Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 36 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
We are very satisfied with doctor's treatment and the staff coprated I thank once again to doctor mangaladevi for her service given .I like to recommend my friends to doctor .overall we are very happy and satisfied thanks for the service given
Very good doctor I got it what I was waiting for.. my search ends here.. she explain everything step by step .waiting for positive result in sha Allah.
Felt comfortable no problem at all with the way she treated
The best doctor ever seen
Not being able to get pregnant can be an agonizing experience. The fertility of an individual can be affected by a host of physical and mental factors. The effectiveness of a fertility treatment is enhanced by several folds if there is an accurate diagnosis of the underlying cause of infertility. The In Vitro Fertilization (IVF) that first made its presence felt in 1978 (the first child born through IVF was on 25 July 1978) has been a revolution and is still continuing to change lives of millions of couples dealing with infertility issues.
When we talk about IVF, a question that often comes to our mind is whether IVF is the solution to all infertility problems? To answer this question, one needs to have a proper understanding of the IVF procedure. The IVF procedure essentially comprises of following things:
- Stimulation of the ovary and development of the follicles involves a series of tests and ultrasounds to closely monitor the ovulation process, including the quality and quantity of eggs released along with the hormonal balance.
- In some instances, medications or hormones may be needed to ensure that the ovaries are stimulated enough to ensure proper development of the follicles (sacs filled with fluids where maturation of eggs take place) along with the release of two or more eggs during each cycle.
- Retrieval of the eggs: This step involves isolation of the eggs or the oocyte from the follicular fluid into a culture media and finally into an incubator.
- Fertilization: With the retrieval of the eggs, the sperm samples (from the partner or a donor) are also collected to facilitate the fertilization process (the chosen active sperm may be injected into the egg or mixed with it).
- Transfer of the embryo: From the embryos resulting from fertilization, a doctor selects the healthiest one and transfer it into the uterus of the recipient woman for implantation to take place.
- Following the implantation of the embryo, many women get pregnant within a few days or weeks. However, a pregnancy test can also result in disappointment for some.The failure of IVF treatment in some patients can be attributed to
- The embryo not being healthy enough to undergo the implantation
- Problems or severe damages to the uterine cavity.
- Abnormalities with the egg or the sperm (can be chromosomal or genetic aberrations).
Can IVF solve all infertility problems?
Having a clearer understanding of the IVF procedure, one can state that IVF does come as a ray of hope, especially for
- Males with a low sperm count
- Tubal damage in women. There may also be problems affecting the cervix and the vagina
- Women with ovulation problems (can be due to Hormonal Imbalance, PCOS, Endometriosis) or those who are above 35 years
Note that IVF does not cure all infertility problems though it helps in certain indications as mentioned.
Motherhood is a blessing for every woman, but not all women are able to get pregnant easily. Some women do not get pregnant even after years of married life. This can be very disappointing for the couple. But this does not mean that the chances of getting pregnant are nil. Many women opt for IVF (In Vitro Fertilization) to increase the chances of getting pregnant.
When you are planning for the IVF process, you always keep receiving suggestions about what to do and what not to do. You get plenty of suggestions every day. But you need to remember one point about the IVF process “success is never guaranteed”. Taking extra care can increase the chances of success but it does not guarantee success. Most people say that stress can ruin your IVF chances. But this has always been a point of debate.
Here are 5 things to know about how stress can affect your IVF chances.
- Your sleep cycle can cause stress to your body. When you are sleeping less than five hours a day, then it can cause weakness and stress in the long run. When the body is affected, that will, in turn, affect the process of fertility. So, you should always make sure that you get enough sleep and your body gets enough rest.
- Emotional eating can affect the process of fertility. When you are stressed, you either eat too much or you eat too little. If you are eating too much, then that will increase your weight. Obesity is one of the major causes for not getting pregnant.
- Usually, people consider that eating too much can make them overweight and that will affect pregnancy. But did you ever think about the underweight issue for pregnancy? Yes, when you are eating too little or not eating the right diet, you get stressed out and that will also affect fertility.
- Simple exercises or walking is recommended during pregnancy. But when you exercise too much, then that can cause stress to your body. Stress will always affect the chances of pregnancy. A 30 minute walk thrice a week is enough for a pregnant woman.
- Many people have a stressful day at work or at home and most consider alcohol as a stress reliever. But during pregnancy, smoking and drinking is a big NO. More than two glasses of alcohol in a week can affect your pregnancy. So, always make sure that you stay away from smoking and alcohol during pregnancy.
In Vitro Fertilization (IVF) is a medical procedure whereby the eggs of a woman are fertilized by the male sperm outside the body. The entire fertilization process takes place in a laboratory and then the embryo is inserted to the woman’s uterus. It is more commonly referred to as the ‘test tube’ method.
Now coming to the treatment procedure, IVF occurs in different stages which involves the following - first the ovaries are stimulated to produce eggs through the process of ovulation induction, the eggs are retrieved from the woman and fertilized with male sperm outside the body, and lastly the embryo is implanted back into the uterus. So before undergoing the treatment there are a few things that you must know about the procedure-
Before starting with the treatment procedure, you will have your ovaries monitored closely by the doctor or fertility specialist. Certain medications are used to stimulate the ovaries and to advance the growth of follicles which contain eggs. Blood test and ultrasound monitors the response of your ovaries.
Once the eggs have completely grown and developed, the next step involves retrieving the eggs. This requires passing a thin needle through the upper walls of the vagina into each of the follicles in the ovary. The fluid is then extracted from the follicle into a test tube and examined to search for eggs. This procedure may take about half an hour, after which the eggs are presented in a culture dish and finally transported to the incubator.
A sample of your partner’s sperm is secured or collected, and those which are healthy and active are added to the retrieved eggs. The eggs and the sperm are then placed in the incubator overnight and monitored the next day to ensure development of a healthy embryo.
Transfer and Implantation of the embryo
This is the final step of the IVF treatment where the embryos are first examined and the healthy ones are selected for transfer. The process of transferring the embryos occurs via a speculum that is placed in the vagina. The healthy embryos are transported through a plastic small tube which is placed through the cervix into the uterus.
Once the treatment is done, you will be advised proper rest and nutritional supplements to avoid complications. However, the rate of success of IVF treatment largely depends on various factors such as maternal age, reproductive history, lifestyle factors and causes of infertility.
This is the natural fertilisation procedure: The fertilization procedure occurs in the woman’s fallopian tubes, which is called In-vivo fertilization. For about 4 days, the baby grows in the fallopian tubes before being transferred into the uterus, where the embryo grows naturally for 9 months.
Irregular ovulation or anovulation (a condition where a woman does not ovulate at all) can be quite agonizing, triggering a host of health problems, including difficulty in conceiving. The irregular ovulation could be an amalgamation of many factors including obesity, thyroid disorders, PCOS, endometriosis, fibroids, uncontrolled intake of caffeinated and alcoholic drinks, to name a few. With the advancement of medical science, the problem is no longer a big deal. In this article, we will discuss the role of ovulation induction and follicular monitoring in dealing with irregular ovulation cycles and the related complications.
What is Ovulation Induction?
Ovulation induction comes as a blessing for women who don't ovulate regularly (there is a deviation from the usual pattern of ovulation that takes place before every menstrual cycle). The procedure aims at regularizing the ovulation process. The medications (often hormones are used in the treatment) play a pivotal role in stimulating the follicular development of the ovaries so that healthy eggs are produced, developed, matured and finally released during ovulation. The procedure also benefits women get their menstrual cycles sans the ovulation (Anovulatory Menstrual Cycles). The problem mainly surfaces due to a drop in the progesterone level (a hormone responsible for the uterine lining thickening).
- The ovulation induction is an important process that requires a thorough examination and evaluation of the patient to understand their ovulation process, hormonal balance (or imbalance) and all the factors that could be a possible trigger resulting in the ovulation problem.
- In the next step, the physician carries out the stimulation of the ovulation process. For this purpose, selected hormones are given to the affected individual either orally or in the form of injections.
- The hormones work towards restoring the balance along with follicular development. This stimulation contributes significantly towards maturing an egg and ensuring its release for ovulation to take place.
- Through a series of regular pelvic ultrasounds, doctors are able to carefully monitor the development of the follicles along with how well the lining of the uterus thickens, following the ovulation induction.
- For those planning to conceive, ovulation induction, with proper monitoring, goes a long way to ensure at least one healthy egg will be available for the fertilization to take place.
Some women can also opt for Intrauterine Insemination, a pathbreaking procedure whereby, the sperm (collected and stored earlier) is injected into the vagina to facilitate the fertilization process.
Downside of the Ovulation Induction
The ovulation induction requires precision and accuracy and should be performed by experienced professionals who know their skill well. Even a small mistake in the ovulation induction can trigger many complications including Ovarian Hyperstimulation Syndrome. The condition can swell up the ovaries with abdominal pain, vomiting, breathing problems (shortness of breath), sudden and rapid weight gain. The ovaries also appear tender with some pain.
Cancer is increasing all over the world and especially cancer of the ovaries. We all remember Angelina Jolie getting both her ovaries and fallopian tubes removed last year due to fears of having early ovarian cancer. This increased awareness about ovarian cancer amongst women worldwide, more than anything else.
Ovarian cancer is a relatively rare female cancer, it is rarer than breast cancer or cervical cancer. But it kills the maximum numbers of women worldwide because it is usually caught very late. Its symptoms are those that most of us put up with day in and day out without thinking twice, like persistent bloating , gas, nausea, abdominal pressure and fullness, pelvic discomfort or pain, persistent constipation or a frequent need to urinate, loss of appetite or quickly feeling full, increase in waistline and a persistent lack of energy.
Epithelial tumours that occur in cells located on the surface of the ovary, are the most common. They are also found mostly in women more than 60 yrs of age. Most women never get ovarian cancer even if they live to be 90, but certain others get it in their 30s. Why? Doctors say genetics, obesity and the number of years a woman ovulates are all risk factors. Thus, women who’ve never had babies or been on birth control or have started ovulating very early are all at risk. As, fertility medications that cause women to ovulate more frequently are also a risk factor for getting this cancer.
The truth of the matter is that the sooner ovarian cancer is diagnosed, the easier it is to treat. So when do you seek treatment for cancer? Obviously, as soon as you are diagnosed. If you have 2-3 symptoms of this cancer present together and they only get worse with time, then you must go to your gynaecologist to rule out ovarian cancer.
If you have the disease this is what your doctor may advise you to do
Angelina Jolie took a bold decision to get her ovaries removed even though she wasn’t really suffering from ovarian cancer. But if you have this cancer and its spread then you will have to go for either surgery in which the tumour and most tissues around it will be removed or radiotherapy or both as treatment.
Radiation therapy and chemotherapy may also be used to halt cancer progression by killing the cancer cells or keeping them from dividing. These treatments could be administered before or after surgery.
There are a few novel treatments like new chemotherapy drugs, vaccines, gene therapy and immunotherapy but they are still under investigation.
The success of your cancer treatment depends on the skill of your gynecologic oncologists who will design your treatment.
Hello. 25 year old. We trying to conceive from 2 year. I have done vmy follicular scan with doctor instruction. The study goes as follows, ,day 13) right and left ovary follicles are multiple. Size of right 22 mm and left 15 mm, endometrial thickness is 12 mm, Margins regular, there is no internal echoes, and no fluid in POD. After this scan doctor gave hcg 5000 iv injection. Pls advise everything is normal? Can I get conceive. Pls help me.
In a healthy individual, there are millions of microorganisms in different parts of the body which are essential for normal functioning of that particular organ. Be it the mouth or the gut or the reproductive tract, there are normally organisms. These form part of the normal flora of that body part. It is when there is an imbalance between the good and bad bacteria, where the bad ones take over, then there is a problem. This results in an infection, which manifests with symptoms and requires treatment.
Vaginal yeast infection is one of the most common such conditions and almost 75% of the women would have had it at least once in their lifetime. It is most commonly caused by the yeast Candida albicans, which is normally present in the vagina. Though it can be sexually transmitted, it is not a usual STD.
Causes: The vagina also contains the bacteria Lactobacillus, which produces acid and is essential for maintaining an acidic environment. This acidic environment ensures there is no overgrowth of the yeast. For various reasons, this balance is lost and there is an overgrowth of yeast leading to vaginal yeast infections. Some of the common causes are listed below.
- Antibiotic usage, which kills the Lactobacillus count and increases vaginal pH
- Uncontrolled diabetes
- Weakened immunity due to various reasons
- Increased levels of oestrogen due to use of birth control pills or hormone replacement therapy
Symptoms: The symptoms would depend on the severity of the infection.
- Vaginal itching, burning, and irritation
- Vulvar swelling, irritation, and redness
- Burning sensation with urination or intercourse
- Vaginal rash
- Vaginal soreness and pain
- Vaginal discharge that can be thick or thin, white or clear, odor-free or foul-smelling
In cases of recurrent vaginal yeast infections, there could be more than 4 infections per year along with extensive burning and itching and swelling that could even lead to cracks and fissures.
Diagnosis: Though the symptoms can be helpful in diagnosis, sometimes a pelvic exam and swab of the vaginal discharge might be required to confirm the diagnosis. This is especially required in cases of repeated infections.
There are many couples these days who are opting for IVF treatment to get pregnant. During the process of IVF, many couples end up with a twin pregnancy or sometimes multiple pregnancy as well. In a normal pregnancy, the chance of concieving twins is less. It is somewhere around 6%, but when it comes to the IVF process, there is a 25% chance for twins and more than 3% chance of 3 or more babies.
Most of the times, couples do not find it a problem when they are pregnant with twins. For those couples who find it difficult to get pregnant in a natural way, a twin pregnancy or multiple pregnancy can be a boon. As the process of IVF is expensive and the chances of success are also not guaranteed, having two babies at a time is considered lucky. You need not have to spend twice, no delivery pains twice. But did you know that there are also many risks involved in multiple pregnancy?
Yes, multiple pregnancy comes with a lot of risks. Here are some of them:
- Premature delivery: One of the most common problems with multiple pregnancy in IVF is premature delivery. More than 60 % of the deliveries are done within 35 weeks of pregnancy. This will affect the health of the baby.
- Low birth weight: The weight of the babies is going to be too low in IVF pregnancy. If the baby is born before 32 weeks of pregnancy, then that weight is too low. It is going to be less than three and a half pounds. The newborn baby will have to face a lot of risks.
- Cesarean babies: Most of the mothers with multiple IVF pregnancy will have to undergo a cesarean section for delivery. They will not be able to go through normal labor and delivery. This will take a lot of time for the mothers to recover and they will also not be able to spend time with their babies.
- Gestational Diabetes: When a woman is pregnant with multiple babies, then they may have gestational diabetes. This kind of diabetes will increase the weight of both mother and baby. In case the mother is going for vaginal delivery, then it can be a great risk if the baby grows really large inside.
- Unhealthy babies: Most of the times, twin babies will not be born healthy. Maybe not at the time of delivery, but these kids will have health issues in the future as well.
- Hard to carry: When the mother is weak, then it can be hard for the mother to carry multiple babies at a time. That can create some major health issues for both mother and baby.
Single pregnancy is always safe in the IVF process and you need to discuss all issues with your doctor when you are opting for the IVF process as a way of getting pregnant.
Cervical cancer refers to the type of cancer that spreads through abnormal cells, which may be found in the lining of the cervix. This affects the lower part or the womb of the body. This may also be medically known as the uterine cervix. This kind of cancer is considered one of the most preventable ones. There are various kinds of screening tests that can help in early detection so that the symptoms become clear and the problem can be treated before the cancer spreads or malignancy sets in.
Read on to know more about the various screening measures that can help in treating and preventing the same.
- Pap smear test: This is one of the most recommended and easiest tests conducted for cervical cancer screening. The pap smear test is recommended for all women who have been through child birth. In this form of screening, the doctor usually takes a sample from the cervix of the patient. This will be then be put through a lab test to find any kind of anomalies in the cells of the cervix. This test is also strongly recommended on an annual basis for women who are going through menopause, as this is the time when the cells undergo maximum changes.
- HPV test: The HPV test can be conducted along with the pap smear test so as to find out if the HIV virus is active as well.
- Pelvic exam: In order to conduct screening for cervical cancer, the doctor may also ask the patient for a pelvic exam. In this test, the doctor checks the various areas like the uterus, the cervix and ovaries so as to ensure that there are no anomalies and irregular changes in these areas or organs of the body. This exam can help the doctor in finding any changes that may point at the risk of developing cervical cancer.
- Reading the test results: The doctor will usually take a look at the test results before making a clear diagnosis and recommending a course of medication or other kinds of treatment so as to prevent the spread or onset of cancer. For cases where this type of cancer has already progressed to a great degree, the doctor will usually recommend chemotherapy as well as radiation and sometimes, even surgery.
When should you get a screening test done?
Once you are above 21 years of age or have had a baby, it is imperative to get a screening test done at least annually. It is also important to get this done once a year if you are going through menopause. The doctors may ask you not to go through a test, if your previous three tests have been clear. In case you have a concern or query you can always consult an expert & get answers to your questions!
A urinary tract infection or UTI can be quite painful and uncomfortable. This infection can be described as an infection that affects the ureter, urethra, bladder or kidneys. Women have a shorter urethra than men which makes this more vulnerable to this kind of infection.
It is said that most women suffer from at least one bout of this infection in a lifetime. Urinary tract infections are caused by bacteria and may often recur after treatment. However, in most cases, this can easily be prevented. Here are a few tips to help prevent recurrent urinary tract infections.
- Drink plenty of fluids: Ideally, we should drink 8-10 glasses of water a day at regular intervals. This keeps the body hydrated and flushes toxins and bacteria from the body. Water also prevents the formation of kidney stones that could increase your risk of suffering from a urinary tract infection.
- Urinate frequently: If you drink the required amount of water, you will typically need to urinate frequently. Do not try to control your bladder. Holding your urine in your bladder allows bacteria to multiply inside the bladder. This is an easy way for a UTI to begin.
- Follow healthy bathroom habits: Cleanliness is the first step to preventing any infection. When using public restrooms, flush the toilet before and after urinating. In the case of women, it becomes important to ensure that the seat of the toilet is clean as well. After urinating wipe the residual urine with toilet paper in a motion that goes from front to back. Since the urethra is situated very close to the rectum, this step is very important. For uncircumcised men, it is important to wash the foreskin after urination.
- Wear loose clothes: Tight fitting clothes trap moisture and aid in the multiplication of bacteria. Hence, always wear loose fitting clothes that keep the area around the urethra dry. Also, avoid synthetic underwear and only wear cotton underwear.
- Urinate after intercourse: The relative closeness of the vagina to the urethra makes it easy for bacteria to enter the urethra during intercourse. Hence, make it a habit of washing your pubic region after intercourse and urinating. This helps flush out any possible bacteria that may have entered your body.
- Choose the correct method of birth control: Certain types of birth control such as diaphragms and spermicidal agents can promote a urinary tract infection. Hence, it is best to avoid these types of birth control and pick alternatives.
In case you have a concern or query you can always consult an expert & get answers to your questions!