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Dr. Deepali

Gynaecologist, Navi Mumbai

300 at clinic
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Dr. Deepali Gynaecologist, Navi Mumbai
300 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Deepali
Dr. Deepali is a renowned Gynaecologist in Panvel, Navi Mumbai. You can consult Dr. Deepali at Dr. Deepali@Birmole Hospital in Panvel, Navi Mumbai. Save your time and book an appointment online with Dr. Deepali on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. Find the best Gynaecologists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi

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Birmole Hospital

Plot No 118/1, Vastu Society , Thana Naka, Panvel,Landmark:Opposite Royal Cosmo Club .Navi Mumbai Get Directions
300 at clinic
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My mother is having 2.3 cm clear ovarian cyst on usg and ca 125 report is 6.postmenopausal 7 years. Kindly advice treatment.

MBBS
General Physician, Mumbai
My mother is having 2.3 cm clear ovarian cyst on usg and ca 125 report is 6.postmenopausal 7 years. Kindly advice tre...
If she is symptomatic than we will have to go for surgery and if she is asymptomatic than repeat the scan with CA125 marker test after a month and follow up with reports.
1 person found this helpful

I am get signs of pregnancy I not want to pregnant till 2 years. How many i-pill or unwanted 21 will take by me. Please reply.

Mbbs,, MS OBGY
Gynaecologist, Pune
I am get signs of pregnancy I not want to pregnant till 2 years. How many i-pill or unwanted 21 will take by me. Plea...
Please if you are pregnant, then confirm it by doing sonography and bld test, if not then post menstrual from day 5 take regular pills for 21 days after examining by a gynac.
2 people found this helpful

I was using depo-provera for a year and it's been over a year since I stop using it yet I can't seem to get pregnant. Why is that so?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I was using depo-provera for a year and it's been over a year since I stop using it yet I can't seem to get pregnant....
Any couple desirous of pregnancy and not getting same naturally must meet Gynecologist or infertility specialist accepting facts that it needs many reports and different trials of treatment. Means couple must have patience and go to one in whom they have trust to stick for long time.

Hi doctor I'm 4 and a half month pregnant I consulted my doctor she gave me a tablet name called vetocal-z after eating it I get stomach burning and from two days in suffering from lose motion I fell very tried is it any problem wil it affect my baby please give me some solution.

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
Hi doctor I'm 4 and a half month pregnant I consulted my doctor she gave me a tablet name called vetocal-z after eati...
Hi, Vetocal Z is Calcium with Vitamin D, which is very important for you and the baby. Yes, it can sometimes cause acidity. But I doubt that it is the cause for the loose motions. The tablet or the loose motions will not affect the baby in any way. Have plenty of liquids, water, tender coconut, buttermilk etc You can ask for change of brand if the said tablet is causing too much acidity. But acidity occurs due to pregnancy also. Have bland food for few days, that will help. Take care, and enjoy the pregnancy
2 people found this helpful

Endovascular Repair Of Thoracic Aortic Aneurysms!

MCh (CTVS)
Cardiothoracic Vascular Surgery, Patna
Endovascular Repair Of Thoracic Aortic Aneurysms!

The aorta is the largest blood vessel that supplies pure, oxygenated blood to the various parts of the body. Starting in the left lower heart chamber, it takes a U-turn down to the abdominal area and then the legs. It branches as it goes down, with two main branches being the thoracic and abdominal aorta.

Thoracic aortic aneurysm, also known as thoracic aortic dissection or descending aortic aneurysm is abnormal swelling of the aorta in the chest which can rupture over a period of time. The exact cause as to why this occurs has not been identified yet. Family history does have a role to play along with smoking, and history of heart disease, identified as risk factors.
The condition is quite slow to progress and often gets diagnosed when some other disease is being investigated. There are no clear symptoms to indicate this aneurysm, other than a probable hoarseness of voice, difficulty swallowing or pain in the shoulder blades. This is often due to the pressure it exerts on the surrounding areas.

Diagnosis, as noted above, is often when some other condition is being investigated. It can be identified on an x-ray and then further confirmed with MRI or CT scan.

Treatment is often decided based on the overall severity of an aneurysm and the condition of the patient. In most cases, the doctor might decide to wait and watch. The patient is monitored at regular intervals to ensure no symptoms develop and the condition is under control. Every once in 6 months, a scanning can be done to ensure that the aneurysm is not growing. The idea is to prevent rupture and internal bleeding, which can be life-threatening. Thoracic aortic endovascular graft repair, often referred to as TEVAR, is the most widely used technique for definitive treatment of a thoracic aortic aneurysm.

Treatment: What happens during TEVAR is that an aneurysm is identified and isolated. An incision is made in the groin area through which a small device is placed in the aorta at the area of an aneurysm. The part of the aorta with the aneurysm is replaced with a graft, so that normal blood flow is restored. Alternately, the blood flow could be bypassed to skip the aneurysm and flow through an alternate route.
This is a minimally invasive procedure and done as an outpatient than the conventional open heart surgeries that were done earlier.

Postop care:
- Maintain good control over blood pressure
- Watch out for recurrence, especially if there is a strong family history
- Quit smoking

Thoracic aortic aneurysms are very rare and not easy to identify. However, given the possible complications, they require timely intervention.
 

5729 people found this helpful

New DM Drugs

Homeopath,
New DM Drugs

New path to blood sugar control

Most dm drugs make pancrea to increase insulin other act on liver other act on body cell

To date, two of these new drugs have been approved by the u. S. Food and drug administration for treating type 2 diabetes. The first, canagliflozin (invokana®), was cleared last march; the second, dapagliflozin (farxiga®), was approved just this week.

Both drugs are so-called sglt2 inhibitors that act by blocking the kidneys’ reabsorption of sugar, or glucose. The result is that more glucose is released in the urine and the patient’s blood glucose level goes down — a major goal of diabetes treatment.

Most other available drugs for diabetes work by targeting the liver, pancreas or gut to improve insulin sensitivity, reduce insulin resistance or stimulate insulin secretion. In contrast, sglt2 inhibitors work completely independent of insulin.

The two new medications, which are taken by mouth in pill form, are approved for use as stand-alone drug therapy, in addition to changes in diet and increased exercise, or in combination with other drugs for diabetes. Their approvals were based on multiple clinical studies — nine for canagliflozin and 16 for dapagliflozin — showing that they effectively lowered hemoglobin a1c, a measure of average blood sugar level over the previous three months.

A surprise effect on the waistline
An added benefit is that sglt2 inhibitors are associated with modest weight loss. For instance, patients shed from 2.8 percent to 5.7 percent of body weight in clinical studies of canagliflozin.

“The weight loss is an appealing side effect of sglt2 inhibitors, especially in the growing population of obese individuals with type 2 diabetes,” says cleveland clinic endocrinologist mary vouyiouklis, md. “aside from metformin, which occasionally results in modest weight loss, other oral drugs used to treat type 2 diabetes are weight-neutral or can cause weight gain.”

Safety profile: keeping an eye on heart effects
Another potential benefit is also a potential adverse effect: the fact that sglt2 inhibitors have a mild diuretic effect (i. E, tend to increase urination). This results in lowering of blood pressure, which can be good for some patients who have high blood pressure but can also cause lightheadedness, dizziness or even fainting in other individuals. Dr. Vouyiouklis says caution is needed before these drugs are started in any patients at particular risk of the latter effects, such as the elderly or patients taking diuretics or multiple drugs for blood pressure.

The drugs’ other most common side effects in clinical trials — genital yeast infections and urinary tract infections — are also related to the fact that they act via the kidneys. Both drugs posed a low risk of hypoglycemia, the dangerously low blood sugar episodes associated with some diabetes therapies.

However, the new drugs were found to modestly increase levels of ldl (“bad”) cholesterol, which could be a concern because patients with diabetes are already at increased risk of heart disease. The potential for increased rates of heart attack, stroke and other cardiac events is being specifically monitored in large ongoing studies of both canagliflozin and dapagliflozin, but full results are not expected for several years.

Ongoing bladder safety scrutiny with dapagliflozin
Additionally, patients taking dapagliflozin in clinical trials showed a small increase in bladder cancer diagnoses compared with control patients. In fact, dapagliflozin was rejected for approval by the fda two years ago because of concerns over bladder cancer and liver toxicity.

The agency’s concerns about these risks were eased by additional data from dapagliflozin’s manufacturer this time around, but the drug’s approval included a requirement that it be studied for bladder cancer risk in patients in ongoing trials as well as in new animal studies looking specifically at effects on the bladder.

Canagliflozin does not appear to be associated with bladder cancer or liver toxicity, the fda concluded.

More agents in the pipeline
Several other sglt2 inhibitors may soon be available as well. One of them, empagliflozin, is in late-stage studies, and the fda is expected to decide on its approval by the end of march.

Who should get these drugs, and when?
Dr. Vouyiouklis says obese patients with type 2 diabetes and normal kidney function stand to benefit most from sglt2 inhibitors. In general, these drugs seem to be best tolerated by patients with normal kidney function and less well tolerated by those with moderate kidney disease (they should not be used by patients with severe kidney disease). They are not approved for use by pregnant women, patients under 18 or individuals with type 1 diabetes.

“Although sglt2 inhibitors are approved for use as single drug therapy, metformin remains my choice for first-line oral therapy,” says Dr. Vouyiouklis. “Because sglt2 inhibitors are relatively new and their long-term effects are not yet known, I prefer to reserve them for use as add-on therapy. I believe they will be a useful addition, especially in obese patients who are seeking to lose weight.”

type diabetes
7 people found this helpful

Symptoms, Stages and Treatment of Endometriosis

MBBS, MD - Obstetrtics & Gynaecology
IVF Specialist, Nashik
Symptoms, Stages and Treatment of Endometriosis

Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the uterus lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time.

Here is everything you need to know about this ailment:

Symptoms - Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period. 

- Stages - There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.

1) Minimal Stage - In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.

2) Mild Stage - In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.

3) Moderate Stage - In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.

4) Severe Stage - As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.

- Treatment - There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone

Gonadotrophin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases. A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stop estrogen production, the ovaries will also be removed. 

One must discuss all risks and complications before going in for a certain form of treatment for this ailment

2670 people found this helpful

Sir meri wife ka fetus 1 or 2 din se movment nahi kar raha aur agar movment kar bhi raha hai to bahut kam jabki pahle uska movment bahut jayada hota tha sir immdiately advice de ki fetus kyo movment nahi kar raha hai aur kya mujhe doctor ke pass jana chahia jabki mene apni wife ka ultrasound 2/05/2016 ko kara liya tha aur doctor ne report dekhkar normal bataya tha aur report me fetus position cephalik presentation me aayi hai aur vo 7 month ki pregnant hai.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Sir meri wife ka fetus 1 or 2 din se movment nahi kar raha aur agar movment kar bhi raha hai to bahut kam jabki pahle...
Jagah me kami ke karan baby ka full movement kam hora jata hai. Abhi kewal ek side mein movement hoga, jahan hath air paer hain. Had roz khaney ke baad ek ek ghante tak baby movements count karein. 8-9 am, 1-2 pm aur 8-9 pm. Teen ghante mein total agar 3-4 movements hain, to sab theek hai, nahi to doctor me pass visit karein.
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