Dr. (Mrs.) Dhruba Ray
Dr. Ramesh Pandey

+0 91431 80185 ( For all Appointment Purpose )
+0 98300 28991 ( Dr. Mrs. Dhruba Ray )
+0 98302 61974 ( Dr. Ramesh Pandey )

What ia a PAP TEST ?

The Pap test, or Pap smear, is a screening test for cervical cancer. The test can detect changes in the cells on the cervix (the opening to the uterus, or womb, at the top of the vagina). These changes may be cancerous, pre-cancerous, or caused by inflammation. During the pelvic exam, the doctor will insert a speculum into your vagina and gently open it so the cervix can be seen. A thin brush and a wooden or plastic spatula are used to collect a sample of cells from the cervix. These cells are sent to the lab to be viewed and read by a cytotechnologist.

What is HPV ?

Human PapillomaVirus is a very common infection that can be spread through sexual contact.  Studies suggest that three of every four people who have sex will get a genital HPV infection at some point in their lives. Sexually transmitted HPV can be spread through vaginal, anal, and oral sex. Some types of HPV can cause cancer of the cervix, vulva, vagina, and penis.Genital warts are not usually linked with cancer. To lower your risk of developing HPV, limit your number of sexual partners and use condoms. If you are between the ages of 9-26, you should have the HPV vaccine to help protect you from infection. Regular pap tests are the best way to prevent precancer and cancer of the cervix.

What is GARDASIL ?

Gardasil is a vaccine that helps protect against diseases caused by HPV such as cervical cancer, abnormal and precancerous cervical, vaginal, and vulvar lesions, and genital warts. It is given in 3 doses over a period of six months.It is currently available for girls ages 9-26 years old.

Why should I perform a monthly breast exam?
Every year more than 200,000 women in the United States are diagnosed with breast cancer. Nearly 90% of breast lumps are found by the woman herself. Only by doing this task every month will you become familiar with your breasts and make it more likely to notice any changes. And, changes are what you are looking for. If you find any lump, hard knot or thickening you should contact your doctor or midwife immediately. If you are still having periods, you should do the exam seven days after your period begins. Your breasts are least likely to be tender and swollen at this time. If you no longer have periods, choose a day each month for the exam, such as the first of the month.

What ia Premenstrual Syndrome (PMS) ?

Premenstrual syndrome (PMS) is a term used to describe the abnormal symptoms many women experience one to two weeks before the beginning of their period. Physical symptoms, accompanied by mood swings and depression, are the classic signs. PMS symptoms can occur any time after ovulation, approximately two weeks after the beginning of your period. Ways to decrease incidence of PMS symptoms include: decrease caffeine, avoid salt, avoid sugar, stop smoking, decrease alcohol intake, increase calcium, increase exercise, increase magnesium.  All PMS symptoms should disappear rapidly once menstruation begins.

What is Pelvic Inflammatory Disease ?

Pelvic Inflammatory Disease (PID) is not a single illness but a broad term covering a variety of infections of the internal reproductive organs.  The most common symptom of PID is a dull abdominal ache. Other signs include fever, vaginal discharge, abnormal uterine bleeding, fever and chills and sometimes nausea and vomiting. The symptoms vary among women and some women do not have symptoms at all. Sexual activity and movement often makes them worse. There are several bacteria that can cause PID. Gonorrhea and Chlamydia are the most common.

What is Polycystic Overian Syndrome ?

Polycystic Ovarian Syndrome (PCOS) is one of the leading causes of female infertility and is associated with long-term health risks of heart disease and diabetes. Three features of PCOS are 1) enlarged ovaries containing multiple, small cysts; 2) excess androgens (male hormone); and 3) chronic amenorrhea (missed periods).Symptoms include: hirsuitism, irregular/lack of ovulation, obesity, acne/oily skin, infertility, ovarian cysts, insulin resistance, and hair loss.The diagnosis is made through a careful history of symptoms along with physical findings, blood work and ultrasound testing. There is no cure for PCOS. The treatment of PCOS is generally symptomatic and centers on life-style modifications and medication.

What is Insulin Resistance ?

Insulin resistance (IR) is a condition in which the cells of the body become resistant to the effects of insulin. As a result, higher levels of insulin are needed. Reproductive abnormalities include difficulty with ovulation and conception (infertility), irregular menses, or a cessation of menses. Once insulin resistance is diagnosed, it is controlled by medication and lifestyle changes.


Normally, during the menstrual cycle tissue builds up and breaks down within the uterus. In endometriosis, endometrial tissue (tissue from the lining of the uterus) is found outside the uterus. During the menstrual cycle this tissue builds up and breaks down in the same way but there is no way for it to leave the body. Women with endometriosis have symptoms ranging from mild to severe, although some women have no symptoms at all. Symptoms can include menstrual cramps, pain during sex, low back pain, constipation, pain with bowel movements, and infertility. Some women have chronic pelvic pain. Symptoms are usually at their peak just prior to and with the menstrual period.When your medical history and exam suggest endometriosis as a possibility, a laparoscopy may be offered to diagnose endometriosis.  Endometriosis is usually treated with medications first and if that is unsuccessful possible surgery.

What are FIBROIDS ?

Fibroids are benign growths that develop from the cells that make up the muscle of the uterus. The size and location of fibroids can vary greatly. They may appear inside the uterus, on its outer surface, or within its wall.The two most common symptoms are abnormal uterine bleeding and pelvic pressure. Menstrual periods with fibroids may be very long and very heavy. There may be pressure in the pelvic region from the enlarged uterine size caused by the fibroids. However, many women with fibroids never have any symptoms at all.If you have uterine fibroids you should be checked by your doctor on a regular basis. Getting regular checkups and being alert to warning signs will help you be aware of changes that may require treatment.


Menorrhagia is excessive menstrual bleeding commonly referred to as heavy bleeding. If your bleeding lasts seven or more days per cycle, or is so excessive that you need to change protection nearly every hour, you may have menorrhagia. Treatment options include drug therapy including use of oral contraceptives, D&C, or possibly endometrial ablation.


Menopause technically means the "end of menstruation". Beginning in the early 30's, the levels of estrogen and progesterone produced by a woman’s ovaries starts to decline. This decline escalates when they enter peri-menopause - usually three to five years up to menopause. When the supply of eggs is finally exhausted, ovulation stops. The levels of estrogen and progesterone eventually drop so low that menstruation stops. A woman knows she has passed menopause when she has no periods for 12 months. Until this point you will need to use birth control. Despite having menopausal symptoms, you can still get pregnant until you have been without a menstrual period for one year.The diminishing amount of estrogen produced by the ovaries produces changes in the body. Some women notice very little change while other women find it difficult to deal with the symptoms caused by these changes. They may include: hot flashes, insomnia, vaginal dryness, bone thinning which can lead to osteoporosis, and emotional changes. These symptoms may be treated with hormone replacement therapy.

What is Hormone Replacement Therapy (HRT) ?

Hormone Replacement Therapy is the use of two hormones – estrogen and progesterone - to help relieve the symptoms of menopause. Because there are both risks and benefits to HRT choosing whether or not to take hormone replacement therapy (HRT) can be a difficult decision to make. Your decision should be based on a number of factors including the severity of your menopausal symptoms/how they affect your life, and your individual risk for blood clots, heart disease, bone loss, breast and reproductive tract cancer. If you have had your uterus surgically removed, then you will only need to take estrogen. Progesterone is added for those with a uterus to cut the risk of uterine cancer that exists with unopposed estrogen (estrogen without progesterone).

What are Biodentical Hormones ?

Bioidentical hormone replacement therapy is a marketing term not recognized by the FDA. These products are compounded in pharmacies to meet an individual’s special medical needs. But some pharmacies that compound these products are making unsupported claims that these are more effective and safer than FDA-approved HRT drug products. No bioidentical hormone product has met federal standards for approval. They are not safer just because they are “natural”.You might not see a lot of reports of bad side effects with bioidentical hormones. Unlike commercial drug manufacturers, pharmacies aren’t required to report adverse events associated with compounded drugs.Some compounding pharmacies will claim that they can make bioidentical hormones “just for you” based on a saliva sample.  While this is appealing, it is unrealistic. There is no scientific basis for using saliva testing to adjust hormone levels. Hormone levels in saliva do not accurately reflect the amount of hormones present in a woman’s body for the purpose of adjusting those levels.

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