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Dr. Anil Warpe

Gynaecologist, Pune

300 at clinic
Dr. Anil Warpe Gynaecologist, Pune
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Anil Warpe
Dr. Anil Warpe is a renowned Gynaecologist in Magarpatta, Pune. You can consult Dr. Anil Warpe at Noble Hospital in Magarpatta, Pune. You can book an instant appointment online with Dr. Anil Warpe on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 36 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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#153, Magarpatta City Road, Hadapsar. Landmark: Next To Magarpatta Bus Stop, PunePune Get Directions
300 at clinic
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Recently I had my pregnancy test nd it was positive. Nw i'm in 15th dy of my pregnancy but nw i'm observing white vaginal discharge. Is der any side effects of vaginal discharge during dis early days of pregnancy.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Recently I had my pregnancy test nd it was positive. Nw i'm in 15th dy of my pregnancy but nw i'm observing white vag...
Hello, White colored discharge is common during pregnancy. However, if it is accompanied with foul or fishy smell or itching, it may be a matter of concern. So in this case, consult your gynaecologist for further evaluation and management. Do regular follow-ups wiht your obstetrician for safe and healthy pregnancy.
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What the Colour of Your Urine Says About Your Health?

DM in Nephrology, MD in Internal Medicine, MBBS
Nephrologist, Ghaziabad
What the Colour of Your Urine Says About Your Health?

Changes in the colour of your urine can reveal important information about your health. If your urine takes on a hue beyond what's normal, it can be indicative of something wrong with your health. In general, the normal urine colour varies from pale yellow to deep yellowish-brown, which is a result of a chemical pigment in the urine called urochrome.

1. Red or Pink

  • When your kidneys, urethra, bladder or any other urinary tract organ gets infected or inflamed, blood cells get leaked into the urine, giving it a red hue. The causes behind the presence of blood can be urinary tract infections, kidney cysts, kidney stones, enlarged prostate and even cancer. Taking blood thinners can also cause you to have blood in your urine.
  • Certain foods like blackberries, rhubarb and beets can cause your urine to turn pink.
  • The use of certain medications like a particular class of antibiotic used in the treatment of tuberculosis can turn your urine red. Likewise, a drug used to numb discomfort in the urinary tract can cause a red/pink discoloration of your urine.

2. Blue or Green

  • The consumption of coloured food dyes containing green or blue pigments can cause you to pass urine of such hues.
  • Certain anti-depressant and anti-inflammatory medications can turn your urine green/blue.
  • A very rare medical condition called familial benign hypercalcemia (fbh), characterised by high levels of calcium in thE blood and low levels of the mineral in the urine can cause your urine to turn blue.
  • Green urine can also occur if your urinary tract gets infected by the pseudomonas bacteria.

3. Dark Brown

  • Having large amounts of these foods - aloe, rhubarb (a type of leafy green) and broad beans can cause you to pass dark brown urine.
  • Certain anti-malarial drugs, laxatives and muscle relaxants can darken the colour of your urine as well.
  • Dark brown urine can also be caused by disorders of the kidney or liver as well as infections of the urinary tract.
  • Injury of the muscle as a result of excessive training can result in dark brown urine.

4. Orange

  • Problems with the bile duct (the duct through which bile from the gall bladder and liver passes before entering the duodenum) or liver along with the passing of light coloured stools can result in orange urine.
  • A cause of orange urine may also be dehydration as fluids bring about a decrease in the concentration of compounds present in the urine.

5. White

  • The presence of calcium or phosphate sediments in the urine can give it a white hue.
  • White urine can also be a result of funguria infection (a form of fungal urinary infection wherein the fungus produces white sediments) or a bacterial infection.

'consult'.

Related Tip: Kidneys Clean Every Minute! Simplest Way To Cleanse Your Kidneys.

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I am 27 year old & I'm planning for baby. Last year I lost my baby due to some unidentified liver problem, now I want another issue, according to medical science is there any test available which can ensure me that my baby will be alright. Pls suggest me what kind of test I should take to get relax.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 27 year old & I'm planning for baby. Last year I lost my baby due to some unidentified liver problem, now I want...
Yes, tests are there. But first and foremost we need to know the exact cause of liver disease that affected the first baby.
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I asked about a very easy problem related to women that what we should do when female of aged 42 is suffering from the problem mild dysplasia and chronic infection in utres.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Mild dysplasia is not worrisome, if total examination has been done. Infection treatment depends on the extent of infection.
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My wife breast is too loose how can I make it tight and what is the reason of breast being loose.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
My wife breast is too loose how can I make it tight and what is the reason of breast being loose.
Hello, Looseness of breasts is attributed to increased breast stimulation and decreased collagen tissue.
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I have vaginal infection, it causes itching, discharge, burning and waiting of vagina. Which is very uncomfortable, I have been applying cream since 2 days but its not working on it, so please tell me about the treatment and causes of that.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hi You need to start treatment for it but first get yourself examined and do fasting blood sugar levels done.
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Hi doctor I'm 25 I had unprotected sex with my bf nd my periods got delayed for 5 days. I took urine test it seems positive. Nd I'm much worried .nw I'm taking monsoon tablets 6 pills per day for 3 days. Will I get my periods. Pls help me.

Fellowship in Pediatric Dermatology, MD - Dermatology , Venereology & Leprosy, DNB (Dermatology)
Dermatologist, Delhi
Hi doctor I'm 25 I had unprotected sex with my bf nd my periods got delayed for 5 days. I took urine test it seems po...
Dear lybrate-user, you will have to wait out for the next periods but since you have taken pills at the right time so should not be a problem. You can repeat a pregnancy test 10 days later from the 1st day you took the pills. Best regards.
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In my follicular study scan report. My right ovary is 18 cc and lift ovary is 20 cc, et is 9 mm. I will conceive or not in this month. 18 cc equal to how many mm.

MD
IVF Specialist, Delhi
In my follicular study scan report. My right ovary is 18 cc and lift ovary is 20 cc, et is 9 mm. I will conceive or n...
Hello, 18 cc does not specify above the follicle. It must have been in mm. Please check the report again and reply.
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5 Unconventional Questions About Vaginal Health

Art - Advance Course Infertility, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
5 Unconventional Questions About Vaginal Health

Ladies, it is important that we must take good care of our body, but most of all we must pay specific attention to the health of our vagina. The vagina is a tube-like muscular structure of the female genital tract that extends from the cervix to the vulva. It is a delicate organ which is prone to injuries and infections. Complications related to urination, menstruation and sexual intercourse, all affect the vaginal health.

Here are five questions associated with vaginal problems that are commonly experienced, but rarely discussed:

  1. Why does it feel itchy before menstruation?: The hormonal cycle reduces the amount of estrogen secreted right before the period starts. This reduces the moisture content of the inner membranes of the vagina; the skin becomes thinner and slightly dry, which can cause itching. However, if the itching and burning sensation is too severe, it could be an infection and should be checked out.
  2. What is the white discharge?: The greasy white discharge is due to the ovulation cycle. It usually occurs once a month because the amount of secretion increases right before ovulation. Some women may experience this discharge more frequently, but it is nothing to worry about unless there is an unpleasant odor. Odorous discharge could be a sign of bacterial infection.
  3. How often should you have a vaginal examination?: You should get a vaginal examination at least once a year. This is important for a general health assessment and the prevention of sexually transmitted diseases. If you are using birth control medication, there might be irregularity in the hormonal cycles and this can lead to a number of conditions, another reason to get an annual vaginal examination.
  4. Does it smell differently at different times?: It usually smells differently for every woman and even that unique smell changes with the cycles of ovulation and menstruation due to changes in the pH level of the vagina. The normal vaginal pH value is between 3.8 and 4.6. Before menstruation, it may smell acidic followed by a bitter smell for a few days after menstruation. It may also smell differently after a workout (due to sweat) or after sex (due to lubrication). However, a foul smell accompanied by discharge, might be a cause for concern.
  5. Why does it feel dry sometimes?: Vaginal dryness is normally experienced by women after the age of 45 or after pregnancy. However, dryness is also common just before menstruation. It also happens in women who use anti-allergy medications or birth control pills because they cause dryness in all the mucous membranes of the body.
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I am 31 year old female. I have leukorrhea problem since I was 15. I have taken homeopathic as well as allopathic medicines for this problem which are of no use. What do I do now? How can I get rid of this problem as I feel tired and irritated at times when it aggravates. Please suggest. Thanks.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, please get a vaginal swab culture does to check for infection and take proper anti fungal or antibacterial medications.
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I got married 2 months ago suggest me best condom and till now i had unprotected sex with my wife are there any chances to her to get pregnant as i have emasculated outside.

MD-Dermatology, MBBS
Sexologist, Pune
Send me details/ and Private consulting Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.200/ through Lybrate/ payment getway. Contact email drrameshm2@gmail.Com/on Mob 09822006427. For your complete health solution by.Dr.Ramesh Maheshwari, MBBS,MD Sexologist Pune.
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Toxins in clothes at risk
The recent study says an initial analysis found thousands of chemicals in the clothes and around 100 chemicals were identified. Exposure to these chemicals increases the risk of allergic dermititis. Some of them are suspected or proved carcinogens and some have aquatic toxicity.
The highest concentration of quinolines and aromatic amines were found in polyester. It is difficult to know if the levels of these harmful substances are hazardous and what effects chemicals in our clothes can have in the long run.
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Hello Dr.  My lady love (unmarried), 29 years old does not have any interest in sex. I tried sexy talk, foreplay but it doesn't excite her. She shows interest once in a six months.  * from last few months I have observed that her vagina doesn't get wet or lubricated.  please suggest some remedies so that she can gain interest in sex once again.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Hello Dr. 
My lady love (unmarried), 29 years old does not have any interest in sex. I tried sexy talk, foreplay but ...
Dear Sagar, sometimes women are not very happy having sex before marriage and coupled with lack of privacy, the vagina can get dry. vaginal lubricants available commonly in the market should help.
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I have a pco syndrome. What is the process for treat with them? may I concieve?

BAMS
General Physician,
Yes you can conceive rule out any family history of thyroid & diabetes. Size & location of cyst. Reply then with reports I will prescribe you medicine by click on private
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I had sex with my boyfriend yesterday and he used a condom and after sex I had also taken an unwanted 72 and I am confused that I am pregnant or not and I do not want to be pregnant so please doctor help me.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
I had sex with my boyfriend yesterday and he used a condom and after sex I had also taken an unwanted 72 and I am con...
Dear lybrate-user, If the condom has not broken and if your vagina has not got in bare contact with your boy friends penis, there is no likelyhood of pregnancy. Taking an I pill will ensure double protection. So donot panic. If you are in regular sexual relationship, suggest using oral contraceptive pills for protection. Hope this helps. Good luck:):)
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Am now 33 weeks of pregnant which week can I take up a scan? Do I ve to take another blood test please advise.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Am now 33 weeks of pregnant which week can I take up a scan? Do I ve to take another blood test please advise.
Yes normally between 34 -35 weeks there is scan done if not done at 32 weeks. Hb and blood sugar is done at this time.
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Took unwanted 72 pill on 7th day of period on 2nd April. It started bleeding to her from last night. Is it abnormal? And what would be her next period date? Reply soon. Thanks.

DGO, MBBS
Gynaecologist, Pune
Took unwanted 72 pill on 7th day of period on 2nd April. It started bleeding to her from last night. Is it abnormal? ...
.it's ok...no problem its withdrawal bleeding bcuz of pill..nxt period all cm on date..or a wks diffrance
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I and my gf had sex on 14 th but I have withdrawal my penis at the time of ejaculation and she did not get menstrual till now is this the accurate symptom of pregnancy? And she is saying that she had sensation that periods are coming but it does not came what to do? Is she is pregnant? If she is pregnant how to stop pregnancy?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I and my gf had sex on 14 th but I have withdrawal my penis at the time of ejaculation and she did not get menstrual ...
First get urine pregnancy test done. If negative then get ultrasound done and if positive then see a gynaec personaly.
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My wife done with HSG TEST past 2 months. After HSG test my wife period is extended to 7 to 10days. This is any problem or not? I unable to calculate ovulation day. Now we are trying to baby. Doctor's please guide me and how to calculate ovulation day's. Thanks in advance.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
My wife done with HSG TEST past 2 months. After HSG test my wife period is extended to 7 to 10days. This is any probl...
It is ok sometimes after HSG some female have prolonged cycles for a month or two. So need not to worry generally ovulation starts from day 8 of cycle till 18th day will be fertile period. After HSG the chances of conceiving increases, so do regular intercourse during fertile period
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Common Types Of Skin Incisions

MD - Dermatology, MBBS
Dermatologist, Delhi
Common Types Of Skin Incisions

Ideally, surgical incisions are primarily designed to allow easy access to the desired areas in addition to possibilities of extension, if required. Further, they should be designed to split muscles rather than cut them, with minimal scarring along with the aim of boosting regenerative and healing qualities.

Incisions can be classified under these three groups; Vertical, Transverse and Oblique incisions.

  • Vertical incision

1. Midline incision: Almost all abdominal incisions can be performed using this technique. Starting from the midline of the abdomen, it can extend all the way down to the umbilicus.

Advantages:
a) Minimal blood loss
b) Minimal nerve injury
c) Minimal muscle injury

Disadvantage:
a) Midline scar

2. Paramedian incision: This technique provides more laterality to midline incisions, allowing access to such lateral organs such as spleen, kidney and adrenals.

Advantages:
a) Easy access to lateral structures
b) Closure between incisions in anterior and posterior sheath is more secure
c) Rectus muscle remains undivided

Disadvantages:
a) More time consuming
b) Difficulty in extension
c) Can result in atrophy of the muscle

3. Mayo-Robson incision: This incision is typically a paramedian incision, but which bend towards the xiphoid process and consequently allows for a larger and wider opening.

  • Transverse incision

1. Transverse incision: This type of incision is made just above the umbilicus, and can dissect either one of the rectal muscles.

Advantages:
a) Least amount of pain and damage
b) Muscular segments can be reattached
c) Easier access to upper GI structures

Disadvantages:
a) Limited lateral access
b) Higher risk of wound infections

2. Subcostal incision: Also referred to as the Kocher subcostal incision, this type of incision starts from the midline and runs parallel to the costal margin. A double Kocher incision is known as a rooftop of Chevron incision and allows for access to the esophagus, kidney, stomach and liver. The Mercedes incision is yet another variant, characterized by a vertical incision from the rooftop incision to form the shape of a Mercedes sign.

Advantages:
a) Heals faster
b) Less risk of post-operative complications

Disadvantage:
a) Lengthy and time-consuming

  • Oblique incisions

They are also known as Thoracoabdominal incisions, these incisions may either be situated in the RUQ or LUQ. They provide entry to the liver, lungs and spleen, as well as to the stomach and esophagus.

  • Laparoscopic incision

This technique comprises of tiny cuts in the skin that allow laparoscopic tools and instrument access into the abdominal cavity

Related Tip: "Caring For Your Incision After Surgery?"

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