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Dr. Pragnesh Shah  - Gynaecologist, Ahmedabad

Dr. Pragnesh Shah

85 (121 ratings)
MD, MBBS

Gynaecologist, Ahmedabad

33 Years Experience  ·  250 at clinic  ·  ₹350 online
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Dr. Pragnesh Shah 85% (121 ratings) MD, MBBS Gynaecologist, Ahmedabad
33 Years Experience  ·  250 at clinic  ·  ₹350 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. Pragnesh Shah
Mission, Vision, Core Values , Hospital information Mission: We seek to achieve excellence and improvement with the help of state of the art technology in Gynecological Endoscopy for safe and speedy recovery of our patients like our family members and transparency by providing CD/DVD of recorded surgery. We shall contribute in innovation and latest advancement in women health care and other medical to facilitate spread and affordability in India as part of our social responsibility We shall be catalyst and provider of preventive health education to inculcate better health values and awareness for disciplined life style. We shall create an organization that shall be ever changing and ever-growing with objectives of creating value for, employees and other medical and non medical associates by giving them opportunity for personal and professional growth Vision: To be one of the best and renowned in the world, for Gynecological Endoscopic Surgery & Infertility management. Over the years achieve similar position in other related specialties of women health services. To serve the community with flawless outcome and world class patient care to become the first choice for local and global patients for high end tertiary care. To play active role in fostering medical education in the country to create pool of talent. Core values: All our actions shall be based on foundation of: scientific evidences,human touch, ethics, integrity, trust and high morals. Hospital Information : Hospital is India based Advanced Gynecological Laparoscopic #Training and six months FOGSI-ICOG #Fellowship & Center for Excellence for most of the Gynecological Endoscopic Surgeries. #Dr.Pragnesh Shah & his wife Dr.Parulben Shah are #experiencedlaparoscopic Surgeons & they have experience of most of the #advancedGynecologicalSurgeries with world class infra structure of #D Laparoscopy Surgery in Ahmedabad for any difficult & #complicatedlaparoscopicsurgeries. Many complex and complicated cases are referred to him from neighboring areas for treatment. He has an excellent reputation for his services, and he has received many honors. He is well known in scientific and social Gynaecological groups and has held many executive posts in surgical and laparoscopy associations at Local, State, National levels. For more detail visit at http://www.laparoscopyexpert.com Dr.Pragnesh Shah is an experienced laparoscopic Surgeons & he has experience of most of the advanced Gynecological Surgeries with world class infra structure in Ahmedabad for any difficult & complicated laparoscopic surgeries. Many complex and complicated cases are referred to him from neighboring areas for treatment. He has an excellent reputation for his services, and he has received many honors. He is well known in scientific and social Gynaecological groups and has held many executive posts in surgical and laparoscopy associations at Local, State, National levels. For more detail visit at http://www.laparoscopyexpert.com Dr.Pragnesh Shah- Experienced Gynaecological Laparoscopic Surgeon and Laparoscopic Trainer with experience of more than 25 years

Info

Education
MD - B.J. Medical College, Ahmedabad - 1989
MBBS - B.J. Medical College, Ahmedabad - 1985
Languages spoken
English
Hindi
Professional Memberships
ahmedabad medical association-AMA
Ahmedabad Obstetrics & Gynaecological Society-AOGS
Federation of Obstetrics & Gynaecological Society of India-FOGSI
...more
Indian Association of Gynaecological Endoscopist-IAGE
American Association of Gynaecological Laparoscopists-AAGL
International Society of Gynaecological Endoscopists-ISGE
Indian College of Obstetrics & Gynaecology-ICOG
Indian Society of Reproductive Technology-ISAR
Indian Menopausal Society-IMS

Location

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Jyoti Hospital & Minimum Invasive Surgery Center

1st Floor, Oceanpark, Satellite Road, Near Naherunagar Char RastaAhmedabad Get Directions
  4.3  (121 ratings)
250 at clinic
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Patient Review Highlights

"Very helpful" 22 reviews "Well-reasoned" 5 reviews "knowledgeable" 17 reviews "Professional" 2 reviews "Helped me impr..." 4 reviews "Practical" 1 review "Caring" 6 reviews "Inspiring" 3 reviews "Thorough" 1 review "Nurturing" 1 review

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Is it mandatory to intake the contraceptive pill ‘overall l’ on the 5 th day of menses itself? Otherwise will not it be effective?

MD, MBBS
Gynaecologist, Ahmedabad
Is it mandatory to intake the contraceptive pill ‘overall l’ on the 5 th day of menses itself? Otherwise will not it ...
You have to to start taking oral contraceptive pill from 3rd/4th/5th/6th day of menstrual cycle for achieving its desired effective contraceptive effect in that particular cycle.
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Hi, I am 25 years married for 7 months now, I menstruate every month and sometimes it's painful but sometimes I feel just ok. I find it hard to conceive I've not taken any medication. My doctor told me to use M2 Tone to help in conception which I started drinking syrup today 18th Sep 2018. How long should I continue drinking syrup in order to conceive quickly?

MD, MBBS
Gynaecologist, Ahmedabad
Hi, I am 25 years married for 7 months now, I menstruate every month and sometimes it's painful but sometimes I feel ...
Strat health life style by daily morning excercises, yoga and time for reading positive thinking daily. Try to do quality sexual relations with partner daily, I think you should concive naturally very shortly.
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Laparoscopic Vaginoplasty - With Absent Vagina, Can She Have Her Own Genetic Baby With MRKH Syndrome?

MD, MBBS
Gynaecologist, Ahmedabad
Laparoscopic Vaginoplasty - With Absent Vagina, Can She Have Her Own Genetic Baby With MRKH Syndrome?

Patient’s parent’s visits to us when their daughter does not menstruate after the age of 15-17 years of age for her fertility concern & for planning surgery before her marriage. This operation is advised for Phenotype female i.e. normal secondary sexual characters & Genotype XX.

Objective:

In-patient with absent uterus is evaluated for associated renal malformations by USG & SOS IVP. As compared to commonly practiced method (skin graft from thigh & putting on neo vagina) patient’s on peritoneum is utilized for covering neo-vagina for Vaginoplasty. Vaginal space is dissected in usual way from below and laparoscopic access helps in avoiding injury to bladder & rectal injury.  This technique gives two cms wide vagina & 8-10 cms long vagina and good quality of sexual function and patient discharged on the next day with minimum postoperative care. This surgery requires lot of experience & expertise.

Benefits of Laparoscopy Surgery:

  1. Shorter Hospital stay,
  2. Earlier return to your routine work,
  3. Cosmetically vary small scar,
  4. Less pain after operation,
  5. Best fertility enhancement & Fertility results following Laparoscopy,
  6. Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
  7. The possibility of post-operative adhesion formation will be less, and the possibility of pain because of post-operative adhesions will also be less.  

The special advantages with our technique are:

    • Next day discharge,
    • No plastic surgery for skin graft so no post-operative dressings,
    • User friendly post-operative care by patient by using vaginal stent every night following operation till she starts actual sexual relation with her husband 6 weeks after laparoscopic Vaginoplasty.

Pre-operative Check Lists:

  • Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.); Pelvic Trance vaginal USG report for renal malformation.
  • Operation planned at about 1.5 to 2 months prior to her proposed Marriage.
  • Enema & preparation/shaving of local parts.

No. Of Cuts on Abdomen:
Three cuts: all of 5 mm size.

Average Stay in Hospital:
24 hours. 

Average Duration of Surgery:
40-60 minutes

Average Blood loss during Surgery:
10-30 cc

Average time after operation to resume normal activities/work:
Within 24 hours.

Anesthesia:
General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery)

Operative Procedure:

Inside the Umbilicus small needle is introduced and Co2 gas is insufflated inside abdomen. Rather than creating a large incision and opening up the body, tiny incisions are made and a laparoscope is inserted. This slim scope has a lighted end. It takes pictures – actually fiber optic images - and sends them to a monitor so the surgeon can see what is going on inside. 


Performing laparoscopy usually only requires three tiny incisions less than one half inch, (about 5-10 millimeters) in length. One incision is made inside the navel, and another is usually made near the bikini line. The first incision allows a needle to be injected into the abdomen so carbon dioxide gas can be pumped inside the cavity of the abdomen, which helps to keep intestines & omentum up and away from organs. This allows the surgeon a better view and more working space to maneuver the laparoscope and surgical tools as needed. Using small incisions rather than opening the abdomen lessens recovery time as well as discomfort and makes surgical scars less noticeable.

Vaginal space is dissected in usual way after putting Folly’s catheter in urethra and rectal probe in rectum by 3 cms long incision at labia minora.  Laparoscopic light & pnumo helps during vaginal dissection. Peritoneum is cathched with two artery forceps, opened from below under laparoscopic guidance and edges of the catched peritoneum is circumferentially mobilized down till we can take tension free stitch with dissected & pulled peritoneum & labia minora by few No1/0 Vicryl figure of ‘8” stiches. Then vagina is closed with mop to prevent leakage of pneumoperitoneum from below and laparoscopically neo fornices are created at the level of pelvic brim by purse string stitches taken to close vaginal upper end with No-1 Vicryl stitch & approximating with extra corporeal knot. This technique gives two cms wide vagina & 8-10 cms long vagina and good quality of sexual function and patient discharged on the next day & with minimum requirement of postoperative care.

Post-operative Course:

 

  • Patient remains drowsy/sedated for 2-3 hours after laparoscopy but conscious & pain free.
  • Patient can take fluids 3-4 hours after laparoscopy & light food after 4-6 hours.
  • She may feel little abdominal & shoulder pain after laparoscopy for 24 hours but it cam be relived with pain killer tabs.
  • Most of the patients can walk normally without support and can take normal diet 6-8 hours after the laparoscopy.
  • She can be discharged on the same day of the operation.
  • Few patients may feel nausea & vomiting after laparoscopy, which can be very well controlled with injection in post-operative room.
  • Folly’s catheter is removed on next day.
  • Patient is advised to prepare vaginal stent from 10/20 cc syringe with gauze pieces applied around it and then condom is applied on it and then xylocaine jelly with soframycin applied on stent –which is advised to put the same in vagina gently every night, till she starts actual sexual relation 45 days after operation.
  • Patient can do her normal activity within 24 hours after laparoscopy. Patient is advised to take antibiotics & analgesic tabs. for 5 days following laparoscopy.
  • Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately.
  • Patient is advised to come for follow up 7 days after the Laparoscopy for dressing.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3742 people found this helpful

Tell me the possible days of sexual intercourse for pregnant after and before her period? I need your help here, I am a newly married man ,it's just 2 months completed. Now, we want a child and so give me the possible days of sex to become 100% pregnant.

MD, MBBS
Gynaecologist, Ahmedabad
Tell me the possible days of sexual intercourse for pregnant after and before her period? I need your help here, I am...
Every women starts having menstruation around the age of 12 to 14 and stops menstruation around the age of 40 years. From 14 years to the age of 40 years, if she has 28 days menstrual cycle, the day she gets period is called 1st day of menstrual cycle, accordingly on 14th day- ovulation takes place. Couple should do daily sexual relations, especially around the ovulation time- 14th day of menstrual cycle + & - 5 days should be spared for quality sexual relations for natural conception. It should not be programmed sex at the timing of ovulation but natural qualitative sexual relations is important. If frequency is less or any quarries regarding sexual process - foreplay - erection - penetryouration - ejeculation - you should ask to doctor and should be cleared from your mind. If you are trying for more than one year and not getting results, you should contact gynaecologist for further g.
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Diagnostic Hysteroscopy - How Can It Be Of Help?

MD, MBBS
Gynaecologist, Ahmedabad
Diagnostic Hysteroscopy - How Can It Be Of Help?

Indications:

  1. Primary Infertility
  2. Secondary Infertility
  3. Investigating & treating a case of B.O.H.
  4. Investigating & treating Abnormal bleeding P/V
  5. Investigating & treating case of mass inside the uterine cavity

Objective:

Hysteroscopy is the commonest type of work up in the entire Infertility patient along with Diagnostic Laparoscopy. Only diagnostic hysteroscopy is the commonest work up recommended before IVF. We record Hysteroscopy diagnostic & operative procedure for future important record in Infertility patient, for second opinion & for deciding future treatment protocol. 

Benefits of Hysteroscopy Surgery:

  1. Shorter Hospital stay.
  2. Earlier return to your routine work.
  3. Cosmetically no scar on abdomen.
  4. Less pain after operation.
  5. Best fertility enhancement & Fertility results following hysteroscopy
  6. Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
  7. Patient discharged within 2-4 hours after procedure.
  8. Patient can resume to her normal routine work within 12-24 hours after the procedure.

Pre-operative Check Lists:

  1. Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.Etc.); Pelvic Trance vaginal USG report.
  2. Specific Investigations for Infertility (Endocrine, Blood, Genetic, Husband’s Semen report etc. If The couple is infertile)
  3. Operation planned from 4th to 10th day of Menstrual Cycle.
  4. Preparation of local parts.
  5. No. Of Cuts on Abdomen: Nil 

Average Stay in Hospital:
2 to 4 hours. (DAY CARE SURGERY)

Average Duration of Surgery:
2 to 10 minutes

Average Blood loss during Surgery:
Negligible

Average time after operation to resume normal activities/work:
Within 12-24 hours.

Anesthesia:

General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery)Procedure:Patient is given general anesthesia. Patient is put on lithotomy position. Local parts cleaning & paintings with antiseptic solution & draping are done. After P/V examination cervix is checked with uterine sound. For Diagnostic hysteroscopy after removing the air, hysteroscopy (varsascope/1.9 mm/ 2.9 mm Hysteroscopy along with irrigation of Normal saline is introduced inside the cavity. Systemically both corneal openings, cavity, both lateral walls and anterior & posterior wall of the uterine wall is noticed for any lesions or normalcy. For operative/therapeutic hysteroscopy cervix is dilated up to 7mm / 10 mm for introduction of Operating hysteroscopic sheath or resectoscope for operative hysteroscopy. Hysteroscopy requires dilatation of the uterine cavity to create working space inside the uterine cavity and flushes both fallopian tubes with high pressure fluid helps in achieving very good fertility enhancing results following Hysteroscopy in infertility patients. Addressing all the infertility related lesions like broad septum from the fundus, intra-uterine adhesions, polyps or tubal cannulation helps us in treating infertility patients in the same sitting
                        
Post-operative Course:

Patient remains drowsy/sedated for 1-2 hours after hysteroscopy but conscious & pain free. Patient can take fluids 1-2 hours after hysteroscopy & light food after 2-4 hours. She may feel little discomfort after hysteroscopy for 6-8 hours but it can be relieved with pain killer tabs. Most of the patients can walk normally without support and can take normal diet 6-8 hours after the hysteroscopy. She can be discharged on the same day of the operation. Few patients may feel nausea & vomiting after hysteroscopy, which can be very well controlled with injection in post-operative room. Patient can do her normal activity within 12-24 hours after hysteroscopy. Patient is advised to take antibiotics & analgesic tabs for 5 days following hysteroscopy. Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately. Patient is advised to come for follow up 7 days after the next period or on the day for IVF protocol & preparation for IVF. In case you have a concern or query you can always consult an expert & get answers to your questions!

3819 people found this helpful

Hi I am 2 months pregnant. When I scanned I got to know I have huge fibroids. 10*9 cm in anterior wall. .5*3 cm in posterior wall will thus affect to my baby development. Please reply.

MD, MBBS
Gynaecologist, Ahmedabad
Hi I am 2 months pregnant. When I scanned I got to know I have huge fibroids. 10*9 cm in anterior wall. .5*3 cm in po...
There are three varieties of fibroid in uterus. One outside the uterus called Subserous, one in the wall called intramural and one to words endometrium called submucus fibroid. Pregnancy outcome depand upon location of fibroid and size. In existing pregnancy if it's not causing any symptoms or problems - just wait and pray god for smooth 9 months. We can do cs with fibroid and no problem to fetus. But fibroid leads to pregnancy loss or degeneration and severe pain we have to plan future laparoscopic fibroid surgery after delivery/abortiin/premature delivery.
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Diagnosed with pcod. Pcod care medicine twice daily till 6 month. One month passed then also getting white discharge with every visit to toilet and full day feeling tired and fatigue. How to lose weight. I have 1.5 years old daughter.

MD, MBBS
Gynaecologist, Ahmedabad
Diagnosed with pcod. Pcod care medicine twice daily till 6 month. One month passed then also getting white discharge ...
Please do following guidelines your PCOD and weight will control everything :- If you have PCOD then following guidelin. Get USG done for diagnosis You need Life style modification for PCOD for whole life, You should do physical activities like brisk walking or cycling or any activities which leads to perspiration daily for one hour. Start doing for 5 minutes in first week, 10 minutes in 2nd week, 15 minutes in 3rd week within 2-3 months you will reach to your target of doing exercises for one hour/day. You have to control taking high carbohydrate and lipid diet daily. E.g. If you want to take one SAMOSA or One Gulab Jamun or one pizza or ice cream, you have to do extra workout for 30-60 minutes over above the daily one hour of daily exercises then only you can eat extra calories food otherwise not. So controlling calories intake and daily burning calories regularly wil help to loos one kg/month- slow and steady control over long period. With PCOD if your BMI remain between 20 to 25 everything will be fine otherwise you will develop Gestational diabetes duri.
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I am 27 years old. Not married yet. My Dr. said that you have pcos because my right ovaries volume is more than 10 cc exact. It is 13 cc. All hormonal tests are normal means within range. My menses are regular. Only flow is sometime less .i am overweight around 18 kg and I have facial hair problem from my childhood. Only change is the thickness and volume which is greater than before. My query is .is it pcos nd what should I do to reverse pcos?

MD, MBBS
Gynaecologist, Ahmedabad
I am 27 years old. Not married yet. My Dr. said that you have pcos because my right ovaries volume is more than 10 cc...
Don't worry about PCOD but for hair and irregular menstrual cycle if you will reduce your weight by 10 to 20 % everything will be alright before your marriage so please follow If you have PCOD then following guidelin. Get USG done for diagnosis You need Life style modification for PCOD for whole life, You should do physical activities like brisk walking or cycling or any activities which leads to perspiration daily for one hour. Start doing for 5 minutes in first week, 10 minutes in 2nd week, 15 minutes in 3rd week within 2-3 months you will reach to your target of doing exercises for one hour/day. You have to control taking high carbohydrate and lipid diet daily. E.g. If you want to take one SAMOSA or One Gulab Jamun or one pizza or ice cream, you have to do extra workout for 30-60 minutes over above the daily one hour of daily exercises then only you can eat extra calories food otherwise not. So controlling calories intake and daily burning calories regularly wil help to loos one kg/month- slow and steady control over long period. With PCOD if your BMI remain between 20 to 25 everything will be fine otherwise you will develop Gestational diabetes duri.
1 person found this helpful
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Hello, My problem is that my amh level is only 0.08 and my one ovary is block and right one hole is very small. I want to know in that case, can I get pregnant. My age is 32 years old and its been 8 years of marriage. What should I do? Can I take homeopathic treatment? Please help.

MD, MBBS
Gynaecologist, Ahmedabad
Hello, My problem is that my amh level is only 0.08 and my one ovary is block and right one hole is very small. I wan...
Get antral follicle count on 3rd day of menstrual cycle by trance vaginal sonography for understanding your ovarian reserve for natural conception.
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Hi Sir, My fibroid size is 3.4*3.0 cm. Is the fibroid is so big Dr. And if I stop the femiprista 5 mg tab without complete it course then have any side effects or problem? And my next period date is 4th of July. So help me.

MD, MBBS
Gynaecologist, Ahmedabad
Hi Sir, My fibroid size is 3.4*3.0 cm. Is the fibroid is so big Dr. And if I stop the femiprista 5 mg tab without com...
Along with size, more importantly site of fibroid decides your issues. Subserous fibroid may not have any problems. Intramural fibroid more than 4 cms may cause some problems Submucus fibroid in the cavity really causes symptoms which compels you to take medication or Laparoscopically or hysteroscopic removal of fibroid for various symptoms. You can stop tablets at anytime but optimum effect only observed if taken for minimum 3 months in terms of reducing the size and symptoms.
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