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Aaradhya fertility maternity & women's clinic, pune/solapur Highway, Pune (2026)

06/05/2026

best gynecologist doctor in manjari

Pregnancy-induced cholestasis (more commonly called intrahepatic cholestasis of pregnancy, ICP) is a liver condition that happens during pregnancy, usually in the third trimester. It can sound scary, so here’s a clear, no-fluff breakdown.

What it is

ICP happens when pregnancy hormones slow the normal flow of bile from the liver. Bile acids then build up in the blood instead of flowing into the digestive system.

Main symptom

Intense itching (often the first and biggest sign)

Typically no rash

Worse at night

Commonly affects palms of the hands and soles of the feet, but can be all over

Other possible symptoms

Dark urine

Pale stools

Fatigue

Mild jaundice (yellowing of skin/eyes – less common)

Why it matters

For the mother: uncomfortable but usually resolves after delivery

For the baby: increased risk of complications, especially if bile acids are high (preterm birth, fetal distress), which is why close monitoring is important

How it’s diagnosed

Blood tests, mainly:

Elevated serum bile acids

Abnormal liver function tests (ALT, AST)

Treatment & management

Ursodeoxycholic acid (UDCA) – helps reduce bile acids and itching

Regular blood tests

Close fetal monitoring

Doctors often recommend early delivery (commonly around 37–38 weeks, depending on bile acid levels)

After delivery

Symptoms usually disappear within days to weeks

Liver tests return to normal

Important to recheck labs postpartum

Higher chance of recurrence in future pregnancies

If you’re asking because you or someone close to you has symptoms, don’t ignore itching—especially without a rash. It’s absolutely worth getting checked.. For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjari/33?utm_source=facebookpage

03/05/2026

best gynecologist doctor in manjari

What is early labour?

Early labour is the first phase of labour. It’s when your body is warming up for the main event. It can last hours to a couple of days, especially if it’s your first baby.

Common signs & symptoms
1. Contractions

Feel like period cramps, lower back ache, or tightness across the belly

Start irregular and usually mild

May come every 10–30 minutes

Often ease with rest, hydration, or a warm shower

👉 Early labour contractions don’t get intense quickly like active labour ones do.

2. Backache

A dull, persistent ache in the lower back

Can come and go or feel constant

3. Pelvic pressure

Sensation of heaviness or pressure low down

Feeling like baby is “dropping”

4. Changes in vaginal discharge

Increased mucus

You might lose the mucus plug (clear, pink, or blood-tinged)

Losing it doesn’t mean labour is immediate—it can still be days away

5. “Bloody show”

Light bleeding mixed with mucus

Usually a sign the cervix is starting to open

6. GI symptoms

Nausea

Diarrhea

Loss of appetite
(This happens because your body is clearing space for labour)

7. Emotional changes

Burst of energy (“nesting”) or

Feeling emotional, restless, or unusually calm and focused

What early labour usually isn’t

Strong, regular contractions every 3–5 minutes

Needing to stop and breathe through each contraction

Intense pressure or urge to push
(Those point more toward active labour)

What you can do during early labour

Rest and sleep when you can

Eat light, easy-to-digest foods

Drink plenty of fluids

Warm shower or bath

Gentle walking or stretching

Time contractions occasionally, but don’t obsess

Call your midwife or go to hospital if:

Contractions become regular, stronger, and closer together

Your waters break

You have bright red bleeding

Baby’s movements decrease

You feel something just isn’t right (trust that instinct)

If you want, tell me:

How far along you are

What symptoms you’re feeling right now. For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjari/32?utm_source=facebookpage

01/05/2026

best gynecologist doctor in manjari

Why Kidney Stones Can Happen During Pregnancy

Pregnancy increases the risk because:

Hormonal changes (especially progesterone) relax the urinary tract → urine flows more slowly.

The growing uterus presses on the ureters.

Increased calcium excretion in urine.

Dehydration (common with nausea/vomiting).

Symptoms

Symptoms are similar to non-pregnant cases:

Severe pain in the side or lower back (often one-sided)

Pain that radiates to the lower abdomen or groin

Nausea and vomiting

Blood in urine

Painful urination

Urinary urgency

Fever (this is urgent and requires immediate care)

⚠️ If there is fever, chills, or decreased baby movement, seek emergency care immediately.

How It’s Diagnosed

Because radiation should be avoided during pregnancy:

Ultrasound is the first-line imaging test.

MRI may be used if needed.

CT scans are usually avoided unless absolutely necessary. For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjari/30?utm_source=facebookpage

01/05/2026

best gynecologist doctor in manjari

Oral contraceptive pills (OCPs) — commonly called birth control pills — are medications taken by mouth to prevent pregnancy. They contain synthetic versions of female hormones that regulate ovulation and the menstrual cycle.

There are two main types:

Combined Oral Contraceptive Pills (COCs)
Contain estrogen + progestin

Progestin-Only Pills (POPs) (also called the “mini-pill”)
Contain progestin only

🧬 How Oral Contraceptive Pills Work

They prevent pregnancy by:

Stopping ovulation (no egg is released)

Thickening cervical mucus (makes it harder for s***m to enter the uterus)

Thinning the uterine lining (reduces chances of implantation)

✅ Benefits of Oral Contraceptive Pills
1. Highly Effective

Over 99% effective with perfect use

About 91–93% effective with typical use

2. Regulates Menstrual Cycle

More predictable periods

Less irregular bleeding

3. Reduces Menstrual Pain (Dysmenorrhea)

Lighter and less painful periods

4. Reduces Heavy Bleeding

Helpful for anemia caused by heavy periods

5. Improves Acne

Some combined pills improve hormonal acne

6. Reduces Risk of Certain Cancers

Lower risk of:

Ovarian cancer

Endometrial (uterine) cancer

7. Helps with Hormonal Conditions

Polycystic O***y Syndrome (PCOS)

Endometriosis

Premenstrual syndrome (PMS)

⚠️ Side Effects of Oral Contraceptive Pills
Common (Usually mild & temporary)

Nausea

Breast tenderness

Headache

Mood changes

Spotting between periods

Mild weight changes

Decreased libido

Less Common but Serious

High blood pressure

Blood clots (Deep Vein Thrombosis)

Stroke (rare)

Heart attack (rare)

⚠️ Risk of serious side effects is higher in:

Smokers over age 35

Women with uncontrolled hypertension

Women with history of blood clots

Migraine with aura

Certain heart or liver diseases

❗ When to Seek Immediate Medical Help

Remember the warning signs using “ACHES”:

A – Severe Abdominal pain

C – Chest pain or shortness of breath

H – Severe Headache

E – Eye problems (vision loss)

S – Severe leg pain (possible clot)

🩺 Who Should Not Take Combined Pills?

Avoid combined pills if:

Pregnant

Breastfeeding (early months)

History of blood clots

Severe liver disease

Migraine with aura

Uncontrolled high blood pressure

Progestin-only pills may be safer in some of these cases.

📌 Additional Notes

Pills must be taken daily at the same time

They do NOT protect against STIs

A condom is recommended for STI protection

Fertility usually returns quickly after stopping. For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjari/31?utm_source=facebookpage

29/04/2026

best gynecologist doctor in manjari

Why Gas Increases During Pregnancy
1️⃣ Hormonal Changes

The hormone progesterone rises significantly during pregnancy. It relaxes smooth muscles — including your intestines — which:

Slows digestion

Causes food to stay longer in the gut

Leads to more gas formation

2️⃣ Growing Uterus

As your uterus enlarges (especially in 2nd & 3rd trimester), it:

Presses on the intestines

Slows bowel movement

Causes bloating and gas

3️⃣ Constipation

Very common in pregnancy and makes gas worse.

4️⃣ Iron Supplements

Iron tablets can cause:

Gas

Bloating

Constipation

🤢 Symptoms

Bloated stomach

Frequent burping

Passing gas

Abdominal discomfort

Mild cramp-like pain

✅ How to Reduce Gas in Pregnancy
🍽️ Diet Tips

Eat small, frequent meals

Eat slowly

Avoid very fatty or fried foods

Limit gas-producing foods:

Beans

Cabbage

Cauliflower

Carbonated drinks

Increase fiber gradually

Drink plenty of water (8–10 glasses daily)

🚶 Lifestyle Tips

Walk daily (20–30 minutes)

Gentle prenatal yoga

Avoid lying down immediately after meals

💊 Safe Remedies (Ask your doctor first)

Simethicone (generally considered safe)

Probiotics

Warm water with lemon

Ginger tea

🚨 When to See a Doctor

Seek medical advice if you have:

Severe abdominal pain

Persistent vomiting

Fever

Blood in stool

Severe constipation not improving. For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjari/29?utm_source=facebookpage

28/04/2026

best gynecologist doctor in manjari

Oral contraceptive pills (OCPs) — commonly called birth control pills — are medications taken by mouth to prevent pregnancy. They contain synthetic versions of female hormones that regulate ovulation and the menstrual cycle.

There are two main types:

Combined Oral Contraceptive Pills (COCs)
Contain estrogen + progestin

Progestin-Only Pills (POPs) (also called the “mini-pill”)
Contain progestin only

🧬 How Oral Contraceptive Pills Work

They prevent pregnancy by:

Stopping ovulation (no egg is released)

Thickening cervical mucus (makes it harder for s***m to enter the uterus)

Thinning the uterine lining (reduces chances of implantation)

✅ Benefits of Oral Contraceptive Pills
1. Highly Effective

Over 99% effective with perfect use

About 91–93% effective with typical use

2. Regulates Menstrual Cycle

More predictable periods

Less irregular bleeding

3. Reduces Menstrual Pain (Dysmenorrhea)

Lighter and less painful periods

4. Reduces Heavy Bleeding

Helpful for anemia caused by heavy periods

5. Improves Acne

Some combined pills improve hormonal acne

6. Reduces Risk of Certain Cancers

Lower risk of:

Ovarian cancer

Endometrial (uterine) cancer

7. Helps with Hormonal Conditions

Polycystic O***y Syndrome (PCOS)

Endometriosis

Premenstrual syndrome (PMS) For more info visit us at

28/04/2026

best gynecologist doctor in manjari

Lifestyle & Diet – First-Line and Most Important

Why it matters: PCOS/PCOD is closely linked with insulin resistance, which drives hormonal imbalance. Improving insulin sensitivity often reduces symptoms significantly.

✅ Diet Tips

Eat low-glycemic and whole foods: whole grains, vegetables, legumes, lean protein.

Avoid refined sugars and processed carbs (white bread, sweets, sodas).

Include anti-inflammatory foods: fatty fish (salmon), berries, nuts, seeds.

Some people find seed cycling (flax, pumpkin, sunflower, sesame seeds timed to cycle) helps hormonal balance — practice needs consistency over cycles.

✅ Exercise

150+ minutes/week of moderate activities — brisk walking, cycling, swimming.

Strength training 2–3 times weekly improves insulin sensitivity.

✅ Weight Management & Sleep

Losing 5–10% of body weight often restores ovulation and improves cycles.

Aim for 7–8 hours of quality sleep. Poor sleep worsens hormone imbalance.

✅ Stress Reduction

Yoga, meditation or mindfulness can help balance stress hormones and support overall treatment.

💊 2. Medical Treatments (Based on Symptoms & Goals)

Treatment is individualized — what’s recommended depends on whether you want to regulate cycles, reduce acne/hair growth, improve fertility, or manage metabolic issues.

🔹 Regulate Cycles & Hormones

Combined Oral Contraceptives (birth control pills): regulate periods and lower excess androgens (help acne/hair growth).

Progestin therapy in cycles can protect the uterus and aid cycle control.

Anti-androgens (e.g., spironolactone) may reduce hair growth/acne.

🔹 Improve Insulin Sensitivity

Metformin (diabetes drug): helps lower insulin levels and may improve cycles and weight management.

🔹 Fertility-Focused

Ovulation induction (e.g., clomiphene citrate, letrozole) for conception.

IVF/IUI may be considered if other methods fail. For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjari/27?utm_source=facebookpage

24/04/2026

best Gynecologist doctor in Manjri

Follicular monitoring is a type of ultrasound tracking used in women who are trying to conceive (naturally or with treatments like ovulation induction or IVF). It helps doctors follow the growth and development of ovarian follicles (which contain eggs) and predict ovulation.

🧬 What happens during follicular monitoring?

A transvaginal ultrasound scan is done at intervals during your menstrual cycle to observe:

Follicle size (growing sacs in the o***y containing eggs)

Number of follicles

Dominant follicle (the one likely to release the egg)

Endometrial thickness (uterine lining)

📅 When is it done?

Usually starts around Day 8–10 of your cycle

Repeated every 1–3 days until ovulation occurs

Ovulation typically happens when the follicle reaches 18–24 mm

🎯 Why is it important?

Determines exact ovulation timing

Helps plan in*******se or IUI timing

Monitors response to fertility medications

Identifies issues like:

Delayed ovulation

No ovulation (anovulation)

Poor follicle growth

Thin uterine lining

⚕️ Who needs it?

Women trying to conceive for a long time

Those with irregular periods

Patients on ovulation induction drugs (like letrozole, clomiphene)

During IUI or IVF cycles
For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjri/26?utm_source=facebookpage

21/04/2026

best Gynecologist Doctor in Manjri

Obesity and Its Complications

What is Obesity?

Obesity is a medical condition in which excess body fat accumulates to a level that may negatively affect health. It is commonly assessed using Body Mass Index (BMI).

BMI 25–29.9 → Overweight

BMI ≥30 → Obesity

Obesity results from a combination of excess calorie intake, low physical activity, genetics, hormonal factors, and lifestyle habits.

Complications of Obesity

Obesity can affect almost every system of the body.

1. Cardiovascular Complications ❤️

Hypertension (high blood pressure)

Coronary Artery Disease

Heart Failure

Stroke

Increased cholesterol and triglycerides

These conditions increase the risk of heart attack and premature death.

2. Metabolic Complications

Type 2 Diabetes

Metabolic Syndrome

Dyslipidemia (abnormal lipid levels)

Excess fat, especially abdominal fat, causes insulin resistance.

3. Respiratory Complications 🫁

Obstructive Sleep Apnea

Obesity Hypoventilation Syndrome

Shortness of breath during physical activity

Fat deposits around the neck and chest can affect breathing.

4. Musculoskeletal Complications

Osteoarthritis (especially knee and hip)

Back pain

Joint degeneration

Extra weight increases mechanical stress on joints.

5. Gastrointestinal Complications

Nonalcoholic Fatty Liver Disease

Gastroesophageal Reflux Disease

Gallstones

6. Reproductive and Hormonal Complications

Polycystic O***y Syndrome (in women)

Infertility

Pregnancy complications

Erectile dysfunction in men

7. Cancer Risk

Obesity increases the risk of several cancers:

Breast cancer

Colon cancer

Endometrial cancer

Pancreatic cancer

8. Psychological Complications 🧠

Depression

Anxiety Disorder

Low self-esteem

Social stigma

Other Effects

Reduced quality of life

Reduced mobility

Increased risk of severe infections

Shorter life expectancy

✅ Prevention and Management

Balanced diet

Regular physical activity

Weight management programs

Behavioral therapy

In severe cases: medications or bariatric surgery
For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjri/25?utm_source=facebookpage

18/04/2026

best Gynecologist doctor in Manjri

The double marker test, also known as the "dual marker test," is a screening test typically performed during the first trimester of pregnancy, usually around 11 to 14 weeks. It measures the levels of two substances in the mother's blood:

Pregnancy-associated plasma protein-A (PAPP-A)

Free beta-human chorionic gonadotropin (β-hCG)

These markers are combined with the mother's age and other factors to assess the risk of the baby having certain chromosomal conditions, such as:

Down syndrome (Trisomy 21)

Trisomy 18

Neural tube defects

Importance of the Double Marker Test at 12 Weeks:

Early Detection of Risks:

The test helps in early identification of potential risks for chromosomal abnormalities, which can be crucial for early decision-making regarding further diagnostic testing or interventions.

Non-invasive:

Since it's a blood test, it doesn't pose any risk to the fetus, making it a safe screening tool for both mother and baby.

Guiding Further Testing:

If the test indicates a higher risk for conditions like Down syndrome, it may prompt further diagnostic tests like amniocentesis or CVS (chorionic villus sampling) for confirmation.

Timing and Accuracy:

Performing the test around 12 weeks is important for optimal accuracy, as this is when the markers (PAPP-A and β-hCG) provide the most relevant data for detecting abnormalities.

Assessing Fetal Well-being:

In addition to chromosomal abnormalities, abnormal levels of these markers may indicate potential issues with fetal development, such as growth problems or an increased risk of miscarriage.
For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/best-gynecologist-doctor-in-manjri/24?utm_source=facebookpage

16/04/2026

False labour and true labour

False labour vs true labour is an important distinction in Obstetrics, especially toward the end of pregnancy.

🔹 True Labour

This is the real onset of childbirth.

Contractions: Regular, strong, and increase in intensity and frequency

Pain pattern: Starts in the back and radiates to the front (abdomen)

Cervical changes: The cervix dilates (opens) and effaces (thins)

Activity effect: Contractions continue or get stronger even if you walk or rest

Show/water breaking: May have bloody discharge (“show”) or rupture of membranes

👉 These contractions lead to delivery of the baby.

🔹 False Labour (Braxton Hicks contractions)

These are practice contractions and not actual labour.

Contractions: Irregular, usually weak, and do not get closer together

Pain pattern: Mostly felt in the front of the abdomen

Cervical changes: No dilation or effacement

Activity effect: Often stop with rest, hydration, or change in position

No show or water breaking

👉 They prepare the uterus but don’t lead to childbirth.

🔑 Quick Comparison

Feature True Labour False Labour

Regularity Regular Irregular

Intensity Increasing Same or decreasing

Cervical change Yes No

Relief with rest No Yes

Outcome Leads to delivery No deliv
For more info visit us at https://www.aaradhyagynaeclinic.com/latest-update/false-labour-and-true-labour/23?utm_source=facebookpage

Aaradhya fertility maternity & women's clinic

06/05/2026

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Monday	9am - 5pm
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Wednesday	9am - 5pm
Thursday	9am - 5pm
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