Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 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
Management of Abortion
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
Submit a review for Dr. Umesh DateYour feedback matters!
My last mc date is 24/2/15 Ichake pregnacy test test is positiv .So i want to remve pregnacy.By tablet .Next two day s I eat nk cap tablet.Who to identfy pregnacy is removed or not.If not removed .Plase give madical tablet name
I am 21 years old. I am getting hungry a lot nowadays. and in every hour I just need anything to eat. I am just a lot tensed about everything nowadays and the more I eat the more I need to have something. Please advise.
Me and my girlfriend were physically contacted on 25 of previous month But we did not have sex but I fingered her I do not know weather my pre-cum was on my finger or not. That incident day was her 4th day of period. She was discharging liquid and some day she noticed that a curd type thick liquid is flowing. Now the liquid flowing is completely stopped. She was saying me that, before 1 day or 2 days of her monthly period she use to discharge some liquid. But now no such symptoms are there. Her next period is 23rd of this month and today is 20th. Is it pregnancy? And one more question that can we test pregnancy on kit before her period? Please help us we are very tensed.
Hello Doctor, From past few days my nipples are paining. My periods dew date is 4th Dec. I have not even change my bra recently. Please suggest me what should I do.
11 tips to overcome loneliness
I have seen in my practice as a counsellor too often, that people are living in big cities, full of people, but they feel very lonely from within and at the brink of anxiety and depression.
Simply defined, loneliness is a condition of emotional disconnect, socially feeling misfit and never ending solitude. Lonely people often feel insecure and pessimistic about finding desirable and compatible friendships. Poor self-esteem and an underdeveloped sense of one's worthiness, likeability and attractiveness prevent the lonely person from taking risks and venturing out into new relationships. Hence, they typically lack confidence and enthusiasm to pursue new relationships or nurture existing ones. As a chronic condition, it can be emotionally and psychologically debilitating.
Contrary to what many people believe, loneliness isn't just a result of being alone or an absence of friends. It is a deeper problem that is caused by thoughts and feelings of inadequacy, imperfection and shame. Chronically lonely people are often holding onto pessimistic predictions about the prospects of finding companionship, social connections and supportive relationships.
The lonely often suffer in silence. For many, it is hidden behind a facade of normalcy. While smiling and having fun, many hide their core feelings of loneliness. For these people, loneliness is not a reflection of what is happening in their lives at any given moment, but what occurs secretively and silently within them. When around people they know, they pretend to be upbeat, positive and happy, while at the same time feeling unworthy and insecure. Since it is a shame-based experience, it is typically kept a secret.
Lonely people inadvertently put themselves in a catch-22 situation: social opportunities seem like a heavy burden fraught with the potential of rejection or abandonment. The more you feel lonely, the more you feel inadequate and unworthy, the more you stop believing anyone will ever like or love you, the more you isolate. With a belief of potential rejection or abandonment, the lonely person is unable to put their best foot forward in any given social situation. Hence, loneliness feeds on itself.
The causes of loneliness are varied and multi-dimensional, including social, psychological and physiological factors. The major cause of chronic loneliness is often attributed to early developmental factors such as a child's lack of attachment to their adult caregivers who only conditionally love (love with strings attached) their children. Similarly, childhood neglect, abuse and abandonment are early childhood factors that eventually manifest into adult loneliness.
Since loneliness is a deeply embedded psychological experience (condition), having enough friends can never result in feeling secure and lovable. Building up one's self-esteem and ability to love, respect and care for oneself is fundamental in solving and healing the deeper psychological conditions that create chronic loneliness. Counselling helps people to explore their early childhood wounds in a safe and confidential space and learn new ways to 're-parent' themselves by learning to love, acknowledge and appreciate themselves.
Life is too short to waste on suffering from core loneliness. Please heed to my suggestion: open up, take a chance and access the hidden part of you that deserves true and loving companions. Heal your childhood wounds. Learn to love yourself and eliminate loneliness from your life!
The following are 10 tips to battle and conquer loneliness:
1. Catch your inner critic's attempts to sabotage yourself. Pay attention to self-degrading thoughts like 'I am too fat for anybody to want to date' I wish I were funnier and had interesting things to say 'or' people never seem to understand me,
2. Replace negative self-talk with affirming messages, such as 'I am perfectly lovable just as I am' and 'I welcome love, friendship and support into my life'
3. Fight the urge to isolate. Isolation validates your fears that you are not worthy of the love and support you absolutely deserve. Sometimes you have to force yourself to do exactly that which you are dreading -- like putting yourself out there.
4. Weed out the toxic relationships and create space in your life for relationships that fuel your spirit. You can't grow lovely succulent vegetables with a large patchwork of weeds.
5. Nurture your support network. Even if there is only one person to start with, you can build on it. Don't underestimate the importance of what you have to offer.
6. Expand your social network. Online social sites such as meetup. Com is an ideal place to meet people and to explore hobbies, interests and social groups.
7. Open your self-up, take risks, and allow yourself to be vulnerable. Since loneliness results in isolation, experiment by sharing aspects of yourself, including experiences, feelings, memories, dreams, desires, etc. This will help you feel more known and understood.
8. Ask for what you need. Find your voice. Tell people what you need from them to alleviate the loneliness. Friends respond to direct messages for help and support. Give it a try, you might be surprised!
9. Take action. Don't wait for an invitation. Be willing to take a risk, be proactive and invite people to share in your life, whether it is for coffee, lunch, a walk, an event or a gathering in your home.
10. Recognize the importance of being alone and enjoying solitude. Being alone is not the same as being lonely. Peace, quiet, freedom, space and the opportunity to connect with your deeper self.
11. Consider therapy. Counseling is something that is healthy and proactive that can help you overcome the self-defeating behaviors that exacerbate loneliness. With the support of a therapist, you can change your thinking and relationship patterns and achieve the life you want!
Sir, I have two wifes and i am doing sex with both for their satisfactions, is it good or I have to take any precautions for doing sex with both. Please advise.
Hello, I am planning to do sex with my girlfriend today. So I need some medicines for stamina. And it's the first time so how should I insert my penis in her vagina. And obviously we are just 18 and we r not planning for a baby but we r just doing it for fun, so which pills she should take to prevent pregnancy. And should I use condom. And please tell me the various sex positions to prevent pregnancy and sex positions which are easy for the first time. And if she lick my penis, then the pregnancy will occur or not?
I am about 56 years age and I suffering with chronic candidiasys in my vegina for more than 10 years I have seen lot of gynic docters and dermatologists but no cure and now i want to take mri test will help me in correct diagnostic I have many ultra sound scan it always normal and my surgar levels are normal kindly guide me
My wife period start on 20 and ends on 21 of the month which is the day to have unprotected sex and not a chance of pregnancy.
Period due date was on 3rd of may, started spotting on 3rd evening and it continued on 4th along with lower left side stomach pain and left side lower back pain on 5th it was lil heavy bleeding along with lots of stomach cramps and backache on 6th half day it was bleeding and second half spotting and on 7 th again spotting on 8th just stomach cramps and backache. Did home pregnancy test on 8th it showed negative. My period only last for 3 days even today thats 9th I still have cramps.
I am three years married man age 34 wt 57kg. Height 5.6ft. After avoiding 18 month we are trying to have a child but till now fail.Please do help me.
Me and my girlfriend want to have sex .what kind of contraception we can use other than condom .problem is she is suffering with irregular periods so what kind of contraception is better other than condoms? I heard about vaginal pills how are they?
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.”
Testosterone is a powerful hormone, with the ability to control sex drive, regulate sperm production, promote muscle mass, increase energy, and even influence human behavior (such as aggression and competitiveness). It’s no wonder that a decrease in testosterone would cause quite a stir. However, it is a natural part of aging.
In the womb
Testosterone plays an important role in shaping the developing fetus during pregnancy. It drives the development of the male reproductive system. Testosterone also masculinizes the brain. Testosterone levels have to fall within a very narrow margin in order for the fetal brain to be healthy. High levels of fetal testosterone may be linked to autism. Low levels of fetal testosterone may boost your chances of getting alzheimer’s disease later in life.
Adolescence to early adulthood
Testosterone levels are at their highest during adolescence and early adulthood. The first physical signs of testosterone, or androgens, in the body are apparent during puberty. A boy’s voice changes, his shoulders broaden, and his facial structure becomes more masculine. But as men get older, their testosterone levels decline about 1 percent per year after age 30.
Testosterone and aging
Low testosterone levels can cause changes in sexual function, including:
Reduced sexual desire, or low libido
Fewer spontaneous erections
Impotence (erectile dysfunction)
Other signs of decreased testosterone levels include:
Changes in sleep patterns
Emotional changes, such as low self-confidence or lack of motivation
Physical changes, like increased body fat, reduced muscle bulk and strength, and decreased bone density
The normal range of testosterone levels in healthy adult males is between 280 to 1, 100 nanograms per deciliter (ng/dl).
While the symptoms described here are considered a normal part of aging, they could also be signs of several underlying factors. These include:
A reaction to certain medications
Thyroid gland disorders
Excessive alcohol use
The best time of day to have a blood sample taken for a testosterone test is around 8 a.m.
My last period was on 29th December. Then i try to get pregnant. But i missed my period till today.my pregnancy test is negative. my doctor advised me for USG. i have OLYCYSTIC OVARIES. My wt is 69 kgs. is it possible to get pregnant with polycyst? what will be my next step? how could i recover from this?
This is my mother report x-ray chest pain view Findings: Lungs fields are clear. Both hila appear normal. Mediastinum is normal. Cardiac size is normal. Both domes of diaphragm are normal. CP angles are clear. Soft tissues and bony cage appear normal. Impression: NO SIGNIFICANT ABNORMALITY Can you please say me about the report.Please tell.
Sir mera naam bipin hai aur meri wife pregnant hai 3 mhina hai. To sex ke liye sabse surakshit mahina konsa hoga Kya pregnensi ke dauran sex karna sahi hoga.?
People's daily reported that cancer has become the number one threat to human life. It is a common and frequently-occurring disease which seriously endangers the health of people. Cancer experts have pointed out that, besides the genetic factor, cancer is also highly related to the environmental factors, in which diet is one of the most important.
Relevant researches have pointed out that about one-third of the cancer diseases has something to do with the poor eating habits in daily life. With the gradual improvement of the living standards, people tend to eat more refined foods at the meal, while the intake of coarse grains and cereals is reduced. Such modern poor eating habit will lead to a series of cancers, which seriously affect the health of human body.
- First, lack of cellulose will increase the incidence of colorectal cancer.
- Second, excessive intake of high-fat, high-protein foods has become an important reason for the increasing incidence of breast cancer and colorectal cancer.
- Third, about 75% of the head and neck cancer is caused by drinking alcohol and smoking.
- Fourth, people who like to eat hard, hot, and pungent foods will easily suffer from esophageal cancer.
- Fifth, gastric cancer has something to do with too much intake of smoked foods or foods which contain nitrate, such as sausage, ham, pickles, dried salted fish and so on.
- Sixth, eating mildewed corn, peanut, rice and other foods or drinking unsanitary water will make people susceptible to liver cancer.
- Seventh, people who prefer to eat sweet and greasy foods are most likely to suffer from pancreatic cancer.
- Eighth, insufficient intake of vegetables and fruits has something to do with colorectal cancer, gastric cancer, liver cancer, breast cancer and esophageal cancer.