Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Planning on getting pregnant can involve taking steps that will help you in having a safe and fulfilling pregnancy and subsequent childbirth. It is important to indulge in preconception planning so as to ensure that you are in the pink of health and ready to go through the process of bearing and birthing a child in the best possible manner. Indulging in this stage is also a way of looking out for your unborn child and ensuring that he or she gets the best conditions during and right after pregnancy. So how can you tell if your body is ready for pregnancy? Here’s a quick list for you!
Type of Birth Control: In the preconception stage, it is important to ask what kind of birth control you have been using. This will make it easier for you to estimate your cycles and know when you will be due for your period once you stop the pill, so that you know roughly when you will be ovulating. Usually, for most birth control pills, the time lag is about two weeks which gives you plenty of time for the menstruation cycle to get back to its normal course.
Vaccinations: You will need to check whether or not all your vaccinations are current and up to date. Before you start trying for conception, it will be best to get these vaccinations done as many of them cannot be taken once you have conceived, due to side effects like fever and more, which cannot be treated with regular allopathic medication once you are pregnant. Remember to specially check about vaccinations for German Measles and Chickenpox, which can prove to be fatal if they strike during pregnancy or the post-natal period, when the immunity of the body dips.
Chronic Medical Conditions: If you have chronic medical conditions like hypertension or diabetes or any other such ailment, then you will need to get your weight, blood pressure, blood sugar level and other such vitals to a normal level before you conceive so that you do not have to deal with the side effects of such medication that can be caused during pregnancy.
Supplements: You may have to change or switch the doses and medicines that you have been taking on a long term basis so as to make way for prenatal vitamins which will also help in preventing neural tube anomalies that can strike the baby if the development of the same does not happen properly in the very first month after conception.
While you are at it, you should also consider talking to your doctor about any family history of birth defects and anomalies to know your risk and chances.
We are planning a baby. Can you suggest that what time we should make relation that she can get pregnant.
I've recently had intercourse 1 month ago & since that day I have weird bad smelling discharge & a bit of itching. I wake up sometimes to back, stomach, rib pain but it's sometimes. Can it be Yeast infection, BV, STD, or HIV?
I have been TTC from 1 year. But not get pregnant .from three months we are under treatment like clomid cycle. But not succeed. Doctor said me to do an HSG test. But am allergic to pain killers so doctor cancel the HSG test. What will be next step? Why I am not getting pregnant. All the other checkups are fine.
Hi Taking multivitamins 'can raise risk of a miscarriage Mothers-to-be a third more likely to lose baby if taking supplements in six weeks before conception - what does this mean? Is it true doctor? My friend had a miscarriage in April n she is not anemic. But past from 20 days she had taken iron n folic acid tablet. Will it harm her in next pregnancy? When can she plan?
I am 25 weeks pregnant with twins. I am having sharp and constant pain in my upper abdomen just below the breasts. It is on left side and almost constant from last two days. What can be reason behind it and what I am supposed to do. please guide.
Hypertension or high blood pressure in itself is a problem where the patient may have the risk of getting a stroke or heart attack! When it combines with pregnancy, the situation may worsen. However, it is not always that hypertension during pregnancy is dangerous, but if care is not taken it may be fatal.
Is hypertension during pregnancy really dangerous?
When a woman has hypertension, either before conception or after it, she has risks of certain complications that may occur during pregnancy.
With high blood pressure, the blood flow to the fetus is not normal; it decreases. Thus, the fetus does not get enough nutrients that it must get.
Getting fewer nutrients may result in low birth weight as the baby will not receive enough nutrients.
When the baby is not getting enough oxygen and nutrients through the body, your doctor may suggest getting pre-term delivery.
Another emergency may occur if the placenta detaches itself from the uterus before maturing. Placental abruption sometimes can be very dangerous.
For delivery of a pregnant woman with hypertension, doctors generally prefer a Cesarean delivery.
Another tough situation is preeclampsia that can be life threatening for both baby and mother. It may lead to cardio vascular problem for the lady in the future life.
There are different types of issues that occur due to high blood pressure that occurs either before pregnancy or during pregnancy.
Types of High Blood Pressure During Pregnancy.
Chronic Hypertension: This type of hypertension occurs in a woman before she conceives. It may also develop during the first two trimesters of pregnancy.
Gestational Hypertension: If the high blood pressure develops after 20 weeks of pregnancy, it is gestational hypertension and after birth, this problem goes away.
Preeclampsia: Both chronic and gestational hypertension may lead to preeclampsia. This is much serious than other situations and the level of protein in urine increases. It is required to take quick action for this type of problem.
Taking medication for hypertension during pregnancy: During pregnancy, it is important to keep a check on every medication that the mother takes because each and everything affects the baby. However, it is necessary to treat high blood pressure and keep it under control. There are certain medicines that are not dangerous during pregnancy, but certain medicines like angiotensin receptor blockers and others may be dangerous.
Thus, it is better to take advice from a Doctor before the mother takes any medication.
Finally, a pregnant woman should always consult her physician if she has chances of getting high blood pressure.
My wife had two cysts in ovary both the sides. Last year in october we went to forte shalimar bagh and she was operated and both the cysts were removed. But last month when we again checked through ultrasound, two cysts on both ovary sides have come again. Now she is unable to conceive as we are trying for the same from the last one year. We have eight years baby boy but wanted to have one more but unable to go for it. What should we do now?
Ovaries are a part of a woman’s reproductive system. The primary function of ovaries includes producing ‘ova’ or eggs and secreting hormones such as progesterone and estrogen. Cysts are fluid-filled sacs that form the ovaries; they usually do not cause any symptom and are not painful.
There are primarily two types of ovarian cysts:
1. Follicle cysts: During a woman’s menstrual cycle, the egg develops in a sac known as the follicle. Under normal circumstances, the sac breaks open and releases the egg. When this doesn’t happen, fluids start accumulating in the follicle to form a cyst.
2. Corpus luteum cysts: Follicle sacs dissolve after releasing the egg, but in some cases, these sacs remain and the opening of the sacs gets sealed. It again results in fluid accumulation, leading to the formation of corpus luteum cysts.
Usually, cysts do not cause any symptom. If the size of the cysts increases, they may cause symptoms such as stomach pain, pain during bowel movements and sex as well as pelvic floor pain. The breasts may become tender and one may experience rapid breathing. Other symptoms of ovarian cysts are fever, nausea and dizziness. Usually, rupturing of a cyst leads to these symptoms surfacing; hence you would know when exactly to call the doctor.
The treatment options for ovarian cysts are:
- Laparoscopy: Laparoscopy is carried out if the cysts are small in size. An incision is made close to the navel, through which an instrument is inserted to get rid of the cyst.
- Birth control pills: For chronic ovarian cysts, oral contraceptives are prescribed to stop the ovulation process in order to arrest the formation of cysts.
- Laparotomy: In case of large cysts, this procedure is recommended. A relatively bigger incision is made in the abdomen, through which the cyst is removed.
Ovarian cysts, if left untreated, can certainly cause infertility. Pre-menopausal women and who suffer from frequent hormonal imbalances in the body are the most vulnerable to this condition. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Maine iui krwaya hai. Kya isme pregnant hone ke. Chance confirm hote hai mujhe iui ke bad se hi pet me halka sa pain hota hai aur heavy lgta hai to kya ye sahi hai.
Hi. I am trying to conceive for 2nd baby last 3 months. What food diet I have to follow to get conceive.
I am 35 weeks pregnant. At 27 week my doc performed TIFFA scanning and the result is normal. But when I went to check up yesterday they perform usg ob scan and sexologist told that AFI level is 4.8 and there is light sweeping in baby's kidney nd also said that its nothing to worry. My gym suggest me to take alamin injection day by day and arginine granules daily. And now I am worrying about my baby is can go when the afi level increases? And till now I don't have any complications and its my first pregnancy I am 25 years old. Please tell me is it normal?
Vaginal discharge is also known as Leucorrhea. The flow of leucorrhea can be smooth or lumpy and sticky. This is a normal phenomenon that affects all women but may increase or decrease with age and when travelling. Vaginal discharge is the body’s way of removing dead cell and toxic material from the vaginal tract. It requires medical attention only when it changes colour and becomes darker or when the flow increases to a point where it cannot be stopped even when using a sanitary napkin.
There are a number of reasons why this flow may become excessive. These include:
- Infections: The vagina is very susceptible to fungal, bacterial and parasitic infections. These infections can be promoted by poor hygiene, the use of synthetic underwear and unprotected sexual intercourse. An increase in vaginal discharge is usually one of the first signs of a vaginal infection.
- Injury: Giving birth to a child, having an abortion or excessive sexual intercourse may irritate the lining of the vagina and cause an injury. This in turn can trigger leucorrhea.
- Diseases: Diseases such as diabetes or anaemia may weaken the immune system and trigger vaginal infections causing an excessive discharge. A UTI (Urinary Tract Infection) or worms in the stomach may also spread infection to the vagina.
- Contraceptives: Contraceptive sprays and jellies used during intercourse can irritate the vagina and cause excessive discharging. In some cases, irritation of an intra-uterine contraceptive device can also cause discharge and pain.
- Bad hygiene: Not changing your underwear often enough, forgetting to change tampons or sharing public toilets can also increase vaginal discharge.
Leucorrhea can be prevented by keeping the genital area clean and dry, wearing cotton underwear, avoiding the use of cosmetics on the genital area and having safe intercourse. Drinking plenty of water will also help flush toxins from the body and control the flow of vaginal discharge.
If left untreated, this condition can spread to the uterus, fallopian tubes and cervix and can trigger pelvic inflammatory disease. In the case of post-menopausal women excessive vaginal discharge can also be considered a symptom of cervical cancer and hence must be analysed as soon as possible. However, this condition can be easily treated at home. Avoid eating sugar, hot and spicy food and alcohol to treat discharge. Eating curd can also help treat vaginal discharge as it contains lactic acid that cools the body. Also, avoid stress and strain as this can increase the discharge. If you wish to discuss about any specific problem, you can consult a gynaecologist.
One of the silent diseases in the female population, endometriosis can be symptomless for years and sometimes even decades, but can sometimes manifest itself quickly. The uterus is lined on the inner side by a tissue known as endometrium. When this tissue is found in other parts (fallopian tubes, abdomen, near the ovaries, etc., it is known as endometriosis.
Causes: The exact cause for endometriosis is not clear. There is a possibility that during the regular period, there could be spilling of the tissue back into the fallopian tube, from where it reaches the ovaries or other organs and gets implanted.
There are certain predisposing factors for a woman to develop this condition, including genetic correlation and non-menopausal women. The female hormone estrogen is essential for the development of endometriosis. There are also immunological reasons attributed to the development. It can range from minimal to mild to moderate to severe.
Symptoms: From being completely benign to causing severe pain, endometriosis can present itself in varying ways. The implanted tissue can be minimal like a small lump to large clumps. The symptoms are not dependent on the size of the implanted tissue, however,
- Painful menstruation: One of the most common causes of non-menstrual cramps, the pain is different from usual menstrual pain, starts a few days before the period and can last up to after the period.
- Pelvic pain: One of the most common causes of pelvic pain, this can happen wherever the implanted tissue is. In severe cases, this tissue can also bind different organs, forming what are called adhesions. The bladder or the bowels may adhere to the uterus. These are more painful than individual lumps of tissue outside the uterus.
- Intermenstrual bleeding: There could be spotting to severe bleeding between the regular cycles.
- Painful sex: There is a deep pain within the pelvis and it can lead to losing interest in sex.
- Infertility: The most severe symptom and complication is not being able to become pregnant.
Diagnosis: A detailed patient history, discussion on symptoms followed by ultrasound and laparoscopy can help in diagnosing endometriosis.
Treatment: If there is no symptom and fertility is not an issue, then it is possible that no treatment is required. However, depending on symptoms and complications, the following are done.
- If pain is the only main problem, painkillers are administered
- Surgical treatment may be required if there is severe bleeding and adhesions complicating the situation.
This will also relieve other symptoms:
- Hormone therapy is also an option for treating endometriosis.
- If you are having pelvic pain and irregular bleeding, bring it up with your doctor. Even if it is not endometriosis, a thorough check up will put your mind at rest. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Doctor I had sex on 11 march in morning and after 5-6 hrs I had unwanted 72 tablets. Doctor I had athletic meet so I rab on 15-16th march. Now I am sensing red discharge today. Doctor also my last period ended on 7th march. Do I need to take pregnancy test?
Pregnancy is that situation in a woman’s life when she is expecting her newborn, and her body is preparing itself to support the baby in the womb. Gaining weight is a common problem and that may lead to complications during pregnancy.
Thus, when you are pregnant, it is necessary that you keep a check on your weight and see that obesity does not affect you or your baby’s health.
To control weight during pregnancy it is necessary that you
Keep check on diet and,
Keep a check on diet:
During pregnancy, you will get lots of suggestions from everybody about what to eat and what not to. Even you too will feel like eating this and that. What you should follow is what your doctor suggests. You need to be very careful about the food that you eat. There should be proper diet. The following tips will be useful.
Do not eat junk food as they contain oil and sugar that increase your weight. Thus, avoid junk food.
Do not keep your stomach empty, keep eating after some time and eat in small portions. Instead of having three main meals it is better to have five to six meals in small portions. These light meals will help you get the required amount of nutrients and energy but will not be heavy on the sugar level.
Go for a healthy breakfast. There is a common belief that skipping meals will help you reduce weight, but the fact is that you do not lose weight, instead when you skip meals you feel hungry and in the meal that you take later, you tend to eat more. Thus, choose and eat a healthy breakfast that is good for your baby. It will also help you cope with morning sickness.
Drink enough water. It is necessary that you keep your body hydrated during pregnancy. Lack of water is not good for the baby. Moreover, if you drink enough water, you will feel refreshed and even kill extra appetite.
There is a misconception that during pregnancy, you should not exercise. You need full rest. The truth is that exercising will increase the blood flow within your body that is good for the baby. Yes, for morning sickness you may not be able to do exercises but try to do some under proper supervision.
Still, if you find that you are gaining excess weight, then consult your physician.
The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.
One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-
Disruption in the complex hormonal balance.
Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.
Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.
Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.
A rare case of premature menopause.
Problems of the follicle.
Poor functioning of fallopian tubes
Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-
Infection caused by bacteria or viruses
Abdominal diseases like colitis and appendicitis
Previous pelvic or abdominal surgeries.
A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.
Rare congenital defects in which women may be born with tube anomalies.
This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.
Other additional factors may include:
Behavioural factors like personal habits, lifestyle and health factors.
Exercise and diet- extremely overweight or underweight women may have problems in conceiving.
Cigarette smoking reduces the chances of conceiving by one-third.
Alcohol increases the chances of birth defects.
Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.