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Management of Pregnancy
Management of Pregnancy Query
Treatment of Heavy Periods
Treatment of Fertility
Caesarean Section Procedure
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Treatment of Vaginal Dryness
Gynecology Laparoscopy Procedures
Family Planning Procedure
Pre And Post Delivery Care
Management of Bleeding During Pregnancy
Normal Vaginal Delivery
Treatment of Gynae Problems
Caesarean Section (C Section)
Laparoscopic Surgery (Obs Gyn)
Pregnant Women Counseling
Management of High-Risk Pregnancy
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Patient Review Highlights
Visited for Infertility Evaluation / Treatment After my D&C (missed abortion) a year back, my husband and I had been trying to conceive for a while, without any luck. So we decided to consult Dr. Varshali Mali. So far we have had many great visits at the clinic. I feel like we are finally getting to the bottom of things, with every visit feels like one step closer. Currently we are going through the IUI process. After reviewing the test results, Dr. Varshali explained the initial protocol approach and explained us to make sure we understand each step of the process. She has been always available to listen to any concerns I have and answered all of them. I'm very happy with the one-on-one care and personal attention, we received. I would highly recommend Dr. Varshali Mali, for all your birthing needs from pre-pregnancy to post-delivery.
She is blessed with graceful personality and reassuring smile. She spent quality time to ensures that patient understood the issues and explains all the question with language a non medico can understand. She ensures all the required test and procedures one has to undergo are well understood by the patient. She is the reason I am blessed with baby boy after undergoing crucial labour pain. She was their whole time standing during labour to ensure that I have a normal delivery. What else could justify her dedication towards her patient that she ensured her personal presence on my 36 hour labour journey when she was ANC herself.. Kudos to you my Dr.. Bless to have you ..
She is very nice and kind by nature. Treated very well and guided in proper way. Her recommendation was really helpful during my wife's pregnancy. We must say she helps morally and needs very less medication. Your moral supports reduces the half of the pain. Must visit doctor you will have good communication experience in first visit. She also helps over the phone too that was very helpful for us when it was not possible to visit her clinic every time. Thanks doctor for your great support.
I had a very good experience with the Doctor during my pregnancy and after child birth. Dr.Varshali was very friendly and taken good care of me after i started consulting. Also she is more supportive and encouraged me to do right things. Always explains the medical reason in detail for every suggestion given at any time with patience. Overall the experience was excellent, the goodness of the experience was also with my husband and my parents.
She had supported me through my VBAC journey, instilling continuous confidence and hope. VBAC is a risky procedure and many doctors would discourage you, but Dr. Varsha takes up challenges to give the patient positive results. she does all this with calm and cool interaction. I should mention that none of my family members were with me during my any stage of labour. I didn't needed one. Thank You Varsha for being so special on our timeline.
A very calm and nice doctor, she always welcomes you with her smile and makes you comfortable,. I had very grt experience throughout my pregnancy with Dr varshali. She is very friendly.. I could discuss minor issues with her frankly.. She was in touch with me everytime whenever I needed
She makes patients comfortable n u can share ur problems without hesitation
Excellent Doctor with good knowledge and Skills.
Good treatment and very friendly
Hello Sir, My friend having pain in tummy and waist between 12 to 14 days of completion of her period for 1 day can you please give us a reason and remedy for that.
There are so many reasons for you to think that you might be pregnant. Your period is missing or it’s late. You forgot to take pills. You are feeling some changes in your body. Missed or delayed period is the most common first sign of pregnancy. There are many other symptoms of early pregnancy like morning sickness, fatigue, light bleeding, breast changes and many others.
The first symptoms of pregnancy differ from a woman to another. Some women notice early pregnancy symptoms one day after the first missed menstruation. Others experience them within the first two or three weeks of pregnancy while many do not experience them at all. We will discuss these most common early signs of pregnancy in this article.
Early signs of pregnancy
Whether you were trying to have a baby or just wondering if you were pregnant. Here are 10 early signs of pregnancy.
Missed or delayed period
Does missing your menstruation mean you are pregnant? A delayed period is considered as the earliest and most obvious symptom of pregnancy. After conception, the body starts producing and releasing the human chorionic gonadotropin (hCG) pregnancy hormone to maintain pregnancy. This hormone sends a message to your ovaries telling them to stop releasing eggs every month and that's how your period won't be arriving on the regular time.
You should know that not every delayed period means you are pregnant. There are plenty of explanations for your missed menstruation other than pregnancy. You might have been sexually inactive, still taking pills or stopped taking them recently. Stress, fatigue, fast weight gain or loss and hormonal problems are other possibilities for a missed period.
If your period is not regular, or you weren’t trucking your menstruation monthly, the following signs can appear before you notice your delayed period.
A couple of weeks after conception, some women experience morning nausea or sickness. Morning nausea is an early sign of pregnancy that can occur even before noticing that the period is missing. The rising estrogen in the body causes this ill feeling. Most women are relieved by the 14th week of pregnancy, while for others, it persists throughout all the pregnancy.
Light bleeding or spotting
For any woman who is planning to get pregnant, seeing any bleeding can be disappointing. It could be mistaken for a period bleeding. If the spotting is lighter than usual, it could be an implantation bleeding. It happens when the fertilized egg attaches to the uterine lining.
The rising level of hormones related to pregnancy, causes breast sensitivity and soreness. It is the first physical sign of early pregnancy. It is felt as heaviness or tenderness of the breast. This symptom appears usually in the first trimester of the pregnancy and decreases typically after several weeks. You may also notice the area around your nipple (areola) getting darker, it is also due to hormonal changes.
Feeling tired all the time? even exhausted, all of a sudden, doing minimal efforts? It can be a symptom of pregnancy. As the body passes through multiple changes in preparation for carrying a baby, fatigue sets in. It's a nonspecific sign of early pregnancy. The rapidly increasing level of the progesterone hormone also causes unusual sleepiness.
Food cravings are sudden desires to eat a certain kind of food. They can affect any woman during pregnancy and the craving can be for very uncommon types of food. Many women describe it as a sudden urge to eat unusual food combinations including those that they normally don't like at all. Unlike cravings, food aversion is feeling nausea or sickness for some kind of food.
One of the common signs of early pregnancy is mood swings. Experiencing intense emotions or suddenly falling in tears for no reason are other consequences of hormonal changes of pregnancy. Don’t worry, it is totally normal and can be related to stress or other factors.
If you start going to the bathroom more often than usual, that might be a sign of pregnancy. Increased urination is an early sign of pregnancy that appears shortly after conception. The growing uterus and the hormonal changes cause your bladder to fill more quickly leading to frequent urination. Make sure you stay hydrated.
In the first weeks of pregnancy, some women notice a milky thick vaginal discharge. In the early stage of pregnancy, the vaginal walls thicken, and the vaginal secretions increase to protect the baby from infections. Non-associated with itching or burning (signs of infection), this vaginal discharge might be a sign of pregnancy. If you feel itching or burning, you must consult a doctor, it can be a sign of infection that needs treatment.
Another reason to blame hormones is constipation. The increased levels of the progesterone slow down the digestion and, in turn, causes constipation.
There are plenty of other early signs of pregnancy like headaches, shortness of breath, dizziness, fainting, sensitivity to certain smells. Many of them can persist during the second and third trimesters of pregnancy like mood changes, increased urination, fatigue, food cravings, and aversions.
These symptoms may differ in quality or severity. The same woman may have a different experience with different signs in every pregnancy. You can still not experience none of these signs of early pregnancy and be pregnant. Some women don’t figure out they are pregnant from the first weeks, it can take them months to know.
What is next if I had early signs of pregnancy?
If after reading all the explanations of the early signs of pregnancy, you’ re still not sure of your pregnancy, there is one only way to be confirmed, the pregnancy test. Except for ultrasonography test, all the other pregnancy tests measure the level of human chorionic gonadotropin (hCG) which is the pregnancy hormone.
Read the pregnancy test guide article, which gives more detailed information about all the possible tests you can take to confirm your pregnancy. If you have any doubts, it is important to you to consult the pregnancy doctor, you can ask questions and get all the answers you want and make sure everything is alright. The doctor will provide you with all the information you need for your pregnancy and helps you plan for it. You can also have advice about your self-care. Book an appointment to consult with doctor.
Could these signs be premenstrual syndrome?
Many of early signs of pregnancy can be mistaken for premenstrual syndrome (PMS). In the last half of a woman’s menstrual cycle, the premenstrual syndrome can occur. It’s a combination of psychological and physical disturbances that end with the period flow.
These symptoms are fatigue, mood swings, stress, breast tenderness and soreness. You may notice that these signs can be very similar to those experienced in early pregnancy. They are not specific and the only way to distinguish between them is to take a pregnancy test. The arrival of a period is a confirmation of premenstrual syndrome.
The premenstrual syndrome can be different from cycle to cycle and, like the early signs of pregnancy, each symptom can vary in duration and severity from a woman to another.
Whether you are having early signs of pregnancy or just experiencing the premenstrual syndrome, it is important to manage your stress, dietary changes, and medication.
Tips and advice
Some early signs of pregnancy can cause discomfort. There are some good self-care tips and remedies to help you relieve some unpleasant symptoms.
- Eat small frequent meals to combat nausea. And make sure you are well hydrated
- Wear a comfortable bra that could support your sore breasts
- Avoid constipation by eating fibers. Have a good quantity of fruits and vegetables in your meals
- Keep your weight controlled by following a suitable diet. You can consult the doctor to see what is good for your pregnancy
- Once pregnant, don’t take any medications without consulting with your doctor. Many antibiotics and medications are safe during pregnancy, but you must see the doctor to confirm it
- Stay away from alcohol, cigarette, and drugs. They are not good for you and for your growing baby
- Both PMS and early signs of pregnancy need emotional support.
If you think you might be pregnant, but you are not sure about the results and reliability of home pregnancy test, or you want to know if you are pregnant, but it is too early for a urine test, you may consider the blood pregnancy test. These tests are taken at doctor's clinic. A laboratory tests your blood to detect hCG. These tests are more sensitive than the home pregnancy test. Blood pregnancy test can pick up the low concentration of hCG compared to a home pregnancy test and helps to identify pregnancy status, baby health, and problems.
Types of blood pregnancy test: There are two types of blood pregnancy tests. Qualitative hCG blood serum tests check to see if hCG is present in your blood or not. A positive result means you are pregnant and a negative result means you are not pregnant. It just gives "yes" or "no" answer about your pregnancy. Quantitative hCG blood serum tests check both the presence and quantity of hCG present in the blood. It detects even very low level of hCG which helps to determine whether the pregnancy is normal and healthy, and problems like ectopic pregnancy may be detected with this test.
"Blood pregnancy tests have a 99% accuracy rate, so they are almost always accurate. Relatively, they are more accurate than a home pregnancy test. The qualitative test only answers "yes" or "no", while the quantitative test measures quantity of hCG and help to identify the pregnancy status and problems if any. In many cases, the choice between blood and urine pregnancy test is based on convenience, cost, and accuracy. The blood pregnancy test helps to monitor and detect pregnancy problems."
Home pregnancy test or blood test? Like many of fertility and pregnancy questions, there is no straightforward answer to this question. Both determine if you are pregnant or not, but the choice might depend on factors like convenience, expense, accuracy and your fertility history. When deciding if you should use a home pregnancy test or have a blood pregnancy test done at the lab, there are few items to consider like convenience, cost, and accuracy. Many times, the blood pregnancy test is preferred to remove uncertainty in home pregnancy test and acts as a confirmatory test to detect pregnancy. In case of fertile histories like miscarriage or ectopic pregnancy in the past, the doctor generally monitors hCG levels closely in first several weeks of pregnancy. If hCG levels do not rise appropriately in those very early days, it can signal a problem with the pregnancy. Neither a qualitative blood test nor an HPT allows this type of monitoring, as they do not reveal exact amounts of hCG, and cannot determine if levels are increasing appropriately.
After missed periods, after unprotected sex, you want to know if you are pregnant. You probably do not want to tell this to the world but what you need is just a confirmation that you are pregnant or not. Home Pregnancy Test (HBT) is a quick and easy way to find out if you are pregnant or not. The HBT works on detecting the hCG hormone in your urine (pee). This hormone is generated in your body only if you are pregnant.
How to do the test? You can get the pregnancy test kit from most of the medical stores. These test kits are usually not that expensive. You can also get the pregnancy test kit from your doctor. For most home pregnancy tests, you either hold a test strip in your urine stream or you collect your urine in a cup and dip your test strip into the cup. If you are pregnant, most test strips produce a colored line, but this will depend on the brand you purchased. Read the instructions for the test you bought and follow them carefully.
When to conduct the test? Home pregnancy tests are accurate when you take them after you’ve already missed your period, or your period is late. Doing the pregnancy test on the day of your missed period will give you correct results, but its advised to wait for a week after your missed period to get most accurate results. Few pregnancy test kits say they work a few days before a missed period, but the results are usually less accurate. Sometime a pregnancy test can find the pregnancy hormones in your urine as early as 10 days after unprotected sex. But these results aren’t super reliable, and you may get a false positive or false negative test result. If your periods are very irregular, or you don’t get periods at all for one reason or another, your best bet for accurate results is to take a pregnancy test 3 week after sex.
How to get accurate results? To get good test results, it is recommended using midstream urine, which means peeing first into the toilet and then into the cup to collect the sample. You can improve your chances for an accurate result by using your first-morning urine for the test. If you are pregnant, it will have more hCG in it than later urines. A pregnancy test will be less accurate if it’s expired or if you don’t use it the right way. So always check the expiration date on the package, and carefully read the directions that come with your pregnancy test.
What are false positive and false negative results? In some cases, you might be pregnant, but your test results are negative. This is called false negative. This may happen if you have not used the test properly, or you have done the testing too early. In this case, if your period does not arrive after few days, repeat the test after few days or consult pregnancy doctor. In some cases, you might not be pregnant, but the test results are positive. This is called false positive. This may happen if you have used the kit past its expiration date or if you have given an hCG injection during infertility treatment. A false positive pregnancy test result may also be seen in some cancers and other medical conditions that may produce elevated hCG levels.
If your results are positive, or you have some confusion about the outcome, consult pregnancy doctor to confirm the test results. The doctor might ask you to repeat the urine test at a clinic or may suggest blood test or other options to confirm your pregnancy. Always confirm your home test result with the pregnancy doctor.
“Home Pregnancy Test (HBT) is qualitative in nature and will tell you only if you are pregnant or not. This will not tell you how long you have been pregnant. The results are most accurate if you take the test a week after your missed period and when use midstream first-morning urine. For reliable results, its advised to repeat the test twice. Always consult a pregnancy doctor to confirm the test results.”
What is clinical urine test? A clinical urine test is not different than home pregnancy test and is not necessarily more accurate. However, pregnancy doctor at the clinic will help eliminate any possible errors that might affect the accuracy of the test results. Based on the outcome of results, you can consult pregnancy doctor about further steps and options.
Am I pregnant? The suspense created by this question is killing you. The question can be triggered by many events and incidents. You had an unprotected sex. Your periods are missing. Your body is behaving differently than usual. You are experiencing early pregnancy symptoms and signs. This question brings anxiety, curiosity, excitement and sometimes stress too. You want to get the answer as soon as possible. This complete pregnancy test guide gives details about all the pregnancy tests including home pregnancy test, clinical urine pregnancy test, blood pregnancy test, and ultrasonography pregnancy test.
How does the pregnancy tests work? Except for ultrasonography test, all these tests work on detecting the hormone called human chorionic gonadotropin (hCG). This hormone is only found in the body during pregnancy. About six to twelve days after fertilization, a fertilized egg attaches to the wall of a woman's uterus. The cells of fertilized egg produce hCG which builds up rapidly in your body. It doubles every 2 to 3 days in the first few weeks of pregnancy reaching a peak level by 8-12 weeks. Pregnancy tests detect this hormone in urine and blood.
Pregnancy test works on detecting the hormone called human chorionic gonadotropin (hCG). This hormone is generated in woman body during pregnancy and builds up rapidly. It doubles every 2 to 3 days in first few weeks of pregnancy reaching a peak level by 8-12 weeks.
When should I take the pregnancy test? You can take a pregnancy test any time after your period is late - that's when they work the best. You'll likely get accurate results from a pregnancy test one day after your first missed period. However, it's best to wait at least a week after your missed period, to be sure that you get the most accurate test results. The Pregnancy test is done before a missed period usually gives less accurate results. Sometimes a pregnancy test can find pregnancy hormones in your urine as early as 10 days after unprotected sex. But these results aren't super reliable, and you may get a false positive or false negative test result.