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Dr. Ajay Joshi

Gynaecologist, Pune

500 at clinic
Dr. Ajay Joshi Gynaecologist, Pune
500 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Ajay Joshi
Dr. Ajay Joshi is an experienced Gynaecologist in Pimpri, Pune. You can consult Dr. Ajay Joshi at Safalya Nursing Home in Pimpri, Pune. You can book an instant appointment online with Dr. Ajay Joshi on Lybrate.com.

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.

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Safalya Nursing Home

Gurudeep Chamber, Pimpri Station RD, Pimpri,Landmark: Beside Hotel Gokul, PunePune Get Directions
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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.

M.D. homoeopathy, BHMS
Homeopath, Noida
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 develope...
Appreance of menses vary from girl to girl some get at 12 while some at 15. So just wait and watch for two more years. Having sex at such a young age is not recommended as your body is not ready to accept it and that's also when your menses have not started. If possible share your thoughts and concerns with someone elder in the family, preferably your mother, to understand better the implications of early sex and its disadvantages.
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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.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
It give your Hemoglobin concentration in blood and the HbA1c gives a measure of what your average blood glucose level has been in the previous 2–3 months. HbA1c is a diagnostic of diabetes as well, which is confirmed when fasting blood glucose levels are 126 mg/dl or higher on two or more tests.
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Here's How to Eat Lots of Fat and Still Stay Healthy

B.Sc.- Dietitics / Nutrition, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
Here's How to Eat Lots of Fat and Still Stay Healthy

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!

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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!

4883 people found this helpful

Winter Health Tip

BAMS, MD Panchkarma
Ayurveda, Raichur
Winter Health Tip
Ancient indian medicine says: in winter its good to take food which is having sweet, sour, salt taste added with little oil and it is to be lukewarm while eating.
Otherwise persons suffers with vatik disorders like muscle cramps, bodypains, dry skin etc.

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.

MBBS, MS - Obstetrics and Gynaecology
Obstetrician, Warangal
Hello, I had unprotected sex with my bf on 9th Nov, took ipill within 12 hrs, I have irregular periods, got my period...
lybrate-user, period is normal. Symptoms are due to side effect of ipill. If you still have doubt check for urine pregnancy test.
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8 Warning Signs for Silent Domestic Abuse Victims

B.A.(H)Psychology, M.A.Psychology, Ph. D - Psychology
Psychologist, Noida
8 Warning Signs for Silent Domestic Abuse Victims

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.

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
4759 people found this helpful

How to Diagnose and Manage Acute Coronary Syndrome

DM Cardiology
Cardiologist, Delhi
How to Diagnose and Manage Acute Coronary Syndrome

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. 

Symptoms
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.

Diagnosis
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.

  1. 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.
  2. 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.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot: Using thrombolytics like clopidogrel 
  2. Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. 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.

4569 people found this helpful

Hi I had slight bleeding like patches for past 3 days, now it has stopped. I took a hcg home test and got negative. My period was due on 14 March but have never got it. please help me.

BHMS
Homeopath, Bhadrak
Hi I had slight bleeding like patches for past 3 days, now it has stopped. I took a hcg home test and got negative. M...
Pcos can cause irregular bleeding. Rather you should consult with all your reports. It can help both the doctor as well as you. Ou can consult online also.
2 people found this helpful
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I got off my period on Saturday. My general cycle is of 31 days but the last month was 45 days. After I got off my period I had unprotected sex but took an emergency pill. On Wednesday, that is today, I'm bleeding medium again. My periods have been regular before this. Is it something I should worry about?

DGO, MBBS, Advanced Infertility
Gynaecologist, Delhi
I got off my period on Saturday. My general cycle is of 31 days but the last month was 45 days. After I got off my pe...
It seems you have occasional delayed menstrual periods. Normally periods should commence from 23-35th day of the last menstrual date. If you have irregular or delayed pds chances are you have hormone imbalance. Unless we take proper history ; do a thorough checkup and run certain tests we can't ascertain a diagnosis. However ipill intake can sometimes leads to bleeding after 2-7 days. That is not normal period scenario but its withdrawal bleed. You are advised not to overuse intake of ipill. It is an emergency contraceptive and is not to be used more than once in three months and sparingly.
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Hi I am 8 weeks pregnant. I'm having severe back pain. I did conceive 6 months back also but miscarried the baby on 7th week. At that time also I had such back pain and that's why I'm very much worried. Although this time, doctor said that the fetus is doing fine. Last time it wasn't even visible once in sonography. This time it did. But still I'm tensed. Also note that I'm a working woman.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Hi I am 8 weeks pregnant. I'm having severe back pain. I did conceive 6 months back also but miscarried the baby on 7...
Always sit on achair with good back support'you can carry a small pillow to support your lower back. Do not wear high heels. Sleep on a firm surface. Get up from your chair every two hours and take a walk round the office. Eat agood diet and take your medications on time. You should also practice deep breathing in the morning which provides increased oxygen.
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I am 8 weeks pregnant. This is my first pregnancy. My doctor has prescribed to take the FERTIGYN 5000 injection weekly till I am 20 weeks pregnant. I have already taken it for last 4 weeks. I have 2 questions. 1. Is it really required to continue taking the injection or can I discontinue at any time? 2. If I discontinue will there be any side effects on my pregnancy? please help me in this regard.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 8 weeks pregnant. This is my first pregnancy. My doctor has prescribed to take the FERTIGYN 5000 injection weekl...
It varies from doctor to doctor. There is no strong evidence that fertigyn injections support a normal pregnancy in women who are not known to have had any medical/ previous obstetric problems.
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I am a 29 year old lady and planning to get married next February. By March I will be 30. What problem may I face while conceiving as I will be 30 already.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am a 29 year old lady and planning to get married next February. By March I will be 30. What problem may I face whi...
30 years is the perfect age to get pregnant, but make sure you do not delay in getting pregnant and do not use any contraceptive after the marriage.
1 person found this helpful
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How to make vagina hole small I am going to marry but I had done sex with my boyfriend ut wouldn't be good. For my marriage if my husband knows it how to make hole small so that he doesn't come to know.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
Dear lybrate-user for your need surgery is advised as that is the only sure procedure which gives you adequate results.
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I have pregnancy of four months. In my first scan. I got I have multiple gallbladder stones. Is there any remedy to remove this stones except operation? Can you tell me some another way?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have pregnancy of four months. In my first scan. I got I have multiple gallbladder stones. Is there any remedy to r...
Unless they r causing pain in the abdomen which is not relieved by medicines and if causing repeated infection there, then there is no need to operate on gall stones. There is no medicine during pregnancy which can dissolve these stones.
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Delivered baby boy on 16/12/2016 by C-SECTION. Haven't got my period yet from last 5 month.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Delivered baby boy on 16/12/2016 by C-SECTION. Haven't got my period yet from last 5 month.
It is common not to get period when breast feeding is going on. So during this time it is important to use reliable family planning method so that either you are not worried about pregnancy now and then or not to miss diagnosing pregnancy early.
1 person found this helpful
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Hi, My weight is increasing rapidly and I have no energy and my periods get late usually by 2-3 months. Its been a constant problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Hi,
My weight is increasing rapidly and I have no energy and my periods get late usually by 2-3 months. Its been a co...
follow periods paricharya during period days avoid heavy food heavy work bathing traveling exercise during period days 1/2 strength exercise in morning will be beneficial eat home made easily digestable food only avoid outside food avoid day time sleeping and late night jagaran avoid freeze stored food basi food two time heated food etc consult privetly for correction in diet medications
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I am having vaginal burning since 10 -12 days, what is d reason behind dis. And hw to get rid of dis?

GAMS-AYURVEDA, MD-TCM
Sexologist, Faridabad
Ms. Lybrate-user your personal problems in vaginal infection and white discharge avoid the alcohol and fast food and porn movie and stop regular basis masturbation use only herbal remedies and home remedies for dahi lemon juice mixed 1 rasayan kalap powder one tea spon 2 l 7 cap 2 bd 3 norflox 400 mg tab one bd 4 locally use for fitkire powder with water dosh the vagina.
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This month i.e. June itself I had periods two times. First time date was 14th june and second its 1st july. So I want to know why its so frequently?

DHMS (Hons.)
Homeopath, Patna
This month i.e. June itself I had periods two times. First time date was 14th june and second its 1st july. So I want...
Hello, Menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in  ,delayed, painful,excess / less & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins diluting your blood to establish your flow.  * go for meditation to reduce your stress, anxiety to calm your nerve ,improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to avoid gastritis  •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach, to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, being gentle, rapid & safe in administration. @ Pulsatilla 30-6 pills, thrice. @ Sepia200 -6 pills at bed time. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
1 person found this helpful
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I am having problem of pcod and I am now pregnant its the first month I used preganews to know it what care should I take.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am having problem of pcod and I am now pregnant its the first month I used preganews to know it what care should I ...
Hello, Below are a few tips that you should follow to have a safe pregnancy: 1) Drink plenty of water to stay hydrated. Say no to coffee. 2) Have a healthy diet for a healthy body weight. Avoid fried foods. 3) Take adequate sleep 4) Refrain from sugary foods to keep your body's insulin levels in control. 5) Stay active 6) Take vitamin and calcium supplements on daily basis
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I am 30 years old male, I got married on 15 march this year. Its almost 2.5 months. My wife is not getting pregnant please guide.

Sexologist, Jodhpur
sex during right days will increase chances of pregnancy. try regular sex between 10-17 days after periods.
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