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Dr. Smita Goyal

Gynaecologist, Mumbai

Dr. Smita Goyal Gynaecologist, Mumbai
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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. Smita Goyal
Dr. Smita Goyal is a trusted Gynaecologist in Malad West, Mumbai. You can visit her at Aptes Nursing Home in Malad West, Mumbai. Save your time and book an appointment online with Dr. Smita Goyal on Lybrate.com.

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Aptes Nursing Home

Ground Floor, Ronda Apartment, Off Orlem Church, Malad West. Landmark: Juction Of Tank Lane And Shankar Lane, MumbaiMumbai Get Directions
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All about Menorrhagia

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
All about Menorrhagia

Menorrhagia is menstrual condition characterized by an abnormal loss of blood or heavy, prolonged bleeding. Although heavy bleeding is not uncommon in premenopausal women, menorrhagia is a severe condition which generally interferes with your daily activities. If your vagina bleeds irregularly or between periods, in addition to such heavy bleeding that at least one pad or tampon gets soaked every few hours, it is highly recommended that you seek medical attention.

Symptoms
Signs and symptoms of menorrhagia include:

  1. Soaking through more than one tampon or sanitary pad for every few hours
  2. The need to use double sanitary protection
  3. Heavy bleeding for weeks on end
  4. The need to wake up at night to change your sanitary protection
  5. Restriction of daily activities due to heavy menstrual flow
  6. Symptoms of fatigue, such as excessive tiredness as well as shortness of breath

Causes
Although the exact causes are unknown, here are a few causes that may be responsible:

  1. Hormonal imbalance is when there is an hormone imbalance, the endometrium develops in excess and sheds away with menstruation
  2. In Ovary dysfunction, if your ovaries do not ovulate, your body won't be able to produce the hormone progesterone resulting in a hormonal imbalance problem which may lead to menorrhagia
  3. Uterine fibroids are benign tumors which start appearing in your childbearing years
  4. Polyps are small benign growths found on the uterine lining
  5. Adenomyosis occurs when your glands from the endometrium becomes embedded in the uterine muscle
  6. By using Intrauterine device (IUD) menorrhagia may occur as a side-effect
  7. Pregnancy complications, for instance, an ectopic pregnancy can cause it
  8. Inherited bleeding disorders, such as von Willebrand disease
  9. Certain medications like anti-inflammatory drugs
  10. Other medical conditions, like pelvic inflammatory disease or endometriosis

Treatment
Treatment for menorrhagia depends on a number of factors like the cause and severity of the condition, or your tolerance for specific therapies or medications.
Some drug therapies for menorrhagia include:

  1. Iron supplements
  2. Tranexamic acid
  3. Oral progesterone
  4. Non steroidal anti-inflammatory drugs
  5. Oral contraceptives
  6. Hormonal IUD

If drug therapy is ineffective, other treatment options may include:

  1. Dilation and curettage
  2. Focused ultrasound ablation
  3. Uterine artery embolization
  4. Endometrial ablation
  5. Myomectomy
  6. Endometrial resection
  7. Hysterectomy
2692 people found this helpful

Hi. .while I was doing sex without entering my penis in her vaGina some sperm comes out and stick to my finger and I don't notice it and started to fingering her vagina. .I don't know her menstruation period. Is she now Pregnant?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hi. .while I was doing sex without entering my penis in her vaGina some sperm comes out and stick to my finger and I ...
Pre/ postejaculation discharge does contain sperm and on entry into vagina can cause pregnancy. Take emergency precaution asap.
2 people found this helpful
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I am suffering from severe stomach pain during 1st day of my periods for the past 6 years. And dysentery too. When I checked with siddha doctor they told that I have polycystic in my ovaries and hormone imbalance.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I am suffering from severe stomach pain during 1st day of my periods for the past 6 years. And dysentery too. When I ...
You are suffering from dysmenorrhoea as menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, Pcod, thyroidism ,results in ,delayed, painful, excess 1& frequent blood flow during menstruation. • This condition is called as dysmenorrhoea which is a very common menstrual problems in young girls. But best part is, it is perfectly curable with homoeopathy. You keep your calcium and haemoglobin levels maintain. We can give you some medicines and yoga postures with which you can get rid of all this problems.
1 person found this helpful
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Probiotics - 3 Myths You Must Be Aware of!

Nutrition & Dietetics, Dietetics
Dietitian/Nutritionist, Delhi
Probiotics - 3 Myths You Must Be Aware of!

With information being bombarded at us from every side, it often becomes difficult to sift through myths and facts. Indigestion is something many people commonly suffer from and probiotics have become an increasingly popular way to treat this condition. Like everything else probiotics are surrounded by a number of myths and misconceptions. Here are the top 3 myths you shouldn’t fall for when talking about probiotics.

Only people with digestion issues need probiotics
We think of probiotics only when suffering from indigestion and stomach upset, but probiotics do much more than cure the occasional stomach cramp. Probiotics can improve a person’s overall health by reducing sugar cravings and strengthening the immune system. It also helps improve the quality of sleep and boosts energy levels. Regular intake of probiotic supplements has also proven to be beneficial for weight loss. By aiding the digestion process, probiotics also help rid the body of toxins and thus, promote clear and healthy skin. These supplements are especially useful when unwell and should be taken along with antibiotics to fight off possible indigestion that may occur as a side effect of the medication.

All probiotics are the same
Walk into a supermarket and you’re bound to see at least half a dozen different types of probiotics. Probiotics can be had in many forms ranging from yogurt to probiotics supplements. Even if you consume yogurt on a daily basis, it may be a good idea to supplement your meals with a probiotic in cases of chronic indigestion. However, not all probiotics are the same. Probiotics vary in terms of potency and the strain of bacteria they concentrate on. Some of these supplements need to be refrigerated while others do not. However, the method of preservation does not affect the efficacy of the supplement. Also, the same probiotics may affect two people in different ways. This is because there are millions of potential combinations for gut flora. Hence, it is important to find a probiotic that works well for you.

Probiotic – prebiotic – they’re the same thing!
Probiotics and prebiotics both work to improve digestion, but the difference between them is more than a single alphabet. While probiotics refer to the bacteria itself that will multiply in your gut and aid in digestion, prebiotics contains fibre and starche that will nourish bacteria and help gut bacteria flourish. Thus, in a way, prebiotics ‘fertilize’ probiotics. Unlike probiotics that are affected by temperature changes and gradually expelled from the body, prebiotics are not destroyed in the body. If you wish to discuss about any specific problem, you can consult a doctor.

3315 people found this helpful

In pregnancy how should I maintain my figure Suggest me home workouts that maintain my fitness in pregnancy Thanks.

MHA, PGDPMC, DGO, MBBS
Gynaecologist, Delhi
In pregnancy how should I maintain my figure
Suggest me home workouts that maintain my fitness in pregnancy
Thanks.
At present the pregnancy should be your priority, the figure can be taken care of once the baby is out and healthy.
1 person found this helpful
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My friend is in a serious problem, I beg you to help me out, he and hir girlfriend had sex and she gets pregnant. What should she do to prevent it. She gets in a intercourse 15 days. Please help me out she is too scared and crying.

MD - General Medicine
Sexologist, Nashik
If she is pregnant needs termination of pregnancy if under 45 days tablets will do but you need to consult gynecologist.
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Sir I recently have sex with a girlfriend. She is in period at that time or not. I used condom. But during sex condom is break. Than I use another condom. And after this I see some blood on my body and condom. Sir can I get infected with aids. If she is hiv positive. And what test I do for surety. please help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir I recently have sex with a girlfriend. She is in period at that time or not. I used condom. But during sex condom...
I cannot comment on that unless I know the sexual status of your gf, as if she is having multiple sexual partners, only then there can be chances of yours being infected with any stds otherwise no chance-------------to be on the safer side you get yourself tested for blood std test for chlamydia, gonorrhea, hiv, syphilis,--------------------------
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Hello Dr. I'm pregnent. This is first month. Kal rat ko mujhe Brown discharge do char boond nikalaAj subah bhi aisa lagta ha ki khoon hai. Maine kal rat ko paid bhi Liya tha but vo ekdam saf hai Mujhe bahut tension ho rahi haiAisa q hua.

MS, MBBS
Gynaecologist, Gurgaon
Hello Dr. I'm pregnent. This is first month. Kal rat ko mujhe Brown discharge do char boond nikalaAj subah bhi aisa l...
Hi, bleeding in first trimester can be due to threatened abortion so consult your nearby gynecologist & get ultrasound scan done.
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I take unwanted on 21st January 2017 then I had bleeding on 31st January for 3 days but flow was very small. Then I again had bleeding on 28th February. After that I was waiting for March periods which probably held on 28th or 29th March but didn't happen and after that today on 15th April I had my periods but flow is very low. Tell me is it any problem with me. Should I consult doctor.

BHMS, MD - Homoeopathy
Homeopath, Lucknow
I take unwanted on 21st January 2017 then I had bleeding on 31st January for 3 days but flow was very small. Then I a...
Use of emergency contraceptive pill can disturb your regular periods. And moreover, you have mention that you are suffering from PCOD which is itself a disease where irregular periods is a symptom. So these 2 problems are surely the cause of you irregular period and flow. Just take treatment for PCOD and nothing else is required from your part.
2 people found this helpful
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Why Having 5 Small Meals a Day Is the Best Thing You Can Do for Your Health

Diploma in Diet and Nutrition, B.Pharma
Dietitian/Nutritionist, Gurgaon
Why Having 5 Small Meals a Day Is the Best Thing You Can Do for Your Health

Health is wealth! This age old adage holds true even today. The usual practice of 3 meals a day needs some tinkering and 5 small meals a day seems like a good way forward. Go to any dietician or any nutritionist and they will vouch for its benefits. So, let us now take a look at the many advantages that come up with this multiple meal plan:

  1. Alter the food schedule and instil a sense of discipline: It helps in altering your food schedule. When you spread your meals throughout the day, it allows you to try different dishes without over consuming any one dish. With more opportunities to eat healthy, you can develop proper diet charts and follow it properly across the entire day. Moreover, it teaches you discipline to keep a check on your diet.
  2. Keeps a check on binge eating and overeating:  Five meals a day plan can help you control your weight. Intake of small meals prevents binge eating. You don't need to consume in large quantity at once if there are more meals to look forward to throughout the duration of the day. Smaller meals, condition you in such a way that you do not indulge in overeating even if you are outside.
  3. Something in every meal: Since you're opting for five meals a day, you will indulge in different types of food items throughout the day right from vegetables, fruits, cereals, eggs, milk-shakes and much more. This will not only keep your palette satisfied, but will also make sure that you get all the right amount of nutrients as nothing healthy will be left out.
  4. Goes hand in hand with all the diet charts and plans: Eating healthy and in small portion ensures that you are on course for your diet plan. Five meals a day will give you a chance to screen your nourishment intake and manage it more viably. It also helps in keeping your appetite under check. It maintains a healthy balance between healthy eating and satiating your hunger.

Disregard the three-feast model; it has now become obsolete. Your busy schedule requests that you take a more dynamic approach to your nourishment. Five meals a day is just the right way to ensure that you have your share of proper nutrients every day.

Related Tip: "5 Energy - Boosting Foods to Try"

3787 people found this helpful

Hello Dr. Meri Bhabhi ji pregnant hai jo ki 4month ho chuke hai. Sab normal hai Lekin unhe lagta hai ki bacha khelta nahi hai Ya pet me bacha hai ya nahi unko lagta hi nahi hai To mai ye janna chahta hu ki kya aisa lagta hai ye normal h ya iska koi reason bhi ho sakta hai. Please suggest.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hello Dr. Meri Bhabhi ji pregnant hai jo ki 4month ho chuke hai.
Sab normal hai
Lekin unhe lagta hai ki bacha khelta ...
Petme bacha 5 se 6 mahine ke bad khelna pata chalta hai aur ped bhi tabhi badna chalu hota hai. 4 mahine me baccha nahi ghumna normal baat hai.
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I am 20yrs old female. I didnt had my periods dis month it has been 7days late in accordance to the due date. please help me with your suggestions.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I am 20yrs old female. I didnt had my periods dis month it has been 7days late in accordance to the due date. please ...
Hi Priya. I suggest you get a home pregnancy test kit and check for pregnancy. We can handle the problem then depending upon the result.
6 people found this helpful
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For my first pregnancy there was miscarriage second time my Dr. Prescribed me spye1000 from 3rd month of my pregnancy till 9th month I continued it. Now I want to know if I want Again a child Again I have to di that medicine course?

MBBS
General Physician, Chandigarh
It depends at that time on how your pregnancy condition is your gynecologist will do a general examination and then decide accordingly whether medicine is required to be taken or not it is advisable to keep a gap of atleast three years between the two pregnancy then it is more safer.
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I had sex on 4th day of my periods on 19th January and take unwanted 72 on 3rd day. After that on 31st January I had bleeding for 3 days. Then on 28th Feb I again had bleeding for 3 days. Now today is 31st March my periods didn't come yet.

B.Sc, BHMS
Homeopath, Kolkata
I had sex on 4th day of my periods on 19th January and take unwanted 72 on 3rd day. After that on 31st January I had ...
DON'T WORRY, INTERCOURSE AT THE 4TH DAY IS UNDOUBTEDLY SAFE. U BETTER TAKE SOME IRON SUPPLEMENT DAILY, IT WILL SOLVE UR DOUBTS.
1 person found this helpful
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I had done sex with my partner and I gave her I pill after 1 week we again done sex I again gave her I pill what will happen. Pls explain me with detail. If she will get pregnant. And what are the side effects of it.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had done sex with my partner and I gave her I pill after 1 week we again done sex I again gave her I pill what will...
As you have given her a second ipill before any withdrawal bleed, it is difficult to ascertain if she would get pregnant or not. Please get a serum beta hcg test for ruling out pregnancy is she doesn't resume her withdrawal bleeding in next 7 days.
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I and my girlfriend had some cuddling on 10 April. We touched each other's private parts, we didn't had sex. After that she got her periods on right time 20th April But this time she didn't got her periods yet Are there any chances of her getting pregnant?

BHMS, MD - Acupuncture
Sexologist, Faridabad
I and my girlfriend had some cuddling on 10 April. We touched each other's private parts, we didn't had sex.
After th...
Hello, Mr. Lybrate-user, don't mind your girlfriend are not pregnant, some times any women period start +_ 2 day. Or some times hormonal imbalance or lack of hemoglobin, not coming proper period. Notes never pregnant any lady by touch, cudding and external sex. Or last 10 days of any menstrual cycle or new menstrual period before 10 days are fully safe conceive of baby.
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I am always suffering from back pain and too much bleeding in periods how I feel good. What should have to do.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
I am always suffering from back pain and too much bleeding in periods how I feel good. What should have to do.
Medicine german reckeweg lycopodium 200, single dose (4-5 drops in mouth) morning. Buy medicine from good homoeopathic shop. Food mixed fruit juice daily evening. Please continue treatment.
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If my period is coming [after 21 days from my last period ] and during this I had done unprotected sex then Emergency Contraceptive Pills is needed or not for avoid pregnancy?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
If my period is coming [after 21 days from my last period ] and during this I had done unprotected sex then Emergency...
Wait till normal period time if it doesn't occur wait 10 more days otherwise test through pregnancy test kit.
1 person found this helpful
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