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Dr Nandita

Dr Nandita Palshetkar  | Answer  |Ask -

Gynaecologist, IVF expert - Answered on Apr 26, 2025

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more
Asked by Anonymous - Apr 04, 2025
Health

Hi I am 44 year old women , my periods are regular and I am taking HCQS 300 Once daily since last year after being diagnosed for Sjogren' Syndrome. I am always anxious about my wellbeing for mykids sake . I am alwyas worried for lump in my breast and smell from vagina ( though my gynae who is well experienced, told me not to worry as its just structure of breast and also from internal examination and through USG she told not to worry about anything.) my all blood test reports are normal and ESR and CRP are very low , within normal range .but I am worried .should I still go for Mammography (which is considered to create cancer itself due to radiation)and Pap Smear Test or the smell may be just due to dryness inside bcoz of Sjogren. Please help

Ans: History noted
Women with Sjögren's syndrome have a significantly higher chance of experiencing vaginal dryness compared to the general population.
While vaginal smell is not a direct symptom of Sjögren's, vaginal dryness can make the woman more susceptible to infections and other issues that might alter vaginal odor.
If you are worried on breast lump you can get mammography done to rule out any malignancy
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Asked by Anonymous - Dec 17, 2024Hindi
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Hello Doctor, I’m in my late 20s, and lately, I’ve been feeling like something’s off with my body. My periods either show up way too early, sometimes not at all for months. And, I’ve been putting on weight even though I haven’t changed my diet or exercise routine. My skin has also turned into a battlefield with acne all over, which I never used to have before. My cousin, who’s around my age, just found out she has PCOS, and her mom (my aunt) went through something similar when she was younger. Now, I’m scared because I’ve been hearing all these horror stories about how it can affect fertility, and I’m not even married yet. What if it’s a family thing and I end up facing the same problems? My mom says, ‘Don’t worry, it’ll be fine,’ but I can’t stop thinking about it. Should I see a gynecologist, or is there another kind of doctor I should be visiting? What tests should I do to get to the bottom of this before it gets worse? Honestly, I’m feeling overwhelmed and just want to know what’s going on before it’s too late.
Ans: Hello, noted your concerns
You are in late 20’s with irregular periods, acne, weight gain,
You are undergoing hormonal imbalance
We need to do certain blood test like
CBC, tsh prolactin fasting insulin level
Hba1c, testosterone level
DHEA, LH FSH ESTRADIOL LEVEL
Amd AMH level to check for fertility level
Usg pelvis to rule out
Pcos
The mainstay treatment. For pcos is lifestyle changes
1) Daily exercise, walks. Zumba, running
2) Good nutritious food with proteins, vitamins, minerals, low carbs and fats
3) good adequate sleep 7 to 8 hours
4) stress management: yoga meditation, breathing exercise
5) supplements to controls effects of pcos
6) low dose OC PILLS TO regularize the cycles

..Read more

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