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Dr. Vasant Khandge

MBBS

Gynaecologist, Pune

37 Years Experience  ·  1000 at clinic
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Dr. Vasant Khandge MBBS Gynaecologist, Pune
37 Years Experience  ·  1000 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Vasant Khandge
He has been a practicing Gynaecologist for 37 years. He is a MBBS . Save your time and book an appointment online with Dr. Vasant Khandge on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. Find the best Gynaecologists online in Pune. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Poona University - 1980
Languages spoken
English
Hindi

Location

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1000 at clinic
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Dr Khandge hospital

Dr Khandge hospital Pune Pune, Maharashtra - 411027pune Get Directions
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If someone is having symptom. Of adrenal cancer. Does not it can be easily detected in ultrasound after six month?

MBBS
General Physician, Mumbai
If someone is having symptom. Of adrenal cancer. Does not it can be easily detected in ultrasound after six month?
Swelling can be detected in an ultrasound but to confirm whether it is a cancerous type we have to do a biopsy.
1 person found this helpful
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Prolactinoma - All You Need To Know About It!

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Prolactinoma - All You Need To Know About It!

The body functions are controlled by hormones which are produced by various endocrine glands (named so because these glands secrete hormones directly into the body). There are various endocrine glands, and these are controlled by the master endocrine gland which is the pituitary gland.

The pituitary gland is attached to the base of the brain. It also produces prolactin which helps regulate milk production when a woman is breast-feeding. To a smaller extent, it also has some effect on other hormones.
Prolactinoma is a benign tumour of the pituitary gland which produces large amount of prolactin. The cells in the pituitary gland multiply to produce large amounts of prolactin. In people with prolactinoma, there are reduced amounts of oestrogen in females and testosterones in males.

Causes: Though the cause is unknown, a genetic connection believed to exist. Also, people who are hypothyroidic, pregnant, and/or breast-feeding have a higher chance of developing this condition. They can develop in men as well. Interestingly, this is the most common form of pituitary gland tumour.

Types: Depending on the size of the tumour, the tumour is of two main types—microprolactinoma (when the tumour measures less than 10 mm) and macroprolactinoma (when the tumour measures more than 10 mm).

Signs and symptoms: Though the most important function of prolactin is the regulation of breast milk production, it also has various other functions in both men and women. The symptoms, therefore, would depend on the gender and the age group.

Men: Reduced libido, erectile dysfunction, reduced fertility, and gynecomastia and sometimes even production of milk.

Women: Menstrual disorders, including lack of periods or irregular periods, reduced fertility, reduced libido, increased facial hair, and spontaneous leakage of milk from the breasts.

If teenagers are affected, there could be reduced growth and delayed puberty.
In addition to the above symptoms, as the tumour continues to grow, there could be pressure on the surrounding nerves, leading to headaches, blurred of vision, and even double vision. As the tumour grows, the normal pituitary functioning may be affected, and other hormones may not be produced and accordingly the symptoms would appear.

Treatment: One of the main reasons it gets diagnosed is infertility. When ruling out causes for infertility, prolactinoma is suspected and to rule this out blood tests are done. Increased amounts of the hormone would lead to undergoing MRI scans and other tests to confirm the diagnosis.

Once confirmed, the treatment would depend on the symptoms and the patient. It causes reduced amounts of oestrogen and testosterone, which is usually harmless. Unless required, some people can choose to go without any treatment. Hormone supplements can be used to restore the normal hormone levels. Dopamine antagonists can be used to suppress the production of prolactin from the pituitary gland. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

2110 people found this helpful

Need information about safe sex period after mc. What is the safe period of sex without protection.

DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Kolkata
Need information about safe sex period after mc. What is the safe period of sex without protection.
Safe sex period is 1st 10 days starting from first day of menses and last 10 days of menses. But this natural contraception is only 85%.
4 people found this helpful
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Beer - Did You Know Is Actually Good For You!

MD - Consultant Physician
General Physician, Jharsuguda
Beer - Did You Know Is Actually Good For You!

Can beer be a healthy drink? Despite the common myths surrounding alcohol consumption and the adverse effects that it has on a person in the long run, a controlled and well-balanced intake of beer is not as bad as it would seem.

Here are a few reasons proving that beer can be healthy for you if taken in the right amount and quantity.

  1. In comparison to other alcoholic beverages, beer is relatively healthier for your kidneys. As a matter of fact, studies show that a bottle of beer can actually reduce the risk of acquiring kidney stones by up to 40%.
  2. Fiber, as we all know, plays a vital role in digestion. The presence of up to one gram of soluble fiber in just a 30 ml glass of beer (dark beer, in particular) makes the beverage very beneficial for digestion.
  3. Fiber present in beer can also help reduce the level of LDL cholesterol (a harmful proponent of cholesterol).
  4. It has been proved that beer is a rich source of various B vitamins like vitamin B1, vitamin B2, vitamin B6 and vitamin B12.
  5. The presence of both nicotinic acid and Lactoflavin in beer makes it an effective cure for insomnia.
  6. Beer is also helpful in the prevention of blood clots.
  7. The presence of high levels of silicon in beer is responsible for bestowing a stronger bone density.
  8. Studies have concluded that beer can also reduce the risk of suffering a heart attack.
  9. Unlike their non-drinking counterparts, beer drinkers are less vulnerable of experiencing dementia or Alzheimer's disease.
  10. Because of the presence of certain vitamins, beer has a ton healthy nourishing benefits for the skin.
  11. Beer is also useful in fighting against stress.

What are the recommended safe limits of Beer?

  1. Men should drink no more than 14 units of Beer per week, these units should be spread out through the week and they should have at least two alcohol-free days a week.
  2. Women should drink no more than 14 units of Beer per week, these units should be spread out through the week and they should have at least two alcohol-free days a week.
  3. Pregnant women or women trying to conceive should not drink alcohol at all. If they do choose to drink, to minimise the risk to the baby, they should not drink more than 1-2 units of beer once or twice a week and should not get drunk.
  4. Despite the above people with increased Triglyceride, Uric Acid should be restricted for consumption of alcohol. People with fatty liver patient with other medication for hypertension, etc. also should refrain from drinking.

People with diabetes who drink should follow these alcohol consumption guidelines:

  1. Do not drink more than two drinks of alcohol in a one-day period if you are a man, or one drink if you are a woman.
  2. Drink beer only with food.
  3. Drink slowly.
  4. Avoid "sugary" mixed drinks, sweet wines, or cordials.
36 people found this helpful

Dear sir/mam I am pregnant and having 9 month running since 13sep 2017. I am having so much itching on my full body including my hand and feet. I searched it may cholestasis (Oc. What medicine I can take. Ya mjhe koi ghrelu nuksa btaye. M kbhi kbhi puri rat nhi so pati. Isse baby ko to koi khtra nhi h.is month ke starting me Maine ultrasound karaya tha to doctor ne sb kuchh thik btaye. please advice please plz.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Dear sir/mam I am pregnant and having 9 month running since 13sep 2017. I am having so much itching on my full body i...
Itching during pregnancy is mainly due to cholestasis, in cholestasis liver enzymes are slightly raised leading to itching ,you should get your liver function test done. You can take tab udiliv twice daily. Further management will depend on your liver function test.
1 person found this helpful
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Due to white discharge and heavy flow I am having back pain and weakness pls give line of treatment.

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
Discharge & heavy flow at the age of 53yrs needs thorough examination including blood test & ultrasonography of abdomen.
2 people found this helpful
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I am 20 years old male, I can't sex with my partner. Even those it's our first time sex. I can try 3 or 4 times but I can't do sex, her whole is too small, its our first time sex sir please give me tips sir.

MBBS
General Physician, Faridabad
I am 20 years old male, I can't sex with my partner. Even those it's our first time sex. I can try 3 or 4 times but I...
ask your partner to guide your penis into her vagina. you must be confusing with urethra, it will help . thanks
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My wife of 42, What is the best contraceptive pills. Daily or weekly or monthly or six monthly. We use saheli, it fails, we use ayurvedic b gap, it fails, we use copper T, it fails, nonstop bleeding. Just abortion last month. I do not like to use condoms. We do not want vascatomy or tubectomy. She used MALA Dfor a long time, with this lactation starts. But now she starts MALA D again from her mensuration cycle. Is it safe. What should we do to avoid pregnancy. We want to do direct sex, without using any condom. Pl guide.

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
My wife of 42, What is the best contraceptive pills. Daily or weekly or monthly or six monthly. We use saheli, it fai...
Pills are not that safe in this age group. Best is to get tubectomy done. Its very safe and harmless procedure. Its done laparoscopically with hardly any scar. 2nd best is copper t but if she is having too much of bleeding with that then she can use mirena (hormone releasing iucd). Its expensive but bleeding problem will also solve along with providing effective contraception.
17 people found this helpful
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Tips for Lost Energy or Interest in Sex by Dr Vaibhav Lunkad

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Tips for Lost Energy or Interest in Sex by Dr Vaibhav Lunkad

Tips for lost energy or interest in sex by Dr. Vaibhav lunkad

Nothing is fatal or final so never ever give up, my dear patients, of any age or problems whatsoever. All the physical problems can be made easy by attitude towards the problems-that means how you take and solve them. Problems or people always appear hard nuts to crack at the first impression but it needs sportiness of 100% to please anyone or crack any nut. Never duck out or go into a shell by reacting to anything. Never say immediately it's all over or just get out of my life, as the other person coming into your life could be even still worse or even hiv positive. The best part of hiv positive people is that they are at least positive in something and they are better than those people who see negative in everything.

Just start your day by saying I am open and free and not carrying any blocks in my head or heart. Secondly recharge your mind by walks, jogging, yoga, pranayam, cold water baths, massages, perfumes, meditations, and completing daily chores without any sort of procrastination. Thirdly eat light raw foods and only warm liquids or otherwise digestion and activity will slow down badly. Fourthly ease in all ways, work, playfulness, romantic talk, smile, behaviour, self confidence, self-respect, a little self-love without any doubting sucking angry attitude or talk makes heaven even in hell. Fifthly herbs, cow milk, cow ghee etc with your doctor's advice will add spark too.

Sixth a kerala type or variety playful massage removes energy and mood blocks very nicely from my personal experience and also the communication blocks and starts the sex or romance all over again.

Aroma baths or salt water baths and herbal vaginal douche removes those smells which can put off anybody totally.

And remember more important than sex is body play, hugging, cuddling, patting, clitoral fingering to climax, touching all over, kissing, smooching, and love talk, eye to eye contact, showing interest in each other. There should be more of friendly playfulness than partnering for sex performance as a formality or responsibility or addiction.

If you have liked please like Dr. Vaibhav lunkad fb page with feedback too and just start everyday deleting the past memory totally and you are sexy all-ways.

2 people found this helpful

I always suffer from nausea and vomitting on the first day of my period. What should I do?

MBBS, DGO (cal)
General Physician,
How long you are having this problem? You people never write detail history of your complaint. How can we understand what we are dealing with? However, If you don't have any ovarian problem or hormonal disease you may take one tab of Domperidone 10 mg tab once in the morning only on your first day of period. If this do not give you relief, you may try 1 tab of Ondansetron 4 mg only once at morning on the first day - for few months. If condition is such after stopping it is coming back, consult a Gynaecologist.
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Hello doctor On 1st night. Can I insert pines forcefully into vagina. My penis is big. And my fiance vagina is too small. I want to have normal sex on first day. Can I insert with force. Do it cause her harm?.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Don't do anything forcefully because if she will have pain than she will not allow you .go gently and sliwly
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Dear doctor. I am 23 years old. During my periods there is some whitish discharge going sometime. Is it the normal that white discharge goes during periods .or it is my blood only which is in whitish colour. Or something serious. I have regular periods but I get bleeding for only 3 days. Also I guess I have less blood in my body. Please help.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Dear doctor. I am 23 years old. During my periods there is some whitish discharge going sometime. Is it the normal th...
Cook a handful of rice in a half a lit of water in an open pan. When rice is ready don’t throw the residue water drink reason this water when it remains that much hot that u can consume. Drink it on adding 1 tsp of sugar. This relieves your leucorrhoea that within a week. This is one of the most common home remedies for leucorrhoea
1 person found this helpful
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Hi, I had termination of 5 month baby on March 7 and after that 2 week bleeding and on April 11 I got periods for 5 days on 6 th day we had unprotected sex and on 7 th day also we had sex after sex I got bleeding today for some time and now it's not bleeding but some things like very light red color almost white discharge is coming. In this cycle I will ovulate or what I want to become pregnant very soon. please help me. Will there be any problem if I get pregnant in ths first cycle. I'm physically strong oly mentally as well.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi, I had termination of 5 month baby on March 7 and after that 2 week bleeding and on April 11 I got periods for 5 d...
Hello, please avoid pregnancy for at least 3 months as uterus requires time to return back to its pre-pregnant state. During sex you were in your safe period so pregnancy is unlikely, the bleeding can be caused post totally due to cervical erosions.
1 person found this helpful
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Hi Dr. After 5th week pregnancy. Today I found minor spot on my panty. It's serious problem. Wt I can do. Plzzz guide me.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi Dr. After 5th week pregnancy. Today I found minor spot on my panty. It's serious problem. Wt I can do. Plzzz guide...
U need to get your beta hcg done and also Ultrasound after a wk or so ,until then take rest ,eat healthy food, stay away from physical or mental stress ,and also take pregnancy support pills along with vitamins and iron. For any further questions or concerns you may get back to us for further advice on this.
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Prevalence Of Hypoactive Sexual Desire Disorder!!

MBBS, MD - Psychiatry, CE (New York)
Psychiatrist, Delhi
Prevalence Of Hypoactive Sexual Desire Disorder!!

Do you feel disinterested in getting physically close to your partner? If yes, then it can be a sign of HSDD, that is Hypoactive sexual desire disorder. It is a sex disorder marked by disgust and disinterest towards sex. This disorder affects both men and women.

Men with Hypoactive Sexual Desire Disorder
Men are generally perceived as highly sexual beings, but in reality, 1 out of 5 men may be suffering from HSDD.

Some possible causes of male HSDD include:

  1. Psychological issues: Anxiety and stress due to the strain of family or relationship problems, rigours of daily life or mental disorders such as depression are some of the factors that influence sexual desire.
  2. Medical causes: Diseases (for example: diabetes), conditions (such as high cholesterol, high blood pressure and obesity) and drugs (such as hair loss medications) have adverse effects on sexual desire.
  3. Hormonal problems: Low levels of testosterone usually lead to low sexual desire. Other hormones, such as the thyroid hormone or prolactin (hormone that governs the development of breast milk) can also contribute to the cause.
  4. Low levels of dopamine: Dopamine is a neurotransmitter, which is responsible for the pleasure perception in your brain. Low levels of dopamine usually signify low sexual desire.

How it can be treated ?
If the cause is psychological, then sex therapy (psychological counselling based on sexual issues) is used to treat HSDD. But if it is hormonal, testosterone supplements are used.

Women with Hypoactive Sexual Desire Disorder
Female HSDD is more complicated and is difficult to diagnose. HSDD can affect women across all ages.

In women, this disorder can have a wider spectrum of causes, which include:

  1. Interpersonal relationship problems: Certain problems such as the partner’s performance issues, loss of emotional gratification with relationships, childbirth and becoming nothing, but only a loved one’s caregiver can all lead to low sexual desire.
  2. Sociocultural influences: Media’s portrayal of sexuality, peer pressure and job stress have negative influences on sexual desire.
  3. Low testosterone: Women produce testosterone as well, and similar to men, low levels of this sex hormone cause a significant dip in sexual desire.
  4. Medical problems: Mental illnesses such as depression or medical problems, such as fibroids or endometriosis (a disorder characterized by the growth of uterine tissues outside the organ) affect women, physically and mentally, thus making ‘hypoactive sexual desire disorder’ a possibility.
  5. Medications: Excessive use of antidepressants, oral contraceptives and blood pressure drugs can lower sexual desire.
  6. Age: The androgen (sex hormone) levels lower drastically as a woman ages, thus negatively impacting her sexual desires.

Treatment

Sex therapy (therapy that concerns itself with counselling and addressing one’s physical or psychological hindrances to sex) medication changes, diagnosing underlying medical problems, vaginal estrogens and testosterone therapy (therapy that helps in managing the effects of low levels of testosterone) are mostly used to increase sexual desire in women. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

3424 people found this helpful

I'm 24 years old ,I'm suffering from obesity. I could not do exercises because of some bone related surgeries. Is it good to health to have cinnamon water and honey together? Is it harm for my liver?

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
I'm 24 years old ,I'm suffering from obesity. I could not do exercises because of some bone related surgeries.
Is it ...
Having cinnamon and honey helps only you make necessary all possible lifestyle modifications over a period of time vigorously. Build a better breakfast, Aim to eat anywhere between 400 and 500 calories for your morning meal, and make sure you're including a source of lean protein plus filling fat (e.g. eggs, beans, unsweetened greek yogurt, nuts or nut butters) and fiber (veggies, fruit or 100% whole-grains). Prioritise real, whole foods, means filling up on fresh fruits and veggies, whole grains, low-fat dairy and lean protein. Know your limits with salt Skip sugary beverages Ignore the gimmicks/weight loss hypes Eat your H2O Munch on mineral-rich foods Resist the urge to skip a meal Take a hike or a walk Go to bed/ no sleep deprivation Eat spicy foods seriously cayenne peppers/jalapeños Buy a set of 5-pound weights, strength training builds lean muscle tissue which burns more calories. Definitely it can harm your liver if you can't optimise your body fat and fat intake.
1 person found this helpful
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I'm planning for pregnancy but still no results. To get pregnant what precautions I have to take.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I'm planning for pregnancy but still no results. To get pregnant what precautions I have to take.
Dear user. There are many parameters which should be taken into consideration before analyzing the reason with which you are unable to conceive. I suggest you work with your gynecologist. Take care.
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I am 25 years old female and have diagnosed with suggestive of fibroid of size 36mm*35mm. After taking medicine Ulipristal Acetate Capsules Fibroplast for continuous 3 months daily (1 tablet per day at evening), the size reduces to 27mm*24 Which is very less. Can you suggest on this? Thanks in Advance!

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 25 years old female and have diagnosed with suggestive of fibroid of size 36mm*35mm. After taking medicine Ulipr...
Hello the size has reduced definitely in response to ulipristal treatment and if you are asymptomatic as of now without any dysmenorrhoea or heavy menses and if the fibroid is subserosal then there is no need of further treatment and no surgery required.
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