Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 37 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 Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. ManishYour feedback matters!
I am 30 years old and off late, I am starting to have facial hair, esp. Around chin area, not much just 7-8. I did not have it earlier but for some time now its growing dark n thick. I do threading to get rid of them but that's painful. Can you please tell me the cause for it and the permanent solution but not laser? My periods are normal n regular n m married with no kid as of now. Please help.
I recently got married (6months) we participate in sex regularly how many days it will take to notify the conceive.
Dear sir. please give me the best solution of my question. I had a sex with my wife after the period of her 6 days later. Her period date was April 4. Till now no period has been occurred. But I have used condom at the time of my sex.
Why there is irregular periods I have tried many medicines by yet after 2 or 3 months I have irregular periods help me?
I and my girlfriend found of anal sex. But we are afraid to do. We are afraid from pain What we do to enjoy anal sex?
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
I am not getting pregnent and we consult a gynacologist and she advised me to take fertisure f for 1 month from my second day of my periods and susten 100 tablet from 17 th day after my period date. By this there is any chance of becoming pregnant next month. Waiting for your needfull reply.
I have sex more times with my cousin. And am continuing. My butt's are increasing in size. My frnd advices not do more times because by sex, butt size and breast size will be increase. Does it is real.
I have constipation and gas problem. My period time change day by day. I have little flow for two days when I am in period. I feel very laziness. So sugest me proper food or food timing and some ayurvedic treatment.
I had medial shin splints in both legs. Over a period of last two months it started on the lateral side in left leg. A doctor diagnosed foot overpronation as the cause. The muscles involved get stiff and pain even while walking. What is the cure?
I am 25 yr female and 4 months pregnant. Have been having heavy vaginal bleeding since 2months. Scan says placenta is 2cm above cervix. Advised bed rest till my delivery. Does it set right later in pregnancy and what care should I take now?
My urine pregnancy test was negative, I went to a gynecologist she advised to have meprate for 3 days but still I didn't get my period's whether is there any chances of pregnancy.
Hii I am 22 years old nd my weight is 64 kg. Doctor had advised me to decrease it as I have irregular menses nd scanty bleeding with a lott of pain. Please suggest me proper diet nd tips to get rid of this problem. Thnk you.
I am 3 months after delivery and am giving breastfeeding. Nowadays am feeling so tiredness during the time of feeding so please suggest some vitamins tablets for me continue with breast feed.
Hello doctor somebody says that during pregnancy she did not sex with her husband. Its humrful for baby. Is it true? Please guide me.
suffering from multiple fibroid in uterus. Before 2 year I was consulted with a doctor then doctor suggest me if you have any problem then operation is a last treatment then live your life. But after 1.5 years I have more bleeding than previous days and again I am consulting with 2 or 3 doctors and suggest operation and they also said we can do biepci also for checking cancer. I want to know how much chances of cancer have in my case.
Hi, I am married man When my wife get up in morning she feels tiredness nd some water come her private part its looks like a man spurn .pl tell me what is the solution and I am from mumbai Nalasopar.
If people were asked, as to what would be the one important cosmetic without which they would not step out, it has to be the lip balm. From a time when it was mainly used during winters to avoid chapped lips to the present days when it has become an essential cosmetic product irrespective of the weather or the season, it has come a long way.
While there are still the plain ones which have petroleum jelly and help in keeping the lips moist, there are also the new flavoured and coloured options. They have also found their way into the cash counters where these attractive picks make most people impulse buyers. There are also specialised lip balms aimed at men, which are customised keeping in mind the slightly rough skin.
The lip balm has many ingredients, but the main component is waxy and could be beeswax, carnauba wax, paraffin, lanolin, or camphor. There are many organic products available which contain essential oils, shea butter, silk protein, nut oils like almond oil and cocoa butter. The main purpose is to create a protective layer on the surface of the lips to protect it from cold, dry air, and reduce damage from sun exposure. It also seals the moisture that is inherently present in the lips, thereby preventing chapping and cracking of the lips. Some cheaper products could contain hemp oils, petroleum and mineral oils.
When picking a lip balm, consider the following:
- Purpose: Do you want something protective or do you want something attractive? The answer to this question will decide the product you pick. If protection is the main reason, then something plain will do. If you want colours and flavours, the pick would be different. There are specialised products for men, so go indulge.
- Exposure to the sun: There are some lip balms which offer protection with a good SPF, so if you are likely to be out in the sun for long period, use this.
- Medicated: Some lip balms also contain medicinal effects against cold sores, so if you have a cold sore, use this.
- Do no harm: There could be lip balms which contain synthetic substances like phenol, menthol, salicylic acid, and alum. These have a tendency to dry the lips, and so not advisable in the long run.
- Container: While lip balm sticks are very popular, they are best for single person use, to avoid contamination.
Whatever the product you apply, it inevitably enters your system and so it is important to take a good product. Choose plant-based essences which are not just healthy but also provide a good, protective effect for the lips. If you wish to discuss about any specific problem, you can consult a dermatologist.