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Dr. Sahin Fathima

Gynaecologist, Hyderabad

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Dr. Sahin Fathima Gynaecologist, Hyderabad
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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. Sahin Fathima
Dr. Sahin Fathima is an experienced Gynaecologist in Medivision Eye And Health, Hyderabad. You can meet Dr. Sahin Fathima personally at Rohan Hospital in Medivision Eye And Health, Hyderabad. Book an appointment online with Dr. Sahin Fathima on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 37 years of experience on Lybrate.com. Find the best Gynaecologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Rohan Hospital

#229/2RT, 2nd Building, Vijayanagar Colony. Landmark: Opp. to Vijaya Bank, HyderabadHyderabad Get Directions
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My first day of period was on 4th Dec 2016. I had an unprotected sex on 15th and I took an ipill on 15th itself. Again on 17th, it was unprotected and I took an ipill but after sometimes I had vomited. I am not sure if the second ipill that I took stayed or not or will the first one have its effect till 17th. Please help.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My first day of period was on 4th Dec 2016. I had an unprotected sex on 15th and I took an ipill on 15th itself. Agai...
If you have taken ipill then do not worry. You should wait till your periods. And do not take these medicines again and again. They have very harmful effects. So use protection always if you do not want pregnancy.
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Acute & Chronic Pyelonephritis - How Can It Be Treated?

MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Jaipur
Acute & Chronic Pyelonephritis - How Can It Be Treated?

Acute pyelonephritis is a suppurative inflammation of the renal parenchyma and the renal pelvis. It is a potentially life threatening condition caused by bacterial infection. It can occur suddenly and causes the kidneys to swell, which may damage them permanently too. If the condition occurs repeatedly, it is termed as chronic pyelonephritis.

The most common bacteria involved in causing pyelonephritis is Escherichia coli. Other causative bacteria are Klebsiella and Pseudomonas. Infection starts in the lower urinary tract as a urinary tract infection. Urethra provides an entry for the bacteria, which enter the tract and begin to multiply and spread up to the bladder. They further travel through the ureters to the kidneys. Any septic infection in the bloodstream can also spread to the kidneys and cause acute pyelonephritis.

How it spreads - Pyelonephritis spreads through two routes, homogenous or from the lower ascending tract (ascending infection).
Risk factors -  Urinary obstruction, vesicoureteral reflex, catheterization, pregnancy, Diabetes Mellitus, age over 65.

Symptoms - The symptoms are observed within two days of infection. Common symptoms include:

  • High fever of a temperature greater than 102 degree F
  • Pain in the pelvic region
  • Burning sensation during urination
  • Flank pain
  • Malaise
  • Presence of pus discharge or blood in the urine, fishy odor in urine and vomiting.

The symptoms observed can vary in children and older adults than they are in other people. Mental confusion is common in older adults and it often is their only symptom. In chronic pyelonephritis, people experience only mild symptoms or may even lack noticeable symptoms altogether, which is the major reason of negligence by the patient towards treatment. Flank pain in the abdomen and signs of infection can be observed.

Diagnosis - Uncentrifused urine is analyzed for the presence of pus cells. The leucocyte esterase dipstick method is used to check for Pyuria. However, it is less sensitive than microscopy. In the urine culture, significant bacteriuria is detected on presence of more than 105 colonies/ml of the sample. Imaging studies can be done to check for the presence of kidney stones. Amongst the inflammatory markers, the values of C-reactive protein (CRP), ESR, and plasma viscosity may be raised. An elevated white cell count with neutrophilia is seen on blood culture.

Complications - Abscess formation in either the kidney parenchyma or the surrounding retroperitoneal spaces is a common complication. Other complications include the development of a xantho-granulomatous or emphysematous pyelonephritis. In severe cases, there can be chronic renal failure too.

Treatment - The duration of treatment depends on spread of infection. Empirical antibiotic treatment can be started until the confirmatory tests reports of culture and sensitivity are observed. Antibiotics like Ciprofloxacin, Amoxicillin, Cefixime can be given. Medications for acute pyelonephritis are continued for up to 3 weeks, whereas for chronic conditions medicines should be given for 6 months.

Chronic pyelonephritis - It is a morphologic entity which is associated with a predominant interstitial inflammation and scarring of the renal parenchyma. There is a grossly visible scarring and deformation of the pelvic-calyceal system. Chronic pyelonephritis further leads to chronic renal failure.

The two forms of chronic pyelo-nephritis are

  • Chronic obstructive pyelonephritis, where obstructive lesions lead to recurrent bouts of renal inflammation
  • Reflux nephropathy.

Management includes controlling blood pressure to slow the progression of chronic kidney disease, long term antibiotic coverage for urinary tract infection, removal of calculi and antibiotic prophylaxis for vesico-ureteral reflex.

2830 people found this helpful

Her delivery date 23rd march 2016. And LMP Date 16.06. 2015. Now we consulting with gynaecology doctor in our nearest. Taking tablets too as suggested by doctors. Now she feels morning time white discharge like water (not smell and also we check weather it is curd like its not like that) what should she do for that please suggest.

MRCOG, MD -gynaecology, obstretition, MBBS
Gynaecologist, Ghaziabad
Her delivery date 23rd march 2016. And LMP Date 16.06. 2015. Now we consulting with gynaecology doctor in our nearest...
Your wife is near term. White discharge like water could mean that her water nag may have broken. This would mean labour. So go to your obstetrician immediately.
1 person found this helpful
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My amh is low 0.68.is there any medicine to increase amh level. And improve egg quality. .married life 4 years. Not even conceived once in 4 year married life. Very worried about that.

BHMS
Homeopath, Chennai
My amh is low 0.68.is there any medicine to increase amh level. And improve egg quality. .married life 4 years. Not e...
Anti-Müllerian Hormone, or 'AMH' as it is often called, is a hormone which is given off by developing follicles, which are egg sacs containing immature eggs.  AMH naturally decreases with age as the ovarian reserve is depleted, and women in their 40s frequently have low AMH results. IVF Will be painful and expensive too ,a homoeopathic constitutional treatment whereas will give you a permanent cure in minimum dose itself , You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
5 people found this helpful
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I am having period of 26th August of this month I want to get pregnant my question is that after period what is the exact time to conceive a baby.

BAMS
Ayurveda, Bangalore
I am having period of 26th August of this month I want to get pregnant my question is that after period what is the e...
Hi, Normally, ovulation occurs between 12th to 15th day of a normal 28-30 days cycle. Have sexual contact between 6th Sept to 9th Sept daily. This is your ovulation period.
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Is there any symptoms of getting pregnant before missed periods? Kindly give examples of symptoms, if any.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Is there any symptoms of getting pregnant before missed periods? Kindly give examples of symptoms, if any.
There is no symptom of pregnancy before the menses. Most important symptom is missed period. There r other symptoms but all of them appear 2 weeks after the missed period. Those r nausea, vomiting, breast fullness and increased urination. If you have a missed period then you should get urine pregnancy test done at home after 7 days of missed period to confirm it.
1 person found this helpful
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Male Infertility and its Treatment

MBBS
Sexologist, Indore
Infertility is defined as failure to conceive after 1 yr of unprotected intercourse, affects 15% of couples within the reproductive age group and male partener is contributory in half the case.
Infertility has significant social impact on india. Evaluation of male should occur simultaneously with female partner when there is no pregnancy after one year of regular unprotected intercourse. Semen ananysis is not a test of fertility. Fertility is couple related phenonmenon. The patient can not considered fertile only on the basis of normal semen analysis. It was shown that 30% of patients with normal semen analysis have abnormal sperm function. Semen anaysis should be performed according to 2010 who guidelines.
Male fertility problems ranges from decreased production of sperm (oligospemia) motility defect (asthaenospermia) morphology defect (teratospermia) or non-measurable level of sperm (azoospermia) which is diagnosed in 2% of general population. Azoospermia is one of the major reproductive disorders which causes male infertility in humans. Genetic factors are responsible for 1/3 rd case of azoospermia. There are two types of azoospermia obstructive and non-obstructive.
Obstructive azoospermia is defined as absence of spermatozoa in the ejaculate despite normal spermatogenesis and affects 6%-13.6% of infertile male while non-obstructive azoospermia is most severe form of azoospermia which affects 10% of infertile male.
Sperm retrived can be achieved in case of azoospermia through pesa (percutaneous epididymal sperm aspiration) mesa (microscopic epididymal sperm aspiration) tesa (testicular sperm aspiration or micro tese (microscopic testicular sperm extraction).
The appearance of 5 th edition of who manual (2010) is radical shift in understanding fertility in men. The 5 th edition of the who manual for semen analysis includes for first time reference values for human semen characteristics. Sperm counts >15 m are considered normal which means fertility is possible although it is imp to remember that higher values up to >140 m are known to increase fertility probability, values between 15-140 m represents a category of male subfertility.
Introduction of icsi (intracytoplasmic sperm injection) or testtube baby has brought hope for men when severe male factor infertility and provide them chance to become biological fathers.
3 people found this helpful

MD - Obstetrtics & Gynaecology
Gynaecologist, Jamnagar
Know your body, time when u ovulate is the time to b careful to avoid pregnancy,ova survives for 48 hours inside your body waiting for sperm.
9 people found this helpful

World Food Day

Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
World Food Day

On this world food day, lets all take an oath that not to waste the food at any circumstances, will support the needy for food, will donate a wholesome of food that will satisfy atleast a person's hunger per day.

2 people found this helpful
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