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Dr. Mandakini Lal

Gynaecologist, Mumbai

500 at clinic
Dr. Mandakini Lal Gynaecologist, Mumbai
500 at clinic  ·  ₹ online
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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. Mandakini Lal
Dr. Mandakini Lal is a popular Gynaecologist in Azad Nagar, Mumbai. She is currently associated with Patel Nursing Home in Azad Nagar, Mumbai. You can book an instant appointment online with Dr. Mandakini Lal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 43 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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B- Vishal Apartment , 1st floor, Azad Nagar Mathuradas Vasanji Road,,Andheri (East)Mumbai Get Directions
500 at clinic
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I am 25 year old female I need help as I am pregnant and I feel very week feeble my bp is also very low. I always have blackouts specially when I stand up. please help me to to feel fit during my pregnancy I am in my 2nd trimester. I feel everything stings a lot cause of that I can not even eat anything. I face gastric problem.

MBBS
General Physician
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I am 25 year old female I need help as I am pregnant and I feel very week feeble my bp is also very low. I always hav...
Gastritis is common in pregnancy you can drink fruit juice and eat small quantity many time do walking exercises regularly try taking gasex by himalaya its ayurvedic it will help if you do not nourish yourself you will be starving the baby too take care.

I want to have sex with my girlfriend without condom, can I have n she doesn't get pregnant.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist
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Unsafe sex without condoms can cause pregnancy. It is better you use contraception. If you are not comfortable with barriers, you may consult a physician for the most appropriate contraception for you both.

How Tracking Your Menstrual Cycles Can Be Beneficial For Your Reproductive Health?

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
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With an upsurge in the number of women suffering from dysfunctional reproductive systems and a myriad of gynecological problems, resulting in irregular periods, infertility and several other complications, it is of paramount importance to keep a record of the dates and duration of your monthly cycles. This is not only useful for future reference when you visit a gynecologist, but it also helps you to understand if there are delays in period or excess of bleeding in any particular month. 

Why is tracking your menstrual cycles important?

Keeping a track of the menstrual cycles is a mandatory exercise for women who are thinking about pregnancy or those trying to avoid it. It is advisable to abstain from intercourse for a few days before and after the period, which is the prime time for ovulation. Keeping track of your periods gives you a clear indicator of whether you have become pregnant because delay in the menstrual onset implies pregnancy. The reverse is also true; if you are trying to get pregnant, conception is usually fruitful on these days of maximum ovulation, which you can easily calculate based on your well maintained menstrual record.

How should you go about keeping track of your menstruation?

While it not possible to note down every possible aspect of the menstruation in a notebook, the easiest way of maintaining a planner is to mark the first day of each period on the calendar. The difference between two consecutive periods will give you your cycle lengths.

In addition you can choose to make a note of how heavy the bleeding is, or if there are changes in mood and appetite on those days. You will then be well prepared for your next visit to the gynecologist.
How Tracking Your Menstrual Cycles Can Be Beneficial For Your Reproductive Health?

I am having a sex for first time and I did not bleed and it has a lot of pain.Please tell.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician
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Bleeding is not essential. Because of many activities in your life hymen may have ruptured already. Pain may occur due to fear or some problem of position please use vtwo gelly on labia minora.

All About Artificial Sweeteners

Diploma in Nutrition
Dietitian/Nutritionist
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If you like your food sweet, but worry about calories at the same time, chances are you are leaning towards artificial sweeteners to solve your dilemma. The market is flooded with artificial sweeteners, so how do you choose one? And what are their pros and cons?

Besides weight control, artificial sweeteners are also used by people suffering from diabetes. But there is a debate as to how safe artificial sweeteners are, for normal people and diabetics alike.
You get multiple choices from aspartame to sucralose, present in stores. However, it is better to be educated about their benefits and disadvantages. The pros and cons of most popular sweeteners are as follows:
1. Saccharin: This sugar substitute has been in the market for the longest.
Pros:
a) It has zero calories
b) It does not elevate the levels of blood sugar
c) 200-700 times sweeter than normal sugar
Cons:
a) It is a possible carcinogen (substances that cause cancer)
b) There is also the danger of saccharin acting as an allergen (substances that cause allergy)

2. Aspartame: It is the most commonly used sugar substitute. Almost all the food items that boast of being sugar-free have aspartame in them.
Pros:
a) 160-220 times sweeter than common sugar
b) A small amount goes a long way, so calorie intake is lesser
Cons:
a) Headaches, depression and cancer have been linked to aspartame use
b) Increased hunger

3. Sucralose: This sugar substitute is derived from sugar itself. It is gradually becoming the most popularly used sweetener as it is found in almost all cooked or baked foods.
Pros:
a) It is heat resistant, so it is used liberally in cooking and baking
b) It has very few calories
Cons:
a) Weight gain is still possible
b) It has chlorine in it, which is a carcinogen

4. Neotame: This is a new invention and is chemically related to aspartame.
Pros:
a) 7000 -13000 times sweeter than common sugar with zero calories
b) Apparently, it is safe for consumption for teens, children and even for women who are pregnant or breastfeeding
Cons:
a) There isn't enough research done on Neotame, therefore very little is known about it
b) Since its chemical composition is closer to aspartame, there is much controversy about "neotame" affecting people the same way as aspartame
All About Artificial Sweeteners

Hello, I'm 24 years old last month had a sex with bf though he didn't ejaculated his sperm, but still don't no the reason, periods getting delayed for 5 days please help me out.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist
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Hello, I'm 24 years old last month had a sex with bf
though he didn't ejaculated his sperm, but still don't no the re...
U can do home pregnancy test by using pregnancy kit .If negative then you go for ultrasound lower abdomen to look for cause of delay.

Hi, my wife is 5 week pregnant. She is having issue with bowl movement, doctor suggested Cremaffin syrup but she isn't okay to take. So my ques is, what else we can use (fruits/food) for good bowl movement? Previously she had miscarriage.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Hi, my wife is 5 week pregnant. She is having issue with bowl movement, doctor suggested Cremaffin syrup but she isn'...
Do not worry you can take abhayaristha 20 ml + water 20 ml after lunch & dinner, after satisfaction take only after dinner.

Dear sir and madam I have sex with my girl friend in first time my Pines is kept in the my girlfriend vagina but I am not totally kept my pennis in vagina because vagina is tight next time what I do comfortable sex with my girlfriend. please ans me.

MD - Obstetrtics & Gynaecology
Gynaecologist
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Dear sir and madam I have sex with my girl friend in first time my Pines is kept in the my girlfriend vagina but I am...
Vagina secretes natural lubricating solution which is secreted by bartholin's gland. Sometimes because of hormonal changes in the body, that secretion goes down considerably, giving less sexual satisfaction and dry feeling. You can use vlg gel or vaginal lubricationg gel just before the intercourse. Foreplay also helps in secreting natural lubricant which will prevent pain during sex.

I have a small lump or could be pimple in the lips of my vagina it is painless it occurred a week back? Please tell me what treatment I should take.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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If it persists over the next two weeks or gets bigger you need to see a doctor in person so that you can be examined and treatment planned.

I am suffering from hair fall but no dandruff, above 100 hair fall per day. I also have pimple problem, and also menstruation problems (irregular and painful with less bleeding) indigestion during periods.

DGO, MBBS
General Physician
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I am suffering from hair fall but no dandruff, above 100 hair fall per day. I also have pimple problem, and also mens...
please maintain scalp hygeine , avoid excess of oiling on head and scalp, wash you hair minimum on every alternate days with a good hair shampoo and do apply conditioner ,take iron rich diet and also take multivitamin pills after personal consult with doctor . for menstual irregularity make a chart of its dates for 2-3 months and get back to me.

Hey mam or sir. M prgnt of 8th month it mean 31 weeks on 24th I have went to scan. My fetal biometry is BPD 32 weeks 5 Days and AC 28 weeks and FL 31 weeks 5 days. My gyno said everything is fine normal .bt I am really worried of it. please help me. Wht to do is it fine or I should do something. Hlp.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hey mam or sir. M prgnt of 8th month it mean 31 weeks on 24th I have went to scan. My fetal biometry is BPD 32 weeks ...
Hello, this is normal as there is always a discrepancy of 5-10% in usg as observer's bias. As long as fl/ac ratio is normal, everything is fine.

My wife is 29 years. Before one year I got married. Regularly I try to get her pregnant but she doesn't get pregnant. Please give me advice.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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My wife is 29 years. Before one year I got married. Regularly I try to get her pregnant but she doesn't get pregnant....
hELLO, plEASE FOLLOW INTERCOURSE DURING HER FERTILE PERIOD .It is best time to conceive 72 hrs within her ovulation which can be detected with the help of ovulation kits. For further advise you may contact please. regards

I have irregular periods and am suffering from constant stomach aches. What is the problem behind this? Do. I have pcod or pcos whatever? Will this affect my future during child birth.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician
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I have irregular periods and am suffering from constant stomach aches. What is the problem behind this? Do. I have pc...
Do usg abdomen with pelvis to. Confirm about pcod or any other abdomenal pathology, do not assume, you need to reduce weight also. Consult after usg report.

Treatments of Infertility

FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS
Gynaecologist
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Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
Bromocriptine: Used when the infertility is caused due to excess prolactin production.
Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.
Treatments of Infertility

Dear sir, My question is if pregnant lady can't eat properly because she always get vomit sence what we do can you please tell me the answer sir.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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Dear sir, My question is if pregnant lady can't eat properly because she always get vomit sence what we do can you pl...
Vomiting is normal in early pregnancy. But it is abnormal if it leads to loss of weight and persists after 3rd month. Please avoid fatty food. Take drugs as advised by doctor. Do not take drugs without consulting doctor.

I didn't had periods yet. Were due on 28 april. I Was trying for our second baby after 6 yrs of birth of my first child. My gynae is asking to get preg check regularly after week. I checked on 27april, 5 may but was negative. What should I do now? Should I go for usg for non mensturing or just get some medicine.

BHMS
Homeopath
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In medical terminology this is called secondary infertility. We have excellent medicines in homoeopathy to cure this problem. Now are you taking any medicines for this?

Hello, I'm navin, I'm married. From last two months we are trying for a baby. But it's not happening. Can you suggest anything on this ?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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In one month chance is only 15-20% if both the partners are OK. So, 2 months is not adequate. Try at least for 6 months.

I am getting more sexual thoughts. I have girlfriend. She is now only 19. We are planing to participate in sex. Please suggest safe method to avoid pregnancy.

MBBS
General Physician
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I am getting more sexual thoughts. I have girlfriend. She is now only 19. We are planing to participate in sex. Pleas...
There is no absolutely safe method. We call safer method. Using condom is a good option. But use it correctly. Learn first how to use condom else. Chances of failure is always there. Plan the day of sex so that it falls into safe period. There are others like oral contraceptive pills which can be started on the first day of period and continued daily one tab for 28 days. Choice will be yours which method to adopt.

Hi ,My weight is 80 kg. I am married from past 7 years. I am trying to conceive. Not able to show my expression. What should I do. Please suggest.

BHMS PGCGO
Homeopath
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Hi ,My weight is 80 kg. I am married from past 7 years. I am trying to conceive. Not able to show my expression. What...
as such you are over weight. just get it done your seamen test and if it comes normal them your wife's all test else necessary to be done

As I have advised to avoid coffee in PCOD, can I drink milk or tea? Or should I avoid them too.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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Yes you can have milk and tea. They are good for health, for pcos women coffee should be avoided as caffeine increases estrogen levels.
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