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Dr. Jyoti

Gynaecologist, Pune

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Dr. Jyoti Gynaecologist, Pune
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Jyoti
Dr. Jyoti is an experienced Gynaecologist in central Panchgani, Pune. You can consult Dr. Jyoti at Renu Nursing Home in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Jyoti on Lybrate.com.

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Renu Nursing Home

Bhairoba Nala,Opidi Signal,Landmark:-Mumbai-Pune Road, PunePune Get Directions
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Pcos means doctor told to me I have pcos problem is there next week I have to check ovary but we are trying for 2nd baby please tell me how many months we have to wait for conceive?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Pcos means doctor told to me I have pcos problem is there next week I have to check ovary but we are trying for 2nd b...
It is not that you have to wait if you want to conceive, but with PCOS it may take time in conceiving. So start doing regular exercise and take healthy nutritious diet, will help in conceiving.
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Hello doctor, I am a 21 years old college goer. I have irregular menstruation and scanty flow. And weight gain ,could not lose weight even when I was on strict diet and 1 hour exercise. I feel my scalp itchy even just after washing. I also have severe hairfall which I never experienced before. I took a thyroid test.in which. T3 is 1ng/ml. T4 is 7.73microgram/dl and TSH 1mIU/ml. If thyroid function is normal. What should I do. Please help me with this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor, I am a 21 years old college goer. I have irregular menstruation and scanty flow. And weight gain ,could...
Lybrate-user, looking at thyroid test result, it is quite normal. There is no hypothyroidism. Your bmi is 24.59 kgs/m2 (normal <23 kgs/m2). Showing a slight excess weight about 4 kgs. The reason for hair fall may some thing other than hypothyroidism. It is better to consult a skin specialist. Follow the guidelines that will be given. Thanks.
2 people found this helpful
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Hi, My wife had problems in MC which was supposed to come on 5/6 nov but it was not so proper and had pain in lower stomach hardly 1-2 drops in a day. Then she got a test with pregnancy kit and found positive. She doesn't have any other symptoms of pregnancy rather than having pain in lower stomach only. Please reply that the kit was absolutely right or it may due to some other reason. Do I need to do that test again? One more thing hemoglobin test which was done 1 month back had only 7.5mg in the age of 24yrs. Thanks in advance.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Hi, My wife had problems in MC which was supposed to come on 5/6 nov but it was not so proper and had pain in lower s...
She is pregnant now, so she needs care by a gynecologist, an USG and also evaluation of low Hb as such low Hb may be harmful in pregnancy.
21 people found this helpful
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What precautions and what I have to do before doing yoga for a women we have to apply or something to our face like sunscreen or we have to apply moisturizer or we have to take a food and what times we have to do yoga at mornings I am so confused is stopping yoga can increase weight.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
What precautions and what I have to do before doing yoga for a women we have to apply or something to our face like s...
You are fit and healthy now. Continue with your exercises and eat healthy. Yoga is good for health. Don't be so much tense about issues like creams etc. Just use normal stuff based on whether its indoors or outdoors based on the time of the day. You can do Yoga any time of the day provided you give sufficient gap after meals. Stopping Yoga will not increase weight. If you are following something good. Then continue doing it.
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Iam 28 years old. I kept first intercourse with my boy friend. After intercourse it was bleeding. Whether it leads to pregnancy. My last menstrual cycle first date is 26/12/15, duration of menstrual cycle 28 days from november to december. I had intercourse in safe period only. It will causes pregnancy or not.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Iam 28 years old. I kept first intercourse with my boy friend. After intercourse it was bleeding. Whether it leads to...
Hello, The bleeding was due to rupture of hymen possibly and the best way at present to rule out pregnancy would be to get a serum beta hcg test done.
1 person found this helpful
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I am 26 year old now, trying for baby from last 1 year. But still not yet conceived. So any tips or suggestions to get conceived soon.

MBBS
General Physician, Faridabad
I am 26 year old now, trying for baby from last 1 year. But still not yet conceived. So any tips or suggestions to ge...
try if your cycle is regular then take chance on mid of cycle,. say your cycle start on 1st then try help between 12-17.during this period you have maximum chance. but it may happen at any time. it will. welcome.
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Which. Test I should do to check whether I have STD or not I gave oral sex to a girl and without condom as well m worried please advice test name I can do.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Better to meet venereologist as after doing test you will have to show as well as decide when to repeat. However names are VDRL or TPA, HbSAg, AntiHcV, HIV I & II.
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How can avoid of pregnant my partner while having see? Tell me some measures of family planning.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
How can avoid of pregnant my partner while having see? 
Tell me some measures of family planning.
Hello, You may use condoms during sex or your partner can start low dose oral contraceptive pills daily from her next menses from day 2 regularly to prevent pregnancy. regards
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I have PCOD problem and sometime my periods delay for 15 days and some time delay for 1 month what can I do.

MBBS
General Physician, Cuttack
I have PCOD problem and sometime my periods delay for 15 days and some time delay for 1 month what can I do.
1.In PCOS (polycystic ovarian syndrome )many small cysts appear in ovary-causing hormonal imbalance and .there is production of excess Testosterone.Omega 3 Fatty acid reducece excess Testosterone and can be used in the treatment 2.They secrete more androgen 3.The symptoms are weight gain,acne, decreased ovulation, irregular period, infertility, depression, extra facial and body hair, hair loss from scalp, insulin resistance causing Diabetes. 4.it is genetically inherited,runs in families 5.it can be diagnosed by pelvic laparoscopy/vaginal ultrasound. 6.Treatment-surgery/anti androgen therapy 7.consult gynecologist for advice and treatment
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I am pregnant from 2 months and now I am having problem in eating food I am only having 1 to 2 chapatis And yesterday I did vomit just after eating the food Is it normal or not?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am pregnant from 2 months and now I am having problem in eating food I am only having 1 to 2 chapatis And yesterday...
Hi lybrate-user, it's very crucial period for growth of the baby, you should have proper diet like carbohydrates rich diet, have short frequent meals. You may need some medicines to get relief from vomiting.
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PolyCystic Ovarian Disease (PCOD)

PDDM, MHA, MBBS
General Physician, Nashik

PolyCystic Ovarian Disease (PCOD)


PolyCystic Ovarian Disease (PCOD) जिसे PolyCystic Ovarian Syndrome (PCOS) की कहा जाता है, एक महिलाओ में पाया जाने वाला सामान्य विकार है। अनुमान किया जाता है की प्रजनन की उम्र वाली 90 लाख से ज्यादा महिलाओ को PCOD है तथा इनमे से 60 % से ज्यादा महिलाओ को पता नहीं है की उन्हें यह विकार है। कुछ सालो पहले यह समस्या 30 से 35 साल के ऊपर की महिलाओ में ही आम होती थी परन्तु अब कम उम्र की लड़कियों में भी यह ज्यादा प्रमाण में दिखाई दे रही है।

PCOD क्या है ?

महिलाओ में Sex Hormones के असंतुलन के कारण अंडाशय (Ovary) में छोटी-छोटी गाठ या cyst तैयार हो जाती है जिस कारण महिलाओ के मासिक धर्म (Menstrual Cycle) के साथ प्रजनन क्षमता (Fertility) पर भी असर पड़ता है। 

महिलाओ में अंडाशय में सामान्य से अधिक मात्रा में Androgen Hormones की निर्मिति होने पर अंडाशय में छोटी-छोटी तरल पदार्थयुक्त cyst तैयार हो जाती है जो धीरे-धीरे आकार में बढ़ने लगती है। इससे महिलाओ में प्रजनन क्षमता कम हो जाती है और महिला गर्भधारणा करने में असमर्थ हो जाती है।

PCOD के लक्षण क्या है ?

PCOD से पीड़ित महिलाओ में निम्नलिखित लक्षण पाए जाते है :

अनियमित मासिक धर्म (Menstrual cycle) चेहरे / शरीर पर अधिक बाल मुंहासे (Acne) Dandruff पेटदर्द गर्भधारणा में मुश्किल आना यौन इच्छा में अचानक कमी आना गर्भ में छोटी-छोटी गांठ जो की Ultra Sound Scan करने पर दिखाई देती है  बार बार गर्भपात सिर के बालो का अधिक झड़ना त्वचा पर डाग मोटापा 


PCOD के क्या कारण है ?


PCOD होने की मुख्य वजह महिलाओ में Hormones की सामान्य से ज्यादा प्रमाण में निर्मति होना है। स्त्रीरोग विशेषज्ञों का कहना है की पिछले 10 से 15 वर्षो में महिलाओ में PCOD के प्रमाण में 50 से 60 प्रतिशत वृद्धि हुई है। इस असामान्य वृद्धि के कुछ खास कारण है :

असंतुलित आहार (Diet): पिज़्ज़ा, बर्गर जैसे शरीर के लिए हानिकारक junk food। ज्यादा तेलयुक्त, वसायुक्त और मीठा आहार।

 रोग (Diseases) : PCOD होने के पीछे मधुमेह (Diabetes) और उच्च रक्तचाप (Hypertension) जैसे रोग भी एक बड़ी वजह है। अगर परिवार में किसी को PCOD का ईतिहास है तो अनुवांशिकता यह भी एक कारण है। Cholesterol का बढ़ना, HDL कम होना या उच्च Triglycerides के वजह से भी PCOD हो सकता है। 

मोटापा (Obesity) : अत्यधिक junk food का सेवन और व्यायाम के अभाव के कारण आज की युवा पीढ़ी में मोटापा एक बहोत बड़ी समस्या के रूप में उभरा है। ऐसे तो मोटापा कई बीमारियो का घर है परन्तु मोटापे में शरीर में बढ़ी हुई अत्याधिक चर्बी के कारण Estrogen hormone की निर्मिति सामान्य से ज्यादा होती है, जो की अंडाशय में cyst बनाने के लिए जिम्मेदार माना जाता है।

 तनाव (Stress) : आज के दौड़भाग के युग में बढ़ रहे तनाव के कारण लोगो का खानपान और दिनचर्या बिगड़ चुकी है। धूम्रपान, शराब, देर रात का खाना इत्यादि कारणों से भी hormonal imbalance होता है।    


PCOD का निदान (Diagnosis) कैसे किया जाता है ?


PCOD  का निदान करने के लिए निम्नलिखित परिक्षण किया जाता है :

Ultra Sound Scan of Pelvis / Vagina 
Serum LH 
Serum FSH 
LH : FSH ratio 
DHEA-S Level 


PCOD का उपचार कैसे किया जाता है ?

दवा (Medicine) : डॉक्टर द्वारा दी हुई दवा समय पर डॉक्टर के निर्देशानुसार लेना चाहिए। दवा से अंडाशय में ovulation induction कर गर्भधारणा में मदद की जा सकती है। अगर आप मुंहासो के लिए इलाज करे तो अपने डॉक्टर को PCOD होने की जानकारी अवश्य दे।

  वजन कम करना (Weight loss) : अगर आपका वजन बढ़ा हुआ है तो उसे कम करने का प्रयास करे। कई PCOD के मरीजों में केवल वजन कम करने से ही बेहद फायदा होते देखा गया है। 

 व्यायाम (Exercise) : व्यायाम करने से आपका वजन नियंत्रण में रहेगा और PCOD की वजह से होने वाली insulin resistant की समस्या भी कम हो जाएंगी। आप अपने उम्र और शरीर अनुसार चलना, दौड़ना, तैराकी या aerobic व्यायाम कर सकता है। 

  संतुलित आहार (Balanced Diet) : खाने में पिज़्ज़ा, बर्गर जैसे शरीर के लिए नुकसानकारी आहार लेने की जगह हरे पत्तेदार सब्जी और फल का समावेश करे। 

जीवनशैली (Lifestyle) : चिंता, शोक, भय, क्रोध इत्यादि तनाव बढ़ाने वाली चीजो से दूर रहे। योग और प्राणायाम करे। हमेशा सकारात्मक विचार रखे।

 शल्यक्रिया (Surgery) : जरुरत पड़ने पर PCOD के उपचार में शल्य क्रिया या operation भी किया जाता है जिसे Laproscopic Ovarian Drilling (LOD) या Laparoscopic Electrocauterisation of Ovarian Stroma (LEOS) कहा जाता है। इस Operation में Laser या Cautery से अंडाशय के cyst में छेद किया जाता है।  

PCOD से पीड़ित महिलाओ में मधुमेह, उच्चरक्तचाप और कर्करोग होने का खतरा रहता है। जल्द उपचार आदि कार्यवाही करने से PCOD के दीर्घकालीन जाखिमो से बचाव किया जा सकता है। 

Dr surbhi agrawal 
consultant physician and diabetologist 
 

14 people found this helpful

She had sex with a boy for 3 times without condoms. She is not married. She wants to know whether she is pregnant or not. What are the symptoms for that. Whenever she had sex with a boy on that month she will get two times menstrual period. She wants to know why it happens.

Advanced Aesthetics
Ayurveda, Gulbarga
She had sex with a boy for 3 times without condoms. She is not married. She wants to know whether she is pregnant or ...
Two times menstrual cycle means its due to oral contraceptive i-pill tab side effects and nextime when you engage in sex always use protection like condoms.
1 person found this helpful
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Daet Dr. My wife is pregnant from about 13 weeks. She has some bleeding problem during 9th week of pregnancy we visited for sonography and gain said our baby is safe and at right position. After that we make two times physical relationship. Now pls tell me that we go for physical relationship or we have to avoid it during pregnancy Pls suggested.

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Daet Dr. My wife is pregnant from about 13 weeks. She has some bleeding problem during 9th week of pregnancy we visit...
Hello lybrate-user. Physical relationship is not advisable if it is early pregnancy. Specially in your case your wife has had first trimester bleeding. She should be extra cautious and avoid travelling and jerks also.
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I want to do sex with my wife without condom. But we don't want baby now. Please advice a safe way to not get pregnant. But we want baby in our future.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Get ultrasound done if reports are normal, get her fitted with intrauterine device fitted under hygienic conditions in a recognized center of family welfare.
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Sir, I have got married and its my 4th year getting married, we have no children's yet .Im thinking that I have a small problem about sexual organ means I'm having only one testicle n the another one is removed from stomach by surgery in the age 15 years. I'm having smoke habit, I use to smoke a packet a day and also alcohol weekly .we both participate in sex regularly according to dates. Is there any medications for this problem?

MBBS, MD - Psychiatry
Psychiatrist, Delhi
Sir, I have got married and its my 4th year getting married, we have no children's yet .Im thinking that I have a sma...
You have to first quit smoking completely. Next, you will have to get your semen analysis done, which will reveal your sperm count and motility. Smoking is a major factor for low sperm count.
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What Causes Shaky Hands?

MBBS
General Physician, Himatnagar
What Causes Shaky Hands?
Tremor is an unintentional, rhythmic muscle movement, most often affecting the hands. In some cases, tremor can be a sign of a neurological disease but the most common type of tremor occurs in otherwise healthy people. Today's health tip will focus on this common type of tremor, known as" essential tremor.

Causes for tremor

There are a variety of causes for tremor, some serious, but most relatively benign or temporary.
Neurological diseases including multiple sclerosis, parkinson's disease, and stroke are some of the most serious causes.

A number of drugs including amphetamines, corticosteroids, antidepressants, thyroid replacement, and asthma medication can produce tremors.

While the exact cause for essential tremor is still being studied, there is some suggestion that it is related to mild degeneration of an area of the brain (cerebellum).


44 people found this helpful

Hello mam or sir, I have one child . i want to conceive one more baby but i could not make it . what should i do ?

MBBS
General Physician, Faridabad
Hello mam or sir, I have one child . i want to conceive one more baby but i could not make it . what should i do ?
try if your cycle is regular then take chance on mid of cycle,. say your cycle start on 1st then try help between 12-17.during this period you have maximum chance. but it may happen at any time. it will. welcome.
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My period was due on 26th nov. It was like 3 days late. I started getting period cramps on 29th but then I had sex that night and after that there's no cramps nothing. I am confused and worried both. What to do? We used protection. We had sex just after my periods got over last month. And also this month around 16-17 nov. All with protection. There's no chance of pregnancy right?

DHMS (Hons.)
Homeopath, Patna
My period was due on 26th nov. It was like 3 days late. I started getting period cramps on 29th but then I had sex th...
Hello, you should go for a home pregnancy. Test to confirm the exact position, please. More over menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in  ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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