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Dr. Laxmi Guthe

MS

Gynaecologist, Mumbai

Dr. Laxmi Guthe MS Gynaecologist, Mumbai
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Personal Statement

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. Laxmi Guthe
She is a qualified MS . Book an appointment online with Dr. Laxmi Guthe on Lybrate.com.

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MS - NA -
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English
Hindi

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Laxmi Multispeciality Hospital And Icu Ghanshyam Bhuvan

Plot No. 10, Office No. 103, Beside Bank Of India, Sector-3, Ghansoli Navi.Mumbai Get Directions
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Hello sir, my wife 29 and me 43 years old. Every time after end of her periods we did sex 4 to 5 days, My wife period end 3rd February. Tonight after sex she said pain inside vagina, why it's happened, please help, thank you.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello sir, my wife 29 and me 43 years old. Every time after end of her periods we did sex 4 to 5 days, My wife period...
There are a number of causes that may contribute to pain after intercourse. Physical reasons, infections, growths, and emotional issues can all cause pain after sexSome of the main causes are- 1. Vaginal Dryness When women are aroused, your body naturally lubricates the inside of your vagina to prepare for male penetration. Sometimes, hormonal fluctuations can cause your vaginal dryness. At certain times during your normal menstrual cycle, your vagina may be drier than other times. Over-the-counter lubricants can help make sexual intercourse more comfortable. Having sex with a dry vagina (without using artificial lubricants) can be uncomfortable, and it may lead to pain after intercourse. Vaginal lubricants like Jellies can help resolve this issue.---2. Vaginismus – This is a sexual disorder that can make sex very painful. When woman has vaginismus, the muscles surrounding her vagina involuntarily tighten (spasm) in anticipation of penetration and can be triggered by emotional fear, stress, and anxiety. It can also have a physical cause, including scars in the vagina or infections. Sometimes, it has no cause. There are treatment options for women with this condition, though. Women with vaginismus have extreme pain during attempted penetrations. You may experience discomfort afterwards as well. 3. Yeast Infections – If you have a common yeast infection, your vagina will be red and inflamed after sex. You’ll also notice a stinging sensation, like your vagina is on fire, after you have intercourse. Having a yeast infection can make sex uncomfortable and even painful. Signs of a yeast infection include thick, clumpy and white discharge that looks like cottage cheese. You may also have pain or burning when you urinate or during sex. Sometimes, pain during and after sex is the only sign that you have a yeast infection. 4. Sexually Transmitted Diseases – Certain sexually transmitted diseases, such as Chlamydia and herpes, can cause painful intercourse and pain after sex. If you have Chlamydia, you may notice yellowish vaginal discharge; burning and itching in your vagina; redness, swelling, and soreness in your vulva; abnormal vaginal bleeding; and pain during and after sex. Painful sex can also be a sign of herpes, since the sores and lesions of herpes can grow inside the vagina or on the cervix. Other symptoms of herpes include vaginal discharge, a feeling of abdominal pressure, itching or burning sensation in your vagina. 5. Urinary Tract Infections – A urinary tract infection (UTI) is one of the most common causes of pain after sex. UTIs are not serious and can be easily treated with antibiotics. They are also very common. Having sex increases the risk of UTIs, since bacteria from your vaginal area can be massaged into your urethra. Symptoms of a urinary tract infection include a strong urge to pee; pain or burning when you urinate; and pain after having sex. 6. Ovarian Cysts – These are small, benign (non-cancerous) fluid-filled sacs that grow on your ovaries. Many ovarian cysts are harmless, but they can cause pain during and after sex. Ovarian cysts that twist or rupture can cause pain after sex, as well as sudden, severe pain that are accompanied by nausea and vomiting. 7. Uterine Fibroids – Painful sex, as well as discomfort after sex, may be the result of uterine fibroids, which are benign growths that develop inside the uterus. The most common symptom of fibroids is irregular menstrual bleeding. Women with fibroids may bleed between periods and have very heavy periods. Having sex can be uncomfortable or painful with fibroids if the affected fibroid is pushing against the nerves that affect sexual intercourse. 8. Endometriosis – Half of all women who have endometriosis experience intense pain during sex, and discomfort afterwards. Endometriosis is a reproductive disorder in which the tissue that lines the uterus grows in other parts of the body. During sex, women with this condition can experience sharp, stabbing pain. This pain can last for up to two days after having sex. 9. Vulvodynia – Some women experience chronic pain around the vulva (the opening of the vagina). This condition is called Vulvodynia. Having sex can be painful, and the discomfort can last after having intercourse. Doctors don’t know what causes this problem, but there are treatment options available. 10. Friction from Sexual Intercourse – Some women may experience pain after sex due to merely physical reasons. The friction from having sex irritated your vaginal tissues. You may need more lubrication during sex-So , my suggestion for you will be to wait for few more days and see if this pain is continuous or subsides within next 1-2 days as most of the time due to daily sex (This was your 5 th day) sometimes interest in sex diminishes leading to less or no secretion of vaginal discharge during penetration and hence causing pain in vagina after intercourse -So if your wife feels the same pain for next few days, then immediately consult a Gynecologist.
1 person found this helpful
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Hi I'm 18 years old. I masturbate regularly and around 2 weeks back I found blood when I get an orgasm too much blood and when I masturbate during my periods it's the same situation all of a sudden there's too much blood. I'm scared what do I do?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hi I'm 18 years old. I masturbate regularly and around 2 weeks back I found blood when I get an orgasm too much blood...
Hello- If you have masturbated near your menses period, the blood might be the menstrual blood which must be out flowed during orgasm, however vaginal bleed other thn menses during orgasm can be due to over and aggressive masturbation. Rupture of internal mucous lining exposes the blood vessels during the act which can burst during orgasm. Reduce your masturbation frequency and give genitals some rest. Don't insert any rough or hard object in vagina during masturbation. Masturbate with start and stop technique.
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My wife is 25 years old. She is pregnant. Now 8th month start. Albumin and pus cell present in report, hb 8.2. Now what care?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My wife is 25 years old. She is pregnant. Now 8th month start. Albumin and pus cell present in report, hb 8.2.
Now wh...
Hi, she is having urine infection she need to start antibiotics as per culture report. Ask her to drink lots of water and for hemoglobin she needs injection of iron to improve hemoglobin early. As her to have high protein and vitamin c rich diet.
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5 Ways To Lose Weight With Endermology

M.D, MBBS
Cosmetic Physician, Mumbai
5 Ways To Lose Weight With Endermology

Fat and cellulite though are different forms of the fat cells must be eliminated from the body when in excess so that you can lead a better and healthier life. While removal of deep tissue fat which resides underneath skin is possible with many therapies, the cellulite which resides loosely adhered to the skin just under it, is stubborn and tough to remove. That is why effective treatment methods like Endermology have been brought into practice since the 1980s which helps in weight loss as well as inch loss. This is the first cellulite and fat loss treatment, which has been approved by the FDA too.

This is a non invasive treatment, and is a painless and permanent solution against cellulite wherein no scarring or surgery is done. To prepare the body for the treatment, one must follow the below 5 methods, which will let the effect of the weight loss/fat loss treatment to be more visible and faster.

  1. Get cellulite treatment: The cellulite removal endermologic treatment is a special treatment, which is done with the help of two rollers and a vacuum suction machine. The rollers roll or knead the skin and create a suction force in the loose skin superficially. This makes the fat cells in the body under the skin, release the cellulite which is very effective for belly weight loss. The warmth from the treatment initiates lymphatic flow, and good blood circulation in the body, thus increasing fat metabolism.
  2. Maintain regularity of treatment: The treatment has a schedule, and the best results are obtained only when you maintain regularity. You cannot skip the sessions. 14-28 weight loss/fat loss sessions are required initially within 1-2 weeks. This has to be done as suggested by the health and treatment expert. From the 6th session onwards, fat loss results will start to get visible gradually.
  3. Stay hydrated for the treatment: It's a mandate that you keep hydration levels in the body optimum to receive full benefits from the Endermology treatment. Ideally, 5 cups of water intake is must before you start a session.
  4. HIFU Treatment- the next level: High-Intensity Focalized Ultrasound is the next level of treatment, wherein the ultrasound waves are targeted on the skin areas at thighs, abdomen, waist, hips, buttocks, etc., which contain cellulite. This ruptures the deep-laid fat cells, and then the fat is induced to get drained through the lymphatic system further enhancing the weight loss.
  5. Maintain healthy lifestyle and diet: A healthy lifestyle with no liquor and smoking, no late nights or drug abuse, and no stress, etc. is needed. Diet has to be a low calorie, balanced diet, and all junk and oily food filled with unsaturated fats must be avoided. Light exercises or moderate to heavy as per the capacity of the body must be encouraged to see the effects of Endermology to become permanent.
4637 people found this helpful

Hello my age is 26 year old last night I had sex with my husband recently we got married, between intercourse my period started is their any chance to get pregnancy. What should I do if my pregnancy starts.

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
Hello my age is 26 year old last night I had sex with my husband recently we got married, between intercourse my peri...
Dear Lybrate user. With the given details, there is no chance of pregnancy. The sex had been done on a day when there is no egg at all inside your body. So no chance of fertilization and no chance of pregnancy. Take care.
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My wife has uterus fibroid for two years period not at time very painfull and smell please help us thanks.

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Uterus fibroids can be cured with homeopathy as can the smell and pain be removed. Please send me full details. Dr. J tikari
4 people found this helpful
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Hi. I am a 30 years old female, 5'6" and weigh 70 kgs. Need to lose 5 kgs to keep my borderline PCOD at bay and to get in shape. Will start planning for pregnancy in another 2 months. Kindly suggest diet plan accordingly. DiviSion into breakfast, morning snack, lunch, evening snack and dinner will be much appreciated. Thanx.

PDDM, MHA, MBBS
General Physician, Nashik
Hi. I am a 30 years old female, 5'6" and weigh 70 kgs. Need to lose 5 kgs to keep my borderline PCOD at bay and to ge...
Here is a sample diet to help you understand the diet. Early Morning: Green tea ( sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits ( avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
4 people found this helpful
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Hey .Before my periods come I face mood swing depression, burning sensation in stomach etc. So,would you please suggest something to tackle this problem.

MBBS
General Physician, Jalgaon
Hey .Before my periods come I face mood swing depression, burning sensation in stomach etc. So,would you please sugge...
Please Take Ashokarishta 20 ml twice a day for 3 months Lohasav 10 ml twice a day for 3 months Tab spasmofirst 5 1 sos for pain if needed.
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Hello doctor can you please tell me for what purpose tab fludek 20 been used? Local doctor prescribed my mother.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Hello doctor can you please tell me for what purpose tab fludek 20 been used? Local doctor prescribed my mother.
It contains fluoxitine which is a mood regulator or used in balancing brain area which controls mood. Its used as an anti depressant mainly.
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Respected doc. I am obese, and in April, I miss my cycle too. Doc prescribed me medroxyprogesterone acetate and it bleeds on 10 may to 15 may. Now, I do jogging, walking, running squatting regularly about 30 mins. I avoid junk food, soft drinks, sugars, chips, I eat only home food. I studied about thyroid effects on menses. Pls prescribe me way how to keep healthy thyroid. Do I avoid rice and potato too. Thankyou.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
Respected doc.
I am obese, and in April, I miss my cycle too. Doc prescribed me medroxyprogesterone acetate and it bl...
Firstly get urself checked for thyroid. Get t4 and tsh. It s blood test. If it deranged then medicine is started. If it is already normal you can relax. But there is nothing one could do to prevent it from not having in future.
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Hi, I am 2 months pregnancy and I have big problem of vomiting and constipation. Sir please suggest.

MBBS
Sexologist, Panchkula
Hi, I am 2 months pregnancy and I have big problem of vomiting and constipation. Sir please suggest.
You can take tablet reglan (metoclopramide) 10 mg 1-0-1 for 3 days. Take lots of water and fluids. Take proper balanced vegetarian diet. Avoid garlic and red chilly and non veg and eggs. Do meditation for mental strength.
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Is it advisable to have sex during periods or in the time of pregnancy. If yes say me its cons.

MD - General Medicine
Sexologist, Delhi
No in periods it can cause urinary tract infection in women and you can do sex only after 3 months of pregnancy.
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Hi. I am 32, not married. I have some irregular period problems, and I have no sugar, thyroid, but seen cysts. In future any problem to conceive baby? So suggested me plz.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hi. I am 32, not married. I have some irregular period problems, and I have no sugar, thyroid, but seen cysts. In fut...
Possibly you have polycystic ovaries. You need to get a hormonal assay done as well. Treatment will depend on these results. It is also very important you have a healthy diet and maintain your body weight.
2 people found this helpful
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Should You Undergo a Total Joint Replacement for Arthritis?

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Should You Undergo a Total Joint Replacement for Arthritis?

Debilitating inflammation in the joints and its surrounding tissue usually characterize arthritis. This ailment can greatly weaken the body. At the point when joints are seriously influenced by joint pain, there are a number of treatment methods that may be available for the patient. Pain relievers, physiotherapy and other forms of treatment can help in offering relief. Yet, when these methods fail, one can go in for replacement surgery of the affected joint. This may not just lessen or eliminate the pain experienced but it can also it can reestablish better strength in the joint. Hip, knee, and shoulder joint substitutions are a portion of the more normal surgeries suggested when managing joint pain.

Joint Replacement Surgery for Various Joints: Arthritis can affect a variety of joints in various ways. In the shoulder, this can be found in the humerus (the upper arm bone) and a bit of the scapula (the shoulder bone). In the knee, it includes the finishes of the femur and tibia (the thigh bone and shin bone, separately) and the patella (the knee top). In the hip, the influenced zones are the femur and the attachment in the pelvic bones in which it rests (the hip bone socket). In simple words, an aggregate joint trade or replacement for joint pain includes replacing the harmed joint surfaces with simulated segments artificially.

Ideal Candidate: In the event that your joint pain is progressed yet you are generally healthy, joint substitution might be a choice. Notwithstanding, you should take the advice of an accomplished orthopedic pro who can give you moderate treatment choices and other negligibly intrusive ways to deal with the condition before resorting surgery.

As a rule, you may not be a decent candidate of the replacement if:

  • You have inadequately controlled diabetes
  • You are a chain smoker
  • You are extremely chubby
  • You have encountered contaminations in the influenced ligament joint before
  • The best contender for a ligament joint replacement surgery includes patients who:
  • Have joint pain that is extreme
  • Are encountering a debilitating effect in their personal life due to the painful symptoms
  • Have discovered moderate medicines, for example, mitigating drugs and non-intrusive treatment to be ineffectual
  • Are willing to effectively and regularly participate in a recovery program after surgery

The accomplishment of a joint substitution surgery relies on upon the stability of the remaining parts of the joint. In the event that the joint has endured a few diseases, or in the event that it has experienced a few surgeries, it may not be sufficiently solid to withstand a joint replacement procedure. What's more, if you there are immune system disorders or long ailments like diabetes at play, then there may be little chance of aligning with the new joint.

3992 people found this helpful

Safety of Emergency Contraception

Certification in Robotic surgery in Gynecology, MRCOG (LONDON), Fellowship in Gyn Endoscopy, MD - Gynaecologist & Obstetrician, MBBS
Gynaecologist, Mumbai
Safety of Emergency Contraception

Emergency is helpful in preventing pregnancies post unprotected sexual activity. It can be used in case of contraceptive failure, in case of sexual assault, incorrect use of contraceptives and unprotected sex.

Emergency contraception can be done by three methods. These are emergency contraceptive pills, combined oral contraceptive pills and copper intrauterine devices.

The copper IUD is considered to be one of the most effective forms of emergency contraception, when it is inserted within 5 days of unprotected sexual activity.

However, the emergency contraceptive pill regimen as per WHO is:

  • 1 dose of levonorgestrel 1.5 mg, or 1 dose of ulipristal 30 mg, taken within 5 days (120 hours) of unprotected intercourse

  • The Yuzpe regimen which consists of 2 doses of combined oral contraceptive pills

What is Emergency Contraception?

Emergency contraception is usually referred to as the contraception which is used to prevent a pregnancy within the first 5 days after an unprotected sexual activity. It is used post failures of contraception, coerced unprotected sex, rape or misuse of contraception.

Emergency contraception is only effective in the first few days after an intercourse and before the egg has released from the ovary, and before there is fertilization between the egg and the sperm. The emergency contraception can do no harm to an interrupted pregnancy and a developing embryo.

Who needs emergency contraception?

Any girl or woman who is at her reproductive age might need an emergency contraception in case of an unprotected sexual intercourse.

Uses:

  1. Breakage, slippage or displacement of barrier methods
  2. Three or more missed OCPills for more than 12 hours
  3. Missed Mini pill for more than 3 hours
  4. Missed Desoestrel pills for more than 12 hours
  5. DMPA injections taken more than 2 weeks late
  6. Miscalculated dates of last period and present ovulation side effects

These are meant only for emergency contraception and NOT AS A REGULAR CONTRACEPTIVE. It involves pumping of a hormone inside your body at levels which are 5 times higher than normal. hence excessive and unnecessary use may cause irregularity in the period cycles and an adverse effect on the menstrual health over a period of time. Ideally it should be taken under guided medical supervision.

In what situations should emergency contraception be used?

Emergency contraception can be used after a sexual intercourse. These include:

  • In case of no use of contraceptives

  • If it is a case of rape or coerced sex, where the woman was not protected

  • When there is a contraceptive failure, like

    • breakage

    • incorrect use or slippage

    • OCPILLS,

    • mini pills

    • DMPA

  • 3 or more missed combined oral contraceptives, progestogen-only pill (minipill) taken more than 3 hours late, desogestrel-containing pill 12 hours or more, norethisterone enanthate (NET-EN) progestogen-only injection taken more than 2 weeks late

  • Delay in placing or dislodgement or early removal of the skin patch or the hormonal ring

  • Breaking, dislodgement, tearing or early removal of cervical cap or diaphragm

  • Failure of withdrawal that is ejaculation the external genitalia or vagina

  • The spermicide tablet failure

  • Miscalculating the periods, failure from using a barrier on the fertile days

  • Expulsion of an intrauterine contraceptive device (IUD)

Methods of Emergency Contraception:

There are three emergency contraception methods:

  1. Copper-bearing intrauterine devices (IUDs)

  2. Emergency contraception pills (ECPs)

  3. Combined oral contraceptive pills or the Yuzpe method

3694 people found this helpful

My wife had her period on 6th of june. I had sex with her on 10th to 15th. But still again period started on 1st of july. Now please tell me when and how should I have sex to make her pregnant. Any extra advises are also welcome. Thank you.

DHMS (Hons.)
Homeopath, Patna
My wife had her period on 6th of june. I had sex with her on 10th to 15th. But still again period started on 1st of j...
Hello, You should go for sexual intimation between 10th & 14th day on cessation of period, I. E.5 days continously for pregnancy. Tk, care.
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