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Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
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Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
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Urinary Incontinence (Ui) Treatment
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I am amazed that he is such a sweet doctor, even though he is so busy all the time. I was shocked to experience the symptoms of polycystic ovary synDrome. In the very first sitting, Dr Sagar Bumb clearly told us the problem and the what the treatment procedure will be in future. The friendliness of staff is the best in the Dr Bumb Nursing Home. Even after my treatmentwith my old doctor, I never felt so much relief, but he has treated me completely.
Never once that I felt that he is getting impatient, rather he has always responded to my each and every doubt with immense patience. I was quite depressed due to my condition, but Dr Sagar Bumb guided me to change my attitude. I feel strange that I am suffering from painful sexual intercourse. As someone I knew, consulted this Sagar Bumb and they referred us. My case was extremely serious, but he really handled it very nicely.
Thanks to Dr Sagar for the perfect advice as I was not able to conceive. I was quite depressed due to this problem. The doctor gave me perfect guidance and prescription whcih helped me deal with my situation. The complete process of the treatment was so painless and quick, and i am so relieved that I chose to consult him. I must say he is one of a known gynaecologist in the city.
The thing that worries people the most about treatments to avoid pregnancy is its side effects post the treatment. after being assured I took the treatment from dr sagar Bumb at his clinic Dr Bumb Nursing Home in Pune. Jis treatment proved to be the best for me as it had no sider effects or gave no problems post it. I am very thankful to his staff too for making me comfortable.
He is not just friendly, but also is very motivating. The overall outlook of the Dr Bumb Nursing Home was very nice. I owe him a big thanks for making me fine again. i was having the issue of no periods. I read about the Sagar Bumb on one of the social media platform. Dr Sagar Bumb has expert knowledge in the field.
It was getting very difficult for me to cope us with my infertility. I am so thankful that Dr Sagar has given me the best treatment and I am now finally able to get back to my normal self. The Dr Bumb Nursing Home is designed in such a manner that all requirements of patients are taken care of.
Am associated with Dr bumb sir since last 8 years. He is a very knowledgeable, skillful and polite person. Surgerwise also he is one of the best in pune. His hospital caters to all needs of patients in field of obstetrics, gynaec, infertility as well as good laprascopic centre.
Dr Sagar Bumb did my abortion some months before at Dr Bumb Nursing Home in Pune. He is a very good doctor and a wonderful person. He helped me a lot in my treatment.
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The Human Papillomavirus or HPV is a large group of about 170 related viruses, each of which is given a number also called its type. This dangerous virus serves as one of the most commonly occurring cancer. The pre-cancerous lesions increase the risk of cancer of the cervix, vulva, vagina, penis, anus, mouth or throat. Out of the 170 viruses, about 40 of them are transmitted through sexual contact and are responsible for developing pre-cancerous conditions.
What are the symptoms and how do you detect them?
HPV infection is transmitted through sexual contact. Usually, when you have vaginal, anal and oral sex with someone carrying the HPV virus, you are bound to be affected by it. Genital areas provide the virus with a much suitable environment for them to survive. As it is a sexually transmitted infection, people with more active sex life (with multiple partners) are at a risk of being infected with this virus.
Depending upon the type of infected virus, symptoms vary from person to person and some don't seem to experience any symptoms. General warts and genital warts are the most commonly seen symptoms. If one experiences genital warts, they surely have HPV. Not all genital warts look the same. Some just look like raised or flat pink, flesh like, whereas some seem to have a cauliflower like an outgrowth. There may be one wart to several numbers of them. Some are bigger, and some are insignificantly small.
These symptoms may take up weeks to appear after you have sexual contact with any infected one. If these symptoms start appearing it might happen that the cells of those areas have already begun developing pre-cancerous stages.
How to avoid such infections and what to do if I start observing such symptoms?
There is not much to do, to eradicate any case of HPV infection. As it strikes the most sexually active ones, keep a healthy check on your sex-life. Make sure the ones whom you have intercourse with are not infected already. But as this is not possible every time, maintain a proper intimate hygiene. Keep your private areas clean, and besides that, you may opt for a periodic check-up of your intimate areas to make sure you don't get infected.
But if you have already started observing such symptoms, better not be late to pay a visit to your doctor as soon as possible. If caught at an early stage such infections are easily curable as it is one of the most commons ones. Although there is no HPV test for men in the healthcare sectors, for women HPV tests are available which are not to be confused with Pap smear tests. Your doctor may carry out a lab test to detect the virus.
What are the treatments?
Most of the HPV infections get destroyed over time, but if that is not the case, your doctor may use methods like cryotherapy, conization, laser therapy and loop electrosurgical excision procedure, which are to cure you easily.
Are you suffering from chronic pelvic pain? Well, then it is time to consult your doctor. Chronic pelvic pain can be the indication or symptom for other serious disorders. It is often difficult to figure out the exact cause of the pain. Chronic pelvic pain refers to the persistent pain in the pelvic region that has been lasting for over six months. Your doctor needs to carefully examine your symptoms to know the source of the pain.
Here are some of the causes that lead to chronic pelvic pain:
Endometriosis: In this disease, cells that form the lining of the uterus grow abnormally. These cells grow on organs like the ovaries, urinary bladder or rectum. Symptoms that can be accompanied with pelvic pain in Endometriosis.
- Pelvic pain or cramps before or during your period
- Pain during or post sex
- Pain at the time you ovulate
- Pain during bowel movements
- Rectal bleeding during period
- Pain during urination
- Lower back pain
- Spotting in between periods
Adenomyosis: This disease is similar to endometriosis. Cells lining the uterus tend to invade the uterus and muscle tissues of the uterine wall. In many cases, women with adenomyosis are devoid of any symptoms. Some of the common symptoms are:
- Pain during period
- Pressure on bladder or rectum
- Massive periods
- Long periods
Interstitial Cystitis: Women suffering from interstitial cystitis have inflammation of the urinary bladder. The inflammation is due to any infection. This affects women as a result of their aging. Symptoms:
- Need to urinate very often
- Discomfort during urination
- Pain at the time of sex
- Urinary Tract Infection
Bacteria cause urinary tract infections. This, in turn, leads to pelvic pain. Infections can affect any part of the urinary tract. It can also affect the kidneys, bladder, and urethra. Urinary tract infections are common in women mainly. Symptoms:
- Pressure in lower pelvis
- Pain or a burning sensation during urination
- Needing to urinate frequently
- Cloudy urine
- Blood in urine
When to visit a doctor?
It is difficult to know and assess the right time to visit the doctor. But the pain may be very irritating. It can also lead to fatal and chronic disorders. Therefore, it is best to consult a doctor if the pain persists for a long period and doesn’t vanishes with the home-based remedies or medication. The doctor may conduct lab tests, laparoscopy, or radiological tests to come to a conclusion.
Infertility is defined as a condition where a woman is unable to conceive a child despite having 1-2 years of unprotected sexual intercourse with a male partner but help for conception can be sought after 6 months of trying pregnancy. In over half the cases, infertility is usually with the male partner which is characterised by a low sperm count. Infertility causes social anxiety as well as relationship problems among couples and can severely affect the self-esteem of the person.
Male infertility tends to have certain tell tale signs some cases or no apparent reasons in other cases. In some cases, male infertility occurs due to underlying medical conditions like genetic problems, widened veins around the testicle or hormonal imbalances and some of the symptoms could be like:
- Recurrent problems during sexual intercourse due to severe pain in the testicular zone.
- You might lose your ability to smell due multiple instances of infections of the respiratory system.
- There might be a reduction in the body hair.
- Abnormal sperm count.
- Lack of sexual desire
Some of the common causes of male infertility could be:
- past injury or surgery of the testicles.
- erectile dysfunction.
- premature ejaculation.
- sexually transmitted infections.
- testicular deformation along with low sperm count.
- Blockage of the ejaculatory
In other cases, the reasons could be:
- old age
- mental anxiety
- excessive alcohol consumption
- diabetes or as a
- side effect of radiation therapy
- prescribed medications to treat other existing ailments within the body
Diagnosis and Treatment
The infertility of the male partner is usually diagnosed by your specialist by evaluating the medical condition and past histories of surgical procedures, sexual practices etc. Infertility can also be diagnosed by analysing the semen. The test for Semen Analysis should be done after 3 days of abstinence and the sample should be given in the lab.
The treatments for male infertility are varied and depend on the severity and the exact cause of the condition. Male infertility can be treated by hormonal replacement therapies and procedures, counselling or medication (for erectile dysfunction and premature ejaculation) and procedures to retrieve sperm which is then used for artificial insemination.
The woman’s reproductive system is an extremely complex one. The uterus which is the main organ with its appendages helps in conception, pregnancy, and childbirth by undergoing marvellous changes. The uterus measures just about 7.5 x 4.5 in a normal woman and expands to accommodate a full-term baby within her during gestation.
The uterus is lined with smooth muscles, and due to unknown reasons, this lining material could be found in other parts of the pelvic organs. This condition is known as endometriosis and is one of the main causes of pelvic pain. Most women suffer through it, and it mostly gets diagnosed when some other issue is being investigated.
For women with endometriosis, there are mainly two issues to deal with i.e. pain and depression.
Pain: While the pain per se is one issue, the way it affects daily normal life is another thing to be considered. For the pain to minimally affect routine life, the following are effective ways.
- Exercise: Anything that you prefer like swimming, jogging, dancing, aerobics, cycling. This will help in stress management and pain relief.
- Rest: Get adequate rest of 8 to 9 hours per night. On severely painful days, go ahead and sleep for a couple of hours extra.
- Stress management: Whether through yoga or meditation or music, learn to manage stress better. Nobody is without stress but managing it is the key.
- Eat healthy and fresh: Whole grains, fresh fruits and vegetables, increased fibres are definitely useful. Reduce whites including sugar, salt, and dairy products if possible.
- Social life: Stay connected with people whose company you enjoy – be it family or friends, or even counsellor if required.
- Speak up: Let your close circle of friends at work know your problem, so they can help when you need it the most.
Depression and mood swings can be managed in the following ways.
- Do what makes you happy: There are some activities which will definitely make you feel better. A quiet walk to get some fresh air. Watching a dance video. Listening to your favourite soundtrack. Changing body language to one without stopped shoulders and frowning foreheads can make a big difference.
- Focus on the good: Writing down or thinking about what went well for the day can cheer you up and overcome the blues that is so common in women with endometriosis.
- Positive thinking: Instead of saying, I can not try saying I will try. It makes a BIG difference, and you will be amazed at the results.
- Keep happy company near you: Surround yourself with happy, positive people and see your happiness quotient go up!!!
Endometriosis is definitely an enigma that is not well known, understood, or identified. However, the above are definitely useful way to cope with it.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My mother is 47 years old. Is it necessary to take any check up after menopause? If so please suggest what check up to undergo.
Burning urination or painful urination is also called dysuria, and it is one of the most common complaints amongst women. Another common problem is frequent urination. What are the causes of these two conditions? Are they in fact related?
Frequent urination, in simple terms, is also sometimes called overactive bladder and it is the need to urinate more than you normally would. This can cause loss of bladder control too. You may feel extremely full even after using the toilet and the feeling is extremely uncomfortable. Medical practitioners bracket urinating every two hours or more as frequent urination.
Some of the underlying causes are
- A urinary tract infection or UTI is the most common cause of frequent urination. UTIs happen when bacteria enters your urinary bladder through the urethra. Men also get UTIs, but it is less common than women as the ladies have shorter urethras. This means that bacteria have less distance to travel before they can infect the urinary tract causing UTIs. UTIs in women can be prevented by proper wiping after using the toilet, which will protect the urethra from E.coli bacteria. Proper hygiene also is a deterrent, especially after intercourse.
- Medical conditions affecting muscles, nerves, and tissues. Weakening of nerves due to hernias in the lower back etc. can also cause an overactive bladder.
- Oestrogen deficiency caused due to menopause can cause an overactive bladder and a woman finds it difficult to hold the urine for long.
- Obesity can also place extra pressure on the bladder.
Burning sensation while urinating
Common reasons behind it
- Frequent urination does not point to any gynaecological issues but burning urination is a common symptom of sexually transmitted diseases or STDs like Chlamydia and Gonorrhea which cause symptoms like pain when urinating and vaginal discharge. Burning urination usually occurs after intercourse when sexually transmitted infections are present.
- Burning while urination can also be caused due to UTIs and it is often accompanied by other symptoms of UTIs like painful urination or dysuria or blood in the urine.
- Kidney stones are solid masses of crystalized calcium or other materials that start in the kidneys but can pass through the urinary tract causing pain and discomfort.
- Urethral stricture is a condition when the urethra narrows and this causes burning and pain during urination in women.
- Urethritis is the inflammation of the urethra in women can cause burning on urination.
- Pelvic inflammatory disease is an infection of the reproductive organs in women and causes abdominal pain especially during urination or sex.
- Bladder cancer
- Vulvovaginitis is a common infection of the vulva and vagina, both, and it causes burning and itching while urinating and increased vaginal discharge.
In case you have a concern or query you can always consult an expert & get answers to your questions!
HRT (otherwise called Hormone Replacement Therapy, menopausal hormone treatment, and estrogen substitution treatment) utilizes female hormones - estrogen and progesterone - to treat basic side effects of menopause and ageing. Specialists can prescribe it during or after menopause.
After your periods stop, your hormone levels falls, bringing on uncomfortable symptoms like hot flashes and vaginal dryness, and now and again conditions like osteoporosis. HRT replaces hormones in your body when it does not make them anymore. It is the best treatment for menopausal side effects. If you begin HRT when you are still having periods, or have recently completed periods, you will regularly be encouraged to utilize a 'repeating joined HRT' readiness.
The treatment is as follows:
- You take estrogen consistently yet progestogen is included for fourteen days of every twenty-eight-day treatment cycle.
- This causes consistent bleeding at regular intervals, like a light period. (They are not dangerous periods, as HRT does not bring about ovulation or reestablish ripeness.)
- The progestogen causes the covering of your womb (uterus) to develop.
- This is then shed as withdrawal bleeding starts like clockwork when the progestogen is stopped.
- Monthly patterned HRT is typically recommended for women who have menopausal symptoms however are as yet having general periods.
You may change to a ceaseless consolidated HRT if:
- You have been taking patterned consolidated HRT for no less than one year; or
- It has been no less than one year since your last menstrual period.
Some of the risks of taking Hormone Replacement Therapy are as follows:
As of late, a few reviews demonstrated that women ‘going out on a limb’ and getting HRT have a higher danger of breast cancer, coronary illness, stroke, and blood clots. The review found that women who took the mix treatment had an expanded danger of coronary illness. The general dangers of long-term use exceeded the advantages according to the review.
However, from that time point onward, a modest bunch of studies in view of WHI (Women's Health Initiative) have concentrated on the sort of treatment, the way it is taken, and when treatment began. Those components can create diverse outcomes. One late review by the Fred Hutchinson Cancer Research Center uncovers that antidepressants offer advantage like low-dosage estrogen without the dangers.
HRT has certain symptoms. Call your specialist in case that you have any of these:
There are certain types of people for whom this surgery is not recommended. These are people who have the following:
It is likely for you to experience abnormal vaginal bleeding between your periods during one point in life. Vaginal bleeding is termed abnormal when you are not expecting your periods, when your menstrual flow is heavier or lighter than normal, and at times when it is not expected such as during pregnancy, or after menopause. Abnormal vaginal bleeding may result from a wide range of causes. It does not always indicate a serious or severe condition.
The different possible causes are discussed below:
- Bleeding during pregnancy is not very normal and it indicates some complications in pregnancy. Spotting or light bleeding is common, but it is important for you to evaluate any form of bleeding by a doctor. Heavy vaginal bleeding occurring before 12 weeks during pregnancy indicates severe problems. Heavy vaginal bleeding that occurs after 12 weeks also indicates a problem like placenta previa.
- Ovulation can result in mid-cycle bleeding.
- Polycystic ovary syndrome (PCOS) is a condition, which interferes with normal ovulation, and may result in abnormal bleeding.
- Certain medicines, including birth control pills may cause abnormal vaginal bleeding. Minor bleeding between your periods is likely during the first few months of using birth control pills. Bleeding may also occur, if you do not take the pills at a fixed time regularly.
- An intrauterine device (IUD) also increases the chances of heavy periods and spotting.
- Certain infections occurring in your pelvic organs such as the uterus, vagina, Fallopian tubes, cervix, and ovaries causes abnormal vaginal bleeding. The bleeding is more likely to occur after sexual intercourse and douching. These infections are commonly caused by sexually transmitted infections (STIs).
- Pelvic inflammatory disease (PTD) leads to infection and inflammation of your uterus, ovaries, or Fallopian tubes. This might be another cause of abnormal vaginal bleeding.
There are several other less common causes, which may result in abnormal vaginal bleeding. They include the following:
- An object present or inserted in the vagina
- Sexual abuse
- Uterine fibroids, which cause abnormally heavy periods
- Several structural problems like polyps and urethral prolapse
- Occurrence of cancer in your uterus, ovaries, vagina, or cervix
- Intense mental or emotional stress, and exercising in excess
- Several other health conditions and diseases such as diabetes or hyperthyroidism
It is important for you to consult a doctor on experiencing abnormal vaginal bleeding. It is very important to diagnose the condition properly and start with management measures at the earliest.
Cervical cancer can throw life completely off balance. It is one of the most common types of cancer affecting women worldwide. Lack of an early diagnosis makes this life threatening condition almost untreatable. A Pap smear also referred to as a Pap Test comes as a ray of hope for many women.
A Pap smear is a screening test that plays a pivotal role in the diagnosis and detection of cervical cancer in women. A Pap smear may further be used to point out any abnormalities in the cervical cells which may have a potential to turn malignant in the future. Doctors recommend all women (between 21-65 years of age) to undergo a pap smear to be on the safer side. While most women are advised to repeat the pap smear between every 3-5 years, women with the following conditions or ailments should be extra careful.
- Women who are HIV positive or those with a weak immune system.
- Those who have undergone an organ transplant.
- Any woman whose pap smear indicates the presence of precancerous cells.
- Women who had chemotherapy sessions.
The above mentioned conditions do not necessarily imply a 100% probability of cervical cancer. Consult your doctor and follow the necessary advice and precautions.
The procedure involved in a Pap smear
The Pap test is not a very tedious process and is often carried out in the doctor's clinic itself. The person to undergo the test is made to lie down on her back (the knees should be in a bent position). The physician then carefully inserts a speculum into the vagina. The main idea is to widen the vaginal walls so that the doctor can have a clear view of the cervix. Next, using a spatula, the doctor will collect samples of your cervical cells and send it for examination.
The significance of the Pap smear result
- A negative test indicates a healthy cervix with no precancerous cells.
- A positive result can, however, have many implications, such as there can be a condition known as dysplasia (minute alterations in the cervical cells). There may be some inflammation. However, the condition may be nothing to lose your sleep over. In many women, the condition heals by itself. A thorough investigation, (colonoscopy followed by a biopsy) may be needed if the problem persists for long.
Further, there can be
- Squamous intraepithelial lesion: This, unfortunately, indicates the presence of precancerous cells.
- Squamous cell cancer: As the name suggests, this more than often, confirms the presence of malignant or cancer cells.
- Atypical squamous cells of undetermined significance: Here the squamous cells appear very flat and thin, growing on the cervical surface. The condition may not necessarily indicate something serious. The person concerned may require further tests for a better interpretation of the condition.
A Pap smear is for your good. Go for a Pap smear and also encourage women in your circle to indulge in this healthy practice. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Clotting of blood during or after a pregnancy is fairly common these days. While the reasons for these are numerous, the driving reason behind this being that the mother is weak after such an ordeal and it is, therefore, likely to affect her health. In pregnant women, blood clots tend to form in the deep veins present in the legs or near the pelvic area. The condition is known as Deep Vein Thrombosis (DVT). One of the main concerns for people suffering from Deep Vein Thrombosis (DVT) is the occurrence of Pulmonary Embolis (PE), which is a life threating diseases and is caused when a DVT breaks and travels to the blood vessels connected to the lungs.
The symptoms of Deep Vein Thrombosis (DVT)
According to the data published on “Centre for Disease Control and Prevention” website, from a recent survey conducted it has been estimated that almost 900,000 people suffer from Deep Vein Thrombosis (DVT) every year in the United States i.e. 2 in every 1000 people suffer from this life-threatening disease.
This disease although life threatening can be taken into account by proper medical care at the early stages and therefore patients are advised to look out for any or all of the following symptoms-
- The patient is experiencing pain, swelling or tenderness in one of their legs, although both might have been affected.
- You have noticed a change in skin colour, and it has taken a reddish shade.
- There is a warm sensation in and around the area of the clot.
- The veins on your legs are appearing larger than they should.
Although all of these are proven symptoms for Deep Vein Thrombosis (DVT), it is common to have discomfort from swelling legs during pregnancy and does not always mean that the patient has symptoms of Deep Vein Thrombosis (DVT). If you are having the slightest thought that it may be a case of Deep Vein Thrombosis (DVT), you should immediately contact your GP, midwife, or call your maternity unit.
Treatment for Deep Vein Thrombosis (DVT)
When a patient is suffering from Deep Vein Thrombosis (DVT) and she is pregnant, anticoagulants, which is a medicine that prevents clotting of blood, is administered to them. While not all anticoagulants are safe to use during pregnancy, quite a few are. It is highly advisable that a doctor or medical practitioner is consulted before taking any further step.
How to prevent Deep Vein Thrombosis (DVT)
Like all diseases around the world, Deep Vein Thrombosis (DVT) is too a preventable one if the certain Do’s and Don’ts are kept in mind. Below is a list of certain things to keep in mind, in order to prevent Deep Vein Thrombosis (DVT)-
- Being active and moving around regularly, will keep the blood circulation normal.
- Beware of your family history and consult your doctor with the same.
- Look out for symptoms and contact your doctor at once if you see one.
Every disease is preventable and curable. It is on us, what we choose to do with it, succumb to it, or stand up and fight it. Look out for the above-mentioned points and you will be at a safe distance from the clutches of Deep Vein Thrombosis (DVT). In case you have a concern or query you can always consult an expert & get answers to your questions!