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Dr. Mohini Kale

Gynaecologist, Pune

300 at clinic
Dr. Mohini Kale Gynaecologist, Pune
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Mohini Kale
Dr. Mohini Kale is a popular Gynaecologist in Aundh, Pune. She is currently practising at Medipoint Hospital in Aundh, Pune. Book an appointment online with Dr. Mohini Kale and consult privately on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 39 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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#241/1 ,New D.P.Road, Aundh.Landmark: New D P Road, PunePune Get Directions
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Folic Acid - Why It Is Important For Pregnant Women?

Diploma in Dietetics & Nutrition, Diploma in Sports Nutrition
Dietitian/Nutritionist, Delhi
Folic Acid - Why It Is Important For Pregnant Women?

Folic acid is the synthetic form of the vitamin B9 and more commonly known as folate. For a pregnant woman, it is extremely important to consume folic acid in adequate quantities. It has the ability to prevent any birth defect, related to brain and spinal cord. It essentially protects the neural tube, which shapes into the spine and the brain. Since neural tube defects can occur in the first few weeks of pregnancy, it is essential that a woman starts consuming folic acid right before she endeavors to conceive.

What are the benefits?
Many researchers are of the view that folic acid is a key component for safeguarding the baby from certain diseases such as cleft palate, certain heart defects and cleft lip. Apart from this, folic acid mitigates the risk of pre-eclampsia in a pregnant lady. Pre-eclampsia is a disorder related to blood pressure and affects close to 5%of all pregnant women. Folic acid also helps a would-be mother from a type of anemia. It is responsible for giving birth to DNA and increasing cell growth of the baby.

Consumption amount of folic acid:
In order to save the baby from any neural defect, it is essential that a pregnant woman consumes at least 400 micrograms of folic acid on a daily basis. Since many women conceive without planning, it is therefore suggested by experts that all women entering the childbearing age should consume folic acid. Some groups such as the National Institute of Health, US suggest that folic acid consumption for a pregnant woman should be 600 micrograms per day. If you are taking any supplements, check the label to see the folic acid quantity present in it. If a woman is consuming prenatal vitamin as prescribed by a doctor, she should not consume any folic acid from outside, since it already has a folic acid content of around 800-1000 microgram. To abstain from any side effects, it is strongly advised not to consume more than 1000 micrograms of folic acid per day..

When is extra folic acid needed?

  1. If you are carrying twins
  2. If your previous pregnancy involves a neural tube defect
  3. If you have a genetic condition called methylenetetrahydrofolate reductase
  4. If you are suffering from diabetes or consuming any anti-seizure medications

What are the sources of folic acid?

  1. Certain grain products such as pasta, cereals, rice and bread
  2. Certain food supplements available in the market
  3. Naturally occurring vegetables such as spinach, turnip greens, avocado, broccoli, and Brussels sprouts
  4. Citrus food or the juice extracted from them without adding any sugar component to it
  5. Certain nuts and peas 

    If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.

4978 people found this helpful

I was married on feb 12, 2016.&I would like to conceive. I use folic acid tablets now. Will you suggest any medicines to become pregnant faster? And my periods are irregular (mar10, april 28,may 27, june 27,july 28, aug 28,sep 20, oct 18)after marriage. And which type of diet is better to take?

MBBS, DGO, MD - Obstetrics & Gynaecology
Gynaecologist, Mumbai
I was married on feb 12, 2016.&I would like to conceive. I use folic acid tablets now. Will you suggest any medicines...
Just relax n enjoy . Have balanced diet . Keep trying for 4 months. If don't conceive then go for ultrasound
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I am pcod patient. Trying to convince. Had one miscarriage. Right now m on clomipure, metformin 500, aspirin 75. How much time it will take me to conceive. Taking treatment for 3 cycles.

B.A.M.S
Ayurveda, Banaskantha
I am pcod patient. Trying to convince. Had one miscarriage. Right now m on clomipure, metformin 500, aspirin 75. How ...
Dear Lybrate user there are many factors affects so difficult to predict when do you conceive. Some time within 1st time get success and in some case may extend 2-3 cycles. As you have previous history of miscarriage and PCOD better you should take Panchakarma Ayurveda treatment for healthy pregnancy.
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Hello doctor I had sex for the first time and now I'm bleeding. How long this bleeding will be continue and is there any adverse effect of it? How to control it please help.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If bleeding continues for long time consult gynaecologist may be some injury requiring some stitches.
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Hi Doc, I am having a pain inside the Vagina for the past 7-8 months once or twice every month. I visited few gynecologist and did lots of tests but always saying everything is alright. I take medicine for almost 1 years but still there is no improvement. Now, I am really depressed and don't know what to do and I cannot concentrate on my study too. Please suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gurgaon
Hi Doc, I am having a pain inside the Vagina for the past 7-8 months once or twice every month. I visited few gynecol...
Drink at least 4ltrs of water per day. Increase the consumption of vit-c in your daily diet. Consume fresh lemon juice, fresh coconut water, cranberry juices, amla (indian gooseberry), oranges, grapes, pomegranate. Daily drink 1 litre of buttermilk and eat half kg curd. Consume raw garlic early morning with luke warm water. Chew fresh neem leaves twice a day followed by a glass of water. Hot spices and sugar/sweets are to be strictly avoided. Avoid moistness and keep the vaginal area dry. Gomukhasana, matsyendrasana, pawanmuktasana are helpful.
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Recurrent Miscarriage

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Recurrent Miscarriage

Recurrent Miscarriage

It can be heartbreaking to miscarry one baby after another. Each new pregnancy brings both hope and anxiety. And each new loss may be harder to bear, especially if you feel that time is running out. The experience can place great strain on even the strongest relationships. You and your partner might react differently from each other and that can cause great tension. Family and friends may find it harder to support you with each miscarriage; they may even think you’re getting used to loss and able to cope. And all the time there may be a sense that your life is on hold while you try – and try again – for a baby.

What is recurrent miscarriage?

Recurrent miscarriage means having three or more miscarriages in a row. It affects about one in every hundred couples trying for a baby. Sometimes a treatable cause can be found, and sometimes not. But in either case, most couples are more likely to have a successful pregnancy next time than to miscarry again.

Testing after recurrent miscarriage:

If you have had three miscarriages in a row, you should be offered tests to try to find the cause. This should happen whether or not you already have one or more children. Testing is not usually offered after one or two early miscarriages (up to 14 weeks) because these are often due to chance. But you might be offered tests after two early miscarriages if you are in your late 30s or 40s or if it has taken you a long time to conceive. If you had a late (second trimester) miscarriage, where your baby diedafter 14 weeks of pregnancy, you should be offered tests after this loss.

Why recurrent miscarriage happens?

Your risk of recurrent miscarriage is higher if:

  • you and your partner are older; the risk is highest if you are over 35 and your partner over 40;

  • you are very overweight. Being very underweight may also increase your risk. Each new pregnancy loss increases the risk of a further miscarriage. But even after three miscarriages, most couples will have a live baby next time

Known causes

Antiphospholipid syndrome (APS) This blood clotting problem is the most important treatable cause of recurrent miscarriage. It happens when your immune system makes abnormal antibodies that attack fats called phospholipids in your blood. This makes the blood more ‘sticky’ and likely to clot, which is whyAPS is sometimes called ‘sticky blood syndrome’. It is also known as ‘Hughes syndrome’ after the expert who named it. It is not clear why these antibodies cause miscarriage. They may stop the pregnancy embedding properly in the uterus (womb);or they may interfere with blood flow to the placenta, which supports the baby.

APS can also lead to problems in later pregnancy, including the baby not growing enough, pre-eclampsia or stillbirth.

Other blood clotting problems Some inherited blood clotting disorders can cause recurrent miscarriage, particularly after 14 weeks. These include factorV Leiden, factor II (prothromobin), gene mutation and protein S deficiency.

Abnormal chromosomes The chromosomes in every cell of your body carry hereditary information in the form of genes.

Everyone has 23 pairs of chromosomes, and 22 of these are the same in men and women. The 23rd pair are different because they determine gender. Men normally have one X and oneY chromosome and women two X chromosomes. A baby inherits half its chromosomes from each parent. About half of all miscarriages happen because the baby’s chromosomes are abnormal. This is not usually an inherited problem: it happens when the egg and sperm meet or soon after the egg is fertilised. The older you are the more likely this is to happen. Much less commonly (in less than five in one hundred couples with recurrentmiscarriage), one partner carries a chromosomal defect called a ‘balanced translocation’. This doesn’t cause a problem for the parent, but it can be passed on to the baby as an ‘unbalanced translocation’.

This means that some genetic information is duplicated and some is missing.

Cervical weakness (also known as ‘incompetent cervix’) Some women – probably less than one in a hundred – have a weakness in the cervix that allows it to dilate too early.

This is a known cause of late (second trimester) miscarriage.

Possible causes

Abnormally-shaped uterus Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.

It may be divided down the centre – known as ‘bicornuate’ or ‘septate’ uterus;or just one half of the terus may have developed – known as ‘unicornuate’ uterus. It is not clear from research how many women with recurrent miscarriage have these abnormalities. Also we don’t know how common these problems are in women who don’t miscarry. This makes it impossible to be sure that they cause miscarriage

Polycystic ovary syndrome (PCOS) Women with this condition have many small cysts in their varies. They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood. It is these problems that are thought to play a part in recurrent miscarriage, but it is not clear how.

Infection

Some serious infections can cause or increase the risk of single miscarriages. These include toxoplasmosis, rubella, listeria and genital infection. But it is not clear whether infection plays a role in recurrent miscarriage.

Immune problems Raised levels of uterine NK (uNK) cells may increase the risk ofrecurrent miscarriage, ut more research is needed to prove this. It’s important to know that these uNK cells are different from he NK cells found in general circulating blood (e.g. from your arm). Diabetes and thyroid problems Uncontrolled diabetes and untreated thyroid problems can cause miscarriage. But well-controlled diabetes and treated thyroid problems do not cause recurrent miscarriage.

3 people found this helpful

Hello doctor I have suffering from fibroadima in breast so please tell me how will remove my cyst permanently because due to my this problem I 'm too much disturb please help me doctor.

MS - General Surgery
General Surgeon, Kanpur
You need to be examined by surgeon and FNAC and mammography to be done and finally the lump has to be removed by surgery n sent for examination.
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She is 19 years old and during menstruation periods she suffers from vomiting, stomach pain etc. Is it common or specific?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
She is 19 years old and during menstruation periods she suffers from vomiting, stomach pain etc. Is it common or spec...
some patient complain of these type of symptoms.if,pain is severe during menses then it may be due to any pelvic infection.get an ultrasound of lower abdomen and thyroid profile test done.visit to doctor for proper management.
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Is it normal to bleed continuously for 12 weeks after normal delivery. Soon after delivery ultrasound was done, report had no issues. And 2 weeks ago I had tubectomy done.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Is it normal to bleed continuously for 12 weeks after normal delivery. Soon after delivery ultrasound was done, repor...
Hello, It is absolutely normal to bleed. Take care of your multivitamins and diet, so you don't feel weak.
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I am pregnant of 6 weeks. But once in a day brown blood is coming. It's already 9 days gone but it's coming. My Doctor is telling it's fine. But I am worried.

MBBS
Sexologist, Panchkula
I am pregnant of 6 weeks. But once in a day brown blood is coming. It's already 9 days gone but it's coming. My Docto...
There should not be any bleeding during pregnancy. It is serious problem. You should consult a good gynaecologist for this.
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One of my friend is suffering from sex related problem. Whenever he starts for sex at time of excitement he is getting early discharge . He is facing problems in these days only . And his partner is facing itching problem (at vagina) in these days what are the reason for early discharge n itching. ?

MD - General Medicine
Sexologist, Nashik
One of my friend is suffering from sex related problem. Whenever he starts for sex at time of excitement he is gettin...
Itching may be due to allergy or infection mostly fungal infection, early discharge have many reason from overexcitment to lack of training how to control ejaculation.
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Hi. I'm 25 years old. I had unprotected sex on 7 may with my boyfriend in car in sitting position, much of his sperms discharge was out but for safety I had unwanted pill immediately. I had my last periods on 19th april. Can I conceive, i'm having stomach cramping from days and when can I test for pregnancy.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hi. I'm 25 years old. I had unprotected sex on 7 may with my boyfriend in car in sitting position, much of his sperms...
It is very less likely that you will conceive as you had inter course in the the relatively safe period and had an emergency contraceptive pill later. I-pills have side effects like irregular menstrual bleeds and abdominal pains and should not be used frequently. At present you should wait for your scheduled period to start. If it is missed then you should do a urine pregnancy test. If it's positive then it is possible that you are pregnant, if it's negative you may not worry and just wait for the periods to begin.
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Hi doc, I wanted to ask you that my wife had a periods 8 days back and now within a week she started with a period again .So I am kind of confused, would be great if you can help out.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi doc, I wanted to ask you that my wife had a periods 8 days back and now within a week she started with a period ag...
Hello, this could be an ovulation bleeding in form of spotting lasting for 2-3 days and not actual menses.
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My friend is having irregularities in her periods. She has consulted doctors before, and taken medicines for it, but there is no result. Is it a serious problem? Will it affect her during her pregnancy?

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
My friend is having irregularities in her periods. She has consulted doctors before, and taken medicines for it, but ...
It can affect. With homeopathy you can regularise your periods. Kindly consult privately with all detais for treatment.
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Hello Doctor, I am trying to conceive since 6 months. And I really want to know how much Penetration is required to conceive. Hardly 1 inch Penetration we get. My hubby says he cannot get more and it's not required. I am using OPK's past one month for tracking my ovulation. Can I conceive like this.

MBBS
General Physician, Chandigarh
Hello Doctor,
I am trying to conceive since 6 months. And I really want to know how much Penetration is required to c...
For conceiving it doesn't matter how much is the penetration what matters is that semen is discharged inside the vagina you have yo make sure only for that.
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papaya effect on my womb and in period time I was bleed too much what I do to control.

DHMS (Hons.)
Homeopath, Patna
papaya effect on my womb and in period time I was bleed too much what I do to control.
Hello, you should consult an expert, locally. Tk homoeopathic medicine: @ sepia 200 -6 pills at bed time. @ Hemamelis Q-10 drops with little water, thrice. Tk, plenty of water to hydrate your body. Avoid junk food, alcoholic intake. Caffiene. Tk rest, properly. Report, wkly. Your feedback is solicited for further follow up, please tk care.
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I am a 27 years old unmarried girl. I did intercourse with my fiancee so many times. I feel like my vagina was get loosed. So please suggest me wh type of treatment I use to take. And suggest me a wh type of a doctor I use to consult.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
As you are not married, surgery is not the option for you. You should do Kegel exercises to tighten your vagina. It should be done continuously for 3 to 4 months to get the results. For doing Kegel exercises you have to tighten vagina with the help of surrounding muscles. To contract the correct muscles, you can insert a finger inside your vagina and try tightening around your finger. You don't need to put your finger every time you do the exercise. Once you tighten your vagina and its muscles, you start counting from 1 to 10 and then only relax the vagina. Keep repeating similar exercises 5-6 times in a single setting.
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Know The Risk Factors and Benefits of Ashwagandha

MBBS, PGDA
Trichologist, Delhi
Know The Risk Factors and Benefits of Ashwagandha

The amazingly complex herb, ashwagandha, happens to derive its name from the two sanskrit words, "ashwa" and "gandha".It is an exquisite herb, which can significantly cater to your body in more than one way due to its numerous health benefits.

Here are some of the most common advantages and risks of consuming this herb.

The Benefits

  1. Enhances your brain: Ashwagandha is an antioxidant and helps keeping free radicals at sea, and prevents them from damaging your brain cells.
  2. Fights emotional imbalances: Sudden emotional imbalances and even more sudden mood swings are probably the biggest and the most imminent problems of the youth today. Ashwagandha cuts out the stress stimuli and has a soothing effect on you, thereby making sure your emotional imbalances do not come in the way of your well being. Ashwagadandha can naturally lower cortisol levels.
  3. Cures wounds: Ashwagandha is also believed to cure your physical wounds, and a controlled amount of this herb, is believed to save you from one-sided paralysis of your body.
  4. Is anti- cancerous: Ashwagandha, according to a few studies, acts as an anticancer agent because it helps in slowing down the growth of cancer cells and cancerous tumors.
  5. Treats insomnia: Ashwagandha has its rejuvenating properties as well, which help in calming your nerves down, relieves you of your stress. It is considered to be an effective tool in treating patients with insomnia.
  6. Helps in weight loss: Cortisol not only acts as a stress hormone in the body, it can also make you fat. Ashwagandha is known to naturally lower cortisol - the stress hormone.
  7. Lowers Blood sugar levels: Ashwagandha also potentially decreases fasting blood sugar levels, which means that it may also help to improve glucose metabolism.

But, like every other herb, ashwagandha also has some risk factors associated with it.

The Risks

  1. Pregnancy issues: According to a few studies, this herb can have an adverse effect on you if you are a pregnant woman, putting you at the risks of stillbirth. Though there hasn't been much research to back up this fact, it still remains one of the largest concerns during pregnancy.
  2. Hyperthyroidism: Certain studies claim, that ashwagandha can majorly contribute to hyperthyroidism, although even this, hasn't been proven. So, if you happen to be patient of hyperthyroidism, you should consult a physician before consuming the herb.
2 people found this helpful

My periods got delayed by 15 days every month. Is it normal? Also I have facial hair and noticed spotting recently.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My periods got delayed by 15 days every month. Is it normal? Also I have facial hair and noticed spotting recently.
No it is not normal do blood test and do sonography to confirm pod. facial hairs are also because of pcod
10 people found this helpful
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I am 24 years of age and married. I have a cyst in my left ovary. Do I wil have to face any problem during pregnancy?

PG Hom, London, BHMS
Homeopath, Mumbai
Hi a single cyst usually doesnt create any problem. However do you have any problem in your menses? also get yourself evaluated for pcod by undergoing a hormonal test and a sonography. So long as these reports are normal, you wont face any problem during pregnancy.
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