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Dr. Anand Ambesange

Gynaecologist, Mumbai

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Dr. Anand Ambesange Gynaecologist, Mumbai
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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. Anand Ambesange
Dr. Anand Ambesange is a renowned Gynaecologist in Kandivali West, Mumbai. You can consult Dr. Anand Ambesange at Anand Nursing Home, in Kandivali West, Mumbai. Book an appointment online with Dr. Anand Ambesange 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 35 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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Anand Nursing Home,

1st Floor, Divya Sarjan, 90 Feet Road, Charkop, Kandivali West, Landmarkl:-Near Ganesh Chowk, MumbaiMumbai Get Directions
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I had intercourse with my boyfriend. I am 18 yrs old. The first day it was for 15 seconds and the second day only for 30seconds. 1st day it started bleeding and there was pain in stomach but I took unwanted 72 pill the second day only. Is there still chance to get pregnant?

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
There are many reasons why a woman may bleed after sex. The medical name for this is" postcoital bleeding. Bleeding after sex can be a sign of a health condition, such as: an infection, such as pelvic inflammatory disease (pid), or a sexually transmitted infection (sti), such as chlamydia vaginal dryness (atrophic vaginitis) caused by reduced vaginal secretions after the menopause damage to the vagina such as tears caused by childbirth, or by dryness or friction during sex cervical or endometrial polyps (benign or non-cancerous growths in the womb or the lining of the cervix) cervical ectropion (also known as cervical erosion), where there is an inflamed area on the surface of the cervix. Anytime you experience bleeding during or after vaginal sex when you are not menstruating, it's important to visit your doctor or health care provider to determine the cause. Getting an accurate diagnosis is critical. Even if the bleeding is due to something minor, it? s most likely treatable and better for your peace of mind.
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Sir/madam My age is 24 Sex: male 1st Question: before marriage is their any idea or test whether my wife get pregnant or not. 2nd Question: After sex if my wife not pregnant from lot of years then is their any idea to get my wife as pregnant.

Homeopath, Malappuram
Sir/madam
My age is 24
Sex: male
1st Question: before marriage is their any idea or test whether my wife get pregnant...
Hello, The concept of conceiving or getting pregnant does not depend only on your wife. There is no test to detect whether a woman can get pregnant or not. And as well there is no test to detect whether a man can make a woman conceive or not. Hence, the so called pregnancy I.e. Getting pregnant depends on no. Of factors and that corresponds to both husband and wife. Woman cannot have a child alone. Her husband is also held responsible while having a child. Kind Regards.
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What Are Uterine Fibroids?

MBBS, MS - General Surgery
General Surgeon, Kota
What Are Uterine Fibroids?

A lot of women have uterine fibroids at some point in their life. You may have even had them and never known it. That’s because they often don’t cause any pain or symptoms.

So if you can get them and not have side effects, how do you even know if you have them? And should you be concerned?

What Are They?

Uterine fibroids, which your doctor may call leiomyomas or myomas, are muscular tumors that can grow on your uterus. They rarely turn into cancer, and if you get them it doesn’t mean you’re more likely to get uterine cancer.

Fibroids can vary a lot in size, shape, and location. They can show up in your uterus, uterine wall, or on its surface. They can also attach to your uterus by a stalk- or stem-like structure.

Some are so small that your doctor can’t even see them with the naked eye. Others grow in big masses that can affect the size and shape of the uterus.

Uterine fibroids usually appear in women of childbearing age -- generally between 30 and 40 years old, but they can show up at any age. They’re also more common in African-American women than in white women, and tend to show up earlier and grow quicker in African-Americans, as well. Doctors don’t know why that is.

What Are the Symptoms?

Some women may find out they have uterine fibroids because their doctor discovers them during a routine exam or ultrasound. You may be different, though.

If you do have symptoms, they might include:

  • Heavy bleeding or painful periods
  • Bleeding between periods
  • Pressure, pain, or fullness in your lower stomach
  • Enlarged abdomen or uterus
  • Constipation
  • Needing to pee often or trouble emptying your bladder
  • Pain during sex
  • Miscarriages or infertility

What Causes Them?

Experts don’t know exactly why you get fibroids. Hormones and genetics might make you more likely to get them.

Hormones. Estrogen and progesterone are the hormones that make the lining of your uterus thicken every month during your period. They also seem to affect fibroid growth. When hormone production slows down during menopause, fibroids usually shrink.

Genetics. Researchers have found genetic differences between fibroids and normal cells in the uterus.

Am I at Risk?

Besides age and race, there are a few other things that can raise your chances of developing uterine fibroids, such as family history. You’re more likely to get fibroids if your mom or sister has had them.

Many other things can contribute to your chances of getting uterine fibroids, including:

  • Getting your first period at a young age
  • Birth control use
  • Vitamin D deficiency
  • Eating too much red meat and not enough green vegetables, fruit, or dairy
  • Alcohol

Can I Prevent Them?

No, but there is some research that suggests certain lifestyle habits can reduce your chances.

One study found that high-sugar diets may be linked to a higher risk in some women. Another study found that eating fresh fruits and cruciferous vegetables like arugula, broccoli, cabbage, cauliflower, collard greens, and turnip greens could lower your odds. Cruciferous vegetables are rich in beta-carotene, folate, vitamins C, E, and K, and other minerals. They’re also full of fiber.

Regular exercise also can lower your chances of uterine fibroids.

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I am pregnant. My last period 20 jun. I have found sometimes 2-3 drops of light color of blood watery. It happen sometimes. Nd normally came white discharge. So I am asking this is normal or not.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am pregnant. My last period 20 jun. I have found sometimes 2-3 drops of light color of blood watery. It happen some...
If discharge is blood stained it's not normal get checked for infections and get ultrasound done for assessment of growth of baby you may need medicines plus bed rest plus abstinence to sustain pregnancy.
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All About Back/Neck Pain!

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
All About Back/Neck Pain!

What is the cause for my back/neck pain?

The most common cause of back/neck pain is strain or injury due to bad posture during the daily routine activities like sitting, bending forwards and lifting weights etc. Lack of regular exercise to the back and abdominal muscles, age related wear and tear changes in the discs and bones in the spine, obesity are other contributory factors. Severe wear and tear changes (degenerative changes) in the spine can lead to instability and pain that is worse on certain activities. Mechanical back pain usually gets better with bed rest.

A small percentage of patients have a serious problem like a fracture, infection or tumour in the spine causing the back pain. Any pain that is not relieved by rest or is worse at rest, pain that wakes you up from sleep should be considered serious and that needs a consultation with your doctor.

What should I do when I have significant back/neck pain?

If the back/neck pain is not very severe and is of a short duration, then complete bed rest for two to three days will help reduce the pain significantly. Applying ice packs and light massage with a pain balm/gel is helpful. Consult your doctor if the pain is severe, running down in to the legs/arms, not getting better with rest, night pain, if there is numbness/tingling sensation or weakness in the limbs, is associated with fever, or if the pain started after a significant injury/fall. Thorough clinical evaluation by the doctor will help identify those with possible serious causes of back pain and further investigations are advised accordingly.

Is my back pain due to a kidney stone/problem?

Possible. But not always.

Kidney problems, especially renal or ureteric stones can lead to pain in the mid and lower back, usually limited to one side, often pain radiating down to the groin or lower abdomen. There are certain indicators to differentiate pain coming from kidney or other organs in the abdomen from the pain originating in the spinal structures. In general, spine related pain is mechanical i. E, it is worse in positions where the spine is loaded like while in upright posture, walking or bending or getting up from reclined position and generally gets relieved by resting in reclined position.

Pain from the kidneys can start suddenly in any position, can be waxing and waning and may not change related to a particular posture. It may not get relieved by rest and can be severe even while reclined. These are only general indicators and it is always better to check with your doctor and get the right treatment advise.

I have back/neck pain even though my mri says my spine is normal! why?

A very common cause of back or neck pain is bad posture related stress to the spinal structures that happens during the daily routine activities. Sitting/standing posture, especially at work, has a major role in producing significant pain and disability even though the x rays/mri of the spine may be normal.

Bad sleeping posture can lead to pain in the neck/back. Sleep is important to allow the spine to recover from the daily stresses it undergoes while we are awake. Reduced sleeping time and lack of proper sleep can lead to accumulated stress in the spine and result in pain. Lack of adequate exercises to keep the spine flexible and muscles strong is another important factor leading to pain.

So, right posture and regular exercises are the two most important treatments to prevent such pain from troubling you.

Other structures close to the spine can also lead to back pain. So if the mri of spine is normal, further evaluation might be ordered by your doctor depending on the clinical picture.

Is my back pain due to the spinal/epidural injection that was given in my back many years ago for an abdominal or leg surgery?

No. It is a common perception that the spinal / epidural injection that was given in the past for anaesthesia purpose is the cause for back pain. Many patients associate their back pain to that injection as they remember it as painful event and think that the present pain is related to that procedure. Spinal anaesthesia related back pain doesn't usually last more than 3 to 4 days and almost never beyond one week. So the back pain that continues beyond one week or that starts much later after the spinal anaesthesia is not because of that injection and it needs evaluation by your doctor to find the right cause and treat appropriately.

Is my back pain due to my body weight / pot belly?

Overweight is an important factor contributing to back pain, especially in the lower back. Excess weight and a large belly lead to some changes in posture. The pelvis tilts forwards and the lumbar spine is also pulled forward and this posture can lead to back pain due to additional stress on the spinal joints and muscles. Lack of exercises weakens the back and pelvic muscles and contributes to the problem. Back pain due to other problems in the spine can get worse if overweight is associated. Weight reduction and core strengthening exercises in obese people are helpful in reducing the back pain.

I have back pain. Is it due to slipped disc/disc prolapse?

Not necessarily. Although disc is a predominant source of back pain, all back pains are not because of a disc prolapse. The other structures in the spine like the facet joints, ligaments, vertebrae (bones) or the muscles of the back can be the cause of pain in the back. Less commonly, pain related to abdominal organs like kidneys or pelvic organs can be perceived as back pain.

Does the disc bulge/prolapse seen on my mri get reversed again naturally?

No. The changes that happen in the disc that lead to the prolapse or bulge are not reversible. They are due to age related wear and tear changes and we all know that ageing doesn't get reversed. But usually, the symptoms and signs that are related to a disc prolapse get relieved with appropriate treatment, although the mri picture may continue to be the same. So the treatment decisions are mostly dependent on patient’s symptoms and signs rather than in mri picture alone. Only if the prolapsed disc is causing persistent symptoms and significant neurological deficits, a surgical intervention is considered.


Is lumbar disc prolapse a cause of erectile dysfunction/impotency?

Rarely a large lumbar disc prolapse can result in severe compression of lumbar spinal nerves causing numbness and weakness in both lower limbs and loss of urine and bowel control - a condition called “cauda equina syndrome”. It is only in this condition that a disc prolapse can affect the erectile function. An erectile dysfunction in isolation, without other neurological symptoms and signs, cannot be caused by a disc prolapse.

Does the disc problem affect the ability to become pregnant in future?

No. A disc prolapse/bulge doesn’t affect the ability to get pregnant. But, there is a possibility that the back pain due to a preexisting spinal problem may get worse during pregnancy due to the extra weight that is carried and the relaxation of ligaments of pelvis and spine that occurs as a result of pregnancy related changes.

Does it help to sleep on the floor/hard surface without a bed to cure back pain?

No. It is not advisable to sleep on the floor when there is a back problem. Sleeping on the floor when there is significant back pain can actually make it worse as you need to put an extra strain on the spine while getting up from the floor. Sleeping on the regular cot with a firm mattress is alright. It is advisable not to sleep on a very soft mattress that doesn’t support the spine well and can aggravate the back pain. Do not use a thick pillow or multiple pillows while sleeping as it can cause or aggravate neck/upper back pain. A thin pillow or a rolled sheet supporting the neck is an ideal kind of head rest.

I exercise only when I get back/neck pain!

Many patients say this when asked about any exercise they do. It is not advisable to start exercise when there is significant back or neck pain. But it is essential to start exercises after the pain subsides, to prevent the pain from coming back again. Exercises can help strengthen your spinal muscles, increase flexibility and protect you from recurrent episodes of pain. So it is important to keep exercising when there is no pain, to keep the pain from coming back and troubling you. So do not start exercising when there is pain.

I am 32 yrs. Old & my husband is 35 yrs. Old. I got married 2013. I have polycystic ovary & menstrual cycle is 31 days. After marriage we no planning about baby so he ejaculate outside after intimate relation. But last year from August he ejaculate inside me after that september & december my periods skip. But january & february are normal periods. We have no idea proper timing for conceiving. My periods start on January 10th; 2016 & February 9th 2016. please advise how fast I conceive a baby.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 32 yrs. Old & my husband is 35 yrs. Old. I got married 2013. I have polycystic ovary & menstrual cycle is 31 day...
Since you have a 30 -32 days of cycle, so your fertile period will be around 10th day of your cycle till 20th day. In this duration there are maximum chances of conception. Also considering your age, get these tests done on day 2 of cycle fsh lh amh tsh prolactin and usg lower abdomen. Since you have pcod also, it may take time in conceiving naturally. Start doing some weight loss exercise if you are overweight, if will enhance your fertility also.
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If any person is doing sex wearing a condom. Then it is safe from having sexual transmitted disease.Please suggest.

MBBS
General Physician, Trivandrum
Yes. Using a condom reduces the risk of transmission of sexually transmitted disease to a significant degree, since it is transmitted through body fluids. You should always use protection while having intercourse to prevent stds.
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5 Homeopathic Remedies for Bad Breath!

Bachelor in Homoeopathic Medicine & Surgery (BHMS)
Homeopath, Dhanbad
5 Homeopathic Remedies for Bad Breath!

Bad breath is a dental problem which could also emanate due to poor digestion. It can also be experienced as a side effect of other ailments as well as medications. Smoking and bad diet may lead to this and it usually becomes a matter of low self-esteem as time goes by. Homeopathy is one of the most natural forms of medication, treatment and wellness when it comes to such problems that affect the lifestyle of the patient. These medicines usually combine very small doses of naturally found elements so as to cure an ailment or condition. Yet, it is important to remember that one must get a prescription for these medicines from a professional medical practitioner.

Read on to know more about the types of homeopathic remedies available for bad breath.

  1. Merc Sol: If your bad breath problem also comes with symptoms like a moist mouth or constant dribbling, then this medicine may be prescribed. This usually happens when the salivary glands become too active and produce more moisture than what the mouth can handle on a normal basis.
  2. Pulsatilla: This medicine is usually prescribed if the patient complains of a dry mouth along with a bad breath problem. This helps in treating related symptoms like the lack of proper hydration due to the lack of thirst. Not drinking enough water can also lead to the problem of dry mouth and thereafter, a bad odour from the mouth.
  3. Kreosote: This medicine is considered as a very effective medication for bad breath, especially if the bad breath takes place due to caries in the teeth. This medicine can also help patients who are experiencing bleeding gums along with caries and bad breath.
  4. Hepar Sulphur and Carbo Veg: The combination of these two medicines is known as one of the best when it comes to treating bad breath. The other symptoms that call for the prescription of these medicines include Gingivitis or gum infection related problems and symptoms. When there is bleeding and pus in the gums due to the infection, then this medicine is usually prescribed. Excessive salivation is also another symptom that is treated by this medicine combination. Hepar Sulphur can be used if there is a throat-related infection or ailment that can lead to the problem of bad breath.
  5. Carbolic Acid: A homeopathic doctor will usually prescribe this medicine if the problem of bad breath is accompanied by intense and perpetual pain in the abdomen. The patient will also complain of gas in stomach due to the ailment that affects the stomach in such cases. This gives rise to many symptoms including bad breath. Loss of appetite is also treated by this medicine. If you wish to discuss about any specific problem, you can consult a Homeopath.
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I take two pregnancy test both are positive. Can thyroid problem cause false positive. Can you please suggest .my periods are regular .tsh level is just 0.16 increase than normal i.e,5.66 normal is 5.5.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I take two pregnancy test both are positive. Can thyroid problem cause false positive. Can you please suggest .my per...
There are less chances of two test coming false. To confirm it you will. Need to take further specific tests. USG can be helpful.
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