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Dr. Pandya Madhavi

Gynaecologist, Mumbai

500 at clinic
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Dr. Pandya Madhavi Gynaecologist, Mumbai
500 at clinic
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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. Pandya Madhavi
Dr. Pandya Madhavi is one of the best Gynaecologists in Borivali West, Mumbai. She is currently practising at Pandya Surgical & Maternity Hospital in Borivali West, Mumbai. Save your time and book an appointment online with Dr. Pandya Madhavi on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 40 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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Hindi

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Pandya Surgical & Maternity Hospital

Sodawala Lane, Borivali West. Landmark:Opposite to Ratnakar Bank & Opposite Dr S S Pandya Chowk, MumbaiMumbai Get Directions
500 at clinic
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Vaginismus - How to treat it?

PhD Human Genetics
Sexologist,
Vaginismus - How to treat it?

When a woman's vaginal muscles squeeze tightly, or slams shut making it impossible or extremely painful when penetration with the penis or any other object is attempted, we describe that situation as 'vaginismus'. It's an involuntary contraction of muscles surrounding the vaginal opening. It is different from voluntarily squeezing the vaginal muscles out of fear. Vaginismus happens out of the person's control. In other words, the opening shuts automatically, when intercourse or insertion of a medical instrument is attempted. Penetration would not happen; the attempt would end up in pain for the woman. In the case of intercourse, she might describe the experience as a feeling that the man is 'hitting a wall'. Usually, women having vaginismus would fear genital examination and disallow it, especially inserting any object -even a finger, leave alone the speculum. There are cases where women kicked the staff, jumped off the examination table and ran out. Ridiculous as it might appear, it's a genuine morbid fear for the woman. 

Why does it happen?

No physical cause is identified with vaginismus. It's considered mostly psychogenic. In some women, it can be traced to a previous painful intercourse, or a rough and injurious attempt at intercourse, and severe anxiety. Some are severely apprehensive and anticipate pain and injury during first intercourse. I have known a woman who was terrified watching her sister deliver a baby, and decided to never conceive. The subconscious association of intercourse with pregnancy used to trigger anxiety in her whenever intercourse is attempted and resulted in vaginismus. 

How can it be resolved?

It can be resolved, though it's a little time-consuming therapeutic process. It is not cured with medicines. And, there is no need for surgery. A sex therapist skilled in treating vaginismus, can help the couple resolve their problem through therapeutic suggestions and counseling, without touching the client (I mention this because several clients keep asking us anxiously "do you have to examine me?", and feeling so much relieved on hearing a "no!"). 

How does the therapist go about it?

  1. Educating the couple: The couple – especially the woman needs awareness about her basic anatomy and function of the sex organs. what each is meant for, how one should touch, explore and handle them. 
  2. Exercises: During sex therapy, she will be given various homework exercises that include: 
    • exploring genitals to increase her level of comfort with the genital area. 
    • using graded vaginal trainers to be inserted into the vagina gently and gradually in a non-threatening way at her own pace, and
    • controlling and relaxing vaginal muscles, and stretching the vagina. 
  3. Relaxation: Getting yourself to relax progressively is 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. The purpose is to get gradually comfortable with insertion. 
  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, especially for those women who, for fear of intercourse, also experience arousal problems. 

Surgery: Surgery is rarely indicated in vaginismus, unless a physical problem is contributing to it or when there is a need to enlarge the vagina. This may be necessary if a previous surgery has left scar tissue making vaginal entry painful, such as an episiotomy during childbirth. If you wish to discuss any specific problem, you can consult a sexologist.

6368 people found this helpful

Hi I am planning for baby since last six month but I have pcod problem periods one week se pehle aa jate hai pehle 4 month mein back or stomach pain rehta tha becoz I don't know ki mujhe pcod hai ultrasound karwaya to Pta chla main glycomet 500 tablet le rhi hu after lunch is month se he start ki hai to mujhe back ya stomach mein pain nhi rehta par aisa hota hai ki mera ji kacha hota hai morning se he kisi kisi din or mujhe thyroid nhi hai to main Kab tak conceive kar longi meri mrg ke 2 years baad maine plan kiya hai.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi I am planning for baby since last six month but I have pcod problem periods one week se pehle aa jate hai pehle 4 ...
You may have to stop metformin which is given to pcos cases to reduce cysts in ovaries, most common cause of infertility get checked by doctors so that periods are regular minus medicines only then get pregnant because these types of medicines are not given during pregnancy.
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What is the average sexual stimulation time for women for satisfaction at orgasm?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
What is the average sexual stimulation time for women for satisfaction at orgasm?
It vary person to person. Depending on mood & physical health. 15 - 30 minutes from fore play to end.
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My wife is not conceiving, got married 2 years, checked with dodtor in two occasions, doctor says every thing is fine with both, what to do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
If everything is fine, we can even stat treatment. This is called unexplained infertility, where the result of treatment is god.
1 person found this helpful
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What should precautions we shoud done after conceiving baby? can we have sex daily.?

DGO, MBBS
Gynaecologist, Pimpri-Chinchwad
What should precautions we shoud done after conceiving baby? can we have sex daily.?
Ideally during pregnancy its better to avoid sex. But theoretically you can have. During second trimester.
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My girlfriend is 18 years old, we had unprotected sex on the first day of her period but did not ejaculate inside her, again on the 26th of December we had unprotected, soon after the act she took a unwanted 72 pill, her period was due on the 10th of January and has not got it, what are the steps to be taken if the urine pregnancy tests in positive, and up to how many days of pregnancy can be terminated by MTP method?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
My girlfriend is 18 years old, we had unprotected sex on the first day of her period but did not ejaculate inside her...
First of all, get a urine pregnancy test done. If it is positive, you will have to go to a local gynaecologist who will get an ultrasound done for localisation of pregnancy and then advise you medicines for termination. Pregnancy upto 7 weeks can be terminated with medicines.
3 people found this helpful
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I am 24 year old I am taking regestrone tablet thrice daily for 7 days as per doctor prescription from 3rd oct today is 7th oct still not coming periods. Is this tablet works or not? Feeling worried I want periods come early.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am 24 year old I am taking regestrone tablet thrice daily for 7 days as per doctor prescription from 3rd oct today ...
If you are advised from 3/10 for 7 days for 7 days means they will get over on 9/10. With this type of treatment period comes few days after the course is over.
1 person found this helpful
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Sir mujhe bicornuate bicollic hai Dr. bol rahe hai opration karna pdega Opration se kitna chance badh jata hai metur birth ka? 2 time abortion ho chuka hai Please suggest karen.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Sir mujhe bicornuate bicollic hai Dr. bol rahe hai opration karna pdega Opration se kitna chance badh jata hai metur ...
Pt with bicornuate uterus are advised surgery (metroplasty) if they have repeated abortions .it is seen that about 60-70% pt are able to carry Pregnancy successfully after surgery.
1 person found this helpful
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