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The Every Woman Cliniq, Mumbai

The Every Woman Cliniq

Gynaecologist Clinic

No.203, Sagar Fortune, 184, Waterfield Road, Bandra West Mumbai
1 Doctor · ₹2000
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Call Clinic
The Every Woman Cliniq Gynaecologist Clinic No.203, Sagar Fortune, 184, Waterfield Road, Bandra West Mumbai
1 Doctor · ₹2000
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About

By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about The Every Woman Cliniq
The Every Woman Cliniq is known for housing experienced Gynaecologists. Dr. Rishma Dhillon Pai, a well-reputed Gynaecologist, practices in Mumbai. Visit this medical health centre for Gynaecologists recommended by 83 patients.

Timings

MON
04:00 PM - 06:00 PM
WED, FRI
11:00 AM - 01:00 PM

Location

No.203, Sagar Fortune, 184, Waterfield Road, Bandra West
Bandra West Mumbai, Maharashtra - 400050
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Videos (1)

Hello! <br/><br/>I am Dr. Rishma Dhillon Pai, consultant gynaecologist at Leelavati, Jaslok, Hind...

Hello!

I am Dr. Rishma Dhillon Pai, consultant gynaecologist at Leelavati, Jaslok, Hinduja Healthcare Hospitals, Mumbai. I am going to be talking to you today on advanced infertility management. We know that almost 10% of couples who are trying to conceive are not able to do so. Many of them have very simple problems which can be overcome with basic advice and treatment. So when a couple comes to us that saying that they are not able to have a baby even after 1 year of trying we will do a few simple investigations. For the husband, we will do the semen analysis. For the lady we will do a few tests, hormones, sonography and something to test the tubes. You can do an x-ray of the uterus or laparoscopy or hysteroscopy which gives us a good picture of the entire womb, the fallopian tubes- if they are open or closed and give us some idea whether the eggs are coming out normally from the ovary or not. With this information most of us start with basic treatment, simple tablets, simple injections to make the eggs grow. We see how the eggs are growing by sonography and many times with natural treatment patient may become pregnant.

Some patients who do not conceive with this basic medicine may require the first step of Advanced treatment that is Intrauterine Insemination. In this we take the husband's semen, wash it, pick up the best quality sperms and with a very small tube insert it into the ladies womb and push it inside at the time when the egg is coming out. So IUI is a very simple technique not very expensive and it gives good results. But for this the husband semen report must be almost normal and the ladies uterus, tubes, everything must be normal. So this is step one of treatment. If despite trying intrauterine insemination for a few times, the patient doesn't not become pregnant, then we have to go to the advanced infertility treatment starting with IVF or In-Vitro Fertilization or test tube baby as it is called. Test tube baby is basically meant for ladies who have tubes blocked that means the fallopian tubes are not functioning or have closed off due to some infection or disease.

Today, however, IVF is used for many many reasons. Even if there is no obvious problem but the couple is not able to conceive, we do IVF on them. So for In-Vitro Fertilization what we have to do really is give the lady injections for approximately 10 days. What this does is, it produces a large number of eggs. When there are many eggs we admit the patient for half a day, give her anaesthesia for 10 minutes and actually through a sonography machine remove the eggs using a needle. This is a painless procedure and like I said, a 10-minute procedure. Once the eggs are in our hands, we take the husband's semen which we have prepared and each one sperm is picked up and injected or placed beside the egg and the fertilization is done.

If the husband's sperm count is very less or very low or almost nil, then we can do a similar procedure but here we perform ICSI, Intracytoplasmic Sperm Injection which means each sperm of the husband is picked up with the help of a very very fine needle and physically injected into the egg so it is not left to fertilize on its own but the sperm is injected into the egg. This procedure ICSI is performed in the laboratory after about 2 days you can actually see that the egg has fertilized and is now growing. So now one egg has developed into 2,4,8,12 parts. It is actually a growing baby and this baby which is just 2 or 3 days old is taken and with a very fine tube which is a very painless half a minute procedure, it is put back inside the womb of the patient. This is embryo transfer. So this procedure which takes approximately 15 days from the beginning of the menstrual period until the procedure is over is called IVF or ICSI depending on what is done in that particular patient. This test tube baby procedure has very good results. So patients who are otherwise never able to become pregnant because of blocked tubes or because of very low sperm count or because the egg is not coming out or any other problems such as endometriosis or adenomyosis, all these patients hormonal problem patients, patients who have polycystic ovarian syndrome, many of these patients will benefit from this technique of IVF or ICSI. However, infertility treatment has advanced a lot today. Even men who have zero sperm count, absolutely no sperms when we do the semen analysis, in these patients also in many many cases we can do very tiny biopsies from the testes called PISA or TISA. Very tiny needle biopsies and from the tests we can actually take out the sperms.

Even if we get just three or four or five sperms, we can use these techniques of ICSI or even the more advanced technique called MC to actually fertilize the eggs and help make the lady pregnant. In India for the first time in our centres in Mumbai, Delhi, Chandigarh, Bangalore we have brought this technique or called MC called male factor infertility. We have also got laser hatching. We have got a fantastic new device called Embryoscope. This actually is very useful for couples who had earlier failures, who have done IVF before have not become pregnant. This is an improved technology where the eggs and embryos are kept inside this special incubator. It is a non-touch technique. So basically more and more advancement, more and more techniques are coming up to help couples who thought they would never be able to become pregnant, to help them become pregnant.

Not only this, couples who have recurrent miscarriages they become pregnant but then they have an abortion and again and again. These couples too, this technique comes useful because we now have what we called PGD, Preimplantation Genetic Diagnosis which means that if a couple is having repeated miscarriages or if they are having with the baby with some abnormality or some genetic defects we can actually take a biopsy of the small tiny 2 or 3 day embryo. We can take a tiny biopsy and we can analyse it and we can tell the patient, that this embryo is normal or abnormal and we can pick up a healthy good embryo and put it back inside in the womb ensuring less chance of miscarriage and a better healthy baby free of genetic problems. So there is a lot of techniques and technologies available. We're all almost on par with the rest of the world. Our results are excellent and we can definitely offer patients today such good treatment for infertility that we can almost say that no couple will remain infertile. There is also surrogacy as an option, there is a possibility of egg donation, embryo donation. So depending upon the unique problem which the patient presents with, we can offer them some solution. You can contact me at any time through lybrate and I will be available to help solve all your problems.

Thank you.

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Doctor in The Every Woman Cliniq

Dr. Rishma Dhillon Pai

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist
85%  (10 ratings)
29 Years experience
2000 at clinic
₹500 online
Available today
11:00 AM - 01:00 PM
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7 Types Of Urinary Incontinence in Women!

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist, Mumbai
7 Types Of Urinary Incontinence in Women!

Involuntary and sudden urine loss in women is termed as urinary incontinence. Some of the contributory factors to urinary incontinence are menopause, pregnancy and childbirth.

Types:
There are seven types of urinary incontinence.

  1. Stress incontinence: If normal physical movements like sneezing, coughing and exercising cause small amounts of urine to leak out, it is called 'stress incontinence'.
  2. Urge incontinence: If large amounts of urine leak out during unexpected and at odd times, like during sleeping, it is called 'urge incontinence'.
  3. Overactive Bladder: This is characterized by frequent and urgent urination, along with urge incontinence or not.
  4. Functional incontinence: If external deterrents or physical disabilities like not being able to find a toilet, leads to sudden leakage of urine, it is called 'functional incontinence'.
  5. Overflow incontinence: A full bladder, at times, leads to unexpected leakage. This is called 'overflow incontinence'.
  6. Mixed incontinence: Whenever urge and stress incontinence occur together, it is categorized as 'mixed incontinence'.
  7. Transient incontinence: When urine leakage occurs due to temporary situations like infections or new medications, it is called 'transient incontinence'.

Causes:

Urinary incontinence is not a disease; it is a symptom. Infections, diabetes, or other medical conditions can cause incontinence. If incontinence is temporary, the causes might be any or all of the following:

  1. Urinary tract infection
  2. Over consumption of alcohol
  3. Constipation
  4. Too much caffeine intake
  5. Consuming carbonated drinks
  6. Decaffeinated coffee and tea
  7. Use of artificial sweeteners
  8. Foods which are too spicy, acidic or sugary
  9. Corn syrup
  10. Being on sedatives, muscle relaxants, blood pressure and heart medications
  11. High doses of vitamin B and vitamin C

However, if incontinence is persistent, the symptoms might be different:

  1. Pregnancy: During pregnancy, hormonal changes and weight gain in the body can cause incontinence.
  2. Childbirth: Normal vaginal delivery weakens muscles that control the bladder, thus leading to incontinence.
  3. Age: The bladder muscles weaken with age which, in turn, affects the bladder urine holding capacity.
  4. Menopause: The levels of "oestrogen" hormone drop with the onset of menopause. Oestrogen keeps the lining of the urethra and bladder healthy. The gradual damage of the bladder tissues leads to incontinence.
  5. Hysterectomy: The bladder and uterus are supported by the same ligaments and muscles. Surgery deteriorates the pelvic floor muscles, thus removing the uterus can lead to incontinence.
  6. Obstruction: Tumours in the urinary tract can block the normal urine flow. This causes overflow incontinence.
  7. Neurological disorders: Parkinson's disease, multiple sclerosis, brain tumours, strokes or spinal injury can cause incontinence.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3 people found this helpful

Fibroadenomas - Causes And Symptoms

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist, Mumbai
Fibroadenomas - Causes And Symptoms

Fibroadenomas are benign non carcinogenic tumors that occur in the breasts of women. Although the condition may affect females of any age; spanning from pubescent girls to middle aged ladies, yet it is most commonly diagnosed in young women below 30 years of age. Fibroadenomas can be described as a stiff, smooth, supple marble under the skin of your breasts, which move when touched. These tumors which occur in varied sizes, may shrink or expand with time. Diagnosing through biopsies and treatment by surgeries are commonly employed for such a condition.

Types of Fibroadenomas
Fibroadenomas are of two types: simple fibroadenomas and complex fibroadenomas. The simple tumors are usually harmless and almost look the same under the lens of a microscope. On the other hand, the complex tumors are comprised of macro cysts (large fluid-filled sacs) and calcifications (deposits of calcium) which can slightly increase the chance of breast cancer.

What is the primary cause of Fibroadenomas?
Doctors aren't able to pinpoint the chief cause of fibroadenomas, but they have reasons to believe that the condition may pertain to the reproductive hormones. The condition may occur during pregnancy or during the use of hormone therapy, owing to which, the tumors may increase in size. The tumors are usually seen to shrink postmenopause, when the hormone levels start to dwindle.

Fibroadenomas are apparent and you may be able to detect them even without a doctor. The marble like tumor within your breasts are usually:
1) Painless
2) Firm
3) Rubbery and elastic
4) Easily movable

These tumors can range from being too small to as big as 3 inches or more in diameter. These lumps, which are usually harmless may be a cause of concern if they start to grow or change. Consulting a doctor is duly advised in such cases.

Risks
Fibroadenomas, only in the rarest cases, increase the likelihood of breast cancer. A complex fibroadenoma comprising of cysts or thick tissues called calcifications may aggravate your condition. Causes of concern could be if the tumor pains, a family history of cancer or an event of a questionable biopsy report. In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

3 Causes Of Infertility And Its Treatment!

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist, Mumbai
3 Causes Of Infertility And Its Treatment!

Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. For women aged 35 and older, inability to conceive after 6 months is generally considered infertility. Repeated pregnancy loss (2 or more spontaneous pregnancy losses) can also be considered infertility. Recent estimates indicate infertility affects 10-15 percent of the population in their childbearing years.

If you experience recurrent pregnancy loss, or if you have not been able to become pregnant within a year (six months if the woman’s age is over 35, 2-3 months if over 40), then you may benefit from assessment and treatment by a reproductive endocrinologist - a doctor with a special interest, training and expertise in the area of infertility.

It’s a state that results in the abnormal functioning of the male or female reproductive system.

The causes for infertility could be:

  1. Male factor - erectile dysfunction, ejaculatory dysfunction, problems with quality, count and quantity of semen

  2. Female factor - tubal factor, ovulatory problems, abnormality of uterus, hormonal imbalance 

  3. Antisperm antibodies

The prime symptom is very obvious i.e. unable to have baby despite of having sex without any contraceptives.

Factors affecting fertility:

  1. Age: Female fertility gradually declines in the 30s, particularly after age 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant.

  2. Smoking: It increases risk of getting infertile and reduces the chances of treatment.

  3. Alcohol: Consumption of alcohol is said to lower the sperm count in men.

  4. Obesity: An overweight person has a higher chances of having sperm abnormality.

  5. Workout: Less or very heavy work out is said to increase the chances of infertility.

  6. Mental Stress: Studies suggests that ovulation and sperm production may be affected by mental stress. If at least one partner is stressed it is possible that the frequency of sexual intercourse is less, resulting in a lower chance of conception.

  7. Sexually Transmitted Infections can also adversely affect the fertility of a person.

When to take further advice and course of action?

In case the women trying to conceive is less than 35 years of age, then 12 months and if more than 35 years, then in 6 months itself one needs to get in touch with the Specialist/Reproductive Endocrinologist/Gynaecologist or a Urologist for a complete diagnosis.

Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors in both men and women.

There are many treatments available that improve the chances of having a baby. Such treatments include:

  1. Hormones Treatment

  2. Drugs for fertility

  3. Surgery in some cases

Also one the oldest form of medications such as Ayurveda as well as Homeopathy is said to have a wonderful treatment of Infertility. With the developments in medical sciences, there are lot of treatments available; however, such treatments sometimes become the victim of their own success causing multiple births – Two, Three or may be more.

Some Assisted Treatments are:

  1. Intrauterine insemination

  2. In Vitro Fertilization

  3. Intracytoplasmic sperm injection

  4. Donation of Sperm or Egg

  5. Assisted Hatching

  6. Electric or Vibratory Stimulation to achieve ejaculation

  7. Surgical Sperm Aspiration

It is important to understand the complete treatment before going ahead and be aware of the possible outcomes and be psychologically ready.

Please do not keep it to yourself and consult an expert. Never go for self medication! In case you have a concern or query you can always consult an expert & get answers to your questions!

3 people found this helpful

Mammography shows BIRADS IV. Biopsy is suggested. Would like to know the cost for the procedure. Also have PCOD and so advised D&C. What would be it cost?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist, Mumbai
Mammography shows BIRADS IV. Biopsy is suggested. Would like to know the cost for the procedure. Also have PCOD and s...
Costs depend on whjere you do procedure, seniority of doctor, type of biopsy-ultrasound directed trucut or in the operation theatre. Dand C can be done at the same time.
2 people found this helpful
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Hi DOCTOR, Is their any chance of pregnancy after doing unsafe sex but mensuration done after that. Pls guide.

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist, Mumbai
Hi DOCTOR,
Is their any chance of pregnancy after doing unsafe sex but mensuration done after that. Pls guide.
Sometimes there can be bleeding even in pregnancy-so it maybe difficult to be sure. It is better to confirm with a pregnancy test.
Submit FeedbackFeedback

Advanced Infertility Management

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist, Mumbai
Play video

Hello!

I am Dr. Rishma Dhillon Pai, consultant gynaecologist at Leelavati, Jaslok, Hinduja Healthcare Hospitals, Mumbai. I am going to be talking to you today on advanced infertility management. We know that almost 10% of couples who are trying to conceive are not able to do so. Many of them have very simple problems which can be overcome with basic advice and treatment. So when a couple comes to us that saying that they are not able to have a baby even after 1 year of trying we will do a few simple investigations. For the husband, we will do the semen analysis. For the lady we will do a few tests, hormones, sonography and something to test the tubes. You can do an x-ray of the uterus or laparoscopy or hysteroscopy which gives us a good picture of the entire womb, the fallopian tubes- if they are open or closed and give us some idea whether the eggs are coming out normally from the ovary or not. With this information most of us start with basic treatment, simple tablets, simple injections to make the eggs grow. We see how the eggs are growing by sonography and many times with natural treatment patient may become pregnant.

Some patients who do not conceive with this basic medicine may require the first step of Advanced treatment that is Intrauterine Insemination. In this we take the husband's semen, wash it, pick up the best quality sperms and with a very small tube insert it into the ladies womb and push it inside at the time when the egg is coming out. So IUI is a very simple technique not very expensive and it gives good results. But for this the husband semen report must be almost normal and the ladies uterus, tubes, everything must be normal. So this is step one of treatment. If despite trying intrauterine insemination for a few times, the patient doesn't not become pregnant, then we have to go to the advanced infertility treatment starting with IVF or In-Vitro Fertilization or test tube baby as it is called. Test tube baby is basically meant for ladies who have tubes blocked that means the fallopian tubes are not functioning or have closed off due to some infection or disease.

Today, however, IVF is used for many many reasons. Even if there is no obvious problem but the couple is not able to conceive, we do IVF on them. So for In-Vitro Fertilization what we have to do really is give the lady injections for approximately 10 days. What this does is, it produces a large number of eggs. When there are many eggs we admit the patient for half a day, give her anaesthesia for 10 minutes and actually through a sonography machine remove the eggs using a needle. This is a painless procedure and like I said, a 10-minute procedure. Once the eggs are in our hands, we take the husband's semen which we have prepared and each one sperm is picked up and injected or placed beside the egg and the fertilization is done.

If the husband's sperm count is very less or very low or almost nil, then we can do a similar procedure but here we perform ICSI, Intracytoplasmic Sperm Injection which means each sperm of the husband is picked up with the help of a very very fine needle and physically injected into the egg so it is not left to fertilize on its own but the sperm is injected into the egg. This procedure ICSI is performed in the laboratory after about 2 days you can actually see that the egg has fertilized and is now growing. So now one egg has developed into 2,4,8,12 parts. It is actually a growing baby and this baby which is just 2 or 3 days old is taken and with a very fine tube which is a very painless half a minute procedure, it is put back inside the womb of the patient. This is embryo transfer. So this procedure which takes approximately 15 days from the beginning of the menstrual period until the procedure is over is called IVF or ICSI depending on what is done in that particular patient. This test tube baby procedure has very good results. So patients who are otherwise never able to become pregnant because of blocked tubes or because of very low sperm count or because the egg is not coming out or any other problems such as endometriosis or adenomyosis, all these patients hormonal problem patients, patients who have polycystic ovarian syndrome, many of these patients will benefit from this technique of IVF or ICSI. However, infertility treatment has advanced a lot today. Even men who have zero sperm count, absolutely no sperms when we do the semen analysis, in these patients also in many many cases we can do very tiny biopsies from the testes called PISA or TISA. Very tiny needle biopsies and from the tests we can actually take out the sperms.

Even if we get just three or four or five sperms, we can use these techniques of ICSI or even the more advanced technique called MC to actually fertilize the eggs and help make the lady pregnant. In India for the first time in our centres in Mumbai, Delhi, Chandigarh, Bangalore we have brought this technique or called MC called male factor infertility. We have also got laser hatching. We have got a fantastic new device called Embryoscope. This actually is very useful for couples who had earlier failures, who have done IVF before have not become pregnant. This is an improved technology where the eggs and embryos are kept inside this special incubator. It is a non-touch technique. So basically more and more advancement, more and more techniques are coming up to help couples who thought they would never be able to become pregnant, to help them become pregnant.

Not only this, couples who have recurrent miscarriages they become pregnant but then they have an abortion and again and again. These couples too, this technique comes useful because we now have what we called PGD, Preimplantation Genetic Diagnosis which means that if a couple is having repeated miscarriages or if they are having with the baby with some abnormality or some genetic defects we can actually take a biopsy of the small tiny 2 or 3 day embryo. We can take a tiny biopsy and we can analyse it and we can tell the patient, that this embryo is normal or abnormal and we can pick up a healthy good embryo and put it back inside in the womb ensuring less chance of miscarriage and a better healthy baby free of genetic problems. So there is a lot of techniques and technologies available. We're all almost on par with the rest of the world. Our results are excellent and we can definitely offer patients today such good treatment for infertility that we can almost say that no couple will remain infertile. There is also surrogacy as an option, there is a possibility of egg donation, embryo donation. So depending upon the unique problem which the patient presents with, we can offer them some solution. You can contact me at any time through lybrate and I will be available to help solve all your problems.

Thank you.

11 people found this helpful

Gynecological Cancer - Signs & Symptoms To Watch Out For!

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist, Mumbai
Gynecological Cancer - Signs & Symptoms To Watch Out For!

Being diagnosed with cancer is something no one looks forward to and Gynaecological Cancer is every woman’s worst nightmare. However, if diagnosed in time, it can be treated. Cancer in any part of a woman’s reproductive system is termed as gynecological cancer. It is of five types:

  1. Cervical cancer

  2. Ovarian cancer

  3. Vaginal cancer

  4. Vulvar cancer and

  5. Uterine cancer

Paying attention to your body and understanding its natural rhythm can help you recognize signs of gynecological cancer. This is because signs of gynecological cancer can be difficult to identify unless you know your body. Here are a five signs to watch out for-

  1. Abnormal Vaginal Bleeding: Bleeding in between periods is okay once in a while but if it happens continuously over a period of 2 to 3 months, do not ignore it. Vaginal bleeding after menopause should also never be ignored. Abnormal bleeding could be triggered by a number of conditions including cancer of the lining of the uterus. Sudden changes in your menstrual blood that persist for over 2 cycles such as heavy bleeding can also be a symptom of uterine cancer. Heavy bleeding can be defined as a period that lasts for over 7 days.

  2. Changes in the Vulva: Any change in colour of development of bumps, sores of thickened skin should be immediately shown to a gynecologist. Any form of vulvar itching or burning should also not be ignored. These conditions could be symptoms of vulvar cancer. Hence, it is important to know what your vulva looks like normally.

  3. Bloating: Persistent bloating that lasts for over a fortnight can be a sign of ovarian cancer. This is especially true in cases of bloating accompanied by sudden weight loss or between-period bleeding.

  4. Change in Bathroom Habits: Due to the proximity of the bladder to the reproductive organs, a tumour or swelling in the reproductive organs can trigger symptoms similar to those of a urinary tract infection. This includes pain while urinating, difficulty passing urine, diarrhea or constipation. Urinary incontinence could also a sign of gynecological cancer.

  5. Abdominal or Back Pain: In rare cases, lower back pain could be a sign of ovarian cancer or uterine cancer. Pain in the lower abdomen or pelvic area can also be a sign of ovarian cancer.

The above could also be signs of other health disorders. The only way of knowing for sure is by consulting a doctor. Hence, understand your body and if you notice any of these symptoms consult your gynecologist at the earliest. In case you have a concern or query you can always consult an expert & get answers to your questions!

5 people found this helpful

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