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Dr. Annjali Gurram

Gynaecologist, Pune

300 at clinic
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Dr. Annjali Gurram Gynaecologist, Pune
300 at clinic
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Personal Statement

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 42 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
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I had unprotected sex 3 days before my periods n consumed I pill within 24 hrs. My periods are 10 days late please suggest what to do.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had unprotected sex 3 days before my periods n consumed I pill within 24 hrs. My periods are 10 days late please su...
Hello, You need to get a serum beta hcg test done now to rule out pregnancy conclusively. If negative then you should just wait for your menses to start in a week.
1 person found this helpful
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I have a severe breast pain and not getting periods. Pregnancy test is negative. Periods are 15 days delayed. Have taken sysron-n for 5 days but no periods yet. Its the 5th day after medicine is over and breast pain is increased, sore nipple. Please help.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
I have a severe breast pain and not getting periods. Pregnancy test is negative. Periods are 15 days delayed. Have ta...
Hello, you cud wait for another five days as soetimes it may take longer to get your periods. Kindly consult your gynaec in case of no periiods. You could take a simple analgesic for the breast pain.
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I been trying to conceive for Two years, my doctors found that I havr cyst on my ovary measuring 2cm on my left ovary does could it affect? She prescribed me a clomid I take take already for 1round but after that these two months I dont have a period the 3rd month is just spotting, I do PT but still negative, what should I do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
2 cm cyst is often normal. But absence of period needs attention to determine the cause and then its treatment and also needs drugs for artificial mens.
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I have irritation, itchiness and white thick discharge from vagina since 4 days. I had diarrhea for about a month. I had consulted my doctor about the diarrhea but the medication didn't work. I had unprotected intercourse a months ago and had i-pill with 64 hours too so I fear this might have something to with all these. What should I do?

MS - Obstetrics and Gynaecology
Gynaecologist, Mumbai
I pill does not cause diarrhea for 1 month When was your last menses date White discharge may be candida infection Plenty of fluids ,curd Probioticsand treatment for white discharge.
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I am 36 old unmarried girl with diabetic. Mujhe ye janana hai ki after marriage mujhe pregnancy me kya kya problems a sakti hai.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 36 old unmarried girl with diabetic. Mujhe ye janana hai ki after marriage mujhe pregnancy me kya kya problems a...
Diabetes ka treatment acchi tarahse kar lenese sab kuch theek ho sakata hai. Lekin pregnancy ke pahelese insulin injection se treatment hona chahiye. Usake saath sugar control ekdam tight rehana chahiye. (90 mg - 120 mg/100 ml) aur her roj blood sugar check karate rehana hoga. Agar ye nahi kiya to pregnancy can be very difficult, bacche ko takleef ho sakati hai, bada baccha ho sakata hai, still birth bhi ho sakati hai, aur bhi problem ho sakate hai.
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What is Androgenic Alopecia?

Dermatologist
Dermatologist, Delhi
What is Androgenic Alopecia?

Androgenic alopecia is a typical type of hair loss in both men and women. In men, this condition is also called as, Male Pattern Baldness. Hair is lost in an all around characterized pattern, starting above both temples. After some time, the hairline recedes to frame a characteristic "M" shape. Hair additionally thins at the crown (close to the top of the head), regularly advancing to partial or Complete Baldness.

The pattern of Hair Loss in women contrasts from male pattern baldness. In women, the hair winds up plainly more slender everywhere throughout the head, and the hairline does not recede. Androgenic Alopecia in women occasionally prompts add up to total baldness.

Androgenic alopecia in men has been, related with a many other medicinal conditions including coronary illness and growth of the prostate. Moreover, Prostate Cancer, Disorder of Insulin Resistance, (for example, diabetes and Obesity), and High Blood Pressure (hypertension) have been identified with Androgenic Alopecia. In women, this type of hair loss is, related with an expanded risk of Polycystic Ovary Syndrome (PCOS). PCOS is, portrayed by a hormonal imbalance that can prompt sporadic Menstruation, Acne, Abundance hair somewhere else on the body (Hirsutism), and Weight Gain.

Androgenic Alopecia is an incessant reason for hair loss in both men and women. This type of hair loss influences an expected 50 million men and 30 million women in the United States. Androgenic Alopecia can begin in teenage also and risk increments with age; more than 50 percent of men over age 50 have some level of hair loss. In women, hair loss is no doubt after menopause.

Causes of Androgenic Alopecia

Change in Genetics

An assortment of hereditary and natural components likely, assume a part in causing Androgenic Alopecia. In spite of the fact that scientists are contemplating risk considers that may add to this condition, a large portion of these elements stay obscure. Scientists have discovered that this type of hair loss is, identified with hormones called Androgens, especially an Androgen called Dihydrotestosterone. Androgens are critical for ordinary male sexual development before birth and during puberty. Androgens likewise have other critical functions in both males and females, for example, controlling Hair Growth and Sex Drive.

Hair Growth initiates under the skin in structures called Follicles. Each strand of hair typically develops for 2 to 6 years, goes into a resting stage for many months, and afterward drops out. The cycle begins once again when the follicle starts growing another hair. Increased levels of Androgens in hair follicles can prompt a shorter cycle of hair growth and the growth of shorter and thinner strands of hair. Moreover,

To replace strands, which are shed off there is a deferral in the growth of new hair.

In spite of the fact that Researchers speculate that several Genes play a part in Androgenic Alopecia, varieties in just a single Gene, Androgen Receptor, have been affirmed in Scientific Studies. The Androgen Receptor Gene gives directions to making a protein called an Androgen Receptor. Androgen Receptors enable the body to react fittingly to Dihydrotestosterone and different Androgens. Studies propose that varieties in the Androgen Receptor Gene prompt expanded action of Androgen Receptors in hair follicles. It stays misty, nevertheless, how these hereditary changes increment the risk of Hair Loss in Men and Women with Androgenic Alopecia.

Researchers keep on investigating the association between Androgenic Alopecia and other medical conditions, for example, Heart Disease and Prostate Cancer in men and Polycystic Ovary disorder in Women. They trust that some of these disorders might be, related with elevated Androgen Levels, which may assist to describe why they have a tendency to happen with Androgen related Hair Loss. Other hormonal, natural, and hereditary components that have not been, recognized likewise might be included.

Inheritance Pattern

The Inheritance Pattern of Androgenic Alopecia is hazy in light of the fact that numerous hereditary and natural components are probably going to be included. This condition tends to cluster in families, in any case, and having a nearby relative with patterned hair loss has all the earmark of being a risk calculate for developing the condition.

Symptom

Notwithstanding Male Pattern Baldness, Androgenic Alopecia in men has been, related with a few other therapeutic conditions including Coronary Heart Illness and augmentation of the Prostate. Moreover, Prostate Cancer, Disorders of Insulin Resistance, (for example, Diabetes and Obesity), and High Blood Pressure (Hypertension) have been identified with Androgenic Alopecia in men. In women, Androgenic Alopecia is, related with an expanded risk of Polycystic Ovary Disorder (PCOS) which is, described by a hormonal imbalance that can prompt sporadic Menstruation, Acne, Excess body hair (Hirsutism), and Weight Gain.

The Human Phenotype Ontology (HPO) gives the accompanying list of components that have been, reported in individuals with this condition. A significant part of the data in the HPO originates from Orphanet, a European uncommon disease database. On the off chance that accessible, the rundown incorporates an unpleasant gauge of how regular a component is (its recurrence). Frequencies depend on a particular study and may not be illustrative of all studies.

 

Diagnosis

Genetic Testing

What is Genetic Testing?

Genetic testing is a sort of therapeutic test that distinguishes changes in chromosomes, genes, or proteins. The consequences of a genetic test can affirm or preclude a speculated genetic condition or help decide a person’s chance of creating or passing on a genetic disorder. More than 1,000 genetic tests are at present used and more are being, developed.

Various techniques can be, utilized for Genetic Testing:

  • Molecular Genetic Tests (or Gene Tests) ponder single genes or short lengths of DNA to distinguish varieties or transformations that prompt a Genetic disorder.

  • Chromosomal Genetic Tests analyze entire chromosomes or long lengths of DNA to check whether there are expansive Genetic changes, for example, an additional copy of a chromosome, that cause a genetic condition.
  • Biochemical Genetic Tests contemplate the sum or action level of proteins; variations from the norm in either can demonstrate changes to the DNA that outcome in a Genetic Disorder.

Genetic testing is intentional. Since, testing has benefits and in addition restrictions and risks, the choice about whether to be tested is an individual and complex one. A Geneticist or Genetic Counselor can help by giving data about the advantages and disadvantages of the test and examining the social and enthusiastic parts of testing.

Treatment

Each patient is exceptional and just the Doctor can assess and decide the Best Treatment.

Surgical Treatment of Androgenic Alopecia has great restorative outcomes. The principle issue is covering the Bald area with Donor Plugs (or follicles) adequate in number to be powerful. Micrografting produces a more Natural appearance than the old method of Transplanting Plugs.

It is critical for the patients with Androgenic Alopecia to be assessed for treatable reasons for "Telogen Effluvium" (diffuse Hair Shedding, frequently beginning abruptly) like anemia or hypothyroidism, particularly in patients who had a quick advance of their illness or a sudden begin of the sickness.

Different Names of Androgenic Alopecia

Androgenic Alopecia

Female Pattern Baldness

Male Pattern Alopecia

4 people found this helpful

Are you doing your KEGEL'S Exercise during pregnancy?

B.P.T
Physiotherapist, Chandigarh
Are you doing your KEGEL'S Exercise during pregnancy?
Pregnant women must perform at least 80-70 repetitions of kegel's exercise to strengthen your pelvic floor muscles when the foetus is growing and putting immense pressure on your bladder.
1 person found this helpful

My wife's lmp was 9 jan 2016. She is pregnant. I want to known that which trimester/month going on? Now a days which precaution should be taken for best pregnancy? Last day her baby slip down below womb? Plzzz sugest me precaution and dieting for healthy pregnancy.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
My wife's lmp was 9 jan 2016. She is pregnant. I want to known that which trimester/month going on?
Now a days which ...
Count days form 09 jan. Today you have completed 21+29+31+30+7 days. So that's 17 weeks. After 16 weeks you are in 2nd trimester or 5th month. For health pregnancy eat, drink, sleep well. Avoid physical and mental stress but one type of mild exercise will be beneficial. Best is 20-25 mins walk over flat surface. Avoid smoking, alcohol, drugs, food additives, dust, smoke, exhaust. Personal hygiene is must. Wear loose clothes and keep home environment cheerful and calm.
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My periods dates are April 7 May 9 June 11 July 15 Aug 14 Sep 20 Please calculate my days of ovulation. I tried last on 1st Sep but could not conceived.

BAMS
Ayurveda, Bangalore
My periods dates are
April 7
May 9
June 11
July 15
Aug 14
Sep 20
Please calculate my days of ovulation. I tried last ...
Hi, Usually ovulation occurs between 8th to 14th day of the menstrual cycle, in a woman having regular cycles of 25- 30 days. Therefore have contacts between 27th Sep to 3rd Oct. Everyday. Good luck!
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Hi. My age is 26. And I am a pure vegetarian. We are planning for a baby. And I have got my report and it shows low sperm count. What shall I do?

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
Hi. My age is 26. And I am a pure vegetarian. We are planning for a baby. And I have got my report and it shows low s...
Hi, please send your semen analysis report as besides sperm count, sperm motality and morphology is also important. Low sperm count can be improved by - 1- avoiding overheating of testicles by wearing loose & cotton clothes. Avoid hot baths. Avoid heat exposure while using laptop. 2- use jockstrap while playing outdoor games so to avoid injury by blow of ball. 3- reduce mental stress. 4- stop smoking, alcohol and unnecessary medication. 5- avoid direct contact with chemicals at home and at work place e. G. Pesticides, herbicides, cleansing solutions etc. 6- improve diet & exercise regime. 7- take herbal supplements to improve sperm count.
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I had an unsafe sex with one of my female friends. 2009 to 2012. Then in 2016 I checked my STD in which all tests came negative.(only hsv1positive) I have never had oral sex. Okey but I accept that I have hsv 1. When I was reading about HSV on Google, I read too much about HPV. Since the last three months since I have read about HPV, I feel like I have an hpv. After that, my condition was very bad. I showed my skin specialist doctor, so my doctor said that After such a long time period, you do not need to worry anymore. But I do not believe in my doctor because the fear of HPV has penetrated in my body, it is not coming out either. So now my question is If I want to find out about HPV then how do I know because HPV does not even have a special test for men. 2009 to 2017 almost 9 years have passed but there is no sign of any kind in my body. I still have the possibility of being HPV?

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
HPV can infect anyone who is sexually active; many times, infected individuals are asymptomatic, meaning they display no symptoms of the virus. Although most HPV infections resolve themselves, sometimes, they can remain dormant and later infect a new or existing sexual partner. Medical News Today is a leading publisher of medical research. latest news about HPV may be found HPV news section. Although most HPV infections resolve themselves, sometimes, they can remain dormant and later infect a new or existing sexual partner.
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My last period was on 9 th july. And now m feeling the symptoms of being pregnant. Can you pls suggest me. Can I be pregnant as my last period was on 9 th july. Thanx.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My last period was on 9 th july. And now m feeling the symptoms of being pregnant. Can you pls suggest me. Can I be p...
9 th July plus 14 days is 23 Rd July. If you have conceived 2 days ago, either wait until 9 august if cycle is regular, do a urine test for pregnancy or get blood tested for pregnancy. Beta hcg hormone which is positive only when the woman is pregnant or after conception.
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After pregnancy I have heavy bleeding and after 40 days I also spotting in ultrasound its appear multiple polycyst what treatment I take please advise. I also breast feeding my baby.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
After pregnancy I have heavy bleeding and after 40 days I also spotting in ultrasound its appear multiple polycyst wh...
Meet obstetrician under whose care you delivered. If that is not possible meet any gynaecologist with all reports.
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I am 32 years female planning for a baby in the month of April 2016. What are precautions to be followed and taken during the mean time.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 32 years female planning for a baby in the month of April 2016. What are precautions to be followed and taken du...
Adopt 3 goods during this period EAT GOOD,SLEEP GOOD and THINK GOOD.eat a balanced diet and light abdominal exercise.Dont forget a refreshing early morning walk.Try to have a control over your weight and give more emphasis towards abdominal muscles and pelvic mucle exercises.
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Hi doctor I am a house wife in 43 yrs old, actually this month I have continuously periods coming its very pain and I have 2 children. So please give a suggestion for me.

Advanced Aesthetics
Ayurveda, Gulbarga
Hi doctor I am a house wife in 43 yrs old, actually this month I have continuously periods coming its very pain and I...
Heavy periods, also called menorrhagia, is when a woman loses an excessive amount of blood during consecutive periods. In most cases, no underlying cause of heavy periods is identified. However, some conditions and treatments have been linked to menorrhagia, including: ? uterine fibroids ? intrauterine contraceptive devices (IUDs) ? anticoagulant medication ? polycystic ovary syndrome (PCOS) ? he cause of the problem may sometimes need to be investigated further. This will usually involve having a pelvic examination. A blood test may also sometimes be recommended to check for anaemia (iron deficiency). ? If a cause is still not found, then you may have an ultrasound scan Treating heavy periods In some cases, heavy periods do not need to be treated, as they can be a natural variation and may not disrupt your lifestyle. If treatment is necessary, medication is most commonly used first. However, it may take a while to find the medication most suitable for you, as their effectiveness is different for everyone and some also act as contraceptives.
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My last period cycle was 24days ..but this month I didnt get my periods yet...it's 26th day today'

BHMS
Homeopath, Faridabad
My last period cycle was 24days ..but this month I didnt get my periods yet...it's 26th day today'
There is no need to be worried.Some times there may be delay because stress and nutritional deficiency.So wait for few more days.
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She asked about female reproductive organs that she had problem of excess water fall that caused her tiredness. So what's the cause of it and cure? I asked her not leave water intake after intercourses or water fall as it causes huge loss of energy.help me on this

MBBS
General Physician, Chandigarh
Drinking water doesn't harm but yes she should take treatment for discharge you can give her tab forcan 150mg weekly for four weeks and cap hepatoglobin once daily for three months to recover from it.
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My mom is 51 year old and she had done her ferritin, serum test. So I am providing the report i. E, 51.30 ng/ml bio ref interval- (10.00-291.00). Can you please let me know is it fine or not.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi, the levels are definitely towards the lower range and hence suggested that she should be placed on iron and multivitamin tabs for well being. Regards.
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I am having sugar and I got married 3 months back now I am pregnant can you give suggestion for not getting sugar to my child.

M.D. Internal Medicine
Endocrinologist, Mumbai
I am having sugar and I got married 3 months back now I am pregnant can you give suggestion for not getting sugar to ...
If you are diabetic and if you get pregnant do not worry you will not give birth to diabetic child. Eat healthy nutritious food and control your sugars with proper medicine to increase your chances of having normal healthy child.
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Hello Doctor, I had a protected sex on 11th may 2016 with a women don't know about her status but I have doubt that she is in sexually active with multiple partners. During sex I used condom and there is lots of blood and other liquid on it when I removed it some part of condom touched my open penis head. After that I was to anxious about hiv and did continues study about hiv and its symptoms on internet. After few weeks I felt continues headache, burning sensations, low fever, sore throat, white tongue with red bumps on it, extreme tiredness, brain fog kind of symptoms. One night I suffered from oral thrush (Candida growth) & mouth ulcers. I tested for hiv antibody next day (7th june 2016) came negative. After that my symptoms didn't stopped. I became more anxious. I tested again for hiv antibody one week later (16th june 2016) came negative again. After few days I visit an infectious diseases specialist he advised me for p24 ag / ab Eliza. This report also come negative (after 6 week of exposure) But still I am facing anxiety of hiv. Can't able to concentrate on my work. Please guide me I am dying. Thanks.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Hello Doctor,
I had a protected sex on 11th may 2016 with a women don't know about her status but I have doubt that s...
You are not dying but you are killing yourself emotionally by obsessing about HIV. There is a gestation period of nearly 6 months when it can be identified as to whether you have HIV or its disease state called AIDS. In the meantime, keep a healthy regimen of exercise, good eating habits, and adequate rest. If you obsess to this extent, you could actually give yourself a lot of symptoms by autosuggestion. Go meet a counselor and talk about all your concerns and get some professional help to stop this obsession.
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