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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 36 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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Cloudnine Hospital-Malad

Cloudnine Hospital, Siddhachal Arcade, CTS Nos. 1084C and 1186A, Link Road Malad WestMumbai Get Directions
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Thyroid During Pregnancy!

MICOG, MS, MBBS
Gynaecologist, Delhi
Thyroid During Pregnancy!

Nothing can be more gratifying than welcoming your bundle of joy into this world. Care needs to be taken during pregnancy to ensure that the developing foetus is healthy. Many pregnant women suffer from Thyroid problems. Thyroid Stimulating Hormone (TSH) is an important hormone produced by the Pituitary gland. TSH regulates the production and action of the Thyroid Hormones (T3 and T4). Estrogen and Human Chorionic Gonadotropin also affects the production of the thyroid hormones. Abnormal level of thyroid hormones in the body can result in Hyperthyroidism (increased production of thyroid hormones) or Hypothyroidism (decreased production of thyroid hormones by the thyroid gland). These conditions, if left untreated, can prove to be fatal for the mother and the baby.

Hyperthyroidism is greatly affected by an autoimmune disease, the Graves disease. The Thyroid Stimulating Immunoglobulin (TSI), produced during Graves disease, interferes with the production of the thyroid hormones. The TSI mimics the TSH to a great extent. This triggers the thyroid gland to produce the thyroid hormones in excess. A woman with hyperthyroidism may complain of increased heart rate, fatigue and increased blood pressure. There may be heat intolerance, tremor, sudden weight loss and Hyperemesis Gravidarum.

Untreated Hyperthyroidism can result in heart ailments, premature child birth, foetal Tachycardia, Preeclampsia (a pregnancy complication characterised by an abnormal rise in blood pressure) and miscarriage. In case of foetal and neonatal Hyperthyroidism, there is low birth weight, heart ailments, irritability and poor brain development.

Blood tests, whereby the levels of T3, T4, TSH and TSI are examined, can help in the diagnosis of Hyperthyroidism. Women with Graves disease should be extra careful. Antithyroid drugs can provide great relief. Most antithyroid drugs successfully cross the placenta and effectively regulate the production of the foetal thyroid hormone. Propylthiouracil (PTU) and Methimazole are effective anti-thyroid drugs.
Most doctors recommend Methimazole during the first trimester and PTU during the last two trimesters.

In case of Hypothyroidism, Hashimoto disease is the main wrecker in chief. This autoimmune disease results in considerable decrease in the production of thyroid hormones. Hypothyroidism can also be aggravated by Thyroidectomy (surgical removal of thyroid gland). Like hyperthyroidism, hypothyroidism during pregnancy can result in serious health complications. There may be stillbirths, congestive heart failure, miscarriage, anaemia, poor brain development of the newborn and Preeclampsia. Symptoms like cold intolerance, muscle cramps, concentration problems, fatigue or constipation should not be taken lightly.

Blood tests (T4 and TSH) go a long way to detect Hypothyroidism. A synthetic Thyroid hormone, Thyroxine, is effectively used to treat hypothyroidism. Including iodine supplements in your diet prove to be helpful in hyperthyroidism treatment.

Thyroid problems, though serious, can be successfully treated. A little alertness during pregnancy can shield both the mother and the newborn from the harmful consequences. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

3609 people found this helpful

Paraphilia - Causes And Symptoms

BAMS
Sexologist, Nashik
Paraphilia - Causes And Symptoms

Paraphilias are emotional disorders defined as sexually arousing fantasies, urges or behaviors that are recurrent, intense, occur over a specific period of time, and cause significant distress involving non-consenting partners, partners who are suffering or being humiliated (simulated or real) or through the use of an object. 

There are a number of causes that result in Paraphilic disorders. Some of them are:

  1. Brain injury
  2. Schizophrenia
  3. Biological factors
  4. Hormones
  5. Humiliating factors

In most cases, one or more events occurred during childhood that led the individual to associate sexual pleasure with that event (or object) thus resulting in the development of a paraphilia.

Symptoms of Paraphilia:

  1. Pain
  2. Humiliating another person
  3. Beating or spanking

Symptoms of paraphilia can include preoccupation to the point of obsessiveness that may intrude on the person's attempt to intimate with the person of similar age. Paraphilia sufferers may experience depression or anxiety that is temporarily relieved by engaging in paraphilic behavior, thus leading to an addictive cycle.

How do health professionals diagnose paraphilias?

Usually providers of mental health care help make the diagnosis of paraphilias, including licensed mental-health therapists, psychiatrists, psychologists, psychiatric nurses, and social workers.

Common Treatment of Paraphilias:

Treatment modalities currently used fall into three categories: surgical castration, psychotherapy, and pharmacotherapy.

  1. Pharmacological interventions consist of antiandrogens.Cyproterone and medroxyprogesterone acetates are the two antiandrogens more commonly used.
  2. Psychotropic drugs may be effective solely in men with a definite obsessive-compulsive disorder component.
  3. Group therapy helps in breaking through the denial so commonly found in people.
  4. Cognitive therapies described include restructuring cognitive distortions and empathy training. Also social skills are a better way to treat patients with these types of disorders. If you wish to discuss about any specific problem, you can consult a sexologist.

 

6827 people found this helpful

Hello doctor. My wife is 6 months of pregnancy. I can I do safe sex with her. Please help me.

BHMS
Homeopath, Chennai
You must not have any infection in groin and penis and if you are oral the mouth should be very very clean during this time.
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I am 22 female newly married past two weeks I had pregnancy symptoms but period date is may 4 nw during intercourse I got my periods (may 10) I am totally confused am I pregnant r not.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I am 22 female newly married past two weeks I had pregnancy symptoms but period date is may 4 nw during intercourse I...
Hi lybrate-user. It's impossible to get get periods while you are pregnant. So if you are on your period you can surely exclude pregnancy.
7 people found this helpful
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Am having little white fluid out of my vagina for past 12 days and I also have headaches quite frequently. What should i do?

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
Keep area clean and dry. Wash with normal clean water and keep dry. For headaches get checked up by physician and eye specialist.
4 people found this helpful
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Hi am 22 years old married I want to conceive in one month because my husband lives in abroad and he came to india for a month and now I want to conceive in this month so please tell me how can I conceive. Please help.

MBBS, Certified IVF Specialist, MS - Counselling and Psychotherapy
General Physician, Chennai
Hi am 22 years old married I want to conceive in one month because my husband lives in abroad and he came to india fo...
Hi. If you have regular menstrual cycles and had your periods last week, you can have intercourse from today, either everyday or on alternate days, until end of the cycle. If your cycles are more than 32 days, and you just had your periods, your doctor will prescribe a mild stimulation for your ovaries and you can have intercourse from the time you stop bleeding. In any case we cannot guarantee pregnancy, since we have no idea of both your details. Best Wishes.
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# I have hirsutism (i.e hard hair on upper lips and chin) # What's is the cause of hirsutism? # I have PCOS too (multiple immature follicles) # Is there any home remedy to deal with hirsutism? # Nowadays. I am taking flaxseed (omega-3).is it helpful in treating hirsutism?

CIDESCO, DGA, DBT, DBC, MBBS
Trichologist, Mumbai
# I have hirsutism (i.e hard hair on upper lips and chin) # What's is the cause of hirsutism?
# I have PCOS too (mult...
Hi lybrate-user Hirsutism is due to hormonal imbalance which is due to PCOS .start daily exercise to lose weight ,mostly on lower abs .adopt a healthy life style ,avoid junk foods ,include green leafy veggies n fresh fruits in your diet. Drink 2-3 lits of water. Having flaxseeds is good but I dnt think its helpful in treating hirsutism. Take opinion of gynaecologist, she ll start you on some hormonal pills. For d hairs on upper lips n chin ,if de are very thick thn you cn go for laser hair removal but its only 80 %.Thanx.
3 people found this helpful
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I am sexually active with my partner. Is taking Combined oral contraceptive pills totally safe?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am sexually active with my partner. Is taking Combined oral contraceptive pills totally safe?
you have to start taking the tablets from 2nd day of your period for 21 days without missing any pill, only then it is safe
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Hi, I got married on 8th July 2016, we are planning kid after 3 year. I am 26 and my wife is also of 26, My question is How can I plan a healthy kid and painless pregnancy of my wife? We are non vegetarian, I am a smoker but she don't. Do we need any type of medical tests before we proceed for children. What should be in our diet for full sperm and eggs. I know this is not a good question to be asked, because no any husband think for their children before pregnancy.

IVF Specialist, Sahibganj
Hi, I got married on 8th July 2016, we are planning kid after 3 year. I am 26 and my wife is also of 26, My question ...
Hi, I think you should have a healthy diet which may contain lots of fruits and green vegetables. In non vegetarian diet, you can have more of fish and less of red meat. But all these things are for your own health. Whenever you plan for pregnancy, just meet a doctor for preconceptional counselling. You should quit smoking as it may lead to semen problems and erectile dysfunction also. Hope I have answered your question. If you have any other query I will be happy to help.
1 person found this helpful
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My friend is 2 months pregnant and she is going through itchiness in her rectum. How can she deworm her self.

FMAS, MS
General Surgeon, Gandhinagar
My friend is 2 months pregnant and she is going through itchiness in her rectum. How can she deworm her self.
Respected Analisa as your friend is pregnant kindly convey her to consult with other detail symptoms & other medicines she is consuming for pregnancy or not because in that category we have to decide drugs dear please convey her . Thanks regards
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The Benefits Of Having Cucumber Salad With Food

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
The Benefits Of Having Cucumber Salad With Food

Cucumbers are used in most healthy salads all over the world, owing to the fact that it contains lots of water and has a cooling and refreshing effect on your system. The cucumber is a member of the plant family which also boasts of watermelon, pumpkin, and squash. And on hot summer days, cucumber salads keep you hydrated whether you consume the vegetable on its own, or drink its juice. Here we will take a look at the many other advantages of having cucumbers, which will surely inspire you to incorporate this food item in your diet on a more regular basis.

  • Cucumbers contain a flavanol called fisetin. This fisetin plays a key role in protecting your brain. It increases your memory and protects your nerve cells from ageing, but it's most impressive feat is that it can protect your brain from Alzheimer's as well.
  • Also, cucumbers contain polyphenols named lignans which help you to reduce the risk of breast, ovarian and prostate cancer.
  • And since cucumbers contain about 95 percent of water, it goes without saying that they fight inflammation in the most impressive manner possible.
  • Further, cucumbers also contain anti-oxidants. These very anti-oxidants are responsible for keeping you safe from chronic diseases.
  • Cucumbers come loaded with vitamin B, which is known to fight stress and can help you to combat anxiety too.
  • Cucumbers are very rich in water and fibre. Since both these entities are necessary for easy digestion of food, adding cucumbers to your daily diet can be helpful in many ways. Also, when the juice of cucumbers mixes with your saliva, it will work as a very effective combination that imparts some speed to the process of digestion.
  • Cucumbers are very low in calories, which is evident by the fact that they contain about 95 percent water. And yet they fill your stomach pretty nicely. It can help you keep your weight in check.
  • If you are a heart patient, you ought to have cucumbers in your diet because cucumbers contain potassium, which in turn is lowers the blood pressure in the body, thus making it much easier for you to keep a check on high BP problems.

Besides the above mentioned benefits, cucumbers taste crisp, fresh and cool. So go ahead and beat the summer heat with this extremely beneficial vegetable.

5534 people found this helpful

Hello, my question regarding blood group, what level of complications are occurred in pregnancy if the blood group of female is negative and partner is positive.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Hello, my question regarding blood group, what level of complications are occurred in pregnancy if the blood group of...
In terms of pregnancy, when the mother's blood group is Rh negative and the fetus (baby growing in the womb) is Rh positive, then there is a chance of mixing blood during pregnancy or at the time of delivery and lead to further complications. It is called as Rh incompatibility.
1 person found this helpful
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which Food to be taken pregnancy? I am planning pregnancy. So please suggest me how to get good pregnancy.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
which Food to be taken pregnancy? I am planning pregnancy. So please suggest me how to get good pregnancy.
Before planning pregnancy meet Gynecologist for some reports, vaccinations and nutritional supplements. As far as food is concerned same as non pregnant high protein, low carbohydrates, all vitamins-minerals, Omega-3 fatty acids, fibre. Low Omega-6,
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My sister lost baby in side by clotting . In body 800 ml/DL quantity of clotting was found. My question is how it was increased that amount of clotting in her body .

MBBS
General Physician, Chandigarh
My sister lost baby in side by clotting . In body 800 ml/DL quantity of clotting was found. My question is how it was...
It shows she had internal haemorrage and good collected inside her uterus because of which the foetus was lost please get the required detailed from the gynaecologist who treated her do that it can be avoided in future.
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4 days back I did home pregnancy test the result is weak positive. Now I face stomach pain.

MBBS, cc USG
General Physician, Gurgaon
4 days back I did home pregnancy test the result is weak positive. Now I face stomach pain.
In my opinion if pregnancy test is weak positive You need to repeat it again Consult gynaecologist for further management
2 people found this helpful
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Hi, me and my girlfriend (18 years old) had sex and she took an ipill on the same day. After a week she s having severe pain and bleeding. The doctor said it's due to the ipill, she s scared that the doc may inform the family. Kindly advise.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi, me and my girlfriend (18 years old) had sex and she took an ipill on the same day. After a week she s having seve...
Hi lybrate-user, bleeding could be due to hormonal imbalance caused by ipill. Please note that their could be inbetween bleeding too, she can have delayed periods too. Don't worry it's normal after ipill.
1 person found this helpful
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She usually get sexual and due to unsafe sex she had been pregnant twice or thrice, had a abortion with the help of clear kit. But now she has irregular periods and white discharge. What should be done. When her periods dates are about to come she has headache, stomach ache and lots of white discharge.

Advanced Aesthetics
Ayurveda, Gulbarga
She usually get sexual and due to unsafe sex she had been pregnant twice or thrice, had a abortion with the help of c...
Irregular or delayed periods, this health condition is medically termed as oligomenorrhea. It is one of the most common problems that a number of women suffer from. Pain or twinges in the breast and heaviness in the lower abdomen, bouts of nausea, lethargic feel round the clock are some of the main problems women face as a result of irregular menstruation. There can be a number of reasons that may cause periods delayed. However, the specific reason of irregular periods differs from one woman to the other. Home treatments for irregular periods. Aloe vera aloe vera pulp or juice may also help getting frequent menstrual cycles. Following this tip on regular basis can help you get you positive results for sure. Aloe vera regulates the hormones responsible for menstruation and helps in getting regular menstrual flow. Just pluck some aloe vera leaves from your garden and extract the gel from it. Mix the gel with 1 tbsp of honey. Consume this daily before having a breakfast. Continue this for at least three months for best results. Avoid this home remedy during your periods. Sugarcane juice drinking sugarcane juice before a week or two of your current menstruation cycle will also assist you in getting your periods regularly. This is a very simple and most commonly used remedy for irregular periods. Banyan tree roots take the roots of a banyan tree. Make sure they are fresh. Boil it in a cup of water for about 10 minutes. Add 2-3 tbsp of cow? s milk to this decoction and have it at bedtime daily. This potion can also help you regularize your menstrual cycle to a great extent. Any queries inform me.
1 person found this helpful
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Hi, I had an abortion in June 2015, since then my periods have been irregular. I have put on weight and have not got my periods from last 3 months. Is this normal? Also I smoke does that add to my problem?

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Hi, I had an abortion in June 2015, since then my periods have been irregular. I have put on weight and have not got ...
Menses has a reverse relation with periods. The more weight you put on the more irregular your periods would get. If they r coming after 3 months then don't so anything. Cut down weight m do life style changes.
1 person found this helpful
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