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Dr. Anjali Shah

MD - Ayurveda

Gynaecologist, Pune

40 Years Experience
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Dr. Anjali Shah MD - Ayurveda Gynaecologist, Pune
40 Years Experience
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Anjali Shah
Dr. Anjali Shah is one of the best Gynaecologists in Hadapsar, Pune. She has helped numerous patients in her 40 years of experience as a Gynaecologist. She is a qualified MD - Ayurveda . You can consult Dr. Anjali Shah at Kerala Ayurveda treatment centre in Hadapsar, Pune. Book an appointment online with Dr. Anjali Shah on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 44 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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Education
MD - Ayurveda - University of Pune - 1977
Languages spoken
English
Hindi

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Kerala Ayurveda treatment centre

Magar Patta, Munduwa Road,land mark behind SBI Hadapsar Pune Get Directions
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Medical Abortion With Tablets - Myths and Facts

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Medical abortion using tablets is the need of the hour especially for today's youngsters. Improper and inadequate knowledge about safe sex practices and contraception can create a lot of problems for the young couples.
My sincere appeal to all young couples is not to feel shy and hesitant in approaching a doctor for advice on contraception as because nobody is going to be judgemental on them. It is a professional world and any doctor would be more than eager to help out a patient.
Generally what happens is whenever there is a pregnancy happening out of a relationship, it puts the couple in a panic situation and there is a tendency to try and get over the counter medicines or maybe approach quacks or try and consume some so called food items which may lead to an abortion. These are the usual mistakes done by youngsters as they want to hastily get out of the mess without having to tell anybody.
The biggest concern in approaching a known doctor is the couple does not want to get identified, secondly they feel the doctor is going to take them through a long drawn medical procedure which is going to be costly and they would probably be asked to come along with a parent or a guardian for obvious reasons and hence they refrain from meeting a doctor.
Now coming to the facts-----
1. No need to panic if you realise that you have an unwanted pregnancy
2. Approach a gynecologist as soon as possible
3. If the doctor asks you get a sonography done please do so
4. You should always be knowing your blood group and hemoglobin levels before taking any tablets for abortion
5. Abortion can be very safely done with tablets under the guidance of a gynecologist and you do not need any hospitalisation. 2--3 visits to the clinic can complete the procedure
6. Only 1-2% patients may require a curettage of the uterus if the procedure does not get completed with tablets, which definitely the treating doctor would discuss with the couple and explain.
7. This medical abortion with tablets is not overtly expensive and is quite manageable with your pocket money (mobile phones are much more expensive).
8. There are no long term side effects of this procedure on your future fertility
9. Most of the doctors would be cooperative and would protect your privacy. You may have to sign a few forms for you should not hesitate as it is part of the procedure.
10. Nobody is going to be judgemental on you so take it easy and seek medical advice.
21 people found this helpful

After 4-5 days of abortion with tablet. Going sperm in vagina its harmful or more chance to get pregnancy again.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Yes, you should avoid contact in the month you are taking abortion pills. As pregnancy may occur again sometimes. And also risk of infection.
3 people found this helpful
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Hi. I am 30 yrs, I am married and my periods are on time means 30-day cycle, me and my husband went to doctor to check why we don't have kids and medically we don't have any problem. Can you please tell me when will egg releases exactly and fertile time to get pregnant. My last period on 4 November. We took all the tests and scanning etc. Any suggestions and medications if you can suggest it would be helpful. Thank you.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Hi. I am 30 yrs, I am married and my periods are on time means 30-day cycle, me and my husband went to doctor to chec...
As both of you are normal, so the chance of success after treatment is maximum. Now for 30 days cycle- you need intercourse from day 12-day 16 of the cycle regularly.
7 people found this helpful
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What is the use of taking clogen 100 mg limoday 2.5 and astagen f tablet. Is it helpful for pregnancy purpose. And how many months does it takes to conceive.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
What is the use of taking clogen 100 mg limoday 2.5 and astagen f tablet. Is it helpful for pregnancy purpose. And ho...
Clogen 100 is an antifungal medicine ,you must be having fungal infection ,that's why your doctor must have prescribed it limoday contains letroze ,it's given for ovulation induction and astsgen F is a multinutrient it improves the quality of egg, the last two help in conception.
1 person found this helpful
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My niece is taking Cetapin 1000, mychiro, calcium tablets. She is having PCOS. Can she get pregnant naturally? And how?

MD - Homeopathy, BHMS
Homeopath, Vadodara
My niece is taking Cetapin 1000, mychiro, calcium tablets. She is having PCOS. Can she get pregnant naturally? And how?
She may but it is usually difficult and takes time... It is better to get her treated for PCOS in homoeopathy and once the periods get regular it will be easy to conceive... And homoeopathy has the potential to cure PCOS permanently so no need to take medicine life long.. though it may take 1-2 years...
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Sir m 18 yrs old.I had my periods date as 13th usually but it delayed upto 21st ladt month. Dis month I havent got my periods yet,i had been intimate 26 hrs ago,m not sure if the sperms went in or not,i took a home pregnancy test of urine within 24 hrs dat came -ve,now wat shud I do? Should I take ipill? Or m safe? I dnt wanna get pregnant.Plz help

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 pilll is not like something of chocolate or coffee, that you can take whenever you wish. It has serious side effects. Pregnancy test has to be done in a particular time of period and i pill has also particular time. If you can't follow this, the treatment would be difficult. Just consult doctor and get the solution.
2 people found this helpful
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What tests are to be done to check on Breast health, especially to detect if the breast is free from breast cancer.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
The basic test to rule out breast cancer is mammography. If you feel lumps in your breast FNAC also can be performed.
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I am on medication montair LC and foracort 200 autohaler since 3 years. Nw m pregnant. My doctor recommend me to stop this medicine. And nw m in big trouble and the main problem is difficulty in breathing. please advice me.

DGO, MBBS
Gynaecologist, Surat
I am on medication montair LC and foracort 200 autohaler since 3 years. Nw m pregnant. My doctor recommend me to stop...
Likely that in your case Bronchial Asthma has exacerbated due to sudden omission of foracort inhaler (a steroid)& pregnancy itself. You may have to continue the autohaler in minimum effective dose & get some new drug added to your prescription. Best is to consult a chest physician & follow his/her advice.
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How to Increase Your Sperm Count

MD - General Medicine
Sexologist, Delhi

Inadequate sperm production and quality is one of the most common reasons for male infertility as it decreases the odds of one of the sperms fertilizing the egg for conception.

According to the World Health Organization, the normal concentration of sperm is at least 20 million per ml of semen. Fewer than 15 million sperm per ml is considered a low sperm count, also called oligozoospermia. Conception problems are associated with fewer than 40 million moving sperm in the ejaculate.

Various natural remedies and other tips can help increase your sperm count and also improve sperm quality.

A Changing Your Habits

1. Avoid overheating your testicles. There's a reason our testicles rest outside our bodies: they need to stay a bit cooler than the rest of our internal organs. When testicles get too warm, they aren't able to produce as much sperm. There are a number of ways to make sure your testicles don't get overheated:
Don't wear tight pants and jeans.
Wear loose, cotton boxer shorts instead of briefs.
Sleep without underwear so that your testicles stay cooler.
Avoid hot baths and saunas.

2. Wear a jockstrap when you play sports. It goes without saying, because most men know this from experience, but a blow to the balls will hurt you and kill your sperm.

3.Massage your body with herbal oils. This, along with regular exercise, improves overall blood flow and circulation. Increased circulation means healthier sperm.

4.Reduce stress levels. Stress can decrease your sexual function, leading to reduced sperm production.If you work 12 plus hour days and never give yourself a chance to rest, your count might be down as a result. Try practicing relaxation techniques throughout the day to keep yourself feeling calm. Keep your mind and body healthy by regularly practicing yoga and meditation, or take up running or swimming.
Stress hormones block Leydig cells, which are tasked with regulating testosterone production. When your body experiences too much stress, it can actually stop producing sperm altogether.
Make sure you're getting enough sleep every night. Exhaustion can also lead to increased stress and cause decreased sperm production.

5. Stop smoking. Smoking cigarettes causes sperm counts to be lower, makes them move more slowly, and causes the sperm themselves to be misshapen. According to one study, men who smoke have 22% fewer sperm than men who don't. Marijuana seems to have a similar effect on sperm. Cutting back on both of these substances is a good idea if you want to boost your count.


6. Drink alcohol moderately. Alcohol affects your liver function, which, in turn, causes a dramatic spike in estrogen levels. (Yes, men have estrogen.) Since testosterone is directly linked to sperm health and sperm production, this isn't a good state of affairs. Even two drinks a day will have long-term effects on sperm production.

7. Ejaculate less frequently. Frequent ejaculations can lower sperm count. Your body produces millions of sperm each day, but if you already have low sperm count, consider storing them up longer between ejaculations. If you have sex or masturbate daily, cut down on the frequency for increased sperm production.

8.Be careful around toxins. Exposure to chemicals can affect the size, movement and count of your sperm. It's more and more difficult to avoid exposure to toxins, but it's absolutely necessary for your overall health and the health of your sperm. Do the following to decrease your exposure:
If you work around chemicals all day long, protect your skin with long sleeves and gloves, and make sure you wear a mask and goggles to protect your face.[4]
Use natural cleaning supplies instead of cleaning with chemicals.
Don't use pesticides or herbicides in your house or yard.


9.Be wary of medications. Certain medications can lead to decreased sperm count and even permanent infertility. If sperm production is a big concern for you, make sure you ask your doctor whether any medication prescribed might affect your sperm count. Look at the labels on over-the-counter medicines, too.

16 people found this helpful

Mujhe 1 month Ki pregnancy thi mene abortion pill kha li thi. Then prega news se check kiya to test normal tha lekin ab after 15 days mujhe fir se bleeding Ho rhi hai Kya ye normal hai? please suggest me Thank you.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Mujhe 1 month Ki pregnancy thi mene abortion pill kha li thi. Then prega news se check kiya to test normal tha lekin ...
After abortion pills the menstrual cycle might get irregular for the first month; however it's best to consult your gynec to make sure it was a complete abortion and there are no complications
1 person found this helpful
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I am hysterectomy women, having one overt, now I affected with hypothyroid and high cholesterol. How to take treatment, what are all test preferable.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
I am hysterectomy women, having one overt, now I affected with hypothyroid and high cholesterol. How to take treatmen...
You need to get the latest test results for the analysis. So get T3, T4, TSH done, get it done on fasting that is do not take any thing including tea or coffee and get the test in the morning hours. At the same time on empty stomach get the Lipid profile test also done which will give the status of cholesterol in the blood and the first test will give thyroid hormone levels basing on which we can suggest some remedial steps. If you are already using throid medicine get the test done after taking the tablet with water and on empty stomach. Come back with the results and names of the medicines with strength if you are using any. In the open questions we can not give medicines names so you need to come in private consultation
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I have my periods date on 24. On 18 feb, I just had cosy time with my boyfriend. Though he did not inserted inside me but he just ejaculated near my vagina. Earlier I use to have periods 4 days before my date. But not this time. I am frightened. Please help me out.

PG Hom, London, BHMS
Homeopath, Mumbai
I have my periods date on 24. On 18 feb, I just had cosy time with my boyfriend. Though he did not inserted inside me...
Hello Aleena, Ejaculation near the vagina also can lead to pregnancy. Although 18th Feb must not have been a dangerous date for fertilization, it will be better that you take a urine pregnancy test at your home. If the result is negative, you can rest assured that this is a normal delay and you will get your periods sooner or later. Sometimes the periods even tend to get delayed by tension, worries or stress. So relax.
1 person found this helpful
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Is it important to have a feelings to a woman partner during intercourse to conciev.

MBBS
General Physician, Faridabad
Is it important to have a feelings to a woman partner during intercourse to conciev.
We all know that a man has to have an orgasm during sex in order for a woman to get pregnant, but what about the ladies? Is a female orgasm important for pregnancy? Will a female orgasm hurt or help the chances of getting pregnant, or is there even a difference? Today we are going to explore this topic a little more in depth to find out just exactly what role, if any, a female orgasm plays in the journey to pregnancy.nature had made an arrangement if female does not have orgasm, she will get pregnant. thanks
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putting loop after marriage is safe or not. After marriage means within 1 month. My age is 29.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
putting loop after marriage is safe or not. After marriage means within 1 month. My age is 29.
If you have just marriage now and if want to conceive with in 2 years then don't use that method as contraception. You can use oral pills as contraception.
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Do routine exercise daily, At Least for half an hour

MBBS
General Physician, Chennai
Do routine exercise daily, At Least for half an hour
Do routine exercise daily. Atleast for half an hour.
53 people found this helpful

I have PCOD. Prescribed clomifene for 5 days from 2nd day. Den GMH INJECTION ON 5TH AND 7TH DAY. TODAY ON DAY 12, I HAVE 3 FOLLICLES OF 18.6 MM ON MY LEFT OVARY AND 2 19 AND 1 16 MM FOLLICLES ON MY RIGHT OVARY. LAST MONTH I HAD 2 DIMUNANT FOLLICLES AND EVEN AFTER TAKING HCG 5000 IT DID NOT RUPTURE. WAT SHUD B MY NEXT STEP?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have PCOD. Prescribed clomifene for 5 days from 2nd day. Den GMH INJECTION ON 5TH AND 7TH DAY. TODAY ON DAY 12, I H...
Hello, You have to wait for 2 more days to allow follicles to reach 22 mm size before a 10000IU hcg can be given to allow rupture of follicles.
2 people found this helpful
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If i'm going to do first time sex with my partner but she is fearing that she might be pregnant then what can I do for safe sex and also it's very hard to break the seal.

MBBS
General Physician, Delhi
For safe sex in a cycle of 28 days, day 1 of bleeding to next 7 days and 7 days before the bleeding day can be considered normal.
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Ovulation Process

MBBS, MS - Obstetrics and Gynaecology, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Infertility, Diploma in Assisted Reproductive Technology & Embryology
Gynaecologist, Hyderabad
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Hello to everybody. I am Dr Vandana Hegde. I am practising reproductive medicines in the Hegde Medical Centre from the last 10 years.

As I had explained the entire cycle. Two important things are there for the couple to plan pregnancy

One is the Ovulation time. When the ovulation happens, the female eggs that releases out. Its life is approximately 24 hours. And the male's sperm, once the ejaculation happens, its life span is 3-5 days upto the maximum of 7 days. So for couples to plan fertility naturally, it is important to conceive during the period of female ovulation time. And now ideally the female ovulation happen around the 14th day, it is best for the couple to plan intercourse atlreast 3days prior to the ovulation time. So, if they are ovualating on 14th day, so they can start planning the intercourse on around 10th day and upto a period of 16th day. Ideally, intercourse beyonf the period of Ovulation does not help the couples in conceiving. So, it is always better to plan before the ovulation time. Alternate intercourse is much better than having a daily intercourse during the ovulation time.

Now, coming to the Evaluation of Fertility.

When a couple comes to us when they are unable to conceive a child naturally even after one year. Then we do certain basic things as I have mentioned that it is very important to fid out that how the egg is finally to form an embryo. Yu need egg from the female partner and sperm from the male partner which are diffused internally. So what is important is the normal sperm and a normal tube in the uterus. So we do assessment in that order. So ideally we get the male partner 7 testing time to see the sperm count, the sperm motality and the sperm morphology. The sperms should be genetically fit to give a healthy child. So this is assist by doing semen analysis where the male partner will give the semen sample for about 3-4 days. And this semen sample is examined under the micrscope where the assessment is done on the basis of count, mortality and Morphology. If the semen criteria is normal then we evaluate the female partner.

Now the female partner, if she has regular cycle, we assume that the ovulation is happening normally. But there are certain girls who has irregular periods. Some have early periods and sme have quite delayed cycle. Now, what is the main issue here is Ovulation. Probably they are not ovulating around the 14th day. But there are 2 disfunctions.

  • One is anovulatory, there are certain girls whoch are not ovulating at all. There is no egg formation, there is no ovulation. Now this criteria of girls manage in a different way.
  • Now there are other type of girls, who are probably having a shorter cycle, they are ovulating very early.

Now, we need to differentiate between these two types. The whole management depends upon correcting these abnormality.

Now, coming to the other part of the tubes. Once the sperm is there and the egg is there, one should have patent fallopian tube for them to meet. So, ideally what we do is, when the couple comes to us, we evaluate the spem parameters, the female ovum parameters and then we do a time intercourse for them.

We start basic tracking of the follicle growth. The best thing is the follicle is seen in the ultrasound reports. So the basic ultrasound is done initially to diagnose. If the female uterus, the ovaries are normal then they should not be ahving any fiberoids and ovarian cyst. So Fiberoids are basically tumours in the uterus which can prevent implantation of the embryo and there may be some ovarian cyst which may be preventing normal ovulation and there are other cyst which require surgical removal. We do basic ultrasound scan to roll out all other major thing and then proceed to Folliculat tracking.

Follicular tracking is seen on the scan. Though the egg can not be seen on the scan so follicles can be seen. So, when the couple ccomes to us in initial part, we track the follicle growth and this is the time, the female is ovulating and we give them the dates to meet. This is done on the monthly basis for atleast 2-3 cycles. Now, inspite of tracking natural cycle follicular growth and at the time intercourse if the couple is not able to conceive then we go for other evaluations. Like, is the tube open? Is the uterine cavity normal?

So there are tests to check if the fallopian tubes are open. Now it is very important for the tube to open because all the activities are happening inside the tube. so there is a test called "Hysterosalpingographie", where the die is pushed through the uterine end. This die is travelling around the cavity and coming into the tubes and then comes out.

All this is recorded in teh X-ay film. This film records this passage of the dia nd we find out the tubal blocks. If the tube is blocked then the egg and the sperm do not meet. So there comes fertility issues.

We do other assessments also like Diagnosis hysteroscopy and laparoscopy for infertility. So this is a surgical process which we do when couples are not able to conceive even after 6 months of fertility planning.

There are small tumours in the cavity which can prevent embryo from Implanting and these are absolutely necessary to be removed if the couple is not conceiving with these.

And the other things we diagnose is the laparoscopy in which we put the camera inside to record if te tube and ovary are in normal position and HYsteroscopy is a process done under the anesthesia only. Then we proceed with further treatment with fertility planning.

 

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