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Dr. Ambikith

Gynaecologist, Pune

300 at clinic
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Dr. Ambikith Gynaecologist, Pune
300 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Ambikith
Dr. Ambikith is a renowned Gynaecologist in Narayan peth, Pune. Doctor is currently practising at Sutika Nursing Home in Narayan peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ambikith on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 25 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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Sutika Nursing Home

S No 252, Narayan Peth,Landmark: Opp Vijay Talkies, PunePune Get Directions
300 at clinic
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We had unprotected sex on 23 rd after that she had taken ipill but no bleeding happened next day as mentioned in ipill box. Now her periods dates were on 23 or 25. But now its 27 and there is no sign of period. Is there anything to worry about or any chance of pregnancy? Please guide

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello you can wait for 3-4 days more and get a pregnancy test done if periods don't come. I pill can also fail some times though rarely.
1 person found this helpful
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Hello sir me and my girlfriend done sex 16 april and after sex she take i-pill witin half hours and after 10 day the periods was done. And few day ago she check pregnancy test it is positive. What we do please tell.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Pregnancy test sometimes give false positive reaction because of sub fraction of beta hcg. Wait for some more time and repeat the test after 2 weeks.
2 people found this helpful
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I had cramped periods last month. And now I have pain in my thighs, waist. Could it be pregnancy?

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
I had cramped periods last month. And now I have pain in my thighs, waist. Could it be pregnancy?
The only sure way to confirm it is to do a blood test for pregnancy and an ultrasound. Please meet a gynaecologist
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My period time is missing, it is not 1st time missing bt now what I should do? 15days or more late.

BHMS
Homeopath, Faridabad
My period time is missing, it is not 1st time missing bt now what I should do? 15days or more late.
Menstrual periods are often irregular during the first few years after menstruation starts. It may take several years for the hormones that control menstruation to reach a balance. Menopause or peri-menopause is the phase when a female again faces irregular menses. Pregnancy is the most common cause of a missed period. If you might be pregnant, treat yourself as if you are pregnant until you know for sure. Use a home pregnancy test as the first step to finding out whether you are pregnant. If you are not pregnant, other causes of missed or irregular periods include: Excessive weight loss or gain. Although low body weight is a common cause of missed or irregular periods, obesity also can cause menstrual problems. Eating disorders, such as anorexia or bulimia. For more information, see the topic Anorexia Nervosa or Bulimia Nervosa. Increased exercise. Missed periods are common in endurance athletes. Emotional stress. Illness. Travel. Medicines such as birth control methods, which may cause lighter, less frequent, more frequent, or skipped periods or no periods at all. Hormone problems. This may cause a change in the levels of the hormones that the body needs to support menstruation. Illegal drug use. Problems with the pelvic organs , such as imperforate hymen, polycystic ovary syndrome, or Asherman's syndrome. Breast-feeding. Many women do not resume regular periods until they have completed breast-feeding. Other diseases such as irritable bowel syndrome, tuberculosis, liver disease, and diabetes can cause missed or irregular periods, although this is rare. Any nutritional deficiency can also lead to Menstrual problem/ irregularity. Management: Take more of green vegetables, nuts, salads, seasonal fruits, yellow coloured veggies, milk & milk products, plenty of water and enough of sleep & rest. Medication: Take homoeopathic medication – Schwabe's Five Phos. And Alfaalfa Tonic – both thrice daily for 1 month. Thereafter revert me back..take care.
3 people found this helpful
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I am having a menstrual problem. I don't get my periods regularly and when I get them, I get bleeding upto 20-25 days. But this time, its 40 days and still I am bleeding. Please kindly give me some solution to this problem of mine.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Yog and Ayurveda
Ayurveda, Navi Mumbai
I am having a menstrual problem. I don't get my periods regularly and when I get them, I get bleeding upto 20-25 days...
Dear Lybrate user, bleeding for this much Long time is really a serious concern. please visit a nearby doctor for the treatment of the same. please do these investigations before visit. 1)USG FULL ABDOMEN you might be suffering from uterine fibroid. Use ashokarishta 15 ml with water: twice day after food feel free to consult privately for further information and complete treatment of the same.
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I had iui on 14 th of this month from yesterday light bleeding was there today bleeding increase blood clots there I am depressed. Is it normal period. But my actual date is 4 th Feb.

DNB (Diplomate of National Board of Examinations ), DGO (Diploma in Obstetrics & Gynaecology)
Gynaecologist, Mumbai
I had iui on 14 th of this month from yesterday light bleeding was there today bleeding increase blood clots there I ...
Hi, may be because you might have progesterone deficiency, bleeding occurred or more requirement. Talk to your gynaec again.
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I am 25 years old and having son of 6 months, incidently I got pregnant again but I dont want it right now as my baby is too little. What to do? is there any medicine for aborting my pregnancy?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Hi shivani. Wt is the date of your last menses. You can take pills under the guidance of a gynaecologist.
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21st june is my 1st day of my last periods date, on 25th june over my periods, then on 5th july I start intercourse with my partner then on 7th july ,9th july ,11th july 15th july .SO MY QUESTION IS THIS .IS I AM present. I AM PLANNING FOR BABY.

MBBS
General Physician, Chandigarh
21st june is my 1st day of my last periods date, on 25th june over my periods, then on 5th july I start intercourse w...
It depends upon what is the cycle duration of your periods if it is above 39 days then these dates are ok but if cycles are shorter than 40 days then you are late your over Latino occured almost two weeks before your coming cycle counting starting of the periods as day one
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Simple Healthy Habits to Remain Fit

Diploma in Diet and Nutrition, M.Sc - Psychology, BHMS
Homeopath, Delhi
Simple Healthy Habits to Remain Fit

To remain fit and free from diseases, it is not just enough to make healthy lifestyle choices, but one should also make a conscious effort to convert these choices into regular habits. Healthy habits make our lives happier, reduce stress and help in keeping body and mind fit.

You can enrich your life by adding these habits to your life:

1. Exercise regularly - Starting a regular exercise regimen can help you in getting fit. Apart from the physical benefits, exercise helps release endorphins in the body which are also known as the feel-good hormone as they make you happier.

2. Eat a healthy breakfast - The breakfast is the first meal of the day, so eating a nutritious breakfast that contains a healthy balance of carbohydrates, protein and fibre will keep you satiated and provide energy. Eating breakfast also helps to curb binge eating which may promote weight gain.

3. Stop smoking - Smoking can cause damage to the cardiovascular system in the body which can lead to increased chances of blood pressure problems.

4. Take the stairs - Using the stairs instead of the elevator burns more calories and also increases your aerobic fitness.

5. Avoid the phone before bedtime - If you use your phone before you go to sleep, then it can harm your quality of sleep. The light of the phone screen contains certain wavelengths which disrupt the hormone melatonin that is responsible for regulating sleep.

6. Meditate regularly - Meditating on a regular basis reduces stress, enhances your concentration and promotes overall well-being.

7. Avoid processed foods - Eating natural foods such as fruits and vegetables reduces chances of gaining weight and getting affected by disorders of the digestive system. It also helps in improving the health of your skin.

8. Drink green tea - Green tea is packed with antioxidants and nutrients which restrict the formation of free radicals. It also increases the metabolic rate of the body which can cause fat loss.

9. Do balancing exercises - Simply standing on one leg for 10 seconds can enhance your mobility and balance which will be beneficial for you in carrying out your everyday movements.

Tip: 3 Ways to Delay Onset of Schizophrenia?

6628 people found this helpful

Hirsutism - 4 Ways it Can be Treated!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Hirsutism - 4 Ways it Can be Treated!

There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.

What is Hirsutism?

Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.

Why do some women develop Hirsutism?

In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.

Causes of Hirsutism

The common causes of hirsutism include:

1. Endocrine causes

  • Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS (polycystic ovarian syndrome).
  • Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
  • Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.

2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens

3. Medications

  • Long term steroid consumption (commonly used for immunosuppression, rheumatoid arthritis, and multiple sclerosis)
  • Performance enhancing drugs (often used by athletes)

4. Idiopathic - The woman may be having hirsutism despite normal hormone levels

Treatments

There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.

Medical treatments for hirsutism -

1. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.

2. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.

- Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.

- Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.

- Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.

However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.

3. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.

4. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.

Cosmetic treatment for hirsutism -

One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.

Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA. If you wish to discuss about any specific problem, you can consult a dermatologist.

4029 people found this helpful

Hi I am a dentist age is 43. I am having vaginal discharge can you pls tell me the permanent solution.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
You can take bc - 13 / 4 tabs thrice a day for one month. Revert back after one month with feedback.
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My wife had a missed abortion on 30th dec 2015. She had one in may 2013 as well. Recent miscarriage occuerd bfor 5 weeks, no fetal heart activity was seen, jst before it happened she had a delayed cycle. Nobody in her family is having diabetes or had recurrent miscarriages. She is regularly taking thyronorm 50 tabs as advised after first missed abortion. Now she has advised to get her krayotyping.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Anembryonic gestation can be idiopathic where heart beat doesn't arrive so as such its not an indication for any intervention but a karyotyping can be planned for safety.
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I have never done sex with my girlfriend either she had. Now both want to do sex with each other before marriage, so what type of precaution should follow if we do not want baby this time. Please help us tell every step for precaution. Thanking you in advance.

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
I have never done sex with my girlfriend either she had. Now both want to do sex with each other before marriage, so ...
First you both keep hygine of your sexual organ, alway do protected sex with condom only, do not overrush in overexcitemenr, go slow and steady, let your girlfriend lead u, do not worry for performance but for mutul happinesss, never boast in front of anybody about intercourse, this a secret between you and lady for lifetime.
3 people found this helpful
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My question is if I have unprotected sex and he comes inside and the same day I start birth control is there any chance I could be pregnant?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
My question is if I have unprotected sex and he comes inside and the same day I start birth control is there any chan...
That will depend on as which day of menstrual cycle you are into. As pills if started from day 2/day 3 are most effective.
1 person found this helpful
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Hi doctor I am 8 month pregnant and from last 2 3 days I am feeling pain in my abdominal stomach and back pain. The pain increases in the morning and night and sometimes I hv vaginal water discharge.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi doctor I am 8 month pregnant and from last 2 3 days I am feeling pain in my abdominal stomach and back pain. The p...
Hello, mild abdominal pain and back pain is often common at 8th month due to pressure of the uterus but if there is a vaginal discharge then there can be a possible vaginal infection which should be ruled out with a high vaginal swab culture.
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Hi, I am 19 years old. 5 days back I just removed my sperm on my g.f vagina bt upper means still we do not do proper sex any time. So I want to ask whether she has chance to get pregnant please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
Hi, I am 19 years old. 5 days back I just removed my sperm on my g.f vagina bt upper means still we do not do proper ...
If you discharge in her vagina there may be chances of pregnancy. Confirm it by preg colour card test after six wks if period missed. And take protection before sex.
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Yesterday I had sex with an prostitute without wearing a condom. Now I am feeling afraid on that incident ,even I kissed on her lips and touched her tongue with my tongue. Is there would be anything problem to me. This was my life's first sex activity which I had done this at present on my 28 year's of my age. Pls suggest me a full detail regarding the questions I had kept before you? I will be waiting for the reply Waiting for the reply?

MBBS, PG Diploma in HIV Medicine
General Physician,
Commercial sex work is the most prevalent mode of hiv transmission in india. We can't decide your hiv infected status unless we knew the hiv status of your partner. Hiv is present in almost all secretions of the body. But blood, semen, vaginal secretions, pleural and peritoneal fluids are more associated with the transmission because of the high viral load. Test for 4th generation elisa after 4 days of intercourse. If the test is uncertain then you need to go for hiv viral load which is costly. Even the test is negative you need to be tested for hiv antibodies at 28th day and 3rd, 6th and 12 months for final confirmation. Contact if need further assistance.
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I am 28 years old and this is my first pregnancy 7th month. Is it safe to get facial during pregnancy.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 28 years old and this is my first pregnancy 7th month. Is it safe to get facial during pregnancy.
Anitha it's absolutely safe to have herbal facial during pregnancy. Please avoid chemical lik bleach.
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