Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 29 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 with Dr. V M Joshi
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. V M JoshiYour feedback matters!
Great Doctor and very Polite and Well experience he will clear all your doubt and explain every process in simple. fees are also not too high as doctors experience is concerned we definetly recommend for normal delivery.
Is cesarean more problematic then normal delivery of twins During cesarean will pregnant lady remains awake?
Hi. Am not getting my periods it's been two month's. I am not getting wat happened. Can you please suggest me wat to do. I took an appointment vth you for too. Evening.
Maintaining proper vaginal hygiene is imperative to ward off any sort of STDor STI, even before any sort of irritation, infection or disease occurs. The normal vaginal pH balance helps cater to the growth of useful bacteria. Some useful tips to maintain proper vaginal hygiene can be:
Douching (spraying a mixture of water, baking soda, vinegar or iodine on the vaginal area) is strictly discouraged. It can interfere with the normal pH levels of the vagina and can make the area extremely acidic, which sets the stage for the growth of bacterial infections.
A balanced, healthy, nutritious diet is recommended for a healthy vagina as well as for good reproductive health. Certain fluids such as cranberry juice can help prevent the onset of any yeast infection.
Safe sex should be practised in order to keep harmful bacteria away. Using a condom during a sexual intercourse helps prevent the occurrence of any sort of STI or STD.
Gynaecological check-ups should be done every four months or so to be on the safe side regarding any doubts about unhealthy vagina. Prevention is always better than cure in the long run.
Petroleum jelly should not be used for lubrication during sexual intercourse as such fluids tend to damage the latex in the condom and may even lead to a possible infection.
Clothes should be chosen carefully to keep the vaginal area clean and dry. Cotton underwear is generally the best option in this regard as it can help prevent any bacterial infection by keeping the area clean and dry.
Certain simple sanitary habits such as changing of tampons or sanitary pads every four hour during one’s periods, proper washing of the genital area after relieving the bowels, can go a long way in nurturing the health of the vagina.
Opt for gentle skin care products to wash the vaginal area as that area is extremely sensitive. Avoid scrubbing the vaginal area as well. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
A woman’s body is controlled by hormones beyond imagination. Be it her mood or her hair, hormones play an important role in all of it. Menopause is a turning phase in a woman’s life. With the estrogens levels reducing in the body, there are multiple changes that the body goes through, and hair loss is also one of them. Imagine clumps of hair coming out when you comb or a patch of baldness on your scalp. For women, as it is, menopause brings a depressing phase, and this hair loss adds to their woes.
Why does it happen?
Menopause causes a reduction in estrogen levels, which is essential for hair growth. Therefore, low levels of estrogen lead to significant hair fall. In parallel, if there is an increase in testosterone levels, it results in shrinking hair follicles and promotes hair growth. This, in turn, leads to increased hair growth on the face and hands.
The additional medications that are being taken, food habits, lifestyle habits like alcohol and tobacco, and stress also add to the hair fall.
However, the only way to deal with it to correct the hormonal imbalance in the body.
- General hair care: With menopause setting in, make sure you switch to a gentler shampoo and be easy on your hair. Remove tangles with care. Use a softer comb.
- Give your scalp a good massage to improve blood flow and promote hair growth
- If required, apply oil or creams which have keratin to strengthen hair.
- Hair care tools: Reduce the use of dryers and ironing tools. Perming and coloring also can make it dry and brittle, which is easier to break.
- When you are out exercising, make sure your hair is well protected. Swimming caps, wide-brimmed hats are essential to prevent hair from direct damage.
- Ensure there is sufficient protein, minerals, and vitamins in your diet to provide the ingredients for hair growth. Including fish, walnuts, almonds, and other fatty foods is a good way to nourish your hair externally.
- Manage stress via multiple ways – meditation, exercise, music, yoga, etc. Stress in itself leads to hair fall, and so controlling stress is very important
- Drink it up: Water is one of an essential ingredient and drinking up to 8 glasses a day help a great deal in managing hair health too.
- Exercise: It is very important to pick an exercise regimen that works for you and adhere to it. Whatever works for you, be it gymming, swimming, cycling, jogging, or running. This not only controls hair fall, but also improves the overall quality of your life.
Menopause doesn't necessarily be the end of a phase, it can also be the beginning of another great one!
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hello Doctor, I just want to ask a question about my mensuration. I had menses on 2 july and after that on 29 july morning the bleeding starts for the next time, I thought it is periods time again but after some hours, bleeding stopped and for next 2 days bleeding was only 2 or 3 drops. Now its 5 august and no more bleeding is there. So why is this happening and why bleeding is not regular? Nothing like this happened before. Please may I know about this.
Diet for PCOD and Scope of Homoeopathy
PCOD is a very common condition seen in women these days. Women with PCOD are more prone to developing serious health conditions. There are several causes that lead to this condition, one of the primes of them being the diet we choose and our lifestyle. Given below are some important Do’s and Don’ts to follow, for women with PCOD and for all those who would like to prevent this condition. A little extra care if taken in effectively managing our diet and lifestyle could go a long way in preventing PCOD.
- Wheat products (wheat bread, wheat pasta)
- Natural diuretic fruits
- Raw fruits (especially apple, pear etc.) and vegetables
- Oats, Corn, Butter, eggs, almonds, peanuts, pumpkin, beans, cabbage, cauliflower, cucumber, eggplant, lettuce, mushroom, onions, peppers, spinach, vegetable oil, soya beans, apricots, blueberries, cantaloupe, cherries, figs, grapes, honeydew, lemon, tomato juice, kiwi fruit, pineapple, plum, raspberries, strawberries, watermelon, mango, cheese, radishes, olive oil, nuts, salmon fish, flaxseeds
- Protein rich foods
- High fiber rich food and Vit B rich food
- Opt for lean meat. Avoid chicken though, as they may be injected with male hormone to increase the muscle bulk, which would trigger PCOD
- Move to Soy products instead of milk, as milk has the tendency to increase the testosterone levels
- Include 1-2 litres of water in your diet, which avoids water retention
- Divide meals into small healthy 5-6 meals per day, instead of 3 heavy meals and never miss breakfast
- Sit –ups, push –ups
- Skipping helps you to lessen binge eating, the release of serotonin and dopamine will keep your stress levels low.
- Stress free methods such as Yoga, meditation, listening to music etc.
- All whites (Maida, white bread, pasta, etc.)
- Junk or fast foods, cakes, cookies, sweets, chocolates, soft drinks and soda, desserts etc.
- Avoid red meat, whole milk dairy, fried food, margarines
- Reduce Sodium intake, by avoiding sauces, chips, salted nuts, canned soups
- Quit smoking –as it stimulates Androgen
- Avoid alcohol
Scope of Homoeopathy in PCOD:
Homeopathic approach towards management of PCOD is constitutional, taking into account the presenting complaints along with physical, mental and genetic make-up that individualizes a person. It involves prescribing “Constitutional Medicine”, which is also capable for working on the Ovaries and the entire Endocrine system. The treatment logic varies depending on the presence of any genetic predisposition, physical makeup (obesity), peculiarities of your menstrual, etc. In Homoeopathy, medicines are given to induce ovulation in a natural way, which would improve and regularize your menstrual cycle and also helps in the prevention or minimization of cyst formation.
Feel free to drop a personal message for any query
It is made by cells formed in the placenta, which nourishes the egg after it has been fertilized and becomes attached to the uterine wall.
Levels can first be detected by a blood test about 11 days after conception and about 12-14 days after conception by a urine test.
Typically, the hCG levels will double every 72 hours. The level will reach its peak in the first 8-11 weeks of pregnancy and then will decline and level off for the remainder of the pregnancy.
Key Things To Remember About HCG Levels -
- As you get further along in pregnancy and the hCG level gets higher, the time it takes to double can increase to about every 96 hours.
- Caution must be used in making too much of hCG numbers. A normal pregnancy may have low hCG levels and result in a perfectly healthy baby. The results from an ultrasound after 5 -6 weeks gestation are much more accurate than using hCG numbers.
- An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy.
- The hCG hormone is measured in milli-international units per milliliter (mIU/ml).
- A transvaginal ultrasound should be able to show at least a gestational sac once the hCG levels have reached between 2,000mIU/ml. Because levels can differentiate so much and conception dating can be wrong, a diagnosis should not be made by ultrasound findings until the hCG level has reached at least 2,000.
- A single hCG reading is not enough information for most diagnoses. When there is a question regarding the health of the pregnancy, multiple testings of hCG done a couple of days apart give a more accurate assessment of the situation.
- The hCG levels should not be used to date a pregnancy, since these numbers can vary so widely.
- There are two common types of hCG tests. A qualitativehCG test detects if hCG is present in the blood. A quantitative hCG test (or beta hCG) measures the amount of hCG actually present in the blood.
- Guideline To HCG Levels During Pregnancy
hCG levels in weeks from LMP (gestational age):
- 3 weeks LMP: 5-50 mIU/ml
- 4 weeks LMP: 5-426 mIU/ml
- 5 weeks LMP: 18-7,340 mIU/ml
- 6 weeks LMP: 1,080-56,500 mIU/ml
- 7-8 weeks LMP: 7, 650-229,000 mIU/ml
- 9-12 weeks LMP: 25,700-288,000 mIU/ml
- 13-16 weeks LMP: 13,300-254,000 mIU/ml
- 17-24 weeks LMP: 4,060-165,400 mIU/ml
- 25-40 weeks LMP: 3,640-117,000 mIU/ml
* These numbers are just a guideline, every woman's level of hCG can rise differently. It is not necessarily the level that matters, but rather the change in the level.
What Can A Low HCG Level Mean?
A low hCG level can mean any number of things and should be rechecked within 48-72 hours to see how the level is changing.
A low hCG level can indicate:
What Can A High HCG Level Mean?
A high level of hCG can also mean a number of things and should be rechecked within 48-72 hours to evaluate changes in the level.
A high hCG level can indicate:
- Miscalculation of pregnancy dating
- Molar pregnancy
- Multiple pregnancy