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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
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I have spotted the blood on 40th day is it sign for pregnancy or not. I had checked the pregnancy test on evening but it's negative. Is it my period or not. Shall I consult a doctor.
When you’re trying to conceive a baby, waiting for your next period can be a test of patience. If your menstrual cycle varies from month to month or if you haven’t been keeping track of your cycle dates you may not even be sure of when your period is to begin. However, a missed period is not the only sign of pregnancy. Here are ten others signs to watch out for.
- Sensitive nipples: As your hormone levels increase so does the blood supply to the breasts and nipples. This can make you feel extra sensitivity in the form of a tingling sensation around the nipples.
- Nausea: Morning sickness affects most pregnant women but some women are spared this experience. Morning sickness can start as early as four weeks into the pregnancy and is marked by feelings of queasiness and an urge to vomit. Despite its name, morning sickness can affect a woman at any time of the day.
- Frequent urination: A combination of surging hormones and a higher volume of blood in the body can make your kidneys work extra hard. From the 6th week of pregnancy onwards, women find themselves urinating more frequently. This may also be accompanied by a burning sensation.
- Food cravings: Cravings for ice cream, pickles etc. is often joked about when it comes to pregnancy, but this can be one of the first signs of pregnancy. After conceiving a baby, a woman is likely to go off certain flavours even though they may be things she liked otherwise. You may also notice a metallic taste in your mouth and change in your sensitivity to the smell of things as well.
- Tiredness: As the body gears up to nurture a growing foetus, mothers find themselves abnormally tired. Pregnancy hormones also add to this feeling along with making you upset and emotional. This fatigue is often highest in the first and third trimester.
- Darker nipples: Pregnancy hormones can also cause changes in the appearance of your skin. One of the first noticeable changes is darkening of the nipples. Your nipples may also become more erect and the bumps around them may become more pronounced.
- Spotting: It is easy to mistake light bleeding for a period, but if you are pregnant this is known as implantation bleeding. The reason for this spotting is not known but it occurs as the fertilised egg settles into the uterus. This spotting may also be accompanied by mild cramps.
- Bloating: Pregnancy hormones can make you feel bloated especially in the abdominal area. This feeling is similar to the feeling some women have just before their menstrual cycle begins.
- Mood swings: Pregnancy hormones affect neurotransmitters in the brain. For some women, this can cause heightened emotions while for others it can lead to depression and anxiety.
- High basal body temperature: Basal temperature refers to your lowest body temperature and is usually taken as soon as you wake up. If your basal temperature has been higher than normal for more than two weeks consecutively, it may be a sign that you are pregnant. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
The hormone human chorionic gonadotropin(better known as hCG) is produced during pregnancy.
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:
- Miscalculation of pregnancy dating
- Possible miscarriage or blighted ovum
- Ectopic pregnancy
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
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My wife very afraid. When I want to sex with her. I got married in 2008 but my first night is pending. She always afraid. What's the problem and solutions. Please advice?
I'm 23 n unmarried. I had my period on 3rd July then on 4th aug. I had unprotected sex on 16th August and withdrawal method was used. I have still not got my period till today 8th sept. I tested for it today but it came negative. Can I be pregnant? I also am having some gastric problem and strong nausea since last week. Can this delay my periods? I am already taking pantop 40 and norfloxacin. What could it be?
I had an unprotected sex in a massage parlour. She is clean but I'm scared. Do I need go for a test.
Tulsi leaf a day = No cancer
1 lemon a day = No fat
1 glass of milk a day = No bone problem
3 litres of water a day = No diseases.
Sir/Ma'am I want to know about a calcium tablet that I can give to my mom. She is near about 35 year old. She can't walk or stand for long. So please suggest me a good calcium tablet for bone stringing. And how to take the tablet.
The uterus is a muscular structure held in place inside your pelvis with the help of muscles, ligaments, and tissues. These muscles weaken in women due to pregnancy, childbirth or delivery complications and can lead to severe complications. One such complication is a uterine prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position into the vaginal canal.
The causes of uterine prolapse are varied and include:
- Delivering a large baby
- Difficulty in labor and delivery
- Reduction in estrogen levels post menopause
- Traumatic childbirth
- Loss or weakening of the pelvic muscle
- Conditions which lead to increased pressure in the abdominal area such as a chronic cough, straining, pelvic tumors or accumulation of fluid in the abdomen
- Loss of external support due to major surgery in pelvic area
Uterine prolapse can be complete or incomplete depending on how far the uterus sags into the vagina. Women who have minor uterine prolapse may not have any visible symptoms. However, if the condition worsens, it manifests itself in visible signs.
Symptoms of moderate or severe prolapse are:
1. A feeling of fullness or pressure in your pelvis when you sit
2. Seeing the uterus or cervix coming out of the vagina
3. Vaginal bleeding or increased discharge
4. Painful sexual intercourse
5. Recurrent bladder infections
6. Continuing back pain with difficulty in walking, urinating and moving your bowels
Without proper attention, the condition can cause impairments in the bowel, and can also affect bladder and sexual function. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
After my first baby delivery my mc keep continue 2 months but after 2 months it's not continuing. And its 40 days gone it's not continuing. Kindly send me solution.
Before 2 months am going to abortion due to unplanned pregnancy but now m facing a problem that last month my period date is 25 November 2016 and in this month period start from 20 december 2016 only 2-3 days before that my period days is complete 5 days cycle so pls suggest there's any issue. Date extend or periods 5 days cycle less than 2-3 with very low bleeding pressure pls help suggestion.
Mera wife ki 19 th of November ko period hua tha. Hum 10 th of December ko sex keya. After that mere wife ki period 30 th December mai huyi. Is there any chances to pregnancy? Waiting for your kind cooperation. Thank you.
According to WHO a third of the world population is obese, obesity is caused by overeating, lack of physical activity, age factor, hereditary and sometimes malfunctioning of the endocrine glands causing excessive fat accumulation. Food is meant to generate energy in the body so as to enable each and every organ to discharge its individual functions. To avoid overeating one has be careful about portion control and eat at a fixed time. Each meal should have a combination of carbohydrate 50 to 60 % of total calories + protein 35 to 40% of total calories and fat 20 to 25% of total calories. Dietary fibre of 25 to 30 grams a day can obtained from whole grain, fruits and vegetables should also be taken in sufficient quantities as it imparts a sense of satiation and reduces the food intake.
Indian diets are usually high in carbohydrates leading to higher incidence of diabetes. This can be countered by increasing proteins in each meal along with fibre,which gives a controlled balance to sugar levels in the body. Use unsaturated vegetable oils like olive, rice bran, soyabean and sunflower oil to maintain and reduce cholesterol and maintain heart health along with Omega-3 from flax seed, nuts (almonds and walnuts) or fish oil supplements, including vegetable juices in your daily diet improves the antioxidant level and fibre in the body and helps in weight loss.
How to make meal plans customized to your BMR
Step 1 - Calculate your BMR
|Women's BMR||Men's BMR|
|+ (9.6* of your weight in kilos)||+ (13.7* your weight in kg)|
|+ (1.8*your height in cm)||+ (5*your height in cm)|
|- (4.7*your age in years)||- (6.8*your age in years)|
|= ___________ Calories per day||= ___________ Calories per day|
Step 2 - After calculating your BMR ,and to start weight loss cut 200 kcal from your BMR.
For example if your BMR is 1600 kcal choose a meal plan that is 200 kcal lower I.e is from 1200 to 1400 calorie meal plan.
The main meals should be three meals like your breakfast ,lunch and dinner and the in between meals should be like fruits ,veg juice ,dry fruits,dry bhel , roasted chana, a slice of cheese ,which are not very dense in calories and high in nutrients.
STEP 3 - Eat every two hours with three main meals and three small meals.
STEP 4 - Drink plenty of water through the day at least 8 to 10 glasses.
Exercise - Lack of physical activity means there is no energy output and this results in weight gain over the period of time because as we age our BMR reduces (basal metetabolic rate : that is total number of calories your body requires for normal body functions excluding any activity factor like exercise, BMR is the energy used for metabolic process of maintaining life itself and usually accounts for two thirds of total daily expenditure ). To maintain a healthy weight increasing the BMR is essential and this means increasing the muscle mass over the fat mass as 1 pound of muscle burns 6 calories at rest and 1 pound of fat just 2 calories. Increasing muscle mass can happen only through physical exercise and adequate protein in the diet thereby, increasing fibre and reducing fat in the diet.
Advantages of Physical Activity
- Helps to keep digestive system in optimum condition
- Improves cardiac rhythm and output
- Maintains flexibility of body
- Energies blood vessels and does not allow cholesterol deposits and improved heart health as it does not allow fat accumulation
- Improves peristaltic action of intestine and rectum and removes constipation
- Helps in improving insulin resistance in the body especially in PCOD and PCOS (polycystic ovarian syndrome)
- Maintains the sugar levels in diabetic patients
Other Causes of Obesity
- Age factor: Obesity is generally prevalent in the middle age as the BMR reduces as a person ages especially if he or she does not exercise, but weight gain can be gender specific as women have more fat mass and the weight gain during pregnancy is common due to increase in fat in the diet, but in recent years there has been a rapid rise in obesity in children and teens due to over indulgence in junk and fast foods, which have high amounts of refined carbohydrates and hydrogenated fats. Heredity also plays an important role in fat accumulation. Children of obese parents do have high chances inheriting obesity from their parents as genetic factor could be a contributing factor rather than excessive food. In such cases physical activity plays a very important role for weight loss
- Untreated Hypothyroidism: Hypothyroid causes a drop in the BMR and increase in fat percentage and if untreated can cause weight gain, but once on medication they have improved metabolism.
- Drugs: Use of oral contraceptives, steroids, insulin and phenothiazines is generally followed by weight gain to stimulation of appetite.
- Alcohol: Alcohol is just empty calories and 1ml of alcohol gives 7 calories and this causes weight gain along with the fat laden food eaten while having alcohol, overeating is usually a consequence of drinking leading to weight gain and drinking coupled with smoking increases the lipid levels in the body affecting the heart health
- Fasting and Yo Yo Dieting: The process of losing weight and gaining weight several times throughout a life time is often characterised by increased fatness with each cycle (Krause food and nutrition therapy). Fasting is dropping calories to less than 600 to 800 over a period of time, which causes starvation and breakdown of muscle mass and lowering of BMR and once one gets back to normal diet there is sudden surge in weight which then gets difficult to rid off.
- Water: Incredible as it may seem water is a very important catalyst in weight loss,water suppress the appetite naturally and helps metabolise stored fat. Drinking water is best for fluid retention caused due to excessive intake of salt, the more water you take, more it dilutes the excess salt and reduces the fluid retention. Eight to twelve glasses of water in a day is the optimal intake.
- Stress: Stress is a another precipitating factor for weight gain which causes damage to the heart. Excessive stress causes an increase in cortisol and thereby, increase in fat percentage in the body and weight gain. An emotionally charged and highly strung nervous system can adversely affect the coronary arteries and deteriorate the heart. If you wish to discuss about any specific problem, you can consult a doctor.
If there is a recurrent pain in the lower pelvic and the lower abdomen region of the body, chances are you might be suffering from pelvic pain. In women, severe pelvic pain can be a warning sign of some internal damage in the reproductive organs (ovaries, fallopian tube, uterus, and vagina) present in the pelvic region or the digestive system of the body. Although not common in men, pelvic pain might be indicative of an infection or severe pain in the colon region or the pelvic bones. Pelvic pain might be acute or chronic in nature and the pain might spread to the thighs and buttocks of the body.
The causes of pelvic pain differ among the genders, which are as follows:
1. For women, pelvic pain can be an indication of more serious disorders in the internal reproductive organs such as uterine cancer, cervical cancer, ovarian cysts, ovarian cancer and other pelvic inflammatory diseases (when the sexually transmitted bacteria spread to the reproductive organs and causes infections).
2. In women, pelvic pain might also occur due to endometriosis (a disorder wherein the internal endometrial tissues grow outside the uterus resulting in severe pain), adenomyosis (a disorder wherein the endometrial tissues which line the wall of the uterus start growing within the uterus), severe pain during ovulation and miscarriages.
3. The causes of pelvic pain in both men and women include sexually transmitted diseases, a disorder in the pelvic region or the bladder, kidney stones, urinary tract infection, colon cancer, and chronic hernia.
If you suffer from the following symptoms, chances are you might be suffering from pelvic pain:
1. Severe pain in the hips and the groin
2. Sudden fever along with the presence of blood in the stool.
3. Severe menstrual pain
4. You might feel severe pain while urinating or in the middle of a sexual intercourse
5. Bloody vaginal discharge might be indicative of pelvic pain in women
6. Recurring episodes of constipation or diarrhoea
7. Pain resulting from stress and intense physical movements
If the pain is chronic, doctors might suggest prescribed a dosage of birth-control pills, antibiotic (especially for blood in the stool and pain due to infection) and anti-depressants. In extreme conditions, the doctor might prescribe laparoscopic surgery (operation by making minor incisions performed far from the actual source).