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Dr. Usha Sikhh

Gynaecologist, Gurgaon

at clinic
Dr. Usha Sikhh Gynaecologist, Gurgaon
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Usha Sikhh
Dr. Usha Sikhh is one of the best Gynaecologists in New Gurgaon, Gurgaon. She is currently practising at Kalyani Hospital in New Gurgaon, Gurgaon. You can book an instant appointment online with Dr. Usha Sikhh on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 25 years of experience on Lybrate.com. You can find Gynaecologists online in Gurgaon 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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Mehrauli Gurgaon Road DLF Phase-01 , Landmark:-Opposite Govt Girls College, Near Sector -14, GurgaonGurgaon Get Directions
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Rheumatoid Arthritis

MBBS, MS - Orthopaedics
Orthopedist
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Rheumatoid arthritis

Rheumatoid arthritis is an autoimmune disorder affecting the joints, symmetrically (usually). The joints become swollen, red, hot, painful & tender. The joint movement becomes limited due to pain & swelling
It starts with inflammation of the synovial membrane but may involve the joint capsule and other surrounding soft tissues.



It is a self limiting disease. But by the time it leaves, the patient is crippled due to contractures & deformities.
Acute phase can be managed with medicines.

Commonly used medicines are ibuprofen/paracetamol/aspirin in therapeutic doses. They help to control symptoms of pain and swelling of the joints in most of the cases by their anti inflammatory properties. Fever is also controlled.

Vitamins, minerals, anti oxidents & other supportive medicines are also needed. Omega 3 fatty acids have a very definite role to play in improving the response to the treatment.

Physiotherapy helps in preventing contractures & deformities.

The patient should do general exercises & keep active.

He may have to be further investigated.

In established cases of rheumatoid arthritis dmard (disease modifying drugs) e. G. Methotrexate, hcq, leflunomide, saaz etc. Have to be used.
They all are toxic drugs & can cause bone marrow depression along with other side effects. They should be taken under medical supervision.
Sometimes steroids may have to used.
The dose of these medicines should be adjusted to the minimum required, to control the symptoms.
Blood, urine tests & other investigative procedures should be done periodically to rule out any side effects.
X rays of the affected part should be done to confirm diagnosis & assess the extent of damage.
Diabetes, vitamin d deficiency or any other metabolic disorder should be ruled out. Sometimes they mimic the symptoms & create confusion in diagnosis. Associated disorders like these, most certainly affect recovery adversely.


It should be ascertained that the patient is not allergic to any of the medicines that he is going to take.

Rheumatoid arthritis is a chronic disorder that lasts over many years with acute exacerbation & remissions. The earning capacity of the family is adversely affected. The cost of medical treatment is high. If the patient needs surgery, it is further escalated. Most of the population in india is not covered by any medical insurance. All these factors put together create an atmosphere of depression in the family. Patient feels morally degraded & may even develop suicidal tendency.
In a situatation like this it becomes essential that a moral support is provided to the patient by his friends & relations. Treating doctor has a very definite role to play in keeping up the moral of patient.
Rheumatoid Arthritis

I am suffering itching around vagina & vulva since 5 days. It started when I used some hair removing cream. No other symptoms or problems. Please suggest some medicine to treat it.

BHMS, CGO
Homeopath
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- maintain proper hygiene - used calendula ointment apply on affected part. - try not to use any hair removal cream near your private parts. It may cause itching, burning, rashes etc. Vaginal region is highly sensitive. - use luke warm water to clean your private parts, 2 times a day. - calendula q - 15 drops mixed with half cup of water and apply on. Affected part 2 times a day. As a antiseptic.

Related to sex .Sex krne ke liye jo foreplay ke liye kaha jata hai wo hota kya hai .kaise krte hai? Yeah sab yaha puch raha hu kyu ki mujhe jaida pta nii hai inn baato kaa aur kahi aur puchne me sharam aati hai .isliye sab detail me btaiye please tell?

M.D
General Physician
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Sex se pahele partner ko jagane ke liye kam ko foreplay bolte. Like kiss karna, gudgudi karna, breast ko massage, suck karna etc.
1 person found this helpful

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

I am 37 old female having vaginal wart near valva what is it treatment can I have sex with my husband.?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Homoeopathic medicine thuja 200 (dr reckeweg) drink 5 drops in 1 spoon fresh water daily night for 2 months nd report thereafter. No problem in having sex.

How to Cope With Erectile Dysfunction and Depression

PG Dip (Sexual & Relationship Therapy), MRCPsych, Diploma in Psychological Medicine, MD - Psychiatry, MBBS
Sexologist
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Depression is considered the common cold of all mental health issues and can strike in varying levels due to causes like pressing circumstances, problems in one's personal life and relationships, hormonal changes and other long term, chronic health conditions. Your intimate relationships are also subject to dejection when physical ailments enter the picture. Erectile dysfunction is one such area that creates depression. This is basically a condition that men suffer from. Due to this condition, a man is not able to get and hold an erection long enough to enjoy the act of sex. This can be caused due to related physical problems as well as stress. It can also lead to depression and problems in one's relationship due to anger, frustration, hopelessness and sadness. Here are a few ways to deal with depression caused due to erectile dysfunction.

Recognising the Symptoms: The very first thing to do is to come out of denial and recognise the symptoms that are caused by this kind of depression. Usually, any long term or chronic problem can lead a person to look at himself or herself as a hopeless case. This can cause symptoms like dejection, a negative attitude towards everything and sudden outbursts of anger and frustration which may crop up in other areas of the patient's life. Since this is an intimate problem that one cannot discuss with everyone, the problem of depression gets all the more challenging. In such cases, the best thing to do is to be aware of the symptoms.
Getting help: Simply being aware of the symptoms is not enough that is merely the first step. One will need to go ahead and do something about the symptoms. Visiting a sexologist or a sex therapist is the next step. With the help of therapy and discussions, the patient and the doctor can actually reach the root cause of the issue and help in realigning the attitude and thinking of the patient to come out of stress that is creating the issue, or to deal with medical repercussions of the issue in a more stable manner.
Psychotherapy: One of the foremost methods used by most therapists includes psychotherapy that can help in unravelling the cause and finding a way to cope with the problem in a way that is focussed on discussions.
Cognitive Behavioural Therapy: This form of therapy examines all aspects of the person's life and reality so as to find the cause of the problematic behaviour and reprogram the brain of patient with great deliberation.
Antidepressants: While some medications can affect sexual functioning, there are antidepressants that do not have major sexual side effects. Please consult a Psychiatrist and discuss about this option too.
Tackling depression and erectile dysfunction is a matter of striking a fine balance with professional help.
How to Cope With Erectile Dysfunction and Depression
3591 people found this helpful

My wife is 3 months pregnant. She vomits almost 3 to 4 times a day. Is it normal?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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My wife is 3 months pregnant. She vomits almost 3 to 4 times a day. Is it normal?
Hi ! vomitings in first 3 months of pregnancy is very common. She should not remain empty stomach for long duration. In the morning also she should take some dry toast or biscuits before getting up from bed. If this doesn't help, she may be prescribed some medicines which will control her vomitings.
4 people found this helpful

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Effective Drugs for diabetes. अमृता
हरितकी
बिभितकी
अमलकी
मेषसृंगी
नीम
जम्बू बीज
करेला
मीठी नीम
सदाबहार पत्र
बीजक
दालचीनी
हरिद्रा
खदिर
मैथिका
पारिजात 
शिलाजीत 
यव धान्य
Etc
ये  औषधियां शुगर के लिए दी जाने वाली अग्रेजी दवाओं के हानिकारक प्रभाव (side effects) को कम करतीं हैं,शुगर के कारण होने वाली शारीरिक क्षति से सुरक्षा करतीं है । एवं शरीर में शुगर की मात्रा को नियंत्रित रखने में मदद करतीं हैं।
Get effective ayurvedic "anti diabetic preparation" contact on lybrate

I m 27 yrs old suffering from fungal infection after c -sec on near my vagina .Doctor suggest me zenoderm but its not working kindly suggest some best powder or cream for anti fungal and anti bacterial infection

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath
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If you want quick heal then can use allopath ointment. Want to cure from future prob then use Apis mel 6 / 3 times a day. Report me after 1 week in private question. [Automatically added by Lybrate] Click "Consult Dr. Swapan Debnath" below to consult privately with the doctor.
1 person found this helpful

. I am 25 years old. I am going to try anal sex for the first time. Please suggest me some lubricant available in local medical.

MD - Obstetrtics & Gynaecology
Gynaecologist
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. I am 25 years old. I am going to try anal sex for the first time. Please suggest me some lubricant available in loc...
Anal sex can expose its participants to two principal dangers: infections due to the high number of infectious microorganisms not found elsewhere on the body, and physical damage to the anus and rectum due to their fragility. Risk of injury to the woman is significantly higher because of the durability of the vaginal tissues compared to the anal tissues.
1 person found this helpful

Hello Doctor, We are trying for baby past 3 months at the time of ovulation but no positive result, because of this my periods come before date with heavy pain, please suggest me, I am 28 year old and my husband is 29, year, my office schedule is also very hectic, daily travelling need,

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
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Hello Doctor, We are trying for baby past 3 months at the time of ovulation but no positive result, because of this m...
Try to reduce stress, have sex atleast on alternate days during fertile period that is day 7-18 of periods, if no success in 5-6 months ask for a private consultation for investigations to be done.
1 person found this helpful

I am not getting periods since 75 days. I does not have thyroid problems. Wat to do.

MBBS
Sexologist
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I am not getting periods since 75 days. I does not have thyroid problems. Wat to do.
You didn't get your periods since 75 days. I advise you to take proper balanced vegetarian diet. Take fruits and vegetables in daily diet. Take 8 to 10 glasses of water daily to detoxify body. Avoid non veg and eggs. Do meditation for mental strength daily. Keep your weight normal as compared to your height. Follow this and give feedback.
17 people found this helpful

I am a vegetarian. After two c-sections my weight became 55-75 kgs. I've back pain and knee pains too. please suggest to reduce my weight to 60 kgs.

M.Sc - Dietitics / Nutrition, Post Graduate Diploma In Hospital Administration (PGDHA)
Dietitian/Nutritionist
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I am a vegetarian. After two c-sections my weight became 55-75 kgs. I've back pain and knee pains too. please suggest...
Dear Kusuma.. You need weight reducing diet chart. Primarily avoid salts, junk foods, fried foods, butter. Do not skip breakfast. Do not be at fasting more than 3 hours.Do brisk walk at least 45 min at any time in a day. Regards..

Dear sir/ madam, im a young athlete I had 2 unprotected and 1 protected sex with unknown 3 partners with the gap of 1 year each. And psychologically I depressed thar I may get any STD's like. Pls suggest me that what to do? What not to do?

BHMS, DI Hom (London)
Homeopath
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Don't be panic, go for following pathological tests as under- (1) VDRL (2) Elisa for HIV (3) Urine culture C/S (4) CBC If results are negative don't worry, but be alert while making sexual contacts.
1 person found this helpful

Hii doctor, I had conceived after 1 month of my marriage i. E in january 2015 and miscarriage in march 2015 and had D&C. After that no success till now. What should I do now if hsg test showed one of my tube block and other partially blocked. As I am very upset and much worried. I want to conceive fast and solve all my problem. What should I Do. As I am financially not so strong. please guide me and tell me effective way.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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Hii doctor,
I had conceived after 1 month of my marriage i. E in january 2015 and miscarriage in march 2015 and had D...
You have two option for now either you can go for laproscopy to open your tubes, or you can go for ivf. In both the condition success rate will be less, but chances of conception are more in ivf, as with laparoscopy it is not necessary that tubes will be as healthy for pregnancy as earlier. So first see a infertility specialist with your reports.
3 people found this helpful

The Surprising Health Benefits of Laughter

MD - Internal Medicine, MBBS
General Physician
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Laughter is the best medicine, they say. Apart from making you happy and thawing a potentially anxiety ridden atmosphere, laughter can also promote good health. A deep rooted laughter session once in a while can actually rejuvenate you and give you a dose of health.

If this surprises you, then you need to read the rest of this article to find out how a bout of stress free laughter can help you in the health department. Read on to know more!

  1. Blood Pressure: Laughing can helping in keeping your blood pressure low, as per various medical studies. This can potentially reduce the risk of falling prey to heart attacks and strokes. The blood pressure will genuinely come down when you laugh heartily, which is especially helpful in situations for patients of hypertension so as to bring down the stress levels.
  2. Immunity: Did you know that the immune system of the body can get affected by the stress hormone levels? When your brain brings on signals that hint at stress and anxiety, laughter can also help in bringing down the stress levels simply by sharing a joke and laughing about a funny episode with someone close to you. This also gives a boost to the body's immune system. Also, when you laugh really hard, the T cells of the body get activated, which is how the immunity gets a boost so that the next time you are about to catch a cold or flu, the immunity takes over naturally.
  3. Cardiac Health: Laughter is great for the cardiac health because it helps the heart pump and burns the same number of calories that one would during a long walk. It is a great cardio workout that is ideal for people who are bed ridden due to illness or injury.
  4. Abs: A long and heartfelt laughter session can actually work your abs as it helps the inactive muscles of the area in contracting and relaxing. This is similar to a moderate work out for the abs. So getting a toned tummy can actually be as easy as having a good laugh.
  5. Endorphins: The body's natural pain killers reside in the Endorphin hormone. So have a good laugh and release these hormones as a natural side effect of laughing hard. This can help in reliving chronic pain as well.

The best part about laughter is that it generally increases the feel good factor inside you and helps you achieve a more relaxed mind and body where the immunity, heart health and general wellbeing are taken care of. So laugh your way to good health and get a well-functioning immune system with a well-toned body as well.

The Surprising Health Benefits of Laughter
3105 people found this helpful

My wife's period comes earlier by 5-10 days every month and the periods are too much painful, also there is some white fluids in the rest of the periods time. Kindly suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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My wife's period comes earlier by 5-10 days every month and the periods are too much painful, also there is some whit...
She has a number of issues. You give her homoeopathic medicine cimicifuga 200 daily one dose. Please let me the improvement after 10 days. Further treatment can be considered thereafter.
1 person found this helpful

Hello doctor. I am 32years old woman married for three years. From 5 month I am trying to conceive. And even on February I had duphaston 50 mg tablet for ovulation which doctor suggested. Then on 32 day that means I got my period on march 7th 2016. Usually I get the 26th or 27th day I get my period. But on February I took the tablet of duphaston 50 mg so my date came late. And I dint conceive. Then again the doctor said to take duphaston25mg so I took on the 9th March for five days and I went to check ovulation study and my left ovary was at 32mm. And I told the doc about this. Coz I don't have any knowledge then doc said to take injection for the rapture. So after 4 days I went again to check weather it is raptured or not. Still the rapture dint take place then our doctor told me to this 2 month not to plan. And he gave novale 21 tablet and he gave ovabless. Doc said to try coming month May normally. If I won't conceive then on June doc said he will check my fallopian tubes weather it realising the egg or not. Does checking this fallopian tube will be painful. Doc said he has to injection in my fallopian tubes and then they ill check my tubes then it releasing the egg or not. Suddenly again on March 29 I got period it is 23rd day. I am worried. Is everything ok with me. Y I got the period so soon. And suggest me what to do to conceive. Coz I am 32years old woman.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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Hello doctor. I am 32years old woman married for three years. From 5 month I am trying to conceive. And even on Febru...
This tube test is known as hsg, it is done under anesthesia so it is not at all painful. Secondly your age is 32, so you might not be having good quality eggs, so need to consult some good infertility specialist.
6 people found this helpful

My wife is having a problem in her left side breast we found a hard a ball like thing in it. Is it a sign of breast cancer or is this harm her life please help me. When whe try to press on it she z getting pain please help my wife.

MD - Radiothrapy, MBBS
Oncologist
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She needs to some tests like mammography and fnac or biopsy and clinical examination to rule out any possibility of breast cancer. Please consult radiation oncologist from your city.
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