Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 43 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Prakash Kini
Management of Abortion
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
Submit a review for Dr. Prakash KiniYour feedback matters!
I am 21 years old. I had sex. On the fifth day of my period with out any protection and still my next period date has not come I am feared about pregnancy. I want to consult some one about it.
Impact of sexually transmitted infections on women health:
Stis are sexually transmitted infections that are globally becoming more common. Every year millions of stis are passed from person to person primarily through sexual contact. This is undoubtedly because more and more people are having sex, often with different partners, and aren't taking the necessary precautions to prevent the spread of sexually transmitted infections.
There are so many different types of diseases that can be spread by touching, oral sex, penetrative sex, sharing needles or even through child birth, so you need to be so careful when having sex that you avoid ever contracting this type of disease. Most stis are curable with medication; however some, like hiv, can never be cured. Additionally, not all stis carry noticeable symptoms so you could have a sexually transmitted infection and not even know you've got it. This is why it's so crucial to get yourself checked out at a sexual health clinic if you are sexually active, to make sure that you don't have any nasty infections.
The organisms that cause the diseases usually enter the body through open membranes, such as the vagina, anus or mouth. Stis can be caught through intimate contact with someone, especially through anal, vaginal or oral sex, however some are also transmitted without sexual activity.
Chlamydia: an extremely common and fast spreading sexually transmitted infection. Unfortunately, many people (especially females) have no symptoms at all, so it's often difficult to detect. Men often experience more symptoms than women, however this is not always the case. Chlamydia is particularly dangerous if left untreated as it can cause infertility in women, so it's so important to get yourself checked even if you haven't experience any symptoms.
Gonorrhoea: gonorrhoea is caused by a bacterium that grows and multiplies very quickly in moist areas of the body such as the cervix, urethra, mouth or rectum. For women, the cervix is the most common site of infection. The disease can also spread to the fallopian tubes in a woman and other genital organs, which can cause conditions such as pelvic inflammatory disease that may also lead to infertility. It is most commonly spread through genital contact, however it can also be passed through oral sex and if a mother is infected she can easily pass it to her new-born infant during delivery.
Genital herpes: genital herpes is a highly contagious condition caused by the herpes virus. It infects the skin and membranes around the genitals, but it can also appear around the mouth, especially on the lips. It is transmitted generally through physical or sexual contact. Often you can have the virus, but not show symptoms. Symptoms usually include spots around your genitals or mouth.
Hiv and aids: aids is a potentially lethal disease that is caused by the hiv virus. Hiv invades and destroys the immune system, which protects the body from infection. This means that a person who carries the hiv virus is easily prone to catch many different illnesses, and may die from diseases that are harmless to healthy people, such as a cold or a cough. Hiv can be transmitted not only through sexual activity, but also by sharing needles or having blood contact with someone who has the disease.
Genital warts- warts are caused by the hpv virus, and are often not detected straight after you have transmitted the disease. Many months can pass from the time of infection to the actual development of warts, so it may be very difficult to determine whom you got them from. They can easily be treated by cream from the doctor.
Syphilis: if left untreated, syphilis is a dangerous and life-threatening disease. It is passed on through intercourse and almost all other forms of sexual interaction, including anal sex. The first symptom often appears between 9-90 days after exposure to the germ that causes it, and a small lump develops at the site of infection that soon breaks down to form an ulcer; usually painless. There is a secondary stage (characterised by fever, rashes and throat ulcers) and a tertiary stage, in which the germ may attack the brain and other organs and may cause death.
In order to avoid catching a sexually transmitted disease, there are a few things to bear in mind:
The fewer sexual partners you have, the lower your risk of infection;
Most sexually transmitted diseases can be avoided by practicing safe sex (using condoms);
You should avoid from having casual sex, as this increases your risk of coming into contact with an sti;
Both you and your partner should always get tested at a sexual health clinic before engaging in condom-free sex (using the pill is only a preventative against pregnancies); there is nothing wrong with getting tested at a sexual health clinic, as it's always better to be safe than sorry.
Polycystic Ovary Syndrome, abbreviated as PCOS in women actually refers to the formation of multitudinous cysts in their ovaries caused by rapid overpopulation of a hormone called Androgens. Excess Androgens are released due to the production of a much higher level of insulin in the blood, which the body is unable to effectively utilise. Women affected with PCOS tend to have irregular or no menstruation at all. They are usually obese and have acne and hairfall complications.
If PCOS is not restrained on time, it might lead to endometrial cancer, heart diseases, diabetes or high blood pressure. Therefore, a balanced diet is paramount.
Here is how you can assist your self :-
WHAT TO ADD?
Fibre rich vegetables like cauliflower, broccoli, pumpkin, potatoes and sprouts. In case of PCOS, one should have a diet rich in green leaves like lettuce. Other food items like lentils and beans; almonds and berries and pepper (green and red) can be consumed.
Lean protein such as chicken, fish and tofu are helpful in case of PCOS. Anti-inflammatory foods and spices such as turmeric and tomatoes; spinach, walnut and olive oil; as well as fruits like strawberries and blueberries are beneficial.
WHAT TO SUBTRACT?
Foods with high glycaemic index like white rice; mashed potatoes; cakes and muffins should be avoided in case of PCOS.
Sugary snacks and beverages which might stimulate insulin levels in the blood should be steered clear from. Inflammatory foods such as processed and raw meat, pasta noodles and French fries should be strictly stayed away from.
Dairy and soy products should also be consumed in minimum quantity.
Other Changes Since most women suffering from PCOS are overweight, exercise and daily physical movement is very crucial. Any person afflicted by PCOS should maintain a low inflammation diet and ensure nominal sugar intake. PCOS induces stress, therefore practicing Yoga and/or speaking with a therapist are noteworthy options.
Hi I'm 19 years old me and my girlfriend is 18 years old had unprotected sex and after 2 3 hrs she took I pill she's scared she'll get pregnant. What we should do now? Another question one I pill is enough? To prevent pregnancy Tell me please what should I do now.
About 85% of couples get pregnant within one year, but 1 in 7 couples take longer than a year to get pregnant. The good news is that you can improve your fertility in 7 simple steps in less than 4 weeks:
1. Control Your Weight
2. Timing of Intercourse
3. Improve HIS health
4. Test Your Fertility
5. Eat Healthy
6. Reduce Stress
1. Control Your Weight
Being under or overweight decreases your fertility, and maintaining an optimal weight improves your fertility. The best way to find out whether you weigh too much or not is to calculate your body mass index, the BMI.
Losing some pounds is cheaper than expensive fertility treatments , PLUS with a betterw eight you decrease major pregnancy complications and significantly improve your chances having a healthy baby. So why not try it first?
Timing of Intercourse in Relation to Ovulation
First of all do you know your fertile days? Do you ovulate? Do you hav e a regular menstrual cycle?
Your fertile days are the 5-6 days leading up to ovulation and the day of ovulation. Many couples don’t seem to realize that you need to make love regularly to improve your fertility. That means making love regularly throughout the menstrual cycles and more frequently, probably every 24-48 hours during your fertile days.
The egg can only be fertilized for about 24 hours after ovulation but sperm can live in the lower portion of a woman's reproductive tract up to five days. You can potentially increase your chances of conceiving by making love during the 2-3 days prior to ovulation.
Finding out when you ovulate is the key:
Create your own Fertility and Ovulation Calendar
Chart your basal body temperature (BBT)
Chart your fertility signs like symptoms and cervical mucus:
Use Ovulation predictor kits (OPKs)
3. Improve HIS Health and Get Him Tested
It takes two to get pregnant. Over 50% of infertile couples have a male issues. Which means that if he doesn't have enough sperms or his sperms are not healthy enough then your chances getting pregnant significantly decline. Do a sperm count and find out if his sperms are healthy and if he has enough of them. Follow these ten tips to improve his sperm count.
Get him checked for varicocele
Remove all toxins from his diet
Add a vitamin and herbal supplement to his diet
Make him lose weight if he is overweight
Keep the testes cool
4. Test Your Fertility at Home
There are several easy ways to quickly assess major aspects of your fertility at home.
Do a Basal Body Temperature Fertility Chart
Check your LH levels
Measure his sperms
Check your vaginal pH
5. Stay Away From Bad Stuff and Eat A Healthy Diet
Alcohol and smoking decrease fertility, make it less likely to get pregnant and increase pregnancy complications once you get pregnant.
Stop smoking. It is common knowledge that smoking is bad for your health, but studies have also shown that women who smoke are less fertile than those who do not. Also, women whose mothers smoked during their pregnancies are less likely to conceive.
Reduce alcohol intake. Drinking alcohol, even in moderation, can decrease fertility. The results of once study show a greater than 50% reduction in the probability of conception when the participants consumed alcohol.
You are what you eat and many doctors now believe a healthy diet PLUS supplements like folic acid can improve your fertility.
So what should you eat?
More monounsaturated fats (like olive oil) and less trans fats (like the kind found in many baked goods or fast foods).
Increase intake of vegetable protein (like soy), while reducing animal protein (like red meat).
More high fiber, low-glycemic foods — like whole grains, vegetables, and some fruits, while reducing the intake of refined carbohydrates and sugars.
Consume moderate amounts of high-fat dairy products — like ice cream, whole milk, and cheese.
No more caffeine. Studies have shown that women who drink excessive amounts of caffeine have delayed conception. In one study, women who drank more than one cup of coffee per day had a 50% reduction in fertility compared to those who did not consume coffee.
Take your vitamins. Especially vitamin E. Women trying to conceive should take a multivitamin or prenatal vitamin in addition to vitamin E. When couples were given vitamin E in one study, their fertility increased significantly.
Try herbal supplements. Herbs like Vitex (Vitamins AND Vitex are in FertilAid), have been used to successfully increase fertility.
The right diet can made a difference because the majority of women experiencing ovulatory dysfunction were also suffering from undiagnosed or sub clinical PCOS (polycystic ovary syndrome), a condition related to insulin resistance that also affects ovulation.
Check your current prescriptions. Some medications can interfere with fertility. Consult your doctor or pharmacist to see if your current medications could be hindering your chances of conception.
6. Reduce Stress
It’s rarely healthy to live with a lot of stress and the relationship between stress and infertility is less clear. But there are several studies showing that reducing stress may improve fertility.
What can you do to reduce Stress?
Get regular massages
Take long weekends off
Listen to music
Read and write journals
Spend more time with your family and friend
Hold hands with your partner
There are some studies done in women with fertility treatments which show that acupuncture can improve fertility. If after a thorough fertility work-up no specific reason for your infertility has been found, why not try acupuncture? There is little harm to use these methods and it can save you money getting pregnant.
I am 4 months pregnant and I am diagnosed wiyh low lying placenta. Please guide me with the precautions.
4 myths on IVF you should stop believing right now
In-vitro fertilisation (IVF) is one of the popular Assisted Reproductive Technologies (ART) for treating infertility and helping couples to conceive. The process involves the fertilisation of the egg with the sperm in a laboratory and thereafter, inserting the embryo formed, into the uterus. But lack of understanding about the topic has given rise to a number of myths such as:
Myth 1: IVF increases your fertility levels
Instead of making you more fertile, IVF stops your natural fertility cycle. This is usually done through hormones that are taken at the beginning of the process. The aim of such an action is to essentially put an end to your natural fertility process and create in its place an artificial cycle.
Myth 2: IVF hormone injections make you prone to uncontrollable emotions
In actuality, IVF hormone injections don’t cause you to suffer from out of control emotions but make you happier. This is because they come packed with the female hormone oestrogen, which produce endorphins (brain chemicals) that give you a sense of wellbeing. The wave of emotions that you end up experiencing is a result of the stress and anxiety surrounding the success of a cycle.
Myth 3: IVF never fails but is always successful
The success of the procedure depends on a number of factors such as quality and quantity of embryos and age. It is said that chances of conception decreases with age, with women above 40 reporting reduced fertility potential as well as success rate. On the other hand, women below the age of 35 have about 41% chance of getting pregnant.
Myth 4: It causes you to have triplets or twins
No, it’s not necessary for multiple births to take place if you opt for IVF. You can reduce the prospect of having twins or triplets by cutting down on the number of embryos that get inserted into the uterus.