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Dr. Smita Orke

Gynaecologist, Mumbai

600 at clinic
Dr. Smita Orke Gynaecologist, Mumbai
600 at clinic  ·  ₹ online
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Smita Orke
Dr. Smita Orke is an experienced Gynaecologist in Kurla West, Mumbai. You can consult Dr. Smita Orke at Kohinoor Hospital in Kurla West, Mumbai. Save your time and book an appointment online with Dr. Smita Orke on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 36 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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Ali Yavar Jung, Kirol Road, Premier Colony, Kohinoor City, Kurla West. Landmark: Opp LBS Marg, MumbaiMumbai Get Directions
600 at clinic
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MBBS, DTCD, MD, FISDA, Fellow Pulmonary, Critical Care & Sleepmedicine
Pulmonologist
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Wellness series in hindu Metro

Breathe Well Sleep Well

Total wellness is not possible without good sleep. Sleep is a de-learning process. It relaxes and rejuvenates the body and makes our body ready for a
new day. We spend one third of our life in sleep and this one third decides the two third of our life. For every two hours of alertness we need one of sleep. Ever since society has become 24x7, our sleep quality has become poor. A healthy body needs a regular refreshing seven to eight hours of sleep.

Sleep debt creates a mortgaged mind. If we are sleeping one hour less per day then we have to pay back in the day. Sleeplessness is equivalent to drunken driving. Anger, agitation, personality disorders, road rage, substance abuse are indirectly related to poor sleep. Sleep disorders are rising in society and more over sedentary behaviour, obesity is responsible for the rising number of sleep apnoea and related sleep disorders.

There are two types of sleep disorders one primarily because of defects in sleep regulatory mechanisms and others are secondary due to lifestyle causing insomnia and sleep disordered breathing like sleep apnoea. A tired and spent person gets relief and is able to retrieve his liveliness and energy only after taking sound sleep. Sleep is a law of nature which is applicable not only to human beings but also to the botanical world.

A good night sleep is a good regular sleep practice. Always be happy while sleeping. Concentrate on your breathing and feel you are totally relaxed. Keep in mind that the pranayama practice is very important. Pranayama and yoga are the key to good activation of our biological clock.

Our hypothalamic area in the brain is our internal clock. If we do not nurture our biological clock we will face sleep delay and fragmented sleep.

A good sleep involves right pre-sleep practices. It’s like a right alap before a classical music performance. Yoga and Pranayama are an important measure to improve sleep and reduce work place negativity, tension, anxiety and so many other problems. Following yoga and pranayama – Bhastrika pranayam, Kapalbhati pranayam and Anulom Vilom pranayam – have been found to be beneficial.

Besides this, Shavasan and Yognidra are very much useful for sound sleep. Listening to light music like mantras before sleep is beneficial. Yoga increases blood circulation and stimulates the nervous system. Following few practices improves oxygenation to the brain and improves sleep quality and cures insomnia. Halasana and Sarvangasana are the asana to cure insomnia naturally by yoga.

Good pre-sleep habits are called sleep hygiene. A good sleep hygiene improves sleep quality by reducing the onset of sleep and maintenance of rhythm of sleep. We all enter sleep through NREM sleep it’s like slow uncoiling of a curtain wire. We enter sleep with high alfa waves and slowly go to delta or slow wave sleep.

Initial sleep is all NREM sleep and subsequently we enter REM sleep or rapid eye movement sleep. REM sleep constitutes one third of total sleep and in this time of sleep muscles reach to zero tone and it's a dream sleep.

This is about a 50-year-old man, a heavy smoker with sedentary corporate life with disturbed sleep, snoring, day time sluggishness, irritability and poor corporate performance.

He was subjected to a quit tobacco programme, weight loss and good nutrition and lifestyle modification programme with following sleep rules.

He improved on all fronts and started enjoying wellness in his life.

Stick to your sleep time and get up exactly 7 to 8 hours after sleep. You will feel oven fresh.

Follow this sleep rules one hour before going to your sleep clock.

1. A relaxing warm shower an hour before sleep.

2. Anulom vilom for five minutes

3. Kapalbhati for five minutes, avoid doing if you had dinner an hour before.

4. Bhastrika for five minutes.

5. Eye exercises for five minutes in all quadrants

6. Cervical flexion, extension and rotation exercises for two minutes.

7. Sharvanasana or corpse pose for 5 minutes and focus on your breath.

8. Now listen to some slow music. Music induces Alfa activity and helps in sleep initiation for 10 minutes.

9. Do visual imagery. Make memorable twenty images on your iPad or phone or album and slowly brush though.

This helps in release of endorphins and gives feel good feeling for 5 minutes.

10. Take a hot cup of milk. Milk has serotonin and serotonin induces sleep. These steps will de-stress you and help you to get a sound sleep.

Avoid thinking too much while sleeping. Just relax while sleeping.

Always be happy while sleeping. Concentrate on your breathing and feel totally relaxed.

Keep in mind pranayama practice is very important, as important as pre-sleep habit.

Keywords: sleeplessness, pranayama, sleep habits, wellness

Mere nipple me right side me jalan & chubhan hoti hai. Kya feeding ki wjah se hoti hai.Please tell.

MBBS
General Physician
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Feeding the baby can cause cracked nipples still it's advisable to consult a gynaecologist and get clinically checked

I did a pregnancy test which was negative. But my periods are very late. Is this normal? It's late by 11 days. What to do?

BHMS
Homeopath
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I did a pregnancy test which was negative. But my periods are very late. Is this normal? It's late by 11 days. What t...
Nothing to worry about sometimes menses get disturbed due to hormonal changes. Wait for 5.6 days. Then consult.

I am 19 yrs old female. Sir I feel weakness in my body. My face becomes dull and shrinking and also my body built is getting weak day aftr day frm the last 6-7 months. Please suggest me what type of meal and nutrients I should eat? Or either I should start taking Any supplements?

Advanced Aesthetics
Ayurveda
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I am 19 yrs old female. Sir I feel weakness in my body. My face becomes dull and shrinking and also my body built is ...
common issues due to being under-weight are: • Bone loss • Heart problems • Infertility • Anaemia and • Weak immune system Generally, people take wrong path to gain weight in absence of proper knowledge and start eating high calories food like pizzas, parathas and other junk foods. One can gain weight but results would not be favorable at all. These things may lead to low metabolism, weak digestion system, apart from that high blood pressure, high sugar and other heart related issues may occur. So this is not at all a good way to gain weight According to Ayurveda following are the foods which are very helpful in weight gain: • Figs (Anjeer) • Raisin (Kishmish) • Ashwagandha powder • Shtaravi powder • Dates (Khajoor) • banana • mango • Clarified buttor (Ghee) • Milk • Honey • For weight gain100% safe and natural medicenes available in our purna cosmetic laser skin and slimming centre in 1 month 4-5 kg increases without any side effects

Water coming out in breast before pregnancy.

CCST, Accredation in Colposcopy, MRCOG, MD, DGO
Gynaecologist
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Water coming out in breast before pregnancy.
You need to get a usg breast done and a serum prolactin level (blood test) and thyroid function test. Treatment will then depend on the possible cause.

I am 26 years married lady. I have irregular periods and my FSH annd LH values are 3 and 4. What is the ideal ratio of these values? is it pcod?

MD - Obstetrtics & Gynaecology
Gynaecologist
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I am 26 years married lady. I have irregular periods and my FSH annd LH values are 3 and 4. What is the ideal ratio o...
Ideal ratio is 1: 18th at is if fsh is 3 then lo should also be 3 if lo is more than fsh than pod is starting.

During sex for the first time I got lot of pain when the hymen break it bleed too. So how I should handle this pain coz again I am gonna have sex with my boyfriend.

MBBS, MS-General Surgery
General Surgeon
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have nice foreplay before intercourse. lubricate your vagina . spread your legs apart when he enters u. keep your body relaxed. Ask him to gradually insert his organ. relax and enjoy sex with your boy friend.

I'm 27 year women my last period was on 8 May. I had unprotected sex with my husband on 20, then on 26th, 28, 30 may and on 3rd june. I not even had any kind of contraceptive pills. Even though I got my periods on 4th june. Kindly tell me why is it so. I guess it was a correct time when we had sex. But still got my periods. Is there still any chance of pregnancy in this time. Please inform. Thank you.

Advanced Infertility, MD, MBBS
Gynaecologist
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I'm 27 year women my last period was on 8 May. I had unprotected sex with my husband on 20, then on 26th, 28, 30 may ...
You should get a basic set of investigations if you are having unprotected sexual intercourse since one year. Your age is 27 and if married for more than 1 year, a set of basic tests is no harm done.

I have married last week at first time with my wife I have feel pain what we will do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I have married last week at first time with my wife I have feel pain what we will do.
Practice makes a. An perfect certain actions could cause pain such as phimosis, we rong penetration etc. Initially some lubricants may be used if needed. For the time being start taking turmeric in milk twice a day.

I am 7 week pregnant lady, now a days I observed that digestion is not proper. So I am not feeling to eat anything. Please suggest me why it so. Also tell me how to overcome from this.

D.G.O
Gynaecologist
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I am 7 week pregnant lady, now a days I observed that digestion is not proper. So I am not feeling to eat anything. P...
It happens in pregnancy. To improve digestion and to have good quality of life you can still continue tab. Doxinate to alleviate your problem.

I'm 22, my last periods was 22 Nov, we had an intercourse on 11 Dec, I'm expecting my periods this month, its already 22nd and no signs of mensuration. I'm scared that im pregnant. I'm unmarried. We are planning to get marry next year. Will this affect my future pregnancy if I abort this time.

BHMS
Homeopath
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I'm 22, my last periods was 22 Nov, we had an intercourse on 11 Dec, I'm expecting my periods this month, its already...
Hello Your periods may be delay because of any other reason also, but to be on safer side you should do a pregnancy test after 4 -5 days of the due date.

I am 31, married for 5 years. Planning for kids from next month. My question - Can I take HPV vaccine after having kids.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist
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I am 31, married for 5 years. Planning for kids from next month. My question - Can I take HPV vaccine after having kids.
Yes you can take, only that it is of less use in late age and more advantageous to young even before they become sexually active. If you are taking vaccination then plan next pregnancy after you finish second dose.

She had a sex with his boyfriend. She is telling me that she don't feeling orgasm while she had sex nd lots of water or liquid coming through vagina which decrease the enjoyment of sex. Is there any problem or its common in sex.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist
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Dear Lybrate user. This is normal. The liquids which are coming from vagina enhances the sexual experience because they improve the orgasmic touch and they provide lubrication. They are healthy too. It will take time to find the exact position and to have the proper orgasm. Take care.

Meri age 22 hai or me kabhi kbhi smoke kia krti hu Once in a week Kya mera ye smoke krna Mere future pregnancy me koi problem create krega kya?

MD - Homeopathy
Homeopath
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Meri age 22 hai or me kabhi kbhi smoke kia krti hu Once in a week
Kya mera ye smoke krna
Mere future pregnancy me koi...
Smoking is injurious...it can affect adversely esne during prpecially if smoking is during pregnancy

Hi I am 33 years old. Last month while sonography I came to know having PCOD problem. I have one 6.5 years old daughter. Now I am thinking to take another chance or want to conceive. I heard in PCOD it's impossible to conceive so pls suggest me any treatment of it.

M,S GYNAE&OBST
Gynaecologist
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Hi I am 33 years old. Last month while sonography I came to know having PCOD problem. I have one 6.5 years old daught...
You are suffering from sec infertility, and I think your wt is more so exercise regularly low fat diet and menstrual cycle should be regular.

When one should intercourse before or after ovlution time of a woman. How can we know when a women ovulates. Any symptoms. I am asking these becoz I cannot meet my wife regularly, twice or thrice in a month due to my service/job issue. I am a 35 years old male. Please advise.

PGD Maternal Child Health, MBBS
General Physician
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When one should intercourse before or after ovlution time of a woman. How can we know when a women ovulates. Any symp...
Normally in a normal menstrual cycle, ovulation occurs on 14 th day from the 1st day of menstruation. For fertilization of ovum the best period is 13th day to 15 th day of cycle.

Tumor Biopsy - Things You Should Know About It

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon
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A tumor may be defined as an abnormal unwanted growth of tissue in any part of the body. This word need not immediately cause panic because the tumor may or may not cause a health threat. There are three types of tumors:

Benign tumor: This is a noncancerous type of tumor. In our body, new cells are formed while the old ones called dead ones are disposed by our immune system. When this disposal of cells does not occur, the remaining dead cells form a lump, which is called a benign tumor. They are not dangerous since, they do not contain harmful fluids and do not spread. A person suffering from a benign tumor in the brain may have frequent headaches.
Pre-malignant tumor: It is an initial disorder, or an earlier symptom of cancer manifestation. The inclination of this medical condition is that it will progressively become precarious. This is so because it is capable of conquering neighboring tissues and spreading as well. Leukoplakia is a form of premalignant cancer. They evolve as thick white patches inside the cheeks or on gums below the tongue. These patches are very difficult to be scraped off from the mouth. They are caused mainly due to chewing tobacco and smoking, and ff left untreated can expand.
Malignant tumor: These are the cancerous tumors, in which cells multiply abnormally and rapidly. They are unstable and travel along bloodstream, circulatory system and lymphatic system to other parts of the body. Sarcomas and carcinomas are the most common types of malignant tumors. While the former is related to connective tissues the latter is related to organs and glands.

The most common procedure to name the type of cancer is to refer to their site of origin. Adenocarcinoma, refers to cancer in the adenoid glands. Similarly, a benign tumor of fatty tissue is called lipoma, where as a malignant tumor in the same area is referred to as liposarcoma.

What is a biopsy? How does it relate to a tumor?
A Biopsy is a medical procedure practised by qualified medical practitioners. This procedure helps in identifying the type of tumor within a patient. It aids the doctor to conclude the type of treatment to be given to any patient. This procedure is a definite diagnosis to the identification of cancer. A Biopsy is the removal of a sample of the abnormal, unwanted tissue for laboratory examination. Biopsies are of different types, and they may be performed using ultrasound, CT scan or MRI depending on where the tumor is.

Excisional biopsy: In this method the entire lump of excess tissue is removed.
Incisional biopsy: Here a sample of the abnormal tissue is removed surgically.
Needle aspiration biopsy: Here the sample is extracted with the help of a needle.

After extraction, the tissue layers are sent to pathological departments to check their composition, and cause of disease.
Tumor Biopsy - Things You Should Know About It

I have limps in my both the breast. Non cancerous lumps. I've consulted cancer specialist. And have been operated once. This is the second time. And is going through homeopathic treatment which is not helping me out. Any other way which you can suggest I shall treat them? And why are these lumps happening? The reasons? Can you suggest somethings else den operating please?

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon
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If the lumps are non cancerous and are not growing in size or no. Then there is nothing to worry. There are certain medicines in allopathy which can be helpful which any surgeon can prescribe after examining you. If there is no relief with medicines then surgery is the option. The reason for this is usually hormonal changes which occur during this time in a girls life.

I got marriage at the age of 22 and that time my wife was 20. As a newly married couple we lead to a pleasant sex life. After a year she conceived and fell from staircase and miscrage 12 weeks baby & after that unable to conceive. Please advice.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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I got marriage at the age of 22 and that time my wife was 20. As a newly married couple we lead to a pleasant sex lif...
If your semen test is normal, your wife can go for hsg test or laparoscopy to see if the tubes were affected during the miscarriage or thereafter. If all is well and her periods are also regular, it may not be too difficult to achieve pregnancy with help of few medicines.

What are the problems to have sex with a two week post delivery mother? Will it affect the baby? How to have a safe sex? Please respond. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist
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There are discharge from vagina after delivery. It may be troublesome to the mother. Sex will not affect the baby. It is better to avoid sex for few weeks.
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