many vegetarians and vegans. It has been hailed as a "good" estrogen that could prevent breast cancer and serve as an alternative for hormone replacement therapy, traditionally made from pregnant mare urine.

Yet the bloom has partially fallen off soy's rose. Its possible cancer prevention properties were called into question after some animal studies and groups like the American Cancer Society found themselves defending its moderate use. Like flax, unlabeled GMO soybeans dominate the market and have been linked to sterility and infant death in hamsters.

3. Other Legumes and Common Health Foods

Other "healthy" foods like flax and soy may have more estrogen than you think. Legumes like chickpeas (garbanzo beans) red beans, black-eyed peas, green peas and split peas are also estrogenic and black beans pack 5,330 micrograms of estrogen per 100 grams. Hummus (from chickpeas) has 993 micrograms of estrogen per 100 grams. How about the "healthful" seeds we think of as mingled in trailmix? Sesame and sunflower seeds are among the highest of all estrogenic foods. While their seeds are not a staple of most people's diets, their oils are widely used in processed and prepared foods. A site for women suffering from the estrogen-linked endometriosis advises against sunflower oil as well as safflower, cottonseed and canola oils and recommends only olive or grapeseed oil.

Other ingredients that can amount to a side dish of estrogen are alfalfa sprouts, licorice and the flavorings red clover and fennel, sometimes found in teas. Food ingredients in personal care products can also have estrogenic effects. Tea tree oil found in some shampoos, soaps and lotions can enlarge the breasts of boys reported ABC news. And sore and tender breasts have also been reported from using a shampoo with pomegranate.

4. Animal Products

On most lists of products containing estrogen, animal products like milk and beef are at the very bottom. Milk, for example, is said to provide 1.2 micrograms of estrogen per 100 grams. Unfortunately, most "research" that assures the public that hormones used in meat production or milk production (like Monsanto's rBGH) result in less estrogen are funded by Big Ag. Two features betray the Big Ag-funded research ?it claims there is no difference between hormones that occur "naturally" in the human body and synthetic hormones, and it claims there are no residues of the latter. If synthetic hormones are so safe, why would we mind residues? The European Union disagrees about the dangers and boycotts US beef, which is swimming in the hormones oestradiol-17, trenbolone acetate, zeranol and melengestrol.

As for "no residues" a scientific paper called "Detection of Six Zeranol Residues in Animal-derived Food by HPLC-MS/MS" disputes the claim. Zeranol, an estrogen-like drug widely used in US livestock production is especially controversial. "Our laboratory has reported that long-term exposure to either Z [zeranol] or E2 [estradiol-17?] can induce transformation of human breast epithelial MCF-10A cells" says a 2009 paper in Anticancer Research.Translation: it can contribute to breast cancer: "The proper evaluation of the safety of Z [zeranol] is of both public health and economic importance"Another paper reports "breast irritation" in people exposed to nothing but the clothing of those working around zeranol. This is an ingredient used in US meat?

A paper which appeared in Science of the Total Environment examines the outbreak of precocious puberty and breast development of children in Italy and Puerto Rico in the late 1970s and 1980s and attributes the symptoms to zeranol-like "anabolic estrogens in animal foods" In both occurrences, the symptoms disappeared when the hormone-laced food was removed. Zeranol is found in meat, eggs and dairy products "through deliberate introduction of zeranol into livestock to enhance meat production" says the paper. It is "banned for use in animal husbandry in the European Union and other countries, but is still widely used in the US. Surprisingly, little is known about the health effects of these mycoestrogens, including their impact on puberty in girls, a period highly sensitive to estrogenic stimulation"
22 people found this helpful

There is a little blooding after two months of pregnancy. Is any tension here. Pls suggest me doctor.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
There is a little blooding after two months of pregnancy. Is any tension here. Pls suggest me doctor.
If there is bleeding during pregnancy, it may suggest that pregnancy is trying to abort. U need to seek urgent medical help as medicines and some injections can stop the process of abortion. So get an ultrasound as soon as possible
1 person found this helpful
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Hi. For a few days , when I wipe, theirs blood coming from my private area (not a lot just a few streaks of blood on the tissue). I believe I had a uti or yeast infection earlier this week as well. My period is due in a few days. But theirs still blood when I wipe my private area. I've never had this happen. What could it be?

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Hi. For a few days , when I wipe, theirs blood coming from my private area (not a lot just a few streaks of blood on ...
Hi lybrate user, your problem needs to be addressed by local examination by a gynaecologist. The diagnosis can't be made without examination.
2 people found this helpful
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Hi. I had intercourse on 22nd july n consumed unwanted 72 on 24th (before 48 hours). I had it multiple times yesterday .initiated with protection but shortly shifted to condom. Can I take another pill just ti be sure. My Lmp is 17. N last period gap of 32 days.

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
Hi. I had intercourse on 22nd july n consumed unwanted 72 on 24th (before 48 hours). I had it multiple times yesterda...
No, too much of this drug disturbs your hormones and periods will get affected. Check in lab urine pregnancy test for pregnancy when you miss your period date. If any problem then show to nearby gynecologist and take her advice. Use protection next time.
1 person found this helpful
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Core Symptoms Of Autism!

MSc- Speech Language Pathology
Speech Therapist, Noida
Core Symptoms Of Autism!

The severity of symptoms varies greatly, but all people with autism have some core symptoms in the areas of:

Social interactions and relationships. Symptoms may include:

  1. Significant problems developing nonverbal communication skills, such as eye-to-eye gazing, facial expressions, and body posture.
  2. Failure to establish friendships with children the same age.
  3. Lack of interest in sharing enjoyment, interests, or achievements with other people.
  4. Lack of empathy. People with autism may have difficulty understanding another person's feelings, such as pain or sorrow.

Verbal and nonverbal communication. Symptoms may include:

  1. Delay in, or lack of, learning to talk. As many as 40% of people with autism never speak. 1
  2. Problems taking steps to start a conversation. Also, people with autism have difficulties continuing a conversation after it has begun.
  3. Stereotyped and repetitive use of language. People with autism often repeat over and over a phrase they have heard previously (echolalia).
  4. Difficulty understanding their listener's perspective. For example, a person with autism may not understand that someone is using humor. They may interpret the communication word for word and fail to catch the implied meaning.

Limited interests in activities or play. Symptoms may include:

  1. An unusual focus on pieces. Younger children with autism often focus on parts of toys, such as the wheels on a car, rather than playing with the entire toy.
  2. Preoccupation with certain topics. For example, older children and adults may be fascinated by video games, trading cards, or license plates.
  3. A need for sameness and routines. For example, a child with autism may always need to eat bread before salad and insist on driving the same route every day to school.
  4. Stereotyped behaviors. These may include body rocking and hand flapping.
2 people found this helpful
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I took a contraceptive pill and I had a irregular period but I take a pregnancy test at home it is positive so what I can do? I will check pregnancy test again?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I took a contraceptive pill and I had a irregular period but I take a pregnancy test at home it is positive so what I...
If your pregnancy test is positive, then you are pregnant dear. It is a very effective test and very reliable.
1 person found this helpful
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Hi Team, Need your help. My friend got married on 7th August and he had some problem with his wife and sent her home on August 29, while sending her home she told that she is 10 days pregnant, please tell its possible? She stayed only 22 days with him.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hi Team,
Need your help. My friend got married on 7th August and he had some problem with his wife and sent her home ...
By intercourse around 20-22/8 it is possible to have pregnancy but unless one checks with blood report one can not know.
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