Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 29 years of experience on Lybrate.com. 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.
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. Ajay JoshiYour feedback matters!
I am a 13 years old girl but still I have not getting my main periods when it ll be start my body is already developed and well shaped looking, I am feeling to do sex also but before starting my periods I can do it so please help me what to do to start my mains or I have to consult the doctors.
My recent random tests show my hba1c level at 62 & hb being 9.6. What are the clinical implications for this test result? Please help. I've pcod.
If you are into healthy eating, but like a dose of fat in your diet, we have a surprise for you. Not all fats are unhealthy. Saturated fats should be taken as a part of your diet while trans-fat should be banished. There are a lot of fats that are healthy and can actually help in promoting good health.
So read on to know how to eat lots of fat and still be healthy!
- Avocados: Avocados contain a monounsaturated fat that goes by the name of Oleic Acid. This also has numerous health benefits and is known as a super food that gives us Omega-3 fatty acids. It even contains plenty of potassium.
- Cheese: Remember to have a slice of cheese the next time you find yourself avoiding that mandatory glass of milk. Cheese is known as a great source of protein, calcium and vitamin B 12 as well as phosphorous. It also contains fatty acids that can even reduce the risk of type 2 diabetes mellitus.
- Dark Chocolate: A small dose of dark chocolate a day can actually keep skin damage and cardiac disease at bay. That's the result of medical studies. This superfood can also encourage better brain function thanks to the fact that it is rich in iron, magnesium, copper and other nutrients as well as essential fats.
- Eggs: The fats found in eggs do not affect the cholesterol levels in the blood, which makes it the ideal source of essential and healthy fats as well as protein and calcium. Eggs can protect the eyes from wear and tear thanks to the heavy element of choline. Plus, it also known as a weight loss friendly food.
- Fish: Fish and other seafood have proven health benefits thanks to the Omega-3 fatty acids, which can actually aid you in your weight loss journey and keep your heart healthy. This lean protein also helps in giving you essential nutrition when ingested on a regular basis.
- Seed Oil: Sunflower, olive oil and flaxseed oil have healthy fats with proven health benefits for everyone. The fats present in this kind of oil are very healthy and can actually help in retaining the good health of bones.
- Nuts: Dry fruit, almonds, figs, pistachios and raisins help in giving you your daily dose of natural fats that are healthy. You can munch on these for essential vitamins and minerals along with the fat content.
Improve your overall health as well as the quality of your hair and skin with these essential and healthy fats!
Hello, I had unprotected sex with my bf on 9th Nov, took ipill within 12 hrs, I have irregular periods, got my periods on 19th, it was heavy, lasted for 3 days, now I feel dizzy, tired, a bit of vomiting sensation, nowadays I crave for food, what should I do? Am I pregnant? Please reply I am scared.
As much as we would like to ignore it, domestic abuse is a very common problem. Not every woman has the strength to fight against it and confide in someone. As a friend, it is your duty to look out for them. You don’t have to be an expert in psychology to know the warning signs of domestic violence. Here are 8 such warning signs.
- She is quiet when he is around: If your friend is normally jovial and suddenly becomes quiet the moment her partner is around, don’t overlook the change. She may be scared of saying something that might upset him and start a fight.
- She allows herself to be put down: In almost all cases of domestic violence, the woman is made to feel guilty about everything. This becomes habit and she loses her will to fight back. If you notice you’re friend allowing her partner to walk over her and put her down, she may be facing abuse at home.
- She withdraws from friends and family: Social withdrawal is another major sign of domestic violence. There may be a number of reasons for this; he is too possessive of her, she is injured and scared of letting people see her injuries etc.
- Unexplained injuries: Making an excuse that walking into a door caused a black eye isn’t only a scene from the movies. If your friend suddenly starts wearing inappropriate clothes such as long sleeved tops in summer, she may be a victim of domestic abuse. Look out for such excuses and injuries.
- Plans that are frequently cancelled at the last moment: Victims of domestic abuse often make plans, but never keep them. This could be because their partner does not like them going out without them or because she is injured and doesn’t want you to see her injuries.
- She has casually mentioned violent behavior, but dismissed it lightly: Casually mentioning violent behavior at home could be your friend’s way of trying to tell you that something is wrong. We fear being judged and hence it is sometimes very difficult to speak openly about facing domestic abuse. If you feel a friend is being domestically abused, encourage her to share her problems with you.
- Her finances and personal choices are not controlled by her: Domestic abuse victims usually have most of their lives controlled by their partners. This includes finances, choice of clothing, social attendance etc.
- The children seem nervous and frequently upset: Children may not say much, but notice a lot. Even if they are not abused, seeing their mother hurt can affect a child and make them moody, withdrawn and upset.
The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles. The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives.
The tell tale signs of a heart attack are as follows:
- Chest pain and discomfort usually described as a tightness or burning in the chest region
- Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
- Nausea and vomiting
- Profuse sweating
- Difficulty breathing
- Dizzy or fuzzy feeling
- Tired, extreme fatigue
- Anxious, apprehensive feeling
However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.
Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis. In addition to a detailed examination and history, the following two tests will be performed.
- Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
- Blood tests: Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack. A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
- In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function.
- Dissolve the clot: Using thrombolytics like clopidogrel
- Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
- Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
- Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
- Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.
In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.