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Dr. Nimish Tutwala

Gynaecologist, Mumbai

350 at clinic
Dr. Nimish Tutwala Gynaecologist, Mumbai
350 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Nimish Tutwala
Dr. Nimish Tutwala is a renowned Gynaecologist in Western Express Highway, Mumbai. You can visit him at SAI Swayam Maternity & Nursing Home in Western Express Highway, Mumbai. Book an appointment online with Dr. Nimish Tutwala and consult privately on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 28 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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Shop No 7 To 12, Nalanda Society,Off Western Express Highway, Malad East,Landmark:Near SAI Baba Temple, MumbaiMumbai Get Directions
350 at clinic
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I had a sex with prostitute. While having sex I saw her organ in which we usually have a sex or intercourse. In simple terms vagina. But her vagina was red alot and o think little bit infected I mean abnormal. As I have seen many vaginas but they are normal. So I am little bit nervous nd also worried will I get affected bu HIV positive. Are there any possibilities for the same? But I had used the condom. Please help me.

DGO, MAOGD, MBBS
Gynaecologist, Panchkula
Hi I understand your concern. The history you told indicates that she might be suffering from vaginal infection. As you told you mlhad used condom the possibility of hiv infection is very less or nil with condom. But you might be prone to other sti and fungal infection, contact dermatitis, if you have intercourse with the person you has such kind of problem.
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Know Everything About Male Menopause

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Know Everything About Male Menopause

Male menopause also called ‘andropause’ is characterized by changes in the male hormone 'testosterone’ due to age. Other names that are used to describe similar symptoms are ‘androgen deficiency’, ‘testosterone deficiency’ and ‘late-onset of hypogonadism’.

What Is Male Menopause?

Because men do not go through a well-defined period referred to as menopause, some doctors refer to this problem as androgen (testosterone) decline in the aging male -- or what some people call low testosterone. Men do experience a decline in the production of the male hormone testosterone with aging, but this also occurs with conditions such as diabetes (read more about diabetes problem). Testosterone is a hormone which is produced in the testes and it plays an important role in a man’s body; from regulating sex drive, increasing energy levels in the body, maintaining muscle mass to bringing about changes during puberty. Male menopause differs from female menopause in a few aspects and not all men are affected by it. However, this condition doesn’t cause impotence.

Symptoms:

Along with the decline in testosterone, some men experience symptoms that include:

  1. Fatigue
  2. Weakness
  3. Depression
  4. Sexual problems

Symptoms: 

The symptoms of male menopause are low energy levels, fatigue, depression and an inability to focus on anything. You will lose muscle tone coupled with an increase in body fat; the muscles in the body also tend to become weak. Some other symptoms are decreased bone density and breast development. 

Causes:

There are no specific causes as such, but aging is known to play a major role in male menopause. Certain lifestyle factors such as depression, stress and anxiety can cause some symptoms of male menopause to show up such as erectile dysfunction. Not eating a balanced diet and not following a proper exercise regimen and drinking or smoking excessively can trigger symptoms of male menopause.

Treatment:

Once the diagnosis is done, the doctor will chart out a treatment course. The common treatment for male menopause is to make certain changes in your lifestyle – eating a well-balanced diet, getting optimal sleep and exercising regularly. Making these types of changes has been proven to dramatically improve the health of men affected by male menopause.

Another option is hormone replacement therapy, wherein synthetic or artificial testosterone is administered to the body. It is similar to performance e    nhancers in terms of its side effects. So it is advised to consult your doctor and take a well-founded decision on whether to go ahead with the hormone replacement therapy.

Ayurvedic Management of Male Menopause:

  1. Manage your emotions through yoga and meditation.
  2. Attend couple’s counselling and talk your doctor about your issues. Educate yourself and your family about the condition.
  3. Avoid smoking and alcohol consumption.
  4. Maintain your weight by doing regular exercise and diet.
  5. Do regular body oil massage with Ksheerabala taila, Sesame oil or Mahanarayana taila.
  6. You can undergo Ayurvedic treatments like Shirodhara, Rasayana and Vajikarana chikitsa to rejuvenate your body and enhance your sexual health.

Ayurvedic medicines like Ashwagandha, Kapikachhu, Shilajit, Gokshura, Musli, Amalaki, Punarnava, Chandraprabha vati, etc. are very beneficial.

6399 people found this helpful

I in 21st week of pregnancy and done my triple marker test which is positive. I want to how risky is this and is there any way out?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I in 21st week of pregnancy and done my triple marker test which is positive. I want to how risky is this and is ther...
This is indicative of congenital defect in baby like down syndrome. Corelate with ultrasound test I cannot suggest mtp as it is not legal to do at 21 weeks get triple marker test repeated from another lab /amniosyntesis test done, fluid is checked for genetics.
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Doctor, my wife gets severe pain when periods start to her. What should be done to reduce the pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Doctor, my wife gets severe pain when periods start to her. What should be done to reduce the pain.
Pain during menses is a common problem but it depends on the severity of the pain. If she has unbearable pain and you have to take her to hospital so she needs a gynaec, otherwise normal painkillers can solve the issue.
1 person found this helpful
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I have given birth to twins 15 days ago. As my feeding is not sufficient for both am confused between opting for cows milk or lactogen 1 powder as doctors give different suggestions. Kindly support your suggestion with reason.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Milk must be sufficient for both babies. Try to feed babies. It is normal and natural, more you keep your breast empty, more milk is produced similarly, milk is left in breast, less milk is produced. It is like demand and supply. You must consume nutritious diet. Any how, if you feel to give top feed, cows milk may be given though no top milk can beat mother's milk.
1 person found this helpful
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10 Stress Busting Exercises for Working Moms

Ph. D - Alternative Medicine, PG Diploma in Psycological Counseling
Psychologist, Mumbai
10 Stress Busting Exercises for Working Moms

Stress is a very common factor for all working moms. Work, home and taking care of the child all together causes great amount of stress in working mothers. Exercising makes the body release endorphins, which are stress fighting hormones and help in relieving stress. There are various types of exercises which a working woman can do.

  1. High energy activities: High energy aerobic exercises lead to an increased heart rate, which results in production of more endorphins that make the body fight stress naturally. They include running, skipping, dancing, etc. These also improve physical and mental health.
  2. Yoga: Yoga is excellent for stress relief. It involves movement and stationary poses or postures, along with breathing exercises. Yoga enhances the body's natural response to relaxation, making your life healthier.
  3. Tai Chi: Tai chi involves a series of flowing movements of the body along with breathing. Having its roots in martial arts, Tai Chi provides efficient stress relief.
  4. Pilates: This exercise involves a series of movements and exercises performed on a mat. Pilates enhance strength, flexibility, endurance and immunity of the body.
  5. Martial arts: Martial arts is an effective way of unleashing energy and venting out frustration, which result in reducing stress. There are different forms of martial arts to choose from, which include Judo, karate, Taekwondo and several others.
  6. Kick boxing: Kick boxing reduces stress to a great extent and involves punching and kicking, which is performed with discipline. Kickboxing incorporates a rigorous workout schedule and is a great way to vent out frustration and energy, releasing stress.
  7. Team sports: Team sports are an ideal way to relieve stress, work out and have fun, altogether. Playing tennis, cricket or football offers a double amount of stress relief. Playing with your family will encourage bonding, fun and help in relieving stress together.
  8. On the go exercises: Several exercises such as running or jogging and cycling allow you to have a break, breathe some fresh country air and get your mind freshened up. Along with the release of energy, travelling across beautiful places helps in stress relief.
  9. Meditation: Meditation is an amazing mind exercise for stress relief. It requires great concentration and must be performed in a quiet atmosphere. Peace of mind is obtained.
  10. Gym activities: A gym has a lot of exercising instruments and devices. They involve power and strength and energy is unleashed. This is an ideal vent for anger and frustration, which results in great stress relief.

Working moms face a lot of stress, which arise from various aspects of life, including work, home and children. Stress busting exercises should be practised to maintain a perfect mental health. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2743 people found this helpful

My wife has leukoria problem since two years I have consulted various doctors but still not full recovery which medicine will prove as beneficial for her treatment successfully.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, she needs to get a vaginal swab culture done to rule out mixed vaginosis and then can be placed of anti fungals or antibiotics together.
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I have very bad stomach pain and no periods from 4 month, I have used pregnancy test shows negative. What should I do?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
I have very bad stomach pain and no periods from 4 month, I have used pregnancy test shows negative. What should I do?
Common causes of irregular periods: eating disorders, like anorexia and bulimia, excessive weight gain or weight loss; extreme thinness and obesity both cause your menstrual cycle to become irregular or even to disappear. Stress or emotional problems, hormonal problems, for example, when the thyroid malfunctions, travel, over-exercising: if you're an athlete and train very hard, you may stop menstruating because your body wants to survive and save energy and menstruation requires energy, problems with the pelvic organs (such as polycystic ovarian syndrome, for example) drugs like birth-control pills can affect the frequency and / or intensity of menstruation.
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Hi doctor, I am a 24 years female, I have a problem with my husband, whenever I want to participate in sex he doesn't have mood. He is a diabetic. Since past years same problem. How can I control my feelings, my head is so heavy. I cannot think any thing. Please doctor suggest me. Thank you.

Diploma in Psychological Medicine, MBBS
Psychiatrist, Ludhiana
Hi doctor,
I am a 24 years female, I have a problem with my husband, whenever I want to participate in sex he doesn't...
Please try to understand your husband. You mentioned he is diabetic. Ask him to check out any impotency due to diabetes. Engage with him in foreplay. Give him medicine according to doctor.
6 people found this helpful
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What should be the daily routine diet from morning till dinner during periods? She doesn't have an appetite and doesn't want to take anything although we force her to take at least biscuits n water.help us

MBBS
General Physician, Mumbai
What should be the daily routine diet from morning till dinner during periods?
She doesn't have an appetite and doesn...
Few diet tips - not to eat fried food items and can eat all green vegetables, moong, chana, dal, rice etc and to apply ghee over chappati and don't apply oil over chappati and to drink milk mixed with turmeric powder twice a day and if possible eat eggs on alternate days and if possible in breakfast eat atleast one bajra ka rotla and eat seasonal fruit.
1 person found this helpful
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I am a working women. I have a 2 months child. I need to store my breast milk for my kid. How long can I store the milk in the fridge?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am a working women. I have a 2 months child. I need to store my breast milk for my kid. How long can I store the mi...
Hello, If kept in the fridge the human milk can, stay fresh for atleast 6 hours. Use sterilised vessels.
1 person found this helpful
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I had sex with my Friend. Well not fully intercourse. According to me my penis even not entered in her vagina, but not sure. We haven't used any protection. Please guide me earliest symptoms of pregnancy. And how to avoid it at the earliest.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I had sex with my Friend. Well not fully intercourse. According to me my penis even not entered in her vagina, but no...
Food aversions. Mood swings. Abdominal bloating. Frequent urination. Fatigue. Sore breasts. Light bleeding or spotting. Nausea.
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Im suffering from pcod im using birth control pills krimson 35 pla tell me correct treatment.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Im suffering from pcod im using birth control pills krimson 35 pla tell me correct treatment.
Hello Lybrate-user- PCOD is caused by improper food intake and improper routine specially done in the time of menses. Try this ayurvedic treatment- a) Tab Kuberaksha vati 1 tab twice daily. B) Tab Hyponid 1 tab thrice daily. C) Do Basti treatment by nearby ayurvedic doctor (it is a very effective treatment in ayurveda for pcod). D) Maintain proper eating routine, avoid fast foods and spicy diet.
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I have irregular periods .....I wanna make it regular for me.....because I feel something heavy ......

MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
Gynaecologist, Mumbai
Dear, pds irregularities are because of some reason. It can be ur pshycological stress or because of some harmonal problems. So we have to investigate u to rule out any organic problem.
4 people found this helpful
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Kya ek baar sex karne se hum pregnant ho sakte hain. Kya bchcha thahar sakta hain.

MBBS
General Physician, Cuttack
Kya ek baar sex karne se hum pregnant ho sakte hain. Kya bchcha thahar sakta hain.
If you have un protected sex during the unsafe period(7 -20th day of cycle), there is a risk of pregnancy
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It's for my sister. She has developed a lump on her breast. It's not painful. It's a movable lump. Local doctors told to operate it. Please suggest what is it and what should be the correct steps for it. As it has been two months since that lump was felt by her.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi its Fibroadenoma Breast nothing to worry. Regular check on size by own self. If progressing more in size then surgery otherwise not. No medicines are there to cure it dear thanks regards.
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I am 14 week pregnant. And feeling sho much heaviness at lower abdomen. Pls suggest.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 14 week pregnant. And feeling sho much heaviness at lower abdomen. Pls suggest.
Hello, This is due to progesterone effect and all she can do is to increase her water intake and use hot fomentation to counter the ligamental stretch pain.
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Hello doctor. I do not gets regular periods because of pcod. What should I do. I am taking tablets of polisitol recent. And even if I gets period they are only for 2 days.

DGO, MBBS
Gynaecologist, Bhavnagar
Hello doctor. I do not gets regular periods because of pcod. What should I do. I am taking tablets of polisitol recen...
Those who have pcod should change their lifestyle and reduce weight by avoiding junk foods, taking more and more salads, high protein diet, sprouted beans, fruits, vegetables, dry fruits etc. As well as you should also start treatment for pcod and continue at least for 3 months followed by ultrasonography to confirm that pcod has been cured.
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