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Dr. Alka  Ranade  - Gynaecologist, Pune

Dr. Alka Ranade

MBBS, MD - Obstetrics & Gynaecology

Gynaecologist, Pune

31 Years Experience  ·  500 at clinic
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Dr. Alka Ranade MBBS, MD - Obstetrics & Gynaecology Gynaecologist, Pune
31 Years Experience  ·  500 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Alka Ranade
Dr. Alka Ranade is a renowned Gynaecologist in Kothrud, Pune. She has over 31 years of experience as a Gynaecologist. She is a MBBS, MD - Obstetrics & Gynaecology . You can meet Dr. Alka Ranade personally at Shashwat Hospital in Kothrud, Pune. Book an appointment online with Dr. Alka Ranade on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. Find the best Gynaecologists online in Pune. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Indira Gandhi Medical college - Nagpur - 1986
MD - Obstetrics & Gynaecology - Indira Gandhi Medical college - Nagpur - 1989
Professional Memberships
Indian Medical Association (IMA)
Federation of Obstetric and Gynaecological Societies of India (FOGSI)
Pune OBGY Society

Location

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Shashwat Hospital

S No 22, Happy Colony, Near Prithvi Hotel, Kothrud.Pune Get Directions
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SARA Health Care

Office No. 10, SPANDAN, Popular Nagar, Landmark: Near Axis Bank, PunePune Get Directions
500 at clinic
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Shashwat Hospital

#22, Palavi Prime, Happy Colony Landmark : Near Prathvi HotelPune Get Directions
500 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Good afternoon Actually I want to know that if someone have less number of counts in him for getting conceive, is it possible to increase the counts? If yes then how many days takes this process?? Thanking you in the anticipation.

MBBS
General Physician, Faridabad
Good afternoon
Actually I want to know that if someone have less number of counts in him for getting conceive, is it ...
eat five food to increase sperm count,Red peppers, carrots, oatmeal, dried apricots The vitamin A in these foods help grow healthy sperm and improve male fertility. “Deficiencies in vitamin A in men have been linked to lowered fertility due to sluggish sperm, To increase sperm count and motility, eat dark green lettuce, broccoli, spinach, sweet potatoes, and dairy fortified with vitamin A.
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She has too much pain in her periods, more than enough. Even she can't stand & sit properly. Since last year she used to have some pills to reduce pain. Bt from last 2 months she left all the medicines. Please consult some remedies to reduce pain. Is it true that using pills in periods can lead to problems in future or she should use her medicines.

MD - Homeopathy, BHMS
Homeopath, Vadodara
She has too much pain in her periods, more than enough. Even she can't stand & sit properly. Since last year she used...
This is known as Dysmenorrhea... and usually it gets relieved in many instance after first pregnancy... But waiting till then is not a wise decision and you should think of homoeopathic prescription... The only issue is over the counter prescriptions are not always successful then a medicine given after detailed case study... Advise is to consult with proper details... Till then you may try giving her homoeopathic medicine Viburnum Opulus 30 TDS for 10 days... and see if it helps...
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I also done urine test but I got negative results then why she is missing her period.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I also done urine test but I got negative results then why she is missing her period.
pregnancy is not the only cause of missing periods.. please check for hormonal imbalance and thyroid problems
3 people found this helpful
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Hi We have married 3 years back & we don't have child, 1st report showed my sperm count below 1 lakh & 2nd report showed zero, in this case what I have to do.

BAMS
Ayurveda, Bangalore
Hi We have married 3 years back & we don't have child, 1st report showed my sperm count below 1 lakh & 2nd report sho...
Hi, Consult a good andrologist and try to find out the cause for low sperm count and whether you can be treated successsfully. Otherwise, you may have to opt for assisted conception or adoption.
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Baker Cyst

Senior Registrar/ Research Associate, MS - Orthopaedics, MBBS, MCh. Orthopedics
Orthopedist, Ghaziabad
Baker Cyst

What is Baker Cyst and its causes?
A baker cyst is a swelling in the space behind the knee. It is also known as popliteal cyst. It causes stiffness and knee pain. Baker Cyst is common nowadays and can be caused by virtually any cause of joint swelling. The pain caused by popliteal cyst is more worsens if the patients fully flexes or extends the knee or moves around .The excess joint fluid (synovial fluid) bulges to back of the knee to form the baker cyst. Ostearoarthritis is the most common type of arthritis associated with Baker’s Cyst. And Juvenile arthritis is one of another cause of baker cyst in children. Baker Cysts is more common in females of 40 plus age or above. Baker cysts also can result from cartilage tears which include torn meniscus, rehematoid arthritis and other knee problems.

What are the symptoms of Baker Cyst?
Joint locking, knee pain, swelling and calf pain are some of the symptoms of baker cyst. Swelling or lump behind the knee is more common symptom and this is more evident while standing or performing any activity of knee.

 

5 people found this helpful

IUI (Intrauterine Insemination)- Treatment Option for Infertile Couples

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
IUI (Intrauterine Insemination)- Treatment Option for Infertile Couples

Introduction

When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.

What is needed for pregnancy?

In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina. 

 In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm. 

It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Thus, to summarise, pregnancy requires

  1. Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes
  2. Transport of these sperms through the sperm conducting ducts from testes to penis
  3. Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina
  4. Transport of these sperms from vagina through cervix to the uterus and the tubes
  5. Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries
  6. Pick up of the eggs by the tubes 
  7. Approximation of eggs and the sperms to form the embryo
  8. Transport of embryo from the tubes into the uterus
  9. Acceptance of the embryo by the uterus and its growth

What is Infertility?

 

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor. 

It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%. 

The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage. 

What causes Infertility?

Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned. 

Thus the common causes may be

  1. Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.
  2. Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.
  3. Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.  

In general, what are the treatment options for infertility?

To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress. 

In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.

What is insemination?

Insemination literally means putting semen in a particular place. Various forms of insemination exist in fertility treatment. First one is “Intravaginal Insemination (IVI)”, where the raw semen, collected by the husband can be put inside the vagina, taking precautions (to prevent infection) by the husband himself or by the wife. Rarely, it needs medical assistance from a doctor. It’s usually advised to couples having sexual disorders where full penetrative intercourse is not possible (erectile dysfunction of the husband or very painful intercourse experienced by the wife) or where ejaculation cannot happen during intercourse (a very unusual problem). Thus, the success rate of IVI is no better than natural intercourse (success rate 15% per cycle), for those couples who can manage successful intercourse. 

“Intrauterine Insemination (IUI)” is the treatment where “prepared” semen is put inside the cavity of the uterus, near the Fallopian tubes. Thus, IUI bypasses some hurdles that can cause problems during natural intercourse. The vagina, cervix and the whole length of the uterus are bypassed, putting the sperms near the eggs. Thus it increases the success rate compared to natural intercourse or IVI.

However, to achieve pregnancy after IUI, the female partner must have open tubes, adequate number of eggs produced by ovaries, eggs must be released by the ovaries and sperms must meet the eggs. And, thus nature plays important role, as in natural intercourse.

Please note, we used the word “prepared” semen. In natural intercourse, as mentioned earlier, the dead sperms and bacteria cannot enter the uterus, because cervix prevents their entry. If they are put artificially by IUI inside the uterus, severe reaction can happen. So, after collection, the husband’s semen is processed in the laboratory to remove all those impurities and to select only the best number of healthy and movable sperms and it definitely increases success rates of IUI

When IUI is generally advised?

As you can understand, to perform IUI, there must be minimum number of sperms in the semen, the tubes must be opened, the ovaries must be releasing eggs. If these are present, IUI is usually advised 

  • Less than adequate number of sperm counts, morphology or motility
  • Couples who cannot perform full penetrative intercourse but refuse or unable to conceive by IVI
  • Unexplained infertility- although IVF is better than IUI, but considering the cost, many couples in our country opt for 2-3 cycles of IUI before IVF
  • PCOS and Mild Endometriosis- where natural intercourse or ovulation induction failed
  • Couples in whom only one partner is positive for HIV or Hepatitis B or C- where transmission from one partner to another by unprotected sexual intercourse is not preferable.

What are the tests done before IUI?

The basic infertility evaluation is done before IUI include husband’s semen analysis, assessment of ovarian function (blood tests, ultrasound) and uterus (ultrasound). In some cases, laparoscopy (putting camera to see inside the abdomen by operation) or hysteroscopy (putting camera through vagina inside the uterus, by operation) may be required. Now, if the tubes are blocked, IUI is of no use. So, testing the tubes is advisable before IUI. But some women, who are at low risk of tubal disease (no history of pelvic pain, infection or surgery), one or two cycles of IUI can be done, failing which tubes must be checked by tests like HSG or SSG or in some cases by laparoscopy. 

What IUI actually involves?

In the cycle, in which IUI is planned, the woman is asked to take some medicines (or injections) in particular days of the periods as a part of “ovulation induction”. She is then advised to have ultrasound monitoring (TVS- transvaginal sonogram- where ultrasound probe is placed inside the vagina for better accuracy) to see if eggs are growing in response to the medicines or not. If eggs are growing, IUI is planned in a particular time when the egg(s) is more likely to rupture, so that the tie interval between sperm entry and egg release can be kept as minimum as possible. 

Is ovulation Induction necessary for IUI?

Frankly speaking, IUI can be done without any medicines (as in case of natural intercourse or IVI), which is called “Natural Cycle IUI”, where only TVS monitoring is done to see how the eggs are growing. This may avoid some side effects of ovulation induction (see below) but is associated with low success rate than IUI done along with ovulation induction.

Is TVS necessary before IUI?

TVS is, undoubtedly, uncomfortable for the woman. But it gives better picture than ultrasound done conventionally. Now, the question is, whether ultrasound monitoring is at all needed or not. TVS directs the doctor how eggs are growing and at what number and size and when they are likely to rupture. Moreover, the rupture can also be confirmed by TVS. Again, the uncommon side effect of ovulation induction can be detected by TVS. That is called OHSS (“Ovarian Hyperstimulation Syndrome”) where excessive eggs can grow inside the ovaries and this can lead to collection of fluid inside abdomen and lungs and can turn very serious. Although very rare, it can be detected by TVS and early actions can be taken to prevent the progress of this condition. 

In rare cases, where TVS cannot be done or patient declines, only option is to check urine by LH kit to predict the likely timing of ovulation and at that time IUI is planned. However, it is less accurate than TVS monitoring and is associated with less success.

What, if eggs are not growing in the ovaries?

In some women, particularly those who are overweight, aged or some cases of PCOS, eggs may not respond initially to one medicine. There are various forms of ovulation induction medicines (tablets, injection). If one is not working, your doctor can try increasing the dose of that medicine or add or replace it with other medicines. Please remember, it’s difficult to predict what medicine will be best suited for a particular patient. So, it’s basically a trial and error process.

What is done on the day of IUI?

As timing is important, the couples are requested to stick to the timing, advised by the doctor. The husband will be asked to collect the semen by masturbation, using clean technique (to avoid contamination by germs in the semen container). The semen is then prepared by the embryologist and will be checked to see the final number of sperms and their motility and morphology.

The wife is asked to lie down in the IUI table. After cleaning, a sterile speculum (instruments to separate walls of the vagina to see the cervix) is introduced inside the vagina and then 0.4-0.6 ml of the prepared semen is inserted inside the uterus with the help of a small catheter (fine tube). IUI done, under ultrasound guidance, gives better result than IUI done without it. The patient is asked to lie down few minutes after taking out the catheter and the speculum. The medicines are advised and then they can go home.  

Is IUI painful?

Most women feel little discomfort during IUI but it should not be painful. If there is technical difficulty while putting catheter inside the uterus, your doctor will discuss it with you and in the next cycle, will plan management to solve this issue.

What happens if husband cannot collect semen?

Collection of semen in unfamiliar environment is understandably a matter of discomfort and seems awkward. Proper counseling and maintenance of privacy can help. Stress-free approach is needed. If it fails, do not hesitate to inform your doctor. Some medicines can help. But in those, who are unable to masturbate, there are some instruments, like ejaculator, can help to solve this problem.

What happens if sperm count is low?

IUI can be successful if sperm count is minimum more than 5 million per ml and there is reasonably good morphology and motility. If not, IVF or ICSI would be the better option. But IUI can serve as trial also. That means before putting the semen, the prepared sperms can be examined and it can be predicted what is the success rate of IUI in this particular case and whether IVF or ICSI would be needed. In rare occasions, where sperm count is extremely low but the couple do not wish for IVF or ICSI, pooled semen IUI can help- where the semen is collected in number of occasions and is preserved and the final pool is used for insemination, to give a reasonable success rate.

When donor sperm is used and how?

If a man does not have any sperms or too few sperms to do IUI, IVF or ICSI is not affordable, donor IUI is an alternative. But it is not done without consent from both husband and wife. The donor is not known to the couple or the doctor and no identity of the donor is revealed. No relative or friend can serve as donor. Donor semen is frozen semen, collected 6 months ago and the donor is tested for diseases like STD, HIV, Hepatitis B or C. Usual attempt is taken to chose donor having blood group and skin colour similar to those of the husband. But remember, it’s only given after discussion and written consent by the couple. 

Can a couple have intercourse in the cycle where IUI is advised?

Intercourse around IUI increases the number of sperms available at the time of ovulation.

When should one check for pregnancy?

Usually if period does not come within 18 days after IUI, pregnancy test is advised. It can be done at home. If negative, then the cause of not having periods is sorted out.

What is the chance of success after IUI?

In one cycle, chance of success is around 20-25%. Most of the couples conceive after 3rd or 4th cycle of IUI. The chance of pregnancy after 6th cycle is low, so, usually IUI beyond 6 cycles is not advised.

The factors where IUI gives better results include unexplained infertility, sexual dysfunction of any of the partner, PCOS and male subfertility (low sperm count or motility)

What happens if IUI fails?

As said earlier, you should think about further treatment, if 3rd or 4th cycle of IUI fails. There is no use of doing IUI beyond 6 cycles, unless natural intercourse is not possible and the age is favourable. IVF gives better result. 

Is there any harmful effect of IUI?

Very few harmful effects have been noted, for examples, hazards of ovulation induction (OHSS< twin pregnancy), pain, infection and discomfort. As mentined, if raw semen is given, unusual allergic reaction can happen.

How IUI is being done in your particular centre by Dr Sujoy Dasgupta?

We believe in patient’s autonomy. So we want to give time on discussion and presentation of facts and figures to the couples. We encourage questions from the couples and take utmost care so that no question remains unanswered.

We do not take decisions and impose it on the couples. We advise the couples to take time before taking decision on a particular treatment. If the couple decides, we respect and support their decision.

We try to take nominal charges and help couples to collect medicines (particularly injections) at lower prices than MRPs.

After thorough evaluation of both the partners, we plan for ovulation induction drugs, with consent from them and advise them to come for TVS. After each day TVS, we explain the progress and probable timing of IUI.

On the day of IUI, after requesting the couple to maintain punctuality, we advise the husband to collect semen, in comfortable atmosphere, maintaining the privacy. If there is problem in semen collection, we provide support to him and address his issues in sensitive way.

Our expert trained embryologist then prepares the semen. We always encourage the couples to see the condition of raw and prepared semen under microscope to maintain the transparency. 

We advise the woman to fill up the bladder (to take water and not to urinate) to facilitate the passage of IUI catheter. Unlike other places, we perform IUI inside OT to prevent unwanted infection. 

Again we maintain our uniqueness in the sense that we perform it under ultrasound guidance. The ultrasound guidance has been scientifically proved to increase the success rate of IUI. Moreover, we show the woman in the ultrasound (real time) how the catheter has been put inside the uterus (to make sure that we are not doing IVI or have placed it in wrong position). This also helps to reduce patient’s anxiety and uncertainty. After that, our nurse takes care of the patient and observes her when she takes rest. 

Then we advise the post-IUI medicines and advise them what to expect and when they can go home. Again, this time we try to answer all questions the couples can ask.

 

Conclusion

Infertility is a peculiar thing. Very few men or women are absolutely infertile. That means they do not have ability to achieve pregnancy naturally. Majority of them are subfertile. That means most of them have lower than normal chance (compared to healthy couples) to achieve pregnancy in a normal menstrual cycle. Often we find that patients planning for treatment and in the mean time, they conceive naturally. That means even without treatment, there is some chance of pregnancy. Of course, it’s stressful situation for both the partners. Stress affects conjugal relationships and lead to many couples avoiding conjugal life. Indeed stress can affect the hormone levels in females and affects sexual performances in males. It’s easier for us to advise you to stay stress-free but is difficult to practice. Nevertheless, try relaxation as much as possible. Think that majority of the couples ultimately conceive by some form of treatment. Have faith in yourself and have faith in your doctor.

29 people found this helpful

Hi I am 26 yrs old and married I am having irregular periods and heavy bleeding since sep 2014 I also have taken proper treatment after that. Which was 3 months but after 2 months I am having d same condition just as before.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi mam, Our pathy will give you permanent cure. Please read carefully. You have come here to get well. We are here to select the possible medicine for you. In order to do that, we depend on your co-operation. Homoeopathic medicine is mainly selected on the symptoms you give us. If we are to make a successful prescription, we must know all the details of your sickness. You can try hamamelis varg. Q 10 drops thrice day. Also sepia 1m single dose. You may give detail case will be much better to prescribe accordingly classical homeopathy. T. C. Thanks.
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Can I drink green tea during pregnancy? How much tea/ coffee intake is permissible during pregnancy? I am in 4 th month of pregnancy.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Can I drink green tea during pregnancy? How much tea/ coffee intake is permissible during pregnancy? I am in 4 th mon...
Hi Himani you can drink green tea it is safe in pregnancy. It is better to avoid tea or coffee in pregnancy. You can take tea once a day if you can't avoid.
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Sir my mom is suffering from breast tumor and 2 nd time she got operated. In july 2015. And now she got weakness in whole body. And itching where she was operated. Guide me what to eat to cure her weakness.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi along with multivitamin (zincovit) once daily, high protein diet like milk, milk products cheeze, butter, eggs, green leafy veg, chip pies jaggery mung will help a lot dear thanks regards hope for her best & early recovery dear thanks regards.
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I want to have sex without condoms and she have not to get pregnant at the same time.what should I do?

M.D. homoeopathy, BHMS
Homeopath, Noida
I want to have sex without condoms and she have not to get pregnant at the same time.what should I do?
You can have intrercourse during her menses and she can be put on oral contraceptives also. Rest is monitoring of menstrual cycle to calculate the safe and unsafe days.
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I have missed my periods from last two months and I have been sexually active but we had safe sex is there any chance of pregnancy? I have been having irregular periods from 7-8 months bt missed fr 2 months for the first time.

BAMS
Ayurveda, Bangalore
I have missed my periods from last two months and I have been sexually active but we had safe sex is there any chance...
Hi, Please undergo urine test for pregnancy at the earliest. If it is positive, then consult the doctor. But if it is negative, do an U/S scan of the pelvis to rule out PCOD.
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I had a unprotected sex with my boyfriend and after that I took ipill! Is there change of me becoming pregnant?

MBBS
General Physician, Cuttack
I had a unprotected sex with my boyfriend and after that I took ipill! Is there change of me becoming pregnant?
There is no chance pf pregnancy since you had taken one tablet of I pill within 72 hours of having sex
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IMPROVE YOUR CONCENTRATION

PG Hom, London, BHMS
Homeopath, Mumbai
IMPROVE YOUR CONCENTRATION

with the exams approaching, the pressure increasing and the anxiety reaching the pinnacle; being able to concentrate on what you study and remembering it is the most important concern of the hour.

 Here are some tips which will help you to concentrate on your studies and remember whatever you have studied:-

* keep your cell phone aside. These days, the cell phone addiction has become more difficult to cure than any other addiction. It is better to switch off your cell phone and keep it in a place far from your reach so that you can concentrate on what you are needed to concentrate on rather than what is pulling your attention.

* make a timetable and stick to it. Make a proper schedule of each day which will include what time will you wake up, when you will eat, when you will take a nap etc. Even include what subject and what chapters you will study each day. This will make your revision planned and hassle free.

* take adequate sleep. It is necessary to sleep at least 6 hours in a day even during exams as your brain needs that much time to recuperate from the stress and strain. Studies have shown that taking an adequate sleep of 6 hours in a day, increases productivity and improves your ability to remember what you have studied that day.

* take a short nap after lunch. The grasping ability reduces after eating lunch and hence it is a good habit to take a power nap of 7 to 8 minutes after lunch.

* keep your body properly fed and properly hydrated. There is no specific food that will help you improve your grasping ability. All the foods are important enough to provide the necessary nutrition to your brain and, in turn, improve its grasping and retaining ability.

* lastly, don't over exert yourself. Stress is only going to make you forget what you have read. If possible, perform meditation for 10 to 15 minutes in the day to relax your mind and refresh you for the whole day of studying.

I missed periods and urine test at home reveals m pregnant have two kids and now I am not ready for third want to discard the pregnancy. What medicine can I have without consulting doctor since we live in joint family it would difficult to go to doctor and consult and get medicine Please advice.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I missed periods and urine test at home reveals m pregnant have two kids and now I am not ready for third want to dis...
The medication to be used depends on how long you have been pregnant. Only if you are less than 12 weeks pregnant you could go for medications that can be used at home. But it would be a sincere advice that you visit a gynaecologist, get examined and then go for medical termination of pregnancy. Attempts to abort pregnancy without a doctors advice would do more harm than not. Take care.
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My wife 42, her last LMP 5 may, after that she conceive unluckily, due to nongrowth of fetus she had to undergo abortion on 1 july. She starts MALA D on 10 july as contraceptive, we used condom also. But from the last three days she itself quit Mala d so that mensuration cycle starts during this period of three days we do onetime unprotected sex. Any chance of pregnancy in these days. After abortion and quit contraceptive what will the expectation of mensuration cycle. My wife worries about it and demanding I PILL. What should I do so that her cycle starts immediately.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
My wife 42, her last LMP 5 may, after that she conceive unluckily, due to nongrowth of fetus she had to undergo abort...
Dear lybrate user, she should have completed the course of mala d. Chances of pregnancy are less in your case. If you don't want to take chance, then I pill may be taken. If periods have to start, they will start on their own. One cannot hasten it much.
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Hello Doctor, I got married 4 yrs. But still now I am not pregnant, I have Hypothyroid.please help

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hello Doctor, I got married 4 yrs. But still now I am not pregnant, I have Hypothyroid.please help
To get pregnant you need to have fallopian tubes patent which is checked by hsg test and semen should be adequate quality which is checked by semen analysis. These both tests are done before the treatment of any infertile couple. Once the above tests are normal, then treatment with clomiphene citrate is started with monitoring of egg. You need to consult a good gynecologist who would start proper treatment for u.
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Docter meri frnd ki ek quart h she is in a relationship with a guy us bf ka isse phele bhi sex ho chuka hai kisi aur ladki k sath without condum sex krte waqt female ka lubricating fuild ko discharge hota h chala jata hai male k penis me kya woh hamesha ki liye reh jata h agar reh jata h to if meri frnd apne bf k sth sex krti h to kya us ladki ka lubricating fuild meri frnd k andar ja sacta h sex krte waqt jav uska bf sex karega ya jav sperm ejaculate karega uske andar.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Purane relation ka lubrication fluid male partner mai nahi rehta hai but agar us female ko koi Sexually transmitted infection hua ho to ye infection male partner k through naye female partner mai jaroor aa sakta hai.
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We had unprotected sex on 9th day after her period she had i-pill within 24 hrs after 4 days vaginal bleeding started. Its is here for last 6 days. For how many days it will occur. Should we consult any doctor to stop the bleeding. When to do the pregnancy test.

DNB (Obstetrics and Gynecology), FICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
We had unprotected  sex on 9th day after her period  she had i-pill within 24 hrs after 4 days vaginal bleeding start...
Pregnancy is less likely to occur on day 9 of cycle. Be for bleeding to stop, consult a doctor. That's side effect of ipill. It disturb cycle. Don't make it routine to take ipill rather use proper contraception.
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