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Dr. Stephen Pappachen

Obstetrics and Gynecology
Lakeland, FL
23 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 35-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Depends.: The effects on the pregnancy/baby may vary according to what particular hormone/corticosteroid is produced in excess or not produced. A general conce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
6 weeks: The post-operative adjustment can vary; but, usually, by 6 weeks you should start to see most of these types of symptoms start to go away.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: This is not a significant cause of infertility. Good luck!
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Not really: Usually, about 1 cm or more is a significant number. Nevertheless, please follow the advice of your health care provider. It sounds like some follow... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: Resumption of menses after a pregnancy can be quite erratic. If you're completely soaking through a full strength feminine sanitary pad every 30 minu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: You're probably fine. Of course, not following your doctor's instructions could put you at increased risk for infection. Along these lines, you shou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Depends : It really depends on your locality/state. Most states in the U.S. put the limit around 24 weeks (around 6 months).
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
No danger : Barring any risk factors (e.g. Preterm labor, cervical incompetence, etc...), such movements are somewhat inconsequential. Relax and enjoy the pregna... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
UTI: Symptoms are very suspicious for this. I would recommend a urine culture and some antibiotics, empirically. Get with GYN and/or primary ASAP.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: I don't see why not. All medications are subject to drug-drug interactions, depending on the individual's specific processing of the drug(s).
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Possibly: Remain optimistic about this. If your symptoms progress, things won't look good. If your cramping and any bleeding/spotting improves, you/pregnancy ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
No: Such testing is really about how much you want to know. Occasionally, the results of such testing can have management implications, usually not. As ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Irregular cycles: Many things can affect regularity of cycles (e.g. Weight changes, diet changes, stress, etc...). Repeat pregnancy test in 1 week to be sure and rule ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Lot of things: Pregnancy, may be nothing, may be changes on the cervix (most of which are normal). Needs to be evaluated.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Menses : Sounds like either a "chemical" pregnancy or an early period. I'm leaning more towards an early period.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Lots of things.: Always rule out pregnancy first. However, many things can affect the timing and regularity of one's cycle (e.g. Weight changes, diet, stress, etc..).... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: As long as there is some motility, pregnancy is a possibility. The lower the motility, the lower the likelihood, though.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: You should be fine. All things in moderation, of course. Also, don't get too concerned about your stool getting a reddish hue to them. Certainly, i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Probably normal: Certain hormone regimens have been known to cause slight, transient elevations in BBT (basal body temperature).
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Hormonal irregularit: Many factors can influence your cycles. Diet, weight changes, stress, medications to name a few. Depending on your age and how long your symptoms ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: Just make sure you start taking it as soon as you can. I'm assuming you're taking the medication for blood pressure control. If not, please let me k... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Probably nothing: You can employ supportive measures (e.g. Tylenol (acetaminophen) for headaches, support bra for the sore breasts and avoidance of stimulation, etc...)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Unlikely : Herpes usually presents with lumps/bumps, which are painful. Don't really understand the issue with bleeding and not being able to see the vaginal wa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Trauma: Basically, the wiping is somewhat of a traumatic event. Micro-abrasions can form, especially at a time when Prostaglandin release and inflammatory ch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: Ovulation is the key. Any ovulating female can potentially conceive. Usually, regular menses is a pretty good predictor of ovulation; but not always... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
20 weeks: Your due date is, approximately, 20 weeks from now and you conceived about 18 weeks ago.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Hormonal adjustment : Sounds like the system is getting used to the new regimen. Give it about three cycles (months). If the bleeding is still irregular, a work up (ob/gy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Labor preparation : Keep an eye on your contraction pattern, as relevant (e.g. at least every 5 minutes for 45 minutes/one hour) and any vaginal discharge that is suspici... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Dysmenorrhea: Important things to do here: 1. Rule out pregnancy, which has probably already been done. 2. Keep a dairy of your cycles for the next 3-4 months and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Probably normal : Sexual activity, other than leading to a risk of pregnancy, shouldn't really have an impact on your cycles. However, many factors (e.g.l weight chang... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes and no: Bleeding that is directly attributable to placenta previa should subside/cease once the previa resolves. However, bleeding in the setting of placenta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: Your symptoms seem to be within the normal range and consistent with residual shedding of the endometrial/uterine lining.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
No: You're, most likely, pregnant. Get with your OB/GYN ASAP!
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Probably nothing: The menstrual cycle is sensitive to many things (weight changes, stress, medications, etc...). Depending on the reason for the procedure, this may ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Probably nothing: The menstrual cycle is sensitive to many things (weight changes, stress, medications, etc...). Depending on the reason for the procedure, this may ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
No: As far as I can tell, they seem to be comparable medications. As such, the side effect profile should be similar. Since you've been on Depo-Provera ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Safe: Generally speaking, it is ok to have sex while taking antibiotics. However, if you wanted to be cautious about it, using a condom is a great idea.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
It's an estrogen: The most common type of estrogen involved in reproductive age females.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Right away: This is the best time.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Nabothian cysts: Kinda like a pimple on the cervix. This is a physiologic (normal) event/variant and, like most structures in the genito-urinary system, is probably i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Probably nothing: I would, however, do a pregnancy test and repeat the pregnancy test in about a week to make sure that a window period hasn't missed. The brain-ovary-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Hormonal irregularit: Many factors can influence your cycles. Diet, weight changes, stress, medications to name a few. Depending on your age and how long your symptoms ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: Repeat the test in a week for safe measure. If doubts still remain, ask your doctor/provider about undergoing a blood test.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: Implantation bleeding can present in several ways.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Inflammation: The differential diagnosis (e.g. list of possibilities) is vast. Many times, such changes are reactive (e.g. irritation caused by inflammatory change... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
First one: Your initial LMP date sounds pretty accurate. Stick with it.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Yes: All things in moderation, however. Good luck!
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Changing positions: This can help to temporarily shift some of the pressure from the sciatic nerve.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Tetralogy of Fallot: I think there's one more part to the classic presentation.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Stephen Pappachen
Obstetrics and Gynecology 23 years experience
Irregular menses: Estrogen has a proliferative affect on the endometrial lining. Of course, if this is being done to mitigate menopausal symptoms, one can expect such ... 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
772
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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