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Dr. Swati Sinha

Gynaecologist, Delhi

at clinic
Dr. Swati Sinha Gynaecologist, Delhi
at clinic  ·  ₹ online
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Swati Sinha
Dr. Swati Sinha is one of the best Gynaecologists in Sitaram Bhartia Institute, Delhi. You can visit her at Sitaram Bhartia Institute Of Science & Research in Sitaram Bhartia Institute, Delhi. Save your time and book an appointment online with Dr. Swati Sinha on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 30 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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B-16, Qutab Institutional Area, Katewara Sarai. Landmark: Near Qutab Hotel, DelhiDelhi Get Directions
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Women related cancer: Prevention and Treatment

FIAGES, M.Ch - Surgical Oncology , MS- Surgery , MBBS
Oncologist
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Women related cancer: Prevention and Treatment

With the modernization of all economies around the world, one health hazard that has become one of the largest perils within both developed and developing nations is the incidence of cancers of the female reproductive system, especially cervical and breast cancer.

Breast cancer

Breast cancer is the formation of malignant tumors within the breast tissues of a woman. Usually, breast cancer affects women in the age range of 40 to 50, but there have been many reports of it occurring earlier. About 48 % percent of the Indian women having breast cancer have been reported to be under 50. This is an almost 17 percent jump compared to figures 25 years earlier.

Alarming Signs of Breast Cancer:

- The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded.
- Swelling of all or part of a breast (even if no distinct lump is felt)
- Skin irritation or dimpling
- Breast or nipple pain
- Nipple retraction (turning inward)
- Redness, scaliness, or thickening of the nipple or breast skin
- Nipple discharge (other than breast milk)

Screening Guidelines for Breast cancer:

- Mammography: US Preventive Services Task Force (USPSTF) recommends mammography once in every 2 year for females between age group 50-75 years. Women with a family history has a benefit of starting at age 40 years. After 75 years there are insufficient evidence of benefit of screening mammography.
- Breast Self Examination and annual Clinical examination: breast self examination is easy to learn and and any abnormality should be reported to the oncologist.
- For High Risk/ Genetic risk factors: screening should start by age 25 or 10 years earlier of youngest relative affected. Annual mammogram and MRI or Doppler ultrasound alternating at 6 month interval can be considered.

Treatment Options:

Some of the common treatment options for breast cancers are:

Breast conservation surgery - This is where the tumors are removed without cutting out too much of the surrounding breast tissue.

Mastectomy - If the cancer has spread too far then large amounts of breast tissue has to be removed along with the tumor to stop its spread any further.

Sentinel lymph node Biopsy - it's part of both surgical procedures, it decreases morbidities of lymph node dissection first draining lymph nodes only are removed in patients with clinically negative axilla. If negative on frozen section further axillary dissection is avoided. It avoids the morbidity of complete axillary clearance.

Cervical cancer ( Carcinoma Cervix)

Cervical cancer is the cancer of the cervix, which is the opening of the uterus and connects the uterus to the vagina. Indian women in particular are susceptible to cervical cancer as more than 1/3rd of the cervical cancer related deaths in the entire world happens here in India, which is about 74000 deaths annually. The leading cause for cervical cancer is HPV or Human Papillomavirus infection, which if left untreated and unchecked will result in cancer.

Alarming Signs of Cervical Carcinoma:

- Early lesions and precancerous lesions have no symptoms
- Abnormal vaginal bleeding such as bleeding after vaginal intercourse, bleeding after menopause, bleeding and spotting between periods or longer/heavier periods
- Abnormal vaginal discharge
- Pelvic pain
- Late stage disease may cause lower extremity swelling, problem with urine and/or stool passage

Screening Guidelines:

- Cervical cancer screening is most effective screening programme of any cancer disease resulting in significant decrease in mortality from carcinoma cervix
- United state preventive services task force (USPSTF) recommend cervical cancer screening starting at age 21 yrs.
- Between age 21-30 years cytology recommended at 3 year interval and HPV testing is not recommended.
- Between 30-65 years cytology every 3 year or cytology +HPV testing every 5 year.
- If previously adequately screened screening can be discontinued after 65 years.
- Women with prior total hysterectomy and no CIN can discontinue screening.

Apart from breast and cervical cancers, certain other cancers have also reported an alarming increase such as:-

Ovarian cancer (Carcinoma Ovary)

Starting in the ovaries, diagnosis of this type of cancer is usually delayed due to lack of visible symptoms in the initial stages. About 85% to 90% of ovarian cancers are epithelial ovarian carcinomas. Epithelial ovarian cancers tend to spread to the lining and organs of the pelvis and abdomen (belly) first. This may lead to the buildup of fluid in the abdominal cavity (called ascites). As it advances, it may spread to the lung and liver, or, rarely, to the brain, bones, or skin. The main treatments for ovarian cancer are surgery and chemotherapy.

Cancer of the endometrium (Carcinoma Endometrium)

Endometrium is the lining of the uterine wall and has along with ovarian, uterine and cervical cancer is also increasing in occurrences throughout India and the world.

The grade of an endometrial cancer is based on how much the cancer forms glands that look similar to those found in normal, healthy endometrium.

- Grade 1 tumors have 95% or more of the cancerous tissue forming glands.
- Grade 2 tumors have between 50% and 94% of the cancerous tissue forming glands.
- Grade 3 tumors have less than half of the cancerous tissue forming glands. Grade 3 cancers tend to be aggressive and have a poorer outlook than lower-grade cancers.

Treatment Options:

Cervical cancer along with Ovarian, uterine and endometrial cancer can be treated using the following methods:

1. Surgery: Radical Hysterectomy primarily preferred option for early stage disease. Both open and minimal invasive approaches are suitable.

- For precancer high grade lesion conisation is also option for compliant patient.
- In young suitable patient willing for childbearing trachelectomy is also possible in very early lesion.
- Depending on risk factors after surgery adjuvant treatment may be advised.

2. Radiation therapy or Combined Radiation therapy+Chemotherapy: Alternative to surgery in early stage and choice in late stage.

Prevention:

Certain prevention techniques that would be advisable to detect cancer in its early stages would be,

- Regular Pap smear tests for cervical cancer
- Taking vaccines for cervical cancer
- Regular mammograms and checkups for breast cancer
- Changing lifestyles to reduce stress
- Changes in diet to reduce risks
- Leading a healthy lifestyle with regular exercise

Women related cancer: Prevention and Treatment
3252 people found this helpful

Hi doctors. I have a doubt. What is the day duration of having intercourse for pregnancy. From which day till which day after periods we need to have intercourse.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hi doctors. I have a doubt. What is the day duration of having intercourse for pregnancy. From which day till which d...
Hello, Her fertile period shall be from day 12-22 in a 28-30 days cycle when intercourse shall increase chances of pregnancy.
2 people found this helpful

After my monthly period from 5th day my feet having too much pain can you tell me why I am facing this problem.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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After my monthly period from 5th day my feet having too much pain can you tell me why I am facing this problem.
Hello, this could be due to increased blood loss and possibly dehydration induced electrolyte imbalances. Please take ors staunchest and increase your water intake.
2 people found this helpful

Fellowship of College of General Practice (FCGP), MD - General Medicine, MBBS
General Physician
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Exercise at least four days a week for 20 to 30 minutes each day. If it’s all not possible at a go, break your workouts into smaller sessions.
22 people found this helpful

I have a sex with my girlfriend on 18 xxxxx at 5.00pm evening without any protection and small quantity of sperm is enter in her vagina after a next day I give him postpone 72 pill at 11.30am on 19 xxxx. So plzz ans us whether she will get pregnant or not Please reply as soon as possible God.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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I have a sex with my girlfriend on 18 xxxxx at 5.00pm evening without any protection and small quantity of sperm is e...
Hi. As you have taken the pill within 24 hrs it's very unlikely that she would get pregnant as it's success rate is around 98-99%.
2 people found this helpful

Is liposuction a good option for 24 years 5.1 feet gal with over sized hips a good option. Do we have any other option.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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Is liposuction a good option for 24 years 5.1 feet gal with over sized hips a good option. Do we have any other option.
For 5.1 feet you need to reduce only 10 kgs + from 65 kgs now. It will not be difficult to inculcate healthy habits now at age 25 which are sort of lifestyle modifications for heart health also. I will not advice surgery to reduce 10 kgs only. If you have not tried diet + exercise, start now. If you feel that hips are oversized, they will get in proportion as the weight sheds. Try walks, cycling, swimming, steady cycle at home & exercising while watching tv in privacy of your home (any one of above or all of above) yoga as meditation and also as a stretching exercise. Dieting is simple and you can do it minus any special diet charts. Give up sugar and fats. Take simple proteins which are nourashing and filling too-a glass of toned milk/ katori of curd/ assorted nuts/ dry roasted chane/ boiled egg/ lassi minus sugar and fats. Eat as much as you like-every seasonal vegetable and fruit-never mind the sugar in them, it is healthy sugar. Eat one full meal of roti daal chaawal. Reduce intake of salt as it leads to water retention. Take juice of fresh lemon + spoon of honey + glass of warm water everyday on empty stomach. Drink 2 spoons of apple cider vinegar with juice or a spoon of honey with water. Do write back after a month, weight reduction will be @ 5 kgs /month, may stabalise for some time followed by rapid decline in weight till you reach your target of 50-55 kgs to look and feel healthy.
1 person found this helpful

Sore Throat Home Remedy

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Apply some mulethi / yashtimadhu (glycyrrhiza glabra) powder on betel leaf and suck gently. It is very effective in hoarseness treatment and also cure sore throat problems.
Sore Throat Home Remedy
2 people found this helpful

I do a sex with my husband. But I do not know about the peorids. When the first period is coming and the second. Please guide me doctor.

MBBS
General Physician
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Good morning, the monthly periods are no way related to sex/ if you become pregnant then the period id going to stop. Wait a period of one week then check urine for pregnancy test / positive or negative stoping of perods always is not pregnancy,
10 people found this helpful

Gynac/dermatologist I am suffering from PCOS and lately I have been missing on my menses and my facial hair are increasing too which makes it the worst. Please recommend me a way to stop this hair growth. Please!

BHMS
Homeopath
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Gynac/dermatologist
I am suffering from PCOS and lately I have been missing on my menses and my facial hair are incre...
Dear madam, take homoeopathic apis mell 30, 5 drops, thrice daily, in empty stomach. Also conduct an usg after every 3 months.
5 people found this helpful

If I made sex without condoms, is there a chance to get pregnant just after completing the menstrual cycle?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist
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Hi lybrate-user, ovulation happens in mid cycle and that is wen there is high chance of pregnancy. So the first 10 days after a period are safe and the last ten days before the next period are safe.

Hi all I need some guidance actually in my first pregnancy I had miscarriage in 9 th month in July 2015 now I am again expecting twins but on my first ultrasound 7 week pregnancy doc said one baby has developed heart beat but it's missing in second twin so any idea what can happen to second twin please help.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Hi all I need some guidance actually in my first pregnancy I had miscarriage in 9 th month in July 2015 now I am agai...
Sometimes it may happen like this. Its called vanishing twin. Then you proceed as a singleton pregnancy. You need not worry. Just keep doing follow up scans.
2 people found this helpful

I had unprotected sex in last night but my period is start from today morning. Can I take I pill now? What can I do for avoiding pregnancy?

MD - Obstetrtics & Gynaecology, DGO
Obstetrician
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I had unprotected sex in last night but my period is start from today morning. Can I take I pill now? What can I do f...
Hello lybrate-user when you have period then why you should take pills. Use contraceptive pills or condom to prevent pregnancy. Thanks.

I am 26 year old female. Is it necessary to rest for 30 minutes after having an intercourse? And what is the best position to get pregnant easier?

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist
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It is a person specific choice whether or not to rest after intercourse. Most people would enjoy a cuddle and snooze. Missionary position is the best to get pregnant but of the quality of sperms is good one can get pregnant in any position or any interval of intercourse.
9 people found this helpful

Hi, I am 25 years old, single lady. I have been facing recurring episodes of Urinary tact infections, fungal infections. It repeats every 2-3 months. 6 months before I was sexually active with 4 different partners and I have had sex without using any protection many times. I have consulted many doctors, it helps me to cure for a particular time but repeats again. Now I am again facing the same issue. Main problem is frequent urination during the night and day time. I have to get up at least 7-8 times in the night time, though its just an urge to urinate and the quantity is less. Below are the medicines I was prescribed which did not help: 1. oflox2. Gentamycin injection for 5 days3. Blumox capsules4. Alkasol syrupapart from these medicines, I have taken the below in past: 1. Allegra2. Cansoft suppositories3. Urispas4 Uriliser syrupunfortunately nothing is helping me. Please suggest is it something very serious. I am sexually inactive now.

CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND, Ph.D DOCTOR OF PHILOSOPHY IN BIOCHEMISTRY, B.S.M.S BACHELOR OF SIDDHA MEDICINE AND SURGERY,
Alternative Medicine Specialist
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Hi, I am 25 years old, single lady. I have been facing recurring episodes of Urinary tact infections, fungal infectio...
Dear lybrate user, uvaursi q, echniciaq, hydrastisq each 10 drops with half glass of water crammed caps one twice daily for a month. Swarna banga bhasma 100 mg twice daily after food with ghee. Gogsuradhi gugglu 2 tabs twice daily. Revert back.
1 person found this helpful

I have low haemoglobin level. But I look perfectly fit and fine. My periods is also normal. I want to know how to increase my hemoglobin?

BHMS
Homeopath
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I have low haemoglobin level. But I look perfectly fit and fine. My periods is also normal. I want to know how to inc...
Hello. Eat iron rich diet. All green veges and fresh juice all are good. Carrots, spinach, pomogranate, apples, chukundar, broccoli all are good source of iron. With this take vitamin c also because it help in absorption of iron in body. For any other help keep in touch. Good luck in life.

Elephantasis / filariasis and homoeopathic treatment

BHMS
Homeopath
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Homeopathic treatment of filariasis symptoms– Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat filariasis but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to cure filariasis symptoms that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of filariasis symptoms:

Apis Mel, Clematis E, Silicea, Natrum Mur, Thuja Occidentalis, Lycopodium, Sulphur, Cannabis Sativa, Aurum Met, Hydrastis and many other medicines.
-DR Rushali Angchekar
Vaibhavi homoeo clinic
Elephantasis / filariasis and homoeopathic treatment
25 people found this helpful

Hi, i'm 27 years old .married 3 months back. I had a problem of vaginal white discharge from the few months. Whenever I had sex the discharge is more and in the morning time also the discharge is more. Due to this i'm suffering from back pain. Is there any serious issue with dis vaginal discharge or just I should avoid dis problem. Pls reply me fast.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hello, you should get a vaginal swab culture done to rule out mixed vaginosis, both fungal and bacterial infection. If confirmed then you should seek treatment soon.

I am 20 of age and I have this question in my mind. When I press my boobs they secrete white liquid which I assume to be milk. I know the fact that they are meant for this but does this happen at such young ages. Is it normal to go under this.

MD - General Medicine
Sexologist
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I am 20 of age and I have this question in my mind.
When I press my boobs they secrete white liquid which I assume to...
You must get checked your thyroid function. As it is not normal to have such secreation in such age we must find its cause but not a serious issue.
20 people found this helpful

Hlo sir. Mujhe ek night me ek normal boy k sth kitne bar sex krna chahiye. Ek bar sex k bad kitni der bad dubara sex krna thik rehta h.Please tell.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Hlo sir. Mujhe ek night me ek normal boy  k sth kitne bar sex krna chahiye. Ek bar sex k bad kitni der bad dubara sex...
Hi. Lybrate user, you can sex 4 times with a normal boy in a night. And again sex 1 hours after every sex. And depends upon boy sexual stamina how many times he can do sex with you.
5 people found this helpful
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