Dr. Stephen Pappachen

Obstetrics and Gynecology
Lakeland, FL
24 years experience male

Locations

Stephen Pappachen

Lakeland, FL

Address

1241 Vista Hills Drive, Lakeland, FL
Directions

Insurances accepted

Cigna

Blue Cross Blue Shield Of Florida

Coventry Health Care

Aetna

AvMed Health Plan

Blue Cross Blue Shield of Illinois

First Health Group Corporation

Great-West Healthcare

Harvard Pilgim Health Care

Amerigroup

Health Alliance Plan

Humana Insurance Company

UnitedHealthcare

Wellmark Inc

About

Bio

I consider it a privilege to be a part of this great on-line community.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Obstetrics and Gynecology

Undersea and Hyperbaric Medicine

Wound care

Licenses

United States: Florida

Languages spoken

Malayalam

Doctor Q&A

768 Answers
176 Agrees
The number of answers this doctor has agreed with.
A 18-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Pills: Sometimes, pills (e.g.Diflucan) can also be used.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Depends: The "nexplanon" device/"implant" (a more image friendly Implanon product) is also available.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Yes: One word of caution though: avoid any substances with retinol and/or retinoic acid in it.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Get checked: This symptom warrants evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
1/70: This may be an old number and modified based on specific menstrual and/or family history.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Different views.: A screening mammogram, typically, takes an x-ray of the breast from two views (a-p: anterior-posterior/front to back and cc (cranio-caudal: from top t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
No: All procedures have risks and benefits. For a full discussion of the risks/benefits, you can either schedule a Virtual/Inbox Consult with me or get w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Depends.: One answer is, if you've had lymph nodes removed (e.g. Along with breast cancer surgery) or destroyed (e.g. Radiation therapy) you may be at risk.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
About 8 weeks: Keep in mind that this is the first trimester and risk of pregnancy loss in increased when compared to amniocentesis, which is usually done in the sec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Yes: I'm not aware of any adverse affects. However, use your better judgment. In pregnancy, particularly during the later stages, your center of gravity/... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
No: Labor pain are MUCH worse. So I hear. Although, everyone is different in terms of how they tolerate pain. Think of labor pains as really bad cramps... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Varied appearance: The appearance of semen can vary. Keep in mind that semen is the fluid medium which contains/houses sperm (e.g. fructose, other carbohydrate elements... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
No: Your symptoms require a thorough history and physical examination. The differential diagnosis (e.g. list of possibilities) is extensive. I would def... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Unlikely: There are too many barriers here, it seems like. If any more doubts remain, take a pregnancy test for peace of mind.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Vaginitis: Assuming that the sex is unprotected, one of the many that can contribute to altering the vaginal flora is the ejaculate. Like with most exposures, t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Unlikely: Given that you were on PEP (presumably Post Exposure Prophylaxis) after the exposure and tasted negative, the risk is low. Nevertheless, there is a r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Vertigo: Sounds awfully suspicious for Vertigo. Get this checked out ASAP.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Risky: Any incidence of unprotected sex (e.g. absence of pregnancy prevention measures), particularly in a scenario where there is a suggestion of ovulation-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Yes: The sooner, the better.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Kidney infection: This could be a kidney infection (pyelonephritis). Get checked out ASAP. Sometimes kidney stones (nephrolithiasis) can also present like this.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
NSAIDs: An anti-inflammatory medication like Motrin/Ibuprofen usually works well. If the symptoms are fairly predictable, try taking the medication about 12-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Most likely: Keep an eye on it though. If it starts to get more clear, watery, constant, etc..., get it checked out.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Sounds normal: Continue monitoring for any odor, menstrual irregularities, etc...
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Healthy lifestyle: The basics: diet, exercise & protect yourself (e.g. Condoms).
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
No: Cervical mucus will always be present. The character of the mucus is what changes depending on where you are in the cycle.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Depends: Hard question to answer, i suppose, and really depends on what you've been doing or exposed to. Really need to get with ob/gyn and start a dialogue.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Probably.: Much of early pregnancy discharge is normal. In such situations, there is generally not a foul odor, itching, redness, etc... May want to get it che... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Repeat test.: Repeat urine pregnancy test in one week along with a blood test.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Probably normal: Check with your provider about specific concerns. Most of the expressed (non-bloody) discharge is normal. Pinkish and/or bloody nipple discharge is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Yes: Midol, advil, (ibuprofen) motrin, etc... Of course, they shouldn't be taken all at once.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Medication: Valtrex, (valacyclovir) acyclovir, etc... See your doc. Don't kiss the baby until this is taken care of.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Infection & bleeding: There's more risk of both with an abdominal delivery. Of course, there are many other risks (e.g. Injury to other organs, etc...).
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Timing: Depending on your particular menstrual pattern, the timing of the Clomid (clomiphene) would help you achieve or add/increase the likelihood of ovulati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Balanced diet: Assuming we're not dealing with gestational diabetes, a balanced diet and taking your pre-natal vitamins with or without additional Folic Acid are the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Variable: Maternal serum screen (afp4 or 5), fetal anatomy survey, 1- hour gct (glucose challenge test), etc... Check out text4baby. Good resource.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Not good: Of course, more information is needed. The monthly fecundity rate (e.g. Chances of pregnancy in a single cycle is about 20-30%). That's if you're no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Insomnia, nausea: Insomnia, nausea, headache, dizziness, anxiety are some of the more common side affects. More serious, uncommon side affects are cardiac arrhythmias ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
No: However, if you experience any kind of bleeding (vaginal) and/or spotting, see your ob/gyn asap.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Rest: Slow and steady wins the race. Muscle strain related to mechanical adjustments of the pregnancy can be exacerbated by activities such as heavy liftin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Medication: A multi-factorial approach is the best. Lifestyle changes (e.g. Limiting practices like recent initiation of douching, moisture prevention, etc...) s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Endometriosis: One possibility is that scarring of the internal genitalia sometimes caused by this process can present with such symptoms.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Irregular bleeding: Headaches, mood disturbances, weight gain (about 5 lbs.), transient/reversible hair loss, transient/reversible bone mineral density loss, etc...
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Wet mount: Your ob/gyn could do this basic test or there are other "send out" tests that can be done. Of course, a thorough history (e.g. Malodorous vaginal dis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Internet: This is a good place to start; however, always consult with your ob/gyn to sift through a lot of the information.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Yes: Finish your treatment regimen and you should be ok.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Yes: One would consider all contacts as potential points of exposure.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Perhaps partially: Pregnancy related changes may cause certain alterations in taste function.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Irregular menses: Estrogen has a proliferative affect on the endometrial lining.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Not really: Mom first, then baby. Sometimes we don't have much of a choice in these matters. Many times, at the end of the day, the benefits may outweigh the ri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 24 years experience
Yes: Generally speaking, patients with complicated histories (e.g. Uncontrolled gdm, blood pressure issues, etc...) are probably not ideal candidates for c... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

7
Recommendations
777
Thank you notes
Caring, dedicated, knowledgeable.
HealthTap member
Sep 15, 2012
Dr. Pappachen is an excellent OB. He is very responsive to any question or concern you have and his staff is awesome. They all make you feel 100% comfortable to go to them anytime you have a concern.
HealthTap member
Mar 19, 2015
very wonderful Dr. happy to give" rave reviews " ! was wonderful to me and hope to give him referrals any chance I get! thank you Dr. Pappachen!
HealthTap member
The reason I asked , I have three clomid babies. And my husband and I are trying for our last one. The first two were conceived in the first cycle of 5-9 and the third was conceived on the second cycl...Read More
HealthTap member
Thank you...not the diagnoses I'm glad to hear but the one I need. I went to the hospital today and I will get a phone call in 3 days telling me if it is or isn't. Thank you for your time.
HealthTap member
My pains are 4-5 min. Apart and I'm having shooting pains down my legs, is it time to head to the hospital I haven't nnoticed my bloody show

Education & Training

Medical/Graduate school

Ross Univ
MD

Medical/Graduate school

Ross University School of Medicine, Commonwealth of Dominica
Graduated 1999MD

Residency

SUNY (State University of New York): formerly known as LICH (Long Island College Hospital)
Completed 2004

Awards

Teacher of the Year (2004)
Healthy Start Provider of the Year (2010)
Top Doctor, Second Place, Lakeland, FL - Winter
2013
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