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Dr. Abhilash Zambare

Gynaecologist, Pune

130 at clinic
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Dr. Abhilash Zambare Gynaecologist, Pune
130 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Abhilash Zambare
Dr. Abhilash Zambare is an experienced Gynaecologist in Pimple Saudagar, Pune. He is currently practising at Kalawati Hospital in Pimple Saudagar, Pune. You can book an instant appointment online with Dr. Abhilash Zambare on has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 27 years of experience on You can find Gynaecologists online in Pune 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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Kalawati Hospital

Link Road,Nakhate Wasti,Rahatni,Pimple Saudagar, PunePune Get Directions
130 at clinic
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I was 20 years old I had a baby and he was baby boy cyserian, when I was 26 years old I did my second marriage and then four years later I had a second baby and she is a baby girl I have two baby cesarean but now I am pregnant for third time. What is the possibility by cesarean or normal delivery.

MBBS, Certified IVF Specialist, MS - Counselling and Psychotherapy
IVF Specialist, Chennai
I was 20 years old I had a baby and he was baby boy cyserian, when  I was 26 years old I did my second marriage and t...
Hai. It's not necessary to have a C section again just because you had it twice. It depends on the situation and issues related to the baby and your pelvis at the time of delivery. You will need to request your doctor to allow trial labour before posting for section if all conditions are favorable. Best wishes.
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Me apni gf ke sath sex kiya hu or me excited me hormone bahar nhe nikal paya or me 24 hours ke between usko unwanted 72 ka tablet diya or 2 din v ho gaya bt usko avi tak blooding nhe hua or uska period ka date 5 tarik ko tha or me uske sath 14 tarik ko sex kiya tha or 15 ko tablet diya hu.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Me apni gf ke sath sex kiya hu or me excited me hormone bahar nhe nikal paya or me 24 hours ke between usko unwanted ...
Hello, bleeding shall start only after 5-7 days of unwanted 72 intake , not before that, so please be patient.
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Mam I took i-pill 7 days before during sex we don't use condom.& from d very day when I took I pill my down side of stomach is paining lot. During the time of doing toilets also I am getting pain lot. Please suggest any tablet for relief of pain. My next day of period is on 1/8.I have taken earlier i-pill on last of June.& taken 4-5 time in total i-pill.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Mam I took i-pill 7 days before  during sex we don't use condom.& from d very day when I took I pill my down side of ...
Ipill taken seven days before will not help in preventing pregnancy. These are hormones and its advisable not to take so many ipills.
3 people found this helpful
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In-Vitro Fertilisation (IVF)

Gynaecologist, Gurgaon
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Hello everyone.

I am Dr. Madhu Garg. I am working as consultant in Miracles IVF and Fertility Unit and today we will be discussing something about IVF. IVF is In-vitro Fertilization and in common language it is also known as a test tube baby. In IVF, what we do is we take out both the gametes the female gametes and the male gametes and they are fertilized outside the body and then the resulting embryo is placed inside the female uterus which results into pregnancy. So the first question arises is who all need IVF? Couples who usually need IVF have problem in conceiving of long standing that could be because of female factors or male factors. The male factors include a less count, when the sperms are not normal of morphology or their motility is less, or there is complete of sperms in ejaculate and in female factors when the female is having a high age which is more than 35 years and she is having less egg count and there are problems in the tube. The tubes are the structure which transport the eggs from the ovaries inside the uterus and then the eggs meet the sperms and result in fertilization. If there is some kind of blockage in the tube, the egg is not able to meet with the sperm and the pregnancy is not happening, so these couples they always require some king of assistance which is usually IVF. In IVF the process starts from your menstrual cycle. We do basic test involves the hormonal evaluation, ultrasound scan, the semen analysis and after going through all of your reports, we start you on hormonal injections. These usually start from day tow or day three of your periods and they are given regularly for the next nine to ten days on a daily basis. During these nine to ten days of hormonal injections we evaluate you after 4 to 5 days and then every alternate day to see how your body is responding to these injections and to titrate the dose of these injections, so during these nine to ten days your follicles grow and when the follicles are mature enough then on the last day we give you a trigger injection and after the trigger injection, 35 to 36 hours after this injection we schedule your ovum pickup. For this pickup you are admitted to the hospital for a daycare. That means you are not having a night stay in the hospital. The stay is only for two to four hours and you have to come fasting 5 to 6 hours and under general anesthesia, we do a transvaginal ultrasound guided pickup. So the needle is passed through vagina and there is no cut or mark in the abdomen. All the eggs and the ovaries are aspirated outside and then the embryologist examines all the fluid which is aspirated and he checks whether how many eggs are present, what is the quality of these eggs and then he takes the decision of performing IVF or ICSI (Intracytoplasmic Sperm Injection) with male sample. In IVF what is done the eggs are placed with healthy sperms and then a natural process of fertilization is allowed. But in patients where the semen factor is less and morphology is less, the motility is less even, even a high-grade, a higher version of IVF is required which is called ICSI. In ISCI, every egg is injected in one sperm in the cytoplasm and not all patients need ICSI that is the decision of embryologist after seeing the semen sample. So these embryos which are formed after fertilization. They are left in laboratory for 3 to 5 days and after their growth in the laboratory they are transferred back to the uterus of the female and that transfer is very simple procedure which doesn’t require any hospital admission and not does it require any anesthesia. After getting the embryos transferred you need to get hormonal support for the next 15 to 16 days and then the pregnancy test is done. So IVF pregnancy is equally as good as an actual pregnancy. You don’t need any extra care, neither any cesarean delivery is required nor no special care is required during the pregnancy also.

So this is the basic what IVF is, who all need IVF and that is done under the cycle so the procedure is different according to your requirement and what you need and what is the best produce so you have to consult the doctor then you have to decide. So thank you everyone.

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Last month we had two times sexual intercourse on date 12 March and 23 March. And the period due dates is on 27 March 2018. Only 23 March intercourse is unprotected. But till date 3 April there is no indication of period please advise something.

MBBSalternative Medicine, diploma in comunity medicine services
Alternative Medicine Specialist, Delhi
Last month we had two times sexual intercourse on date 12 March and 23 March. And the period due dates is on 27 March...
Hi, lybrate-user, please tell LMD last menses date. If her menses date is overdue so you should get done a pregnancy test with preganews or any other brand. If kit indicate negative results. So wait for 7 to 10 days. Sometimes a women or girls has overdate due to anaemia. Or unhealthy diet.
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While massaging my body today I got something hard on the left on my breast. It's something like a lump, when I pressed it. I felt pain. Please tell me what is it? Is it something to worry about?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It had to be fibroadenoma which unless large or causing pain, does not need to be removed. It is a benign tumour and very slow growing. If small then there is no treatment needed at present.
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Mental Illness: Myth or fact

MBA (HR), D.Sc, MS - Counselling & Psychotherapy, M.Sc - Psychotherapy
Psychologist, Pune
Mental Illness: Myth or fact
Mental Illness: Myth or fact?

Challenging the myths about mental illness can be a good way to get people thinking and talking…

Myth: People with mental illness can’t work.

Fact: Chances are, you probably work with someone with mental illness.

Myth: Mental health problems are very rare.

Fact: Mental health problems affect one in four people.

Myth: People with mental illness never recover.

Fact: People with mental illness can and do recover.

Myth: People with mental health problems are different from normal people.

Fact: We all have mental health, just like we all have physical health.

Myth: After experiencing a mental health problem, people are weaker.

Fact: Many people who have gone through this actually feel stronger.

Myth: People with mental illnesses are violent and unpredictable.

Fact: People with mental illness are more likely to be a victim of violence.

Myth: It’s best to leave people alone if they develop a mental health problem.

Fact: Most people with mental health  problems want to keep in touch with friends, family and colleagues, it can be a great help in their recovery.

Myth: I don’t know anyone with a mental illness.

Fact: Someone you know or love has experienced a mental illness.

Myth: People aren’t discriminated against because of mental health problems.

Fact: Nine out of ten people with mental health problems experience stigma and discrimination.
39 people found this helpful

Penis Bumps - Unusual Causes

MD - General Medicine
Sexologist, Delhi
Penis Bumps - Unusual Causes

Penis Bumps - Unusual Causes: Understanding Fabry Disease

When a dude is focusing on penis health, he needs to spend some time giving himself a physical examination. This involves both looking at and feeling the organ, in order to determine if there are any new penis bumps, rashes, scars, cuts or other issues which may need to be addressed. In the realm of penis bumps, it's surprising - and some might say disturbing - the number of things that can be responsible for those bumps. One of the rarer - but often longer-lasting - of these causes is called Fabry disease.

About Fabry disease

The National Institute of Health (NIH) says that Fabry disease is "an inherited disorder that results from the buildup of a particular type of fat, called globotriaosylceramide, in the body's cells." This genetic disorder is, fortunately, not common; its incidence is approximately 1 in every 40,000-60,000 males; it is even less common among females. It often occurs early in life, usually between 5 and 10 years of age; however, there are cases of it occurring much later in life. In general, late-onset cases are milder than early-onset ones.

There are numerous symptoms associated with Fabry disease. These include:

- Pain (often searing), typically in the hands and feet. This often is worse after exercising or physical exertion.

- Vision and hearing issues.

- Hypohidrosis, which is an inability to sweat at the level that the body needs.

- Gastrointestinal issues.

- Small dark red or blue-black bumps, which appear in clusters on the torso and upper legs.

It's the last-named symptom which is the focus of this article. These dark red clusters can appear in numerous places, and that includes presenting as penis bumps.

The penis bumps

These bumps - often called angiokeratomas - typically don't appear on the penis until adolescence. (They also are likely to appear on the scrotum and on the buttocks, as well as on areas between the penis and the buttocks.)

In most instances, the penis bumps do not itch or burn - which is a relief. But some men find them very unattractive and worry that they can be off-putting to potential partners.

The angiokeratomas -whether in the penis or elsewhere on the body - can last for a long time. Treatment of Fabry disease can help clear these up, but sometimes doctors recommend other methods to remove the bumps. These include a laser surgery option, as well as cryotherapy or electronic treatment.

Treating the Fabry disease itself is important, even if other methods are used to directly address the penis bumps. The most common treatment is enzyme replacement therapy, which helps replace the missing enzyme (globotriaosylceramide).

One of the other penis-related side effects of Fabry can be erectile dysfunction. This is because the disease can sometimes cause blood vessels to narrow. When this occurs in the penis, it is not able to get enough volume of blood when an erection is called for. Without a freely open and unblocked blood vessel, the erection will be diminished.

Diagnosing Fabry disease can be difficult, and some people go undiagnosed into adulthood. A man who has clusters of penis bumps should discuss this with his doctor -especially if he has clusters elsewhere on the body or exhibits any of the other common symptoms.

Fortunately, penis bumps from Fabry disease do not itch or burn - but other penis bumps may. Often using a top flight penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) can help soothe an afflicted penis. It's best to find a crème that includes both a high end emollient (shea butter is an excellent choice) and a natural hydrator (such as vitamin E). This combination provides a "moisture lock" which helps hydrate penis skin, providing soothing relief. The crème should also contain alpha lipoic acid, which, as a potent antioxidant, strengthens penis skin by battling excess free radicals.

1 person found this helpful

My wife is 30 years old and she has big fibroids in her uterous. We have married only 4 monthm. Has there any possibility for her pregnancy?

Advanced Aesthetics
Ayurveda, Gulbarga
Fibroids that change the shape of the uterine cavity (submucous) or are within the cavity (intracavitary) decrease fertility by about 70% and removal of these fibroids increases fertility by 70%. Other types of fibroids, those that are within the wall (intramural) but do not change the shape of the cavity, or those that bulge outside the wall (subserosal) do not decrease fertility, and removal of these types of fibroids does not increase fertility. Fibroids that bulge into the uterine cavity (submucous) or are within the cavity (intracavitary) may sometimes cause miscarriages. The fertilized egg comes down the fallopian tube and takes hold in the lining of the uterus. If a submucosal fibroid happens to be nearby, it can thin out the lining and decreases the blood supply to the developing embryo. The fibroid may also cause some inflammation in the lining directly above it. The fetus cannot develop properly, and miscarriage may result. However, with the next pregnancy, it is possible that the egg will settle in another location, and pregnancy may proceed without problems. However, if you do have a miscarriage and a fibroid is found bulging into the uterine cavity, it is advisable to have it removed.
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