Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 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.
Book Clinic Appointment
Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
Submit a review for Dr. Kiran Laxman ShindeYour feedback matters!
I had unprotected sex with my gf ; she had periods on 16 april and on 30 april we had sex but condom broke ; she take ipill in 1 hour is there any chance of pregnancy?
My friend is having abdominal cramps. She is near to her periods nd recently she got intimate with her boyfriend bt she took an i-pill within 40 hrs. What could be the reason. And she also wants to know if she could get pregnant with the lubricant that comes out of the penis. Not the ejaculation bt the lubricant. And that too the penis was not inserted into the vagina but it was just touched on the hymen. Thank you.
I am 23 year female I have problem of irregular periods normally my periods delayed time is 7 to 10 days but in present it delayed by 2 months and I have done pregnancy test with the help of prega news for two time and the result is negative I have taken many homeopathic medicine but I am not getting my periods and I have also taken the meprate 10 mg for 4 days once for a day Still I am nt getting my periods please Dr. help me I am very very tensioned please tell me the reason and what I should do? Please Dr. help me.
Me and my GF both are virgin. Last month I rubbed my penis on her vagina. We didn't have sex. This month she is not having period. Is there any risk of pregnancy?
I am 36 year women I don't have periods unless I wont take triquilor tablet from 6, 7 years. So how to do regular my periods?
Hi, I am 19 weeks pregnant, I have given urine test and I found" calcium oxalate crystals "are present in urine. I am worrying about this. Please let me know if there is any risk as early as possible. Thanks.
Hi. We are newly married couple (about 4 months). We usually have protected sex, but last night it was a reverse case. I exactly didn't ejaculate in her. But still I'm worried, if she could get pregnant. Her last period start date was 26 june. I have heard that emergency contraceptive pills are bad, therefore would like to have your advice on what has to be done in this case. Also, from few days I ejaculate within seconds after entering, which is creating a problem. Is it normal or something has to be done?
Surgical Sperm Retrieval (TESA/PESA/MESA)
The main methods of surgical sperm retrieval available include:
PESA: percutaneous epididymal sperm aspiration.
MESA: microsurgical epididymal sperm aspiration.
TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).
TESE: testicular sperm extraction.
Perc biopsy: percutaneous biopsy of the testis.
Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.
Tests required before surgical sperm retrieval
A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.
Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.
If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead
Surgical sperm retrieval techniques used when obstruction is the problem
When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anaesthetic. The fourth requires open surgical sperm retrieval and is usually carried out under general anaesthetic.
Some small studies have been done to compare success rates after the different types of surgical sperm retrieval. These concluded that MESA gives the highest number of sperm, with a hundred times more sperm being recovered compared to TESA and perc biopsy.
MESA also produced sperm that were better swimmers and therefore more useful for infertility treatments, including IVF and ICSI.
Surgical sperm retrieval techniques when there is no obstruction
Men who have no sperm in their semen, despite having clear tubes in their testicles, usually have a problem with the process of sperm production. It is unlikely that sperm are present in large numbers, so the surgical sperm retrieval techniques required are more invasive
TESE: Testicular sperm extraction. This involves opening up the scrotum and taking a large volume of testicular tissue, perhaps from several regions of the testicle. Sperm are then retrieved using a microscope to identify individual sperm.
Microdissection TESE: A similar technique but a microdissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.
Daily walnut consumption could have beneficial effects when it comes to delaying age-related health issues. Findings from walnuts and healthy aging study indicate that eating the nuts could positively impact blood cholesterol levels without adverse effects on body weight among older adults.
The trial, conducted by researchers from the hospitals clinic of Barcelona, Spain, and Loma Linda university, us, saw 707 healthy older adults divided into two groups. One group added daily doses of walnuts totaling around 15% of their caloric intake to their diets while the other group stayed off the nuts. The walnut-eating group experienced significant LDL cholesterol reductions.
Last period on 13th july. I had sex after 1 day period got over 18th july. A Nd took ecp within 24 hrs. I have nt regular period cycle. And till now I have nt got my period.
After mensuration or bleeding her stomach pain starts, so we go to the homeopathic gynecologist, he prescribed oskarist tonic and said take twice a day regularly after food but no improvement takes place. please help how to eradicate this prblm? What is the medicine and tonic for this? And what is the natural method to reduce the pain and this prblm also?, please help.
Parents can help their children enjoy these video games appropriately and avoid problems by:
Avoiding video games in preschool-aged childrenChecking the ESRB ratings to select appropriate games—both in content and level of developmentPlaying videogames with their children to share the experience and discuss the game’s contentSetting clear rules about game content and playing time, both in and outside the homeMonitoring online interactions and warning children about potential dangers of Internet contacts while playing games onlineAllowing video game playing only in public areas of the home, not in the child’s bedroomRemembering that you are a role model for your children including which video games you play and how long you play themEnforcing total screen time limitsEnsuring video games are only played after homework and chores are doneEncouraging participation in other activities, particularly physical activities