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Dr. Kiran Laxman Shinde

Gynaecologist, Mumbai

Dr. Kiran Laxman Shinde Gynaecologist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Kiran Laxman Shinde
Dr. Kiran Laxman Shinde is a trusted Gynaecologist in Dahisar, Mumbai. You can visit her at Ashirwad Maternity Nursing Home in Dahisar, Mumbai. You can book an instant appointment online with Dr. Kiran Laxman Shinde on Lybrate.com.

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.

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Hindi

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Ashirwad Maternity Nursing Home

A/5, Harsh Apartments, Anand Nagar, Dahisar, Mumbai Get Directions
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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?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
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...
Do urine pregnancy test first. If you have any doubt for pregnancy must do urine pregnancy test always.
3 people found this helpful
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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.

MBBS
General Physician, Mumbai
My friend is having abdominal cramps. She is near to her periods nd recently she got intimate with her boyfriend bt s...
Your friend needs a proper sex education before getting involved in sexual activity and cramps are due to ipill and For pain take tablet paracetamol 650 mg and she won't get pregnant with the information that you have provided
4 people found this helpful
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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?

MD ayurveda
Ayurveda, Navi Mumbai
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 h...
Hello yes you can't deny risk of pregnancy. Because during that rubbing also there is mild secretion which may has the sperms. So if periods delayed by 1 week or more do one urine pregnancy test of her. Or consult to nearby doctor.
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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?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Kindly give details of associated gynae problems if any. Have you issues? when the cycle was regular, did you have scanty bleeding? what's the level of hb. There are certain medicines those may be tried. You may ask privately.
1 person found this helpful
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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.

BHMS
Homeopath, Hyderabad
Hi, I am 19 weeks pregnant, I have given urine test and I found" calcium oxalate crystals "are present in urine. I am...
If you have ca oxalate crystals then there are chances of kidney stones hence please avoid foods rich in calcium to avoid stones and also drink more water to prevent stone formation.
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Surgical Sperm Retrieval (TESA/PESA/MESA)

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Surgical Sperm Retrieval (TESA/PESA/MESA)

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.

  • Microdissection TESE.

  • 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.

1 person found this helpful

Benefits Of Walnut

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
Benefits Of Walnut

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.

2 people found this helpful

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.

DHMS (Hons.)
Homeopath, Patna
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 reg...
Hello, lybrate user, menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, pcod, thyroidism, results in, delayed, painful, excess & frequent blood flow during menstruation. * tk, plenty of water to hydrate yourself, to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * tk, apple, carrots, cheese, milk, banana, papaya, pomegranate, spinach, almonds, walnuts to improve your haemoglobin to release your flow, timely. * tk, homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ pulsatilla 30-6 pills, thrice a day. @ sepia200-6 pills, thrice a day. * ensure, sound sleep in d night for at least 7 hrs. * avoid, caffiene, junkfood, dust, smoke, exertion > your feedback will highly b appreciated for further, follow up. Tk, care.
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In Blood pregnancy test reports comes in negative or positive or in values.Please tell sir.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
In Blood pregnancy test reports comes in negative or positive or in values.Please tell sir.
Blood is tested for hcg hormone which is the pregnancy hormone and it gets positive before the period is due right after conception occurs. There is spurt in value of this hormone as pregnancy advances and there are charts to find out if weeks of pregnancy coincide with the level of hormone so that the risk of miscarriage can be explained to mother and injection hcg can be given. In tubal pregnancy, if fetus is dead the levels of this hormone keeps falling and woman can be saved surgical intervention, medical treatment can be carried out to treat a case of tubal pregnancy.
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Sir which time sex doing which time do not sex im feel in safe sex please explain briefly sir.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Sir which time sex doing which time do not sex im feel in safe sex please explain briefly sir.
generally 7 days before periods and 7 days after periods are considered as safe time.. but pregnancy can occur any time in month but these 14 days have very less chances of pregnancy
6 people found this helpful
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MD - Psychiatry
Psychiatrist, Alappuzha
Tips for Parents 
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

While fucking my girlfriend my condom was torn and sperms has gone inside her vagina and I have done sex with her many times without using condom will she be pregnant and if she will so which medicines will help her out.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
While fucking my girlfriend my condom was torn and sperms has gone inside her vagina and I have done sex with her man...
Hello, yes there is all likelihood that she may get pregnant. She should be protected with emergency contraception within 72 hrs of last intercourse. There are high chances of pregnancy.
2 people found this helpful
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I am 22, I have irregularity in periods most of the time. Even now also 2 months gone wasted as result no periods. I have facial hairs below my chin. Where is the problem I dont understand that.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 22, I have irregularity in periods most of the time. Even now also 2 months gone wasted as result no periods. I ...
The problem is likely to be androgen excess. We need to have detailed diagnostic work up and then start treatment of both the problem at the same sitting (excessive hair and menstrual problems).
8 people found this helpful
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Hi, I am married but I and my husband have a sex very less at least in 6 month is there any problem? please advise.

Sexologist, Jodhpur
Hi, I am married but I and my husband have a sex very less at least in 6 month is there any problem? please advise.
There are many reasons for low libido. Consult in private for detailed discussion to find out root cause. With proper guidance and ayurvedic medicines his problem can be cured so dont worry.

If I had sex without precaution just before my partner's period date. What are the chances of her to get pregnant? And I didn't eject inside. Is it safe? Marital status: Married Are you sexually active? Yes Timing during intercourse/ masturbation: >10 minutes.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
The chances of your wife getting pregnant are remote. However you will have to wait till she has her next periods.
1 person found this helpful
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I am 30 years old female housewife after delivery my weight started increasing n now after 5 years it reached till 90. I even do not have any medical issues like thyroid or diabetes. So what should I do now?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 30 years old female housewife after delivery my weight started increasing n now after 5 years it reached till 90...
Primary objective of your treatment is weight reduction and maintain normal bmi of 18-25. This will regularize the monthly cycles and also help you get pregnant. You can take metformin to reduce weight. For reducing your weight you should have brisk walk or jogging for 4-5 km daily, high protein diet (fish, chicken, mutton without fat, pulses, mushrooms), low carbohydrate diet (avoid rice, chapatti, bread, poha, upma, idli, dosa, potato, sugar etc and can use bhakri instead) and low fat i. E. Less oil and preferably use rice bran oil.
1 person found this helpful
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