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Dr. Shruti Umesh Patekar

Gynaecologist, Mumbai

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Dr. Shruti Umesh Patekar 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. Shruti Umesh Patekar
Dr. Shruti Umesh Patekar is a popular Gynaecologist in Vile Parle East, Mumbai. You can meet Dr. Shruti Umesh Patekar personally at Ashwini Clinic in Vile Parle East, Mumbai. You can book an instant appointment online with Dr. Shruti Umesh Patekar on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 42 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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Mani Bhavan Building, Ground Floor, Shradhanand Road, Vile Parle East Opposite Sai Baba TempleMumbai Get Directions
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I want to know that what precautions should be taken for being physical with a girl for the very first time (girl and boy both are mature) and what changes does the body faces after being physical for first time.

MBBS, Fellowship From the College of General Practioners
General Physician, Mumbai
Both should be willing, caring for each other & must have a good knowledge of normal sexual intercourse; or else it could be disastrous! the body becomes hot with excitement, with blood pressure & pulse shooting up. It's like finishing a 100 meters dash at your fastest! exciting!
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The Ugly Truth About Sexually Transmitted Diseases

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
The Ugly Truth About Sexually Transmitted Diseases

Sexually Transmitted Diseases/ infections (or STD/I's) are at unprecedented and epidemic proportions. 45 years of the sexual revolution is paying an ugly dividend. While a few STDs can be transmitted apart from sex acts, all are transmissible by the exchange of bodily fluids during intimate sexual contact. I want to discuss the severity of the problem as well as what must be done if we are to save a majority of the next generation from the shame, infertility, and sometimes death, that may result from STDs.

Today, there are approximately 30 STIs. A few can be fatal. Many women are living in fear of what their future may hold as a result of STD infection. It is estimated that 1 in 5 Indians between the ages of 15 and 55 are currently infected with one or more STDs, and 19 million Indians are newly infected out of which 63% are in people less than 25 years
This epidemic is a recent phenomenon. However, most of these diseases were not around 20 to 30 years ago. Prior to 1960, there were only two significant sexually transmitted diseases: syphilis and gonorrhea. Both were easily treatable with antibiotics. In the sixties and seventies this relatively stable situation began to change. For example, in 1976, chlamydia first appeared in increasing numbers in the India. Chlamydia, particularly dangerous to women, is now the most common STD in the country. Then in 1981, human immunodeficiency virus (HIV), the virus which causes AIDS, was identified. By early 1993, between 4and 5million Indians were infected with AIDS, over 12 million were infected worldwide, and over 160,000 had died in India alone. Over 10% of the total indian population, 30 million people, are infected with herpes.
In 1985, human papilloma virus (HPV), began to increase. This virus will result in venereal warts and will often lead to deadly cancers. In 1990, penicillin resistant-strains of gonorrhea were present in all fifty states. 
By 1992 syphilis was at a 40-year high. As of 1993, pelvic inflammatory disease (PIV), which is almost always caused by gonorrhea or chlamydia, was affecting 1 million new women each year. This includes 16,000 to 20,000 teenagers. This complication causes pelvic pain and infertility and is the leading cause of hospitalization for women, apart from pregnancy, during the childbearing years. 
Pelvic inflammatory disease can result in scarred fallopian tubes which block the passage of a fertilized egg. The fertilized egg, therefore, cannot pass on to the uterus and the growing embryo will cause the tube to rupture. By 1990, there was a 400% increase in tubal pregnancies, most of which were caused by STDs. Even worse is the fact that 80% of those infected with an STD don't know it and will unwittingly infect their next sexual partner.

The Medical Facts of STDs:
Syphilis is a terrible infection. In its first stage, the infected individual may be lulled into thinking there is little wrong since the small sore will disappear in 2 to 8 weeks. The second and third stages are progressively worse and can eventually lead to brain, heart, and blood vessel damage if not diagnosed and treated.
Chlamydia, a disease which only became common in the mid-1970s, infects 20 to 40% of some sexually active groups including teenagers. In men, chlamydia is usually less serious; with females, however, the infection can be devastating. An acute chlamydia infection in women will result in pain, fever, and damage to female organs. A silent infection can damage a woman's fallopian tubes without her ever knowing it. A single chlamydia infection can result in a 25% chance of infertility. With a second infection, the chance of infertility rises to 50%. This is double the risk of gonorrhea. 
The human papilloma virus, or HPV, is an extremely common and rapidly growing. 46% of the sexually active coeds were infected with HPV. Another study reported that 38% of the sexually active females between the ages of 15 and 21 were infected. HPV is the major cause of venereal warts; it can be an extremely difficult problem to treat and may require expensive procedures such as laser surgery
The human papilloma virus can result in precancer or cancer of the genitalia. By causing cancer of the cervix, this virus is killing more women in this country than AIDS, or over 6,600 women in 1991. HPV can also result in painful intercourse for years after infection even though other visible signs of disease have disappeared.
And of course there is the human immunodeficiency virus, or HIV, the virus that causes AIDS. The first few cases of AIDS were only discovered in 1981.

While the progress of the disease is slow for many people, all who have the virus will be infected for the rest of their life. There is no cure, and many researchers are beginning to despair of ever coming up with a cure or even a vaccine (as was eventually done with polio). In 1992, 1 in 75 men was infected with HIV and 1 in 700 women. But the number of women with AIDS is growing. In the early years of the epidemic less than 2% of the AIDS cases were women. Now the percentage is 22% 

Teenagers Face a Greater Risk from STDs
Teenagers are particularly susceptible to sexually transmitted diseases or STDs. This fact is alarming since more teens are sexually active today than ever before. An entire generation is at risk and the saddest part about it is that most of them are unaware of the dangers they face. Our teenagers must be given the correct information to help them realize that saving themselves sexually until marriage is the only way to stay healthy. 
The medical reasons for teens' high susceptibility to STDs specifically relates to females. The cervix of a teenage girl has a lining which produces mucus that is a great growth medium for viruses and bacteria. As a girl reaches her 20s or has a baby, this lining is replaced with a tougher, more resistant lining. Also during the first two years of menstruation, 50% of the periods occur with-out ovulation. This will produce a more liquid mucus which also grows bacteria and viruses very well. A 15-year-old girl has a 1-in-8 chance of developing pelvic inflammatory disease simply by having sex, whereas a 24-year-old woman has only a 1- in-80 chance in that situation. 
Teenagers do not always respond to antibiotic treatment for pelvic inflammatory disease, and occasionally such teenage girls require a hysterectomy. Teenage infertility is also an increasing problem. In 1965, only 3.6% of the married couples between ages 20 and 24 were infertile; by 1982, that figure had nearly tripled to 10.6%. The infertility rate is surely higher than that now with the alarming spread of chlamydia.
Teenagers are also more susceptible to human papilloma virus, HPV. Rates of HPV infection in teenagers can be as high as 40%, whereas in the adult population, the rate is less than 25%. Teenagers are also more likely than adults to develop precancerous growths as a result of HPV infection, and they are more likely to develop pelvic inflammatory disease. 
Apart from the increased risk from STDs in teens, teenage pregnancy is also at unprecedented levels, over 1 million pregnancies, and 400,000 abortions in 1985. Abortion is not a healthy procedure for anyone to undergo, especially a teenager. It is far better to have not gotten pregnant. Oral contraceptives are not as effective with teenagers, mainly because teens are more apt to forget to take the pill. Over a one-year period, as many as 9 to 18% of teenage girls using oral contraceptives become pregnant.
Our teenagers are at great risk. In a society that has abandoned God's design for healthy meaningful sexual expression within marriage, our children need to be told the truth about the dangers of STDs. 
Is "Safe Sex" Really the Answer?
We must now take a hard look at the message of "safe sex" which is being taught to teens through the media across the country. 
Some people believe that if teens can be taught how to use contraception and condoms effectively, that rates of pregnancy and STD infection will be reduced dramatically. It is significant to note that condoms, the hero of the "safe sex" message, provided virtually no protection from STDs. 
Will condoms prevent HIV infection, the virus that causes AIDS? While it is better than nothing, the bottom line is that condoms cannot be trusted. 
Condoms do not even provide 100% protection for the purpose for which they were designed: prevention of pregnancy. One study from the School of Medicine Family Planning clinic reported that 25% of patients using condoms as birth control conceived over a one-year period. Other studies indicate that the rate of accidental pregnancy from condom-protected intercourse is around 15% with married couples and 36% for unmarried couples. 
Condoms are inherently untrustworthy. The FDA allows one in 250 to be defective. Condoms are often stored and shipped at unsafe temperatures which weakens the integrity of the latex rubber causing breaks and ruptures. Condoms will break 8% of the time and slip off 7% of the time. There are just so many pitfalls in condom use that you just can't expect immature teenagers to use them properly. And even if they do, they are still at Risk in addition, programs that emphasize condoms tend to give a false sense of security to sexually active students and make those students who are not having sex feel abnormal. Hardly the desired result!
The list of damages from unmarried adolescent sexual activity is long indeed. Apart from the threat to physical health and fertility, there is damage to family relationships, self-confidence and emotional health, spiritual health, and future economic opportunities due to unplanned pregnancy. Condom-based sex-education does not work. 
Saving Sex for Marriage is the Common 
Diseases such as chlamydia, human papilloma virus, herpes, hepatitis B, trichomonas, pelvic inflammatory disease, and AIDS have joined syphilis and gonorrhea in just the last 30 years. There is no question that the fruits of the sexual revolution have been devastating. I have also shown how our teenagers are at a greater risk for sexually transmitted diseases than are adults and that sex-education based on condom use is ineffective and misleading. There is only one message that offers health, hope, and joy to today's teenagers. We need to teach single people to save intercourse for marriage. 
Sex is a wonderful gift, but if uncontrolled, it has a great capacity for evil as well as good. Our bodies were not made to have multiple sex partners. Almost all risk of STD and out of wedlock pregnancy can be avoided by saving intercourse for marriage. And it can be done. 

Delaying intercourse until teens are older is not a naive proposal. Over 50% of the females and 40% of the males ages 15 to 19 have not had intercourse. While not a majority, they are living proof that teens can control their sexual desires. Current condom-based sex-education programs basically teach teenagers that they cannot control their sexual desires, and that they must use condoms to protect themselves. It is not a big leap from teenagers being unable to control their sexual desires to being unable to control their hate, greed, anger, and prejudice. This is not the right message for our teenagers! Teenagers are willing to discipline themselves for things they want and desire and are convinced about. Our teens can also be disciplined in their sexual lives if they have the right information to make logical choices. Saving sex for marriage is the common sense solution. In fact, it is the only solution. We don't hesitate to tell our kids not to use drugs, and most don't. We tell our kids it's unhealthy to smoke, and most do not.
It is normal and healthy not to have sex until marriage. Sexually transmitted diseases are so common that it is not an exaggeration to say that most people who regularly have sex outside of marriage will contract a sexually transmitted disease. Not only is saving sex for marriage the only real hope for sexual health, it is God's design. God has said that our sexuality is to blossom within the confines of a mutually faithful monogamous relationship. What we are seeing today is the natural consequence of disobedience. We need to reeducate our kids not just in what is best, but in what is right and abstinence is right.

9 people found this helpful

Diabetes - 2 Ways It Impacts Male Sexual Health

Sexologist Clinic
Sexologist, Faridabad
Diabetes - 2 Ways It Impacts Male Sexual Health

Diabetes is often considered as deadly as cancer. It is a disease that requires lifestyle changes and diet modifications. It is also a disease that affects almost all body systems. Whether you have Type 1 or Type 2 diabetes, it will do you a world of good to understand the effects of diabetes. Neurovascular damage is one of the most common effects, this means that diabetes will affect the nerves and blood supply of the body.

While Type 1 diabetes makes its presence felt much earlier and is hereditary quite often, Type 2 appears later in life with age and cumulative stress. The effects of diabetes are related to the duration of the disease. Therefore, people with Type 1 diabetes are more likely to have the symptoms early on and need to learn to manage them. Type 2 makes its appearance later, but needs good monitoring for the effects to not surface or prolong the severity of symptoms.

As we all know, all body systems are affected by diabetes, sexual health is no exception. Diabetes decreases blood supply and impacts the nerves in the genitals, thus causing a series of issues right from reduced libido and erectile dysfunction in males to vaginal dryness and painful coitus (perunia) in females.

Listed below are issues diabetic men and women face in terms of sexual health:

In Men:

1. Diabetes reduces testosterone levels, which is directly reflected in reduced libido. Altered nerve function does not provide proper signals to the penis and there is also reduced blood flow to the organ. Both these can diminish the chances of a good erection. Studies have shown that among men who have had diabetes for 10 years, about 50% have experienced erectile dysfunction.

2. The affected nerve function also leads to difficulties in reaching a climax. Diabetes in men can additionally cause Peyronie's disease, which leads to a curved penis, and this leads to painful and difficult erections and coitus.

In Women:

1. It leads to reduced sexual desire due to testosterone levels. Vaginal dryness is very common in females with diabetes, and therefore, there is a definite decline in the urge.

2. The above-mentioned neurovascular damage also prevents women from reaching a good climax, as the nerve supply is affected.

3. Diabetes also increases the predisposition to urinary tract infections, which can lead to painful sexual experience due to additional vaginal dryness and itching.

Finally, as much as it may sound as a cause for concern, it is not. People with diabetes know that making small lifestyle changes can go a long way in terms of onset of symptoms, their severity, and the leading of a normal life. Modifications in diet and lifestyle to include healthy eating, reduced stress, and exercising are very useful. It is also very important to talk to your doctor about how your sexual health has changed with diabetes. It is a sensitive and private topic, but if you are concerned about it, then do not hesitate to seek help.

Type diabetes

5 people found this helpful

Vestibulodynia - Symptoms, Causes And Treatment

MBBS, DGO, DNB (Obstetrics and Gynecology), FMAS, FAM
Gynaecologist, Delhi
Vestibulodynia - Symptoms, Causes And Treatment

Pain during intercourse is pain or discomfort in a woman's labial, vaginal, or pelvic areas during or immediately following sexual intercourse. The sensation felt in this region differs from woman to woman, and can include itching, burning, inflammation. Vestibulodynia specifically affects the vestibule, the area inside the inner lips of the vulva where the vagina is found. This region contains the Bartholin’s gland which produces vaginal lubrication, the urethra where you pass urine, and some small minor vestibule glands producing vaginal discharge. It is characterised by pain felt whenever pressure is applied to the vestibular region. It is thus a localised form of vulvodynia, chronic pain in the vulva area.

Symptoms:

  1. The symptoms of Vestibulodynia typically lasts for half or quarter a year. However, in some cases it may last for years, and a lifetime if untreated.
  2. Most women realize that they suffer from Vestibulodynia during their first sexual experience since the vestibular area is so hypersensitive that even the slightest touch during sexual intercourse, moving while in tight clothing as well as inserting tampons may cause some discomfort and pain.

The degree of pain experienced by women suffering from Vestibulodynia is variable. You may experience pain even after having had comfortable sexual relationships.

Causes:

  1. Apart from overgrowth or hypersensitivity of the nerve fibers in that region, other possible causes are tendencies of pain problems or disorders, chronic yeast infections like thrush, injuring the vestibular area during surgery or childbirth and/or extreme sensitivity to irritants like panty liners and detergent etc.
  2. Sometimes, the pain is due to deeply rooted psychological issues, such as sexual trauma and other factors, such as birth or while moving house.

Treatment:
Vestibulodynia is sometimes mistaken for a type of skin diseases. However for the best treatment, you must consult a gynecologist who will treat your condition depending on your symptoms. Mentioned below a few ways to treat Vestibulodynia: 

  1. Vaginal dilators, which are inserted into the vagina to relax the muscles present and gently stretch that area. Vestibulodynia also causes the pelvic floor muscles to tense up which can be overcome through vaginal dilators.
  2. Anesthetic Gels are water based gels, which have a small amount of local anesthesia and may numb the sensitive nerve fibers present there temporarily. Rub the gel over the tender areas, half an hour before indulging in sexual activities.
  3. You may even consume nerve fiber blocking tablets if you experience constant pain due to Vestibulodynia to tend to the sensitive nerve endings in your skin.
3886 people found this helpful

I had sex with a girl age 20 .but every time I sex with her she is having a monthly periods issue. It's delay by more than 15 days. Any suggestion.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I had sex with a girl age 20 .but every time I sex with her she is having a monthly periods issue. It's delay by more...
Any sexually active woman who is not using family planning method may get pregnancy in which delayed period happens so if delayed do urine pregnancy test.
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Hi, My wife is suffering from a peculiar problem since 15-18 months. We have consulted 2-3 gynaecology doctors including the one who delivered the first child. We couldn't find any solution. Please help to identify the problem and investigation needed. Patient details: , Age -32/33 Birth date :1st Nov 1984 Marriage date: 4th Feb 2012 First child born on: 7th Feb 2014 - Normal delivery She is getting periods on regular basis without any issues. She was having copper and we got it removed suspecting as it could be the reason for this pain. However, it did not resulted any difference. We have just started planning for second child. She is not a diabetic. She is vitamin deficient and we have taken tabs and injection for it. Problem: After a few days of menstrual period,(on an average. A week after period completion) she is getting pain (on a regular basis, almost daily) in lower abdomen (only right side) and it travels through right lap and whole leg. It increases over the time and comes down automatically. On an avg. This severe pain stays for 15-20 minutes before it reduces in its own and eventually vanishes in another 10-15 minutes. So this whole problem starts, peaks, reduces and vanishes over 40 minute duration. It usually/mostly occurs in the morning times (on an average any time between 3 am to 7 am, right after she passes urine/stool. However, there are a few occasions where it starts anytime in the day suddenly (with or without passing urine/stool). This whole process starts a week (on an avg.) after her period completion and occurs regularly until a week before starting of next menstrual period. It does not occur not more than once in a day. She is not taking any medicines during the pain, rather it reduces automatically. Treatment done so far: We have visited Four of the well known gynaecology doctors over the last 12-15 months and common answer is “ There is no issue”. We have done the CT scan and everything is normal (around a year ago). Couple of time urine culture resulted some infection and she took medicines. One doctor prescribed apcod sachets on a daily basis according to the insulin resistance test results. We are using it currently. Apart of Apcod, she is not using any medicines. One doctor attributed to gastro related as we eat outside regularly. We have paused eating outside for few days, however it did not give any results. I have attached her medical tests, recent urine culture, CT scan report.

MBBS
General Physician, Mumbai
Hi,
My wife is suffering from a peculiar problem since 15-18 months. We have consulted 2-3 gynaecology doctors includ...
As abdomen scanning is normal and hence we have to think about nerve root involvement from the lumbar vertebrae and referred pain from the hip joint and plan treatment accordingly.
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Hi, My periods are delayed by 7 days. Pregnancy test is negative. I have done test on 4th and 6th day of my missed period. Doctor prescribed me sysron NCR. What will be its effects? I don't want pregnancy. Will you get my period soon?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi,
My periods are delayed by 7 days. Pregnancy test is negative. I have done test on 4th and 6th day of my missed pe...
Hi lybrate-user. Welcome to lybrate. Yes sysron ncr will help. Take them as prescribed. You should get your period soon after stopping the medicines. All the best.
2 people found this helpful
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I am suffer from labia majora and labia minora odema and allergy. What I should do?

MBBS
Sexologist, Panchkula
Don't apply soap or anything which you think is causing allergy for any medicinal treatment, you need to go for private consultation from me.
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Hi, I am rajesh. My wife having issue with her low AMH level which is very low as 0.02.So we are facing problem in conceiving. She is 27 year old. Doctor advise us for IVF with donor egg. But I want IVF with my wife egg. So is it possible to improve her AMH level and then we can opt for IVF. Thanks Rajesh.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi,
I am rajesh. My wife having issue with her low AMH level which is very low as 0.02.So we are facing problem in co...
Yes ,u must try enhancing it with Medicines first, as she is very young ,IVF option is anyways there later on if this fails. For more information or assistance you may get back to us.
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Hi mere relationship mere boy frnd ke sath the .and me abhi pregnant nhi hona Chahti. Menses.r tablet se muje periods aa gye the but dec mai nhi aa rhe h. Nd abhi me bhut preshaan hu. Bus mere pait grow ho rha h .nd brest mai pain ho rhi .muje kuch smjh mai nhi aa rha .ki periods hone ke baad bhi me kya pregnant hu. Yea ye sara mera veham hai please

MBBS, DGO, FGO
Gynaecologist, Jalandhar
Hi mere relationship mere boy frnd ke sath the .and me abhi pregnant nhi hona Chahti. Menses.r tablet se muje periods...
If you had periods, then chances of pregnancy should not be there but some times even while pregnant, some ladies do get little bit of bleeding. If you are very apprehensive, simply get a pregnancy test done.
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