Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 41 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. Mehul JoshiYour feedback matters!
Thalassaemia, which is commonly referred to as thal, is a disorder of the blood which is inherited from the previous generation. This condition triggers the production of abnormal red blood cells in the body which in turn paves the way for chronic anaemia. Red blood cells play an indispensable role in carrying oxygen all through the body and hence any abnormality in this regard can result in thalassemia, the symptoms of which include, weakness all over the body, fatigue, faint and shortness of breath.
Understanding the type of thalassemia:
Thalassaemia is often thought to be an iron deficiency disease (anaemia), but can be differentiated with the aid of certain blood tests. This disease is a lifelong condition which requires efficient management. The type of thalassemia an individual is suffering from can be attributed to the number of faulty genes the person has inherited.
The two variants of thalassaemia are beta and alpha. In the case of alpha thalassemia, having one faulty gene would lead to no health problems while two faulty genes can cause mild anaemia. If there are three mutated genes, it will cause Haemoglobin H disease, and regular blood transfusions may be required. But an unborn child with four mutated genes will not be viable enough to survive the pregnancy.
The beta thalassaemia also comes in various forms. The beta thalassaemia major needs lifelong transfusion of blood and it is the most common form of thalassaemia across the world. The beta thalassemia intermedia do not have to depend on blood transfusion.
The treatment option for mild thalassaemia is entirely dependent on the type of the disease and how intense it is. When the disease is on a mild and minor level, then there may not be need of any comprehensive treatment. But at times, blood transfusions become necessary especially after undergoing surgery or when the thalassaemia causes complications.
People who are affected by severe levels of beta thalassaemia will require transfusion of blood from time to time. The treatment also causes an overload of iron and thus it is important to remove the surplus iron content. There are several oral medications available for this, and the healthcare provider can recommend suitable medications.
Managing moderate to severe thalassaemia:
Some of the most general methods of managing and treating thalassaemia include
- Frequent blood transfusions: When the thalassaemia gets too severe, it becomes necessary to opt for blood transfusion after every few weeks. The blood transfusion can cause iron build up with the passage of time. This, in turn, can affect the heart and lungs along with other crucial organs. Therefore, it is important to take medicines that can eliminate the extra iron.
- Stem cell transplant: Also referred to as the bone marrow transplant, the stem cell transplant can be the best bet. It is recommended for kids who are born with severe thalassaemia. This treatment option can mitigate the need of a lifelong transfusion of blood and intake of drugs for controlling the iron overload.
I m married and I had ipill a month back. I goty periods on due date but continued for 20 days. What is the matter?
Sir last night me and my friend get involved in some sexual moment but I doesn't ejaculate inside her vagina so is there any risk. If yes then please tell me what should I do. What pills we should take.
My periods are coming between 30 to 40 days every months since 4 months I want to get pregnancy so please tell me what is my ovulation day and why time is good per my pregnancy.
Current generation dads are super dads!!! Studies have shown that fathers have increased the time they spend with their children by 300% since 1970s. Our young dads are determined to do all that is needed for the baby. They are present to support their spouses and start planning the room, clothes and stay of the baby well before the arrival date.
There is a lot of talk about how mums should prepare for the baby’s arrival, however dads often need to fight it out with no actual step by step guide or a counseling session for the same.
Following are some tips for our dads to be:
1) Accept your changing partner: Pregnancy is a hormonally charged state. It may bring about irritability, negative emotions, physical limitations, etc. Your job is to support your pregnant partner emotionally and physically. You need to offer practical help-like doing household chores, picking and dropping from work, etc.
2) Keep yourself well informed: You should be well informed about the progress of the pregnancy. Accompany your partner for doctor check-ups, ultrasounds, and extra tests. Help your partner cope up with extra medicines.
3) Know about symptoms and signs of labor: You need to be aware of the danger signals of pregnancy. Keep yourself well contactable all the time. Keep your car well fueled.
4) Chalk out your finances: You need to be prepared by the hospital expenses well in time. Have a black and white budget to help you cope up with the increasing expenditure.
5) Pack hospitals bags: You need to be ready with the essentials which may include important documents, insurance papers, credit cards, mobile phones, batteries, etc.
6) Apply for paternity leave: You have to be there to support the new mom. Make an active effort in baby care– from nappy change to baby bath to baby shopping etc.
The more you do, the more you will discover your take at fathering.
Maybe you're just really eager to get pregnant, or maybe you want your baby's birth to happen at a specific time.
Please note that you can not predict a time frame and sometimes it takes time to conceive. Have patience and here are some tips which can help:
The biggest secret to getting pregnant faster is knowing when you ovulate (release an egg from your ovary). Think of the egg as a bull's-eye and the sperm as arrows. One of the arrows has to hit the bull's-eye in order for you to get pregnant. If you notice that you have irregular periods over the course of several months, pinpointing ovulation could be difficult. Ask your doctor for advice.
Once you know when your egg will be released from your ovary, you can plan to have sex during your most fertile days: from three days before ovulation through the day of ovulation. (Starting a little sooner can't hurt; some women have gotten pregnant from sex that happened six days before they ovulated.)
If you have a regular cycle of 28 days, days 12 to 16 days are said to be a woman's most fertile period counting from the first day of cycle.
Sperm have their best shot at fertilizing an egg when they're healthy, strong, and plentiful. Several things can help your partner get his sperm supply in fighting shape:
- Cut back on alcohol (studies show that drinking daily can reduce testosterone levels and sperm counts and raise the number of abnormal sperm)
- Quit tobacco and recreational drugs (these can cause poor sperm function)
- Eat enough of certain key nutrients – like zinc, folic acid, calcium, and vitamins C and D – that help create plentiful, strong, wiggly sperm
- Avoid hot tubs, saunas, and hot baths, since heat kills sperm.
Indulging in intercourse daily is a healthy option for couples as it comes with a variety of benefits:
- Reduces stress
- Promotes longevity
- Leads to an increase in blood circulation
- Helps one sleep better
- Improves your fitness level
Indulging in intercourse daily certainly does come with benefits but overdoing the routine can result in various side-effects. According to most medical practitioners and sex-perts, doing it twice a day is considered optimum.
What happens if you overdo it on a regular basis?
However, stretching it up to thrice is acceptable, but going beyond that number can prove to be harmful as sex is a physical activity which puts strain on your body and genitals. The penis has a resting period, which if not adhered to, can lead to extreme stress on the organ and erectile dysfunction in the long-run. Other than distress in the penis, having sex too many times can also cause soreness in the penis and painful muscle contractions during an orgasm. In women, over-indulging in intercourse can cause tears in the vaginal area which can prove to be very painful while urinating or foreplay the next time. Women are also prone to contracting urinary tract infection, if they indulge in this process too many times. This is the reason why clearing the bladder for women is recommended.
The final verdict
However, sex-perts also believe that is very important for couples to embrace and indulge in this process as physical intimacy and satisfaction plays an important role in sustaining the relationship for a long time. Not having sex for extended periods of time might result in depression and your partner might start looking for other options. Thus, having sex once or twice a day is completely normal and encouraged but for a healthy and sustainable sex life, you should refrain from doing it too many times a day. If you wish to discuss about any specific problem, you can consult a sexologist.
I am a diabetic, I have thyroid ,my periods are 11 months once .I want to conceive so what can I do please help.
I would like to know what what foods is need to a pregnant lady in order to live health, herself as well her child.
I am a virgin. I want to loose my virginity but have phobia of vaginal penetration and the pain it would cause. I fear if something goes wrong as we both are inexperienced. We have tried but I stop the moment I feel pain so I can not do it. I am embarrassed about myself .i am loosing confidence and having doubts about myself. please help me in being positive and make it easy please.
I am a 18 years old my problem is that I have missed my periods from the last 2 months. N I have done pregnancy test too but the result is negative then what is the reason behind it not having periods on time. Please consult me some medicine that what I have to take.
Depression is one of those experiences when one may feel sad, lonely, dejected and discouraged. Doubt, anxiety and uncertainty crawl in so much so that they may lead to problems in decision making. A depressed person feels devoid of energy and the motivation to do anything at all seems to have disappeared.
Depression and some antidepressants curb sexual drive. This has a negative effect on the depression as sex releases 'happy hormones'. Thus, depression and your sex life share a cyclic relationship. The effect of depression on your sex life is a result of both brain functioning and physical changes in the body.
So if depression is badly ruining your sex life, doing these will help big time:
- Depression often makes a person withdraw from others and cease to enjoy any experience. This becomes a thought pattern that cannot be cured with medication. Talking to a counselor can help unlearn these thought patterns and help people form new social bonds. As part of the treatment, the patient will need to find and explore new ways of enjoying sex that can strengthen strained relationships.
- Having an open conversation with your partner is key to improving relationships and one's sex life. Talk about your sexual needs and help your partner understand your mental barriers to sex. Find forms of foreplay that appeal to both of you. It is also important for you and your partner to understand that there is no 'standard' to how often you should have sex or how you should feel after it.
- Ask your doctor to adjust medication In cases where the antidepressant curbs libido, lowering or adjusting the drug dosage can be a solution to treat the depression without curbing sexual desire. Do not attempt to adjust your medication on your own. Your doctor may also change the drug to another that does not affect your sex drive. If you wish to discuss about any specific problem, you can consult a Sexologist.