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.
Book Clinic Appointment with Dr. Pramod Umarji
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Pramod UmarjiYour feedback matters!
My wife has itching problem near vaginal areas always, but it worsen during summer. She gets more itching after sex. Please suggest cure.
I am 26 year old women and taking treatment for pregnancy conceive and I tested AMH and my AMH level is 1.89 is this good for conceive or bad. Please give the opinion on this.
Hi, im 39 male. First time in life I have had sex 3 hrs before with my partner. It was her safe period still I took all the care to not ejaculate inside her. But because I did not use a condom, I am a li'l stressed regarding her getting pregnant. I want to ask what is the safest after sex contraceptive pill. Also, if it's possible to conceive even if one did not discharge in the vagina.
I am afraid, I feel I am lacking libido. I am 19 years old and I am not getting any sexual feelings since 1 year or more. In this age people normally have erotic thoughts but I never think and never have such feelings. There is no fluid secretion from vagina also but I get my periods regularly. Am I over thinking or is my problem serious?
The human body works as directed by the various hormones released by the endocrine system. These hormones are essential for coordination of various body functions. From the height a person achieves to the metabolic reactions in the body to the reproductive cycle to the stress levels a person can handle, all are hormone controlled.
Pregnancy is another critical, complicated phase that a woman goes through. It is one of the most awaited phases in a woman’s life; however, it is not very simple either. The above-noted hormones play a major role in this pregnancy, as the baby is dependent on the mother for its initial supply of hormones until it can start producing its own hormones. If the baby does not receive the require amounts, there could be various detrimental effects during development and post birth.
Hypothyroidism or an underactive thyroid is extremely common in women and there are multiple theories about how hypothyroidism can affect a woman’s chances of getting pregnant. While the correlation between hypothyroidism and pregnancy are quite well researched, a strong connection stating hypothyroid women being not able to be pregnant is yet to be proven.
The following are some correlations between hypothyroidism and pregnancy.
Increased chance of miscarriage: Women with reduced thyroid functions have double the chances of having a miscarriage. Women suffering from thyroid are at a risk of recurrent miscarriages during the first trimester. The chances of miscarriages during the second trimester are also about 40% higher in hypothyroid women. These women are also at a risk of:
- Premature labour
- Low birth weight
- Increased chances of stillbirth
- Maternal anemia
- Postpartum hemorrhage
- Developmental defects and/or delays in the newborn
- Placental abruption
- High blood pressure
One of the reasons identified for infertility in women is hypothyroidism. This range varies from 1% to 40% and so remains to be proven still. In addition, the hypothyroid mother will have a set of symptoms to live through, which may be further complicated given the pregnancy. Thyroid replacement should be religiously done and monitored to ensure TSH levels are at the optimal required levels (2.5 to 3 mIU/L) during the entire duration of pregnancy.
If you have the following, be sure to go through a comprehensive thyroid screening before and during pregnancy.
- Family history of thyroid
- History of thyroid dysfunction or goitre or thyroid antibodies
- Clinical signs and symptoms suggestive of hypothyroidism
- History of repeated miscarriages
- History of head and neck radiation
- Family/personal history of autoimmune disorders
While it still remains to be proven that hypothyroidism per se can stop a woman from being pregnant, there are definitely effects of hypothyroidism on the developing child and the mother. A comprehensive screening and close monitoring through pregnancy are extremely essential. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
My wife pregnant with heterotopic. Now 6 weeks. But we don't want to continue. But my doctor suggested wait one week bcz egg moves to uterus. But I heard before 7 weeks abortion with use of tablets. After that go o surgery. So please suggest. Which is correct. This is unwanted pregnancy. That's why we are going to abortion.
I have gone through hormonal test. All tests r normal except. Rubella. Which is positive - 44.14 IU/ml. What it show? Isn't its reason for non conceive?
Hi, A person (female) is suffering from metastatic leiomyosarcoma as per diagnosis. She underwent surgery for fibroids in 2015 and the reports of biopsy stated NO malignancy FOUND. But in December 2017 symptoms of pain in lower abdomen and bleeding in urine was seen plus swelling in one leg also. She underwent a surgery for debulking in mid January and reports of biopsy indicated soft tissue pelvic mass and diagnosed as metastatic leiomyosarcoma. What is the course of action that should be taken? Kindly help.
Examinations are a time when both parents and children may experience a lot of stress. As a parent, you may get so preoccupied with your concerns for the child’s future that you may end up adding to the stress instead of helping. Here are some ways that you can be there for your child during this time:-
- Be available and supportive – Your child may be anxious and may want to share her feelings with you. Simply setting aside whatever you are doing and hearing her out can be a great help. Acknowledge her worries and let her know that it is normal to experience some level of stress at this time. A little reassurance can work wonders.
- Transfer the initiative – Allow your children the space to study in the manner that suits them best and ask them if they need help from you in any way. You don’t need to take over their studies, it only increases dependency.
- Refocus on the present – At times children get too caught up with thoughts like ‘what if things go wrong’, ‘what if I don’t get good marks’, and so on. Remind them that focusing too much on the future only increases anxiety and robs them of vital energy to focus on the task at hand, whereas the efforts that they put in today will definitely ensure a better outcome.
- Help them break the syllabus down into manageable parts – Children often view the whole syllabus as a cumulative, undifferentiated mass that seems overwhelming. Help them break it down into manageable parts, such as number of chapters per subject, time required for each topic, topics that are manageable or difficult, can he take help from someone for the difficult topics.
- Handle your own stress – Go for a walk, talk to other parents, relax, acknowledge your feelings or worries and remind yourself that this is normal. Remember your children learn by observing you. They are likely to emulate your patterns of handling stress when faced with challenges.
- Share your concerns with the child and encourage – If you are worried about her future then have an open chat, share your concerns and encourage her to do well keeping the long run in mind. Avoid indirect, sarcastic comments, taunts, negative statements or nagging. A remark like ‘I am happy to see you studying’ is much better than ‘you are not doing enough’.
- Realign expectations – If your child has been scoring around 60% then expecting a sudden jump to 90% may be unrealistic and create unnecessary stress. An expectation of around 75-80% would be more realistic to keep her motivated.
- Create an atmosphere of lightness and factor in some physical activity – Very often our homes seem to be ‘’Under Siege” during exam time. It is good to factor in breaks for some music, entertainment, laughter, a light walk, a few minutes of exercise, a quick game etc. Such activities loosen the muscles, get our metabolism going and lead to the release of certain feel good chemicals that make us feel refreshed and rejuvenated.
- Keep nutritious, healthy snacks handy – We often reach out for highly salty, sugary foods when stressed, anxious or tired. Such foods give an immediate lift but do not provide sustained energy. Have some nice smoothies, dry fruits, roasted grams, boiled chick peas or kidney beans, fruits, salads etc handy which will benefit your children in the long run.
In the end, remember this is just one set of exams that your child is facing in a series of exams and challenges that she will be facing in her lifetime. When you value your children for who they are and not just the marks that they get, they will also learn to value themselves and grow up to be well balanced individuals.
ALL THE BEST!