Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 34 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.
Book Clinic Appointment
Management of Abortion
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
Submit a review for Dr. SitaliYour feedback matters!
Hello all, one of my friend had a self wanted abortion in jan later she regret for the decision and decided to get pregnant again. Then she miscarriage at 6 weeks She had the torch test done yesterday Here are the readings Rubella igG = 2.88 Cytomegalovirus cvm igG = 3.56 Rest all infection is negative. Is this miscarriage happened because of above infection? How it can be treated? How to avoid next miscarriage? How to have a healthy pregnancy next time? Since this above infection is positive after how many months she shud try? Will this infection affect next pregnancy? Please suggest She is very upset Even though she had folic acid tablet it's got miscarriage.
Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.
Bleeding during the first trimester:
Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:
- Implantation bleeding. You may experience some normal spotting within the first six to 12 days after you conceive as the fertilized egg implants itself in the lining of the uterus. Some women don't realize they are pregnant because they mistake this bleeding for a light period. Usually the bleeding is very light and lasts from a few hours to a few days.
- Miscarriage. Because miscarriage is most common during the first 12 weeks of pregnancy, it tends to be one of the biggest concerns with first trimester bleeding. However, first trimester bleeding does not necessarily mean that you’ve lost the baby or going to miscarry. In fact, if a heartbeat is seen on ultrasound, over 90% of women who experience first trimester vaginal bleeding will not miscarry.
- Molar pregnancy (also called gestational trophoblastic disease). This is a very rare condition in which abnormal tissue grows inside the uterus instead of a baby. In rare cases, the tissue is cancerous and can spread to other parts of the body.
- Other symptoms of molar pregnancy are severe nausea and vomiting, and rapid enlargement of the uterus.
Additional causes of bleeding in early pregnancy include:
Cervical changes. During pregnancy, extra blood flows to the cervix. Intercourse or a Pap test, which cause contact with the cervix, can trigger bleeding. This type of bleeding isn't cause for concern.
Infection. Any infection of the cervix, vagina, or a sexually transmitted infection (such as chlamydia, gonorrhea, or herpes) can cause bleeding in the first trimester.
Bleeding during the second or third trimesters:
Spotting may also occur during late pregnancy and the possible reasons are listed below.
- Problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.
- Uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.
- Premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.
- Vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.
Investigating early bleeding
Your doctor is likely to begin with an internal examination to feel the size of your uterus and to look for any obvious visible sign of bleeding.
- Ultrasound: After about six weeks of pregnancy the baby’s heart beat can usually be seen on ultrasound. If you have been bleeding, you will likely be offered a vaginal ultrasound because it offers the best possible view of your pregnancy. A vaginal ultrasound is a narrow probe, which is put inside the vagina; it feels much like an internal examination and is quite safe.
- Blood tests: A blood test can measure the level of the pregnancy hormone hCG (human Chorionic Gonadotrophin), which changes depending on how pregnant you are.
No matter when it occurs, any bleeding during pregnancy warrants a phone call to your doctor or midwife, even if only to confirm nothing is amiss. Be prepared to answer detailed questions about the color, amount, and timing of blood in order to best help your practitioner determine the possible cause.
My wife is 14 weeks now. We have done NT and double marker test and it was 1.6 and the risk for downs came low but the doc who had done US say one side she could see the NB amd other side she could not. Can this be a likely scenario. We are so much worried for downs.
Can travelling affect getting pregnant. I travel for about 2000 kilometers in the week ends can this affect pregnancy or getting pregnant.
Hello doctor. I'm 19 year old female. I'm in with my husband in holiday trip. I'm getting a period for past 2 days. Today is 3rd day. I'm take this tablet (rauf-mf. It is a correct tablet to stop my period doctor. This tablet gives any side effects?
Hi, is there any less effect tablets that are available in the market to avoid unwanted pregnancies or to prevent pregnancy? We have been using condoms since last 3 years and feeling not satisfied.
Urinary incontinence is the leakage of urine or urinating involuntarily. Urine is released by a process called micturition where the detrusor muscles of the urinary bladder contract to empty the bladder. This is usually a voluntary action but when the muscular contractions become involuntary, incontinence occurs.
Urinary incontinence may be caused due to stress, pregnancy, obesity, weak pelvic muscles, alcohol intoxication or due to diseases like diabetes, Parkinson's disease and Alzheimer's disease. Children under the age of 5 experience incontinence most often. People above the age of 65 are also prone to the condition. The disorder is observed more in women than in men. The associated conditions of urinary incontinence are:
- Infection in the urinary tract: The risk of bacterial infection is increased due to incontinence and abnormally frequent urination. If you have had an infection in the urinary tract in the past, chances are that incontinence will cause repeated or chronic infectious diseases in the tract.
- Skin diseases: The skin is constantly wet and in continual contact with nitrous urinary toxins like urea, inorganic salts and compounds. So, over time, the skin becomes red and itchy. Rashes and sores may also develop. Sometimes, when you scratch the itchy skin too much, the capillary blood vessels may break and cause a petechial rash - red and brown spots - to appear on the skin.
- Anxiety: There is a constant feeling of shame that accompanies the disorder. Urinary incontinence, which is a common symptom of many medical conditions, is often, not reported to doctors. The patient often avoids socializing due to fear of being unable to control the micturition process in a social situation.
- Depression: Urinary incontinence affects the patient's psychological health directly due to the adverse impact on his or her quality of life. The amount of sleep is often decreased as the patient is afraid of urinating while being asleep. The condition may also cause restrictions on employment and other recreational activities.
- Sexual problems: Most women suffering from urinary incontinence report decreased sexual urges, painful intercourse and are even unable to achieve orgasm in spite of responding to sexual stimulation because of urinary leakage during intercourse leading to embarrassment and withdrawal. If you wish to discuss about any specific problem, you can consult a Urologist.
Hello Doctor, My wife is 6 months pregnant. Can I do safe sex with her? Please suggest me. Thank you.
Meine march mein TSH karaa woh 5.65 tha T3 and T4 normal hai kahi mjh koie problem toh nhi hogea concieve karne mein please tell me what can I do.
Heels are weight bearing part of feet during standing, walking or running. Improper postures or foot wear can cause degeneration of heel and subsequent pain.
Causes for heel pain:
1. Sprains: Improper exercise and improper footwear like high heels can put unnecessary stress on heels and cause pain. Avoid such conditions by using excellent quality heels and avoiding them as much as possible. Exercise should be done under expert guidance.
2. Fractures: Stress or hairline fractures can occur even without trauma and cause pain. In such cases, you should immediately consult a doctor.
3. Plantar fasciitis: A common cause for heel pain, the Plantar fascia at heel can cause severe early morning heel pain. It can be managed with exercises, PRP Injections.
4. Arthritis: Gout, rheumatoid arthritis and other types of arthritis can affect ankle joint and cause heel pain. This can be managed with medications and exercises. In severe cases injections may be needed for treatment.
1. Change in shoes: Shoes play a key role in the development of heel pain. Avoid wearing heels for prolonged period and specially when walking long distances.
2. Foot supports: There are specialized heel supports and wedges, which you can wear with the footwear. These supports help redistribute weight from the problem areas and uniformly distribute it among the other parts of the foot. Heel cups are also another form of supports you could try.
3. Pain relief medications: Over the counter analgesics like Ibuprofen or Paracetamol can help in reducing acute episodes of pain. Self - medication for prolonged periods should be avoided.
4. Ice packs: Application of ice packs decrease pain and stiffness of heel. If you wish to discuss any specific problem, you can consult a pain management specialist.
I'm 10 weeks 5 days pregnant I have brownish discharge I got scanned baby is fyn with 166 hb and cervix is completely closed from where this brownish discharge is coming sometime light red I'm taking secure o and ecosprin tablet for that and I'm nauseated too and tired I'm really scared because I lost my baby in 5 month because of chromosomal abnormality I don't want to lose it too please help me out I'm really scared I need this baby very badly.
Sir/madam my wife was pregnant and got delivered in july from that time I never had sexual intercourse with her .yesterday night I had sex with for which she got bleeding why is it like that is there any problem or else we can continue. Wwhy it bleeds. Today morning when she was in bathroom a little bit blood came out is there need to worry or its normal. please help me and my wife.
Hi, my issue is quite serious. I and my partner (female, 5'5" age-22+) belongs to a conservative family. We intimate 40 days ago from today without any protection. It was 4th time and as usual I gave her unwanted 72. But now after 40 days her period cycle is delayed and tested today by two different pregnancy tool kit, Report is positive. Now my question is, being a member of conservative family and unemployed, can it be possible for me If I provide medicine and after that pregnancy will be dismissed. I mean is it right time for taking medicine, is it safe? Will it work for sure? Pls provide me the solution and medicine name.
For those who are under the age of 35 and healthy, an annual checkup is not necessary, one every 2 to 3 years is fine. Even between 35-45 years if you continue to live a healthy lifestyle and face no medical problems, an annual medical checkup is not essential. But, for those who are above the age of 45, an annual checkup is recommended. The regular checkup will detect any medical issue, which can then be treated effectively. And as you know, early detection can help overcome even deadly diseases like cancer.
What should a checkup involve?
- Essentially a full body checkup starts with obtaining patient and family history to check for any genetic problems. Details on lifestyle habits and exercise routine are also recorded.
- It is followed by a thorough physical examination, which includes measuring blood pressure, checking eye and thyroid, reflex examination, chest examination etc.
- Sometimes depending on factors like the age and patient history a rectal examination may be done. For women, sometimes pap smear (test for cervical cancer) is also recommended.
- A blood test is generally also done. In case, the patient suffers from other problems related tests like Cholesterol, liver function tests, LDLs, HDLs etc. are done.
- The BMI (Body Mass Index) of the patient is taken to measure the weight. Nowadays a waist-hip ratio is generally taken as it offers a more accurate measure.
- After the examination and tests are complete, it is essential that you have a clear conversation with your doctor, and understand how your body is working currently. In case there is a medical problem, make sure that your doctor gives you details about its treatment and cure.
- Don't be afraid to ask questions in case you aren't clear about something. The doctor is there to help you lead a healthy and balanced life.
It helps if you conduct a self-examination of your body at regular intervals. Once a month, conduct a skin examination from head to toe for any abnormal spots, rashes or moles. Consult your doctor on the best way to go about it if necessary.
If you would like to schedule home sample pickup for book full body checkup, click here now.
I have been married for nearly two years. After marriage we thought we'd wait for a year to start a family, and at that time I was on pills. Last August I came off the pill, and I thought I would be pregnant soon, but that didn't happen. We've consulted doctors and went through a battery of tests, which were not only normal but optimal. So, we are thinking of trying alternative methods to conceive. I want to know what are our options, and what'll be the cost.
A pessimistic attitude increases the risk for death from heart disease, a new study reports. The researchers followed 2, 267 men and women 52 to 76 years old. At the start of the study participants were presented six statements and asked to rate, on a 0 to 4 scale, how well the statements applied to them. The text was either positive (for example, in uncertain times, I usually expect the best) or negative (if something can go wrong for me, it will). The scientists found that those in the highest one-quarter of scores on pessimism were more than twice as likely to die of heart disease as those in the lowest one-quarter.
your personality traits can make physical health worse, if you're pessimistic and have some health issues, then it's even more important to take care of your physical health.