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Dr. Gandali

Gynaecologist, Mumbai

1500 at clinic
Dr. Gandali Gynaecologist, Mumbai
1500 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Gandali
Dr. Gandali is an experienced Gynaecologist in Mumbai, Mumbai. You can visit him/her at Gynaecworld in Mumbai, Mumbai. You can book an instant appointment online with Dr. Gandali on has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 37 years of experience on 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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I have used Diane 35 birth control pills but I would like to switch to Yasmin, is it a good idea?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have used Diane 35 birth control pills but I would like to switch to Yasmin, is it a good idea?
If you r suffering from pcod with excessive hair then only you need to be on diane-35. If you r using these medicines to get regular menses, then it is of no use as it will be same story after completion of the course. If you r taking it for the purpose of only birth control or contraception then definitely you need to switch to yasmin.
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I'm 30 year old woman, my both breasts have pain for 1 year, and also those are differ in sizes. What should I do?

Oncologist, Faridabad
Difference in size of both breasts may be natural if it is from the beginning. But if the asymmetry has become recently then it needs to be evaluated. Pain in breast if it is cyclical that means increases when periods are nearing is normal due to edema or swelling of breasts. Restricting salt intake and hot fomentation helps. You can also take evion and primosa which may help in reducing inflammation of ducts. Sports bra or proper breast support helps.
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Why You Should Be Stacking Up on Protein

Diploma in Diet and Nutrition -, Diploma in Dietitics , Health & Nutrition
Dietitian/Nutritionist, Delhi
Why You Should Be Stacking Up on Protein

Proteins are extremely important for your health. Protein is present in every cell of your body, it generally makes up your hair and nails along with keratin. Your body needs various supplements to stay healthy, such as fats and carbohydrates. These are called macronutrients (you need to consume it in huge amounts to stay hale and hearty).

Where can you find protein?

  1. It is present in milk, fish, eggs and meat.
  2. If you happen to be a vegan you can consume soy, beans, legumes and nut butter.
  3. Protein bars, Greek yogurt, cottage cheese, anchovies, peanut butter, tofu, wheat germ, quinoa and edamame also contain a high amount of protein.

Why should you consume protein?

  1. It can reduce the risk of diabetes by producing natural insulin and progesterone protein.
  2. The substance called hemoglobin carries oxygen to your blood cells. So without hemoglobin oxygen would not be supplied to your muscles.
  3. If you have a heat shock, proteins can help reduce the stress and rebuild your cells.
  4. If you have lack of protein in your diet, it will be difficult for you to move and can also result in paralysis.
  5. Since protein is present in your hair and nails, it also helps to make your skin taut and look younger since structural protein includes collagen. There are a lot of products available in the market like collagen creams; since collagen contains protein it is not possible that creams containing proteins applied on the skin can make your skin better. It is highly necessary to consume protein such that your blood flow contains proteins. This will make your skin seem youthful.
  6. After a surgery, it is important that you stack up on protein, because protein helps to close your wounds and make them heal faster.
  7. Protein shakes are also very useful when you want to attain a healthier physique after hitting the gym. During a workout, your body goes through a lot of micro-tears (wear and tear caused in your muscle due to contraction of your muscle). So taking protein shakes after a heavy workout helps your muscle tissues to be healed completely.
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I am Married, having hypothyroidism since 2004, we are trying for baby for past six months , my recent tsh level was 8.3microIU/ml, and dosage 50 mcg, In order to conceive should I need any extra dosage? And is there is any optimum level of tsh for conceiving? Why I am not able to conceive? Kindly help me out with your suggestions.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am Married, having hypothyroidism since 2004, we are trying for baby for past six months , my recent tsh level was ...
Hello lybrate-user, hypothyroidism if not well controlled will affect conception negatively. Recommended tsh levels before conception is about 2 mu/l. Similarly during pregnancy too following levels are recommended 1st trimester 0.1 to 2mu/l, 2nd trimester 0.3 to 3 mu/l & 3rd trimester 0.3 to 3.1 mu/l. These levels ensure better fetal development and healthy out come of pregnancy. So even before attempting for conception please see that tsh level is brought down to the above mentioned range. Thanks.
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We are parents to a 14 year old daughter and 11 year old son. I am in a transferable job and the family moves with me. Our daughter started her periods when she was 9.5 years.It was the time that she stated being physically abusive towards her mother without any reason or remorse. In the last 3-4 years her behavior towards her parents, sibling has worsened. In our last relocation 3 years back, she had problems in making friends at school for which we sought professional counselling, got her enrolled in sports and things were a little better for a few days.We also took homeopathic treatment to treat the aggression in her. One day we learnt that she has infatuation for a 17 year old boy at the sports academy. The boy was suggesting sexual advances towards her as we could gather from her personal diary. We could intervene and resolve the issue. We have also been meeting the school counseller off and on. During this time she was making use of the mobile phone which we had kept for use at home ( in place for the regular landline). Last year she pestered and forced her to buy her a smartphone.Our problems aggravated manifold after we bought the smartphone. Her attention towards her studies nosedived despite taking extra tuitions. She would throw her clothes, towels etc on floor after use and listen to music on the cell all the time.Her sleep wake cycle is also abnormal. She would get up at 12 PM on holidays. For last 6 months she is friends with a 17 year old boy of her school and has been chatting with him on FB/whattsapp. The boy is making sexual advances towards her while in the school( as we could understand from her phone). We were called one day in the school to inform that she has been bunking her classes. All this while we have been very supportive /sympathetic towards our child. The teachers have suggested that we take the smartphone back from her. But her behavior is so violent and abnormal that we do not know to head in which direction.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You have not only described the problem well but most of what you have done has been good so far. Let me explain what your child is going through. She has entered adolescence earlier by nearly 4 years. An unprepared child has to face the onset of puberty at a much earlier time and further she may not have had all her childhood milestones met adequately because her childhood has been cramped by those 4 years. Secondly, there will be a spurt in the production of the male sex hormone, testosterone, which has a duration of two years. Due to this chemical alone there are three identified features that present itself over which she has no control: she will be sexually active, aggressive and rebellious, and she will have acne and pimple problems. Then if she has unresolved childhood issues, they will compound the situation and fuel her uncontrolled behavior. Please remember that she herself may not be aware of all this. Now what to do? You parents need to become her best friend i.E. You must always ally with her and find the path of least resistance. Communication must always be open and favorable. The moment she hides things and does not communicate with you or you withdraw it, there is serious danger. Avoid all types of confrontations and discus your concerns with her. Indulge in her and make home a beautiful place for her to want to be in. Sports and games will expend a lot of the aggression and energy. Go with her and encourage her to participate. Yes, in all this she will get into relationships, which is not the crime. It would be grave failure on your part as parents to have not prepared her with sex education and strong morals that she could exercise, if they were present. Boys are also driven by these hormones and will want sex and put her under pressure to give sex in exchange for the friendship. You have to handle this very carefully, gently and always with abundant love. Some practical things to do: ask the teacher to confiscate the Smartphone. It is better if the school acts on this, than if you did ? again remember to follow the path of least resistance with her from your side. Involve the counselor as much as possible without disgracing her. Now this is very important: never give her anything without there being some negotiations ? barter with her, you give her something in return for some compliance from her. If you can befriend her close companions, especially her peers, you can reach her through them to influence her positively but it has to be done with strict confidence. On holidays let her sleep late, no harm in that. If she is going through a spurt in her growth hormone, she will feel unduly exhausted. Keep in touch with her school authorities always. Also remember that her lack of control over her behavior is a sign that she has a lot of impulses to contend with. I am alluding to this so that you should never provoke inadvertently that she impulsively does something serious to her life just to spite you! Your frequent transfers don?t help much either but then what can be done, if your work is shaped like that! The female child needs and wants a lot of attention from the male parent. Please be there for her at all times and let her know that too.
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I am using thyroxine since 10 yes after my delivery. Are there any possibilities for me to get pregnant.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
I am using thyroxine since 10 yes after my delivery. Are there any possibilities for me to get pregnant.
Thyroxine does not interfere with being pregnant. Only caution is - thyroid profile should be within normal range during pregnancy to avoid fatal and maternal consequences. So more frequent testing and thyroxine titration required.
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This month my Girlfriend didn't got periods and we are not prepared for child. So pls suggest me how to avoid pregnancy. Last month her periods start on 27 Nov. And today is 27 DEC.

B.A. Sanskrit, BAMS, M.A. Sanskrit, MS -Gynaecology Ayurveda
Ayurveda, Thane
This month my Girlfriend didn't got periods and we are not prepared for child. So pls suggest me how to avoid pregnan...
This month you check with urine pregnancy test and if it is positive then consult a gynecologist. If it is negative then wait for 7 days for periods. To avoid further unwanted pregnancy use proper contraceptive methods with medical guidance.
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I am 27 years old, and have pcos. I have had my first miscarriage at the age of 19, then could, t get pregnant until 2012. Luckily I got a little beautiful princess, now 4 years thanks God for that. After her I had miscarriage at 9-10 weeks, then got pregnant with my son (pergo baby) everything was going well until week 19, went for ultrasound and he was diagnosed with Hydrops. We went for second opinion all the chromosome results came negative. I missed at 27th week and had stillbirth 1st jan 2015, the autopsy report said he had some heart defects. It was very devastating to miss him. After that got pregnant with pergotime (clomid) at 10 week found out that it was blighted ovum, had medical abortion at 12 weeks. After this nothing happened, and we went for Ivf and got two embryos fertilized but hcg came negative. After all these heartbreaking attempts I became naturally pregnant in september. I and my dear husband were very happy that God has blessed us with an other child. This was a beautiful surprise as my older daughter, but in 12th week the baby had Cystic Hygroma 5 mm. We went for amino. All the chromosome, blood tests came negative. The doctors can't find any heart og other organ defects. I need to go through fertility treatments and get a second opinion. Is there any hope for me. I need help, kindly if you know any one who is expert and has worked with such cases I would like to talk to them. Kind Regards.

IVF Specialist, Vadodara
I am 27 years old, and have pcos. I have had my first miscarriage at the age of 19, then could, t get pregnant until ...
According to your history you need to do ivf with pgd so u can have healthy baby. By pgd we can diagnose chromosomes abnormality in embryo so we can transfer only healthy embryo .
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I am 28 years old and smoke a lot. Me and my wife planning for a baby. While having intercourse, sperms comes out from vagina every time we are trying. Why is it so? Do I have any problems? Please suggest m really tensed.

MBBS, F R S T & H London , Fellowship of College of General Practice (FCGP)
Sexologist, Alwar
As you are 28 year and you are planning to have baby your wife is parsing smoker. The passive smokers is dangerous you should not smoke in side the house than the complication to the child will be negligible if you smoke in side house than changes of complication more. After intercourse semen comes out it is normal you get check your semen and also investigate you wife on the line of infertility.
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We are couple, we had regular intercourse and not missed middle 6-10 days. My wife has to expect her period on march 23, 2016 because her last period was on Feb 23, 2016 and her period was not started and all of sudden on 7th day after missed period she had a bleeding and we are confused is it a period or other. We had hopes and almost confirmed that she is pregnant. Please answer.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
We are couple, we had regular intercourse and not missed middle 6-10 days. My wife has to expect her period on march ...
If the bleeding is like usual menstrual flow then it can not be pregnancy. If bleeding is less and in the form of spotting, it can be implantation bleeding of pregnancy. So as she missed her date by 7 days, please get urine pregnancy test done asap.
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Hello Doctor, I have taken pregnancy test but its negative. And cons ulted doctor they have given me primolut-n 5mg tab for periods. My weight is 60.8 kg nd stil I have not got my periods. My last period was 2 January. I am worried. Please suggest me.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hello Doctor, I have taken pregnancy test but its negative. And cons ulted doctor they have given me primolut-n 5mg t...
I would advice you to repeat a urine pregnancy test in a early morning sample in a weeks time specially if you have a history of delayed periods. If still negative you need to see your doctor again as your medicines need to be changed.
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Madam. Yesterday morning me and gf had a kind of sex. We both were nude I didn't insert my boner into her vagina but we did se actions like that. Now we are sacred that will it cause an early pregnancy? She had can I pill yesterday itself. She is having stomach pain sometime and it goes. Please help us out madam. *how to know whether she is pregnant?*how does the ipill work? How can I  make sure that she is not pregnant. What all things show that she is not pregnant after having the pill? *Will mere rubbing of boner on her vagina leads to pregnancy?*After having the pill is it necessary that there should be bleeding after 8 days?*How to know whether my sperms have got inside her?*Us birth control pill different from I pill? Helps out madam we are scared. Please don't reveal our name. Please Please help us fast.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
Madam. Yesterday morning me and gf had a kind of sex. We both were nude I didn't insert my boner into her vagina but ...
There are chances of getting pregnant even even though you release seminal fluid outside vagina. When you get excited, some slimy lubricating fluid (prostatic fluid) flow in penile urethra that may contain some sperms which enter vaginal tract during intercourse before proper ejaculation happens. Also there maybe some sperms remained in penile urethra from previous Ejaculation. There are maximum chances of getting pregnant in the mid cycle days  of menstrual cycle. If your cycle is of 28 days (1st day to be counted on the day menstrual flow starts) the 14th day bears the maximum chances of getting pregnant. On the both sides of 14th day chances of conceiving gradually decreases with minimum chance (not zero) near 1st and 28th day of cycle.
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I am 41 year old female have fibroid in my uterus, in every monthly circle I face a terrible pain. Doctors suggest to remove uterus, but I am not able to go through with surgery. Kindly suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
Dear patient, homeopathic can treat fibroid problem without any side effects and long lasting stage, if fibroids are of certain type and in certain stage. After looking at your reports proper suggestion can be given. You can consult privately with your recent report, after which I can guide you accordingly.
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Signs That Can Predict an Illness!

General Physician, Mumbai
Signs That Can Predict an Illness!

The trouble with recovering from most illnesses is that we begin to treat the illness too late. Although you cannot expect your body to announce the arrival of a virus, recognizing the signs of falling sick can help treat it earlier. For example, if you can't stop sneezing and can feel the onset of the flu, getting some extra sleep may make you feel better. Here are a few signs that can predict an illness

  1. Reduced appetite - A slight decrease in appetite during the summer is normal but if the sight of food makes you nauseous or you stop enjoying your food, it may be a sign of an oncoming illness. These illnesses could range from a simple cold to gastroenteritis or strep throat. A diminishing diet can be a result of the production of cytokines by the body as part of its inflammatory response to infections. Lesser food takes lesser time to digest thereby using lesser calories and diverting energy towards fighting the infection.
  2. Swollen neck glands - Feel your neck glands, just below the jawbone to check for infections. Swollen neck glands are the body's way of letting you know that you may be falling ill. These are usually a sign of ear infections, cold, dental problems or skin infections. Neck glands are storehouses for white blood cells. When these are activated into fighting infections, the collection of dead cells, bacteria etc result in swollen neck glands.
  3. Fatigue - There's a difference between being tired at the end of a long day and being exhausted throughout the day. The latter is a way your body is telling you to slow down and conserve energy to fight an oncoming illness.
  4. Muscle aches - Aching muscles can also be a sign of the oncoming flu. One of the main reasons for this is the body's production of antibodies that release histamines and cytokines in the bloodstream. When these travel to various muscles, they can trigger pain receptors leading to body aches.
  5. Low fever - The ideal body temperature is 98.7 degrees. If you have a higher temperature that persists for a few days, you may be coming down with an infection. Fever is your body's way of fighting infection by raising its internal temperature. A low fever is a sign of colds, allergies, and even stomach infections.

There is a fine line between being a hypochondriac and recognizing signs of falling sick. To differentiate between the two, pay attention to the type, duration, and intensity of symptoms. If you feel like you're on the verge of falling sick, rest your body and take some multivitamins. If you experience a sudden or severe change in symptoms, consult a doctor immediately.

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9 Benefits of Cow Urine

Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders
Ayurveda, Indore
9 Benefits of Cow Urine

Cow Urine is used for purposes of therapy in traditional Indian medicine and is called Gomutra. The use of cow urine for therapeutic purposes has a long history in Indian culture. In India, cow is considered to be a sign of spirituality. Urine from a cow that is pregnant is believed to contain special minerals and hormones. It should be noted that cow urine therapy is not a nourishing process. Instead, it is cleansing and detoxifying in nature.

Pharmaceutical Benefits of Gomutra are:

  1. Used in Ayurvedic treatment of cancer and leprosy.
  2. Anaemia can be treated using a mixture containing Triphala (Ayurvedic herbal rasayana formula made of three equal parts of Bibhitaki, Haritaki and Amalaki), Cow milk and Gomutra. The mixture is known as Mahayograj Guggul.
  3. It is used in the treatment of fever. A mixture that contains Gomutra along with ghee, yoghurt and black pepper is used. Sore throats can be treated by gargling a mixture of cow urine distillate along with honey and turmeric powder.
  4. A mixture of daruharidra and gomutra can be used to treat epilepsy.
  5. In Nigeria, convulsions in children are treated using a concoction made of garlic, tobacco, rock salt, cow urine and lemon basil juice.
  6. Gomutra is also helpful in treatment of peptic ulcer, asthma and certain liver ailments.
  7. Some Indian scientists from CSIR (Council of Scientific and Industrial Research) received a US Patent for a mixture of cow urine distillate, which acts as an antibiotic. The purpose of the cow urine is to behave like a bio-enhancer, which promotes the antimicrobial functions of antifungal and antibiotic agents.
  8. A US patent was acquired in 2010 by a research department of Deolapar and National Environmental Engineering Research Institute (NEERI) for a drug based on gomutra, which validated its claims of being an anti-cancer drug. The mixture is claimed to prevent DNA damage caused by oxidation.
  9. A water extract of Daruharidra (Tree Turmeric) called Rasanjana is administered with cow urine as a medication to treat Kapha originated skin diseases.
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I am not pregnant till now, I got married three months before, I am eating jaggery with milk everyday, can I get pregnant fast, eating jaggery before pregnant is good or bad, on the second month I have a missed periods for 5 days and 6th day I have a period and then third month I have a period on the correct date.

Gynaecologist, Faridabad
I am not pregnant till now, I got married three months before, I am eating jaggery with milk everyday, can I get preg...
Jaggory is rich in iron. Milk is good food supplement and rich in calcium. Preganacy will not get disturb with milk and jaggery and milk.
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Steps Involved in Knee Replacement Procedure

M. Ch. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Steps Involved in Knee Replacement Procedure

Knee replacement is a procedure where the weight-carrying surfaces of knee joint are replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.

Surgery Types: 
Knee replacement is mainly of two main types:

  1. Total knee replacement where both the sides of knee joints are replaced
  2. Partial knee replacement where only single side of the joint is replaced

Procedure: In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage and the surgeon can work between the fibres of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.

In total knee replacement, four steps are performed:

  1. Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.
  2. Replacement with metal components, which help as a recreated surface of the joint
  3. Incision of knee cap with a resurface made of a plastic button, which is optional based on the case
  4. Insertion of a medical grade plastic spacer amid the metal components. This creates an effortless gliding surface.

After general or spinal anaesthesia, an incision of 8-12 inches is made in the front part of the knee. Joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin as well as knee cap is attached to the artificial joint with either cement or a special material.

After Effects of the Procedure: After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.

There will be slow progress in the movement. In the beginning, one may walk with a support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.

Presently, over 90% of total knee replacements function well even after 15 years of surgery. Hence, knee problem is no problem at all!

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Mam mujhe sirf 3 din periods hote h ye normal hai kya. Or mere periods age piche aate he matlab 21 ko aaye fir 20 ko ab 19 ko to ye normal hai kya.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
Mam mujhe sirf 3 din periods hote h ye normal hai kya. Or mere periods age piche aate he matlab 21 ko aaye fir 20 ko ...
Haa yeh normal hote hain.aapke periods Kitne din tak rehte hain.detail main bataie.u can put me a question in my pvt consultation
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