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Dr. Hemali Gogule

Gynaecologist, Mumbai

Dr. Hemali Gogule 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. Hemali Gogule
Dr. Hemali Gogule is a trusted Gynaecologist in Paramount General Hospital, Mumbai. You can consult Dr. Hemali Gogule at Para Mount Hospital in Paramount General Hospital, Mumbai. Book an appointment online with Dr. Hemali Gogule 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 34 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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#Consulting General S, Paramount General Hospital & I.C.C.U, Sakinaka Junction, Andheri-Kurla Road, MumbaiMumbai Get Directions
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I am a girl, age 23 years. These days I just have menstrual period of 1 day and that too is not that much good. I gain weight too much. What should I do? I already take advise from 2-3 gynecologist. But no improvement. All tests are also ok. Please help.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
This weight gain is due to hormonal insufficiency. You need ayurvedic tablets to restore the balance of hormones. The good news is that we have ayurvedic tablets to restore the balance of hormones. Once this balance is established, weight loss happens simultaneously. Kindly let me know your height and weight so as to arrive at perfect prescription.
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Am 7th Month pregnant, baby moves every 10 to 15 min very lastly in womb. After stop the moving iam having a littlebit pain in stomach. Please guide us in this regard.

M,S GYNAE&OBST
Gynaecologist, Jaipur
Am 7th Month pregnant, baby moves every 10 to 15 min very lastly in womb.
After stop the moving iam having a littlebi...
Tell me about pain. Abd if tens means premature paons ultrasound should be done. Take duadilan retard cap ones aday till expected date of delivery.
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Hi I am 19 weeks pregnant, I got 101. 2 degree fever 2 days back my doctor suggested me to take dolo650 and other to tabs now m feeling quite better. But want to know will my baby will get effected or will my baby will get any health defects.

MBBS, DGO
Gynaecologist, Hyderabad
Hi I am 19 weeks pregnant, I got 101. 2 degree fever 2 days back my doctor suggested me to take dolo650 and other to ...
Let me say one thing,you are 19 weeks pregnant ,so process of organogenesis is already completed.so there won't be any defects as such for simple fever that too at this week.You said fever got subsided after taking medication.
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Health Quote of the Week

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
Health Quote of the Week

Always walk at least 100 steps after taking meals and do not lie down immediately.

4 people found this helpful

Snore a Lot? These Yoga Positions Can Help You Control it

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Advance Diploma in Psychological Counseling, Advance Diploma in Nutrition and Dietetics, MD - Alternate Medicine, M.A. Sanskrit
Ayurveda, Indore
Snore a Lot? These Yoga Positions Can Help You Control it

The thought of waking up fresh in the morning after a good night’s sleep itself is refreshing. However, many are deprived of this simple pleasure of life, one of the main cause behind it is snoring. Whether you are snoring or have a person next to you snoring, the result is a disturbed sleep, which leaves you feeling tired and not-very-rested.

Snoring is caused by multiple reasons including stress, obesity, smoking, sinus problems, circulatory problems, poor diet, large tongue or tonsils and with age. This leaves the person sleep deprived, including a feeling of drowsiness, sore throat, increased risk of heart diseases, reduced libido and decreased concentration.

While there are surgical corrections that can get rid of snoring, yoga has some simple, effective pranayamas and asanas that have been proven to be effective since times immemorial. They improve lung capacity, help in weight management, keep the air passages open and also help in stress management. Try the following asanas and pranayamas to see snoring disappear.

Pranayama: This improves the strength of the facial and throat muscles. Bhramari or Humming Pranayama and Ujjayi pranayama are specifically useful in snoring patients. In Bhramari Pranayama, the lips are closed and the soft palate vibrations are entirely due to nasal airflow. Practised mouth snoring over a period of time where the soft palate is lifted towards the pharynx produces a buzzing bee sound. Both breathing in and out happens through the nostrils producing this sound, although slightly different during inhalation and exhalation. Ujjayi Pranayama is where a hissing breathing sound is produced due to the nasal snoring instead of the mouth snoring in the Bhramari exercise.

Breathing and Chanting the Om Mantra: Sit on the floor in a relaxed position with eyes closed and take few deep breaths. Begin to chant the word OM repeatedly for a few minutes. Break the word into two parts, the first part of OOOO should come from deep within followed by the lighter MMMM. This helps meditate, relax, and reduce snoring. Try to do this breathing and chanting at least ten to twelve times, and more if possible, on a daily basis.

Another effective measure is the Simha Garjasana or Roaring Lion Pose where you kneel down on the mat, lean back so that the hips are resting on the heels. The palms are faced in the space between the knees with fingers spread apart. Tilt your head back while taking deep breaths. This improves the airway and reduces the snoring.

Kapalbhati, Bhujangasana Dhanurasana, Warrior Pose and Surya Namaskar are also other effective asanas. When done regularly over a period of time, it helps in getting rid of snoring. This in turn makes you feel fresh in the morning; ready to take on the day. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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I have acidity everyday. This includes chest burn and puking. Also I have lower abdomen pain. I have menstrual pain a week before I get my chums and have a severe pain during periods. I end up taking 6-7 tablets every month.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I have acidity everyday. This includes chest burn and puking. Also I have lower abdomen pain. I have menstrual pain a...
You should go for proper check up first. Usg whole abdomen urine routine etc. Drink plenty of liquids daily. Avoid spicy fried and junk food. Avoid tea coffee and aerated drinks.
2 people found this helpful
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Hii doctor, Is there any side effects if a girl take unwanted 72 and she is not pregnant?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hii doctor,
Is there any side effects if a girl take unwanted 72 and she is not pregnant?
Hello- Yes there is. Pills like Unwanted 72 induce strong uterine contraction to abort the implantation after sex. If the girl took the pill without being pregnant she may face heavy vaginal bleeding with discomfort before or during her period dates.
5 people found this helpful
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I am unmarried. I missed my periods on june, july an august and again october and november. Is it related to my fats?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
I am unmarried. I missed my periods on june, july an august and again october and november. Is it related to my fats?
Hello, Please rule out PCOD or polycystic ovarian disease in your case with a hormonal profile and an ultrasound pelvis to check for polycystic ovaries.
1 person found this helpful
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I am not happy with my wife in bed she don't support to me on bed She loves me also and she was virgin at 1st night what is the problem.

DGO, MBBS
Gynaecologist, Bhavnagar
Take more time in forplay. Make your wife eager to have a sex by foreplay. Woman wants sex as love making and not to fulfil physical demands.
4 people found this helpful
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I am 29 year old my marriage date may 2014. But not yet my wife was pregnancy.

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist,
Hello as per your telling in this so many types problems can be unexpectedly present. Any are how many and what tests you done. Tell all types of your history clearly n completely n I can help you better way. Ok.
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Hi doctor I'm 26 my wife 22 both r do sex first time. I insert penis to her vagina she get hurt and cried after later she have pain and irritated when urinate. Is there any problem Note: we get into relationships in 5th day of her period.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user. First time sexual penile penetration will be almost always painful and there could be even blood stains. Then, because of the penetration related inflammation, urination will be difficult and painful. There is nothing to worry. Take care.
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Can you suggest me which day is more powerful for play in sex for getting pregnant.

MBBS
General Physician, Chennai
Can you suggest me which day is more powerful for play in sex for getting pregnant.
Hi tenth day to the seventeenth day is ideal for fertilisation this is in gereral only if you give your cycle details can give dates.
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Contraception

DGO
Gynaecologist, Pune
Contraception

With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.

Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.

Types of contraceptives:

Hormonal (2-3%)
Intrauterine (5%)
Barrier (10-15%)
Chemical (15-20%)
Physiologic
Sterilization (4%)
* percentages mentioned within brackets are failure rates

Hormonal contraception

It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.

Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts

Classification

Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Benefits:

Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.

Intrauterine contraception

It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Types:

Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Side effects:

Increased blood loss and duration of menses, increased dysmenorrhea

Complications:

Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.

Indicated for: multiparous women greater than 35 years who smoke.

Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.

Barrier methods

It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.

Types:

Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
Chemical contraception

It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
Physiologic contraception

It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.

Sterilization

This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.

Types:

Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.

Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).

A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.

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I'm a 24 years old woman. I am 2 weeks pregnant. I confirmed it via upt. I took a mifepristone and 2 oral misoprostol (200 mcg each) 48 hrs apart. I took another dise of miso 3 hrs later but I still have not bled like I was supposed to. Is the drug not working? Im freaking out. Pls help.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
I'm a 24 years old woman. I am 2 weeks pregnant. I confirmed it via upt. I took a mifepristone and 2 oral misoprostol...
I suppose you mean you missed your periods by 2 weeks. Taking these pills over the counter is not advisable. Please consult a gynaecologist personally.
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I am married I hav notice that my wife's breasts very soft what would be the reason.

DGO, MBBS
Sexologist,
Breasts are usually soft, what's the problem, do you mean size or loose. She can Take diet containing fats and soya products. Massage breast from below upwards and from side inwards using some coconut oil. Change posture by standing straight and pushing chest forward will make breasts look bigger. Exercising the muscles beneath breasts will make them appear more rounded, it can be done by push-ups done daily for few times increasing gradually.
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My weight is increasing gradually. I have irregular periods too.Please do help me.

D.Sc (Bio-engg.), P.G. Diploma in Diet and Nutrition
Dietitian/Nutritionist, Kalyani
To reduce body weight follow nutrition plan, exercise and naturopathy procedure. For other irregularities, you may consult privately.
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I am 21 years and I am pregnant from 7 weeks my last period date 7 sep and I have sonography yesterday fetal heart beat not hear so doctor says you are miscarriage what to do please tell me.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Nagpur
I am 21 years and I am pregnant from 7 weeks my last period date 7 sep and I have sonography yesterday fetal heart be...
For a confirmed missed abortion...surgical method of cleanig..called suction and evacuation is best Thanks Regards
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If i-pill is taken today after the sex, and within 24 hours again sex is enjoyed, is there a need to take i-pill again? Suppose it is taken again I. E. I-pill consumed twice in less than 36 hours is there any side effects or can it delay menstrual cycle?

DGO, MAOGD, MBBS
Gynaecologist, Panchkula
If i-pill is taken today after the sex, and within 24 hours again sex is enjoyed, is there a need to take i-pill agai...
Hi I understand your concern. If you have taken I pill after one episode of unprotected intercourse no need to take it again. Yes, it can delay the periods or can cause intermenstrual bleeding because these are high dose hormones. So avoid taking I pill again and again.
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