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Dr. Rakesh Pandia

Gynaecologist, Mumbai

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Dr. Rakesh Pandia 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. Rakesh Pandia
Dr. Rakesh Pandia is a popular Gynaecologist in Malad West, Mumbai. You can consult Dr. Rakesh Pandia at Cloudnine Hospital-Malad in Malad West, Mumbai. Save your time and book an appointment online with Dr. Rakesh Pandia on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 29 years of experience on Lybrate.com. Find the best Gynaecologists online in Mumbai. 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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Cloudnine Hospital-Malad

Cloudnine Hospital, Siddhachal Arcade, CTS Nos. 1084C and 1186A, Link Road Malad WestMumbai Get Directions
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Hi I'm 18 years old. I masturbate regularly and around 2 weeks back I found blood when I get an orgasm too much blood and when I masturbate during my periods it's the same situation all of a sudden there's too much blood. I'm scared what do I do?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hi I'm 18 years old. I masturbate regularly and around 2 weeks back I found blood when I get an orgasm too much blood...
Hello- If you have masturbated near your menses period, the blood might be the menstrual blood which must be out flowed during orgasm, however vaginal bleed other thn menses during orgasm can be due to over and aggressive masturbation. Rupture of internal mucous lining exposes the blood vessels during the act which can burst during orgasm. Reduce your masturbation frequency and give genitals some rest. Don't insert any rough or hard object in vagina during masturbation. Masturbate with start and stop technique.
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Hi sir, me 28 years Ki hu mujhe Caesar operation se 2 daughters he, 2nd Caesar ke saat hi mene tubuler ligation (family planning) ka operation bhi karva liya tha, abhi mene IVF method ke baareme suna to kya sperm inject karke vapas pregnancy attempt karsakti hu? Is there any risk?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
You already have 2 children and done the tubal ligation, so whats the reason for conceiving the third child risking your life, as both of your deliveries were by c- section. See still if you want to conceive you can go for ivf.
1 person found this helpful
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Health Tip

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Health Tip

Eating green lower risk of breast cancer.

Compulsive Sexual Behaviour - How to Manage It?

MD - Psychiatry, MBBS
Psychiatrist, Pune
Compulsive Sexual Behaviour - How to Manage It?

One of the emerging psychiatric disorder that has significant medical and psychiatric consequences is compulsive sexual behaviour or hypersexuality, is an obsession with sexual thoughts in which people cannot manage their sexual behaviour. It may involve a commonly enjoyable sexual experience as self-stimulation which becomes an obsession. The person suffering from the condition may also get involved in sexual behaviours that are outside the bounds of commonly accepted conduct like paying for sex or having extramarital affairs.

Untreated compulsive sexual behaviour damages one’s self-esteem, health, job, relationships and career. However, with treatment and self-help, one can manage compulsive sexual behaviour and learn to manage one’s urge. Males are more likely to be unfaithful than females because they have stronger sexual impulses and weaker self-control. Compulsive sexual behaviour symptoms vary in type and severity. During intense sexual impulses, one feels as if they're beyond control. This is the first and the most common symptom as the patient uses compulsive sexual behaviour as an escape route for problems like loneliness, depression, anxiety and stress. One has trouble establishing and maintaining emotional closeness, even if one is married or in a committed relationship.

The treatment for compulsive sexual behaviour involves psychotherapy and medications. A primary goal of treatment is to help one manage urges and reduce excessive behaviours while maintaining healthy sexual activities. If one has compulsive sexual behaviour, one may need treatment for mental health condition. People with compulsive sexual behaviour often have alcohol or drug abuse problems or a mood disorder such as depression.

Counselling sessions can help one learn how to manage one’s compulsive sexual behaviour. Intensive treatment programs for compulsive sexual behaviours focus on identification of core triggers and beliefs about sexual addiction. It assists in development of healthier choices and coping skills to minimize urges and deal with the preoccupation of sexual addiction. Psychodynamic psychotherapy can prove to be very useful as it focuses on increasing one’s awareness of unconscious thoughts and behaviours, and developing new insights into their motivations. Resolving conflicts using this therapy is also recommended. The other kind of treatment program is cognitive behavioural therapy. This therapy helps one to identify unhealthy, negative beliefs and behaviours and replace them with healthy, positive ones. Family therapy and couples therapy may restore trust, minimize shame and guilt thus establishing a healthy sexual relationship between partners.

Medications include anti-depressants like selective serotonin reuptake inhibitors, mood stabilizers and anti-androgens have also been used to treat compulsive sexual behaviour. Anti-androgens are prescribed as it reduces the biological effects of sex hormones in men thus reducing sexual urges. Luteinizing hormone is also prescribed as it reduces obsessive sexual thoughts by reducing the production of testosterone. Anti-seizure medications, naltrexone, and medications which decrease male hormones have been found to decrease the compulsive urges and impulses associated with sexual addictions for some sufferers. If you wish to discuss about any specific problem, you can consult a psychiatrist.

2524 people found this helpful

Hiii I am now 38 weeks pregnant. From yesterday I didn't feel my baby's movement as before. What is the reason? Is it a problem? What can I do know?

DGO, MBBS
Gynaecologist, Delhi
Hiii I am now 38 weeks pregnant. From yesterday I didn't feel my baby's movement as before. What is the reason? Is it...
Hi, must go and check with your gynaecologist. At times you feel lessovents as baby starts taking its position. But you must go to consult your dr.
1 person found this helpful
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Understanding Miscarriages

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
Understanding Miscarriages

Miscarriage refers to the spontaneous loss of the fetus before one completes the 20th week of pregnancy, taking into account the period from the conception to gestation. It usually happens in the first trimester of the pregnancy; that is within the seventh and the twelfth week of conception. Recurrent miscarriage is when one suffers from multiple miscarriages in a row.

Possible Causes:

  1. Abnormally-shaped Uterus: Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.
  2. Polycystic Ovary Syndrome (PCOS): Women with this condition have many small cysts in their ovaries.They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood, which can lead to recurrent miscarriage.
  3. Infection: 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.
  4. 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.

Risk Factors:
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.

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 died after 14 weeks of pregnancy, you should be offered tests after this loss.

  1. You can opt for blood tests to check for sticky blood syndrome or APS. Tests would look for antibodies that would help treat the condition. Antibodies are chemicals produced by the body to combat infections.
  2. Get an examination done should the doctor suspect chromosomal abnormalities and in case it is diagnosed, both of you can consult a clinical genetics specialist for genetics counseling.
  3. Your doctor will recommend an ultrasound scan to trace any type of abnormality that may make a pregnancy futile, for instance, a short or a fragile cervix.

Your hopes:

It is natural to pin your hopes on testing as the answer to your problems. But there are three reasons why it may not be the answer you’re looking for:

  • A cause may not be found; when this happens your miscarriages are called ‘unexplained’ 
  • Even if a cause is found, it may not be treatable;
  • Treatment may not lead to a successful pregnancy. This can happen if a pregnancy miscarriages for a different reason than the one being treated. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
5545 people found this helpful

Hai doctor I'm pregnant 6 month passing now and I would like to eat raw rice shall I eat or not doctor because is there any problem to baby by eating raw rice please reply me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hai doctor I'm pregnant 6 month passing now and I would like to eat raw rice shall I eat or not doctor because is the...
Hello, it is not advisable as this may cause gastroenteritis and pain in abdomen for you, though it would not harm the foetus at all. So anyhow should be avoided.
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I am 20 yrs. Old and I am late in periods by 4 days my final exams are going on. I did never had any sex and this problem of late periods last happened in month of July my length of menstrual cycle is 33 days please tell me the reason of late in periods as it worries me a lot.

BHMS
Homeopath, Pune
I am 20 yrs. Old and I am late in periods by 4 days my final exams are going on. I did never had any sex and this pro...
hello due to stress tension periods get delay please eat protein calcium rich milk meat fish eggs please drink fruit juices and eat green vegetables please do daily exercises thanks
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I am 9 months pregnant I have back pain and lower abdomen pain at night time. Is that normal?

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
I am 9 months pregnant I have back pain and lower abdomen pain at night time. Is that normal?
Lower abdomen dull ache and back pain may be normal unless you don't have other signs of labour like uterine contractions and watery discharge from vagina. Keep a watch on your baby movements. Labour can start after 37 weeks anytime so please be careful.
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Mam I took i-pill 7 days before during sex we don't use condom.& from d very day when I took I pill my down side of stomach is paining lot. During the time of doing toilets also I am getting pain lot. Please suggest any tablet for relief of pain. My next day of period is on 1/8.I have taken earlier i-pill on last of June.& taken 4-5 time in total i-pill.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Mam I took i-pill 7 days before  during sex we don't use condom.& from d very day when I took I pill my down side of ...
Ipill taken seven days before will not help in preventing pregnancy. These are hormones and its advisable not to take so many ipills.
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I have just married and want no child for 2 years. My wife have suffering from thyroid problem. My age is 30 and wife age is 28 yr. Kindly suggest me any medication that is safe at both side. Is mala di is safe for that. Kindly suggest me there dose.

DNB (Obstetrics and Gynecology), DGO
Gynaecologist, Mumbai
I have just married and want no child for 2 years. My wife have suffering from thyroid problem. My age is 30 and wife...
Mala D is quite safe. It is to be taken 1 tab daily by your wife starting from day 1 of periods and starting with the white tab. Then the last 7 days is black iron tab. When black is over to immediately start with white of next packet, irrespective of the period.
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chandigarh
Indigestion in summer's:
Flatulence, loose stools
50 - 70 gm curd + 3 -5 gms Haldi/turmeric mixed it. Take it for 3 days once a day only.
19 people found this helpful

What type of foods should be eaten for the regular menstrual cycle and blood gain due to anemia?

MBBS
General Physician, Mumbai
What type of foods should be eaten for the regular menstrual cycle and blood gain due to anemia?
To increase your heamoglobin value apart from medication eat green vegetables, jaggery, carrots, beet etc.
1 person found this helpful
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7 Hidden Atrial Fibrillation Dangers

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
7 Hidden Atrial Fibrillation Dangers

When you are diagnosed with atrial fibrillation, or afib, the most common type of irregular heartbeat, putting your heart back in its proper rhythm is only half the goal. Stroke prevention is the other.

Both objectives require rethinking certain foods and medications that once seemed innocuous and now could be a danger to your health. From common over-the-counter drugs to some of the healthiest vegetables on the planet, here's a list of atrial fibrillation dangers to sidestep.

Caffeine can trigger atrial fibrillation

Chugging cup after cup of coffee may help you stay awake, but too much caffeine can be an atrial fibrillation trigger, causing more frequent episodes of the irregular heartbeat. The same goes for caffeine pills, energy drinks, and other caffeine-containing substances.

" they [energy drinks] have the capacity to make afib worse or more frequent, even in people who have never had afib before" says larry chinitz, md, a cardiologist and professor of medicine at nyu langone medical center in new york city. But, Dr. Chinitz notes, when you have afib, only excessive caffeine intake is a problem, so you can sip a latte here or there without any trouble.

Alcohol can be toxic to your heart

Think twice before you order that next round alcohol and atrial fibrillation can be a dangerous combination. Alcohol in excessive amounts is a depressant to the brain, but a stimulant to the heart. This stimulation can worsen or instigate afib episodes.

" it's also a direct toxin to the heart muscle" chinitz says. Sometimes, heavy drinking over a short period of time can cause episodes of atrial fibrillation in people who have not been previously diagnosed with it, a condition known as holiday heart syndrome.

Cold and allergy medications can trigger afib

For most people, nonprescription medications for stuffy and runny noses are fine, but cold/allergy medicine and atrial fibrillation don't mix well. Use caution when taking these remedies because they could cause more frequent episodes of an irregular heartbeat.

" all medications that are trying to decrease secretions or dilate the airways or lungs are all direct stimulants to the heart" chinitz explains. A few common stimulating over-the-counter (otc) medications to watch out for include actifed (chlorpheniramine and phenylephrine), sudafed (pseudoephedrine), and contac (acetaminophen, chlorpheniramine, and phenylephrine), though others may present the same atrial fibrillation dangers. Talk to your doctor before taking any of these medications if you have afib.

Leafy green vegetables affect blood clotting

Whoever thought that veggies could be bad for you? but as it turns out, some of them can be dangerous if you have atrial fibrillation. If you're on a blood thinner such as warfarin (coumadin, jantoven) for atrial fibrillation to prevent stroke, you should carefully monitor your intake of green leafy vegetables like spinach and kale, which contain high amounts of vitamin k.

Vitamin k can counteract the blood-thinning effects of warfarin, making some veggies atrial fibrillation dangers. But you don't have to give up vitamin k for afib management; the key is to eat about the same amount of k-rich foods every day" you shouldn't have none for a month and then huge amounts over the course of a few days" chinitz says.

Vitamins and herbal supplement cautions

Though otc supplements are often thought of as harmless, some of them can affect atrial fibrillation. Vitamin e, for example, has a blood-thinning effect so if you're on a blood thinner, talk to your doctor before taking it. The same goes for herbal medications that have a stimulant effect, like ma huang (chinese ephedra) and st. John's wort.

Extreme exercise puts a strain on your heart

For most people with atrial fibrillation, moderate exercise isn't a problem and can be beneficial by helping you control your weight and improve your mood. But a few people with afib find that particularly difficult workouts can launch a fibrillation episode" we do caution those people against excessive amounts [of exercise]" chinitz says" but most people's exercise routines are not affected"

If you notice irregular heart rhythms during or just after a workout, talk with your doctor about the best way to proceed so that healthy workouts don't turn into atrial fibrillation dangers.

Stress, anxiety, and depression weigh on the heart

Emotions can play a role in bringing on an atrial fibrillation episode. People with afib who have more severe anxiety and depression symptoms may have more afib episodes than people with less-severe anxiety and depression. To help reduce stress and lower your risk of an afib episode, pay close attention to your emotions and schedule relaxing activities that you enjoy.

If your stress, anxiety, or depression becomes overwhelming, talk to a healthcare professional about ways to lighten your emotional load.

Sir my wife is pregnant and its blood only 8 gram and She has more stomach ache everyday and more pain in head hand and whole body part what I do tell me the solution?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Sir my wife is pregnant and its blood only 8 gram and She has more stomach ache everyday and more pain in head hand a...
these symptoms are due to anemic condition.avoid much exertion for few month.advice to take iron,calcium,follic acid rich diet regularly.give leafy green vegetables,citrus fruits fortified breads and cereals dried beans
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Doctor please give me suggestion about my sex life because my wife hesitate in sex.?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Doctor please give me suggestion about my sex life because my wife hesitate in sex.?
Tackle her problem in sensitive way. She may be afraid of sex or may be she is having some diseases inside the body. A doctor's consultation may help.
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Drinking Water

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Drinking Water

Driving water at the correct time maximizes its effectiveness on the Human Body.

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