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Dr. Pramila Bhatia K

Gynaecologist, Mumbai

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Dr. Pramila Bhatia K Gynaecologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Pramila Bhatia K
Dr. Pramila Bhatia K is an experienced Gynaecologist in Sion East, Mumbai. You can visit her at Dr Pramila Bhatia Nursing Home in Sion East, Mumbai. Book an appointment online with Dr. Pramila Bhatia K on has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 43 years of experience on 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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5 Reasons Behind Missed Periods!

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, Pune
5 Reasons Behind Missed Periods!

It's anything, but difficult to make a hasty judgment when you understand your period is late. In case you're attempting to conceive, you may have this feeling of incredulity. In case you're not, you may feel frustrated or disarrayed in the event that you know it is highly unlikely you could be pregnant. The truth of the matter is, however, the vast majority naturally consider pregnancy, at the time of a late period, it may be the case that or one of numerous different conceivable outcomes.

Here's a summary of the common causes behind a missed period:

  1. Preganancy: Sometimes when you miss your period, the cause maybe exactly what you think you could be pregnant! The initial symptoms of pregnancy such as bloating of the stomach, cramping of stomach, and tenderness in breasts can resemble the feeling that you get before your periods; may create confusion whether you are actually pregnant or if your periods are a little delayed. If your periods are delayed for over 10 days, then it is better to take a home pregnancy test.
  2. StressStress can have several effects on your body such as headaches, acne, weight gain and other issues. Stress can also make you miss your periods. When you are stressed, your body synthesizes stress hormones such as cortisol and adrenaline. These elevated levels force your brain to differentiate between essential and non-essential functions of the body. The blood supply to the muscles of the body can increase while systems such as the digestive system or the reproductive system can be subdued. This results in delayed period.
  3. Excessive exercise: Working out and maintaining fitness is a great thing to do; although when you overdo it, it restricts your body from producing enough oestrogen, the hormone that helps in completing your menstrual cycle. Thus professionals such as ballet dancers, athletes and gymnasts face a higher chance of suffering through amenorrhea (missing periods) for 3-4 months. Also if you work out too much without consuming enough calories, it can cause disruptions.
  4. Illness: When your body is battling a disease such as common cold or even fever, your brain starts concentrating on the functions that are important for the body. This can contribute to missing your period.
  5. Weight: If you lose excessive amount of weight without maintaining a good diet, you can deprive your body from producing oestrogen that helps build up the uterine lining. The same thing happens with eating disorders such as bulimia or anorexia. On the contrary, if you are obese, it can result in over production of oestrogen that can stop your ovulation in totality. This may lead to heavy, irregular periods. If you wish to discuss about any specific problem, you can consult a gynaecologist.
5 people found this helpful

Malnutrition in Hindi - कुपोषण

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Malnutrition in Hindi - कुपोषण

हमें जिंदा रहने के लि्ए ऊर्जा की जरूरत होती है। ये ऊर्जा हमें भोजन से मिलती है। अगर हमारे खाने में पोषक तत्वों की कमी हो जाए तो हमारे शरीर के साथ हमारे जीवन पर भी खराब प्रभाव पड़ता है। ये हमारे स्वास्थ्य, व्यवहार, मूड के साथ-साथ संपूर्ण विकास को प्रभावित करता है।
अधिकतर लोग यह समझते हैं कि जिन लोगों को पौष्टिक भोजन नहीं मिलता केवल वे ही कुपोषण का शिकार होते हैं। लेकिन पौष्टिक भोजन मिलने के बावजूद अगर आपकी खाने-पीने से जुड़ी आदतें ठीक नहीं हैं तो आप भी कुपोषण के शिकार हो सकते हैं। जैसे हरी सब्जियां अगर भाप में पकाकर खाई जाएं तो इनसे सबसे ज्यादा पोषण मिलता है। लिहाजा हम जो खा रहे हैं, उससे सबसे ज्यादा पोषण किस रूप में मिलेगा उसका ध्यान रखना भी जरूरी है। कुपोषण का खतरा पुरुषों के बजाय महिलाओं में ज्यादा होता है वहीं वयस्कों के बजाय बच्चे इसका शिकार ज्यादा होते हैं।

कुपोषण के लक्षण 
कुपोषण का सबसे प्रमुख लक्षण वजन कम होना है। अगर आपका वजन तीन महीने के अंदर बिना डायटिंग के 10 फीसदी कम हो रहा है तो आप कुपोषण के शिकार हैं। इसके अलावा थकान, आलस, खून की कमी, सांस लेने में दिक्कत आदि भी कुपोषण के लक्षण हैं। 

कुपोषण की वजह 
शरीर को पोषक तत्व खाने से ही मिलते हैं। जब खाने में पोषक तत्वों की कमी होने लगती है तो शरीर पर इनका असर दिखने लगता है। इन मुख्य वजहों पर डालें नजर...

1. खाने में पोषक तत्वों की कमी- 
आप पेटभर खाना खा रहे हैं फिर भी अगर कुपोषण का शिकार होते जा रहे हैं तो मेन्यू पर ध्यान देने की जरूरत है। बहुत संभव है कि आपके खाने में पोषक तत्वों की कमी हो। कई खाद्य पदार्थ स्वादिष्ट होते हैं लेकिन हमारे शरीर में पोषक तत्वों की कमी को पूरा नहीं कर पाते। अगर आप इस तरह का खाना खाने की आदत बना लेते हैं तो कुपोषण का शिकार हो जाएंगे।
2. असंतुलित खाना- 
हमारे शरीर को उम्र और आयु के हिसाब से पोषण की अलग-अलग मात्रा की जरूरत होती है। मान लिया आप आधा ग्लास दूध पीते हैं और आपके शरीर को एक ग्लास दूध की जरूरत है तो पोषण अधूरा रह जाएगा। अगर भोजन में पोषण की मात्रा जरूरी स्तर से कम होती है और लगातार काफी समय तक ऐसा ही कम पोषक तत्वों वाला भोजन किया जाए तो कुपोषण की संभावना बढ़ जाती है।
3. अनुपयुक्त भोजन - 
अलग आयुवर्ग, कार्य-शीलता, जीवन की अलग-अलग अवस्था और महिला और पुरुष की जरूरत के हिसाब से शरीर को अलग-अलग मात्रा में पोषण की जरूरत होती है। उदाहरण के लिए सामान्य वयस्क और एक खिलाड़ी के शरीर को अलग पोषक तत्वों की जरूरत होगी वैसे ही एक गर्भवती महिला और सामान्य महिला की जरूरतें अलग होती हैं।
4. आर्थिक कारण और जागरूकता की कमी- 
कुछ लोगों की आर्थिक स्थिति इतनी अच्छी नहीं होती किि वे पोषक खाना खा सकें। वहीं कुछ लोग सिर्फ पेट और स्वाद के लिए खाना खाते हैं और पोषक तत्वों की जरूरत को दरकिनार कर देते हैं।
5. पर्याप्त नींद न लेना- 
आपको ये पढ़कर हैरानी होगी लेकिन पर्याप्त नींद न लेने से भी कुपोषण की समस्या पैदा हो सकती है। सामान्य वयस्क को रोजाना आठ घंटे की नींद जरूरी होती है। नींद की कमी होने से मेटाबोलिज्म गड़बड़ा जाता है। ऐसे में पोषक खाना खाने के बावजूद शरीर पोषण को अवशोषित नहीं कर पाता और धीरे-धीरे कुपोषण का शिकार बन जाता है।

लें संतुलित आहार 
संतुलित आहार में कार्बोहाइड्रेट, विटामिन, आयरन, फाइबर, फैट, खनिज पदार्थ, पानी और प्रोटीन यह सात तत्व मौजूद होते हैं। 

  • कार्बोहाइड्रेट साबुत अनाज, फल, सब्जियों और फलियां वाले खाद्य पदार्थों में पाया जाता है। 
  • विटामिन ताजा फलों, सब्जियों, अंडे आदि से प्राप्त कर सकते हैं। फाइबर सिर्फ कब्ज ही नहीं, डाइबिटीज, अस्थमा, ह्रदय रोग और कैंसर को दूर भगाने में भी सहायक होते हैं। इनसे शरीर की प्रतिरोधक क्षमता मजबूत होती है। 
  • पॉलीअनसेचुरेटेड स्रोतों जैसे - जैतून के तेल, नट्स और मछली में संतृप्त वसा पाई जाती है। 
  • सब्जियां खनिज और विटामिन पाने का सबसे आसान तरीका है। ऐसे में रोज के भोजन में ज्यादा से ज्यादा सब्जियों को शामिल करें। हरी पत्तेदार सब्जियों के साथ विभिन्न रंगों की सब्जियों से आपको अलग-अलग पोषक तत्व मिल जाते हैं। पालक, बीन्स, ब्रोकली आदि ज्यादा से ज्यादा खाएं।
  • नियमित रूप से कम से 8-10 गिलास पानी का सेवन करना चाहिए।
  • मछली, मांस, अंडा, पनीर और दालें प्रोटीन का सबसे अच्छा स्त्रोत हैं।

ये उपाय भी अपनाएं- ड्राई फ्रूट्स और जूस भी शरीर को पोषक तत्व प्रदान करते हैं। अपने साथ किशमिश, काजू, अखरोट और मूंगफली रखें। इन्हें स्नैक्स के तौर पर खाएं।

8 people found this helpful

What is ovulation bleed we take a chance 2nd baby but before two month I can't conceive a pregnancy please tell me what should I do m 35 year I have a one baby he's 6 years old.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
What is ovulation bleed we take a chance 2nd baby but before two month I can't conceive a pregnancy please tell me wh...
Hi Ovulation bleed is little spotting in middle of the cycle. If you are 35 and not conceiving then you need certain investigations before I could advice you anything. But definitely you should do it at the earliest.
1 person found this helpful
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I am 23 years old. I am having hormonal imbalance. Doctor has prescribed me normoz tablet twice daily for 6 months. I started having it from 18th march 2016 and I have got my period early after having it and its not been a month and I got my period again. Is it fine or not? Is the medicine good.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 23 years old. I am having hormonal imbalance. Doctor has prescribed me normoz tablet twice daily for 6 months. I...
The normal tablet has been offered to decrease your insulin resistance in pcos and should be continued till 6 months. Irregularity in menses should not be measured on one single episode of bleeding.
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MMed -Family Medicine, MBBS
General Physician, Thoothukudi
Watching too much TV 'could increase the risk of early death.
10 people found this helpful

Causes and Treatment of Gestational Diabetes

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Chennai
Causes and Treatment of Gestational Diabetes

Gestational diabetes is a form of diabetes where the blood sugar levels of the body increase during pregnancy. When you are expecting, your body is more repellent to insulin so that a larger amount of glucose is manufactured for the baby’s nourishment. However, this excess blood glucose can build up within the body which causes gestational diabetes. This can lead to health problems for both the mother and the baby. At the end of the gestational period i.e. once the baby is delivered, blood sugar reduces to normal.

When are you at a risk for gestational diabetes?

  1. Gestational diabetes can also be hereditary. If a family member or a relative has diabetes, you are more likely to develop gestational diabetes.

  2. If you are overweight, you are more susceptible to developing gestational diabetes.

What causes gestational diabetes?

During pregnancy, the placenta connects your baby to the blood supply. This produces other hormones which reduce the levels of insulin. This increases the level of blood sugar in your blood. As your baby develops, your body manufactures more of such hormones which block your insulin levels leading to gestational diabetes. This usually occurs from the 20th week of your pregnancy.


  1. Increase in Birth Weight – Extra glucose crosses through the placenta which instigates the baby’s pancreas to manufacture more insulin. This can make your baby very large. Sometimes, it becomes difficult for the baby to pass through the birth canal during childbirth as a result.

  2. Premature Birth and Respiratory Diseases – High blood sugar may increase the risk of an early labor. It may make the baby due before the 37th week of pregnancy. This also makes the baby more susceptible to respiratory disorders.

  3. High Blood Pressure Gestational diabetes also raises your risks for high blood pressure. This can be fatal for you as well as your baby’s health.


  1. Follow a healthy eating schedule. Limit the amount of carbohydrates and ensure you have a healthy and balanced meal.

  2. Do light exercises regularly during pregnancy. This helps you to control your blood sugar level. Physical activities which require low levels of energy utilization such as swimming and walking will control your blood sugar level without exerting you too much.

  3. Taking insulin shots and medicine for diabetes will also control your blood sugar levels if you have a pre-existing condition.
2524 people found this helpful

Induction of Labor

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Faridabad
Play video

Guidelines for normal delivery

Hi friends my name is Deepa Sethia. I am attached as a consultant in Gynea and Obs, Sarvodaya, Sector 8, Faridabad. Today I am going to speak on topic ways to induce labor which can be done naturally or by medications.

The natural ways of induction of labor are like,

  • they can be done by a simple walk to a climbing stairs.
  • Exercise; they can induce labor, the gravity poses pressure on the cervix and that can result in the dilation of the cervix and ultimately the delivery.
  • Next is the Evening Primrose oil; taking this oil orally or putting it into vagina can help in the dilation of the cervix, softening of the cervix and induction of the labor.
  • Next is the Acupuncture. Acupuncture is a method in where in the stimulating certain sites in the skin can result in induction of labor. Because the pressure points they induce oxytocin in the body and then that can help in induction.
  • Next is the nipple stimulation stimulating the nipples can result in an induction of labor.

Literature mentions the use of red raspberry leaf extract consuming this tea in Linda along with the evening with primrose oil can help in induction of labor. Then there are many medications that help in induction like oxytocin is the method by which the doctors use and in induce labor. Prostaglandin like servi prime gel is inserted into the cervix to help in induction. Then in hormonal methods are include putting a holy catheter into the cervix through the vagina and dilating the balloon end can help in induction. Induction of labor can be done either couple of weeks after the due date or it can be done three weeks prior to the due date. So the due date is an estimation of when a baby is stepping into this world.

These are the ways which are very essential for primary gravitas to know the time of the delivery.

So anything else required in this context you can contact me through lybrate or reach my clinic at Sarvodhya Health Clinic or the Gynae and Neurology Clinic, Sector 86. Thank you.

7101 people found this helpful

Hi doctor, I had sex with a call girl before 8 weeks. I used condom at that time. I have done Eliza yesterday and test result was "non reactive" so I believe I don't have infection. Please confirm do I need to check again. Thanks.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, you should repeat hiv test after 3 and 6 month as hiv virus is slow growing virus infection is evident in system after 6 month also.
3 people found this helpful
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I came to know that Day 7-18 is the fertile period when ovulation generally occurs, considering the 1st day of periods as day1. So, this 7-18 days are safe for sex to avoid pregnancy without using condom?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I came to know that Day 7-18 is the fertile period when ovulation generally occurs, considering the 1st day of period...
No I think you got it wrong. Sex on day 7 to day 18 have maximum chances of getting the female pregnant, since ovulation is taking place. So sex is avoided in these days or have to be done using contraception to avoid pregnancy.
1 person found this helpful
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7 Foods You Should Eat to Boost Your Energy Levels

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
7 Foods You Should Eat to Boost Your Energy Levels

There are times when you feel extremely fatigued and tired. This could be because of the type of foods that you are consuming on a regular basis. Certain foods, when consumed tend to spike up your blood sugar level and make you feel sleepy and sloppy.

There are certain foods which you can have to boost your energy levels:

1. Vinegar: You can add vinegar to your food and salads to prevent your blood sugar levels from spiking. Vinegar is said to have properties that prevent excessive starch absorption in the body; it also keeps your metabolic rate elevated. Mix vinegar with a glass of water and have it after meals to prevent fatigue.

2. Fruits: Fruits can provide instant energy if you are feeling lethargic. Usually in the afternoon, eating a fruit such as an apple or a watermelon will provide an instant burst of energy. Make sure you keep your portion sizes under control; else too much sugar can mess with your system.

3. Nuts: Nuts are very healthy foods to snack upon as they contain heart healthy fats and Omega-3 acids. Nuts also contain proteins that are good for your muscles and fat loss goals. Being rich in fiber, they also promote satiety.

4. Dark chocolate: You can include small portions of dark chocolate for your dessert cravings after lunch as it contains “theobromine” which helps in boosting your mood and energy levels.

5. Whole grains: Include whole grains in your diet; avoid eating refined products such as white rice and refined flour. Refined carbohydrates can spike your blood sugar levels and lead to feeling of fatigue. Eating whole grains also provides a steady supply of energy to the body.

6. Cardamom: Add these spices to your dishes and tea as they are known to stimulate blood flow and increase energy levels in the body. It is known to expand the blood vessels in the body to increase blood flow.

7. Asparagus: Asparagus contains important vitamins that allow efficient conversion of sugar into energy. It also contains plenty of fibers that promote satiety. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.

3817 people found this helpful
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