Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 39 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.
Book Clinic Appointment with Dr. Smita Khulle
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Smita KhulleYour feedback matters!
I have irregular periods. My weight is 65 n height is 5 ft. Sometimes I have blood spots before a week when my periods comes. N I have a lot of pain during periods.
My wife's breast is getting fall down, currently we have no any child's, she is 24 year old, how to shape her breast for good looking.
If masturbation is done daily will it be harmful in pregnancy and will it not help to keep the women pregnant. Please advise.
I am suffering from itching and rashes in vagina. So please let me know if there is a problem with that part or not.
Hi, My wife did pregnancy test in I CAN kit in home she got a dark line on C and thin white line on T. Test is positive and negative Please suggest?
Hi. Dr.I had my sex on 4th july and she had her periods on 20 june. And we have done unprotected sex. Can it caused pregnancy of my wife? I hv'nt use any contraceptive pills. And my wife don't get periods yet. What to do?
I am 21 years old. I have cycle of usually 32 days which varies after 2 months and sometimes it becomes 28 days and sometimes 30 but it is within 32 days always. I had my period on 24th June. I had unprotected sex with my husband on 3rd July. After that I had bleeding on 21st June (that means after 27 days from my last period). I did not had breast tenderness. Usually I have heavy bleeding always which lasts for at least 5 to 6 days (probably 5).But this time it was not so heavy but not so light also (much lighter than my heavy periods). It lasted for 4 days. On 6th day I had brown mucus (egg white consistency). Please tell me is it periods or implantation bleeding. I don't want to get pregnant now as I am also studying. Please reply soon.
Bladder cancer can be caused by a variety of factors, which include genetic factors, inheritance, drugs, chemicals, environment related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. Besides smoking other important environmental factors might be chemotherapy, exposure to chemicals from newspaper, dye, leather, paints industries.
Symptoms of bladder cancer are as follows:
Most often it occurs in people more than 50 years of age. It can present in different ways, but common symptoms being :
- Painless hematuria - reddish or brownish colored urine with or without clots Increased frequency of urination Pain while passing urine .
- Difficulty in passing urine
The diagnosis requires a proper imaging workup including ultrasound, CT scan and urine examinations. Following the initial imaging, a biopsy is required to confirm the diagnosis and stage the disease. This is done by cystoscopy under anesthesia.
Treatments for bladder cancer depend on the stage of cancer. Broadly bladder cancers can be categorised into Non-invasive and Invasive cancers.
- For non-invasive cancers: It requires recurrent cystoscopic surveillance and resection. For those with high risk of tumor recurrence or progression, intravesical chemotherapy or immunotherapy might be required.
- For invasive cancers the various treatment choices are:
- Surgery: For localised tumor which are amenable to resection perhaps surgery is the best possible treatment. This is a major undertaking where in whole of bladder along with accessory organs is removed. The surgeon may offer choices for reconstruction between neobladder (refashioning bladder with patient's gut) or ileal conduit (fashioning a stoma over which bag can be worn to collect urine). Following surgery a regular follow up is required and the prognosis is good.
- Chemotherapy: This modality is reserved for patient's where surgery is not possible or they have metastatic disease (disease spread to other body parts).In this method, medications are used to target and destroy cancer cells.
- Radiation Therapy: This might be and option for patient's that are not suitable for surgery. Radiation therapy uses gamma rays to destroy cancer cells in the body The key to good prognosis in bladder cancers is early detection timely intervention and good follow up.