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Dr. Pranay R. Shah

Gynaecologist, Mumbai

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Dr. Pranay R. Shah Gynaecologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Pranay R. Shah
Dr. Pranay R. Shah is a popular Gynaecologist in Tardeo, Mumbai. He is currently practising at Bhatia Hospital in Tardeo, Mumbai. Save your time and book an appointment online with Dr. Pranay R. Shah on

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Bhatia Hospital

Grant Road West Station, Tardeo Road. Landmark: Near Union Bank & Near Swati Restaurant, MumbaiMumbai Get Directions

Nova Specialty Surgery-Tardeo

Famous Cine Labs, Pt. M.M Malviya Road, Tardeo. Landmark: Next To Sardar Pav Bhaji Hotel, MumbaiMumbai Get Directions
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IVF Success in Regular Vs Irregular Menstrual Cycles

MD - Obstetrtics & Gynaecology, MBBS, FNB Reproductive Medicine, MRCOG
IVF Specialist, Mumbai
IVF Success in Regular Vs Irregular  Menstrual Cycles

It’s a general concept even in layman that for pregnancy one needs to have regular and timely menstrual periods.But in certain patients periods may not come regularly ever since menarche.Besides they may have history of weight gain,acne, excessive hairs on skin of face, may need to go for threading more often than required and may have cousins, sisters or evn mother having same issues.Such symptoms and signs point towards –


  • PCOS – as the first most diagnosis
  • Hormonal imbalance- FSH,LH ratio change with high LH levels
  • Insulin resistance
  • May have add on Thryoid/prolactin derrangements

These patients generally have high body mass Index(BMI)but some fall into category of lean with periods regular.

What all these lead to is a situation called-Chronic anovulation- a common cause of infertility.

 Most of such PCOS patients have normal FSH but high LH levels.Its a multifactorial condition with life long implications

What we can do about it ?

Yes we can do major part especially if weight is more then Lifestyle modifications alone will help to keep things on track but it needs constant action in a well planned manner.So tips to keep a check on PCOS-

  • Weight loss- at rate of 5-10% over a period of 5-6 months.If you have 80 kg then you should loose between 4 to max 8 kg only slowly with crash courses/diets or short cuts
  • Daily brisk walking at least for 30 minutes to burn extra calories
  • Moderate exercise on regular basis
  • Joining a structured programme like Gym
  • Take healthy balanced food(if possible with help of dietitician)
  • Cut down carbohydrates like banana,rice,rice products with a check on milk and milk products and less of fats
  • Keep proper hydration(3-4 LITRES of water daily)
  • Avoid junk foods with empty calories

Dear readers all these need to be followed as part of life and not till you have pregnancy as PCOS has more of chronic affects also later on due to tendency to gain weight due to hormonal disturbances

Polycystic ovary syndrome (PCOS) is diagnosed in

approximately 60–70%of  women with such features.

How to plan pregnancy in PCOS?


Singleton live birth rates of up to 71% in 2 years can be

achieved in such patients with –

1) Induction of ovulation- it can be by clomiphene citrate as first line of treatment and  Injectables gonadotropins as second-line

treatment with success rate varies from 2 to 3%


2)IUI- combined induction with IUI increases success rate from 8 -13% to 15-20%


3) IVF- not used as  first-line therapy in these

patients, except for subgroups with a poor prognosis like-

      • Advanced age group
      • Longer duration of infertility
      • Higher insulin:glucose ratio
      • Failed ovulation induction  
      • Other indications of IVF-tubal factor,male factor,unexplained/idiopathic infertility

Outcome of IVF In PCOS-

The outcome of IVF in women with PCOS  shows variable outcome as-

Response to Medicines is the main issue- erratic(resistant to hyper) which is generally unpredictable

  • More oocytes obtained-with more of immature
  • Less fertilization rate- both mature and immature oocytes

PCOS patients show reduced fertilization rates, presumably due to endogenous hormonal imbalance

  • More chances to have poor quality eggs
  • Chances of abnormal(aneuploidy)embryos is high
  • Inc chances to form endometrial polyp with recurrence
  • Inc chances of cancellation of cycle/use of high dose of medicines
  • High chances of first trimester miscarriage
  • But good part is despite reduced overall fertilization, IVF pregnancy rates in PCOS patients appeared to be comparable to normo-ovulatory women
  • Also  live birth rates  are comparable  


I missed my period on this 10th May, did my pregnancy test on 13th may, it was showing negative. But I had pregnancy symptoms. 14th and 15th may. I realised there was a brown patches discharge for 2 days then the 3rd day heavy bleeding like a period days. What does it mean? Was I pregnant?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I missed my period on this 10th May, did my pregnancy test on 13th may, it was showing negative. But I had pregnancy ...
If you did not get your periods, repeat the pregnancy test. Beta hcg test may also be conducted if home pregnancy test is negative.
3 people found this helpful
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Prevention of HIV/AIDS

MD - General Medicine
Sexologist, Delhi
Prevention of HIV/AIDS

In order to prevent HIV infection and AIDS immunocompromised, you need to have a good explanation and prophylactic referral information. Therefore, it is very important advice and explanation about AIDS. Although AIDS has been known for almost 30 years, the population is still large gaps on the subject, especially in relation to knowledge and the risks of HIV transmission. Relationships with adults infected with HIV is transmitted through blood, semen, and vaginal secretions . However, infection with the spread of airborne pathogens is not possible, as in the case of cold diseases.Therefore, the risk of infection by treatment with AIDS or infected with HIV is very low: Social contact in both work and personal lives, as handshakes, hugs and the like, is completely harmless. The same goes to say for the common use of cutlery, crockery, glasses, toilets or towels, also harmless. There is no evidence of increased risk of infection for people who share the same home or the patient environment. However, some precautions should always be taken into account, for example, do not share the toothbrush or razor, because in the case of injury to perform these functions there may be a small risk of infection. Intimate relationships hide itself a risk of infection, regardless of whether they are heterosexual or homosexual. The fundamental basis for reliable protection against HIV infection and AIDS remains the consistent use of condoms, that is, the safer sex . Safe sex: condoms protectThe basic rules for having a sex safe are blood, semen or vaginal secretions must not reach wounds or open areas of skin or mucosa of sexual partner. Therefore, it is important to use condoms , both anal and vaginal . No condoms, the risk of infection is high, since during intercourse always small lesions can occur. In the case of oral sex is important to prevent both sperm and vaginal secretions come in contact with the oral mucosa, lips or tongue of the couple. If these precautions are taken into account, they can keep sex without any problems. Add that kissing is also harmless. The condom is a widely used method of contraception among young people today. In a 2010 survey singles between 16 and 44 years, only one in ten said physical strength to use condoms; in 1989, the ratio was one in five respondents. This greater acceptance brings added one more advantage is that more and more people are protected and protect others from infection with HIV and other STDs. In 2009, seven out of ten respondents from a group between 16 and 20 years said carrying condoms. Among sexually active people, this increases even eight out of ten. More important than having the intention of having a practice safe sex is really using condoms. Between 2004 and 2009 amounted proportion (61 to 70%) of sexually active people (between 16 and 20 years) who always or very often used condoms. But also in the new relations plays an important role on safe sex : in 2010, 85% of men and 89% of women used condoms at the beginning of a new relationship.

5 people found this helpful

Eat Healthy Stay Healthy

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Chandigarh
Eat Healthy Stay Healthy

Add pistachios or roasted channa to your diet. Make them your evening munchies, as they help you lower risk of heart disease help you gain weight.

2 people found this helpful

Hi, I had sex with my boyfriend, I have taken femilon 21 days of dose. Is it appropriate to oppose the birth control? Please tell me some tips about that.

MS - Obstetrics and Gynaecology
Gynaecologist, Mumbai
Hi,  I had sex with my boyfriend, I have taken femilon 21 days of dose. Is it appropriate to oppose the birth control...
Please understand prevention is always better than treatment. No medicine gives 100% prevention from pregnancy. All contraceptive have failure rate. Same applies to femilon 21 It has to be consumed as early as possible after coitus. Depending upon it, we can have its maximum success, but never 100%
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My wife is 35years old, recently jan 2015 we got married, we had 1st sex after a month, after that she neither got pregnant nor she having any periods. Its already 3rd month running but she dosent have any period. Kindly suggest what medicine we follow?

First do urine pregnancy test, if negative , do her blood sugar fasting level, TSH , Prolactin, FSH, Testosterone, Hb, TC, DC levels, ultrasound of pelvis, if want pregnancy then your semen analysis. If all these are normal then HSG x-ray to see the tubes. Without reports no advice is proper.
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I feel a lump on my vagina close to my clitoris and I feel pain in my abdomen during sex.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
The lump is probably bartholin's cyst which should be surgically removed gynaecologist of a surgeon. For pain during sex you should get an ultrasonographic done to rule out the underlying cause.
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How I will be sure that I am pregnant or not? I have 28 day cycle. Now I am 30 days .and white discharge leaking from vagina. Is it time to check pregnancy test.

Gynaecologist, Delhi
How I will be sure that I am pregnant or not? I have 28 day cycle. Now I am 30 days .and white discharge leaking from...
If you have been having regular periods of 28 days duration and now you are overdue by 2 days, you must check your urine for pregnancy test. Take first urine in the morning for testing.
2 people found this helpful
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