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Dr. Anupama Doble

Gynaecologist, Pune

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 31 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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STDs and Ways to Prevent Them

MD - General Medicine
Sexologist, Delhi
STDs and Ways to Prevent Them

STDs or sexually transmitted diseases refer to medical conditions that are contracted through engaging in sexual acts with a person who has an STD. These diseases spread though sexual activities that involve the penis, vagina, mouth or anus and occur commonly among those who are sexually active, especially with multiple partners.

STDs are usually severe conditions that require proper medical diagnosis and treatment. The kind of treatment method used depends on the nature of the condition.

The important thing to understand and know is that these STDs can be prevented.

3 ways of preventing STDS are:

  1. Practice safe sex: Use a latex condom every time you have sex and use a water-based lubricant. If your sex life involves intercourse, anal or vaginal, make up your mind to never have sex without a condom. If you or your partner is at a high risk of STDs, be consistent about barrier use during oral sex as well. Avoid sharing towels or underclothing to reduce the risk of an STD. Check the expiration date of the condom and make sure that it has an air bubble, which shows it has not been punctured. Dispose the condom properly and never reuse it.
  2. Don't drink alcohol or use drugs before sex: It's impossible to make responsible choices about your sex life under the influence of drugs or alcohol. When you are under the influence of any one of them, you are not in your mind and are likelier to choose a partner you wouldn't have picked otherwise. In that case, you may be at a higher risk of contracting an STD. Also, if you are on birth control pills and you vomit, the pills could lose some effectiveness.
  3. Precautions before sex: There are some things you can do to reduce your risk of contracting STDs before sex. This include limiting the number of sexual partners, talking honestly with partners about your sexual history, getting tested, along with your partner, before having sex, getting timely vaccination against HPV and HBV. If you have been diagnosed with an STD you should tell your partner about it and also explicitly ask your partner about the same.
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I have small vaginal opening due to which we cant do intercourse successfully. Please let me know about use of dilators or other means to widen the vaginal opening.

MSc-Psychology, MHSc-Reproductive and Sexual Medicine, MD - Obstetrtics & Gynaecology, MBBS
Sexologist, Hyderabad
Vagina is a stretchable organ and no vagina in an adult is small for sex . What you are referring to as vaginal opening is hymen . Hymen in a thin sheet covering the entrance of vagina. It has a small opening. It gets ruptured usually at first sex with minimal pain with or without bleeding . Good number of girls fear pain at first sex and tighten the muscles around vaginal opening . So the problem is in the mind not in vagina. Psychotherapy along with vaginal dilatation is the treatment
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My Ige level is very high that is 1165 I want to reduce my allergy I am taking medicines but I don't think so it's working. So suggest me some home remedies so that I can completely get out of it pls. And even I get severe pain in my middle fingers of my hands. The pain is really. Disgusting I just feel like to break my finger. Pls help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
My Ige level is very high that is 1165
I want to reduce my allergy
I am taking medicines but I don't think so it's wo...
Hello lybrate-user to improve your immune system you should take chawanprash 1 tsp with milk, take fresh seasonal fruit n practice yoga all this will really help you. U can ask for further information.
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I am 25 years old girl. This monts my periods get late 10 days and not start till now. I dont have sex so this is not a cause. So can you help me to what I do get start?

Advanced Aesthetics
Ayurveda, Gulbarga
I am 25 years old girl. This monts my periods get late 10 days and not start till now. I dont have sex so this is not...
Such as eating disorders, significant weight loss or gain, anemia, menopause, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health conditions. Lifestyle triggers like increased exercise, smoking, alcohol abuse, caffeine, travel, stress, and certain medications and birth control pills can also contribute to this problem. Treatmet home remedies Aloe Vera Aloe vera helps treat menstrual irregularities naturally by regulating your hormones. 1. Extract fresh aloe vera gel from an aloe leaf. 2. Mix in one teaspoon of honey. 3. Consume it daily before having your breakfast. 4. Follow this remedy for about three months. Note: Do not use this remedy during your periods Turmeric Being a warming herb, turmeric is also considered helpful in regulating menstruation and balancing hormones. Its emmenagogue properties help stimulate menstrual flow. Moreover, its antispasmodic and anti-inflammatory properties relieve menstrual pain. ? Consume one-quarter teaspoon of turmeric with milk, honey or jaggery. Take it daily for several weeks or until you see improvement. ? You can also take turmeric in supplement form; consult your doctor for proper dosage A combination of dried mint and honey serves as a good Ayurvedic remedy for irregular menstrual periods. It also helps ease menstrual cramps. 1. Simply consume one teaspoon of dried mint powder mixed with one teaspoon of honey. Repeat three times a day for several weeks For treatment consult privately any queries inform me?
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My periods are delaying last it has come on 22 Nov n lasts up to 27 Nov but now oits 2 Jan its delaying .I don't know why m not even married or indulge any sex stuff still today o got pain in my stomach as I got during periods but periods still doesn't come.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
My periods are delaying last it has come on 22 Nov n lasts up to 27 Nov but now oits 2 Jan its delaying .I don't know...
You should lose weight, obesity is one of the reasons of hormonal imbalance resulting into delayed periods. Besides that, get an ultrasound done to rule out PCOS. Get T3T4 TSH levels also to rule out hypothyroidism. All the best.
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I had c section 2 moths back but still have severe back pain & knees pain & my belly button is still protruded. What can I do?

BHMS
Homeopath, Vadodara
Start homoeopathy for it. Kali carbonicum 30 4 pills twice a day for 7 days rhus tox 30 4 pills three times a day for 7 days. Calcarea fluoricum 6x 4 tablets three times a day for 7 days follow up me after 1 week. You will recover with above medicines.
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I am 17 years old. And I experience a lot of pain during my menstrual. I don't know the cure. I even get vomits during that and fatigue as well. please help me.

BHMS
Homeopath, Faridabad
I am 17 years old. And I experience a lot of pain during my menstrual. I don't know the cure. I even get vomits durin...
Hello. We can minimize the pain during menses with diet and medicines (which are safe to take).. Diet: - Calcium is a mineral associated with building healthy bones and teeth. However, it may have some applications in minimizing the harmful effects of menstrual cramping. So,increase your intake by eating low-fat dairy products such as milk, yogurt and cheese or green leafy vegetables. - Your body uses vitamin B-6 to manufacture new red blood cells. When you lose red blood cells via menorrhagia, your body will need more to build new cells. Also, vitamin B-6 is required for your blood sugar to stay at healthy levels. This can help prevent menstrual cramping-related mood swings and fatigue. Vitamin B-6 is found in fortified cereals, bananas, spinach, sunflower seeds, avocados, tomato juice and salmon. - Just as foods can help reduce the symptoms of menstrual cramping and bleeding, foods can aggravate your symptoms. This includes eating excessive amounts of sugar -- such as cakes, cookies and pies. These are known to contribute to water retention, which make you feel bloated and uncomfortable. High-salt content foods -- french fries, pizza and other fried foods --- can also contribute to bloating. Caffeine-containing beverages like tea and coffee should be avoided as they can contribute to headaches, mood swings and trouble sleeping. - If you're craving chocolate, make sure it's over 70 per cent cocoa. This bittersweet treat will help you relax your muscles. - We all know fluids are essential when your body is cramping or bloating. Drinking two to three litres of water during your period is essential. - Tea is an easy way to replace your caffeine craving. Green tea to soothe cramps. now, even though green tea contains caffeine, try decaffeinated green tea instead — but be aware, you may lose some health benefits with a decaf version. Caffeine is another no-no. Drinking lots of coffee or pop during your period can increase higher levels of tension and anxiety. - Avoid anything that can damage your liver should be off the list. So, avoid alcohol. - Red meat, Smart says, is also know to cause stomach upsets and cramps. Medication: Start taking homoeopathic medicines - Mag. Phos. 6x and Colocynthis 200 - every 2 hrly. during the time of menses. And take Five Phos. and Alfaalfa Tonic - thrice daily for 1 month. Revert me back.
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I have nipple pain whenever my husband touch my breast. Please prescribe a medicine.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I have nipple pain whenever my husband touch my breast. Please prescribe a medicine.
Please take following medicines:- phytolacca dul - 200 / 5 drops in little water thrice a day for one day only. Calcarea fluor 6x / 4 tabs thrice a day for one week. Revert back after one week with feedback.
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Hey. I did sex with my girlfriend on 3rd day of her period and ejaculated outside ,and sex without condom and its benn 1 month 5 days and she didn't get her periods back. Is there any chance of pregnancy?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate-user, very very less chance of getting pregnant. Her periods could be delayed because of stress or hormonal imbalance.
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All About Impetigo

MD - Dermatology, MBBS
Dermatologist, Delhi
All About Impetigo

Impetigo is a disorder caused by bacterial infection resulting in sores and blisters. It usually occurs more in children and less in adults. It is characterized by red sores filled with fluid, along with yellowish brown crusts. It is contagious in nature and may spread via sharing sheets, clothing and towels.
Impetigo may be classified as: 

  1. Bullous impetigo: This type usually occurs in children below two years of age. The body, arms and the legs are the areas where the symptoms first appear. 
  2. Impetigo contagiosa:This form of impetigo usually appears near the mouth and the nose. The rashes are not usually painful but may be itchy. After the blisters burst, they leave red rashes.
  3. Ecthyma: This is a form of impetigo that affects the second layer of the skin. The blisters may turn into open sores or ulcers. It may also lead to swollen lymph nodes.

Symptoms:
The symptoms of impetigo are: 

  1. You may have small red spots that turn to blisters
  2. The blisters emit fluid
  3. The blisters may increase in number

In addition to the above symptoms, you may experience swollen lymph nodes and skin lesions. 

Causes:
This disease is caused by strep or staph bacteria. The bacteria enter the body through other skin conditions such as insect bites, eczema, burns and poison ivy. It may also be triggered by irritation of the skin. The likelihood of contracting impetigo increases if you have allergies.

It may also occur if you come in contact with an affected person. Sharing personal items such as bedding, towels or comb may lead to symptoms of impetigo. If you have dermatitis, diabetes or have a weak immune system then you are prone to impetigo. The disease is treated with antibiotics. Mild symptoms of impetigo may be treated by following basic hygiene practices.

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I am 19 years old and my boyfriend is 24 years old we both feel to do sex is it good for me to have sex.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am 19 years old and my boyfriend is 24 years old we both feel to do sex is it good for me to have sex.
There is nothing like good or not. It is psychological urge related to hormones and keeping all aspects like pregnancy, social, financial one decides for herself.
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Today i test pregnancy. and the result is positive . what are the precautions i should take now

MBBS
Sexologist, Panchkula
Today i test pregnancy. and the result is positive . what are the precautions i should take now
You are pregnant. I advise you to do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning. Take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily. Avoid garlic and red chilly at home and avoid non veg and eggs.
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I am currently pregnant and getting cold very frequently. Is having citrozen suggestible during pregnancy? And how frequently can I have these tablets as I am getting cold at least once a week? Thanks in advance for your reply.

BHMS
Homeopath, Nagpur
I am currently pregnant and getting cold very frequently. Is having citrozen suggestible during pregnancy? And how fr...
Unless you have fever or any other sign of infection, you should avoid any medicine unless prescribed by your obstetrician. You have not written about the length of pregnancy, because in 1st trimester you must not take any medicine except by prescription. In later trimesters some medicines can be given guardedly. Cold is not something to be worried for. Cetrizine is an antihistamine drug and is not indicated during pregnancy unless benefits outweigh risks.
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Hi. I am 31 year old lady. I got married 2 years ago. I had two miscarriages. One was missed abortion on feb 2015 (dnc done) and 2nd miscarriage was on apr 2016 .reason not diagnose. Few days back Dr. advised me the HSG test. It shows both the tubes blocked. How is it possible after two times conceiving the tubes get blocked. .what is the reason of that. I am very upset.

MD, MBBS
Gynaecologist, Vadodara
Hi. I am 31 year old lady. I got married 2 years ago. I had two miscarriages. One was missed abortion on feb 2015 (dn...
Dear lybrate-user, I understand your worry. Previous abortions can lead to infection of urogenital system and can lead to tubal block, however you need to confirm it with laparoscopy and tubal patency test as false positive test due to tubal spasm tubes of HSG are noted. You also need to take antibiotics before you go for Laparoscopy. If your tubes are blocked and confirmed with laparoscopy you can go for IVF after investigations of previous abortions. Best wishes.
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I mean the days when there is chance of getting pregnant like my periods date is 2 and on 7 I had sex.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I mean the days when there is chance of getting pregnant like my periods date is 2 and on 7 I had sex.
If your periods started on 2 feb and your period cycle is minimum of 25 days, and you have had unprotected sex on 7 feb, then no chances of pregnancy---------------------
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Hello, doctor I am 4 months pregnant and I have pcos my gynco gave me this medicine Macgest SR300, FOL - XT etc and when I was 2.5 months pregnant I had very mild abnormal bleeding so my doc gave me Duphaston 10 mg which cost 460 rs which is very expensive she told me to take this medicine thrice in a day when I asked her to give me some other reasonable substitute of this medicine she refused to give me. So doctor pls tell me some othr reasonable substitute of this medicine which is reasonable. Can I tk digest 10 mg instead of Duphaston 10 mg.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hello, doctor I am 4 months pregnant and I have pcos my gynco gave me this medicine Macgest SR300, FOL - XT etc and w...
hi lybrate user, No need to take tablet Duphaston as are having cost issue with it. You can take other form of progesterone. like injection Susten or proluton. please take bed rest, avoid lifting weights, sex. Continue Folic acid and iron.
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My gf sex on 4th of nov and take unwanted 72 on 7th of nov nd then she bleed nonstop on 13 of nov only for 1 day and today is 4th od dec nd she don't get periods is she pregnant or not please tell me I am so afraid and if she is not pregnant when she have her periods.

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
Now a days pregnancy kit for testing is available at every pharmaceutical out lets. I advice to take that kit and perform test at your home. By following the procedure given on that. If it shows two lines on that kit then it is positive. But as you are saying she consumed I pill within 72 hours and she bled on 13 th of november. She may not be pregnant for sure. But still if you have got doubts. Please follow the above said method.
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After some days of sexual intercourse if a girl is bleeding, there is any chance of pregnancy.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
After some days of sexual intercourse if a girl is bleeding, there is any chance of pregnancy.
if bleeding continue for 2-3 days like normal menses then there is no chance for pregnancy after that.but if bleeding is like a spotting only then it may be due to implantation.
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I played with my girlfriend but we didn't have sexual intercourse, she is 24 years old, she is virgin, her periods was regular but on this time it is delayed by 6 days, on 5th and 6th day there is brown discharge in little, why her periods got late? Why that brown discharge came?

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
I played with my girlfriend but we didn't have sexual intercourse, she is 24 years old, she is virgin, her periods wa...
Normal Menstrual Cycles & Lengths In general, a woman can expect to have 11 to 13 menstrual periods every year. That is, if you have a regular menstrual cycle that runs like clockwork, month after month. An average period can last anywhere from three to five days; it can be shorter or longer than this, but it’s typically no longer than 7 days or a week. A textbook menstrual cycle is 28 days (from one period to the next; this is the average length of a period or menstrual cycle). However, it is very common for adult women to have menstrual cycles that range anywhere 21 to 35 days. Teenagers – keep in mind that the first couple of years after your period starts, it’s normal to have long cycles (longer than 35 days). In adolescents and teenagers, a menstrual cycle can range anywhere between 21 and 45 days and still be considered normal. there are several reasons for delayed menstruatuion like hormonal imbalances pcod thyroid severe stress depression apeetite and many other conditions........... BROWN DISCHARGE?: In the vast majority of cases, a brown vaginal discharge is nothing to worry about. ... Caused by an enlargement of the ovaries, PCOS can cause brown period blood or brown spotting before period bleeding occurs because a small amount of fluid is leaked form the follicles of the ovary sometime during the cycle. CERVICAL POLYPS.......... BIRTH CONTROL PILLS......... PELVIC INFLAMMATORY DISEASE CHLAMYDIA GONORRHEA......... BUT6 MOST OF THE TIMES BROWN DISCHARGE IS NORMAL..... NO NEEED TO WORRY..................
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Good morning Doctor my problem is. I had sex with my boyfriend on 27of October, Last time I got period on 2nd. And this time I didn't still get my period. I'm following general motor diet from past 4 days. My doubt is why I didn't get periods. Am I pregnant r its because of my diet. Please Help me how to get rid from this problem.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Good morning Doctor  my problem is.
I had sex with my boyfriend on 27of October, Last time I got period on 2nd. And t...
Hello, You might have missed your periods due to stress. However, since you had unprotected intercourse, there are chances that you are pregnant. Do a urine rpegnancy test to confirm pregnancy. Were your last periods regular? If they were irregular then visit a gynecologist for further evaluation and management. You can also visit my clinic International Fertility Centre located in Green Park, New Delhi along with your medical investigations for further evaluation. You can mail your contact details so that I can reach you.
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