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Dr. Anupama Doble

Gynaecologist, Pune

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Dr. Anupama Doble Gynaecologist, Pune
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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. Anupama Doble
Dr. Anupama Doble is an experienced Gynaecologist in Bopodi, Pune. You can meet Dr. Anupama Doble personally at Sonography Obstetric Paediatric Hospital in Bopodi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Anupama Doble on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 40 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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Sonography Obstetric Paediatric Hospital

Bopodi,Landmark:Near Syhadri Hospital, PunePune Get Directions
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IVF Treatment - Does Quality of Eggs Affect It?

Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Alwar
IVF Treatment - Does Quality of Eggs Affect It?

The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.

There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:

  1. Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality.
  2. Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
  3. Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.

Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the best option is to have donor eggs. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4846 people found this helpful

I'm 27 years old nd I take unwanted 72 on 16/4/17 after 2 hr of sex nd after that I have abdominal pain continuously, what is provisional diagnosis and what should I do?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I'm 27 years old nd I take unwanted 72 on 16/4/17 after 2 hr of sex nd after that I have abdominal pain continuously,...
Hello- Its a abdominal cramp induced due Unwanted 72 pill. It will result in vaginal bleeding in upcoming days. To relieve the pain, massage your abdomen with warm castor oil daily in a circular manner for 15 minutes at evening hours. You will be relieved.
2 people found this helpful
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Uterus is anteverted. Normal in size. Myometrial echogenicity appears uniform. No obvious focal lesion seen. Both ovaries are bulky and show multiple small peripherally located follicles with echogenicity hyperemic central stroma. 15mm dominant follicle seen in the right ovary. Am I normal to conceive?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take morticum 1m / 5 drops in little water twice a day for one week. Revert back after one week with feedback.
2 people found this helpful
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Irregular period will effect to get the lady pregnant. My wife's period are not coming on time some time its .8 to 10 days late. Sometime its 2 to 3 days early. But she get period every month will it affect to get pregnancy.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Irregular period will effect to get the lady pregnant. My wife's period are not coming on time some time its .8 to 10...
Hello, She needs to get evaluated for PCOD, hypothyroidism and hyperprolactinemia which can be other common causes for delaying menses after pregnancy has been ruled out.
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I got copper inserted on Aug 2015. While doing that doctor said for a pap smear test as she observed some lesion in the cervix. The report was normal But after getting copper t, every month before the period starts in full flow I get slight bleeding for 4-5 days. Also some times in between the periods also I get bleeding. Is it cancer or something else.

DNB, MBBS
Oncologist, Faridabad
I got copper inserted on Aug 2015. While doing that doctor said for a pap smear test as she observed some lesion in t...
You need to be examined per vaginally to be really sure if there is any suspicious lesion in cervix. Menstrual disorder could also be because of copper T, you need a clinical examination. Discuss with your gynecologist about intermenstrual bleeding and get yourself checked and let us know about her clinical findings.
3 people found this helpful
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My second baby was dead born. My gynaec says that my baby died due to placenta twisted around baby's neck. But I have undergone scan before one week of death. Is it true. But I can't feel anything different. It happened starting of my ninth month.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
My second baby was dead born. My gynaec says that my baby died due to placenta twisted around baby's neck. But I have...
placenta is a large substance which is atteached to wall of uterus and cannot twist around baby. It must have been the umbilical cord which unluckily strangled it. Foetal movement count check by mother timely picks up slow / no movements in last months of pregnancy, in that case usg and quick delivery/ caesarean can be done to save the baby.
1 person found this helpful
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Hey doctor my name is nina im 20 years only I got pregnant last month and took abortion pill I was bleeding for 30 days and then it stooped for 10 days but after 10 days it started again I want to ask are the my normal periods or there is some complication occurred in my abortion?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hey doctor my name is nina im 20 years only I got pregnant last month and took abortion pill I was bleeding for 30 da...
I think these are the complications of Abortion pills.You better go for an Abdomen Ultrasound to be more clear and consult a gynaecologist thereafter.
11 people found this helpful
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PCOD - Ayurvedic Herbs & Techniques At Your Rescue!

BAMS
Ayurveda, Faridabad
PCOD - Ayurvedic Herbs & Techniques At Your Rescue!

Are you suffering from polycystic ovarian syndrome and are looking for an ideal remedy? Polycystic ovarian disease or PCOD is a common female health condition. It is a complex disorder and involves several factors which include insulin resistanceobesity, irregular menstrual bleeding, insufficient ovum production, and abnormal menstrual cycles. PCOD commonly occurs during the reproductive age of a woman and accounts for being a major cause of infertility.

According to Ayurvedic principles, PCOD occurs primarily due to the imbalance state of your doshas. The dosha vaishanmya is linked to the symptoms of PCOD, and the relationship between the doshas and lakshans is permanent.

Treatment
PCOD is associated with stri beeja and rajah formation, along with medhodhantu to some extent. These should be attended to while the condition is being treated. The Ayurvedic treatment of PCOD aims at providing ideal care by correction of the ama dosha. By this, you achieve koshta shuddi, which in turn regularizes your tridoshas. The way or approach towards Ayurvedic treatment for PCOD includes the following:

  1. Treatment of agnimandya at both dhatwagni and jataragni levels.
  2. The alleviation of sroto avarodha is an essential part of PCOD treatment using Ayurveda. You should undertake purificatory therapies which are based on the grade of your doshic vitialation, and the exact area of affliction. These should be followed by rasayana drugs, which are free radical scavenging agents.
  3. The regularization of the apana Vata is essential as well. You must firmly avoid vihara and kaphkara ahara.
  4. Yoga and meditation are very important for the Ayurvedic treatment of PCOD. You should perform yoga asanas regularly. Some of the ideal postures for PCOD management include sarvangasana, matyasana, and shavasana.
  5. It is also very important for you to work out regularly, undertake different physical exercises. This will make your overall life much healthier.
  6. You must follow a healthy, balanced diet regularly, which should consist of fresh vegetables and fruits.

Ayurvedic herbs for the treatment of PCOD

  1. The varuna crataeva nurvala is an effective herb which helps in the clearance of channels, which reduces your cyst’s size.
  2. You can try hareetaki because of its amazing laxative effects, which reduce the morbidity of your body.
  3. Bilva or aegle marmelos heps in reducing the size of your growth, via its digestive effect.
  4. Strotasshuddhi is required and herbs likes Punarnava, kaphhar medicines are advised.
  5. Phytooestrogen sources and female tonic Shatavari is very much advised.
  6. Agnimantha, similar to lions. Lake er dhareyjata
  7. Guduchi is another effective remedy for PCOD and has a rejuvenating effect.
  8. Kanchnar is the drug of choice for Thyroid as per AYURVEDA, Strotasshuddhi is done by using Trikatu, Punarnava and other medicines. Rasayan like Shatavari are advised for enhancing female hormones.

If you are experiencing any symptom of PCOD, it is recommended for you to consult an Ayurvedic practitioner. This ensures that proper diagnosis is undertaken so that you can start treating the condition as early as possible.

3112 people found this helpful

Everytime when I drink vodka or had sex or had periods a reddish painful pimple appears on my vagina which is cured after few days bt it cause irritation and pain all the day. Why is it so and what to do for that.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Everytime when I drink vodka or had sex or had periods a reddish painful pimple appears on my vagina which is cured a...
It happens because of the internal heat your body is generating which is coming out in form of a pimple. So during that time you just take 1 dose of Sulphur 6C at that time and repeat it second dose after 6 hours. It will be alright. Still if you have any queries, please let me know. Take care. :)
1 person found this helpful
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Doing anal sex using condom? Can be effective? Or sucking in women's anus causes any disease?

MD - General Medicine
Sexologist, Delhi
It is safe to use condom while doing anal sex, yes sucking of anus can cause diseases like e coli and stds.
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Tubal Ligation - Why It is Opted for?

DGO , MBBS
Gynaecologist, Pune
Tubal Ligation - Why It is Opted for?

Tying your tubes or tubal sterilisation is also known as Tubal Ligation a process that may be carried out due to number of reasons. This kind of permanent birth control also includes cutting or blocking of the fallopian tubes so as to avoid pregnancy. With the help of this procedure, one can block the path along which the sperm travels in order to reach the egg and fertilise it. This procedure can be done at any time including right after childbirth. Read on to know more about tubal ligation.

Reasons: There are many reasons why this procedure may be conducted. This is usually done to prevent pregnancy on a permanent basis. However, it is important to remember that this procedure may not suit everyone. One alternative procedure is a hysteroscopic sterilisation, which involves the placement of a small coil in the fallopian tubes through a path formed via the cervix. With the help of this insert, scar tissue is formed, thus effectively blocking and sealing off the tubes.

Risk of Damage to Organs: There are many risks that can be borne due to the procedure of tubal ligation. One of the main issues remains potential damage to the bowels which can lead to gastrointestinal complications in the long run. Also, the bladder and surrounding blood vessels may undergo such damage.

Medical History: This procedure can cause further complications like excessive bleeding and others, if you have had surgery in the pelvic and abdominal area earlier, as the wounds may suffer inflammation if the procedure is recent enough. Also, if you have a medical history of obesity or diabetes, then this can create further complications after the procedure.

Anaesthesia: One can also have an allergic reaction to the anaesthesia that has been used during the procedure, which can pose complications during the recovery period.

Infection: If the wound does not heal properly, then there is a chance of catching infections in the area which can lead to excessive bleeding, pain and fever along with other complications that have to do with the procedure and the organs at play.

Chronic Pain: There is a risk of going through long term and chronic pelvic or abdominal pain after this surgery. This can become a debilitating problem in the long run, for the patient.

Guarantee: This procedure cannot prevent sexually transmitted diseases. Also, one must remember that less than one out of 100 women who go through this procedure, actually get pregnant. Yet, if you are relatively young when the procedure happens, there are higher chances of the procedure failing to prevent pregnancy. Also, in such cases, the risk of ectopic pregnancy increases quite significantly. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2606 people found this helpful

No TitleCaring for Toddlers(1-3)

BDS
Dentist, Bangalore
No TitleCaring for Toddlers(1-3)

Caring for Toddlers(1-3)

3 people found this helpful

When do you need a LASIK Eye Surgery?

DOMS, MBBS
Ophthalmologist, Delhi
When do you need a LASIK Eye Surgery?

What is LASIK ?

Laser-Assisted in Situ Keratomileusis (LASIK) uses a computer controlled laser to reshape the eye's cornea ( the transparent part in the front region of the eye), so as to enable light passing through it to focus correctly onto the retina of the eye.

When do you need this surgery?

This surgical procedure is ideal for people having following conditions making spectacle use mandatory :

1. Myopia or nearsightedness - Far off objects appears blurry
2. Hypermetropia or farsightedness - Close objects appear indistinct
3. Astigmatism - Overall fuzzy vision

Facts about the surgery -

- Practically painless procedure done under numbing drops
- Short surgery time as well as recovery time
- No use of stitches
- Reduced dependency on glasses and contact lenses
- Better vision as compared to vision through high power glasses
- Minimum age to opt for the procedure is 18 years

LASIK in Presbyopia or Presbylasik:

The surgery can also be opted for individuals who suffer from presbyopia, which is long-sightedness brought on by the loss of flexibility of the eye lens, and usually occurs in individuals in their middle and old age. The condition renders individuals with the inability to focus on objects that are close by, leading to difficulty in reading smaller prints or doing chores close up.

In Presbylasik or Multifocal LASIK different power zones are created for seeing at varying distances - near , intermediate and distance vision.Consulting a doctor is best as he or she can help you to decide on the right course of action.

'Consult'.

Related Tip: 4 Tips for a Great Eyesight

4323 people found this helpful

I am diabetic patient. Want to change. Planning for baby. But my hips is 7 kya its ok to conceive or what is the range of hbaic to conceive please tell I am taking medicine trajenta and diamicron.

MD - Internal Medicine
Internal Medicine Specialist, Vadodara
I am diabetic patient. Want to change. Planning for baby. But my hips is 7 kya its ok to conceive or what is the rang...
Diabetes should be well controlled target hba1c should be 6 you can conceive but have to shift to only insulin therapy during pregnancy dose have to be adjusted accordingly. If uncontrolled sugars are there chances of large baby and deformity are there.
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Many of my friends ask me for sexual relationship I am 21 year old is it safe to keep the relation with multiple partner using condom.

F.C.P.S.(Mid. & Gynae), MBBS
Gynaecologist, Mumbai
It an unsafe practice. It could lead to sexual transmitted diseases. Its good to be sexually active with only a single know partner.
8 people found this helpful
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I am pregnant and I want to know that stomach pain and back pain is normal during pregnancy?

D.G.O
Gynaecologist, Faridabad
I am pregnant and I want to know that stomach pain and back pain is normal during pregnancy?
People may hav some discomfort as you complain but surely the best modality is usg for more confirmation.
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Mene 1 mahine phle gf ke sath unprotected sex kiya tha. Uske period aa gye h but 1 hi din aaye h Kya wo pregnent h.

BHMS
Homeopath, Delhi
Mene 1 mahine phle gf ke sath unprotected sex kiya tha. Uske period aa gye h but 1 hi din aaye h
Kya wo pregnent h.
Intercourse se periods affect hote hain. Agar periods aayein hai chaahe ek din k liye kyun na ho to wo pregnant nahi hai. Agar koi aur symptoms saamne aate hain jaise ulti jaisa lgna aur periods nahi aana to gynaecologist ko zaroor dikhaayein.
3 people found this helpful
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I don't get my cycle every month from my first cycle while be there any treatment for regularity on for cycle.

BHMS
Homeopath, Chennai
I don't get my cycle every month from my first cycle while be there any treatment for regularity on for cycle.
dear. lybrate user homoeopathic classical treatment will cure your problem,it may be due to hormonal disbalance,also eat more vegetables and whole fruits,drink plenty water,exercise daily
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Hello, I am 24 years old, my weight is 68 kgs and height is 5'2 I am suffering from pcod because of which I have not received my periods from 6 months. Please help me with this.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, I am 24 years old, my weight is 68 kgs and height is 5'2 I am suffering from pcod because of which I have not ...
You should start doing regular exercise for weight loss, it help maintaining normal hormonal balance and increase fertility. Also consult gyne and get and ultrasound pelvis done, thyroid, prolactin and blood sugar done.
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