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Dr. Prashant Tonape

Gynaecologist, Pune

500 at clinic
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Dr. Prashant Tonape Gynaecologist, Pune
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Prashant Tonape
Dr. Prashant Tonape is a trusted Gynaecologist in Fatima Nagar, Pune. You can consult Dr. Prashant Tonape at Dr. Prashant Tonape@Inamdar Multispeciality Hospital in Fatima Nagar, Pune. You can book an instant appointment online with Dr. Prashant Tonape on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 35 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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Inamdar Multispeciality Hospital

#15, Landmark : Behind KPCT Mall, PunePune Get Directions
500 at clinic
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I had unprotected sex and next day I take unwanted 72 and after few days its start bleeding is everything is alright?

Sexologist, Delhi
I had unprotected sex and next day I take unwanted 72 and after few days its start bleeding is everything is alright?
If you have taken unwanted 72 then there is no risk. Safe side wait till your periods date. If period do not come then go for preganancy test.
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I'm a 19 year old girl. I'm diagnosed with Fibroadenoma in my right breast. The size is 54*46 mm. I'm using homeopathy medicines since 4 months and the doctor is saying that the lump will be dissolved in another few months. For second opinion I consulted another doctor who said Surgery is the better option. Should I just wait for few more months or get the surgery done. I personally want to get rid of the lump.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology For Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology
Alternative Medicine Specialist, Bhubaneswar
I'm a 19 year old girl. I'm diagnosed with Fibroadenoma in my right breast. The size is 54*46 mm. I'm using homeopath...
Hi lybrate-user, I appreciate you seeking help. Fibroadenoma of the breast, although benign, does increase the chances of breast cancer. Its important that the conditioned be monitored, through regular breast exams, to ensure that it is not growing. Should it be growing still, its advisable to get this removed surgically. Nevertheless, I would advise that you get this clinically evaluated by your OB/ GYN, discuss pros & cons and proceed as recommended by your OB/ GYN. Simultaneously, do follow a streamlined and balanced diet (preferably Mediterranean) & regular lifestyle with due emphasis on regular exercise, stress reduction and relaxation. Consume plenty of fresh fruits and vegetables on a daily basis. Especially, vegetables & fruits rich in carotenoids, vitamin C & vitamin B12 are known to help in this condition. Also, apples, broccoli, and cabbage contain glucaric acid which is closely similar to calcium D-glucarate that helps clearing out toxins and excess hormones out of the body that is likely to increase the risk of hormone dependent growths like fibroadenomas and also cancers of the breast. Try avoiding tea, coffee, carbonated soft drinks, dairy products including chocolates, alcohol, greasy, sugary and other high calorie food stuff including fast foods etc all. Green tea is an exception though. Stay well hydrated and have at least 8 - 10 glasses of clear fluids through out the day. Hope this helps. Take care and all the very best. Sincerely
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My wife have missed menstrual period her date was 18 th Feb.On doing pregnancy test at home its found positive. Today on consulting Drs & doing ultrasound its found that Sac is of 7 mm <5 week but no Embryonic node. Is there no chance of pregnancy?

MBBS, MD
Gynaecologist,
The pregnancy test being +ve and the ultrasound giving report of a gestational sac of 7 mm ( <5 weeks) without any embryonic pole or echo may mean that (a) it is an early miscarriage/ missed abortion, or (b) the pregnancy is viable but too early to be detected on this ultrasound right now, and will need a repeat ultrasound after say one week and embryonic pole will be detected later on and normal pregnancy will progress with treatment , and (c) rarely an ectopic pregnancy. But with the data you have given it is very difficult to pinpoint which is the possibility in your particular case. You may clarify with your doctor.
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Hi Doc, I got married 7 months back on october 1 and my wife got early pregnancy she has conceived on 23 oct and she is affected with GDM from November and she is taking high dose of insulin morning 25 units novomix, Afternoon 16 units actrapid and evening 15 units but till now sugars are uncontrolled. I am very much worried about this and every evening sugars are going low to 60. I need a advice to whom should I consult and my wife is going seven months pregnancy I am worried about this situation. Please help on this situation.

BHMS
Homeopath, Secunderabad
Hi Doc, I got married 7 months back on october 1 and my wife got early pregnancy she has conceived on 23 oct and she ...
Please follow up with your gynecologist (and let the doctor suggest any endocrinologist/ diabetes specialist) so that proper care is taken to ensure normal growth of the baby while mother keeps good health. Do not worry, read more about the subject from the internet and gain knowledge about how to deal with the situation. You can always share all your concerns with the doctors who are there to help you. You can also update the latest reports here for any clarification.
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How physiotherapy can help through pregnancy and after pregnancy

MSPT (Master of Physical Therapy), BPT
Physiotherapist, Gurgaon
How physiotherapy can help through pregnancy and after pregnancy

Pregnancy and childbirth throw a woman&#x2019;s daily routine out for a toss. During and after pregnancy is the time when her body undergoes a number of hormonal and physical changes. Mundane tasks like sitting, standing, walking, and working become a challenge.

Research suggests that almost all pregnant women experience musculoskeletal discomfort but around 25% become temporarily disabled because of it. All these occur due to the incredible changes taking place in the body during a normal pregnancy.

Pregnancy discomfort has been accepted as a part of the normal process of pregnancy for years now. But just because you are pregnant does not necessarily mean that you have to accept problems like a backache and pelvic girdle pain as unmanageable. Doctors of today have realized that physiotherapy is the key to enhancing a woman's health during pregnancy. The main aim of physiotherapy is to reduce discomfort, to prepare the body for delivery and to speed-up recovery after childbirth.

Physiotherapy through pregnancy

The basic aim of physiotherapy during pregnancy is to help the body deal with issues related to mobility, musculature, circulation and respiration. Prior to starting an effective antenatal (before birth) program, a thorough evaluation is done to recognize which exercises would be best suited to the woman's needs. These exercises are aimed at strengthening muscles,
decreasing joint pain, correcting muscle imbalances, and increasing the overall range of motion of the body. Therapists may also advise you about correct sleeping positions as your normal sleeping routine may be disturbed during pregnancy.

Here's how physiotherapy deals with some common complaints experienced by women during pregnancy.

Lower back pain: almost all pregnant women experience low back pain, though it tends to become severe after third trimester begins because the woman's centre-of-gravity shifts due to the increase in the stomach size. Lower back pain is treated with manual and passive physiotherapy, back support, postural education, and some pilates exercises. Home exercises are also taught which the women are encouraged to continue at home.

Pain in the sacroiliac joints: sacroiliac joints are present in the lowest region of the lower back. This pain is usually concentrated in the buttock region. During pregnancy, due to excessive hormone release, the body's connective tissues tend to relax so that the muscles can stretch to aid in delivery. This may cause the sacroiliac muscles and ligaments to become excessively mobile, causing extreme joint movements. Due to this, the woman may experience difficulty in lifting the leg, swelling in the joints, pain in the hips, and difficulty while standing and sitting. Strengthening exercises are provided by the physiotherapist to stabilize the joints and hands-on therapy is given to reduce the pain by realigning the pelvis.

Urinary incontinence (due to pelvic floor weakness): progesterone, which is known as the pregnancy hormone, relaxes the muscles of the pelvic floor in order for it to be supple and ready for delivery. Therefore, these muscles can weaken and strain during pregnancy and childbirth, which leads to urinary incontinence (unable to contain or retain urine) and pelvic floor dysfunction. Physiotherapists will teach you strengthening exercises to strengthen the pelvic floor muscles. They may also provide you with a pilates based exercise program to help reduce the muscle weakness that may occur after childbirth.

Sciatica: sciatica is a problem that a lot of pregnant women experience. Continuous pressure or strain on the sciatic nerve can lead to backache, and weakness, numbness and tingling in the leg or associated areas. Physiotherapy uses stretching exercises and manual therapy to relieve you of these symptoms.

Carpal tunnel syndrome: this condition is caused due to build-up of excessive fluid resulting in swelling in the carpal tunnel in the wrist. You may experience symptoms like pain, numbness, tingling, and loss of coordination in your hands and fingers. Physiotherapy techniques such as mobilization, strengthening exercises, stretching, and soft tissue techniques help to reduce these symptoms. In severe cases, a wrist brace may be provided to put on during specific activities to minimize inflammation.

Physiotherapy after pregnancy

Physiotherapy does not stop once your baby is born. It is very much part of post-natal care too. Gentle physiotherapy exercises must be started two days after the baby's birth. However, this must only be done after consulting with your doctor. Most hospitals have physiotherapists who will offer their services before you are discharged. For the first six weeks after childbirth, your body is still in the recovery phase and walking is the best exercise for you. Start with short walks, and then slowly increase time, distance, and speed of your walks, according to your comfort. Swimming is another good exercise, but you can only start with this after you have recovered properly. If you experience any pain and discomfort, discontinue the activity immediately and consult your doctor. After six weeks, with the go-ahead from your doctor, you can start with sports and exercise classes.

Women also experience certain post-natal complications. Here is how physiotherapy helps you recover from them.

Low back pain: physiotherapy techniques such mobilization, stretching, strengthening, soft tissue techniques, and hydrotherapy are very beneficial in reliving post-natal backache. Certain pilates exercises are also helpful.

Weakness of pelvic floor muscles: immediately after childbirth, the pelvic floor muscles are weakened. These muscles can be strengthened by pilates based exercise program and other exercises specific to pelvic floor muscle strengthening, which the physiotherapist will teach you.

Sacroiliac joint pain: this pain can continue after pregnancy too. Strengthening exercises and hydrotherapy can help in regaining normal muscle tone.

Diastasis recti or abdominal separation: generally this condition occurs in women who have undergone multiple pregnancies. A physiotherapist will provide you strengthening exercises to strengthen the abdominal muscles.

A woman's body undergoes incredible strain during pregnancy, and physiotherapy is something that can make the entire process so much easier. It aims not only at your recovery but enhances your body's ability to have a smooth and easy delivery. Physiotherapy makes the experience of pregnancy positive and joyful, just as it should be.

I am 24 years old unmarried female. One of my nipple is not coming out and other one is partially out. So i'm confused about this. Is it cause any problem in future? Kindly tell me the solution.

MS-General Surgery, MBBS
General Surgeon, Hyderabad
I am 24 years old unmarried female. One of my nipple is not coming out and other one is partially out. So i'm confuse...
You are having retracted nipple. Massage it daily with coconut oil or moisturising cream. If still it does not come out, it will lead to difficulty in breast feeding. Consult a general surgeon if you are not able to tackle the problem yourself.
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Hello sir/ mam I am siri 23 years female recently I went to a homeopathy doctor for irregular periods he gave me some medicines and told me to drink lemon juice with peel (cut the lemon into 4 pieces with peel and grind it then filters the juice drink with half glass of water) what is the reason behind this tip. Is it for weight loss? Or is it for hormonal imbalance?

BHMS
Homeopath, Pune
Hello sir/ mam I am siri 23 years female recently I went to a homeopathy doctor for irregular periods he gave me some...
Hi lybrate-user. Lemon/peel is simply a good source of vitamin C called ascorbic acid it is an important nutrient, it also helps in low BP with salt addition, The doc may have generally given you this healthy tip though this has less relevance to what your main complaints are.
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I am 26 old. I was supposed to get periods on 25th march which I have not received yet. I had taken an ipill on 26th .bt still I have not got my periods. My menstrual cycle is anyways not regular. Is there of possibility of getting pregnant.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am 26 old. I was supposed to get periods on 25th march which I have not received yet. I had taken an ipill on 26th ...
After taking high hormonal emergency pill like i pill one gets withdrawal bleeding 5 to 10 days later, and then new cycle starts.
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Yes. Unwanted was given within 35 to 40 hours. But now she has no periods. Last period was on 13.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Yes. Unwanted was given within 35 to 40 hours.
But now she has no periods. Last period was on 13.
After taking high hormonal emergency pill like Unwanted one gets withdrawal bleeding 5 to 10 days later, and then new cycle starts. If no withdrawal bleeding then do urine pregnancy test.
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