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Dr. Tushar Panchanandikar

Gynaecologist, Pune

500 at clinic
Dr. Tushar Panchanandikar Gynaecologist, Pune
500 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Tushar Panchanandikar
Dr. Tushar Panchanandikar is a renowned Gynaecologist in Dhankawadi, Pune. You can visit him at Disha Nursing Home in Dhankawadi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Tushar Panchanandikar on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 25 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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Disha Nursing Home

Raut Baug, Dhankawadi Main Road, Dhankawadi,Landmark: Gulab Nagar, PunePune Get Directions
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I'm 33 years female. Trying to conceive from 1 year but didn't get success. I started treatment from last month and take letroz only. In ultrasound it founded that my egg size is 15 mm only. But this month I am missing my period. Today I checked pregnancy and its negative. please help me.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I'm 33 years female. Trying to conceive from 1 year but didn't get success. I started treatment from last month and t...
I think you should continue to try for atleast two three months more, and take proper medications and still if you are not able to, then you might need a bit more advanced treatment to enhance your fertlity, in case you need any further information or assistance you may get back to us.
2 people found this helpful
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Health Benefits of Coconut Water

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
Health Benefits of Coconut Water

In this scorching heat, it makes us feel so hot, tired and dehydrated.
Everyone suggests us to drink a lot of water but somehow we don't like plain water and we add artificial flavours to it to quench our thirst or we opt for soft drinks/sodas. But it doesn't help.

What we need in this summer is Coconut Water.

Coconut water is a very refreshing drink to beat tropical summer thirst. Its liquid is packed with simple sugars, electrolytes, and minerals to replenish dehydration conditions inside the human body.

Coconut water replaces the fluid loss from the gastrointestinal tract and to reduce the need for hospitalisation.

The osmolarity of tender coconut water is slightly greater than that of WHO recommended ORS (Oral Rehydration Therapy) solution.

The presence of other biological constituents like amino acids, enzymes, minerals, and fatty acids may account for this higher osmolarity. Nonetheless, unlike WHO-ORS, its water is very low in sodium and chlorides , but rich in sugars and amino acids. This well-balanced fluid composition, along with much-needed calories, would be an ideal drink instead of any other kind of soft drink beverages available in the markets to correct dehydration conditions.

2 people found this helpful

Hi Doctor, My wife is feeling breast pain from last 4 -5 days. Can it may be symptoms of pregnancy? But 8-9 days still remain in next period. We didn't observe other pregnancy symptoms except Brest pain which she never felt earlier like that. When we can go for pregnancy test. Please advise. Thanks.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi Doctor, My wife is feeling breast pain from last 4 -5 days. Can it may be symptoms of pregnancy? But 8-9 days stil...
Breast pain sometimes is also there at the premenstrual phase, so ideally you should wait for the due date, and if you miss your due date by 4 to 5 days you may do a Urine pregnancy test to confirm for pregnancy.
3 people found this helpful
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Hi I am 29 years old and its been almost 1 year I am married. Me and my wife (age 28) are planning for a baby now. We are trying from last 2 months but my wife has not conceived yet. My wife never took any pills and we take good diets too including almonds cashew green veg egg etc. Kindly help us.

MD - Obstetrtics & Gynaecology
Gynaecologist, Faridabad
Hi I am 29 years old and its been almost 1 year I am married.
Me and my wife (age 28) are planning for a baby now.
We...
Don't worry. Remain stress-free. It might take upto a year to succeed. If her periods are regular, less likely that there would be any problem. You can do your sperm count ( semen analysis) if you are too anxious. Try during fertile period of the cycle that's between day 10 to day 18 of the cycle, if her cycles are regular.
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What are the negative effects of masturbation?is it dangerous for our future life?can erected semen cause disability to do sex?

MD-Dermatology, MBBS
Sexologist, Pune
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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How Your Diet Affects Your Overall Physical Health

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
How Your Diet Affects Your Overall Physical Health

How your diet affects your overall physical health

The fuel that runs all your bodily processes and enables you to do everything is food. Following the right diet and having correct eating habits can help in preventing as well as treating diseases that may affect you. On the other hand, poor dietary habits and food choices can have adverse long-term effects.

Food has a direct relationship to physical health. Here's how they are related:

  • the nutrients that you get from a balanced and healthy diet keep your brain active, and your heart and muscles working. They also help in building your bones, muscles and tendons in addition to regulating body processes like blood pressure.
  • it supplies you with energy so that you are able to carry out your daily activities with ease. From strength to coordination and agility to speed, your food is the source of power for all these levels of performance.
  • having a healthy diet ensures your body movements are executed with minimal effort. In contrast, a poor diet can make each of your body movement an effort that is filled with strain, stress and pain.
  • the consumption of fruits and vegetables as well as whole grains enables you to function properly and not suffer from energy spikes and breakdowns that a carbohydrate and sugar-rich diet may bring about.
  • having foods that are high in trans fats such as cookies, pies, cakes or doughnuts and saturated fats such as red meat, butter or cheese alongside fatty meats puts you at risk of developing major health diseases that can affect your physical well-being.
  • the consumption of foods that are rich in unsaturated fats such as fish, nuts and vegetable oils protects and restores your body.
  • eating a balanced diet ensures you don't end up putting on excess weight, thereby lowering your risk of acquiring diet-related ailments such as diabetes, heart disease, and cancer.
  • additionally, following a healthy diet plan also ensures you don't end up with eating disorders like bulimia, anorexia and binge-eating disorder that are detrimental to your physical health. 

If you would like to consult with me privately, please click on'consult.

3601 people found this helpful

Doctor gave me foliculin Injection during 4th day of period. What's the use of this and can we take it during periods. Thanks.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Doctor gave me foliculin Injection during 4th day of period. What's the use of this and can we take it during periods...
Hello, its used for promoting follicular growth and recruitment during the early phase of cycle. To be started from day 4/5 of cycle and can be taken if menses are continuing on day 5.
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What is the recommended food and exercises to reduce or eliminate polycystic ovarian syndrome. My wife is having pcos and has a heavier lower abdomen. Is it somewhat risky or curable?

MBBS
General Physician, Jalgaon
What is the recommended food and exercises to reduce or eliminate polycystic ovarian syndrome. My wife is having pcos...
Please Do following. Wake up early go for morning walk in greenery daily with relaxed mind Do pranayam and yoga daily Do perineal and pelvic exercises daily Avoid oily spicy and fast food, non veg food, processed food, rice, maida containing items like biscuits toast bread khari etc Take salads and fruits more Take carrots and beet root juice daily Take Ashokarishta 20 ml Twice a day for 6 mths Lohasav 10 ml Twice a day for 6 mths Cap evecare by Himalaya 2 2 for 6 mths Do sonography of abdomen after 3 mths Send me report on Lybrate.
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I am married n I have missed my periods. Date was 16 n till now I did not got n we both are not intimated from last 3 months. What should I do. Can I take Mensovit plus capsule and how and when to take can you tell me. There will b any side affect if I take n want to get in periods.

DHMS (Hons.)
Homeopath, Patna
I am married n I have missed my periods. Date was 16 n till now I did not got n we both are not intimated from last 3...
Hello, you should go for a home pregnancy. Test to confirm the exact position. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs.• Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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The Vampire Facelift - What Should You Know?

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Thane
The Vampire Facelift - What Should You Know?

There are many cosmetic procedures that are accessible to patients who need to surgically reposition the facial tissues that have loosened as one ages. One of them is the Vampire Facelift which uses infusions of the patient's own blood through an element known as Selphyl.

The Vampire Facelift, or Platelet Rich Plasma (PRP), includes extracting spoons of a patient's blood from their arm and spinning it in a rotator to isolate the plasma - the liquid part - from the red and white platelets.

The concentrated plasma, which is rich in platelets, is then infused into the face. A few experts pump it with dermal fillers to further lift up the loosened zones, for example, under the eye. The procedure is as follows:

  1. Blood from the arm is extracted, which is then spun in a rotator to isolate the platelets.

  2. The platelets are then re-infused into the skin with a fine needle and just infused into the areas that need be lifted or rejuvenated.

  3. These infusions include a little fat as well, to make a smooth, rounder and plumper appearance.

  4. During the Vampire facelift procedure, Hyaluronic corrosive (HA) fillers are utilised which help in lifting the skin from the bone to give your skin a decent shape with a younger look.

  5. Again this HA filler would pursue the wrinkle that is connected with your face and make an alternate shape of the face which might look different from the original one.

Some of the advantages of this facelift are:

  1. Change in skin surface and tone.

  2. Reclamation of facial shape.

  3. Growing new and younger tissues.

  4. Superior option to neurotoxin (Botox) and different infusions.

  5. Infusion of the blood causes no bruising, as it is a thin, watery liquid.

  6. No allergy testing is required as the substance is the individual's blood.

However, there are certain disadvantages as well. These are as follows:

  • Most plastic surgeons do not believe in the efficacy of this procedure.

  • Uncertainty whether Selphyl has been FDA approved for facial revival.

  • There will be some redness in the rejuvenated area.

  • The Vampire Facelift takes a few weeks to bring about results.

  • The disadvantage with HA fillers is the way it will make your eyes hurt.

The infusions are not just used to smoothen the wrinkles on the face. It can likewise be utilised on different parts and areas of the body with diminished volume or wrinkles. The technology that is behind the Vampire Facelift is not new. Doctors have been utilising one's own plasma to help other procedures like bone mending after spinal wounds and to recover delicate tissues after plastic surgery for a long time. Like any sort of medicinal technique, it is important to conduct appropriate research to check whether it is ideal and suitable for your body and skin type. If you wish to discuss about any specific problem, you can consult a dermatologist and ask a free question.

2507 people found this helpful

Treating Infertility Caused by PCOS With IVF

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Treating Infertility Caused by PCOS With IVF

PCOS is an abbreviation for Polycystic Ovarian Syndrome. It is a problem that is caused in women when their hormones are out of balance. It affects menstrual periods and can even hinder conception when aggravated to an advanced stage. Many women having PCOS develop small cysts on their ovaries. These cysts might not be harmful, but they lead to hormonal imbalances. 

Common symptoms include:

  1. Gain of weight or Weight loss problems
  2. Acne
  3. Excess hair on body and face
  4. Irregularities in periods
  5. Fertility problems
  6. Depression

It is possible for most women with PCOS who fail to attain pregnancy easily to use other treatments to get pregnant. Using In vitro fertilization (IVF) is one such mode of treatment. The procedure is helpful if done within the age of forty. You should undergo IVF only in a high quality clinic under the supervision of an experienced doctor.

There is a considerable amount of risk of having a higher order multiple pregnancy due to treatment of PCOS infertility using injectable gonadotrophins. Recent developments have allowed the patients to maintain high rates of pregnancy while simultaneously controlling the risk of multiple pregnancy. A variant of the standard IVF treatment known as Blastocyst embryo transfer is useful in the control of multiple birth rates. Generally, success rates for IVF treatment in cases where infertility is caused due to PCOS is quite high.

IVF Protocols for PCOS
There are two simulation protocols that are commonly used with PCOS:

  1. Ganirelix with Lupron trigger protocol: Used to avoid ovarian hyperstimulation syndrome.
  2. PCOS down-regulation protocol

This protocol combines:

  1. Oral Contraceptive Pills
  2. Metformin

A calendar is followed for the down regulation protocol for PCOS. Before starting with Lupron, a dosage ( 500 mg, 3 times a day) of metformin is followed daily. After this, oral contraceptive pills are prescribed for around 21 days. Lupron coincides with the last 3 pills of birth control. 

Lupron is a subcutaneous injection of a medicine that is taken once daily. Simulation of the ovaries is initiated after 6 or 7 days without using pills. It is very important with polycystic ovary that the dose of FSH hormone is properly controlled and that the ovarian response is cautiously monitored. Over response to the treatment can cause ovarian hyperstimulation syndrome. This should be avoided.

1 person found this helpful

I am 23. I had normal periods on 14th nov. I had unprotected intercourse on 21st nov. I had unwanted 72 on the same day. Now for last 2 days I am suffering from severe pain in waist and lower abdomen for 2 days followed by bleeding once during urination. I am afraid of this irregularities. Am I safe from pregnancy? What r the reason behind? What to do?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 23. I had normal periods on 14th nov. I had unprotected intercourse on 21st nov. I had unwanted 72 on the same d...
Hello, You are safe from pregnancy as you were anyhow in your safe period. BUt these are high dose progesterone effects and can be reduced with increasing daily water intake.
1 person found this helpful
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I'm really in need of help. Okay so on 11 February I had an ipill and had the ipill period on 16 I guess. I'm supposed to get my period on 1st of every moths. I missed my period in March. Like I don't get it at all and had a urine test which shows negative results. I had a lot of bloating and abdominal cramping. Nowadays I'm having back ache and lot of pain in the ovaries. I also had a few white discharges. I'm panicking and I really need a doctor to help. The previous Doctor I was chatting with closed the conversation just without giving the proper guidance can someone please help me. I'm really feeling depressed I need help. I'm just 18.

MBBS
General Physician, Chandigarh
After taking ipill your regular cycle sometime gets disturbed so if your pregnancy test was negative don't panic wait for your next cycles uour abdominal cramps could be an indicatio of uour coming periods and if they don't come then repeat the pregnancy test for white discharge little bit of it is normal but if in excess then contact me in private questions section on lybrate I will clear your doubts and help you.
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If I do not want a baby then is it always necessary to use condom while doing sex or sometimes I can do sex without condom also? Please clarify?

FICOG, FICS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
If I do not want a baby then is it always necessary to use condom while doing sex or sometimes I can do sex without c...
Yes. In case of regular cycle use during fertile period. That is 8 to 18 days in the middle of 28 cycle.
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I am married for 6 years and planning for kids for last 3 years .Doctors has advised that everything is normal and you keep trying for it. But I have a problem of premature ejaculation .is it in any way could be the cause that my wife is not conceiving. Please help.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I am married for 6 years and planning for kids for last 3 years .Doctors has advised that everything is normal and yo...
If you are achieving ejaculation within the vagina, then premature ejaculation is not the reason for not conceiving.
2 people found this helpful
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I am 48 and had married 3 years ago. I have been detected with fibroids in the uterus. Can I remove them and will be able to conceive. Thank you.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Nashik
I am 48 and had married 3 years ago. I have been detected with fibroids in the uterus. Can I remove them and will be ...
With increasing age. There biological aging. Ovarian reserve is depleted. Size & position of fibroids matters. If symptomatic you have to remove fibroids but that will not assure conception. Pregnancy at age of 48 will depend on other factors also. Get thoroughly investigated.
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