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Dr. Deelip Kale

Gynaecologist, Pune

500 at clinic
Dr. Deelip Kale Gynaecologist, Pune
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Deelip Kale
Dr. Deelip Kale is a renowned Gynaecologist in central Panchgani, Pune. You can meet Dr. Deelip Kale personally at Kale Hospital in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Deelip Kale on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 30 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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Kale Hospital

Vasantbag Society, Siddhivinayak Towers, Opposite Kothari Bus Stop, 1, Swami Vivekanand Marg, Landmark:-Near Mahavir Electronics, PunePune Get Directions
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ECMO New Era of Medicicne

Homeopath,
ECMO New Era of Medicicne

What is ECMO?
Like dialysis for unfunctional kidney, Ecmo for unfunctional lung.

Ecmo stands for extracorporeal membrane oxygenation. It is a method of giving oxygen for the body when icu pateint lungs and/or heart are not able to supply oxygen on their own. 

Why ICU pateint put on ECMO?

Doctors place ICU patients on ECMO when patients are not able to supply oxygen to the body.

ICU patients’ lungs fail for a number of reasons including pneumonia, lung cancer, pulmonary edema, pulmonary embolism and COPD.

 When a patient’s lungs fail, he/she first is intubated (breathing tube) and hooked up to a ventilator (breathing machine).
 However, sometimes lungs are so damaged that providing oxygen through intubation is not enough.

This is when doctors turn to v-v ecmo.
A heart can fail for many reasons including heart attack, pulmonary embolism, bad valve disease, or worsening heart failure. When a heart fails, doctors try to fix the underlying problem. They may also start medications (called ionotropes) to help improve the pump function of the heart. If medications are not enough, doctors will turn to v-a ecmo.

How long can someone stay on ecmo?

That is a complicated question. Due to the risks of ecmo discussed above, doctors try to keep patients on ecmo for as short a time as possible. Often patient will be on ecmo for several days up to 1-2 weeks. Every day, several blood and imaging tests are done to determine if a patient is ready to come off ecmo. As the technology of ecmo improves, hopefully side effects will decrease and patients can remain on ecmo for longer periods of time.

What is the difference between ecmo and a ventilator (breathing machine)?

Both ecmo and a ventilator aim to provide oxygen to the body when the patient’s own lungs and breathing are failing. The ventilator assists the patient’s own lungs by pushing oxygen with pressure into the lungs. Ecmo instead provides oxygen directly via a catheter placed in a patient’s vein or artery. We almost always try oxygenating a patient with a ventilator first. However, when a patient’s lungs are too sick for this, we turn to ecmo to assist in providing oxygen to the body. V-v ecmo provides oxygen through a vein. This blood then has to travel to the heart and be pumped around the rest of the body through arteries. Therefore, with v-v ecmo or with a ventilator, a patient must have a well-functioning heart to get the oxygen pumped throughout the body. V-a ecmo has the additional advantage of pumping blood directly to arteries. This “by-passes” the heart and is therefore the method of ecmo we use when a patient’s heart is failing.

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Hi Dr. I want to about an herpes diseases. If any one have herpes what to do How it cause what's the reason of herpes.

PDDM, MHA, MBBS
General Physician, Nashik
Hi Dr. I want to about an herpes diseases.
If any one have herpes what to do
How it cause what's the reason of herpes.
There is no cure for herpes. Antiviral medications can, however, prevent or shorten outbreaks during the period of time the person takes the medication. In addition, daily suppressive therapy (i. E. Daily use of antiviral medication) for herpes can reduce the likelihood of transmission to partners.
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Last 2 years I have a irregular periods. My ultrasound scan report shows I have a blood cysts in my left ovary. My doctor suggests me to do laparoscopy.in my last checkup doctor prescribed me only a hemfer tablets. Still now I didn't get my periods. What can I do? Pls help me. I reached my menopause? I'm unmarried. I have any problem in my pregnancy. Pls help me for my future.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Last 2 years I have a irregular periods. My ultrasound scan report shows I have a blood cysts in my left ovary. My do...
Hello, You need to get evaluated for PCOD, hypothyroidism and hyperprolactinemia which can be other common causes for delaying menses after pregnancy has been ruled out. You may opt for a withdrawal bleed with progesterone to initiate your menses. please follow up.
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My mother is suffering from breast cancer at first stage what is the time limit in which treatment must be completed.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
After surgery, chemotherapy is started when the wound healing is completed, usually 3-4 weeks after surgery. Chemotherapy is given at 3 weeks interval for 6-8 cycles. If it is stage I breast cancer and breast conservation surgery is done, then she also requires radiotherapy which would take another 5 weeks. Radiotherapy is usually initiated 3-4 weeks after chemotherapy. Depending on hormone receptor status, hormone therapy is started after radiotherapy. Hormone therapy is given for at least 5 years.
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My sister in law is pregnant and she is in her second month she is having so much stomach pain we show to doctor also n she has given an injection twice a time named inj proluton depot 250mg. Date of injection taken 25th april and other 30th april. Medicine given by doctor is tab innovfol.

BHMS
Homeopath, Faridabad
My sister in law is pregnant and she is in her second month she is having so much stomach pain we show to doctor also...
Hi, proluton depot injection 250mg contains the active ingredient hydroxyprogesterone caproate, a long-acting synthetic progestogen, used to help prevent preterm delivery. It also contains castor oil and benzyl benzoate. Progesterone is a hormone that is involved in regulating the normal menstrual cycle and is naturally produced by the ovaries during the second phase or luteal phase of the cycle. It acts on the endometrium (lining of the uterus) converting the proliferating phase to the secretory phase to prepare the uterus for a pregnancy. Proluton depot injection 250mg is used to help prevent preterm delivery, which is often the result of insufficient progesterone production by the body to maintain the pregnancy, due to a disruption on the normal hormonal cycle known as a luteal phase defect. Proluton depot injection 250mg is used to treat habitual and threatened abortion to help prevent preterm delivery in women who have had a premature baby in the past. **********do consult your gynaecologist who would give you more detailed information on this********
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Hi, I had unprotected sex a month ago. I haven't taken any contraceptives. Is there any pills to avoid pregnancy now. (the day I had sex I got my periods on for 2 days. Does it cause Pregnancy)

Obstetrician, Pune
Hi,
I had unprotected sex a month ago. I haven't taken any contraceptives. Is there any pills to avoid pregnancy now....
Hello lybrate-user, There is no medicine available in market which will help you today from not becoming pregnant for having unprotected sex one month back. By reading your doubt, it looks like there is no possibility of you getting pregnant as you have written that you got your periods on within two hours after having unprotected intercourse but still I advice you to do urine pregnancy test if you don't get periods on expected date. You should visit your nearest clinic to see a doctor if you don't get periods on expected date. I advise you that you should not be so casual in your life. You should have taken emergency contraceptive pill within 72 hours of unprotected sex which is easily available across the counter in any pharmacy. Insist your partner to use condom at each and every time.
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What is the procedure for infertility treatment. I also wanted to know the cost of the procedure. Can anyone explain.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
What is the procedure for infertility treatment. I also wanted to know the cost of the procedure. Can anyone explain.
Infertility procedure includes that you should consult gynecologist on day 2nd of menses of your wife, sonography will be done as baseline scan & then ovulation study will be done so further case an estimate will be given by them only.
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I am married and 17 months passed. And now planing for baby. I get erection and sometimes it's not hard. What could be the reason and am facing this issue from past few days.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am married and 17 months passed. And now planing for baby. I get erection and sometimes it's not hard. What could b...
Hello, Incidental weak erection depends upon factors like lack of sleep, stress, upset bowel and lack of exercise. Moreover eating habits does not provided enough nutrition for the genitals to act effectively. Try to incorporate some herbal aphrodisiacs like Madan modak awaleha etc for regular rise and try to maintain a healthy life style.
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I had sex with my boyfriend n now i'll get married. Is there any test to check virginity. And is there any complications.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Hyderabad
I had sex with my boyfriend n now i'll get married. Is there any test to check virginity. And is there any complicati...
Do not worry boldly get married no any risk so many girls are enjoing before marrage it is tredition but one my suggetion you break whole life you do not say your husband in sexual life before marrage it is one of the most importent .you have self show innocent.
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Hello doctor. I am 33 weeks pregnant and diagnosed diarrhoea for 3Rd time in pregnancy and it is since 3 days and had 30 plus episodes by now. My doctor suggested metrogyl 400 3 times a day along with sporlac ds. Please advise if it is safe for my baby?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hello doctor. I am 33 weeks pregnant and diagnosed diarrhoea for 3Rd time in pregnancy and it is since 3 days and had...
Stop, don't have the above Medicines, as it is very unsafe to be taken during pregnancy. There are safer and other Medicines which are available and can be given to treat your symptoms.
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PCOS

FNB Reproductive Medicine, MD -Obstretics & Gynaecology, MBBS
Gynaecologist, Delhi
PCOS

What is PCOS?
There are no cysts in ovary instead the normal development of egg is arrested due to hormonal imbalance.

I ejaculated semen on her vagina simultaneously she ejaculated too. But she took an ipill after 25 hrs of this event. What will happen? Will she be pregnant still?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
I ejaculated semen on her vagina  simultaneously she ejaculated too. But she took an ipill after 25 hrs of this event...
Dear Akshay, the chances of a pregnancy after taking i pill in time are very small. So relax...nothing should happen.
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I have my c-section 6 month back, but haven't met with my menstruation till now, is there any problem?

MBBS, MD - Obstetrics & Gynaecology -
Gynaecologist, Gurgaon
I have my c-section 6 month back, but haven't met with my menstruation till now, is there any problem?
No. If you are regularly breast feeding, you may not have periods for a year. Please make sure you are using contraception or else check for pregnancy.
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Last month I had unprotected sex. And I take I Pill. After 4 days I have my periods. And in this month I don't have my periods my dates are 15 to 18 bt even 25 comes and I don't have my periods. Is there is a chance of pregnancy?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Last month I had unprotected sex. And I take I Pill. After 4 days I have my periods. And in this month I don't have m...
No. But i-pills can delay or cause irregular periods . Consult a gynecologist for your irregular periods and start appropriate hormonal pills. If you did not have sex after you had your last periods, there is practically no chance of you being pregnant
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I am female 21 age I am doing sex with one person continuously one year with out safety using. Any health problem occurs?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, having sex since one year doesn't lead to any sexual problems unless any infections develop in either of the partners.
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Hi I want to know that how can doctor treated me online for medical abortion. If it is done on online consultation. I will definitely go with it.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Hi I want to know that how can doctor treated me online for medical abortion. If it is done on online consultation. I...
Yes it can be done online. There are 95%chances of being successful if you are less than 8 wks pregnant.
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I am 23 female having hypothyroid. Taking 50 mcg tablet and i am doing daily exercise. And i am recover from constipation. Still having irregular periods. Is this a life time problem. When i am going to stop the tablets. I cannot tolerate this to take life time tablets. Please give some suggestion to get recover fully from this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 23 female having hypothyroid. Taking 50 mcg tablet and i am doing daily exercise. And i am recover from constipa...
In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. Avoid bad habits . Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help,
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Weight management tips to enhance your fertility

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Weight management tips to enhance your fertility
The number of young overweight women and men seeking medical assistance for planning family is on a rise. Being overweight not only affects ones’ chances of becoming a parent, but also can lead to complications in pregnancy- adversely affecting both mother and baby. Therefore, it is very important for all young men and women to know the fundamentals of causation and detection of this important disorder.

What is Obesity and how to confirm that?

The most often asked questions in this context are- what is a normal acceptable weight, when does one get labelled as overweight and what is the definition of obesity? Another important question we often get asked is- what’s the difference between being overweight and obese?

In very simple terms, what a physician evaluates to check for obesity in a person is a simple index known as “body mass Index” or BMI. BMI can be calculated by simply dividing the person’s body weight in Kg by the square of person’s height measured in meters. BMI is measured as Kg/m2. Following are broad guidelines for detection of obesity-
1. BMI of < 18.5 indicates that the person is underweight
2. BMI between 18.5 and 24.9 indicates that the person has got normal weight
3. BMI between 25 and 29.9 indicates that the person is overweight
4. BMI of > 30 indicates obesity

How does Obesity affect fertility?

Excessive body weight in women causes multiple hormonal imbalances, which can result in irregular menstruation and reduced frequency of ovulation, thus leading to infertility. Also, the outcome of Infertility treatment in obese women is poorer than in their normal weight counterparts. Obesity also increases the chances of pregnancy related complications such as miscarriage, pregnancy induced hypertension and gestational diabetes and hence increases the requirement offers cesarean delivery. And not to forget that the labor is that much harder and prolonged for obese women.

Obese males also suffer from reduced fertility as they tend to have lower level of testosterone, which suppresses sperm production. Obesity can also case erectile dysfunction in men, which can result in reduced fertility.

What can you do?

Here are five easy weight management tips to help you realize your dream of having a child-
1. Watch your meals- take a healthy diet and avoid excess carbohydrates and fat
2. Watch your beverages- drink adequate quantity of water, avoid soft drinks as they contain empty calories and refrain from alcohol
3. Stop smoking and keep in mind that there is nothing like occasional/ moderate smoking
4. Exercise regularly and maintain a healthy, active lifestyle- short sessions of brisk walking, swimming, jogging or skipping are good means to keep one active and healthy
5. Avoid stress and practice Yoga/ meditation or other stress buster techniques that suit you

If you want to know more or seek an expert opinion, write to us at ivfgurgaon@gmail.com today!

I have thyroid since 8 months and I have very irregular periods and I am trying to conceive what to do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have thyroid since 8 months and I have very irregular periods and I am trying to conceive what to do?
Lybrate-user, hypothyroidism causes irregularity of menstrual periods. But if is well controlled, then all the symptoms disappear including menstrual irregularities. To achieve good control tsh levels should be between 3 to 4 milli units when on treatment. Further, if conception is desired then tsh levels have to be brought down to 2 to 3 milli units/ml. Otherwise conception may not occur, if occurs, fetal development may be affected and pregnancy outcome may not be good. So please see that tsh levels are brought down to 2 to 3 milli units even before you conceive. If you have any doubts please come back. Best of luck.
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