Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Sornam
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
Submit a review for Dr. SornamYour feedback matters!
Hello Doctor, I am getting married this month. But I don't want to get pregnant next 2 years. Please advice. Also my period cycle is collapsing with my honeymoon, request you to please advice to postpone my period dates.
Me along with my partner are planing to be intimate. We both are doing this for the first time. Is it painful or does both the partners bleed? How to avoid pregnancy without a condom?
The physical constitution of a woman’s body is complex and must be subject to regular medical check-ups. The reproductive system in women is especially sensitive to many factors. Colposcopy is a surgical procedure that entails an examination of the vulva, vagina, and cervix by using a tool known as the colposcope. This process is performed if unusual results are detected in Pap smear test.
The Pap smear is a medical screening test that helps identify abnormal cervical cells. The doctor uses the bright light that emanates from the colposcope to see the cervix more clearly under optical magnification. In case irregular areas are spotted during the Pap smear test, a tissue sample is retrieved from the cervix and then sent for biopsy.
What is the purpose of colposcopy?
Colposcopy is performed if a woman starts bleeding profusely right after engaging in sexual intercourse. The medical procedure enables doctors to identify abnormal growth in the reproductive system of a woman; such growth may be visible in the vulva, vagina, or in the woman’s cervix.
Cervical cancer can be identified with the help of a surgical procedure like colposcopy. The procedure can be used to locate ailments in the uterine cervix. These abnormalities may include genital warts or excessive inflammation of the cervix. The latter is known as cervicitis.
How is Colposcopy Performed?
The first step of the colposcopy procedure requires the patient to lie down with the feet placed in stirrups, similar to how a patient would have to lie down when undergoing any Pap smear test or a pelvic exam. A speculum is placed on the patient’s vagina, and the colposcope shall be positioned some inches away from the vulva. The insertion of the speculum can generate some discomfort, but the pain does not last long.
The vagina and the cervix are swabbed with vinegar and cotton to clear any mucus and to highlight any abnormal cells. The colposcope does not physically touch the person. The doctor may proceed to take photographs of areas that might appear suspicious to him. He may also extract a tissue sample from the cervix and send this to a laboratory for biopsy.
The doctor applies a solution to the patient after the biopsy has been executed. This action helps to control the bleeding that may occur after the colposcopy. The solution is known as Monsel’s Solution, and it generates a dark discharge following the procedure. The discharge may occur for a few days.
Colposcopy is an effective procedure that identifies abnormal growth in cervical cells. While there are no risks associated with this procedure as such, it is common for patients to experience bleeding and even fever for a few days after the surgery.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Since last 1 month. Sometimes my Friend feels pain in her breast. Initially she thought it's due to pre menstrual syndrome, but she felt again sometimes. Please advise if it is normal. Or she should see a doctor in person.
How many sperm count for pregnancy? My husband sperm count is 26.80/million motility 50% Active 40% suggestive 10%
The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg.
Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories:
- Blocked fallopian tubes
- One blocked and one open fallopian tube
- Tubal scarring
The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:
- STDs such as chlamydia trachomatis and neisseria gonorrhea
- Adhesions caused by ruptured ovarian cysts
- Peritonitis and
- A history of ectopic pregnancies
Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.
- Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however does not say much about tubal scarring.
- Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes.
Treatment for infertility caused by tubal scarring is of two types.
- Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. She may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
- In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.
In large number of cases of tubal scarring tubes would be open on tubal testing. However, it may not be working well or is functional. A lot of women with so called unexplained infertility may actually have tubal scarring or non functional tubes as the cause of Infertility. IVF is the best treatment option in such cases as it would bypass the work of the tubes completely. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
I may recently married .and I don't want to pregnant right now as we are not ready for it. We use condom every time during sex but this is not a safe method every time. I just want to ask that is the intake of oral contraceptive pills is safe. If yes then pls suggest a name of safe OCP. Is there any side effect of OCP in my fertility?
Hormonal imbalance and the associated health complications can throw your life completely off balance. Women, in particular, bear most of the brunt. One such menace that ladies dread the most is the PolyCystic Ovarian Syndrome (PCOS). Of late PCOS has been on a mercurial rise. As the name suggests, PCOS or PCOD (PolyCystic Ovarian Disorder) is a condition characterized by the formation of cysts in the ovary. In females suffering from PCOS, the ovary produces increased levels of Androgen hormone (generally produced in small amounts).
Though the exact trigger for PCOS may vary from individual to individual, the factors that are often responsible for PCOS include:
- Elevated levels of insulin in the body
- PCOS may be related to hereditary. Women who have instances of PCOS in the family (either mother or siblings) are at a greater risk of suffering from the condition.
- Inflammation (low grade) can also trigger PCOS in females.
Females with PCOS may show one or more of the following symptoms
- Menstrual problems (irregular periods, suppressed, heavy or scanty periods).
- Mood swings, depression, stress, and anxiety.
- Acne, skin discoloration (skin pigmentation).
- Fatty liver (in some cases).
- Hair problems (hair fall, thinning).
- A woman may find it difficult to conceive.
PCOS may affect a female and exhibit the symptoms during menarche (the first menstrual cycle). In some, the symptoms, however, appear at a later stage.
Role of homeopathy in treating PCOS
Allopathic medications and surgery have often been used to treat PCOS. Though there may be temporary relief, chances of a relapse are always there, not to forget the side-effects of these treatments. The treatments, more than often, leave a big hole in the pocket.
Homeopathy comes as a breath of fresh air, a much-needed solution for many women.
Homeopathic treatment has helped many women deal with PCOS and its associated symptoms better. Being natural, it has negligible side-effects (or no side-effects at all). Though a little time-consuming, the homeopathic treatment not only identifies but also helps in successfully eliminating the underlying factor responsible for the ailment. Thus, in most cases (including PCOS), homeopathic treatment provides a permanent solution to the problem, and that too, for only a small pinch in the pocket.
Few homeopathic medicines that play a pivotal role in treating PCOS and its associated symptoms include:
- Pulsatilla: PCOS can wreak havoc in your menstrual cycle. In many women, the period is not only late and scanty but short and suppressed as well. Pulsatilla is an excellent homeopathic medicine for such menstrual problems. In addition to dissolving the ovarian cysts, Pulsatilla also helps in regularizing the menstrual cycle.
- Conium: Women with acne and infertility issues benefit from Conium.
- Calcarea Carb: Conditions like PCOS associated obesity, depression, and fear are best dealt with the homeopathic medicine, Calcarea Carb.
- Apis Mellifica: The medicine is used to treat suppressed menses with pain in the right side of the ovary.
- Thuja and Sepia are two powerful homeopathic medicines that have produced fruitful results in women suffering from hirsutism. Suppressed and scanty periods can also be treated with Sepia and Thuja respectively. If you wish to discuss about any specific problem, you can consult a Homeopath.