Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 33 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.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Samir V JoshiYour feedback matters!
Cervical cancer is a type of cancer which emerges from the cervix. It occurs due to the abnormal growth of cells in the cervix (lower part of the uterus) of the female reproductive system. Cervical cancer is the most common type of cancer found in women, worldwide, and can be treated with successful results, if discovered at an initial stage.
This type of cancer can be caused by multiple factors, some of which are:
- Human papillomavirus - One of the major causes of cervical cancer is the human papillomavirus (HPV). There are more than 100 types of HPV. During sexual intercourse, a minimum of 40 types of HPV are passed, out of which 15 of them are high risks for cervical cancer, including types 16 and 18. 7 out of 10 women, who suffer from cervical cancer, are infected by types 16 and 18. However, most women, who are sexually active, will come under the influence of at least one type of HPV in their lifetime, without any kind of harm caused to them.
- Smoking - Smoking increases the risk of cervical cancer in women. It helps in the development of HPV, which is a major cause of this type of cancer. If a woman is already HPV-positive, smoking increases the probability of being diagnosed with cervical cancer by leaps and bounds.
- Oral contraceptives - Research shows that taking contraceptive pills increases the risk of cervical cancer in women. Women who've been on contraceptive pills for over 5 years are twice as more prone to being diagnosed with cervical cancer than those who are not on the pill. But as soon as you stop the intake of pills, the increased risk of cancer drops immediately.
- Multiple pregnancies - Having multiple pregnancies is linked with increased risk of cervical cancer. Having seven or more pregnancies increases the risk of this type of cancer in those women who are already influenced by HPV by four times. And those who have had one or two full-term pregnancies, also under the influence of HPV have two to three times the risk of being diagnosed with this illness.
Knowing about the symptoms of cervical cancer can help in the early diagnosis of this disease. However, in the early stages of the disease, there are no such noticeable symptoms. Although these signs can help you understand if you've got cervical cancer:
1. Abnormal vaginal bleeding, i.e. bleeding after sexual intercourse or after menopause
2. Longer period cycles
3. Bleeding after douching
Symptoms in the advanced stages of the illness are:
1. Loss of weight
2. Back pain
3. Leg pain
5. Swelling of legs
7. Pelvic pain
8. Leakage of urine/feces from vagina
If you wish to discuss any specific problem, you can consult a gynaecologist.
Hello doctor. I have pcos problem. In recent ultrasound, there was no cyst but my periods are irregular. There is swelling and infection. I tried alot to loose my weight but failed. Please help. I have one son aged 2.10 yrs. And want to plan my second child.
Sir/mam main ek married ladki hu. Meri shadi 14 may huyi thi. & usi din meri period start huyi. 16 may meri 3 days thi. But 5.30am k aas paas sex ho gayi thi. Us k baad period 2 din huyi thi. Uske doran sex v huyi thi. But 2 month ho gayi hain period start ni huyi. Iske pehele 2-4 din late hoti thi par har month period hoti thi. Main ne urine test v ki but negative aayi hain. Doctor ko v dikhayi hu bol rahe hain k har week ek bar test karo. Main khane thik se kha ni pa rahi. & chakkar or vomiting aa rahi hain. Par vomiting main shrif namak pani jesa nikal raha hain. Pet k right side main kavi kavi something kuch mehesus hota hain jab kam karti hu ya bohot chalti hu to. Vuk lagti hain bohot. Toilet ja rahi hu bar bar. Din main 8-9 times. Or do din pehele hum ne sex ki thi to vegena main cir cir jesa lagraha hain. Or dard v ho raha tha. Uske pehele hum 15 din tak sex ni ki thi. Mujhe huya kya hain. Tension ho rahi hain. Please kuch batayiye.
I am 27 years old, got married 2 years ago, and we waiting for children, I have regular mensural cycle. What should we do? my husband's count is normal.
I am 23 years old. I got married in dec 12 2015. On june 10 2015 I came to know that I am having pcod I want to conceive please suggest what could I do my periods are regular but my digestion system is not working properly.
Many of us tend to hurriedly rush to our workplace without having our important meal of the day. Yes, you got it right, the king of meals breakfast.
The meaning of breakfast is to end the overnight fasting. The body tries to repair and regenerate our cells and tissues when we are asleep.
After the process, the body tends to accumulate various by products that essentially needs to be thrown off the body. When you skip or delay your break fast, the toxins tends to build up in the body. Secondly, when there is no food source to provide energy, body tends to use the stored nutrients in the body very slowly and the body function slows down.
Later, when you have your brunch with loads of foods at a time, the body tends to accumulate it hoping to use it in times of crisis. This habit when followed over a long period of time tends to slow down the body's ability to maintain blood sugars as well as healthy weight.
So, dear all my friends do have a healthy, nutritious breakfast everyday to maintain your sugars as well as weight.
Just don't read but make it a everyday practice from today.
Hi Doctors we are recently married n since last two months my wife has no periods. We have done pregnancy test by prega news n results are positive. We don't want child now so what is a way to not to have child. Please help. Also if we do abortion what will be its effect in future. If we do abortion then will we plan our child in future.
My age is 30 years have 2 kids. 1 is 3 years 3 months and another is 1 years 2 months. He is breast feeding. My last periods in on 26 august. I have 40 days cycle. But on 11 september. I notice some bleeding spot after that day I am suffer from menstrual pain, white discharge and loose motion. Yesterday night I did pregnancy test. Its showing 1 line. Now what I have to do. Should I do pregnancy test again or visit a gynecologist. please help.
I took I pill on 4th day of my periods, after taking this medicine, 5 days letter I get some bleeding, and its heavy and painful, and it's been running 3 days today, is it periods? What should do right now? I'm really worried about it, please help.
I have pcos i am using myonext in this month my period got delayed for 15 days. In the previous month with my doctors advice I used naturogest 200mg for 5 days. Because of that tablets I got date before 4 days. That tablets showed very bad effect on my health like vomiting, heavy cough fever, giddiness and severe pain in left leg which lasted for 1 month then doctor told to stop naturogest and i'm using myonext please tell me what I have to do now.
Hello doctor m 32 year old trying to conceive pregnancy, I did hsg nd it show right fallopian tube block nd my Amh is 1.63 What should I do pls suggest.
I was conceived. When am 2 months pregnant having bleeding regularly and my scan show cyst and blood clot. And also baby growth is bad. So it aborted automatically with continues bleeding. Now my query is what is that blood clot? Why it happen? When it dissolve? It may affect my another baby continuously? Pls help me.
Hi am 15 weeks pregnant. My doctor as prescribed me to drink milk adding mother horlicks or baby & me powder, am unable to drink 2 times as I feel vomit sensation. So can I drink once milk in the mrng and evening tea or coffee. Is tea or coffee effective during pregnancy.
Hlo mam m 30 years old married girl I want to ask you kya periods me 4th day k baad 3 din karne se pregnancy ho sakti h coz 2 din se I want to eat spicy food please tell me.
1. Foods Belonging To Brassica Family
Consume Foods like cauliflower, Brussels sprouts, peanuts, cabbage, broccoli, kale, mustard greens, turnips, rutabagas, soybeans, spinach etc which contains goitrogens.
• Goitrogens helps to block the ability of thyroid to use iodine and hence slows down the activity of the thyroid.
• Eat raw cruciferous vegetables to get maximum benefit as goitrogens are active in the raw state.
2. Include More Berries
Add at least one serving of berries in your diet plan to control hyperthyroidism.
• Blueberries, raspberries, strawberries contain anti-oxidants which improves your immune system.
3. Omega -3- Fatty Acid And Proteins
Omega -3- fatty acid helps to control the hyper stimulated thyroid gland. Proteins are necessary for the building of muscles and to provide energy for the body. Protein sources also contain L-glutamine which helps in rebuilding the gut and de-inflaming the body.
• Eat cold water fish, flax seed oil and nuts to get the omega-3-fatty acid necessary for the body.
• Include soy, turkey, walnuts, salmon, tuna and trout in your hyperthyroidism diet.
4. Dairy Products
Hyperactivity of the thyroid gland can remove the calcium from your blood. The body compensates this loss by leaching calcium from the bones. This can cause osteoporosis.
• Include three servings of yoghurt, cheese, milk or cottage cheese in your daily diet.
5. Spinach And Collard Greens
If you are allergic to dairy products, you can get your daily supply of calcium from vegetable sources like spinach collard greens etc.
• Figs, prunes and sesame seeds are also excellent hyperthyroidism foods.
This is another vital component of hyperthyroidism diet. The hyperactive thyroid gland can deplete the zinc.
• Include almonds, walnuts, pumpkin seeds, peanuts which are rich in Zinc in your diet.
7. Fiber Rich Foods And Anti Inflammatory Foods
Fiber rich foods are beneficial for the proper working of the thyroid gland. Anti inflammatory herbs help to reduce the inflammation of the thyroid which is the reason for hyperthyroidism.
• Include whole grain foods, like oatmeal, whole grain breads, brown rice etc in your food.
• The anti inflammatory herbs to be included in your diet are turmeric, ginger, rosemary, cinnamon and oregano.
8. Antioxidant Rich Foods And Vitamin D
It is also necessary to consume antioxidants and vitamin D rich foods in the diet. This will reduce the oxidative stress caused by hyperthyroidism. Vitamin D can reduce the inflammation and auto- immune reactions of the body.
• Avocados, olive oil broccoli etc contain antioxidants.
• Salmon is a good source of vitamin D. You can get your daily dose of vitamin D from eggs, mushrooms etc.
• Spend 20- 30 minutes in the sun to get the necessary vitamin D for the body.
9. Cassava, Sorghum, And Millet
These food items contain cyanogenic glucosides which blocks the iodine availability of the gland.
• These foods increase the immune function and gives protection from osteoporosis
10. Vitamin C And Vitamin E
These vitamins are helpful in reducing the oxidative stress caused by the hyperactivity of thyroid glands.
• All the citrus fruits are rich in vitamin C.
• Bell peppers, olive oil, wheat etc are a good source of vitamin E.
I am 30 years old female mother of 2 kids I had delivered 7 months back and I am breastfeeding my baby till now. I have still not got my periods n I feel that I am pregnant again however I have not done any home test is there any chances of pregnancy with breastfeeding?
We did accidental sex on 4th without precaution, in 48 hrs she took i-pill, her period comes on 20th but still not comes, so please suggest any chance of pregnancy. I am worried about it.
The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.
Read on to know more about endometriosis and how it can cause infertility.
When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.
How does it cause infertility?
Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.
Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue’s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.
Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.
Treatment for Mild Endometriosis
Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.
However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).
For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.
Details about IUI success rates with endometriosis
IUI and endometriosis
Success rates with IUI for endometriosis have been variable in studies, showing:
- A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
- A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
- Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis
Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.
Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.
Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation. If you wish to discuss about any specific problem, you can consult a Gynaecologist.