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Dr. Rk Bhatiya

Gynaecologist, Delhi

150 at clinic
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Dr. Rk Bhatiya 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. Rk Bhatiya
Dr. Rk Bhatiya is one of the best Gynaecologists in Palam, Delhi. He is currently associated with Singhal Hospital in Palam, Delhi. Save your time and book an appointment online with Dr. Rk Bhatiya on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 33 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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Hindi

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Singhal Hospital

C-40, Sadh Ngr, St No-10, Palam Colony, Landmark: Near DESU Office, DelhiDelhi Get Directions
150 at clinic
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Postmenopausal Bleeding - 5 Diagnostic Methods

Speciality Birthing Care
Gynaecologist, Bangalore
Postmenopausal Bleeding - 5 Diagnostic Methods

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women-s gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.


If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.
Postmenopausal bleeding or PMB as it is popularly called can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.


- Atrophic vaginitis - Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
- Endometrial atrophy - Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
- Polyps - Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding
- Infections - General infection of any area along the uterine tract could lead to occasional bleeding

- Cancer - Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.


Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding.  Diagnostic methods could include the following:
- Physical Examination
- Transvaginal Ultrasound
- Endometrial Biopsy
- Hysteroscopy
- Dilatation and Curettage
 

Treatment: Needless to say, this would depend on the diagnosis.
For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy.

For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient.
Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.
Cancer - this would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases.
So, if you have had bleeding of any sort after ayear of menopause, do not ignore it. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

6139 people found this helpful

I am diabetic patient. Want to change. Planning for baby. But my hips is 7 kya its ok to conceive or what is the range of hbaic to conceive please tell I am taking medicine trajenta and diamicron.

MD - Internal Medicine
Internal Medicine Specialist, Vadodara
I am diabetic patient. Want to change. Planning for baby. But my hips is 7 kya its ok to conceive or what is the rang...
Diabetes should be well controlled target hba1c should be 6 you can conceive but have to shift to only insulin therapy during pregnancy dose have to be adjusted accordingly. If uncontrolled sugars are there chances of large baby and deformity are there.
1 person found this helpful
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Now 6 days taking doxycycline for chlamydia and gonorrhea. Does doxycycline cause headache and muscles pain and bad stomach. Even white spot start to appear on tonsils. Is it okay to appear while treatment.

MBBS
Sexologist, Panchkula
Now 6 days taking doxycycline for chlamydia and gonorrhea.
Does doxycycline cause headache and muscles pain and bad s...
No, doxycycline does not cause headache, muscle pain and bad stomach or white spot on tonsil. I advise you to take proper balanced vegetarian diet. Take plenty of water to detoxify body. Take fruits and vegetables in daily diet. Do meditation for mental strength daily. Follow this and give feedback.
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Hello. I'm in my early 5 th pregnancy. I have suffered 3 early miscarriages. My LMP was 28 th March 2018. My TVs was done on 3 rd May they saw only gestational sac of size 6.4 mm. TVs was repeated on 8 th May sac size was 6.5 mm and nothing else was seen. Is anything of concern. Please let me know. Thanks.

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune
Hello. I'm in my early 5 th pregnancy. I have suffered 3 early miscarriages. My LMP was 28 th March 2018. My TVs was ...
If your cycles are regular, we expect to see a live pregnancy at this stage. However if conception has been delayed, you can do a followup USG after a week.
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Lupus Disease

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Lupus Disease

This is a form of epithelial cancer and is a lose called eating cancer
Symptoms:- it first appears on the nose as a hard, dusky red sore and spreads in ulcerative form destroying the tissues till the bones are exposed. This affect women 10 time more than men. It usually appears in women between the age. Nausea, vomiting and abdominal pain may accompany. It is an ulcerative skin disease and requires a very long-term treatment. Sensitivity to sunlight is usually present. Lupus is caused by disruption of body waste disposal system from failure of special enzyme d nasil, which fails to remove wastes from the body.

Diagnostic tests
The disease is easily noticeable as it is outside the body on the the skin and biopsy is performed to confirm it.
If possible, the affected portion of the body is cut out.
I suggest homoeo doctor consult and homoeo treatment best.

4 people found this helpful

When will be the chances of becoming pregnant? When sperms touches vaginal entry, how much percentage of chance is there to become pregnant? Suitable time for having sex without protection?

MBBS
General Physician, Cuttack
The safe period for having sex is during 1st week and last week of period counting from 1st day of menstrual period as day one. Unsafe period is from 10th to 20th day of period
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I have zero infertility problem in sperm. As per previous tests no blockage found in my tube. It can increase or not.

PDDM, MHA, MBBS
General Physician, Nashik
I have zero infertility problem in sperm. As per previous tests no blockage found in my tube. It can increase or not.
Consult an Infertility specialist. Go for follicular monitoring to check ovulation Get your husband's semen testing done. GO for laparoscopy to check if fallopian tubes are patent or closed. You might need aid of ovulation inducing agents to conceive. Please mention your age, with age, ovarian reserve declines. You can take help of ART (assisted reproductive techniques) to help in fertilization. All the best PLease feel free to discuss further.
1 person found this helpful
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Hi, I have vaginal itching due to sex without condom please revert back with best medicine.

DHMS (Hons.)
Homeopath, Patna
Hello, @ calendula q-10 drops with 1/4 cup of water, apply locally, thrice a day. @ sepia 200- 6 pills, thrice a day. Report, wkly.
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Sexual Health - How Internet Based Knowledge and Experiments Affect It?

Fellowship, Council of Sex Education & Parenthood, BAMS, B-Pharm
Sexologist, Jaipur
Sexual Health - How Internet Based Knowledge and Experiments Affect It?

The Internet has glorified our lives in numerous ways, but at the same time, too much of information available online has also become very appalling in certain cases. One of the main scenarios that have borne the brunt of information overload is sexual health. Now-a-days, the adolescents or the teenagers have become very much vulnerable to increasing sexual risks owing to exposure to excessive online information.
Sexual Studies: The eternal curiosity about sexuality amongst the humans along with the unnecessary stigmas or taboos related to these have together led to a severe situation where people are resorting to a wrong form of information by misusing the internet.

How are the teenagers affected?
This has mounted up, especially amongst the teenagers because this is the transitional stage of a child to an adult where one goes through the maximum hormonal changes in the body. These hormones affect the metabolism and development of sexual maturity in those who are passing through this sensitive stage of puberty.

The superficial study of biological sciences and the changes felt by the adolescents have compelled them to dig more about sexuality by making use of the wonder weapon today, the internet. However, the social and other digital media contain sexual contents and information in a distorted manner and this has proved to be extremely pernicious in the following ways:

  1. Pre-marital and unsafe sex.
  2. Increase of sexually transmitted infections.
  3. The most alarming effect of all is the accelerated amount of crimes related to maliciously-oriented sexual attitudes and behaviours such as eve-teasing, molestation, rapes, child abuse, sexual harassment, etc.
  4. Unhealthy tendency of masturbation amongst the males.
  5. A healthy post-marriage sexual life is getting badly affected.

Studies have shown the present social media is flooded with illicit sexual content to the extent of almost 80% in the movies and 60% in the videos that are creating a severe psychological impact on everyone, irrespective of the gender. This is reaching to such an extent that sometimes they are getting addicted to watching these that is undermining their overall mental health.

Probable remedies: Now-a-days, various sexual awareness programmes are coming up and sexual orientation programme is becoming a part of the course curriculum in schools as well. Yet, unless and until the hush-hush mentality of the society regarding this particular aspect decreases, there will not be a significant change. There is always hope at the end of a dark tunnel and anybody who feels disturbed due to these issues can always consult and take help of the psychiatrists and sexologists who can handle such issues with the utmost consideration and under strict confidentiality.

However, one needs to open up completely before them or else, the treatment or counselling, whichever is applicable, will not be fulfilled in a proper manner. One has to break the boundaries, get enlightened, confront the facts and in turn, lead a healthier sexual life. If you wish to discuss about any specific problem, you can consult a Sexologist.

5580 people found this helpful

M 20 year old. Last month I got period twice day was bcz I took I pill twice. So doctor prescribed me novaleon medicine. Nw dis month I didn't get periods. N m a smoker also.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
M 20 year old. Last month I got period twice day was bcz I took I pill twice. So doctor prescribed me novaleon medici...
Sometimes after taking IPILL ,periods gets distuirbed for 1-2 months.So dont worry it will be normal but avoid taking these kind of medicines as these have some serious health hazard.
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