Fortis Hospital - Shalimar Bagh

I am Dr Arpana Jain, senior gynecologist, attached with Fortis hospital Delhi.

Today we are discussing about cosmetic surgery related to vagina i.e., cosmetic vaginal surgeries. Because of increasing awareness and self-realization of the body, this surgery is in great demand. There are various procedures which we can do To improve the cosmetic problem related to vagina portion. One is vaginoplasty when the vagina lacks because of repeated childbirth, the vagina becomes very loose, and there is decreased sexual pleasure. To increase that, the vaginal uterus can be reduced with surgery, and other is labiality. It is basically the term for labia minora because the inner lip of labia which is very large because of that there is difficulty in walking and there can be difficulty in sexual relation also it leads to a lot of problems, and cosmetically it is also not good. The surgery can be done to reduce the size of this lip. And the other is hymenoplasty, this is a thin membrane over the vagina and after relation it is broken, to repair that membrane and to make the woman virgin again the hymen membrane can be stitched again to make woman virgin. Another point is labia major augmentation. Sometimes it is the outer lip of vulva, which is very thin which is cosmetically not very good, so it can be augmented with putting the backup fat below this to make it beautiful. Another is vulvar lipoclastic. When it is very thick, the labia is very thick, it is very full of backup fats sometimes it becomes very bad looking so it can be reduced by liposuction. Another is G point augmentation, and clitoral hood reduction, sometimes there is long skin layer on G point, it can be reduced the clitoral hood which can be reduced and these two surgeries G point augmentation and clitoral hood reduction is basically to improve the sexual desire. These cosmetic surgeries are increasing day by day to improve the sexual desire and pleasure and because of the cosmetic region, we are doing this which is really really fine.

Thank you so much and if you have any query or if you want to contact me you can come down to my office or you can take appointment through lybrate. Thank you so much.

Symptoms and preventions for Menopause

Hi Good morning! I am doctor Aparna Jain, senior consultant obstetrics and gynaecology. Today we are discussing problems related to menopause. Average age of menopause in an average Indian woman is 48 years. 2/3 years beyond that and before that is the period of perimenopause. Lot of women suffer from problems related to menopause first of which is hot flashes, another is urinary problem and sometimes menstrual disorder. Then there can be joint pains as well.

1. Hot Flashes. In hot flashes women usually feel lot of sweating and nervousness. Deficiency of hormones lead to hot flashes, for that we need to supplement the woman with hormones and usually we ask to avoid taking hot drinks and advice to take natural isoflavones to avoid hot flashes.

2. Menstrual Disorder. Menstrual disorder usually happens in the form of either irregular periods or heavy menses and irregular period usually occur in the initial six months to one year time then the period usually stops. If the period continues to be irregular then we need to do investigation to find out whether this woman is having any benign disorder in the uterus or malignant disorder in uterus. For that we need to do an ultrasound of lower abdomen and if required a D&C Hysteroscopy to find out whether there is any growth inside the uterus and we send this tissue for histopathology to rule out malignancy. If the bleeding till persists then the woman may need hysterectomy in that age.

3. Urinary Problem. It is quite common. Usually women do not come out with this problem because they feel shy about disclosing it. The most common problems are either frequency or dysuria which means burning during urination. Another is stress incontinence. Whenever they sneeze or cough they pass small amount of urine. It is all because of hormonal deficiency. Because of which the lining of the urinary bladder as well as the lining of the vagina becomes thin so there is chances of recurrent infection and women suffer from this problem. For this we need to supplement the women with hormones as well as ask them to take natural sources of oestrogens like soya isoflavones.

4. Joint Pain. Usually this is because of the deficiency of Vitamin D and Calcium. For this we need to address and tell them to do lot of exercises and to take Calcium as well as Vitamin D
Usually we subject every woman with health package during menopausal period in which we include a pap smear, and ultrasound routine, blood test like CBC, blood count, as well as lipid profile and kidney function test, sugar, urine routine culture, ultrasound of lower abdomen and if required mammography and if we find any problem one can go for a cardiac check up also. And, usually we tell every post menopausal woman to do some amount of exercise and take calcium and vitamin d and plenty of liquids to avoid any problem related to postmenopausal.

Thank you very much. If you have any problem related to this you can consult me either on Lybrate or you can come down to my clinic.

Benefits of Endoscopic Surgery
I’m Dr. Aparna Jain, Senior Consultant Obstetrics and Gynaecologist.
We are going to discuss about Endoscopic surgery or Laparoscopic surgery in gynaecology. It is basically a pinhole surgery in which doctors don’t open the abdomen. We just put two or three small scar at the abdomen, pet par do ya teen chote scar lagate hain jiske through we can do surgeries.

Various surgeries can be performed laparoscopically or endoscopically like removal of uterus, removal of fibroids from the uterus, removal of ovarian cyst, or ovary me jo gaanth hai uske removal ke lie kar sakte hain, or removal of cyst, any type of cyst like familial cyst or atopic pregnancy i.e, pregnancy inside the fallopian tube. It is outside the uterus and it a is very life threatening condition in which we can do laparoscopic surgery and take out the embryo.

Another issue which can be solved through laparoscopy is the case of infertility. Suppose Somebody, Who is not able to conceive. If there is some problem in the fallopian tube which can be opened by Laparoscope. Endometriosis is another very important problem which leads to infertility which can be corrected laparoscopically.

These are the various conditions which can be dealt with laparoscopy without opening the abdomen. What is the advantage? Why is laparoscopic surgery better rather than opening abdomen?
It is very very important to know about it because logo ke dimag me yeh myth hota hai ki abdomen open karenge toh complete surgery hogi aur laparoscopically agar surgery karenge to wo complete nahi hoga but it is not like that. If we are doing laparoscopic surgery we are having ten times magnification in comparison to a normal eye so it will give better vision, better insight to the disease which we will be able to handle better and the scope of recovery in laparoscopic surgery is much faster than open surgery.

There is not a single large scar on the abdomen. There are multiple, two, three or sometime four scar which is 1 cm or 0.5 cm scar at the abdomen which heal so well that post of pain is very very little after laparoscopic surgery. One is very early, one can ambulate very fast after laparoscopic surgery in comparison to open surgeries and post of addition formation. Sometime, after doing a surgery one landed up in another surgery then, after open surgery there is lot of addition formation inside so second surgery become very difficult but in laparoscopic surgery addition formation is very little so the second surgery becomes easier if somebody has laparoscopic surgery initially. Cosmetically, it is also very good because scars are very less, very little. It is almost an invisible scar in comparison to open surgery.

If you want to consult further, want to know more about laparoscopic surgery or you have any problem, for that you want to consult, you can consult us on Lybrate website.

 

Here are some Do's and Don'ts at the time of high risk pregnancy