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Dr. Jatin Pankaj Shah

Gynaecologist, Mumbai

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Dr. Jatin Pankaj Shah Gynaecologist, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Jatin Pankaj Shah
Dr. Jatin Pankaj Shah is an experienced Gynaecologist in Mumbai, Mumbai. You can visit him at Mumbai Infertility Clinic & IVF Centre in Mumbai, Mumbai. Book an appointment online with Dr. Jatin Pankaj Shah and consult privately on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 26 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai 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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Mumbai Infertility Clinic & IVF Centre

66-C, 1st Floor, Motiwala Building,Gowalia Tank Road, A K Marg, Grant Road. Landmark:- Opposite August Kranti Maidan, MumbaiMumbai Get Directions
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Refreshing cups of tea, coffee?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Refreshing cups of tea, coffee?

Refreshing Cups of Tea, Coffee?

It is a medically known fact that tea, coffee, and colas contain a chemical caffeine which is responsible for giving you the feeling of mental and physical alertness. Caffeine is also present to some extent in chocolate.

If you take these beverages only very occasionally,a single cup of coffee can increase your blood pressure by up to 10mm Hg. However if you take it every day, your body gets used to its effects and there may not be any effect on your blood pressure, even in the long run. Women who suffer from low blood pressure will actually benefit from an occasional cuppa.

People who have an established history of heart disease need to be cautious if they take more than 2 cups of coffee and equivalent per day. In the long run, caffeine may increase anxiety and depression.

On the other hand, long-term caffeine intake of more than 2 cups a day may reduce age-related memory loss, Parkinson's disease, liver cirrhosis and onset of diabetes.
If you want to make your cuppa super efficient and boost your metabolism further, just sprinkle a pinch of cinnamon powder on top.It may just help you loose weight faster...

10 people found this helpful

I am 7th month pregnant and I want to know about the gender of my baby through ultrasound. Please help me as it's my first baby.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 7th month pregnant and I want to know about the gender of my baby through ultrasound. Please help me as it's my ...
wait for two more months,you would do know ,anyways ,you should be more bothered about your health and baby rather than the gender,so will expect you now onwards to stop this attitude.Girl child is an amazing gift given by God,and so is the boy child, girl is a creator of new life and boy is a runner of flagging the family name,but without a girl boy has no value,so request you nurture your mind towards the new member going to be added to your family and enjoy the impending motherhood.
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Hi my wife age is 25 and she is in 12 weeks pregnant, she has 10.8 only hemoglobin, is this any major issue, if its issue how she can get back to normal level, please advise what type food need to take for this issue.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Hi my wife age is 25 and she is in 12 weeks pregnant, she has 10.8 only hemoglobin, is this any major issue, if its i...
Please take Iron supplementation according to your doctor's advice. Take a high protein diet, lots of green leafy vegetables, beetroot,dates and also get a blood test done to rule out Thalassemia.
2 people found this helpful
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5th month is running as she is affected with typhoid Would baby be affected What is the best protect baby and mother.

BHMS
Homeopath, Hyderabad
5th month is running as she is affected with typhoid
Would baby be affected
What is the best protect baby and mother.
Typhoid will not effect the baby but take care and try to get rid of it as early as possible with necessary antibiotics.
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Me pregnant nai hoparai hu to ap muje batae k ovulation strip kit kese use kare hindi me batae .Muje last 25 feb ko period hue the to kb test karna cahahie.Aur konsa kit accha rahega n ovulation test karne k bad kb n kitne sex karsakte h pregnant hone k lie.

MBBS
General Physician, Mumbai
Me pregnant nai hoparai hu to ap muje  batae k ovulation strip kit kese use kare hindi me batae .Muje last 25 feb ko ...
Aap i-know ovulation test strip medical store se kharide aur agar aapki menstrual cycle 28 days k hai toh aap bleeding ka first day samje aur fir 11th day par apna urine check karna chaalu kar sakti hai aur daily 12.30 pm bhaje kare aur test har din kijiye jab tak results positive aata hai. Aur jis din positive aayega aap ek din k baad paanch din tak sex karna chaalu kar sakte hai.
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Recurrent Miscarriage - How to Deal With It?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Recurrent Miscarriage - How to Deal With It?

What is recurrent miscarriage?

If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.

Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being. 

If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.

Treatment of Recurrent Pregnancy Loss

Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.

A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.

Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures

Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.

Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.

Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid

Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.

Role of IVF

Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.

In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.

4150 people found this helpful

Kitne month tak abortion ho Sakta he normally. Ya fir kitne month me tablet se garbh nirodhak ho sakta he.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate-user as Early you terminate pregnancy it will cause less harm. For medical termination of pregnancy you should terminate in 7 weeks.
1 person found this helpful
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I have a very bad habit I sex my husband infront of my children I cannot control my solve by seeing my husband penis so how can I control my self? Is it harmful for my children?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have a very bad habit I sex my husband infront  of my children I cannot control my solve by seeing my husband penis...
Hello, yes it is going to have an impact on your children's mind and please try to avoid it in from t of them and practice behind closed doors.
1 person found this helpful
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Hi She's not properly in periods evry time to time And during prds she got much pain & itchy in vagina and felling very weakness in body please suggest me asap.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Hi She's not properly in periods evry time to time And during prds she got much pain & itchy in vagina and felling ve...
Menses irregularity may be due to hormonal changes. If there is pain and itching per vagina with foul smelling too then there is fungal infection. Keep clean and dry the vaginal portion and apply antifungal cream on genital region where itching appear. Get thyroid and ultrasound of lower abdomen done.
2 people found this helpful
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I am taking yasim (birth control pills) as my gynecologist asked me to take them for three months so that my periods get regulated. Every month when the ovulation takes place I get a sharp horrible (8/10) pain in my upper back. What should I do? The pain comes for just one day but it's extremely bad.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am taking yasim (birth control pills) as my gynecologist asked me to take them for three months so that my periods ...
Hello, iF you are on birth control pills then ovulation should not take place at all , else you can get easily pregnant and birth control fails. Pain in upper back is not an ovarian pain, its likely tone musculoskeletal so please get yourself examined.
1 person found this helpful
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Hii. Dr. last month I came to knw tht I m suffering from pcod. 3yrs has been past to my marriage bt I don't hv any baby. please tell me wht should I do nw to get pregnant should I try ayurvedic or homeopathic treatment. Or something else nd wht should I eat or do to get rid of pcod.

BHMS
Homeopath, Faridabad
Polycystic ovary syndrome (PCOS) occurs when very small cysts (small, fluid-filled sacs) develop in the ovaries. The usual symptoms of PCOS are irregular or light periods or no periods at all. This is because, in women with PCOS, ovulation (the release of an egg) may not take place as often as normal. You should opt Homoeopathic treatment, it has cure for PCOS, It takes time but resolve the disease by root.In pcos first we target to get your periods back to normal.
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I am not interested in having children. What alternatives to hysterectomy are available?

D.Sc (Urology), PhD (Pscho Sexual Medicine)U.K., M.D.(Medicine)GOLD MEDALIST, M.B.B.S.
Sexologist, Lucknow
I am not interested in having children. What alternatives to hysterectomy are available?
If you are not interested for a child yet you can opt for copper t insertion or use contraception like male condom.
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I am 33 years married female my weight is 70kg not able to conceive Dr. has suggested me to lose weight please guide me the feasible way to lose weight

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
I am 33 years married female my weight is 70kg not able to conceive Dr. has suggested me to lose weight please guide ...
Burn fats and calories healthy diet to lose weight leave carbonated beverages eating vegetables to lose weight eating fruits to lose weight stop eating sugar lose weight fast reduce sodium lose weight herbal tea to lose weight eat low calorie foods drink plenty of water avoid sweets eat more vegetables you need to take a balanced diet eat low calorie foods.
1 person found this helpful

I have PCOD. Taking inositol, tamoxifen for ovulation induction. On day 22nd I went for ultrasound and found one 19 mm follicle. Z it possible dat it wil not rupture? I believed dat a mature follicle will definitely rupture. Wat r d chances of ovulation taking place?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I have PCOD. Taking inositol, tamoxifen for ovulation induction. On day 22nd I went for ultrasound and found one 19 m...
Yes there is a high possibility of ovulation in the next 24-72 hours. You can get a repeat usg done to confirm.
1 person found this helpful
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Multiple fibroid uterus one having submucosal component. I am 52 years old and having regular periods. Slight pain in lower abdomen.

B.Sc, DBMS, BHMS, PGDCR, PGDHM
Homeopath, Kolkata
Don't worry. After menopause it will automatically regress. If severe bleeding then question of hysterectomy.
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Do We Really Need Health Supplements?

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Do We Really Need Health Supplements?

It is important for you to have a healthy and balanced body in order to perform your daily activities well. People often think health supplements are efficient alternatives to a healthy diet and regular physical exercise while most of the doctors and nutritionists believe that there is no need for any health supplement if you take in right quantity and quality of food and engage in regular exercise. While health supplements are not alternatives to a healthy lifestyle, they are somewhat necessary for everyday health in the hectic lifestyles of today.

Nowadays, stress (learn more about for Controlling Everyday STRESS) is a constant companion and the foods that we consume are often not of proper quality. You may think that you are taking foods full of nutrients but pesticides and chemicals used farming diminish the nutrient content from the crops. This creates a necessity for taking health supplements for the proper nourishment of body.People with certain medical conditions also need supplements. Supplements fill the gap in your diet.

Beneficial health supplements:

  1. Pregnant women and breastfeeding (leanr more about the Benefits of Breastfeeding) women need iron supplements. Folic acid can be supplemented in your diet in order to reduce the chances of birth defects.
  2. You can take in vitamin D supplements if they don't get enough sunlight every day. Adults, especially after the age of 40 need vitamin D and calcium supplements to maintain bone health.
  3. Adults above the age of 40 are also advised to take vitamin B-12 supplements. 

Supplements have some side effects depending upon your health condition. If you take some supplements along with some other medicines or before surgeries, they can lead to serious complications. Research has concluded that some vitamin and minerals supplements particularly iron supplements, increase the risk of death. So it is necessary to have a proper examination of the body before you take health supplements. The risk factors include: 

  1. Taking vitamin B6 regularly in excess of 100 mg may lead to damage of your nerves
  2. Taking 400 international units of vitamin E on a regular basis increases the health risk and may even lead to premature death
  3. Taking multivitamins does not supplement poor eating habits.
5925 people found this helpful

Bleeding In First Trimester - It Could Be A Sign Of Miscarriage!

MICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Bleeding In First Trimester - It Could Be A Sign Of Miscarriage!

Miscarriage is termed as the loss of the fetus in or before 20th week of pregnancy. Medically, miscarriage is known as spontaneous abortion though the word spontaneous is more of a keyword as it is not an abortion. Symptoms of Miscarriage are weakness, back pain, fever, abdominal pain along with severe cramps and bleeding which starts from slow to heavy.

Common cause of miscarriage is when the fetus is known to have fatal genetic problems and these are not related with the mother. The other causes are:

  • Infection, medical problems like thyroid and diabetes, immune system rejection, hormonal imbalance, abnormalities of the uterus, and physical problems of the mother.
  • If a woman is over 35 years of age, has thyroid and diabetes and has had an earlier miscarriage then that woman is at a high risk of getting a miscarriage.

Sometimes a miscarriage might take place due to the cervical insufficiency. This is due to the weak cervix, also known as the incomponent cervix, which is unable to hold the pregnancy. A miscarriage in this condition usually occurs in the second trimester. Though there are a very few symptoms in this but there might be a feeling of sudden pressure that the water is going to break and tissues from the placenta and fetus are released without any pain. This can however be treated by a stitch in the cervix at 12 weeks. 

This stitch helps to hold the cervix until the full term is completed. If it is first pregnancy and cervical insufficiency is diagnosed then also a stitch can be applied thus resulting in full term and avoiding miscarriage.

Diagnosis of Miscarriage: 

  1. The doctor does a pelvic test, an ultrasound and blood tests to confirm a miscarriage.
  2. Blood tests are done to analyze the pregnancy hormone hCG. This is monitored regularly if miscarriage is suspected.
  3. Genetic tests, blood tests and medication are important in women who have a history of prior miscarriages.
  4. Pelvic ultrasound and hysterosalpingogram are tests which are done when there are repeated miscarriages.
  5. Test like hysteroscopy is also done. In this the doctor observes the inside of the uterus with a device which is thin and like a telescope. This is inserted in the vagina and cervix.
  6. If the cervix is dilated, then the woman might be diagnosed with an incompetent cervix and this can be corrected by cerclage - a procedure done to close the cervix.
  7. If the blood type of the pregnant woman is Rh negative, she is prescribed a blood product called Rh immune globulin (Rhogam). This prevents from forming antibodies which could turn to be harmful for the baby.

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

488 people found this helpful

Hi, I got married recently and may I know which period is best for sex to avoid pregnancy without using condoms?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hi, I got married recently and may I know which period is best for sex to avoid pregnancy without using condoms?
Day 7-18 is the fertile period when ovulation generally occurs, considering the 1st day of periods as day1. Before and after that is unsafe. However chance ovulation may occur in stimulation anytime in cycle. Failure rate of this method of cintraception is high. So a safer way to avoid pregnancy will be to use low dose contraceptive pills.
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Hello. During or before sex what are the precautions should taken for good results. She should be pregnant in first attempt. Any one suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
Before sex you should do foreplay for long period and after sex get relax. Keep your back portion on taqia to get the early pregnancy.
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