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Dr. Vinod Prabhu

Gynaecologist, Mumbai

600 at clinic
Dr. Vinod Prabhu Gynaecologist, Mumbai
600 at clinic
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Personal Statement

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. Vinod Prabhu
Dr. Vinod Prabhu is a renowned Gynaecologist in Mumbai, Mumbai. You can visit him at Priya Maternity Home in Mumbai, Mumbai. You can book an instant appointment online with Dr. Vinod Prabhu on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 36 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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Hindi

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252/3369,Tagore Nagar,Group Ii, Landmark: Behind Modi Hospital, MumbaiMumbai Get Directions
600 at clinic
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Contraception

DGO
Gynaecologist, Pune
Contraception

With increasing globalization and lifestyle changes, even general practitioners are getting more and more young patients willing to adopt contraceptive measures. An optimum clinical choice of contraceptive can only be done through a mutual discussion between the physician and patient taking into consideration both clinical aspects and patient's choice. This article gives a brief general summary of the methods of contraception.

Contraception is the process of taking steps to ensure about not becoming pregnant after having sex. There are different types of contraceptive measures. They all have pros and cons. Different methods will be right for different couples, or right at different times in life.

Types of contraceptives:

Hormonal (2-3%)
Intrauterine (5%)
Barrier (10-15%)
Chemical (15-20%)
Physiologic
Sterilization (4%)
* percentages mentioned within brackets are failure rates

Hormonal contraception

It involves the use of estrogen and progesterone to prevent fertilization; associated with a 2-3% failure rate.
Oral contraceptive pills suppress the action of fsh/lh from the pituitary gland, they also suppress the lh surge, alter the cervical mucosa to inhibit penetration by spermatozoa, and they inhibit atrophic change in the endometrium.
Complications: venous thrombosis, pulmonary embolism, cva, mi, htn, amenorrhea, cholelithiasis, hepatocellular adenoma. Risks increase with smoking.

Contraindications: dvt, pe, cvd, cva, pregnancy, cancer, abnormal lfts

Classification

Monophasic (fixed combination: take estrogen and progesterone on days 1-21 and placebo on days 22-28. Increased estrogen increases the side effects of a headache, weight gain, nausea, and edema decreased estrogen and progesterone increase the risk of breakthrough bleeding and increases the failure rate.
Multiphasic: low-dose estrogen with varying doses of progesterone on days 1-21.
Progestin-only pills: not as effective and can cause breakthrough bleeding.
Levonorgestrel: lasts up to five years.
Medroxyprogesterone: lasts three months.
Benefits:

Decreases the risk of ovarian and endometrial cancer and decreased the risk of ectopic pregnancy.

Intrauterine contraception

It involves the insertion of a small device into the uterus with the hopes of inhibiting implantation, altering tubal motility, or inflaming the endometrium.
Intrauterine contraceptive devices are associated with a relatively low failure rate (2-4% pregnancy rate) but do suffer from a higher rate of complications (e. G, four times increased the risk of ectopic pregnancy).
Types:

Intrauterine device (iud) with progestogen: it releases progesterone and must be replaced annually.
Iud with copper-t: it contains copper and can last up to 4-6 years.
Side effects:

Increased blood loss and duration of menses, increased dysmenorrhea

Complications:

Expulsion of iud, pregnancy, perforation of the uterine wall when inserted, increased risk of tubo-ovarian abscess (esp. Among younger nulliparous females with greater than ;1 sex partner). Pid is not as common with the newer iuds but still a significant risk factor.

Indicated for: multiparous women greater than 35 years who smoke.

Concerns about pelvic infections and subsequent fertility often limit the use of iucds to women who are at low risk for sexually transmitted disease and to those less likely to desire further children, i. E, monogamous multigravid patients.

Barrier methods

It involves the use of an artificial device to inserted into the vagina or fitted to the penis with the intent to retain the products of intercourse.

Types:

Condoms: condoms have a 2% failure rate in consistent couples and a 10% failure rate in occasional users. They are best indicated for std prevention.
Vaginal diaphragms: they have a 15-20% failure rate, but when combined with a spermicidal jelly and left in for 6-8 hours post-coitus failure rate declines to 2%. Diaphragms are associated with side effects of bladder irritation and cystitis, also colonization with s. Aureus if left in too long.
Cervical caps: they must be properly fitted and can be left in for a longer time than the diaphragm.
Chemical contraception

It has a 15- 20% failure rate and involves the use of sponges and spermicides.
Spermicides contain surfactants to disrupt cervical membranes; placed in the vagina up to 30 minutes before intercourse.
Physiologic contraception

It involves the avoidance of intercourse from an onset of menses to 2-days post ovulation.

Sterilization

This method involves manipulation of parts of male and female anatomy such that conception is prevented by failure and gametes to combine.

Types:

Vasectomy: lesser than 1% failure and can be successfully reversed in some cases.
Tubal ligation: lesser than 1% failure rate. Increase risk of ectopic.
Emergency contraception pills - emergency contraception can be used if one had sex without using contraception; or if someone had sex but there was a mistake with contraception.

Emergency contraception options are usually very effective if started within 3-5 days of unprotected sex. The earlier you take this pill, the more effective it is. It works either by preventing or postponing ovulation or by preventing the fertilized egg from settling in the womb (uterus).

A proper patient counseling informing the success rate and complication of contraception should be an integral part of the treatment regime.

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Roti vs. Rice- What should you have your meals with?

Msc- food and nutrition
Dietitian/Nutritionist,
Roti vs. Rice- What should you have your meals with?
Roti vs. Rice- What should you have your meals with?
#12;
The nutritional conflict between rice and roti is age-old, as primary staples of every Indian cuisine. White rice and wheat chapattis are both infused with considerable amounts of protein, calorie, fat as well as fibre. This overlap makes it tougher to choose just one as an accompaniment with your meals.
The health-conscious can take a sigh of relief with this list of effective benefits of the two. Let’s pit them against each other!

#1: If you opt for a lighter meal…Choose rice!
Boiled white rice is easier to chew and digest as it is low in fibres. For those with issues of diarrhoea, colitis, an upset stomach or morning sickness, rice is a favourable choice. If you are suffering from chronic gastrointestinal distress, rice is recommended for you.
Tip- You can consume a bowl of steamed rice with sautéed vegetables for a wholesome meal!

#2: If you are looking for muscle growth…Choose roti!
Rotis is the best food accompaniment for vegan and vegetarian bodybuilders. At home, you can mix variants of whole grains to harness the benefits of calcium and other minerals. Wheat chapattis made of whole grain consist of complex carbohydrates that boost your energy.
Tip- For reducing your portions, have two servings of roti (without ghee) with a large bowl of home-cooked yellow dal.

#3: If you have a heart condition… Choose rice!
For you to keep your heart healthy, the consumption of rice is vital. Brown as well as white rice is full of fibres and high in magnesium, niacin, phosphorus that can prevent heart problems. Rice helps you in lowering bad cholesterol levels.
Tip- Substitute your regular white rice in the khichdi or biryani recipe with brown rice. (Contains fibrous bran and germ layer)

#4: If you want to feel fuller… Choose roti!
For weight watchers, who want the feeling of satiety for longer period should include rotis in their meal. Wheat rotis take longer to digest which helps in maintaining blood sugar levels. This quality also makes it a good alternative for diabetic individuals. Wheat rotis are nutritious and contain vitamins B1, B2, B3, B6 and B9 that help in keeping you strong.
Tip- While kneading the wheat dough for the rotis, you can add soya powder to increase its protein content.
To escape the dilemma of choosing between these two healthy and tasty staple sides, try switching to whole-wheat rotis and brown rice. Savour both, guilt-free!

If you would like to consult with me privately, please click on 'Consult'.
15500 people found this helpful

My friend had unprotected sex 48 hrs before and take i-pill and she again had sex without protection 2 hours after taking ipill is ipill still work?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
My friend had unprotected sex 48 hrs before and take i-pill and she again had sex without protection 2 hours after ta...
I pill will work still. But practising unprotected sex should be avoided. I pill is only to be used in an emergency. One should not use i pill again & again in place of contraception.
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I am 26 years old women, mujhe period time to time pe ata hai six months ho gayi hai mujhe koi pregnancy nahi hui hai, mujhe doctor ne kafi sare test likhe hai, kya mai kabhi mother ban sakti hoon.

BHMS
Homeopath, Faridabad
I am 26 years old women, mujhe period time to time pe ata hai six months ho gayi hai mujhe koi pregnancy nahi hui hai...
Hi. Send me all the reports for coming to any conclusion. Also, don't forget to elaborate your symptoms as well.
2 people found this helpful
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My periods last happened on 25 May and they usually happen after 20 days. Stomach also paining like its a shoot up pain. Kindly suggest something. I'm single and 23 years old. Had tried curd rice too. Periods Was supposed to happen on 15 June but it's overdue☹️

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
My periods last happened on 25 May and they usually happen after 20 days. Stomach also paining like its a shoot up pa...
Hello lybrate-user- pain during menses is due to improper tone of uterus muscles. Use dashmoolaristha 2 tsp twice daily for 10 days before menses. This single medicine will cure all of your menstrual problems (do not use the medicine more than ten days as the body will become habitual to it and will not respond quickly)
2 people found this helpful
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Hi I am 6+ months pregnant but not gaining weight though according my last usg my baby's weight s proper and I am feeling strong movements ths days .i hav put on altogether 8 kilos. Bt finding it hard to put on nw. I am 5'4" ,70 kg. Any advice?

MBBS, DGO, FCPS
Gynaecologist, Pune
Hi I am 6+ months pregnant but not gaining weight though according my last usg my baby's weight s proper and I am fee...
Normal rate of weight gain is about half kilo per week. Take iron, calcium and protein supplements regularly. If all your blood tests are normal, do a repeat sonography and check for interval growth of foetus. Always check weight from the same weighing machine.
1 person found this helpful
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MD
Sexologist, Srinagar
Weight gain between pregnancies may influence baby’s chance of survival
A novel study from Karolinska Institutet and University of Michigan in the U.S. shows that gaining weight from one pregnancy to the next can increase the risk that women will face stillbirth or lose their second babies within the first year of life.


SWEDEN : A novel study from Karolinska Institutet and University of Michigan in the U.S. shows that gaining weight from one pregnancy to the next can increase the risk that women will face stillbirth or lose their second babies within the first year of life. The findings are being published in The Lancet and build on data from more than 450,000 women in Sweden.

"These tragic events are still very rare among infants of mothers with high weight gain. However, as many women gain weight between pregnancies, our results are very important from a public health perspective", says principal investigator Sven Cnattingius, professor of reproductive epidemiology at Karolinska Institutet.

In their study, researchers reviewed data from the first two pregnancies of nearly 457,000 women who gave birth in Sweden from 1992 to 2012. The women's information was recorded in the Swedish Medical Birth Register, which since 1973 has collected information on about 98 percent of all births in that country. Weight was assessed at the beginning of each pregnancy. The results show that stillbirth risk rose with larger gains in body mass index (BMI) from first to second pregnancy. Compared with women who kept their weight, women whose BMI increased more than four units had a 50 percent increased risk of stillbirth.

Among women of normal weight in first pregnancy, high weight gain also increased the risk of infant mortality: when their BMI increased by 4 units or more, risk of infant mortality increased by 60 percent. On the other hand, the results also point to the opposite situation. Women who were overweight by their first pregnancy, defined as a BMI of 25 or more (corresponding to at least 70 kg of women with average height), but who lost weight before the second pregnancy, reduced their risk of infant mortality.

Every fifth women in the study material gained so much weight that it influenced risks of stillbirth and infant mortality (i.e. at least 2 BMI units, corresponding to 5.5 kg). However, the researchers point out that stillbirth and infant mortality are very rare events in Sweden, and only 2.4 per 1000 births resulted in a stillbirth and 2.1/1000 in infant mortality. There are annually around 100,000 births in Sweden.

"Previously, we have published that risks of stillbirth, infant mortality and morbidity increase with maternal weight, and in this new study we find that find that weight gain influence mortality risks. Taken together, our results support the conclusion that mother's weight per see may influence infant chances of survival", says Dr Cnattingius. "Still, the explanation for the findings is still speculative. We cannot differentiate from the data whether it is the weight gain during the pregnancy or in between pregnancies that is of significance".

Financial support was provided by the Swedish Research Council for Health, Working Life and Welfare, and a Karolinska Institutet Distinguished Professor Award to Sven Cnattingius.
5 people found this helpful

My wife hcg blood test report sow the result 103.2 . I want to to that she is pregnant or not.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My wife hcg blood test report sow the result 103.2 . I want to to that she is pregnant or not.
Hi lybrate-user congrats you wife is pregnant, but you need to observe how is pregnancy healthy or unhealthy? please repeat test after 4 days to understand how is pregnancy.
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I am 47 years old 2 years before my wife operated for carcinoma since than we are not having sex now can we have safer sex although she refuses to have sex it's advise able to have safer sex with her although every time she refuses pls advise what should I do.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, firstly you have not mentioned as to which carcinoma was she operated for? cervical cancer with 2 years follow up with no recurrence then you may have protected intercourse with condoms on.
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M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Take a walk when you are conversing on the phone.
Instead of the lift, take the stairs.
Take short breaks and step away from workstation.
Workouts at home, such as sit-ups, push-ups, crunches, lunges and squats, keep you in shape.
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I am 22 years old, and have four diseases which include pocs, thyroid, appendicitis and urti. How to combat this while studying because I am a student of mba too?

C.S.C, D.C.H, M.B.B.S
General Physician,
Appendicitis and uti can be cured by medicine or surgery. Pcod also needs needs and thyroid also can be controlled with medicines and you need not worry about studies. Ask me privately if more advice needed.
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Hi. Im 18. I'm a virgin. Actually today had sex with my boyfriend. But just the outer rubbing . I'm scared that I might get pregnant. Please help. The fluid might go inside that's what my fear is. please help. Just the pre ejaculation touched my vagina. And is it safe to have pill?

MD - Obstetrtics & Gynaecology, DGO
Obstetrician, Vadodara
Hi. Im 18. I'm a virgin. Actually today had sex with my boyfriend. But just the outer rubbing . I'm scared that I mig...
Hello PE Even pre ejaculated Semen can make you pregnant. It's safe to use either Condom or Pill.Condom as extra advantage of preventing sexully transmitted diseases. Thanks
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I am 26 years old. I have a baby of three years by Caesarian. After delivery I have gained around 15 KG weight and now I am around 82 KG and my height is 5'7" My schedule is very busy please suggest me few tips to lose weight effectively, because there is a family function at my home after a month.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am 26 years old. I have a baby of three years by Caesarian. After delivery I have gained around 15 KG weight and no...
Hi for reduced weight you should work out as per you consume calories and it will take time just continue work out. Take following remedies for loosing weight 1.arogya vardhini vati 2 tab before lunch and dinner 2. Abhayarishta 4 tsp before lunch nad dinner 3. Morning break fast=mung dal green soup 1 boul and if feel hunger have pomegranate or apple 4.lunch 2 chaati + fruit vegetable + if you like rice 1 bowl and dal + barley soup 5. Evening 4-5 pm have some milk with sunth or any fruit you like 6. Dinner barley soup 2 bowl and one fruit follow this diet you will get reduced weight.
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I'm 43 years old have a 15 years old daughter was not in contact with my husband for last 6 years he came in Feb we had sex almost after 48 hours I started bleeding which continued for almost 5 days but my periods was due on 3rd of March. Till now my 5 days periods are regular without any disturbance. But since I bleed I have pain in my lower abdomen and all the time feel urine pressure. I've also taken pregnancy test with negative result. My husband came on Feb 22. I bleed bw 24-28 Feb. Pregnancy test on March 7th.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
I'm 43 years old have a 15 years old daughter was not in contact with my husband for last 6 years he came in Feb we h...
Hi! Welcome to Lybrate .From the symptoms that you have given, it appears that you have urinary infections. Kindly get a urine examination -microscopic and an ultrasound of lower abdomen. In the mean time drink plenty of fluids and avoid using public toilets. Please feel free to contact me on my phone on private consultation after the reports.
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I am 27 years old unmarried male, few months back I lost my virginity with my gf, the problem I felt like that I get discharged within 2-3 shot only, initially I felt like this is due to lack of experience. But nie I started worrying about it. Please suggest.

MD, BHMS
Sexologist, Mumbai
Initially in your sex life, quick discharge is very common. You need to learn control over it. The control comes when you regularly have sexual contacts. Relax.
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Madam my wife have rubella igg positive. Already three miscarriages. My family doctor told me that it is difficult to give a healthy baby. Is it correct. Any other ways to have children in this case. Pls advice.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Madam my wife have rubella igg positive. Already three miscarriages. My family doctor told me that it is difficult to...
Totally wrong idea. Igg positive means she is immune to it- that means she had previous infection but she can never get this infection again. Moreover, pls get informed that rubella testing for miscarriage is an obsolete test as rubella can never give rise to repeated miscarriage. Rather try to look for other possible causes and get them corrected before pregnancy.
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My bf said I'm have a broad vaginal opening. I was virgin, but is it possible to have a broad opening naturally. Also I started masturbating a year ago of my first sex tat to only clitoris masturbation never inserted anything.

BHMS
Homeopath, Sindhudurg
My bf said I'm have a broad vaginal opening. I was virgin, but is it possible to have a broad opening naturally. Also...
No. Virginity cannot be lost by masturbation. Besides sexual intercourse, the hymen can break through, athletic activity, tampon use, or even strenuous play.
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Hi Dr. after the n c my two heavy period n after that my Dr. give me novelon tab course 21 days bt I have pain in breast n increase in size is it normal or other problem with my breast please help.

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
You are right. This is one of the side effects of novelon tab. These side effects will vanish after discontinuation of the medication. Thanks.
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I have a problem of irregular periods and whenever it comes after 7-12 days of the desired time gives a lot of pain. I had consulted to 2-3 doctors but still everything is same as before. please tell me da best solution. ☺

BAMS
Ayurveda, Ambala
I have a problem of irregular periods and whenever it comes after 7-12 days of the desired time gives a lot of pain.
...
Dear, For making regular your periods these are some instructions given below: • Take proper diet full of nutrition . Eat green leafy vegetables and seasonal fruits and a glass of milk daily. Eat a fruit daily . • Do Not take stress because stress causes imbalance in hormones of female and make your menstrual cycle disturb and make your ovulation disturb .Do some meditation for maintain hormonal balance. • Do jogging daily .Start these exercise for 3 to 4 minutes daily then increase time slowly . If you are obese loose some weight this is also a cause of irregular periods. * Do Pavanmuktasan daily for 5 minutes under the supervision of yoga expert. Stomach pain occurs during periods is due to contraction of muscles of uterus. For take relief from stomach pain follow these methods: * take i/3 rd piece of ginger boil it in one glass of water, when half glass water remain then take it with one teaspoon of ajwayin. * use warm water bottle put it on your stomach area with wrap in the towel. * take rest properly do not do hard work. Do not do running and jogging , skipping before 7 days from periods coming date . * Do massage with mustard oil around area below stomach and back .
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