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Dr. Joshi

Gynaecologist, Mumbai

400 at clinic
Dr. Joshi Gynaecologist, Mumbai
400 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Joshi
Dr. Joshi is a popular Gynaecologist in Borivali East, Mumbai. Doctor is currently associated with Elite Hospital in Borivali East, Mumbai. Book an appointment online with Dr. Joshi 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 31 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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Hindi

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Adinath Tower D Wing Nancy Colony, Borivali East,Landmark: Opp St Bus Depot, MumbaiMumbai Get Directions
400 at clinic
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I have been planing for my 2nd baby since 4-5 months. Nw we r planing to go on pilgrimage by d end of ths mnth. Cn I have tablets to postpone or prepare my periods. Is it save. Wat if I conceive ths mnth?

Advanced Aesthetics
Ayurveda, Gulbarga
I have been planing for my 2nd baby since 4-5 months. Nw we r planing to go on pilgrimage by d end of ths mnth. Cn I ...
Postpone medicenes are available not prepone if trying to concieve leave it why r you want to take medicenes.
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From last two months my periods r missing. Pregnancy test is negative. Right now I am feeling that may b periods will start. But I want to delay it for some family reasons. Can I take tablets to delay the periods .will it work or not. please let me know. My age is 41 yrs.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
From last two months my periods r missing. Pregnancy test is negative. Right now I am feeling that may b periods will...
Chances of success decreases as more and more days pass, but no harm in trying as you have ruled out pregnancy.
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All About Embryo Transfer

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
All About Embryo Transfer

After the eggs are collected and fertilised in the laboratory, the embryo transfer takes place. Usually and this entirely depends on your situation, about one or three embryos of the best quality are selected to be transferred to the womb. After introduction to the uterus, the egg attaches itself to the wall of the uterus for the pregnancy to come into effect. Embryo transfer is the last step in the IVF cycle.

Procedure:
The procedure chosen for transferring embryos usually depends on the clinic chosen. But most of them involve the following steps:

  1. The eggs take two or three days to fertilise. When they are ready, the embryos with the best quality are selected. These are then transferred to your uterus.
  2. A speculum is inserted into your vagina by the doctor. Then using ultrasound for guidance, a catheter is passed through the cervix. This catheter is used to pass down the embryos into the uterus.
  3. Your lifestyle after the transfer should be docile and cause you minimum stress.
  4. A pregnancy blood test will be given to you two weeks after the transfer. If the test comes out as positive, an ultrasound is scheduled after another two weeks.

Risks:
In the process of transferring the embryo, there are no significant risks involved. There might be problems during passing the embryos through the catheter, if you never have had a baby before or your cervix was not assessed before the IVF cycle was initiated.

Chances of Successful Pregnancy:
With age, female fertility declines. It helps if you are younger when using your own eggs. After a survey it was found that women:

  1. aged below 35 have 40.6% chance of success
  2. aged between 36-37 have 35.5% chance of success
  3. aged between 38-39 have 28.1% chance of success
  4. aged between 40-42 have 21.2% chance of success
  5. aged between 43-44 have 11.2% chance of success
  6. aged 45 and over have 3.4% chance of success
1 person found this helpful

Suvarna Prashan - 2017

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
Suvarna Prashan - 2017

Suvarna prashan sanskar is one of the 16 essential rituals described in ayurveda for children. 

It is one of the most important ayurvedic oral vaccination which should be compulsorily administered to every child.

This vaccination is the most superior one when compared to the modern vaccinations like bcg; polio drops; hepatitis; etc. As they have many other side-effects too.

What is suvarna prashan?
The process in which suvarna bhasma (purified ash of gold) is administered with fortified ghee prepared with herbal extracts, and honey in liquid or semisolid form.

Whom to administer?
Suvarna prashan can be given to age group of 0-16 years.

What is the time of administration?
Suvarna prashan can be done daily early in the morning, or at least on every pushya nakshatra- an auspicious day- which happens to come after every 27 days, given on this day it bestows excellent benefits.

What are the benefits of suvarna prashan?
• suvarna prashan increases immunity power and develops resistance against common infections, thus prevents children from falling ill very oftentimes.

• it builds physical strength in children and enhances physical activities and also improves stamina for the same.

• regular doses of suvarna prashan improves child’s intellect, grasping power, sharpness, analysis power, memory recalling in an unique manner.

• it kindles digestive fire, improves digestion and decreases related complaints.

• suvarna prashan also improves child’s appetite.

• it helps to nurture early physical and mental development.

• it develops an inbuilt strong defense mechanism in kids which acts as a safety shield against diseases and complaints occurring due to seasonal change and other prevailing infections.

• it helps body to recover early in case of any illness.

• it guards children from various allergies.

• it protects children from ailments occurring during teething phase.

• tones up skin color.

Overall it makes child healthier.

Benefits of suvarna prashan at vishwacare:
• prepared using completely natural and organic products which are 100% original
• freshly made on every pushya nakshatra
• prepared by the doctor herself
• suvarna prashan drops and leham, both are given
• suvarna prashan daily drops are also available 
• substantial beneficial results are achieved
 
Children taking suvarna prashan doses regularly can be easily distinguished from their remarkably outstanding physical and mental ability.

This suvarna prashan thus helps in the overall development of the child in a more safer way by providing side benefits without any side effects.

Upcoming dates of suvarna prashan in 2017:

March:
8th march (wed) 05: 46 pm - 9th march (thurs) 05: 12 pm
(guru pushya amrut yog from sunrise to 05: 12 pm on 9th march)

April:
4th april (tue) 11: 12 pm - 5th april (wed) 10: 52 pm

May:
2nd may (tue) 5: 16 am - 3rd may (wed) 4: 33 am 

29th may (mon) 1: 25 pm - 30th may (tue) 11: 57 am

June: 
25th june (sun) 11: 25 pm - 26th june (mon) 9: 22 pm

July:
23rd july (sun) 09: 53 am - 24th july (mon) 7: 43 am

August:
19th aug (sat) 7: 09 pm - 20th aug (sun) 5: 22 pm

September: 
16th sept (sat) 2: 16 am - 17th sept (sun) 1: 05 am

October:
13th oct (fri) 7: 46 am - 14th oct (sat) 6: 54 am

November:
9th nov (thurs) 1: 39 pm - 10th dec (fri) 12: 25 pm
(guru pushya amrut yog from 1: 39 pm on 9th nov to before sunrise on 10th nov)

December:
6h dec (wed) 9: 57 pm - 7th dec (thurs) 7: 54 pm
(guru pushya amrut yog from sunrise to 7: 54 pm on 7th dec)

(P.S.: Guru pushya amrut yog is the best time to give suvarna prashan)

3 people found this helpful

I have done sex with my girl friend will any thing happen? I am worried . Please advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
pl. checkup her urine preganacy tests ...if negative ...feel good. if positive . it means she is pregnant. so do good for her and your self.
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When is the best time to drink green tea for weightless. Before meal or after meal or during meal. I am pcod patient. please recommend.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
When is the best time to drink green tea for weightless. Before meal or after meal or during meal. I am pcod patient....
Hello, you can drink green tea any time, except: - in the evening if you are sensitive to caffeine. Also, it's best to have green tea 30-45 minutes before or after your meals.
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Hello I am 37 years old & my wife is 35 years old we are trying for our first baby not yet successful we have sex from 5th day of her period every alternate day till she gets her period. First I give her pleasure (orgasm) by foreplay and have sex with Johnson baby oil as lube. Are we making any mistakes please advice worried a lot. Thanks.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
Hello
I am 37 years old & my wife is 35 years old we are trying for our first baby not yet successful we have sex fro...
your wife is 35 years old already. If you r having regular sex then it's always better to get both of you evaluated once by doctor. U may need a semen analysis test n a couple of tests for her to find out if there s any cause for delay in pregnancy.
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During sex I did coitus interrupts my penis went 4-5 cm in vagina. It was not even totally sex it was my first time do you think there is chances of pregnancy.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
During sex I did coitus interrupts my penis went 4-5 cm in vagina. It was not even totally sex it was my first time d...
If you ejaculated into the vagina and your female partner was in her fertile period, then there is always a chance of pregnancy. The only symptom you can look for is her forthcoming scheduled period. If she has her period on time, there is no pregnancy. If she misses that, rule out pregnancy using a urine pregnancy kit and consult a gynecologist.
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Continuously I Am loosing my weight. What effects i am going to face because of this weight loss.

BHMS
Homeopath, Faridabad
Continuously I Am loosing my weight. What effects i am going to face because of this weight loss.
Hello. Get your blood tested for CBC, ESR, sputum examination, Mantoux test, TFT, LFT done first. Share the reports with me, will guide you accordingly.
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I am 3 month pregnant with low hb level in blood which result in leg swelling. So please suggest me any exercise or tips to cure the problem. I am teacher after all day work I feel my weight is gradually increases because of pregnancy. My thighs become heavy this time which obstruct me to walk n stair climb.

MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
ur Hb is low means u need iron cap in form of Fefol 1 bd green leafy vegetable with good protien diet, like daal, eggs etc and Calcium ..eg Shecal 1 bd
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I am 25 years female. Married 2 years. I have my baby of 9 months old. I had my periods last month 3 aug it was 10 days before my date. Now it is 25 of september I did not have my periods uptill now. On 12 sep I did UPT but it should negative. On 19 sep I consulted a doc she asked me to take sustain 300 for five nights. I am quite confuse with my health. I really want to know the actual about my health y are the issues related to my periods .i m really worried.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am 25 years female. Married 2 years. I have my baby of 9 months old. I had my periods last month 3 aug it was 10 da...
It happens because of hormonal imbalances and the lack of nutrition or exercises with suppress hormones production. You need to take Pituitarinum 6C one dose daily for 5 days and start taking naturamore female powder 1 spoon daily in morning and evening for 1 month. This will definitely give you results. As the Powder is just a supplement containing proteins, vitamins, minerals and all. You will get result 110%. And try to go for walking and yoga in early morning before 8 AM. Just inform me if you are not getting the powder. Take care. :)
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My wife as thyroid problem. That problem she is not show the interest about doing sex. And when Im doing the sex she feels bad and unhealthy and she can't breathe properly.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
My wife as thyroid problem. That problem she is not show the interest about doing sex. And when Im doing the sex she ...
Hi This type of phases come in females. But they are transient. You should take her out to enjoy initially without demanding for sex. Then you can discuss with her about her problem with it and try to solve it. It is not because of thyroid problem.
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DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:

 

  •     Coughing during or right after eating or drinking
  •     Wet or gurgly sounding voice during or after eating or drinking
  •     Extra effort or time needed to chew or swallow
  •     Food or liquid leaking from the mouth or getting stuck in the mouth
  •     Recurring pneumonia or chest congestion after eating
  •     Weight loss or dehydration from not being able to eat enough

As a result, adults may have:

 

  •     Poor nutrition or dehydration
  •     Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
  •     Less enjoyment of eating or drinking
  •     Embarrassment or isolation in social situations involving eating

Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:

 

  •     Swallowing therapy
  •     Dietary changes and
  •     Feeding tubes

Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:

  1.     A nasogastric tube - a tube that is passed down your nose and into your stomach
  2.     A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach

Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes. 

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery. 

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus. 


Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
 

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I'm married. Recently we were try for baby to last four month, But we are not successful. Nothing any problem of us, so please ans. Of my query.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm married. Recently we were try for baby to last four month, But we are not successful. Nothing any problem of us, ...
As you are trying for only 4 months, there is no reason to worry. U have to try for whole 1 year with regular sex (3-4 times a week) before you seek medical help in this regard. You can follow the calender method to be most effective. If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26days) minus18days=8th day. The longest cycle (31days) minus 10days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period.
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I'm 18 year old and my bodyfriend ejaculated on my pant. To be on the safer side I had an ipill within 20 minutes. I had the i pill period after 5-6 days but then from that day till today I have not had my period. It's been more than 1 month. I had some bloating and cramping also. Also I had acne problem but it's all improving also having some back ache. I just want to get my period as soon as possible cause I'm very stressed please help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm 18 year old and my bodyfriend  ejaculated on my pant. To be on the safer side I had an ipill within 20 minutes. I...
As you already had menses after the ipill, you can not be pregnant and ejaculation on the pant can not make you pregnant. As you r already having backache, means your menses are round the corner, no need to hurry for menses as it can disrupt the next menses also. And you r not 100% pregnant.
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Hi doctor. I am 25 years Nd married. My cervix is high hard and closed. From today morning I am getting full white creamy discharge. My period starts on 23rd of this month. I am having lower back pain also. Can I be pregnant. What should I take care of my self if I may miss my periods. Thank u.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hi doctor. I am 25 years Nd married. My cervix is high hard and closed. From today morning I am getting full white cr...
Hi You have not crossed your periods date. So if you feel any chance of pregnancy you can check it by doing urine pregnancy test if your periods delay. Back pain may be because of discharge problem which can be handled after confirmation regarding pregnancy.
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Hello doc, my wife has an ovarian cyst we got married before 10 months and now we wants a baby we tried since 5 months but she is not getting pregnant. Is it due to ovarian cyst? Ovarian cyst prevents pregnancy ?plz suggest.

MD, MBBS, Advanced Infertility
Gynaecologist, Jalandhar
Hello doc, my wife has an ovarian cyst we got married before 10 months and now we wants a baby we tried since 5 month...
Hi! Many a times the cyst can be an unruptured follicle. But needs to be watched on USG on Day 2 of periods. Size and nature of the cyst is important. Consult a specialist.
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M 18 years old girl n m hvng abdomen pain m not getting periods n the pain is unbearable please suggest me something m scared for last December m not getting periods only once I got.

DGO, MBBS
Sexologist,
M 18 years old girl n m hvng abdomen pain m not getting periods n the pain is unbearable please suggest me something ...
If there is any chance then you should do urine pregnancy test, otherwise you will need further tests, like blood test and ultrasound.
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