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Dr. S.N. Tibrewala

Gynaecologist, Mumbai

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Dr. S.N. Tibrewala Gynaecologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. S.N. Tibrewala
Dr. S.N. Tibrewala is a renowned Gynaecologist in Mumbai, Mumbai. You can consult Dr. S.N. Tibrewala at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. S.N. Tibrewala on Lybrate.com.

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.

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I have white thick curdy discharge and a little itching is it urine infection? Do I need to go to doctor? Or can I apply any cream? I have baby and I'm breast feeding.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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I would advice you to use Cansoft-cl vaginal pessaries- insert 1 tablet daily in the vagina at night for 6 consecutive nights and see if it makes a difference. If the symptoms persist please see a Gynaecologist.
5 people found this helpful

I am having weakness after breast feeding my child who is just 4 months old. Is there anything to worry about? Please help me out.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
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I am having weakness after breast feeding my child who is just 4 months old. Is there anything to worry about? Please...
Breast feeding is strenuous. Take calcium, iron vitamin supplements daily. Take plenty of water, milk not to get dehydrated.

How Poor Sleep Affects Your Sex Life

PG Dip (Sexual & Relationship Therapy), MRCPsych, Diploma in Psychological Medicine, MD - Psychiatry, MBBS
Sexologist
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With more people frankly discussing about the loss of libido, studies have been conducted to investigate the reasons behind this. Surprisingly, in addition to hormonal and functional causes like genital issues, one common factor that causes loss of libido in both men and women is lifestyle changes. In addition to improper food habits and loss of exercise, loss of sleep is one of the most common causes of reduced sex drive.

Listed below are some reasons how sleep affects your sex drive:

Lowers testosterone levels: Optimal amounts of testosterone in the body are required for having a good sex drive. Sleeplessness reduces the amount of testosterone produced in the body, thereby directly affecting the person's libido. A week with only 5 hours of sleep daily can reduce testosterone levels by 15%, which is equivalent to approximately 10 to 15 years of ageing.
Vaginal lubrication: Studies have shown women who sleep regularly are wetter and have less pain during sex. Painful sex in turn reduces the sex drive in women.
Erectile dysfunction: Improper sleep habits also reduces the quality of erection, thereby leaving you dissatisfied. Patients with sleep apnea who breathe irregularly with pauses in between were identified to have erectile dysfunction. The correlation gets stronger when the erectile dysfunction and sleep apnea improved drastically with regular sleep habits.
Sleep induced depression: Sleeplessness leads to depression and general fatigue, and the last thing one wants to indulge in when depressed and tired is to have a sex.
Impaired cognitive function: In addition to depression, deprived sleep also leaves you with overall reduced cognitive function, which leads to a vicious cycle of not reacting to your partner's instincts, etc. If you are not able to decipher whether or not the other person is interested, then the frequency and more importantly the quality of sex is reduced. This again sends out wrong signals to the partner, who will also not make the first move. And that again leads to a gradual decline of your sex life.
Reduces love: Ever wondered why good sex is followed by a sound sleep and leaves you feeling fresh. There are strong chemical reasons to it sex induces hormones like prolactin which helps you relax and feel rested; it also produces the cuddle hormone oxytocin which increases the goodness feeling; it also reduces cortisol which is the stress hormone. All these increase feelings of belonging and love between the partners, which are affected by lack of sleep.

So, if you and your partner have been have been wondering how to rekindle your love life, think of getting a good night's sleep and sex will happen on its own.
How Poor Sleep Affects Your Sex Life
3614 people found this helpful

Bariatric Surgery: What To Know About It

MS - General Surgery, MBBS
General Surgeon
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Obesity and a shapeless body are problems that plague many people around the world. Besides leading to an appearance that is less than ideal, it can also lead to severe health problems include heart failure, heart diseases, diabetes and more. While there are many ways to combat being overweight with the help of exercise and a proper diet and even medication, very severe causes of obesity can also be fixed with a surgical process known as Bariatric Surgery. So, here's everything you need to know about it.

- Affecting the Digestive Process: As per the normal digestive process, the food moves into the digestive tract, while its nutrients get collected with the help of a well functioning system that includes digestive juices and enzymes. This food moves through the digestive tract, passing through the oesophagus, before it goes down into the stomach where it meets the strong digestive acids, which break it down, and then it enters the small intestine. While the stomach can hold three pints of food at a time, there is a chance that some of this food may not get properly digested in the small intestine. In this case, the food enters the large intestine. Now, Bariatric Surgery helps in restricting the amount of food that a person can have and hold in the first place.

- The Process: This surgical procedure may be carried out by cutting open the stomach and removing a portion of the same. This procedure can also reroute the small intestine into the gastric pouch or the small stomach pouch. This process can also be done with laparoscopic invasion, where a few small incisions will be used to insert a tiny camera and instruments for the process.

- Ideal Candidates: If your BMI or body mass index is more than 40, then you can opt for this kind of surgery, as mere dieting and exercising will not help you in your weight loss endeavour. This surgery can also help in preventing the onset of type 2 diabetes mellitus. The patient also has to have reached the normal adult height in order to qualify for this surgery.

- Side Effects: After the surgery, the patient may experience a few side effects including leakages and bleeding. An incisional or an internal hernia may also occur after the surgery. Also, for patients who have a poor diet, there may be complications after the surgery due to less intake of necessary vitamins and minerals.

Once you undergo the surgery, it is important to commit to a proper diet with less food intake and proper exercise on a lifelong basis.
Bariatric Surgery: What To Know About It
3639 people found this helpful

I am 27 years suffering from PCOD for last 4 years. Please help.

B.H.M.S., Senior Homeopath Consultant
Homeopath
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Please take morticum 30+nihilinum 30 / mixed together and take 5 drops in little water thrice a day for two weeks. Revert back after two weeks with feedback.

I'm trying to get pregnant m taking folic acid I wanna know how does folic acid help in conceiving faster. I am having folic acid from a month still I got my periods. I wanna know how much time doe it take to get pregnant. I wana get pregnant fast every time my mind went under this question when will I get pregnant. Doctor please suggest me.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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I'm trying to get pregnant m taking folic acid I wanna know how does folic acid help in conceiving faster. I am havin...
Folic acid is taken to prevent neurological abnormalities in the fetus. It does not help conceiving faster.
6 people found this helpful

Respected Doctor, My mother age is 57.5 years before she got menopause stage. But now she get menses with hard bleeding and pain too. Is anything serious? please give solution for my mother.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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Respected Doctor, My mother age is 57.5 years before she got menopause stage. But now she get menses with hard bleedi...
I would advise your mother shows a gynaecologist in person as she needs an ugent examination; pelvic usg and endometrial biopsy to rule out anything sinister.
1 person found this helpful

Agar kise ladki se anal sex kiya jaye to usse bacche hote he ya nahi. Please advise.

MD - Psychiatry, Diploma in Psychological Medicine, MBBS
Sexologist
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No it will not cause pregnancy. Unless some semen has leaked from anal opening into vagina which is very rare. So don't worry.
2 people found this helpful

Reveals a small (54.8 mm x 47.1 mm) ill-defined hypoethoic sub-serous s. O. L. In fundal region of uterus. What to do? please suggest.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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Depends on patients symptoms, number of issue and family history also. The treatment may be observation, drugs or surgery.
1 person found this helpful

Hi. I am diagnosed with PCOS and the Doctor prescribed meprate tab 2 times a day for 5 days to induce period. It has been over 10 days now, after completing the course, but my periods haven't started yet. Please let me know how long does the medicine take to start working and whether I need to repeat the course once again? Thanks in advance.

PG Hom, London, BHMS
Homeopath
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Hello Mahima, The duration for the periods to come after stopping this tablets is uncertain and the duration may vary from female to female. All you can do is wait and watch. You will get your periods
1 person found this helpful

I am 29 years old. Before 6 month I aborted a baby due to no foetal cardiac pulsation. Now I was trying for a baby what are the precautions I have to do.

MBBS
Sexologist
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I am 29 years old. Before 6 month I aborted a baby due to no foetal cardiac pulsation. Now I was trying for a baby wh...
I advise you to do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning. Take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily. Avoid garlic and red chilly at home and avoid non veg and eggs.

I am 23 yr old feeding mother and my baby is 16 month old. I suffering from underweight (34kg/150cm) and some problems such as after the delivery only one time menstruation period was come before 4 months then till not. Why? have any problem.

Advanced Aesthetics
Ayurveda
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I am 23 yr old feeding mother and my baby is 16 month old. I suffering from underweight (34kg/150cm) and some problem...
due to ur low level of hb test for that bllod test hb Symptoms to look for: ? Being underweight can lead to: o Bone loss o Heart problems o Infertility o Lack of nutrition o Anaemia o Weak immune system o Frequent bouts of illness Causes: ? Excessive physical activity ? Skipping meals ? Fasting ? Emotional stress ? Genetic factors ? Hyper-active thyroid leading to frequent bowel movement ? Inability to absorb food causing loss of fat Natural home remedy using figs and raisins: 1. Take 6 dried figs 2. Take 30 g raisins 3. Soak both in water overnight 4. Eat in 2 doses through the next day For weight gain 100 % safe and natural medicines available, in 1 month 4-5 kg increases without any side effects for medicines consult privately and trial pack for 1month ..and only 3 months course
1 person found this helpful

Child birth k liye mc period k kitne din baad sex karna chahiye?

MD - Homeopathy
Homeopath
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Hello menstrual cycle is commonly of 4-5 days a month; ovulation happens approximately on 14th day from the 1st day of menses. So day 10 to day 18 is approximately fertile period (day 10 is from reference 10th day after 1st day of menses. 4 days after the menses to approximately 8-10 days is fertile period during which sex can be done daily for positive results.

To give a baby birth should I do sex with my wife at her current periods date or before and after her periods?

MD - Obstetrtics & Gynaecology
Gynaecologist
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To give a baby birth should I do sex with my wife at her current periods date or before and after her periods?
Intercourse should be done during the fertile period of female's menstrual cycle, which ranges from 8 th to 18 day of cycle. Best is to have intercourse during ovulation time that is from 12th to 16 day.
19 people found this helpful

I am a female, age is 27 years. My left fallopian tube is seems likely blocked. Can I conceive with this problem or if not then what is the treatment.

MBBS
General Physician
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I am a female, age is 27 years. My left fallopian tube is seems likely blocked. Can I conceive with this problem or i...
First thing is yes you can conceive with one functional tube also second thing is don't keep any doubts about your likely blocked tube get it checked and see if it can be treated and opened up.
1 person found this helpful

Hii I m on iui treatment and so on they given 3 injections of ovtriop 5, 7, 9 day of periods and called me on day 11 so my follicle size is 14mm both ovaries with 7.1 mm et given Gmh 75 injection and on day 13 size are Right ovary is 15 14mm and left every 17mm with et 12.3 again given Gmh injection and called me again on 14 day. So my question is why they giving Gmh 75 injections how they r helpful for conceiving and please let me know the chances of pregnancy in cycle according to this reports. Can I ovulate before. Without any trigger shot if yes than how they can do iui.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist
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Hii I m on iui treatment and so on they given 3 injections of ovtriop 5, 7, 9 day of periods and called me on day 11 ...
Hi gmh injections are gonadotrophins, used to stimulate the ovaries to produce follicles that contain egg. You doc is probably giving you these to help these follicles grow till they are 18mm so that the eggs are mature. You can ovulate your own also as your natural hormones will still be working.

I am 29 years old female married, my menstrual are very painful I feel dizziness, sweating ,Bloating in the belly area. Now I want to know the reason of severe cramps and what would be the best time to conceive the baby my periods cycle are as under 9th july16 14th Aug'16 19th Sep'16 24th Sep'16 pls suggest.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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I am 29 years old female married, my menstrual are very painful I feel dizziness, sweating ,Bloating in the belly are...
Dear Lybrate user, It is difficult to find out the reason for severe cramps, specially without examination and not knowing the complete history. The best time to conceive would be 14 days before the next menstrual date; 3 days before and 1 day after that i.e. 13 - 17 days before the expected date of next period. It would have been 12th to 16th of October in the present cycle.

Scientific Reason Why Stretching is Crucial Before/ After a Workout

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist
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Why is stretching so important before or after a workout?

Stretching often takes a backseat in most workout routines. This happens significantly more with men than woman, and can lead to a disaster in the gym. Stretching is just as important, both before and after your workout, as it helps in preventing injury. It might not be the most vigorous of exercises, but both static (stretching in one fixed position) and dynamic (stretching in variable positions) stretches are beneficial to your body, and will help in keeping it fighting fit till the next session. So what does stretching help with?

 

1. Flexibility

This is a no-brainer. Stretching helps in keeping the body flexible and nimble. It stretches out those muscle groups that aren?t used in most major workouts, and helps cut down on the nervous involvement of unwanted muscles during workouts. Post-workout stretching helps keep the tendons and muscles flexible for the next session, which would otherwise have tensed up and caused tears and sores. You also build up a greater degree of motion for all your joints, which aids in various ways during different exercises.

 

2. Pain and improved circulation

Your heart rate spikes during a workout, and beats at an abnormally elevated rate. Stretching helps ease it down to a normal level. Your muscles tighten during workout, which increases risks for injury. Stretching helps ease them back into a more relaxed state, further improving blood circulation and preventing cramps. Stretching also has the added benefit of eliminating lactic acid, which gets accumulated in your body during a workout. It cools down your body gradually, decreasing strain on your heart.

So what sort of stretches should you be doing?

1. Static stretching

There are two basic types of stretching, dynamic and static. Static stretching is an exercise where you elongate a certain muscle or muscle group to a point where it is nearly uncomfortable and hold it for a period of time between 30 ? 60 seconds. Static stretching is recommended for after workouts. It improves muscle interactions, maintains range of motion and keeps muscle tissues healthy.

2. Dynamic stretching

Dynamic stretching is more active, as you keep your body in motion while you stretch. The movements are tightly controlled and precise, and proper execution greatly adds to athletic performance. Dynamic stretches are great warm ups, and a gentle, easy way to get your heart rate up. It?s also a great full body exercise for people who cannot exercise much, and is a great way to engage all the muscle groups in your body.

Thus, static stretches are the perfect way to maintain the flexibility of your body. You should be making them a mandatory part of your post-workout regime as it provides the necessary care and maintenance to your muscles. It decreases muscle fatigue and prevents a lot of injuries. You could incorporate dynamic stretches into your warm up and mid-workout, when you can get your entire body ready for the workout and cut down on nervous involvement of unwanted muscle groups.

If you would like to consult with me privately, please click on'consult.
Scientific Reason Why Stretching is Crucial Before/ After a Workout
6 people found this helpful

Care before Pregnancy (Pre-conceptional Care)

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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Most of us have an idea that the couple should go to gynecologist only after they fall pregnant or when there is difficulty in conceiving. But we all know that prevention is better than cure. Then why should not we take precaution to avoid complications in pregnancy so that we can have healthy mother and healthy baby.

Some of the diseases can manifest during pregnancy, like some diseases of heart, blood pressure, blood sugar etc. But if the couple comes to doctor when they are planning pregnancy, then we can diagnose it and start treatment so that pregnancy can be safe to both the mother and the baby.

On the other hand, some pre-existing disease may turn serious during pregnancy and endanger life of both mother and baby. This includes thyroid disease, hypertension, epilepsy, renal disease, cardiac disease etc. If taken care of properly, the disease can be controlled before pregnancy so that the risk can be reduced. Again all the drugs are not safe for the baby. So, if treated before pregnancy, the mother can be put on safer but effective drugs before pregnancy.

Some diseases may run in family and often goes undetected and can affect the baby. Thlassaemia, hemophilia etc are the best examples. So, if the couple comes to us before pregnancy, we can screen them to diagnose whether they are bearer of the disease or not and then we can take care to prevent birth of defective baby.

Some diseases indicate that there may be problems in having pregnancy, like problems in periods or abdominal pain in female, sexual problems in male and female etc. If treated properly, it will avoid unnecessary time wastage for trying for pregnancy.

The woman can be instructed how to remain healthy to have normal baby, before pregnancy. She can be advised some drugs (like folic acid), can be asked to avoid harmful drugs and substances (like drugs, excessive vitamin a, excessive vitamin d, excessive caffeine, smoking etc). Even the husband can be asked how to improve his fertility (by avoiding heat exposure to his scrotum).

Again some infections can be dangerous for the baby. So, before pregnancy we can treat the women for the infections and in some cases we can vaccinate her to prevent infection.

"a stitch in time saves nine. So, why don't you consult your gynecologist when you are planning for pregnancy? have smooth journey throughout pregnancy and enjoy parenthood.
Care before Pregnancy (Pre-conceptional Care)
2 people found this helpful
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