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Dr. S.N. Tibrewala

Gynaecologist, Mumbai

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 43 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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GILOY, GUDUCHI, Indian Tinospora, Tinospora cordifolia

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
GILOY, GUDUCHI, Indian Tinospora, Tinospora cordifolia

Indian tinospora, heart-leaved moonseed, #giloy, #guduchi #amrita
#tinospora #cordifolia

Its a wonderful medicinal herb blessed by nature. Guduchi is highly rich in anti oxidants. It has wound healing property, antipyretic (fever- reducing) and anti-viral properties.

Use in diabetes:
It is a very good herb for diabetes. But if you are taking other medicines, it may further lower the blood glucose levels. Hence people with diabetes should take this herb only under medical supervision.

Interesting fact: the areal roots of guduchi are so thin yet so strong that, sushruta used to use this for suturing surgical wounds. This had duel benefits. One was – the thread were very strong so, there was no chance of wound rupture. Second is, guduchi has potent wound healing property. Hence wound healing used to happen very quickly.

Nutritional composition of giloy:
Calcium, phosphorus, iron, copper, zinc, manganese.

1 person found this helpful
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I have abnormal vaginal discharge problem give me suggestion to get rid of this problem. And every time mind is going towards sleeping give me suggestion that I will sleep less.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
you could be having vaginal infection,get it checked,you may take loads of water to drink,and keep good personal hygiene, sleeping too much is a habit ,or may be fatigue, identify what is it,you may accordingly form a routine to stay active, indulge in some kind of hobby and get your haemoglobin and thyroid checked.
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But i am asking for medicine to the swelling of abdomen of my girlfriend which is come after taking I pill 6 or 7 times in January and she is slimly fit her age is only 17 years im having sex with her 6 or 7 times and give her ipill in every meeting help me suggest me a right medicine.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
But i am asking for medicine to the swelling of abdomen of my girlfriend which is come after taking I pill 6 or 7 tim...
Ipill is emergency pill not a routine pill, she is only 17 and you are feeding her poison by giving her tons of hormones through ipill. Take regular low dose oral contraceptives if you cannot avoid your urges with a minor, an offence if caught.
2 people found this helpful
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Hello. Yesterday I was fooling with my boyfriend. In the act he penetrated me for a while though there was no ejaculation. However to be safe I took an ipill immediately afterwards. Can I still be pregnant?

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
Hello. Yesterday I was fooling with my boyfriend. In the act he penetrated me for a while though there was no ejacula...
It is unlikely but you will have to wait till the expected date of period. Sometimes even preejaculate fluid may contain sperm.
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I m 24 years old. Suffering from endometriosis. My left ovary is normal. We are trying to conceive. Is there any fertility drugs that can be taken during endometriosis to help conceiving.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I m 24 years old. Suffering from endometriosis. My left ovary is normal. We are trying to conceive. Is there any fert...
You can take oral contraceptive pills for 3 months after that you try for conception chances will be better because endometriosis will regress. Better you should go for laproscopy to know whether mild, moderate, severe endometriosis oral tab will work in mild endometriosis.
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Doctor, what is the perfect fertile period? My period has occurred in last month's on 28th April 15. What's the perfect time to do intercourse for conceive?

Ph.D - Ayurveda, FFAM-Post Graduate Fellowship, MD - Ayurveda
Ayurveda, Delhi
Doctor, what is the perfect fertile period? My period has occurred in last month's on 28th April 15. What's the perfe...
After menses, fifth day on wards you may have intercourse with positive attitude, cheerful, calm mind and determination of both of you.
7 people found this helpful

Hi Doc. I am newly married I have tried intercourse with my wife from 5 days but I couldn't intercourse because she feeling very pain. How can I solve this problem? Doc please suggest me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
hello, This is vaginismus and can be solved by using lubricant gel with lignocaine jelly before intercourse around the introitus. If doesn't succeed then meet your gynecologist.
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Me and my gf had protected sex after her periods . Her dates are near again but she say she is having no signs of stomach pain which happens to her every time before her periods. Is she pregnant or it is just a delayed period ?

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Me and my gf had protected sex after her periods . Her dates are near again but she say she is having no signs of sto...
You can tell pregnancy untill the girl missess her periods. So wait till she has her periods if she does not then get a urine pregnancy test done.
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I am 22 years old. I was married I have irregular periods. I went hospital. This problem three months clear again it started. I have doubt is it pregnancy?

BAMS
Ayurveda,
I am 22 years old. I was married I have irregular periods. I went hospital. This problem three months clear again it ...
No its not what you are thinking, its a irregular mensuration, it can be cure by ayurvedic medicine.
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I enjoyed my sex life with my boyfriend without precaution and I got period date after a day. Am worrying that i'll get pregnant? Please help me to avoid pregnant.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I enjoyed my sex life with my boyfriend without precaution and I got period date after a day. Am worrying that i'll g...
Getting your periods confirm that you are not pregnant -my suggestion for you for future is that always use protection while having sex as it is the female who is to suffer all the time and accidents can happen anytime and you are inviting such accidents to occur in your life by doing unprotected sex. Till now you are safe but be careful about your future.
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Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Dengue - Important Information

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.

Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.

Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.

Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

Lab Test

NS1
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.


IgG & IgM dengue

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction (IPF)

A very useful test in Dengue for patients with thrombocytopenia.

If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.

Better to do an IPF even with borderline low platelet count.



A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.


The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .

According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.

At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.

Hello Dr. This is vidya completed with 17 weeks of pregnancy. Still my weight is not increased. It is 70 from the day first of my pregnancy also I am not feeling to eat what should I eat so that weight will get increased n my weakness will go off.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hello Dr. This is vidya completed with 17 weeks of pregnancy. Still my weight is not increased. It is 70 from the day...
initial 3 months there is reduction of weight. and after that it comes to pre pregnancy level now it will start increasing eat everything. except junk food
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Hello doctor I'm 23 years old female. Married. Last month I got periods on 16 th March. But this month today gets period (25 days gap) is this any harm to health. I want to get pregnant. Guide me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello doctor I'm 23 years old female. Married. Last month I got periods on 16 th March. But this month today gets per...
Hello lybrate-user, irregular menses may or may not be associated with irregular ovulation, which can effect your maternity wishes. If you have this problem from long time, thn it might require some ayurvedic care.
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Hi I am 25 years old guy. I have problem in genital area .it is affected by fungus in no time n makes skin itchy .it makes me sometime uncomfortable due to some fluids comes out of affected area. Give some better solution. Your advice will b highly regarded.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi I am 25 years old guy. I have problem in genital area .it is affected by fungus in no time n makes skin itchy .it ...
Hello, you need to be started on antifungals soon. Please contact through direct paid query for prescription and further advise.
1 person found this helpful
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I am 24 weeks pregnant. My cervical length at 19 weeks 2 days was 4.1 cm. And now at 24 weeks cervical length is 3.2 cm. Am I at risk. What measures can I take to increase the length.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 24 weeks pregnant. My cervical length at 19 weeks 2 days was 4.1 cm. And now at 24 weeks cervical length is 3.2 ...
Hello, You can not increase the cervix length. 3.2 cm cervical length is normal. As your pregnancy proceeds, your cervix length shortens.
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Chronic Pain - Is it Linked to Our Emotions?

MBBS, MD, FIPP
Pain Management Specialist, Delhi
Chronic Pain - Is it Linked to Our Emotions?

If you suffer from chronic pain of any kind, it is important for you to know that it is associated and linked with your emotions. Other than your physical activities and personal relationships getting hampered, unwanted feelings like resentment, stress and frustration are also common. These emotions and feelings are capable of making your chronic pain condition more worse. 

The Relationship between your mind and body: Your mind and body work together and cannot be separated. Your mind controls all your thoughts and also affects the way in which pain is controlled or perceived by the body. Pain and the fear of pain may lead you to avoid activities. This may reduce your physical strength and cause disruption in the functioning of your body.

Stress: Stress affects your body both physically and emotionally. It may lead to an increase in your blood pressure, breathing rate, heart rate and muscle tension may also occur. These may lead to fatigue, appetite changes and sleep disruption. Stress also causes depression, anxiety, make you dependent on drugs and make you dependent on other people.

Depression: Depression is common among chronic pain patients. Chronic pain can make cases of existing depression much more worse and the existing pain is also worsened. There are chances of developing depression from chronic pain if depression runs in your family or genes. 

Symptoms of Depression are as follows:

  1. Feeling sad, angry, worthless and hopeless frequently
  2. Lack of energy
  3. Lack of interest in regular activities
  4. Difficulty in sleeping
  5. An increase or decrease in appetite, which may lead to major weight gain or weight loss
  6. Difficulty with concentration
  7. Having suicidal thoughts and thoughts about dying or harming oneself

How to Handle your Emotions during Chronic Pain: A common therapy, which people with chronic pain undertake is called Cognitive Behavioural therapy. You should seek the help of a therapist. In this therapy, you will learn about thinking in a positive way instead of drowning in negative thoughts. Your fear of pain will be reduced and you will learn how to strengthen important relationships. You will be able to develop a sense of freedom from chronic pain. 

If your chronic pain occurs due to an accident or emotional trauma, you may be assessed for post-traumatic stress disorder (PTSD) by your healthcare provider. Many patients suffering from PTSD cannot deal with their pain until the emotional stress is dealt with. If you feel depressed and cannot control your emotions, you need to consult a doctor.

11 people found this helpful

5 Best Homeopathic Remedies For Vaginal Candidiasis

CCPH, BHMS
Homeopath, Bhilai
5 Best Homeopathic Remedies For Vaginal Candidiasis

The vagina is a home to number of different types of fungi that under normal conditions are harmless. However, if the immune system is weakened, the Candida fungus can multiply and lead to a yeast infection or vaginal thrush. This condition is marked by the inflammation of the vagina and vulva along with itchiness in the vagina, discharge and a burning sensation while urinating.

Vaginal Candidiasis can be very well controlled with Homeopathic remedies. The recurrence of Vaginal Candidiasis can also be prevented with suitable Homeopathic remedies. Homeopathic medicines, which are made from natural substances, help to extract the disease from its root by raising the body’s immunity. When the immune system gets strongly empowered with Homeopathic remedies, the flourishing of fungus in vagina gets halted. As the fungus growth gradually declines, the symptoms also disappear along with it.

Homeopathy is an excellent way of treating this infection. As it has negligible side effects it is safe to use for both children and adults. Homeopathic treatment of this condition also prevents it from recurring by extracting the root cause of the infection and boosting the body’s immunity. Some popular homeopathic remedies for Vaginal Candidiasis are:

  1. Sepia and Calcarea Carb: These are often prescribed in cases where there is a white vaginal discharge. Sepia is prescribed in cases where women also complain of itchiness that is not resolved by scratching, soreness and swelling of the labia minora, vulva and vagina, heat in the genital area and excoriation of the vulva. In cases where the discharge worsens after passing urine or where the discharge is accompanied by burning and itchiness is the genitals, calcarea carb is prescribed. Here, a woman may find her symptoms worsening before and after periods and may notice swelling and redness of the vulva and vagina.

  2. Pulsatilla: Vaginal candidiasis that is characterised by a creamy vaginal discharge can be treated with pulsatilla. The discharge is usually also accompanied by burning and itchiness in the genital area and experienced throughout the month. Some women also complain of a backache and may experience an absence of thirst along with the desire for cool air.

  3. Thuja and Nitric Acid: This is used to treat cases of Vaginal Candidiasis accompanied by excessive soreness and ulcers in the vulva and vagina. Thuja is prescribed especially in cases where there is excessive discomfort in the form of burning sensations in the vulva and vagina. Nitric acid is helpful in cases where a stitching pain is prominent and there is a complain of irritation in the genital area. A white vaginal discharge may also leave behind a yellow stain in such cases.

  4. Monilia Albicans: This is used when there is a presence of cracks or fissures in the vagina or vulva accompanied by itchiness. Some women may also notice the presence of vesicular eruptions that contain fluid on the vulva or vagina.

  5. Helonias: This is used to treat cases marked by a curd-like the deposit in the vulva. The patient may also complain of inflammation and redness of the genital area along with sensations of heat and burning. A backache, weakness and prostration are other common symptoms that can be addressed by this homeopathic remedy. If you wish to discuss about any specific problem, you can consult a homeopath and ask a free question.

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