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Gynecology, pregnancy and sonography care by Dr. Varshali Mali

Gynecology care solutions

Pregnancy care solutions

Sonography solutions

Menstrual problems like irregular menses, heavy flow during menses, Amenorrhoea, etc., are treated. A thorough evaluation is done to find out the cause of the menstrual problem, counseling is done to reduce the risk of factors contributing, and medication is provided to treat the cause.

Gynec exams include a breast examination, pelvic examination, and PAP smear. An annual gynecology checkup is provided to reassure you that your reproductive organs are healthy. Any disease condition can be picked up early, and treatment is provided accordingly.

Many urinary disorders like urinary tract infection (UTI), urinary incontinence, etc. A thorough examination, diagnosis, and treatment services are provided for all urinary disorders.

Presentations could be irregular menstrual cycles, hair loss, abnormal weight gain, and infertility. Counseling, diagnosis, and treatment are provided for all PCOD problems depending upon presentation.

Breast pain, lump in the breast, abnormal discharge from nipples, etc., are a few breast problems. A thorough examination, diagnosis, and treatment services are provided for all breast-related issues.

Bartholin's cysts are usually presented as painless vaginal cysts on either side of the vulva. Cysts can get secondarily infected and result in abscesses. Sometimes they don't need treatment; only observation will suffice. At times, these need to be treated with medicine or surgery, depending upon presentations. All the services treating Bartholin's cysts are provided.

Counseling, diagnosis, and treatment of menopause problems like irregular periods, hot flashes, atrophic vaginitis, etc., are done. Various treatments like hormone therapy, vaginal estrogen, medications to prevent or treat osteoporosis are provided.

Starting periods too early (Precocious puberty) or too late (delayed puberty), irregular periods, menorrhagia (heavy flow during menses), anemia are a few of the medical problems associated with puberty. Education, counseling, medication, and treatment around puberty problems are provided.

Various disorders that are caused due to inflammation or infection of the vagina are called vaginitis. This is one of the most common issues found in women. The most common presentation is excessive discharge per vaginum. Diagnostic services like a review of medical history, pelvic examination are provided. Appropriate treatment are provided based on the identified cause for vaginitis.

Ovarian cysts are growths that develop on or inside the ovaries. Most cysts are harmless, but few may create potentially serious problems. An examination and diagnosis service are provided to understand the cysts' cause and nature. Complete laparoscopy management of ovarian cysts is provided.

Fibroids are noncancerous growths of the uterus which mainly appear during childbearing years. The fibroids often do not need any treatment, but in certain conditions, they may need to be treated or removed. Services like Laparoscopic myomectomy/open (abdominal myomectomy) are provided to manage the fibroids.

Hysterectomy is a major surgical procedure in which the uterus is removed. Hysterectomy is done for fibroid problems, abnormal uterine bleeding, prolapse, endometriosis, early stages of certain cancers. Counseling, uterus removal services, after treatment care is provided. It can be laparoscopic hysterectomy, abdominal hysterectomy, vagnal hysterectomy.

Prolapse is a condition where female pelvic organs fall from their normal position into or through the vagina. Most of the time, it needs surgical correction. Vaginal hysterectomy with other repairs treatments is provided.

Many urinary disorders like urinary tract infection (UTI), urinary incontinence, etc. A thorough examination, diagnosis, and treatment services are provided for all urinary disorders.

Counseling of couples before planning pregnancy to achieve a healthy pregnancy. Family history, risk factors, medical conditions, and lifestyle all are discussed in accordance with a future pregnancy. Guidance to gain a healthy weight, updating appropriate immunization, reviewing medical conditions (diabetes mellitus, hypertension, thyroid, and seizure disorders) and their proper control, the safety of previously taking medications regarding pregnancy are discussed. Guidance regarding starting prenatal Folic acid and other essential medicines is given.

Care of a pregnant lady throughout 9 months, from conception until delivery. Guidance regarding appropriate investigations, medications, immunization, exercise, and diet is provided. Regular checkups to assess the baby's health, various blood and ultrasound tests report assessment, resolving various concerns during pregnancy are done through counseling and guidance.

Vaginal delivery, instrumental delivery (forceps, vacuum deliveries), and cesarean section are done. Epidural analgesia (painless labour) can be offered. Epidural analgesia is one of the means to make your labour pains bearable while labour progresses. Risk assessment and cesarean section delivery service are provided.

Management of pregnant women with a previous history of repeated miscarriages (abortions). Investigations to find out the cause for it and its management is done. Guidance throughout pregnancy and delivery is given.

Guidance regarding breastfeeding, correct posture for breastfeeding is given. Post-delivery conditions like mastalgia and mastitis (pain and swelling of the breast), cracked nipples, breast abscess is treated.

A pregnancy is considered high-risk when potential complications could affect the mother, the baby, or both. These include diabetes mellitus, hypertension, twin pregnancy, preterm labour, placenta previa, obesity, recurrent pregnancy loss, etc. All required diagnoses, treatment, and care are provided for high-risk pregnancies.

Examination, investigations, counseling, and treatment are provided for the couples seeking conception. Treatments like ovulation induction and IUI (Intrauterine Insemination) are done.

It is a procedure to terminate the pregnancy. In the early stages of pregnancy, it can be done with medicines. In the advanced stages of pregnancy, it can be done with surgical procedures. Counseling and MTP services are provided.

Guidance to a couple regarding different methods for pregnancy prevention as per their need and convenience is provided. These include temporary methods like barrier methods, contraceptive pills, Cu T Insertion (IUCD), contraceptive injections, etc. Services like Tubal ligation are provided for those who want a permanent solution. Tubal ligation can be done either by Abdominal (open) Tubal Ligation or Laparoscopic Tubal Ligation methods.

Examination, investigations, counseling, and treatment are provided for the couples seeking conception. Treatments like ovulation induction and IUI (Intrauterine Insemination) are done.

Sonography (ultrasound) uses sound waves to create images of the uterus, ovaries and, during pregnancy, the baby. It is used to follow fetal growth and heartbeat in pregnancy, and to look for conditions such as fibroids and ovarian cysts. Your doctor will explain what the scan shows and what, if anything, needs to happen next. Sonography is a diagnostic tool, and its findings are interpreted together with your history and examination. Sex determination is prohibited by law and is not done at this clinic.

An early pregnancy scan uses sound waves to create an image of the uterus and the developing pregnancy, and it is usually done in the first trimester. Your doctor may advise it to confirm a pregnancy, to check that it is in the right place, to look for the baby's heartbeat, or to estimate how many weeks along you are, especially if you are unsure of your last period date. It is also used when there is early bleeding or pain. In the early weeks, the scan may be done through the abdomen or internally (transvaginal), whichever gives a clearer view. Your doctor will explain the approach and any preparation, such as a full bladder. Dr. Varshali will go through the findings with you and talk about the next steps in your antenatal care. Partners are welcome to join the discussion.

Ovulation monitoring uses a series of ultrasound scans across one menstrual cycle to follow the growth of follicles, the small fluid-filled sacs in the ovary that hold an egg. Your doctor may suggest it if you are planning a pregnancy and want to understand your cycle, if your periods are irregular, or when she wants to review how your ovaries are responding during a cycle. The scans are done on days of your cycle chosen by your doctor, often more than once in a cycle, and are usually transvaginal. Each scan is brief. The findings are reviewed with you, and your doctor will explain what they mean for your cycle and whether any further evaluation is needed. Cycles vary from woman to woman, so the scan helps estimate, rather than predict, when ovulation is likely.

A pelvic ultrasound looks at the uterus, ovaries and surrounding structures using sound waves, with no radiation involved. Your doctor may advise it to look into symptoms such as heavy, painful or irregular periods, pelvic pain or unusual bleeding. It is also used to look for conditions such as fibroids, adenomyosis, polyps and ovarian cysts. The scan may be done through the abdomen with a full bladder, or internally (transvaginal), depending on what your doctor needs to see. She will tell you which suits your situation and how to prepare. The findings are discussed with you in the consultation. Some findings need only observation, and others need further tests or treatment. Your doctor will explain which applies to you.

Learn Before Your Visit

Pregnancy Planning, Natural Conception, Male and Female Fertility

Planning a pregnancy often raises many questions. Watch Dr. Varshali Mali explain the fundamentals in this educational discussion.

LATEST ARTICLE

Importance | Meaning | When | Why

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During the second trimester, one of the vital and necessary pregnancy ultrasound scan is the Anomaly scan or TIFFA scan (Targeted Imaging for Fetal Anomalies). This is usually done within 18 to 20 weeks of gestational age. This scan targets checking the baby's physical development, growth, and how the baby is doing and detecting the abnormalities, if any. Read this article to learn more about an Anomaly scan or TIFFA scan, its meaning, importance, schedule, and report.

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LET'S TALK

Whether you're planning, expecting or simply have a concern, Dr. Varshali Mali, Obstetrician & Gynecologist, sees you at her Life Republic clinic in Hinjewadi. Monday to Saturday.

Monday to Saturday

Morning : 10:00 AM to 12:00 PM

Evening : 4:00 PM to 8:30 PM

8007442266

helpdesk@drvarshaliclinic.com