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Dr. Manisha Nagar

Gynaecologist, Pune

250 at clinic
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Dr. Manisha Nagar Gynaecologist, Pune
250 at clinic
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Personal Statement

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. Manisha Nagar
Dr. Manisha Nagar is one of the best Gynaecologists in Kondhwa, Pune. You can visit her at Yashsree Hospital in Kondhwa, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Manisha Nagar on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 29 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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Yashsree Hospital

Sarita Chambers,1ST Floor,New Bibvewadi-Kondhwa Rord,Market Yard. Landmark: Above Oriental Bank Of Commerce, PunePune Get Directions
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I have not got my periods since 19th jan 2017, I have done home urine test which came negative. Can I still be pregnant? Just to update, we are trying to conceive. I feel dizzy and sleepy all the time.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have not got my periods since 19th jan 2017, I have done home urine test which came negative. Can I still be pregna...
Hello, no, you are not pregnant as urine pregnancy test is negative. The delay would have to be investigated in detail with an ultrasound and a hormonal profile.
1 person found this helpful
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Dealing with Less Libido in Women

MD - General Medicine
Sexologist, Nashik
Dealing with Less Libido in Women

 

According to contemporary medical studies, loss of sexual desire is more common in women than in men. As many as 3 in 10 women have reduced or limited sexual interest in any kind of sexual activity. While the medical term for this problem is Hypoactive Sexual Desire Disorder (HSDD), it is generally understood as a loss of libido.

There are multiple factors that contribute to this problem including psychiatric or physical disorders, relationship issues, hormonal disorders etc. Let us look at the causes of this disorder at length:

1. Medical Disorders:


a) There are conditions such as endometriosis, fibroids and thyroid disorders that may have a negative impact on the sexual drive of a woman.

b) Certain medicines such as antidepressants, oral contraceptives, and medicines that lower blood pressure may also negatively impact the sexual drive in women.

2. Hormonal Disorders:

a) Dryness of the vagina and pain during sexual intercourse may affect sexual drive both mentally and physically.

b) After menopause, drop in the count of testosterone hormone also affects sexual drive which can result in loss of libido.

c) With advancing age, the level of androgens decrease, and hence results in a lack of sexual desire.

3. Lifestyle Disorders:

a) In some of the cases, lack of emotional support in a relationship plays a significant role in the loss of libido. Post baby 'coolness' may also act as a driving force for loss in libido.

b) In today's era, changing lifestyle is drastically affecting our lives. Following an unhealthy lifestyle may result in increased weight that may affect self-image, and indirectly may also affect the sexual desire.

c) Stress and job, family pressure and exhaustion may also influence sexual desire of a woman.

4. Psychological factors

a) Increasing cases of depression, anxiety, frustration, stress is also an important cause of loss of libido in the contemporary society.

b) After childbirth, new moms tend to suffer from lack of sleep, insufficient lubrication of the vagina and exhaustion, which may affect her sexual desire.

The first and foremost step towards dealing with it is to make your partner understand your problem. Then, it is important to consult a doctor to find out the underlying cause, thereafter, treatment of the cause can normalize the condition. Since there are multiple causes of the problem, there are different ways by which the loss of libido can be easily managed and treated. Some of them are discussed below:

1. Treatment of Hormonal Disorders: The doctors will suitably treat problems like thyroids or recommend surgical treatment for fibroids to manage HSSD.

2. Change in Medications: Since some of the medications are responsible for the lack of libido, the doctors will replace the medications to reverse this lack.

3. Addressing the psychological factors: Your doctor will either arrange for suitable psychiatric sessions or ask your partner to coordinate mutually.

4. Sex Therapy/Relationship Counseling or Testosterone Therapy: While sex therapy or relationship counseling brings back the interest by effectively counseling the individual, Testosterone therapy involves off-label usage of testosterone hormone since it is not recommended by FDA.

Proper treatment and consulting a medical expert can reverse this disorder efficiently. So, talk about the problem more openly to seek proper guidance and cure. You can also submit your queries or seek for our advice in detail by writing to us.

Related Tip: 7 Libido Boosting Foods?

4106 people found this helpful

I am 29 Years old am suffering from RHD severe Mr. Doctor advice me don, t try for pregnancy. Is there any solution?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 29 Years old am suffering from RHD severe Mr. Doctor advice me don, t try for pregnancy. Is there any solution?
You can get pregnant. Continue with injection penicillin if needed as part of rhd, be careful about regular antenatals and be prepared for an operative delivery. But your doctor knows about severity of your illness, let doctor decide whether you can get pregnant or not. I have given a general opinion.
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Hysterectomy - Tips to Help You Recover Fast!

DGO , MBBS
Gynaecologist, Pune
Hysterectomy - Tips to Help You Recover Fast!

The surgical procedure that is used for uterus removal of a female patient is known as a hysterectomy. From uterine fibroids to cancer in the uterus, there may be a variety of reasons for carrying out this procedure. Here is everything you need to know about the procedure and recovery.

Causes: There are a number of reasons for which one may have to undergo a hysterectomy. If uterine fibroids and other kinds of growth are causing severe pelvic pain and bleeding, then it may be required. This also applied to particularly painful endometriosis. Abnormal vaginal bleeding as well as severe and chronic pelvic pain, are enough of reasons by themselves for going in for this kind of surgery to remove the uterus. Also, when the uterus slides away from its normal position and slips into the vaginal canal, this signifies a condition known as Uterine Prolapse, which will also require treatment in the form of a hysterectomy. Andenomyosis is another reason why this surgery may be required, as this condition results in the thickening of the organ. Finally, if the patient is suffering from cervical or ovarian cancer, then the doctor may recommend this surgery to remove the uterus in case the tumour found has been tested as malignant.

Technique: There are various techniques that may be followed in the course of this surgery, depending on the location, the size and the severity of the condition and the growth that is associated with it. 

  1. Open Surgery Hysterectomy: This involves an incision of six to seven inches, in the belly of the patient so as to act on the abdominal region. After recovery, there will be a visible scar on the stomach of the patient.
  2. MIP Hysterectomy: The various approaches for this technique include vaginal hysterectomy, laparoscopic hysterectomy, laparoscopic assisted vaginal hysterectomy, and robot assisted laparoscopic hysterectomy.

Risks: While this is mostly known as a low risk procedure, there may be various risks after the surgery including urinary incontinence, vaginal prolapse, formation of fistula where an abnormal link may form between the bladder and the vagina and finally, persistent pain. Infection, haemorrhage and blood clots may also happen in extreme cases.

Recovery: The female patient will automatically start menopause once this uterus removal procedure has been carried out. Usually, the doctor will ask you to refrain from lifting heavy weights for a few weeks after the surgery and also, to abstain from sex for a while. Most female patients reported complete cure of the problem following this surgery. Also, it is not common to find too many side effects after the surgery.

Tips

  1. Walking after a month. 
  2. Simple streching exercises after a month. 
  3. Plenty of fruits and vegetables in diet. 
  4. Water intake around 6 to 7 glasses. 
  5. Calcium supplements. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
2789 people found this helpful

Pilonidal Sinus ( रीड्ड की हड्डी के पास नासूर)

BAMS, CERTIFICATE COURSE IN KSHAR-SUTRA SURGERY
Ayurveda, Jodhpur
Pilonidal Sinus ( रीड्ड की हड्डी के पास नासूर)

Pilonidal sinus - (रीड्ड की हड्डी के पास नासूर)-
दोस्तो आज हम रीड्ड की हड्डी के पास होने वाले नासूर के बारे में चर्चा करेंगे.

परिचय(introduction)-
Pilonidal sinus एक ऐसा रोग हैं जिसमें रोगी के natal clefts के बीच mid sacrococcygeal line में एक या अनेक छिद्र बन जाते हैं जिसमें शुरू में itching होती हैं तथा बाद में वहां सें seropurulent discharge होता रहता हैं तथा रोगी को बैठने पर दर्द होता हैं
इसे jeep disease भी कहते हैं

कारण(causes)-
Pilonidal sinus के बहुत से कारण हो सकते हैं जिनमें से प्रमुख कारण इस प्रकार हैं -
1. अधिक समय पर एक ही जगह पर बैठे रहना
2. साइकिल, मोटर साइकिल,गाडी का अत्यधिक चलाना या बैठना
3. Hairy व fatty body होना

लक्षण(symptoms)-
1. रीड्ड की हड्डी के पास एक या अधिक छिद्र बनना तथा उसमें से seropurulent foul discharge होना
2. बैठने पर दर्द होना
3. भारीपन लगना

चिकित्सा -
आयुर्वेद में इसकी एक मात्र चिकित्सा क्षार सूत्र ही हैं औषधि चिकित्सा से इसको ठीक करना मुश्किल हैं
विभिन्न रोगियो में किये गये क्षार सूत्र चिकित्सा प्रयोग से ये सिद्ध हुआ हैं कि क्षार सूत्र चिकित्सा इसके उपचार की एक महत्वपूर्ण चिकित्सा हैं
 

1 person found this helpful

My wife having itching problem in nd outside vagina very much some times now, and feeling wet inside the vagina, what will be the course of medicines.

BHMS
Homeopath,
Dear lybrate user, give your wife homoeopathic can notharis 30, 5 drops, thrice daily, in empty stomach.
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I gets itching sensation near lips. Near urinal passage. I gets this problem frequently. Previous time I checked diabetes test. Now had to see. Please say why this problem occur.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I gets itching sensation near lips. Near urinal passage. I gets this problem  frequently. Previous  time I checked  d...
Get your blood sugar tested, send the report here, tell us your age, you have had kids by normal /operative methods. Till then apply powder clotrimazole on affected areas, including lips.
2 people found this helpful
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Hii I wanna ask . Is that true that the hyman breaks only at the time of first sex ? I want to know it is confirmed that it will surely break the virginity on first sex ? If it is ! is there any other way to that will not bleed on first sex ?

MBBS
Sexologist, Panchkula
Hii I wanna ask . Is that true that the hyman breaks only at the time of first sex ? I want to know it is confirmed t...
Yes, hymen breaks after first sex, it is confirmed. If the hymen is very thick then it may be that it won't bleed after first sex.
1 person found this helpful
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Infertility Treatment

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
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Treatment of Infertility by Laparoscopy and Hysteroscopy

I am Dr. Vishakha Munjal. I am a laparoscopy surgeon and infertility specialist. Today, I am going to talk about the role of laparoscopy and hysteroscopy in treating infertility.

Today, infertility has almost become an epidemic. This is because of multiple reasons like late marriages, late planning of pregnancy, various diseases like tuberculosis and pelvic infections which affect the fallopian tubes and cause their blockages. Then there is a certain disease like Endometriosis and fibroids which are at times the reason for infertility. These days’ lifestyle changes and an increase in stress level is also one of the reasons for ovulatory dysfunction and decreased sperm count. Couples facing infertility should consult an experienced gynecologist to understand the reason for infertility and how best it can be solved. Laparoscopic and Hysteroscopic surgeries can greatly help in diagnosing as well as many factors of infertility, thus, helping a woman to conceive naturally. Also, certain conditions like fibroids, endometriosis, and tubal factors need to be treated prior to IVF to increase the success rate of IVF else the woman will undergo multiple cycles of IVF and will get no results. So, it is very important to treat disease prior undergoing IVF.

The major Fertility Enhancing Surgery is Fibroid Removal, which is also called Myomectomy. Almost, any size of the fibroid can be taken care of laparoscopically. Compared to an open surgery, Laparoscopic Myomectomy has lesser blood loss and leads to lesser addition formation. It is also less painful for the patients. Patients can return back to work more quickly and they can plan for pregnancy also more quickly. Then, there is Endometriosis which is a chronic painful condition which causes severe pain during periods and during sex along with fertility. It is one of the major reasons for infertility in today’s age. It is also associated with cyst formation at times which is called the chocolate cyst. Laparoscopy is a gold standard for treating Endometriosis. After Endometriosis, a woman gets not only relieve her pain but also she is able to conceive quickly. Then there are variances which are a hindrance for conception. Any size of the ovarian cyst can be treated laparoscopically.

First of all, get a histopathological diagnosis to rule out any malignancy in the cist as well as we remove the hindrance which is coming in the way of conception. Then, talking about tubal factors, tubal blockage at any level can be treated laparoscopically and if the blockage is at the starting of the fallopian tube then there are very fine cannulas available along with guide wires available which we used to cannulate the fallopian tubes and this can be done very effectively and it increases the chances of conception naturally. Now, let me talk about hysteroscopy. Well, hysteroscopy is a small telescope which is passed into the uterine cavity to see the cavity from inside for any pathology and to see the opening of the fallopian tube. Certain factors like presence of a fibroid, a polyp, a polyp is a sort of growth inside the uterine cavity, a septum which is like a wall causing a partition inside the uterine cavity. They all can be removed hysteroscopic ally, once this thing is removed hysteroscopic ally, the chances of the conception of a woman in creases greatly. All in all laparoscopy and hysteroscopy are a boon for infertility management. Laparoscopy is technically as much superior procedure than an open surgery. Since it is done through small punctures it is cosmetically very appealing, it causes less pain, less blood loss, less hospital stay, early recovery and early return to work for a patient.

If you wish to contact me for any laparoscopic enhancing surgery or infertility related problems, you can contact me at MediClinic, E16 Lajpat Nagar 3. Thank you.
 

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