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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
Even though I was fit and fine, it was shocked that I have irregular periods. Apollo Cradle Royale has all the latest technology in place to handle severe cases. Even in case of emergency, the staff is always willing to help. I remember, I read an article of Dr Kiranjeet Kaur in the paper and made contact. I am amazed that she is such a sweet doctor, even though she is so busy all the time. Kiranjeet Kaur has in depth knowledge and ensures that she explains the problem in detail.
I was suffering from delay periods. Finally with hertreatment, I am completely cured from the disease. All the staff members at Apollo Cradle Royale in delhi were very helpful. She is not just friendly, but also is very motivating. My case was extremely serious, but she really handled it very nicely. I was quite concerned, as my health was degrading day by day, but due to my Kiranjeet Kaur and the delay periods treatment I didn't lose hope.
The overall atmosphere in the Apollo Cradle Royale is very soothing. She is not just friendly, but also is very motivating. I saw Kiranjeet Kaur clinic's advertisement in newspaper and that is how we referred her. Kiranjeet Kaur has so much knowledge that for everything my family takes her reference. I am so happy with the results of my treatment for infertility, that I will surely recommend Kiranjeet Kaur to anyone gladly.
Someone from the office, referred Dr Kaur. She is not just friendly, but also is very motivating. she doesn't just randomly prescribes medicines, but first properly diagnoses the problem. I was having this painful periods issue. The atmosphere in the Apollo Cradle Royale is always so positive and full of life. Even after my treatment with my old doctor, I never felt so much relief, but he has treated my completely.
From quite some time i was suffering from pain, but never gave much importance to it. I was shocked to experience the symptoms of polycystic ovary synDrome. She never gets frustrated, even when I ask a number of queries. The overall cleanliness in the Apollo Cradle Royale was amazing. Dr Kiranjeet Kaur has so much knowledge that for everything my family takes her reference.
I was having very bad thoughts regarding my gynae problems. She is not just friendly, but also is very motivating. I was in too much pain because of gynae problems, but even after consulting a number of doctors, I was not getting any relief. It was an amazing experience as everyone in the Apollo Cradle Royale is so nice. Dr.Kiranjeet Kaur is the best gynae
It was getting very difficult for me to cope us with my no periods issue. The Apollo Cradle Royale was equipped with various facilities. Finally with her treatment, I am completely cured . Not only she is very calm and composed, but is also a very understanding doctor. Kiranjeet Kaur certainly knows the in and out of her speciality.
I had to get a treatment done to avoid pregnancy that arise furthur unexpectedly. I took a treatment from dr Kiranjeet Kaur at Apollo Cradle Royale in Delhi. She gave me the safest and the best treatment. she respects her patients privacy and comfort. she is a very nice doctor.
dr Kiranjeet Kaur from Apollo Cradle Royale in Delhi is a very amazing doctor. She made the process of abortion very comfortable for me. She is also very experienced.
I found the answers provided by the Dr. Kiranjeet Kaur to be very helpful. Thnks
Dr is very nice polite
Menorrhagia is the most common cause of Abnormal form of bleeding from the uterus. Everyone has different periods, some might not even notice that time of the month, while others might suffer from heavy bleeding, feeling miserable and a constant worry of leaks and stains leading to embarrassing situations. Periods are considered to be heavy if a pad or tampon is soaked in blood every hour.
Other symptoms of heavy bleeding could be:
- Passing of large clots
- Bleeding at night which requires to get up to change a pad
- Any period that lasts for more than seven days
- Adenomyosis (thickening of uterine walls)
- Thickening of uterine lining or a polyp
- Use of blood thinners
- Intrauterine device
- Ovarian or a local cervical cause
If you are one of those women who suffer from heavy menstrual flow and are quite hassled by the same then worry not here are some tips to deal with your problem.
- Keep a track of the periods as in when they start and the days with heavy bleeding. This helps you to track your next period and prepare yourself well for the same
- Low iron levels can cause heavy bleeding, thus maintaining the iron levels is a good idea
- Eating green leafy vegetables and taking multivitamins helps to maintain the iron levels
- Eat fruit and food with starch to maintain a good sugar level
- Hydrate yourself as it makes you feel less grumpy and miserable
- In case of severe cramps take some pain relievers like aspirin and ibuprofen. Even a hot water bottle is a great way to chase the blues and the cramps
- Get some sleep as one feels tired before the period and the days of the period. Listen to your body and don't push yourselves. Use extra protection in case you are worried about leakage
- Try using a menstrual cup as they have a greater capacity as compared to tampons or pads. Also, one does not need to carry any supplies for the day
- Don't feel shy or embarrassed to talk about your condition
- You might need professional help and want to consult a doctor. Keeping a track of your period is good as doctors usually ask for the duration of the period and how heavy were they.
If you do not feel better with these tips a meeting with the doctor can predict the cause of the heavy flow and accordingly a medical treatment can be planned.
Medication for heavy bleeding might include any one or more of the following:
- NSAIDS like mefenamic acid Tranexamic acid may be prescribed during periods to reduce the flow.
- If not relieved then Hormonal therapy may be given.
- Non-surgical option would include insertion of mirena (hormonal intrauterine device).
- Your doctor may advise for a dilatation & curettage (scrapping of uterine lining )depending on the findings of ultrasound and considering the age.
- It is usually combined with a hysteroscopy (putting a long scope with camera into the uterus to be able to see the entire uterus lining).
- In some cases, endometrial ablation is the option in which the entire uterine lining is destroyed Hysterectomy (removal of uterus) is the option if nothing works.
PCOS is a disorder characterized by enlarged ovaries and the formation of tiny cysts on the outer sides of the ovaries. Polycystic Ovary is a hormonal condition that stimulates surplus production of androgen in women. Androgen being a “male hormone,” causes development of muscle mass and hair in men, and it has similar effects on women as well when present in high amount. They trigger acne and excessive growth of body hair in women accompanied by irregular or lack of ovulation in the form of absent or erratic menstrual cycle. Hence, owing to troubles in ovulation (discharge of ovules from the ovaries), one may experience difficulties in getting pregnant.
Many women suffering from PCOS are unaffected by the influence of the hormone ‘insulin’, which indicates, that it requires a larger amount of insulin to sustain a normal blood sugar level. High levels of insulin as a result of insulin resistance, in turn drastically boosts androgen production.
Symptoms of PCOS include:
Irregular Menstrual Cycle. Women with PCOS may miss periods or have fewer periods (fewer than eight in a year). Or, their periods may come every 21 days or more often. Some women with PCOS stop having menstrual periods.
Excessive hair. Excessive hair on the face, chin, or parts of the body where men usually have hair. This is called "hirsutism." Hirsutism affects up to 70% of women with PCOS.3
Acne. Acne on the face, chest, and upper back
Weight Gain. Weight gain or difficulty losing weight
Skin Darkening. Darkening of skin, particularly along neck creases, in the groin, and underneath breasts
Skin tags. Skin tags, which are small excess flaps of skin in the armpits or neck area
Treatment for PCOS:
There is apparently no procedure to cure PCOS and improve fertility; but the treatment is tailored as per the symptoms of the condition:
Lifestyle modification is the first and important part of treatment for PCOS. Regular exercise and balanced diet are the key to keep the hormones under control. Losing weight as much as even 5% can improve hormone status and insulin resistance. Dietary changes include reducing carbohydrates, sugars and fat.
A lack of ovulation and menstrual cycles hinders the secretion of progesterone (a hormone preparing the uterus for pregnancy), thus hampering conception. In this case, the treatment is directed at maintaining a regular ovulation and menstrual cycle which can be fixed by consuming birth control pills. These pills comprise of both progestin and estrogen which aid to bring down androgen production.
PCOS along with insulin resistance warrants the use of certain medications such as metformin which are prescribed to enhance insulin sensitivity.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Bacterial vaginosis is a condition which is characterized by an infection in the vagina. The vagina consists of both good and bad bacteria which remain in a state of balance. Bacterial vaginosis occurs when the balance of bacteria in the vagina gets disrupted. The count of bad bacteria in the vagina tends to increase as compared to the count of good bacteria.
It occurs when the balance of bacteria in the vagina is upset. There are certain factors that may make you prone to this disorder; some of them are:
Douching: Douching is a process of cleaning the vagina with water or cleansing agents. This process leads to an imbalance in the amount of good and bad bacteria in the vagina.
Multiple Sex Partners: Women who have multiple sex partners are at an increased risk of getting affected by bacterial vaginosis.
Lack of Good Bacteria in the Vagina.
The usual symptom of this disorder is a foul smelling vaginal discharge. The color of the discharge may be yellow or gray. The foul smell emanating from the vagina may intensify post coitus.
Given below are the treatments for this disorder –
Clindamycin: Clindamycin is a cream that helps treat bacterial vaginosis.
Metronidazole: This medication may be either administered orally or applied in the form of gel. It is advised to stay away from alcohol during the course of this treatment, as it reduces the efficacy.
Tinidazole: This is an oral medication administered to treat bacterial vaginosis. Akin to metronidazole, it is advised to avoid alcohol during the course of this treatment.
Following certain tips can help prevent bacterial vaginosis.
Avoid Douching: Douching can upset the balance of bacteria in the vagina; hence it is best to avoid it entirely.
Do not use scented toiletries: Using scented toiletries is not good for the vagina as it can disrupt the balance of bacteria in the vagina.
Practice safe sex: Use protection while engaging in sexual intercourse to prevent STIs.
Vulvodynia is a medical condition in which women suffer from chronic pain in the vaginal area without any cause. Even today, women don’t often go for proper diagnosis for vulvodynia because of the societal pressure due to which doctors and researchers are still not able to find out the exact cause of vulvodynia.
Types of vulvodynia
1. Generalized vulvodynia: This occurs when there is immense pain in different areas of the vagina. It can occur once in a while or the pain can be constant. Slight pressure or touch on the vagina can make it worse.
2. Vulvar Vestibulitis syndrome: Pain generally occurs in the entrance of the vagina. A burning sensation is felt when pressure is applied on the vagina or during sexual intercourse.
Possible causes of vulvodynia:
1. Irritation to the nerve or a nerve injury can increase the risk of vulvodynia.
2. An infection or a trauma in the vulvar cells can also give rise to abnormal responses which might cause vulvodynia.
3. The vulva can also respond poorly to inflammation due to genetic factors.
4. Yeast infection and hypersensitivity can also cause vulvodynia.
5. Muscle spasm
7. Hormonal changes like menstruation or menopause can also cause vulvodynia.
8. If you have a history of sexual abuse or rape, you are more likely to develop vulvodynia.
9. Using excessive antibiotic can lead to the weakening of the cells around the vagina.
Symptoms of vulvodynia:
1. Rawness, stinging or burning sensation in the vagina.
2. Soreness or acute aching sensation in and around the vagina.
3. Throbbing can also occur on the vagina if you have vulvodynia.
4. Itchiness in and around the vagina.
5. Pain can either occur once a while or all the time during vulvodynia.
6. Walking, exercising or having sex can also cause immense pain in the vagina.
7. The vagina can also ache while walking, sitting or exercising.
8. Discomfort can be felt on your entire vulva.
Vulvodynia can impact a woman’s life greatly. It can disable her ability to exercise or have sex. Vulvodynia can also make her withdraw from her social life or work. It is of utmost importance to book an appointment with a gynecologist as soon as possible if you have vulvodynia.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A urinary tract infection or UTI can be quite painful and uncomfortable. This infection can be described as an infection that affects the ureter, urethra, bladder or kidneys. Women have a shorter urethra than men which makes this more vulnerable to this kind of infection.
It is said that most women suffer from at least one bout of this infection in a lifetime. Urinary tract infections are caused by bacteria and may often recur after treatment. However, in most cases, this can easily be prevented. Here are a few tips to help prevent recurrent urinary tract infections.
- Drink plenty of fluids: Ideally, we should drink 8-10 glasses of water a day at regular intervals. This keeps the body hydrated and flushes toxins and bacteria from the body. Water also prevents the formation of kidney stones that could increase your risk of suffering from a urinary tract infection.
- Urinate frequently: If you drink the required amount of water, you will typically need to urinate frequently. Do not try to control your bladder. Holding your urine in your bladder allows bacteria to multiply inside the bladder. This is an easy way for a UTI to begin.
- Follow healthy bathroom habits: Cleanliness is the first step to preventing any infection. When using public restrooms, flush the toilet before and after urinating. In the case of women, it becomes important to ensure that the seat of the toilet is clean as well. After urinating wipe the residual urine with toilet paper in a motion that goes from front to back. Since the urethra is situated very close to the rectum, this step is very important. For uncircumcised men, it is important to wash the foreskin after urination.
- Wear loose clothes: Tight fitting clothes trap moisture and aid in the multiplication of bacteria. Hence, always wear loose fitting clothes that keep the area around the urethra dry. Also, avoid synthetic underwear and only wear cotton underwear.
- Urinate after intercourse: The relative closeness of the vagina to the urethra makes it easy for bacteria to enter the urethra during intercourse. Hence, make it a habit of washing your pubic region after intercourse and urinating. This helps flush out any possible bacteria that may have entered your body.
- Choose the correct method of birth control: Certain types of birth control such as diaphragms and spermicidal agents can promote a urinary tract infection. Hence, it is best to avoid these types of birth control and pick alternatives. In case you have a concern or query you can always consult an expert & get answers to your questions!
During pregnancy, a woman needs to take care of her body and her baby. One of the most important parts of pregnancy is the level of nutrition and diet of the woman. This has a direct bearing on the growth of the baby as well as the progression of the pregnancy. Nutrition is a matter of deciding what kind of food one should eat and the kind of food that one should stay away from, at this point. Weight management and looking after your sugar and blood pressure levels is also a part of this nutrition plan that you will follow during your pregnancy.
In case you are confused about the diet and nutrition plan that you must follow during your pregnancy, then here is a plan that you can use. Do remember to consult your doctor so that it may be customised as per your body and specific conditions.
- Grains: You will need to ingest at least seven to eight pounds of grains in a day. These may include wheat, rice, and other local grains like Ragi, Bajra, Jowar and other such grains. You must create a good balance of these grains. But do remember to find out if you doctor would recommend the use of grains, depending on the state of your health. You may also want to watch out for signs like constipation and loose motions in case your body is not able to tolerate excessive amounts of grains. You can also stick to cereal for breakfast and other grains for lunch and dinner. Try and create a mix of grains with which you can make rotis or flatbread to be had with vegetables.
- Fruit: You will need to have at least two cups of fruit a day. In case you are diabetic or you are suffering from gestational diabetes or even a high level of sugar, you may want to consult your doctor about the amount of fruit that you can have during the day. This is also a good substitute when you are having sugar cravings during your pregnancy. Try and have plenty of fruit and mix up the colours as the fibre will also help in dealing with any constipation that you may be going through.
- Vegetables: It is imperative to have at least three to four cups of vegetables a day when you are pregnant, as this will supply a lot of nutrients, minerals and vitamins to the growing baby. You may especially want to stick to vegetables like broccoli that have a high iron and folate content which can give a good amount of folic acid. This is usually required for good growth of the foetus. As with fruit, you will need to mix up the colours and have something from each colour group every day. You can combine this with some amount of meat as well.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The uterine fibroids are one of the most common gynecologic problems, with over 40-50% of women having them at some point in their life. The number and size of the fibroids, the age of onset, associated symptoms like dysfunctional bleeding and pelvic pain will determine the management of fibroid. The following is a series of management measures, starting from the most conservative to the most invasive.
1. Wait and watch: In women who are asymptomatic, it is best to watch them for the development of symptoms without any intervention. Also, in women nearing menopause, it is best to just watch the fibroids as they just shrink once menstruation ceases.
2. Medical therapy: In some women, menstrual cycles could be heavy or irregular and require hormonal replacement. They could also have occasional pain, and so may require painkillers.
- Tranexamic acid is a non-hormonal medication that can be used on heavy bleeding days only to ease the heavy menstrual flow.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) are useful in pain control. Iron and vitamin supplements are also useful in managing anemia and weakness associated with heavy bleeding.
- Oral contraceptives and/or progestins are also used to control abnormal menstrual bleeding. They do not have any effect on fibroid size though.
- Progestin could also be delivered through an intrauterine device (Mirena) to relieve heavy bleeding and prevent pregnancy.
- Gonadotropin-releasing hormone (Gn-RH) agonists: They block the production of oestrogen and progesterone, and so induce a temporary postmenopausal state. This can also be used to shrink the fibroid so it is easier to remove it surgically. This is not used for more than 3 to 6 months as they can cause hot flashes and bone loss.
- Newer drugs like Mifepristone and Ulipristal acetate are being used to shrink the size of fibroids.
3. Noninvasive procedure: MRI-guided focused ultrasound surgery is when the women are inside the MRI scanner and an ultrasonic transducer is used for treatment. The exact location of the fibroids are identified and sound waves are used to destroy the fibroid. Done on an outpatient basis, it is safe and effective.
4. Minimally invasive procedures: Uterine artery embolization is where the arterial supply is cut off to reduce fibroid growth. Myolysis is where laparoscopically heat or cold waves are used to lyse off the fibroids. Endometrial ablation is where the uterine lining is destroyed through high-intensity heat or cold waves.
5. Invasive procedures: Abdominal or Laparoscopic myomectomy is where the fibroids are removed through an abdominal incision or keyhole surgery. If fibroids are extensive and completed family, hysterectomy is the choice of treatment. Given their high incidence, fibroids require management based on symptoms, age, and other considerations as discussed and decided between the patient and the doctor.
Pregnancy is a joyous journey of surprises and new experiences. It is really hard to understand the changes that your body goes through during this beautiful period. You might have heard stories from your elders and friends. But, what it exactly feels like and what it takes or gives to be pregnant, can only be realised when you are pregnant yourself.
The most interesting part of this journey is that it’s nature and characteristics differ from one woman to the other. The symptoms experienced are completely or partially different for different expecting moms. But, one most common symptom of pregnancy is exhaustion. Almost every mother has gone through this experience during the first trimester. You might get a feeling of flu or feel as if you haven’t slept for five days. But don’t worry as this exhaustion is temporary. It vanishes as your pregnancy enters the second or third trimester or ends.
Here’s how you can cope up with the exhaustion of the first trimester:
- Maximise your happy or good hours: Exhaustion is not constant throughout the day. It hits hard either during the day or night. You need to identify these hours. It is best to avoid your work and social life at this time. You can use the other half of the day, when you are active, to carry out your day-to-day activities.
- Increase your sleep schedule: You need to get proper rest for your body and fetus. Sleeping for just seven or eight hours might not be enough. You may have to sleep for ten or eleven hours in the night to get rid of the exhaustion.
- Take short naps: A major way of coping up with the exhaustion is to take short naps. A power nap in between your working schedule can help you regain your lost energy. You will feel refreshed. Take the nap for 20 minutes only. Don’t take a too much longer nap. Doing so will only make you feel more lethargic.
- Drink water like a fish: You will have to keep your body hydrated. Make sure that you stay hydrated all the time by drinking the right amount of water. Dehydration can increase your exhaustion. A rule for drinking water is to equalise your body weight divided by two in ounces plus 8 ounces more with that
- Take help: You must not try to do things alone. You will have to take help from others like the house taker, relatives, family members or friends to do the housework. Also, request your employer to give you less work during this period.
Apart from these indulge in light exercise and eating a balanced diet along with small portions of healthy snacks in between meals is also a must for an expecting mother.
Breastfeeding has shown to have an incredible impact on the growth and development of an infant on account of the nutrients which are provided to the baby. The mental development which occurs due to breastfeeding is said to show even years from the time that a person was an infant. When a person considers just how important breastfeeding truly is, she would not want to make a mistake, would she?
A lot of new mothers are concerned, if their babies seem to fall asleep while feeding a lot quicker than they should. As a matter of fact, they worry that the babies will not get enough breast milk and this can stunt the development of the young ones. While this is true, it can be said that a few steps taken can make sure of the fact that there would be nothing for the mothers to worry about.
- Inadequate consumption: It is natural for a baby to have a tendency to fall asleep, after all, that rapid rate of growth is likely to consume a lot of energy. In order to make sure the baby consumes enough milk prior to falling asleep, what should be done is that the mother should transfer the baby from one breast to the other one when she notices that the rate at which the baby is consuming is slowing down. The effect this has is to make sure that the rate of transfer is maximised; as the fastest rate, the milk transfers is when the baby begins suckling, for the first few minutes.
- Risk of Infection: Taking into due account what a sensitive and important process breastfeeding is, it can be said that an infection is something which can disrupt the process. One of the infections happens to be thrush. This is one which can spread from the mouth of the baby to the breasts of the mother. The effects of the infection include soreness and possibly even a rash. A doctor would probably provide the patient with some anti-fungal medication in order to fight the infection off.
- Latching problems: Another issue which is faced by new mothers is that there is a pain when the baby is to latch on to the nipple. In order to reduce this, what can be done is that the mother can try keeping the baby in a position to cover as much of the area under the nipple than over and adjust the baby to cover the nipple when he or she yawns.
These are just some of the common issues faced by new mothers. However, following a few simple measures can ensure that the experience of breastfeeding is most satisfying for both mother and child. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Pregnancy and child birth are some of the most important functions of a woman’s life, and they have a life long bearing on how her body functions as well. A normal delivery or a vaginal delivery is something that a majority of women prefer because it is one of the most normal ways of delivering a baby without having to go through an invasive or surgically induced method that will also include the aid of medication. So what all can you expect when you are going through a normal or a vaginal delivery? Here is a quick list.
- Birth plan: During the final trimmest of your pregnancy and especially during the ninth month, it is important to have a birthing plan in place. By this time, it will be clear that you are going through your pregnancy in a normal manner without any problems or complications that may have a bearing on the way you will deliver the child. It will be pretty clear that you are going to have a normal delivery, in which case it is important to talk to your doctor and your partner about who will be with you when you deliver the child, and at what point you may ask for an epidural. Also, remember to include the complications that can lead to the employment of other delivery methods like forceps or a caesarean section.
- Early phase of delivery: During the early phase of your delivery, the amniotic sac, which is a fluid filled protective sac, will burst. This sac usually protects the baby. Once this water breaks, you will be in active labour. For many women, the contractions and labour pains begin before the water actually breaks, in which case, the doctor may have to rupture the sac manually or with the help of medication.
- Contractions: The tightening and releasing of your uterus is known as a contraction. These contractions will start to come in lesser intervals as the delivery progresses. It is important to keep track of the number of minutes between each contraction as this will help the doctor monitor the delivery. These may not be the most reliable indication of the progression of your labour and delivery, because sometimes, these contractions may also be false alarms like Braxton Hicks contractions, which may happen at various points during your third trimester.
- Opening of the Cervix: The opening or dilation of the cervix will usually take place eventually along with the contractions. Usually, this opening is about 3 to 4 centimeters with a passage connecting the vagina with the uterine cavity. When this dilation reaches 10 centimeters, it means that the baby is ready to start crowning. At this point, the contractions will also be closer and you will be urged to begin pushing so that the baby may enjoy a safe passage. If you wish to discuss about any specific problem, you can consult a Gynaecologist.