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Dr. Vyshali Joshi

Gynaecologist, Mumbai

500 at clinic
Dr. Vyshali Joshi Gynaecologist, Mumbai
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Vyshali Joshi
Dr. Vyshali Joshi is a trusted Gynaecologist in Andheri East, Mumbai. You can consult Dr. Vyshali Joshi at SevenHills Healthcare Limited in Andheri East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Vyshali Joshi on Lybrate.com.

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SevenHills Healthcare Limited

Near Marol Maroshi Bus Depot, Marol Maroshi Road, Andheri East,Landmark: Near Marol Maroshi Bus Depot, MumbaiMumbai Get Directions
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Sweating While Sleeping - 9 Reasons Behind It?

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Sweating While Sleeping - 9 Reasons Behind It?

Sweating during warm weather is very common, but if a person wakes up from bed soaked in sweat, it is not a pleasant feeling. It does not allow for a sound sleep, and may not always be related to warm weather.
There is no serious underlying medical issue, but it is always advisable to consult a doctor to get this corrected. The following are some common reasons that could lead to night sweats.

  1. Menopause: The hot flashes that are so popularly associated with menopause is one of the main reasons for night sweats. The presenting factors (woman, age, and other symptoms) should help arrive at this diagnosis. Hormonal levels can be checked to confirm if required. Even puberty and pregnancy can cause night sweats, due to hormonal level alterations.
  2. Infections: Most infections present with fever and night sweats are very common. Tuberculosis, osteomyelitis, endocarditis, influenza and even HIV can cause night sweats and hamper a person’s sleep. Most infections cause an increase in temperature, which is worse at night.
  3. Obstructive sleep apnea: The walls of the windpipe get narrowed, and the person might have short periods where the breathing just stops. These people are three times more likely to develop night sweats.
  4. Hypoglycemia: One of the most common symptoms of low blood sugar is night sweat. When the sugar drop happens during the time the person is sleeping, it is very common for the person to wake up soaked in sweat.
  5. Cancer: For some cancers, night sweats are one of the first warning signs. These cancers include lymphoma, and presence of symptoms like unexplained weight loss, fatigue, etc. should be addressed to rule out the possibility of cancer.
  6. Side effect of medications: Antidepressants, psychiatric drugs, anti-pyretic drugs, anti-virals, steroids, anti-diabetic medications, hormones, etc. can lead to night sweats. Suspected cases of night sweats should have their medications reviewed to see if any drug is causing the night sweats.
  7. Gastro-esophageal reflux disease: GERD, as it is popularly known, can cause night sweats in addition to heartburn. They would also have other symptoms of indigestion, which will help in identifying the problem.
  8. Neurologic disorders: Stroke, neuropathy and anxiety disorders can cause night sweats and would require psychotherapy in addition to medications.
  9. Idiopathic: And despite all these possible reasons, if there is no identifiable reason, it is known as idiopathic hyperhidrosis (increased sweating). The person produces too much sweat without any known underlying cause and can even wake up at night soaked in sweat.

Management: Identifying the underlying cause is the first step in treatment. It may require hormonal corrections, changing or withdrawing the causative medications, treating associated conditions, etc., as the case may be.

4056 people found this helpful

I am 21 years old. I am having bleeding in vaginal discharge but not continue. What is the reason of this. I Am also having irregular periods.

BHMS
Homeopath, Faridabad
I am 21 years old. I am having bleeding in vaginal discharge but  not continue. What is the reason of this. I Am also...
Hi. Bleeding per vagina can be due to many reasons, will have to look into the matter. If you have got some investigations done, share the reports with me. Meantime, start with homoeopathic medicines: Schwabe's Five Phos./ thrice daily and Pulsatilla 1M/ one dose once only - take these for 1 month. Revert me back with your status. Take care.
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Hi Age 26, Day of cycle 10, follicular scan report is follicle left ovary size 2.6*2.5, ET: 1.2 cm and irregular endometrium. Is this report normal? Last month I have ovulated on 12 day, on which day I may ovulate this month. Is it possible to conceive this month.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi Age 26, Day of cycle 10, follicular scan report is follicle left ovary size 2.6*2.5, ET: 1.2 cm and irregular endo...
Hello, this is not normal and endometrial thickness is more and the size of follicle is just about to ovulate.
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I had sex 10 days before. And now I missed my period. I want to know if there is any way to avoid pregnancy without having and abortion by using only pills.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I had sex 10 days before. And now I missed my period. I want to know if there is any way to avoid pregnancy without h...
Hi lybrate-user first you need to confirm pregnancy further treatment plan depends upon results. Yes you can terminate pregnancy with medicines but need to know location of pregnancy.
1 person found this helpful
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If I have sex with my gf and I did sex in her rectum with using condom can makes her pregnant or not and what is anal sex.

DHMS (Hons.)
Homeopath, Patna
Hello you have already conducted anal sex and rest assured your this action is not going to make your gf pregnant. Tk, care.
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I have bubbles in my stomach. Due to this problem I am not getting pregnant. Is there any possible chances to get pregnant without any treatment and medicine.

MBBS, DGO
Gynaecologist, Mumbai
I have bubbles in my stomach. Due to this problem I am not getting pregnant. Is there any possible chances to get pre...
If you have not conceived within one year of regular unprotected sex, you need to visit your gynecologist. You and your husband will need to undergo tests to understand the cause of subfertility.
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I had complete my periods cycle on dis month of 17 and had sex on 19th of dis month but it had not safe thats why I took Ipill tablet and after that from yesterday I am having lightly blooding. I have question why it is happening like that? Bcz like dis it never happened to me.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I had complete my periods cycle on dis month of 17 and had sex on 19th of dis month but it had not safe thats why I t...
It is mostly because of the pills.... as they are hormonal in nature... they cause irregularities of periods and even bleeding in between the periods... You periods may remain irregular for next few cycles... So My personal advise is use other means of cotraceptions like the best is CONDOM... As these hormonal pills have many side effects...
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Cortisone Shots - Are There Any Risks Associated with them?

MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship â?? DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Cortisone Shots - Are There Any Risks Associated with them?

Cortisone shots are injections that help relieve pain and inflammation. They are injected directly into the joints such as the ankle, wrist, knee, hip, shoulder, elbow or spine. These injections are a combination of corticosteroids and local anaesthetics. These corticosteroids are similar to the hormones produced by the adrenal gland. Cortisone injections are often used to treat arthritis, carpal tunnel syndrome, trigger finger, shoulder bursitis and plantar fasciitis. Though they do not cure the disease but they provide temporary relief.

These injections may be slightly painful but provide relief in a day or two that lasts for a few weeks or months at a stretch. Hence, cortisone shots provide relief faster and have longer lasting results than other forms of anti-inflammatory medication. Another benefit of cortisone injections as compared to other drugs that need to be taken in through the mouth is that it avoids side effects of anti-inflammatory medication such as an upset stomach etc. Cortisone injections can also be used to treat backaches and pain that radiates from the spine to an arm or leg.

However, cortisone injections are associated with a number of risks. These include:

  1. Infection in the joints
  2. Nerve damage
  3. Thinning of tissue and skin around the injection site
  4. Pain and inflammation in the joint
  5. Weakening or rupturing of tendons
  6. Osteoporosis or thinning of bones
  7. Lightening of skin around the injection site
  8. Osteonecrosis or death of bones in the injected area
  9. Blood sugar spikes – this is seen mostly in diabetic patients
  10. Weakening of the immune system if the person has an underlying infection

In most cases, these side effects are short-lived. Higher dosages and frequent administration can increase the body’s exposure to the corticosteroid. This increases the risk of long-term side effects such as:

  1. Acne
  2. Easy bruising
  3. Weight gain
  4. Cataract formation
  5. Puffiness of the face
  6. High blood pressure

Cortisone may also be held responsible for the deterioration of cartilage inside a joint. For this reason, doctors do not advise cortisone injections to be had more than 3-4 times a year. The minimum interval between two cortisone injections must be 6 weeks. Doctors also typically limit the number of injections given in one joint.
When used judiciously, cortisone injections can greatly improve the quality of a patient’s life. Hence it is very important to get treated only by a qualified doctor and to completely understand the pros and cons of using this form of treatment. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4218 people found this helpful

I was rubbing my wife's vagina with my penis from the outside unprotected. Is there any chance of pregnancy? Or chance of std's?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I was rubbing my wife's vagina with my penis from the outside unprotected. Is there any chance of pregnancy? Or chanc...
Hello, std can be transferred if either one of you is infected but pregnancy is unlikely as there was no penetration or intercourse involved.
2 people found this helpful
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World Thalassaemia Day - What Is It and How It Can Be Managed?

DDF, FCCP, MD , MBBS
General Physician, Delhi
World Thalassaemia Day - What Is It and How It Can Be Managed?

Thalassaemia, which is commonly referred to as thal, is a disorder of the blood which is inherited from the previous generation. This condition triggers the production of abnormal red blood cells in the body which in turn paves the way for chronic anaemia. Red blood cells play an indispensable role in carrying oxygen all through the body and hence any abnormality in this regard can result in thalassemia, the symptoms of which include, weakness all over the body, fatigue, faint and shortness of breath.

Understanding the type of thalassemia:
Thalassaemia is often thought to be an iron deficiency disease (anaemia), but can be differentiated with the aid of certain blood tests. This disease is a lifelong condition which requires efficient management. The type of thalassemia an individual is suffering from can be attributed to the number of faulty genes the person has inherited.

The two variants of thalassaemia are beta and alpha. In the case of alpha thalassemia, having one faulty gene would lead to no health problems while two faulty genes can cause mild anaemia. If there are three mutated genes, it will cause Haemoglobin H disease, and regular blood transfusions may be required. But an unborn child with four mutated genes will not be viable enough to survive the pregnancy.

The beta thalassaemia also comes in various forms. The beta thalassaemia major needs lifelong transfusion of blood and it is the most common form of thalassaemia across the world. The beta thalassemia intermedia do not have to depend on blood transfusion.

Treating thalassaemia:
The treatment option for mild thalassaemia is entirely dependent on the type of the disease and how intense it is. When the disease is on a mild and minor level, then there may not be need of any comprehensive treatment. But at times, blood transfusions become necessary especially after undergoing surgery or when the thalassaemia causes complications.

People who are affected by severe levels of beta thalassaemia will require transfusion of blood from time to time. The treatment also causes an overload of iron and thus it is important to remove the surplus iron content. There are several oral medications available for this, and the healthcare provider can recommend suitable medications.

Managing moderate to severe thalassaemia:
Some of the most general methods of managing and treating thalassaemia include

  1. Frequent blood transfusions: When the thalassaemia gets too severe, it becomes necessary to opt for blood transfusion after every few weeks. The blood transfusion can cause iron build up with the passage of time. This, in turn, can affect the heart and lungs along with other crucial organs. Therefore, it is important to take medicines that can eliminate the extra iron.
  2. Stem cell transplant: Also referred to as the bone marrow transplant, the stem cell transplant can be the best bet. It is recommended for kids who are born with severe thalassaemia. This treatment option can mitigate the need of a lifelong transfusion of blood and intake of drugs for controlling the iron overload.
3274 people found this helpful

Hi. I am 26 years old women. Can you tell me. How many eggs does a women produce each month. Nd in which time in a month. Nd my menses days goes only 2 day in a month. Cn you tel me which times good for conciv baby for me.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Hi. I am 26 years old women. Can you tell me. How many eggs does a women produce each month. Nd in which time in a mo...
in an ideal scenario, only one egg will ovulate around the 14 th day of the cycle.. menses can vary from 2 to 6 days and this is a normal variation.. The ideal days for intercourse are between 12 to 16 days counting the first day of menses as the first day of the cycle
1 person found this helpful
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Hii My wife is 33 weeks 4 days pregnant and we have done her Bio Acid Serum test done today and the report says it is 11.6 which is higher than the normal one. Please advice what should we do in this case.

MBBS
General Physician, Delhi
Hii My wife is 33 weeks 4 days pregnant and we have done her Bio Acid Serum test done today and the report says it is...
Total bile acids are metabolized in the liver and can serve as a marker for normal liver function. Increases in serum bile acids are seen in patients with acute hepatitis, chronic hepatitis, liver sclerosis, liver cancer, and intrahepatic cholestasis of pregnancy. In Obstetric Cholestasis, concentrations greater than 15 μmol/L usually confirms the diagnosis in the absence of other hepatic disease. Itching is present. Bile acid concentrations greater than 40 μmol/L have been associated with increased fetal risk. Please consult gynaecologist.
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My baby is thalassemia major beta ,and we start chilraization name kefler now, but last night there some blood particle in urine, tell what wrong in it.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
My baby is thalassemia major beta ,and we start chilraization name kefler now, but last night there some blood partic...
Thalassemia major occurs when a child inherits two mutated genes, one from each parent. Children born with thalassemia major usually develop the symptoms of severe anemia within the first year of life. They lack the ability to produce normal, adult hemoglobin and experience chronic fatigue. Beta thalassemia is a blood disorder that reduces the production of hemoglobin. Hemoglobin is the iron-containing protein in red blood cells that carries oxygen to cells throughout the body. In people with beta thalassemia, low levels of hemoglobin lead to a lack of oxygen in many parts of the body. People who have thalassemia trait (also called thalassemia minor) carry the genetic trait for thalassemia but do not usually experience any health problems except perhaps a mild anemia. A person may have either alpha thalassemia trait or beta thalassemia trait, depending upon which form of beta protein is lacking. In adults, red blood cell production occurs in the bone marrow. ... If the red blood cells are smaller than normal, this is called microcytic anemia. The major causes of this type are iron deficiency (low level iron) anemia and thalassemia (inherited disorders of hemoglobin). Thalassemia is an inherited blood disorder in which the body makes an abnormal form of hemoglobin. Hemoglobin is the protein molecule in red blood cells that carries oxygen. The disorder results in excessive destruction of red blood cells, which leads to anemia.
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We are married couples marriage 7 years back but still don't have baby. My wife was under treatment of IVF in March 2017 but results were negative. Doctors said that HSG report is not OK one fallopian tube is blocked and other one is too weak to conceive or may be partially blocked. Now we are totally hopeless and need any way which could bring a child cry in our home. What is the total cost of Test tube baby and chances of success.

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Pune
We are married couples marriage 7 years back but still don't have baby. My wife was under treatment of IVF in March 2...
Since your wife has tubal blockage; the possibility of conception is with IVF only. It is unfortunate that she didn't conceive in the first cycle; but not everyone conceives in the first cycle itself. The chance of success in the first cycle is around 50% and it goes upto 85-90% in three cycles. Be patient; be positive- IVF is likely to give you the answer to your problems. Depending on the place/centre and the medications used; IVF costs around 1.5 l per cycle. All the best!
4 people found this helpful
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Skipped my periods this month. Last month date was 10feb but still not came. M worried about it.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Skipped my periods this month. Last month date was 10feb but still not came. M worried about it.
You have to take puls. 200 / 5 drops in little water four times a day for one week. Revert back after one week with feedback.
3 people found this helpful
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Hi doctor. I had a miscarriage this week. My bleeding is also very less now. I am craving for banana. But old people are saying not to eat banana. What should I do. Is banana safe for me now. Can I eat.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi doctor. I had a miscarriage this week. My bleeding is also very less now. I am craving for banana. But old people ...
Hi Mehvish. There is no reason to stop eating bananas dear. Please go ahead and eat them if you want.
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Hello doc, last month I got abortion from that day to till now I'm suffering from very bad legs pain, it's unbearable and that to its paining only in night time, please suggest me what tab should I take and why suddenly this pain as been start. At present I'm taking folic acid tabs should I take both tabs at a time. Some time whole body will get pain.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
it may be due to calcium deficiency.take healthy,fibres and nutritious diet.take follic acid supplement or natural food too in diet properly.walk atleast for one hour in morning.
3 people found this helpful
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How much does vaginoplasty cost in india? Is it affordable will it a a day in hospital.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Hi it depends on the extent of damage to the vagina or complete reconstruction of vagina in case of any congenital disease. Kindly tell the indication of the surgery. Revert back.
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