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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
The delivery was coming closer day by day. Never once that I felt that she is getting impatient, rathershe has always responded to my each and every doubt with immense patience. One of my colleague referred me to Dr.Parimalam Ramanathan. During the treatment, my dr.Parimalam Ramanathan supported me a lot. The London Harley Street Women & Fertility Centre in chennai is designed in such a way that every patient feels at ease. I am almost my normal self post the treatment and for that my doctor is the reason.
Initially the problem of irregular periods was not that severe but then it became worse. I was amazed that other doctors before him were not able to even treat my problem, but Dr Parimalam did it immediately and started the irregular periods treatment for it. The London harley Centre is designed in such a way that every patient feels at ease. Never once that I felt that she is getting impatient, rather she has always responded to my each and every doubt with immense patience.
I was shocked to experience the symptoms of polycystic ovary synDromeShe ensures that she listens to her patients. During the complete polycystic ovary synDrome treatment program she always supported and motivated me. The overall atmosphere in the London Harley Street Women & Fertility Centre is very soothing. She is not just highly qualified, but has years of experience in handling high risk cases. I owe him her a big thanks for making me fine again.
I was having the problem of no periods. London Centre had all the amenities, a patient requires. Even after my treatmentwith my old doctor, I never felt so much relief, but Parimalam mam has treated my completely. I am so thankful that she has given me the best advice and I am now finally able to get back to my normal self. Even in case of long queues, the staff was managing people in a very positive manner at her clinic.
I had lost hope, but the ovarian cysts treatment given by Dr Ramanathan has helped me regain my confidence. So many doctors I consulted, but her treatment was the best. I was panicked, because I never thought I will suffer from ovarian cysts like this. Not only she is very calm and composed, but is also a very understanding doctor. The best thing about her is that she prescribes limited no. of medicines.
It was a bad case of not being able to lose weight. Her advice and counselling has helped me immensely. The overall atmosphere in the London Harley Centre is very soothing. One of my neighbour's recommended this Dr Parimalam . Overall lose weight treatment was very effective. she is really like god send person. Over the period of time I noticed a number of changes in myself.
One of my cousin's referred Dr Parimalam as I was suffering from vaginal infection. She is not just friendly, but also is very motivating. She definitely is aware about the latest and advanced ways to treat serious cases. During the complete treatment program, she always supported and motivated me. Finally with her treatment, I am completely cured from the disease.
dr Parimalam Ramanatham does wonders when it comes to the question of treatment of back pains. i visited dr parimalam at the clinic London Harley Street Women & Fertility Centre in Chennai. with the help of this treatment I have gained back my painfree life where I can do anything I want without the stress of having back pain.
Never thought I will suffer from thyroid disorders during pregnancy. I consulted Dr Parimalam, he helped me calm down and explained me the treatment procedure. Its been 2 months now, I feel much better than before and I am hoping for further improvement as well. I owe him a big thank for treating me so well.
I was suffering from vaginal itching. I thought it may be something very normal but few days passed and the problem increased. I chose to consult Dr Parimalam. His treatment was very relaxing. I must say that she is one of a best gynaecologist in the city.
Doctor showed patience in listening to my problem, adviced us which helped me to deliver a baby by normal delivery.
It is a common notion that once a woman undergoes a Cesarean section, subsequent deliveries will have to be done by C-section too. This is not true and vaginal birth after cesarean is a very normal occurrence.
There are good chances that a woman can have normal vaginal delivery after a cesarean. However, this needs to be planned and the doctor and the mother would need to be prepared for it. There is also a good chance that the vaginal delivery may eventually be converted to a Cesarean, and so the doctor should be prepared for it too, parallely. This is known as TOLAC (trial of labor after Cesarean). The doctor will attempt for a vaginal delivery, but if it does not succeed, then Cesarean will be undertaken. This is an extremely safe procedure, though chances of success vary from one person to the other.
If you are keen on a vaginal delivery after a C-section, talk to your doctor to understand the risks and what to expect, both before, during, and after VBAC.
- Both the baby and the mother have great benefits to see, if opting for a VBAC. Some of them include:
- Reduced risk of maternal mortality with VBAC as compared to repeat Cesarean
- Less pain after delivery
- No uterine incision (The more number of deliveries, the more incisions)
- Less chance of infection as another incision means another chances of infection, hemorrhage, sepsis, etc.
- Reduced anesthetic complications and need for blood transfusion
- Reduced chances of internal organ damage, bladder injury, uterine perforation, etc.
- Reduced hospital stay and faster recovery from vaginal birth
- Reduced scar management
- Reduced chances of maternal morbidity
- Better immune response and protection against diseases like asthma, obesity, etc. for the child
Risks of TOLAC/VBAC:
- Good chance that an attempted vaginal delivery could get converted to a cesarean section
- Possibility of the previous Cesarean incision tearing open, which would immediately call for conversion to a Cesarean section
The trend for most doctors is to advise for a Cesarean section, if the previous delivery was through Cesarean. However, this need not be the case. Mothers are advised to look for hospitals, which have a low rate of C-sections and encourage vaginal delivery. The success rate of VBAC is about 60% to 80%, and should be encouraged. It is completely safe and preferable to have vaginal delivery, unless totally contraindicated. A prior cesarean alone should not be the reason to opt for a C-section. Have a detailed discussion with the doctor and go for a TOLAC. If it does not succeed, for whatever reasons, it can always be converted to a Cesarean section.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Monthly menstrual cycles become a part of woman’s life after a certain stage. They get accustomed to it and adapt their lifestyle too. However, there could be abnormal vaginal bleeding, which is defined as:
Bleeding that is outside of the menstrual cycle (bleeding outside of the expected dates). This is also known as intermenstrual bleeding or metrorrhagia.
- Menstrual bleeding that is abnormally low or high as compared to your regular flow
- Before menarche (before 9 years of age), during pregnancy, or after menopause
Causes: It is important to realise that abnormal vaginal bleeding is only a symptom and not the disease per se. In most women, there are underlying reasons that lead to abnormal bleeding, some of them are listed below.
In some women, ovulation can cause a mid-cycle bleeding, which becomes a pattern for most women, and they know it is nothing to worry about.
- Miscarriage or ectopic pregnancy: Vaginal bleeding is the most common symptom of miscarriage and requires immediate medical attention.
- Hormonal imbalances: This can be caused due to starting and stopping of birth control pills, thyroid abnormalities, or ovarian malfunctions. This requires investigation and management based on the underlying cause.
- Polycystic ovarian syndrome (PCOS): This presence of multiple cysts in the ovaries also has hormonal changes and can cause bleeding in affected women.
- Infections: Infections along the gynecologic tract including the vagina, cervix, uterus, fallopian tubes, and ovaries can cause bleeding. Sexually transmitted infections including gonorrhoea and chlamydia are also causes for bleeding
- Pelvic inflammatory disease (PID): It can cause inflammation of the entire gynecologic tract and induce bleeding
- An abnormally placed intrauterine device (IUD): It can also alter the regular menstrual flow.
- Other reasons: Fibroids, endometriosis, cancers of the uterine cavity are other reasons for abnormal vaginal bleeding.
Prevention/Management of vaginal bleeding: Abnormal bleeding requires investigation to find out the underlying cause and needs to be treated accordingly.
- Birth control: When using birth control measures, be it pills or patches, expect some bleeding during the first 3 months before things settle down. Similarly, intrauterine devices can cause some bleeding (foreign body effect).
- Pregnancy complications: Bleeding during pregnancy requires immediate medical attention. In most cases, it indicates a miscarriage or ectopic pregnancy (where the embryo is planted in the fallopian tubes and not the uterus).
- Infections: While STDs can be prevented, once acquired, like other infections, they also require antibiotics and supportive care.
- Medical conditions: Be it polycystic ovaries, fibroids, endometriosis, cancer, or PID, all these require detailed investigation and management on a case-to-case basis.
If you experience abnormal vaginal bleeding, do not ignore it and reach out for medical help.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are a quite a few precautions you need to take and quite a few factors you need to consider before doing anything. Take for example working during pregnancy. Working while you're pregnant can be challenging, but if you keep these do's and don'ts in mind, it can become an easy task.
Do: Get Adequate Rest
The first few weeks of pregnancy can take a toll on your body. If your sleep schedule is off, you need to fix it and sleep for the usual 8-9 hours a day. If you undertake a lot of physically strenuous work or even if have a desk job, you need to take a break as it can get very taxing for you. To avoid work-related exhaustion and stress, take frequent breaks to give your body the rest it requires. Speak to a doctor or trainer for simple stretches that will help you alleviate stress on your joints and keep you muscles relaxed.
Do: Be Smart About Your Work
Jobs that require heavy lifting must be avoided at all costs as they can give rise to severe complications during pregnancy. When you're pregnant you should also avoid work that regularly exposes you to radiation, harmful chemicals, lead and X-rays. Ask your supervisor to shift the sort of work you are doing as often it's illegal to continue working in conditions that actively harm your pregnancy.
Do: Take Multivitamins and Necessary Supplements
Work often doesn't leave you with enough time to take good care of yourself. You may end up skipping meals due to a hectic work schedule, which can lead to vitamin and mineral deficiencies. To keep the worst effects of this kind of a lifestyle at bay, make sure to take your multivitamins and supplements religiously and regularly.
Do: Be Super Hygienic
It is extremely important to maintain high standards of personal hygiene and sanitation during your pregnancy. This becomes even more important if you work in an environment that exposes you to infectious diseases, raw meats and children. Keep a hand sanitizer with you at all times, and make sure you don't ingest anything that has come into contact with contagions.
Don't: Go For Long Stretches Without Eating
Keeping your stomach empty during pregnancy can have a lot of unwanted effects ranging from bloating, acidity and gas to nausea and vomiting. Have a light breakfast and keep snacking on small portions of nutritious food throughout the day. Also, ensure that you maintain optimum fluid intake. The regular 8-10 glasses of water a day is an absolute must.
Don't: Be stressed
Stress during pregnancy can have damaging effects on your and your baby's health, severely affecting the physical and mental development of your unborn child. Avoid taking on extra work for the duration of your pregnancy. Lighten your workload as much as you can and make sure to take meditation and baby-safe yoga classes to keep your stress in check.
As long as you take these simple precautions, you can continue to work throughout your pregnancy. So, remember to follow these guidelines to ensure a safe and healthy experience for both you and your growing baby.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy is that period of time in a woman's life when she is excited about giving birth to her baby. She is not only responsible to keep herself healthy, but her baby is also her responsibility. What she eats, how she lives and her daily routine will affect the baby. Thus, to have a healthy pregnancy it is necessary that you exercise regularly and eat well. You should also avoid those things that may hurt your baby.
Take care of what you eat
During pregnancy it is important to get proper nutrition so that you and your baby are healthy. For slow and gradual weight gain, it is necessary to pay close attention to the folic acid, calcium and iron intake. However, if you are obese, then your weight gain regime will be different from others.
The diet during pregnancy should include:
- Intake of fruit and vegetables is important as they are good sources of Vitamins, minerals and even fiber. They are good for digestion and also help in preventing constipation. Eat fresh fruits and vegetables daily.
- During pregnancy carbohydrates are also important as they act as an important source of energy. Different food items that are rich in carbohydrates are potatoes, bread, breakfast cereals, pasta, rice, noodles, millet, maize, oats, yams, sweet potatoes, and corn meal. It is better to eat whole grains and potato with the skin on as they are rich in fiber.
- Intake of protein is very important during pregnancy, and thus you should take lean meat, pulses, beans, nuts, fish, and eggs. All these items should be cooked well so that you do not face any problem in digestion during pregnancy.
- It is also necessary to eat dairy products like milk, cheese, butter and yoghurt during pregnancy. They are important because they contain the calcium and nutrients that are necessary for the growth of the baby.
What to avoid
Just as you should eat certain food items to be healthy, there are certain foods that must be avoided to be fit and healthy. Avoid the following during pregnancy
- Drugs and alcohol
- Medicines that are not prescribed by your physician
- Smoking tobacco
- Fried and oily food
- Fishes those are rich in mercury like shark, tilefish, swordfish and those fishes that are caught in local waters are not considered safe.
- Too much intake of caffeine is also hazardous for a pregnant lady.
Thus, by following the above-mentioned diet tips you can keep your baby and yourself healthy. Always get advice from your physician for any decision that you take during pregnancy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
What is premenstrual syndrome (PMS)? In a layman's language, it is that time of the month you don't really want to unnecessarily bother a woman or you might have to face the brunt of an emotional outburst. In medical terms, it is a combination of emotional, physical, psychological changes that occur in a woman after ovulation and culminates with the ending of her menstrual flow. The most common mood-related symptoms are irritability, depression, crying, oversensitivity, and mood swings.
The most common physical symptoms are fatigue, bloating, breast tenderness, acne, and appetite changes with food cravings. In severe cases, anger, irritability, anxiety and tension leads to loss of the functioning ability of a woman. If you've been there or are suffering, you are not alone. There are scores of women around the world who experience these symptoms. Here are ways to minimize and get rid of PMS.
1. Control PMS with diet changes: Certain food types in general are not a healthy choice but can cause more harm than good during PMS. Depending on what factor affects you the most, cut down on these types of food.
- Salt: Excess salt can lead to bloating
- Caffeine: Can lead to anxiety, sleeplessness and irritability
- Alcohol: The concoction for depression
- Sugar: Can cause mood swings
As always, eating more fruits, veggies and grains at the right time can keep you healthy and prepared for those dreaded days.
2. Exercise: Exercise is a mood lifter. It gets you into shape, adds to your stamina and slowly but steadily boosts your confidence to become slimmer, stronger, and fitter. The trick is to pick up on an exercise you love. Hit the road and run free with your thoughts or turn on the music and dance with aerobics.
3. Stock up on vitamins: Hormonal imbalances are the primary cause behind PMS. Though it is not proven, stocking up on some essential vitamins like calcium, potassium and minerals can give you more strength to fight the symptoms.
4. Herbal remedies: They've been around for hundreds of years and you are likely to have an aunt or grandma swear by one of these cures. From ginger to primrose oil, these cures can balance your hormonal activity in a natural way. You will need to experiment to see what really suits your need.
5. Take a break: No matter what physical or emotional trauma you go through, it can double up because of stress and lack of sleep. Knowing your 'off' days, it's best you find a way to take some time off for yourself at a spa or try meditation and deep breathing. Do what you love to do to. Keep your mind calm and clear. Listen to music, take a walk with your dog or simply read a good book.
To start with, change your diet, take a few supplements and herbs, and start exercising, and you should see the change in the first few cycles itself. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Blood pressure is the thrust exerted by the blood against the artery walls or blood vessels. A certain count of blood pressure is necessary for blood circulation, but anything excessive may prove to be trouble. A reading above the count considered normal; 140/90 (mmHg) may induce symptoms, such as short breath, severe headaches, nosebleeds and anxiety.
Any sort of hypertension during pregnancy can take a toll on the baby.
1. Preeclampsia is a condition wherein, the blood pressure peeks high after 20 weeks of conception accompanied by traces of protein in urine and functional disorders in a few organs.
2. Hypertension might often result in the delivery of an underdeveloped (abnormally small size) baby.
3. High blood pressure might also give rise to a complication wherein, one might have to go for Caesarian section rather than a normal vaginal delivery.
4. The placenta detaches itself from the uterine wall much prior to the delivery.
5. Preeclampsia escalates one’s risks of suffering from heart disorders or other cardiovascular diseases.
6. It restricts the blood flow to the placenta (an organ nourishing the baby), thus cutting off adequate supply of oxygen and nutrients to the fetus.
Signs and symptoms:
1. Excessive protein content in urine
2. Impaired liver functioning
3. Low urine levels
4. Nausea or vomiting
5. Intense pain and tenderness in the upper abdomen
6. Problems in eyesight such as double vision or temporary loss of vision, light sensitivity and blurriness.
7. Abnormal swelling
8. Persistent and a severe headache
Medications do meddle with pregnancy. However, certain medications are considered safe to be used for keeping blood pressure levels under control. These include Angiotensin Converting Enzyme (ACE) inhibitors, Angiotensin Receptor Blockers (ARBs) and Renin Inhibitors. However, do consult a doctor to get your dosage administered accurately. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Quite a rarity, Lichen sclerosus is a skin disease, which is typically identified as white, patchy skin that is both sensitive and thinner than the surrounding area. Although it can appear anywhere on the body, it is found to occur predominantly in the skin regions in and around the vulva, the anus and the foreskin of the penis. It is a common occurrence in postmenopausal women.
Mild cases of lichen sclerosus are usually asymptomatic, but moderate to severe cases may have any of the following signs and symptoms:
1. Itching, which may or may not be severe
2. Smooth and sensitive white spots
3. Easy tearing or bruising
4. Pain or discomfort
5. Wrinkled or blotchy patches
6. Painful intercourse
7. Blistering, bleeding or ulcerated lesions in more severe cases
Although there are no known exact causes of lichen sclerosus, here are a few possible causes:
1. An overactive immune system
2. An imbalance of hormones
3. Previous skin damage at a particular site making it tender and sensitive
A number of problems may arise from the skin disease, if left untreated. Here are a few complications:
1. Skin cancer may develop, but then again, this is a very rare occurrence
2. Lichen sclerosus on the vulva can lead to the development of vulvar cancer.
3. Sexual intercourse can get extremely painful for women in severe cases, due to intensive scratching and scarring
4. Can cause thinning and tightening of the foreskin of uncircumcised men. This can be troublesome during erections or when urinating.
If the symptoms do not show or if your genital area is not badly affected, then you may not necessarily need treatment. However, if symptoms begin to appear, you should probably consult a doctor for treatment. Treatment can help decrease scarring and itching, as well as improve your skin's appearance.
Corticosteroid ointments and creams are the most common form of treatment. Apart from this form of treatment, you should consult your doctor may also prescribe the following:
1. Immune-modulating medications
2. Ultraviolet light treatment
3. Topical sex hormones
4. Circumcision or removal of the foreskin of the penis
Cervix is the tissue that connects the vagina and the uterus and is an important part of female reproductive system. Cervical cancer like any other form of cancer refers to an abnormal growth of cells on the cervix, one that if undetected at the initial stages, can involve tremendous complications which are often fatal. It is one of the most common ailments that women suffer from, making it only more important to be taken seriously and treated immediately.
Some of the visible symptoms of this ailment are:
- Abnormal bleeding from the vagina: Though menstruation is a natural occurrence in a woman's life, often times you can suffer from abnormal bleeding from the vagina, which may precede, succeed or occur between periods. Such abnormal bleeding is symptomatic of cervical cancer and you must visit a doctor immediately.
- Pain in the abdomen: In case you are suffering from cervical cancer, clear signals will be given by your body indicating that. One such signal is a nagging pain in the abdomen or in the pelvis. Though it may appear harmless, you must not treat it lightly and consult a doctor as soon as possible.
- Excruciating pain during periods: Experiencing pain during periods is a matter of such compliance that it seldom raises any concern. However, in certain cases the pain may be more than what you generally experience. In such a situation, it must not be dismissed entirely rather must be consulted with a doctor.
The most common test is used to diagnose cervical cancer is known as a pap test. In this particular examination, a sample of cells from your cervix will be taken by the doctor for examination. If the inference is reliant on the normal or the abnormal growth of these cells, the latter confirming the onset of the ailment.
In spite of being an extremely lethal ailment, over the years various treatments have evolved that successfully deal with this problem. Some of them are:
- Surgery: One of the effective and oft availed of treatment to treat cervical cancer is a surgery. Depending on the stage on which the disease is detected, doctors may suggest for a hysterectomy or removing the pelvic lymph nodes.
- Chemotherapy: This has emerged as the most sought after way of treating any form of cancer. The abnormal growth of cells that triggers cancer in the first place is deterred in this method by administering drugs to kill destroy them.
Vulvovaginal candidiasis refers to the infection of the vagina, accompanied by itching in the vulva. It is caused by a particular strand of yeast known as candida albicans. There are several reasons, which contribute to the onset of vulvovaginal candidiasis, some of them are:
- Pregnancy: Pregnancy is a time when the body of a woman undergoes a plethora of changes. With the upsurge of certain hormones, this is also the most potent time when they tend to suffer from vulvovaginal candidiasis.
- Higher dose of estrogen: Estrogen is responsible for maturing the vagina as well as provides glycogen which facilitates the growth of candida albicans. Subsequently, older and younger women, who are less prone to estrogen disorder, suffer the least from vulvovaginal candidiasis.
- Uncontrolled diabetes: Those women who suffer from uncontrolled diabetes for a long period of time are more susceptible to vulvovaginal candidiasis. Although the accurate reason is yet to be known, according to research, the presence of excessive glucose in the blood triggers the production of yeast in the vulva and the vagina.
- Weak immune system: A strong immune system is a boon, which only few people enjoy. Consequently, the very reverse, a weak immune system is extremely fatal, one that invites several complications; vulvovaginal candidiasis being one of them.
- Stress: Excessive stress and exhaustion may also be considered as a probable reason that causes imbalance in your system.
- Hormone replacement therapy: Estrogen is commonly held as a possible culprit that causes vulvovaginal candidiasis. Therefore in those hormonal replacement therapies, where estrogen is artificially administered into the body significantly increases the risk of an impending vulvovaginal candidiasis.
In spite of its frequent occurrences, it is possible to treat this infection. Some of the ways by which it can be done are:
- Anti-fungal cream: Those creams, which negate the growth of fungus are, for obvious reasons considered as the most preferred choice to combat vulvovaginal candidiasis. There are plenty of anti-fungal creams available in the market, which can be misleading, therefore you must choose wisely.
- Diflucan: This medication works wonders in treating vulvovaginal candidiasis. This must be orally administered under the doctor's supervision to enjoy the results.