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Endometriosis, a chronic condition where tissue similar to the lining inside the uterus grows outside of it, can cause significant pain and discomfort for those affected. Endometriosis Recurrence Post-Hysterectomy, the surgical removal of the uterus, is often considered a last-resort treatment for severe endometriosis symptoms. However, for some women, the relief provided by hysterectomy may be temporary, as endometriosis can recur even after this procedure. Dr. Shraddha Galgali is one of the best gynecologists in Punawale, Pune and she explains why this recurrence happens and how managing it is crucial for those living with endometriosis.

Endometriosis is a disease in which the tissue on the lining of the uterus grows outside the uterus. It causes pain in the pelvis and other complications. It can start in menarche and can last until menopause.

The growth of the tissue outside of the uterus causes inflammation and scar tissue formation in the pelvis and elsewhere. Endometriosis creates symptoms like the following:

• Severe pain in the pelvis
• Menstrual discomfort
• Difficulty in using the bathroom
• Trouble getting pregnant
• Fatigue
• Depression and anxiety

Dr. Shraddha Galgali stated several factors can increase the likelihood of endometriosis recurrence after a hysterectomy:

• Incomplete removal of endometrial tissue during the initial surgery
• Retention of ovaries, which continue hormone production
• Advanced stage of endometriosis at the time of hysterectomy
• Genetic predisposition to endometriosis

One treatment for endometriosis is a hysterectomy. A hysterectomy is a procedure in which the uterus is surgically removed. When utilized for treating endometriosis, this surgery eliminates the endometrial tissue and the uterus with or without the ovaries.

Most patients with endometriosis do not require a hysterectomy. According to research in India, only 12% of women who suffer from endometriosis get a hysterectomy.

Like any medical treatment, endometriosis has its advantages and disadvantages.

Advantages:

• The relief of symptoms
• No menstrual periods or associated pain
• No worries about pregnancy

Disadvantages:

• If the ovaries are removed, early menopause, which can cause:
• Vaginal dryness
• Lowered libido
• Pain during sex
• Organ prolapses, a situation in which one or more organs slip from their place
• An inability to get pregnant
• The possibility that endometriosis will recur

There is no consensus on what causes endometriosis recurrence post a hysterectomy.

• Incomplete Excision of Endometriosis: Incomplete removal of endometriotic tissue is the most predominant reason for recurrence found in the literature.
• Conservation of Ovaries During Hysterectomy: Performing a hysterectomy without removing the ovaries is another cause of recurrence. A high recurrence rate is reported in cases where the ovaries are conserved during hysterectomy.
• Patient Consideration: There is a possibility of endometriosis recurring even after a hysterectomy. The patient must carefully consider this possibility before deciding to undergo hysterectomy. Factors to consider include the patient’s age and the impact of early menopause on her lifestyle.
• Surgical Precision: The surgery must be flawless for effective management. Recurrence of endometriosis symptoms and pelvic pain are directly correlated to the precision of the surgery. Surgical efforts should aim to completely eradicate endometriotic lesions to minimize the risk of recurrence.

If you have endometriosis there are other therapies other than a hysterectomy. Please think carefully before selecting to undergo one.

If you do, we at Dr. Shraddha’s EXCELLA Woman’s Wellness Clinic will perform a highly precise, safe, and effective hysterectomy. We will ensure that your endometriosis doesn’t repeat.

If you are considering a hysterectomy for endometriosis or are experiencing symptoms after the procedure, it is essential to discuss all options and concerns with your Dr. Shraddha Galgali is the best Infertility Treatment in Punawale, Pune to determine the best course of action for your individual needs.

Feel Free to Book an appointment with the Best Female Gynecologist in Wakad. please call 9923956515!

Miscarriage will often occur within the first 20 weeks. Dr. Shraddha Galgali at Dr. Shraddha’s Excella Clinic in Punawale addresses weekly 2-3 couples for miscarriage problems. In the recent 2-3 Years rate of miscarriage has rapidly grown in Pune and nearby areas because of being unaware of the causes and care taken. Hence In this Blog, Dr. Shraddha Galgali – The best Gynecologist in Punawale, Pune has shared some useful information about Miscarriage Conditions. She Believes, that knowing the risk factors, signs, and causes is unquestionably advantageous in understanding, managing, and preventing miscarriages. If you are the one who facing a miscarriage problem or repeated miscarriage then you must consult with Dr. Shraadha Galgali for the best treatment and care.

Miscarriage refers to the spontaneous loss of an embryo or fetus before the twenty-week threshold of a pregnancy. A little-known fact is that up to half of all pregnancies result in miscarriage, with the majority of these being cases of early miscarriage where a woman is unaware that she has conceived at all. Approximately a quarter of all recognized pregnancies are impeded by a miscarriage. Of these, 80% take place in the first trimester. The probability of a miscarriage drops dramatically after the fifth month of pregnancy.

A miscarriage can be of the following types depending upon the signs and the stage of gestation:

• Complete Miscarriage: All the fetal tissue gets expelled from the body.
• Incomplete Miscarriage: Some part of the fetus remains inside the body.
• Inevitable Miscarriage: A miscarriage is inevitable if bleeding, cramps, and cervical dilation are there.
• Missed Miscarriage: It happens when the outcomes of conception remain inside the body after a failed pregnancy.

Dr. Galgali is the best Pregnancy Specialist in Punawale and she explains Miscarriage causes typically differ, with chromosomal issues in the first trimester being the most frequent, often stemming from flawed sperm or cell damage during zygote division, while other factors may also contribute:

• Hormonal problems, maternal health concerns or infections
• A lifestyle that includes smoking, malnutrition, drug use, excessive caffeine, and exposure to toxic substances or radiation.
• Maternal trauma
• Maternal age
• Uterine abnormalities

Dr. Shraddha Galgali says sometimes a miscarriage causes no symptoms. However, you may have:

• Bleeding that goes from light to heavy
• Severe cramps
• Belly pain
• Weakness
• Worsening or severe back pain
• Fever with any of these symptoms
• Weight loss
• White-pink mucus
• Contractions
• Tissue that looks like blood clots passing from your vagina
• Fewer signs of pregnancy

If you have these side effects, contact Dr. Shraddha Galgali immediately. They will let you know whether to come to the clinic or go to the trauma center.

Any woman can miscarry. However, some are more likely to miscarry than others. Here below are a few risk factors:

• Age: Age plays a significant role in conceiving. Older women are more likely to conceive a baby with chromosomal abnormalities, resulting in a miscarriage. Besides, the risk of miscarrying also rises with each child you bear.
• Regular Diseases or Disorders: Uncontrolled diabetes or certain inherited blood clotting disorders, hormonal disorders, or autoimmune disorders are some of the situations that could raise the risk of miscarriages.
• A Record of Miscarriages: Women who have experienced two or more miscarriages in a row are more likely to miscarry again.
• Uterine or Cervical Problems: Women who have certain genetic uterine irregularities, a weak or abnormal short cervix, or painful uterine adhesions often raise the odds of miscarrying.
• A History of Genetical Disabilities of Genetic Problems: If your partner, you, or family members have a genetic irregularity or have given birth to a child with genetic disabilities, you are at a higher risk for a miscarriage.
• Smoking, Drinking, and Drug Use: If you smoke, drink, or use drugs such as cocaine during pregnancy, you are a risk for miscarrying. Some studies have also shown a connection between high levels of caffeine consumption and miscarriages.

Similarly, there are several other aspects such as infections, medications, environmental toxins, obesity, and more that increase one’s risk of a miscarriage.

To check whether you have had a miscarriage, the gynecologist will do:

• A pelvic exam. They will check to see if your cervix has started to dilate.
• An ultrasound test. This trial uses sound waves to check for a fetal heartbeat. If the results are not clear, you may go back for another test in a week.
• Blood tests. The fertility specialist uses them to look for pregnancy hormones in your blood and compare them to past levels. They may also test you for anemia if you have been bleeding a lot.
• Tissue tests. If tissue leaves your body, the fertility specialist may send it to a lab to confirm that you had a miscarriage. It can also assist make sure there was no other cause for your signs.
• Chromosome tests. If you’ve had two or more miscarriages, the gynecologist might do these tests to see if you or your partner’s genes are the cause.

If pregnancy tissue remains in the uterus, it may be necessary to remove it to prevent complications like infection or bleeding. After a miscarriage, if the uterus expels all fetal tissue, further intervention is usually unnecessary, with an ultrasound confirming complete evacuation. In cases where the body doesn’t expel all tissue or bleeding hasn’t begun, medication or surgical intervention may be recommended.

• Non-surgical management, waiting for natural passage, or taking medication to aid in uterine evacuation may be suggested, particularly if the miscarriage occurred before 10 weeks.
• If miscarriage symptoms are present without confirmation, bed rest or hospital observation might be advised, with procedures like cervical cerclage if necessary.
• Surgical options like dilation and curettage (D&C) or dilation and evacuation (D&E) may be performed if tissue remains or if heavy bleeding occurs, especially after 10 weeks of gestation, typically under anesthesia in a hospital setting.

Most miscarriages are caused due to chromosomal abnormalities, and there is not much one can do to prevent them. However, it is vital to be healthy before you conceive. Therefore, following the below-mentioned will help you prevent such a condition.

• Exercise regularly
• Manage stress
• Eat healthy
• Do not smoke, drink, or consume drugs
• Take folic acid daily
• Keep weight within healthy limits

At Dr. Shraddha’s EXCELLA Woman’s Wellness Clinic, we understand you and provide you with the support you need. With state-of-the-art facilities and a team of skilled obstetricians, we will take every measure to offer you the best consultation, diagnosis, treatment, and prevention advice for all your obstetric conditions, including miscarriage. You can consult Dr. Shraddha Galgali is the one of Best Gynecologist in Akurdi, and she provides service Abortion care in Punawale. For more information about miscarriage and to get advice from specialist doctors, you can book an appointment today!!!!

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.

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.

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

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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

• 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.

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!!!!