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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

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I am 34 weeks pregnant now. My baby had turned head down position in 32 weeks but now again it is at breech position I am really scared if it does not come head down position. Please suggest what should I do because I want a normal delivery.

MBBS, DGO, MD - Obstetrics & Gynaecology
Gynaecologist, Mumbai
I am 34 weeks pregnant now. My baby had turned head down position in 32 weeks but now again it is at breech position ...
Relax, you can't do anything to change the position of baby. Wait n get Usg after 36 weeks. If it turns to head again you would have normal delivery.
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We are planning for our first baby since 6 months. Now we took some tests as per advise from doctor. I took semen analysis test and everything is normal and 80% motile My wife took hsg test and doctor did not find any issues. Please advise us what further should we do.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
We are planning for our first baby since 6 months. Now we took some tests as per advise from doctor. I took semen ana...
Trying for 6 months is short duration. Since all the reports done are fine so keep on trying for next 4-5 months during fertile days of your wife. If she had a regular cycle of 28-30 days then her fertile period will be from day 8 of her cycle - day 18, do regular intercourse in this duration, as there will maximum chances of conceiving. Also take adequate nutritious diet including fruits, salad, green vegetables, and low fat dairy products. And do regular exercise.
1 person found this helpful
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I have some white bumps in my penis and I also check hiv and vdrl is negative and I feel pain at the time of urination and toilet. Nd my pain is increase What can I do and some other checkup is required std or other thing?

Homeopath, Sindhudurg
I have some white bumps in my penis and I also check hiv and vdrl is negative and I feel pain at the time of urinatio...
It is quite normal for some men to have bumps on the shaft of the penis and/or at the base of the penis head. However, it is important to keep in mind that various sexually transmitted diseases can cause changes to the appearance of your penis. That is why it is best to have them evaluated by a doctor to rule out any STD. A common type of STD that presents as small bumps and is sometimes mistaken for pimples is genital herpes. Herpes lesions can appear on the shaft of the penis as round blisters with clear fluid that sit on top of a red base. When the blisters break, they usually cause quite painful sores or have a burning sensation. Another common cause of pimple-like bumps on the penis is genital warts (HPV). They are transmitted sexually and usually painless but can be painful depending on the size and anatomic location. You can only be diagnosed after your doctor examines your bumps closely and gets a detailed history. After a physical examination, these STDs are typically confirmed with a swap test. If a STD has been ruled out, you probably don't need toworry about your pimple-like bumps. The most common tiny bumps circling the neck or middle area of the penis that can either be white, pink, or sometimes red are known as pearly penile papules. They may also be another harmless condition known as Fordyce's spots. These Fordyce's spots usually appear as numerous small pale or white bumps under the skin. Or, they may be just pimples, which do occur from time to time on the penis. Again, I advise speaking with a doctor. Only your doctor can distinguish the different types of penis bumps. Only then you can be diagnosed and treated.
2 people found this helpful
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Hii actually I want to know that m doing diet plan on 1st Oct there I loose arnd 3.8 kg till 12 Oct after dat I got periods n gain weight 1kg nw periods are over on 15 den I weight I loss 500 gm nw today again I weight its increase by same 500 gms. Pls tell me how I gain weight. I m taking diet through my dietitian.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hii actually I want to know that m doing diet plan on 1st Oct there I loose arnd 3.8 kg till 12 Oct after dat I got p...
Hye Understand that weight is never stable. Depending on your physiological state weight can always fluctuate. During periods you may show a rise possibly due to water retention. After periods there is no retention, which will show as a loss on the scale. Body takes time to adjust to a routine. Don't get addicted to the weighing scale because a few grams up or down does not matter. It's the overall fat loss that matters at the end of the day. Try to take weight on a weekly basis and note the overall loss at the end of each week because that's what matters. Lastly see that the diet is not too low in calories cause if you break down muscle mass instead of fat it may show on the scale as a loss which will come right back as a gain.
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5 Homeoapthic Remedies for PCOS

B.H. M. S.
Homeopath, Pune
5 Homeoapthic Remedies for PCOS

Polycystic Ovarian Syndrome or PCOS is a common hormonal disorder, which occurs in almost every women aged 18 to 24. In PCOS, the level of male hormones that is androgens are more than normal limits. In other women it is present in smaller quantities. And increase in such levels, cause delay and disturbances with your menstrual cycle. The main cause of this disorder is however, not known, but it generally runs in genes. The symptoms start generally early after your menarche. Obesity is another factor which causes PCOS. 

Some of the signs and symptoms of PCOS are:

  • Irregular menstrual cycle
  • Obesity
  • Cysts in the ovaries
  • Infertility
  • Excess male hormones
  • Depression
  • Skin discolorations

Homeopathy focuses on treating and curing the main cause of PCOS and it is therefore one of the best alternatives. Given below are some of the best homeopathic medicines for the treatment of PCOS:

  1. Apis Mellifica: If you are suffering from PCOS with a stinging pain in the ovarian region, Apis Mellifica is one of the best homeopathic medicine for you. The pain is accompanied by tenderness over the abdomen and uterine region.
  2. Pulsatilla: You can take Pulsatilla if your periods are late and scanty. You usually feel thirst less. You also suffer from mood swings. You might feel happy at one moment and sad the very next moment. You may as well feel irritated.
  3. Sepia: Sepia is one of the homeopathic medicines in treating PCOS when pain bears down in the lower back and abdomen. Your periods are irregular, either too early or too late.
  4. Lachesis: If you have an aversion of wearing anything tight, Lachesis is a pretty good homeopathic remedy for you. Your periods can slow down your periods due to weak flow. The pain in the abdomen are relieved once your flow starts. Jealousy is another common symptom.
  5. Graphites: Graphites is one of the best homeopathic medicine if you have PCOS along with constipation. You generally have a stout build up. You feel chilly most of the time with a tearing pain in the stomach region.
3108 people found this helpful

Hi I am 37 years old female and I have been diagnosed with a cyst in one if my ovaries. I have been taking isotane 20 and aldactone 50 for past two months. I need to know how to get cured completely , also which progesterone hormone medication do I need to take?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Hi I am 37 years old female and I have been diagnosed with a cyst in one if my ovaries. I have been taking isotane 20...
First repeat ultra sound after 3 months then take any medicine. Do not worry you will be alright still if you r worried get the following test pregnancy test. Hormone level test: to check for hormone-related issues, such as too much estrogen or progesterone ca-125 for ovarian cancer.
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Pregnancy and Oral Health

MDS - Pediatric and Preventive Dentistry, BDS
Dentist, Hyderabad
Pregnancy and Oral Health

Pregnancy brings with it a whole lot of body system changes and oral health is no exception. Some simple careful planning, however, can help avoid a lot of oral health complications associated with pregnancy. The hormonal changes during pregnancy have a direct effect on the oral health and has higher incidence of decay, pregnancy gingivitis, and pregnancy tumors. Additionally, morning sickness affects the regular oral care, leading to more plaque and decay.

Before pregnancy: If you are planning to get pregnant, then a dental visit can help you get a thorough check-up ahead of the pregnancy. A routine cleaning and check for cavities should be sufficient to avoid any urgent treatment need during the period of pregnancy.

During pregnancy: If you were not able to do your pre-pregnancy dental visit, inform the dentists about pregnancy as early as possible. All elective procedures can be done after the delivery. Only really essential treatment that cannot wait until the delivery should be undertaken during pregnancy, most safe if done during the 4th to 6th months.

Listed below are some points to consider as far as oral/dental health is considered during pregnancy:

  1. Scaling and polishing can be done as usual
  2. Inform the dentist about all the medications that you are advised by your gynecologist
  3. Periodic check-up once in 3 months to reduce severity of gum disease and decay
  4. Good oral hygiene measures including brushing, flossing, and rinsing
  5. Try a bland toothpaste if morning sickness is very severe
  6. Eat a healthy, balanced diet. Tooth formation happens in the third month and requires diet rich in calcium and minerals
  7. Avoid sweet snacks which can lead to greater plaque formation

The hormone changes combined with oral infection (could be gum disease or tooth decay) can lead to severe effects on the developing baby. It is extremely important to avoid dental infections, as these may necessitate antibiotics, require x-rays and even require treatment like root canal and/or extraction, all of which are best avoided until after the baby is delivered. It is considered safe for dental procedures to be done during the 4th to 6th month. Though now there are safer measures to do x-rays and dental procedures, they are best avoided, unless in case of emergency. This emergency situation can be avoided by better planning and some minimal care. Severe gum disease could also lead to premature or low birth weight of the baby. So plaque buildup should be avoided which leads to both decay and gum disease.

After delivery: After the delivery of the baby, please visit your dentist to ensure that there is no emergent dental condition requiring attention. Resume your regular dental care after delivery.

3278 people found this helpful

Sexual Dysfunction: Things You Should Know About it?

MD - Medicine, Member of the Royal Society for the Promotion of Health (UK) (MRSH)
Sexologist, Delhi
Sexual Dysfunction: Things You Should Know About it?

What is it?

A dysfunction is often described as the difficulty exhibited by a couple or an individual during ant stage of the physical activity. It might include pleasure, preference, desire, arousal and orgasm. As per the diagnostic and statistical manual of mental disorders, a person with sexual dysfunction shows extreme stress along with interpersonal strain. This disorder is believed to have an impact on the sexual life of the people experiencing it.

Types of Sexual Dysfunction:

1. Sexual desire disorders: This is often characterized with decreased libido or an absence or lack of sexual desire, activity or fantasies. The condition usually ranges from a general lack to a lack of the sexual desire and activity for the partner. This condition might be present from the very beginning or might start after normal sexual functioning. Whatever the cause may be it leads to decrease in the production of estrogen in women and testosterone in both women and men. Other causes are believed to be fatigue, pregnancy, aging, medications like SSRIs and psychiatric conditions like anxiety and depression.

2. Sexual arousal disorders: These are commonly as impotence in men and frigidity in women, though now the terms have been replaced. Impotence is now termed as erectile dysfunction and frigidity has been defined by many terms describing the problem. As per the, American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders the term is described in 4 categories. These are lack of arousal, lack of desire, lack of orgasm and pain during intercourse.
In both men and women the condition can be exhibited as an aversion or avoidance of sexual activity with their partner. Men might show a complete failure to maintain erection, excitement and pleasure during sexual activity.

3. Sexual pain disorders: This is often prominent in women and is also known as painful intercourse (dyspareunia) or vaginismus (involuntary spasm of the vaginal wall muscles often interfering with intercourse).
Dyspareunia is caused by the dryness of vagina in women. This poor lubrication might be due to lowered stimulation and excitement and hormonal changes caused due to pregnancy, breast feeding and menopause. In some case contraceptive foams and creams can also cause dryness. Anxiety and fear towards sex can also lead to dryness.

Vaginismus is often thought to occur through a sexual trauma like abuse or sex. Another condition vulvodynia might occur in women. In this a woman experiences burning pain while sexual activity. This is often thought to be related to the skin problems of the vaginal and vulvar region.

4. Post-orgasmic diseases: The symptoms of these occur after ejaculation or orgasm. This is often accompanied with headaches in the neck and skull during sexual activity which might include orgasm or masturbation.

If you wish to discuss about any specific sexual problem, you can consult a specilized sexologist and ask a free question.

7566 people found this helpful

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Every year 1st week of August is observed as World Breastfeeding Week. There are many ingredients like DHA, cystine in breastmilk which help for proper development of brain. As the maximum brain growth occurs within 2 years breastfed babies are going to be more intelligent. Hence all lactating mothers should make up their mind to feed their babies at least till the age of 2 years.
9 people found this helpful

Reasons for Infertility in Men

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Reasons for Infertility in Men

Male infertility is characterized by irregular sperm function or reduced sperm count. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity.

The various symptoms of infertility in men are:

  1. You may experience lumps or swellings in the testicles
  2. You may have chronic respiratory problems
  3. You may experience low libido
  4. You may have ejaculation disorders
  5. Impaired sense of smell
  6. Chromosomal complications such as reduced body hair
  7. Your sperm count may be low

The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.

The various reasons for infertility in men are:

  1. Infection: Various infections such as inflammation of the testicles and epididymis, which causes blockage of the tubes carrying the sperm can be a cause.
  2. Varicocele: This condition is characterized by swelling of the veins that are connected to the testicle. This condition is known to change the normal temperature of the testicles, thus leading to complications in sperm production.
  3. Hormonal imbalances: Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body. 
  4. Problems in sexual intercourse: Problems such as erectile dysfunction or premature ejaculation are reasons why you may have infertility. 
  5. Medications: Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus reduce your fertility.
  6. Radiation exposure: If you have been exposed to radiation such as x-rays, your sperm production may be impaired, thus causing infertility. However, this condition can be reversed if you are no longer exposed to the radiation.
  7. Consumption of alcohol and smoking: Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.
  8. Obesity: If you are overweight, then it's time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
4113 people found this helpful

I am 28 years old married. Me and wife are trying for a baby. Whenever we do the intercourse, y sperms are coming out of the vagina? And no pregnancy signs even after that. However it is normal that sperms are coming out. Then why my wife getting pregnant? What needs to be done? please suggest.

Gynaecologist, Jalandhar
I am 28 years old married. Me and wife are trying for a baby. Whenever we do the intercourse, y sperms are coming out...
It is the extra semen and not the sperms which come out and that is normal. Regarding pregnancy, I don't know for how long you are trying. If it is only 3-4 months, don't worry, just try in most fertile days of the cycle which are from 12th -16th day , counting from first day of menses
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Is it safe to have sex during pregnancy and to remove hair from vaginas surface.?

M.D. homoeopathy, BHMS
Homeopath, Noida
During pregnancy, 2nd trimester i. E. 4th to 6th month the lady can have intercourse with some precaution. While for remving hair, that can be done at anytime provided hygiene and care is maintained.
2 people found this helpful
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Super Fact of the Day: Hugging for 20 seconds can beat stress!

General Physician, Mumbai
Super Fact of the Day: Hugging for 20 seconds can beat stress!

A sure-shot way of beating stress and correcting your blood pressure and heart rate is through hugging. Research has found that hugging a person for about 20 seconds releases oxytocin, popularly known as the love hormone, to counter the effects of the stress hormone cortisol.

Would you like to share this interesting fact with family or friends? Go ahead and Share!

1085 people found this helpful

Hi I am 9 months pregnant and I have a 5 years baby girl and this moment we don't wanna have next baby now so wht shall I do can Unwanted kit will help me out.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
You have 9 months pregnancy right, so you will first deliver this baby, and then think of a suitable method for contraception, in my opinion you should get am IUCD inserted so as to have a non harmonal device with no side effects, but only after you have settled down with post delivery bleeding etc.
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Is it Ok if we can have sex by giving anesthesia to my wife, she has suggested bcaz pain during sex (vaginismus) pls suggest anesthesia We tried lox 2% but it doesn't work.

MD - Obstetrtics & Gynaecology
If you want to try local anaesthetic gel, apply 10-15 mins before the act. And please rule out any vaginal infection.
2 people found this helpful
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Dried plums against colon cancer

Dried plums can help fight colon cancer finds a new study from Texas A & M university and the University of North Carolina found that a diet containing dried plums can positively affect microbiota or gut bacteria thus helping reduce the risk of colon cancer.
Dried plums contain phenolic compounds which serve as antioxidants that can neutralise the oxidant effect of free radicals that can damage our DNA.

Hello. I and my gf had sex on 7th april. And her periods had ended on 5th. So some people say it was safe time for sex as I feel sperm has entered her vagina. And I am in thought of giving her unwanted 72. But its not possible. Then how should I do? Want to avoid problems at any cost. Please help.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello. I and my gf had sex on 7th april. And  her periods had ended on 5th. So some people say it was safe time for s...
Hello it appears to be a safe period if she is having normal 28 days cycle with bleeding for 3-4 days. Now there is no point in giving the pills as 5 days have already passed.
2 people found this helpful
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I am 19 years old and newly married on 30 April 2016 and I am in periods today is 2nd day and I want to do sex with husband can I? Will there be any problem related to pregnancy if we do sex? please response n advice?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
No chances of pregnancy but there is chances of infection as during period uterine os is open. Better to do after periods end.
6 people found this helpful
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My aunt is pregnant from 1 month, so what types of foods helpful to eat at that time.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My aunt is pregnant from 1 month, so what types of foods helpful to eat at that time.
Usually during pregnancy food rich in fibre and folic acid i. E. Green leafy vegetable, protein like chicken, fish, pulses and more fruits and dry fruit should comprise of healthy diet. In first 3 months there is increase chance of vomiting, so better to avoid more spicy and oily food.
1 person found this helpful
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