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Dr. Shika Joshi

Gynaecologist, Delhi

Dr. Shika Joshi Gynaecologist, Delhi
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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 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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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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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I'm a 21 years old woman and I always suffer from severe pain during my periods. Its always been this way since the beginning year. What could be the reason behind this?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Reason could be infection, endometriosis, ovarian congestion, pelvic vein congestion, physiological, mullerian anomaly etc.
1 person found this helpful
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I am a 37 years old lady I have two children one of is 9 years old &another is 4 years old. Generally I have m.c. Before 4 to 7 days but unfortunately sometimes before 10 or 11 days. My brest releases white colour liquid like a milk in time of m.c. I have already checked protecting harmonic level its normal. please give right suggestions Thanks.

DHMS (Hons.)
Homeopath, Patna
I am a 37 years old lady I have two children one of is 9 years old &another is 4 years old. Generally I have m.c. Bef...
Hello, some times due to hormonal change in women may produce a discharge from nipples with or during period. It's is normal. It ,might cause due to infection or tumour in breast, too Tk, plenty of water to hydrate your body. Your diet be simple, non irritant on small intervals. TK, Homoeo medicine: @ phytolacca 200-6 pills twice. @ Bryonia alb 30-6 pills, thrice a day. Avoid, junk food, alcohol, caffeine. Pizza, burger. Report, wkly. Your feedback is solicited for further follow-up ,tk cate.
1 person found this helpful
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I m about one month pregnant and my second month has started. So I want to ask that in first trimester can I take facials massage. It is okk or not with this.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I m about one month pregnant and my second month has started. So I want to ask that in first trimester can I take fac...
During pregnancy, skin is more sensitive so the products you used before pregnancy may suitable. Beautician should use gentler products designed for sensitive skin. Patch test of the product to be applied on face, before facial, can be a good way to test your sensitivity during this time. Also remember beautician does not use anything containing retinoid, which could harm your baby.
3 people found this helpful
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Hi My partner having white thik discharge like curd n its swollen n itching all day. So is it STD or something else.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hi My partner having white thik discharge like curd n its swollen n itching all day. So is it STD or something else.
Yes. It is probably bacterial vaginitis. It is advisable that your partner consults a gynaecologist personally, get examined and start treatment. Till then abstain from vaginal intercourse.
1 person found this helpful
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What is ovulation period in females? Are there ways to find out the exact ovulation day? And having sex on that day results in 100 % pregnancy? Please give me proper solution.

MBBS
General Physician, Chandigarh
You can not be 100%sure about ovulation day unless you get it checked in the ultrasound by getting follicular study done and again having sex even on the ovulation day is not 100% confirmatory to get pregnant.
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I have 2 time miscarriage And now last 7 months I tried to get pregnant but can not What should we do now.

MBBS, DGO, DNB Gynecology)
Gynaecologist, Delhi
I have 2 time miscarriage And now last 7 months I tried to get pregnant but can not What should we do now.
Go to a gynaecologist who will evaluate her both clinically and by certain test like thyroid profile pelvic ultrasound, hsg for any anomaly in the uterus or tubes. General and pelvic infection to b treated if any. You may require hormonal and immunological test to know the answer.
8 people found this helpful
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My wife s both fallopian tubes blockage in two Tims operations can she pregnant in feathers I have one child.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife s both fallopian tubes blockage in two Tims operations can she pregnant in feathers I have one child.
Hello, the next best option that she has is oocyte harvesting and ivf, followed by embryo transfer. Please meet an ivf specialist.
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I have a sex with my girlfriend and now she miss her period date since 12 days.Help me

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, If she has already missed her periods by 12 days now without any symptoms then it is best that you should rule out pregnancy first by doing a urine pregnancy test. If negative then she can wait for another week to allow natural resumption of menses else after that she can opt for a withdraal bleed with progestins to resume her menses. Regards
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Is brown discharge with clots indicate implantation bleeding or could be just side effect of pill?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Is brown discharge with clots indicate implantation bleeding or could be just side effect of pill?
Hello, no it is not necessarily implantation bleed unless 3-4 days post intercourse and needs to be differentiated from normal menses in that case.
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Is it beneficial to your health to take Coenzyme Q10? If so, what are the benefits? Are there any side effects?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Is it beneficial to your health to take Coenzyme Q10? If so, what are the benefits? Are there any side effects?
This medicine is a diet supplement Not Approved by FDI of USA, it reacts with lots of medicines used by heart patients like High BP medicines beta blockers & statins to bring down bad fats in blood. Side effects are not known , reason it is not approved but why do people take it as a diet supplement , even I have no idea. My suggestion is take a healthy diet Minus any supplements except routine vitamins in low doses.
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Good morning mam I have thyroid since 3 years so I did n't get pregnancy 3 years completed my marriage I took the treatment as IUI but it was fails please suggest me mam.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Good morning mam
 I have thyroid since 3 years so I did n't get pregnancy 3 years completed my marriage
I took the tr...
Hello, Thyroxine tabs have to be continued regularly and if one IUI has failed then you still have 5 more IUI tounmergo before ivf is opted for.
1 person found this helpful
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I had vaginal discharge with blood since last two months. It was very less in amount. But this time from 10th day of my period I observed that the amount of discharge as well as blood attached to it more. It's 14th day since my period came. And I am still having discharge with blood. I am unmarried.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I had vaginal discharge with blood since last two months. It was very less in amount. But this time from 10th day of ...
Hi Shraddha. It would be good to take proper treatment course with antibiotics and for yeast as untreated infection can not only result in this abnormal bleeding issue but can have future fertility problems.
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I'm 21 old. I have pcod, my height is 157 cms and weight is 71 kgs I want to cone down to 60 kgs. How hard I try working out I can lose only 3 or 4 kgs not more than that! can I know what can be done to lose weight?

Post Graduate Diploma In Dietetics
Dietitian/Nutritionist, Mumbai
For weight loss you definitely need to streamline your lifestyle by any modification that it may require like altering eating pattern, exercise and stress relief. The real need for weight loss is purely motivation from your end. Incase you are interested in getting professional help on your diet pls feel free to consult me privately online.
1 person found this helpful
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MS - ENT,MBBS
ENT Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
15 people found this helpful

I am 37 years old female suffering from PCOD problem since pubic age. I never have periods without having contraceptive pills. I went through so many medical investigations and tests but there is no use. I have my periods only after having pills. I don't have any baby also. If I stop taking pills, then I don't have periods. I am really fed up now. What should I do? Please help me.

MBBS
Sexologist, Panchkula
I am 37 years old female suffering from PCOD problem since pubic age. I never have periods without having contracepti...
You have irregular periods and pcod. I advise you to do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning. Take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily. Avoid garlic and red chilly at home and avoid non veg and eggs. Keep your weight normal. These will help you in your periods.
36 people found this helpful
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M 32 years unmarried female. M having a desk job, my tummy is bulging out as a result am worried. M anemic and have regular periods for 11/2-2 days maximum. Few days back pelvic ultrasound reveal normal result. Thyroid, diabetes, uric acid results within limits. Cholesterol slightly rise can such conditions result in cyst development. Kindly recommend solution or consultation or test?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
M 32 years unmarried female. M having a desk job, my tummy is bulging out as a result am worried. M anemic and have r...
Hello. Lybrate user lack of exsercize result in bulging of tummy. Your all reports are normal slight increase in cholesterol will not be a reason to develop pcos but it may become cause of increasing fats. So I can suggest you that if you don't have time for exercise just do bending down (padpachimotanasan) twice a day it require less time. It will help you lot.
3 people found this helpful
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She was missed her periods for 12 days what should she do for that can you please tell me.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
She was missed her periods for 12 days what should she do for that can you please tell me.
Get upt with morning urine. If positive need termination of pregnancy. If upt negative give her tab deviry 10 mg 3time fr 5 days.
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