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Dr. Rabre

MBBS

Gynaecologist, Pune

0 - 300 at clinic
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Dr. Rabre MBBS Gynaecologist, Pune
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Rabre
Dr. Rabre is one of the best Gynaecologists in Chinchwad, Pune. Doctor studied and completed MBBS . Doctor is currently practising at Niramaya Hospital in Chinchwad, Pune. You can book an instant appointment online with Dr. Rabre on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 36 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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Niramaya Hospital

#4742, Behind Jai Hind Petrol Pump,Chinchwad. Landmark: Next to Chinchwad East Post Office, PunePune Get Directions
300 at clinic
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Niramaya Hospital

4742 Landmark : Next to Chinchwad East Post Office, Behind Jai Hind Petrol PumpPune Get Directions
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I have sex with my wife her period become late by 4 days. Is she pregnant? Can I give MT-PILL.

BHMS
Homeopath, Bareilly
I have sex with my wife her period become late by 4 days. Is she pregnant? Can I give MT-PILL.
No its not necessary tht she is pregnant. 4 days late can be due to normal cycle. Its not to worry about. Wait for few days. If does not thn take a test. Do not use pills. Its not good for health.
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Hello Dr. My main problem related to periods. My last period date was 8 Feb. Now today is 10 March .my period is not coming. My frnd rubbing the penis on the upper part of the vagina. Not using condom. Starting penis discharged touched on the upper part of the vagina. Not enter into the vagina. Bt m not done the intercourse or sex. Pls help me Dr. My period is not coming. Bt can I do.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello Dr. My main problem related to periods. My last period date was 8 Feb. Now today is 10 March .my period is not ...
Hello, The chances of pregnancy are minimal. You may wait for another 5 days and if menses do not resume then get a urine pregnancy test done. If negative then you can opt for a withdrawal bleed with progesterones.
2 people found this helpful
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On 6.5. 16 my USG report was presentation-breech position (head position of baby-upper side) but on 14.5. 16 it was Cephalic. Is it possible during this short time? If amniotic fluid is mild polyhydric, how it affects the baby. Is there any chance of sugar for baby or mother?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
On 6.5. 16 my USG report was presentation-breech position (head position of baby-upper side) but on 14.5. 16 it was C...
Yes the baby rotates multiple times in a day, one day it can be on left the other day on right and so on. There is nothing to worry about. If you have not done your sugar test during pregnancy done then get it done now both fasting and 2 hr after meal.
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My wife period date is 7 th of month and my wife had no periods then I try urine test that test is negative and still periods are not coming and she had a pain just on abdominal lower side and she said this is not a pain of period pls tell me what is that pain and reason why periods not coming.

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
My wife period date is 7 th of month and my wife had no periods then I try urine test that test is negative and still...
Pain may b due to gas. Many times due to some hormonal disturbance, because of stress or any other reason, periods may get late.
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Virya Badhane Ke Gharelu Upay Hindi Me - वीर्य बढ़ाने के घरेलू उपाय

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Virya Badhane Ke Gharelu Upay Hindi Me - वीर्य बढ़ाने के घरेलू उपाय

कम शुक्राणु की संख्या पुरुष की एक सामान्य समस्या है और गर्भाधान में कठिनाई का कारण बनती है। कम शुक्राणु की संख्या एक अवस्था है जिसे ओलिगोस्पर्मिया कहा जाता है। यह ऐसी स्थिति है जिसमें शुक्राणु की मात्रा 15 मिलियन शुक्राणु प्रति एम.एल से कम हो जाती है। यदि वीर्य के नमूने में कोई शुक्राणु नहीं हैं, तो स्थिति को एजोस्पर्मिया कहा जाता है। 
अपर्याप्त शुक्राणु उत्पादन और गुणवत्ता पुरुष बांझपन के लिए सबसे आम कारणों में से एक है। लगभग 15 प्रतिशत जोड़ों ने गर्भाधान समस्याओं का अनुभव किया है, और यह प्रतिशत बढ़ रहा है। 
कम शुक्राणु का कारण क्या है?
कभी-कभी एक आंतरिक कारक, जैसे कि वैरिकोसेले, शुक्राणुओं की संख्या कम कर सकता है। लेकिन धूम्रपान, नशीली दवाओं के उपयोग, खराब भोजन और व्यायाम की कमी जैसे कई बाहरी कारक हैं जो शुक्राणुओं की संख्या को कम कर सकते हैं। कुछ बाहरी कारक जो आपके शुक्राणुओं को प्रभावित कर सकते हैं:
- सामान्य शुक्राणु उत्पादन पर गर्मी का एक हानिकारक प्रभाव हो सकता है। सौना या गर्म टब के लगातार उपयोग, लंबे घंटों तक बैठना, टाइट अंडरवियर, मोटापा आदि अंडकोष के तापमान को बढ़ा सकते हैं।
- अत्यधिक धूम्रपान और शराब पीने से भी शुक्राणुओं की संख्या कम हो सकती है।
- हार्मोन संतुलन पर तनाव का एक बड़ा प्रभाव हो सकता है जो बदले में शुक्राणु उत्पादन को प्रभावित कर सकता है।
- अत्यधिक संसाधित सोया खाद्य पदार्थ (सोया दूध, सोया बर्गर, आदि) में आइसोफ्लावान्स की केंद्रित मात्रा होती है, टेस्टोस्टेरोन के लिए आवश्यक एस्ट्रोजेन रिसेप्टर साइटों को ब्लॉक करने वाला एक फाईटोस्ट्रोजन।
- यहां तक कि विद्युतचुंबकीय आवृत्तियों और रेडियो आवृत्ति तरंगों से शुक्राणुओं की संख्या में कमी आ सकती है
शुक्राणुओं की संख्या बढ़ाने के लिए घरेलू उपचार
विभिन्न प्राकृतिक उपचार और अन्य युक्तियां आपके शुक्राणुओं की संख्या बढ़ाने और शुक्राणु की गुणवत्ता में सुधार करने में सहायता कर सकती हैं।
1. माका रूट:
काला किस्म का माका मूल शुक्राणु उत्पादन और गतिशीलता को बेहतर बनाने में मदद कर सकता है। माका की नियमित खपत से कामेच्छा, मौखिक मात्रा और स्खलन प्रति शुक्राणुओं की संख्या में वृद्धि, और शुक्राणु गतिशीलता में सुधार देखा गया है। कुछ महीने तक इस जड़ी बूटी के 1 से 3 चम्मच दिन में दो बार लें।
2. अश्वगंधा:
अश्वगंधा जड़ अर्क शुक्राणुओं की संख्या, वीर्य की मात्रा और शुक्राणु गतिशीलता को काफी बढ़ा सकते हैं। अश्वगंधा संपूर्ण हार्मोनल संतुलन के लिए अंतःस्रावी प्रणाली का समर्थन करता है। यह आपके समग्र स्वास्थ्य में सुधार लाता है, जीवन शक्ति को बढ़ाता है और तनाव और चिंता को कम करता है। गर्म दूध के गिलास में अश्वगंधा पाउडर का आधा चम्मच मिलाएं। कुछ महीनों के लिए इसे दिन में दो बार पिएं।
3. लहसुन:
लहसुन एक प्राकृतिक कामोद्दीपक के रूप में कार्य करता है और शुक्राणु उत्पादन बढ़ाता है। इसमें एलिसिन नामक यौगिक शामिल है, जिससे शुक्राणुओं की धीरज को बढ़ाया जाता है और रक्त परिसंचरण में भी सुधार होता है। इसके अलावा, लहसुन में खनिज सेलेनियम शुक्राणु गतिशीलता को बेहतर बनाने में मदद करता है। बस अपने दैनिक आहार में 1 या 2 लहसुन के टुकड़े शामिल करें।
4. ट्रायबुलस:
ट्रायबुलस टेरेस्ट्रिस शुक्राणु स्वास्थ्य के लिए एक आयुर्वेदिक उपाय है। यह सेक्स हार्मोन उत्पादन को सहायता करने, पुरुषों में ल्यूटिनकारी हार्मोन (एल.एच), डी.एच.ई.ए और टेस्टोस्टेरोन का उत्पादन बढ़ाने में प्रभावी है। इसके उपयोग के बारे मे अपने चिकित्सक से सलाह लें।
5. व्यायाम:
नियमित व्यायाम और एक स्वस्थ आहार सामान्य स्तर पर शरीर के वजन को बनाए रख कर और तनाव और चिंता से राहत दे कर, प्रजनन क्षमता को बढ़ाता है। लेकिन ध्यान रखें कि अत्यधिक मात्रा में व्यायाम (जैसे मैराथन और संबंधित प्रशिक्षण) बांझपन का कारण हो सकता है क्योंकि यह महिलाओं में रजोरोध (माहवारी का अभाव) और पुरुषों में कम शुक्राणुओं की संख्या को जन्म दे सकता है। 
6. एक स्वस्थ आहार योजना को अपनाना:
यौन स्वास्थ्य में सुधार के लिए उचित आहार आवश्यक है। भरपूर ताजे फल, सब्जियां, साबुत अनाज और फलियां लेने से उर्वरता को बढ़ाने में मदद मिल सकती है। परिष्कृत कार्बोहाइड्रेट, कॉफी, चाय, और कृत्रिम योजक के साथ खाद्य पदार्थ आदि से बचने की भी कोशिश करें। 
7. तंग अंडरवियर पहनना बंद करें:
जैसा कि पहले उल्लेख किया गया है, तंग अंडरगैरमेंट जो आपके शरीर के करीब अंडकोष को पकड़ते हैं, वह उनका तापमान बढ़ा सकते हैं और शुक्राणुओं की संख्या और गुणवत्ता को प्रभावित कर सकते हैं। 

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Why Vitamin D Is Important During Pregnancy?

DNB, DGO, MBBS
Gynaecologist, Faridabad
Why Vitamin D Is Important During Pregnancy?

During pregnancy, it is essential to have a wholesome nutrition to ensure the growing baby receives a wholesome nutrition too. Extremely essential are some minerals and vitamins which have a significant role in the development of the baby. The skeletal development, for instance, is one such crucial event, and the onus is on the mother to ensure the required ingredients in the required quantity are reaching the growing fetus.
Read on to know the importance of vitamin D during the pregnancy period.

Why is it important: With the skeletal development in place, the baby’s teeth and bones begin to take shape. Both these are highly matrix-driven structures and require a good amount of calcium and phosphorus. Vitamin D is essential to maintain good amounts of calcium and phosphorus in the body.

Complications: Insufficient amounts of vitamin D can produce a range of symptoms from absolutely no issues to severe bone malformations. If not sufficient, the bones and teeth could become hypomineralized and weak leading to fractures, brittle bones, and rickets in newborn children. There are also reported incidents of low birth weight, preterm birth, and higher risks during pregnancy, but these need to be proven yet.

Sources: Top 10 Vitamin D Rich Foods- Sunlight, Cod liver oil, Sardines, Salmon, Mackerel, Tuna, Raw Milk, Caviar, Eggs and Mushrooms.

Risk factors for vitamin D deficiency: People with darker skin, obesity, and fat malabsorption conditions are more prone to develop vitamin D deficiency. With the importance of vitamin D and its role in skeletal development well established, ensure you get the right amounts of it, whatever be the source.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2 people found this helpful

I am 5 week pregnant. All reports are normal but I have fibroid on posterior wall of the uterus. Will it create any problem in pregnancy?

Masters In Counselling & Psychotherapy, DGO, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Mumbai
I am 5 week pregnant. All reports are normal but I have fibroid on posterior wall of the uterus. Will it create any p...
You have not mentioned a size of your fibroid. Also other details regarding present pregnancy are not mentioned in your post. Hence it is not possible to to give exact advice on the given information without examination. However in general small post fibroids are not troublesome during pregnancy. Please consult Gynaecologist from your city for management of your pregnancy with fibroids.
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Labiaplasty

MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Labiaplasty

What is a Labiaplasty?

Labiaplasty is a surgical procedure that corrects excessively long, enlarged or redundant labia minora tissue and can make the external genitalia (the “vulva”) more cosmetically appealing. Women with enlarged or elongated labia may feel very conscious when wearing tight clothing or swimwear, as the outline of the labia may be visible through the clothing. Enlarged labia may also cause women to feel self-conscious during intimate contact.  Some are concerned about asymmetry of their labias, or they may have pain or discomfort during sex or with exercise. Occasionally, redundant labia tissue predisposes to yeast infections or creates friction tears of the tissue.

During a labiaplasty, excess or stretched-out labia minora tissue is excised to create a more neat and tidy appearance to this region and to treat associated physical concerns. Occasionally excess tissue around the clitoral hood is also carefully trimmed as part of the procedure.

Who is a Good Candidate for Labiaplasty?

Labiaplasty is a personal procedure that should certainly not be associated with embarrassment or shame. Women of all backgrounds, shapes, sizes and cultures seek labiaplasty. Sometimes after childbearing, labial tissue can become stretched out or redundant, and following menopause the vulvar lips can droop with loss of collagen and elastin. Many women are congenitally born with asymmetric or excess labial tissue.

Women who experience awkwardness, pain with intercourse, or discomfort when walking or with exercise due to excess labia tissue are candidates for a labiaplasty. Other women are simply looking to improve the appearance of this part of their body to look as youthful as they feel. Rejuvenation of the labia area can be an empowering experience, potentially improving a woman’s body image, self-esteem and comfort during intimacy.

Can Labiaplasty Be Done Before Pregnancy?

A labiaplasty can certainly be performed at any time in a woman’s life. Labiaplasty is considered a “quality of life” procedure, and is a personal decision. Having surgery will in no way influence future pregnancies or childbirth delivery options.

What Are the Different Types of Labiaplasty?

Labia Minora Reduction

A labiaplasty usually involves trimming the inner lips of the labia, known as the “labia minora”. Only the inner or outer lips of the vulva are treated; the vagina is not normally addressed during a labiaplasty.

 

Labia Majora Reduction

Occasionally, the outer lips of the genitalia (“labia majora”) are trimmed to additionally reduce their prominence. This procedure involves incisions in the skin of the labia majora and is associated with-potentially additional scars and post-surgical swelling during healing.

Clitoral Hood Reduction

For women with redundant clitoral hood tissue, a reduction of the clitoral hood can also be performed as part of a labiaplasty. Clitoral hood reduction involves careful trimming of excess skin that hangs over the clitoris. The overlying skin is then rearranged without risking nerve injury or affecting sexual sensation or stimulation.

Labiaplasty procedure

In order to ensure complete comfort and relaxation, we perform labiaplasty as an Day care procedure in the operating room, under a short and safe general anesthesia or under local anesthesia. Local anesthetic is used to prevent bleeding and bruising during surgery, and to keep the area numb for many hours after surgery. Excess labial tissue is trimmed, the clitoral hood is reduced if appropriate, and a neat and tidy closure is performed in multiple layers using dissolving (absorbable) sutures. Antibiotic ointment is applied, and an absorbable pad is placed over the incisions. Surgery takes around 1-2 hours to complete, and women are allowed to return home a few hours after awakening.

Types of Labiaplasty

Wedge Labiaplasty

Many surgeons these days are performing wedge labiaplasty, for two main reasons:

A wedge of tissue is removed from the middle area of the labia, preserving the natural labial edge for a less obviously surgical look.

The wedge method leaves a shorter scar that’s harder to see because it runs across the labia rather than along the edge.

However, there are some potential drawbacks to this approach. The wedge technique generally only addresses the middle one third of the labia and does not treat the irregular dark hyperpigmented edge of the posterior parts of the labia. It also does not treat excessive clitoral hood tissues which commonly accompany prominent labia minora.

In addition, the wedge technique creates a condition where the amount of tissue resected must be balanced against creating wound tension with closure. Excising too much tissue may result in a potential for wound separation, whereas conservative resection may produce insufficient reduction. It takes an experienced surgeon to advise you on the anticipated results.

 

Trim Labiaplasty

Until recently, trim labiaplasty was the go-to choice for women who wanted to improve the appearance of their labia. This method, as the name implies, involves trimming the excess labia tissue to a more proportionate size and shape relative to the rest of the vaginal area. Many women appreciate that the trim method removes the existing edges of the inner labia, which can darken with age or following pregnancy.

The tissue is typically excised from the clitoral hood and along the edge of the labia minora to the vaginal forchette. In this manner, excess tissue from the upper, middle and lower one/thirds of the inner lips can be removed.

The trim technique leaves a longer scar but it is tension free and commonly is barely visible. Unlike the wedge, wound separation is less likely.

An irregular, thickened and darkened edge is what leads so many of our patients to choose trim labiaplasty as their preferred approach. For those with excess tissue limited to the mid portions of the labia only, the wedge method is an excellent option.

Wedge vs. Trim: Which Is Best?

Both procedures accomplish the primary goal of labia reduction just fine. The question of which labiaplasty technique will give you better results depends on your unique anatomy and your personal goals for surgery.

What is the Recovery After Labiaplasty?

Mild discomfort is treated with oral pain medication for a few days. Swelling and bruising of the genital region can develop over the first few days. You may shower the next day, and will apply antibiotic ointment daily. If you start your menstrual cycle, it is recommended you avoid using tampons for your next 1-2 cycles to avoid irritation of the incisions while they are healing.

At least couple of days should be taken off work or arrange to work from home during this time. Aggressive physical activity should be avoided for at least a week or two after surgery. Sexual intercourse should be avoided for approximately 6 weeks after a labiaplasty. By week 6 to 8, the healing is complete, and no restrictions are needed.

Like any surgery, it takes at least 6 weeks for the initial swelling to recede, and 6 months up to a year for the results to be absolutely complete. Incisions are hidden in the natural crease of the labia region. There is usually very little scarring, as incisions are made in the labial “mucosa” (similar to the inside of the mouth or the gums) rather than the skin.

Possible Complications of Surgery

Some complications associated with labiaplasty are specific to this procedure, while others are complications that could be encountered as a result of any cosmetic surgery, or any surgical procedure in general. Complications common to nearly all surgical procedures include bleeding, bruising, swelling, infection, and scarring. Since labiaplasty is often performed under local anesthetic and sedation rather than general anesthetic, the risks are somewhat less than with more invasive surgical procedures.

Procedure specific complications include Loss of sensation, Spotting, Difficulty urinating ,Change in pigmentation, Asymmetrical results after full healing has occurred ,Separation of the incision site; this occurs in roughly five percent of wedge labiaplasty patients, but is easily to correct. The majority of these symptoms will also be temporary, and resolve within a few days to a few weeks depending on the individual symptom and how quickly your healing progresses.

Will the procedure affect my fertility?

No, the procedure will have no affect on your ability to have children. However, you should use contraception to avoid pregnancy before and after the procedure. Your surgeon will cancel your procedure if you are pregnant on the appointed day. After surgery, you should avoid giving birth for one year following the procedure. As a normal delivery would stretch the tissue and damage the results achieved.

Will there be scarring?

There is usually evidence of scarring following surgical incisions. Your surgeon will try to make the incisions in the least conspicuous areas so that the scarring may be virtually invisible. Even visible scarring will tend to fade over time.

Will labiaplasty affect my sensitivity?

Sensitivity typically stays the same after labiaplasty when done right. After recovery, sexual intercourse is often more enjoyable, because patients feel more confident without the excess skin.

My wife present 37 week pregnancy yesterday she got thyroid levels 6.84 she taking every day 25 mcg today doctor told me25+ 12.5 mcg take daily just one week she get planning delivery present any problem thyroid effect.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
My wife present 37 week pregnancy yesterday she got thyroid levels 6.84 she taking every day 25 mcg today doctor told...
NO MAJOR PROBLEM BUT START 37.5 mg ,AS DOCTOR ADVISED YOU .TAKE EMPTY STOMACH .TEA OR MILK SHOULD BE TAKEN ONE HOUR LATER. USE TATA IODISED SALT IN UNRIPE FORM MEANS KACHA.
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Gynaecologist
Colony Nursing Home, 
200 at clinic
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89%
(375 ratings)

Dr. Kuldeep R Wagh

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist
Blossoms Women Care, 
300 at clinic
Book Appointment
93%
(154 ratings)

Dr. Usha Subrahmanyam

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist
Dr. Usha Subramaniam's Gynaecology & Infertility Clinic, 
350 at clinic
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88%
(183 ratings)

Dr. Neelima Deshpande

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist
Health Point Polyclinic, 
300 at clinic
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Dr. Alka Ranade

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist
Shashwat Hospital, 
300 at clinic
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