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Dr. Amol Tilve

MBBS

Gynaecologist, Panaji

18 Years Experience
Dr. Amol Tilve MBBS Gynaecologist, Panaji
18 Years Experience
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Personal Statement

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. Amol Tilve
Dr. Amol Tilve is a trusted Gynaecologist in St. Inez, Panaji. He has over 18 years of experience as a Gynaecologist. He studied and completed MBBS . He is currently associated with Dr. Amol Tilve in St. Inez, Panaji. Save your time and book an appointment online with Dr. Amol Tilve on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 44 years of experience on Lybrate.com. You can find Gynaecologists online in Panaji 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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Education
MBBS - Goa Medical College, Panaji - 1999
Languages spoken
English
Hindi

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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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Hi, Dr. I am pregnant and in ultrasound report EDD date is 5/4/16 when will be right time of birth.

BHMS PGCGO
Homeopath, Hubli-Dharwad
Hi, Dr. I am pregnant and in ultrasound report EDD date is 5/4/16 when will be right time of birth.
according to your last periods what is your delivery date that is right one if you had previously regular periods other wise scan date will be considered
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She took unwanted on 29th of Oct, 16 then bleed on 5th Nov, she again took unwanted on 6th Nov .and she is still bleeding, she requires to use 2 pads per day and is having lots of weakness, back pain and dozyness. please help.

MD, MBBS
Gynaecologist, Vadodara
She took unwanted on 29th of Oct, 16 then bleed on 5th Nov, she again took unwanted on 6th Nov .and she is still blee...
Pl tell her not to take unwanted pill frequently as it leads to irregular uncontrolled bleeding. For her bleeding and weakness she must consult a gynec.
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After I delivered one baby. My baby is now 5 months old. It's a normal delivery only. The problem is my ass is blocked, I checked my ass by putting a finger my finger is going only one Inch when I am forcing.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
After I delivered one baby. My baby is now 5 months old. It's a normal delivery only. The problem is my ass is blocke...
Suggested to apply castor oil at night hile sleeping or you can keep a cotton sob soked in castor oil. Do it for 15 days.
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My wife is three months pregnant and she is weak and unable to take diet properly and every time she has vomiting tendency. So, please give some solution.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My wife is three months pregnant  and she is weak and unable to take diet properly and every time she has vomiting te...
Take tab to stop the vomiting from doctor give her sweet things in the morning she should not remain empty stomach.
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Meri wife four month and fifteen days about se pregnet hain aur abhi hume baby nhi chahiye isliye hum abortion karwana chahte hain kya ye possibal hain please help me aur hain to kaise.

MD
IVF Specialist, Delhi
Hello, It is almost 5 months now and I do not suggest abortion at this stage unless medically indicated.
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After I had a sex on 20/06/2016 night I got my period after 4 days then on next month I got ma period on 26/07/2016 & then on next month 25/08/2016 but the amount of period is very less & my tummy is little bit outside so I am pregnant or not?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
After I had a sex on 20/06/2016 night I got my period after 4 days then on next month I got ma period on 26/07/2016 &...
No you are not pregnant as your cycle is regular but blood flow can be less due to many reasons like anemia, tensions or hormones if taken in the form of an ipill. Take care and get cbc test done to rule out anemia and infection, an ultrasound abdomen to rule out any other reason for low cycle like pelvic infection. Stay away from erratic use of hormones by taking emergency tablets too often. Protect yourself scientifically.
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18 Dec ko Mere Periods start hue 21 Dec ko periods khtm hue toh m apne boyfriend ke sath 22 ko Intimate hui or mere boyfriend ne condom use kra tha but ghr ane ke baad mujhe hlki hlki bleeding hui jo baad m thik ho gai thi. Uske baad 26 ko hm fir intimate huebor condom use kra tha humne but ghr akr urine or bleeding mix hui thi 1st nd 2 drop mai but aaj phir hlki hlki bleeding hui meko ab meko bhat tension ho rhi h plzzzz aap help kriye.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
18 Dec ko Mere Periods start hue 21 Dec ko periods khtm hue toh m apne boyfriend ke sath 22 ko Intimate hui or mere b...
Hello, You had sex in your safe period, however bleeding after coitus is mostly seen with cervicitis or cervical erosions and needs to be evaluated. Pregnancy is unlikely as you were protected throughout.
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Sir after sex I'm completely discharged in my wife but when she is wake up in the morning she has white water in her vagina there is problem to get pregnant or not?

MS sexuality, PhD (behaviour modification)
Sexologist, Hyderabad
Sir after sex I'm completely discharged in my wife but when she is wake up in the morning she has white water in her ...
No problm to get pregnant, it's natural for some amount of the semen to slide out of the vagina, most of the sperms would have Swam swiftly upward. Don't worry and keep trying during her fertile period. All the best to both of you.
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Hi My wife was pregnant and after 27 weeks she got aborted on 18th february 2015. We don't know the exact reason but doctor said it was because of lack of rest. She was doing normal household work and she is mother to 2 babies of 7 years and 3. 5 years. Even after 2 months her health is not ok. She is suffering from body pain especially in the right leg (opposite side of knee) and right hand. She is also having little bleeding occasionally. Not only blood some other white particles are also coming out. Whenever she is walking or doing work for some time, she is not feeling well. We consulted 2-3 gynecology doctors but they are taking it too simple. Any one please help.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Your wife has 2 problems. One related to gynae.& that must be looked after by gyne. Doctor. For the other problem. This is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take caldikind plus (mankind)1tab odx10days paracetamol 250mg od & sos x 5days do back(spine) exercises contact me again if need be. But make sure you are not allergic to any of the medicines you are going to take.
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Any side effect of unwanted 72 tablet? Please give me answer.

MS - Obstetrics and Gynaecology
Gynaecologist,
Hi , unwanted 72 pill has only fewer side effects e. G. Intermenstrual bleeding, headache, dizziness, nausea, slight breast tenderness. Next period may be disturbed, it can be early or late. But these problems are of short duration & subsides within few days. There is no long term effects. Most important is -- never forget that these are emergency contraceptives & must be used only in emergency, not regularly.
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I'm five month pregnant and I take bed rest for cervical cerclage. But now I hv a problem. Very big gas trouble is harassing me. What can I do. Very big back pain also with me. Pls help me to recover that.

PGDHHM, MBBS
General Physician, Delhi
I'm five month pregnant and I take bed rest for cervical cerclage. But now I hv a problem. Very big gas trouble is ha...
Take light diet. Avoid constipation. Avoid heavy foods. Drink plenty of liquids. Eat 3 -4servings of fruits. Hope this helps u.
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Hi doctor My cousin is getting very bad stomach pain during menstrual period, so please advice on this and she is not able to withstand the pain.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi doctor
My cousin is getting very bad stomach pain during menstrual period, so please advice on this and she is not...
Hi Lybrate user, please visit gynaecologist for internal examination as it is sever pain it could be some emergency like twisted ovarian cyst. Even their are multiple reasons better you should be extra cautious.
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Hello doctor, I had my first pregnancy miscarriage in march 2014 and till now no success. HSG test showed both tube are blocked at proximal end. I want to conceive soon so please tell me some proper advice regarding treatment and doctor. As my financial condition is also not good and I live in faridabad. So please rply I want to have baby.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello doctor,
I had my first pregnancy miscarriage in march 2014 and till now no success. HSG test showed both tube a...
As per your HSG report your both the tubes are blocked, so the best treatment for you to conceive is though IVF. You can go for re canalization also if there is possibility, but after that chances of ectopic pregnancy are more also the tubes may re-block with due course of time
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I have been married for 1 year and 5 months now. We have been trying to conceive for last 2 months. My period is due on 3rd July. Usually, my stomach starts to hurt 2,3 days prior to my date. However, this time its been 10 days that I am experiencing an unusual pain in lower abdomen . My lower abdomen feels very heavy and I also feel a kind of pressure or thrust (which worsens as the day progresses). What could be the possible reasons for the condition ?

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
I have been married for 1 year and 5 months now. We have been trying to conceive for last 2 months. My period is due ...
Hello, usually ovulatory cycles are painful or they are uncomfortable. Pain durinh ecpected period may be due to pregnancy sometimes or else there may be a cyst formation. Either ways please wait till 3rd july. Take a pregnancy test of you do not get your periods. If at all there is a cyst it usually disappears with period. All the best.
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I had done an pregnancy test and it is positive, I'm 18 years old is it a good age for pregnancy?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I had done an pregnancy test and it is positive, I'm 18 years old is it a good age for pregnancy?
hi Aishwarya, if you can handle pregnancy responsibility then it's OK. At the age of 18yrs if you don't have any medical illness you can carry pregnancy no harm to body.
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Hello, I want to ask about the menopause condition, what are the symptoms and what are the precautions?

MBBS
General Physician, Delhi
Hello, symptoms that women may have around the time of menopause and tips for dealing with them. Hot flashes •Try to notice what triggers your hot flashes and avoid those things. Possible triggers to consider include spicy foods, alcohol, caffeine, stress, or being in a hot place. •Dress in layers and remove some when you feel a flash starting. •Use a fan in your home or workplace. •If you still have menstrual periods, ask your doctor if you might take low-dose oral contraceptives (birth control pills). These may help symptoms and prevent pregnancy. •Try taking slow, deep breaths when a flash starts. •If you’re overweight, losing weight might help with hot flashes, Vaginal dryness •A water-based, over-the-counter vaginal lubricant like K-Y Jelly or Astroglide can help make sex more comfortable. •An over-the-counter vaginal moisturizer like Replens can help keep needed moisture in your vagina if used every few days and can make sex more comfortable. Sleeping Problems •One of the best ways to get a good night's sleep is to be physically active. You might want to avoid exercise close to bedtime, though, since it might make you more awake. •Avoid large meals, smoking, and working right before bedtime. Avoid caffeine after noon, and avoid alcohol close to bedtime. •Try drinking something warm before bedtime, such as caffeine-free tea or warm milk. •Keep your bedroom dark, quiet, and cool. Use your bedroom only for sleep and sex. •Avoid napping during the day, and try to go to bed and get up at the same times every day. •If you wake during the night and can't get back to sleep, get up and do something relaxing until you’re sleepy. •Avoid taking on too many duties. Look for positive ways to ease your stress. Memory problems •Some women complain of memory problems or trouble focusing in midlife. But studies suggest that natural menopause has little effect on these functions. •Getting enough sleep and keeping physically active might help improve symptoms. Mental exercises may help too, so ask your doctor about them. •If forgetfulness or other mental problems are affecting your daily life, see your physician.
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I had a few seconds of unprotected sex mid-cycle (14th day). Then, used condom and also took Ipill in 15 hours. It's been 10 days since I took the Ipill, still no bleeding. Just feeling light headed, a little bloated and slight pain in lower back. Really tensed. My next date is due on 20th May. What can I do right away to check the risk and ease my anxiety?

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
I had a few seconds of unprotected sex mid-cycle (14th day). Then, used condom and also took Ipill in 15 hours.
It's ...
Do not do any thing, just wait till your due date. It seems you have taken the pill in good time, so most likely you are protected from unwanted pregnancy.
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