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Dr. Asha Khatri

Gynaecologist, Mumbai

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Dr. Asha Khatri Gynaecologist, Mumbai
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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. Asha Khatri
Dr. Asha Khatri is an experienced Gynaecologist in Malad West, Mumbai. She is currently associated with Hemanshu Maternity Home in Malad West, Mumbai. Save your time and book an appointment online with Dr. Asha Khatri on Lybrate.com.

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Hemanshu Maternity Home

Flat No. 14\15, Siddhi Appartment, Malad West. Landmark: Near to Mrlac cenema, MumbaiMumbai Get Directions
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What It Really Means to Have Endometriosis

DGO, MBBS
Gynaecologist, Delhi
What It Really Means to Have Endometriosis

Endometriosis is a painful condition where the endometrium tissue lining the walls of the uterus, grows as implants outside the womb of the patient. This can lead to a number of painful conditions and is often considered as a common cause behind severe pelvic pain, as far as women are concerned. Here is all you need to know about Endometriosis and pelvic pain:

  1. Painful Menstruation: Depending on the stage of the condition, the implants could remain on the surface or go deeper into the ovaries which may cause acute and severe problem during ovulation as well as the menstrual cycles. This is one of the symptoms that one must not ignore. If you are having painful cramps that affect the pelvic area and the abdomen, and if these cramps last throughout the duration of the cycle, then there are strong chances that you are experiencing the pain that comes with Endometriosis. 
  2. Pain During and After Intercourse: While there are many reasons why women may face pain during intercourse, it may be noted that vaginal and pelvic pain that come during and after intercourse could point towards the presence of Endometriosis which is causing irritation and discomfort due to the implants. 
  3. Bowel Movements and Urination: Usually, pelvic pain may trickle down to and also get activated by the bowels when there is a motion as well as urination. This is a common problem that can cause pain which spreads throughout the region if the patient is suffering from Endometriosis. 
  4. Bloating and Other Symptoms: When the abdomen and nearby regions face bloating due to the implants and their painful spread, the pelvic region as a whole bears the brunt in terms of severe pelvic pain. The bloating and other symptoms like loose motions and constipation can also create pain in the abdomen and pelvic region on a persistence basis. Sharp pains may also shoot up and down the lower back due to such symptoms which should not be ignored if they do not abate within a few days. 
  5. Misdiagnosis: Many times, the bloating and pelvic pain may be linked with pelvic inflammatory disease which causes pain in the muscles and joints. But if you are having pain in the abdomen as well as problems during your menstrual cycle, then it may be helpful to have the tests for Endometriosis done as well. 

In order to diagnose the condition, the doctor must ensure that proper imaging tests like MRI and CT scans as well as an ultrasound with lab tests based on blood samples have been conducted. The pelvic pain that comes with this condition can be treated with the help of pain relievers like ibuprofen and aspirin.

TREATMENT-

Medical Treated of Endometriosis-

  • Oral contraceptives, progesterone, danazol
  • GnRH agonist with add-back
  • Alternating GnRH agonist and OCs
  • Aromatase inhibitors
  • NSAID

Surgical Treatment-

The surgical management of endometriosis involves careful consideration of the indications for surgery, surgical techniques, surgeon experience, preoperative evaluation and ancillary techniques.

Surgery may be either 'conservative' or 'definitive'. Conservative surgical management of endometriosis has the goal of restoring normal anatomy and relieving pain. This approach is most often applied to women of reproductive age who wish to conceive in the future or to avoid induction of menopause at an early age. It may involve:

  • direct ablation,
  • lysis, or excision of lesions,
  • interruption of nerve pathways,
  • removal of ovarian endometriomas,
  • excision of lesions invading adjacent organs (bowel, bladder, appendix, or ureter).

Definitive surgery involves bilateral oophorectomy to induce menopause and may include removal of the uterus and fallopian tubes and, ideally, excision of all visible endometriotic nodules and lesions. It should be considered in women who have significant pain and symptoms despite conservative treatment, do not desire future pregnancies, or are undergoing hysterectomy because of other pelvic conditions, such as menorrhagia or fibroids.

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

Hi I am 26 years old, we are eagerly waiting to our baby so we r trying from past 7 months but didn't not get any positive results. 2 times I put HCG injection but no use. I have a doubt that- after our intercourse next day morning there will be white discharge to me so I am worried about that can you please tell me that It's natural or any effects for pregnancy from this.

MBBS, DGO -PREVENTIVE & SOCIAL MEDICINE
Gynaecologist, Sri Ganganagar
Hi I am 26 years old, we are eagerly waiting to our baby so we r trying from past 7 months but didn't not get any pos...
White discharge after intrecourse is normal and no effects on pregnancy As far as pregnancy is concerned keep in touch with your gyneac, she will guide you about further treatment.
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BHMS
Homeopath, Surat
*** The 7 Dangerous Acts after meal ***
DON'T ACT THE 7 ACTIONS BELOW AFTER YOU HAVE A MEAL.
* Don't smoke- Experiment from experts proves that smoking a cigarette after meal is comparable to smoking 10 cigarettes (chances of cancer is higher).
* Don't eat fruits immediately -When you eat your fruits with meals, the fruit is stuck in the stomach along with the contents of the meals and cannot reach the intestines in time. Lying there they get spoilt and spoil the remaining food in the stomach too. Thus it is recommended that you eat a fruit at least one hour after eating a meal or before your meal and preferably in the morning with empty stomach. It is in the morning that the body can best use the nutrients in the fruit and get enough energy to start the day.
* Don't drink tea - Because tea leaves contain a high content of acid. This substance will cause the Protein content in the food we consume to be hardened thus difficult to digest.It is preferable to drink tea an hour after meals.
* Don't loosen your belt -Fiction, not particularly bad for you!
We generally have an attitude that a good meal is that which forces us to loosen our belts. However, loosening the belt is bad, not because it causes the intestines to twist or block but because it means that you have over eaten to a level that you are uncomfortable. Loosening of the belt may also cause you to feel comfortable once again which means you may continue overeating.
So eat only to the extent that you can be comfortable without loosening your belt!
* Don't bathe - Bathing after meal will cause the increase of blood flow to the hands, legs & body thus the amount of blood around the stomach will therefore decrease. This will weaken the digestive system in our stomach.
* Don't walk about -Fact, it is bad for you! Walking directly after meals is a bad idea, it can result to acid reflux and indigestion. However, walking about half an hour after meals is known to be good for you. Researchers in the Department of Exercise Science at the University of South Carolina, have found that walking after exercise is a good way to burn energy.
The point to note is when to walk, you should ideally walk for about 10 minutes and only 20-30 minutes after meal to prevent acid reflux and stomach upsets.
* Don't sleep immediately - The food we intake will not be able to digest properly. Thus will lead to gastric & infection in our intestine.

Good afternoon doc my wife blood group is negative each time she is pregnant we always loose the baby at birth we have loose up to 4 babies now. Currently she is 26 weeks pregnant. please what we do so as not to loose this baby.

BHMS, MPH(Public Health), CNCC
Homeopath, Pathanamthitta
Good afternoon doc my wife blood group is negative each time she is pregnant we always loose the baby at birth we hav...
The Rh factor, also called the Rhesus factor, is a protein found on the surface of red blood cells. People with Rh-positive blood, about 85 percent of the U.S. Population, have this protein; those with Rh-negative blood do not. If both you and your partner both have Rh-negative blood, there's no need to worry because you'll have an Rh-negative baby. But if you are Rh negative and your partner is Rh positive, your baby could be either positive or negative. A potentially dangerous condition, called Rh Disease, can result when the mother is Rh negative and the baby is Rh positive. Similar to an autoimmune condition, Rh disease occurs when the Rh-negative mother's body detects Rh factor in the baby's blood and develops antibodies to protect itself. (The body sees the Rh factor as an infection.) The antibodies cross the placenta to fight the Rh-positive cells in the baby's body. As the antibodies destroy the red blood cells, the baby becomes anemic, which can lead to complications like jaundice, heart failure, organ enlargement and possibly death. The risk of Rh disease during a first pregnancy is low, but it becomes a problem during future pregnancies with other Rh-positive babies. That's because the risk of an attack increases any time your blood mixes with your baby's blood. This can happen during an amniocentesisor a C-section, but also during delivery as the baby exits the body and the placenta is delivered. New research reviewed by Paula Grantham, RN, BSN, and published by the University of Rochester Medical Center suggests that a Rh-negative woman may not always have trouble during her first pregnancy, but she can build a sensitization for subsequent pregnancies. This means that while you may actually carry and deliver a Rhesus-positive baby full term without your body attacking it, your system might become "triggered" so that future pregnancies will likely require treatment in order to prevent your body from attacking the baby. However, treating a woman with Rh immunoglobulin, or RhoGAM, during her first pregnancy can prevent her body from developing antibodies that could affect her future pregnancies. Because doctors generally don't test the blood type of the baby before birth, Rh-negative moms will require treatment regardless of whether the child is positive or negative. Treatment involves an injection of RhoGAM, which prevents your blood from developing antibodies, around week 27 of your first pregnancy and another injection after the baby is delivered. Some doctors will administer the post-delivery RhoGAM injection only if the baby tests Rh positive, and other doctors give the injection even if the baby tests negative.
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Hey is there any chances of getting fat after abortion from clear kit. And it's cause any harm in future?

MD
Gynaecologist, Mumbai
No chance after the abortion unless your ddiet/exescise format is bad being overwt will cause problems with preg.
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My female friend of age 23 years had her successful marriage few days ago, they want to enjoy their married life not getting pregnant till two years. They planned their intercourse exactly three days after and six days before her regular PMS within a month time. First time when they had their intercourse they haven't used condom but the second time they had their condom. Now she haven't got her period on her regular time abd she is worried. Is there a chance for her to conceive? If yes what are the remedies to get over it. Please help!

BHMS PGCGO
Homeopath, Hubli-Dharwad
My female friend of age 23 years had her successful marriage few days ago, they want to enjoy their married life not ...
If they had intercourse during her fertile period that is 12-16 day of her periods then chances of pregnancy are more. Like if she had periods on 5 Jan then her fertile periods is 5+12=17. 17-21 Jan is her fertile periods when she has maximum chances of getting pregnant.
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I lost my virginity to my boyfriend few days back. I am getting married to someone else. Is there anyway that I can escape first night questions on my virginity? Or anyway my hymen can grow back? Please help. I have heard that 6 months break will make vagina tight again and chances if knowing will be less. Is it true?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Hymen once broken , never regrows, so you would have to face these queries anyhow if you are not a virgin at all.
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Common Ailments Which Can Be Treated With Homeopathy

BHMS
Homeopath, Hyderabad
Common Ailments Which Can Be Treated With Homeopathy

We all have used homeopathy as a cure, and we know from experience that it works. This complementary modality of healing works on the principle of ‘like kills like’. All homeopathic medicines are derived from natural sources and are then diluted and ‘potentized’ to make them safe.

Here are a few common ailments that respond very well to homoeopathic medicines:

  1. Common Cold- Allium Cepa (onion) which causes tearing in the eyes and dripping from the nose, is a frequent remedy for common cold and hay fever. It is very effective when there is a watery, and burning nasal discharge from the nose. Oscillococcinum, Bryonia, Belladonna, Arsenicum Album and Aconite are also excellent cures for influenza. Bryonia is especially useful in treating body aches that accompany fever.

  2. Shock and Trauma From Injury- Arnica (mountain daisy) is the best remedy for trauma due to injuries and is an excellent first aid. It also helps to reduce pain and speeds up the healing process.

  3. A Sore Throat- Aconite, Arsenicum Album and Belladonna are very good. Aconite helps during the onset of a sore throat while Belladonna is helpful in curing tonsillitis.

  4. Nerve Problems- Hypericum (St. John's wort) is the first medicine to consider for injuries to the nerves or to parts of the body rich with them, like the back. This medicine is especially good for treating shooting pains.

  5. Psychiatric Ailments- Ignatia (St. Ignatius bean) is most effective in treating acute grief, anxiety, and depression, especially due to loss of a loved one.

  6. Cramps- Magnesia phosphorica (phosphate of magnesia) is the most effective remedy for cramps, including menstrual cramps.

  7. Indigestion- Nux Vomica (poison nut), Aconite, Carbo Veg and Pulsatilla all treat indigestion. Nux Vomica is especially useful in relieving symptoms of flatulence, constipation/diarrhoea and heartburn. Carbo Veg is extremely useful for getting rid of gas after food.

Sprains-Rhus tox (poison ivy) is the medicine of choice for people suffering from sprains and strains. It’s especially useful when the person suffers from more pain when he starts moving after resting. It can also treat symptoms of arthritis and flu.

Remember to take these medicines in the 6th or 30th potency only. If you are suffering from minor pain or discomfort, you should take the medicine 3 times a day but if the discomfort is severe, you can take the medicine every 1 to 3 hours, tapering off later.

If you do not observe at least some improvement even after 24 hours of taking the medicine, it probably is the wrong one. Consider taking another medicine or better still, consult a homoeopathic doctor. It is also best if you treat yourself for non-threatening acute conditions only and go for professional care for chronic conditions.

7 people found this helpful

Is there any tablet that can help me get my period overnight revert as soon as possible.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Is there any tablet that can help me get my period overnight revert as soon as possible.
take sepia 200 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres
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I had sex with my husband now two year but I still not get baby .what the reason I don't know what should I do. I want baby.

mbbs, pgdhivm
HIV Specialist,
I had sex with my husband now two year but I still not get baby .what the reason I don't know what should I do. I wan...
Participate in sex during the fertile period if then also you r not having children advice your Husband to under go semen analysis and you under go complete ultrasound abdomen and pelvis.
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