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Dr. Supriya Gugale

Gynaecologist, Pune

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Dr. Supriya Gugale Gynaecologist, Pune
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Supriya Gugale
Dr. Supriya Gugale is an experienced Gynaecologist in sangvi, Pune. You can consult Dr. Supriya Gugale at Tanushree Hospital in sangvi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Supriya Gugale on has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 40 years of experience on 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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Shinde Nagar, Hirakani Soc. Road, Sangvi, Landmark: Tulja Bhavani Mandir, PunePune Get Directions
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Causes and Treatment of Infertility in Men and Women

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Causes and Treatment of Infertility in Men and Women

If you are having problems conceiving, you are not alone; around one in seven couples has difficulty.

Infertility is often thought of as a female concern, but in fact in a third of the cases, it is because of male problems, such as a low sperm count.

Male infertility is a condition wherein a man is unable to cause a successful pregnancy in a perfectly fertile woman. Male infertility usually stems from deficiencies in the semen (relating to poor sperm count or low sperm motility).

On the other hand, female infertility is as a condition wherein a woman is unable to carry a pregnancy to full term or conceive after an entire year of having unprotected sexual intercourse.

What causes infertility?

Causes of Male Infertility:

  1. Blockage or obstruction either in the production of sperm or its motility leads to infertility. This problem is caused by various factors such as prostate infections or vasectomy (a surgical procedure used for birth control in men).

  2. Difficulty in the production of sperm, either due to genetic or chromosomal causes, can lead to this condition. Damage to the testes or the condition of undescended testes can also result in this disorder.

  3. Hormonal problems caused due to anabolic steroid (a synthetic steroidal hormone with effects similar to those of testosterone) abuse or pituitary tumors (tumors of the endocrine gland) are other factors responsible for male infertility.

Other factors that may play a part in infertility include:

  1. having had inflamed testes (orchitis)

  2. a past bacterial infection that caused scarring and blocked tubes within the epididymis as it joins the vas

  3. having received medical treatment such as drug treatment, radiotherapy or surgery – for example to correct a hernia, undescended testes or twisted testicles

  4. genetic problems

  5. diabetes

  6. lifestyle factors such as being overweight or having a job that involves contact with chemicals or radiation.

  7. Male fertility is also thought to decline with age, although to what extent is unclear.

Causes of Female Infertility:

  1. Ovulation disorders: Ovulation disorders account for about 25% cases of female infertility. This happens either because of under-secretion or other problems in the secretion of the reproductive hormone by the pituitary gland.

  2. Tubal infertility: The fallopian tubes allow the eggs to travel from ovaries to the uterus. Any blockage or obstruction of these tubes results in infertility, owing do the fact that the eggs or the ova do not reach the uterus. Certain factors such as pelvic inflammation (infections of the uterus) can result in the blockage of the fallopian tubes.

Other factors that may play a part include:

  1. age – female fertility declines sharply after the age of 35

  2. Polycystic Ovary Syndrome (PCOS)

  3. gynaecological problems such as previous ectopic pregnancy or having had more than one miscarriage

  4. medical conditions such as diabetes, epilepsy, and thyroid and bowel diseases

  5. lifestyle factors such as stress, being overweight or underweight, and smoking.

Treatment Methods for Males:

  1. Surgery can correct blockage or obstruction in the testes.

  2. Gonadotropin treatment is a treatment method to develop sperm production. This includes injectable medicines which comprise of both the hormones, Follicle-stimulating hormone (FSH) and luteinizing hormone (LH). This mode of treatment has been found to improve sperm motility, morphology and count.

  3. Varicocele treatment method is the enlargement of a varicose vein (swollen or twisted vein) in the scrotum (testicles). The objective of this treatment is to correct abnormal sperm shape.

Treatment Methods for Females:

  1. Fertility stimulating drugs: Fertility restoring drugs are known to induce ovulation in women who have ovulation disorders. They tend to work like hormone stimulators such as the luteinizing hormone and follicle stimulating hormone (FSH) which trigger ovulation.

  2. Surgical process: There are surgical treatment methods available to boost female fertility. Laparoscopic surgery is a minimally invasive surgery that reduces or corrects abnormalities related to pregnancy.

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

2747 people found this helpful

Feeling Low - Signs That Help You Determine It!

MD - Psychiatry -, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Feeling Low - Signs That Help You Determine It!

Low mood refers to a state of mind when you are feeling low due to persistent sadness and loss of interest. Low mood is a very common emotion you might have experienced at least once during your lifetime. But if Low mood is chronic and long lasting for you, then it indicates that you are suffering from clinical depression.

Most mental and emotional health issues are inconspicuous in nature and, therefore, cause more harm than they otherwise should. Most people live with a number of symptoms of Low mood without even realizing it or do little to address it. When the depressive symptoms last for more than 2 weeks and affect the individual's personal, social or occupational life, it is known as clinical depression or major depression.

Here are certain signs to watch out for to determine whether a person is struggling with Low mood:

  1. A significant change in sleeping patterns: If you've been experiencing insomnia lately or have got a habit of oversleeping, then these might be symptoms of Low mood.
  2. Cultivation of a pessimistic approach about everything in life: You feel a sense of hopelessness and that your situation in life will always be the same without any improvement is a sure shot sign that you are suffering from Low mood.
  3. Anger or irritated mood: Having a low level of tolerance, getting angry quickly or always being in an irritated mood can be a prominent sign of Low mood.
  4. Sudden variation in weight or appetite: If you suddenly find that you have lost or gained a significant amount of weight without any substantial reason, then chances are high that it is happening because of your Low mood.
  5. Feeling of guilt without any particular reason: If you have started feeling guilty or constantly blame yourself for everything you've done in the past then the reason behind this may be your state of Low mood.

Low mood is as curable as any other illness. Both medical management and psychotherapy are helpful in treatment. Type of treatment depends on patient's condition, the severity of illness as well as availability. In case you have a concern or query you can always consult an expert & get answers to your questions!

2630 people found this helpful

She has conceived last time and had miscarriage after 2 months. Later when tested she had thyroid stimulating hormone. After treatment now she is okay, and taking tablets continuously. After receiving advice, we tried once, and after the normal cycle after 2 days she got her periods. Kindly advise.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
She has conceived last time and had miscarriage after 2 months. Later when tested she had thyroid stimulating hormone...
Hi Mr. Lybrate-user, first evaluation of cause for abortion is necessary. Please get tsh done, 3 hour glucose tolerance test, lupus anticoagulant, apla please start with folic acid. After reports we will discuss about how to plan further.
1 person found this helpful
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Hi I am 25 years female can you please tell me prepone periods medicine who doesnt have any side effect? because my marriage schedule next week can you help me early?

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Please relaxed and do not go for any this kind of medications as they never come without side effects. You are already having hypothyroidism
3 people found this helpful
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I am 16 year old. I am in relationship with a classmate. We have sex regularly. My boyfriend does not want to use condom. I am very worried because my perîod is late. 1 week. I am scared. I do not know what to do. Please tell me what to do. I can not tell anyone.

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGD(Sexual Medicine & Councelling)
Sexologist, Gurgaon
dear bandita.... perhaps you are unaware that you are playing with fire..quit this relationship immediately otherwise your physical and psychological health is going to suffer a of luck
2 people found this helpful
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Maine iui krwaya hai. Kya isme pregnant hone ke. Chance confirm hote hai mujhe iui ke bad se hi pet me halka sa pain hota hai aur heavy lgta hai to kya ye sahi hai.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Maine iui krwaya hai. Kya isme pregnant hone ke. Chance confirm hote hai mujhe iui ke bad se hi pet me halka sa pain ...
hi Sonam, chances to have pregnancy depends upon Case history . pain in abdomen is due to hormonal variations don't worry about it. you should be positive as their are good chances of getting pregnant. exact chances can be commented after complete case study. wish you good luck!
3 people found this helpful
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Hello, my wife's age is 29 years, her weight is 68 Kgs. We are married since last 2 years & nine months. We want to have child now. We are trying since last 4 months but its not working. And every time we try her periods gets delayed by 4-5 days. Normally she gets it in 28-29 days. We consulted one Gynecologist this month. Doctor asked to do follicular scan for my wife on 9th, 11th, 14th day of period. Scan on 11th & 14th day shows same results that follicle size in left every is 8mmX8mm. Doctor told the egg is not growing, so doctor has given now the CCQ 50 tabs (2 tabs/day) and asked too take from 2nd day of next period (for 5 days). Also Doctor has asked to take MCBM 69 & Orefer XT (since my wife's HB is 11) one /day. But, since the scan (after 11th day) my wife is experiencing small amount of bleeding when she goes for restroom. Even though its very light, its been 10 days. Doctor told its common. I read on internet, it may be because of follic acid tablets or might be because of scan. Please suggest the cause of this light bleeding? And is this follicle not growing a common issue or complex one? We are bit tense. Thanks in advance.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hello, my wife's age is 29 years, her weight is 68 Kgs. We are married since last 2 years & nine months. We want to h...
The medicine has been given to help your wife ovulate. The bleeding may be due to hormonal changes but is not related to the scan or folic acid tablets. Its best to go to a Gynaecologist if the bleeding does not stop so that your wife can be examined and also once the bleeding stops I would advice a PAP smear if not done in the last three years
6 people found this helpful
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I am having sex with my wife hardly daily. Planning to have child. Does hard sex gives pregnant or not.

Homeopath, Surat
I am having sex with  my wife hardly daily. Planning to have child. Does hard sex gives pregnant or not.
Ya. Of course. But semen should go inside. Bd remain for 10 min. To 15 min. Nd your wife should. Turn on side wise lying down position after semen go inside.
3 people found this helpful
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Infertility - Understanding the Reasons Behind it!

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Infertility - Understanding the Reasons Behind it!

Female infertility is not really a rare condition, it happens to one out of six couples. Infertility is a condition in which a woman is unable to conceive despite efforts. There can be a number of causes for female infertility, including problems with ovulation, uterus, fallopian tubes or ovaries. Age can also be a contributing factor to infertility. Following are the reasons that might be responsible for female infertility

  1. Ovulatory problems
    • Cysts in the ovaries
    • Hormonal imbalance
    • Excessive alcohol or drug usage
    • Eating disorders like bulimia or anorexia
    • Excessive weight
    • Enormous stress and pressure
    • Thyroid gland issues
    • Very brief menstrual cycles
  2. Damage of organs of reproductive system
  3. Pelvic inflammatory disease
  4. Scar tissues or adhesions of some sort
  5. Presence of polyps in the uterus
  6. A previous serious infection in the fallopian tubes or uterus
  7. Chronic medical illness relating to the reproductive system
  8. A previous ectopic pregnancy
  9. A birth defect in the uterus or fallopian tube
  10. The DES syndrome where in the infertility can occur to the offspring due to the medication DES is given to a mother in order to prevent miscarriage or premature of the child.
  11. Abnormal presence of cervical mucus can make it more difficult for sperms to reach the egg.

Now that the part about the causes has been discussed, it is essential to discuss the treatment. Are there really ways to reverse infertility in women to make them fertile? Well, in some chronic cases it is not possible; however, some are treatable by the following methods:

  • In the case of hormone imbalance or endometriosis or short menstrual cycles, hormones are taken to treat the problems.
  • Medications can be taken to stimulate ovulations.
  • Fertility enhancing supplements can be used.
  • In case of infection in any of the reproductive parts, antibiotics can be taken to remove them
  • In order to remove blockage or scar tissues from the uterus, fallopian tube or pelvic area, minor surgeries can be performed.

Yes, there are some tips for prevention of infertility

  • Taking all the steps required to avoid sexually transmitted diseases.
  • Avoid intake of illicit drugs
  • Having regular checkups with the gynaecologist
  • Maintaining a healthy lifestyle
  • Exercising regularly
  • Having a healthy sexual relationship

This article is a short walkthrough on female infertility and answers most of the commonly asked questions. In case you have further questions, you can always consult a medical practitioner near you.

4512 people found this helpful

5 Signs of Emotion Abuse in a Relationship!

Post graduate in counselling psychology
5 Signs of Emotion Abuse in a Relationship!

Unfortunately, if you know someone or you yourself are in a relationship with a partner who is cunning, pathological liar, narcissistic, abusive and/or you may not know what you’re dealing with.

Emotional abuse is a form of abuse in which a partner uses verbal assault, fear, or humiliation to undermine the other person's self-esteem and self-worth. Emotional abuse, in reality, can be said worse than physical abuse. Physical abuse can easily be identified by self and by others and generally gets cured with medication whereas emotional abuse leaves no physical marks but destroys the victim’s emotional and psychological well-being, sometimes permanently.

Hence it’s very important that everyone should know the signs of emotional abuse, essentially to understand such situations if ever happens to us or to our loved ones. Eminent Relationship and Marriage Counsellor Shivani Misri Sadhoo shares the signs of emotional abuse as:


Frequent accusations and blame game: If one partner always tries to shift the responsibility and holds another person responsible for their relationship degradation and the rise of issues. The abusive partner hence frequently will use phrases like: “It’s your fault.” What’s wrong with you?” “You didn’t remind me.” “Nothing I do is ever enough.”

Ignoring and silent treatment is too frequent and a common behaviour: One partner shows repeated behaviour of refusing to listen and ignoring their partner’s questions, withholding eye contact and gives “silent treatment.”

Such an act is generally been used to conceal information about where he/she is going, when he/she is coming back, about financial resources and bill payments etc. Gradually such behavior is added with withholding approvals, appreciation, affection, information, thoughts and feelings to corner and control the victim

Contradicting: The abusive partner disapproves and opposes the victim’s thoughts, perceptions or their experiences of life itself. No matter what the victim may say, the abuser uses contradicting arguments to frustrate the victim and wears him/her down.


Disparaging humour: Verbal abuse is often disguised as jokes. The abuser teases, ridicules, and humiliates the victim with sarcastic remarks about his/her appearance, personality, abilities, and values. The abuser makes fun of their partner in front of friends and family because the abuser knows that victim will avoid a public confrontation.

Judging and criticising: The abuser frequently uses harsh and unfair criticism in an effort to make the victim feel unreasonable and guilty.

Remember a healthy, non-abusive relationship is built on support, admiration, empathy, balance, and personal responsibility. These elements add up to a love built on mutual respect. If your relationship feels more abusive than loving, seek help from a therapist.

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