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Dr. Prakash

Gynaecologist, Mumbai

2000 at clinic
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Dr. Prakash Gynaecologist, Mumbai
2000 at clinic
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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. Prakash
Dr. Prakash is one of the best Gynaecologists in Ghatkopar East, Mumbai. You can visit him at Aakar Ivf Centre in Ghatkopar East, Mumbai. Book an appointment online with Dr. Prakash 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 44 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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Aakar Ivf Centre

3, Gautam Building, Tilak Road, Opposite Balji Temple, Ghatkopar East, MumbaiMumbai Get Directions
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Safe and Unsafe Medications to Take While Pregnant

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Safe and Unsafe Medications to Take While Pregnant

Which medicines are safe to use during Pregnancy?

Normal pregnancy lasts for 38 to 42 weeks. However, there may be times during these weeks that you may have some physical issues such as vomiting, backache, and loose stools etc which require treatment with medicines.

Therefore, monitoring and managing these physical conditions becomes necessary to ensure a normal delivery.Management consists of both medicines and rehabilitation.Medicines are considered to be the first line of treatment; however, the health care provider needs to take care while prescribing medicines during pregnancy taking into consideration the harmful effects they can have on both – the mother and the foetus.  Medicines pass on via the placenta from the mother to the foetus. Hence, before prescribing any medicine the provider should check the possibilities of the medicine causing any congenital defect. You should avoid medicines from the time of conception till the first 10 weeks, as this is the time when the foetus is most prone to the get permanent congenital deformities. Medicines given in the later stages (after 10 weeks) may cause systemic damage. For example NSAIDs (Non Steroidal Anti-Inflammatory Drugs) may lead to problems during labour or organ defects in the foetus.

Therefore, medicines should always be avoided during pregnancy. Still there are certain medicines, which can be taken but after consulting your physician. Let’s discuss the medicines that are safe during pregnancy.

The following is a list of medicines and their effects during pregnancy:

1. Analgesic Medicines

Paracetamol Safe
NSAIDs, such as aspirin May cause heart abnormalities in the third trimester

2. Opiates

Codeine Effective in low doses
Hydrocodone Effective in low doses
Hydromorphone Effective in low doses

3. Anaesthetics

Etomidate Unknown always ask your provider
Ketamine Avoid during the last trimester
Lorazepam Avoid for severe conditions, safe for short periods

4. Thrombolytics - The possible advantages of this class may balance the risk during pregnancy. Common medicines used are: Alteplase, Reteplase, Streptokinase, Urokinase.

5. Antidotes

Hydroxycobalamin antidote: cyanide Safe
Methylene blue antidote: methemoglobinemia Has a potential risk to the mother and foetus

6. Penicillins

First generation: penicillin G, benzathine penicillin, Bicillin, penicillin VK Safe
Second generation: oxacillin, dicloxacillin, nafcillin Safe

7. Cardiac agents

Adenosine Safe
Digoxin Not advised in third trimester
Lidocaine Safe

8. Diabetes: Insulin is safe to use during diabetes.

9. Antacids

Famotidine Low risk
Ranitidine Safe

10. Corticosteroids: Advised for short term use

Cetirizine Almost safe
Chlorpheniramine Safe

Always talk to your physician in case of any complication and before taking any medicine given above.

I am 25 yrs old girl and I am not getting menstrual flow from past 2 months and I am getting married next month so please tell me what to do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Valsad
I am 25 yrs old girl and I am not getting menstrual flow from past 2 months and I am getting married next month so pl...
It may be pcos. Check out your usg report. Take. Syr. M2 tone.(charak.). 2. Tsp. Three times a day. Kanyalohadi vati. 2+2. Show your usg report.
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5 Common Alternatives of Insulin!

MD - General Medicine, MBBS
General Physician, Mumbai
5 Common Alternatives of Insulin!

Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:

  1. Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea
  2. Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.
  3. Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.
  4. Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.
  5. Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.
type diabetes
5 people found this helpful

Are the problems like unwanted hair on stomach, breast, face, and not gaining weight ,due to hormonal imbalance? If so, what are the remedies? This has become major problem for mr.

MBBS, DGO
Gynaecologist, Delhi
Are the problems like unwanted hair on stomach, breast, face, and not gaining weight ,due to hormonal imbalance? If s...
Yes, of course. Hormonal disbalance can be a cause of hair growth. You need to get your complete hormonal profile. If you ate loosing weight then the causes can be many. You need to take healthy balanced diet.
2 people found this helpful
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I have pcos and having periods for more than 15th day this month Could you please help me for getting pregnancy.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I have pcos and having periods for more than 15th day this month Could you please help me for getting pregnancy.
Pregnancy is possible only on one day of cycle, day of ovulation when ovum is released from ovary of woman. That is why couple usually have 12 to 24 cycles of unprotected sex around time of ovulation before going to Gynecologist or infertility specialist for further evaluation and advise. However in PCOS cases this ovulation may not be at its best so they should go early and have patience as it takes more time.
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Hi , I am 25 year old, I am married, I feel pain in my private part during sex with my husband. We have complete 7 month of marriage. I am not pregnant. Please solve my problem.

BUMS
Gynaecologist, Mumbai
Hi , I am 25 year old, I am married, I feel pain in my private part during sex with my husband. We have complete 7 mo...
It may b vaginismus. Relax your private part at time of intercourse. Deep breathing exercise is best.
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M 20 and my gf 18 and few days back we had an unprotected sex and she has a problem of irregular periods and now her periods got missed, is she pregnant? How could we make it sure.

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
M 20 and my gf 18 and few days back we had an unprotected sex and she has a problem of irregular periods and now her ...
Pregnancy test kit available at pharmacy outlets. Please follow the procedure. If it is positive it shows two horizontal lines.
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I had missed my periods on 14 onwards. And I want know that in first 3 weeks can I came in with my husband contact. I had a miscarriage last year this tym one week is crossed so I m hoping for best please suggest me the symptoms and how to care about my pregnancy.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I had missed my periods on 14 onwards. And I want know that in first 3 weeks can I came in with my husband contact. I...
Hello It is better if you avoid contact for some time to have a safe pregnancy. Archana gupta
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I am 26 years old married woman, I had a cyst removed in 2008 and my right ovary was damaged and removed too. What is the best way to conceive without any delay or any complications? Any precautions need to be taken?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 26 years old married woman, I had a cyst removed in 2008 and my right ovary was damaged and removed too. What is...
You hve the left ovary intact. pls take ovulation induction therapy from an infertility expert and follicular monitoring to see if u r ovulating from the remaining ovary. You also need to get your tubal patency test/ HSG done too.
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I took I pill on 28th of march and my regular periods date was 10th of every month; however, it was delayed by 2 weeks and came on 26th of march. I took three pregnancy tests each after a gap of one weeks of missed periods and one after the periods which lasted fir 5dats as usual. All the hpt were negative. And the health is normal as of know. completely normal. Please advice is there anything to be worried and pregnancy is prevented.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I took I pill on 28th of march and my regular periods date was 10th of every month; however, it was delayed by 2 week...
You took an ipill but were not aware of its effect. Ipill is an emergency contraceptive pill (ecp) and it is to be used only in emergency! it is to be used when sex happens rarely and the pregnancy is to be avoided. The ecp have a high dose of hormones and when taken it disturbs the natural hormones released in the body during a menses cycle. So in ecpill takers problems of heavy bleeding, prolonged cycles, prolonged bleeding, irregular bleeding cycles in few months etc are known to occur. So what you faced are consequences of the ipill. Do not worry, even if the next few cycles are irregular, you should go for treatment only if the bleeding is in excess!
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I did not break the virginity of girl just rubbing the penis on her Virginia and the progesterone/spam do not enter the women body. And no precum touch the Virgin. I just fall the spam in her belly. So is it there is any chance for pregnancy? There is any problem happen?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
I did not break the virginity of girl just rubbing the penis on her Virginia and the progesterone/spam do not enter t...
hello, if penis is penetrated deep in vagina & secretions released there in inner side then only there may be chance of pregnancy.
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I have a girlfriend and she is a lot active about sex than average girls. She needs it twice a day and I think that for me it could cause extra blood lose now a days I am feeling tired than before I think I am getting weaker.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Having sex twice a day is very healthy activity for both men and women. It does not reduce blood in any way. You should take it as a form of exercise which is healthy for u.
1 person found this helpful
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Can I get pregnant during breastfeeding and please tell me how to avoid pregnancy with out medicine during breastfeeding.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Can I get pregnant during breastfeeding and please tell me how to avoid pregnancy with out medicine during breastfeed...
Hello you can get pregnant during this period. You can use barrier method ie condom or safe period if you don't want any medication.
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I had my first intercourse on 5th midnight. I started bleeding after 6 hours of my first intercourse. It has been 2 days and I am changing two pads a day. My last periods were on 10th june to 14th june. I am confused whether it is my periods or vaginal bleeding. I felt a bit dizzy jst after sex when I tried to walk. So is there a possibility that I started bleeding internally that moment?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I had my first intercourse on 5th midnight. I started bleeding after 6 hours of my first intercourse. It has been 2 d...
If it is periods, the bleeding will be darker, with small pieces of clots. It will reduce in quantity by 50% on day 3. If it is bleeding due to injury after intercourse the blood will be bright red in colour and it will flow at constant rate. If it continues beyond the third day, see a gynecologist.
3 people found this helpful
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Actually I had sex with my boyfriend few years ago (5-6 times) and I am going to get married in 4-5 months. But I feel that there is so much gap in my vagina. I am afraid if my husband will find out. Please suggest me what I can do to tighten the vagina or remove the gap. Please help.

MBBS
Sexologist, Gurgaon
Hi miss lybrate-user A healthy relationship has countless components apart from sex. There is no denying, though, that if it ain’t happening in the bedroom, things can begin to unravel. Nobody wants a sexless relationship! In fact, problems in the bedroom are some of the biggest factors leading couples to break up. Lack of confidence with your body is one of the most major reasons why couples stop having sex, and one of the main reasons women start to lose trust is they feel they no longer have a firm, tight vagina. Once you no longer feel sexy, your relationship can begin to lack intimacy, and severe problems can develop. The good news is that there are many ways on how to make your vagina, such as using Shots xt jell, one of the most popular products. While you should research all of the possible ways to solve this problem, going the all-natural route will ensure you use something that is safe and also effective. Surgical procedures do work but can be costly, risky and quite invasive. Nothing makes me feel less sexy than the idea of surgery! When there are safe, affordable natural ways to solve your problems, there is simply no need to resort to drastic measures such as surgery. Vaginal rejuvenation surgery might be the best option for some women, but the majority will be better off with a safer option. Hi if you required contact privately,
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My friend feels irritation in her vagina during masturbating or sex. This may be due to her vagina releases very less amount of liquid. She is 20 years old. Please help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, she may be suffering from vaginitis, hence a vaginal swab culture needs to be done to rule out any infection primarily.
2 people found this helpful
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Allergies - Homeopathic Treatment For It!

BHMS
Homeopath, Howrah
Allergies - Homeopathic Treatment For It!

Nowadays, allergies have become very common amongst individuals. An allergy, is basically a hypersensitive reaction, which occurs in a body due to certain external factors or allergens which are harmful for certain individuals but not necessarily for others. These allergies are manifested in a human body through various symptoms, few of the main being skin rashes, eczema and irritation. These are caused due to allergens such as pollens, dust, mites, certain leaves of trees or even certain food items like seafood, eggs, prawns, etc.

Homeopathy has proved to be very useful in such cases. It not only reduces the intensity of these allergic symptoms but also helps to cure the same. The main advantages of homeopathic medicines are that, they are made out of natural resources and hence, there are no toxins and no side effects. Given below are certain homeopathic medicines for different types of allergies:

  1. Best homeopathic remedy for skin rashes: Apis Mellifica has proved to be the best homeopathic medicine for allergic hives that leads to violent itching and burning sensation in the skin. Sometimes, these are even escorted by swelling of the skin. In such circumstances, Apis Mellifica has proved to be very useful.

  2. Cure for nasal allergies: These are another serious type of allergies which may be followed by sneezing, burning discharge from the nose, coughing and watery eyes. The homeopathic remedy for the same is Arsenic Album. This is, till date, one of the best natural homeopathic remedies for nasal allergies.

  3. Medicine for allergic cough: One of the most severe forms of allergies is allergic cough, as it gradually leads to difficulty in breathing, suffocation, chest tightness and wheezing or whistling sounds from the chest. There are again different types of homeopathic remedies for these such as Ipecac, Bryonic Alba, Sambucus and also Arsenic Album.

  4. Cure for food allergies: Characterized by gastrointestinal disorders such as vomiting and loose motions as well as eczema and other allergic hives, these can be cured by homeopathic medicines such as Carbo Veg, Nux Vomica and Sulphur.

However, it is always advisable to take these medicines only under supervision of doctors. If you wish to discuss about any specific problem, you can consult a homeopathy and ask a free question.

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My age is 20. I have seen a red colour urine on one day but on that day I take less water and walk so much and heat like feeling in body when I passes urine then its colour is red and from that time my urine is clear it occur in one time in my life it is more serious like cancer etc and its normal.

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
My age is 20. I have seen a red colour urine on one day but on that day I take less water and walk so much and heat l...
Dark urine or red colour urine can occur because of dehydration. As you drink less water that day so it may be a reason. But to be more sure and satisfied get a urine routine test done. If it shows pus cells or rbc's then go for ultrasound. Drink lot of water. Avoid dehydration.
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