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Dr. Anil Gugale

Gynaecologist, Pune

Dr. Anil Gugale Gynaecologist, Pune
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Anil Gugale
Dr. Anil Gugale is one of the best Gynaecologists in sangvi, Pune. You can visit him at Tanushree Hospital in sangvi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Anil Gugale on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 39 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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Shinde Nagar, Hirakani Soc. Road, Sangvi, Landmark: Tulja Bhavani Mandir, PunePune Get Directions
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Give anti-hypertensive drugs at night

C.S.C, D.C.H, M.B.B.S
General Physician
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Anti-hypertensive drugs should be taken at night.

Uncontrolled blood pressure can lead to heart attacks, paralysis and heart failure. Most such attacks occur in the early morning hours. Pulse, blood pressure and thickening of platelets are all higher in the early morning hours.

Controlling early morning blood pressure can reduce cardiovascular mortality.

Among patients with chronic kidney disease and high blood pressure, taking at least one antihypertensive drug at bedtime significantly improves blood pressure control, with an associated decrease in risk for cardiovascular events, according to a study published in the Journal of the American Society of Nephrology.

The study included 661 patients with chronic kidney disease who were randomly assigned either to take all prescribed anti BP drugs on awakening or to take at least one of them at bedtime. Patients were followed for a median of 5.4 years; during that time, patients who took at least one BP–lowering drug at bedtime had approximately one third of the cardiac risk compared with those who took all medications on awakening.

A similar significant reduction in cardiac deaths, heart attacks and paralysis was noted with bedtime dosing. Patients taking their medications at bedtime also had a significantly lower mean BP while sleeping.

For each 5 mmHg decrease in mean sleep–time systolic upper BP, there was a 14% reduction in the risk for cardiovascular events during follow–up.

Potential explanation for the benefit of night time treatment may be associated with the effect of night time treatment on urinary albumin excretion levels. Urinary albumin excretion is significantly reduced after bedtime, but not morning, treatment.
Give anti-hypertensive drugs at night
57 people found this helpful

Which days are the best to make wife pregnant. How many days we have to intercourse.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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Which days are the best to make wife pregnant. How many days we have to intercourse.
Mid cycle if she has 28 days regular cycles. 9 days after her periods starts for another 9 days every day or on alternate days.

Hi. My follicle growth is 14 mm n 11 mm on 18 th day. After the usage of siphene n injections. Doctor has given me hmg on this size. Will it help in pregnancy.

MD - Obstetrics & Gynaecology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Gynaecologist
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Hi. My follicle growth is 14 mm n 11 mm on 18 th day. After the usage of siphene n injections. Doctor has given me hm...
HELLO there, If you have 28 days between periods ovulation typically happens on day 14, and the most fertile days are days 12, 13, 14. A normal mature follicle that is ready to ovulate and conceive is 18 to 30 mm.
1 person found this helpful

Best folic acid in pregnancy?

MS - Obstetrics and Gynaecology
Gynaecologist
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Best folic acid in pregnancy?
Hi, tab. Macfolate, tab. Sysfol-active are some of the best brand available in india. My personal advice is to take foods rich in folate along with folic acid supplements. These are dark green vegetables e. G. Spinach, methi, radish leaves, peas, corn, cauliflower. Turnips greens, beetroot, mustard greens & ladyfingers. Besides folate, these foods also provide many other nutrients which are good for mother& baby.

Mere 1 ladki hone ke bad vapas me pregnancy nahi ho rahi.Kya karu?

Advanced Aesthetics
Ayurveda
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Mere 1 ladki hone ke bad vapas me pregnancy nahi ho rahi.Kya karu?
Aapka age kya hai aur aapke husband ke age sab detail me message karo. Solution batayenge aapko if you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. You? re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it? s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there? s always sperm waiting in the fallopian tubes to meet the egg when it? s released. Any queries consult privately.

I had ipill period after 5-6 days after having ipill but also I had a lot of bloating acne and upset stomach for sometime. I have missed my period having Back ache and the side of my ovaries pain a lot please help Doctor.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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I had ipill period after 5-6 days after having ipill but also I had a lot of bloating acne and upset stomach for some...
These are side effects of ipill available routinely to help women in emergency but not to be abused as a routine medicine. Get pregnancy test done. Tons of hormones present in ipill are stored in liver and it will take few days for side effects to be over. Dear girl you are just 18, focus on studies, and if you have to take pills, take low dose oral tabs.

Hi, I had protected sex on 21st of april. I got my regular periods on 4th may. I haven't got my periods this month. I usually get cramps and breast pain. I haven't got any symptoms yet. I'm already delayed by 4 days.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Hi, I had protected sex on 21st of april. I got my regular periods on 4th may. I haven't got my periods this month. I...
If there has been NO sex in May then there is nothing to worry. Just relax and the menses will appear. If you are anxious do a urine pregnancy test on a early morning sample in lab and see. If negative, just wait for some days for menses to come or consult a gynecologist to get medicines for menses

I'm having my periods from past 13-14 days. In the beginning the flow wasn't that heavy but from the past few days its really heavy. Prior to this I was having normal regular menstrual cycle. This irregularity has happened once before and I went to the doctor. She cited the problem as hormonal imbalance and gave me some medicines and it was normal after that.

International Academy of Classical Homeopathy, BHMS
Homeopath
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Hi, take sepia 1m once in a day for 4 days. Actually you need detail case taking accordingly cassical treatment. Inform after 15 days. Take care

I had sex 29 march 2016with my gf. She took unwanted 72 tablet at same day. T. When she will get bleeding. Dose it chances to pregnant without unfailur doges of tablet. Mainly I want to she is pregnant?

MD - Obstetrtics & Gynaecology
Gynaecologist
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With the pill menses can come irregular or can get delayed. If she is missed her menses by 7 days, then she should take urine pregnancy test and keep repeating it every week till she gets menses.

My wife is 3 month pregnant and she has vomiting so help why anything she eat vomits.

MS - Obstetrics and Gynaecology
Gynaecologist
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My wife is 3 month pregnant and she has vomiting so help why anything she eat vomits.
This happens in pregnancy do her thyroid profile usg avoid smelly areas ,have biscuits or toast early morning empty stomach fruits avoid heavy spicy meals ,small feeds multiple times visit gynecologist if vomiting persists.

I am 46 year old and I am having pain in my right ovary. The pain start from ovary and went to whole right leg not on regular basis but sometimes. But in period time the pain became hell. I have done all tests n reports all are normal.

MBBS
General Physician
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I am 46 year old and I am having pain in my right ovary. The pain start from ovary and went to whole right leg not on...
Give hot fomentation on your lower abdomen at the site of pain when it happens and you can take some pain killers to get relief from it
2 people found this helpful

Hello Sir/Mam, I have 3 questions. Please find the below. Q.1 If I have sex without using any protection and at the time of leaking out, if I leaked out. Is there any chances of pregnancy? Q.2 If yes, how can it be avoided? Q.3 If We realise in a month that there is a chance of pregnancy then what can be done to avoid pregnancy?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist
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Hello Sir/Mam, I have 3 questions. Please find the below. Q.1 If I have sex without using any protection and at the t...
V. Use condom to prevent. If leaked then chances r there. Before a month you can go for pregnency test from urine. Can ask lab for testing urine test for pregnency.
1 person found this helpful

How to avoid child while having sex. I want a gap at least 3 to 4 years.

MD - Ayurveda, B.A.M.S , N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda
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How to avoid child while having sex. I want a gap at least 3 to 4 years.
U can go for contraception methods like copper -t or oral pills or male condoms after consultation and what suits you best as a couple.

I have belly after the delivery, what should I do? My husband have a cold one month, he takes doctor advice medicine but still now there no result for tat cold, wat should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Patience is the key. It took nine months for your tummy muscles to stretch to accommodate a full-term baby. So it makes sense that it can take that long, or longer, to tighten up again. The speed and degree of this tightening up depends on a few factors, including: • What shape and size you were before you conceived your baby. • How much weight you gained during pregnancy. • How active you are. • Something you can't do anything about: your genes. You may find it easier to shed the weight if: • You gained less than 13.6kg and exercised regularly during pregnancy. • You breastfeed. • This is your first baby. NOTE you shouldn't aim to be back to your pre-pregnancy weight until about six months after your baby's birth. How can you safely lose weight to help your belly look better? Breastfeeding may help, especially in the early months after giving birth. If you breastfeed, you'll burn extra calories to make milk – about 500 calories a day. You may lose your pregnancy weight more quickly than mums who bottle-feed their babies. Breastfeeding also triggers contractions that help to shrink your womb, making it a workout for your whole body. However, if you eat more than you burn off, you will put on weight, even if you breastfeed. It's fine to lose weight while you are breastfeeding. Your body is very efficient at making milk, and losing up to 1kg a week shouldn't affect the amount of milk you make. However, if you have a newborn to look after, you'll need plenty of energy. Trying to lose weight too soon after giving birth may delay your recovery and make you feel even more tired. It’s especially important not to attempt a very low-calorie diet. So try to wait until you've had your postnatal check before start trying to lose weight. Eating healthily, combined with gentle exercise, will help you to get in shape. The following general guidelines will help you to achieve and maintain a healthy weight: • Make time for breakfast. • Eat at least five portions of fruit and vegetables a day. • Include plenty of fibre-rich foods, such as oats, beans, lentils, grains and seeds, in your diet. • Include a starchy food such as bread, rice, pasta (preferably wholegrain varieties for added fibre) or potatoes in each meal. • Go easy on high-fat and high-sugar foods, such as biscuits and cakes. • Watch your portions at mealtimes and the number and type of snacks you eat between meals. There's no right answer about how many calories a day you should have. The amount you need to eat depends on your weight and how active you are. What else can you do to help regain your pre-pregnancy belly? Exercise can help to tone stomach muscles and burn calories. If you exercised right up until the end of your pregnancy, you can do some light exercise and stretching from the start. If you stopped exercising during your pregnancy or are a newcomer to fitness, it is better to start exercising more slowly. Fitness aside, all new mums can begin pelvic floor exercises and work on gently toning up lower tummy muscles as soon as they feel ready. This may help you to get back to your pre-pregnancy shape and help to flatten your tummy. When you feel up to it, take your baby out for walks in his pushchair. Getting out and about will help to lift your mood and exercise your body gently. You may find there are pushchair workouts with other new mums in your local park.

I have sis on my ovaries and after making baby my period irregular is that normal.

DHMS (Hons.)
Homeopath
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I have sis on my ovaries and after making baby my period irregular is that normal.
Y of Hello, Lybrate user, Actually upto 6 months after delivery, possibility of irregularity of period may occur. Cyst in overy may be one of the main reasons of irregularity of period, Moreover, Menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 30-6 pills, thrice a day. * 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

I am 20 years old and I had sex with my guy on 3rd feb and I was getting down regularly till 30 april that was my last periods and after that for two months I am not getting down is this pregnancy?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Hi Lyberate user. Its unlikely that you are pregnant if there has been no intercourse after feb incident. Once you have a period after a an episode of intercourse its unlikely to be pregnant. However if you have been sexually active after that its possible that you might be pregnant. Please do a home pregnancy test and confirm.
2 people found this helpful

I get married 6 year before, I have a son and my breast is very loose and become small. how can I improve their size and shape.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I get married 6 year before, I have a son and my breast is very loose and become small. how can I improve their size ...
Some exercises of chest, stretch sideways and Yoga postures help development of mammary glands and surrounding muscles. Some Ayurvedic oils also help in development if breasts. Estrogenic foods such as chicken head soup, eggs, legumes, nuts , olive oil, sunflower seeds help in it.
1 person found this helpful

Avoid these foods during pregnancy

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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Foods which include soft cheese like camembert or brie, raw seafood and sushi, pate, ready made salads, and cold delicatessen meat should not be consumed during pregnancy as they can cause listeria, a food-borne illness which is very risky for both the mother and the child. Raw meat is also very dangerous to consume. 
Avoid these foods during pregnancy
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