Dr Gadekar Maternity home

22/12/2025

The Hidden Story of Endometriosis
Pain, Lesions and the Microbiome

The Hidden Story of Endometriosis
Pain, Lesions and the Microbiome

Endometriosis affects nearly one in ten women of reproductive age worldwide and remains one of the most underdiagnosed causes of chronic pelvic pain and infertility.

A key clinical question is often overlooked.
What type of endometriosis lesions are actually present?

Types of endometriosis lesions

Broadly, endometriosis lesions are classified into three types.
1. Endometriomas or ovarian cysts
2. Deep infiltrating endometriosis involving tissue deeper than the peritoneum
3. Superficial peritoneal lesions

Limitations of imaging

Advanced transva**nal ultrasound and MRI can reliably detect endometriomas and deep infiltrating disease.
However, superficial lesions are often not visible on imaging and are usually detected only during surgery.

This explains why pain severity often does not correlate with scan findings.

The microbiome connection

Emerging research has added a new dimension to our understanding of endometriosis.
A study from Nagoya University identified Fusobacterium species within endometriosis lesions.
Targeted antibiotic treatment resulted in reduced lesion size and significant pain improvement, suggesting a possible infectious and inflammatory component in selected patients.

Important differentials

Chronic pelvic pain should not automatically be labeled as endometriosis.
It must be differentiated from pelvic congestion syndrome, fibromyalgia, pelvic floor muscle tension, and functional gut disorders.

A whole person approach to pain

Chronic pelvic pain behaves like other persistent pain states.
Best practice requires a multidimensional approach that includes evaluation of the gut immune and nervous system interactions, individualized care plans, and a focus on symptom relief and functional recovery even when visible lesions are absent.

Key message

Women’s pain is real, whether or not it appears on imaging.
Treatment should aim to relieve pain and improve quality of life, not only to identify or remove lesions.

Modern gynecology must move from lesion focused care to truly woman centered care. For more info visit us at http://www.drkavitagadekar.com/latest-update/the-hidden-story-of-endometriosis-pain-lesions-and-the-microbiome/56?utm_source=facebookpage

19/12/2025

When Do Periods Start? Understanding a Girl’s First Menstrual Cycle




When Do Periods Start Understanding a Girls First Menstrual Cycle

The first menstrual period also known as menarche is an important milestone in a girls life. It marks the beginning of reproductive maturity and is a natural part of growing up. Many parents and adolescents worry about when periods should start and what is considered normal.

What Is the Average Age for the First Period

Most girls experience their first period around the age of 12 years. However this is only an average. It is completely normal for periods to begin anytime between 8 and 16 years of age.

Why Can the Age Vary

Several factors can affect when menstruation begins. These include genetics body weight and nutrition physical activity levels stress and environmental factors and overall hormonal health. Early or late onset does not automatically mean there is a problem.

What Is Considered Early or Delayed

Periods starting before 8 years are considered early. No periods by 16 years are considered delayed. In these cases it is advisable to consult a gynecologist to rule out hormonal or medical causes.

What Should Parents and Girls Know

The first few cycles may be irregular which is normal. Mild cramps back pain or mood changes may occur. Proper menstrual hygiene is essential. Open conversations reduce fear and embarrassment.

When Should You See a Doctor

A gynecologist should be consulted if periods start very early or very late if there is severe pain or heavy bleeding if cycles remain irregular for several years or if there are concerns about growth or development.

Final Thoughts

Menstruation is a sign of a healthy developing body. There is no right or wrong age to start periods within the normal range. Awareness acceptance and timely medical guidance help ensure a positive and healthy transition into adolescence. For more info visit us at http://www.drkavitagadekar.com/latest-update/when-do-periods-start-understanding-a-girl-s-first-menstrual-cycle/55?utm_source=facebookpage

18/12/2025

🤰 Recommended Weight Gain in Pregnancy

Recommended Weight Gain in Pregnancy
Healthy weight gain supports a healthy mother and baby.

Pregnancy weight gain depends on pre pregnancy BMI.
Gaining too little or too much weight can affect pregnancy outcomes.

Underweight BMI less than 18.5
Total weight gain 28 to 40 lb

Normal weight BMI 18.5 to 24.9
Total weight gain 25 to 35 lb

Overweight BMI 25 to 29.9
Total weight gain 15 to 25 lb

Obese BMI 30 or more
Total weight gain 11 to 20 lb

Most weight gain occurs in the second and third trimesters and should be gradual and well monitored.
This is not about eating for two but eating right.

Each pregnancy is unique.
Follow a personalised plan under medical guidance.

Dr Kavita Gadekar
Obstetrician and Gynaecologist



For more info visit us at http://www.drkavitagadekar.com/latest-update/recommended-weight-gain-in-pregnancy/54?utm_source=facebookpage

13/12/2025

Thyroid disorder in women

is a gland present in the base of the neck which is responsible for many vital functions.
When there is dysfunction in the working of this gland it leads to Thyroid disease which is of two types, and .
Hyperthyroidism, also called overactive thyroid, is a condition where the thyroid releases high levels of thyroid hormone into the body. This condition can make your speed up. Symptoms of hyperthyroidism include a rapid heartbeat, loss, increased appetite and .
In Hypothyroidism there is less or not so enough production of thyroid hormone and it is also known as underactive thyroid.This makes your metabolism slow down. Also called underactive thyroid, hypothyroidism can make you feel tired, gain weight and be unable to tolerate cold temperatures. While in a condition of hyperthyroidism, there is extra production of thyroid hormone and it is also known as overactive thyroid. There can be serious issues while dealing with this disease. There can be different reasons for the occurrence of thyroid disease like Iodine deficiency, non-functioning thyroid gland or other diseases that interrupt the functioning of thyroid gland like Thyroiditis, ’s thyroiditis and thyroiditis. Other than this, there can be various symptoms to this disease. In a condition of hypothyroidism you may experience weight gain, , having coarse or dry hair, having a hoarse voice, and heavy periods. In a condition of hyperthyroidism you may face issues like weight loss, trouble in , vision problems, anxiety, irritability and nervousness. All these symptoms are a symbol of thyroid disease which must be treated as soon as possible.
A blood test is done to diagnose Thyroid which tells about the level of TSH, T3, T4 present in your blood. After the diagnosis it is important to watch out for your eating habits if you have Thyroid.
You must avoid cold drinks, alcohol, fried foods, items of the brassica family, soy foods, caffeine, processed foods, trans fats etc.
And in order to show more improvement you can include some in your daily routine. For more info visit us at http://www.drkavitagadekar.com/latest-update/thyroid-disorder-in-women/53?utm_source=facebookpage

08/12/2025

स्त्रीरोगतज्ज्ञांची राष्ट्रीय परिषद; विविध विषयांवर उहापोह‎

स्त्रीरोगतज्ज्ञांची राष्ट्रीय परिषद; विविध...

29/11/2025

28/11/2025

26/11/2025

🌟 Honoured & Grateful! 🌟

Thrilled to have participated in the IAVA World Congress 2025 on Functional, Aesthetic & Regenerative Gynaecology held in Mumbai on 15–16 November.
Receiving this certificate as a delegate is a proud milestone — a reminder that learning never stops, and excellence in women’s health is a continuous journey.

Feeling motivated to bring the latest, evidence-based and advanced care to all the women who trust us.
Here’s to growth, new skills, and better outcomes for our patients! 💗🌸

26/11/2025

⭕️ smear is a procedure that involves collecting cells from the cervix for testing. It also is called a Pap test. Healthcare professionals sometimes call it cervical cytology.

🪞A Pap test is often used to look for cervical cancer. is cancer that starts as a growth of cells in the cervix. The cervix is the lower, narrow end of the uterus that opens into the **na. Cervical cancer screening with a Pap test can find cervical cancer early, when it’s more likely to be cured.

🪞In addition to looking for cancer cells, a Pap test also looks for cells that could become cancer in the future. If the test finds precancerous cells, treatments could help prevent cancer.
🪞The Pap test usually is done at the same time as a exam. During a pelvic exam, a healthcare professional checks the reproductive organs.

🪞Sometimes the Pap test may be combined with a test for human papillomavirus, also called HPV. is a common virus that’s passed through contact. Most cervical cancers are caused by HPV. Sometimes the HPV test is used instead of a Pap test for cervical cancer screening.

26/11/2025

🛑PAP SMEAR

A smear is a procedure that involves collecting cells from the cervix for testing. It also is called a Pap test. Healthcare professionals sometimes call it cervical cytology.

🪞A Pap test is often used to look for cervical cancer. is cancer that starts as a growth of cells in the cervix. The cervix is the lower, narrow end of the uterus that opens into the **na. Cervical cancer screening with a Pap test can find cervical cancer early, when it's more likely to be cured.

🪞In addition to looking for cancer cells, a Pap test also looks for cells that could become cancer in the future. If the test finds precancerous cells, treatments could help prevent cancer.
🪞The Pap test usually is done at the same time as a exam. During a pelvic exam, a healthcare professional checks the reproductive organs.

🪞Sometimes the Pap test may be combined with a test for human papillomavirus, also called HPV. is a common virus that's passed through contact. Most cervical cancers are caused by HPV. Sometimes the HPV test is used instead of a Pap test for cervical cancer screening.

🪞 Recommendations for cervical cancer screening may depend on your age:

🪞In your 20s: Get your first Pap test at age 21. Repeat the test every three years. Sometimes the Pap test and HPV test are done at the same time. This is called co-testing. Co-testing may be an option starting at age 25. Co-testing is typically repeated every five years.

🪞After age 30: Cervical cancer screening after 30 often involves co-testing with a Pap test and HPV test every five years. Sometimes the HPV test is used alone and repeated every five years.

🪞After age 65: Consider stopping cervical cancer screening after discussing your health history and risk factors with your healthcare professional. If your cervical cancer screening tests haven't found anything that's not typical, you may choose to stop the screening tests.

🪞If you have certain risk factors, your healthcare professional may recommend Pap tests more often. These risk factors include:

⭕️A diagnosis of cervical cancer.
⭕️A Pap test that showed precancerous cells.
⭕️Exposure to diethylstilbestrol, also called DES, before birth.
⭕️HIV infection.
⭕️Weakened immune system.

22/11/2025

***m DNA fragmentation is damage to the material within a s***m cell, which can impair by hindering and development. Causes include oxidative stress, infections, and lifestyle habits. High fragmentation levels can lead to reproductive failure, even with assisted reproductive technologies