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Dr. Relwani

Gynaecologist, Pune

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Dr. Relwani Gynaecologist, Pune
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Relwani
Dr. Relwani is a trusted Gynaecologist in Nana peth, Pune. You can visit him/her at Renu Nursing Home in Nana peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Relwani on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 32 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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Renu Nursing Home

Quarter Gate, 4 Irwin Rd, Nana Peth, PunePune Get Directions
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My wife has missed period for about 5 days and she has tested positive with a pregnancy kit. What should she do next. Whether to consult with doctor or not or wait for some times.

MHA, PGDPMC, DGO, MBBS
Gynaecologist, Delhi
My wife has missed period for about 5 days and she has tested positive with a pregnancy kit. What should she do next....
Congratulations for you both and welcome to the wonderful world of parenthood. It is too early to see any medical help. All you both need to do is support each other, remain calm and avoid stress. Your wife will require a lot of support from you and I am sure you will provide her with it. You can see a doctor as you complete 2 months or earlier if she develops any complaint.
4 people found this helpful
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Polycystic Ovarian Syndrome (PCOS)

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
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Good morning, I’m Dr Nidhi Agarwal, I am a consultant gynaecologist, based in Gurgaon. Now today I’ll speak on Polycystic Ovarian Disease that is PCOD which is very common in women in recent years.

PCOD actually occurs in young women. They usually present to us with irregularity with their periods. The ovaries in PCOD patients actually become bigger and denser. As the name suggests, ‘poly’ means many that is many cysts are formed in the ovaries. This lady usually presents with a disruption in the normal menstrual cycle.

Now, what happens in a normal lady who menstruates every month?

There is one egg which is selected by nature which increases in size, and when it becomes bigger and appropriate in size, it is ruptured in the ovary which is then taken up by the Fallopian tube. And if it doesn’t meet the sperm and pregnancy doesn’t occur, then the lady menstruates. This should happen monthly up to 35 days. In PCOD patients, this natural selection of the egg every month doesn’t occur. Instead, many small cysts are formed in the ovaries. So that is why there are many cysts formed in the ovaries, and then the patient does not have normal periods. That is why we say it a Polycystic Ovarian Disease.

Now how does a patient of PCOD present to us?

A patient of PCOD, if she is a young girl in her teens or in the early twenties, she usually comes to us saying that she is not having her monthly periods. She menstruates at one and a half months, two months, two and a half months, and when she menstruates, she usually has excessive bleeding with clots. If a lady is in her late twenties and has got married, and she is not able to conceive, then also the patient presents with the problem in conceiving. Also, there is usually an excess of hormones produced by the ovaries, that is an excess of estrogen as well as androgen which is the male hormones. The lady usually presents with male like pattern of hair growth that is hair growth on her chin on her face, around the nipples of her breasts, in her lower abdomen, especially over her thighs and she says that along with excessive hair growth, she has developed excessive acne and things also appear all over her scalp. These are basically because of an excess of androgens, which are the male hormones. This change in the hormonal value occurs because of Polycystic Ovarian Disease. Also, very often, patients come to us saying that she is gaining weight excessively. A patient comes and says that in the last 5 months, I have gained 10 kgs of weight. So patients usually present to us with symptoms of insulin resistance, in which there is overweight. Now, PCOD has actually become very common and patients who are as small as 11-12 years of age come to me, young girls presenting with PCOD. And the incidence is very very very high; 1 out of 10 women are now having PCOD.
How do tackle this PCOD?

See, there are three criteria which are very important. As I have told you, first is a presentation, that the lady is not ovulating, that is the egg which is formed every month is not released. Instead, multiple eggs multiple cysts form which we call in their ovaries. So, if the ultrasound shows that they are polycystic ovaries if the patient presents to us with less ovulation, or anovulation which we say which occurs when the patient is not having her regular periods, or there are signs of excess androgen that is male hormone with features of hirsutism. Then, out of these three, if two criteria are there in the lady someone is having PCOD.

Very often patients ask me, ‘Why do we, why am I suffering from PCOD?’ So if you ask me, there is no one particular cause which I can see, that this is the reason you have got. There are so many factors, it could be just genetic- your mother or sister has been suffering from PCOD, then your chances of having PCOD are always higher. There could just be low-grade information in her ovaries, which has disturbed the ovaries to an extent that it is releasing more of male hormones, making them bigger in size and that is causing the ovaries not to ovulate. Or it could just be because of obesity and high insulin levels. Again, because of high insulin in the body, it puts stress on the ovaries and they don’t ovulate.

So there are so many causes, you have to investigate the patient, there are a lot of investigations that have to be done and we can come to a diagnosis, it is possible. So, I’ll just conclude by saying that PCOD is very very common nowadays.

If you are having problems with your menstrual cycle, if you are gaining weight abnormally, if you have excessive hair growth anywhere which is not expected in females, face acne or hair loss, please do see us, see your local gynecologist, so if there is any problem, it can be sorted out in time. I’m Dr Nidhi as I already told you, I am based in Gurgaon, and you can contact me for any queries for PCOD or its treatment at LivWell clinic which is at Galleria Market and also you can contact me through Lybrate.

Thank you.
 

3882 people found this helpful

Labor Pain - Tips That Can Help You Live Through It!

MBBS, DGO
Gynaecologist, Delhi
Labor Pain - Tips That Can Help You Live Through It!

It is not easy to deal with labor pains. According to scientists and doctors, labor pain is a very strong sensation that a woman experiences in her lifetime. Therefore, it is important to know some tips that will help you deal with the intense pain during labor. There are some practical tools, which will help you survive labor pains on both emotional and physical levels.

You just need to implement these tools during your labor.

  1. Focus on the current contraction: When you get a contraction, focus on it solely. Do not agonize on the contractions you had or do not feel scared thinking about the contractions that are yet to come. You just need to focus on the present contraction without thinking about anything else. Many women think about how long they have to push before they can meet the baby. The over thinking can worsen the pain. Therefore, you should be in the present moment.
  2. Breathe: A great tip of resisting labor pains is breathing. Various kinds of breathing techniques have been invented for labor. You can try some of those breathing techniques during your labor. If you don’t remember any particular breathing technique, you can also try everyday breathing during the contractions. Breathing lets your abdominal muscles relax and helps the baby descend faster.
  3. Try to relax: Whenever you encounter pain or stress, you tense all the muscles of your body, especially your abdominal muscles. It is important to relax during your labor pain. Although it is difficult, you should try to relax instead of getting tensed. It will make your labor smooth.
  4. Be in a comfortable place: You should be in a place where your labor must be comfortable for you. If you are not comfortable, you will be stressed and anxious, which in turn, will make it difficult for you. When you are in a comfortable place, you will be happier and your muscles will be more relaxed.
  5. Don’t worry: Instead of worrying about your entire labor experience, focus on the task at hand. When you don’t worry, you can process the contractions without being stressed. As a result, your body will also get less tired and your baby will come out faster. You need to channel your energy into pushing the baby rather than worrying and stressing.

If you follow these simple tips, you will be able to survive labor pains and give birth to a healthy baby. Nature has given women all the tools so that they can give birth to a baby naturally. You just need to trust your body and empower yourself by keeping these tips in your mind. In case you have a concern or query you can always consult an expert & get answers to your questions!

3381 people found this helpful

Am 33 aged -suffering problem of over weight-inspite of my planned diet-there is no result-i dont have thyroid but taking treatment for PCOS but under control as per latest reports-plz suggesting the way to over come my problem

MBBS
General Physician, Mumbai
Exercise is the only solution and as far as diet is concerned eat your dinner before 8 pm And don't apply ghee or oil to chappati And one katori rice is enough for both timings
3 people found this helpful
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How to Know If You are Getting a Heart Attack?

Sr. Fellowship in Electrophysiology & Pacing, M.R.C.P.(U.K.), DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Delhi
How to Know If You are Getting a Heart Attack?

Heart attack or myocardial infarction mostly occurs when the flow of blood to the heart is blocked due to one or more reasons. The most prominent reason could be high fat or cholesterol that results in plaque build up in the coronary artery. The restricted blood flow has the potential to damage or even destroy the heart muscle. Some of the symptoms that can be helpful when it comes to the identification of a heart attack are listed below.

1. Discomfort in the Chest - Your chest may feel tight and pressured when you are about to be hit by a heart attack. Pain or discomfort in the chest is usually central typically felt behind the sternum, the central bone of chest. It may not be pain, it may be only discomfort, it may only be in upper part of tummy, very commonly confused with a gas problem. It is often accompanied by a painful sensation in the chest or arms. If a chest pain lasts more than 15-20 min it can be assumed to be a heart attack. This aching sensation may even spread to your back, neck or jaw.

2. Feeling of inconvenience - Often before the heart attack, the person may have feelings of nausea, ingestion, abdominal pain or a heartburn.

3. Breathing problems - Another prominent symptom of heart attack is shortness of breath which is accompanied by cold sweat and fatigue.

Emergency Measure:

If you think you are getting a heart attack, you should immediately take one tablet of Aspirin, 4 tablets of a drug called Clopidogrel, and one tablet of Atorvastatin 80 mg and rush to the nearest possible medical facility as time is very important in the treatment of an acute heart attack.

'Consult'.

Related Tip: Heart Attack - Is the Damage Reversible?

3885 people found this helpful

I have put on a lot of weight in the past 2 years, I am binge/ stress eating a lot. I have endometriosis cyst, what diet can I follow to shred the extra kilos.

M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Delhi
I have put on a lot of weight in the past 2 years, I am binge/ stress eating a lot. I have endometriosis cyst, what d...
Hello, take luke warm water after and before meals. Take high fiber diet.take green leafy veg. , fruits, plenty of water, plenty of salads , soup, veg juice. Have small and frequent meals. Avoid fried and oily food, junk foods, juice , banana , mango, sweet, sugar, extra salt.
2 people found this helpful
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Hi Doc. My son is 2 years old and he is still on breast feed during night. So I have started applying female solution every night on the breast so that he stops breast feeding because of its sourness. So is it ok to use female solution on daily basis. until he stops?

DGO, MBBS
Gynaecologist, Roorkee
What is this female solution ,i never heard it before To discontinue breast feeding just tell your 2 year baby that it pains now stop feeding, Be adamant, baby will cry but will stop feeding.
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My wife 4 month pregnant .should we stop being physical. .n for her diet coconut water daily is good. .also ferrous sulphate n folic acid tab together can be advisable.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My wife 4 month pregnant .should we stop being physical. .n for her diet coconut water daily is good. .also ferrous s...
Your developing baby is protected by the amniotic fluid in your uterus, as well as the strong muscles of the uterus itself. Sexual activity won't affect your baby. So it is completely safe to sex during pregnancy. But during first trimester sometimes there is risk of miscarriage because of intercourse and excessive body movement so try to avoid sex during first trimester.
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What types of food eat a woman in their pregnancy time about 6 to 7 month to healthy their child?

MBBS
General Physician, Faridabad
What types of food eat a woman in their pregnancy time about 6 to 7 month to healthy their child?
Take protien rich diet, milk, paneer cheese, cap autrin 1cap od, tab shellcal 500 od. Green vegetables.
4 people found this helpful
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