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Dr. Lalith Shimpi

Gynaecologist, Pune

500 at clinic
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Dr. Lalith Shimpi 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. Lalith Shimpi
Dr. Lalith Shimpi is a popular Gynaecologist in central Panchgani, Pune. You can consult Dr. Lalith Shimpi at Dr Shalaka Shimpi Well Woman Clinic in central Panchgani, Pune. Book an appointment online with Dr. Lalith Shimpi and consult privately on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 37 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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English
Hindi

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Dr Shalaka Shimpi Well Woman Clinic

851/1 First Floor, Vrundali Apartments,, Bhandarkar Road, Landmark:- Next To Yes Bank, PunePune Get Directions
500 at clinic
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I am 2 months pregnent. I have vomite sensation and I count ant eat any thing so please advice me.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
3-4 vomits and not being able to eat is common in pregnancy. In any case with pregnancy better to consult obstetrician-gynaecologist at the earliest and inform about your complaints. He/she will guide further.
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Hi I had c- section delivery first time. Now I am in my 6th month pregnancy second time. I have difference of 3 years between two pregnancies. Is there chance of getting normal delivery now.

MBBS, Diploma In Ultrasound, Fellowship in Reproductive Medicine
IVF Specialist, Bangalore
Hi I had c- section delivery first time. Now I am in my 6th month pregnancy second time. I have difference of 3 years...
Ms. lybrate-user, its very important to know what was the reason c-section was done in 1st pregnancy. Because any reason can re occur in this pregnancy also. If you get into labour naturally a the right time and progress is good the normal delivery can be awaited. But during labour if some problem were to arise than we have to proceed to c-section.
1 person found this helpful
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I have irregular periods because of pcos how can know my ovulation day naturally.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have irregular periods because of pcos how can know my ovulation day naturally.
Hello, you need to start using ovulation kit daily from day 10 of your cycle and the day it comes positive, in next 36 hrs you should be ovulating post that.
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After pregnancy I have facing problems like back pain and fat. I have in my hips, buttox and thighs. What is the solution.

BHMS
Homeopath, Hyderabad
After pregnancy I have facing problems like back pain and fat. I have in my hips, buttox and thighs. What is the solu...
Post pregnancy there will be back, hip pain and it will be more common if it is C-section delivery and hence try to avoid sitting very low on floor and try to sit on the chair and avoid more bending of the back up till at least 6 months post pregnancy. There will also be belly fat accumulated after pregnancy and this can be maintained by regular minimal exercise and resorting to other stuff like managing diet and taking green tea, try them you will find a difference.
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Its been 9 complete days I took ipill. And I haven't shed any blood yet. 1.) Is it normal? 2.) Can I be pregnant? 3.) Is it just the side effects of the pill. 4.) How will I know that the pill has worked.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Its been 9 complete days I took ipill. And I haven't shed any blood yet. 1.) Is it normal? 2.) Can I be pregnant? 3.)...
If there has been no withdrawal bleeding post taking ipill chances of pregnancy are there ,let us know what was your last period date, based on which we can help you advise further on this, for details you can visit our clinic or take a private consultation directly with us.
1 person found this helpful
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When the i-pill has to be taken before sex or after sex? And how to control the ejaculation it comes faster after 5 men's I want it to come after some what like 1 hour does viagra helps or not?

Sexologist, Delhi
When the i-pill has to be taken before sex or after sex? And how to control the ejaculation it comes faster after 5 m...
Since I-Pill is a hormonal pill, it is strongly suggested not to use it as a method of regular contraception .At least not more than once in 6 months. Still if you want to take, so it has to be taken after sex. For longer time you can Try ‘edging’: When you are almost there (during intercourse or masturbation), stop all sexual activity. Distract yourself for a bit. This way you can gain better control and extend sex time. Eating a banana just before sex could help improve your performance as it contains potassium. It also has a large amount of glucose that can help you last longer. Viagra also helps for longer time.
2 people found this helpful
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I am 26 years old. I am suffering from the feeling of rushing to toilet urgently and when I go to toilet only few drops of urine comes out. And I am having strong itching in my vagina and its paining as if nails are pierced into it. Can you help me?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am 26 years old. I am suffering from the feeling of rushing to toilet urgently and when I go to toilet only few dro...
You can take kreosotum - 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
3 people found this helpful
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Water melon and cotton cheese salad

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Water melon and cotton cheese salad
Water melon and cotton cheese salad
Water melon is a refreshing summer fruit which can ward off sweet cravings, rich in vitamin a a veritable tonic for skin. It reduces inflammation in the body and can help reduce water retention and muscle soreness. Cottage cheese is a healthy option that can improve satiety muscle gain and fat loss
69 people found this helpful

Can Laparoscopic Management Of Ectopic Pregnancy Save Fallopian Tube?

MD, MBBS
Gynaecologist, Ahmedabad
Can Laparoscopic Management Of Ectopic Pregnancy Save Fallopian Tube?

Pregnancy in the abnormal place like Fallopian tube is defined as Tubal Ectopic Pregnancy.

Indication: 
Performed for pain in lower abdomen with H/o amenorrhea and Bleeding P/v and TVUSG showing tender adnexal mass or when medical treatment fails for ectopic.

Objective:
More than 90% cases of Ectopic pregnancy cases are now treated by Laparoscopy all over the world. Important pre-requisite for Laparoscopic management is – Patient should be haemodynamically stable. Ruptured Ectopic pregnancy should be treated by salpingectomy, as in subsequent pregnancy chances of repeat Ectopic will be more with Salpingostomy. Goal should be diagnosing Ectopic pregnancy in its asymptomatic -unruptured stage so that we can offer medical treatment with Methotraxate or Laparoscopic Salpingostomy or Tubal milking for preservation of affected tube. Recording the surgery helps another doctor for the decision of Salpingostomy/Salpingectomy during past surgery. Procedure takes hardly 30 minutes & patient can be discharged on the same day like Lap.T.L. 

Benefits of Laparoscopy Surgery:

  1. Shorter Hospital stay.
  2. Earlier return to your routine work.
  3. Cosmetically vary small scar.
  4. Less pain after operation.
  5. Best fertility enhancement & Fertility results following Laparoscopy.
  6. Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
  7. The possibility of post-operative adhesion formation will be less, and the possibility of pain because of post-operative adhesions will also be less.  

Pre-operative Check Lists:

  1. Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.); Pelvic Trance vaginal USG report, UPT OR S.B-hCG
  2. Operation planned before vital data deteriorates.
  3. Preparation/shaving of local parts.

No. Of Cuts on Abdomen:
Three cuts: all of 5 mm size.

Average Stay in Hospital:
4 to 6 hours. (DAY CARE SURGERY)

Average Duration of Surgery:
20-30 minutes

Average Blood loss during Surgery:
Bloodless and 50 to 500 cc if ruptured Ectopic with free blood in the abdomen.

Average time after operation to resume normal activities/work:
Within 24 hours. Many patients undergo laparoscopy as Day care procedure, returning home within 24 hours of surgery. For normal ectopic laparoscopy procedure takes about 15 to 30 minutes only. For chronic ectopic it may take 1-2 hours. Most begin feeling much better within one day. 


Anesthesia:
General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery) 

Operative Procedure:

Inside the Umbilicus small needle is introduced and Co2 gas is insufflated inside abdomen. Rather than creating a large incision and opening up the body, tiny incisions are made and a laparoscope is inserted. This slim scope has a lighted end. It takes pictures – actually fiber optic images - and sends them to a monitor so the surgeon can see what is going on inside. 

Performing laparoscopy usually only requires three tiny incisions less than one half inch, (about 5-10 millimeters) in length. One incision is made inside the navel, and another two are usually made near the bikini line. The first incision allows a needle to be injected into the abdomen so carbon dioxide gas can be pumped inside the cavity of the abdomen, which helps to keep intestines & omentum up and away from organs. This allows the surgeon a better view and more working space to maneuver the laparoscope and surgical tools as needed. Using small incisions rather than opening the abdomen lessens recovery time as well as discomfort and makes surgical scars less noticeable.

Blood from the abdomen is suctioned with suction irrigation cannula. Affected Ectopic tube is desiccated with bipolar desiccation & cut & removed. For Salpingostomy anti-mesenteric border is cut after pitressin injection in mesosalpinx and ectopic sac delivered gently with suction & irrigation cannula. Haemostasis achieved by compression with atraumatic grasper. Copious irrigation is necessary to prevent post-operative adhesions.

 

Post-operative Course:

Patient remains drowsy/sedated for 4-5 hours after laparoscopy but conscious & pain free. Patient can take fluids 5-6 hours after laparoscopy & light food after 6-8 hours. She may feel little abdominal & shoulder pain after laparoscopy for 24 hours but it cam be relived with pain killer tabs. Most of the patients can walk normally without support and can take normal diet 6-8 hours after the laparoscopy. She can be discharged on the same day of the operation. Few patients may feel nausea & vomiting after laparoscopy, which can be very well controlled with injection in post-operative room. Patient can do her normal activity within 24 hours after laparoscopy. Patient is advised to take antibiotics & analgesic tabs. For 5 days following laparoscopy. Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately. Patient is advised to come for follow up 7 days after the Laparoscopy for dressing.

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