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Dr. Shivram Prakash

MBBS

Gynaecologist, Pune

10 Years Experience  ·  300 at clinic
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Dr. Shivram Prakash MBBS Gynaecologist, Pune
10 Years Experience  ·  300 at clinic
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Shivram Prakash
Dr. Shivram Prakash is a trusted Gynaecologist in central Panchgani, Pune. Doctor is currently practising at Kedarnath General Hospital - Vishrantwadi in central Panchgani, Pune. Book an appointment online with Dr. Shivram Prakash and consult privately on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 37 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.

Info

Specialty
Education
MBBS - . - 2008
Languages spoken
English
Hindi

Location

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Kedarnath General Hospital - Vishrantwadi

Tirupati Complex, Pune- Alandi Road, Vishrantwadi. Landmark: Opp. to Mahalaxmi Vihar, PunePune Get Directions
300 at clinic
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Hello. We had protects sex after 10 days of the periods. Nd moreover the mape organ was outside. It dint go inside as well. But now she approx late by 8 days den d expected date. So are any chances of pregnancy. Of yes den what can be done to avoid dat.

MS, MBBS
Gynaecologist, Delhi
Hello. We had protects sex after 10 days of the periods. Nd moreover the mape organ was outside. It dint go inside as...
Yes chances are there first check urine for pregnancy if positive go toa doctor if negative than also you need dr's consultation.
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My boyfriend want to sex with me. I do not want. But what is the safe way to sex? Precautions?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, yoU SHOULD START on oral contraceptive pills from day 2 of your cycles. And encourage use of condoms.
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PCOS - How Treatment Differs For Patients?

Masters of Surgery Obstetrics & Gynaecology
Gynaecologist, Pune
PCOS - How Treatment Differs For Patients?

When female sex hormones such as Estrogen and Progesterone are out of balance and male hormone levels such as androgen are elevated within the body, it might lead to PCOD or polycystic ovarian disorder. This may cause the enlargement of the ovaries and numerous cysts to grow on the outer wall of the ovary. These growths can result in painful periods, infertility and several other symptoms because of the abnormalities in the body.

Most common symptoms of PCOS include:
1. Irregular and painful periods
2. Growth of facial and body hair also known as hirsutism (areas such as the face, fingers, toes)
3. Development of acne all over the body including the face
4. Sudden weight gain
5. Mood swings such as anxiety and depression
6. Thinning of hair
7. Pain in the pelvic area

Some of the other less common symptoms of PCOD are darkening of the skin, especially in the creases of the body such as the groin, neck, the area underneath the breasts and sleep disorders such as sleep apnea. Many women diagnosed with PCOD can have children without medical infertility treatment, although many other women tend to have fertility problems.

Causes 
A few underlying factors have been noticed to be common in most cases. Some of these common factors that have been noticed are:

  1. Insulin Resistance: Insulin resistance is a condition wherein the body is either not able to produce enough insulin or cannot metabolize the sugar to produce energy. This results in blood sugar not being used up and thus accumulating within the blood which in turn forces more insulin to be made to compensate. High levels of insulin cause the ovaries to produce too much androgen which may lead to polycystic ovarian disorder. Insulin resistance can also lead to weight gain, which can worsen the symptoms of PCOD.
  2. Hormonal Imbalance: Women with PCOD have imbalances in certain hormones such as raised levels of testosterone, higher levels of prolactin and luteinizing hormone (LH), among others. The exact reasons for these imbalances are unknown. Scientists have suggested that the problem can start within the ovaries, or the part of the brain that controls their production of these hormones.
  3. Genetics: This syndrome runs in families; women with mothers, aunts, and sisters with PCOS have a higher chance of developing PCOD themselves. Genetics have definitely shown to have a correlation with the occurrence of the disorder.

Treatment

PCOD doesn’t have any treatment yet, but the symptoms can be managed through medications and healthy habits. Treatment for PCOD differs for every woman depending on factors such as:

  1. Severity of the symptoms
  2. Condition of the ovaries
  3. Plans to have children in the future
  4. Risk of long term health complications or current problems such as heart diseases or diabetes among others
  5. Some of the basic steps to manage PCOD at home are through weight loss, improving your diet, reducing blood glucose levels, amongst others.

Some medications that may be used to relieve symptoms of PCOD are

  1. Hormonal birth control pills - These regularize the period cycle, help reduce acne and extra hair growth and also help in prevention of unwanted pregnancies.
  2. Anti-androgen medicines - They can block the effects of excess androgen and thus help in reducing hair loss, facial and body hair growth and acne.

Certain medications which are used to treat type-2 diabetes have also been put to the test and have shown effective results in trials. However, these have still not been approved by the regulatory authorities.

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

2579 people found this helpful

I hv facing a peroid problem dat is i hvnt periods for 3 n a half months. .i faced this problem before. . N also consulted with a doctor vthen. He said its not a big issue n gave the medicine then it got cured. I just wnt to know the reason behind this irregularity and what shoul i do??

BHMS
Homeopath, Faridabad
I hv facing a peroid problem dat is i hvnt periods for 3 n a half months. .i faced this problem before. . N also cons...
Irregular periods may because of:- Uncontrolled diabetes Eating disorders Hyperthyroidism or hypothyroidism Hyperprolactinemia (an abnormally high concentration in the blood of prolactin, a protein hormone) Medications, such as antiepileptics or antipsychotics Perimenopause Polycystic ovary syndrome (PCOS) You should take pulsatilla 200, 5 drops once daily in morning empty stomach for 7 days.Revert with feedback.
1 person found this helpful
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We got intimate last sunday. She was a virgin and when I tried entering her, she asked me to stop, so I did that. That was just one point which involved penetration (unprotected) and I did not ejaculate at that time. Now she is 3 days late for her period and I confirmed, she was sometimes late in the past as well. I read on internet, that even pre-ejaculation is enough to conceive. The girl has PCOS and is not under any kind of medication. Should we wait or the pregnancy is confirmed. When would be the best time to visit gynaecologist in this case to get confirmed result and if she is pregnant, then abort as we both do not want this. Thanks.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
We got intimate last sunday. She was a virgin and when I tried entering her, she asked me to stop, so I did that. Tha...
Hello, If the girl is suffering from PCOS and had previous irregularities in menses thn it may be possible thatbthis delay is not due to pregnancy. First of all you did bot ejaculated inside the vagina secondly if you had thn also PCOS girls gace difficulties in getting pregnant due to irregular ovulation. So dont stress she is not pregnant.
5 people found this helpful
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I have been given to understand that a medicine by the name of R88 (homeopathy stream) can be taken to prevent swine flu. How correct is this information?

MD-Homeopathy, BHMS
Homeopath, Chikhli
In homoeopathy we don't have medicine according to disease wise . Definitely we have a 100 % curative treatment but it dipend up on patients constitution. We treat man in disease not disease in man . Kindly try to understand this . This medicine wchich is given you it is patent it may therapeutic use but no preventive or curative effect.
1 person found this helpful
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During pregnancy up to how many months the couple can participate in sexual relationship.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Do sexual inter course in all month of pregnancy but safe position is need for that. If there is any complication like bleeding, pain in abdomen or any other medical condition then avoid intercourse during pregnancy.
2 people found this helpful
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Pregnancy Warning Signs That You Shouldn't Ignore!

CCT, DMAS, Royal College of Obstetricians and Gynaecologists (MRCOG), MD - Obstetrtics & Gynaecology, DNB, MBBS
IVF Specialist, Chennai
Pregnancy Warning Signs That You Shouldn't Ignore!

If you want to have a safe pregnancy by curtailing all sorts of complications, then you have to promptly respond to warning bells. There are certain warning symptoms that should not be neglected at all as that might put your pregnancy in danger. 

Bleeding
This kind of situation cannot be ignored as that often leads to serious issues like placental abruption or miscarriage. In this case, you are definitely in need of the assistance of any expert midwife.

Swollen face or hands 
Slightly swollen face or hands in pregnancy are normal, but if you observe excessive puffiness, especially on your feet and ankles, then it is a warning sign as it might lead to toxaemia or PIH. Therefore, consulting a doctor is very much needed in this regard.

Abdominal pain
Round-ligament pain is quite normal, and you do not have to worry about the same. But if the pain is accompanied by bleeding, then the danger of miscarriage might come into being, and thus you should be very much alert about the same.

Blurry vision
Both blurry vision and dizziness are the commonest pregnancy symptoms. But if they get increased suddenly, visit your doctor. 

Itching 
Itching is common during pregnancy mostly due to stretching of the skin. Your skin also becomes dry. But if it continues for long, then you should check the same with your doctor for avoiding liver disorder. 

Fever
Exposure to flu and cold viruses increases during pregnancy, as a result of which fever occurs. But if the fever lasts for more than 48 hours, then viral conditions can be expected, which are pretty dangerous. 
Unwanted back-pain
Normal pain in pregnancy is alright, but excessive pain might indicate bladder or kidney infections, preterm labour, miscarriage or cyst. All these conditions should be essentially avoided to ensure a healthy 
pregnancy. 

Gushing of fluid
If you are not in labour, but are feeling wet constantly, then it is better to see a doctor. There might be a great possibility of breaking of water, and this is quite dangerous in the advanced stage of pregnancy. 
Less movement of baby Experiencing baby kicking is quite natural during pregnancy, and if stops suddenly, then there is something wrong. Kicking patterns should be followed and then only you will be able to realize whether the baby is normal or not. 

If you are facing any of the above symptoms, then immediately visit your doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

2718 people found this helpful

I am suffering from irregular periods since 2 years and increased 20 KGS and trying to reduce but no use Pls suggest me a best solution.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
I am suffering from irregular periods since 2 years and increased 20 KGS and trying to reduce but no use Pls suggest ...
eat capsule gynocare twice daily after food for 60 days. also use tablet diapal before food for 60 days twice daily. consult wd me for diet charts
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