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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 38 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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I got intimidated with my bf after 5 days of my periods. But I took ipill within 24 hours. It's been a week and yesterday I vomit and got lose motions. Is there any chance I am pregnant?

MD - Homeopathy, BHMS
Homeopath, Vadodara
I got intimidated with my bf after 5 days of my periods. But I took ipill within 24 hours. It's been a week and yeste...
There least chances of Pregnancy.. You have to wait till the next period.. mostly it will be irregular because of the side effects of the pills..
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Recurrent Miscarriages or Abortions

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
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Good afternoon, I am Dr. Puneet Kocchar. I am a consultant gynecologist and a fertility specialist at Elixir Fertility Center, New Delhi. Today I will be talking about Recurrent miscarriages and abortions.

A positive pregnancy test is a very exciting news not only for the couple but for the entire family. However, sometimes there is a miscarriage and the chances of miscarriage in the normal pregnancy are about 10-15%. If you have had only one miscarriage, then the chances that you will carry on till term without requiring any medical extensive treatment in your next pregnancy are nearly 80% or more. For women who have had only one miscarriage, we will not recommend going for extensive testing or treatment.

What is recurrent abortion or recurrent miscarriage? 

If a lady has had 3 or more repeated abortion, it is called recurrent abortions. Even these days we start doing test and treatment if a lady has had 2 abortions and we do not wait for third one to occur.

So, why does an abortion occur?

In simple terms, either it is a fetus, that is, an embryo is not normal or the womb which is going to carry the pregnancy has some problems in it. What happens to a fetus if you are carrying a genetically abnormal baby, that can lead to miscarriage. It is nature's way to take care of the pregnancy and not letting the abnormal baby come into life. So, we do tests called genetic tests to check the chromosomic make up of a baby. They can be done on the products of conception. We also recommend that we have complete parental care, that is the blood test of both mom and dad to check the both of the chromosomal content.

Sometimes, in2-5%of the cases, there is balanced chromosomal translocation. Now this translocation will not cause any problem to the person who is guiding translocation. But when you produce an egg or the sperm, the embryo can be abnormal and this will lead to a miscarriage.

What happens to a person carrying a translocation?

If you are carrying a translocation which is leading to repeated miscarriages, it is better to plan IVF cycle along with PGD or PGS rather than normal conception.

IVF is where we create an embryo using the eggs from the lady and sperm from the husband. When the embryo is ready, we take a small biopsy and we subject it to test and a complete chromosomal analysis. And once the results are back, the normal embryo is transferred back into the lady's womb resulting in healthy pregnancy. This is one factor that we just addressed.

The second factor that we talked about is abnormalities in the womb. Now, simple test to analyze hormonal balance from the blood taken from the lady will tell us about thyroid status, diabetes, abnormal prolactin. These are all hormones which if are elevated or below the range can lead to abortions. THis can all be treated by giving oral tablets. So, these are important to be tested for any women having recurrent abortions.

  • Then we look into other factors such as autoimmune problems which are very common, occurring in about 20% of the patients. During pregnancy, we advise you to take low dose aspirin tablets and low molecular weight hampering injections for the entire duration of pregnancy. And this results in more than 60% successful pregnancies.
  • Another important factor that leads to abortion, which is Thrombophilias. THese are inherited problem which increases the tendency of blood to clot. Since the blood flow to the uterus is not occurring properly, you might again need blood gain agents such as aspirin.
  • Some of the other common factors are an anatomical factor. So, if the uterus or a womb is carrying a fibroid can also lead to abortions. Now, these can be easily diagnosed by doing an ultrasound either 2-dimensional or 3- dimensional. If such a problem is present, we can treat it by doing a hysteroscopic procedure.
  • Another important factor that leads to Abortion, especially in our part of the country, that is North India, is Tuberculosis. This is one of the commonest cause of miscarriages especially in our part of the country. It can be tested by doing Biopsy. Take a small amount of tissue from the uterus and check whether the lady is carrying Tuberculosis or not. It can be treated by giving oral medication of tuberculosis that has to be taken for the period of 6-9 months.
  • Another common cause is the imbalance of Th1 or Th2 cytokines. These are the cytokines present in the uterus which may not let the embryo or the pregnancy to grow. And if these are found to be positive, we recommend Immunomodulation.

So, these are the various causes due to which a lady can have an abortion. An important thing here is do not loose hope and do not give up treatment. If you have had 2-3 abortions, you need to get complete panel of tests done and with the help of a treatment, you have 60% of the chance to deliver a baby normally.

If you wish to consult me, please contact me through Lybrate or you can visit my clinic directly.

Thank you.

 

 

2734 people found this helpful

My mom have abdominal pain at the time of mensuration cycle. Please tell me its causes and treatment that should be taken to prevent it.

BHMS PGCGO
Homeopath, Hubli-Dharwad
My mom have abdominal pain at the time of mensuration cycle. Please tell me its causes and treatment that should be t...
if she having pain since when she started getting messes then No problem. if it started from few months Then she need to get done once scan to rule out endometriosis.
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Hi Sir, Dear doctors I am asking this question on behalf of my wife, She need rubber penis medical grade ,to insert vagina due to vaginismus problem, as she having fear about anal dilator. Is rubber penis (sex toy) available in market or medical Shop. Is vagina getting to loosen with that for proper intercourse, as we are planed for baby And also hope no any infection in that to vagina. Please suggest.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hi Sir, Dear doctors I am asking this question on behalf of my wife, She need rubber penis medical grade ,to insert v...
Hello- Vaginal Spasm (Vaginismus) is a condition which affects a woman's ability to engage in any form of vaginal penetration, including sexual penetration, insertion of tampons, and gynecological examinations. This is the result of a conditioned reflex of the pubococcygeus (PC) muscle, causing muscles in the vagina to tense suddenly and making any kind of vaginal penetration either painful or impossible. Rubber penis /dildo is available online but it alone wont help as it can not make the stiff vaginal muscles go soft. You need to start some good female aphrodisiac supplements and pelvic floor exercises to make your wife's vagina flexible.
1 person found this helpful
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How Can You Track Your Ovulation Period?

MBBS, DNB - Obstetrics and Gynecology
Gynaecologist, Bhopal
How Can You Track Your Ovulation Period?

Most women stay confused with the time of their ovulation. Couples who are sexually healthy and are in their 20s and 30s and are not using any birth control measures have 20% chances of getting pregnant. It is interesting to know that you have a high chance of getting pregnant at the time of ovulation. It is a small window period that comes each month. It is the time when your ovary produces ovum or egg and the egg is open for fertilisation. Even if you are having sex two or three days before ovulation, there is a high possibility of fertilisation. After ovulation is over, the window period gets shut for the next cycle. It is the safe period. Though doctors say that it cannot be considered 100% safe to have unprotected sex during this period, the chances of getting pregnant are considerably lower.

When does ovulation actually start?
It should be remembered that ovulation takes place at the middle of your menstrual cycle. It usually occurs halfway through the cycle. Commonly, the average time period of a cycle is 28 days. But, in some cases, women may have cycles as long as 23 to 35 days.

How will you know that you are ovulating?

  1. Check your calendar: It is a healthy habit to keep a menstrual calendar. You must maintain the dates for a few months. This will give you an idea as to when you actually ovulate.It is difficult to know the actual time of ovulation if you are having irregular periods.
  2. Carefully listen to your body: It is a common thing that your body spontaneously sends a memo to you before ovulation starts. You get cramps or feel pain in the lower abdomen before ovulation starts. This pain is called mittelschmerz. It is a reminder of the coming periods.
  3. Chart your body temperature: Well, you will need to keep a record of your basal body temperature. You can measure it after three to five hours of sleep. Your basal body temperature changes throughout the monthly ovulation cycle. Progesterone hormone is responsible for the increase in body temperature. In the first half of the month, the progesterone levels are low and hence the temperature remains low as compared to the second half of ovulation.
  4. You can go for saliva test: Your saliva contains the estrogen hormone. Its level changes throughout the cycle. You can also use an ovulation detector kit to know the dates.
  5. One can also track the timing when there is increase in vaginal discharge which starts just before the ovulation and is there for 24 to 48 hours. We can easily notice this as it is intermenstrual.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5182 people found this helpful

I am 24 year girl. I had unprotected sex on 28th may. I had my last period on 10th may. Still I do not have periods. Please guide me. I do not want to b pregnant right now. Is there any method to abort at home?

MBBS
General Physician, Chandigarh
I am 24 year girl. I had unprotected sex on 28th may. I had my last period on 10th may. Still I do not have periods. ...
You will have to wait till past your periods date if you don't get them then do a urine pregnancy test to confirm the status.
3 people found this helpful
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Meri pregnancy 1 month se kmm thi mene prega news se tst kiya tha. Mene abortion krne wali 2pills ek sath kha li thi .period ho gye the lekin nxt day prega news ne tst positive aya. Kya ye normal hai ya mujhe Dr. Se milna chahiye Kya kru Period abhi ho rhe hai 4 din phle pills khayi thi mene please suggest me Thank you.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
Meri pregnancy 1 month se kmm thi mene prega news se tst kiya tha. Mene abortion krne wali 2pills ek sath kha li thi ...
Dear karamjit in all probabilities the pills you have taken did not work. The best thing you can do is show a doctor as there will be chances of bleeding and infection if abortion is not complete. Get a proper gynaecologist 's consultation so that you are not harmed in any way.
2 people found this helpful
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I have miscarriage of one & half month baby by mifrostone medicine course. Now I have 10 month gone. I am not going to pregnant again. I tested no thyroid blood group of husband wife is b+ & not any same problem of my hubby. please recommend any thing who helps me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have miscarriage of one & half month baby by mifrostone medicine course. Now I have 10 month gone. I am not going t...
To get pregnant you need to have fallopian tubes patent which is checked by hsg test as you had one miscarriage before. Once the above test is normal, then treatment with clomiphene citrate is started with monitoring of egg. Tests which r done for you are useless and will not benefit u. It looks like probably you have gained weight so you might be suffering from pcod, which again can be diagnosed on sonography.
1 person found this helpful
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