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Dr. Suresh

Gynaecologist, Mumbai

1000 at clinic
Dr. Suresh Gynaecologist, Mumbai
1000 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Suresh is an experienced Gynaecologist in Mumbai, Mumbai. You can visit him at Jaslok Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Suresh on Lybrate.com.

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Jaslok Hospital

15, Dr. Deshmukh Marg, Pedder Road, MumbaiMumbai Get Directions
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Sir/mam, We are trying for baby. Now my wife period not come over to 7 days Today we check prega news strip test in early morning. But they show negative result. So please give a suggestion she is pregnent or not.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Seems from the preganews results that she is not pregnant, but an ultrasound should be done or a repeat test after few more days, if she has been having regular periods previously, in case she was having irregular periods, then delay in periods Could be due to some. Kind of harmonal imbalance, for which again a visit to a reputed gynaecologist is required to ascertain the cause of delayed period.
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Miscarriage and Tips to Ensure a Healthy Conception

DGO, MBBS
Gynaecologist, Delhi
Miscarriage and Tips to Ensure a Healthy Conception

 

Miscarriage refers to a pregnancy that has ended prematurely, within 20 weeks. Research shows that around 10-25% of all clinically recognized pregnancies end in miscarriages. Chemical pregnancies cause 50-75% of all miscarriages. The condition happens when a pregnancy is lost not long after implantation, bringing about bleeding that happens around the time of her normal period. The woman may not understand that she has conceived when she encounters a chemical pregnancy.

The normal period where miscarriages are expected to occur is during the first 13 weeks of pregnancy. While pregnancy can be an overwhelming and exciting experience, it is beneficial that the woman keeps herself informed about the possibilities of miscarriages.

Some types of miscarriage are:

  • Threatened Miscarriage
  • Inevitable or Incomplete Miscarriage
  • Complete Miscarriage
  • Missed Miscarriage
  • Recurrent Miscarriage
  • Blighted Ovum
  • Ectopic Pregnancy
  • Molar Pregnancy

Symptoms:
In case of any of the following signs, the doctor should be consulted immediately,

  • Mild to Severe Pain
  • White-Pink Mucus
  • Weight Loss
  • True Contractions
  • Sudden Decrease in Signs of pregnancy
  • Tissue made of clot-like material passing from the vagina
  • Bright red or Brown bleeding with or without cramps
  • Investigations

Ultrasound:

  • The majority of women will require a transvaginal ultrasound (TVS) and 98% of complete miscarriages can be diagnosed in this way.
  • If a transvaginal ultrasound scan is unacceptable to the woman, then a transabdominal ultrasound scan should be offered and the woman should be made aware of the limitations of this method of scanning.
  • If there is no visible heartbeat then a second scan should be performed. This is either done at a minimum of 7 or 14 days, depending up the measurements of the crown-rump length or the mean gestational sac.
  • Be aware that a woman with a pregnancy of unknown location may have an ectopic pregnancy.
  • Serum hCG
  • Serum hCG tests can help to exclude an ectopic pregnancy in women with a complete miscarriage (or pregnancy of unknown location), determined by ultrasound.
  • Serial tests are required but results should complement clinical assessment and not replace it. Two tests are taken as close as possible to 48 hours apart:
  • >63% increase suggests ongoing pregnancy.
  • >50% decrease suggests pregnancy is unlikely to continue.
  • A woman with results between these parameters should be reviewed in the EPAU withing 24 hours.
  • Slow doubling times are associated with miscarriage and declining values have high sensitivity of 93-97% in diagnosing a complete miscarriage[1].
  • Rare causes of a raised hCG should also be borne in mind, including gestational trophoblastic disease or cranial germ cell tumour, which must be considered.

Progesterone

One meta-analysis has shown that a single low progesterone measurement for women in early pregnancy, presenting with bleeding or pain and inconclusive ultrasound assessments, can rule out a viable pregnancy. However, a very low serum progesterone can be seen in normal viable pregnancies, so progesterone should not be used as the definitive diagnostic test without other evidence.

Management

  • Admission to hospital can be avoided in 40% of women with threatened or actual early pregnancy loss.
  • Following a miscarriage, all women should have access to support, follow-up and formal counselling when necessary.
  • Anti-D rhesus prophylaxis (250 IU) should be offered to all rhesus-negative women who have a surgical procedure to manage a miscarriage.
  • However, anti-D rhesus prophylaxis does not have to be given to those women who:
  • Receive solely medical management for an ectopic pregnancy or miscarriage.
  • Have a threatened miscarriage.
  • Have a complete miscarriage.
  • Have a pregnancy of unknown location.
  • Women need evidence-based information to guide their decisions, as well as access to support and counselling; leaflets, web addresses and helpline numbers for support organisations should be offered to all women experiencing miscarriage.
  • There is no evidence to support a couple delaying attempts to conceive following a miscarriage.

Treatment:

The main purpose of treatment is to prevent haemorrhage and infection. It is common that the body expels all the fetal fluid during the earlier stages of the pregnancy. In case it doesn t, a procedure known as D&C (Dilution & Curettage) is performed to remove the fluid and prevent infection.

Since most miscarriages occur due to chromosomal abnormalities, nothing significant can be done to prevent them.

Tips to be taken to ensure a healthy conception are:

  • Regular Exercise
  • Stress Management
  • Daily consumption of folic acid
  • Not smoking

 

5 people found this helpful

Hi after taking ipill me and my husband had love making without condom. Did I have any chances of pregnancy? thanks in advance.

PG Diploma in YOGA, Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Ghaziabad
Taking ipill within 72 hours of unprotected sex will prevent from pregnancy in more than 90% cases. But ipill should not be used as regular contraceptive pill. It is for occasional use only.
2 people found this helpful
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Hi doctor, I have pcod and I am taking myo inositol and metformin. But my period is delayed for 13 days. My pregnancy test is negative 4 days ago. My doctor said that tablets helping regulate period. I am confused. Am I pregnant. Pls help me.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
If pregnancy test is negative then you are not pregnant. These medicines only help to regularise the periods and it takes time for hormones to become balanced.
4 people found this helpful
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Can a girl get pregnant by pre ejaculation fluid if she's in her last days of period cycle? If yes then what medicine should be taken to stop pregnancy?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Well. As this fluid does not contain sperm it can't by itself cause a pregnancy. However as the purpose of this fluid is to flush out the penis it will bring any sperm left in the penis from the last ejaculation to the tip of the penis. If this happens that small amount of sperm could cause a pregnancy.
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I am suffering from Pcos from last 13 years and want to get pregnant. Please advice what should i do?

PDDM, MHA, MBBS
General Physician, Nashik
Hello, PCOS or pcod s a problem in which a woman's hormones are out of balance. It can cause problems with your periods and make it difficult to get pregnant. PCOS also may cause unwanted changes in the way you look. If it isn't treated, over time it can lead to serious health problems, such as diabetes and heart disease. The most common symptoms are: Acne.Weight gain and trouble losing weight.Extra hair on the face and body.Thinning hair or even hair loss on scalp.Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.Fertility problems. Many women who have PCOS have trouble getting pregnant(infertility), depression. Regular exercise, healthy foods, and weight control are the key treatments for PCOS. Treatment (hormonal) can reduce unpleasant symptoms and help prevent long-term health problems. Try to fit in moderate activity and/or vigorous activity often. Brisk Walking, jogging, dance or aerobics are great exercise that most people can do.Eat heart-healthy foods. This includes lots of vegetables, fruits, nuts, beans, and whole grains. It limits foods that are high insaturated fat, such as meats, cheeses, and fried foods.Most women who have PCOS can benefit from losing weight. Even losing 5kg may help get your hormones in balance, regulate your menstrual cycle and can make you ovulate.
1 person found this helpful
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Hello doctor, I need to postpone my periods for 4 days. Iam a 24 year old married girl. Can you please suggest me a pill to extend my periods? Will it cause any side effects? Will it cause any after effects like difficulties in getting pregnant? Please help.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello oral hormonal pills are given for the purpose. There are no major side effects and no difficulty in getting pregnant.
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What will be the basic cause and treatment of secondary amenorrhoea with no ovarian cyst and normal reports of thyroid and prolactin?

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
Rule out stress and tuberculosis rule out adhesions in the uterus due to repeated curettage rule out pre-mature menopause.
1 person found this helpful
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How do I increase my anxiety level? I love to have sex with him, he cares a lot for me and try hard to make me comfortable but I'm not as excited as him. So can you please help me?

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
To increase your axiety level as you also willing to have sex with him, you can arrose your sexual anxiety by watching porn videos.
53 people found this helpful
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I' m 46 yrs old and having problem of descharge from vagina. No foul smell. N I' ve not for period from past 3 months acidity also.

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
Avoid allergic and gastric items. Take plenty of water. Take Tab. Pan-40 (daily morning on empty stomach) - 10 day' s. Tab. V. (put inside of vagina) for 10 days nights only. Then let me know.
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I am 21 year female. When I squeeze a little clear liquid appears, not much though what does that mean? I'm so confused I am not pregnant as far as I know .I have my regular periods , I took a test it says negative.

BHMS
Homeopath, Faridabad
Hi, nipples may secrete fluid when they are stimulated or squeezed. Normal nipple discharge may also occur when your nipples are repeatedly chafed by your bra or during vigorous physical exercise, such as jogging.
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Female 19 years after menstruation I saw blood in my stool but it went away after 20-22 days now again it has started after menstruation. What is it?

DHMS (Hons.)
Homeopath, Patna
Hi, menstruation has no connection with bleeding from anus. However, recurrence of bleeding may require thorough investigation, it may b hamhorrhoid. Tk, plenty of water to regularise metabolism and to keep, your bowel movement regular. Tk, diet, easily digestible, non-irritant, simple, on time. Tk, apples, carrots, cheese, papaya, milk, spinach, almonds, walnuts, regularly. You should remain in rest during menstruation. Tk homoeo medicne/ @ nux vom30-6 pills, thrice a day. @ sepia 200-6 pills, at bed time. Ensure sound sleep in d night. Avoid, junkfood, caffeine, conteminated water. Tk care.
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I got married before a year. This month my mensuratal has not come. Went for a pregnancy test it shows negative.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Pregnancy test comes positive only after 7 days of missed period and you need to wait for 5 min after putting urine into the card. And always purchase good company card. Single negative test does not rule out pregnancy. You need to keep repeating the test every week till you get the menses.
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Hello, I am 30 years old, my blood group is O negative and husband's O positive. We got married 22 months back. I had a miscarriage in first pregnancy in the 2nd month, happened in 19 months back. Now, I am in the 4th month. Doctor didn't give any injection or checkup for blood group precaution. Is there any problem? Should I consult another doctor?

BAMS
Ayurveda, Bangalore
Hi, 19 months back, when you had an abortion in the 2nd month, Anti D injection would have been given which takes of next pregnancy. Enquire about this with your doctor to get it confirmed. By chance, if that was not given at that time, then remind your doctor about your negative group blood so that she will administer it to you.
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Which time is best time is best for unprotected sex and do not want any pregnancy. And what is role of periods in sex and is there any harmful in unprotected sex .

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Jairaj, in order to avoid pregnancy you should avoid sex in between day8 to 18 of period if having regular 30days cycle. If you go for unprotected sex without condom then their is risk of sexually transmitted diseases.
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I Am 28 and have c sec delivery of boy of 7 months old. Having problem with my cycle n I do have contact with my partner. Now doc suggest to avoid contact. But we both expect contact. Is there any solution for this? Last month cycle is before 30 days n this month 39th day.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, the irregularity is also because you must be breast feeding your child which causes increased prolactin levels and hence irregularity. However if pregnancy has been ruled out then you may opt for progesterone only pills for contraception from day 2 of next cycle.
2 people found this helpful
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Dear Doctor, I and my girlfriend (26 yrs) had unprotected sex and she missed her period, that was due on 27/7/2015. She is very scare to go and consult with doctor. Can you suggest any medicine which can help. She is not allergic to any medicine nor she has any medical history. Please help.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
She needs to do a urine pregnancy test first to find out. If pregnant she will need a usg to determine if the pregnancy is in the right place. Only then she can consider medicines for abortion.
4 people found this helpful
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5 Reasons Why Microwaving Food is Only Killing it!

BUMS ( Mumbai ),H.E.S(pune),
General Physician, Mumbai
5 Reasons Why Microwaving Food is Only Killing it!

One appliance that has emerged as a lifesaver in the kitchen is the microwave. This product has transformed the way we cook and have our food.

However, we fail to think about the health benefits of the food that has been microwaved!

Here are five reasons why you should NOT microwave your food!


1. Nonionising radiation: Most of us primarily use the microwave to heat up food and to defrost frozen and packaged food. The microwave carries out these processes by releasing a series of heat waves also known as nonionising radiation, which alters the very composition of your food, making it harmful or less than ideal for your system.

2. High temperatures within a short span of time: When we use the microwave to heat up or defrost or even cook something in a few seconds or minutes, the device emanates an unusually high temperature within that short span of time. The result is that the food experiences a great deal of nutrient loss.

3. Consuming a toxic meal: When you heat a pre pre-packaged meal or meat and frozen vegetables in the microwave, it mixes with the toxins released by the plastic packaging thanks to the heat waves within the microwave. This can cause harmful effects on your health in the long run, including cardiac disease and abnormal hormonal conditions.

4. Damage to the Nervous System: Food processed in the microwave can lead to a process called 'shorting out' which alters the electrical impulses in your nervous system and brain. This damage is usually permanent.

5. Cancerous cell growth: Using the microwave to process your food can lead not only to a loss of nourishment but also to an increase in cancer causing substances in food. When ingested, this food can prove to be dangerous.

'Consult'.

Related Tip: How deadly is the microwave for your health? These 5 effects will shock you.

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