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Dr. Rakesh Panja

Gynaecologist, Mumbai

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Dr. Rakesh Panja Gynaecologist, Mumbai
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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. Rakesh Panja
Dr. Rakesh Panja is a renowned Gynaecologist in Mumbai, Mumbai. You can meet Dr. Rakesh Panja personally at Manav Kalyan Kendra in Mumbai, Mumbai. Book an appointment online with Dr. Rakesh Panja and consult privately on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 39 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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Manav Kalyan Kendra

Address: 1 Govind Nandanvan, Sv Road, Dahisar, SV Rd, Parbat Nagar, Borivali, Mumbai, MumbaiMumbai Get Directions
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Hi Very shortly I will get marry with girl. So she need me as hot and looking guys with smart. I am very slim 32 year old. How I make me as healthy according to her need. My good behaviour are: I never drink wine and cigarette. My question is. Within a month .how to make hot, good looking and smart to me. My height 5.6ht and 50 kg. So help me all physical feature of good looking.

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
You need to increase your calorie intake by increasing your carbohydrates & protein intake. You can have parathas, cheese sandwiches in your breakfast. Increase 1 chapati more in your lunch & dinner. Add rice in your lunch. Include vegetables, dal, salad ,curd in your daily meals. You can have milkshakes, cookies fruits in between your meals. Add sweet dish. Eat every 2-3 hours.
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Hi m 27 years old female. The male hormone is high in my body and I do get facial hair on my chin. My menstrual cycle is monthly with a delay of a week every month and it last for 2 days. What should I do? All test are normal except for testosterone hormone more in my body.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi m 27 years old female. The male hormone is high in my body and I do get facial hair on my chin. My menstrual cycle...
Homoeopthic medicine OLEUM JEC Q ( Dr Reckeweg) Drink 10 drop in 20 ml fresh water twice daily for 6 months.
4 people found this helpful
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I use meprate 10 mg medicine thrice a day for 5 day I didn't get my periods. My periods always irregular. Please help me!

DHMS (Hons.)
Homeopath, Patna
I use meprate 10 mg medicine thrice a day for 5 day I didn't get my periods. My periods always irregular. Please help...
Hello,  Tk, plenty of water to hydrate yourself ,to eliminate toxins diluting your blood to establish your flow.  * go for meditation to reduce your stress, anxiety to calm your nerve ,improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to avoid gastritis  •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach, to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, being gentle, rapid & safe in administration. @ Pulsatilla 30-6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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She is having periods once in 3 months or 2 months. Is there any problem in her or is it natural. Will it affect her future during pregnancy? Please help. She's frustrated about her condition.

D.G.O
Gynaecologist, Faridabad
She is having periods once in 3 months or 2 months. Is there any problem in her or is it natural. Will it affect her ...
As medical science says if a women is menstruating foue times in ayear is normal. If she has irregular period she really needs investigation and status of her body mass index. Too attain pregnancy is not a major problem in this era of technology.
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hello. I have pcod my age 21. I took deviry 10mg for 5days since I do not hve periods since 3months. I got periods aftr 10days stopping tablet. Bt the problem is when I go to bed its ok when I get up from sleep there is an heavy flow. Is this any problem please suggest me.

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
hello. I have pcod my age 21. I took deviry 10mg for 5days since I do not hve periods since 3months. I got periods af...
After delay in periods, the bleeding is expected to be heavy. When you get up from sleep you experience heavy flow is because of collected blood. But you should start treatment of irregular periods.
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Different Reasons for Infertility in Females & Males

MICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Different Reasons for Infertility in Females & Males

Infertility refers to the inability to conceive after having regular unprotected sex for a period of 12 months or so. The complex process of ovulation and fertilization need to work right in order to become pregnant.

The common reasons that cause infertility in female and male are listed below:

Reasons for female infertility:

  1. Uterine abnormalities - This includes problems related to the opening of cervix or abnormalities in the shape of the uterus which includes arcuate or septate uterus or any congenital anomalies like bicornuate uterus or uterine didelphys. Fibroids may distort the uterine cavity interfering with implantation of fertilized egg. Adenomyosis or endometriosis of the endometrium is one the common causes of early infertility.
  2. Thyroid problems - Disorders of the thyroid gland, either too much thyroid hormone or too little can interrupt the menstrual cycle, leading to infertility in the long run.
  3. Ovulation disorders - This prevents the ovaries from releasing eggs. Examples include hormonal disorder (PCOS, hypothyroidism, hyperprolactinemia), excessive exercise, eating disorders, injuries, cysts be it follicular or endometriotic and ovarian tumors.

Reasons for male infertility:

  1. Problems with delivery of sperm - This can happen due to sexual problems, such as premature ejaculation, retrograde ejaculation (semen entering bladder instead of emerging through the penis during orgasm), genetic diseases such as cystic fibrosis, structural problems such as blockage of the part of the testicle that contains sperm or injury to reproductive organs.
  2. Damage related to cancer - This includes radiation and chemotherapy. Cancer treatments can impair sperm production. Removal of one testicle due to cancer may also affect male fertility.
  3. Abnormal sperm production - This can be due to various problems like undescended testicles, genetic defects, health problems including diabetes, infections such as mumps, chronic urinary tract infection especially e. Coli or surgeries on the testicles. Enlarged veins in the testes increase blood flow and heat, affecting the number and shape of sperm.
4358 people found this helpful

Me and my partner had unprotected sex but I came outside her vagina. According to her 1 or 2 drops went inside her but she washed it with water throughout. Does that work or does she have to take a contraceptive pill?

MBBS
General Physician, Cuttack
Me and my partner had unprotected sex but I came outside her vagina. According to her 1 or 2 drops went inside her bu...
She has to take emergency contraceptive pill within 72 hours(preferably within 24 hours) to avoid risk of pregnancy
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After three month of a baby birth my wife got period two times only, is that normal.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
After three month of a baby birth my wife got period two times only, is that normal.
Menses can come early after childbith. That means she might be ovulating and she can get pregnant. So you should use some form of contraception to avoid pregnancy for at least 2 years. Copper t or tab cerazette are the two option other than condoms.
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My wife got thyroid /lack of vitamin D WHILE pregnancy due to which her full body swollen while pregnancy, after pregnancy after takin vit D tablets vit D recovered but still thyroid is there she is taking since after delivery (7 months) still she suffering pain in her joints /legs some days.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife got thyroid /lack of vitamin D WHILE pregnancy due to which her full body swollen while pregnancy, after preg...
where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving THYROXINE tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time. you can take tab. dolo 650mg sos for pain.
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Pain With Intercourse In The Postmenopausal Woman

M.D.MEDICINE , Diploma in Diabetology
Sexologist, Jaipur
Pain With Intercourse In The Postmenopausal Woman

Sex, which gives pleasure to most, can be painful for some. Many women, mostly in their menopausal or post-menopausal phase find intercourse and penetration extremely painful. Menopause results in hormonal imbalance, with a significant drop in the estrogen level. The reduced estrogen level results in Vulvovaginal Atrophy (dryness of the vagina and thinning and weakening of the vaginal tissues). In such cases, women experience irritation, Vaginismus (vaginal tightness) and soreness after sex.
 
One can also experience a burning sensation during urination. There may be inflammation of the vaginal tissues. If untreated, the inflammation can cause infection and other complications. "Dyspareunia" or pain during intercourse is very common in postmenopausal women. The pain experienced during sex can be due to "Vulvodynia" as well. Vulvodynia is a condition whereby a women experiences chronic pain in the external genitals or vulva. A number of other factors can also contribute to the pain during sex. A thorough and detailed investigation is thus very important.
 
Treatment: Many women find it extremely embarrassing to discuss menopausal problems with their partners and doctors. The key to effective treatment lies in timely diagnosis and medication. There is nothing to be embarrassed about. The postmenopausal changes can vary from person to person. Thus it is very important to discuss every minute detail with your physician.

Many options are available to make intercourse a less painful experience:

  • Keep dryness at bay: In most cases, painful intercourse results from dryness of the vagina. Use of a lubricant can ease the pain to a great extend. A water-based lubricant is highly recommendable. Regular use of vaginal moisturizers is also effective to deal with vaginal dryness.
  • Vaginal care and hygiene: It is very important to keep the vagina clean. Avoid using soaps, bath oils and shower gels. They do more harm than good to the vagina. It is advisable to wash the vagina with warm to lukewarm water. Undergarments should be changed twice daily.
  • More is good: Having sex at regular intervals is a healthy practice. It not only enhances and improves the blood flow, but also helps to overcome vaginal dryness.
  • The Pelvic Floor Therapy: It is immensely beneficial. In this therapy, a gentle pressure is exerted in the pelvic region to relax the stiffened and tightened muscles. One can also massage the area to relax the muscles.
  • Squat: It is a very effective exercise to strengthen the buttocks and hip muscles. Exercises to strengthen the pelvic floor muscles are also very helpful.
  • Other therapies: One can also opt for Local Estrogen therapy and Systematic Estrogen Therapy.

Menopause should not affect your conjugal and sexual life. Visit here to know more and forget painful intercourse forever.

Related Tip: "Pain During Intercourse? Here Are The Causes"

3385 people found this helpful

Hello sir, I am having a serious problem. I wants a baby now. But Its not happening though I am trying since 3 years to conceive my wife. What may be the reasons? The cyclic period of my wife keeps on changing. Some time 15 days, 25 days, 40 days even. Other than that we don't have any problem. Please give me all possible suggestions regarding this matter.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello sir,  I am having a serious problem. I wants a baby now. But Its not happening though I am trying since 3 years...
Since you have been trying for three years and not conceived, so there might be some problem with you or your wife. Also you told that your wife's cycle is not regular, it can also be one of the reasons that you are not able to conceive. So to find out the exact cause you need to get these tests done:- lh fsh tsh prolactin amh usg for antral follicle count and pelvis and husband semen analysis.
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad
2 people found this helpful

I have a 37 days menstrual cycle. Its being 43 days no periods. Pregnancy test negative with severe breast pain what could be the cause?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have a 37 days menstrual cycle.
Its being 43 days no periods. Pregnancy test negative with severe breast pain what ...
If you are experiencing such problemfor the first time then no need to worry.It ssometimess happen that your cycle gets disturbed due to let us say ideopathic causesother than hormonal imbalance or stress.So I would suggest you to wait for 5-7 days nd in the mean time take this homoeeopathic medicine one dose per day for 3 days.You will get your periods.If the problem still persits in next periods then consult me. Homoeopathicmdicine PULSATILLA NIG 200p ( Dr Reckeweg) Drink 5 drop in 1 poon fresh water daily night for 3 days.
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Hello doctor I am 38 weeks pregnant but no sing of labour my baby head is not fixed can we induce labor for normal delivery.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Hello doctor I am 38 weeks pregnant but no sing of labour my baby head is not fixed can we induce labor for normal de...
If there is no sign of labour and head is not fixed chances of failure of induction are high. If everything is normal you can wait till term Pregnancy (40 weeks)
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Know Everything About Fibroid

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Know Everything About Fibroid

Fibroids are the most frequently seen tumors of the female reproductive system. Fibroids, also known as uterine myomas, leiomyomas, or fibromas, are firm, compact tumors that are made of smooth muscle cells and fibrous connective tissue that develop in the uterus. It is estimated that between 20 to 50 percent of women of reproductive age have fibroids, although not all are diagnosed. Some estimates state that only about one-third of these fibroids are large enough to be detected by a doctor during a physical examination.

In more than 99 percent of fibroid cases, the tumors are benign (non-cancerous). These tumors are not associated with cancer and do not increase a woman's risk for uterine cancer. They may range in size, from the size of a pea to the size of a softball or small grapefruit.

Causes: While it is not clearly known what causes fibroids, it is believed that each tumor develops from an aberrant muscle cell in the uterus, which multiplies rapidly because of the influence of estrogen.

Risk Factors:

  • Age: Women who are approaching menopause are at the greatest risk for fibroids because of their long exposure to high levels of estrogen.
  • Obesity
  • Race: African-American heritage also seems to be at an increased risk, although the reasons for this are not clearly understood.
  • Parity: Some studies, of small numbers of women, have indicated that women who have had two liveborn children have one-half the risk of developing uterine fibroids compared to women who have had no children. Scientists are not sure whether having children actually protected women from fibroids or whether fibroids were a factor in infertility in women who had no children.

Symptoms:

Some women who have fibroids have no symptoms, or have only mild symptoms, while other women have more severe, disruptive symptoms. The following are the most common symptoms for uterine fibroids:

  • Heavy or prolonged menstrual periods

  • Abnormal bleeding between menstrual periods

  • Pelvic pain (caused as the tumor presses on pelvic organs)

  • Frequent urination

  • Low back pain

  • Pain during intercourse

  • A firm mass, often located near the middle of the pelvis, which can be felt by the doctor on examination

In some cases, the heavy or prolonged menstrual periods, or the abnormal bleeding between periods, can lead to iron-deficiency anemia, which also requires treatment.

Diagnosis: Fibroids are most often found during a routine pelvic examination. This, along with an abdominal examination, may indicate a firm, irregular pelvic mass to the physician. In addition to a complete medical history and physical and pelvic and/or abdominal examination, diagnostic procedures for uterine fibroids may include:

  • Transvaginal ultrasound (also called ultrasonography). An ultrasound test using a small instrument called a transducer, that is placed in the vagina.

  • Magnetic resonance imaging (MRI). A non-invasive procedure that produces a two-dimensional view of an internal organ or structure.

  • Hysterosalpingography. X-ray examination of the uterus and fallopian tubes that use dye and is often performed to rule out tubal obstruction.

  • Hysteroscopy. Visual examination of the canal of the cervix and the interior of the uterus using a viewing instrument (hysteroscope) inserted through the vagina.

  • Blood test (to check for iron-deficiency anemia if heavy bleeding is caused by the tumor).

Treatment: Since most fibroids stop growing or may even shrink as a woman approaches menopause, the doctor may simply suggest "watchful waiting." With this approach, the doctor monitors the woman's symptoms carefully to ensure that there are no significant changes or developments and that the fibroids are not growing.

In women whose fibroids are large or are causing significant symptoms, treatment may be necessary. Treatment will be determined by the doctor based on:

  • Your overall health and medical history

  • Extent of the disease

  • Your tolerance for specific medications, procedures, or therapies

  • Expectations for the course of the disease

  • Your opinion or preference

  • Your desire for pregnancy

In general, treatment for fibroids may include:

  1. Hysterectomy. Hysterectomies involve the surgical removal of the entire uterus.

  2. Conservative surgical therapy. Conservative surgical therapy uses a procedure called a myomectomy. With this approach, physicians will remove the fibroids, but leave the uterus intact to enable a future pregnancy.

  3. Gonadotropin-releasing hormone agonists (GnRH agonists). This approach lowers levels of estrogen and triggers a "medical menopause." Sometimes GnRH agonists are used to shrink the fibroid, making surgical treatment easier.

  4. Anti-hormonal agents. Certain drugs oppose estrogen (such as progestin and Danazol), and appear effective in treating fibroids. Anti-progestins, which block the action of progesterone, are also sometimes used.

  5. Uterine artery embolization. Also called uterine fibroid embolization, uterine artery embolization (UAE) is a newer minimally-invasive (without a large abdominal incision) technique. The arteries supplying blood to the fibroids are identified, then embolized (blocked off). The embolization cuts off the blood supply to the fibroids, thus shrinking them. Health care providers continue to evaluate the long-term implications of this procedure on fertility and regrowth of the fibroid tissue.

  6. Anti-inflammatory painkillers. This type of drug is often effective for women who experience occasional pelvic pain or discomfort.

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I am 32 weeks pregnant. I have 5'6" height. Before pregnancy my weight is 55 and now it is 68. But I do not have big tummy. Is everything of my baby is ok? My latest ultrasound report tells weight is 1390 gm. What does it mean? please help Dr. urgent. I am very tense.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 32 weeks pregnant. I have 5'6" height. Before pregnancy my weight is 55 and now it is 68. But I do not have big ...
Dont worry,there is nothing to worry about.The ultrasound reports shows weight of your baby which is 1.39 Kg.From 32 week onwards ,size of tummy starts increasing .
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I am 23 pregnant female and my tsh level is 8.22. Its 8th week going. Is there any risk to my baby?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 23 pregnant female and my tsh level is 8.22. Its 8th week going. Is there any risk to my baby?
I need to know your T3 and T4 level as well. But you should consult a doctor so that medication can be started
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I m 20 years old and I have a problem related to private parts. I m a girl. My intimate parts gets wet by white water. What should I do? Is this normal or is it bad for my health?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Leucorrhoea, also known as vaginal discharge is a very common condition that has been experienced by most women of all ages, at some time or the other. This is because of the fact that the female genitals are highly prone to infections because they are moist and covered at most times. Moreover, women do tend to sweat a lot in that area, which increases the chances of infections and inflammation. Unfortunately, most women are highly embarrassed by this problem, as it is usually characterized by a foul smelling vaginal discharge that is white in color. Women are not only embarrassed in front of others because of this, but most of them also avoid discussing the problem with their medical health care providers, which is why the treatment for vaginal discharge caused by leucorrhea could be a bit of a challenge. You can take homoeopathic medicine for the same and you will get positive results. You can take bc - 13 / 4 tabs thrice a day for two weeks revert back after two weeks with feedback.
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