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Dr. Punima

Gynaecologist, Mumbai

Dr. Punima Gynaecologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Punima
Dr. Punima is one of the best Gynaecologists in Mulund East, Mumbai. You can visit her at Aniket Nursing Home in Mulund East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Punima on

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Aniket Nursing Home

Building No 11/F , Flat No 104, Neelam Nagar, Phase 2, Near Kirit Somaiya Office, Gavanpada, Mulund East, MumbaiMumbai Get Directions
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I am 48 year May be going through menopausal phase. I am having pain in my right thigh and lower portion of leg, tightness in my breasts. Feeling very tired nowadays. Putting on weight. On the whole not feeling good. Kindly suggest.

Gynaecologist, Gurgaon
These are definitely early signs of premenopause, feeling pain in thighs and lower legs can happen due to harmonal changes happening at this stage, you have to understand that the natural oestrogen, starts declining at this time which leads to vasoconstriction which inturns attributes to tightness, numbness, cramps and sometimes hot flushes too, besides feeling of tightness in breasts. That's how the mood changes happens and not feel good factor. You have to either except this change in you positively or go for HRT. Harmonal replacement therapy. However for now start some calcium supplements, and Vit D3, and some uterine toners to help you through this phase.
1 person found this helpful

I had my D &E on 11th April. I want to know is that OK to resume my normal routine? Shall I try to conceive in the month of July (after period). Before that I want to reduce my Weight too, can I go for gym and little bit change in diet?

Dietitian/Nutritionist, Chandigarh
Hi incorporate more fruits, vegetables, and whole grains into your diet while eliminating unhealthy foods. - if you are working or studying away from home, try to pack healthy lunch and snacks for yourself to avoid eating unhealthy food daily. - don't eat straight from the packet - use a plate or bowl to control how much you eat. - don't delay or skip meals. - cut down your consumption of aerated drinks and sodas. - drink at least 8 glasses of water every day. Drink water after waking up and before sleeping. Being dehydrated may make you feel like you're hungry, so it is important to stay hydrated. - have homemade fruit and vegetable juices - eat 5-6 small healthy meals every 2-3 hours, every day, instead of having a few big ones. This regulates your blood sugar level and your metabolism. - don't skip breakfast, instead, make it rich with complex carbohydrates and proteins, so it can provide you with energy to get through the day. Try to include the following as your morning breakfast, oats porridge, eggs on multigrain toast or daliya with sprouts. - avoid artificial sweeteners in processed foods. - eat slowly as it takes about 20 minutes for your brain to register if you're full or not. Eating too fast leads to overeating, so chew slowly to digest your food better and control how much you eat. - use a smaller plate to control your portion sizes and avoid overeating. - know your cravings and do not snack when you're emotional. It is said that you crave crunchy and savory food when you're stressed, frustrated or lonely. Figure out what you crave and replace them with healthier alternatives. - do not eat mindlessly; concentrate on your food instead of watching tv or playing with your phone to avoid overeating.
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MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, You have to wait for 2 more days to allow follicles to reach 22 mm size before a 10000IU hcg can be given to allow rupture of follicles.
2 people found this helpful
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My endometrial canal is thickened and 11mm Doctor suggest hestroctemy biopasy is it right decision?

MD-Dermatology, MBBS
Sexologist, Pune
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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What pill is should she take to abort in 1st or second weak of pregnancy. please suggest a pill.

General Physician, Chandigarh
Abortion pills should not be taken without proper clinical examination please consult a gynaecologist first and then get the medicine prescribed
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How Much Do Your Nutritional Needs Change as You Grow Older?

Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery
Dietitian/Nutritionist, Delhi
How Much Do Your Nutritional Needs Change as You Grow Older?

A Quick Guide to Geriatric Nutrition

Special nutritional needs are often required in special circumstances. Unlike adults from 20 to 60, children and elderly people have specific needs as their physical requirements are different. Just like pregnant women need tailor-made diets for their specific needs, children and elderly people also require appropriate diets without too much variation.

The requirement for geriatric or elderly nutrition

As the body ages, certain functions within are slowed down and thus, the processes are not able to completely recuperate and replenish what was lost. Certain functions are affected more than others and hence, need specific nutrients to regenerate.

Tips for Geriatric Nutrition

Let's take a look at some of the specific diet requirements as well as certain items, which should be avoided.

1. Consumption of calcium rich foods - Bones are a part of the human body that tend to suffer a lot of wear and tear and they start showing signs of weakening after 60. It is thus, important to replenish calcium in the body to help the bones get their building blocks. Some examples of calcium-rich foods are almonds and green leafy vegetables like kale. Dairy products are also good as long as the fat content within them is low.

2. Keeping the body hydrated - Although physical activity reduces with age, dehydration can still occur within senior people and thus, it is important that they remain hydrated. Simply drinking water may not be enough and juices or other water-rich foods such as watermelons should be used to supplement for hydration.

3. Lessening sodium within the body - The presence of excess sodium in the body can cause blood pressure to shoot up and result in high blood pressure, which may then further result in more ailments like strokes. It is pertinent that foods rich in sodium such a red meats be lessened or cut out of the diet altogether.

4. Lessening sugar consumption or any other foods that may exacerbate diabetes - Another factor to consider is the consumption of sugar and sugar-filled products. Not just for diabetics, but elderly people have a tendency to develop high blood sugar and hence, it is prudent to reduce sugar intake.

If you would like to consult with me privately, please click on 'Consult'.

Related Tip: Dieting Vs Fad Dieting: How can you spot the FAD?

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Hi My mother suffering with pain that is cause by uterus. And she not got pregnancy since 13 years but she suffering a lot she unable to bear pain. So what kind of treatment she use to take.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
May be she is getting menopause or changes associated with it.Get an ultrasound can give her tablet maftal spa for pain.get back here on forum for more help but not without reports of ultrasound
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Psychiatric Disorders

Psychiatrist, Mumbai
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My husband wants to have anal sex. Is it harmful. What precautions needs to be taken if we want to try this?

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGD(Sexual Medicine & Councelling)
Sexologist, Gurgaon
dear A..... generally anal sex is not a good practice it may be harmful for both of the partners. .we have seen penile injuries and anal sphincter injuries by doing this i strongly recommend not to indulge in this act....
1 person found this helpful
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I am not having my periods regularly. It been more than one month I haven't had my periods which pill I should take for this. How to solve this problem?

Advanced Aesthetics
Ayurveda, Gulbarga
Such as eating disorders, significant weight loss or gain, anemia, menopause, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health conditions. Lifestyle triggers like increased exercise, smoking, alcohol abuse, caffeine, travel, stress, and certain medications and birth control pills can also contribute to this problem. Treatmet home remedies Aloe Vera Aloe vera helps treat menstrual irregularities naturally by regulating your hormones. 1. Extract fresh aloe vera gel from an aloe leaf. 2. Mix in one teaspoon of honey. 3. Consume it daily before having your breakfast. 4. Follow this remedy for about three months. Note: Do not use this remedy during your periods Turmeric Being a warming herb, turmeric is also considered helpful in regulating menstruation and balancing hormones. Its emmenagogue properties help stimulate menstrual flow. Moreover, its antispasmodic and anti-inflammatory properties relieve menstrual pain. ? Consume one-quarter teaspoon of turmeric with milk, honey or jaggery. Take it daily for several weeks or until you see improvement. ? You can also take turmeric in supplement form; consult your doctor for proper dosage A combination of dried mint and honey serves as a good Ayurvedic remedy for irregular menstrual periods. It also helps ease menstrual cramps. 1. Simply consume one teaspoon of dried mint powder mixed with one teaspoon of honey. Repeat three times a day for several weeks For treatment consult privately any queries inform me?
2 people found this helpful
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I am 42 years old woman and had been operated for ovarian cyst and my left ovary was removed during this operation 5 years ago.My monthly periods have now stopped,I get palpitations after doing some physical activity and lack of sleep sometimes.Can you let me know what the problem is and whether anything can be done about it.

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
Hello, stop menses is called menopausal at the age of 40 to 45. Or you may have blood loss. Please maintain your diet and avoid getting stress and have completed rest.
1 person found this helpful
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I am female with less weight and less chest. I wanna improve both. So could you please help me out with some tablets for that or any special food?

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Do you have other symptoms like tiredness, back pain, headache or as simple as hair fall? this people have very less muscles which is directly proportional to their protein intake. Generally they have lot of nutritional deficiencies, so first goal should be to deal with the nutrient deficit. To gain weight in healthy way, consume balanced diet with more protein rich foods to build muscles. Since your weight is less, the amount of protein you have to take is 1 to 1.25 gm protein / kg of ideal weight. You have to take supplements my dear, you can not get all the nutrients from food now. Soil has become very poor and missing in many nutrients. You can include sprouts, full cream milk & milk products, cheese, paneer frequently, peanut butter etc in your diet. For customised diet plan many things should be considered including dealing with the deficiencies with food supplements - as diet is missing so many important nutrients.
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My wife is pregnant with 8th month so I am having sex daily with her and she is feeling very much pain so does it effect to our baby We are thrice in morning and thrice in night.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Nobody can forcast, considering the safety of mother & child, you must control. Rest of the life is there to enjoy sex life,
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Its been 3 days I feel pain in my left breast (upper side high above) there's no lump or any colour change. But I feel sharp pain at that spot. Even when I walk or move my left breast feels heavy. My mother said its because your periods are about to come but I don't think its because of that. I'm very well aware of my periods symptoms. This breast pain thing never happened before. I'm really worried.

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
Let periods happen to see, if the pain goes away, then these are premenstrual symptoms only. See if there was any injury take a pain killer n keep a watch no need to panic.
1 person found this helpful
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When should I do the home pregnancy test? I am 6 days late and I already had 2 test on 2ND AND 3RD DAY!

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
It becomes positive by 6th day if in doubt ,get beta hcg test in blood which gets positive before periods are due, just after conception.
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Nutri Tip

Master Of Science ( Home Science) , B.Sc
Dietitian/Nutritionist, Delhi
Nutri Tip
“Healthy citizens are the greatest asset any country can have.”
6 people found this helpful

During what time we should have sex without condom so that tha lady do not get pregnant.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Hi. The first and the last ten days in a menstrual cycle are the safe days when you can have sex without condoms. Ovulation happens in mid cycle so that is wen you shud use precaution.
1 person found this helpful
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My wife have a lump in left breast but we don't know is this a cancer or not please help me to know whether it is a cancer or simply a lump.

General Surgeon, Bangalore
As per your question, you are aware that your wife has a lump in her breast. Going by the age, and if there is no family history of having cancer of either breast or ovary, all the probability is that it could be an harmless lump. Nevertheless, it has to be confirmed. It is suggested that you consult a surgeon for further evaluation which includes an Ultrasound of breast (to find out if any additional smaller lumps) and a cytology test if required.
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