Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 28 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.
Book Clinic Appointment with Dr. Sachin Dalal
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Submit a review for Dr. Sachin DalalYour feedback matters!
Hi My wife is 6 months pregnant and she is having cough from last 1 week. Will it affect my baby? Baby can suffer from pneumonia? Please reply.
I am 24 now. I want twins as my children. What should I take precautions? What should my partner and me follow diet? If I follow How many months it take to prepare my self to achieve that?
Health reform refers to the changes in health administration, health planning and, health research that places significant emphasis on local health challenges aimed at improving health administration, health planning and healthcare. They will combine to produce an efficient model of healthcare delivery capable of increasing patient physical, medical and psychological safety. Health reform should be driven by empirical data, best practice and evidence based practice. A variety of health statistics; such as mortality, manpower needs, technology functioning and patient satisfaction; should be analyzed and employed in strengthening health systems.
- In Trinidad and Tobago the current system of healthcare is highly centralized. The Ministry of Health maintains operational oversight of five regional health authorities. These are the North West Regional, North Central Regional, Eastern Regional, South West Regional and Tobago Regional. South West, North West and North Central are the largest regions; each catering for the healthcare needs of more than three hundred thousand people.
- A significant reform should be the specialization of the Ministry of Health in fewer functions aimed to improve healthcare efficiency. For example, it can concentrate on data compilation and analysis. It should be staffed with expert health researchers tasked with analyzing changes in epidemiology, and trends in morbidity and mortality. Furthermore, the Ministry of Health should have the power to instruct regional authorities to make systemic and resource changes based on the statistics collected and analyzed. Regional bodies should be mandated to provide health based statistics to the Ministry of Health quarterly. The Ministry of Health must maintain general oversight of regional authorities. It should produce annual reports based on self- monitoring and evaluation of the systems, performances and challenges in each region. Financial statements and audits should be submitted annually to the Ministry of Health and factors accounting for variance should be justified. Recommendations should be made for improvements and incidences of white-collar crime prosecuted.
- One major reform that should be implemented is granting absolute autonomy to regional health authorities for the delivery of healthcare. They should be able to generate their own funds by charging fees for their services. This would eliminate dependency on the state or Ministry of Finance for funding. Each regional health authority should be able to invest in the stock market or undertake other income generating measures it deems feasible. Its funds should be spent in accordance with the health needs of the population it serves. Regional authorities should be responsible for primary, secondary and tertiary healthcare. In addition, they should be given oversight of private hospitals and health facilities in their geographic regions. Private facilities should be subject to price controls to avoid exorbitant charges and should be required to pay at least ten percent of their annual profit to the regional authority.
- In addition, regional authorities should have the power to ensure that all health institutions and providers adhere to national accreditation standards. The Ministry of Health should be charged with responsibility for developing national accreditation standards in all aspects of the operations of health institutions. These should include hospitals, pharmacies, private practice. Also conventional and alternative medicines should be subject to accreditation standards. Everything and every health based institution should be subject to accreditation standards comparable with those of more developed countries such as Canada and the United States.
- It is palpable that the boundaries of each regional authority be redefined so that they are of almost equal population size. At this time South West Regional is responsible for slightly over one half million people. Therefore given its limited resources, it cannot be expected to perform with greatest efficiency. Given the fact that the better health facilities are situated in urban centers, this would be a challenge that must be overcome judiciously. To accommodate this reform, regional authorities should induce joint public and private partnerships in the provision of healthcare centers in rural and other districts less accessible to major hospitals and health centers.
- To make the health system efficient, a centralized electronic health record system should be developed and implemented. This would ensure that patients could access care in any region. Thus it would make it easy to access health records from any healthcare facility owned and administered within any regional authority. It is expected that the Ministry of Health should take a leading role in this enterprise. Records of patients in private hospitals should be accessible to regional authorities given that they may be moved to a public hospital if the care they require cannot be attained there. Sometimes for financial reasons such as exorbitant cost, patients may be moved to a public hospital.
- Employment policies should enable the free movement of skills and expertise across regions. In some instances, highly specialized surgeons and caregivers should be made available to patients in other regions on a needs basis. In other words, one region can pay another for the services of its skilled human or physical resources demanded.
- Regional bodies can collaborate in health planning. They can develop their strategic, business and budget plans cooperatively. Afterwards they can tweak their plans to fit their population needs. The main advantages of centralized planning will be greater transparency, accountability and inter-operational functionality. Inter-planning can reduce competition between regions and ensure that scare resources are used efficiently. In effect, the Ministry of Health can compare operational effectiveness and best practice across all regions and provide opportunities to strength operational or institutional efficiency.
You can do a number of things to keep your kidneys functioning properly and keep them as healthy as possible at every stage of life :
1.Hydrate, but don’t overdo it:
It’s always a good idea to drink enough water, drinking more than the typical four to six glasses a day probably won’t help your kidneys do their job any better.
Eat healthy foods. Your kidneys can tolerate a wide range of dietary habits, kidney problems arise out of other medical conditions like high blood pressure and diabetes. Because of this, he suggests you follow healthy, moderate eating habits to control weight and blood pressure. Preventing diabetes and high blood pressure will help keep kidneys in good condition.
2. Exercise regularly:
If you’re healthy, getting your exercise is a good idea because, like healthy eating habits, regular physical activity can stave off weight gain and high blood pressure. But do be mindful of how much exercise you do, especially if you’re not conditioned.“Overexerting yourself when you’re not fit and healthy can put a strain on your kidneys, especially if you exercise so much that you cause excessive breakdown of muscle
3.Use caution with supplements and herbal remedies:
Excessive amounts of certain vitamin supplements and some herbal extracts may be harmful to your kidneys. Talk to your doctor about any vitamins and herbs you plan to take.
Smoking can damage blood vessels, which decreases the flow of blood in the kidneys. When the kidneys don’t have adequate blood flow, they can’t function at optimal levels. Smoking also increases the risk of high blood pressure as well as the risk of kidney cancer.
6.Don’t overdo it when taking over-the-counter medications:
“Common non-prescription pills like ibuprofen and naproxen (NSAID’s) can cause kidney damage if taken too regularly over a prolonged period,” If you have healthy kidneys and use these medicines for occasional pain, they probably don’t pose a risk.If you take them for chronic pain or arthritis, you should talk to your doctor about monitoring your kidney function or finding alternative ways to control your pain.
7.If you’re at risk, get regular kidney function screening. “If you have either diabetes or high blood pressure, your physician should screen for kidney dysfunction as part of routine care for those conditions,”
Most men in our culture feel it is important that their female partners get that much needed sexual release through the big O - orgasm, but it is not always the case, especially when the woman desires but cannot. Orgasm (climax, trupti, satisfaction, coming) marks the culmination of the progressively mounting sexual arousal and tension, as it reaches a peak and suddenly releases through pulsating uterine and vaginal contractions accompanied by intense pleasure. Many a time, women do not orgasm in sexual intercourse.
Frequently, it is due to a combination of factors like inadequate foreplay, insufficient arousal, the male partner's premature ejaculation or being unaware of how to take oneself to climax. It could also be due to the woman's intrinsic inability to reach orgasm, despite favourable conditions. We describe such a situation as orgasmic dysfunction or anorgasmia. Inability to climax can prove distressful to several women, while quite a few of them are as happy without orgasms, are not bothered by it and therefore do not even complain or consult.
- No orgasm is not abnormal: It's a widespread myth that women must reach orgasm to be able to enjoy sexual intercourse. Many men and several women hold this false notion. While orgasm can be a payoff, many women agree that it is not must for them to enjoy sex or seek it. They enjoy the overall experience much more than the end result. Many women find the emotional intimacy experienced through physical intimacy, and sufficient foreplay enriching, and are not bothered by getting or not getting an orgasm.
- Two-thirds need another type of stimulation: There is nothing wrong with a woman who cannot reach an orgasm through intercourse. Different women are built differently. Only about a third of women can orgasm through intercourse. A third need extra stimulation during intercourse. Another third never orgasm during intercourse, but can through manual or oral stimulation of clitoris. The best way to know is through exploration, paying attention to body language and reactions.
- Frigid or strained relations?: Women who have never ever had an orgasm or those once had but currently unable to, are falsely labelled frigid or considered to be in relationship trouble. This is yet another myth that many people harbor. Frigidity is a pejorative term now discarded. A female may be perfectly normal and happy in her relationship and yet may not orgasm. There may be many other causes for this such as the side effects of certain medications, chronic illnesses, sexual pain, or severe stress.
- Nothing can be done about it?: Well, this one is another big myth. If the female is not able to orgasm, then there is plenty that one can do about it. To begin with, the woman can try relaxation techniques, arousal heightening techniques, manual or oral stimulation of clitoris, either before, during or after intercourse. In the end, a woman is responsible for her own sexual pleasure. She needs to learn what type, duration, intensity and pattern of stimulation, she needs to reach the peak of excitement. And, a loving partner can help her in many ways to reach orgasm. The sex therapists are trained to help you overcome difficulties in becoming orgasmic and can be reached here. If you wish to discuss any specific problem, you can consult a sexologist.
My periods are not regular. I have a fear whether I would be able to conceive a baby or not. My marriage is in Feb 2018.
I am 20 years old female. I am facing irregular period problems. I usually get period once in 2 months. I got my last period on 8 march. Usually I should get it on may 8 but I did not get it. I had sexual intercourse with my husband on april 2 only one time. And today I performed prega news pregnancy test. It was negative! Am I pregnant or not now?
Exercise can enhance the development of new brain cells that play an important role in learning and memory of adults
The process of developing new brain cells in the adult brain is called adult neuro genesis. Exercise induces increase in neuro genesis improves pattern separation by supporting unique and detailed long term representations of similar but nevertheless different memory items