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Dr. Archana Astekaremant Deshpande

Gynaecologist, Pune

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Dr. Archana Astekaremant Deshpande Gynaecologist, Pune
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Archana Astekaremant Deshpande
Dr. Archana Astekaremant Deshpande is one of the best Gynaecologists in central Panchgani, Pune. You can visit her at Chavan Hospital in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Archana Astekaremant Deshpande on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 33 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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Plot No.54 Near Vastu Udyog Corner, Stadium Road,Landmark:near Ratnam Sweets, PunePune Get Directions
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Hi Dr, I'm 4 months pregnant. I am suffering from burning of feet at night, swelling in my feet and slight numbness in feet in morning from past 2-3 days. Is this normal? Also I'm getting pain in my left side of lower abdomen from 2-3 days that last for approx 2-3 mins. What can be the reason for this? Can you please guide?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hi Dr, I'm 4 months pregnant. I am suffering from burning of feet at night, swelling in my feet and slight numbness i...
If there is swelling at 4 months you should do urine routine done as first step and show same to your obstetrician. For numbness if you did not have prior to pregnancy don't bother. If pain is severe or very frequent you should meet your obstetrician at the earliest.
1 person found this helpful
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My wife is 48 year old and she is not interested in sex since last 8 months What should be the problem with her Please Advise.

DGO, MBBS
Gynaecologist, Bhavnagar
My wife is 48 year old and she is not interested in sex since last 8 months
What should be the problem with her
Pleas...
She may be approaching menopause or already in menopause. In or near menopausal period, levels of hormones change so does the mood. That may be the reason of not having interest in sex. You have to handle her with cool mind. And gradually take her our of post menopausal syndrome.
1 person found this helpful
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I have done unprotected sex after periods on 12 day n 2nd day I hav taken unwanted 72. So my question is that I get pregnant after taken dis medicine.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have done unprotected sex after periods on 12 day n 2nd day I hav taken unwanted 72. So my question is that I get p...
If this pill is taken within 72 hours of unprotected intercourse then no chances of pregnancy but sometimes excessive bleeding problems occur at time of periods due to remains of the dead embryo.So avoid such pills as much as you can as it is the female who is in loss situation every time.
1 person found this helpful
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Hello I am 20 years old and m sexually active from Yesterday something watery white liquid discharge is coming out of my both nipples whenever I squeeze them, and m also getting unconsciousness at that time, is this a matter of concern?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Hello I am 20 years old and m sexually active from Yesterday something watery white liquid discharge is coming out of...
When a person get sexually active, many hormonal changes occurs in body. It may be your prolactin hormone level increase by which you feel this problem. You may take tab B long 1 tds for 5 days. This medicine helps you. But if this problem continue then you consult me privately through Lybrate because of we treats patients like this.
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Hello mem. I am 22 year old. Mere december se period nhi aa rahe h. Sirf ek do dag aa rahe h. Mene Dr. Ko bhi check karwaya bt wo b samjh nhi pa rahi h kya reason h. Pehle kbhi aisa nhi hua. December se aisa ho raha h. Or mere period ki date b fix nhi h. Please mjhe bht tensn ho rahi h period kyu nhi aa rahe h thk se. Pet b ful raha h thoda. Please ap solutions bataye.

Advanced Aesthetics
Ayurveda, Gulbarga
Being overweight, using certain medications such as blood thinners and having a hereditary bleeding disorder also put you at a higher risk. There are many possible causes of heavy menstrual bleeding, including hormonal imbalance in the body, fibroids or noncancerous tumors of the uterus, uterine polyps, miscarriage or ectopic pregnancy, use of blood thinners and a side effect of using an intrauterine device (iud) for birth control. Ayurvedic medicines start kar do is se thik ho jayega m2 tone syrup and pushyanug churna and ashokarishta syrup any queries inform me.
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I am 32 years old having 2nd gravida completed 38 Weeks and 2 days. Avg fetal wt is 3.3 kg. HC#32.67 cm. Doctor suggested induced labor. Please suggest. B) is epidural analgesia is good for above condition as I was having too much pain in first delivery 5 years back.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 32 years old having 2nd gravida completed 38 Weeks and 2 days. Avg fetal wt is 3.3 kg. HC#32.67 cm. Doctor sugge...
Hello, You should better ask your obstetrician as he/she is the best person to guide you at this moment and is well-aware of your medical history.
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Risks of Bariatric Surgery

Fellowship in Minimal Access Surgery, Fellowship in Bariatric Surgery, M.S.
Bariatrician, Lucknow
Risks of Bariatric Surgery

Bariatric surgery refers to a host of surgical procedures that help a person suffering from obesity to lose weight. Various methods are used to achieve the desired results, often times using the help of a gastric band to decrease the size of the stomach or surgically removing a small portion of the stomach.

Notwithstanding the result, bariatric surgery like any other surgery, involves certain risks. Some of them are:

  1. Uncontrolled bleeding: One of the most common risks that any surgery entails is that of excessive or uncontrolled bleeding. If this condition persists, they often times lead to death.
  2. Infection: Though infections seemingly appear easily preventable and easy to deal with, they often snowball into fatalistic danger to the point of no recovery.
  3. Side-effects of anesthesia: Administering a general anesthesia before performing any surgery is a common practice. However sometimes it may yield certain unforeseen consequences.
  4. Clotting of blood: Quite similar to excessive bleeding, even clotting of blood presents an equally if not more hazardous situation. Though sometimes timely intervention of medications resolves the situation, often it aggravates into a grievous cause of concern.
  5. Hypoglycemia; Hypoglycemia refers to the condition when there is a deficiency or the lack of glucose in the blood. Though this is a side-effect of bariatric surgery, it does not appear immediately but rather surfaces many years after the operation was performed.
  6. Emotional disorder: Along with physical ailments, post bariatric surgery may also affect you emotionally. Post-bariatric surgery may sometimes lead to emotional and behavioral disorders in you and sudden, incomprehensible mood swings.
  7. Death: Though rare, one cannot negate the possibility of death as a plausible risk of bariatric surgery.
3877 people found this helpful

Having PCOS plus my prolactin level is higher. Trying to conceive from 2 years but no luck at all. Dr. suggested weight loss but that is also not happening. Having few doubt as I heard dairy product is not allowed can I have curd. N spices like only green chilly It become difficult to eat without this both. Even I have to avoid sugars? As prolactin level is high I am confused. please reply as my Dr. is out of country And thanks in advance.

C.S.C, D.C.H, M.B.B.S
General Physician,
Having PCOS plus my prolactin level is higher.
Trying to conceive from 2 years but no luck at all. Dr. suggested weig...
On a weight loss programme, you want your body to get most of its energy from fat rather than carbohydrates. In fact, what you want your body to do is to feed on its fat stores. In order for your body to start doing this, your carbohydrate intake will have to be restricted, however, still leaving enough to form glucose for your brain. In terms of your carbohydrates, you can either reduce or eliminate some foods from your diet, for example, flour, biscuit, rice, soda and pastries. These can be substituted with either ground provisions, steamed vegetables, vegetable juices or fruits, although it's always best to eat the fruits rather than drink the fruit juices. Try to reduce the amount of fatty and oily foods in your diet. Your overall aim is to be healthy and reduce your calorie intake. As such, you need to start or increase your exercise programme. If you are just starting your exercise programme, it is best to start slowly at first and then gradually increase as you go along.
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As I am in 3rd semester on my pregnancy. So pls provide me the food intake chart.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
As I am in 3rd semester on my pregnancy. So pls provide me the food intake chart.
1. Proteins: Especially essential during 3rd trimester (7th to 9th months of pregnancy). for growth, repair of muscle, skin, hair and body tissues. Protein deficiency leads to low immunity, hairfall, feeling of tiredness. Proteins are not stored in our body as any excess protein is converted to energy or fat. (a) Major protein sources: Egg white(white portion), Milk, Soybeans/Soymilk, Fish, Cheese, Tofu. (b) Other protein sources: Beans with wheat, Nuts, Curd, Yogurt (Dahi) 2.Carbohydrates Our main source of energy. Stored in liver and muscles. Carbohydrates are used the most by our body duringexercise. Hence, it is important during pregnancy to consume a diet rich in carbohydrates. (a) Instant/rapid carbohydrates energy sources: Banana, Milk, Sweets, Sugarcane juice. (b) Slow carbohydrates energy sources: Beans, Bread, Cereals, Potato, Pulses, Rice. 3.Iron : Especially essential during 6th to 8th months of pregnancy). Helps in production of haemoglobin and transportation of oxygen to blood cells. 1. Largest mineral found in our blood which also helps in producing energy. . 2. If taking Iron and Vitamin C supplements, do not take them at the same time but after a gap of about 3 hours. Taking Vitamin C tablet helps in absorbing iron. Sources of Iron: 1. Vegetables: Spinach, Dark green leafy vegetables, Lentils(Daal). 2. Fruits: Avocados(Makhanphal), Peach(Adau), Pear(Nashpati), Pumpkin(Kaddu), Raisin(Kishmish), Pomegranate(Anaar). 3. Food: Eggs, Fish, Meat, Cereals, Almonds(Badam), Whole wheat bread, Soybean. 4.CALCIUM 1. Helps form strong bones, teeth, healthy gums, muscle growth and prevents muscle cramps. 2. Taking a small dose an hour before bedtime helps achieve sound sleep. Sources of Calcium: 1. Vegetables: Cabbage, Dark green leafy vegetables, Broccoli, Figs(anjeer), Flax seeds(San Beej). Food: Eggs, Milk, Dairy products, Yogurt(Dahi), Almonds(Badam), Soybeans/Soymilk.
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Heavy bleeding at the time of period in age of 49 is normal or not? And period frequency is also before 10 days. She always suffering from bleeding and heavy pain. I want to know that heavy bleeding and early periods is a sign of menopause or not? Is menopause possible in the age of 49? We should consult a gynecologist or not?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Heavy bleeding at the time of period in age of 49 is normal or not?
And period frequency is also before 10 days.
She ...
pOLYMENORRHAGIA IS NOT A SIGN OF MENOPAUSE BUT A SIGN OF POSSIBLE organic endometrial or myometrial causes for excessive bleeding. She should get a ultrasound pelvis done soon to rule out any fibroids, submucosal polyp. Also a visit to gyn is important for ruling out cervical causes and for endometrial biopsy to rule out endometrial hyperplasia or cancer. Also a hormonal profile shall be required to complete the assessment.
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Why Do Diabetic People Need to Eat Fat?

PG Diploma Nutrition and Dietetics, B.Sc - Home Science
Dietitian/Nutritionist, Delhi
Why Do Diabetic People Need to Eat Fat?

Diabetes is a condition that affects the pancreas to the extent that they do not release the required quantity of insulin, which can lead to a high blood sugar level as the body starts to absorb excess glucose from the food that it ingests. This can be of various types and have different implications for different patients. While many experts insist that keeping a low cholesterol level and low weight is a primary requirement for treatment of diabetes patients, there are a number of myths in this regard. Not eating fat is one such myth that we are out to prove wrong today.

So read on to find out why diabetic people need to eat fat:

  1. Saturated Fats and Trans Fats: There are studies that demonstrate how saturated fats can actually prove to be beneficial for diabetes patients. These can be found in various sources like fish and nuts. This releases heptadecanoic acids, which can normalise the blood sugar levels as well as the insulin and triglyceride levels in the body.
  2. Dairy Fat: The use of milk and yogurt as well as butter can actually be help in bringing the blood sugar levels down. It also shows up favourably on the lipoprotein markers. Butter in particular is known to have clarifying properties that can bring down the risk of diabetes as well. One must take care to use dairy products that are fat free. 
  3. Animal Fat: Having meat which releases fat and having dairy products like cheese and milk which releases healthy saturated fats are two different things. One can replace carbs and meat with these kinds of products so that there is better absorption and creation of quality animal fats which can actually help the insulin levels.
  4. Monounsaturated and Polyunsaturated Fats: Food items like fish and nuts that carry high levels of Omega-3 fatty acids as well as monounsaturated and polyunsaturated fats can help patients suffering from diabetes by clearing the bloodstream of cholesterol and high lipid levels. This also prevents the risk of heart disease and arterial blockages. These kinds of fats are also found in flax seeds, soya products and walnuts. 

Going low on carbohydrates and avoiding sugar is usually recommended for patients suffering from diabetes. Yet, it is important to have your fill of essential fats as mentioned above with the help of dairy products, clarified better, omega three fatty acids, dry fruits, soya products and some amount of vegetable oils, as these actually have a number of benefits for these patients. These kinds of fats are not known to cause heart disease or high cholesterol.

4224 people found this helpful

How Poor Sleep Affects Your Sex Life

PG Dip (Sexual & Relationship Therapy), MRCPsych, Diploma in Psychological Medicine, MD - Psychiatry, MBBS
Sexologist, Bangalore
How Poor Sleep Affects Your Sex Life

With more people frankly discussing about the loss of libido, studies have been conducted to investigate the reasons behind this. Surprisingly, in addition to hormonal and functional causes like genital issues, one common factor that causes loss of libido in both men and women is lifestyle changes. In addition to improper food habits and loss of exercise, loss of sleep is one of the most common causes of reduced sex drive.

Listed below are some reasons how sleep affects your sex drive:

  1. Lowers testosterone levels: Optimal amounts of testosterone in the body are required for having a good sex drive. Sleeplessness reduces the amount of testosterone produced in the body, thereby directly affecting the person's libido. A week with only 5 hours of sleep daily can reduce testosterone levels by 15%, which is equivalent to approximately 10 to 15 years of ageing.
  2. Vaginal lubrication: Studies have shown women who sleep regularly are wetter and have less pain during sex. Painful sex in turn reduces the sex drive in women.
  3. Erectile dysfunction: Improper sleep habits also reduces the quality of erection, thereby leaving you dissatisfied. Patients with sleep apnea who breathe irregularly with pauses in between were identified to have erectile dysfunction. The correlation gets stronger when the erectile dysfunction and sleep apnea improved drastically with regular sleep habits.
  4. Sleep induced depression: Sleeplessness leads to depression and general fatigue, and the last thing one wants to indulge in when depressed and tired is to have a sex.
  5. Impaired cognitive function: In addition to depression, deprived sleep also leaves you with overall reduced cognitive function, which leads to a vicious cycle of not reacting to your partner's instincts, etc. If you are not able to decipher whether or not the other person is interested, then the frequency and more importantly the quality of sex is reduced. This again sends out wrong signals to the partner, who will also not make the first move. And that again leads to a gradual decline of your sex life.
  6. Reduces love: Ever wondered why good sex is followed by a sound sleep and leaves you feeling fresh. There are strong chemical reasons to it sex induces hormones like prolactin which helps you relax and feel rested; it also produces the cuddle hormone oxytocin which increases the goodness feeling; it also reduces cortisol which is the stress hormone. All these increase feelings of belonging and love between the partners, which are affected by lack of sleep.

So, if you and your partner have been have been wondering how to rekindle your love life, think of getting a good night's sleep and sex will happen on its own.

3618 people found this helpful

C.S.C, D.C.H, M.B.B.S
General Physician,
SAFE WATER DRINKING- FACTS FOR HEALTHY LIVING

1. Lead in drinking water is absorbed more completely than lead in food

2. It account for more than 50 percent of the lead that is ingested by children

3. Municipal water supplies are controlled and regulated to prevent contamination at the source

4. However, once the water reaches the home, it is rarely regulated, tested, or treated.

5. EPA action level for lead in water is 15 parts per billion (ppb).

6. Most lead-contamination of household water is caused by copper plumbing that is joined with lead solder

7. Lead pipes may contribute to lead-contamination, but lead plumbing usually is old enough to have its inner surface coated with mineral deposits, which prevent leaching of lead into the water supply.

8. Other potential sources for lead contamination include storage cisterns, sources of water that are outside the municipal water districts, and aging water coolers and water heaters, particularly in areas where the water has a relatively low pH

9. Acidity and elevated temperature increase the ability of the water to leach lead from the solder or pipes, as does standing in the pipes for extended periods of time (eg, overnight).

10. The ability of home water filters or purifiers to remove lead depends upon the type of filter. Ion-exchange, reverse-osmosis filters, and distillation are effective in removing lead, but the most commonly available home filters (glass fiber and carbon) usually include packaging material that specifies that they do not efficiently remove heavy metals.Water to be used for cooking or drinking should come from the cold tap because hot water is more able to leach lead from the pipes. In addition, the water should be run for some time before it is collected; this flushes the water that has a higher lead content (caused by standing in the pipes) down the drain
7 people found this helpful

Quitting Smoking May Improve Erections

Masters in Clinical Psychology
Psychologist, Lucknow
Quitting Smoking May Improve Erections

Most people are aware that smoking is bad for their health. Smoking is linked to cancer, heart disease, respiratory disease, and a host of other illnesses.

What men might not know, however, is that smoking can also lead to erectile dysfunction (ed). Studies have shown that men who smoke are more likely to develop ed. And the more a man smokes - both quantity and duration of time - the worse his ed tends to be.

The good news is that quitting smoking can help restore erections. Let's look at this relationship more closely.

When a man is sexually stimulated, his brain sends signals to the penis to trigger an erection. Smooth muscle tissue relaxes and arteries widen, allowing the penis to fill with blood. When enough blood flows in, veins constrict to keep it there until the man ejaculates (or the stimulation stops). Then the veins open and blood flows back into the body.

As you can see, blood flow is critical for a good erection. Blood is what gives the penis the firmness needed for sex. When blood flow is compromised, so is the erection.

Smoking tobacco releases chemicals that interfere with this process. This can happen in a few ways.

  • Hardening of the arteries (atherosclerosis). Chemicals can damage the lining of blood vessels, making it difficult for blood to flow into the penis.
  • damage to smooth muscle tissue. When this tissue can't relax properly, blood flow becomes impaired.
  • decreased nitic oxide.Smoking interferes with the body's production of nitric oxide, a compound needed for erections.
  • Other health conditions, like diabetes and heart disease, can contribute to ed, too. If you're having erection problems, it's important to have a full checkup with your doctor. But quitting smoking definitely, can't hurt.

Quitting smoking should make you feel better overall. You'll feel good about yourself knowing that you've taken an important step toward better health - and possibly better sex!
 

7 people found this helpful

Miscarriage - Symptoms, Treatment and Prevention

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Miscarriage - Symptoms, Treatment and Prevention

Miscarriage is the early loss of foetus within 20 weeks of pregnancy. It is also known as ‘spontaneous abortion’. According to research, about 8-20% of the pregnancies end in miscarriage. Out of the total number of miscarriages, 80% of them end within 12 weeks of pregnancy.

Types of Miscarriages and their Symptoms 

  1. Threatened Miscarriage – As the term suggests, in this condition the process of miscarriage might have begun. This is the initial stage of the process. In threatened miscarriage, there is slight bleeding accompanied by cramps and pain in the lower back, which is usually mild. The cervix (the lower part of the uterus) remains closed. 
  2. Inevitable and Incomplete Miscarriage – In these conditions, there is bleeding along with an open cervix. When there is dilatation and thinning of the cervix, miscarriage is inevitable. In incomplete miscarriage, part of the tissue comes out and a part remains inside the uterus. In inevitable and incomplete abortions, the bleeding and cramps are more severe. 
  3. Complete Miscarriage – Complete miscarriage is when the embryo has completely emptied from the uterus. The pain and bleeding reduce once the foetus is expelled. This can be confirmed through ultrasound. 
  4. Missed Miscarriage – In Missed miscarriage, there is no sign of the life of the embryo and there is no expulsion of the embryo. It can be detected from the absence of heartbeat of the embryo found on ultrasound. 
  5. Recurrent Miscarriage – It happens when there are two or three miscarriages one after the other. It affects about 1% of the pregnancies. 

Risk Factors 

  1. Increased maternal age i.e., women above 35 years. 
  2. Excess or insufficient chromosome in embryo. 
  3. Placenta is the organ which links mother and the baby for blood supply. Problem in the development of placenta can cause miscarriage. 
  4. Excessive smoking and drinking during pregnancy. 
  5. Obese women have higher risk of miscarriage. 
  6. Long-term health conditions like high blood sugar, high blood pressure, liver disease etc.
  7. Infections like rubella, malaria etc. 
  8. Weakened cervix, which is the result of previous injury or surgery, can also result in miscarriage. 

What are the symptoms of a miscarriage

  1. Bleeding or spotting can be one of the symptoms of miscarriage. It should be kept in mind that not all pregnant women who suffer from spotting or bleeding, end in miscarriage. 
  2. Lower backache starts before or right after bleeding, which can be persistent or you could have cramps which may be mild or sharp and can feel like more of pelvic pressure. 
  3. Missed miscarriages are detected through ultrasound when the doctor finds that there is no heartbeat of the embryo or when the uterus is not growing. 

What are the treatment options in miscarriage? 

  1. Medical – In most of the cases, there are no specific drugs to stop a miscarriage from occurring. In some cases, certain hormonal preparations help. There is no point in prescribing medicines for prevention of miscarriage if there is heavy bleeding. 
  2. Surgery – Dilatation and evacuation (D&E) is a simple operation which is done under general/local anaesthesia. In this operation, the cervical canal is dilated and contents present in the uterus are evacuated. There is no cutting involved as it happens through the vagina. The process needs only five to ten minutes, but the patient has to stay in the hospital for about 3-4 hours. 

This process is opted when: 

  1. There is heavy bleeding. 
  2. The patient suffers from missed miscarriage. 

What can you do to prevent miscarriage? 

Nothing much can be done to prevent miscarriage in most of the cases. However, following supportive measures may help: 

  1. There should not be overexertion during pregnancy. Moderate amount of physical activity is permissible. 
  2. One should have a well-balanced diet. Studies have shown that a diet loaded with fruits and veggies helps in overall well-being during pregnancy. One should limit the consumption of caffeine. 
  3. Avoid smoking, alcohol and certain drugs to prevent miscarriage. 
  4. Avoid stress and anxiety

Report to a Doctor as soon as any symptom related to miscarriage appears.

2770 people found this helpful

I have been planing for my 2nd baby since 4-5 months. Nw we r planing to go on pilgrimage by d end of ths mnth. Cn I have tablets to postpone or prepare my periods. Is it save. Wat if I conceive ths mnth?

Advanced Aesthetics
Ayurveda, Gulbarga
I have been planing for my 2nd baby since 4-5 months. Nw we r planing to go on pilgrimage by d end of ths mnth. Cn I ...
Postpone medicenes are available not prepone if trying to concieve leave it why r you want to take medicenes.
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Is condom the best way to avoid unwanted pregnancy? Which condoms are best in the market? Is there any harm to body for using it?

MBBS
General Physician, Greater Noida
Is condom the best way to avoid unwanted pregnancy? Which condoms are best in the market? Is there any harm to body f...
Yes, condom usage can be the best way to avoid unwanted pregnancy in addition to use of safe period duration. Lubricated condoms are available in market. Some people are allergic to latex and reactions can happen to any of the sexes.
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I had sex right after my period ended like after a day or so. But I had sex without protection but had a pill immediately to avoid pregnancy. Its been a week since I had sex. Now I am having a brown discharge from few hours. Is it because I am pregnant or because of old blood?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I had sex right after my period ended like after a day or so. But I had sex without protection but had a pill immedia...
Hello the brown discharge should be neither pregnancy nor old blood. It is probably withdrawal bleeding after taking pill.
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