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Dr. Seema Theraja

Gynaecologist, Delhi

Dr. Seema Theraja Gynaecologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Seema Theraja
Dr. Seema Theraja is an experienced Gynaecologist in Paschim Vihar, Delhi. You can consult Dr. Seema Theraja at Sri Balaji Action Medical Institute in Paschim Vihar, Delhi. Book an appointment online with Dr. Seema Theraja on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 43 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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Sri Balaji Action Medical Institute

FC 34, A-4 Paschim Vihar EAST. Landmark:-Opposite Dda Sports Complex, Delhi Get Directions
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Hi, I'm 21 yrs old. Got married on 5 October. My last periods was on 24 October. We had been trying to conceive. and today as I woke up I found bleeding! What is that? Implantation bleeding? Or what? please help. Extremely nervous.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi, I'm 21 yrs old. Got married on 5 October. My last periods was on 24 October. We had been trying to conceive. and ...
Nothing to be nervous about.It is you Menstrual bleeding.as your expected dte a due in round about 24 November,means you got your periods 3 dayss early.Thatsit.
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Gender Identity Disorder

DNB, MCh - Plastic and Reconstructive Surgery, MS - Plastic Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
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How Gender Identity Disorder can be treated?


Hello friends, I am Dr. Anubhav Gupta. I am a consultant plastic surgeon working at Sir Ganga Ram Hospital, New Delhi. Today, I am going to talk about a condition which has increasingly become more frequent in our practice and that is Gender Identity Disorder.

Gender Identity Disorder is a condition where in a person has incongruency between his sex and gender. Let me explain it to you, a person whose phenotypic and genotypic condition is male, his sex is also male. For example, a person who is having external genitalia, penis, beard, etc that is his phenotype, that is his sex and that is also a genotypic test as gene XY, so that will be his sex. But, gender is what a person feels about himself. For example, a male who is having phenotype and genotype sex as male but he feels he is a female then that is the gender of that person. What a person feels about himself is called his gender. So, when there is an imbalance between the sex and the gender of a person, it is called Gender Identity Disorder.

Basically, it is not what is wrong about them, it is why they feel about this. There is something which is hardwired into their brain, that they don’t have a feeling of equilibrium with their sex. It is not a disease; it is the way they think. There are certain neurohormonal factors which at the time of development have been said to cause this condition but there are no researchers that conclude the cause of this condition.
Yes, the government of India has now recognized the third gender that is transgendered. People who are not in congruence with their sex have been recognized as legal by the government of India.
See, when these patients come us, basically there are now well-described guidelines. When the patient first, comes to me, I first tell them what the exact condition that they have is and I send the person to a psychiatrist for evaluation. We have to be sure whether they have Gender Identity Disorder before we go for the surgery. So, the psychiatrist starts his treatment, basically takes counseling sessions and he tries to ascertain whether this person is actually having gender identity disorder.

Now, the recommendations are that permanent gender surgery, that is the change of gender surgeries like penectomy and vagina creation and penile creation, these are gender surgeries and are permanent in nature, should not be done before 1-year certification by the psychiatrist has been given. But, other surgeries like face surgery, and breast surgery, can be done after 3 months of psychiatric evaluation. So, this is what we follow. Once a psychiatrist has seen and he certifies that this person has gender identity disorder, we start doing the facial surgeries, and once a period of 1 year has passed, in the meantime we also send him to an endocrinologist who counsels them about hormonal therapy and we further encourage them to cross dress and live in the society as the gender of which they feel they want to stay.

So, once these things fall into place then we move into surgery. And, before surgery, we also need a certification from another psychiatrist just to counter and confirm what the first psychiatrist has felt. So we have certification from two psychiatrists and after a period of one year, we can proceed to Permanent Gender Surgery. Before we do that gender surgery we also need to take an affidavit in the court of law in which the person who is undergoing the surgery and the surgeon, they understand the fact that it is a permanent surgery and the person who is undergoing surgery will not be able to procreate or reproduce in the future, and the patients, when they understand these factors are then counseled and then the surgery is done.

In male to female patients, the initial surgeries, we start with the face surgery, such as Genioplasty and Rhinoplasty. Then, these patients, if they require breasts, we go for a breast augmentation by implants. There are two types of implants; if the chest is having enough space, we can go for a silicone implant and sometimes the chest of males are very tight, then we have to use an expander implant. So these are the common surgeries. Then there is the genital surgery which is a permanent surgery where we do a penile disassembly surgery and we use the penile skin to create a new vagina and we do an orchiectomy at the same time and so we do a gender surgery.

In the female to male also, we start with the face, rhinoplasty, brow lift, genioplasty, McSteamy is done, and these are the initial surgeries. Mastectomy is done where the male chest is created. And, finally after one year of treatment, we go for a creation of a new phallus, we create a penis by the process of radial artery forearm flap, wherein we take the skin from the hand and we create a penis. After that, we can do testicular implants in the labia majora to create testicles. And later on, this surgery is successful of the penile reconstruction by radial artery forearm flap and the patient is having sensation till the tip of the penis. Then we do a final erectile implant which can even cause the erection.

If you have any further queries regarding this topic, you can contact me on Lybrate.
 

3879 people found this helpful

I am suffering from excess of white discharge from vagina. It grows more when I do some physical activity, like exercises, running, jumping etc. I have grown weaker also and lost weight. I am very much worried about myself. Please help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am suffering from excess of white discharge from vagina. It grows more when I do some physical activity, like exerc...
If the discharge is causing itching or fowl smell then it is some kind of infection, which should be treated immediately. If there is no itching or fowl smell then it has to be physiological leukorrhoea, which occurs because of hormonal imbalance, which is mostly caused by your loss of weight. Build up your weight to get rid of this issue. To increase your diet, you can have 1tsf of syrup aristozyme 1 hour before each meal.
3 people found this helpful
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Mare 2 child ho gaye hai aur ab mei bache nahi paida karna chahati hu please koi upay batao.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Mare 2 child  ho gaye hai aur ab mei bache nahi paida  karna chahati  hu please koi upay batao.
Hello, you may get a laparoscopic tubal ligation done which is a permanent sterilisation method. Regards.
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Hello I am an 18 year old girl from India. From last 4 weeks, I started having blood tinged vaginal discharges. The consistency and color of the discharge varied and the traces found were of fresh blood. My doctor asked me to get a sonography done for lower abdomen. I went for a transabdominal ultrasound. No abnormality was detected. Ovaries, uterus and cervix were normal in size and echotexture. Do I need to get a pap smear done?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
If you are unmarried, Pap smear won't help much. Rather ask your gynec to examine you with a speculum as you already had TVS.
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I had sex with my gf and she took a ipill and her age is 21 Is there any chance to get pregnancy?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had sex with my gf and she took a ipill and her age is 21
Is there any chance to get pregnancy?
Hello, if she has taken ipill with in 72 hrs then success rates of avoiding pregnancy are 99.5%. She should wait for her withdrawal bleed in next 5-7 days.
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Things To Consider Before Having Breast Augmentation Surgery

MBBS, MS - General Surgery, M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Visakhapatnam
Things To Consider Before Having Breast Augmentation Surgery

What is the real reason behind the surgery?

The decision to have breast augmented surgery should be a woman’s alone. Friend’s advice or pressure from your partner should not play a role in this. Since this is a complicated procedure, getting the surgery done with external pressure can lead to disappointment.

How expensive are these surgeries?

Breast augmentation surgeries are slightly expensive compared to other plastic surgeries. However, the price of the surgery varies depending on the procedure chosen and the doctor who is performing it. It makes sense to consider a clinic which fits the budget and has a very good reputation of its own. Planning your finance well in advance should be one of the top priorities of a woman.

The Risks-

While most breast augmentation surgeries are harmless, there are potential complications that go with it. Bruising and swelling are common risks that are involved with this procedure. This might even last for a week. If surgeries go wrong there is a potential risk in getting a second surgery to set things right. The candidate might have to take antibiotics and pain medication for quite a few weeks till things become normal.

Think about a realistic size-

There is this general notion that breast augmentation surgeries do not give a natural look to a woman. To ensure that one gets a natural look, it is very important to choose the right size of the implant. While it remains a personal choice, the appropriate breast size makes a woman more attractive.

Set the expectation right-

Most breast augmentation surgeries give people a positive outlook towards life. They feel more confident and happier than before. Having said this, there are chances of potential changes in the physiological and physical front. Before the surgery, a detailed discussion with the doctor is recommended.

Where should you have the surgery from?

While there are many places that offer cheap implant options, money should not be the only consideration. A surgery as important as this should have various parameters weighed such as the experience of a doctor, the success rate of the doctor, talking to people who have undergone the same procedure from the same facility etc.

Is a night stay at the clinic mandatory?

A night stay at the clinic is not mandatory. While some clinics emphasize for a night stay so that the patient can be kept under observation, some prefer that their candidates go home and heal at the privacy of their homes.

Pregnancy-

If a person is planning to get pregnant after the surgery, there is a potential risk of breastfeeding. While most women do not face this, there are considerable ones who come across this problem. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.

4415 people found this helpful

Hi. Doctor. I am 7 month pregnant. From last 1 week left side of vagina is swelling and feeling hard with a little pain. Can it normal or anything else. Pls give me the solution. Will it affect my pregnancy. Pls answer as soon as possible.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
You need to consult your gynaec as it is important to establish a diagnosis. Any infection needs to be ruled out as it may lead to preterm labour .!
1 person found this helpful
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2014 June she got married. She had regular periods. But she didn't pregnant. She had all check up and his husband also. No problem for both. What can we do, 13th day injection also she had 3months before. But it is also failure pls give further treatment Dr.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
2014 June she got married. She had regular periods. But she didn't pregnant. She had all check up and his husband als...
for infertility lot of work up and tests are required you have to send the reports and remain in touch if keen you have to take the package .and ask your problum
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I am 22 years woman. M 6 week pregnant. This is our first child. Today we had a sex in morning. We sex in a week. I never get bleeding or pain. It will nt harm to my child na. M little worried.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
I am 22 years woman. M 6 week pregnant. This is our first child. Today we had a sex in morning. We sex in a week. I n...
Hi Mrs. Shraddha, Since you are in second trimester you can venture into intercourse. How ever you can continue this for next couple of months only. Avoid doing complicated positions. Stick to missionary.
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Hi doc. I'm 25 yrs, 112 kgs, 155 cm height. I have PCOD, got continuous bleeding over 3 months, and have taken medications. My doc advised me to undergo Bariatric surgery. But I'm very much confused and depressed about doing surgery and all. I'm not interested too. And one Doctor advised me to follow Paleo diet or a good protein diet for weight loss. I need a true guidance in this moment, I'm really very much worried and depressed about my body. Please doc help me.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hi doc. I'm 25 yrs, 112 kgs, 155 cm height. I have PCOD, got continuous bleeding over 3 months, and have taken medica...
Hello, Bariatric surgeries are only entertained unless you have some severe troubles in managing other metabolic issues. It should probably used as the last resort and the point to make is it should never be taken as cosmetical procedure,but a life saving procedure. Get in touch with me privately and will help you with a proper recommendation. Unfortunately bariatric surgeries are used as shortcuts to lose instantly.
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Hi, I had my last period on 6th may. Had unprotected sex on 12th may. Took ipill same day within 3 hours of sex. Got next period on 18th may till 21st. Again I had sex in 22nd (not sure protected/ unprotected). My next period is due on 6th june. Currently having light abdominal discomfort and leg pain. When will I get my period? Is it any chances of getting pregnant? Please help!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Hi, I had my last period on 6th may. Had unprotected sex on 12th may. Took ipill same day within 3 hours of sex. Got ...
if you would not hv done sex in 22 then it was very clear that no chance of pregnancy.. sex on 22 may create issue if unprotected but then again due to pill your cycle will be disturbed..so ine thing is disturbed cycle. but untill you explain more on 22nd sex ..cant conmment on chances... I would say chances arr low but not zero. consult for further discussion.
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I have 3 children. No white discharge. Periods normal but before 8-10 of periods itching starts lastly and irritates me. Sugar test done it was ok.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Hi ! your problem may be because of some fungal infection. You & your husband both need treatment for that simultaneously.
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I I miss my period but, how may day I wait for this of 4 week 6 days. I done HCG test but result are negative what to do.

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
I I miss my period but, how may day I wait for this of 4 week 6 days. I done HCG test but result are negative what to...
If it is negative please wait for few more days. If the same problem persists please consult nearest gynecologist. Scanning of abdomen is essential for proper diagnosis. In case of thyroid, pcod and there are several other conditions wherein there can be delayed menstruation. So for proper diagnosis scanning is essential.
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My friend who is 17 years old have a fallen left breast it is in a minor ptosis stage and please help her to get rid of that without a plastic surgery please.

M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Mumbai
My friend who is 17 years old have a fallen left breast it is in a minor ptosis stage and please help her to get rid ...
It can not be made normal without surgery. Surgery will not harm her breast function so do not worry.
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I have missed my periods for last one month. I am ok I mean nothing wrong from either side bv.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have missed my periods for last one month. I am ok I mean nothing wrong from either side bv.
hi you should wait for some day more for period it will come if period will not start then do sonography and consult gynacologist
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I'm married, Unexpectedly my husband force we doing sex, I made together before one, I conformed pregnancy. So we don't want to children this time. Please help me, How to destroy pregnancy. Please. Please.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I'm married,
Unexpectedly my husband force we doing sex, I made together before one,
I conformed pregnancy. So we don...
Hello marriage means having sex with your partner. I shall not advice for termination of pregnancy if it is first pregnancy. Archana gupta.
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Hi doctor, I am 35 weeks pregnant went through a color doppler today, POG is 33 weeks by scan with 2190 gm weight and had a single loop of cord in neck. I want to know the risk involved also why baby is 33 weeks and not 35 by scan.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Hi doctor,
I am 35 weeks pregnant went through a color doppler today, POG is 33 weeks by scan with 2190 gm weight and...
Dear Lybrate user, By this time range between actual gestation by dates and on ultrasound may vary to a range of 3 weeks. So, POG of 33 weeks with scan is likely to be in normal range. One has to take into consideration the gestation noted at first scan done in first trimester.
2 people found this helpful
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Am 31 weeks pregnant. I have gestation diabetes. Pls tel me proper and healthy diet plan.

MBBS
General Physician, Faridabad
Am 31 weeks pregnant. I have gestation diabetes. Pls tel me proper and healthy diet plan.
Here's a sample vegetarian meal plan if you have gestational diabetes. However, a customised diet plan works best. This is because it is based on your weight, height, activity levels, stage of pregnancy and your glucose levels. You can try different variations of this sample meal plan to keep your taste buds happy. Early Morning (between 6 AM – 7 AM) A glass of milk (250 ml approx.) without sugar with 20gm roasted gram Breakfast (between 8 AM – 9 AM) A cup of milk (approx. 150 ml) without sugar and two whole wheat bread slices with 50gm cottage cheese (paneer) or one boiled egg / two vegetable stuffed chapattis with a bowl of curd / two small dosas or four idlis with sambhar. Use only 1 tsp of oil for cooking. Mid Morning (11 AM) One medium-sized fruit (150 gm approx.) such as guava, pear, plum, apple, sweet lime (musambi), peach or jamun. Lunch (between 1 PM to 1:30 PM) Start with one quarter plate of salad (cucumber, tomato, carrot, radish), one or two bowls of seasonal vegetable, one bowl of dal, about 150 ml (1 cup) curd, three chapattis / two chapattis and 3 tablespoons of rice. Use about 2 tsp of oil when cooking the lunch. Evening (4 PM) A cup of milk without sugar or lassi Evening Snack (6 PM) A bowl of sprouts with vegetable juice or soup. Dinner (8 PM – 8:30 PM) Similar to lunch. But you can try different dishes to add variety to your meals. For example, you can take cottage cheese with peas (matar paneer), mixed vegetable, soya nuggets curry, whole moong dal, masoor daal, or black chick pea gravy, green beans and carrots and so on. Use about 2 tsp of oil for cooking dinner. Bed Time 1 glass milk (250 ml approx.)/ 1 cup milk (150 ml approx.) with one small sized fruit (150 gm approx.)
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