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Dr. S R Otiv

Gynaecologist, Pune

350 - 500 at clinic
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Dr. S R Otiv Gynaecologist, Pune
350 - 500 at clinic
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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 39 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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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
350 at clinic
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Dr Otiv Clinic

Off No 6, 1st Floor, B Wing, Mittal Court, 478 Rasta Peth, Rasta Peth,LandMark:-Opp Samarth Police Chowky, PunePune Get Directions
500 at clinic
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I am 27 year old married woman. I want a baby, I am trying since 6-7 months. But couldn't conceive. I am frustrated. please tell me what medicine or vitamins I should take to get pregnant fast.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
I am 27 year old married woman. I want a baby, I am trying since 6-7 months. But couldn't conceive. I am frustrated. ...
Please read the following article Introduction When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”. What is needed for pregnancy? In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina. In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm. It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy. Thus, to summarise, pregnancy requires 1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes 2.Transport of these sperms through the sperm conducting ducts from testes to penis 3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina 4.Transport of these sperms from vagina through cervix to the uterus and the tubes 5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries 6.Pick up of the eggs by the tubes 7.Approximation of eggs and the sperms to form the embryo 8.Transport of embryo from the tubes into the uterus 9.Acceptance of the embryo by the uterus and its growth What is Infertility? Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor. It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%. The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage. What causes Infertility? Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned. Thus the common causes may be 1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes. 2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress. 3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out. Treatment of Infertility To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress. In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.
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Last month my MC started on 9th Dec and stopped on 25th .now again started. But before and all it had stopped for maximum 5-6 days. And now I am getting heavy pain in stomach and in thighs. Can you suggest any suggestions please?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Last month my MC started on 9th Dec and stopped on 25th .now again started.
But before and all it had stopped for max...
Hello, You are experiencing metromenorrhagia and hence should be placed on low dose oc pills for 3 months to regularise your cycles.
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I am 19 female, I haven't got my periods for 5 months. My last period was on Oct 8.am not sexually active. Am eating more fruits now and iron content to get my periods. Please suggest a tablet to get my periods. Am scared.

BHMS
Homeopath, Sindhudurg
I am 19 female, I haven't got my periods for 5 months. My last period was on Oct 8.am not sexually active. Am eating ...
There are number of reasons & causes of Irregular periods which include stress, anemia, hormonal imbalance, unbalanced diet, unnecessary over work or too much exercise, polycystic ovaries, etc. It is completely & permanently cured by homeopathy without any side effects rather than the conventional medicine system. These remedies can be used safely without any fear or worry of side effects.
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Hello Dr. I am 28 years old. I had intercourse with my husband on 29Oct it was 3rd day of my periods. Bleeding was less at that day. Is there any chances of pregnancy. My mensuration cycle is 28 days. From few days I feel like nausea. I get pregnancy test but it's negative. Is this a symptoms of pregnancy.

MD Hom., Certificate in Food and Nutrition, BHMS, Diploma In Yoga, PGDM
Homeopath, Indore
Hello Dr.  I am 28 years old. I had intercourse with my husband on 29Oct it was 3rd day of my periods. Bleeding was l...
There are no chances of pregnancy as you had sex on the 3rd day of menstrual cycle and you were in your safe period when ovulation would not have taken place and hence no chances of conception or fertilization. But with 3rd day of menses it means that endometrium is being shed and fresh endometrium would grow in next 10-12 days to allow any implantation. Let us presume on that 3rd day then still even if there is a fertilization then due to inadequate endometrium, implantation shall not occur and you would still be safe. However, you may get a pregnancy test done if delay in periods of 1 week occurs from your last menstrual period date of next month for more queries, contact us.
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I'm married but I had pcod now Dr. saying pcod is not tere instead of that endometric cyst there are so what is the possible rate to get pregnant.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello pcos and endometrial cysts are hormone dependant and treatable. You have fair chances of getting pregnant.
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Last night we had sex and I found blood on my thighs, my private part, even on my husband's thigh I thought my periods are come but suddenly my husband realized that the blood was coming out from his private part and on bedsheets as well there was few drops. It was not few droplets of blood it was more. In the morning my husband go for pee and he was normal now also he is not feeling any pain. Please help why that happened and what should we do. Please help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, There is likelihood that he may have secured a local injury while having sex possibly due to inadequate lubrication and this could be frictional injury. It is necessary that he should be examined by a doctor locally.
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I had sex today, my period date is 21 is there any chances of pregnancy ,little bit of semens are goes inside the vagina after that I sit on position under the gravity some of there semens are comes out of my vagina is still any chances of pregnancy?

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
I had sex today, my period date is 21 is there any chances of pregnancy ,little bit of semens are goes inside the vag...
Hello- Semen has a adhesive nature so it sticks the internal vaginal layer as soon as it comes in contact with. Sitting or washing won't help. You can also get pregnant if having a delayed ovulation pattern.
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Hi, I am having syphilis infection without any symptoms. I recently come to know about it through a blood test. Please suggest me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Dehradun
Hello- Asymptomatic syphilis stage occurs in two phases: early (within 1 year of infection) and late (after 1 year), and follows secondary syphilis. Late latent syphilis is noninfectious. The bacteria remain inactive in the lymph nodes and the spleen. Latency can last 3–30 years and may or may not progress to the final, or tertiary, syphilis. About 30 percent of infected people persist in a latent state. However its best not wait for it to become symptomatic. Its best to start some good immunoboosting Ayurveda supplements to lengthen your late period and avoid its active stage forever.
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After two days of my period stopped I got intercourse with my partner without precaution. I am afraid of becoming pregnancy. So what shall I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
After two days of my period stopped I got intercourse with my partner without precaution. I am afraid of becoming pre...
Don't worry, less chances to become pregnant upto 8-10 th day after period as fertilization occurs on 14 th day. So do not worry, take proper precaution next time.
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