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Dr. Hema A Batheja

Gynaecologist, Mumbai

100 at clinic
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Dr. Hema A Batheja Gynaecologist, Mumbai
100 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Hema A Batheja
Dr. Hema A Batheja is one of the best Gynaecologists in Andheri East, Mumbai. She is currently practising at Jai Sai Polyclinic in Andheri East, Mumbai. Save your time and book an appointment online with Dr. Hema A Batheja on Lybrate.com.

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Jai Sai Polyclinic

Flat No 4, Building No 8 B, Takshila Gaurav Building, Mahakali Caves Road, Andheri East,Landmark:Near Holy Spirit Hospital, MumbaiMumbai Get Directions
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What Happens if the position of baby is head up and legs downward in 33 week of pregnancy will baby get to its original position or not?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
What Happens if the position of baby is head up and legs downward in 33 week of pregnancy will baby get to its origin...
HELLO, THE LIE OF THE foetus finalises by 36 weeks so if the position changes to cephalic, its good.
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As I told you am 4.5 months pregnant, I do not want to get baby, can I tke misoprostol or cytotec. Andplease tell me anything if it there. I do not want to go to clinic or hospital. Please help me, this is my life question as I don have any option.

MD
Gynaecologist, Mumbai
As I told you am 4.5 months pregnant, I do not want to get baby, can I tke misoprostol or cytotec. Andplease tell me ...
A bit late for that fear if you want the abortion and are less than 20 weeks go to a hospital as going to a quack may give rise to complications apart from illegal /criminal abortion consequences.
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Polycystic Ovarian Disease(PCOD)- Know Its Homeopathic Treatment!

B.H.M.S ( Mumbai) (Silver Medalist), Certificate In Gyn and Obstetric
Homeopath, Noida
Polycystic Ovarian Disease(PCOD)- Know Its Homeopathic Treatment!

Polycystic Ovarian Disease or PCOD is a hormonal system disorder occurring in women of reproductive age. It is also known as Stein-Leventhal syndrome. PCOD refers a unique set of symptoms, which occur when there is a hormonal imbalance in a woman’s body. The symptoms include late or no periods, pain in the pelvic region, heavy bleeding during periods, weight gain, growth of facial hair, acne and difficulty in conception or getting pregnant.

Cysts develop in the ovaries, which cause hormonal imbalances like the levels of androgen get raised more than the normal limits. Although androgens are the hormones for male, they are present in minor quantities in normal females. With the increase of androgen levels, it creates a disturbance in normal ovulation cycle leading to disturbance in menses.

All PCOD patients are advised to lose weight and do regular exercise. The common symptoms includes irregular menses, growth of facial hair and other parts of the body like arms, abdomen, chest, legs and fingers. An ultrasound examination can confirm the ovarian cysts. PCOD can lead to complications like type 2 diabetes, raised cholesterol levels, infertility, depression, cancer of uterus.

Losing weight helps to reduce high insulin level in the blood. In case of obesity, weight loss will reduce insulin resistance, stimulate ovulation and will improve fertility rate.

The conventional system of medicine has no cure for PCOD. Homeopathy however, offers the best alternative as it concentrates on treating and curing the root cause of the problem. Homeopathy believes that the human body is designed by nature to keep itself disease free and when its own internal vitality is unbalanced, the body becomes prone to disease. Once the vitality regains its original balance, the human body is able to nurse itself back to health without any external aid.

1. Apis Mellifica is best homeopathic medicine for the treatment of PCOD with stinging pains in the ovarian region coupled with tenderness over abdomen and uterine region.

2. Pulsatilla works great for patients of PCOD who suffer from scanty and late menses. It is suited for young girls in whom the PCOD starts at puberty.

3. If a person suffering from PCOD with bearing down pains from the back and abdomen, then Sepia works like magic. The menses are irregular with too late and scanty or early and profuse. The patient is irritable and indifferent.

4. Lachesis is for patients with aversion to tight clothes. The menses are short and flow is feeble accompanied with pains in the abdomen which get relieved after the flow starts.

5. Graphite work great for patients of PCOD suffering from constipation. The patient has intolerance to cold and often feels tearing pain in the stomach coupled with hardness in the ovarian region. If you wish to discuss about any specific problem, you can consult a Homeopath.

3321 people found this helpful

8 Healthy Hacks for the Hot Summer Season

Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery
Dietitian/Nutritionist, Delhi
8 Healthy Hacks for the Hot Summer Season

There are few things more exhausting or more irritating than the four month long Indian summer. With soaring temperatures and the sun raging outside, mangoes and lychees don't seem like much of a silver lining. 

So, here are 8 health hacks that will make your summer a little better:

  1. Replace soft drinks with water: When you are out on the streets or sweating at home, a sweet fizzy drink does seem tempting but try resisting and have a glass of sparkling water instead. The preservatives and chemicals in the soft drinks do nothing to help your metabolism, which is slowed down by dehydration. Add a bit of lemon juice if only water does not appeal to you.
  2. Try yoghurt instead of ice cream: The primary difference between the two is that one contains cream and the other does not. Yoghurt is lighter and has lesser fat content. Excess fat consumption during summer actually makes you sweat more.
  3. Use honey instead of butter: Butter like cream has a heavy fat content and your metabolism (which is slower in summer to retain water in the body) takes longer to break fat down. So, ditch butter this summer and spread some honey on your crunchy breakfast toast.
  4. Stock up on cucumber: Cucumber is an underrated blessing. You can munch on them anytime you like without worrying about calorie intake or stomach aches. Rubbing some cucumber on your skin can soothe sunburns and itches.
  5. Aloe Vera can work wonders: You must have heard about the boon that aloe vera is when it comes to skincare. It is the best solution to nasty sunburns, especially aloe vera gel frozen in small Ziploc bags, can heal burns and prevent skin peeling and chaffing.
  6. Lower the pH value of your skin: Application of citrus fruit juices like apples and lemons or vinegar can lower the pH value of our skin and prevent the multiplication of bacteria. This keeps both sweat and body odor away much more effectively than deodorants.
  7. Make small sacrifices in terms of diet: Some of your favorite things like coffee, alcohol, spicy food, sugar and cigarettes are best consumed minimally in summer because they all aggravate the functioning of the apocrine glands and cause sweat and body odor.
  8. Shower before you workout: One of the good things about summer might be that you have an excuse to skip work out. But, if you start with a cold shower or a swim, or keep a cold, wet towel round your neck, workout can be surprisingly refreshing. You can do the same after your workout,  it lowers the body temperature and cooling the muscles can heal soreness very quickly.
3984 people found this helpful

Hymenoplasty - Know The Procedures Involved In It?

MBBS, MS - General Surgery, DNB - Plastic Surgery
Cosmetic/Plastic Surgeon, Gurgaon
Hymenoplasty - Know The Procedures Involved In It?

Not many people are aware of the term Hymenoplasty. For some people, an intact hymen has a great significance (often an indication of a female virginity). However, you don't always need an intercourse for the hymen sheath (a thin tissue membrane that surrounds the external opening of the vagina) to break. Activities such as horse riding, gymnastics, swimming, to name a few, can play a pivotal role bringing about the rupture of the hymen.

For long, people believed that a hymen, once ruptured, can never be restored. With the advancement of technology, this fact is slowly getting transformed into a myth. With Hymenoplasty (also called as a Hymen reconstruction surgery) one can achieve the impossible i.e reconstruction of a ruptured hymen surgically. Hymenoplasty also comes as a blessing for women born without a hymen. In this case, a Hymenoplasty aids in creating a new hymen, making life a lot easier for the concerned person.

Procedure involved in a Hymenoplasty

  • Before opting for a Hymenoplasty, one should have a proper understanding of the surgical procedure, including the pros and the cons. Thus, a consultation with the surgeon (should be experienced with impressive credentials and success rate) is of prime importance.
  • Once you are fully prepared (physically, mentally, emotionally, and financially), the surgeon will fix a date for the surgery.
  • Hymenoplasty is a hassle-free procedure that involves the following steps.
    • Before the surgery, a local anesthesia is given to the patient to make the procedure less painful.
    • The ruptured edges of the hymen tissues are then carefully sutured together. The suturing of the hymen is done in such a way that the vaginal opening is not fully covered or concealed.
    • In some cases, a new hymen may also be constructed using the flap of skin present in the vaginal lining.
  • The entire procedure of Hymenoplasty seldom takes more than two hours. The patient, however, needs to be thoroughly observed and monitored for the next two-three hours (for signs of any complications or extreme side effects and discomfort).
  • The complete healing and recovery may take between six-eight weeks.
  • In most of the cases, the patient is discharged on the same day.

The risks associated with Hymenoplasty
There is seldom any extreme complications or risks associated with Hymenoplasty. However, mild pain, swelling, tightening of the vaginal wall, and bleeding are some of the side-effects that may persist for a few days following the surgery.

Precautions one must take 
The following precautionary measures can work wonders, ensuring a better recovery sans any complications.

  • Physical activities such as strenuous exercise, swimming, aerobics should be avoided for at least a few weeks or as recommended by the doctor.
  • Do not indulge in sex immediately after Hymenoplasty. In most cases, doctors advise four weeks break from sexual intercourse following the hymen restoration surgery.
  • Going for Epsom salt baths (sitting on it) at least twice or thrice a week can work wonders, speeding up the healing process.

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

1 person found this helpful

5 Mental Reasons Behind Not Getting Orgasms

MBBS, MD
Sexologist, Pune
5 Mental Reasons Behind Not Getting Orgasms

Sex is not only a physical need, sex is a great way to emotionally bond and get closer to your partner as well. Any dissatisfaction in the bedroom can affect other aspects of your life, and can lead to fights, squabbles and general unhappiness. The inability to orgasm can become a major bone of contention. There can be various reasons behind the inability to climax. Some of the common ones are detailed below:
1. Lack of stimulation
Studies show that only 25% of women reach climax during sexual intercourse. The remaining 75% of women require more stimulation, like fingers or even toys and tongues to reach orgasm. Amongst this is a subset of 10-15% of women who never reach orgasm. Thus, a large number of women require extra stimulation to achieve climax during sex. You must talk to your partner about putting in some extra effort and providing the extra stimulation you need to achieve climax.
2. Over-thinking
Many men and women over-think their actions in bed. From their expressions to how they are reacting and how they are making their partner feel - everything is under constant scrutiny and revision. This leads to a lot of stress, which can hinder your ability to reach orgasm. You need to relax in the bedroom, because whatever you do will feel good in some way or another. Your anxieties can also distract you from what is going on, which means you don't get the chance to fully experience the pleasures of sex. If it helps, speak to your partner about your anxieties and tell them what you are stressing about during sex.
3. Differences between men and women
Men are visual creatures. This means that what they see turns them on. A woman's orgasm, on the other hand, happens in her head. Thus, men and women have different roots to their stimulation. Lack of an orgasm might mean either of these needs isn't being fulfilled. A great way to work around this and make sex more fun is to include a lot of foreplay in your love-making session. You can do this by trying out role-playing or using sex toys. Make sure to take it slow for a great build-up to your orgasm.
4. Performance issues
Porn has an impact on your sex life. It can increase your expectations to a considerable extent, which may not be fulfilled, thus hampering your experience in the bedroom. A lot of people become so focused on reproducing that experience that they forget that its real life. The focus on performance overwhelms their actual experience of sex, which results in an inability to reach orgasm. Try to accept the fact that you don't really have to perform for your partner. Your partner appreciates you for what you are, despite everything.
5. Mental blocks
A problem in the relationship, certain health conditions like depression, past trauma and negative social conditioning can all have negative impacts on your ability to orgasm. Talk to your partner about past trauma if you have any, and what your triggers are. Consider speaking to a sex therapist as mental health issues should never be neglected. Depression hits the libido hard, and the problem is only compounded by antidepressants. Negative social conditioning can only be helped by therapy, so try to reach out to a mental health professional. If you wish to discuss about any specific problem, you can consult a Sexologist.

3221 people found this helpful

I am 31, married for 5 years. Planning for kids from next month. My question - Can I take HPV vaccine after having kids.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am 31, married for 5 years. Planning for kids from next month. My question - Can I take HPV vaccine after having kids.
Yes you can take, only that it is of less use in late age and more advantageous to young even before they become sexually active. If you are taking vaccination then plan next pregnancy after you finish second dose.
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She's not get properly periods every time & get much pain if she's not in period. So can you suggest please how could solve problems.

Advanced Aesthetics
Ayurveda, Gulbarga
She's not get properly periods every time & get much pain if she's not in period.
So can you suggest please how could...
At the clinic we answer questions all the time about irregular periods. A textbook period happens every 24-29 days, but in truth what is “regular” covers a wide range. Cycles between 23-35 days are very common. A woman may get her period only one to four times a year. Or she might have periods that occur 2-3 times in a month and involve spotting or extremely heavy flow. Alternatively, she may have heavy episodes of bleeding every 2-3 months. Irregular periods are simply what is irregular for you. • Significant weight gain or loss • Overexercise • Poor nutrition (or a diet too high in carbohydrates) • Smoking • Drug use • Caffeine • Excessive alcohol use (interfering with how the liver metabolizes estrogen and progesterone) • Eating disorders • Increased stress • Polycystic ovarian syndrome/Estrogen dominance • Uterine abnormalities (fibroids/cysts/polyps/endometriosis) • Hormonal imbalances related to perimenopause Home remedies Sesame Seeds and Jaggery Sesame seeds are useful in regulating menstrual cycles as they help balance your hormones. They are loaded with lignans that help bind excess hormones. Plus, they contain essential fatty acids that promote optimal hormone production. Jaggery, too, helps regulate menstrual cycles due to its warming effects. 1.Dry roast a handful of sesame seeds. 2.Grind them along with one teaspoon of jaggery into a fine powder. 3.Take one teaspoon of this powder daily on an empty stomach in the luteal phase, or second half of your menstrual cycle (two weeks before your period starts), for a few months. Simply eating a piece of jaggery, also known as gur, will also help regulate menstruation. Note: Do not use this remedy during your periods.
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From few months my periods was getting delayed n it menses remained only for 2 days. Then in June my menses didn't came so I took deviry10 3 tab n then menses started and it remained for a week. And now in this month that is July again my periods hasn't came till date. Please suggest me what's the problem n what should I do?

BHMS
Homeopath, Faridabad
From few months my periods was getting delayed n it menses remained only for 2 days. Then in June my menses didn't ca...
Hi, get your hormonal assay and an ultrasound (pelvis done) to rule out any medical condition. Also, share your all the details and symptoms for selecting more appropriate homoeopathic medicine which will cure your this problem.
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What Is Gynecomastia?

BHMS
Sexologist, Lucknow
What Is Gynecomastia?


Gynecomastia or'woman-like breasts.

It is a benign enlargement of the male breast resulting from a proliferation of the glandular component of the breast.

Gynecomastia is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples. The condition known as pseudogynecomastia, or lipomastia, is characterized by fat deposition without glandular proliferation. Although it is usually bilateral, it can be unilateral.

It is an abnormal development of mammary glands in males resulting in breast enlargement. It is not normal for men to have breasts and this makes this condition very embarrassing and may causes low self-esteem especially in teenagers.

It is very common in adolescents. It occurs due to hormonal imbalance in the male body between the age of 12- 18 when estrogen is sometim

Causes

  • A number of researchers believe that in many cases an altered androgen / estrogen ratio causes changes in cellular elements in breast tissue. This could be due to:
  • Decrease in production of androgen
  • Increase in estrogen formation
  • Decrease in sensitivity of breast tissue to androgens
  • Physiological during infancy and at puberty: gynecomastia can occur physiologically in neonates (due to female hormones from the mother) and sometimes at puberty.
  • Refeeding: recovery from wasting diseases.

Testicular causes

  • Testicular agenesis: failure of testes to develop.
  • Orchitis: inflammation of testes.
  • Tumor of testes.
  • Klinefelter’s syndrome.
  • Imbalance of sex hormone: imbalance of estrogenic and androgenic hormones causes gynecomastia.

Drugs: digitalis, spironolactone, phenothiazine and so on. Approximately 4-10% cases are due to drugs. Spironolactone is a common cause, inducing gynecomastia in 10% of those receiving it as a treatment for heart failure. Digoxin and furosemide are also reported to cause gynecomastia.

Certain medications can promote breast growth. They interact with the natural levels of testosterone and estrogen, and upset the balance in some manner. Gynecomastia is a common consequence of estrogen treatment in patients with prostate cancer.

Drugs that may cause it include:

  • Hormones (androgens, anabolic steroids, estrogen agonists)
  • Antiandrogens or androgen-synthesis inhibitors
  • Antibiotics (isoniazid, ketoconazole, metronidazole)
  • Anti-ulcer medications such as cimetidine
  • Cancer chemotherapeutics, especially alkylating agents
  • Cardiovascular drugs, such as captopril and digitoxin
  • Psychoactive agents, such as diazepam and tricyclic antidepressants
  • Recreational drugs, such as alcohol and marijuana

Penicillamine

Alcohol and drugs can cause gynecomastia by mimicking estrogen and stimulating androgen production. Steroids and other excess androgens are sometimes converted by the body into estrogens and consequently cause male breast problems.

Men over the age of 50 tend to produce fewer androgens such as testosterone or gain fat tissue that converts androgen into estrogen. In 3 percent of reported cases, gynecomastia can signal lung, liver, or adrenal cancer. Tumors can secrete estrogen, upsetting the hormonal balance.

  • Breast prominence due to excessive adipose is often termed pseudogynecomastia or lipomastia.
  • Cirrhosis of liver, rheumatoid arthritis, leprosy is associated with it.
  • Any of the conditions that interfere with normal testosterone production, such as klinefelter’s syndrome or pituitary insufficiency, can be associated with gynecomastia.
  • Aging: hormone changes that occur with normal aging can cause it, especially in men who are overweight.
  • Tumors: some tumors, such as those involving the testes, adrenal glands or pituitary gland, can produce hormones that alter the male-female hormone balance.
  • Hyperthyroidism: in this condition, the thyroid gland produces too much of the hormone thyroxine.
  • Kidney failure: about half the people being treated with regular hemodialysis experience gynecomastia due to hormonal changes.
  • Liver failure and cirrhosis: hormonal fluctuations related to liver problems as well as medications taken for cirrhosis are associated with it.
  • Malnutrition and starvation: when the human body is deprived of adequate nutrition, testosterone levels drop, but estrogen levels remain constant, causing a hormonal imbalance.

Gynecomastia in bodybuilders

Some bodybuilders who abuse steroids develop it. It is often hidden behind the well developed chest muscles, but in later life, when the athlete becomes less active and the muscles become less prominent, the gynecomastia effects show up.

Signs And symptoms

  • Enlargement of breast
  • Pain in breast
  • Tenderness
  • Severe embarrassment or
  • Emotional disturbance

Classification

Puffy nipples is among the most common forms of gynecomastia. This glandular tissue accumulation is concentrated under and typically confined to the areola, or can be slightly extended outside the areola forming a dome shaped appearance to the areola.

Pure glandular gynecomastia is common in bodybuilders and is thought to be a result of the use of anabolic steroids. In this case it is known as anabolic-androgenic steroid (aas) induced gynecomastia. Due to excess testosterone levels from steroids, which is converted to estrogen, bodybuilders and other athletes are sometimes afflicted with gynecomastia in its purest form. Gynecomastia in lean men is usually only a breast tissue gland with little to no adipose tissue.

Congenital or hereditary gynecomastia is typically evident by the ages of 12 to 18 in boys. Thirty percent to sixty percent of young boys suffer from large male breasts. As many as thirty percent may live with enlarged male breasts for the rest of their lives, but in other cases it will recede with age. However, severe forms of adolescent gynecomastia may require an intervention, in consultation with the patient, the parents, and child development professionals.

Pseudogynecomastia is typical of enlarged diameter and or excessive areola projection. However, it is not composed of glandular tissue, but of adipose tissue. It looks much like typical gynecomastia but requires different treatment. Exercise and diet may be effective in combating pseudogynecomastia.

Unilateral / asymmetrical gynecomastia occurs when only one breast is larger due to gynecomastia, the other breast is typically normal in both size and shape. Bilateral asymmetry occurs when it is present in both breasts.

Diet

Green tea can effectively tone down your breast. According to recent studies, people who took green tea on a daily basis tend to burn more chest fat faster than who didn’t drink it.

Flax oil is a very effective appetite suppressant; means it makes you feel satiated. As a result you consume less food and there will be less deposition of fat on your body.

Stop taking all recreational drugs, such as marijuana.

Stop taking all nutritional supplements or any drugs you are taking for bodybuilding.

Exercise

Gynecomastia is a problem affecting more men in society today. There are several causes of man boobs which could include hormonal imbalance and excess body fat. In addition, medical studies have shown that breast enlargement can be due to certain health issues or medical drugs. Diet and exercise along with homeopathy is one way to treat gynecomastia and in most cases are excellent alternatives to surgery.

If you have gynecomastia or man boobs, then it means that you have chest fat. Some people think that surgery is the only cure for the problem, but there are a couple of great chest exercises for gynecomastia. Most likely, the fat will be on your lower chest, so it is best to perform a chest exercise that will target your upper chest.

An exercise recommend for this is the incline bench press exercise. In this exercise, you need an incline weight bench. Most flat benches can be made to incline in case you didn’t know. To perform the exercise, you should lie on the incline bench and raise the weight bar vertically towards the ceiling. To complete one repetition, lower the weight to your upper chest and then raise it again. Try to complete 6 to 8 repetitions with each set, and try to perform 3 sets whenever you do the exercise. You should also adjust the weight such that 6 to 8 repetitions are achievable in each set.

A modification of this exercise is the incline dumbbell press in which dumbbells are used instead of a weight bar. Dumbbells have the advantage of allowing you to work each side of your body independently. When we use weight bars, our body’s stronger side tends to do more work while the other side gets shortchanged.

A treatment doesn’t get any more natural than this. Performing these exercises a couple times per week will have the effect of making your gynecomastia decrease over time along with homeopathy remedies.

Prognosis

Gynecomastia is not physically harmful, but in some cases can be an indicator of other more serious underlying conditions, such as testicular cancer.

Growing glandular tissue, typically from some form of hormonal stimulation, is often tender or painful.

Furthermore, it can frequently present social and psychological difficulties for the sufferer.

Weight loss can alter the condition in cases where it is triggered by obesity, but losing weight will not reduce the glandular component and patients cannot target areas for weight loss. Massive weight loss can result in sagging tissues about the chest, chest ptosis

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