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Dr. Sunaina Dube

Gynaecologist, Mumbai

Dr. Sunaina Dube Gynaecologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Sunaina Dube
Dr. Sunaina Dube is a popular Gynaecologist in Kandivali East, Mumbai. You can consult Dr. Sunaina Dube at Nupur Nursing Home in Kandivali East, Mumbai. Book an appointment online with Dr. Sunaina Dube and consult privately on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. 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.

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Iodine Deficiency - 11 Signs You are Suffering from it!

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
Iodine Deficiency - 11 Signs You are Suffering from it!

Iodine deficiency is a very common problem worldwide and is a major cause of thyroid disorders. The entire mechanism of how deficiency of iodine causes hypothyroidism is a complex explanation. So we will stick to layman terms and keep it simple. Deficiency of iodine causes a range of diseases which, altogether are termed as iodine deficiency diseases. When an individual does not receive enough iodine, the thyroid gland increases in size because the thyroid is unable to make enough hormones that are necessary for the body. This causes the development of a condition called goitre. Iodine deficiency in pregnant and lactating women is a serious concern because it is the most popular cause of preventable mental retardation.

There can be situations where a person might not be getting adequate iodine, but may not show any symptoms of iodine deficiency. The easiest way to know if a person has iodine deficiency is to get a urine test done or a blood test done to check the level of iodine in the body. Thyroid is a very important gland and is responsible for the following:

  1. Controlling the metabolic rate
  2. Boosting synthesis of proteins
  3. Regulating blood flow and heart rate
  4. Promoting brain development and linear growth in children
  5. Helping in normal reproductive functioning in adults

Here are the most common signs that can tell you that your thyroid is not functioning properly due to deficiency of iodine.

  1. You feel lethargic and tired most of the times and suffer from weakness constantly (due to reduced metabolic rates).
  2. You may start feeling cold, even when it is visibly warm for the others around you.
  3. You may have difficulty in concentrating and might have a poor memory (due to slowed down mental processes)
  4. You may experience unusual weight gain.
  5. You may become more prone to depressive periods.
  6. You may notice your skin becoming thick and puffy or your face becoming puffier than usual.
  7. You may suffer from hair loss.
  8. You may start having frequent problems of constipation.
  9. Your skin might feel really dry.
  10. You might feel your heart beating slower.
  11. Visible signs would include enlargement of the chin and neck area (caused due to enlargement of your thyroid gland).

With proper treatment and change in diet, iodine deficiency disorders can be prevented with ease. For a better diagnosis, you must consult an experienced medical practitioner and follow his suggestions for improving the iodine levels in your body.

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Kuch log keh ahe hain k mn pregnant hon or kuch khte hain k ni hon hcg 1.20 hai tu kya sahi baat hai is mn or ager ab ni hon to agli baar pregnant ho sakon gi koi problem to ni ho gi?

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Kuch log keh ahe hain k mn pregnant hon or kuch khte hain k ni hon hcg 1.20 hai tu kya sahi baat hai is mn or ager ab...
you are not pregnant as your value is very low..! there are no details of previous pregnancies or miscarriages however pregnancy does occur after miscarriages.. ! all the best..! for any furyher queries you cud drop in a message..!
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Hi doc I had my last period on dt-17.04. 16 and I had protected sex with bf on dated 02.05. 16 that day at time intercourse condom was stuck in my vagina it was not totally inside, when he remove liquid was in condom only it has not come outside even my place is also dry so its there a chance of pregnancy. Pls confirm.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Chance of pregnancy is little. Still to be on the safe side get urine pregnancy test done if you miss period this month.
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Symptoms and Diagnosis of Heart Attack

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Symptoms and Diagnosis of Heart Attack

A person usually gets a heart attack when there is a blockage in the arteries of the heart. This is an emergency situation that can result in a fatality or death if it is not treated immediately. Not all heart attacks will have a crushing pain in the chest right in the beginning, there are a number of symptoms that can show the slow progression of this attack over a few hours. So how do you know if you are having a heart attack, and what kind of treatment will be required? This article seeks to answer all your questions.

Discomfort in the Chest: The patient will usually feel like there is some pressure and squeezing in the chest or pain or even fullness right in the centre. This pain can come and go every few minutes and it should not be ignored.

Pain and Discomfort in other Parts of the Body: There may be some amount of pain and discomfort in other parts of the body including the arms, the jawline, back, neck, stomach and even the teeth. This pain can also travel down to the abdomen above umbilicus. In case there is persistent pain along with the chest discomfort, then a doctor must be contacted immediately.

Other Symptoms: When you feel breathless without any reason or medical cause, and also when you experience symptoms like anxiety, indigestion, vomiting, nausea, light headedness, dizzy spells and fatigue, you may be suffering from a heart attack.

Immediate Treatment: Once you begin to experience these symptoms along with chest discomfort and chest pain, it is imperative to call the emergency unit of the nearest hospital or get in touch with a cardiologist. Until then, you will need to lie down and chew aspirin if you are not allergic to the same. This is usually more efficient that swallowing.

Diagnosis of heart attack: Heart attack is diagnosed if patient has 2 criteria out of following 3-

  1. Pain or discomfort thought to be due to heart disease

  2. ECG suggestive of heart attack

  3. Elevated levels of cardiac enzymes (CK-MB and Troponin) in blood test (these levels start rising after 6 to 12 hours of heart attack)

Once you reach doctor an ECG should be done immediately along with blood pressure and pulse. If ECG shows heart attack then immediate action needs to be taken. Remember a normal first ECG does not rule out a heart attack. So a series of ECGs may be ordered by the doctor and at proper time blood test of cardiac enzymes may be done. Ruling out a heart attack may need an observation and testing up to 6 – 12 hours as cardiac enzyme test shows results only after that period.

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Kindly let me know the status of 5th week 5th day of pregnancy. My wife done with ultrasound scanning, sac is there in uterus, but yolk/thicker layer of development is not visible. Is it normal? Please let us know. Thanks in advance.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Kindly let me know the status of 5th week 5th day of pregnancy. My wife done with ultrasound scanning, sac is there i...
hi Vamsi don't worry get repeat ultrasound done after 7days this is very early stage of pregnancy . sometimes due to delayed ovulation you may see late devolpment of the embryo. wish you good luck.
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My husband using a oil on his penis to do a sex, we are planning to get a pregnancy, oily penis will be OK to get pregnancy or we should do a sex with a clear penis?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
My husband using a oil on his penis to do a sex, we are planning to get a pregnancy, oily penis will be OK to get pre...
Hello- Use coconut/almond oil for lubrication during sex. They both have aphrodisiac properties and can improve your chances of getting pregnant.
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I had periods on dec and 26th jan but this month still I did not get my period and on dec I had sex with my husband.

Certificate Course in Fitness Management
Dietitian/Nutritionist, Faridabad
I had periods on dec and 26th jan but this month still I did not get my period and on dec I had sex with my husband.
Irregular periods are actually a way of your body telling you something is not right and probably your hormones (especially estrogen and progesterone) are imbalanced. Some common reasons for irregular periods: STRESS: Stress is the most common cause of irregular periods. Cortisol, the stress hormone, has a direct impact on how much estrogen and progesterone, two sex hormones, gets produced by the body. POOR DIET: Unhealthy eating and being overweight or underweight can cause irregular periods. In order for a woman to maintain a regular cycle, her body fat percentage needs to be at least 17-22 percent. EXCESSIVE EXERCISE: Excessive exercising (or even lack of it) and drastic weight changes can decrease the body fat, being underweight can offset your hormone levels, thus contributing to irregular periods. BIRTH CONTROL PILLS: When some women stop taking the pill, their periods may take one to three months to return to normal. And this can also reveal an underlying hormonal problem that was masked by taking the birth control pills. PCOS: Polycystic ovary syndrome causes cysts to form on the ovaries, interfering with regular ovulation. In fact, PCOS is far more complicated than a missed period. Talk to your doctor about this condition. THYROID: Thyroid disorders, including hypothyroidism or hyperthyroidism, can cause widespread symptoms like changes in estrogen and cortisol hormones and missed periods. Some home remedies you can try to treat irregular period problem: REDUCE STRESS: Breathe away stress by doing yoga and breathing exercises and meditation in the morning. Also, do kapalbhati and anulom-vilom pranayama for 15 mins each. CHASTE BERRY: The best known hormone balancing herb for women, Chaste berry helps to regulate the female gynecological system. It works by normalizing the secretions of the pituitary gland, hypothalamus, and ovaries, which then appropriately signal to balance the endocrine system. Note – This herb is not recommended if you are taking any fertility drug. It should not be consumed during pregnancy. SHATAVARI: Shatavari is also known to restore the balance of hormones in women. Mix it with equal amount of Ashwagandha and take 1 teaspoon with warm milk at night daily. OTHER HERBS: Some other herbs you can try to regain healthy menstruation: Holy basil (Tulsi), Black cohosh, licorice (Mulethi) root, turmeric, and Evening primerose oil. (If you are on medications, always consult your doctor first). DIETARY CHANGES: Drink carrot juice, aloe vera juice, grape juice. Add ginger, cinnamon, pumpkin seeds, green (unripe) papaya, sesame seeds (with Jaggery), Apple Cider Vinegar and wheat grass to your diet. Also eat other seasonal fruits and vegetables and drink plenty of water throughout the day.
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Can any one help me id I do squirt continuously so how much time its take to cum out ? N how much the quantity it cum ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Can any one help me id I do squirt continuously so how much time its take to cum out ? N how much the quantity it cum ?
It depends on your shukra dhatu poshan inside body. If lost much, don't expect much. Replenishment is required by'vrushya' herbs.
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What is the best food for last month of pregnancy? because my wife is pregnant going 9 months.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
What is the best food for last month of pregnancy? because my wife is pregnant going 9 months.
Food advise starts from before pregnancy. Generally high protein, all vitamins, minerals, essential fatty acids, nutritional supplements, for specific advise consult nutritional expert.
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Every time I wear condom before sex, it breaks while sex, which causes chances of pregnancy. What should I do to avoid breakage. I have tried all top brands store, manforce, durex. I have also tried wearing 2 at the same time.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Every time I wear condom before sex, it breaks while sex, which causes chances of pregnancy. What should I do to avoi...
Dear lybrate user. I can understand. I don't see how it breaks. Breakage happen pretty rare. Anyway you can try female condoms. Take care.
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I am trying to conceive. My period is due for 6 days still pregnancy tests are negative. Now there is a brown discharge. I am afraid if my periods started. Can this be implantation bleeding. It is light and brown in colour.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Yog and Ayurveda
Ayurveda, Navi Mumbai
I am trying to conceive. My period is due for 6 days still pregnancy tests are negative. Now there is a brown dischar...
It might be implantation bleeding. please repeat urine pregnancy test after 5 to 7 days. It will be better to go for pelvis-usg scan (sonography)
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New DM Drugs

Homeopath,
New DM Drugs

New path to blood sugar control

Most dm drugs make pancrea to increase insulin other act on liver other act on body cell

To date, two of these new drugs have been approved by the u. S. Food and drug administration for treating type 2 diabetes. The first, canagliflozin (invokana®), was cleared last march; the second, dapagliflozin (farxiga®), was approved just this week.

Both drugs are so-called sglt2 inhibitors that act by blocking the kidneys’ reabsorption of sugar, or glucose. The result is that more glucose is released in the urine and the patient’s blood glucose level goes down — a major goal of diabetes treatment.

Most other available drugs for diabetes work by targeting the liver, pancreas or gut to improve insulin sensitivity, reduce insulin resistance or stimulate insulin secretion. In contrast, sglt2 inhibitors work completely independent of insulin.

The two new medications, which are taken by mouth in pill form, are approved for use as stand-alone drug therapy, in addition to changes in diet and increased exercise, or in combination with other drugs for diabetes. Their approvals were based on multiple clinical studies — nine for canagliflozin and 16 for dapagliflozin — showing that they effectively lowered hemoglobin a1c, a measure of average blood sugar level over the previous three months.

A surprise effect on the waistline
An added benefit is that sglt2 inhibitors are associated with modest weight loss. For instance, patients shed from 2.8 percent to 5.7 percent of body weight in clinical studies of canagliflozin.

“The weight loss is an appealing side effect of sglt2 inhibitors, especially in the growing population of obese individuals with type 2 diabetes,” says cleveland clinic endocrinologist mary vouyiouklis, md. “aside from metformin, which occasionally results in modest weight loss, other oral drugs used to treat type 2 diabetes are weight-neutral or can cause weight gain.”

Safety profile: keeping an eye on heart effects
Another potential benefit is also a potential adverse effect: the fact that sglt2 inhibitors have a mild diuretic effect (i. E, tend to increase urination). This results in lowering of blood pressure, which can be good for some patients who have high blood pressure but can also cause lightheadedness, dizziness or even fainting in other individuals. Dr. Vouyiouklis says caution is needed before these drugs are started in any patients at particular risk of the latter effects, such as the elderly or patients taking diuretics or multiple drugs for blood pressure.

The drugs’ other most common side effects in clinical trials — genital yeast infections and urinary tract infections — are also related to the fact that they act via the kidneys. Both drugs posed a low risk of hypoglycemia, the dangerously low blood sugar episodes associated with some diabetes therapies.

However, the new drugs were found to modestly increase levels of ldl (“bad”) cholesterol, which could be a concern because patients with diabetes are already at increased risk of heart disease. The potential for increased rates of heart attack, stroke and other cardiac events is being specifically monitored in large ongoing studies of both canagliflozin and dapagliflozin, but full results are not expected for several years.

Ongoing bladder safety scrutiny with dapagliflozin
Additionally, patients taking dapagliflozin in clinical trials showed a small increase in bladder cancer diagnoses compared with control patients. In fact, dapagliflozin was rejected for approval by the fda two years ago because of concerns over bladder cancer and liver toxicity.

The agency’s concerns about these risks were eased by additional data from dapagliflozin’s manufacturer this time around, but the drug’s approval included a requirement that it be studied for bladder cancer risk in patients in ongoing trials as well as in new animal studies looking specifically at effects on the bladder.

Canagliflozin does not appear to be associated with bladder cancer or liver toxicity, the fda concluded.

More agents in the pipeline
Several other sglt2 inhibitors may soon be available as well. One of them, empagliflozin, is in late-stage studies, and the fda is expected to decide on its approval by the end of march.

Who should get these drugs, and when?
Dr. Vouyiouklis says obese patients with type 2 diabetes and normal kidney function stand to benefit most from sglt2 inhibitors. In general, these drugs seem to be best tolerated by patients with normal kidney function and less well tolerated by those with moderate kidney disease (they should not be used by patients with severe kidney disease). They are not approved for use by pregnant women, patients under 18 or individuals with type 1 diabetes.

“Although sglt2 inhibitors are approved for use as single drug therapy, metformin remains my choice for first-line oral therapy,” says Dr. Vouyiouklis. “Because sglt2 inhibitors are relatively new and their long-term effects are not yet known, I prefer to reserve them for use as add-on therapy. I believe they will be a useful addition, especially in obese patients who are seeking to lose weight.”

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Hello, I dnt want baby. Can you explain the time or days cycle at which she cannot conceive. Because I dnt want to use condom. please help.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello, I dnt want baby. Can you explain the time or days cycle at which she cannot conceive. Because I dnt want to us...
Hello- Go for sex at first five days after menses, and last five days before the start of next menses to avoid pregnancy naturally. It is known as the safe period for sex.
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My gf suffering with some irregular menstrual problems. And also she feels pain during period in lower abdomen.

PDDM, MHA, MBBS
General Physician, Nashik
My gf suffering with some irregular menstrual problems. And also she feels pain during period in lower abdomen.
Irregular cycles or excessive flow during cycles is a common problem seen in a large number of females. Hormonal abnormalities are the most common cause of irregular and heavy menstrual flow. Thus, you need to consult your primary healthcare provider for clinical assessment and endometrial biopsy/ curretings for diagnosis of the condition and thus treatment.
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Why Do People Torture Animals

MSc, PGDGC, M.Phil - Psychology
Psychologist, Chennai
Why Do People Torture Animals

Why do people/student torture animals- what drives them?
Can we analaysis and find solution: let try to stop this any more in our life
As we all aware that two animals cruelty incidents happened in tamilnadu, one with the dog and another with an monkey.
Case a, 12 yrs old kid hitting cat with broomstick, their parents brought for an counseling that he has not coutesy for animal and he was killing without any guilt.
Case b, 23 yrs adult was burning a rat alive with kerosine and feeling happy to see that rat die with burn.
And there are many cases which were not recorded and submitted for case discussion.
What typically possesses them to inflict such acts of intentional animal torture and cruelty? 
These are because of psychological disorders (such as anti-social/psychopathic personality disorders and engage in deliberate acts of zoosadism), and/or because they have sexually paraphilic disorders (such as crush fetishism in which small animals are crushed for sexual pleasure). 
This may be common behaviour among murderers and rapists - those with psychopathic traits characterized by impulsivity, selfishness, and lack of remorse.
Animal torture and cruelty is one of the three adolescent behaviours in what is often referred to the homicidal triad , the other two being persistent bedwetting and obsessive fire-setting. The combination of two or more of these three behaviours increases the risk of homicidal behaviour in adult life.
The behaviours in the homicidal triad are often associated with parental abuse, parental brutality (and witnessing domestic violence), and/or parental neglect.
What we can do:
The best way to prevent it is teaching by example. Parents and teachers are the key and plays very important role.
Pro-social behaviour (action/behaviours intended to help others) by parents and other role models towards animals, such as rescuing spiders in the bath, feeding birds/ants, treating pets as a member of the family, 
Schools and colleges can have some pet home in the campus.
These activities or act has the potential to make a positive lasting impression on children.
It's a start, lets all have at least one pet in the home make your son/ daughter to take care of them (pet therapy).

Regards:
Elayaraja m. Sc, m. Phil, pgdgc, pgdha
Counseling psychologist,
Kavithalyaa counseling centre, ambattur, chennai-53.

8 people found this helpful

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Sexologist, Chennai
6 signs you have a serious sexual problem

It is important to know when something is wrong with your sex life, as early intervention could save you.

Sex is supposed to be fun, and also an intimate way to connect with a partner. This does not mean it doesn't come with its own set of challenges.

While some sexual challenges can be solves easily with the right tools, others usually need medical intervention or even therapy. Below are 6 kinds of sex problems that requires help.

#1 Persistent problems. If you experience a hard time “getting up” or getting hard, and this problem persists for two weeks or more, this is a sign that there could be a deeper underlying issue that needs to be looked at by a professional. This is the same for other performance-related issues that are out of your control.

#2 Painful. Sex should give you pleasure. If you feel unusual pain when you’re having sex, chances are, you *and/or your partner* have health-related problems. Consulting a therapist can help you find the best medical-based advice on what positions will best lessen the pain, what positions and deeds are most comfortable, and what techniques you can employ to make the most of your time in bed

#3 No climax. Maybe you don’t have a partner and you’re used to having a go at it on your own. Then suddenly, you find yourself not reaching climax. Again, if this problem is persistent for a few months, or each time you masturbate, this can be due to an underlying issue that an expert can help sort out for you.

#4 Sex arguments. It may start with casual teasing about how your partner slept on you as you were about to do the deed…but then it happens again and again—so much so that you start to bicker about it. If you are arguing about your sex life and are complaining about it, it can help to seek a therapist before your problems in bed overflow to other aspects of your relationship.

#5 Unsatisfactory sex life. While you may both be very polite or don’t want your sex life to be the main drive for your happiness in your relationship, having one *or both* partners dissatisfied in the bedroom is a recipe for disaster. Maybe you or your partner is having erectile dysfunction or premature ejaculation and you don’t want to tell the other party about it, or you are experiencing trouble reaching orgasm. This means you need help.

#6 Strained relationships. If your sexual performance and intimacy issues are causing a strain in your relationship, this is also a good reason to bring in an expert. Maybe you’re not having as much sex as you used to, or you are not performing well in bed, and this is causing your partner a great deal of frustration or disappointment that carries over, out of the bedroom. After all, a lack of sex can cause distance between couples and cause frequent bickering. If you want to save your relationship and enjoy sex with your partner again, you really should go see someone

@dr rahman sexologist
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What are the food stuffs, movements and other day to day activities that are to be avoided during pregnancy?

MBBS
General Physician, Chandigarh
What are the food stuffs, movements and other day to day activities that are to be avoided during pregnancy?
Pregnancy is a normal physiological process you need not avoid anything except for very hot spicy and junk food and you can do all normal day to day activities provided your pregnancy is normal and not a complicated one.
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