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Dr. Umesh Date

Gynaecologist, Mumbai

150 at clinic
Dr. Umesh Date Gynaecologist, Mumbai
150 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Umesh Date
Dr. Umesh Date is a renowned Gynaecologist in Mumbai, Mumbai. He is currently associated with Date Surgical & Maternity Hospital in Mumbai, Mumbai. Book an appointment online with Dr. Umesh Date on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 34 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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Atmabodh, Patkar Road,Opp Kdmc Office, Dombivili. Landmark:Near Dombivili E Railway Station, MumbaiMumbai Get Directions
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I am 47 years old lady. Earlier I was fare bt now my face neck hands and feet are getting dark day by day. I had a surgery in 2014 for uterus removal. After the one years of surgery I am facing this problem. Kindly suggest wt to do for removing this black colour.Please tell.

MBBS
General Physician, Chandigarh
I am 47 years old lady. Earlier I was fare bt now my face neck hands and feet are getting dark day by day. I had a su...
Some overall changes come in your body as you grow in age the other reason can be loss of weight if you have lost weight after surgery then that can be a cause of Change in your complexion and third is generalised weakness So take care of your diet eat good healthy and nutritious diet and maintain your weight Another thing is avoid sun exposure and excessive use of cosmetics
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2.5 months back i took an contraceptive pill. After that on seventth day i got my periods. After that i m yet to get my periods. What could it be?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Please rule out pregnany if that is a possibility, by doing urine pregnany test. If it is negative then u can wait for another 15 days to get spontaneous menses. If not then u need to take tab deviry 10 mg twice a day for 5 days to get menses. If this has happened for the first time then u dont need any investigation. Otherwise please check ur thyroid and get a ultrasound
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Few day earlier my wife has aborted a 9 weeks baby .but still milk production occurs from his breast .is it normal or after few days it will automatically?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Few day earlier my wife has aborted a 9 weeks baby .but still milk production occurs from his breast .is it normal or...
If you are right about duration of pregnancy when she aborted then usually milk production does not happen at 9 weeks abortion, so keep her under supervision of Gynecologist.
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Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2747 people found this helpful

I have been married for five months and trying to conceive. Now I decided to go for lecturer which I was doing before marriage. Can I go for the job or should I take rest in home to get pregnant.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
I have been married for five months and trying to conceive. Now I decided to go for lecturer which I was doing before...
There is no need to discontinue work when trying to get pregnant. Standing for long hours, as required by a lecturer, will not interfere with your possibility of pregnancy. So you are free to pursue both your job and dream for motherhood. Good luck.
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Audiologist, Kolkata
Wash your ear softly one time in every week, and try to wash your mouth every day, it may be helpful for you.
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Is there any danger in having sex after third month of pregnancy? Wife is thyroid patient and taking 100 mg daily.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Is there any danger in having sex after third month of pregnancy? Wife is thyroid patient and taking 100 mg daily.
Hi lybrate user, if everything is normal then it's safe to have sex after 3rd month of the pregnancy.
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Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulgin...
I think u are mixing up two issues. It may b that she has fibroids and some cystocele ( bladder prolapse ) separately. Treatment depends upon the symptoms
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I am 19 year old female. I had sex few days back, after which I experienced irritation, itching and pain in my vagina along with heavy white discharge. After 4 5 days pain, irritation and itching was over but am still having a lot of white discharge. Can you please tell me why is it happening? Also suggest any medicine.

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
I am 19 year old female. I had sex few days back, after which I experienced irritation, itching and pain in my vagina...
hi Lybrate users you may be having vaginal discharge due to infection so please take following medicine 1. Clingen vaginal pessary for 6 days 2 T FAS 3 KIT for one day Thanks
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Good and bad cholesterol.

MBBS, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, DHA, PGD IN MEDICAL LAWS ÐICS
General Physician, Kolkata
Good and bad cholesterol.
Good and bad cholesterol.
Cholesterol within normal limits is required for normal functioning of human body.
It is transported by lipoproteins, known asldl or bad cholesterol and hdl or good cholesterol.
Ldl is so termed because it narrows vessel wall by deposition of fat whereas hdl scavenges ldl.
Normal range
Ldl-60-130mg/dl

Hdl-60-65mg,/dl
Cholesterol/hdl 4
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I make sex with my bf without take any precaution. Please prescribe any medicine or pills not to make pregnant to me. As early as possible. I do not faith on market available pills that's why I want to consult. And please prescribe medicines.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi. You can take unwanted 72 or I pill within 72 hrs of intercourse to prevent a pregnancy. However if more time has elapsed then it will not work and I suggest you wait and watch for your period. If it gets delayed then do a pregnancy test and check.
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After delivery, my private part has been stretched enough. Please give me any solution.

MBBS
Sexologist, Panchkula
After delivery, my private part has been stretched enough. Please give me any solution.
Your private parts are stretched after delivery. I advise you to do kegel exercises daily. You can learn these from internet. This will strength your pelvic floor muscles and tighten your vagina.
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My wife is sensitive to almost antibiotics and pain killer drugs now she is pregnant from last two months pls tell me our child may also be sensitive to these drugs If yes then pls suggested some ways to prevent our child from this drugs sensitivity.

MBBS, Diploma in Gynaecology & Obstetrics, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
My wife is sensitive to almost antibiotics and pain killer drugs now she is pregnant from last two months pls tell me...
It's not necessary that d baby will be sensitive to medicines. Have you observed any hypersensivity reaction .if yes pl consult on line.
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My wife is pregnant in this time what food is need full to her and his baby. How to care him at this time please suggest me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is pregnant in this time what food is need full to her and his baby. How to care him at this time please sugg...
Hello, a pregnant woman should take utmost caution of what she eats. A nutritious diet rich in proteins, iron, calcium and omega 3 fatty acids is recommended. Overall besides normal food make sure she takes a big glass of milk daily, 2-3 eggs in a week, chicken/ fish twice a week, take 2 helping of fruits and salads daily. Taking 5-6 almonds alone a piece or two of walnuts daily should overall take care of your nutritional requirements. Hope this helps you.
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My girl friend is pregnant. How to control her birth. What can I do. It's emergency.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My girl friend is pregnant. How to control her birth. What can I do. It's emergency.
The termination of pregnancy should be done under supervision of a doctor. The procedure of termination by medicine or surgical will depend on the duration of pregnancy.
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I am 26 years old married female. We are planning for a baby. usually my cycle length is 33 days. On 33th day (jan 3) I had spotting. But after that no sign of bleeding at all. Happened before 4 days. I had done urine pregnancy test on dat day (jan 3).but it was negative. After that in the afternoon there was spotting. Now is there a chance that I might be pregnant?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
I am 26 years old married female. We are planning for a baby. usually my cycle length is 33 days. On 33th day (jan 3)...
Yes, you need to do blood pregnancy test first. If that is also negative then you need to get a scan done to know exactly what is the problem and if you need to be given any medicaction to get your flow.
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For how much time period it cant be found Like if a person takes for 2-3 yrs continuously and then make a check up of pregnancy still it cant be found then can Dr. Say that she cant become mother.

BHMS
Homeopath, Faridabad
For how much time period it cant be found Like if a person takes for 2-3 yrs continuously and then make a check up of...
For answering your question, need to see the reports and your past, present menstrual and other history to come to the final conclusion!
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How to increase breast milk. My son is 50%on breastfeed nad 50% on formula. Is galact granules effective?

DGO,DNB
Gynaecologist, Kolkata
Drink plenty of water (at least 3-4 litres) and increase your milk intake. Take galact granules 2 spoons with a glass of milk twice a day.
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My wife is pregnant starting 6months which food is better this time. climate is very hot.

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
My wife is pregnant starting 6months which food is better this time. climate is very hot.
She needs wholesome food with plenty of protein carbs & fat besides vitamins calcium iron and other essential nutrients. She needs approx 2400-2600 cal at this stage. Milk dairy products fish meat eggs nuts greens and fruits sprouts pulses wheat or brown rice are good. Give her coconut water butter milk and curd as well. Avoid junk and processed food with artificial flavor or added colour. She can indulge in sweets occasionally but do watch for excess fat going in her diet in form of fried stuff as thats not required. Baby needs quality of nutrition not quantity. There is no need to eat fot two. Encourage to drink plenty of fluids and split her meals into many small meals rather than 2-3 big meals during the day. Sports drink energy mixes and alcoholic beverages besides excess of caffeine etc is not recommended.
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