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Dr. Rakesh Pandiya

Gynaecologist, Mumbai

400 at clinic
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Dr. Rakesh Pandiya Gynaecologist, Mumbai
400 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rakesh Pandiya
Dr. Rakesh Pandiya is one of the best Gynaecologists in Malad East, Mumbai. You can meet Dr. Rakesh Pandiya personally at Raj Nursing Home & Polyclinic in Malad East, Mumbai. Save your time and book an appointment online with Dr. Rakesh Pandiya on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 35 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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English
Hindi

Location

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Raj Nursing Home & Polyclinic

Riddhi Apartment, Pushpa Park, Road No 1, Malad East. Landmark:- Near Pushpa Park, MumbaiMumbai Get Directions
400 at clinic
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Hi, I am 23 years old female. I'm effected in my private part. In that I feel swelling, etching. I'm feel so worried it. I'm nt understand what is the. Actual reason of it. How to protect it. Which kind of instructions I need to follow it.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi, I am 23 years old female. I'm effected in my private part. In that I feel swelling, etching. I'm feel so worried ...
Hello, you may be suffering from vaginitis secondary to a fungal infection. Hence please get a vaginal swab culture done to check for infection. Meet your gynecologist.
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My wife got miscarriage at 14 weeks, how long should we wait for the next planning.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My wife got miscarriage at 14 weeks, how long should we wait for the next planning.
She can wait for 4-6 months but before next planning she should exercise in routine esp.Pelvic floor exercises and abdominal exercises which will make her uterus and body ready for next pregnancy.Make sure she doesnot gain weight during this period.
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Amenorrhoea - Causes Behind Primary and Secondary Type

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Amenorrhoea - Causes Behind Primary and Secondary Type

Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.

Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:

  1. Milky nipple discharge (galactorrhoea)
  2. Hair loss
  3. Headache
  4. Vision changes
  5. Excess facial hair (Hirsuitism)
  6. Pelvic pain
  7. Acne

You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.

Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.

Natural amenorrhea
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:

Contraceptives
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.

Medications
Certain medications can cause menstrual periods to stop, including some types of:

  • Psychiatric medications
  • Cancer chemotherapy
  • Blood pressure drugs
  • Allergy medications
  • Lifestyle factors

Sometimes lifestyle factors contribute to amenorrhea, for instance:

  1. Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
  2. Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
  3. Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.

Hormonal imbalance
Many types of medical problems can cause hormonal imbalance, including:

  1. Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
  2. Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
  3. Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
  4. Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.

Structural problems
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:

  1. Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
  2. Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
  3. Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.

Clinical examination by the doctor  includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine  your breasts and genitals to see if you're experiencing the normal changes of puberty.

Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.

Lab tests
A variety of blood tests may be necessary, including:

  1. Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
  2. Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
  3. Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
  4. Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
  5. Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.

Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.

Imaging tests
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:

  1. Ultrasound: This test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
  2. Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
  3. Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.

Endoscopy tests
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.

Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.

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I am 5 month pregnant. Its my first time and do not know anything about that what I have to do what I have to eat what excess I have to do can you suggest me something for my baby health.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 5 month pregnant. Its my first time and do not know anything about that what I have to do what I have to eat wha...
Hello, A pregnant woman should take utmost caution of what she eats. A nutritious diet rich in proteins, iron, calcium and omega 3 fatty acids is recommended. Overall besides normal food make sure she takes a big glass of milk daily, 2-3 eggs in a week, chicken/ fish twice a week, take 2 helping of fruits and salads daily. Taking 5-6 almonds alone a piece or two of walnuts daily should overall take care of your nutritional requirements. Hope this helps you.
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My haemoglobin, mcv, mch, haematocrit levels are low and rdw level is high. Do I have iron deficiency anemia. Also my eosinophils level is 1550/cumm. Do I also have hes.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear , thanks for the detailed description. We would love to have the exact figures of your hb, mcv, mch, mchc, and your rdw. However from the data given we can safely assume that you have microscopic and hypochlorite anemia. Which has 3 principle causes 1. Iron deficiency. 2. Thalassemia 3. Sideronblastic anemia. Please do a reticulocyte count and a peripheral blood smear also. Hes is a rare diagnosis. Most probably your high absolute eosinophil counts are due to intestinal worms.
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I pill lene le bad kya periods lane ke tablet le sakte hao isse koi problem to nahi hogi.

BAMS
Ayurveda, Ambala
I pill lene le bad kya periods lane ke tablet le sakte hao isse koi problem to nahi hogi.
I pill tablet is a hormonal tablet. The medicines that induces the periods are also the hormonal tablet. So if you have taken I pill so you do not have to take any other medicine for periods, just wait for 7-10 days first.
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Before the period I gain 8 to 10 kg of weight whole body is swelled up & I have irregular periods.

DHMS (Hons.)
Homeopath, Patna
Before the period I gain 8 to 10 kg of weight whole body is swelled up & I have irregular periods.
Hello, Lybrate user, you are anaemic, tk, apples, carrots spinach, pomegranate, papaya. Tk, plenty of water to hydrate your body. Go, for meditation to nourish your endocrine glands & the whole body to maintain haemoglobin level. Your diet be nongaseius, easily digestible. Tk, homoeopathic medicine:@.Gelsemium 200-6 pills, thrice. Avoid junk food, caffeine, alcoholic intake, please. Report fortnightly, tk, care.
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Ling Badhane Ke Upay Hindi Me - लिंग बढाने के उपाय

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Ling Badhane Ke Upay Hindi Me - लिंग बढाने के उपाय

लिंग का आकर छोटा या बड़ा होना आम चर्चा का विषय होता है। अगर आपका लिंग छोटा है तो अक्सर दोस्त आपका मज़ाक भी बनाने लगते हैं और जिसकी वजह से आप मानसिक तनाव में आने लगते हैं। इसके अलावा युवक एडल्ट फिल्म्स में अपने से आकर में बहुत बड़े लिंग देख कर भी ये सोचते हैं की वो तो कुछ भी नही और वो शादी के बाद क्या करेंगे? 
हर पुरुष के लिंग मे लंबाई, मोटाई तथा स्थिरता में भिन्नता तो अवश्य होती है पर इस भिन्नता का यौन संतुष्टी, गर्भाधारण और यौन क्षमता पर कोई प्रभाव नहीं पडता। वास्तव में स्त्री के योनि का उपरी एक तिहाई भाग ही यौन स्पर्श के प्रति संवेदनशील होता है। अत; उत्तेजित अवस्था मे यदि शिश्न की लंबाई केवल 2 से.मे. भी हो तो वह अपने यौन साथी को प्रयाप्त यौन आनंद प्रदान करा पाने मे सक्ष्म होता है। यहाँ हम आपको एक बात कहना चाहेंगे की शादी के बाद आपका लिंग का आकार आपकी पत्नी  को संतुष्ट नहीं करता बल्कि आपमें प्यार कितना अपनी साथी के लिए, आपकी आपस में रीलेशनशिप, आपका आपस का ताल मेल जैसी कुछ बातें है जो आपके जीवनसाथी को संतुष्ट  या असंतुष्ट करती हैं। अगर लिंग का साइज़ ही मायने रखता तो आज 70 पर्सेंट लोग खुश ना होते और शोध में यह बात सामने आयी है कि दुनिया में 90 पर्सेंट फीमेल्स को लिंग के आकार से कोई मतलब नही होता। साथ ही अगर आपके लिंग की लंबाई 3 से 3।5 इंच है तब भी आपको संतान सुख प्राप्ति में कोई दिक्कत नही आती। 
पर फिर भी खुद के लिए लिहाज से देखा जाए तो बॉडी की निगेटिव इमेज से सिर्फ महिलाएं ही नहीं बल्कि पुरुष भी टेन्स रहते हैं। पुरुषों में अपने पेनिस (लिंग) के साइज को लेकर चिंतित रहने की समस्या से सबसे सामान्य है। इसलिए अगर आप भी हैं इस परेशानी से पीड़ित हैं, तो चिंता की कोई बात नहीं है अपनाइए ये टिप्स और नैचरली बढ़ाइए अपने लिंग।

तनाव कम करिए
निराशा और तनाव भी पेनिस के साइज को घटा देते हैं, क्योंकि तनाव की स्थिति में ब्लड पेनिस से वापस लौट जाता है ,और पेनिस का साइज बढ़ नहीं पाता। परफॉर्मेंस का डर भी पेनिस के छोटे होने के कारणों में से एक है।

  • नो स्मोकिंग - सिगरेट के छोटे-छोटे कण धमनियों को ब्लॉक कर देते हैं, जिससे शरीर के सभी हिस्सों तक पर्याप्त मात्रा में ब्लड  नहीं पहुंच पाता और शरीर का ठीक से विकास नहीं हो पाता। यही बात शरीर के दूसरे हिस्से के साथ पेनिस पर भी लागू होती है। इसलिए स्मोकिंग करना बंद कर दें।
  • हाई कैलरी के खाने को करें बाय - ज्यादा फैट और कैलरी वाले खाने से न सिर्फ दिल की बीमारियों का खरता बढ़ जता है, बल्कि पेनिस के छोटे होने का भी खतरा रहता है। ऐक्ससार्इज और शारीरिक मेहनत न करने पर आपके धमनियों में कोलेस्ट्रॉल बढ़ने का भी खतरा रहता है, जिससे आपके लिंग में बल्ड सर्कुलेशन कम हो सकता है। इसलिए मोटे और स्वस्थ पेनिस  के लिए जंक फूड खाना छोड़ दें।
  • नियमित करें एक्सर्साइज - सिर्फ मजबूत मसल्स और वेट कम करने के लिए ही जिम जाने की वजह नहीं होती, अगर आप अपने पेनिस  का साइज बढ़ाना चाहते हैं तो जिम जाइए, जिससे धमनियां का रास्ता साफ हो और बल्ड सर्कुलेशन भी ठीक ढंग से हो।
  • पेट का फैट कम करिए -ज्यादा भारीभरकम पेट से पेनिस  छोटा लगने लगता है। भले ही पेनिस  बड़ा भी है लेकिन आपके भारीभरकम पेट के सामने वह छोटा ही नजर आएगा। इसलिए पेट के फैट को कम करिए।
  • जमकर खाएं सब्जियां और फल  -उन फलों और सब्जियों को खाएं जिनमें ऐंटि-ऑक्सिडेंट ज्यादा हो। यह कंपाउंड धमनियों में मौजूद फ्री रेडिकल्स से लड़ता है और धमनियों को मजबूत बनाता है। इसलिए ऐंटि-ऑक्सिडेंट से भरपूर फल और सब्जियों के सेवन से आप अपने पेनिस के साइज को बढ़ा सकते हैं।
     

मेडिटेशन रोजाना 

  • बेहतर सेक्स लाइफ के लिए मेडिटेशन करिए या योगा करिए/ मेडिटेशन से शरीर में ब्लड सर्कुलेशन बढ़ता है और पेनिस का साइज बढ़ता है।
  • इसीके साथ ही कुछ औषधीय गुणों वाली चीजें हैं जो जरुर फायदेमंद साबित होंगी। 
  • हींगहींग को पीसकर शहद में मिलाकर रात को सोते समय लिंग पर लगाने से लिंग की मोटाई बढ़ जाती है।
  • एरण्ड मीठे तेल में एरण्ड के पीसे बीजों का चूर्ण पकाकर लिंग पर नियमित रूप से मालिश करते रहने से उसकी शक्ति बढ़ती है।
  • मिश्री, सेंधानमक, पीपल और दूध सभी को एक साथ पीसकर, घोंटकर शहद के साथ मिलाकर लिंग पर लेप करने से लिंग की वृद्धि हो जाती है।
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