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Dr. Prachi Tamhane

Gynaecologist, Thane

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Dr. Prachi Tamhane Gynaecologist, Thane
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Prachi Tamhane
Dr. Prachi Tamhane is a trusted Gynaecologist in Aarogyam Multispeciality Hospital, Thane. You can consult Dr. Prachi Tamhane at Thane Health Care Hospital in Aarogyam Multispeciality Hospital, Thane. Book an appointment online with Dr. Prachi Tamhane on has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 40 years of experience on Find the best Gynaecologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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Thane Health Care Hospital

Brahmin Society, Naupada-Thane West. Landmark: Opposite Naupada Post Office, ThaneThane Get Directions
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Dear Doctor, It has been 3.6 year to our marriage and we are trying for a baby since last two year and from last eight month we are consulting with Gyno, in our initial test my wife is diagnosed with hypothyroid (TSH Level 5.255) so our doctor prescribed us Thyronorm 12.5 mgc. Again after 3 month we did TSH test and this time TSH level has been decreased to 4.861. Meanwhile she asked us for several test which includes: Semen Analysis, follicular studies and HSG however she never asked for FSG test. Each of these test are normal. After 6 month we again did TSH test and this time TSH level has been increased to 7.442. After that, I have taken consultation from other doctor and she asked us to do AMH and TB Gold test. Here my concern is no one is giving importance to TSH level and asking for different test however as per my research TSH level should be in 1 to 2 range to get pregnant successfully. So, isn't doctor should focus on thyroid treatment before going for other test. It would be very helpful for us if you can provide us your valuable comments on this. Also could you please suggest correct does of Thyronorm.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Doctor,
It has been 3.6 year to our marriage and we are trying for a baby since last two year and from last eigh...
Mr. lybrate-user, It is possible that the doctors want to first confirm if any of the other hormonal deficiency are existing, which may be a hinderance in getting pregnant. I do agree with your observation that TSH value should have been looked at by at least one of those doctors. It is essential to bring it <2 to get conception. Plus American Thyroid Association recommends levels in the range of 0.1 to 2 mU/L before conception and similar values to be maintained during pregnancy so as to ensure proper fetal brain development in first 3 to 4 weeks and later part of pregnancy for proper growth. Thanks.
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Hii I m going for injectable iui treatment and with ovitrop injections on 5, 7, 9 day and after gmh injection the follicle size is 20 mm of left ovaries and right ovaries 16 mm, 16 mm on day 14 et 10.2 and 5 pm of 14 day had hcg trigger shots but day 15 had bleeding with clots so I m worried whats that because tomorrow they will do iui at 9 am. Is anything wrong or they will not do iui because of bleeding. please tell me the cause of bleeding.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Sometimes bleeding may be present when the follicle ruptures, but not in excess. Still you need to consult your doctor on schedule, as she will only decide that whether iui can be done or not. Till then take precaution as advised by your doctor.
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Miscarriage and Tips to Ensure a Healthy Conception

Gynaecologist, Delhi
Miscarriage and Tips to Ensure a Healthy Conception

Miscarriage refers to a pregnancy that has ended prematurely, within 20 weeks. Research shows that around 10-25% of all clinically recognized pregnancies end in miscarriages. Chemical pregnancies cause 50-75% of all miscarriages. The condition happens when a pregnancy is lost not long after implantation, bringing about bleeding that happens around the time of her normal period. The woman may not understand that she has conceived when she encounters a chemical pregnancy.

The normal period where miscarriages are expected to occur is during the first 13 weeks of pregnancy. While pregnancy can be an overwhelming and exciting experience, it is beneficial that the woman keeps herself informed about the possibilities of miscarriages.

Some types of miscarriage are:

  • Threatened Miscarriage
  • Inevitable or Incomplete Miscarriage
  • Complete Miscarriage
  • Missed Miscarriage
  • Recurrent Miscarriage
  • Blighted Ovum
  • Ectopic Pregnancy
  • Molar Pregnancy

In case of any of the following signs, the doctor should be consulted immediately,

  • Mild to Severe Pain
  • White-Pink Mucus
  • Weight loss
  • True Contractions
  • Sudden Decrease in Signs of pregnancy
  • Tissue made of clot-like material passing from the vagina
  • Bright red or Brown bleeding with or without cramps
  • Investigations


  • The majority of women will require a transvaginal ultrasound (TVS) and 98% of complete miscarriages can be diagnosed in this way.
  • If a transvaginal ultrasound scan is unacceptable to the woman, then a transabdominal ultrasound scan should be offered and the woman should be made aware of the limitations of this method of scanning.
  • If there is no visible heartbeat then a second scan should be performed. This is either done at a minimum of 7 or 14 days, depending up the measurements of the crown-rump length or the mean gestational sac.
  • Be aware that a woman with a pregnancy of unknown location may have an ectopic pregnancy.
  • Serum hCG
  • Serum hCG tests can help to exclude an ectopic pregnancy in women with a complete miscarriage (or pregnancy of unknown location), determined by ultrasound.
  • Serial tests are required but results should complement clinical assessment and not replace it. Two tests are taken as close as possible to 48 hours apart:
  • >63% increase suggests ongoing pregnancy.
  • >50% decrease suggests pregnancy is unlikely to continue.
  • A woman with results between these parameters should be reviewed in the EPAU withing 24 hours.
  • Slow doubling times are associated with miscarriage and declining values have high sensitivity of 93-97% in diagnosing a complete miscarriage[1].
  • Rare causes of a raised hCG should also be borne in mind, including gestational trophoblastic disease or cranial germ cell tumour, which must be considered.


One meta-analysis has shown that a single low progesterone measurement for women in early pregnancy, presenting with bleeding or pain and inconclusive ultrasound assessments, can rule out a viable pregnancy. However, a very low serum progesterone can be seen in normal viable pregnancies, so progesterone should not be used as the definitive diagnostic test without other evidence.


  • Admission to hospital can be avoided in 40% of women with threatened or actual early pregnancy loss.
  • Following a miscarriage, all women should have access to support, follow-up and formal counselling when necessary.
  • Anti-D rhesus prophylaxis (250 IU) should be offered to all rhesus-negative women who have a surgical procedure to manage a miscarriage.
  • However, anti-D rhesus prophylaxis does not have to be given to those women who:
  • Receive solely medical management for an ectopic pregnancy or miscarriage.
  • Have a threatened miscarriage.
  • Have a complete miscarriage.
  • Have a pregnancy of unknown location.
  • Women need evidence-based information to guide their decisions, as well as access to support and counselling; leaflets, web addresses and helpline numbers for support organisations should be offered to all women experiencing miscarriage.
  • There is no evidence to support a couple delaying attempts to conceive following a miscarriage.


The main purpose of treatment is to prevent haemorrhage and infection. It is common that the body expels all the fetal fluid during the earlier stages of the pregnancy. In case it doesn t, a procedure known as D&C (Dilution & Curettage) is performed to remove the fluid and prevent infection.

Since most miscarriages occur due to chromosomal abnormalities, nothing significant can be done to prevent them.

Tips to be taken to ensure a healthy conception are:


2469 people found this helpful

Tomato soup sprinkled with flaxseed powder,,,For liver detoxification, weight loss, diabetes

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Tomato soup sprinkled with flaxseed powder,,,For liver detoxification, weight loss, diabetes
This tomato soup is sure to detoxify your liver and boosts up your body's metabolism.

7 Ways to Boost Your Fertility!

MD-Dermatology, MBBS
Sexologist, Pune
7 Ways to Boost Your Fertility!

1. Her Fertility Booster: Weight Control

Being underweight or overweight can delay the time it takes a woman to conceive.

2. His Fertility Booster: Increase your Sperm.

3. Her Fertility Booster: Watch the Beverages

Drinking too much coffee or too much alcohol can impair a woman's fertility.

Studies on alcohol intake and women's fertility have produced mixed findings.

Want to cut out alcohol completely once you are pregnant.

4. Couple's Fertility Booster: Stop Smoking

Smoking cigarettes can impair both a woman's and a man's fertility.

5. Couple's Fertility Booster: The Fertile Window

it advises keeping close track of ovulation -- either by the calendar method, Do Regular Sexual Act During Mid Days of cycle. sex every other day produced nearly as good a pregnancy rate. 

6. Couples Fertility Booster: Choose Lubricants Wisely

With more frequent intercourse, couples may turn more to vaginal lubricants. Some lubricants can actually decrease fertility. When you're trying to get pregnant, be sure to avoid products that have spermicidal agents.

7. Couple's Fertility Booster: Avoid Pesticides and Other Harmful Exposures

Exposures to pesticide. And exposure to some solvents and toxins -- including those used in printing businesses and dry cleaning establishments -- can adversely affect women's fertility.


After delivery I m having sex but next day my vagina and abdomen is pain. Doctors insert the cooptie inside vagina for unwanted birth before three year is good for me or notMy virginal delivery and after birth some stichs also in vagina. But now is five months complete of delivery why my body feelings paining aches uneasy lazinessPlease suggest.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Please get an ultrasound pelvis done to look for any adnexal mass or collection which can often cause pain in the lower abdomen post delivery during sex.
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My mother is present of blood sugar she is feeling every time weakness. I want know to how much dangerous it is.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My mother is present of blood sugar she is feeling every time weakness. I want know to how much dangerous it is.
Diabetes if not controlled can lead to heart attacks, weaken kidneys, impair vision, makes a person prone to infections and make quality of living poor.
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Miscarriage - Physical & Mental Management

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Mumbai
Miscarriage - Physical & Mental Management

Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases. It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.

The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. In some cases, a D and C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.

While the above takes care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.

  • Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.
  • Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice. Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.
  • Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.
  • Formal medical counseling: If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.
  • Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.

As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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Hi Dr. My self srinivas , my TSH level is. 7. 54uIU/ml by this is there any effect to sexual problems because my wife is not getting conceive so please suggest me.

Homeopath, Hubli-Dharwad
Hi Dr. My self srinivas , my TSH level is. 7. 54uIU/ml by this is there any effect to sexual problems because my wife...
7.4 is little hight. you need to start treatment. it will surely affect on your marital life and even fertility
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