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Dr. Rajendra Nakhare

Gynaecologist, Pune

300 at clinic
Dr. Rajendra Nakhare Gynaecologist, Pune
300 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rajendra Nakhare
Dr. Rajendra Nakhare is one of the best Gynaecologists in Narayan peth, Pune. You can visit him at Laxmi Clinic in Narayan peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Rajendra Nakhare on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 44 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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366/1, Laxmi Rd, Narayan Peth. Landmark: Near Vijay Talkies & Near Garuda Ganapathi Chowk, PunePune Get Directions
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Fibroid Tumours - 8 Signs You are Suffering From it

MBBS, MD, Registrar, DNB, MNAMS
Gynaecologist, Delhi
Fibroid Tumours - 8 Signs You are Suffering From it

Fibroid tumour is the abnormal cell growth in the uterus and they are mostly benign. Fibroids usually affect women in the age bracket of 30 - 40. Fibroid tumours are of three types, depending on their location:

  1. Submucosal fibroids: The tumour develops under the lining of the uterus
  2. Intramural fibroids: The growth is found amongst the muscles in the wall of the uterus
  3. Subserosal fibroids: The growth develops on the wall of the uterus right in the pelvic cavity

Causes behind it
The exact cause of fibroids in not known clearly. But certain factors have been discovered that might influence their formation. These factors include:

  1. Hormones: Progesterone and estrogen are the hormones responsible for recreating the uterine lining during every menstrual cycle. These hormones might trigger the formation of tumour.
  2. Family history: If any member in your family; your mother, grandmother or sister has/had fibroids in their uterus, you may also develop it.
  3. Pregnancy: Your body produces excessive progesterone and estrogen when you are pregnant, which may cause an increase in the size of a pre-existing small fibroid. Myomectomy can be done by giving incision on the abdomen or by laparoscopy depending on the size and location of the fibroids.

Signs You are suffering from it

  1. Heavy bleeding along with blood clots during or between your periods
  2. Lower back or pelvic pain
  3. Elevated menstrual cramping
  4. Frequent urination
  5. Pain during sex
  6. Longer than normal periods
  7. Bloating or pressure in lower abdomen
  8. Enlargement or swelling of the abdomen

How it can be treated?
Your doctor will formulate the right treatment depending on your age, the mass of the fibroids and your overall health. Your doctor may choose a combination of treatment to cure your fibroids, and they include:

  1. Medication: Gonadotropin releasing hormones (GnRH) agonists, birth control pills and ibuprofen (anti-inflammatory medicine) are prescribed. GnRH agonists reduce the level of progesterone and estrogen in your uterus.
  2. Surgery: Myomectomy and hysterectomy are two common surgical procedures to treat fibroids. Myomectomy is performed by removing the fibroids only by making an incision on the abdomen. But hysterectomy completely removes the uterus. The latter is reserved for serious cases.
  3. Non-invasive surgery: Forced ultrasound surgery, myolysis (shrinking fibroids with laser or electric current), cryomyolysis (fibroids are frozen) and endometrial ablation (an instrument uses heat, hot water, microwaves or electric current to destroy fibroids) are some non-invasive surgical procedures. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
2515 people found this helpful

My age is 21 yrs since 2-3 yrs I feel some small lumps like structure in my both breasts, should I be worried about it?

MBBS
General Physician, Faridabad
it is called gynaecomastia. but as such there will be no problem.it is due to hormonal imbalance in the body.after some time it will be normal in most of the cases.
1 person found this helpful
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Today I sucked my girlfriend boobs, she is a teen and after 10 hrs or so it is still paining and irritating for her. It looks like blood has come from her nipples. Kindly suggest some home remedies for her. I don't wanna take her to a physician and make her get afraid or panic Please suggest me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Today I sucked my girlfriend boobs, she is a teen and after 10 hrs or so it is still paining and irritating for her. ...
Hello- It seems that over sucking might have accumulated a blood clot near the nipples. Apply Cowsghee in a circular massage manner to reduce the inflammation. Do not sudate it will further complicate the situation.
2 people found this helpful
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My wife icsi transfer 4 weeks pregnancy conform in ultrasound Dr. suddenly change to sustain injection to sustain gel change the treatment 2 days, bleeding come treatment correct or wrong please replay.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
My wife icsi transfer 4 weeks pregnancy conform in ultrasound Dr. suddenly change to sustain injection to sustain gel...
Both susten injection and susten gel have same component. Just the mode of delivery is different. Do not worry. And trust your doctor. This pregnancy is as precious to the doctor as is to you.
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What is normal time for pregnancy, what would be better normal delievery or cessarian operation.?

DGO
Gynaecologist, Pune
What is normal time for pregnancy, what would be better normal delievery or cessarian operation.?
Normal pregnancy lasts for 36 to 40 weeks. And the mode of dilivery is best decided according to the clinical situation at time of labour.
5 people found this helpful
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M eighteen I have periods on my marriage date so can I eat forwarding periods tablets nd if I how I use it. M not knwn abt this please help me out.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
M eighteen I have periods on my marriage date so can I eat forwarding periods tablets nd if I how I use it. M not knw...
Hello, please follow up with the date of you last menses, you marriage date, length of your cycles and then I would be able to guide you in a proper manner. Th menses can be delayed for sure so that your marriage time is hassle free. Regards.
3 people found this helpful
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Hi, I'm having vaginal itching n heating problem from last 6-7 days, m unable to go washrum without heating in vagina. What should I do.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
May be a fungal infection. Use a good vaginal cleanser and try to avoid scratching. If not getting relieved will need medication. You can approach your doctor.
1 person found this helpful
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I am 30 years old. 3 years before I had an one abortion after trying to conceive 3 years but not yet succeed. My condition is unexplained infertility. Please help me doctor.

MBBS
General Physician, Faridabad
I am 30 years old. 3 years before I had an one abortion after trying to conceive 3 years but not yet succeed. My cond...
try if your cycle is regular then take chance on mid of cycle,. say your cycle start on 1st then try help between 12-17.during this period you have maximum chance. but it may happen at any time. it will. welcome.
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I didn't had periods yet. Were due on 28 april. I Was trying for our second baby after 6 yrs of birth of my first child. My gynae is asking to get preg check regularly after week. I checked on 27april, 5 may but was negative. What should I do now? Should I go for usg for non mensturing or just get some medicine.

BHMS
Homeopath, Secunderabad
In medical terminology this is called secondary infertility. We have excellent medicines in homoeopathy to cure this problem. Now are you taking any medicines for this?
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I am thyroid patient. I am taking 25 mg tab. My vagina will be dry it's causing problem during sex. What is the solution.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hi You should have your TSH checked again to find out whether it is in normal levels. For vaginal dryness you can use lubricant jelly.
1 person found this helpful
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Hi I am 33 year old.my wife 24 year old we married 2012, please advice this is correct time to get baby, but we are trying till not happening please give some advice to get.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Yes, this is correct time if you are ready for a baby. Now, if you have tried for long time, and still there is no pregnancy you must make it sure that both of you don't have any disease- by consulting doctors who will check up certain basic things and then will start the best treatment. Good luck.
2 people found this helpful
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I have missed my periods and I am 5 days overdue. I took a HPT on the morning of day 4. It came out negative. I have never missed my periods (I am 33 years old). I am getting period like cramps through the day. It feels like they will start but nothing happens. I am not sure if I should worry (can it be something besides pregnancy?) since the cramps do not seem to be stopping. Or was it too early to do a HPT.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I have missed my periods and I am 5 days overdue. I took a HPT on the morning of day 4. It came out negative. I have ...
It was not too early but sometimes hpt works if done a little late. Repeat it again in two days. If it still turns out to be negative then there seems to be little possibility of conception. In that case wait for one more cycle. If your periods continue to be irregular for more than two cycles you should be visiting a doctor. For now I do not see a cause for concern. Periods can get delayed due to various factors like lack of sleep, overwork, stress, sudden climate changes etc.
1 person found this helpful
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Coccydynia - Tailbone Pain

MPTh/MPT, BPTh/BPT
Physiotherapist, Guwahati
Coccydynia - Tailbone Pain

Coccydynia - Tailbone Pain: 

The back bone or spine is made of a series of bones extending all the way from the neck (cervical) to the tail (coccyx). These joints, like others, are prone to inflammation, sprain and strain, some more than the others. The coccyx in particular is highly prone to inflammation and can lead to localized pain, which is very typical, with the pain in the tailbone. This is known as coccydynia. 

What is coccydynia?

  • Literally, coccydynia translates to tailbone pain.
  • It is characterized by a sharp, localized pain between the buttocks in the tail bone.
  • It is often caused by injury to the pelvic area or the tail bone.
  • Sitting and/or leaning against the buttocks make it worse.
  • Pregnancy, when the additional hormones relax on the pelvic floor, also leads to increased pain of the tailbone.

Diagnosis: 
The pain can be easily confused with other conditions like sciatica, fractured tailbone, tailbone infections like shingles, etc. However, for a trained medical person, the symptoms of tenderness and pain are quite diagnostic. Pilonidal sinus, fistula, pudendal neuralgia is also same as coccydynia and show same symptoms. 

Management:

  • If there is a rash or inflammation, it needs to be evaluated further for additional problems.
  • Where possible, rest completely for a short period of time till the acute phase of pain subsides.
  • In case of injury, ensure there is no repeat injury to the same area.
  • Pain medications are used to relieve pain, where it is severe and intolerable.
  • In severe cases, cortisone injection may be given in the doctor s office. In addition to pain relief, it may even take care of the underlying problem per se.
  • Avoid sitting for prolonged periods where possible.
  • After the acute phase is over, when sitting for prolonged periods, sufficient padding is advised. This could be in the form of pillows or padded seats.
  • Sleeping on the sides is difficult, so sleep straight. If required, take a pillow in the middle.
  • Physiotherapy is also helpful in some people who have repeat attacks. This helps in pain management and controlling acute phases. There are specific tailbone stretches, which should be done under supervision.
  • Walking is one of the many effective ways to keep the tailbone unlocked, which helps in getting rid of the pain and avoiding spasms of the muscles around the tailbone.
  • Best internal manipulation and pain management can be done with coccyx exercise.
  • The time taken for healing of the tailbone depends on whether it is a simple bruise or a severe one. The former would heal completely in about four weeks, while the latter will take about 12 weeks.
5 people found this helpful

If green tea is that much of harmful than why some nutritionists suggests green tea to pregnant ladies. It affects the medications too.

BHMS
Homeopath, Delhi
If green tea is that much of harmful than why some nutritionists suggests green tea to pregnant ladies. It affects th...
Green tea is absolutely safe it does not contain caffeine. You can easily take 1-2 cups daily it contains anti oxidants.
1 person found this helpful
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My wife 35 years old she has periods problem & now many times white liquid has come. Please help which homeopathy medicine taken.

DHMS (Hons.)
Homeopath, Patna
My wife 35 years old she has periods problem & now many times white liquid has come. Please help which homeopathy med...
Hello, Lybrate user, She is suffering from leucorrohoea with menstrual disorder. She should follow: Tk, plenty of water to hydrate yourself ,to eliminate toxins diluting your blood to establish your flow.  * go for meditation to reduce your stress, anxiety to calm your nerve ,improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to avoid gastritis  •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach, to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, being gentle, rapid & safe in administration. @ Pulsatilla 30-6 pills, thrice. @ Sepia200 -6 pills at bed time. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
4 people found this helpful
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My last period was on Jan 14, still not happened, scan everything was done but everything is fine, doctor told it's harmon imbalance.

DHMS (Hons.)
Homeopath, Patna
My last period was on Jan 14, still not happened, scan everything was done but everything is fine, doctor told it's h...
Hello, lybtate user, Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 30-6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
2 people found this helpful
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All About Vaginal Rashes

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
All About Vaginal Rashes

Rashes in the vulva, which might be caused due to various health problems or due to irritation on skin, usually constitute all the vaginal rashes. The vaginal rashes might be the result of non infectious conditions (it might be an allergic reaction) or it might also be the result of a sexually transmitted infection. The vulva may become red and might have sores and blisters. Many times, the vulva doesn't change color at all, but visible bumps are present in the area.

Symptoms:
The symptoms of vaginal rashes are as follows:

  1. Blisters or sores
  2. Reddening of the vulva
  3. Visible bumps
  4. Vaginal discharge
  5. Pain in the pelvic region
  6. Painful urination with a burning feeling
  7. Itchiness
  8. Pain while having sex
  9. Lice or insects in the pubic hair
  10. Fever
  11. Enlarged lymph nodes
  12. Ulcers on the groin

Although the symptoms are not usually fatal, sometimes the conditions might become life threatening. If your body temperature rises above 101oF and if you are suffering from a severe abdominal and pelvic pain, the best option is to consult a doctor immediately.

Causes:
Vaginal rashes can be due both noninfectious causes as well as due to sexually transmitted infections. Some of the infectious causes are:

  1. Genital herpes
  2. Granuloma inguinale
  3. Human papilloma virus
  4. Molluscum contagiosum
  5. Scabies
  6. Pubic lice
  7. Yeast infections
  8. Syphilis

Some of the noninfectious causes are:

  1. Allergic reactions
  2. Eczema
  3. Chemical irritants like soap, lubricants, creams, etc
  4. Lichen Simplex Chronicus
  5. Psoriasis

Complications:
Although the vaginal rashes aren't very serious in nature, you might face certain complications like infertility, secondary or tertiary syphilis, and transmitting the infection to your partner.

Treatment:
Vaginal rashes are usually treated with home remedies. Here are a few treatments you could try out if you are afflicted with vaginal rashes:

  • Apple Cider Vinegar: This particular substance is known for having antifungal and antibacterial properties. It will help you get over the itching which takes place when you are suffering with a vaginal rash. If the rash is due to a fungal or bacterial infection, then apple cider vinegar will help to clear out the infection. Wash your vagina with apple cider vinegar and warm water mixture.
  • Anti-bacterial Talc: Anti-bacterial talc is extremely mild to the skin. It helps to cure fungal infections but this method might take some time to cure the rash.

Consult your doctor if the rash becomes serious and requires immediate attention.
 

4091 people found this helpful

Keep your mouth always clean because

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
Keep your mouth always clean because
Keep your mouth always clean because.
55 people found this helpful

My wife had her monthly periods on 08.02. 2016 but she got periods once again on 22.02. 2016 & today 08.03. 2016. Kindly help us in identifying issue (problem) & rectification measure.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
My wife had her monthly periods on 08.02. 2016 but she got periods once again on 22.02. 2016 & today 08.03. 2016. Kin...
She will need full gynec check up. The uterus, cervix (mouth) and birth passage will be examined to identify the source of bleeding. Ultrasound will help in the diagnosis. Only then will it be possible to give some treatment.
1 person found this helpful
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