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Dr. Vibha Arora

Gynaecologist, Mumbai

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Dr. Vibha Arora Gynaecologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Vibha Arora
Dr. Vibha Arora is a renowned Gynaecologist in Malad East, Mumbai. You can consult Dr. Vibha Arora at Sanjeevani Surgical & General Hospital in Malad East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Vibha Arora on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 39 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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Bhavani Chambers, Kedarmal Road, Rani Sati Marg, Malad East. Landmark: Near Children's Academy, MumbaiMumbai Get Directions
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I am just married and I want to know how I can sex with my wife without condom on ,not making her pregnant.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hello, You have to follow safe period from day 2-11 and then day 23-till menses for sex where chances of pregnancy are minimal or you can ask her to start herself on oc pills regularly which shall prevent pregnancy.

Hi. I am a 27 year old married girl. My period is late by 7 days. I have period like cramps and vaginal discharge which sometimes smells like urine. What could be the cause? pregnancy or infection?

DGO, MBBS
Gynaecologist
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Hi. I am a 27 year old married girl. My period is late by 7 days. I have period like cramps and vaginal discharge whi...
1st cause of delayed pds is preg n early preg gen causes bladder irritability. So confirm this by routine urine test for inf n urine preg test to confirm preg.

My wife is pregnant from 2 months. So can we continue to have sex or is there any risk Pls help on this.

MD - Psychiatry, Diploma in Child & Adolescent Psychology , MBBS
Psychiatrist
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My wife is pregnant from 2 months. So can we continue to have sex or is there any risk
Pls help on this.
First three months are little risky you can do it in 4-6mths of pregnancy they are safe comparatively.

Sir muje monthly problem Hai,5 month se mensis nahi aate aur ovary cyst bhi Hai. Or Harmon Ka account bhi bahut Kam hai.please koi upay batao.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath
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Sir muje monthly problem Hai,5 month se mensis nahi aate aur ovary cyst bhi Hai. Or Harmon Ka account bhi bahut Kam h...
Use medicine german reckeweg natrum mur 1m, single dose (4-5 drops in mouth) morning. Buy medicine from good homoeopathic shop. Food mixed fruit juice daily evening. Please continue treatment.

4 Winning Ways to Strengthen Lower Abdominal Muscles to Prevent Back Pain

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist
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4 winning ways to strengthen lower abdominal muscles and prevent back pain

Abdominal muscles play a very important role in supporting our spine from front. There is a muscle called transverse abdominal muscle which is different from the six pack muscles. This lower abdominal muscle can be strengthened in simple ways.

1. Active sitting
When watching tv or waiting for appointments, at bus stops, train station etc do these simple exercises. Sit up straight. Now draw your belly button in towards your chest but do not hold your breath. Count till five and relax. Repeat this 10 to 15 times.

2. Static abdominal exercise
When laying down flat draw your tummy muscles in and feel the arch in your back flatten. Do not hold breath. Just count till five and relax. Repeat 10-15 times.

3. Cycle in air
When laying down flat (on bed or yoga mat) lift both your legs up in air (your legs should be at 90 degrees. Now try to cycle in air for 10 rounds. Relax and repeat 5 times.

4. Cat and camel pose
Get on your hands and knees. Draw in your tummy muscles and hunch your back without holding your breath. (camel pose) hold five seconds.
Relax and get a curve in low back (cat pose). Wait for five seconds. Repeat this cat and camel pose 10-15 times.

Please check with your doctor if you can try these exercises safely.
4 Winning Ways to Strengthen Lower Abdominal Muscles to Prevent Back Pain

Hi sir my wife is taking krimson 35 tablet to prevent pregnancy since from two years is there any side effects of medicine taking regularly is there any natural way to prevent pregnancy.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hi sir my wife is taking krimson 35 tablet to prevent pregnancy since from two years is there any side effects of med...
Hello, these are low dose oc pills and can be used but at the same time they have been prescribed for pcos. Natural ways are practicing safe period and withdrawal method but they are not 100 per cent safe.

Is it ok to have sex during periods If not. Is it ok to have how many days after periods.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
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Is it ok to have sex during periods
If not. Is it ok to have how many days after periods.
Sex during periods is safe but messy, csn cause infection. If you dnt want a pregnacy avoid the fertile period, that is day 7-17 of the cycle.

I missed my periods which was supposed to come on 10th july 2016, and had a home pregnancy test and it was negative. Then lighter flow of periods arrived on 20th july which continued for 2.

B.Sc,BHMS
Homeopath
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I missed my periods which was supposed to come on 10th july 2016, and had a home pregnancy test and it was negative. ...
It may happen sometimes but after sometimes it recovers. There must be change in your life style and your mental level. For further discussion consult me.

Dr. I mated with my would be on 17th feb. I did not get periods on 1st week of march (normally I get 1st week of month. We waited for next month even though I did not get periods. Urinary pregnancy test was doubt ful. If I get positive upto what date I use medical methods to abort this. please mention date and month. Suggest pill also. Thank you.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Dr. I mated with my would be on 17th feb. I did not get periods on 1st week of march (normally I get 1st week of mont...
Hi lybrate-user. If a pregnancy test is positive after your periods gets delayed by a week then it indicates that you are pregnant. Pregnancy can be terminated by medicines upto 9 weeks and surgically upto 12 weeks. Hope this information has been helpful. Let me know if I can be of any further assistance to you.

Master of Physiotherapy ,MPTh. (Orthopedics), Certified Manual therapist, Bachelor of physiotherapy,BPTh
Physiotherapist
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Herniated Intervertebral Disc Disease

The vertebral column (backbone) is made up of 33 vertebrae separated by spongy disks and classified into four distinct areas. The cervical area consists of seven bony parts in the neck; the thoracic spine consists of 12 bony parts in the back area; the lumbar spine consists of five bony segments in the lower back area; five sacral bones (fused into one bone, the sacrum); and four coccygeal bones (fused into one bone, the coccyx).

Between each vertebra is a fibrous disc with a jelly-like core. These cushions of cartilage allow the body to accept and dissipate load across multiple levels in the spine and still allow for the flexibility required for performing normal activities of daily living. As the body twists, bends, flexes and extends, the intervertebral discs are constantly changing their shape.

Causes

When discs degenerate, becoming less supple due to age or back strain, the disc may prolapse — squeezing out some of the soft core. This loss of cushioning may cause pressure on local nerves and cause back or neck pain, numbness or tingling in the arms, or searing pain down one or both legs. If the prolapse is severe it can damage the spinal cord. As a part of the aging process the discs lose their high water content and their ability to cushion the vertebrae. This is called degenerative disc disease. As the discs deteriorate, the spine can initially become less stable. Bony spurs can develop as a result of this instability and can cause pressure on nearby nerves leading to leg or arm pain. Narrowing of the neural canal by these bony spurs is known as degenerative spinal stenosis.

By the age of 35, approximately 30% of people will show evidence of disc degeneration at one or more levels. By the age of 60, greater than 90% of people will show evidence of disc degeneration at one or more levels on MRI. In some patients, this disc degeneration can be nearly asymptomatic; in others, disc degeneration can lead to intractable back pain.

The outer layer of the discs themselves can also tear. When this occurs, the inner, gelatinous layer can herniate out (a “herniated” or “ruptured” disc) and also cause pressure on an adjacent nerve. If the herniation occurs in the neck and causes pressure there, it can cause pain that radiates into the shoulder and arm; if it occurs in the lower back, the pain produced can radiate down into the hip and leg.

Symptoms

Patients with disc disease in the cervical, thoracic, or lumbar spine experience variable symptoms depending on where the disc has herniated and what nerve root it is pushing on. The following are the most common symptoms of lumbar disc disease:

Intermittent or continuous back pain (this may be made worse by movement, coughing, sneezing, or standing for long periods of time)Spasm of the back musclesSciatica — pain that starts near the back or buttock and travels down the leg to the calf or into the foot.Muscle weakness in the legsNumbness in the leg or footDecreased reflexes at the knee or ankleChanges in bladder or bowel function

The symptoms of lumbar disc disease may resemble other conditions or medical problems. Always consult your physician for a diagnosis.

In rare cases, patients with large disc herniations may experience weakness in an extremity or signs of spinal cord compression such as difficulty with gait, in coordination, or loss of bowel/bladder control.

Treatment

Treatment for disc disorders must be closely tailored to the patient, based on:

The history and severity of their pain whether or not they have had prior treatments for this problem and how effective they have been and whether or not there is any evidence of neurologic damage such as weakness of an extremity or the loss of reflexes

Some of the treatments used include

Activity modification patient education on proper body mechanics (to help decrease the chance of worsening pain or damage to the disc)Physical therapy, which may include ultrasound, massage, conditioning, and exercise programs
Weight control medications (to control pain and/or to relax muscles)

My wife and I planning for baby, we want to know what's the best time when she can conceive. How do we identify most fertile days? Kindly suggest.

MD-Dermatology, MBBS
Sexologist
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My wife and I planning for baby, we want to know what's the best time when she can conceive. How do we identify most ...
If menses are regular than starting from 1 day of menses usually ovulation occurs on 14 day. So leaving first and last 8 days that is from 9 th to 21st day are considered most fertile.

Hello doctor I am 9 month 4 days pregnant I want to know the signs of labour how would I know that I am going into labour from last few days my vagina is leaking some yellowish discharge without any smell. Sometimes I feel little discharge of water also and thr is pain in left side of vagina pain occur while I walk and change any movement. Doctor said this is a pressure symptom pls suggest something.

DGO, MBBS
General Physician
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Hello doctor I am 9 month 4 days pregnant I want to know the signs of labour how would I know that I am going into la...
Hello. As you told that you are having some discharge from vagina. Labour starts with varied symptoms such as leaking watery per vaginum or pain in back or lower abdomen radiating till genitals. Some times slight spotting or bleeding can also be the onset of labour.

Chennai Floods safety

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL)
Dermatologist
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Chennai floods precaution

1. Drink safe water provide by helping people
2. Avoid rainy and flood waters as these may contain infection
3. Boil water if necessary to drink
4. Wash your hand before any meal
5. Dont eat food which are store before or infected
6. Any wound consult any medical personal and doctor as soon
7. Don't throw any infectious material anywhere (as it may cause spread of infection to other)

Chennai Floods safety

My 1st delivery was pph case after that 4 days my USG report was bulky uterus with RPOC, is there any similar chance in my 2nd delivery. I am 9 mnth pregnant know.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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My 1st delivery was pph case after that 4 days my USG report was bulky uterus with RPOC, is there any similar chance ...
Hello, a previous pp. Case has an increased 10 per cent chance of a repeat pp. But if managed under a good gynecologist and pp. Protocol is followed risk can be indeed minimised.

All About a Broken Nose: Causes and Symptoms

Fellowship of the Royal College of Surgeons (FRCS), Diploma in Otorhinolaryngology (DLO), DNB (Otorhinolaryngology) , MS - ENT , MBBS
Ear-Nose-Throat (ENT) Specialist
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A broken nose, often referred to as a fractured nose or a nasal fracture, it is a crack or break in the bones of your nose. The bone that is more prone to getting fractured is the one over the bridge of the nose.

Causes
There can be a lot of reasons for a broken nose. Common causes include falling down on your face or the nose being hit by a blunt object. Your nose may look twisted and you might have trouble breathing. A nasal fracture can cause pain in the nose and is usually accompanied by bruising and inflammation around the nose.
Any activity that tends to increase the possibility of facial injuries can also increase the possibility of a nasal fracture. The common risk factors include playing contact sports like soccer or rugby without proper face protection. Riding a two wheeler without a helmet or not using seat belt in a four wheeler can cause a nasal fracture if the vehicle meets with an accident. Physical fights can also result in a broken nose.

Symptoms and complications
The common symptoms of a nasal fracture are:
1. Pain in the nasal region. You may feel pain just by touching your nose.
2. Swelling around the nasal region can also be observed.
3. Your nose and the region below the eyes may be bruised.
4. Sometimes you may experience breathing problems as well, since your nasal passage can be blocked due to a nasal fracture.
5. Loss of shape of your nose along with bleeding and discharge of mucus from it are common signs of a nasal fracture.

There can be a lot of complications that can occur due to a broken nose. The complications may vary according to the nature of injury.

The common complications are:
1. Clotting and collection of blood. Due to a heavy injury to your nose, the blood tends to clot in large quantities and sometimes can cause blockages in the nostrils. This condition is specifically referred to as septal hematoma and needs a quick surgical procedure to prevent any sort of breathing problems.
2. Another complication that can result due to a nasal fractures nasal cartilage fracture or a deviation in the septum.
3. Sometimes the impact of the blow, which has caused a fracture in the nose can also result in a neck injury.
All About a Broken Nose: Causes and Symptoms

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist
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When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.

Hello. I am 28 year old married guy and I have a 4 year kid. I have extra material relationship with girls. I don't use protection when I do sex with wife or my girlfriend. My girl friend is also married. After sex I always beware about HIV. Is it ok with that to do without protection with girl friend n wife both?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Hi Chintan. Unprotected intercourse increases your chances of infection both benign as well as the sexually transmitted ones including HIV. Hence i would not suggest you to continue having such unsafe sexual practice.

I'm 22, my last periods was 22 Nov, we had an intercourse on 11 Dec, I'm expecting my periods this month, its already 22nd and no signs of mensuration. I'm scared that im pregnant. I'm unmarried. We are planning to get marry next year. Will this affect my future pregnancy if I abort this time.

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Homeopath
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I'm 22, my last periods was 22 Nov, we had an intercourse on 11 Dec, I'm expecting my periods this month, its already...
Hello Your periods may be delay because of any other reason also, but to be on safer side you should do a pregnancy test after 4 -5 days of the due date.

Sir my follicles is not developing so wat shuld i do?

PG Dip. in Psychosexual Medicine, DPM, PG Dip(Medico Legal), MD, DHPh(UK), MBBS
Sexologist
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Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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