Author Archives: Dr. Shraddha Galgali

Understanding Miscarriage: Causes, Symptoms and Treatment Approach

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.

What is Miscarriage?

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.

Types of Miscarriage:

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.

What are the causes of a Miscarriage?

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

What are the Symptoms of Miscarriage?

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.

What Puts You at a Risk for a Miscarriage?

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.

What are the Diagnosis of 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.

What is the Treatment for Miscarriage?

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.

How Can Miscarriage Be Prevented?

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!!!!

Know all About Primary Ovarian Insufficiency (POI)

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.

What is Primary Ovarian Insufficiency(POI)?

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.

What Are the Causes of Primary Ovarian Insufficiency(POI)?

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

What are the Symptoms of Premature Ovarian insufficiency?

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.

How is primary ovarian insufficiency (POI) diagnosed?

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.

What are the effects of Primary Ovarian Insufficiency (POI) on health?

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.

How Is Primary Ovarian Insufficiency (POI)Treated?

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.

7 Things to Always Discuss With Your Gynaecologist

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.

Why is it important to see your Gynaecologist?

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

7 things you must consult with your gynecologist:

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.

Book An Appointment with Dr. Shraddha Galgali:

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.

What is Hysteroscopy and how can it treat infertility?

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.

What is Hysteroscopy Surgery?

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.

When should you undergo a Hysteroscopy Procedure?

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

There are two main types of hysteroscopy:

  • 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.

How can it help infertility?

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!!!!

Don’t Be in the Dark: Navigate Menopause with Confidence

Women experience multiple signs and symptoms of menopause after an age. Each woman will have different combinations of symptoms and also, they may vary in intensity and duration and impact on her health. The degree and type of symptoms also vary across the world depending on race and ethnicity. Menopause is something that women must ultimately accept as inevitable. They must be mentally well-prepared for this very natural phenomenon in their lives. In this blog, Dr. Shraddha Galgali Explains some common symptoms or signs of menopause you need to know about. Before starting, let’s try to understand what menopause means.

What is Menopause?

Menopause is a period in every woman’s life when she stops having her menstrual cycles due to the incapability of the ovaries to release eggs. This generally happens when a woman reaches her 40s or 50s. It is a biological process that is accompanied by a wide range of symptoms that may be experienced for years. Sometimes, it becomes important to seek medical intervention to make sure these symptoms do not interfere with the quality of your life. A lot of effective treatment options are available nowadays, that can help manage these symptoms to ensure that you smoothly sail through this stage of your life.

Stages of Menopause:

Dr. Shradddha Galgali is the Best Gynecologist in Wakad. She explains menopause and the stages of menopause.

There are three stages of menopause:

  • Perimenopause is defined as the years leading up to menopause when a woman begins to experience menopausal symptoms such as hot flashes, mood swings, or bladder leaks.
  • A woman has officially reached menopause when she has gone 12 months without a period.
  • Post Menopause. After a woman has reached menopause, her body is still adjusting to changes, although many of her original menopause symptoms should begin to ease over time.

Some women experience early menopause, which is when they start exhibiting menopause symptoms before the age of 40. This may be genetic (many women tend to start menopause around the same time as your mom or grandmother did), or it could be due to other health conditions or medical treatments, such as undergoing chemotherapy or a hysterectomy.

Some common signs and symptoms of menopause and some are a part of aging:

  • Periods: The ovary is gradually depleted of the follicles. Therefore, the periods become irregular. They may become gradually less in duration, frequency, and quantity. But for some, they are frequently erratic and heavy causing anemia.
  • Hot Flashes: Hot flashes are one of the most common and well-known symptoms of menopause. They are characterized by sudden, intense sensations of heat, often accompanied by sweating and a flushed face. Hot flashes can vary in frequency and intensity and may last several years during the menopausal transition.
  • Sleep Disturbance: Some women have difficulty falling asleep, or they wake up early or they may have disturbed on-off sleep. Hot flashes may also contribute to disturbed sleep.
  • Mood Swings: Some women feel irritable, and depressed and may have crying spells. They may have low self-esteem and feel the loss of feminity. These symptoms may be due to a lack of estrogen circumstantial (social factors) or multiple factors playing a role together.
  • Vaginal Dryness: The vagina becomes very dry due to a lack of estrogen. This can lead to severe pain during sex. Women then tend to avoid sex.
  • Sex: Menopause may affect an interest in sex. Some women feel free from the stress of getting pregnant and are therefore able to enjoy sex, whereas some have a loss of interest in sex. For some, the vaginal dryness becomes a very important limiting factor in enjoying sex.
  • Urinary Issues: Some women have multiple urinary symptoms like frequency, urgency, difficulty in holding the urine, and leaking of urine while coughing, sneezing, bending, or during activities that increase intra-abdominal pressures.
  • Weight Gain: Many women notice changes in their weight and body composition during menopause. A decrease in metabolism and hormonal shifts can lead to weight gain, particularly around the abdomen.
  • Bone Health: The decline in estrogen levels during menopause can also decrease bone density, increasing the risk of osteoporosis. Menopausal women must discuss bone health with their doctor and consider bone density testing and appropriate preventive measures.
  • Skin and Hair Changes: Menopausal women may notice changes in their skin, such as dryness and thinning, as well as changes in hair texture and thickness.
  • Night Sweats: Night sweats are episodes of excessive sweating that occur during sleep and are often linked to hot flashes. They can disrupt sleep patterns and lead to fatigue and mood disturbances.

How does Menopause affect Female Fertility?

Menopause indicates the end of a woman’s reproductive ability. As hormonal levels decline, ovulation ceases, making natural conception impossible. Women need to understand this transition and consider family planning options accordingly.

How is Menopause Treated?

If you doubt your chances of menopause, your gynecologist may suggest a blood test that will give them an idea of the levels of follicle-stimulating hormone (FSH) and estradiol (E2) in your system. You may be advised to make lifestyle changes or even hormonal therapy. Only the Female Gynecologist in Punawale, Pune can help you with the most apt treatments. If you wish to know more about menopause and how you can manage the symptoms associated with it, consult the Infertility Treatment in Punawale, Pune at Dr. Shraddha’s EXCELLA Woman’s Wellness Clinic.