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Dr. Sunitha Lalwani

Gynaecologist, Pune

400 at clinic
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Dr. Sunitha Lalwani Gynaecologist, Pune
400 at clinic
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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. Sunitha Lalwani
Dr. Sunitha Lalwani is an experienced Gynaecologist in Satara Road, Pune. You can meet Dr. Sunitha Lalwani personally at Siddhant Maternity Home in Satara Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Sunitha Lalwani 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.

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Hindi

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Siddhant Maternity Home

Survey No. 63/2B Kamala Heritage, Satara Road,Landmark:Near Hotel Basuri, PunePune Get Directions
400 at clinic
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Metabolic Syndrome: How It Puts You At The Risk Of Stroke?

DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Bangalore
Metabolic Syndrome: How It Puts You At The Risk Of Stroke?

Heart disease doesn't affect all women in the same way and neither does it have the same warning signs as heart diseases in men. For women, heart disease is a bigger threat than breast cancer. Cardiovascular diseases also kill more women than men as the disease progresses differently in men and women. Here are a few things you should know about heart diseases.

Women have more atypical symptoms of heart attacks: The classic symptoms of heart attacks are pain in the left arm, chest pain and heart palpitations. Though women may exhibit these symptoms, they are more likely to have atypical symptoms. These include nausea, stomach aches, pain in the shoulders and upper back and extreme fatigue.

Preeclampsia and gestational diabetes can increase risks of heart disease: Even though your blood pressure may go back to normal and conditions like preeclampsia or gestational diabetes may go away post pregnancy, their effects linger on. The risk of heart disease for a woman who suffered from preeclampsia doubles while gestational diabetes can cause glucose intolerance leading to obesity or other such conditions which are risk factors for heart diseases.

Hot flashes could be a sign of heart problems: Hot flashes are usually associated with menopause but may also be a symptom of underlying heart problems. Hot flashes that occur after a exerting a strenuous effort on something can be a sign of angina in women.

Men and women do not face equal risks: Traditional risks to heart diseases such as cholesterol, obesity and high blood pressure affect both men and women but some factors such as diabetes, stress, depression and smoking affect women more than they affect men. Since women tend to lead a more sedentary lifestyle than men, a lack of exercise also affects them more than it affects men. In addition, a low level of estrogen can also increase the risk of cardiovascular conditions. This is usually seen after menopause.

Metabolic syndrome increase your risk of getting a stroke:

There are five metabolic risk factors for heart disease. If you have 3 or more of them, it is termed as metabolic syndrome. These risk factors are:

  1. A waist circumference of more than 35". This is also called abdominal obesity
  2. A triglyceride level higher than 150 mg/dL
  3. A low level of good cholesterol i.e. HDL cholesterol that is less than 50mg/dL
  4. High blood pressure
  5. High blood sugar. This could also be a sign of diabetes.

While some factors like genetics are out of our control, most of these factors can be controlled by conscious lifestyle changes. Your doctor may also prescribe medication for the same. Heart disease can occur at any time so do not take your heart for granted.

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

1879 people found this helpful

Thyroid During Pregnancy - What Should You Do?

Master of Clinical Embryology, DNB - Obstetrics & Gynecology, Diplomat of Indian Board Gynaecology & Obstetrics
Gynaecologist, Nashik
Thyroid During Pregnancy - What Should You Do?

Nothing can be more gratifying than welcoming your bundle of joy into this world. Care needs to be taken during pregnancy to ensure that the developing foetus is healthy. Many pregnant women suffer from Thyroid problems. Thyroid Stimulating Hormone (TSH) is an important hormone produced by the Pituitary gland. TSH regulates the production and action of the Thyroid Hormones (T3 and T4). Estrogen and Human Chorionic Gonadotropin also affects the production of the thyroid hormones. Abnormal level of thyroid hormones in the body can result in Hyperthyroidism (increased production of thyroid hormones) or Hypothyroidism (decreased production of thyroid hormones by the thyroid gland). These conditions, if left untreated, can prove to be fatal for the mother and the baby.

Hyperthyroidism is greatly affected by an autoimmune disease, the Graves disease. The Thyroid Stimulating Immunoglobulin (TSI), produced during Graves disease, interferes with the production of the thyroid hormones. The TSI mimics the TSH to a great extent. This triggers the thyroid gland to produce the thyroid hormones in excess. A woman with hyperthyroidism may complain of increased heart rate, fatigue and increased blood pressure. There may be heat intolerance, tremor, sudden weight loss and Hyperemesis Gravidarum.

Untreated Hyperthyroidism can result in heart ailments, premature child birth, foetal Tachycardia, Preeclampsia (a pregnancy complication characterised by an abnormal rise in blood pressure) and miscarriage. In case of foetal and neonatal Hyperthyroidism, there is low birth weight, heart ailments, irritability and poor brain development.

Blood tests, whereby the levels of T3, T4, TSH and TSI are examined, can help in the diagnosis of Hyperthyroidism. Women with Graves disease should be extra careful. Antithyroid drugs can provide great relief. Most antithyroid drugs successfully cross the placenta and effectively regulate the production of the foetal thyroid hormone. Propylthiouracil (PTU) and Methimazole are effective anti-thyroid drugs.
Most doctors recommend Methimazole during the first trimester and PTU during the last two trimesters.

In case of Hypothyroidism, Hashimoto disease is the main wrecker in chief. This autoimmune disease results in considerable decrease in the production of thyroid hormones. Hypothyroidism can also be aggravated by Thyroidectomy (surgical removal of thyroid gland). Like hyperthyroidism, hypothyroidism during pregnancy can result in serious health complications. There may be stillbirths, congestive heart failure, miscarriage, anaemia, poor brain development of the newborn and Preeclampsia. Symptoms like cold intolerance, muscle cramps, concentration problems, fatigue or constipation should not be taken lightly.

Blood tests (T4 and TSH) go a long way to detect Hypothyroidism. A synthetic Thyroid hormone, Thyroxine, is effectively used to treat hypothyroidism. Including iodine supplements in your diet prove to be helpful in hyperthyroidism treatment.

Thyroid problems, though serious, can be successfully treated. A little alertness during pregnancy can shield both the mother and the newborn from the harmful consequences.

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

2526 people found this helpful

If I have sexual intercourse with my GF .Is taking one oral contraceptive pill after intercourse is enough to prevent pregnancy?

MD - Obstetrtics & Gynaecology
Gynaecologist, Faridabad
If I have sexual intercourse with my GF .Is taking one oral contraceptive pill after intercourse is enough to prevent...
No. You have to take regular contraceptive pills every month. Pills will not be effective in the first month so you would require additional contraception
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I am 24 years old girl, unmarried.my height is 5.2 ft and weight is around 45 kgs. I have frequent pain in my legs and also my menstrual cycle is not normal period occurs late. I also have problem of dysentery it occurs after every few days. Please suggest me diet so that I can gain some weight and get rid of these problems. I also thinks everything too much.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
I am 24 years old girl, unmarried.my height is 5.2 ft and weight is around 45 kgs. I have frequent pain in my legs an...
Here are 10 more tips to gain weight: Don't drink water before meals. This can fill your stomach and make it harder to get in enough calories. Eat more often. Drink milk. Try weight gainer shakes. Use bigger plates. Add cream to your coffee. Take creatine. Get quality sleep.
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Why Viagra Does Not Always Work

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Why Viagra Does Not Always Work

Over-the -counter drugs are not for all even if the problem is common, as there are certain conditions which hinder the proper functioning of the medicine in a person. Thus, before popping a pill we should always consult a trained practitioner. Erectile Dysfunction and Premature Ejaculation are some of the health and sex related problems that can lead to the use of Viagra. This drug was released at the end of the 90s, and it seeks to help people who primarily suffer from occasional impotence and other related issues. These problems can be caused due to psychological problems like stress and anxiety, as well as other reasons including heart disease, diabetes and other such chronic ailments. Yet there are many instances where this drug does not work. Let us find out more about the causes for the same.

  1. Heart Conditions: To begin with, Viagra cannot be ingested by anyone and everyone. If you are a patient of any kind of cardiovascular diseases and have been prescribed drugs that contain nitrate, then Viagra is not for you. This drug can hinder the work of the medicine and cause some serious side effects, which may make your chronic ailment even more problematic and severe.
  2. Side Effects: Viagra tends to have a lot of side effects for people and does not work efficiently in such cases. One of the most prominent side effects includes prolonged and persistent headache, which can actually last days. Also, the patients may suffer from temporary colour blindness and may not be able to tell colours like yellow and orange apart. 
  3. Narrow Blood Vessels: When a man gets an erection, the blood usually flows at a rapid rate into the penis so that the member increases in terms of size, thickness and length, with subtle changes in the colour as well. This happens through the blood vessels where the blood flows in from. These are known as in and out vessels. If these vessels happen to be too narrow for a patient, then the erection will not be able manifest. This is also one of the primary reasons why Viagra does not work for some people.
  4. Arteries: One of the other reasons why Viagra may not work is the arteries. If the arteries are too narrow and not strong enough, then they will not be able to support the flow of blood for the erection to happen. This can cause problems in achieving and maintaining an erection, in which case Viagra cannot work properly. 
  5. Drug Intolerance: The primary work of Viagra is to help the blood vessels in relaxing. Yet, it is possible that the patient may develop some amount of intolerance towards the drug that will end up restricting its action.

There are many instances when a drug like Viagra may not work. In such cases, you can turn to long term therapy or ask your doctor about any alternative medication for the condition.

3697 people found this helpful

My wife aged 25. We got married 1 year before. No children. For her occurring menses is irregular. It is 50 days now she is yet to get menses. We are taking all family planning precautionary measures. Please advise medicine for her to get menses.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sujanpur
My wife aged 25. We got married 1 year before. No children. For her occurring menses is irregular. It is 50 days now ...
First giv her good diet ie fruits, green vegitables, avoid sour, spicy food, excass tea, cofee, soft drinks also go for hb% test then go for ayurvedic treatment it will definitly help you.
1 person found this helpful
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Missing Periods - Ways They Can Be Treated!

MBBS, MS, DNB, Rcog London
Gynaecologist, Muzaffarpur
Missing Periods - Ways They Can Be Treated!

The absence of periods is medically termed as amenorrhoea. Normally, women do not get their periods prior to puberty, throughout pregnancy and after menopause. If you do not get your periods when you normally should, you might be suffering from amenorrhoea.

Amenorrhoea can be of two types, which include:

  1. Primary amenorrhoea: menstruation does not begin till age 16
  2. Secondary amenorrhoea: normal menstruation is disrupted when you skip your periods for more than three months

Causes
Amenorrhoea is usually caused by a variety of changes in the hormones, glands and organs responsible for a healthy menstrual cycle.

Primary amenorrhoea is usually caused by:
1. Deterioration in the ovaries
2. The central nervous system (spinal cord and brain) or pituitary gland can get affected, which leads to the malfunctioning of the hormones which are concerned with menstruation.
3. Poorly developed reproductive organs

However, in several cases, what really causes primary amenorrhoea is unknown. The causes of secondary amenorrhoea include:
1. Pregnancy
2. Breast feeding
3. Discontinuation of birth control use
4. Menopause
5. Polycystic ovary syndrome induced hormonal imbalances
6. Removal of ovaries or uterus

Symptoms
Usually, underlying conditions can lead to amenorrhoea. The conditions that lead to amenorrhoea include:
1. A condition called galactorrhoea, in which the glands in the breasts produce milk, even if the woman is not breastfeeding or pregnant; can also cause absent periods.

2. Hirsutism, an overproduction of the male hormone androgen, can lead to amenorrhoea.
3. Premature failure of the ovaries can cause absence of periods.
4. Weight gain or weight loss is another cause
5. Psychiatric anomalies, such as excessive anxiety, can cause women to develop amenorrhoea.

Treatment
Amenorrhoea can either be treated with medication or surgery.
1. Dopamine agonists (dopamine activating compounds) are extremely beneficial for women with amenorrhoea.
2. Hormone replacement therapy (treatment with the use of oestrogens for reducing menopausal symptoms) is a very common treatment.
3. Sometimes, oral contraceptives may restore your normal menstrual cycle.

The surgery options for amenorrhoea include:
1. Surgery or radiation therapy may have to be performed if you have a tumour in your pituitary gland or hypothalamus (part of brain that controls the release of hormones from the pituitary gland).
2. If you have an intrauterine attachment (contraceptive attachments fitted in the uterus), you may need surgery to remove it.

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

2463 people found this helpful

I am of age 30 and having 2 children 9 yr's and 5rs old. Getting liquid drop from breast when squeezing my nipples with fear and the color of drop is light milky. I am very healthy.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Nipple discharge refers to any fluid that seeps out of the nipple of the breast. ... One or both breasts may produce a nipple discharge, either spontaneously or when you squeeze your nipples or breasts. A nipple discharge may look milky, or it may be clear, yellow, green, brown or bloody.Reasons for lactating when not recently pregnant can range from hormone imbalances to medication side effects to other health conditions. The most common cause of breast milk production is an elevation of a hormone produced in the brain called prolactin. ... medications. underlying medical issues.Women who aren't pregnant but who wish to lactate can take a daily regimen of hormones to mimic these processes that occur during pregnancy. Typically, hormone therapy is discontinued shortly before breast-feeding begins. At that point, the baby's suckling is thought to stimulate and maintain milk production.
1 person found this helpful
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I am hvng pcod Pcod profile test DHEAS-393.6 S.prolactin-35.57 Taking cabgolin 0.25 mg But after that frm mrng m not feeling well Headache, vomit in the mrng havness etc.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I am hvng pcod Pcod profile test
DHEAS-393.6
S.prolactin-35.57
Taking cabgolin 0.25 mg But after that frm mrng m not ...
You can be having side effect of the pill and need review with the prescribing doctor Normal blood levels of DHEA-sulfate can differ by sex and age. Typical normal ranges for females are: Ages 18 to 19: 145 to 395 micrograms per deciliter (µg/dL) or 3.92 to 10.66 micromoles per liter (µmol/L). The normal values for prolactin are: Males: less than 20 ng/dL (425 mIU/L ) Nonpregnant females: 5 to 40 ng/dL (106 to 850 mIU/L) Pregnant women: 80 to 400 ng/dL (1,700 to 8,500 mIU/L)
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