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Dr. Nitin Narvekar

Gynaecologist, Mumbai

Dr. Nitin Narvekar Gynaecologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Nitin Narvekar
Dr. Nitin Narvekar is an experienced Gynaecologist in Tardeo, Mumbai. You can consult Dr. Nitin Narvekar at Bhatia Hospital in Tardeo, Mumbai. Save your time and book an appointment online with Dr. Nitin Narvekar on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 32 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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Grant Road West Station, Tardeo Road. Landmark: Near Union Bank & Near Swati Restaurant, MumbaiMumbai Get Directions
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What are the symptoms of std diseases? Actually my friend has done sex with unknown partner, for 5 mins, he doesn't know whether she has any diseases but. He has released the semen outside her body and not in the vagina, does he occurs any diseases? He didn't use any condom or safety.

MBBS, DDV, FCPS, APEX, Diplomat American Board of Sexology
HIV Specialist, Mumbai
Even ejaculating outside doesn't guarantee that he will not get STD. What he/you are doing is wrong and risky. If he is having sex with her so many times without any bondage, she could be having with others also.
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Breast Cancer - Know More to Say 'No' More!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Breast Cancer - Know More to Say 'No' More!

Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer – breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

  1. A lump in either of the breasts or armpits
  2. Change in size, shape, or contour of either breast
  3. Redness of your breast or nipple
  4. Discharge of clear or bloody fluid
  5. Thickening of breast tissue or skin that lasts through a period
  6. Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
  7. One area on the breast that looks very different from the other areas
  8. Hardened area under the breast skin

Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

  1. Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
  2. Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
  3. Age: Women over 50 are at higher risk of developing breast cancer.
  4. Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
  5. Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
  6. Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
  7. Obesity and alcohol abuse are also likely to increase a woman’s chances of developing breast cancer.

Stages: Starting from stage 0, higher stages indicate advanced disease.

  1. Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
  2. Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
  3. Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
  4. Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
  5. Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

  1. Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
  2. In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
  3. Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
  4. Ultrasound screening can also be given in addition to mammograms.
  5. Breast MRI is another way to screen for breast cancer if the risk is greater.

Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

  1. Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
  2. Tamoxifen is used in women who are at high risk for breast cancer.
  3. Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
  4. In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.

2622 people found this helpful

My period is not coming. The date was 16th march and I had done sex on 8 march thn after 16th it was repeat again on 25th and take also unwanted 72. But till now my period is not come. .what can I do. .plz help me.

DHMS (Hons.)
Homeopath, Patna
My period is not coming. The date was 16th march and I had done sex on 8 march thn after 16th it was repeat again on ...
Hello, Lybrate user, Tk, plenty of water to hydrate yourself ,to eliminate toxins diluting your blood to establish your flow.  * go for meditation to reduce your stress, anxiety to calm your nerve ,improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to avoid gastritis  •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach, to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, being gentle, rapid & safe in administration. @ Pulsatilla 30-6 pills, thrice. @ Sepia200 -6 pills at bed time. * Ensure, sound sleep in d night for at least 7 hrs. • Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
2 people found this helpful
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Helping Couples Improve Sexual Intimacy

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Noida
Helping Couples Improve Sexual Intimacy

A sexless marriage is one where the couple does not get to have intercourse. This can happen due to many reasons including lack of interest in sex, lack of libido or sexual drive, lack of arousal, erectile dysfunction, vaginal issues like pain and dryness as well as premature ejaculation and various others. In a marriage or any long term relationship, sex is like a glue that holds the couple together and gives them an intimate basis to understand, support and respect each other through thick and thin. So it is important to fix this problem of a sexless marriage where the relationship has fallen prey to complete lack of sex or has not been consummated at all. Here are a few ways to do so.

  1. Honesty: Getting an honest opinion from your partner regarding the utter lack of sex or non-consummated status of your relationship can actually make a world of difference. Stick to an honest approach yourself and tell your partner everything there is to know. That can goad your partner into sharing the truth, too. In such a case, trust comes into play and respect also enters the relationship.

  2. Physical Ailments: If there are physical ailments like penile and erectile dysfunctions, premature ejaculation and other vaginal disorders, then this must first all be discussed by the couple. It is important for both parties to admit and become aware of the presence of a problem before visiting a doctor or a sexologist together so as to find out the cause and treatment for the condition.

  3. Share Experiences: In many cases, the stress of past sexual trauma or handling the performance with a new love interest can lead to problems as far as sex goes. So, in such cases it is important for both partners to invest time in getting to know each other outside the bedroom and having a good time with each other without bringing sex into the picture. With this, one can slowly forge a connection on the basis of which, sex will also naturally follow. Cultivating hobbies, making mutual friends, visiting places and other such activities can help a couple bond better.

  4. Find out Each Other's Preferences: A major part of intimacy comes from being able to openly discuss each other's sexual preferences in terms of likes, dislikes, toys, pornography viewing and other such things. So it is important to open up and be open so as to facilitate greater pleasure and culmination of the act.

Learn your way around each other with trust, honesty and respect in order to create a relationship where a caring touch is rendered even to the most intimate acts.

3187 people found this helpful

If pregnancy test is positive then first 3 month what we take safety means sleeping, eating, sex etc. Please detail?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
If pregnancy test is positive then first 3 month what we take safety means sleeping, eating, sex etc.
Please detail?
Hello, Avoid sex till 14th week of pregnancy and there are no restrictions pertaining to sleep or eating habits.
1 person found this helpful
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How to prevent pregnancy? My girlfriend and I want to have sex. I want both of us to be safe. Also tell if there's any way to prevent pregnancy if we don't want to use condom?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
How to prevent pregnancy? My girlfriend and I want to have sex. I want both of us to be safe. Also tell if there's an...
Yes you can have safe unprotected sex without feaar of pregnancy.You can adopt the method of safe peeriod.For this you will have to tell me your gfs last 2 menstrual date and expected date of menses.I will help you to understand about safe periods.Consult me.
1 person found this helpful
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Mai 33 yrs ki hun meri shadi ko 4 months ho gayen hai pr mai abhi tak conceive nahi kr pa rahi hun kya eski wajah mere husband ki diabetic & hypertension hai.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Mai 33 yrs ki hun meri shadi ko 4 months ho gayen hai pr mai abhi tak conceive nahi kr pa rahi hun kya eski wajah mer...
4 months of time is not a time for get worried. Sometimes it takes more than one year to get conceive naturally. For some women, getting pregnant happens very quickly, but for others it can take longer. This can be upsetting, but it is normal. Figure out your fertile days, avoid smoking and alcohol, have healthy diet and avoid stress.
13 people found this helpful
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How to have cleaner teeth

BDS
Dentist, Panchkula
How to have cleaner teeth
Clean in between your teeth using interdental brushes or floss. This will help to clean a higher portion of the tooth and prevent the build-up of plaque.

My wife can't adopt the pregnancy. The periods of my wife is no regular. Please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Nashik
My wife can't adopt the pregnancy. The periods of my wife is no regular. Please suggest.
Hello, As seen in the information provided by you, the weight of your wife is excess. Chances of her suffering from PCOS are high. Also she might be suffering from hypothyroidism. Kindly get her thyroid profile done alongwith a Abdominal Sonography. If history in family for diabetes kindly get a blood sugar level done. She will require to reduce her weight and get her periods normal for getting pregnant. Kindly be patient and follow above given advice. Medications will be required. Once you get the reports done kindly book appointment to get actual treatment. Tk care.
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I was having problem of irregular periods. My doctor prescribed me premolut-N 3 tablets a day for 5 days then to continue with krimson 35. But after taking 5 days of premolut n still did not got periods.

BHMS
Homeopath, Faridabad
I was having problem of irregular periods. My doctor prescribed me premolut-N 3 tablets a day for 5 days then to cont...
Hi. Take homoeopathic Rx - Pulsatill 200/ one dose daily and Five Phos./ thrice daily for 1months. Revert.
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What is balance diet? Step .org planning balance diet? Write down of importance of balance diet? definition of balance diet.

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
What is balance diet? Step .org planning balance diet? Write down of importance of balance diet? definition of balanc...
balanced diet is combination of adequate amount of protein, fiber, carbohydrates, fats and other micronutrients according to your height weight and age.
1 person found this helpful
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How to Treat Vaginismus

BHMS
Sexologist, Delhi
How to Treat Vaginismus

Vaginismus is a condition where vaginal contractions and squeezes may be caused due to pain during intercourse or due to the insertion of objects like tampons. This mildly uncomfortable condition is also characterised by spams and other symptoms like the feeling of coming up against a thick wall which can cause pain. This may be due to a variety of reasons starting from infections to anxiety. To a large extent, the treatment of this condition depends on the cause. Following are the various ways in which this condition can be treated.

  1. Sex Therapy: A sexologist or an expert who specialises in psychosexual medicine can help in treating this condition by conducting a series of counselling sessions where psychoanalysis will help in understanding and unravelling the cause of the condition. This may be followed by CBT or cognitive behavioural therapy. This kind of therapy usually helps in reprogramming the brain after the root cause for the condition is known. 
  2. Exercises: During sex therapy, the doctor may also teach you various kinds of exercises and vaginal trainers that can help you in strengthening the pelvic floor and relaxing the muscles as well. These vaginal trainers are especially helpful in equipping you suitably so that you can relax your vagina and let the insertion happen. Vaginal trainers consist of four smooth balls of plastic which can be inserted with the help of lubricants to help in stretching the vagina. 
  3. Relaxation: Getting yourself to relax is also a matter of exploration and touching, which can help you understand the kind of touch and the exact areas that make you tense. During sex therapy, you may be taught a technique known as progressive relaxation. This mode includes tensing and relaxing your muscles as you explore by inserting a finger. 
  4. Sensate Focus: This is a part of sex therapy and involves your partner. In this method, you will be asked to abstain from sex and touch each other without going to the genitals and other private parts. This will help in better arousal and sexual stimulation.
  5. Surgery: The last option for treating a very severe form of this condition is to put the patient through surgery which will seek to remove endometriosis, as these growths in the womb's lining can cause a lot of pain during intercourse. Also, vaginal enlargement surgery can be carried out with the help of episiotomy. 

This kind of procedure usually helps in fixing the scar tissue that may have been left from a previous procedure, which can restrict or block the vaginal path. Getting help at the right time for this condition is of great importance so as to have a normal sex life.

2974 people found this helpful

Hallo Doctor I was advised to Take clomifene citrate Ferri 50mg Tablet since I had pco and a miscarriage. I just took it 1 month and last month my period was Naturally in 14. This month Its already 5 days Delay. May I know the possible reasons. Will period occur für Sure After this medicine.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hallo Doctor I was advised to Take clomifene citrate Ferri 50mg Tablet since I had pco and a miscarriage. I just took...
If you were prescribed clomiphane, it was for ovulation and subsiquent conception. After taking the medicine if you have missed your period go for a pregnancy test from urine before taking any medicine.
2 people found this helpful
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FOODS THAT FLUSH OUT NICOTINE FROM BODY

BHMS
Homeopath, Sindhudurg
FOODS THAT FLUSH OUT NICOTINE FROM BODY

Nicotine is the chemical that makes cigarettes and smoking so hard to quit, nicotine is one of the most addictive chemicals known to man and it has been smoked all over the world for centuries. Nicotine is a stimulant that can block nerve and muscle cells from proper functioning. The tobacco plant produces nicotine that can raise heartbeat, blood pressure and can even increase your risk of a stroke.

Even with all of the smoking bans, health warnings and science to prove how harmful nicotine can be, people still choose to smoke. One can also chew tobacco, which is less harmful but still contains nicotine. If you smoke it is possible to flush nicotine out of your system by eating certain foods such as -

 

  •     Brocolli
  •     Oranges
  •     Spinach
  •     Ginger
  •     Cranberries
  •     Lemons
  •     Carrots
  •     Pomegranate
  •     Wheat germ
  •     Kale
89 people found this helpful

Hi I am 27 and expecting running my 7th month I have lot of back ache issue. What should I do and can I have chiku and sugarcane juice during my pregnancy.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Hi I am 27 and expecting running my 7th month I have lot of back ache issue. What should I do and can I have chiku an...
Pain in lower back is very common in late pregnancy. You can get regular massage of your back using mahanarayana taila or kottamchukadi taila after warming it. Ask some body to do a light massage daily. Keep itself warm after massage. You can take sugarcane and cheeky juice. Its good.
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My daughter is 23 years old she gets irregular periods. Can I know the reason. There is no much pain during periods it's normal 3 days flow.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Trivandrum
My daughter is 23 years old she gets irregular periods. Can I know the reason. There is no much pain during periods i...
Irregular cycles can happen for many reasons .. Check on ur daughter's weight and her eating habits.. Exercise should also be a part of her routine .. It is advised that u take treatment for the present condition of it has been so for more than 3 months
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I am 25 years old unmarried having problem with monthly menstruation. It lasts only for 2-3 days. What should I do?

Advanced Aesthetics
Ayurveda, Gulbarga
I am 25 years old unmarried having problem with monthly menstruation. It lasts only for 2-3 days. What should I do?
iregular menses cuases infertility and weightgain and many symptoms ..., such as eating disorders, significant weight loss or gain, anemia, menopause, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health conditions. Lifestyle triggers like increased exercise, smoking, alcohol abuse, caffeine, travel, stress, and certain medications and birth control pills can also contribute to this problem. Treatmet home remedies Aloe Vera Aloe vera helps treat menstrual irregularities naturally by regulating your hormones. 1. Extract fresh aloe vera gel from an aloe leaf. 2. Mix in one teaspoon of honey. 3. Consume it daily before having your breakfast. 4. Follow this remedy for about three months. Note: Do not use this remedy during your periods Turmeric Being a warming herb, turmeric is also considered helpful in regulating menstruation and balancing hormones. Its emmenagogue properties help stimulate menstrual flow. Moreover, its antispasmodic and anti-inflammatory properties relieve menstrual pain. ? Consume one-quarter teaspoon of turmeric with milk, honey or jaggery. Take it daily for several weeks or until you see improvement. ? You can also take turmeric in supplement form; consult your doctor for proper dosage A combination of dried mint and honey serves as a good Ayurvedic remedy for irregular menstrual periods. It also helps ease menstrual cramps. 1. Simply consume one teaspoon of dried mint powder mixed with one teaspoon of honey. Repeat three times a day for several weeks
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Acne or pimples on my face and on my back. Also occurred on other parts of body. It is really painful. Many times I have treated them by medicines. But no positive results. What should I do?

MD - Dermatology , Venereology & Leprosy, Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Udupi
Acne or pimples on my face and on my back. Also occurred on other parts of body. It is really painful. Many times I h...
Apply Cleargel twice daily for one month,Isotretin 10mg daily for one month.Avoid spicy food and beverages.
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