Author Archives: Dr. Shraddha Galgali

Know all About Primary Ovarian Insufficiency (POI)

Primary Ovarian Insufficiency(POI), also known as premature menopause, is a condition where a woman’s ovaries stop functioning before the age of 40. This can lead to infertility and hormonal imbalances.

Understanding the causes, identifying the symptoms, and analyzing available therapies are important for managing this difficult reproductive health issue effectively. Reasons for Premature Ovarian Failure include various elements, including genetic abnormalities, autoimmune disorders, chemotherapy, radiation therapy, and certain medical conditions. Identifying the underlying causes is crucial for the therapy of Premature Ovarian Insufficiency and managing the condition’s impact on fertility and overall health.

Dr. Shraddha Galgali is the Best Female Gynecologist In Punawale, PCMC, and she is offering Premature Ovarian Insufficiency treatment in Punawale.

What is Primary Ovarian Insufficiency(POI)?

Primary ovarian insufficiency used to be called premature ovarian failure. It’s a condition that affects women well before they reach menopause. POI is a situation where the ovaries struggle to function correctly before the age of 40. The ovaries stop releasing eggs and stop producing hormones (estrogen, progesterone, testosterone).

The incidence of POI increases with age:

  • 1 in 10,000 females in their teens
  • 1 in 1,000 females in their twenties
  • 1 in 100 for females in their thirties.

During perimenopause, which is the growth period before menopause happens, the ovaries produce fewer and fewer hormones until they run out of eggs to release, and a female’s periods stop.

The menopause (when your periods stop) happens at a middle age of 51 years. However, POI happens more than 10 years before this due to prematurely decreasing ovarian function.

What Are the Causes of Primary Ovarian Insufficiency(POI)?

There are several causes of primary ovarian insufficiency. Dr. Galgali explains in many cases, the cause of POI is unknown. Common causes of POI include:

  • Chromosomal abnormalities (i.e. Fragile X mutation, Turner syndrome, gonadal dysgenesis)
  • Ovary damage from chemotherapy or radiation therapy
  • Some endocrine disorders (i.e. hypoparathyroidism, hypoadrenalism)
  • Infiltrative processes
  • Infectious processes
  • Some autoimmune conditions

What are the Symptoms of Premature Ovarian insufficiency?

Dr. Shraddha Galgali suggested the following are the signs of Premature Ovarian insufficiency:

  • Irregular or Absent Menstrual Periods: One of the hallmark signs of POI is irregular menstrual cycles or complete cessation of periods. Women may experience irregular, light, or missed periods.
  • Hot Flashes and Night Sweats: Like menopause, women with POI may experience sudden and intense episodes of heat, often accompanied by sweating, especially at night.
  • Vaginal Dryness: POI can cause a decline in estrogen levels, prompting vaginal dryness and uneasiness during intercourse.
  • Mood Swings and Irritability: Hormonal vacillations can bring about temperament swings, crabbiness, and profound changes.
  • Decreased Libido: Some females may experience a reduced interest in sex due to hormonal imbalances.
  • Fatigue: Feeling tired and fatigued is a common complaint among women with POI.
  • Difficulty Conceiving (Infertility): Since POI includes diminished ovarian capability, it can prompt trouble imagining normally.
  • Trouble Sleeping: A sleeping disorder or trouble nodding off may happen because of hormonal changes and related side effects like night sweats.
  • Changes in Skin and Hair: Hormonal imbalances may guide to changes in skin texture and increased hair loss.
  • Osteoporosis: POI can raise the risk of bone density loss, making women more sensitive to osteoporosis and fractures.

How is primary ovarian insufficiency (POI) diagnosed?

If your periods have stopped or are irregular, Dr. Shraddha Galgali will do blood tests to check your hormone levels and rule out pregnancy, thyroid disease, and other health conditions.

The primary blood tests you’ll probably take will count your blood levels of:

  • FSH (follicle stimulating hormone). Your pituitary gland makes this hormone, which suggests the ovaries discharge an egg every month.
  • Estradiol. This is a kind of estrogen made by your ovaries.

Results from these tests help Dr. Galgali comprehend what might be the deal with your ovaries.

Dr. Shraddha Galgali may diagnose you with primary ovarian insufficiency if you’re under age 40 and have any of the following:

  • High FSH levels (in the menopause range) on two additional tests done at least 1month apart
  • Low estradiol level, which signifies your ovaries aren’t making enough estrogen
  • No periods or irregular periods ( less frequently than like every 35 days) for 3 months in a row.

Dr. Galgali might also recommend that you get a transvaginal ultrasound. This imaging test shows your ovaries. Women with POI usually have smaller ovaries with few follicles. If you do have this situation, you may get more trials to check on the reason.

What are the effects of Primary Ovarian Insufficiency (POI) on health?

Low levels of estrogen can impact more than just your capacity to get pregnant. Estrogen is necessary for a healthy heart and bones, among other things. If your ovaries don’t make enough of this hormone, you may be more likely to have other health illnesses, such as:

  • Anxiety and depression
  • Eye disease, including dry eye
  • High cholesterol and heart disease
  • Hypothyroidism (underactive thyroid)
  • Osteoporosis

Talk to a gynecologist about ways to lower your risks. A healthy lifestyle and medication may help prevent some of these conditions.

How Is Primary Ovarian Insufficiency (POI)Treated?

Although there’s no cure, there are therapies that can ease symptoms and potential difficulties related to low estrogen levels.

Hormone replacement therapy (HRT) is the most common. This therapy usually combines estrogen and progestin, although fertility specialists may prescribe other forms. You might take it by mouth, put it on your skin, or spot it in your vagina. Make sure that you and your doctor speak about the potential side effects and risks if you’re considering this type of therapy. Dr. Shraddha Galgali  is one of the best Pregnancy Specialist in Punawale and she is usually  prescribes calcium and vitamin D supplements to prevent bone loss, which can happen when estrogen levels drop. If you don’t work out, you’ll need to make fitness a habit, since weight-bearing activities can help keep your bones strong and your heart healthy.

If you are hoping to get pregnant but find that you have primary ovarian insufficiency (POI), Consult With Dr. Shraddha Galgali is provides Infertility Treatment in Punawale, Pune. The timely diagnosis reasons and therapy of premature ovarian insufficiency help overcome the problem to a great extent. There are many small and big clinics in the country offering premature ovarian insufficiency treatment around the clock. Dr. Shraddha’s Excella Women’s Wellness Clinic is one of the top infertility clinics for the best and most satisfactory treatment for infertility in females.

7 Things to Always Discuss With Your Gynaecologist

One of the most important aspects of women’s overall health is their reproductive health. Women frequently Google questions related to health, such as “What is PCOD?” or “Why does the area down there smell?” Every 5 out of 10 women face such situations every day and do not discuss them with their physicians or Gynaecologist because of the fear of shame. Generally, ladies might be reluctant to examine their well-being worries with their gynecologist. Nonetheless, if you need the right treatment, you should talk with Dr. Shraddha Galgali is Best Gynecologist in Punawale, Pune, and give total information about yourself.

Why is it important to see your Gynaecologist?

Gynecologists are perceived as experts in all parts of gynecological medical services and in conclusion, from making better eating routines intend to recommend the best fertility medications.

According to NCBI, 14.2% of adult women suffer from abnormalities in menstruation, including Amenorrhea (absence of periods) and Dysmenorrhea (presence of periods with painful cramps). Furthermore, regarding the fertility disorder rate, 25% of the women in the respective couple ratio are found infertile due to ovulatory disorders.

Therefore to avoid the below-mentioned serious reproductive health concerns, consult with Dr. Shraddha Galgali is Best Maternity Clinic in Punawale near you.

  • Hormonal imbalance
  • Irregular periods
  • Concerns regarding pelvic, cervix, or vaginal pain
  • Abnormal bleeding from the uterus

7 things you must consult with your gynecologist:

You must discuss every minute detail with Dr. Shraddha Galgali to get the best possible treatment.

  1. Menopause and Aging: As you approach perimenopause and menopause, your gynecologist can help you navigate the physical and emotional changes associated with this transition. Discussing symptoms such as hot flashes, mood swings, and changes in libido allows your gynecologist to offer support and explore treatment options to help manage menopausal symptoms.
  2. Your medical history: To ensure that you get properly treated, your gynecologist must know everything about your health. Major things that you should list down.
    • Diseases you had suffered from, including STIs( Sexually Transmitted Infections).
    • Last screening for Pap Smear( Test for cervical cancer)
    • Current medication and the complete detail
    • Any genetic disorders or family medical history
    • Any allergies
  3. Menstrual cycle: When you visit the Pregnancy Doctor in Punawale, be sure to discuss the pattern of your cycles with your gynecologist.
  4. Unusual symptoms: When you have any unexpected signs, like abdominal pain, sudden weight loss or gain, unusual spotting, breast tenderness, feeling of nausea, and more, you must discuss it with Female Gynecologist in Wakad.
  5. Your lifestyle habits: Tell your Gynecologist about your daily routine, including what you eat, how active you are, and whether you smoke or drink. For the best medical care, your gyne should be aware of these details.
  6. Sexual wellness: Even if it is uncomfortable to talk about your sexual history with your Gynecologist, they need to know about it to understand previous illnesses or sexually transmitted infections.
  7. Contraception: Birth control pills or other forms of contraception have certain health impacts. For better outcomes for your well-being, you should discuss it with your Gynecologist.

Book An Appointment with Dr. Shraddha Galgali:

It takes a lot more courage to speak about your concerns without hesitance to a Gynecologist. Therefore, it is essential to prepare yourself before you see a Gynecologist. The more information you can provide, the more accurate your diagnosis will be. To make it easier for you to discuss concerns with your Gynecologist, we have compiled a list of items you should discuss with them.

Remember, your gynecologist is there to support your reproductive and overall health throughout every stage of life. Don’t hesitate to ask questions, express concerns, or seek guidance on any aspect of your gynecological health. Open and honest communication lays the foundation for a trusting relationship with Dr. Shraddha Galgali and empowers you to take control of your well-being. Schedule regular check-ups and prioritize your gynecological health—it’s an investment in your future self. consult our expert gynecologist at Dr. Shraddha’s EXCELLA Woman’s Wellness Clinic, Punawale for the best gynecological solutions.

Call 9923956515 and Book your appointment today to receive the best-personalized consultation in Pune.

What is Hysteroscopy and how can it treat infertility?

If you are facing severe cramps and heavy menstrual periods consistently, or if the gynecologist needs to know more about reproductive health, she might ask you to go for a hysteroscopy surgery. Infertility is a major concern in today’s society. The infertile couples are not able to enjoy the happiness of parenthood due to many reasons. The reasons can range from a blocked fallopian tube in women, to low motility in men. Whatever may be the reason, they are all collectively called fertility issues or infertility. Hysteroscopy test costs in India are not too high, and thus, going for this procedure will not burn a hole in your pocket. Just make sure that you rely on an experienced doctor and a reputed hospital when going for a hysteroscopy because they will take all the measures to keep it safe and effective for you.

Dr. Shraddha Galgali explains, being infertile is not the end of the world. With correct diagnosis and treatment, a couple can reproduce or get pregnant eventually. Moreover, in modern medicine, there are methods to find the underlying causes of infertility and cure the same. One such procedure is hysteroscopy.

What is Hysteroscopy Surgery?

Hysteroscopy is a medical procedure that involves using an instrument called the hysteroscope to examine a woman’s cervix and uterus. It helps to identify the cause of problems in this area, as well as, treat them.

The instrument, the hysteroscope, is narrow with a camera and integrated light at the end. The setup allows a gynecologist to examine the cervix and uterine cavity visually, by inserting it through a woman’s vagina. Furthermore, the camera attached also takes images that the doctor can, later, study closely to determine if further treatment is required. The procedure, also, involves removing the probable causes of infertility, like the fibroids in the uterus, etc.

When should you undergo a Hysteroscopy Procedure?

The most common reason why people opt for this procedure is when they see that their periods are heavier and longer than usual, and they are even bleeding between periods. The given situations might also make you consider undergoing the hysterolaparoscopy procedure.

  • The results of the Pap test are not normal
  • You have been bleeding even after menopause
  • There are polyps, fibroids, or scars on your uterus
  • You are facing problems with conceiving and have had more than one miscarriage
  • The doctor needs a tissue sample of your uterus lining
  • You are getting a sterilization procedure done for permanent birth control

There are two main types of hysteroscopy:

  • Diagnostic hysteroscopy: This procedure is purely observational, helping your doctor identify potential causes of infertility like polyps, fibroids, scar tissue, or abnormal uterine shapes.
  • Operative hysteroscopy: This minimally invasive surgery allows your doctor to correct issues seen during the diagnostic procedure, such as removing polyps, fibroids, or adhesions.

How can it help infertility?

A woman’s uterus and the rest of the reproductive organs need to be examined to know the reason behind difficulties in conceiving. Hysteroscopy Surgery helps in identifying underlying causes of failed pregnancies or infertility. As mentioned above, the camera along with the light takes images inside of the uterus and cervix. From this, a gynecologist can determine the problems causing infertility. If the pictures show that a corrective procedure is required, then the doctor inserts the hysteroscope inside the vagina, once again. The additional tools help remove the probable triggers of infertility like fibroid growth in the uterus or septum, which leads to an increased chance of being fertile and getting pregnant.

Infertility is a problem that is far from rare and is common in many women today. Hysteroscopic surgery services are provided in the best infertility treatment centers to diagnose and treat uterine problems. Hysteroscopy Surgery can de-mystify the underlying causes behind failed pregnancies and infertility. As such, women and couples planning to start a family, You can consult Dr. Shraddha Galgali is the one of Best Gynecologist in Baner, and she provides service Infertility Treatment in Punawale. For more information about hysteroscopy and to get advice from specialist doctors, you can book an appointment today!!!!

Don’t Be in the Dark: Navigate Menopause with Confidence

Women experience multiple signs and symptoms of menopause after an age. Each woman will have different combinations of symptoms and also, they may vary in intensity and duration and impact on her health. The degree and type of symptoms also vary across the world depending on race and ethnicity. Menopause is something that women must ultimately accept as inevitable. They must be mentally well-prepared for this very natural phenomenon in their lives. In this blog, Dr. Shraddha Galgali Explains some common symptoms or signs of menopause you need to know about. Before starting, let’s try to understand what menopause means.

What is Menopause?

Menopause is a period in every woman’s life when she stops having her menstrual cycles due to the incapability of the ovaries to release eggs. This generally happens when a woman reaches her 40s or 50s. It is a biological process that is accompanied by a wide range of symptoms that may be experienced for years. Sometimes, it becomes important to seek medical intervention to make sure these symptoms do not interfere with the quality of your life. A lot of effective treatment options are available nowadays, that can help manage these symptoms to ensure that you smoothly sail through this stage of your life.

Stages of Menopause:

Dr. Shradddha Galgali is the Best Gynecologist in Wakad. She explains menopause and the stages of menopause.

There are three stages of menopause:

  • Perimenopause is defined as the years leading up to menopause when a woman begins to experience menopausal symptoms such as hot flashes, mood swings, or bladder leaks.
  • A woman has officially reached menopause when she has gone 12 months without a period.
  • Post Menopause. After a woman has reached menopause, her body is still adjusting to changes, although many of her original menopause symptoms should begin to ease over time.

Some women experience early menopause, which is when they start exhibiting menopause symptoms before the age of 40. This may be genetic (many women tend to start menopause around the same time as your mom or grandmother did), or it could be due to other health conditions or medical treatments, such as undergoing chemotherapy or a hysterectomy.

Some common signs and symptoms of menopause and some are a part of aging:

  • Periods: The ovary is gradually depleted of the follicles. Therefore, the periods become irregular. They may become gradually less in duration, frequency, and quantity. But for some, they are frequently erratic and heavy causing anemia.
  • Hot Flashes: Hot flashes are one of the most common and well-known symptoms of menopause. They are characterized by sudden, intense sensations of heat, often accompanied by sweating and a flushed face. Hot flashes can vary in frequency and intensity and may last several years during the menopausal transition.
  • Sleep Disturbance: Some women have difficulty falling asleep, or they wake up early or they may have disturbed on-off sleep. Hot flashes may also contribute to disturbed sleep.
  • Mood Swings: Some women feel irritable, and depressed and may have crying spells. They may have low self-esteem and feel the loss of feminity. These symptoms may be due to a lack of estrogen circumstantial (social factors) or multiple factors playing a role together.
  • Vaginal Dryness: The vagina becomes very dry due to a lack of estrogen. This can lead to severe pain during sex. Women then tend to avoid sex.
  • Sex: Menopause may affect an interest in sex. Some women feel free from the stress of getting pregnant and are therefore able to enjoy sex, whereas some have a loss of interest in sex. For some, the vaginal dryness becomes a very important limiting factor in enjoying sex.
  • Urinary Issues: Some women have multiple urinary symptoms like frequency, urgency, difficulty in holding the urine, and leaking of urine while coughing, sneezing, bending, or during activities that increase intra-abdominal pressures.
  • Weight Gain: Many women notice changes in their weight and body composition during menopause. A decrease in metabolism and hormonal shifts can lead to weight gain, particularly around the abdomen.
  • Bone Health: The decline in estrogen levels during menopause can also decrease bone density, increasing the risk of osteoporosis. Menopausal women must discuss bone health with their doctor and consider bone density testing and appropriate preventive measures.
  • Skin and Hair Changes: Menopausal women may notice changes in their skin, such as dryness and thinning, as well as changes in hair texture and thickness.
  • Night Sweats: Night sweats are episodes of excessive sweating that occur during sleep and are often linked to hot flashes. They can disrupt sleep patterns and lead to fatigue and mood disturbances.

How does Menopause affect Female Fertility?

Menopause indicates the end of a woman’s reproductive ability. As hormonal levels decline, ovulation ceases, making natural conception impossible. Women need to understand this transition and consider family planning options accordingly.

How is Menopause Treated?

If you doubt your chances of menopause, your gynecologist may suggest a blood test that will give them an idea of the levels of follicle-stimulating hormone (FSH) and estradiol (E2) in your system. You may be advised to make lifestyle changes or even hormonal therapy. Only the Female Gynecologist in Punawale, Pune can help you with the most apt treatments. If you wish to know more about menopause and how you can manage the symptoms associated with it, consult the Infertility Treatment in Punawale, Pune at Dr. Shraddha’s EXCELLA Woman’s Wellness Clinic.

Ovarian Cyst: causes, symptoms, diagnosis and treatment

Ovarian cysts are sacs in or on the surface of the ovary filled with fluid. Females have two ovaries. Each side of the uterus has one ovary. Each ovary is around the size and shape of an almond and is responsible for the development and maturation of eggs. According to an AIIMS study, 1 in every 4 Indian women suffers from ovarian cysts.

Ovarian cysts can occur due to various causes including hormonal fluctuations, medical conditions, and lifestyle habits. In most cases, ovarian cysts are harmless and resolve by themselves. However, in some cases, they may cause a host of symptoms like pain, discomfort, menstrual irregularities, and reproductive complications.

Sometimes, ovarian cysts cause complications. Dr. Shraddha Galgali is Best Female Gynecologist in Punawale, Pune can help you in scheduling regular pelvic exams and any symptoms you are experiencing to prevent any cyst related problems.

Types of ovarian cysts:

Ovarian cysts can be of different types:

Functional Cysts:

  • Follicular Cysts: These cysts form when a follicle in the ovary fails to release an egg during ovulation. They may resolve on their own within a few menstrual cycles.
  • Corpus Luteum Cysts: After an egg is released during ovulation, the ruptured follicle transforms into the corpus luteum. Sometimes, this structure fills with fluid or blood, resulting in a cyst. Most corpus luteum cysts also resolve spontaneously.

Pathological Cysts:

  • Endometriomas: These cysts form when endometrial tissue grows on the ovaries, resulting in painful cysts that can affect fertility.
  • Dermoid Cysts: Also known as teratomas, these cysts are made up of different types of tissue, potentially including hair, skin, and even teeth.
  • Cystadenomas: These cysts develop from ovarian tissue and can be filled with mucus or watery fluid.

Causes of Ovarian Cyst:

In a normal healthy woman in her reproductive years, the ovaries develop small cyst-like structures when the egg is released from the ovaries (by the process of ovulation). The egg is released by follicles. When these follicles keep growing, they form a functional cyst. These cysts develop within two to three menstrual cycles.

However, some cysts continue to grow and eat away at healthy ovarian tissue. Ovulation is the leading cause of ovarian cysts. Other causes of ovarian cysts include:

  • Abnormal cell reproduction
  • Endometriosis
  • Pelvic inflammatory disease (PID)

Common signs and symptoms of ovarian cysts:

Small ovarian cysts usually cause no signs or symptoms. However, larger ovarian cysts may cause the following symptoms:

  • Pelvic pain
  • Bloating in the lower abdominal region, which is usually more pronounced on one side
  • Pain during sexual intercourse
  • Dysmenorrhoea or painful periods

It is important to note that the symptoms of ovarian cysts may be very similar to other gynaecological conditions like PCOS.

Symptoms of a ruptured ovarian cyst may include:

  • Sudden pain in your stomach
  • Swelling that did not go away
  • Unusual spotting or bleeding
  • Pain with fever and vomiting
  • Feeling dizzy, weak, or fainting

Ovarian cyst examination:

Dr. Shraddha Galgali discovers a cyst during a pelvic exam. They will ask questions about your pain and other symptoms. The cyst may be fluid-filled, solid, or mixed. To diagnose what type of disease you have, she may recommend one of these additional tests:

  • Pregnancy test: A positive pregnancy test may mean that you have a corpus luteum cyst.
  • Pelvic ultrasound: It uses sound waves to create images of your uterus and ovaries. Your expert can confirm that you have a cyst, tell you its location, and find out what type it is.
  • Laparoscopy: Your gynecologist inserts a thin device with a light and a camera into your abdomen through a small incision. They can look at your ovaries and remove any ovarian cysts.
  • blood test: If you have a partially solid ovarian cyst, your gynecologist may want to test your blood for levels of a protein called CA 125 (cancer antigen 125). It is more common in women who have had ovarian cancer and have conditions such as uterine fibroids, endometriosis, and pelvic inflammatory disease (PID).

Ovarian Cyst Diagnosis and Treatment:

Your gynecologist and expert will begin by ruling out pregnancy as a potential cause of your symptoms. Subsequently, they may utilize the following diagnostic tests to identify an ovarian cyst:

  • Wait and watch: In many cases, especially for small, asymptomatic cysts, your Fertility Specialist may recommend a wait-and-watch approach. This involves regular monitoring through follow-up appointments and imaging tests, like ultrasounds, to observe the cyst’s behavior and see if it resolves by itself.
  • Medications: Some ovarian cysts can be resolved by medications prescribed to treat their symptoms. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and discomfort. Hormonal contraceptives, like birth control pills, may be prescribed to regulate the menstrual cycle, prevent the formation of new cysts, and shrink existing cysts.
  • Surgery: If the cyst is large, is causing severe pain, or shows no signs of resolving, your doctor may perform surgery. The type and extent of surgery depend on the characteristics of the cyst and the patient’s overall health.
    1. Laparoscopy: This minimally invasive surgical procedure involves making small incisions in the abdomen through which a thin, flexible instrument with a camera (laparoscope) is inserted. The surgeon can visualize and remove the cyst or perform cystectomy, which involves removing only the cyst while preserving the ovary.
    2. Laparotomy: In some cases, a larger incision (laparotomy) may be required to remove the cyst. This approach is typically reserved for larger cysts, suspected malignancies, or cases where the cyst has caused complications.
    3. Oophorectomy: In rare cases where the cyst is cancerous, or there is a risk of malignancy, the affected ovary may need to be surgically removed (oophorectomy).

If you need to undergo tests for an ovarian cyst you can trust us. Dr. Shraddha Galgali is a trusted name in diagnostic services. We offer comprehensive testing and imaging solutions for the accurate diagnosis and monitoring of ovarian cysts. Remember, timely intervention and proactive care can help manage ovarian cysts and promote overall well-being.

With our advanced technology and experienced healthcare experts, we at Dr. Shraddha’s EXCELLA Woman’s Wellness Clinic aim to empower women to take control of their reproductive health. There are several TruHealth Packages on offer for women of all ages. Book your diagnostic tests with us today!