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Dr. Jotwani Mohna Prabhakar

Gynaecologist, Mumbai

Dr. Jotwani Mohna Prabhakar 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. Jotwani Mohna Prabhakar
Dr. Jotwani Mohna Prabhakar is a renowned Gynaecologist in Mumbai, Mumbai. You can consult Dr. Jotwani Mohna Prabhakar at Lily Clinic in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Jotwani Mohna Prabhakar on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 42 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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Composite Fillings - Things You Must be Aware of

BDS, FICOI, MDS
Dentist, Mumbai
Composite Fillings - Things You Must be Aware of

Tooth decay is treated removing the damaged portion of your tooth and substituting it with ‘fillings’. Fillings can be made up of different materials such as silver amalgam, porcelain, gold or even plastic. Hence these plastic, tooth-colored, glass mixtures that are used to restore decayed teeth are known as composite fillings. Composites are also used for changing the color of or reshaping disfigured teeth. 

How are they placed? 
The dentist sets the composite in layers employing a specialized UV Laser light to harden each of the layers. After this, the dentist moulds the composite to fit in your tooth. The composite is then polished to prevent premature staining or wearing out of the composite. Good shaping and polishing of the tooth to produces a virtually invisible restoration.

When are composite fillings used? 
White fillings can be used for cosmetic options as well. 

Esthetic dentistry

  1. Short or spaced out teeth: Composites are able to reshape any deformed teeth or add length to a tooth. 
  2. Cracked or chipped teeth: It can fill in any chips or worn down teeth to appear healthy yet again. 
  3. Smile Makeover: It does not require for healthy tooth structure to be removed unlike a veneer

Preventive dentistry: The molars in the back have deep groves on the sides that food particles can get trapped in causing infection. The composite can be filled in those areas as a preventative.

Advantages of Composites:

  1. The shade of the composite filling is well suited to match the color of your existing teeth.
  2. They can chemically bond to your tooth structure, rendering additional support.
  3. Composite fillings are also used to mend broken or cracked teeth.
  4. With composite filling, not much of your tooth structure needs to be taken off as compared to amalgam fillings.

Precautions with Tooth coloured fillings 

  1. Composite fillings wear faster as compared to silver fillings should be replaced within 3-7 years.
  2. Need regular follow up care or maintenance as they are subject to microleakage. 

    If you wish to discuss about any specific problem, you can consult a dentist.

5277 people found this helpful
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Which are most probable days (out of 28 days) of menstrual cycle to get definitely pregnant? Or tell me the days when I should have sex with my partner so that she will be pregnant?

BHMS PGCGO
Homeopath, Hubli-Dharwad
Which are most probable days (out of 28 days) of menstrual cycle to get definitely pregnant?
Or tell me the days when...
If she has regular periods then 12-16 days are her time when rule gets maximums pregnant. Just add 12 to her last periods date. Example 11 may+12=23.24. 25.26. 27 may are date when she gets pregnant. Try to have intercourse on that time.
3 people found this helpful
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I have a single kidney by birth. Does this will create a problem while conceiving? what problems will I face.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I have a single kidney by birth. Does this will create a problem while conceiving?
what problems will I face.
No problem if other kidney is functioning normally. Recently managed delivery of a mother with single kidney without any problem.
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My daughter is 21 years old. She suffers from lower abdominal pain during periods. Also I have complains of itching and burning sensation around my vagina. I am using C & D to wash.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
My daughter is 21 years old. She suffers from lower abdominal pain during  periods.
Also I have complains of itching ...
For the girl- take her to gynecologist and assure her that nothing to worry, it will subside with time. Now she needs drugs after diagnosing the cause. For you- maintain hygiene, continue wash. Avoid ordinary soaps in vaginal area. If still persists, get check up by doctor and get cured.
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Hello doctor I am 34 year old married female I have swelling in my uterus last two days what should I do please tell me doctor.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
: The best I can suggest with Ayurveda perspective is go for 'Aartav Shuddhi' procedure which is oral administration of herbal decoctions and other herbo mineral combos. It's a non invasive, non surgical, non toxic formulae which act on female reproductive system and opens 'kaphavritt' channels thereby have the potential to cure cysts, endometrial problems and regulates M.c. The duration of course usually is four to six months and rest depends on individuals
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Infertility: How Best to Treat It?

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Infertility: How Best to Treat It?

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!

4076 people found this helpful

I want to know the benefits of noni juice as well is it safe to do a sex without condom.

MBBS
General Physician, Faridabad
Today, fruit preparations are sold as juice, in dried “fruit-leather” form, and as a dry extract in capsules. Noni has traditionally been used for colds, flu, diabetes, anxiety, and high blood pressure, as well as for depression and anxiety. its not safe without condom. thanks
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I had unprotected sex with my girlfriend on last month 27. Till now she did not have her periods (mensuration) came. After sex she took an I pill tab. And mostly on every month her mensuration date on last of every month. Are we in safe zone doctor? Is there any need of pregnancy check up required?

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Pune
I had unprotected sex with my girlfriend on last month 27. Till now she did not have her periods (mensuration) came. ...
Thank you for your question. Taking the ipill is associated with the side effects such as abdominal pain, unscheduled bleeding, bloating, period like discomfort, early or late periods and also of course a pregnancy. If she took the ipill within 24 hours of unprotected intercourse you are 95% sure to avoid a pregnancy. Any later and the success rate also reduces. I would suggest that you wait for her period to come. If it is delayed by over 7 days to do a pregnancy test. I would also suggest that you see your local gynaecologist to discuss other reliable methods of contraception if you will be having sex regularly. Ipill is an emergency contraceptive and should only be used for emergencies when your regular contraceptive fails. It is important to know that there is really no such thing as a safe period in young fertile women. Even if you are using condoms consistently and correctly you will have a failure rate of about 15 %. Unprotected intercourse has a 40% risk of unwanted pregnancy in any part of the cycle greater when it is midcycle. Please seek advice regarding more reliable contraception if you do not wish to have a baby just yet. Best wishes.
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I am married since last 2 years having normal sex life, we eagerly wishing to have a baby, unfortunately we are unsuccessful. Don't know what's exactly the problem.

BHMS
Homeopath, Faridabad
I am married since last 2 years having normal sex life, we eagerly wishing to have a baby, unfortunately we are unsuc...
Hello,both of you are required to go under these tests. 1. A sperm test sperm test (semen analysis) of the male partner. 2. A blood test to check that ovulation occurs in the female partner. This measures the hormone progesterone which is high just after ovulation. The blood sample is taken on the 21st day of a regular 28-day cycle (counting day one as the first day of bleeding). some other tests, depending on any other symptoms that you may have. For example, whether the female partner has regular periods or not, etc. Revert with reports.
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M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Health tip: fennel is an aromatic and flavorful herb that has several culinary as well as medicinal uses. It contains vitamin c, potassium, manganese, iron, folate, and fiber. In addition to its popular use as a breath freshener, it helps relieve a number of ailments and facilitates better health due to its antioxidants properties.

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I am 7 months pregnant. I have Headache once per month. But I so much that I have to take. So which medicine should I take. please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 7 months pregnant. I have Headache once per month. But I so much that I have to take. So which medicine should I...
in pregnancy you can take only tab. paracetamol 500 mg sos., take fruits ,plenty of water. do not take stress. it may harmful to you and your baby.
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I am a 24 yr old girl who is type 1 diabetic for the past ten years.In future during pregnancy will I have any critical complications even though my sugars are well controlled.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Yes, there are pregnancy complications. You must control sugar properly before pregnancy and should follow doctor's advice throughout the pregnancy
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Blood in Urine - 10 Causes Behind It

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
Blood in Urine - 10 Causes Behind It

Blood in urine, medically known as Hematuria is not usually a cause of concern, but it can translate into an adverse condition if left unevaluated. The kidneys and other structures in the urinary tracts such as urethra (tube connecting the bladder to the outer part of the body); bladder (that stores the urine) and ureters (tube joining the bladder to the kidney) are the sources of blood flow to the urine. Hematuria can be accompanied by symptoms such as discharge of tea-colored, brownish-red or pink colored urine due to the presence of red blood cells, traces of which can only be detected under the microscope.

Underlying causes behind this disorder might be

  1. Urinary tract infections is where the bacteria enter the body through the urethra and begin to proliferate in the bladder.
  2. Kidney infections (pyelonephritis) is when bacteria infiltrate into the kidneys from the bloodstream or travel up from the uterus to the kidneys.
  3. A kidney or a bladder stone is marked by the minerals in the concentrated urine precipitating out and molding into crystals that deposit on the bladder or kidney walls.
  4. Enlarged prostate is a condition in which the prostate gland, that is situated just below the bladder surrounding the upper part of the urethra, starts growing as males head towards their middle age.
  5. Kidney disease such as glomerulonephritis causes swelling of the kidneys, thus disrupting the filtering system.
  6. Bladder, kidney and prostate cancer are also possible causes.
  7. Hereditary disorders such as sickle cell anemia (a hereditary disease of the red blood cells in the hemoglobin) can also pose as a cause behind this disorder.
  8. Kidney injury as a result of heavy blows, accidents or injuries sustained while playing a spot can also contribute to this condition.
  9. Medications such as penicillin or the anti-cancer drug ‘cyclophosphamide’
  10. Strenuous physical exercises like intense workout or running may also result in Hematuria.

Treatments
There is no fixed cure for Hematuria; instead the doctor would work on treating the repressed conditions behind the symptoms, such as prescribing antibiotics to heal the urinary tract infection or a medicine to shrink and normalize the enlarged prostate or administer a shock wave therapy to destroy the kidney or bladder stones. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

1986 people found this helpful

I am 30 year old and I have gone through cesarean n have a baby boy of two year old. But my lot of fat is accumulated in my lower stomach n it is loosen and look very bad pls advice.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Unless you have the patience to diet and exercise on a rigid schedule, it will be difficult to reduce. You can go for liposuction or panniculectomy to get rid of the fat surgically, and then try to regain your figure.
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Hi m 7 months pregnant m using squat toilet which is an old Indian style toilet till 6 months it was not difficult bt with the starting of 7 th its vry difficult for me. Is it to worry or not. Is it safe.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi m 7 months pregnant m using squat toilet which is an old Indian style toilet till 6 months it was not difficult bt...
it's safe as long as your comfort level is there, however since your abdominal size is growing,in the coming days you might feel more uncomfortable,which may lead to untoward effect, so suggest you switch to a western style toilet ,or get a chair with a hole in the centre,which can be placed on squat seat of Indian toilet,these are easily available in the market. Sometimes the head of the baby comes very low in the pelvic girdle in which case safety issues of the baby crops up, as you are aware prevention is better than cure,so ideally one should avoid all those issues which makes you uncomfortable.
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Should You Undergo a Total Joint Replacement for Arthritis?

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Should You Undergo a Total Joint Replacement for Arthritis?

Debilitating inflammation in the joints and its surrounding tissue usually characterize arthritis. This ailment can greatly weaken the body. At the point when joints are seriously influenced by joint pain, there are a number of treatment methods that may be available for the patient. Pain relievers, physiotherapy and other forms of treatment can help in offering relief. Yet, when these methods fail, one can go in for replacement surgery of the affected joint. This may not just lessen or eliminate the pain experienced but it can also it can reestablish better strength in the joint. Hip, knee, and shoulder joint substitutions are a portion of the more normal surgeries suggested when managing joint pain.

Joint Replacement Surgery for Various Joints: Arthritis can affect a variety of joints in various ways. In the shoulder, this can be found in the humerus (the upper arm bone) and a bit of the scapula (the shoulder bone). In the knee, it includes the finishes of the femur and tibia (the thigh bone and shin bone, separately) and the patella (the knee top). In the hip, the influenced zones are the femur and the attachment in the pelvic bones in which it rests (the hip bone socket). In simple words, an aggregate joint trade or replacement for joint pain includes replacing the harmed joint surfaces with simulated segments artificially.

Ideal Candidate: In the event that your joint pain is progressed yet you are generally healthy, joint substitution might be a choice. Notwithstanding, you should take the advice of an accomplished orthopedic pro who can give you moderate treatment choices and other negligibly intrusive ways to deal with the condition before resorting surgery.

As a rule, you may not be a decent candidate of the replacement if:

  • You have inadequately controlled diabetes
  • You are a chain smoker
  • You are extremely chubby
  • You have encountered contaminations in the influenced ligament joint before
  • The best contender for a ligament joint replacement surgery includes patients who:
  • Have joint pain that is extreme
  • Are encountering a debilitating effect in their personal life due to the painful symptoms
  • Have discovered moderate medicines, for example, mitigating drugs and non-intrusive treatment to be ineffectual
  • Are willing to effectively and regularly participate in a recovery program after surgery

The accomplishment of a joint substitution surgery relies on upon the stability of the remaining parts of the joint. In the event that the joint has endured a few diseases, or in the event that it has experienced a few surgeries, it may not be sufficiently solid to withstand a joint replacement procedure. What's more, if you there are immune system disorders or long ailments like diabetes at play, then there may be little chance of aligning with the new joint.

3992 people found this helpful

I am 28 and 6 weeks 3 days pregnant but my baby development is very slow my TSH is 7.4 I am taking medicine for it. But still my pregnancy symptoms are developing day by day. My other medical reports are normal. My gynic said that my pregnancy is not good. Can thyroid be cured and what will happen with my baby ? I am worried.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 28 and 6 weeks 3 days pregnant but my baby development is very slow my TSH is 7.4 I am taking medicine for it. B...
6 weeks plus is too early to predict outcome of growth. Thyroid is low on borderline and I would not suggest medicine during early pregnancy. Be sure that baby growth will pick up within few days specially if medical reports are normal you may be given medicines for low thyroid later. Do write back after a month. Eat a low fat but light high protein diet to avoid vomiting.
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I am not able to conceive because my husband do not do sex regularly. He never feels the libido and excitement. What to do to boost his libido.

MBBS DGO PGDCC
Gynaecologist, Belgaum
I am not able to conceive because my husband do not do sex regularly. He never feels the libido and excitement. What ...
U can have sex from D10-D16 on alternate daysof ur menstrual period if you have regular periods to become pregnant .
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My pubic parts and genital areas are dark .suggest to bring it back to normal colour.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. The darkness of your pubic area happens because of excess sweating and lack of moisture. Use a lemon juice, yogurt mix daily to apply on your pubic area. You can also apply almond paste. Try using milk to lighten and moisturize your skin. Take care.
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