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Dr. K Paghdiwalla


Gynaecologist, Mumbai

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Dr. K Paghdiwalla MBBS 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. K Paghdiwalla
Dr. K Paghdiwalla is one of the best Gynaecologists in Mumbai, Mumbai. He is a MBBS . He is currently associated with Dr. K Paghdiwalla@Breach Candy Hospital in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. K Paghdiwalla on

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# 60 A, Bhulabhai Desai Road, Breach Candy. Landmark: Next To Mahalakshmi Temple.Mumbai Get Directions
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My real period date was on 11 th April and got over on 15th April. But after taking ipill I got my withdrawal bleeding again on 26th April which ended on 3rd may Nd last for 8 days. So when I am supposed to get my next period as my cycle is disturbed? On 26th may?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
My real period date was on 11 th April and got over on 15th April. But after taking ipill I got my withdrawal bleedin...
Hello, you are absolutely right. You should expect your next period around 26th may as you had period after taking ipill.
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Grapes - A Fruit You Must Have!

BHOM, MD - Alternate Medicine, Diploma in Weight Loss, Diploma in Nutrition
Dietitian/Nutritionist, Delhi
Grapes - A Fruit You Must Have!

As the New Year begins, the one fruit which is available in abundance are grapes. The black/purple and the green variety, seeded and seedless, are all over the place. Given the weather slowly changing from winter, they seem like the best thing to beat the summer heat. And yes, they are. Not just for overall health, they are also great for the skin and hair. Read on to know more.

Benefits of grapes for skin:

  1. When the sunscreen lotion does not help much and sunburn happens, the one of the best home remedies is to apply mashed grapes for about 30 minutes. The grapes are rich in antioxidants (proanthocyanidins and resveratrol). They reduce the damage caused by ultraviolet radiation and also reduces cell damage caused by excessive skin exposure.
  2. Rubbing the grape pulp on the face for about 20 minutes can help reverse and control antiaging better than any chemical treatment. It reduces the effect of free radicals which lead to fine wrinkles and dark spots.
  3. Grapes are also rich in vitamins C and E which helps in making the skin supple and improves skin tone and reduces scars.

Benefits for hair:

  1. If hair loss scares you, apply a paste of seeded grapes. The linoleic acid and grape seed oil can add strength and prevent hair fall.
  2. Grapes can also be mixed with fenugreek and chickpeas for use on hair to improve life and lustre of the hair and add volume.
  3. The vitamin E and antioxidants also help improve scalp blood circulation, fight dandruff, reduce itchiness, and improved hair health.

Benefits on overall health:

  1. Relieves headache: The various antioxidants in the grapes help in relieving the headache almost instantaneously. Eat them up or drink if you have a headache, even migraines.
  2. Improves digestion: They improve digestion and reduce digestive problems, thereby curing indigestion. They also are shown to help in controlling colon cancer.
  3. Good in diabetes: Diabetic patients need not be worried about the sweet grapes. The pterostilbene in them helps lower sugar levels, and in the long run, it can also prevent the onset of diabetes.
  4. Cholesterol control: The polyphenols help in controlling heart disease by reducing plaque formation.
  5. Eye health: The reduced oxidation process and controlled inflammatory process helps in improving eye health, especially in the retina, which is full of proteins.
  6. Potassium in Plenty: 100 g of grapes contains about 200 mg of potassium, which is a treasure. It improves blood pressure (by countering sodium), and also controls cholesterol and reduces salt intake.
  7. Brain health: The antioxidants like revasterol help in improving blood flow and helps in controlling Alzheimer’s and improving memory. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
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I am 21 years old I did sex with my boy friend without condom is there any problem ? will i get pregnant ?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, yes their is high possibility of getting pregnant with unprotected intercourse on fertile days. If you are not using condoms then their is high risk for sexually transmitted diseases also.
2 people found this helpful
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C.S.C, D.C.H, M.B.B.S
General Physician,
The New Sex Disease

Doctors used to think this STD threatened only women. Then the men started dying.
The culprit: Human papillomavirus (HPV), the same sexually transmitted infection associated with cervical cancer in women. A huge spike in the number of head and neck cancers linked to HPV over nearly two decades is raising alarms about the risk of the sexually contracted infections in a whole new population: men.

A study in the Journal of Clinical Oncology reports there?s been a 225 percent uptick in HPV-positive oropharynx cancers since 1998, according to data from three U.S. Cancer centers. The study also predicts that by 2020, oropharyngeal cancer will be the most common HPV-associated cancer in the U.S. Surpassing cervical cancer.

Previously, tobacco and alcohol use had been the main causes of these tumors, which occur in the tonsils, base of the tongue and upper throat. But over the past few years, studies have shown HPV is playing a role in these cancer rates, likely due to an increase in oral sex even as tobacco use has fallen.
While HPV is the most common sexually transmitted disease, studies show women?s bodies usually clear the virus from the cervix quickly; only an infection that persists for years is a cancer risk. It?s not known if oral HPV acts in a similar way, nor is it clear if oral sex is the only way it?s transmitted,
Regardless, more than 11,000 cervical cancer cases will be diagnosed this year, a number that has been dropping steadily thanks to better Pap smears. The researchers calculated that annual cases of cervical cancer will drop to 7,700 by 2020 ? compared with about 8,700 cases of HPV-positive oropharyngeal cancer ? about 7,400 of them in men.

Can the vaccine that?s currently given to young women protect men against oral HIV?
HPV vaccination is approved for boys to prevent genital warts and anal cancer, additional problems caused by human papillomavirus. But protection against oral HPV hasn?t been studied in either gender, said report author Dr. Maura Gillison, a head-and-neck cancer specialist at Ohio State.
A spokeswoman for Merck & Co, maker of the HPV vaccine Gardasil, said the company has no plans to study the vaccine on oral cancer.
Regardless, the cancer society said the report suggests that patients with HPV-linked oral tumors have better survival odds than those with other types of this cancer, possibly because they tend to be younger.
Have a sore throat that lasts longer than two weeks? CONSULT PRIVATELY. Just because you?re not a smoker or drinker doesn?t mean you can?t get throat cancer.
5 people found this helpful

I have been diagnosed with lupus nephritis last year and I am already taking an aggressive treatment. What if I plan to get pregnant? Will that be safe for me and the baby? And will that pregnancy be successful?

MS- Gynaecology, MBBS
Gynaecologist, Delhi
I have been diagnosed with lupus nephritis last year and I am already taking an aggressive treatment. What if I plan ...
about kidney status it is better to talk to nephrologist. u must b on high dose steroid they can lead to malformation in new born .It is better if u plan pregnancy once dose of steroid reduce
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I m preagnent for 1 month mujhe bhook lagte hai but agar koi cheej main khana chaa rahe hu tu mujhe vormting feel hu ta but vormting huta nhi bus feel hu raha jis se mein apna daily meal finish nh kr pa rahe hu please help me doctor.

Gynaecologist, Faridabad
I m preagnent for 1 month mujhe bhook lagte hai but agar koi cheej main khana chaa rahe hu tu mujhe vormting feel hu ...
Normal for pregnancy will take 2 month to subside. Take small and frequent meal preferably liquid and les spicy.
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I am 8 weeks pregnant. I am not feeling nauseous from 2 days. Is everything fine please suggest.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 8 weeks pregnant. I am not feeling nauseous from 2 days. Is everything fine please suggest.
it is not necessary that nausea vomitting will occur every day with each patient. So dont be worried. At the max u can get an ultrasound scan done to check the baby's heartbeat and growth to reassure yourself
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Hello, I am a 21 years old. My menstruation cycle is not regular and severe problem acidity what should I do?

Homeopath, Delhi
Go for an ultrasound and let me know the details of your cycle so that I can suggest you a suitable homoeopathic medicine.
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Hello doctor Actually my friend got married before 7 years and his wife not conceive a baby till now. Both wife and husband tests are normal. One of tell my friend that if they urinating in to the vagina when intercourse before semen out, they have chances of pregnant. What happen if someone piss in to the vagina when intercourse before Discharge?

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hello doctor Actually my friend got married before 7 years and his wife not conceive a baby till now. Both wife and h...
Hi, There are many causes for not conceiving. If all the tests are normal it is called unexplained infertility. .Regarding the advice about urinating in to the vagina before semen is discharged should not be done. Actually very rarely in men there will be retrograde ejaculation meaning instead of ejaculating outside they will ejaculate in to their urinary bladder.In that case their semen analysis will be abnormal. But it has to be confirmed by a doctor and if he finds out retrograde ejaculation is happening he will take the urine sample and separate the sperm and then inject in to the female uterus at the time of ovulation.
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During sex for the first time I got lot of pain when the hymen break it bleed too. So how I should handle this pain coz again I am gonna have sex with my boyfriend.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
have nice foreplay before intercourse. lubricate your vagina . spread your legs apart when he enters u. keep your body relaxed. Ask him to gradually insert his organ. relax and enjoy sex with your boy friend.
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I want to kn ow sex is a good exercise And please tell me tricks of safe sex.Please tell.

General Physician, Trivandrum
I want to kn ow  sex is a  good exercise And please tell me tricks of safe sex.Please tell.
One way to have safer sex is to only have one partner who has no sexually transmitted infections, and no other partners than you. But this isn't always the safest kind of safer sex. That's because most people don't know when they have infections. So they can spread STDs without knowing it. And not everyone is honest about their STD status, either. This is why it’s a good idea to get tested for STDs regularly. It’s even better to go with your partner and get tested together, so you know each other’s status. Some STDs have specific things you can do to lower your risk. For example, you can get the HPV vaccine to protect against the types of HPV that most commonly cause cancer. If you are at very high risk for HIV (like if your partner has HIV), you can talk with a doctor or nurse about using Pre-Exposure Prophylaxis (PrEP). This pill can lower your risk of getting HIV if you take it every day. It's also important to find other ways to practice safer sex. There are kinds of sex that don’t spread STDs. And there are kinds of sex that have a very low risk of spreading STDs. You may want to think about avoiding vaginal and anal intercourse — which have the highest risk of passing STDs — and sticking to other, safer kinds of sex.
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Hi. I have irregular periods. I got married. Am planning fr baby. Due to irregular periods I cannot get pregnant. Please help my cycle to be regular.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hi. I have irregular periods. I got married. Am planning fr baby. Due to irregular periods I cannot get pregnant. Ple...
Pregnancy can occur only one day of cycle that is ovulation day so unprotected sex around that day only important. As only one day in month couple usually give nature 12-24 before they go for any active management by Gynecologist or infertility specialist, however with irregular periods this ovulation is affected so they should meet Gynecologist or infertility specialist early.
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Recurrent Miscarriage

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Recurrent Miscarriage

Recurrent Miscarriage

It can be heartbreaking to miscarry one baby after another. Each new pregnancy brings both hope and anxiety. And each new loss may be harder to bear, especially if you feel that time is running out. The experience can place great strain on even the strongest relationships. You and your partner might react differently from each other and that can cause great tension. Family and friends may find it harder to support you with each miscarriage; they may even think you’re getting used to loss and able to cope. And all the time there may be a sense that your life is on hold while you try – and try again – for a baby.

What is recurrent miscarriage?

Recurrent miscarriage means having three or more miscarriages in a row. It affects about one in every hundred couples trying for a baby. Sometimes a treatable cause can be found, and sometimes not. But in either case, most couples are more likely to have a successful pregnancy next time than to miscarry again.

Testing after recurrent miscarriage:

If you have had three miscarriages in a row, you should be offered tests to try to find the cause. This should happen whether or not you already have one or more children. Testing is not usually offered after one or two early miscarriages (up to 14 weeks) because these are often due to chance. But you might be offered tests after two early miscarriages if you are in your late 30s or 40s or if it has taken you a long time to conceive. If you had a late (second trimester) miscarriage, where your baby diedafter 14 weeks of pregnancy, you should be offered tests after this loss.

Why recurrent miscarriage happens?

Your risk of recurrent miscarriage is higher if:

  • you and your partner are older; the risk is highest if you are over 35 and your partner over 40;

  • you are very overweight. Being very underweight may also increase your risk. Each new pregnancy loss increases the risk of a further miscarriage. But even after three miscarriages, most couples will have a live baby next time

Known causes

Antiphospholipid syndrome (APS) This blood clotting problem is the most important treatable cause of recurrent miscarriage. It happens when your immune system makes abnormal antibodies that attack fats called phospholipids in your blood. This makes the blood more ‘sticky’ and likely to clot, which is whyAPS is sometimes called ‘sticky blood syndrome’. It is also known as ‘Hughes syndrome’ after the expert who named it. It is not clear why these antibodies cause miscarriage. They may stop the pregnancy embedding properly in the uterus (womb);or they may interfere with blood flow to the placenta, which supports the baby.

APS can also lead to problems in later pregnancy, including the baby not growing enough, pre-eclampsia or stillbirth.

Other blood clotting problems Some inherited blood clotting disorders can cause recurrent miscarriage, particularly after 14 weeks. These include factorV Leiden, factor II (prothromobin), gene mutation and protein S deficiency.

Abnormal chromosomes The chromosomes in every cell of your body carry hereditary information in the form of genes.

Everyone has 23 pairs of chromosomes, and 22 of these are the same in men and women. The 23rd pair are different because they determine gender. Men normally have one X and oneY chromosome and women two X chromosomes. A baby inherits half its chromosomes from each parent. About half of all miscarriages happen because the baby’s chromosomes are abnormal. This is not usually an inherited problem: it happens when the egg and sperm meet or soon after the egg is fertilised. The older you are the more likely this is to happen. Much less commonly (in less than five in one hundred couples with recurrentmiscarriage), one partner carries a chromosomal defect called a ‘balanced translocation’. This doesn’t cause a problem for the parent, but it can be passed on to the baby as an ‘unbalanced translocation’.

This means that some genetic information is duplicated and some is missing.

Cervical weakness (also known as ‘incompetent cervix’) Some women – probably less than one in a hundred – have a weakness in the cervix that allows it to dilate too early.

This is a known cause of late (second trimester) miscarriage.

Possible causes

Abnormally-shaped uterus Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.

It may be divided down the centre – known as ‘bicornuate’ or ‘septate’ uterus;or just one half of the terus may have developed – known as ‘unicornuate’ uterus. It is not clear from research how many women with recurrent miscarriage have these abnormalities. Also we don’t know how common these problems are in women who don’t miscarry. This makes it impossible to be sure that they cause miscarriage

Polycystic ovary syndrome (PCOS) Women with this condition have many small cysts in their varies. They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood. It is these problems that are thought to play a part in recurrent miscarriage, but it is not clear how.


Some serious infections can cause or increase the risk of single miscarriages. These include toxoplasmosis, rubella, listeria and genital infection. But it is not clear whether infection plays a role in recurrent miscarriage.

Immune problems Raised levels of uterine NK (uNK) cells may increase the risk ofrecurrent miscarriage, ut more research is needed to prove this. It’s important to know that these uNK cells are different from he NK cells found in general circulating blood (e.g. from your arm). Diabetes and thyroid problems Uncontrolled diabetes and untreated thyroid problems can cause miscarriage. But well-controlled diabetes and treated thyroid problems do not cause recurrent miscarriage.

3 people found this helpful

I did vomiting yesterday before taking unwanted 72and after sex and I have also vomiting today before taking pain killer tablets. And I don't use condom yesterday during sex.

MD - Psychiatry, MBBS
Psychiatrist, Patna
You can take a antiemetic medicine like tablet domperidone, after about 1 hour you may take another tablet of unwanted 72. Domperidone will control vomiting sensation. Unwanted 72 can be taken till 72 hrs of unprotected sex.
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Please help me to get my period immediately within 2 days I have function I enjoy freely. My age is 21 years old I m married but now a days I do not have sex. N my last date is 21 Dec actually exactly yaad nai coz kbi b fix nai raheti.

Homeopath, Howrah
Please help me to get my period immediately within 2 days I have function I enjoy freely. My age is 21 years old I m ...
Take treatment to maintain your period normal and for treatment you need to tell your last date of period exactly. If absence is more than a month then only medicine will work.
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I m 23 years old girl. Nd last month and this month 4-5 days before menstruation I m feeling tachycardia nd palpitations till start of menstrual cycle. Is this normal related to hormones?

Sexologist, Panchkula
I m 23 years old girl. Nd last month and this month 4-5 days before menstruation I m feeling tachycardia nd palpitati...
Tachycardia or palpitations could be due to other causes. I advise you to do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning. Take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily. Avoid garlic and red chilly and non veg and eggs.
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My gf is hiv positive and we had intercourse with condom which doesn't break we also check for pregnancy and hiv test after window period which comes non reactive shall we move on?

MBBS, DDV, FCPS, APEX, Diplomat American Board of Sexology
HIV Specialist, Mumbai
My gf is hiv positive and we had intercourse with condom which doesn't break we also check for pregnancy and hiv test...
You will need PrEP and your GF need ART Though HIV is negative now, you need to keep checking. Detailed work-up is required and can be done within few hrs.
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What Causes Bladder Control Problems in Women?

Diploma in Laparoscopic Surgery, DGO, MBBS
Gynaecologist, Gurgaon
What Causes Bladder Control Problems in Women?

Causes of bladder control problems in women

Urinary incontinence is the term used to describe bladder control problems that affect several people. Many think it only occurs among older, menopausal women but it actually isn't uncommon amid young and active women.

Inability to control the bladder accompanied by pain can be symptomatic of various disorders ranging from a minor infection to cancer. Fortunately, bladder cancer is rare, and bladder pain is usually not serious.

The varied causes of urinary incontinence in women are as follows:

  • Urinary tract infection: this is the most common cause of urinary incontinence and it affects women more than men due to anatomical factors. It can also happen at any age.
  • Medicinal side effect: the inability to control one's bladder may be a result of the administration of certain medicinal substances such as alpha-blockers, antidepressants, sleeping pills and various narcotics.
  • Changes in the reproductive system: pregnancy and fluctuations in hormone levels can cause bladder irritation, which leads to urinary incontinence.
  • Impacted stool: when stool gets tightly packed in the lower end of the digestive system and rectum, bladder control is affected. Chronic constipation and constraint strain on the lower intestines leads to the weakening of bladder muscles and hampers the bladder control.
  • Surgical side effects: temporary loss of control of the bladder is often a result of prior surgery and radiation therapy in the pelvic region.
  • Nerve damage and neurological disorders: strokes and spinal cord injuries have a heavy impact on bladder control and amount to urinary incontinence. Diseases such as Alzheimer's disease, Parkinson's disease and multiple sclerosis also lead to the same.
  • Health complications: disorders such as diabetes and obesity directly affect the bladder and the ability to exercise control over it.
  • Disability and impaired mobility: for women who are physically impaired and suffer from problems of arthritis, urinary incontinence is a major problem as they are unable to reach the toilet easily.
  • Bladder cancer: even though it is extremely rare, bladder cancer affects a number of women every year and is treated through surgery and chemotherapy.


Related Tip: What Makes One Lose Control of the Urinary Bladder?

3073 people found this helpful

I want my vagina tighten again .Give me suggestions how it is possible? My vaginal wall loose due to rough sex and wet my vagina soon Nd my partner not satisfied from me.

General Physician, Nashik
Vaginal tightening can be achieved by- 1.Vaginal tightening creams. These act by strengthening the muscles. 2.Kegel's excercises-consists of repeatedly contracting and relaxing the muscles that form part of the pelvic floor. 3.Vaginoplasty operations.
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