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Dr. M.Alam

Gynaecologist, Pune

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Dr. M.Alam 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. M.Alam
Dr. M.Alam is a trusted Gynaecologist in Sangamvadi, Pune. Doctor is currently practising at Dr. M.Alam@Ruby Hall Clinic in Sangamvadi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. M.Alam 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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Ruby Hall Clinic

#40, Sasoon Road, B S Dhole Patil Path Near Ruby Hall Clinic, Choice Apartments C Wing 4th Floor, Above Mont Blanc Opposite Millenium Star BuildingPune Get Directions
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I get pregnant and I want to abort baby and I take medicine like misoprostol by taking this medicine I have my period only two days then after with in three days I test pregnancy test and results come one clear line and one not so clear what to do?

MD - Obstetrtics & Gynaecology
Gynaecologist, Thane
I get pregnant and I want to abort baby and I take medicine like misoprostol by taking this medicine I have my period...
Dear lybrate-user, repeat the test after 15 days of taking medicine. One line in urine pregnancy test means not pregnant.
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Breast Cancer - Know More to Say 'No' More!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Breast Cancer - Know More to Say 'No' More!

Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer – breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

  1. A lump in either of the breasts or armpits
  2. Change in size, shape, or contour of either breast
  3. Redness of your breast or nipple
  4. Discharge of clear or bloody fluid
  5. Thickening of breast tissue or skin that lasts through a period
  6. Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
  7. One area on the breast that looks very different from the other areas
  8. Hardened area under the breast skin

Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

  1. Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
  2. Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
  3. Age: Women over 50 are at higher risk of developing breast cancer.
  4. Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
  5. Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
  6. Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
  7. Obesity and alcohol abuse are also likely to increase a woman’s chances of developing breast cancer.

Stages: Starting from stage 0, higher stages indicate advanced disease.

  1. Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
  2. Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
  3. Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
  4. Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
  5. Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

  1. Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
  2. In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
  3. Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
  4. Ultrasound screening can also be given in addition to mammograms.
  5. Breast MRI is another way to screen for breast cancer if the risk is greater.

Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

  1. Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
  2. Tamoxifen is used in women who are at high risk for breast cancer.
  3. Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
  4. In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.

2622 people found this helpful

Hi, I am newly married. I want to know that it is necessary to use protection during intercourse every time if we do not want pregnancy this time. Or using medicines like ipill is ok or having some side effects.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi,
I am newly married. I want to know that it is necessary to use protection during intercourse every time if we do ...
YOu can do sex in safe period without condom as protection and if periods are not regular it may fail. But do not abort the first child even if it happens by your mistake. You can also use vaginal pessaries every time as it is safe and avoids the discomfort of condom. She can take an Injection every 3 months for 3 times after discussing with me or your doc personally.
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I am newly married couple me and my wife age is 20 years. But there is a problem in excitation of my wife. She excited for a short time. I make an effort to excite her but at the time of entering she afraid and a great pain during intercourse after that we have to stop it. So please suggest me what is the problem.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am newly married couple me and my wife age is 20 years. But there is a problem in excitation of my wife. She excite...
Dear user. The pain could be due to lack of proper elasticity and elated to inexperience and age. Do consult a gynecologist for check up and counseling. Take care.
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My age is 28, Pregnancy test is positive, it's something around 1 month, could you suggest pill (unwanted kit) or any other options. Is there any side effects of pills?

MBBS
Sexologist, Panchkula
My age is 28, Pregnancy test is positive, it's something around 1 month, could you suggest pill (unwanted kit) or any...
Pregnancy test is positive and you want to stop pregnancy. I advise you to tell me whether she is already taking any medicines or not? for better guidance and treatment.
52 people found this helpful
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I am 22 years old and I faced irregular menstrual problem. From last 6 months its ok. And this again repeated first two day no bleeding happened. After now ir will happen. Now ninth day bleeding not stopped at and how many days it takes. I am a software employee so This problem bothers me.

B.H.M.S,
Homeopath, Muzaffarpur
U take homoeopathic medicine -----trillium pedulam q 10 to 20 drops with 1.5 cup plain water 4 times a day. Send me details of your complaint.
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Vaginal irritation skin peeling off and itching and burns. Had shaved vagina with razor and had unprotected sex 2 months back. Consulted doc and she gave AF kit so the sores and blisters in and around vagina were gone. Area around vagina is white and flesh blisters are there I think. Please help.

MBBS
General Physician, Chandigarh
You probably are having a fungal vaginal infection or may be some sexually transmitted disease please consult a good gynaecologist and get checked and treated.
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Dear mam mera tertmant aiims main chal  rha hai meri dono tube block thi jab mera opration hua to meri ak right  tube khul gi  ab mujhe doctor ne ivf ka liye bol diya hai mai jana chati hu kai mera ivf scsses ho jaye ga kya?

MBBS
General Physician, Mumbai
It seems your uterus is normal and ivf should be a success and I will suggest you to try and try till you succeed
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I am trying three year for conceive ,but failed due to chocolate cyst. I have laparoscopy operation in 2011. We married in 2013. One year later, we are trying, period is regular. We visited many doctors but no result taking many medicines. What can we do now?

Mbbs,, MS OBGY
Gynaecologist, Pune
I am trying three year for conceive ,but failed due to chocolate cyst. I have laparoscopy operation in 2011. We marri...
Go for ivf in good fertility Center. .endometriosis is difficult to treat and failure rates are high. IVF will be good option.
1 person found this helpful
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My daughter is 16 years. She is having a problem of facial hair. She was under medication for pcod for two yrs. Is laser treatment good for her to get rid of facial hair?

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
For hair associted with PCOD. Take proper treatment from Endocrinologist and Light sheer Diode laser is best for hair reduction.
2 people found this helpful
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Post-Graduate Certificate in Endodontics
Dentist, Cuttack
If you are constantly engaged in sports related activities, always wear a mouthguard to protect your mouth and orthodontic appliances while the treatment is going on.

I had unprotected sex sex with my bf after my 15th day of period. Would i pill help in avoiding pregnancy within 24 hrs?

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
I had unprotected sex sex with my bf after my 15th day of period. Would i pill help in avoiding pregnancy within 24 hrs?
If you have a regular menstrual cycle pattern of 28 -30 days then your fertility period is within 10th and 16 th day is periods. Chances are there for a pregnancy. I pill taken within 72 hrs is helpful. But do not make I pill a routine because it has side effects.
5 people found this helpful
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Hello doctor. i am 23 years old female. i am going to get married this year. And my problem is i am unable to do sex with my partner. Because my muscles are going very tight on my vagina. We tried lot of times but i am not supporting. I want to give happiness to my partner. But i am not cooperating. Please suggest me for this reason I am going to depression please suggest me doctor.

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
Hello doctor. i am 23 years old female. i am going to get married this year. And my problem is i am unable to do sex ...
Hello Ms Susmitha, I can understand your plight especially in the anticipation of your wedding. I hope you have tried using lubricants like KY jelly application before penetration. Do try that for a week or so, if you do not improve give feedback.
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I am 32 years old. Married last 3 month. I do pregnancy test its positive. About 7 days. Last 2 day I have some bleeding now what should I do.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
hello, This can might as well be an implantation bleed. This bleed in form of spotting may last for 1-2 days but it is always better to get a transvaginal ultrasound done to confirm intrauterine pregnancy and also if there is any retroplacental clot. regards
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Lactose Intolerance Or Milk Allergy - Know The Difference

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD (AM), PGDPPHC, ACLS
Alternative Medicine Specialist, Chandigarh
Lactose Intolerance Or Milk Allergy - Know The Difference

Many times you must have met a child, with symptoms of discomfort after consuming dairy. Sometimes, these signs are seen within a year of birth or at adolescence. But do you know that Lactose Intolerance and Milk Allergy are two different types of conditions with the similar symptoms that one may be suffering from? Let’s know more

– Lactose intolerance
– Milk allergy

 

LACTOSE INTOLERANCE MILK ALLERGY
Involves enzymatic disorder. Results due to impaired immune system.
The component responsible for discomfort is “MILK SUGAR- LACTOSE.” The milk portion responsible is “MILK PROTEIN – CASEIN”.

 

 

The gut lacks enzyme- LACTASE, for digesting lactose. Body’s immune system treats CASEIN as a foreign element and starts working against it.
The undigested lactose results in the production of gases, & thus, the symptoms. In response to CASEIN intake, the immune system starts producing HISTAMINE, & thus, the symptoms.
Can occur at any age. Mostly encountered, within first 3 years of age.
One can tolerate dairy products to a certain quantity. The body cannot accept even traces of milk proteins, in any form.
Could not be fatal. Is fatal as can produce life-threatening reactions such as anaphylaxis.
SYMPTOMS include- Nausea, bloating, loose stools, watery diarrhea or gas. SYMPTOMS include- Rashes, stomach upset, vomiting & diarrhea.

Dietary Advice

As one has to be restricted or taken off from dairy, this two micro-nutrients CALCIUM & VITAMIN D, must be provided from non – dairy or supplemental sources.

Although unlike milk allergy, a person with lactose tolerance can have a limited quantity of milk or products, depending upon body’s capacity, but adequate amounts of non–dairy rich stuff has to be incorporated in both cases to meet the demands. Few examples are:

  • Bone broth
  • Fish with bones, oysters
  • Dark green veggies low in oxalic acid like kale, asparagus, broccoli, cauliflower, etc.
  • Figs, banana, apple.
  • Almond or soy milk.
  • Sesame seeds.
  • Tofu.
  • Egg yolks.
  • Mushrooms.
  • Fortified juices.

So, having Lactose Intolerance Or Milk Allergy is not end of the road for those who are suffering because of either of these. There are several options in diet & nutrition available to make up for the nutrients which one has to miss because of being allergic to them.

3 people found this helpful

My wife is very weak and emotional. She have not funny sex please provide me well advice.

MD - Psychiatry
Psychiatrist, Chennai
My wife is very weak and emotional. She have not funny sex please provide me well advice.
Talk openly with her about her sexual and emotional needs. Treat her well to get good sex, she is not a toy. If you are not able to figure out, consult a psychiatrist. All the best.
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I am 26 years old women, mujhe period time to time pe ata hai per six month ho gayi hai mujhe koi pregnancy nahi hui hai,

Advanced Aesthetics
Ayurveda, Gulbarga
I am 26 years old women, mujhe period time to time pe ata hai per six month ho gayi hai mujhe koi pregnancy nahi hui ...
If you and your partner have been having unprotected sexual intercourse for over a year and are still not able to conceive a baby, chances are that either one of you has a problem relating to fertility. There may be several causes behind this problem. In men, a low sperm count is one of the primary reasons for infertility. In women, a blockage in the fallopian tubes, uterine fibroids or cysts in the ovaries could be the cause of infertility. Also, as a woman enters her 30s, her reproductive system starts showing signs of ageing and produces lesser hormones and eggs, this could cause difficulty in conceiving. There are several sophisticated medical procedures for helping infertile couples conceive, such as artificial insemination, invitrio fertilization and test tube babies. Though the exact nature of the problem and the best way of dealing with it can be determined only by a doctor, there are a few basic rules that you should follow to increase your chances of conceiving naturally. Make sure you have sex while you are ovulating during the menstrual cycle. Using an ovulation predictor test kit to determine exactly when you start ovulating is a good idea. .
1 person found this helpful
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PDDM, MHA, MBBS
General Physician, Nashik
12 BREAST FEEDING FACTS EVERY MOTHER SHOULD KNOW

Breast feeding should be started within the first 30-60 minutes of birth.

The thick yellow initial secretion (Colostrum) should not be discarded as it is rich proteins, vitamin A, prevents the development of allergies, and contains antibodies that protect the baby from infections.

The newborn should not be given honey, water or any other fluid other than the breast milkBaby should be breast fed on demand every 2-3 hours devoting 10-15 minutes to each breast.

Baby should be properly latched to the breast. Part of the areolar (the black area behind the nipple) should be in his mouth.The baby should be exclusively breast feed for at least 6 months.

Breast feeding helps in better mental development of the babyIt reduces risk of ear infections, chest infections, diabetes and skin rashesIt helps in strong bonding between mother and childIt leads to lesser pain and bleeding after delivery.

It helps the mother in losing weight fast.Breast feeding protects the mother against breast cancer and ovarian cancer.

It’s Breast Feeding week, so share these facts with your friends and family.

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