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Dr. Brahme

Gynaecologist, Pune

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Dr. Brahme Gynaecologist, Pune
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Brahme
Dr. Brahme is an experienced Gynaecologist in Aundh, Pune. Doctor is currently associated with Kutir Rugnalaya in Aundh, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Brahme on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 36 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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Kutir Rugnalaya

PMC Hospital Building, Parihar Chowk, Aundh Gaon, Aundh,Landmark: Opposite MSEB Colony, PunePune Get Directions
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I am suffering from vomiting, nausea from 5 days, I got my periods last month 07th, why I am getting vomiting, feeling tired, still period also not happened (for yesterday 1 month, Pls reply me.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
I am suffering from vomiting, nausea from 5 days, I got my periods last month 07th, why I am getting vomiting, feelin...
Hello, might be its due to acidity and indigestion drink apple, pear, grapes, lemon, carrot, beet, watermelon and vegetable soup / home made juice 1/2 times soak 5 almonds and 3 dried figs for 3 houres then grind n make paste add 1 tbsp honey n use the same before going to bed stay healthy.
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I am 20 yrs old. I have hemorrhagic cyst (27*26*26) mm and anechoic cyst (19*17*16) in my ovary. 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
All cysts do not need treatment. We need to check you, advise some blood tests and need to see the detailed USG report. Then we can plan whether treatment is at all needed and if needed, what kind of treatment.
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Hormonal Imbalance In Men And Women!

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
Hormonal Imbalance In Men And Women!

Hormones are important messengers that play a pivotal role in the proper functioning of your body. Any imbalance in the hormonal level can throw life in jeopardy. Hormonal imbalance can affect a person physically, mentally as well as emotionally. In the present competitive world, with so much stress and anxiety, hormonal imbalance is on the rise. It can affect both men and women.

Factors responsible for hormonal imbalance in men and women

Many factors, either individually or collectively can affect and disrupt the hormonal balance in a person. The most common factors triggering a hormonal imbalance include

  1. Physical, mental and emotional stress.
  2. Menopause (in women) and Andropause (in men).
  3. Drugs and alcohol abuse.
  4. Unhealthy eating habits, leading to inflammation.
  5. Lack of any physical activity.
  6. Obesity, Type-2 Diabetes.
  7. The Endocrine gland does not function properly (due to an injury or an infection or old age). Hormonal imbalance may be age related. Certain chemicals (Diethylstilbestrol, DDT, Polychlorinated Biphenyls, Dioxin) also have the potential to disrupt the Endocrine function.

Symptoms of Hormonal Imbalance:
Some of the characteristic symptoms of hormonal imbalance include

  1. A sudden change in body weight (weight gain or weight loss).
  2. Anxiety, depression, and mood swings.
  3. Hair loss followed by thinning of hair.
  4. Irregular menses.
  5. Infertility.
  6. Erectile dysfunction.
  7. The appetite undergoes a change.
  8. A person may face digestive problems.
  9. Insomnia and extreme fatigue.
  10. Decreased libido.

Treatment:
Doctors may adopt any of the following treatments for hormonal imbalance

  1. Hormone Replacement Therapy (HRT): This treatment helps women to deal with menopause better. During and after menopause, the levels of estrogen and progesterone, particularly, go for a toss. This therapy aims at maintaining the hormonal balance by replacing the hormones your body either fails to produce or synthesizes in very little quantity.
  2. Following a healthy lifestyle go a long way in improving the hormonal imbalance.
  3. Exercise regularly. Meditation, breathing exercise, cycling, morning and evening walks are great stress busters.
  4. Follow a healthy sleeping routine.
  5. Limit your alcohol and caffeine intake. Refrain from smoking.
  6. Avoid taking birth control pills.
  7. Maintain a healthy body weight.
  8. Include avocados, egg yolk, gelatin, carrots, coconut oil into your diet.
  9. People with hormonal imbalance can benefit from Omega-3 fatty. Walnuts, chia seeds, flax seeds, olive oil are a rich source of omega-3 fatty acids.
  10. Ayurveda and herbal medicines have helped many people with hormonal imbalance.
  11. Some medications may help to improve hormonal imbalance (strictly on doctor recommendation).
  12. In extreme cases, surgery may be recommended.

Health risks associated with hormonal imbalance:
Hormonal imbalance can have adverse effect on the health resulting in

  1. PCOS (Polycystic Ovarian Syndrome): PCOS is characterized by irregular menses, infertility, hirsutism, hair fall, acne and weight gain. Women of reproductive age are mainly affected by PCOS.
  2. Low libido, tiredness, weight gain, erectile dysfunction, mood swings, and irritability (due to low level of testosterone hormone)
  3. Thyroid problems (Hyperthyroidism, Hypothyroidism and Grave's disease).
  4. Hormonal imbalance may also cause Diabetes and Adrenal failure.
  5. Irregular periods, mood swings, infertility, decreased sexual desire (low levels of estrogen hormone).
     

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
Pack figs in your bag. Before leaving home.

Uterine Prolapse - Can Decrease in the Estrogen Level Lead to it?

Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gynaecology, MBBS, Apollo Spectra - Kailash colony,Paras Bliss - East of kailash, Moolchand - Lajpat Nagar Neelkanth - Gurgaon
Gynaecologist, Delhi
Uterine Prolapse - Can Decrease in the Estrogen Level Lead to it?

The womb or the uterus is a muscular structure that is fixed in its place by the ligaments and the pelvic muscles. If these ligaments or muscles become weak or stretch, they no longer will be capable of holding the uterus, resulting in a prolapse. Uterine prolapse happens when the uterine slips or sags from its usual position into the birth canal or vagina. The main indications of uterine prolapse are recurrent bladder infections, constipation, a tug at the pelvic area, the cervix or uterus protruding out of the vagina, problems during sexual intercourse, increased discharge and vaginal bleeding.

What causes it?
1. Age is the most important reason for this condition to manifest itself.
2. A dip in the estrogen level as this hormone keeps the pelvic muscles strong.
3. Damage to the pelvic tissues and muscles due to pregnancy or during childbirth can also contribute to this condition.
4. A woman who has undergone multiple vaginal births is at an increased risk of this condition.
5. Any physical activity that exerts pressure on the pelvic muscles can also result in this disorder.
6. Chronic constipation and obesity, over time, can lead to this disorder.

How it can be treated?
1. Nonsurgical methods:

  • Shedding the extra kilos helps reduce stress from the pelvic structures. This helps to avert this disorder.
  • Avoid lifting heavy objects throughout the course of the treatment.
  • Pelvic floor exercises or Kegel exercises help build up the vaginal muscles.
  • Estrogen replacement therapy or Hormone Replacement Therapy can help relieve the symptoms of this disease.
  • Wearing a pessary (an instrument that is placed into the vagina and fits under the cervix) helps to push up and stabilize the cervix and the uterus.

2. Surgical treatments:

  • Uterine suspension- In this case, the surgeon inserts the uterus back into its former position by reattaching the pelvic ligaments by the use of surgical techniques.
  • Hysterectomy- Here, the surgeon removes either the whole or just a part of the womb.

However, such procedures should not be opted by women who plan on getting pregnant. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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I had miscarriage last and not conceive yet what are the chances to get pregnant?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
I had miscarriage last and not conceive yet what are the chances to get pregnant?
Chances of pregnancy after miscarriage depends on the cause of miscarriage. If the first miscarriage was due to injury to abdomen or some medicines then it usually does not affect the next pregnancy. However if 1st abortion is due to anatomical defect like uterine abnormality or infection. Then it may have effects on subsequent pregnancies too. To accurately predict your chances of pregnancy kindly send your sonography and blood reports. Also mention reason for previous miscarriage.
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I am a guy and I think I have developed some breast tissues. Cause I feel this ring like tissue around my nipples also there is a slight pain at one spot where, I am not sure, is a lump. Should I be worried?

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
You seem to be suffering from a condition called gynecomastia. The treatment is male breast reduction surgery done by plastic surgeons.
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Nutritional Tips in Monsoon:

BHMS
Homeopath, Faridabad
Nutritional Tips in Monsoon:
To maintain healthy diet and protect you from such ill causes during the rainy season these countermeasures have to be taken.:-
1.Eat fruits as they help you restore energy. Apples, mangoes, pomegranates, and pears are best suggestible. Avoid watermelon and muskmelons and also goosing on too many mangoes may cause pimples.

2. Have medium to low salt food and avoid heavy salty food as they are responsible for high blood pressure and water retention.
3.Eating watery foods like lassi, watermelon, rice, muskmelon creates swelling in the body. So, better opt for foods which are drying in nature like corn, gram flour, chick pea etc.
4. Foods such as brown rice, oats, and barley are the best foods one could have in this monsoon.

5. Body’s immunity can be increased by adding a dash of garlic to the soups, and curries you intake.

6.Opt for yogurt, curd and almonds in your diet instead of milk. Drink only boiled and purified water to protect yourself from harmful germs and drinking plenty of water keeps your body hydrated.

7.Consuming bitter vegetables like bitter gourd, and bitter herbs like neem, turmeric powder and methi seeds help in preventing infections.

My age is 46+, I have hepatic fibrosis, is there any life risk? How I protect my liver? Reduce fatty liver.

BAMS
Ayurveda, Ambala
To treat the fatty liver - •Take 1/2 teaspoon of AMLA POWDER (CHURN) with a glass of water in morning. • Avoid alcohol or do not drink too much amount of alcohol. Avoid tobacco smoking & chewing. • Control your weight don't be overweight. Maintain your weight by doing exercise daily such as running, jogging, walking. • Avoid fast food, cold drinks, chicken & fish. As these food increase load on liver. • Eat healthy & balanced diet. Green leafy vegetables, seasonal fruits, high fiber foods. Eat less or minimum amount of foods containing fat such as butter, ghee, cream. Maintain your cholesterol level in normal range. • Do not take higher amount of drugs such as pain killer, antidepressants, steroids. As these medicines cause very harmful effect on liver. • Prevent yourself from infection. Always wash your hands with soap before eating food. • Avoid use of other person's razor for shave. • Take 1 tea spoon of LIV-52 syrup of HIMALAYA company in the evening. You can consult me for more detailed treatment & your doubts.
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Hi I had unprotected sex with girlfriend in 5th if night and we had again done on 8th morning and it is unprotected she had taken I-Pill on 8th of evening her cycle date is 25th but she hadn't done with it yet Today is 1st August and she didn't getting any symptoms of the cycle. The pill was taken within 72 hours from the date 5th night to 8th night. Suggest.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Hi
I had unprotected sex with girlfriend in 5th if night and we had again done on 8th morning and it is unprotected s...
Dear user wait for another few days n get her urine for pregnancy test at home. Any how if she has taken I pill chances are almost no. But to rule out pregnancy pregnancy test is to be done. Thnx.
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I am 7th month pregnant . Dr. Said me I am suffering from sugar I want to know will my baby will also get sugar because of me.

DM - Endocrinology
Endocrinologist, Hyderabad
No your baby will not get sugar bcoz of you however future risk of developing diabetes will be there.
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After a 6 months of marriage even till now I have pain in my vagina while having sex .pain as a virgin but I had sex for more than 3 times still it pains.

MD
Gynaecologist, Mumbai
Maybe there is some problem locally near the vagina better to examine and treat raather than ruin sex life.
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29. 9 mm follicle will be reabsorbed after not releasing egg and it's been normal in some time or it's need any medication because after giving hucog 5000 double dose my egg is not ruptured and follicle size is 29.9 so my Dr. said it's be reabsorbed and you have continued your treatment for conceiving.

MBBS, Certified IVF Specialist, MS - Counselling and Psychotherapy
General Physician, Chennai
29. 9 mm follicle will be reabsorbed after not releasing egg and it's been normal in some time or it's need any medic...
Hi. If your follicle grew to this size in the right time, HCG should've been given when follicle was around 20 mm and endometrium is around 18-20 mm with triple line pattern. If injection is delayed the follicle may become a cyst and will not rupture until next cycle. If the present follicle is thick walled and endometrium is more than 10 mm and becoming bright, this may be a corpus luteum, which will give the required support to the implanting embryo. If the follicle does not rupture in many cycles, you may have other unnoticed problems like endometriosis. Best wishes.
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If I Had Ejaculated Once outside her vagina And I Put My Private Part In My Gf's Vagina Again Without Protection. Will that lead to pregnancy as later I again Ejaculated outside her vagina.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If I Had Ejaculated Once outside her vagina And I Put My Private Part In My Gf's Vagina Again Without Protection. Wil...
Yes it is possible but very rare as some semen might have been there in your private part. So please give her ipill asap.
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Sir I had a sex contact with a prostitute in the night And that day I shaved so i had a cut near anus area and I was having ringworms too and may be her vaginal water got touched should I be worry answer fast please.

MBBS
General Physician, Ahmedabad
Never have unprotected sex with prostitute, you will have to wait and get scanned for sexually transmitted diseases.
2 people found this helpful
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How To Know When You Are Ovulating

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
How To Know When You Are Ovulating

Your ovulation cycle is largely ignored until you decide to have a baby. Suddenly, the ovulation cycle becomes more than just a countdown to your next period. When you're trying to get pregnant, you need to identify when you're ovulating to calculate the time available to you to conceive a child. Ovulation occurs mid cycle, every month for most women. It is usually accompanied by a number of symptoms. Some of these are:

Ovulation pain: Some women may experience an abdominal pain when they ovulate. This can range from a mild sensation to a constant pain. The latter is not normal and may be caused by ovarian cysts or scarring by a previous surgery. 

Higher Basal body temperature: Basal body temperature is the lowest temperature recorded in the body when it is at rest. At the time of ovulation, this temperature normally increases as a result of the release of progesterone. To use this method to determine ovulation, you will need a basal thermometer. Take your temperature every morning as soon as you wake up and record it in a chart to spot temperature changes. 

Basal body temperature can also be used to determine if recent intercourse has resulted in a pregnancy or not. If the basal temperature remains elevated for 18 days after intercourse, it is safe to say that you are pregnant. 

Cervical mucus: The mucus released by the vagina changes according to the stage of the ovulation cycle. This is caused by the fluctuations of hormone levels. At the time of ovulation, cervical mucus is clear, slippery and highly elastic. This can be compared to a raw egg white in colour and consistency. After ovulation, this mucus will turn stickier and denser. 

Cervical position: Your cervix itself will shift at the time of ovulation. Some women can easily feel this change, while it may take a little time for others to identify it. The cervix is usually positioned low and feels hard and closed. However, just before ovulation, it will usually open up and soften a little as well as pull back. Cervical position also needs to be regularly charted to determine when the position changes. 

Spotting: Spotting during mid cycle is not always a sign of an early period. It may also signal ovulation. This is usually a result of the sudden drop in estrogen that precedes ovulation. Since the progesterone levels are not high at this time, the lining of the uterus may leak a little blood. 

Other signs of ovulation include:

  • Breast tenderness
  • Heightened sense of smell, taste, etc.
  • Increased libido
  • Increased energy levels
  • Water retention
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Doc How can I detoxify my body? What precautions should I take before and after? What are the things I need to cut of my diet? How long should I practice? Should I take my work routine normal? How it is Adapt with my metabolism since I have not used to ?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Doc How can I detoxify my body? What precautions should I take before and after? What are the things I need to cut of...
Hi Instant detoxification of body is not possible. Foods like betroots help in gradual detoxification. However this area is still a matter of research. Other foods which are said to have detox effects are lemon, garlic, flaxeeds etc. It is a constant process of creating balance within the body by having foods that are natural and that heal. It is not a one/ seven day process.
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My period is due on d 27th of this month and we used an ovulation kit to confirm ovulation. We had intercourse on al fertile days. What are the chances of me conceiving this month?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
My period is due on d 27th of this month and we used an ovulation kit to confirm ovulation. We had intercourse on al ...
If everything is fine and you had intercourse during ovulation then there are good chances of conception.
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I have pcod problem after getting treatment my periods come timely but this time last 3 months ago my menses not come please suggest me which better for me, and tell me this problem will be solved or not properly.

BHMS
Homeopath, Faridabad
You should again continue the same treatment because you were getting normal periods after the treatment. Pcos has a permanent cure in Homoeopathy but takes time.
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