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Dr. Dusyanth Barfiwala

Gynaecologist, Mumbai

Dr. Dusyanth Barfiwala Gynaecologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Dusyanth Barfiwala
Dr. Dusyanth Barfiwala is an experienced Gynaecologist in Bandra West, Mumbai. You can visit him at Barfiwala Polyclinic in Bandra West, Mumbai. You can book an instant appointment online with Dr. Dusyanth Barfiwala on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 25 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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How physiotherapy can help through pregnancy and after pregnancy

MSPT (Master of Physical Therapy), BPT
Physiotherapist, Gurgaon
How physiotherapy can help through pregnancy and after pregnancy

Pregnancy and childbirth throw a woman’s daily routine out for a toss. During and after pregnancy is the time when her body undergoes a number of hormonal and physical changes. Mundane tasks like sitting, standing, walking, and working become a challenge.

Research suggests that almost all pregnant women experience musculoskeletal discomfort but around 25% become temporarily disabled because of it. All these occur due to the incredible changes taking place in the body during a normal pregnancy.

Pregnancy discomfort has been accepted as a part of the normal process of pregnancy for years now. But just because you are pregnant does not necessarily mean that you have to accept problems like a backache and pelvic girdle pain as unmanageable. Doctors of today have realized that physiotherapy is the key to enhancing a woman's health during pregnancy. The main aim of physiotherapy is to reduce discomfort, to prepare the body for delivery and to speed-up recovery after childbirth.

Physiotherapy through pregnancy

The basic aim of physiotherapy during pregnancy is to help the body deal with issues related to mobility, musculature, circulation and respiration. Prior to starting an effective antenatal (before birth) program, a thorough evaluation is done to recognize which exercises would be best suited to the woman's needs. These exercises are aimed at strengthening muscles,
decreasing joint pain, correcting muscle imbalances, and increasing the overall range of motion of the body. Therapists may also advise you about correct sleeping positions as your normal sleeping routine may be disturbed during pregnancy.

Here's how physiotherapy deals with some common complaints experienced by women during pregnancy.

Lower back pain: almost all pregnant women experience low back pain, though it tends to become severe after third trimester begins because the woman's centre-of-gravity shifts due to the increase in the stomach size. Lower back pain is treated with manual and passive physiotherapy, back support, postural education, and some pilates exercises. Home exercises are also taught which the women are encouraged to continue at home.

Pain in the sacroiliac joints: sacroiliac joints are present in the lowest region of the lower back. This pain is usually concentrated in the buttock region. During pregnancy, due to excessive hormone release, the body's connective tissues tend to relax so that the muscles can stretch to aid in delivery. This may cause the sacroiliac muscles and ligaments to become excessively mobile, causing extreme joint movements. Due to this, the woman may experience difficulty in lifting the leg, swelling in the joints, pain in the hips, and difficulty while standing and sitting. Strengthening exercises are provided by the physiotherapist to stabilize the joints and hands-on therapy is given to reduce the pain by realigning the pelvis.

Urinary incontinence (due to pelvic floor weakness): progesterone, which is known as the pregnancy hormone, relaxes the muscles of the pelvic floor in order for it to be supple and ready for delivery. Therefore, these muscles can weaken and strain during pregnancy and childbirth, which leads to urinary incontinence (unable to contain or retain urine) and pelvic floor dysfunction. Physiotherapists will teach you strengthening exercises to strengthen the pelvic floor muscles. They may also provide you with a pilates based exercise program to help reduce the muscle weakness that may occur after childbirth.

Sciatica: sciatica is a problem that a lot of pregnant women experience. Continuous pressure or strain on the sciatic nerve can lead to backache, and weakness, numbness and tingling in the leg or associated areas. Physiotherapy uses stretching exercises and manual therapy to relieve you of these symptoms.

Carpal tunnel syndrome: this condition is caused due to build-up of excessive fluid resulting in swelling in the carpal tunnel in the wrist. You may experience symptoms like pain, numbness, tingling, and loss of coordination in your hands and fingers. Physiotherapy techniques such as mobilization, strengthening exercises, stretching, and soft tissue techniques help to reduce these symptoms. In severe cases, a wrist brace may be provided to put on during specific activities to minimize inflammation.

Physiotherapy after pregnancy

Physiotherapy does not stop once your baby is born. It is very much part of post-natal care too. Gentle physiotherapy exercises must be started two days after the baby's birth. However, this must only be done after consulting with your doctor. Most hospitals have physiotherapists who will offer their services before you are discharged. For the first six weeks after childbirth, your body is still in the recovery phase and walking is the best exercise for you. Start with short walks, and then slowly increase time, distance, and speed of your walks, according to your comfort. Swimming is another good exercise, but you can only start with this after you have recovered properly. If you experience any pain and discomfort, discontinue the activity immediately and consult your doctor. After six weeks, with the go-ahead from your doctor, you can start with sports and exercise classes.

Women also experience certain post-natal complications. Here is how physiotherapy helps you recover from them.

Low back pain: physiotherapy techniques such mobilization, stretching, strengthening, soft tissue techniques, and hydrotherapy are very beneficial in reliving post-natal backache. Certain pilates exercises are also helpful.

Weakness of pelvic floor muscles: immediately after childbirth, the pelvic floor muscles are weakened. These muscles can be strengthened by pilates based exercise program and other exercises specific to pelvic floor muscle strengthening, which the physiotherapist will teach you.

Sacroiliac joint pain: this pain can continue after pregnancy too. Strengthening exercises and hydrotherapy can help in regaining normal muscle tone.

Diastasis recti or abdominal separation: generally this condition occurs in women who have undergone multiple pregnancies. A physiotherapist will provide you strengthening exercises to strengthen the abdominal muscles.

A woman's body undergoes incredible strain during pregnancy, and physiotherapy is something that can make the entire process so much easier. It aims not only at your recovery but enhances your body's ability to have a smooth and easy delivery. Physiotherapy makes the experience of pregnancy positive and joyful, just as it should be.

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My ovulation is start. How to utilize it for better result of conception. What I have to do for that I can conceive. Please revert asap.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
My ovulation is start. How to utilize it for better result of conception. What I have to do for that I can conceive. ...
Practise intercourse from day 10 to day 17 of the cycle regularly, especially for 48 hr after ovulation.
2 people found this helpful
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Benefits of Artificial Insemination

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Benefits of Artificial Insemination

There are many reasons why the problem of infertility occurs in many humans. Few of the main reasons of this are the inability of male partner to produce sperms and inability of the fertilized egg to get rooted in the uterus. It is in such conditions that the procedure of artificial insemination is carried out to infuse the sperm into the uterus of the female.

Steps Involved in Artificial Insemination-

There are certain steps that need to be followed before you get pregnant if you are planning on artificial insemination, and that would be of great use in providing an economically safe pregnancy. Artificial insemination is a technique that is of great use to couples who cannot get pregnant. The procedure is simple, but it has its own side-effects. It is a commonly used procedure and which is less expensive than other treatment options for infertility. The success rate of this procedure is about 86%, and a couple needs to make a few attempts to get pregnant.

Need for Artificial Insemination-

The effectiveness of the artificial insemination process plays a vital role for the women having fertility issues, especially while selecting the treatment. Many couples prefer the procedure of Intrauterine Insemination when fertility medicines do not work effectively. The procedure of artificial insemination which is a reproduction technique comprises of introducing the semen into the vagina, uterus, or cervix of a woman without sexual intercourse.

The artificial insemination procedure is made use not only in humans but even for breeding in animals. Sometimes the procedure is done if a woman has a condition called endometriosis or in other words, abnormality in her reproductive organs. The method is also suggested by the Doctors when the real reason for infertility cannot be identified.

Why Artificial Insemination?

The procedure is a great benefit for a woman who is single and desires to have children. The best part is that during the artificial insemination, the sperm used during the treatment is tested for any genetic disorder. This way, it reduces the chance of any disorder being transmitted to the child from a parent. The procedure is much cheaper than natural reproduction, and the main benefit of artificial insemination is that desirable characteristics of the parent are passed on quickly to the child.

Overall, the benefits of this procedure are that it is very effective and prevents any genetic disorder in the child, and the cost of the procedure is comparatively lesser.

2648 people found this helpful

Mam mera period 25 din par aa jata hai is baar 9 ka date tha aj 9 hai par ni aya av tak maine 9 ko hi check kiya prega news me to 2 line show kar raha hai ek dark pink hai ek light pink hai to kya mai pregnent hu mam?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Mam mera period 25 din par aa jata hai is baar 9 ka date tha aj 9 hai par ni aya av tak maine 9 ko hi check kiya preg...
Hello lybrate user if upt test strip shows two lines it means you are pregnant if one line is there it shows negative result. For your confirmation you do usg abdomen you will get exact result.
1 person found this helpful
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Can cysts are completely cured from polycystic ovaries with medicines.

MS - Obstetrics and Gynaecology
Gynaecologist,
Hi , pcod can't be cured permanently but symptoms can be managed with medication & by making important changes in lifestyle. You can send me patient detail, hormone profile & ultrasound and can get more help.
2 people found this helpful
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Importance of Eating Right

BNYS
Acupuncturist, Bangalore
Importance of Eating Right
When you eat right, no need of medicine.
When you eat wrong, no use of medicine.
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My wife is pregnant and had a 15 week USG scan done today. The report mentions in the finding it writes SUGGESTIVE OF CYSTIC HYGROMA size 1.8 cm. Is this condition fatal for the mother or child. Will it effect the growth of the foetus. Will it complicate the delivery. Are there any remedy. Kindly help.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
My wife is pregnant and had a 15 week USG scan done today. The report mentions in the finding it writes SUGGESTIVE OF...
It may be problematic and may not be. No remedy at this stage. Not fatal. Occassionaly may complicate deliver depends on what happens as pregnancy advances and size.
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Last 3-4 years I am suffering from heavy bleeding and pain Dr. advised me to remove uterus but homeopathic Dr. said it can be cured by medicines. I want to know is it true or not? I am 49 years old no polyps or system the uterus.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Hi lybrate user. First of all you would need an ultrasound. If you r having heavy bleeding since 3 to 4 years. You would require a d&c. Management would depend upon the reports.
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What to eat in pregnancy to get a fair baby?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist,
What to eat in pregnancy to get a fair baby?
The complexion of the baby depends on heredity. I don't think eating some special foods may make your baby fairer or darker.
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I am 29 years old male we married 3 years back my is still not getting pregnant what to do?

MBBS
Sexologist, Panchkula
I am 29 years old male we married 3 years back my is still not getting pregnant what to do?
Get your semen analysis test done after three days abstinence from sex. And hysterosalpingography for female to male out tube blockage.
2 people found this helpful
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My wife's period was stop in 14 may & I had unprotected sex on 20 may morning & I ejaculate outside of vagina. After 30 mins my wife's start brown vagina discharge flow is low. Brown vaginal discharge is still coming. Is this a sign of pregnancy or infection? If yes so what is the medicine to stop discharge.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
It is not a pregnancy. If it is brown discharge and having no smell then there is nothing to worry. Just wait & watch.
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How to get rid of bad back pain and leg pains and stomach pain in period times.

BHMS
Homeopath,
How to get rid of bad back pain and leg pains and stomach pain in period times.
Take Magnesium phos pentarken tblets, 2 tabs , every 3 hourly with hot water. Eat calcium rich foods like almonds, sesame seed. eat dark choolates, celery, spinach, pinnaple, banana and tea. Drink plenty of water.
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Muje period nhi hote me 18 saal ki hu. 3-4 month mai kabhi kabhi hote hai. Me vegetable nhj khati hu. So please tell me mam what I do so period coming month by month not gap.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Muje period nhi hote me 18 saal ki hu. 3-4 month mai kabhi kabhi hote hai. Me vegetable nhj khati  hu. So please tell...
Your problem can be due to Anaemia or hormonal imbalance due to stress.I will advice you below given homoeopathic medicinesfor 5-6 months nd surely you will be normal PULSATILLA NIG 30 ( Dr Reckeweg) Drink 5 drops in 1spoon fresh water daily night MENSOAID SYRUP ( BAKSON) Drink 2 sspoons in evening. FERRUM SIP ( SBL) Drink 1 spoon twice daily Things to do 1.Daily intake of green leafy vegetables,salads and atleat 2 fruit from Apple,banaba,pomegranate,papaya,grapes, 2.2 glass milk daily 3.Lots of water daily 4.Have a sound sleep 5.Start taking a good iron supplement
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I have done with the vaginal follicular monitoring and it's show pcod. So what can I do to conceive faster actually trying from the last 6 months.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
I have done with the vaginal follicular monitoring and it's show pcod. So what can I do to conceive faster actually t...
Dear lybrate-user PCOS is a very common hormonal abnormality. So not to worry. All you need to do for achieving pregnancy is to take medications for egg development from the second day of your period and follow it up with follicular monitoring to ensure that the dose of medication you are taking is sufficient enough for egg development. Good luck.
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I am 27 years old and my weight is 78kgs. I had complicated vivax malaria with multi organ failure in 2010. After my recovery I had gained this weight. Before that my weight was 58-60 kgs. My height is 5ft 2inches. I am a bengali and that's why rice is our main food. But I don't eat red meat, pestries, cakes or too much cold drinks and chips. I want to loss my weight and go back to my previous figure with a healthy diet. I am married and want to conceive soon. So I just want to know what should I do to loss my weight and will there be any problem to conceive due to my previous illness? I have no gynecological problem and I have regular menstrual cycle and no other diseases. Please help me. Thank you.

Advanced Aesthetics
Ayurveda, Gulbarga
squeeze a lemon in a cup of warm water. Drink this water as soon as you get up in the morning. Drink lots of water throughout the day, keep yourself well hydrated? drink green tea in the morning. It has antioxidants that help the body to burn fat and detoxify. Eliminate all juice (except natural pomegranate juice) and soft drinks from your diet. Drink only 1 cup of coffee a day? avoid junk food at all cost? start exercising. Do ? hour to 45 minutes of cardio, preferably walking on an incline every day. Do light weight training for upper body three times a week? snack on a small amount of almonds (5 at a time) throughout the day (4 times a day maximum)? take a good quality multi vitamin daily any querries msg me and you want diet chart msg me.
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Hi sir / Madam I have one girl friend So we are doing sex sometimes. Actually problem is my GF's Virginia dirty smell that time. So what can do.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi Your girlfriend might be having a vaginal infection. If you can let me know if she has problem of any vaginal discharge or itching in that area I will be able to help you better. Till then drink plenty of water, maintaining a good hygiene, keeping the area dry should help. Do not worry vaginal infections can be treated easily but be beware they can be transmitted via sexual contact. So I would advise you to abstain till her treatment is complete. Hope this helps you. All the best.
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I am 24 years married female. Got married 19 April I am suffering from abdomen pain. From last two months .I had done my ultrasound urine culture urine routine n uriflowmetry also all are normal n I am having back pain a lot. Wat should I do I have taken so many painkillers also? Is that pcos?

BHMS
Homeopath, Raebareli
I am 24 years married female. Got married 19 April I am suffering from abdomen pain. From last two months .I had done...
I suggest you follow the below for your condition: Take Mag Phos 6x - thrice daily for next 2 weeks and update. Also do x-ray of the LUMBAR SPINE. Heat and Ice Packs. Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.
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Sir my wife has 2 months pregnancy but tomorrow she has some biding and today ultrasound report Doctor confirm she has miscarriage before 1-2 week ago it is possible?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Sir my wife has 2 months pregnancy but tomorrow she has some biding and today ultrasound report Doctor confirm she ha...
Hello, she may have experience missed abortion and bleeding would have started after 2 weeks, thats possible.
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THYROID TCH LEVEL 6.5 BUT T3 AND T4 NORMAL IS THERE IS ANY PROBLEM TO CONCEIVE?

DNB (Obst and Gynae), MS (Obst and Gynae- Gold Medalist), MBBS (Gold Medalist, Hons)
Gynaecologist,
This is called subclinical hypothyroidism which may cause pregnancy complicationsn and also problem in conception. Start drug after consulting doctor.
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