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Dr. Shika Joshi

Gynaecologist, Delhi

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Dr. Shika Joshi Gynaecologist, Delhi
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Shika Joshi
Dr. Shika Joshi is a renowned Gynaecologist in Yamuna Vihar, Delhi. She is currently practising at Saroj Poly Clinic in Yamuna Vihar, Delhi. Save your time and book an appointment online with Dr. Shika Joshi on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 42 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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English
Hindi

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Saroj Poly Clinic

C-185, Brahmpuri, Trans Yamuna, Main Road, Yamuna Vihar. Landmark: Opp. Gali No. 2, DelhiDelhi Get Directions
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At present I do not want child so. . Which time is better for sex to avoid pregnancy ? I do not have do sex more then 5 minute . . What can I do for increase my sex time ? I have facing problem of discharge quickly . . Long to long 2 minute ? I want to increase my discharging time . . plz give me better solution.

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
At present I do not want child so. . Which time is better for sex to avoid pregnancy ?
I do not have do sex more then...
Remember 5 days before periods and 5 days after periods is relatively safe period to have sex. In this chances of pregnancy is very less to negligible. Early ejaculation or premature ejaculation is a common problem and most indians have it. It happens because you are not able to control your excitement when you go for sex. By the time you start to sex with your partner, your peak is near and you get discharged soon. Males usually have 3 minutes from arousal to discharge. Females take 10-15 minutes to get aroused. So how to match both. Learn to desensitize or control your emotions a little by thinking some thing else while you do fore play on your partner. You can increase the time of foreplay and that will you be satisfied that you are spending enough time in bed. When about 10-15 minutes have passed then think of yourself and you will charged immediately in a second. Then do sex then. If you have proper desires then erection will too be good. If negative thoughts are there then erection will not be good. For insertion take help of some lubrication but if you have good desires and foreplay is good, lubrication come automatically. Ask your wife to help in getting insertion. Changing of positions also helps in proper insertion and lasting & satisfying sex. Your diet should consist of is fresh fruits what ever available and similarly fresh vegetables and one hour of jogging or brisk walking every morning. This will keep you sexually active.
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Laparoscopic Surgery For Fibroids In Uterus: A Boon For Ladies

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Chandigarh
Laparoscopic Surgery For Fibroids In Uterus: A Boon For Ladies

Fibroid is the most common tumor of uterus which is not cancerous in 99% of cases. Fibroid is so common that almost 40-50 percent of females at the age of 40years are found to have fibroid inside. Most of these women are not having any symptoms. But as the size of fibroid increases with time, many of these women, start having symptoms. Now a days we are seeing more of fibroids even in young girls of 16-17 years of age.

Most common symptoms due to fibroids are-

Heavy bleeding during menses, prolonged menses, irregular spotting, inability to conceive (pregnancy), recurrent abortions, frequent urination, constipation, heaviness in lower abdomen, a palpable big hard mass in lower abdomen which is confused with obesity at times. There is risk of conversion to cancer in less than 1 percent cases.

Treatment- long back fibroid was removed by open surgery where a long incision/cut is given on abdomen to remove the fibroid. It is more like a caesarian section which is more painful for the patient, associated with more blood loss, slow recovery of patient, and more dependency on others/relatives after surgery.

Now a days surgical technique and instruments have improved so much that same surgery is being done by laparoscopy (Key-Hole) where very small incision of 10mm is given and complete surgery is performed using camera and better machines. This gives benefit of almost negligible pain after surgery, minimal blood loss, faster recovery and resumption of work, no dependency on relatives after surgery, and no visible surgery mark on abdomen.

Because of its excellent cosmetic effect and no visible scar on abdomen, laparoscopy has proved to be a boon for unmarried girls.

Different treatment options for fibroids-

  1. Medical- medicine can be tried to decrease the size of fibroid but it is a temporary method. Fibroid recurs after medicine is stopped. Medicine is given to the patient who are waiting for the surgery in view of some personal problem or very low hemoglobin level.
  2. Laparoscopic myomectomy- Removal of fibroid is called myomectomy. Patient who want to retain their uterus for future childbearing or who are young, fibroid removal is the surgery of choice. Uterus stays safe after surgery. We have removed 2.5kg fibroid from uterus by laparoscopy, which is equal to the size of 7month pregnant uterus.
  3. Laparoscopic Hysterectomy- for patients who do not want to retain their uterus or who are beyond 40yrs of age with complete family, laparoscopic removal of uterus with fibroid is done so that patient gets complete cure with no recurrence. We have done laparoscopic removal of 2kg uterus with fibroid which was equal to 6 months pregnancy.
  4. How to decrease recurrence of fibroid in future- laparoscopic ligation of uterine artery is a technique where blood vessels feeding to fibroids, are blocked. This helps in decreasing recurrence of fibroid to more than 80 percent cases. Uterus keeps on getting its normal blood supply from other vessels and future childbearing is not compromised so she can plan for pregnancy.

Myth about fibroid surgery-

Myth 1- It should be removed by open surgery.

Fact- Advanced surgical technique has made it possible to remove fibroid by laparoscopy. Fibroid is loaded in a bag and then removed from abdomen so that complete removal is ensured.

Myth 2- big size fibroid can not be operated by laparoscopy

Fact- Any size of fibroid can be removed by laparoscopy by expert gynecologist laparoscopic surgeon

Myth 3- laparoscopic surgery is more expensive

Fact- Recovery of woman is much faster after laparoscopic surgery so loss of work is minimal, that leads to overall cheaper price for surgery.

Myth 4- every gynecologist or surgeon removes the fibroids/uterus by laparoscopy

Fact- This surgery needs a proper training so that best results can be given to the patients. So, a gynecologist who is trained in laparoscopic surgery for fibroid is the best choice.

Myth 5- there is higher chances of uterus removal when only fibroid removal surgery is planned

Fact- There is remote possibility for that kind of risk. In fact we have not removed any of the uterus till date for the patient who is planned for fibroid removal surgery. Only fibroid is removed completely.

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I m 29 yrs old and married. Suffering from pcod for last 8 yrs. Treatment also taken, but there is no good result. Please tell me what to do.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
reduce your weight and what treatment you have taken that we have to go through to advice about the treatment
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I'm 19. I'm getting my periods on time but the flow is reduced from last 3 or 4 months. After this months periods I'm getting a little blood daily. My breasts are paining and becoming heavier daily. I can't go to a doctor this month due to my exams. Can you suggest me something and give me a little idea why this is happening?

MBBS
General Physician, Delhi
I'm 19. I'm getting my periods on time but the flow is reduced from last 3 or 4 months. After this months periods I'm...
While most women aren’t exactly excited about menstruation, most realize the importance of this bleeding when, suddenly, one month it either doesn’t appear or it shows up when least expected. What’s going on when you have irregular periods? Or why do they suddenly stop? Let’s start by understanding the mechanics of the menstrual cycle. During a woman's fertile life, the eggs mature within the ovaries in a cycle that typically lasts 28 days (this varies from woman to woman and even from period to period). On day five of the cycle, about twenty eggs start to mature in the follicles of the ovaries. Each of these follicles is like a tiny fluid-filled sac. As day fourteen approaches, one follicle has generally matured earlier than the others and releases its mature egg to be fertilized. What happens to the other follicles? They shrivel up and are reabsorbed by the body. But the mature follicle transforms into what is known as a "corpus luteum, which is responsible for producing the hormone progesterone to prepare the uterus to receive the fertilized egg. If the egg is not fertilized, it disintegrates and dies. Likewise, the corpus luteum withers. This causes the uterus to shed its lining, the endometrium, causing the bleeding of menstruation. What is a regular menstrual cycle? Having a regular cycle means that the interval between periods is consistent. As mentioned earlier, it’s usually 28 days, but depending on the individual woman, can range from every 20 to every 35 days. What is an irregular menstrual cycle? Having an irregular cycle means that the interval between periods varies each month. That is, sometimes they come every 28 days, sometimes every 20, sometimes every 30. Having irregular periods is very common. I see them in my practice all the time. The causes can range from something insignificant to something that requires treatment. For example, if you're a teen, your body's hormones can fluctuate and take some time until they find a balance. Therefore, it’s normal to have an irregular period during adolescence or, sometimes, for your period not to arrive in a given month. But, before we get down to business, remember that the main cause for your period not to arrive is a pregnancy. So, if your period doesn’t arrive, check to make sure it’s not actually a baby on the way. Now, let’s look at the most common causes of irregular periods: Eating disorders, like anorexia and bulimia Excessive weight gain or weight loss; extreme thinness and obesity both cause your menstrual cycle to become irregular or even to disappear Stress or emotional problems Hormonal problems, for example, when the thyroid malfunctions Travel Over-exercising: If you're an athlete and train very hard, you may stop menstruating because your body wants to survive and save energy and menstruation requires energy Problems with the pelvic organs (such as polycystic ovarian syndrome, for example)
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My last period date was 23 July and today early morning I am getting milk from breast. Is that a problem? But I am not pregnant and I also don't have any child.

MBBS, DGO, DNB Obs & Gynae
Gynaecologist, Delhi
Hi lybrate-user getting milk secretion from breast can be due to many reasons like due to certain medicines like antidepressants or due to thyroid disorder or due to breast stimulation or due to certain tumors. Please do urine pregnancy test and do serum prolactin and Tsh levels which is important. Consult a doctor.
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I had protected sex September 14 th I didn't confirm condom break or not than I took unwanted 72 pill within 5 hours my period date 23 every month than this month also I got period 23 sep but it's low bleeding comparison for Everything month I confused it is implantation bleeding or period bleeding color red low bleeding is cause for side effects for pill or implementation bleeding I confused.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I had protected sex September 14 th I didn't confirm condom break or not than I took unwanted 72 pill within 5 hours ...
After taking high hormonal emergency pill like unwanted 72 one gets withdrawal bleeding 5 to 10 days later, and then new cycle starts. However in view of less bleeding as you have doubts confirm with blood test serum HCG-Beta.
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I had unprotected sex with my girlfriend around her ovulation period and she took an I pill after 4 hours. We again had unprotected sex 2 days later. She took an I pill 2 hours later. I know I pills harm the body on repeated use but will the I pills work as it is was around her ovulation phase?

Sexologist, Delhi
I had unprotected sex with my girlfriend around her ovulation period and she took an I pill after 4 hours. We again h...
Don't worry she toked I pill so she will not get pregnant. And from next time onward don't use I pills. Instead of I piils use condom.
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Hello doctors, I am in my 3rd trimester and taking supracal pro+ once a day which is 1250 mg. Is it safe during pregnancy?

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
Hello doctors,
I am in my 3rd trimester and taking supracal pro+ once a day which is 1250 mg.
Is it safe during pregn...
Hi lybrate-user, there is an increased demand for calcium in the third trios supracal pro+ is a good med, so continue and dont worry.
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If I do sex without condom with my partner and ejaculate inside then what would be the probability of getting her pregnant, if both of us are fully functional. Is there any time period during the menstrual cycle, during which we can do sex without any protection and still avoid pregnancy without any pills? And also what is good time for sexual intercourse to create a ZYGOTE. Please take menstruation as reference point for both questions.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
If I do sex without condom with my partner and ejaculate inside then what would be the probability of getting her pre...
1-if ejaculation inside and if period around ovulation day of female then yes chance of pregnancy. 2-avoiding pregnancy by avoiding only certain days of period method is called safe period method which is unsafe meaning high failure rate. Ovulation happens 14 days prior to next expected period means in woman with regular 28 days cycle happens 14 days after menstrual period. 3- ovulation day mentioned above is good time for zygote.
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I get burning and swelling after the inter course with partner and I have baby of 2 years and its normal delivery.

MS - Obstetrics and Gynaecology
Gynaecologist, Gurgaon
I get burning and swelling after the inter course with partner and I have baby of 2 years and its normal delivery.
May be you are suffering from vulvovaginal infection. Go and consult a gynaecologist and get your checkup done. As without seeing the type of infection medicines can't be prescribed.
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