Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 28 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.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Kalpana DhombeYour feedback matters!
Can: Ipil cause irregularity in periods for more than one month? I always have regular period cycle. I took ipill on 14/11/2015 after condom broke during sex. My expected periods was on 18/11//2015 but taking ipill delayed my periods to 23/11/2015. (I did not have any intercourse after 14/11. I also took pregnancy test today - Negative result) But I did not get my period yet this month. Is this a side effect of ipill? How long will my periods be delayed? How long should I wait before taking another pregnancy test?
Satvik Food- The food items which increases the energy, purifies the mind, freshens the mind, produces cheerfulness, provides serenity and mental clarity and becomes the breeding place of positive thoughts. Love, Peace, Compassion of mind are the end products of satvik foods. Sattvic food is highly conducive to good health
Rajasik Food- The food items which create aggression, competition, action, sensuality, sexuality, greed, jealousy, anger, delusion, fantasies, egotism and irreligious feelings.
Tamsik Food- The foods which brings about stagnation leading to degeneration of people’s health are Tamsik foods. The increase dark and negative thoughts, confusion, delirium, and sluggishnesss of mind. Lack of concentration, memory loss, decreased grasping power is most commonly found in people prone to eating tamsik foods.
I am 25 years old. I have skinny body and I am 5'2" 40 kgs weight. I was diagnosed with pcod and hirsutism. What should I eat to increase my body weight and balance the hormone levels?
We are willing to have baby kindly suggest proper position & time for making my wife pregnant. Also my wife's uterus is smal in size - is this matter in any condition. Pls help.
Renal hypertension is a disorder, which is characterized by a rise in the blood pressure that results from kidney disease. The blood flow to the kidney is impaired due to the narrowing of the arteries and this leads to renovascular hypertension.
The various symptoms of renal hypertension are:
- You may experience symptoms of high blood pressure.
- Your kidneys may not function properly due to the impaired supply of blood
- It may lead to presence of blood in your urine
- You may be affected by pulmonary edema that results in accumulation of fluid in the lungs
- It may result in severe headaches and confusion
- You may experience blurred vision
- You may have nosebleeds
- The impaired kidney function may also lead to chronic kidney damage.
The various causes of renal hypertension are:
- Accumulation of cholesterol in the body may lead to blockage of the artery due to plaque buildup
- Smoking may increase your chances of getting affected by narrow arteries
The narrowing of the arteries causes a reduction in the blood supply to the kidneys. This results in the kidneys to release various hormones that instruct the body to hold on to water and sodium. This causes the fluid to accumulate in the blood vessels, thus resulting in high blood pressure.
The various risk factors renal hypertension are:
- Excessive alcohol consumption
- Substance abuse
- High blood pressure
- High cholesterol
Medications used to treat high blood pressure are used to treat renal hypertension. It is important that you get your blood pressure levels checked on a regular basis. You need to make certain lifestyle changes such as:
- Exercise on a regular basis to keep your heart and body healthy
- Limit consumption of alcohol and reduce smoking
- Eat well balanced meals to keep obesity at bay
- Keep your mind free of stress
- Restrict consumption of salt
- Maintain optimal weight levels
Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.
In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.
To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.
Interpretation of smbg chart:
In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
Seven points includes:
Fasting or before breakfast reading
2 hrs after breakfast
2 hrs after lunch
2 hrs after dinner or bedtime
At mid night 3.00 am
This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).
I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
More uncontrolled blood sugars require more frequent smbg glucometer monitoring.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.
I hope this article will help you to control your blood sugar levels more efficiently.
If you find that some of the post-meal or pre-meal readings are high or low, please consult your diabetologist with smbg chart to adjust your medication or insulin dosage.
If you like my article please share it with your friends and family.
Awareness is prevention!
I'm 32 years old I did my blood test on 25th April'16 n my hcg level was 200 n den on 27th it was 334.4. I did a ultrasound on 10 may the reports are showing I'm less den 5 weeks pregnant my last period was on 18th march'16, is this normal?
I'm married, completed approx 2.5 year's. We are getting problem in conceiving All test are normal. Not having any problems.
Hlo dr, I am 14 th week pregnant, how many ultrasounds are usually recommend during pregnancy as my 2 ultrasounds already done? please reply?
I am a married female. Age 22. I have hypothyroid since 2 years. I sometimes get my tsh level high but never my periods got delayed. But this time it's been 10 days from my date, till now no periods. I am worried. Is there a possibility of menopause?
Hello Doctor! My Gf had an contraceptive pill for first time and 18th March and have been bleeding since yesterday morning. Bleeding has not been as much as periods. Is der any problem with it and suggest any precautions if any. Wen does the bleeding stop and will she have menstrual cycle as before on regular date. Is der any chance of pregnancy as such.
I have delivered preterm baby and he is not breast feeding I am feeding him similac 1 baby is 20 days now his weight is low what should I feed him should I change baby powder n as he is not breast feeding I want to stop my milk any medicine please advice as I need to get to work after 15 days.
Intrauterine insemination or IUI is a form of artificial insemination that involves the sperm being placed inside the uterus of a woman for bringing about fertilization. The aim of this procedure is to enhance the number of sperms that successfully reach the fallopian tubes and fertilize an egg, thereby increasing your chances of getting pregnant. Depending on the cause of your infertility, the procedure can be synchronized with fertility drugs or your ovulation cycle.
When should you go for IUI?
While reduced sperm mobility or a low sperm count may be the reason this procedure is opted for, there are certain conditions that may cause you and your partner to opt for IUI:
- If the cause of your infertility doesn't have any medical explanation
- Problems with ejaculation affecting the release of semen
- Problems associated with cervical mucus can hinder the journey of the sperm from the vagina to the fallopian tubes
- Scarring of the cervix due to past surgical procedures, rendering the sperm unable to enter the uterus
At the same time, the procedure is not recommended for women who suffer from:
- A disease of the fallopian tubes
- Past episodes of pelvic infections
- Mild to severe endometriosis (a condition wherein the womb's lining grows outside it)
What happens after IUI?
The procedure takes up only a few minutes of your time and causes very little discomfort. Following the procedure, you'll be told to lie on your back for a short period of time, after which you can get back to your normal routine the same day. You can expect instances of light spotting, which will go away after two days. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
If you have a healthy pregnancy, there’s no reason why you and your partner can not have sex. You would not hurt your baby by making love.
There are, however, some circumstances where you may have to be careful about having sex.
If you’ve had any bleeding or spotting in early pregnancy, your doctor may advise you not to have sex until you reach 14 weeks. Your doctor may say it is best not to have sex for the rest of your pregnancy if you have:
- a history of cervical weakness
- a low-lying placenta (placenta praevia)
- had heavy bleeding
- had a vaginal infection
It is advisable to consult your gynecologist if you have a doubt ask your gynecologist. Your doctor is the best person to advise in such matters.
Hi, my name is Dr Hmanshu Verma. I am a Vascular and endovascular surgeon.
Dialysis aaj kal bohot he common hai. Renal Failure aaj kal bohot he common hogya hai. Aur ek point pe kidneys certain damage ke beyond hojati hai to uske baad patient ko permanent dialysis ki zarurat hoti hai. Dialysis ke liye normally gale me line daal kar usse blood ko dialysis machine tak lejaya jata hai. Aur clean blood ko wapas body me daalte hai. Lekin unfortunately in lines ko bohot zada der tak body me nahi rehne dia ja sakta hai. Kyuki isse infection ka khatra rehta hai aur sath he yeh lines ander ki nerves ko block karne lagti hai. Iske liye AV Fistula surgery ki zarurat hoti hai. Ideally hume ek aisi khoon ki nass ki zarurat hoti hai jisse khoon ko body se nikal kar dialysis machine tak lejaya ja sake aur wahan se clena blood ko wapas body me daale.
Aisi koi khoon ki nass actual me exist nahi karti hai jiske lie 2 khoon ki artery or vein ko surgery karke aapas me jod dete hai. ise AV Fistula surgery kehte hai. Ek baar AV Fistula surgery karne ke baad 5-6 hafte me vein badi hojati hai size em aur usme khoon ka flow badh jata hai, tab yeh fistula taiyar hoti hai.
AV Fistula surgery baaki surgeries se isliye alag hoti hai kyuki yahan pe koi cheez bana ke dete hai apko jisk baar baar needle daal ke istemaal hota hai. Kisi bhi jagah hum bar bar needle daalte hai to wo 6 months ya saal bhar me damage hojati hai. Isliye we talk in terms of ki AV Fistula ki ek life hoti hai. Isliye agar AV Fistula agar fail hojati hai to doosri AV Fistula ki zarurat padti hai. Agar failed AV Fistula aap sahi samay pe pehchan jaae to fir usko bachaya bhi ja sakta hai. Ek chalti hui AV FSIstula me bhi kahi baar complications ho sakte hai.
AV Fistula ki wajah se kuch patients ko haath me swelling aane lag jati hai. Adhiktar humne dekha hai ki in patients ki jo chaati k ander ki jo nerves hoti hai, unme narrowing hoti hai. Un narrow nerves ki wajah se haath me swelling ane lag jati hai. Aise mareezo ke liye typically Angioplasty ki zarurat padti hai. Angioplasty ke results bohot he acche hote hai aur within 6-8 hours hath ekdam normal hojata hai.
Apne dekha hoga ki bohot baar patients ko yeh boldia jata hai ki apka Fistula nahi kia ja sakta. Hum is tarah ki expertise rakhte hai jin patients ko bata dia jata hai ki koi naya Fistula nahi kia ja sakta hai.
So, har wo patients jinhe AV Fistula ke options mana kardia jata hai, unme bhi kuch na kuch AV Fistula ke options bache hue hote hai, ye thode un common hote hai, normal fistula se thodi badi surgery hoti hai. But since AV Fistula ek Dialysis patient ki lifeline hot hai, un patients ke liye in options ko explore karna bohot he important hota hai.
Baisilic vein transposition and AV Graft, ye bohot he common procedure hai jinko in patients me kiya ja sakta hai. Agar aap in patients me se hai jisnke liye AV Fistula ke raste band ho chuke hai, aap hume contact kar sakte hai Lybrate ke through ya fir aap humare centre pe personal appointment ke liye bhi aa sakte hai.