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Dr. Ashwini

Gynaecologist, Pune

300 at clinic
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Dr. Ashwini 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. Ashwini
Dr. Ashwini is a trusted Gynaecologist in sangvi, Pune. You can consult Dr. Ashwini at Om Netralaya, New Sangvi in sangvi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ashwini on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 32 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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Languages spoken
English
Hindi

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Om Netralaya, New Sangvi

1st Floor, Siddhi Prerana Complex, Sai Chowk, New Sangvi, PunePune Get Directions
300 at clinic
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I am two months pregnant and suffering from hypothyroidism till 7 months. And today I got a white transparent substance out with toilet. What is it. please help or should I consult with my gyno.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am two months pregnant and suffering from hypothyroidism till 7 months. And today I got a white transparent substan...
Get your Ultrasound done, to confirm for any issues with foetus, passing a white transparent thing could be just accumulation of normal vaginal fluid which you might not have probably washed properly, so suggest you maintain personal hygiene as well, and drink lots of water.
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I am 23 year old female. I am pregnant. My last date come 8th January. Tell me how calculate of my which is months running. Or very pain in my breast and belly. Can this time we make relation?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 23 year old female. I am pregnant. My last date come 8th January.
Tell me how calculate of my which is months ru...
Age of pregnancy is usually calculated in terms of months or weeks. It should be calculated from first day of last menses. With 8 th January as first day of last menses, today u r almost 2 months or 8 weeks. Yes sex can be practice during pregnancy. After 5 months of pregnancy one needs to change the position of male partner. Intercourse can be practiced in male standing position or sideways position. Male partner should not lie on the tummy or growing fetus. Pain in breast is a sign of pregnancy
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I hav 1st baby in 2012. Then I got pregnant again in 2015. January.but I aborted the child in 2 months. As we were not prepare. But we r planning for the 2nd one now. Is it possible. As my age is 34. My last period was 6 th July 2017.

MBBS, DGO, DNB, CIMP, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellowship in ART
Gynaecologist, Chennai
I hav 1st baby in 2012. Then I got pregnant again in 2015. January.but I aborted the child in 2 months. As we were no...
Hi! It is absolutely possible. If you conceived last two times without any medical help then it should not be a problem now also. Just know about your fertile period according to your cycles, be positive and try. If you don't get a positive result even after 6 months of sincerely trying then it's advisable to see a gynaecologist in this regards. Just ensure you are on folic acid tablets when you are trying to conceive, so start it immediately. All the best. And do let us know when you have a good news:)
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Blocked Fallopian Tube - How it Affects Your Chance of Getting Pregnant?

MD - Obstetrics & Gynaecolog, MBBS
Gynaecologist, Hyderabad
Blocked Fallopian Tube - How it Affects Your Chance of Getting Pregnant?

Being childless can be a cause of depression for many families, especially women. Infertility in women has a large number of causes. One of the main causes is endometriosis and while a woman may not be aware of it, the pain of having it and its implications does make it worthwhile to know what it is all about! To understand fully what endometriosis is, it is essential to know about the fallopian tubes. These tubes are on either side of the uterus and their purpose is transfer a mature egg from the ovaries to the uterus.

How do Fallopian Tubes Get Blocked?
The uterus has a layer or tissue which lines it called the endometrium. If a woman does not become pregnant, each month, the tissue is shed through the process of menstruation. A condition called endometriosis is caused by the growth of a tissue which is more or less like the endometrium. The issue is that this layer does not grow on the inner walls of the uterus; instead, it grows in regions where it really is not supposed to be present, such as the cervix, the bladder and the vagina.

This can cause a lot of irritation, inflammation and in some cases, can also lead to the formation of scar tissue. However, endometriosis is not nearly the only issue that can occur when it comes to problems a woman can face with fallopian tubes. Another issue is something called hydrosalpinx. This happens when the fallopian tube widens because it is blocked. The prefix ‘hydro’ is because the tube then fills up with a fluid. This fluid prevents pregnancy as it prevents the egg from meeting with the sperm and being fertilised.

Schedule a visit with your doctor
When it comes to the diagnosis of the condition of fallopian tubes which are blocked, a doctor will usually examine a special type of X-ray which is known as an HSG. However, the reliability of this test is far from sure as there is about a 15 per cent chance that a false positive may be generated.

There are some solutions, for problems regarding fallopian tubes. When a single tube is blocked and the other is functioning perfectly, there is still a reasonable chance of getting pregnant and a doctor can prescribe drugs to improve the chances of pregnancy using the tube which is functional.

Laparoscopic surgery also has quite a lot of appeal for women having blocked fallopian tubes. It is used to open blocked tubes as well as to clean out scar tissue. Depending on how severe the block is, a 20-40% pregnancy rate can be achieved post-surgery. IVF treatment is also a viable option. Fallopian tube trouble can generally be overcome. But the first step is awareness! If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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Me and my spouse both are working and reach home very tired. However we are planning to conceive but .Because of time lines and tired ness we are not able to meet frequently .Or some times we just have to do it for the sake of pregnancy. Is there some way .By which we can have a relax and peace at mind and a right environment before meeting.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Me and my spouse both are working and reach home very tired. However we are planning to conceive but .Because of time...
Take vacation and go out, plan in a way that you will be on vacation during 10-16 days after start of periods. Pregnancy depends on many things starting from doing sex In right days. If your periods are regular than 10-16 days are the time when you indulge in the act chances of conceiving is high. Consult if you are doing sex in sex in right days but still you are not conceiving. We will discuss it in details about other things which you shall do to improve chances.
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Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Dengue - Important Information

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.

Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.

Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.

Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

Lab Test

NS1
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.


IgG & IgM dengue

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction (IPF)

A very useful test in Dengue for patients with thrombocytopenia.

If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.

Better to do an IPF even with borderline low platelet count.



A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.


The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .

According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.

At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.

M a female. 21 years old. M suffering from vaginal burning and itching problem. It has happened once in past also. Both the times it happened 3-4 days after the sexual intercourse. Pls suggest me the required medicines.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, it could be due to local irritation or infection. Please apply candid cream locally. Even after this symptoms are not received then consult gynaecologist for local examination.
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I am 38 years old house wife. For past 2 months I am suffering from vaginal infection after inter course. I consulted gynecologist two of them. One of them prescribed me to keep tablets I kept and gave vitamin tablets no use. Then consulted another gynaecologist she prescribed me tablets wash lotion and gel but also after having sex itching starting with in a day. Now I am suffering from vaginitis along with this problem. I am able to recover from infection but if had sex before completely cure suffering again. Now I am suffering from vaginitis to. gynecologist suggested me the position and gave gel to apply. But since I am allergic to many medicine I took it and got allergy too. My partner had infection first we found that later ant treatment from dermatologist. That time only issues started to me till before I was with out any issues. Vaginal area is very heat applying coconut oil since ointment also caused irritations, please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gwalior
Use cotton garments, especially undergarments. Wear clean clothes and change them frequently if you sweat too much. Avoid deodorants and scented soaps and perfumes. These may disrupt the vaginal pH and may land you with a yeast infection. Take one banana everyday along with milk and honey in case of vaginal discharge. Clean the perineum properly after using the toilet. Keep the undergarment areas completely dry and free from moisture. Prolonged wetness in these parts creates perfect ground for various microbial infections. Avoid skin fit leg wears, as they can cause moisture build up in the crotch area. Prefer wearing loose clothes for sleeping. Alum stone (fitkari) water vaginal wash daily proper diet follow junk, spicy,oily, hot product not use If you want more better treatment than you can take online consultation.
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Good evening doctors, am posting this behalf of my friend he had Un protect sex with his gf before one day of her dates so he is tense so any problems will be there.

MBBS
General Physician, Faridabad
Good evening doctors, am posting this behalf of my friend he had Un protect sex with his gf before one day of her dat...
If your cycles is regular, say your menses start on 1st and ends on 5th, then safe period is 5-10 and 21-to start of menses is considered to be safe. But pregnancy can happen any time. It will help you. Thank you.
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