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Dr. Sachin Sangamnerkar

Gynaecologist, Pune

400 at clinic
Dr. Sachin Sangamnerkar Gynaecologist, Pune
400 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Sachin Sangamnerkar
Dr. Sachin Sangamnerkar is a renowned Gynaecologist in central Panchgani, Pune. He is currently practising at Colony Nursing Home in central Panchgani, Pune. You can book an instant appointment online with Dr. Sachin Sangamnerkar on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 35 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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#50/51, Laxmi Park Colony, Navi Peth. Landmark: Near Rajendranagar Petrol Pump Bus Stop, PunePune Get Directions
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Actually I and my boyfriend had protective sex but still I got pregnant and had miscarriage as I wasn't aware of it. Is this possible?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, There is a possibility that there may have been a rupture condom. Power a pregnancy test should be done to confirm pregnancy anyhow.
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Hi I am 25 married before 7 months, I got pregnant in October 2015 and got abortion in 40 days then again I was pregnant in March 2016 and aborted in 35 days, I checked urine pregnancy test, also hcg it was positive in both time. I want to know is this normal or not, why such bad things happen to me. We are planing for baby. Please help me regard this. Is this often abortion normal?

MD - Homeopathy, BHMS
Homeopath, Lucknow
Dear lybrate-user, frequent abortion is not normal. Please consult any gynaecologist near you, it may be due to many factor like took heavy weight during pregnancy, any hormonal imbalance during pregnancy or any other reason. So please you consult any good gynaecologist there. Thanks.
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My gf want me to lick her vagina, how I can perfectly lick her to give her intense orgasm.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, Try concentrating your energies on licking and stimulating the clitoris and she may reach orgasm even without penetration.
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Hello doctor! I want to knw .wht is the correct tym and position to get pregnant? Also tell me. That is there any chance to get pregnant during menstrual cycle?

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hello doctor! I want to knw .wht is the correct tym and position to get pregnant?
Also tell me. That is there any cha...
If the cycles are regular say, once in 28 days then the ovulation that is release of eggs is around 14 th day. If you try from 11 th to 17 th day chances for pregnancy is more. In irregular cycles it will be difficult to predict. There is no chance to conceive during menstrual cycle.
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Causes and Symptoms of Hypopituitarism

MBBS, MD - General Medicine, DM
Endocrinologist, Hyderabad
Causes and Symptoms of Hypopituitarism

The pituitary gland is a small, pea-sized attached to the base of the brain. It controls growth, functioning and development of other hormonal glands. Deficit of one or more pituitary hormones is a state of Hypopituitarism. This clinical term is used by endocrinologists to mean that one or more pituitary glands are deficient. In hypopituitarism, the pituitary gland does not produce the normal amounts of hormones.

Causes-

Hypopituitarism has the following causes—

  1. Brain tumours

  2. Sarcoidosis (A lung disorder)

  3. Tumours in the pituitary gland

  4. Hemochromatosis (Too much iron in the body)

  5. Tumours in hypothalamus (Controls the production of hormones)

  6. Histiocytosis X (A rare autoimmune disease where the immune cells damage the organs)

  7. Tuberculosis

  8. Stroke

  9. Sheehan syndrome (Excessive blood loss during childbirth)

  10. Lymphocytic hypophysitis (An inflammation in the pituitary gland)

  11. Radiation treatments like chemotherapy

Symptoms-

Symptoms depend on which hormones is not being produced.

  • Adrenocorticotropic Hormone (ACH): Lack of ACH affects the adrenal glands (endocrine glands producing hormones) and cortisol (steroid hormone). Symptoms include—

  • Thyroid-stimulating Hormone (TSH): Deficient TSH mostly affects the thyroid (produces growth-regulating hormones) gland. The symptoms are—

    • Fatigue

    • Weight gain

    • Skin dryness

    • Sensitivity to cold

    • Constipation

  • Luteinizing hormone (LH): Low luteinizing hormone in women affects their ovaries and ovulation. Symptoms include-

    • irregular periods

    • loss of libido

    • infertility

In men, lack of LH affects their testes and sperm production. Symptoms include-

  • Follicle-stimulating hormone (FSH): This hormone affects men and women the same way the luteinizing hormone does. Thus the symptoms are the same.

  • Growth Hormone: In children, the growth hormone affects their bone, fat and muscle. They have the following symptoms—

    • Lack of height

    • Increase in body fat

    • Abnormal peak bone mass (bone tissue present after the skeleton matures)

In adults, the whole body is affected. Body fat increases while muscle and bone mass decreases.

  • Prolactin: Prolactin deficiency only affects women. The prolactin hormone gets the production of milk started after childbirth. Lack of prolactin thus affects breastfeeding.

  • Antidiuretic Hormone (ADH): The kidneys are affected by lack of ADH. Symptoms include—

    • Diluted urine

    • Frequent urination

    • Feeling excess thirst

  • Oxytocin: Lactation and childbirth are affected by lack of oxytocin. If you wish to discuss about any specific problem, you can consult an endocrinologist.

3053 people found this helpful

Had intense itching on vagina and nearby area from some days, from last 2 days have swelling on same places leading to problem in moving and sitting, and in the 5th month of the pregnancy. Kindly provide some suggestion and information abt this issue. Thank you.

BUMS
Gynaecologist, Mumbai
Had intense itching on vagina and nearby area from some days, from last 2 days have swelling on same places leading t...
U suffered with vaginal candidiasis. But during pregnancy no anti fungal is safe so better to use candid v3 vaginal pessary for 3 nights.
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I am 24 years old. I have irregular periods. Just for 2-3 days per month. And m gaining weight. Having pimples please suggest some home made remedy.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
1. Exercise regularily 2. Take nutritious iron rich diet esp. Apple, pomegranate, papaya, green vegetables esp. Spinach once a week, cucumber 3. Avoid application of cream nd lotions 4. Avoid dry fruits, nuts, chocklates, spicy nd fried food 5. Home remedy prepare a paste of multani mitti + 1 spoon turmeric powder +10 drops lime nd add raw milk to prepare a paste nd apply thi paste twice in a week 6. Sleep well.
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Respected doctors, I am 9 weeks pregnant with twins. I have to urgently go for a travel of 5 hours by car and then come back on same day. My gyne gave me two hcg injection regarding this. But I am still concerned. whether it is safe to travel or not. please give me your advice. Thanks.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Respected doctors,
I am 9 weeks pregnant with twins. I have to urgently go for a travel of 5 hours by car and then co...
Hi You should avoid travelling if possible because there is no guarantee that everything will be ok. We can just try to prevent any complications.
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Breast sore prior of my periods (10 days. Over body weight My first day bleeding is dark black in colour Viscous fluid.

MBBS
General Physician, Chandigarh
Breast sore prior of my periods (10 days. Over body weight My first day bleeding is dark black in colour Viscous fluid.
These symptoms happen because of hormonal changes in the body notjing to be fone for that except for symptomatic treatment like painkillers etc and for your weight you will have to make some effort to reduce it cut down on your calory intake and increase your activity and exercise routine so that you burn more calories than you consume.
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All About Galactorrhea

MD-Gynaecologist & Obstetrician , MBBS
Gynaecologist, Delhi
All About Galactorrhea

Galactorrhea is not a disease per se, but more of an underlying medical condition or a symptom that involves discharge of a milky fluid from the nipples, which is not the breast milk. It becomes especially crucial owing to the similarity of the two, when breastfeeding the baby is concerned. It may happen even while you are not lactating or not even pregnant, mostly in menopausal women. Strangely, the syndrome has also shown to have occurred to men and children, irrespective of gender.

What are the contributing factors to the development of Galactorrhea?

  1. Galactorrhea is a major side effect of certain kinds of medication that leads to hormonal imbalance and ultimately leads to quasi-lactation.
  2. Increase in the levels of prolactin can result in Galactorrhea which may be due to a number of reasons ranging from excessive stimulation in the nipples and chest area (during sexual activities), or pituitary and thyroid problems. The former is not a major cause of worry. The latter can be fixed with proper medication.
  3. Kidney disease and spinal cord surgery may also result in this phenomenon.
  4. Substance abuse and birth control pills may also be responsible for breast discharge.
  5. At times, the causes for Galactorrhea may not be certifiably determined.

Various symptoms of Galactorrhea include:

  1. Milky discharge from one or both breasts simultaneously.
  2. Discharge may be continuous or intermittent.
  3. Density and amount of discharge may also vary.
  4. In case of women, this may have a direct effect on periods, leading to irregular menstruation.
  5. The discharge may occur without pressure or when an external agency is involved.
  6. Headaches and worsening vision are also said to occur.

When you experience a nipular discharge, the most common tests you should undergo include a pregnancy test, prolactin level exam, mammography, ultrasounds, even an MRI for the pituitary gland evaluation. Based on the result, your physician prescribes the required medicines or advises you to stop taking a particular medicine that might be causing this discharge in the first place.

3345 people found this helpful

Hello doctor. My mother does not get regular periods. There is time gap of 2 months and the flow is sometimes normal sometimes low. Her age is 40. Please tell is there any problem or suggest some medicines.

BAMS, MD, Panchakrma
Ayurveda, Nashik
Hello doctor. My mother does not get regular periods. There is time gap of 2 months and the flow is sometimes normal ...
it is due to hormonal imbalance. so. take following medicines. syr ashokaristha. two tsp. twice and. syr. dashmularistha two tsp twice both with water and after food. for minium three month
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I was diagnosed with pregnancy 2 months ago but yesterday while urinating I seen some blood. So as per gynecologist prescribed me injection As system 25 for 5 days with complete bed rest. Now after taking this injection nothing found during urination But doctor also advised for ultrasound test to know the exact position. So kindly advise if there is any adverse effect cause with regard to pregnancy & what need to be followed thereafter to avoid such situations.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
I was diagnosed with pregnancy 2 months ago but yesterday while urinating I seen some blood. So as per gynecologist p...
there can be spotting in pregnancy in some women..! since you ve been started on medication continue the same..! you shud just avoid lifting heavy weight or indulging in sex..!
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I am 35 Weeks Pregnant and my hemoglobin level Is now 7.7 what to do? Is it any dangerous in delivery section? Whether it will affect to me or my baby?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Bangalore
I am 35 Weeks Pregnant and my hemoglobin level Is now 7.7 what to do? Is it any dangerous in delivery section? Whethe...
Your gynaec should find out the cause. Treatment is blood transfusion. You need to have good hb reserves for delivery. Else it will effect u. Baby it will not be effected. Plenty of dry fruits, green vegetables and mutton and chicken of you r nonveg. While taking the iron tab should avoid milk and milk products. Take vit c with the iron tab.
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When lay flat and have sex and a man cumes in a girl vagina does the cum go straight in IF she lays still for 30 minutes before getting up go to toilet.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, Yes the sperms travels to cervical canal and recommended to lie still for 15 minutes after sex in order to increase chances of conception.
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Trying to conceive

M,S GYNAE&OBST
Gynaecologist, Jaipur
Trying to conceive

Nicotine can act as a bane if you are trying to conceive a baby. Avoid smoking as it reduces the chances of conceiving.

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Is Viagra is harmful to health?

MD - Pharmacology, ECFMG certified , MBBS
General Physician,
All medicines which have an effect may also have a side-effect. But by proper screening and precautions we can prevent and reduce the side effects. Common side effects of viagra are: Headache, flushing of skin, stomach upset, etc. It should not be taken along with another medicine called nitrates (used for angina) and by those who are on multiple medicines for reducing blood pressure and by anyone who has a penis deformity or any other diseases. Such people should consult with a doctor before taking Viagra. Patients requiring viagra should also get check up done for blood pressure, diabetes, heart diseases.
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What's Cooking? 3 Things To Keep In Mind When Choosing A Cooking Oil

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
What's Cooking? 3 Things To Keep In Mind When Choosing A Cooking Oil

A healthy lifestyle doesn't just mean eating right; it also means eating food prepared using the right cooking oil. Generally, people buy cooking oil that is advertised as healthy or the one which is being bought regularly for years. However, there is much more to choosing a good cooking oil than just that.

Basic things to remember when choosing an oil

1. Fat composition

-there are 3 types of fats: unsaturated fatty acids saturated and trans fats. Unsaturated are the best followed by saturated, worst being the trans fats.

-unsaturated fats are further classified into monounsaturated fatty acids (mufa) and polyunsaturated fatty acids (pufa)

-studies have shown that when used in place of saturated fats, pufa can help to improve cholesterol levels thereby reducing the risk for heart disease.

-as a rule of thumb, you should choose pufa and mufa containing oils like olive, rice bran, mustard and canola oil, over saturated fats, like butter and vanaspati ghee, to minimize your risk for heart disease.

-trans fats are a strict no-no and are best avoided.

2. Minor health components

-apart from the major components, some oils contain certain components which provide various nutritional benefits even in low levels.

-various such components include tocopherols, oryzanol, phytosterols. All these components have been shown to lower cholesterol levels in the body. They thus help in lowering the risk of heart diseases.

3. Smoke point

-smoking point is the tolerance of oil towards heat. When heated beyond a certain temperature, oil undergoes oxidation thereby forming free radicals which are harmful to your health.

-studies suggest that highly oxidized and heated fats may have carcinogenic effects due to toxic byproducts formed due to frying.

-canola oil, mustard oil, soybean oil, sunflower oil are the ones with a high smoke point and can be used for cooking at high temperature.

Which oils to use?

Mustard oil

The oil has around 70% mufa and 22% pufa of which 10% is omega 3 fatty acid, and 12% is omega 6 fatty acid. It was once considered unhealthy, but studies prove that it is one of the healthiest cooking oils due to its high mufa and pufa content. It is low in saturated fatty acids and has an almost ideal omega 6: omega 3 ratio of 6: 5 (olive oil has around 20: 1). It is also rich in vitamin e and antioxidants. Another fact that goes in its favour is that it is cold pressed.

Rice bran oil

Rice bran oil has a very high smoke point and has a mild flavour. It is one of the most balanced oils with 47% mufa, 33% pufa, and 20% saturated fats. It also contains vitamin e, oryzanol and phytosterols. The only drawback of this oil is that it has less omega 3 and omega 6 fatty acid levels.

Soyabean oil

It is one of the most commonly used oils for cooking. It is a rich source of pufa. The unsaturated fatty acids include 10% alphaleinolenic acid, 50% linoleic acid and 23% oleic acid-all of which is good fat. It contains around 14% saturated fat. It has high smoke point and is commonly used in our homes.

Canola oil

It's a native of Canada and is low acidic in nature. It has a high smoke point and over 60% mufa. It has a neutral taste.

Extra virgin olive oil

It's better known for imparting benefits for the heart. It raises the good cholesterol and lowers the bad cholesterol. 75% fats in it are mufa. It has got the fruity aroma. The only limitation of this oil is that it does not have an ideal omega 6: omega 3 ratios (20: 1).

Vanaspati ghee

It is basically refined vegetable oil which is made more stable by increasing its shelf life and decreasing its chances to turn rancid. It is not suitable for deep frying due to its low smoke point. It is considered to be the unhealthiest of al oils since it lacks any vitamins, bioactive compounds and is loaded with trans fats. Consuming this oil is directly linked to high cholesterol and risk of heart diseases.

You should make it a habit of using oils like rice brand oil, canola oil, olive oil and mustard oil in rotation to get the maximum health benefits out of these oils. So go ahead and choose these simple tips to choose your cooking oil for a healthier you.

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I am 27 years old and my weight is 78kgs. I had complicated vivax malaria with multi organ failure in 2010. After my recovery I had gained this weight. Before that my weight was 58-60 kgs. My height is 5ft 2inches. I am a bengali and that's why rice is our main food. But I don't eat red meat, pestries, cakes or too much cold drinks and chips. I want to loss my weight and go back to my previous figure with a healthy diet. I am married and want to conceive soon. So I just want to know what should I do to loss my weight and will there be any problem to conceive due to my previous illness? I have no gynecological problem and I have regular menstrual cycle and no other diseases. Please help me. Thank you.

Advanced Aesthetics
Ayurveda, Gulbarga
squeeze a lemon in a cup of warm water. Drink this water as soon as you get up in the morning. Drink lots of water throughout the day, keep yourself well hydrated? drink green tea in the morning. It has antioxidants that help the body to burn fat and detoxify. Eliminate all juice (except natural pomegranate juice) and soft drinks from your diet. Drink only 1 cup of coffee a day? avoid junk food at all cost? start exercising. Do ? hour to 45 minutes of cardio, preferably walking on an incline every day. Do light weight training for upper body three times a week? snack on a small amount of almonds (5 at a time) throughout the day (4 times a day maximum)? take a good quality multi vitamin daily any querries msg me and you want diet chart msg me.
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