Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 40 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
Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Submit a review for Dr. Sashikala HandeYour feedback matters!
Hi. I'm a 23 year old female. Recently I was diagnosed with polycystic ovarian syndrome. My doctor prescribed me dronis 20. For three months. My major concern is my weight gain. I have an upcoming wedding in my family in a month. And I have been doing cardio and other exercises since three months and I have a controlled / healthy diet too. I run for 6 kms every day. But nothing is helping me reduce my weight. My weight has reduced only by 1 kg in past three months. My doctor isn't prescribing me any pill to lose weight. Kindly suggest me a way out to lose the weight. I was 53 kgs and now I'm 61 kgs. It's getting really frustrating not seeing any results even after putting in the hard work.
I am 24 years old Female suffering from hairfall problem. I have polycystic ovarian disease and gas trouble. I have consulted doctor 2 years back. He has suggested me to avoid oil food, masalas,sweets. Although I am maintain my diet, I have used everything natural like herbal oils, castor oil ,the problem (HAIRFALL) repeats.
Hi Sex with prostitute on october with condom and which was not break and tested on March on almost 6 month with hiv 1&hiv2 antibody rapid test result non reactive so shall I move on as my friend didn't test his status? And aids helpline also told me that I'm hiv free (negative)
She was having her regular periods (menstrual cycle) but dis month her period date was on 15th but till now her period has not occurred. I knw she is not pregnant but wht may be the possible causes of that?
Hello doctor My sister got married last year and she is not able to conceive yet all the test are normal. But before marriage she has gone through hsg. Now what is the cause of late pregnancy. Please reply.
Hi every one. I am 22 years old , i consult a doctor to confirm my pregnancy but she say that i have a thyroid problem so that its effects to have pregnancy . How can i escape from this thyroid which is the best way to solve this thyroid problem plz kindly give me a best suggestion
My wife is suffering from breast cancer tumer size 2.5 cm lymph nodes 18 involved and removed can it be cured chemotherapy was administed 8 cycles complesed suregery completed radiation thearapy will be advised and thereafter er and pr i. E, harmonal treatment will be given after all these treatment breast cancer will be completely wiped out.
Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.
There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.
Common Treatments for pulmonary hypertension:
- Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
- Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
- Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
- Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
- Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
- High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
- Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
- Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
- Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
- Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
- Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.
- Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
- Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.
- The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
- Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
My periods get delayed because of doing yoga-maharasanam before doing yoga my periods is regular after doing yoga only my periods get delayed what should I do.
Leucorrhea or excessive discharge per vagina can be a troublesome problem for many women. At certain times in the menstrual cycle the vaginal discharge is normally increased as in mid-cycle and just before the periods. This is normal . However if the discharge is smelly or excessive warranting use of sanitary towels or panty liners or associated with vulval/ vaginal itching it needs to be investigated.
Abnormal vaginal discharge associated with the above symptoms may be due to local infection. It may also be related to poor health, mal-nutrition, constipation, worm infestation , anaemia, local trauma and allergy to local soaps and deodrants.
If the discharge is persistent it is very important to consult a Gynaecologist who may prescribe antibiotics, creams, pessaries and sometimes get swabs done.
It is important to keep the area clean using plain water and dry One should avoid any form of soap/ dettol/ detergent and powders and perfumes in that area as it is very sensitive. Also general health should be improved and anaemia and mal-nutrion should be corrected. Deworming may be required. A local wash like V-wash can be applied once in a while locally that helps maintaining local pH. Drinking adequate water daily is also very important.
I have some kind of wounds around my nipples that may be due to some allergy because of which I scratch a lot which in result is spreading. I have tried everything like aloe vera gel, olive oil, ice mask but nothing worked out. Please prescribe me some ointment or medicine Thanks.
Hi doctor what is prolactin doctor told to me test at breast I have to worry for please tell me I have 1 baby she us almost 3 years now I stopped feeding last September So please tell me waiting.
I have pcod problem. Treatment start last one year I have tha tablet cycloment and ovjen dsr but not pregnancy. Y?Am loss tha wait 10 kg how what I do. So sad.
Pain during labor is different for every woman. It ranges widely from woman to woman and even from pregnancy to pregnancy.
It is caused by contractions of the muscles of the uterus and by pressure on the cervix. It's often not the pain of each contraction on its own that women find the hardest, but the fact that the contractions keep coming and that as labor progresses, there is less time between contractions to relax.
To help with pain during labor here are some things you can start doing before or during pregnancy:
- Educate yourself: Take a birth preparation course class. Ask questions to learn about the different stages of labor so you know what to expect. The better prepared you are the more choices you have during labor.
- Regular exercise: Learn several effective techniques to manage pain during childbirth such as position changes and different breathing methods. Prenatal yoga helps strengthening the entire body, increases flexibility, gives you stamina and relaxes your mind. Join Lamaze classes being conducted at your hospital to educate yourself about the ways you can decrease your perception of pain during childbirth through relaxation techniques, breathing exercises or massage. Exercise regularly, but do not over do and stress yourself.
- Find support: Ask your husband to actively participate along with you in the birth preparation classes. Take his support while you exercise. He too would feel involved.
- Stay well nourished: Pay importance to your diet. Include all the necessary nutrients in your diet and avoid foods which are not recommended during pregnancy. Get in touch with a professional nutritionist to get your ideal diet chart designed.
- Stay calm and positive: Negative thoughts make labor stressful and intensify the pain. Labor transforms you, but you need to harness your mental strengths and stay composed. People may push all kinds of suggestions on you during labor; listen but don't feel you have to go along with them. Choose what you feel comfortable with and find the best option for yourself.
Remember, your ability to endure the pain of has nothing to do with your worth as a mother. By preparing and educating yourself you can be ready to decide how to manage during labor and childbirth.