Doctor in Srishti Health Care Centre
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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It was getting very difficult for me to cope us with my polycystic ovary synDrome. Srishti Health Care Centre can handle all types of emergency cases. I was suffering from polycystic ovary synDrome for such a long time. Thanks to the expert care and guidance, I feel much better than before. The overall atmosphere in the Srishti Health Care Centre is very soothing. My boss referred me this Seema Sharma. Seema Sharma has a very positive attitude towards all the patients. By chance, I approached Seema Sharma for second opinion and thank god, i did because, she treated me without any surgery and all. I had lost hope, but the polycystic ovary synDrome treatment given by Seema Sharma has helped me regain my confidence.
Never thought I will suffer from thyroid disorders during pregnancy. I consulted Dr Seema, she is really a great doctor. I appreciate the way she treats her patients. Its been sometime now, I feel much better than before and I am hoping for further improvement as well. I owe her a big thank for treating me so well.
Due to my irregular periods my daily activities were suffering. So many doctors I consulted, but her treatment was the best. Thanks to her I am much better now. Hygiene is very important, and I must Srishti Health Care Centre was extremely clean. One of my colleague referred Dr Seema Sharma's name to me.
I searched Dr Seema Sharma online and saw her reviews. She is very courteous and behaves very aptly with elder patients. she has expert knowledge in the field. i was suffering from no periods. The overall atmosphere in the Srishti Health Care is very soothing.
Doctor Seema Sharma is good and very free with the patients. her treatment to avoid pregnancy is Cost effective and she gives helpful suggestions. i am very much benefitted with her treatment. she can be consulted at Srishti Health Care Centre in Delhi.
At Srishti Health Care Centre in Delhi I went to dr Seema Sharma regarding my abortion problem. She explained me the process very nicely and helped me a lot mentally during the process as I was very scared. Thanks to the doctor i am healthy today.
I found the answers provided by the Dr. Seema Sharma to be very helpful. Thank you mam
Experience was quite nice..... Well treatment and consultant regarding issues.....
She is nice gentle this was our 3 rd visit regarding problem .she treat well
She is nice and have knowledgeable and she treat us very nicely .
It was nice
Dilation and curettage is a surgical procedure where the cervix (the lower part of uterus) is dilated and tissues are removed from the inside of the uterus. The procedure is usually done to treat heavy menstrual bleeding or clean the lining of the uterus after an abortion or miscarriage.
During the procedure, the cervix is dilated with medication and a thin surgical instrument is inserted through the vagina. This instrument is then used to scrape (curettage) the uterine tissues.
Reasons for Conducting the Procedure
Dilation and curettage is mostly done to either treat or diagnose certain uterine disorders. Dilation and curettage is recommended if your doctor needs to diagnose conditions such as:
1. Irregular uterine bleeding
2. Postmenopausal bleeding
3. Discovery of unnatural endometrial cells while conducting a common test for cervical cancer
Sometimes, the doctor can take a sample tissue from the uterus and perform tests on it to check for the following conditions:
1. Uterine cancer
2. Uterine polyps (abnormal tissue growth)
3. Endometrial hyperplasia (precancerous thickening of the uterine lining)
1. To clear away molar pregnancy; which is characterized by formation of tumours.
2. To treat heavy bleeding after childbirth; any remaining placenta in the uterus is removed.
3. To remove benign uterine or cervical polyps.
4. To clear away fibroids (benign tumours which form on the uterine wall)
5. To remove any tissue that could have been left behind after an abortion or miscarriage to prevent heavy bleeding or infection
What needs to be considered before opting for it?
The procedure of dilation and curettage is mostly safe. Complications from this procedure are rare, but some factors should always be taken care off.
1. The surgical instrument can perforate or poke a hole in the uterus. Sometimes, perforations can heal on their own; but if any organ or blood vessel gets damaged, then another surgery will be required.
2. The cervix can be damaged during the procedure. The doctor can stitch the wound close, or apply pressure on the wound to stop the bleeding.
3. Sometimes, there might be scar tissues on the wall of the uterus. This can cause irregular, painful or absent menstrual cycles, augment risks of infertility and future miscarriages.
Gestational diabetes is a kind of diabetes that happens during pregnancy. Diabetes is referred to a condition where your blood glucose or blood sugar is very high. Although, glucose is good as it used by your body for energy, but excessive glucose in your blood can be harmful for both you and your child. Gestational diabetes is mostly diagnosed in the later stages of pregnancy. If gestational diabetes is diagnosed in the early stages of pregnancy, then it is quite possible that you may have had diabetes before you became pregnant. Treating gestational diabetes can help both you and your baby stay fit and healthy. You can protect both, yourself and your baby by controlling your blood glucose levels.
Here are 7 things that you need to know about Gestational diabetes:
- Every three to eight out of 100 ladies tend to develop diabetes during pregnancy, a condition known as gestational diabetes. Fortunately, it can be dealt with and even kept away by maintaining healthy lifestyle choices. Eating leafy foods and avoiding sugar-rich things, is a vital step for both control and counteractive action. Exercise, after consulting your doctor can guarantee that you have a healthy pregnancy.
- In diabetes, when your body's glucose or sugar levels get so high that the carbohydrates and sugars cannot be converted into energy, the excess starts accumulating in your body. This additional glucose can harm the vessels in your kidneys and all through your body, particularly in organs like eyes.
- Two or three factors might cause danger for creating gestational diabetes, both inside and outside of your control. If you are overweight before you get pregnant or while you are pregnant or your family history shows that you are hereditarily inclined to the sickness, you will probably build up the condition.
- One will have to stay on the right path as far as medication and insulin goes. Your specialist may prescribe that you require diabetic pills or insulin to help you control your glucose levels.
- Your weight can bring about complexities during the delivery in case of gestational diabetes. So it is best to keep your weight in check in order to have a smooth sailing pregnancy and delivery.
- Gestational diabetes can likewise put ladies at risk of contracting preeclampsia, which can bring about a number of side effects and complexities. Side effects brought on may start from swollen feet, legs, fingers, and hands to hypertension and even seizures or strokes.
- Apart from the risks of having gestational diabetes during your pregnancy, it might affect the child later on. Your baby may have a higher danger of obesity as it develops, both in the teenage years and youth. Youngsters who are overweight may suffer from type 2 diabetes in the long run.
During pregnancy, it is essential to have a wholesome nutrition to ensure the growing baby receives a wholesome nutrition too. Extremely essential are some minerals and vitamins which have a significant role in the development of the baby. The skeletal development, for instance, is one such crucial event, and the onus is on the mother to ensure the required ingredients in the required quantity are reaching the growing fetu
Read on to know the importance of vitamin D during the pregnancy period.
Why is it important: With the skeletal development in place, the baby’s teeth and bones begin to take shape. Both these are highly matrix-driven structures and require a good amount of calcium and phosphorus. Vitamin D is essential to maintain good amounts of calcium and phosphorus in the body.
Complications: Insufficient amounts of vitamin D can produce a range of symptoms from absolutely no issues to severe bone malformations. If not sufficient, the bones and teeth could become hypomineralized and weak leading to fractures, brittle bones, and rickets in newborn children. There are also reported incidents of low birth weight, preterm birth, and higher risks during pregnancy, but these need to be proven yet.
Risk factors for vitamin D deficiency: People with darker skin, obesity, and fat malabsorption conditions are more prone to develop vitamin D deficiency. With the importance of vitamin D and its role in skeletal development well established, ensure you get the right amounts of it, whatever be the source. In case you have a concern or query you can always consult an expert & get answers to your questions!
Mood swings right after the birth of a baby are quite common. Though these are the least severe variants of post-partum depression, it is crucial not to ignore the changes that are taking place in your body. Most women feel perplexed about what they can do to combat the sadness that has taken over after a joyous and happy event of welcoming a new bundle of joy into the family. About 70 to 80% of new mothers go through some kind of negative feelings and sudden bouts of depression and sadness after the birth of a child.
Symptoms of baby blues
Often, the symptoms of baby blues hit forcibly within four to five days of childbirth, though in some cases they can occur even earlier, depending on how the birthing process went. Some of the most common symptoms of post-partum anxiety include impatience and irritability, sudden urge for weeping, restlessness, fatigue and stress and a lack of concentration along with mood changes and insomnia, even when the baby is fast asleep.
How to combat the symptoms
You will be able to deal with this post-partum phase by taking a good care of yourself. You can take several measure to make yourself feel at ease, particularly when you are faced with the worst bouts of baby blues. You can speak with someone you trust regarding how you feel and what you feel like doing. It is crucial to maintain a well regulated diet, and though this is always important, having a baby increases the probability of causing mood swings.
You can also maintain a journal to note down your feelings and emotions, as it helps in venting out negative thoughts. You can go outside and enjoy some fresh air and enjoy the life that exists beyond your new routine of feeding, changing diapers and caring for the newborn. Sometimes, being exposed to a different view can make a great difference. You should not pressurise yourself for achieving perfection for the first few weeks. Slowly, things would fall in place and before you know it, you will have adjusted yourself to the new routine.
It is crucial to bear in mind that you are not alone with your thoughts and feelings as these things are faced by mothers across the world. But it is vital to note here that if your indications don’t seem to subside even after a few weeks, it can be a sign of a more serious health issue and you may need to be diagnosed by an expert.
The removal of the uterus is known as a hysterectomy. This is a fairly common procedure and may or may not include the removal of the ovaries as well. A hysterectomy may be partial or complete and can be performed abdominally, vaginally or laparoscopically. A partial hysterectomy includes only the removal of the uterus and leaves the cervix in its place. A complete hysterectomy removes both the uterus and the cervix.
There are many reasons for women to undergo a hysterectomy. Treatment of uterine fibroids, endometriosis, uterine prolapsed and cancerous growths are the most common amongst these. There are alternatives to a hysterectomy in most cases and hence, a woman should know all the details about her case before undergoing such a surgery. The only case where hysterectomy is the only solution is in the case of cancerous growths.
The uterus does more than just act as a home for a growing fetus. Hence, the removal of a woman uterus can have a significant effect on her health.
Inability to bear children
For a woman in her thirties, the inability to bear children is the biggest effect of a hysterectomy. Some women may also experience a lowered libido. This is seen mostly in cases where the ovaries are removed along with the uterus. Some women may also face difficulties achieving an orgasm.
When the uterus is removed the spine compresses and makes the rib cage move downwards. This makes the hip bones move outwards and widen. As a result the anatomy of a woman changes to give her a wider waist and protruding belly. She may also lose a little height. Vaginal dryness is another physiological change that is triggered by a hysterectomy.
If the hysterectomy surgery includes the removal of ovaries, it is followed instantly by menopause. This is regardless of your age. If the ovaries are left intact, there is a risk of menopause occurring within the next five years. Some of the symptoms of menopause are:
Depression is a common side effect of a hysterectomy when it is performed on women in their thirties. The inability to bear children is partly responsible for this. This depression is usually temporary as long as the woman has a good support system in the form of friends and family. In some cases, this depression could also give rise to suicidal feelings.
Childbirth is a very strenuous procedure, one has to undergo. Just like pregnancy, vaginal childbirth can take a toll on your health. But, there are certain simple tips and tricks you can have up your sleeves which can ensure you stay in optimal health post child birth.
Listed below are a few steps one can undertake to take care of your body after childbirth:
A healthy meal: Since childbirth, both vaginal and Cesarean Section (C-Section), are strenuous procedures, you should choose to eat healthy and balanced meal which provides your body with the necessary nutrients and energy. Since, you are also breast-feeding, you need the required nutrients to pass off to your child.
Good rest is a must: You need to sleep on time and rest to relax your body. If you do not rest enough, you will be able to see the negative effects on your skin, manifesting in the form of puffy eyes and reduced energy levels. This puts extra strain on your body. Hire a nanny if you must; but, make sure you sleep on time to give your body the desired rest.
Work-out: You definitely cannot work-out in full flow after you have just had a child as your body is still healing. However, what you can do is engage in mild forms of Yoga stretches and breathing exercises to relax your body. Working out will help you relax your muscles and lose the fat, your body has gained during pregnancy. It also releases ‘endorphins’, the ‘happy hormones’ which make you feel better, both physically and psychologically.
Drink a lot of fluids: It is advisable for you to consume fluids after childbirth. The fluids relieve your body from toxin build-up and help in detoxifying and relaxing your body. Opt for vitamin based drinks and smoothies which impart sufficient nutrition to your body.
Heal your perineum: The best way to take care of your perineum is by cleaning it with lukewarm water and a few drops of aromatherapy oils or bath salts. Invest in a hazel pad if required as the gentle squirts of water help in cleaning the bacteria and blood off your perineum. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Babies can enter this world in one of two ways: Pregnant women can have either a vaginal birth or a surgical delivery by Cesarean section, but the ultimate goal is to safely give birth to a healthy baby.
C-section or Cesarean section is a surgical procedure to remove baby through an incision in the mother’s abdomen and then a second incision in the uterus. It may be a necessity in certain situations, such as delivering a very large baby in a mother with a small pelvis, or if the baby is not in a heads-down position and efforts to turn the baby before a woman gives birth have been unsuccessful.
Sometimes the decision by an obstetrician to perform a C-section is unplanned, and it is done for emergency reasons because the health of the mother, the baby, or both of them is in jeopardy. This may occur because of a problem during pregnancy or after a woman has gone into labor, such as if labor is happening too slowly or if the baby is not getting enough oxygen.
Some C-sections are considered elective, which are planned by the treating doctor for medical reasons. The patient may choose to deliver by CS due to previous unpleasant experience or to avoid the pain of normal labour. In such cases also it is called elective CS.
Reasons for a C-section may include:
- Health problems in the mother
- The mother carrying more than one baby
- The size or position of the baby
- The baby’s health is in danger
- Labor is not moving along as it should
The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. It can raise the risk of having difficulties with future pregnancies. Some women may have problems attempting a vaginal birth later. Still, many women are able to have a vaginal birth after cesarean (VBAC).
How You Might Feel
You won’t feel any pain during the C-section, although you may feel sensations like pulling and pressure. Most women are awake and simply numbed from the waist down using regional anesthesia during a C-section. That way, they are awake to see and hear their baby being born. A curtain will be over your abdomen during the surgery, but you may be able to take a peek as your baby is being delivered from your belly. However, women who need to have an emergency C-section occasionally require general anesthesia, so they’re unconscious during the delivery and won’t remember anything or feel any pain.
Recovering from a C-section
After a C-section, a woman may spend two to four days in the hospital, but it may take her up to six weeks to feel more like herself again. Her abdomen will feel sore from the surgery and the skin and nerves in this area will need time to heal. Women will be given narcotic pain medications to take the edge off any post-surgery pain, and most women use them for about two weeks after ward.
A woman may also experience bleeding for about four to six weeks after a surgical birth. She is also advised to not have sex for a few weeks after her C-section and to also avoid strenuous activities, such as lifting heavy objects.
Adenomyosis is a condition which occurs when the muscle wall of the uterus is broken by the endometrium lining. You experience pressure in the lower abdomen, menstrual bloating and cramps, before the onset of menstrual periods, resulting in heavy bleeding during the periods. This disorder is not life threatening but is known to cause pain and heavy bleeding.
The symptoms of adenomyosis are severe pain during periods, prolonged periods and pressure in the abdominal area. You may also experience heavy bleeding during the periods and may also experience intense pain. Sex may be very painful as well. The lower abdomen might feel tender and bigger; this occurs when the size of the uterus increases in this particular condition.
The exact cause of this disorder is not yet ascertained. However, certain possible causes could be:
- Congenital Defect: In this case, the condition is known to occur from birth wherein the endometrial tissue grows on the uterine muscle wall during the fetus formation.
- Invasive Growth of Tissues: This is said to occur when endometrial cells invade the uterus lining, leading to adenomyosis. This can also be triggered by a C-section operation.
- Inflammation During Childbirth: During the childbirth process, inflammation may occur in the lining of the uterus leading to this disorder.
In addition to the possible cause, there are certain risk factors which increase the risks of the disorder, such as:
Giving birth to a child
Surgery related to the uterus such as a C-section
Once you reach menopause, this disorder tends to subside. So depending on how close you are to menopause, the treatment is designed accordingly. The various treatments for adenomyosis are –
Anti-inflammatory Medications: If you are nearing menopause, then anti-inflammatory medications will be administered. This helps in reducing pain and the heavy blood flow.
Hormone Medications: Hormone medications such as hormone patches can also help with the bleeding and pain.
Hysterectomy: If the pain turns intense, then the doctor may recommend hysterectomy, a surgery to remove the uterus. In case you have a concern or query you can always consult an expert & get answers to your questions!
5 Tips for a Smoother Transition to Menopause
Menopause is such a major stage in woman's life. But unlike puberty, its effect is more on the depressing side than fulfilling. Women who are going through the menopausal stage tend to experience changes in their body that they are not prepared for yet. Menopause signifies the end of a woman's fertility period and that may change a lot of things about her. Her ways, personality, lifestyle, and even marriage may be affected by this condition.
There are many ways to deal with menopause if only to smoothen its effect among females. Here are some tips to guide you through it:
1. Lead a healthier lifestyle
Menopause won't affect your body so much if you are accustomed living healthy. Stop smoking for that would dry up your skin and affect many of your internal organs. Stay clear of alcohol as your body will have lower tolerance of it as you get older. The permissible alcohol limit for women is 40ml per week. This time usually also corresponds to the time when children are leaving home for higher education, hence you can pay more attention to yourself and get into a regular lifestyle.
2. Watch your diet
What you eat is who you are. Be sure that you eat lots of vitamin-rich foods that would put your body well in shape. During the menopausal stage, your body will require a diet that is high in fiber and calcium. Make sure to pile up your plate with naturally coloured foods to get all the nutrients.
The best and the fastest way to keep your body in shape is still through regular exercise. The peri-menopausal stage will make your body feel tired more than usual. Counter that by living a more active lifestyle. Work out more often. Muscle aches and fatigue tend to go away with the daily flexing of bones and muscles. Have enough exposure of sunlight i.e. around 30 min per day between 10am-3pm, to get vitamin D into your bones.
4. Take hormonal pills
There are many pills available at drug stores and pharmacies that contain the women's hormones progesterone and estrogen or derivatives of it. These pills are going to help greatly in countering the changes that your body is expected to go through. However, these medications can only be obtained with proper prescription so talk to your health provider about it.
5. Have a positive outlook of life after menopause:
Consider it as a life free of period and pregnancy worries instead of a time of lost youth. Yoga and meditation can be extremely beneficial to reduce hot flushes and to overcome dryness and weakness of the genital muscles.
Is there a right biological age for women to conceive?
Once a girl starts having her periods, theoretically her biological body is ready to bear a progeny. There is a subtle phase when the physical body transits gradually from being a girl to a woman through the pubertal years. This preparatory phase lasts for three-four years and the growth of the inner organs is complete within two-three years of initiation of periods.
This means that starting fifteen-sixteen years onwards, a girl can achieve pregnancy and this is given to her by nature. In fact, the best pregnancy outcomes are achieved from the age of eighteen to twenty five years, as the body is biologically best prepared with maximum number of eggs in the ovaries and the hormones surging.
But, there is a lot of hue and cry when it comes to deciding the right age for pregnancy. Many women are concerned about their child-bearing abilities once they cross over to their late twenties and thirties. But, worry not ladies. We have all the answers for you, right here, for all your pregnancy queries and worries. So, read on.
Thirty and still struggling with your career?
It is a common scenario these days that your career woes may continue longer than you anticipated. Past the age of thirty, the ovaries start to lose out on good quality eggs and this decline in the egg quality and numbers speed up after the age of thirty-five years. So, one must make an informed choice between conceiving well in time and settling their career past a certain age.
In fact, the age of thirty-five years is considered as a watershed line after which pregnancy rates and fertility outcomes decline drastically. Also, as a woman's age goes past thirty five, irrespective of how much she exercises or is fit, her chances of bearing an abnormal child increases. This happens due to natural ageing of her eggs and it increases her chances of producing a mentally challenged child among other things.
The good news is that most of these disorders can be detected through appropriate tests and ultrasounds during pregnancy, so it possible to know about them before delivery. The sad news is that it is not possible to totally prevent these problems in the baby, except to conceive at the right age.
Forty plus did you miss the bus totally?
Well, thanks to technology and artificial reproductive techniques, even forty plus women can have a fair chance to conceive. But age is a big factor in deciding the success rates and outcomes of these procedures.
With increasing age, the success rates of ivf (in vitro fertilisation) become poorer, miscarriage rates increase and possibilities of poor outcomes in the baby increase. You may even be asked to get eggs from a younger woman (ovum donation) to counter these problems, which may imply that the baby is not totally yours genetically.