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Dr. S R Otiv

Gynaecologist, Pune

100 - 400 at clinic
Dr. S R Otiv Gynaecologist, Pune
100 - 400 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. S R Otiv
Dr. S R Otiv is one of the best Gynaecologists in Rasta peth, Pune. You can visit him at KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. S R Otiv and consult privately on Lybrate.com.

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.

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Hindi

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Off No 6, 1st Floor, B Wing, Mittal Court, 478 Rasta Peth, Rasta Peth,LandMark:-Opp Samarth Police Chowky, PunePune Get Directions
400 at clinic
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#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
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Treatment of Treatment of Breast Cancer

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I am a 26 yr old female. I am having problems with my irregular periods. After having homeopathy medicine for last two weeks, still the problem remains. Is there any kind of possibilities that it is due to pregnancy?

BHMS
Homeopath, Ahmedabad
Two weeks is very less time to judge efficacy of any medicines in your complaints. So have faith in your doctor and continue with medication. Hope you get well soon.
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I hve sex after a week of my periods we use condom bt accidentally it broke bt in 12 hours I taken precautions I pill is there any chance of getting pregnant?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I hve sex after a week of my periods we use condom bt accidentally it broke bt in 12 hours I taken precautions I pill...
Hi Divya emergency contraceptive is never 100% your chances of getting pregnant are around 10% if you have 30days regular periods.
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MS - Orthopaedics, MBBS
Orthopedist, Delhi
Walk morning and evening daily for 30 minutes, see how joint pain vanishes away :)
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How to make hard breast when its become loose please give me name of cream I need name of that cream.

Advanced Aesthetics
Ayurveda, Gulbarga
How to make hard breast when its become loose please give me name of cream I need name of that cream.
Massaging the breasts regularly can increase your breast size. Massage helps in two ways. First, it increases blood circulation, and secondly, it helps stretch out the tissues within the breast to make them appear bigger and firmer. Use natural oils like olive oil or almond oil to massage your breasts. 1.Rub the oil between your palms for two to three minutes to generate heat. 2.Place your hands on your breasts and rub inwards, continuing around your breasts in a circular direction. 3.Do a minimum of 100 to 300 circular rubs in the morning and again before going to bed. 4.Follow this remedy twice daily for one or two months to get positive results.
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I am planning for a baby. I do not know how much time I should lying on bed after sex and how much time I should not go to bathroom for urinate. Please help.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
I am planning for a baby. I do not know how much time I should lying on bed after sex and how much time I should not ...
There is no real need for delaying urination or keep lying on bed after intercourse. These are all myths and have no scientific standing. You need to avoid anxiety and try regularly for at least one full year before you start thinking of any advice.
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She is suffering from infection on her vagina and vagina is wet so what she done in that case.

BAMS, MD Ayurveda
Sexologist, Lonavala
You can go for following remedy it will help you 1. Aloe vera gel is very effective 2. Take an aloe vera leaf 3. Peel off the skin 4. Extract the gel from inside 5. Apply this gel on the infected area 6. Leave it for 30 min 7. Wash it off with water 8. Do this twice a day Causes: • Yeast are microorganisms which are present in our body. An increase in the level of yeast leads to this infection. The level of acid, which keeps yeast in check, dips during: o Pregnancy o Menstruation o Diabetes o Intake of birth control pills surely you will get results.
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Fat Loss Therapies

Certifications From American Academy of Dermatology
Trichologist, Navi Mumbai
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Here are tips of Fat Loss Therapies

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Hi, I am a 27 year old female. I had sex with my husband last wednesday. I took an emergency contraceptive within 3 hours of intercourse. Since then, there is milky white odorless discharge from my vagina. It has been over a week and the discharge has not stopped. What do I do?

MD - Maternity & Child Health
Gynaecologist, Bangalore
U might be having white discharge. Consult nearby doctor n get treated for the same. Avoid ipill use condoms.
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Kya hame pata chal skta h ultrasound me ki hamara fallopian tube block h ya pcod h. Or nai to kya test karwne se pata chalega.

MBBS, MD - Physical Medicine & Rehabilitation
Rheumatologist, Jaipur
Hysteroscopy is best test for seeing blocked fallopian tubes and pcod. Usg or ultrasound is also good test.
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I have purchased manforce condom of ₹25 a pack of 3. Is it safe for oral sex (blow job) please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
I have purchased manforce condom of ₹25 a pack of 3. Is it safe for oral sex (blow job) please suggest.
Hello, Use flavoured condom specially for oral sex. Flavoured condoms have nice fragrances and a sugar coating on the outer layer which tastes like its flavour and give a nice experience for oral sex. Flavoured condom due to this reason should not be used in jormal sex as coated sugar can disturb the vaginal Ph and can cause vaginal infections.
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I started smoking pot over a year ago. After 1 year my weight decreased by 25 KGS. My cheeks also shrunk and I look extremely pale now. Now I have stopped smoking and I want to gain weight extremely fast. What should be my diet now so that I can gain weight quickly and recover my body within a period of 2 months?

BAMS
Ayurveda, Ambala
I started smoking pot over a year ago. After 1 year my weight decreased by 25 KGS. My cheeks also shrunk and I look e...
Dear you can easily gain weight and get a healthy muscular body by following these best things - 1. To gain weight, your digestion should work properly. If you have any disease of digestive system you should treat disease first. For proper digestion - take 10 gms powder of carom seeds (ajwain, 10 gm powder of cumin (jeera), 10 gm of rock salt. Mix them well and take 1/2 teaspoon (3-5 gm) of mixture daily after meal. Or take 1/2 teaspoon of black pepper (kali mirch), 1/ 2 tea spoon of jeera (cumin), 2-3 slice of ginger. Boil it in one glass of water for 2-3 minutes. Drink 5-10 teaspoons (15-20 ml) in morning and evening for strong digestive system. Or you can take amla powder 1 teaspoon with water for strong digestion. 2. Take a diet rich with proteins and fats. You should take high calorie food that increase your muscle mass and induce growth in bones. I am sending the diet chart. Follow it in your daily life to fastly gain weight * in morning, take a glass of milk added with 2 teaspoons of protein powder with breakfast. * in lunch time, take 1 bowl of curd or 100 gm of cheese, a bowl of vegetable, with chapattis. * in evening, take 1 glass of milk (300 ml) with 2 bananas. * in night, take a bowl of careals (daal, a bowl of salad with chapattis. 3. In morning, get up early and take awalk for 10-15 minutes and exercise light weight exercises for at least 30 minutes at home or gym. 4. For proper weight, proper sleep is very important. So you should sleep for 6-8 hours daily. 5. Avoid soft drinks, western fast food (burgers, french fries, pizza etc. They disturb your digestion. 6. You can try protein powders like endura mass, milk powder, soya protein. And creatinine for weight gain by taking 1 tea spoon added in milk once a day.
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5th month of pregnancy what is the precaution to be taken?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist,
5th month of pregnancy what is the precaution  to be taken?
1. Keep yourself hydrated and take your medication s daily. 2 eat healthy and balked diet and reduce on oily and spicy foods. 3. Walk daily but no drumming, jumping and travelling on bike or bicycle. Regards.
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Women related cancer: Prevention and Treatment

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Women related cancer: Prevention and Treatment

With the modernization of all economies around the world, one health hazard that has become one of the largest perils within both developed and developing nations is the incidence of cancers of the female reproductive system, especially cervical and breast cancer.

Breast cancer

Breast cancer is the formation of malignant tumors within the breast tissues of a woman. Usually, breast cancer affects women in the age range of 40 to 50, but there have been many reports of it occurring earlier. About 48 % percent of the Indian women having breast cancer have been reported to be under 50. This is an almost 17 percent jump compared to figures 25 years earlier.

Alarming Signs of Breast Cancer:

  • The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded.
  • Swelling of all or part of a breast (even if no distinct lump is felt)
  • Skin irritation or dimpling
  • Breast or nipple pain
  • Nipple retraction (turning inward)
  • Redness, scaliness, or thickening of the nipple or breast skin
  • Nipple discharge (other than breast milk)

Screening Guidelines for Breast cancer:

  • Mammography: US Preventive Services Task Force (USPSTF) recommends mammography once in every 2 year for females between age group 50-75 years. Women with a family history has a benefit of starting at age 40 years. After 75 years there are insufficient evidence of benefit of screening mammography.
  • Breast Self Examination and annual Clinical examination: breast self examination is easy to learn and and any abnormality should be reported to the oncologist.
  • For High Risk/ Genetic risk factors: screening should start by age 25 or 10 years earlier of youngest relative affected. Annual mammogram and MRI or Doppler ultrasound alternating at 6 month interval can be considered.

Treatment Options:

Some of the common treatment options for breast cancers are:

  • Breast conservation surgery - This is where the tumors are removed without cutting out too much of the surrounding breast tissue.
  • Mastectomy - If the cancer has spread too far then large amounts of breast tissue has to be removed along with the tumor to stop its spread any further.
  • Sentinel lymph node Biopsy - it's part of both surgical procedures, it decreases morbidities of lymph node dissection first draining lymph nodes only are removed in patients with clinically negative axilla. If negative on frozen section further axillary dissection is avoided. It avoids the morbidity of complete axillary clearance.

Cervical cancer ( Carcinoma Cervix)

Cervical cancer is the cancer of the cervix, which is the opening of the uterus and connects the uterus to the vagina. Indian women in particular are susceptible to cervical cancer as more than 1/3rd of the cervical cancer related deaths in the entire world happens here in India, which is about 74000 deaths annually. The leading cause for cervical cancer is HPV or Human Papillomavirus infection, which if left untreated and unchecked will result in cancer.

Alarming Signs of Cervical Carcinoma:

  • Early lesions and precancerous lesions have no symptoms
  • Abnormal vaginal bleeding such as bleeding after vaginal intercourse, bleeding after menopause, bleeding and spotting between periods or longer/heavier periods
  • Abnormal vaginal discharge
  • Pelvic pain
  • Late stage disease may cause lower extremity swelling, problem with urine and/or stool passage

Screening Guidelines:

  • Cervical cancer screening is most effective screening programme of any cancer disease resulting in significant decrease in mortality from carcinoma cervix
  • United state preventive services task force (USPSTF) recommend cervical cancer screening starting at age 21 yrs.
  • Between age 21-30 years cytology recommended at 3 year interval and HPV testing is not recommended.
  • Between 30-65 years cytology every 3 year or cytology +HPV testing every 5 year.
  • If previously adequately screened screening can be discontinued after 65 years.
  • Women with prior total hysterectomy and no CIN can discontinue screening.

Apart from breast and cervical cancers, certain other cancers have also reported an alarming increase such as:-

Ovarian cancer (Carcinoma Ovary)

Starting in the ovaries, diagnosis of this type of cancer is usually delayed due to lack of visible symptoms in the initial stages. About 85% to 90% of ovarian cancers are epithelial ovarian carcinomas. Epithelial ovarian cancers tend to spread to the lining and organs of the pelvis and abdomen (belly) first. This may lead to the buildup of fluid in the abdominal cavity (called ascites). As it advances, it may spread to the lung and liver, or, rarely, to the brain, bones, or skin. The main treatments for ovarian cancer are surgery and chemotherapy.

Cancer of the endometrium (Carcinoma Endometrium)

Endometrium is the lining of the uterine wall and has along with ovarian, uterine and cervical cancer is also increasing in occurrences throughout India and the world.

The grade of an endometrial cancer is based on how much the cancer forms glands that look similar to those found in normal, healthy endometrium.

  • Grade 1 tumors have 95% or more of the cancerous tissue forming glands.
  • Grade 2 tumors have between 50% and 94% of the cancerous tissue forming glands.
  • Grade 3 tumors have less than half of the cancerous tissue forming glands. Grade 3 cancers tend to be aggressive and have a poorer outlook than lower-grade cancers.

Treatment Options:

Cervical cancer along with Ovarian, uterine and endometrial cancer can be treated using the following methods:

1. Surgery: Radical Hysterectomy primarily preferred option for early stage disease. Both open and minimal invasive approaches are suitable.

  • For precancer high grade lesion conisation is also option for compliant patient.
  • In young suitable patient willing for childbearing trachelectomy is also possible in very early lesion.
  • Depending on risk factors after surgery adjuvant treatment may be advised.

2. Radiation therapy or Combined Radiation therapy+Chemotherapy: Alternative to surgery in early stage and choice in late stage.

Prevention:

Certain prevention techniques that would be advisable to detect cancer in its early stages would be,

  • Regular Pap smear tests for cervical cancer
  • Taking vaccines for cervical cancer
  • Regular mammograms and checkups for breast cancer
  • Changing lifestyles to reduce stress
  • Changes in diet to reduce risks
  • Leading a healthy lifestyle with regular exercise

'Consult'.

Related Tip: Can Ayurveda Really Treat Cancer? Find Out.

3253 people found this helpful

i am missing my period for 1 month and how to know that I am not pregnant?

M.D. homoeopathy, BHMS
Homeopath,
i am missing my period for 1 month and how to know that I am not pregnant?
Please get a urine pregnancy test done for the confirmation. Take an early morning urine sample for the test to any diagnostic centre.
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I am 22 year old. Married for 2 years. Have endometriosis on both ovary. Usg reports attached. My husband has oligoasthenoteratozoospermia. My hormone levels are normal. AMH is 2.93 and ovulation is proper. We have taken the opinion of two doctors. One doctors opinion was to do laparoscopy for me and tablets for him. And try to conceive within 6 months after lapro. The other one put forward the option of ivf. But is ivf the ultimate option? Can laparoscopy be helpful for me to conceive? Which opinion could be better? Does doing laparoscopy damage ovary or decrease the hormonal levels?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am 22 year old. Married for 2 years. Have endometriosis on both ovary. Usg reports attached. My husband has oligoas...
U are young so donot be in hurry to conceive. U seems to be alright, so no need of any treatment for u. For husband get him treated for about a year, both of you do following 1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water for medicine contact on private chat. Good luck.
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Hi. Am 6 weeks pregnant now. Shall I have relationship wid my husband? Is it safe?

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Hi. Am 6 weeks pregnant now. Shall I have relationship wid my husband? Is it safe?
Sexual intercoure in the first three months (till 13 weeks) can lead to miscarriage and in the last two months can lead to pre term labour. Best is to avoid it in this time zone. In the rest of time too, you need to be very gentle in insertion to avoid excessive pressue on the mouth of the uterus.
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I am 1st stage of pregnancy. I want to know which foods and which works are harmful for me. Please suggest me.

Diploma in Gastroenterology, Diploma In Pulmonary Medicine , MSCP, BHMS, SVD( skin and veneral diseases)
Homeopath, Hyderabad
I am 1st stage of pregnancy. I want to know which foods and which works are harmful for me. Please suggest me.
Eat foods that are thoroughly cooked. Undercooked meats or eggs pose a danger because of food poisoning. -Stay away from lunchmeats and veined cheeses, they can harbor a bacteria called listeria that is very dangerous to your unborn baby but harmless to you. -Try to eat less prepackaged, processed foods. These foods often have a ton of added sugar and salt and are not good for you. -Eat plenty of fresh fruits and vegetables, lean meats and dairy products. A diet abundant in these foods provides essential nutrients for you and your baby.
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My wife gone thrgh c-section two years back now she is feeling the pain inside just above the line. One month back she felt burning pain above line only on right side. Please advise.

MD - Maternity & Child Health
Gynaecologist, Bangalore
Go for urine routine & microscopy. And then consult doctor, stree woman health care centre bangalore
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I am 7 month pregnant and my hemoglobin is just 7.8. Pls suggest what should I do.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 7 month pregnant and my hemoglobin is just 7.8.
Pls suggest what should I do.
Hi Priyanka please get diagnosed to know why their is anemia. As you are in 7th month of pregnancy you have time please correct hemoglobin with iron injection which is good option. Also have protein and iron rich diet.
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