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Dr. Shivalaxmi Kurtkoti

Gynaecologist, Pune

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Dr. Shivalaxmi Kurtkoti Gynaecologist, Pune
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Shivalaxmi Kurtkoti
Dr. Shivalaxmi Kurtkoti is an experienced Gynaecologist in Paud Road, Pune. She is currently associated with Kurtkoti Nursing Home in Paud Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Shivalaxmi Kurtkoti on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 31 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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Kurtkoti Nursing Home

Right Bhusari Colony, Paud Road. Landmark: Near PMT Bus Stop, PunePune Get Directions
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Hello, I had unprotected sex last night with my gf. I am not sure about the sperm injection. What precautions should I take to avoid pregnancy. She's 19 now. Please suggest.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Hello,
I had unprotected sex last night with my gf. I am not sure about the sperm injection. What precautions should ...
you can advice her to take emergency contraception with in 72 hours but if,you have missed that period then get an pregnancy test after 5 days if test will positive then visit to doctor for further management.
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Compulsive Sexual Behaviour - How to Manage It?

MD - Psychiatry, MBBS
Psychiatrist, Pune
Compulsive Sexual Behaviour - How to Manage It?

One of the emerging psychiatric disorder that has significant medical and psychiatric consequences is compulsive sexual behaviour or hypersexuality, is an obsession with sexual thoughts in which people cannot manage their sexual behaviour. It may involve a commonly enjoyable sexual experience as self-stimulation which becomes an obsession. The person suffering from the condition may also get involved in sexual behaviours that are outside the bounds of commonly accepted conduct like paying for sex or having extramarital affairs.

Untreated compulsive sexual behaviour damages one’s self-esteem, health, job, relationships and career. However, with treatment and self-help, one can manage compulsive sexual behaviour and learn to manage one’s urge. Males are more likely to be unfaithful than females because they have stronger sexual impulses and weaker self-control. Compulsive sexual behaviour symptoms vary in type and severity. During intense sexual impulses, one feels as if they're beyond control. This is the first and the most common symptom as the patient uses compulsive sexual behaviour as an escape route for problems like loneliness, depression, anxiety and stress. One has trouble establishing and maintaining emotional closeness, even if one is married or in a committed relationship.

The treatment for compulsive sexual behaviour involves psychotherapy and medications. A primary goal of treatment is to help one manage urges and reduce excessive behaviours while maintaining healthy sexual activities. If one has compulsive sexual behaviour, one may need treatment for mental health condition. People with compulsive sexual behaviour often have alcohol or drug abuse problems or a mood disorder such as depression.

Counselling sessions can help one learn how to manage one’s compulsive sexual behaviour. Intensive treatment programs for compulsive sexual behaviours focus on identification of core triggers and beliefs about sexual addiction. It assists in development of healthier choices and coping skills to minimize urges and deal with the preoccupation of sexual addiction. Psychodynamic psychotherapy can prove to be very useful as it focuses on increasing one’s awareness of unconscious thoughts and behaviours, and developing new insights into their motivations. Resolving conflicts using this therapy is also recommended. The other kind of treatment program is cognitive behavioural therapy. This therapy helps one to identify unhealthy, negative beliefs and behaviours and replace them with healthy, positive ones. Family therapy and couples therapy may restore trust, minimize shame and guilt thus establishing a healthy sexual relationship between partners.

Medications include anti-depressants like selective serotonin reuptake inhibitors, mood stabilizers and anti-androgens have also been used to treat compulsive sexual behaviour. Anti-androgens are prescribed as it reduces the biological effects of sex hormones in men thus reducing sexual urges. Luteinizing hormone is also prescribed as it reduces obsessive sexual thoughts by reducing the production of testosterone. Anti-seizure medications, naltrexone, and medications which decrease male hormones have been found to decrease the compulsive urges and impulses associated with sexual addictions for some sufferers. If you wish to discuss about any specific problem, you can consult a psychiatrist.

2524 people found this helpful

Impotency - Can Lifestyle Changes Help?

Ph.D (Male Infertility), M.S (Infertility), D.G.L.S, D.R.C.O.G, C.Sc., D.M.R.D, M.B.B.S
Sexologist, Bangalore
Impotency - Can Lifestyle Changes Help?

Impotence, also known as erectile dysfunction, is a condition in which a man is not able to maintain an erection during sexual intercourse. It can be triggered by a variety of conditions like smoking, intake of certain drugs, health disorders or excessive consumption of alcohol. Although treatment options like medication and surgery are available, there are non-invasive treatments that can help a person fight the condition.

Here are some of them:
1. Engage in a physical workout - 
Among the many types of lifestyle changes that could be resorted to, exercise is the most effective one. Exercising improves blood flow and blood pressure in the body, both of which are essential for getting and maintaining a normal erection for a prolonged time. Plus, exercising also increases the level of testosterone, which is a crucial factor in sex drive.
2. Follow a balanced dietThe food you consume has a direct effect on your health and subsequently on your sex drive. A diet consisting of fruits, veggies, fish and lesser servings of red meat and refined grains can decrease the risk of impotency. Also, a healthy diet helps to maintain a stable body weight, which aids in sexual activity. Overconsumption of junk foods can cause obesity and diabetes, which are responsible for impotence.
3. Get sufficient sleep - Apart from a host of health problems, lack of sleep may also you render you impotent. Studies have shown that testosterone levels of men who are sleep deprived are much lower than in those who get their 8 hours of sleep. A proper sleep schedule should thus be duly adhered to.
4. Quit smoking and limit your alcohol consumption - Erectile dysfunction can be the cause of vascular disease. This occurs when the blood supply to the penis becomes restricted due to the blockage and narrowing of arteries. Alcohol and smoking can be responsible for this and can be the cause of both temporary and long-term impotence. Therefore, it's important to limit your alcohol consumption and quit smoking altogether. If you wish to discuss about any specific problem, you can consult a Sexologist.

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I had an intercourse with my husband on Saturday. It was the 11th day after my period. So I want to know whether there is chance for pregnancy?

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
I had an intercourse with my husband on Saturday. It was the 11th day after my period. So I want to know whether ther...
Hi , 11th day after period falls in fertile phase, so chances of getting pregnancy are higher. If you don't want pregnancy, you still can have ipill/ unwanted pill 72, an emergency pill if you have not crossed the 72 hours limit yet.
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Hi sir I am 26 years old not married but this is the first time I'm getting bleeding (periods) more than 1 week but not heavy bleeding and it's coming in different colours dark red, like dark red, brown and pinkish and last 3 days I'm getting body temperature is very high and I can feel my body heat I can't event sleep in bed I'm sleeping in floor without bed. So I'm just confused pls help me is there is any problem.

BHMS
Homeopath, Raebareli
Hi sir I am 26 years old not married but this is the first time I'm getting bleeding (periods) more than 1 week but n...
Dear Preethi, probably you are facing problem of menorrhagia, usually it can be a sign of developing uterine tumors, please undergo USG of lower abdomen and for now use a medicine Arnica 6 thrice a day for 3 days and consult back for proper Homeopathic treatment .
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Sir my wife having white discharge from vagina. Sir what is this and what is treatment.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
You are likely to be suffering from vaginal fungal infection. You should visit your gynecologist who will prescribe you with vaginal pessary, which will completely cure your itching and discharge. Clingen pessary or imidil-c pessary are examples of such pessary.
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I am 24 yr, i have a 2yr child since after delivery, i am suffering from back pain. if i again get pregnant it will affect my pregnancy and my health plz give me a suggestion

BPTh/BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Jamshedpur
Start wid pelvic floor exercise core stability exercise..stretching of gluteal hamstring n pyriformis muscle..get ift n ultrasound therapy
1 person found this helpful
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She have a problem some time she feel a pain upper side of vagina give a suggestion.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Vaginal pains can be due to any one of the following reaons like Vaginitis,Fungal infections,Cervicitis,PID( Pelvic inflammatory disease),The diagnosis can only be made after a physical examination.
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I found out today that I am suffering from uti and now my vaginal bleeding started. Its paining and clotting coming. My periods just finished on 7th of september and it started again? What to do m worried.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Nagpur
I found out today that I am suffering from uti and now my vaginal bleeding started. Its paining and clotting coming. ...
lybrate-user consult ayurvedic doctor for medicine. Take rest. Do not eat spicy food. Drink coconut water, pumpkin juice -30 ml/2 times day. Eat sugarcane.
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Can I have masturbating during my 6th month of pregnancy? And if it lead to orgasm, everything will be alright?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Can I have masturbating during my 6th month of pregnancy?
And if it lead to orgasm, everything will be alright?
Hi Arpita. I understand the increase hormones during pregnancy can arouse a woman. Masturbation essentially is not harmful. But continuos stimulation and the uterine cramps that accompany an orgasm can trigger premature labour pains. So be very careful.
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Good morning sir/mam my marriage is done on the year 2007, I have no children. When I consultant a doctor should scared n told me that I have pcod problem, she gave sum medicine for some months n after she did loprocopy also but no use. I trying since 8 years but no use. I have dine i. U. V also recently i. E 5, 6 months . I have used countless medicine now I am getting depressed n what to do. If there is anyone please help me.

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
Good morning sir/mam my marriage is done on the year 2007, I have no children. When I consultant a doctor should scar...
Hello, first of all please do not get disheartened. Pcod may be a reason for infertility in few but many pco women have normal and natural conceptions. How are your tubes and ovulatory status? follow healthy lifestyle -diet rich in fibre and restrict intake of refined carbohydrates. Go for a regular brisk walk for 30 to 45 min daily. Along with these follow the medication given by your infertility consultant. You will surely conceive. Don't worry, all the best.
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During dry sex (rubbing around vagina without entering penis inside vagina) IF one ejaculated near the vagina then what are the chances of pregnancy and if it is there then what will b step to avoid pregnancy where 8 days happened to this event?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
During dry sex (rubbing around vagina without entering penis inside vagina) IF one ejaculated near the vagina then wh...
Although there are no chances of pregnancy but if during or after ejaculation some penetration has taken place then there can be chances of pregnancy.
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When I have sex with my wife she feel pain and no enjoying sex she think when he quit sex then I sleep and I also no long time have sex with my wife. So please suggest for both of us

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
When I have sex with my wife she feel pain and no enjoying sex she think when he quit sex then I sleep and I also no ...
Women are slower to get aroused than men, and there's a grain of truth in the stereotype that women need more foreplay. But figuring out what works for you is half the battle. The solution" foreplay needs to be exciting to you, and may you have premature ejaculation problem take some tips 1. Do yoga exercises regularly which increase your blood in body particular to those organs involved in sex. In addition 2-eat healthy nutritious diet like fresh green salad with meal 1 tomato 1 onion 1 cucumber daily use 3. Avoid fried food like chicken fish egg spicy food 4-drink warm milk before sleep consisting with walnuts or dry dates 5-may take ayurvedic remedies for fast effective result.
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I have cesarean from 1 week. How much time I have to take rest? What problems can occur because of cesarean in future? Can I do house hold work? Give me answer plz.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have cesarean from 1 week. How much time I have to take rest?
What problems can occur because of cesarean in future...
Hello, You need to rest for 3-4 days and then you can resume work. Just avoid lifting any weights till 6 weeks.
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Hi I am Kiran 24 year old I am facing issue with my monthly Periods. It does not coming properly I am really conscious about it kindly guide us.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi I am Kiran 24 year old I am facing issue with my monthly Periods. It does not coming properly I am really consciou...
Hello, You need to get evaluated for PCOD, hypothyroidism and hyperprolactinemia which can be other common causes for irregular menses.
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Incision Care After Surgery: 4 Easy Ways For It!

MBBS, MS - General Surgery
General Surgeon, Bangalore
Incision Care After Surgery: 4 Easy Ways For It!

Having a surgery, big or small, will subject your body to a certain degree of pain. Post-operative care, hence, is of paramount importance. You'll have a surgical wound where the surgeon has made an incision. To ensure that it heals quickly and to reduce the risk of an infection, it is important that you care for your wound area and keep a regular check for unusual signs and symptoms.

Let us take a step back to understand the normal process of how a wound heals. At first, there will be inflammation during the first week when blood flow to your wound increases. This is a crucial care period as your wound is still fresh. The second phase is proliferation where new blood vessels and tissue begin to grow around the area.

The third and final phase is maturation where new cells develop to strengthen the wound and soften the scar. Depending on the location and size of your wound, your surgeon may have used stitches (medically called sutures), metal clips or staples, adhesive dressing, tape or glue. Stitches, clips and staples are usually removed between three and fourteen days after your treatment. Here is how you can care for your surgical incision:

  1. Change your dressing regularly: Most patients are called to the hospital at regular intervals during the first week for change of dressing two or three times. The nurse or doctor ensures a sterile environment during the process. If you find your dressing falling of late night and you can't go to the hospital, you can wash your hands thoroughly and open a new sterile dressing package and apply to your wound. At all times, touch only the edges of your old / new dressing.
  2. General care for your incision site: Keep the incision site as clean and dry as possible. Keep it covered with plastic during a shower if it is on your hands or legs or take a sponge bath until you get a green signal from your doctor. Protect the incision from sunlight. Some incisions may get itchy as they heal. This is quite common, but it is important not to scratch your incision during this period.
  3. Eating and drinking properly to heal quickly: Vitamin C and Proteins are important as they aid in healing of wounds. Eat a healthy and balanced diet, which includes a variety of lean meat, fish, eggs, dairy products, fruit and vegetables. Make sure that you drink enough water because if you're dehydrated, your wound may take longer to heal.
  4. Look for signs of infection: The common signs of an infection are redness, swelling, unusual drainage, warmth around the incision site increased pain or tenderness at the incision, incision opens up or a fever of more than 100.4 degrees Fahrenheit.

Can someone let me know complete precautions that someone needs to take to avoid pregnancy? Is condom the only way? Me and my partner had unprotected sex for dew times now. Is there anything that she needs to worry about it take some pills? Any suggestions is greatly appreciated. Thanks.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Can someone let me know complete precautions that someone needs to take to avoid pregnancy? Is condom the only way?
M...
Method of contraception depends on how frequently you have sex with your partner. For people having sexual intercourse occasionally barrier contraceptives like condoms are good as they provide around 80% protection. To avoid pregnancy, in addition to using condoms it is advisable to have sex in safe periods of menstrual cycle. Contraceptive emergency pills can be used by female partner in case of unprotected sex, but they do have certain side effects and should better be avoided as regular contraceptives. For more details you may consult a gynaecologist.
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Is there any problem to shave vagina hairs, And what should be do for bad smell in vagina?

DGO, FRM
Gynaecologist, Salem
If you use hair remover cream I think that will be better. Maintain strict personal genital hygiene. Bad smell will go off.
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Meri shadi ko 3 years ho gaye hai but bachcha nahi ho raha hai sub test karwa liye apne bhi or apni wife ke bhi sub normal hai kya kare please reply this message.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Meri shadi ko 3 years ho gaye hai but bachcha nahi ho raha hai sub test karwa liye apne bhi or apni wife ke bhi sub n...
Hello not getting pregnant after three years of marriage, is a matter of concern. If everything is normal, pregnancy should happen. You should go to an infertility center to rule out some finer or very minor issues. Archana gupta.
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