Dr. Manjiri Kulkarni

"Endometrium is a dynamic thing. Every month, it is build up, it remains stationary and then, it is shed off . The increased thickness signifies different things according to the age of the patient. In the child bearing age, if the thickness is increased, it could be just symptom of early pregnancy. When the test is positive till 5 weeks of time you cannot see any gestational sac inside the uterus and the endometrium will show thickness. According to the age of the patient , we have to tell them the treatment and diagnose"

"The commonest pathologist where fluid is seen on the pelvic cavity are either the pelvic inflammatory disease or endometriosis or ectopic pregnancy. In pelvic inflammatory disease, it could be the purulent fluid, the patient has severe pain. In endometriosis it is usually the bloody fluid. In case of ectopic pregnancy"

"There are multiple reason for blood in the urine during pregnancy but the commonest among them and which are usually found are either urinary tract infection or stone or the calculus in urinary tract. Urinary tract infection can affect pregnancy because if it is very severe, it can give rise to premature delivery. So usually when we do the urine testing during pregnancy, if there are bacteria or pus cells found, we do the culture tests and treat it before the patient is symptomatic. Stones during pregnancy, if it is not symptomatic, need not be treated. But if they are there patient can get severe pain in abdomen, and they are difficult to diagnose in advanced pregnancy because they are not usually seen in ultrasound. So if the symptoms or the blood in the urine say that there is stone, the treatment usually is conservative. They do not affect the pregnancy directly. Because the patient is having severe pain, we need to treat them"

"The commonest symptoms of first week of pregnancy are nausea, vomiting, tenderness, repeated urination and laziness or sleepiness. The commonest among them is nausea , vomiting. Almost 80% of the patients will get nausea, vomiting during pregnancy"

"Ideally the ovulation occurs around the 14th day of the cycle in a regular period cycle. So obviously the egg is viable for 2 to 3 days and you cannot get pregnant just 2 days prior to the period. But this is possible only if your periods are regular. Those girls who have very irregular periods, they will not know which is the two day prior to the period unless they get their next menstrual cycle. So if you are 40 or 45 day cycle, you can ovulate as late as 20th or 25th day of the cycle. So on that day, on the 25th day it becomes unsafe because, it is just 2 days prior to a 28 day cycle and if you are not using a contraceptive, you can get pregnant at that time"