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Dr. Vijay Ambe

Gynaecologist, Mumbai

Dr. Vijay Ambe Gynaecologist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Vijay Ambe
Dr. Vijay Ambe is a trusted Gynaecologist in Sion, Mumbai. You can visit him at Mata Laxmi Hospital in Sion, Mumbai. Book an appointment online with Dr. Vijay Ambe 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 25 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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Near Tamil Sangam Hall, Opposite Sion Hospital, Flank Road, Sion, MumbaiMumbai Get Directions
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Hi, I would like to know which all tests are required for diagnosis of hormonal imbalance in females.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi, I would like to know which all tests are required for diagnosis of hormonal imbalance in females.
Blood estrogens & progesterones in a sample taken on 14 th day of cycle , means if date of last period was 10th of month then get tested on 24 even if the period lasted for a day.
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Surgical Procedure for Treating Breast Cancer

MS - General Surgery, MBBS
General Surgeon, Guwahati
Surgical Procedure for Treating Breast Cancer

With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.

If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons:
1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of cancer that has progressed to an advanced stage

Breast cancer surgery may be classified into two types
1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.

Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.

Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss with a surgeon.

Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.

1992 people found this helpful

Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

  • Extreme thirst and hunger
  • Frequent urination
  • Sores or bruises that heal slowly
  • Dry, itchy skin
  • Unexplained weight loss
  • Unusual tiredness or drowsiness
  • Tingling or numbness in the hands or feetsymptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
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Im 21 years old. Me trying to get pregnant bt family decided to go for trip on 31st but my period date is on 30th of January so I decided to take post period tablet. Will it be safe to take? I'm taking it for 1st time so scared tat it may effect my chances of becoming pregnant So please suggest which tablet can I take? And on which day shall I take?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Im 21 years old. Me trying to get pregnant bt family decided to go for trip on 31st but my period date is on 30th of ...
If you take hormone tablets to delay your period by just few days, there is no harm except that the next cycle will be delayed by a few days -may be . little doses of hormones in fact help the woman get pregnant as it cures some amount of hormonal imbalance present in most of the cases . if your cycle was not regular , it will become regular. no harm in taking up to 10 tabs in the later half of cycle but do not take again and again as it will lead to infertility because then these very tablets will act like cotraceptive pills.
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i am suffering for pcos from 3years. My main problem is very very low menstrual flow, just 2 or 3 drops .I did not need to wear a pad. I am not overweight I am underweight ,my weight is just 40 kg I also suffering from hirthuism. I eat allopathy medicine for 3 years, doctor give me oc oils. Now I am on homeopathic treatment from 2 years, but did not get any result, my period flow is extremely low, It is present in just few seconds and it comes after 45 days. How can get a normal period flow?

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
i am suffering for pcos from 3years. My main problem is very very low menstrual flow, just 2 or 3 drops .I did not ne...
YOU ARE NOT DOING TO GET ANY RESULT BY ANY TREATMENT. THE TREATEMNT IS NEEDED ONCE YOU MARRY ADN PREGNANCY WOULD BE THE FINAL SOLUTION TO ALL YOUR PROBLEMS. BLEACH THE HAIRS ON YOUR FACE AND STOP ALL THE TREATMENT YOU ARE TAKING. YOU ARE HAVING PCOD WHICH IS NOT A DISEASE BUT A CHANGE IN THE BODY HAPPEND BECAUSAE OF DERANGED LIFESTYLE, BAD FOOD HABITS, GENETICS AND THE STRESS YOU ARE TAKING
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I had unprotected sex on the first day of my menstruation, the next day it stopped coming and I waited for 5 days yet to result on the six day I did pregnancy text and it was negative. What should I do? What can I take to make it come.

DHMS (Hons.)
Homeopath, Patna
I had unprotected sex on the first day of my menstruation, the next day it stopped coming and I waited for 5 days yet...
Hi, lybrate user, it may happen some times due to stress, malnutrition, lower level haemoglobin. Avoid, moving in water, bare feet. Take, beet root, pomegranate, milk, apples, carrots, spinach to increase haemoglobin level. Take, plenty of water to dilute your blood and to eliminate toxins to ease amenorrhea, you r suffering from. Take homoeo medicine. @ pulsatilla 30-6 pills, thrice a day. Take, care.
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We had sex for the 1st time. My wife is too young. Just 19 years and 6 months. She is having period now. This is her 3rd day. She is oozing much body fluid. What can she do to stop them?

BHMS
Homeopath, Faridabad
We had sex for the 1st time. My wife is too young. Just 19 years and 6 months. She is having period now. This is her ...
Body fluid means excessive bleeding? In case, it is, you can give her Hamemalis Q/ 10 drops in 1/2 cup of water/ every 2 hourly till menses lasts.
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I had sex with my bf 1 mnth before n taken ipill next day and after week I got periods for 2 days olny. Now m not having any periods. Is there any chances of pregnancy.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I had sex with my bf 1 mnth before n taken ipill next day and after week I got periods for 2 days olny. Now m not hav...
Hi lybrate user, yes you can be pregnant as ipill is not 100% please get a urine pregnancy test to rule out pregnancy. Period two weeks back which you got could be due to pill withdrawal bleed.
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My girlfriend has menses on 17 may and this month. We got sex on 14 June after half and hour she had menses. Will she got pregnant.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi Deepak. once a woman gets her period after an episode of sexual intercourse, it impossible for her to be pregnant. So its very unlikely thats he is pregnant.
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Does taking oral contraceptive pills frequently have any permanent health issues? If I can use oral contraceptive pills regularly, what I should use?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Does taking oral contraceptive pills frequently have any permanent health issues? If I can use oral contraceptive pil...
Hello, If you are using low dose oc pills for contraception then they are fine if you wish to avoid pregnancy for a 6-1yr period.
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I am 21 years old and I am suffering from pcod how to cure it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath,
Homepathy has complete cure for this problem of yours. Complete medical history of the patient is required along with the reports till now.
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Hi. I had my last period on 29th may later I had unprotected intercourse on 15th june n I did not get my periods later on 4th july I had urine test n it showed positive result and on 8th july I took pills to avoid pregnancy n on 9th july I observed my periods which lasted till 13th july n bleeding was not so heavy as I know. Later on 28th july I had sonography which showed no sign of pregnancy & on 6th & 10th july I went lab for urine test results were again negative. But still I have not got my periods can you please suggest me is there possibility to b still pregnant & if so what to do as m too stressed because of delay again in periods this month? please suggest me what to do n when it will be becoming normal? How long will it take time please advice me as I am too panic and its 12th august still no periods?

DHMS (Hons.)
Homeopath, Patna
Hi. I had my last period on 29th may later I had unprotected intercourse on 15th june n I did not get my periods late...
Hello, lybrate user menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, pcod, thyroidism, results in, delayed, painful, excess & frequent blood flow during menstruation. * tk, plenty of water to hydrate yourself, to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * tk, apple, carrots, cheese, milk, banana, papaya, pomegranate, spinach, almonds, walnuts to improve your haemoglobin to release your flow, timely. * tk, homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ pulsatilla 30-6 pills, thrice a day. @ sepia200-6 pills, thrice a day. * ensure, sound sleep in d night for at least 7 hrs. * avoid, caffiene, junkfood, dust, smoke, exertion > your feedback will highly b appreciated for further, follow up. Tk, care.
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I am a 29 years old and I don't know that how to do safer sex earlier. After knowing my mind is always upset. Because I am confused i am safe or unsafe ?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Safe sex means practices to avoid unwanted pregnancy and sexually transmitted infections. So as a couple you should use regular contraception. I suggest you use condoms in addition to avoid sti's. However it does not confer 100% protection. Therefore it is sensible to be in a stable sexual relationship.
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Tip to be healthy

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Still find yourself tying your self-worth to a number on the scale? Come on now, isn't there so much more to you?
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Hello Doctor, we are planning for pregnancy. Can you please suggest us for correct time period for planning. Usually ill get the periods every month correctly on 28. Can you please lets us know clearly ovulation will start. We have to count from th date of starting period or end date. We are not sure about ovulation.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello Doctor,
we are planning for pregnancy.
Can you please suggest us for correct time period for planning.
Usually ...
Hello, start counting from 1st day of your cycle and have intercourse after 1st 10 days for one week. You can also take help of lh kit that are available to detect ovulation.
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I have a problem of irregular periods. What are the reasons for this? What are the solutions tooo?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I have a problem of irregular periods. What are the reasons for this? What are the solutions tooo?
Usually at your age irregular periods are related to hormonal imbalance, polycystic ovaries and obesity. There are many medicines available to regularise your periods but most important is to reduce weight.
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I am 31 years old unmarried female. My periods are irregular and scanty. I have been doing homeopathy treatment. I also got my ultrasound done which was normal. Still my periods are irregular and scanty. I got the following test done S.tsh , S.fsh , S. Prolactin and Haemogram and all reports are ok except that RBC count is 4.98 whereas the highest value is 4.80. Pls advise.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 31 years old unmarried female. My periods are irregular and scanty. I have been doing homeopathy treatment. I al...
I would advice you get a tb pcr done as well to exclude pelvic tuberculosis as this also can cause scanty and irregular periods. Further tests required will depend on this report.
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Hi I am 5 weeks 6 days pregnant. I had my 1st miscarriage in November now I am pregnant again in March now. My Dr. has told me to insert naturogest Sr 400. From 4 days I am inserting the tablet inside the vagina as instructed by my Dr. But the tablet is not getting dissolved. I am inserting at night the tablet, but the next night when I insert the tablet I find the previous tablet also inside. Please suggest What should I do.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi I am 5 weeks 6 days pregnant. I had my 1st miscarriage in November now I am pregnant again in March now. My Dr. ha...
Naturogest is progesterone which is secreted by pregnancy to maintain it. As it is naturally secreted then there is no need to take progesterone. Progesterone tablets have become fashion and a source of income these days for the doctors. There is no need to take any medicines except folic acid in the first 3 months. The problem which you r facing is very common and has no solution.
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