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Dr. Alisha

Gynaecologist, Mumbai

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Dr. Alisha Gynaecologist, Mumbai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Alisha
Dr. Alisha is a trusted Gynaecologist in Mumbai, Mumbai. You can visit her at Saifee Hospital-Girgoan in Mumbai, Mumbai. Book an appointment online with Dr. Alisha and consult privately on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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Saifee Hospital-Girgoan

15/17, Maharshi Karve Rd, Girgaon, MumbaiMumbai Get Directions
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Hi, doctor I’m Navya my problems is my monthly period I have an program from 31st August to 6th September last month of my period date was 26th of July but still this month it has not happened what to do for this? Please send me the solution.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi, doctor I’m Navya my problems is my monthly period I have an program from 31st August to 6th September last month ...
Hello, If pregnancy is ruled out then the delay is stress induced and you can wait for at least 2 weeks to allow menses to start naturally and then can opt for a progesterone withdrawal.
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I am trying to conceive for a long time. Recently diagnosed with regressing cyst in right ovary. My gynae prescribed me birth control pill for one cycle. I am confused what to do. Shall I take BCP or try to conceive again this month. Please help.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
I am trying to conceive for a long time. Recently diagnosed with regressing cyst in right ovary. My gynae prescribed ...
All cysts do not require treatment. It depends on the size and nature of the cyst. The treatment for pregnancy depends on other factors like sperm count, tubes, hormones etc. Please read, following Last week I got a call from one of my patients, who conceived after long period of infertility. She called me to remind me that, that very days was the birthday of her son, that is the wealth that she gained after long battle. And even the son tried to talk to me over phone with his soft voice. And this success is really rewarding for any Infertility Specialists. So, infertility treatment is actually based on stepwise manner. We initially advise some tests and then advise a treatment. If that treatment fails, we move to next treatment. So, all the time, you have to keep patience. Eventually, majority of the couples will conceive. Don't give up hope. You have to win the race ultimately Introduction When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”. What is needed for pregnancy? In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina. In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm. It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy. Thus, to summarise, pregnancy requires 1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes 2.Transport of these sperms through the sperm conducting ducts from testes to penis 3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina 4.Transport of these sperms from vagina through cervix to the uterus and the tubes 5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries 6.Pick up of the eggs by the tubes 7.Approximation of eggs and the sperms to form the embryo 8.Transport of embryo from the tubes into the uterus 9.Acceptance of the embryo by the uterus and its growth What is Infertility? Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor. It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%. The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage. What causes Infertility? Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned. Thus the common causes may be 1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes. 2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress. 3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out. Treatment of Infertility To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress. In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.
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Can a 25 year old girl with PCOS and irregular periods get pregnant naturally without any treatments?

MBBS
General Physician, Mumbai
Can a 25 year old girl with PCOS and irregular periods get pregnant naturally without any treatments?
A girl with pcos and irregular periods knows her ovulation day ( with repeated ultrasound) than she can plan her sexual activity and can become pregnant without any treatment
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Is Myocyst M is a folic acid tablet because I'm under pregnancy treatment so doctor prescribed this tablet.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Is Myocyst M is a folic acid tablet because I'm under pregnancy treatment so doctor prescribed this tablet.
Myocyst-M Tablet is a drug that helps maintain balanced blood sugar levels in the body. It is used to treat Type 2 diabetes, heart disorders and pcod.
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Took 2 hr GTT in the 5th month of my pregnancy (last week). The following is the result Glucose (F) -80 Glucose (1 hr) -112 Glucose (2 hr) -101 Urine glucose (1 hr) - (+) Urine glucose (2 hrs) -(+) Pls tell me if it's normal. What does this (+) mean for urine glucose? Do I have chance of getting gestational diabetes?

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Endocrinologist, Pune
Took 2 hr GTT in the 5th month of my pregnancy (last week). The following is the result Glucose (F) -80
Glucose (1 hr...
Repeat urine sample. Stop eating sweets and decrease the intake of sugar or sugary products. Though GTT is normal, but it's always good to take care.
1 person found this helpful
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My fiancee has longer period cycle. Avg of 38-39 days. What can be the reason for that?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My fiancee has longer period cycle. Avg of 38-39 days.
What can be the reason for that?
Hello, She should get evaluated for PCOD, hyporthyroidism and hyperprolactinemia, but in most cases stress remains the primary cause of delayed menses.
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Iam 29 years in this month end iam getting married so I have one query need to avoid pregnancy up to 1 yr. In my first nte what precautions I need to follow whether condoms or pills just suggest me.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Iam 29 years in this month end iam getting married so I have one query need to avoid pregnancy up to 1 yr. In my firs...
Condoms have more failure rate. Also you will have to stay dependent on your partner's decision. If you want a method which you yourself can handle, and with much more efficacy then try oral pills, the specific one that suit you.
2 people found this helpful
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I have Problem in pregnancy. Stomach ache, Back pain, Restlessness, Laziness. Please advise me

MS - Obstetrics and Gynaecology, DNB
Gynaecologist, Delhi
I have Problem in pregnancy. Stomach ache, Back pain, Restlessness, Laziness. Please advise me
Start taking vitamin c tablets and becosule along with iron and calcium tablets. Have a regular walk for at least half hour daily.
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I am thirty seven year old, married having three children. Having bulky uterus size 13.5 and facing heavy bleedings and sufferer of pain at left side of uterus. Please suggest me.

DGO, MBBS
Sexologist,
You have option of putting a hormone containing device inside uterus to decrease bleeding. Consult a gynecologist.
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Am 23 years old, I had my last periods on 12 DEC I had sex on 28 DEC I took ipill 29 afternoon am not getting my periods which is to be on 8 of Jan .am I pregnant, if am how should I remove pregnancy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
Am 23 years old, I had my last periods on 12 DEC I had sex on 28 DEC I took ipill 29 afternoon am not getting my peri...
Hello, on taking unwanted tablet, no chance of pregnancy, wait for 3-4 days more, do urine pregnancy test to confirm, don't worry.
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