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Dr. Annjali Gurram

Gynaecologist, Pune

300 at clinic
Dr. Annjali Gurram Gynaecologist, Pune
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Annjali Gurram
Dr. Annjali Gurram is a renowned Gynaecologist in Thergaon, Pune. You can meet Dr. Annjali Gurram personally at Ashwinii Nursing Home in Thergaon, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Annjali Gurram on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 27 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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Hindi

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Ashwinii Nursing Home

Sonigara Laxmitara Market D Wing 1st Flr, Tathwade Rd, Thergaon. Landmark: Opp Thergaon Jakat Naka, PunePune Get Directions
300 at clinic
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I recently was treated for syphilis however 3 months later while on my period I noticed a small bump. 2 days it turned into a open sore. It is very irritating when I urinate or if anything touches it so it seems impossible to heal. I went back to doctor who said this isn't syphilis nor any.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I recently was treated for syphilis however 3 months later while on my period I noticed a small bump. 2 days it turne...
it may be a herpetic ulcer too. pls get checked up by a STD specialist to get smear done from the ulcer. You should also get your HIV tested
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Many times I have lots of pain in my breast, stomach, food pipe, jaws and back together after or sometimes before eating and drinking something. No acidity capsules and pain killer gave me relief from this pain, the only way I got relief from this pain is vomiting. what s the reason of this pain and burning feeling.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user it seems problem related to gall bladder probably. I would suggest to get an ultrasound of abdomen done dear thanks regards.
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My wife is 29 week pregnant , doctor asked for ICT teat , I got report and ICT is positive, wanted to know what harm it can do for child.

BHMS
Homeopath, Faridabad
My wife is 29 week pregnant , doctor asked for ICT teat , I got report and ICT is positive, wanted to know what harm ...
Hello, all pregnant women have an indirect coombs' test during early pregnancy. At the first prenatal visit, your blood is tested to see if you have been previously sensitized to rh-positive blood. If you are rh-negative and test results show that you are not sensitized, a repeat test may be done between 24 and 28 weeks. An abnormal (positive) result means that the mother has developed antibodies to the fetal red blood cells and is sensitized. However, a positive coombs' test only indicates that an rh-positive fetus has a possibility of being harmed. A positive test cannot indicate the amount of fetal harm that has occurred or is likely to occur. If test results show that antibody amounts are increasing during pregnancy, the fetus may be at greater risk of harm. A fetus who is rh-negative will not be harmed, even if the mother is sensitized.
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Compulsive Sexual Behaviour - How to Manage It?

MD - Psychiatry, MBBS
Psychiatrist, Pune
Compulsive Sexual Behaviour - How to Manage It?

One of the emerging psychiatric disorder that has significant medical and psychiatric consequences is compulsive sexual behaviour or hypersexuality, is an obsession with sexual thoughts in which people cannot manage their sexual behaviour. It may involve a commonly enjoyable sexual experience as self-stimulation which becomes an obsession. The person suffering from the condition may also get involved in sexual behaviours that are outside the bounds of commonly accepted conduct like paying for sex or having extramarital affairs.

Untreated compulsive sexual behaviour damages one’s self-esteem, health, job, relationships and career. However, with treatment and self-help, one can manage compulsive sexual behaviour and learn to manage one’s urge. Males are more likely to be unfaithful than females because they have stronger sexual impulses and weaker self-control. Compulsive sexual behaviour symptoms vary in type and severity. During intense sexual impulses, one feels as if they're beyond control. This is the first and the most common symptom as the patient uses compulsive sexual behaviour as an escape route for problems like loneliness, depression, anxiety and stress. One has trouble establishing and maintaining emotional closeness, even if one is married or in a committed relationship.

The treatment for compulsive sexual behaviour involves psychotherapy and medications. A primary goal of treatment is to help one manage urges and reduce excessive behaviours while maintaining healthy sexual activities. If one has compulsive sexual behaviour, one may need treatment for mental health condition. People with compulsive sexual behaviour often have alcohol or drug abuse problems or a mood disorder such as depression.

Counselling sessions can help one learn how to manage one’s compulsive sexual behaviour. Intensive treatment programs for compulsive sexual behaviours focus on identification of core triggers and beliefs about sexual addiction. It assists in development of healthier choices and coping skills to minimize urges and deal with the preoccupation of sexual addiction. Psychodynamic psychotherapy can prove to be very useful as it focuses on increasing one’s awareness of unconscious thoughts and behaviours, and developing new insights into their motivations. Resolving conflicts using this therapy is also recommended. The other kind of treatment program is cognitive behavioural therapy. This therapy helps one to identify unhealthy, negative beliefs and behaviours and replace them with healthy, positive ones. Family therapy and couples therapy may restore trust, minimize shame and guilt thus establishing a healthy sexual relationship between partners.

Medications include anti-depressants like selective serotonin reuptake inhibitors, mood stabilizers and anti-androgens have also been used to treat compulsive sexual behaviour. Anti-androgens are prescribed as it reduces the biological effects of sex hormones in men thus reducing sexual urges. Luteinizing hormone is also prescribed as it reduces obsessive sexual thoughts by reducing the production of testosterone. Anti-seizure medications, naltrexone, and medications which decrease male hormones have been found to decrease the compulsive urges and impulses associated with sexual addictions for some sufferers. If you wish to discuss about any specific problem, you can consult a psychiatrist.

2523 people found this helpful

Hot Therapy

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Hot Therapy

Electric pads, hot water bottles, and gel packs or moist such as damp clay packs are the common hot agents used for hot therapy.

79 people found this helpful

I'm 9 week pregnant, i am 33 years old and want to abort my pregnancy. What should I do?

MD - Obstetrtics & Gynaecology, DGO, MBBS
Gynaecologist, Mumbai
I'm 9 week pregnant, i am 33 years old and want to abort my pregnancy. What should I do?
You will have to terminate pregnancy by surgical method (d & c). You will have to visit govt recognised abortion centre for this purpose.
1 person found this helpful
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MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Last week I got a call from one of my patients, who conceived after long period of infertility. She called me to remind me that, that very days was the birthday of her son, that is the wealth that she gained after long battle. And even the son tried to talk to me over phone with his soft voice. And this success is really rewarding for any Infertility Specialists.

Now, the inability to conceive- INFERTILITY, the problem is prevalent in our society and is increasing. But majority of common people don't have clear idea about the concept of fertility and the problems. Ability to have pregnancy depends on many factors both in male and female. Even in a normal couple (where both husband and wife are totally normal), there is chance of pregnancy if they practise regular intercourse in a particular time of the menstrual cycle (around ovulation). And even with that, the best chance is only 15-20%. But within one year of regular trying, 80% of couples manage to conceive. And out the rest 20%, 10 will conceive within next one year and the rest 5 in 3rd year. So, ultimately 5% of couple will have difficulty in conception.

So, we advise, if you tried regularly for one year and there is no pregnancy, don't get depressed. It may be due to some defects in husband, wife or both; or may be due to chance factor. But we have to make sure that there is no defect in any of the partners. If there is any defect, we will treat that. If no defect is found, then we have to increase the chance.

So, infertility treatment is actually based on stepwise manner. We initially advise some tests and then advise a treatment. If that treatment fails, we move to next treatment.

So, all the time, you have to keep patience. Eventually, majority of the couples will conceive. Don't give up hope. You have to win the race ultimately
7 people found this helpful

I am 33 week pregnant. This is my second child. I have fundo posterior left lateral placenta grade 3 with breech baby and my doctor told me to be in complete bed rest. Is there any risk in normal delivery.

FICOG, FICMCH, FIMSA, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
I am 33 week pregnant. This is my second child. I have fundo posterior left lateral placenta grade 3 with breech baby...
Grade 3 placenta may be associated with other risk factors like growth problems, deceased fluid, high blood pressure etc. Treatment depends accordingly. Breech deliveries are better taken care by caeseaean section. However the baby may still rotate to head position in the mean time. If nedded, do see me as under:
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Is there any other precaution other than using condoms or taking i pill for having safe sex.

Sexologist, Jodhpur
If your period cycle is regular than you can have safe sex after 21st day of period date till start of next cycle

Hello. I hd a sexual contact wid my bfnd aftr dat I found vry burning conditions in my vagina. Also blood passed along urine. Nd these burns are seriously vry painful. Pls suggest something gud.

BHMS
Homeopath,
Hello.
I hd a sexual contact wid my bfnd aftr dat I found vry burning conditions in my vagina. Also blood passed alon...
Hi, if the sexual relationship between you both was for the first tym, of course there will be pain, burning and blood occurring, which also named as honeymoon cystitis.
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I got my periods on 7th may. I am being conscious can I still be pregnant. I n my partner didn't have sex. But he touched my vagina after touching his penis last month. It was seventh day of my period. What do I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGCRCDM, PDCR, MBA
Ayurveda, Ghaziabad
I got my periods on 7th may. I am being conscious can I still be pregnant. I n my partner didn't have sex. But he tou...
Go for urine pregnancy tests to check and also blood tests to confirm, never do sex without protection.
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Hello doctor. I am feeling weakness from some days. Vomiting and body pain. I have missed my periods too. Is it sign of pregnancy? Or any other reason?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hello doctor. I am feeling weakness from some days. Vomiting and body pain. I have missed my periods too. Is it sign ...
Hye. You need to get a pregnancy test done, especially if you had unprotected intercourse. You can get a home pregnancy Testing kit. You can also visit your doctor and get a urine pregnancy test done to confirm pregnancy. Don't keep guessing. Test and get it confirmed.
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Sir, I feel sudden breast discharge and after bilateral usg it is diagnosed that I have fibroadenosis in my breast which is almost 2 years, Initially doctor prescribed me Cap primosa 1000 O. D for 3 months, Evion 400mg for 3 weeks and Tab pyricontin for 1 month. Now, breast discharge is very rare and occasionally feel little pain mainly before period. Now, I am 43 years and also the patient of mental depression, GERD and P. C. O. S.O. D. What treatment/ medicine I have to take now, Sir.

MS - General Surgery
General Surgeon, Pune
Fibroadenosis is known to have a periodic fluctuation in size of the lumpish feel. At your age it is important to rule out other causes of nipple discharge. If you have family history of breast cancer in first degree relatives, please see a surgeon at the earliest.
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I am 25 years old before one week of my mensuration I had pain in my legs badly. Earlier it was a stomach ache but nowadays its leg pain and stomach ache both and mood swings too.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
I am 25 years old before one week of my mensuration I had pain in my legs badly. Earlier it was a stomach ache but no...
hello akansha.. some ppl can experience these symptoms along with bloatedness, depression, chamges in appetite,irritability,breast tenderness etc.. before the period. you shud start regular exercise and if it persists you cud be given some meds for the same.
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DAY/RIGHT OVARY /LEFT OVARY 10th/13mm×12mm/Multiple small follicles 12th /13mm×12mm/Multiple small follicles 16th /13mm× 12mm /Multiple small follicles 19th / 13mm ×12mm /Multiple small follicles ENDOMETRIUM 5mm-7mm POD Clear These reports good /bad sign please suggest me.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
DAY/RIGHT OVARY /LEFT OVARY 10th/13mm×12mm/Multiple small follicles 12th /13mm×12mm/Multiple small follicles 16th /13...
Follicle sizes are normal and the size can go up to 22mm also and that is not considered to be a cyst but a ripe follicle that is on the 14th day of cycle. But a woman does not have multiple follicles unless she is taking some stimulating medicine like clomifene for infertility. Uterine lining is 5-7 mm and it becomes 12 mm just before the cycle. This ultrasound seems to have been taken around 10th day of cycle. Please clarify what are your questions and get back with details 1) date of last cycle 2) date when ultrasound was done 3) POD you mean PID , pelvic inflammatory disease , very common in our country due to infections got through dirty instruments at delivery/ abortion / dirty gloves used to check up/ dirty pads used during cycle. Get back here with all the details.
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I had intercourse using protection on Aug 2 and 8th. Once his sperm spilled outside soo I took emergency pill. My periods date is 24 .my cycle is always normal .After dat next two months got normal periods on 22nd. And bleeding was as usual for 6-7 days. Now it's d 3rd month I din get my periods. I don have any symptoms of pregnancy except I feel my tummy s lil bulged. May it's my stress. But y my period s missing now. I'm tensed pls help.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
I had intercourse using protection on Aug 2 and 8th. Once his sperm spilled outside soo I took emergency pill. My per...
This may be due to some transient cause at this time, if it occurs frequently or for long time than we need some diagnosis and investigation. At this time Homeopathic Medicine - Pulsatilla 30 thrice daily for 7 days will help you (when taken under Expert Homeopathic Consultant supervision.) You can also consult me in private Lybrate Chat.
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Hello Dr. my wife normal periods till now but this time she had a black discharge in beginning of periods nd didn't have pain as usual after 5 days she is bleeding while like that of mucus with some brown discharge she didn't have bleeding like before while periods what could be the reason can it be a sign of pregnancy? We have tested with pregnancy test kit and it showed negative. please help.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hello Dr. my wife normal periods till now but this time she had a black discharge in beginning of periods nd didn't h...
Do first pregnancy test .it may be hormonal imbalance. Also do ultrasound pelvis/ lh/fsh/ progestrone/ thyroid profile and reply us for better advice.
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By seeing itc branding their ashirwad atta, I suggested my mother to make daily breads(roti) from multi grain flour. Is there any disadvantages/side effects of this and waht should be proportion of each grains?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
No disadvantage or side effects. That is the original diet our ancestors used to eat. It is overall good for health.
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