Book Clinic Appointment with Dr. Shrideep Parab
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
It has been quite some time that i was suffering from pregnancy. Even though I was fit and fine, it was shocked when I got to know that I have pregnancy. She is very talented and seasoned doctor. On the very first day she identified my problem. Sparsh Hospital can handle all types of emergency cases. Her advice and counselling has helped me immensely.
I was trying to conceive but was not able to , so my husband took me to Dr Shrideep. He is one of the best gynaecologist in the city. My previous experiences were not so good, but he has completely changed my opinion as he is very helpful and humble. I am completely satisfied with the results of my treatment.
I was having unstoppable periods last year for which I consulted Dr Shrideep. I am quite benefiited after his minor surgery. Now its has been more than a year and I never faced such problem after the surgery. I thank him for treating me so patiently and I am glad that I chose to consult him.
A friend of mine referred to Dr Parab. She is very professional and is a really patient listener. he is well aware about innovative techniques to treat problems. I was shocked to experience the problem of no periods. Even in case of emergency, the staff is always willing to help.
Dr Maria Seemi
I found the answers provided by the Dr. Shrideep Parab to be very helpful, knowledgeable, well-reasoned and sensible. Dr Parab is very understanding and cooperative. Helped me a lot in clearing my doubts regarding early pregnancy.
I was having very bad thoughts regarding my vaginal itching. I am so much benefitted withDr Shrideep's treatment, that i am perfectly fine now. He ensures that he listens to his patients. I am quite benefitted with his treatment.
I was tensed when I got to know that I am suffering from HPV. Dr SHrideep not only helped me calm down but also provided a beneficial traetment due to which I feel quite better than before. I owe him ab ig thank for this.
I was worried if my daughter could face HPV in future, so I consulted Dr Shrideep who sughgested a HPV vaccination and now I am no more tensed and I thnak him for giving such an important suggestion.
Thanks to Dr Shrideep ofr guiding me about the necessary vaccinations during pregnancy. I was not aware about the vaccination but Dr Shrideep , being a great gynaecologist, explaines me about it.
Dr Shrideep Parab approach towards his patient is remarkable. He is a young doctor and very fresh in his approach. I visited him in Sparsh Hospital in Pune.
I found the answers provided by the Dr. Shrideep Parab to be professional. I cant afford to do the payment to send you those but i really do need help
Dr. Shrideep Parab provides answers that are very helpful. Thank you Doctor for your right guidance
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Dr. Shrideep Parab provides answers that are very helpful. India
In 1971, the increasing cases of maternal morbidity due to unsafe abortions, and the idea that abortions could be used as a method of population control motivated the government to enact the medical termination of pregnancy act. But what does the law really say? to what extent is abortion a reproductive right in india?
Here are the facts you need to know about the indian law on abortion:
1. Access to abortions is legal in india
medical termination of pregnancy has been legal in india under certain conditions since the passage of the act in 1971. India became one of the first few countries to actually legalise abortions beyond just life-threatening situations. Pretty cool, right?
However, a survey conducted in 2007 by the ministry of health and family welfare suggests that only 22.9% of men, and 28% of women were aware that medical abortions are possible and available! a large number of people still remain unaware that by law, they have the right to access abortions.
2. Although abortions are legal, there are certain conditions to be kept in mind…
While abortions are legal in india, the law as it stands today does not allow termination of pregnancy on the request of a woman. In india, abortions are legal up to 12 weeks with approval from one service provider and beyond 12 weeks to 20 weeks requires the approval of two service providers.
There are some other conditions listed in the act: you can get an abortion if the service provider is able to assess that there is a risk to the woman’s life, a threat to a women's physical and mental health (including contraceptive failure for married women), or risks the child if born to be “seriously handicapped”. Frankly, the conditions are pretty inclusive and whatever the situation, the service provider is your friend.
3. Medical abortions and surgical abortions? yes, there are two types!
Medical abortion is a common terminology for abortions induced by the use of pills. An abortion within the first 10 weeks of pregnancy in india can be legally performed using a combination of 2 pills. These pills are available in a combi-pack and are to be taken in the span of 3 days. Medical abortion is completely safe, non-invasive, non-surgical and - as you may have already guessed - a much preferred method of seeking abortion for majority women. These pills should be prescribed to you by a medical practitioner or an obgyn licensed to perform abortions as per the mtp act. Therefore, be quick and consult your ob-gyn! do not do the mistake of consuming these pills yourself as they can give rise to complications which may sometimes be really serious.
A surgical abortion on the other hand ends a pregnancy by removing the foetus and placenta from the uterus using either electric or manual vacuum aspiration. Although these terms sound very technical, advancements in technology have made these procedures completely safe! your doctor is your best guide so do consult them. Just make sure you get quality service in a safe environment from a trained doctor. 3 magic words - quality, safe and trained.
4. You don’t need parental or spousal consent if you’re an adult.
At times like these, you can thank the universe for being an adult! as an adult person and when it comes to seeking safe abortion access in india, you do not need anyone else’s permission. The act recognises the personhood of a woman and respects the rights of an adult person in india by maintaining confidentiality.
5. The mtp act is separate from the law on gender biased sex selection.
And there are 2 separate laws for these 2 unrelated issues! makes sense yet?
Safe abortion access is an issue of reproductive and sexual rights where a woman makes choices and decisions regarding her body and life. On the other hand, gender biased sex selection is an issue of deep rooted gender based discrimination against women and girls in the patriarchal indian society which needs to be targeted at it’s root. The first is regulated by the medical termination of pregnancy act, 1991 and the second by the pcpndt act, 1994.
We are not making this up! if you read the 2 laws, then you will find that mtp act has no mention of gender biased sex selection and pcpndt does not mention access to safe abortion anywhere. See?
Now that we understand that the two are separate from one another, let’s become advocates and stop this overlapping of the 2 issues and stigmatising safe abortion access. Because if we don’t then women may end up losing their lives for nothing.
Have a look at this document by the national health mission highlights areas of possible conflation between the two acts. It gives guidelines to stakeholders so that the pcpndt act and messaging against sex-selective abortion do not hinder access.
6. The law and how it relates to single unmarried women
The conditions mentioned in the mtp act also covers single unmarried adult women. Except for one clause reserved for married women which is abortion because of contraceptive failure. For all other reasons listed above, single women can access abortions. It is mostly because of the stigma associated with being a single woman that some service providers stigmatise abortions being sought by them, leading women to feeling humiliated or deterring them from accessing safe abortion services.
Recurrent miscarriage is a condition when there has been three or more successive pregnancy losses. It is different from infertility as, infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.It may not always be possible to identify a cause for recurrent miscarriage in a couple, even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:
- Chromosomal Abnormalities: Incompatible chromosomes can result into pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting into chromosomal abnormality. Such conditions lead to miscarriages.
- Uterine Abnormalities or Incompetent Cervixes: Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.
- Immunologic Disorders: Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are those, which attack self tissues, such as embryos and prevent them from building up. This leads to recurrent miscarriage.
- Untreated Thyroid Problems: Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.
- Polycystic Ovary Syndrome: Women with polycystic ovary syndrome tend to have high levels of male hormones which, result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.
- Bacterial Infections: There may be presence of a number of microorganisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract, which can prevent development of embryo, thus leading to miscarriages.
- Lifestyle: Smoking and drinking are harmful lifestyle habits, which may increase the chance of miscarriage to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A hysterectomy is the removal of the uterus and is often accompanied by the removal of ovaries. In such cases, women are said to experience surgical menopause. This is because the ovaries are the main producers of estrogen. Surgical menopause is usually more severe than natural menopause as there is a sudden drop in estrogen levels. Estrogen is responsible for a number of functions that affect the brain, bones, skin, heart and blood vessels.
Hormone therapy is often advised to counteract this loss of estrogen. There are two main types of hormone therapy.
1. Hormone therapy with estrogen and progestin.
2. Hormone therapy with only estrogen.
The former is advisable foe women suffering from surgical menopause. Like any other form of treatment, it has its pros and cons.
1. It protects young women from diseases associated with menopause.
A hysterectomy is usually performed on women under the age of 50. In such cases, hormone replacement therapy can protect the women from heart diseases. Removing ovaries before menopause can also increase the risk of Parkinson's disease and dementia. Hormone replacement therapy can help negate these risks.
2. Reverse menopausal symptoms.
Menopause is associated with a number of symptoms such as vaginal dryness, hot flashes and insomnia. Hormone replacement therapy can help treat these symptoms and give you a better quality of life.
3. Other health benefits.
Hormone replacement therapy can also help fight osteoporosis and strengthen bones. It is also known to reduce the risk of colorectal cancer.
1. Hormone replacement therapy interferes with the natural hormone production. Thus it can cause a number of problems such as premenstrual syndrome, swollen breasts, headaches and nausea.
2. Increased risk of health issues. Though the odds are low, hormone replacement therapy can increase your risk of having a stroke or heart attack. It has also been suggestively linked to breast cancer and ovarian cancer.
Thus, the choice of whether to have or not to have hormone replacement therapy after surgical menopause is not easy to make. You must consider factors such as your age, lifestyle, family medical history and habits while making this decision. Do not rush into a decision and take your time. Talk to your doctor about the amount of medication needed and the delivery method most suited to you. HRT can be taken in the form of pills, a patch, gel, vaginal cream or a slow releasing suppository. This should also be accompanied by a healthy lifestyle that includes a healthy diet and plenty of exercise. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Heavy menstrual bleeding, technically called menorrhagia, is one of the most common types of abnormal bleeding from the uterus. Menstrual bleeding is said to be heavy if there is so much blood that a tampon or pad remains soaked for several hours.
Here are all the possible causes of heavy menstrual bleeding:
1. Hormonal imbalance
Estrogen and progesterone levels are the primary control mechanism for periods. If the ovaries have a problem in functioning, hormonal imbalances may occur. Heavy menstrual bleeding is most common in females who are at the start of menopause. Puberty menorrhagia can occur in adolescents who are experiencing their first menstrual period.
These most commonly occur around the age when women can get pregnant. Uterine fibroids are non-cancerous growths on the uterus.
3. Ectopic pregnancy
An ectopic pregnancy is when a fertilized egg stays in the fallopian tube but does not reach the uterus.
4. Blood thinners
These are medicines which are usually anticoagulant or anti-platelet drugs.
5. Problems with IUD
A non-hormonal intrauterine device is a T-shaped device used for birth control which is inserted into the uterus.
This is a condition in which the muscular wall of the uterus also gets the lining of the uterus intermingled with it. However, this condition is rare and only happens in middle aged women with several children.
PID stands for pelvic inflammatory disease and refers to any infection within the organs of the reproductive system.
Uterine, ovarian and cervical cancer are just some of the cancers which may cause heavy menstrual bleeding.
9. Other diseases
Liver, kidney and thyroid diseases are all included. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Vaginal delivery is the birth of offspring (babies in humans) in mammals through the vagina. It is the natural method of birth for all mammals except monotremes, which lay eggs into the external environment. The average length of a hospital stay for a normal vaginal delivery is 36–48 hours or with an episiotomy (a surgical cut to widen the vaginal canal) 48–60 hours, whereas a c-section is 72–108 hours.different types of vaginal deliveries have different terms:
A spontaneous vaginal delivery (svd) occurs when a pregnant female goes into labor without the use of drugs or techniques to induce labor, and delivers her baby in the normal manner, without forceps, vacuum extraction, or a cesarean section. An assisted vaginal delivery (avd) occurs when a pregnant female goes into labor (with or without the use of drugs or techniques to induce labor), and requires the use of special instruments such as forceps or a vacuum extractor to deliver her baby vaginally. An instrumental vaginal delivery (ivd) is another term for an assisted vaginal delivery. An induced vaginal delivery(also ivd) is a term for a delivery involving labor induction, where drugs or manual techniques are used to initiate the process of labor. Use of the term" ivd" in this context is less common than for instrumental vaginal delivery. A normal vaginal delivery (nvd) is a term for a vaginal delivery, whether or not assisted or induced, usually used in statistics or studies to contrast with a delivery by cesarean section.
- The menopause is a normal part of life; it is not a disease or a condition.
- Even though it is the time of the woman's last period, symptoms may begin many years earlier. Also, some women may experience symptoms for months or years afterward.
- In the united states, the average age for the menopause is 51.
- Perimenopause is the 3-5-year period before the menopause when a woman's estrogen levels begin to drop.
Congratulations! you're pregnant almost all women long to hear these words and nothing should come in the way, even diabetes. So, if you are a type 1 or type 2 diabetic, here are a few things you should keep in mind to have a healthy baby.
Your blood sugar must be monitored regularly
The most important thing you can do to have a healthy baby is to keep your blood sugar as close to normal before and during your pregnancy. Testing is recommended a minimum of four times a day. Glucose passes through the mother's blood to the fetus and hence if your blood sugar fluctuates, so will your baby's. High blood sugar levels are especially harmful during the first 8 weeks of pregnancy when the baby's brain, heart, kidneys and lungs are formed.
Your pregnancy is considered high risk
High blood sugar levels can increase the risk of a miscarriage as well as the risks of your baby being born with birth defects. Diabetes can also increase the risk of developing preeclampsia during the second half of your pregnancy. This could result in a c section or premature birth. Thus, maintain regular checkups and keep your doctor in the loop of all your activities.
You should watch out for signs of ketosis
When you have low blood sugar, the body produces ketones that can be passed on from you to your baby. This production of ketones is a result of the body's burning of fat instead of glucose to provide energy and can develop a condition called ketosis. Symptoms you should watch out for are stomach aches, nausea, fatigue, muscle stiffness, frequent urination and fruity breath.
You need vitamins and supplements
Most women require vitamin and mineral supplements at the time of pregnancy. Of these, folic acid, iron, calcium and vitamin d are the most important. These supplements help in the healthy growth of the baby.
You should exercise regularly
Maintaining a regular physical activity routine is very important for diabetics who are expecting a baby. This will help you regularize your blood sugar, relieve& stress and strengthen your heart. Avoid activities that increase your risk of falling and aim for at least thirty minutes of daily exercise such as walking, swimming or yoga.
Check your medication
Some medication can be detrimental during pregnancy such as cholesterol and blood pressure medication. Consult your doctor to find a suitable alternative, if needed. You may also need to change the kind of insulin you take and its frequency and amount. As you get closer to the delivery date, your insulin requirement may even double or triple.
The key to preventing complications during pregnancy is controlling your diabetes. So take your insulin regularly, maintain regular checkups and eat healthy. You need to be seen by your obstetrician more frequently. Your pregnancy will be monitored closely by more frequent ultrasounds and nst. If your sugar level remains under control and pregnancy is advancing well, a natural onset of pains is aimed for and a normal delivery is expected.
Prenatal care, also known as antenatal care is a type of preventive healthcare, with the goal of providing regular check-ups that allow doctors or midwives to treat and prevent potential health problems throughout the course of the pregnancy while promoting healthy lifestyles that benefit both mother and child. During check-ups, pregnant women will receive medical information over maternal physiological changes in pregnancy, biological changes, and prenatal nutrition including prenatal vitamins. Recommendations on management and healthy lifestyle changes are also made during regular check-ups. The availability of routine prenatal care, including prenatal screening and diagnosis, has played a part in reducing maternal death rates and miscarriages as well as birth defects, low birth weight, neonatal infections and other preventable health problems.
The world health organization (who) reported that in 2015 around 830 women died every day from problems in pregnancy and childbirth. only 5 of the women who died lived in high income countries, the rest of the women lived in low income countries.
The who recommends that pregnant women should all receive four antenatal visits to spot and treat problems and give immunizations. Although antenatal care is important for improving the health of the mother and baby, many women do not receive four visits.
There are many ways of changing health systems to help women access antenatal care such as new health policies, educating health workers and health service re-organisation3. Community interventions to help people change their behavior can also play a part. Examples of these interventions are: media campaigns reaching many people, enabling communities to take control of their own health, informative-education-communication interventions or financial incentives. A review looking at these interventions found that one intervention helps improve the number of women receiving antenatal care. However interventions used together may reduce baby deaths in pregnancy and early life, lower numbers of low birth weight babies born and improve numbers of women receiving antenatal care.
Traditional prenatal care in high income countries generally consists of:
Monthly visits during the first two trimesters (from week 1–28) fortnightly visits from 28th week to 36th week of pregnancy weekly visits after 36th week until delivery (delivery at week 38–42) assessment of parental needs and family dynamic.