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Management of Abortion
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
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She is very much helpful and always ready to instruct when we have a problem. After delivery me and my son is good.
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Fibroid tumour is the abnormal cell growth in the uterus and they are mostly benign. Fibroids usually affect women in the age bracket of 30 - 40. Fibroid tumours are of three types, depending on their location:
- Submucosal fibroids: The tumour develops under the lining of the uterus
- Intramural fibroids: The growth is found amongst the muscles in the wall of the uterus
- Subserosal fibroids: The growth develops on the wall of the uterus right in the pelvic cavity
Causes behind it
The exact cause of fibroids in not known clearly. But certain factors have been discovered that might influence their formation. These factors include:
- Hormones: Progesterone and estrogen are the hormones responsible for recreating the uterine lining during every menstrual cycle. These hormones might trigger the formation of tumour.
- Family history: If any member in your family; your mother, grandmother or sister has/had fibroids in their uterus, you may also develop it.
- Pregnancy: Your body produces excessive progesterone and estrogen when you are pregnant, which may cause an increase in the size of a pre-existing small fibroid. Myomectomy can be done by giving incision on the abdomen or by laparoscopy depending on the size and location of the fibroids.
- Heavy bleeding along with blood clots during or between your periods
- Lower back or pelvic pain
- Elevated menstrual cramping
- Frequent urination
- Pain during sex
- Longer than normal periods
- Bloating or pressure in lower abdomen
- Enlargement or swelling of the abdomen
How it can be treated?
Your doctor will formulate the right treatment depending on your age, the mass of the fibroids and your overall health. Your doctor may choose a combination of treatment to cure your fibroids, and they include:
- Medication: Gonadotropin releasing hormones (GnRH) agonists, birth control pills and ibuprofen (anti-inflammatory medicine) are prescribed. GnRH agonists reduce the level of progesterone and estrogen in your uterus.
- Surgery: Myomectomy and hysterectomy are two common surgical procedures to treat fibroids. Myomectomy is performed by removing the fibroids only by making an incision on the abdomen. But hysterectomy completely removes the uterus. The latter is reserved for serious cases.
- Non-invasive surgery: Focussed ultrasound surgery, myolysis (shrinking fibroids with laser or electric current), cryomyolysis (fibroids are frozen) and endometrial ablation (an instrument uses heat, hot water, microwaves or electric current to destroy fibroids) are some non-invasive surgical procedures. It has limited indications & has to be used judiciously. Best results are with surgery - open or laparoscopic myomectomy.
A birth control pill is commonly referred to as an oral contraceptive pill. A form of hormonal contraception and is a highly effective method of birth control. Only 1% of women experience unintended pregnancy when on the pill.
Birth control pills are of two types i.e combination pills and mini pills. Combination pills contain synthetic forms of the two hormones called oestrogen and progesterone. The mini pill only contains the hormone progesterone and is called progestin.
However, the pill does have some side effects to it. These include the following:
- Intermenstrual spotting: Within the first three months of s36184tarting the pill, women experience vaginal bleeding between the two period cycles.
- Nausea: Although the symptoms subside after some time, some women till experience nausea for a while after taking the pill. If one consumes the pill with food or before going to bed, this can help lower the likelihood of feeling nauseous.
- Breast tenderness: The breasts might feel tender and enlarged after taking the pill. However, anyone who finds a lump in the breast or feels continuous pain needs to seek medical help.
- Headaches: Migraines and headaches are a very common phenomenon of the birth control pill. Different types and doses of these pills may result in different headache symptoms.
- Gaining weight: Experiencing certain fluid retention in the hip or breast area is very common. It also affects the fat cells of the body because of the oestrogen present in the pills.
- Mood swings: Those with a history of stress or depression might start to feel the same again. If one has that kind of a history and starts to feel emotional changes, she should consult a doctor immediately.
- Missing periods: It is a common side effect that after using the pill, one's period might get skipped. This is influenced by several factors including stress, depression or thyroid dysfunctions.
- Decreased libido: The sex drive can be widely affected by the birth control pill. Although many other factors could result in a decreased libido, but if it remains after having the pill and is persistent, one should seek medical help or consult a specialist.
- Vaginal discharge: There could be an increase or a decrease in the vaginal lubrication. Some people might experience vaginal discharge since it is very common. Changes in vaginal discharge never turn out to be harmful.
- Changes in the vision: Fluid retention due to the birth control pill can result in the swelling of corneas. Because of this, even contact lenses do not fit comfortably. Contact lens wearers should consult an ophthalmologist if their vision or lens tolerance is disturbed.
Although there are certain side effects to taking birth control pills; however, one should not abstain from taking them in the fear that they might cause certain side effects. These pills are a precautionary measure along with other protection methods and should be taken in case someone wants to avoid pregnancy at the time being.
Hello Doctor I am unmarried and recently diagnosed with uterine fibroid. Its quite large on the left outer wall of my uterus. I don't have any serious symptoms except for heaviness and bulky tummy and little high bleeding. Please suggest if there is any medicine available to shrink large fibroids without out affecting the uterus and fertility. Appreciate your timely advice.
Cervical cancer is a form of cancer which occurs in the cervix or the lower part of the uterus in women, which opens up into the vagina. Its different from the other cancers that occur in other parts of the uterus and has a high rate of being cured if detected early.
Causes of Cervical Cancer: Cervical cancer is usually caused when abnormal cells present in the cervix, get out of control. Usually, major cases of cervical cancer are caused by a virus known as the human papillomavirus or HPV. This virus gets transmitted from one person to another by sexual means or sexual contact. Abnormal changes in the cervix cells lead to cervical cancer. Usually, cell changes occur in the transformation zone in the cervix as the cells tend to change constantly, thereby leading to cancer.
- Abnormal vaginal bleeding between menstrual phases, after menopause or after having sex.
- Pain is experienced during sex.
- Abnormal vaginal discharge is produced.
- Abnormal changes in the menstrual cycle.
- Anemia due to abnormal bleeding from the vagina.
- Recurring pain in the pelvis, back or leg.
- Several urinary problems due to the blockage of the uterus.
- Urine or stool leakage into the vagina.
- Loss of weight.
How it can be diagnosed?
A routine screening test should be undertaken to observe any abnormal cell changes in the cervix and also for the screening for cervical cancer. Taking regular Pap smear test is recommended to detect abnormal cell changes so that cervical cancer can be prevented before hand. Other diagnostic tests include, Colposcopy and cervical biopsy to determine the presence of abnormal cells in the cervix, Endocervical biopsy and Cone biopsy.
Treatment options available:
Cervical cancer can be treated when detected at an early stage. The type of treatment depends on the stage and type of cervical cancer. The most common treatment methods are as follows:
- Surgery can be undertaken for removal of the cancer. Several types of surgeries exist and the ideal one depends on the location and severity of the cervical cancer.
- Radiation therapy involves the use of high dosage X-rays and implants within the vaginal cavity. This kills the cancer cells and is used in some specific stages of cervical cancer. This therapy is often used alongside surgery.
- Chemo-radiation is a combination of radiation therapy and chemotherapy. This procedure can be used at various stages of cervical cancer.
- Chemotherapy involves using medicines for killing cancer cells. It is used in advanced stages of cervical cancer.
Pelvic cancer is caused by abnormal cell changes in the pelvis. It is a common kind of cancer and can cause negative effects on the health. Proper diagnosis and treatment are essential for treating pelvic cancer. Cervical cancer is one of the cancers for which vaccine for prevention is available. Young girls from teenage & older women upto 45 yrs can take this vaccine. It should be taken after consulting a gynecologist.
It is not easy to deal with labour pains. According to scientists and doctors, labour pain is a very strong sensation that a woman experiences in her lifetime. Therefore, it is important to know some tips that will help you deal with the intense pain dur ing labour. There are some practical tools, which will help you survive labour pains on both emotional and physical levels.
You just need to implement these tools during your labour.
- Focus on the current contraction: When you get a contraction, focus on it solely. Do not agonize on the contractions you had or do not feel scared thinking about the contractions that are yet to come. You just need to focus on the present contraction without thinking about anything else. Many women think about how long they have to push before they can meet the baby. The over thinking can worsen the pain. Therefore, you should be in the present moment.
- Breathe: A great tip of resisting labour pains is breathing. Various kinds of breathing techniques have been invented for labour. You can try some of those breathing techniques during your labour. If you don’t remember any particular breathing technique, you can also try everyday breathing during the contractions. Breathing lets your abdominal muscles relax and helps the baby descend faster.
- Try to relax: Whenever you encounter pain or stress, you tense all the muscles of your body, especially your abdominal muscles. It is important to relax during your labour pain. Although it is difficult, you should try to relax instead of getting tensed. It will make your labour smooth.
- Be in a comfortable place: You should be in a place where your labour must be comfortable for you. If you are not comfortable, you will be stressed and anxious, which in turn, will make it difficult for you. When you are in a comfortable place, you will be happier and your muscles will be more relaxed.
- Don’t worry: Instead of worrying about your entire labour experience, focus on the task at hand. When you don’t worry, you can process the contractions without being stressed. As a result, your body will also get less tired and your baby will come out faster. You need to channel your energy into pushing the baby rather than worrying and stressing.
If you follow these simple tips, you will be able to survive labour pains and give birth to a healthy baby. Nature has given women all the tools so that they can give birth to a baby naturally. You just need to trust your body and empower yourself by keeping these tips in your mind.
To help you to lessen the pain epidural analgesia or painless labour is an option available at most of the standard birthing centers. You should choose an experienced obstetrician who will provide you with this option.
Breast cancer is a form of cancer which develops from the breast tissue. Breast cancer is indicated by signs such as a lump in the breast, changes in breast shape, fluid flowing from the nipple, dimpling of skin, or the development of red scaly patches. Breast cancer is a fatal form of cancer in women and immediate diagnosis is required on observing the symptoms.
Diagnosis of breast cancer
Other than the regular breast screening, the diagnosis of breast cancer involves the following steps and methods:
- Seeing your general practitioner (GP): It is very important to visit your GP soon after noticing the symptoms of breast cancer. Your GP will examine you properly and in case your symptoms need more assessment, he/she will refer you to a breast cancer clinic.
- Mammogram and breast ultrasound: You will be required to have a mammogram, as recommended by a specialist breast unit. This is an X-ray of the breasts. An ultrasound scan may also be required. Breast ultrasound should be undertaken only if you are less than 35 years of age. This is because, young women have denser breasts and a mammogram is not as effective as ultrasound in the diagnosis of breast cancer. In ultrasound, high frequency sound waves are used for obtaining an image of your breasts. It is observed to notice any abnormality or lumps. A breast ultrasound is also important for determining whether a lump is solid or contains liquid.
- Biopsy: In this diagnosis process, a sample of the tissue cells is taken from the breasts and tested under a microscope to find out if it is cancerous. A scan and needle test for the lymph nodes present in your armpit is also done to check whether they have also been affected. A biopsy is undertaken in several ways, depending upon the condition and severity. A needle aspiration biopsy is used for testing a sample of your breast cells without the removal of the tissues. This is the most common form of biopsy and it is also used for draining a small fluid-filled lump or benign cyst. During the process, you will be given a local anesthetic. Usually, a needle biopsy is carried out guided by an X-ray, ultrasound and an MRI scan as well. This helps in distinguishing it from non-invasive changes such as ductal carcinoma in situ.
Another form of biopsy used for the diagnosis of breast cancer is called vacuum assisted biopsy or mammotome biopsy. In this process, a needle gets attached to a suction tube, which helps in obtaining the sample and for clearing the bleeding. In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with pregnancy if you happen to have diabetes.
Complications: Pregnancy with diabetes can cause severe complications if the blood sugar levels are not controlled properly before pregnancy. This can cause the diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby’s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.
Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman’s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.
Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.
Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.