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Dr. Jayanti Kamat  - Gynaecologist, Mumbai

Dr. Jayanti Kamat

90 (445 ratings)
MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility

Gynaecologist, Mumbai

24 Years Experience  ·  600 at clinic  ·  ₹250 online
Dr. Jayanti Kamat 90% (445 ratings) MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility Gynaecologist, Mumbai
24 Years Experience  ·  600 at clinic  ·  ₹250 online
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Hi, I am Dr Jayanti Kamath. I am an IVF consultant, practising at Srishti Fertility Care Center a...

Hi, I am Dr Jayanti Kamath. I am an IVF consultant, practising at Srishti Fertility Care Center and Women's Clinic, Mumbai. So today, I will be talking about the physiology of conception or how babies are made. Before we begin I will tell you about few things about the female reproductive system.

So as you can see in this picture this is a picture of the uterus and these are the tubes, the fallopian tubes and this whitish structure over here it is called as ovary. Now this part is the vagina and this is the mouth of the uterus it is also called as the cervix so once again this is the uterus these are the fallopian tubes on either side this is the ovary this is the mouth of the uterus called as the cervix and this is the Vagina. so how babies are made first of all babies are made by the fertilization of an ovum or the female egg by a sperm from the male. So the female eggs are produced in a structure called as the ovary. So what happens every month, the egg is released from the ovary into the fallopian tube and the egg grows throughout his journey through the fallopian tube and after sexual intercourse, the sperms enter through the vagina and they meet the egg in the tube and the egg gets fertilized. It keeps on growing and then the embryo or the baby gets implanted inside the uterus and this baby grows up till nine months till the woman delivers. So this is the physiology of conception now why is this important cause when a woman cannot conceive there can be problems in this entire process. For example where the egg is manufactured that is the ovary.

There can be a problem in the ovary, the woman can have a hormonal imbalance such as polycystic ovarian disease where many eggs are produced but they do not grow or they do not become mature then there can be cysts in the ovary such as endometriotic cyst or any other cyst so these are the problems with the ovary. Then coming to the tubes. If there is any blockage in the tubes the oocyte or the XL will not be able to reach the sperm.

Why the blockage occurs?

Blockage can occur due to any infection called as pelvic inflammatory disease or tuberculosis which is a very common disease in our country. So because of that, the tubes can get blocked. So once the tubes are blocked the oocyte has a problem in meeting the sperm, then the main region that is the inside of the uterus, so there can be problems there also. There Can be fibroids, there can be a septum, there can be polyps or there can be the uterus itself can become a tumour called as adenomyosis. So these are the uterine problems which interfere with conception. Now coming lower down there is a mouth of the uterus which is very important. Suppose the mouth of the uterus is closed or there is a very narrow space over there then again the sperms will have difficulty in entering the uterus.

So these are the various problems in the female reproductive system which interfere with conception.

For more information about this or if you have a problem in conceiving please consult me at lybrate.com.

Thank you.

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Causes, symptoms and treatment of Infertility<br/><br/>Hi, I am Dr. Jayanti Kamany. I am an IVF C...

Causes, symptoms and treatment of Infertility

Hi, I am Dr. Jayanti Kamany. I am an IVF Consultant practicing at Srishti Fertility Centre and Women's Clinic in Mumbai. So, today i'll be talking about Infertility. The problem of infertility is on a steep rise. Some of the causes for the rise in inferility are increased age at the time of marriage for women, postponement of child bearing. Even if a women gets married earlier she postpones her child bearing for various purposes like her career.

Increased stress levels today, increased levels of sexually transmitted diseases and of course Tuberculosis, which is a very common disease in our country. So, who is to be blamed for the infertility. We have found that 3 out of 10 couples are battling with this problem of infertility. 30% of the faults is found in the female, another 30% is found in the male partner, again 30% is found in both partners and about 10-15% cannot be explained because inspite of all the tests being normal, there is no problem which can be found and we call it unexplained infertility.

There are two types of infertility:

1. Primary infertility- Primary infertility is when the couple has never conceived

2. Secondary infertility-  Secondary infertility is when the couple had a child but cannot conceive again, or the couple has conceived, has had an abortion but there is no conception again.

When should a couple consult or take treatment for infertility? 

Usually if the ovum is young, if she is below 28 years she can wait for one year after trying to consult an Infertility Specialist. Even after one year if the couple doesn't conceive inspite of having regular sexual intercourse without having birth control measures they should see an Infertility specialist.

Now there are certain conditions where a couple irrespective of the duration of marriage or age should see a doctor immediately. So, what are those conditions? In the female, if she is having any problems regarding her menstrual cycle, suppose her menstrual cycles are irregular or she is getting very scanty bleeding or scantimensis or she has very severe pain during mensis or otherwise if she had a surgery where her one ovary is removed or a problem of polycystic ovarian disease which is very common today the she needs to see a Gynaec immediately. If she has recurrent abortions, that is, she can conceive but cannot carry the pregnancy to 9 months then definitely there is something wrong with her so she has to consult an Infertility specialist.

What are the causes in a male?

A male, if he has had a surgery in the testes or if he has a history of a disease called mumps in his childhood, or if he has a low sperm count or he cannot feel his testis in his scrotum then he needs to see a Fertility specialist.

For further information on this topic of Infertility or if you are planning to conceive, you can consult me on Lybrate.com.

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Personal Statement

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. Jayanti Kamat
Dr Jayanti Kamat is a reputed gynaecologist based in Jogeshwari East, Mumbai for the last 23 years. She did her MBBS from Mangalore University, her MD in obstetrics and gynaecology from the prestigious Shivaji University in Kolhapur. Dr. Jayanti Kamat, in her rocketing career of 23 years has served in Assuta Hospital in Israel specializing in advanced infertility. Her relentless work spanning over two decades has won her a lot of recognition. Dr Jayanti Kamat has also over the years played an active role and been a member of the Indian Society for Assisted Reproduction (ISAR), AFG Federation of Obstetric and Gynaecological Societies of India (FOGSI), MOGS and AMC. Her practice is an ever flourishing one and she is available for consultations at Shrishti Fertility Care Center & Women's clinic in Jogeshwari East, Mumbai. Despite being at the top of her field, Dr Jayanti Kamat is accessible to all her patients and her friendly demeanour ensures that her patients open up to her, something which is extremely important in the medical field.

Info

Education
MBBS - Mangalore University - 1993
MD - Obstetrics & Gynaecology - Shivaji University - kolhapur - 1996
Advanced Infertility - Assuta Hospital - Israel - 2009
Past Experience
Dr. R.N Cooper Hospital at Ex. Assistant Honorary Professor ( Obstetrician - Gynaecologist )
Languages spoken
English
Hindi
Awards and Recognitions
Asst. Honorary Professor at Hindu Uday Samrat Balasaheb Thackray general Hospital And Cooper General Hospital
Presented Many papers at national OB/GY Conference
Professional Memberships
Indian Society for Assisted Reproduction (ISAR)
Federation of Obstetric and Gynaecological Societies of India (FOGSI)
MOGS
...more
AFG
AMC

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Shrishti Fertility Care Center & Women's clinic

501, Hub town Viva, W. E Highway, Shankarwadi, Jogeshwari EastMumbai Get Directions
  4.5  (445 ratings)
600 at clinic
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Kamats Hospital

B 3/4, Satellite Classic Building, Caves Road, Jogeshwari Station Road, Jogeshwari EastMumbai Get Directions
  4.5  (445 ratings)
600 at clinic
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Hi I am 27 years married lady last year I blessed by a beautiful baby gal she is now 1 years old but from last 3 months my period is not well like before even not much blood out and period is continuing only 1or 2 days only but before its took almost 6 days. My last period date was 27 sep and after we had sex and I took I pill but yesterday we had sex again .should I take I pill again.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Hi I am 27 years married lady last year I blessed by a beautiful baby gal she is now 1 years old but from last 3 mont...
I would like to know whether you are breastfeeding your baby?.A womans body undergoes a lot of changes after child birth ,so as long as your periods are regular do not bother.Secondly you should use a regular method of contraception method like copper T after consultation with your local gynaec.Pills are not recommended on a regular basis.
3 people found this helpful
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I am 21 years old, I recently was sexually active on the day of my ovulation. I took an Unwanted 72 the next night. After that, I was again into coitus and then, I took one more Unwanted 72 pill 2 days later. My period is late by 2 days, are there any chances of pregnancy? I am really very scared because ovulation week is considered the highest chance belt for pregnancy. Please kindly help me out.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
I am 21 years old, I recently was sexually active on the day of my ovulation. I took an Unwanted 72 the next night. A...
The chances of pregnancy are minimal .But to be on the safer side you can do a urine pregnancy test 10 days after you cross the date of your period .Secondly if you are very active sexually better to start a regular birth control pills because taking emergency pills often is harmful to your body. Thirdly ask your partner to use condoms for dual protection as it will also protect you from sexually transmitted diseases.
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My wife is 32 years old and had an abortion after 3 month pregnancy due to the abnormality found in baby during NTNB scan level 1 i.e. Nuchal Trans. Please suggest the way forward.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
My wife is 32 years old and had an abortion after 3 month pregnancy due to the abnormality found in baby during NTNB ...
You should ideally plan to conceive 3 months after the abortion. Start taking folic acid supplements from now itself. GET your routine blood tests done .Follow a healthy diet and try to loose weight if you are overweight. You will have to consult your local gynaec for some special tests as well like karyotyping .Get a early scan done once she conceives.
1 person found this helpful
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My wife is going through her 1st pregnancy. Her age is 34. All her reports are normal. The doctor has advised Susten 300, which she has taken once but didn't feel like taking later on. On consulting with the doctor, she was advised to continue to take Susten 300. What should she do?

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
My wife is going through her 1st pregnancy. Her age is 34. All her reports are normal. The doctor has advised Susten ...
SUSTEN is a progesterone tablet usually used to safeguard pregnancy.Your doctor must have foreseen some problem during examination for which she has prescribed the medicine.If she cannot take it orally she can insert the tabllet vaginaly for better absorption and minimal side effects .Kindly talk to your regular gynaec regarding this.
1 person found this helpful
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My wife got pregnant but we want abortion with pills how many weeks it is effective.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Abortion pills are to be used in early pregnancy upto 7 weeks. Please consult gynaec for the same .She will examine your wife and suggest a suitable method of abortion .you should also think about a regular method of contraception if you do not wish to have a child.
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My boyfriend did intercourse with me. He did not enter his penis in my vagina. But he ejaculated outside my vagina. I'm virgin girl. I never did intercourse in my life. Is there any chance of pregnancy? please tell me.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
My boyfriend did intercourse with me. He did not enter his penis in my vagina. But he ejaculated outside my vagina. I...
if what you .are saying is perfectly true then there is no chance of pregnancy.If you are somewhat sexually active please ensure your boyfriend wears a condom to prevent pregnancy and to avoid sexually transmitted diseases.
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We married in June 2010.in Jan 2015 we done IUI but same has fail. After 9 Month In October 15 We done IUI with donor sperm and same has been success. But January 16 it has miscarriage. And abortion in April 16 we again done IUI but fail and again May and fail. After doctor said a poly increased and July has been remove. After September. 16 we again done IUI and fail. Now still we do not have a child. We have taken lots of medicine but result is zero. Please advise what we have to do. My sperm count is 18 Million and activity 48% wife has suffering from PCOD also some one had told me abortion effect in fallopian tubes. Please advise.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
We married in June 2010.in Jan 2015 we done IUI but same has fail. After 9 Month In October 15 We done IUI with donor...
since your wife is suffering from PCOD let her first correct her diet and lifestyle factors .If at all she is overweight whole hearted efforts should be made for weight loss .Aqualified dietitician can also be consulted for the same.Meditation and yoga is good for reducing mental stress.a combination of diet ,exercise and stress relieving activities will be of great help with concurrent medical treatment.You can try IUIfor another 2 cycles ,IF NOT SUCCESSFUL THEN IVF will be a better option.
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Hello doctor, my wife was 7 months 14 days pregnant, now she has white discharge problem. Can you please tell me what's the problem. Please, why white is discharging in pregnancy time.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Hello doctor, my wife was 7 months 14 days pregnant, now she has white discharge problem. Can you please tell me what...
some amount of discharge is normal during pregnancy.But it is always better to get examined by your local gynaec.
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Am 26 years female, 5 days ago got first abortion. Doctor suggested to have thyroid test and torch test. Thyroid test 4.19 and torch test shows normal expect one cvm igg 288.36 is it normal what's the normal range and what's the reason for high igg. Is the reason for my abortion and what's the medication I should undergo.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Am 26 years female, 5 days ago got first abortion. Doctor suggested to have thyroid test and torch test. Thyroid test...
By abortion do you mean miscarriage?Your TSH level is high and IG g high is a sign of past infection so you need not worry about that .You need to take thyroxine supplements TSH levels have to be maintained at or below 3.5 for conception.Better you take a gap of 3 months to conceive again.
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Bleeding Post Menopause - 5 Reasons Behind It

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Bleeding Post Menopause - 5 Reasons Behind It

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women's gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB, as it is popularly called, can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

  • Atrophic vaginitis: Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
  • Endometrial atrophy: Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
  • Polyps: Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding.
  • Infections: General infection of any area along the uterine tract could lead to occasional bleeding.
  • Cancers: Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding. Diagnostic methods could include the following:

  1. Physical examination
  2. Transvaginal ultrasound
  3. Endometrial biopsy
  4. Hysteroscopy
  5. Dilatation and Curettage

Treatment: Needless to say, this would depend on the diagnosis. For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy. For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient. Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

Cancer: This would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases. So, if you have had bleeding of any sort after a year of menopause, do not ignore it. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4989 people found this helpful

PMS - Can Diet Changes Lower Bleeding?

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
PMS - Can Diet Changes Lower Bleeding?

What is premenstrual syndrome (PMS)? In a layman's language, it is that time of the month you don't really want to unnecessarily bother a woman or you might have to face the brunt of an emotional outburst. In medical terms, it is a combination of emotional, physical, psychological changes that occur in a woman after ovulation and culminates with the ending of her menstrual flow. The most common mood-related symptoms are irritability, depression, crying, oversensitivity, and mood swings.

The most common physical symptoms are fatigue, bloating, breast tenderness, acne, and appetite changes with food cravings. In severe cases, anger, irritability, anxiety and tension leads to loss of the functioning ability of a woman. If you've been there or are suffering, you are not alone. There are scores of women around the world who experience these symptoms. Here are ways to minimize and get rid of PMS.

1. Control PMS with diet changes: Certain food types in general are not a healthy choice but can cause more harm than good during PMS. Depending on what factor affects you the most, cut down on these types of food.

  • Salt: Excess salt can lead to bloating
  • Caffeine: Can lead to anxiety, sleeplessness and irritability
  • Alcohol: The concoction for depression
  • Sugar: Can cause mood swings

As always, eating more fruits, veggies and grains at the right time can keep you healthy and prepared for those dreaded days.

2. Exercise: Exercise is a mood lifter. It gets you into shape, adds to your stamina and slowly but steadily boosts your confidence to become slimmer, stronger, and fitter. The trick is to pick up on an exercise you love. Hit the road and run free with your thoughts or turn on the music and dance with aerobics.

3. Stock up on vitamins: Hormonal imbalances are the primary cause behind PMS. Though it is not proven, stocking up on some essential vitamins like calcium, potassium and minerals can give you more strength to fight the symptoms.

4. Herbal remedies: They've been around for hundreds of years and you are likely to have an aunt or grandma swear by one of these cures. From ginger to primrose oil, these cures can balance your hormonal activity in a natural way. You will need to experiment to see what really suits your need.

5. Take a break: No matter what physical or emotional trauma you go through, it can double up because of stress and lack of sleep. Knowing your 'off' days, it's best you find a way to take some time off for yourself at a spa or try meditation and deep breathing. Do what you love to do to. Keep your mind calm and clear. Listen to music, take a walk with your dog or simply read a good book.

To start with, change your diet, take a few supplements and herbs, and start exercising, and you should see the change in the first few cycles itself. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

5016 people found this helpful

Fertility Treatment Guide for Couples

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Fertility Treatment Guide for Couples

If you’ve been facing problems in conceiving, it may be time to get yourself checked as it’s possible that you may be suffering from certain fertility issues or need professional guidance. A series of tests usually determine the root cause of the problem. These tests can include a physical examination, analysis of semen and blood tests, amongst others. There are certain factors that you and your partner must keep in mind when deciding upon the best time to opt for these tests and get started on an infertility treatment programme.

If you’re a female, it’s time to get yourself examined when:
1. You haven’t been able to conceive for over a year despite trying (when you are under 35)
2. You haven’t been able to conceive after trying for 6 months (above the age of 35)
3. You’ve had 1 or more miscarriages
4. You’ve been ovulating irregularly and your previous drug treatment has failed to correct the problem
5. You suffer from damaged or blocked fallopian tubes and endometriosis (a condition where tissues that cover your uterus also develop outside of the womb, causing pain and bleeding)
6. You have a history of genital infections

If you’re a male, you should consider an infertility treatment if you experience the following:
1. Facing difficulty in sperm ejaculation
2. Suffering from a low sperm count including poor sperm movement or structure (sperm’s shape and size)
3. Having an undescended testicle (a genital abnormality that occurs when the testicle fails to move into its normal position in the scrotum during the first 3 months of your life)

Apart from the above mentioned points, another important factor that you and your partner must decide upon is whether or not you intend to use assisted reproductive procedures, such as ICSI (IntraCytoplasmic Semen Insertion) or in vitro fertilization (IVF) to help in conceiving. While the former sees fertilisation occurring naturally after the eggs and sperm get placed inside one of the two fallopian tubes, the latter deals with the transference of the embryo created in the laboratory into the uterus.

Even though the thought of infertility can be disappointing for you and your partner, early and timely intervention can help in easing up the process of conception and remove obstacles that might hinder your chances of having a baby. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4713 people found this helpful

I'm 6 months pregnant if I eat anything my chest wil burn nd start vomiting why is that and wat I should do?

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
I'm 6 months pregnant if I eat anything my chest wil burn nd start vomiting why is that and wat I should do?
you can eat something bland like marie biscuit .Eat every 2 hours ,You can consult your local gynaec for tablets ,Avoid drinking tea and coffee.
1 person found this helpful
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My wife delivery date is 31 may 2017. Now we will take another chance immediately. When we can start the intercourse for second chance.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
My wife delivery date is 31 may 2017. Now we will take another chance immediately. When we can start the intercourse ...
For a healthy pregnancy minimum spacing of 2 years is a must.The womans body needs to recover from a previous delivery and also the previous child needs care .Consult your gynaec about contraception immediately after her delivery for proper spacing between 2 pregnancies.
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Yeast Infection - 9 Reasons Behind It!

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Yeast Infection - 9 Reasons Behind It!

Yeast infections are caused due to the overgrowth of yeast, which is a fungus. This type of infection is also called as candidiasis. Most women in the world are likely to get infected with vaginal or vulvo-vaginal candidiasis at least once in their lifetime. The most common causative organism of this disease is Candida albicans. The other Candida species that might cause these are C. glabrata, C. parapsilosis, C. tropicalis, and C. krusei.
Sometimes, it becomes chronic and may appear 4-5 times in a year.

Other types of yeast infections
Yeast infections can be caused in other parts of the body as well. When yeast infections occur in the mouth, it is called thrush or oropharyngeal candidiasis. Yeast infections are mostly found in moist, warm areas such as armpits, genital area etc. This type is called cutaneous candidiasis. Most candida infections are not very harmful. However, if they reach the blood stream, it can result in fatality. This is called invasive candidiasis and can happen by inserting an infected catheter, etc.

What causes candidiasis?
Candidiasis is caused when the natural flora of the area is thrown off balance. The most common causes of candidiasis are: 

  1. Obesity
  2. Diabetes
  3. Diseases such as HIV which suppress immunity
  4. Pregnancy
  5. Antibiotics, steroids and birth control pills
  6. Vaginal douching
  7. Using perfumed products such as soap and bubble baths
  8. Wearing tight clothing such as synthetic underwear and spandex that do not allow your genitals to breathe

    If you wish to discuss about any specific problem, you can consult a gynaecologist.

4538 people found this helpful

Mere pregnancy ka 4th month chal raha he. Doctor ne bataya ki bachha neeche ki taraf he. Bachha Neeche ki taraf hona dangerous to nahi he? Aur bachha upar ki taraf kab aayega?

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Mere pregnancy ka 4th month chal raha he. Doctor ne bataya ki bachha neeche ki taraf he. Bachha Neeche ki taraf hona ...
The baby keeps moving through out pregnancy and it gets fixed in a particular position only after36weeks.So at4months it does not make any difference.
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I am a 21 year old girl, I have some bleeding from the path of urine, other than menstruation. There is no problem in menstrual cycle. But I want to know what's the reason behind these few drops of bleeding before urination.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
I am a 21 year old girl, I have some bleeding from the path of urine, other than menstruation. There is no problem in...
It could most probably be a urinary infection or a ureteric stone.Get a urine routine and micro examination done.and also sonography of whole abdomen and if necessary a X-ray KUB ON EMPTY STOMACH.
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Inflammation of The Vagina - Could it be Vaginitis?

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Inflammation of The Vagina - Could it be Vaginitis?

Vaginitis is the inflammation of one’s vagina accompanied by pain during intercourse, mild vaginal bleeding, painful urination, vaginal itching or a considerable change in the amount, odor and color of the vaginal discharge.
Causes:
1. A certain level of bacteria is normally found in one’s vagina (lactobacilli). Now if this count is outnumbered by the other bacteria (anaerobes), the balance in the vagina gets disrupted giving rise to bacterial vaginosis. Such kind of vaginitis usually stems from sexual intercourse with multiple sex partners.
2. Yeast infection occurs due to an overgrowth of fungal organisms in one’s vagina, especially Candida Albicans.
3. Trichomoniasis caused by the one celled microscopic parasite ‘Trichomonas Vaginalis’ generally spreads through sexual intercourse with an infected partner. The condition also makes one vulnerable to various sexually transmitted infections.
4. Spermicidal products, scented detergents, perfumed soaps, douches, vaginal sprays or foreign objects such as tampons that were not taken out or tissue paper might trigger allergic reactions or irritation in the vaginal tissues.
5. Surgical removal of the ovaries or reduced estrogen count after menopause might cause thinning of the vaginal lining, thereby resulting in vaginal burning, dryness or irritation.


Treatments:
1. For Bacterial vaginosis, your doctor might advise the application of clindamycin cream or metronidazole gel as well as metronidazole tablets which are to be taken orally.
2. Yeast infections might be treated with an anti-fungal suppository or cream, for instance, tioconazole, butoconazole, clotrimazole or miconazole. Oral medication, such as fluconazole is also administered to treat the same.
3. Metronidazole or tinidazole tablets are prescribed for Trichomoniasis.
4. Estrogen in the form of rings, tablets or vaginal creams is effective in treating low estrogen level after menopause.
5. For non-infectious vaginitis primarily caused by objects, such as tampons, sanitary napkins, laundry detergent or new soap, it is essential to pinpoint the source of the irritation and avoid them. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4795 people found this helpful

Physiology of Conception

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
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Hi, I am Dr Jayanti Kamath. I am an IVF consultant, practising at Srishti Fertility Care Center and Women's Clinic, Mumbai. So today, I will be talking about the physiology of conception or how babies are made. Before we begin I will tell you about few things about the female reproductive system.

So as you can see in this picture this is a picture of the uterus and these are the tubes, the fallopian tubes and this whitish structure over here it is called as ovary. Now this part is the vagina and this is the mouth of the uterus it is also called as the cervix so once again this is the uterus these are the fallopian tubes on either side this is the ovary this is the mouth of the uterus called as the cervix and this is the Vagina. so how babies are made first of all babies are made by the fertilization of an ovum or the female egg by a sperm from the male. So the female eggs are produced in a structure called as the ovary. So what happens every month, the egg is released from the ovary into the fallopian tube and the egg grows throughout his journey through the fallopian tube and after sexual intercourse, the sperms enter through the vagina and they meet the egg in the tube and the egg gets fertilized. It keeps on growing and then the embryo or the baby gets implanted inside the uterus and this baby grows up till nine months till the woman delivers. So this is the physiology of conception now why is this important cause when a woman cannot conceive there can be problems in this entire process. For example where the egg is manufactured that is the ovary.

There can be a problem in the ovary, the woman can have a hormonal imbalance such as polycystic ovarian disease where many eggs are produced but they do not grow or they do not become mature then there can be cysts in the ovary such as endometriotic cyst or any other cyst so these are the problems with the ovary. Then coming to the tubes. If there is any blockage in the tubes the oocyte or the XL will not be able to reach the sperm.

Why the blockage occurs?

Blockage can occur due to any infection called as pelvic inflammatory disease or tuberculosis which is a very common disease in our country. So because of that, the tubes can get blocked. So once the tubes are blocked the oocyte has a problem in meeting the sperm, then the main region that is the inside of the uterus, so there can be problems there also. There Can be fibroids, there can be a septum, there can be polyps or there can be the uterus itself can become a tumour called as adenomyosis. So these are the uterine problems which interfere with conception. Now coming lower down there is a mouth of the uterus which is very important. Suppose the mouth of the uterus is closed or there is a very narrow space over there then again the sperms will have difficulty in entering the uterus.

So these are the various problems in the female reproductive system which interfere with conception.

For more information about this or if you have a problem in conceiving please consult me at lybrate.com.

Thank you.

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Menstrual Migraines Treatment

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Menstrual Migraines Treatment

Menstrual Migraine can be termed as an extremely persistent headache that can happen just before, during or right after menstruation. Often, the feeling of nausea also keeps on lingering. The cause which triggers this type of migraine can be the fluctuating levels of oestrogen that a woman’s body experiences when she is on her periods.

What can be the possible treatment?

  1. Application of ice pack or simply rubbing ice on your forehead can help lessen the pain a bit.

  2. Relaxation exercises can be practiced to reduce the tension of the muscles.

  3. Acupuncture therapy can also be done to improve the headache and it can further aid in relaxation of the muscles.

  4. Over the counter painkillers such as ibuprofen or paracetamol can be taken for immediate relief.

  5. Your doctor can also administer TRIPTAN (specific drugs used to treat the symptoms of migraine which work on the chemical receptors within the brain) if the pain is unbearable.

  6. Do not experiment much with hormonal contraception methods after unsafe sexual intercourse. It just might worsen the pain.

  7. NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) can also be administered, only if they have been prescribed by the doctor, as the harmful effects of those drugs are aplenty.

  8. Magnesium deficiency in the body is one of the most important causes for menstrual migraines. Thus, eating foods rich in magnesium such as dark leafy greens, nuts, whole grains, avocados, bananas, etc. and taking magnesium supplements or vitamins are advisable.

  9. There are certain foods which can even trigger such attacks. They include foods packed with monosodium glutamate (MSG), aged cheese and caffeine. Such foods should be strictly avoided. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
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