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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
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Patient Review Highlights
One of my cousin's referred to Malvika Sabharwal. Whatever tests the Malvika Sabharwal prescribed, were very correct and the gave they gave us an exact idea about my condition. The staff was very attentive to my needs. Overall gynae problems treatment was very effective. Jeewan Mala Clinic has all the latest technology in place to handle severe cases. I am amazed that he is such a sweet doctor, even though he is so busy all the time. Even though I was fit and fine, it was shocked when I got to know that I have gynae problems. From quite some time i was suffering from pain, but never gave much importance to it.
It's been more than a year now, and I have noticed considerable change in myself. It's been so long, I have lost all hope, but then I met Malvika Sabharwal and I am hopeful again that I will be fine. All the staff members were very helpful. Malvika Sabharwal has in depth knowledge and ensures that he explains the problem in detail. The entire Jeewan Mala Clinic is very nicely designed. I was shocked to experience the symptoms of polycystic ovary synDromeHe is so pleasant to talk to and always ready to answer your doubts.
Thanks to herthat the delay periods treatment she gave me has given brilliant results. Even though Malvika Sabharwal is not from our city, she is still very famous, so we consulted her. It has been quite some time that i was suffering from delay periods. Both Malvika Sabharwal and staff were very helpful. In the very first sitting, Malvika Sabharwal clearly told us the problem and the what the treatment procedure will be in future. The lab in the Jeewan Mala Clinic was very clean and well managed.
No matter how critical be the situation, she is always very calm. The overall outlook of the Jeewan Mala Clinic was very nice. I was amazed that otherdoctors before him were not able to even diagnose my problem, but Malvika Sabharwal did it immediately and started the period pain treatment for it. heradvice and counselling has helped me immensely.
Thanks to Dr Malvika for giving me the treatmnet for sensitive bladder, I am much better now. She handled my case with great ease. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. The facilities available in the Jeewan Mala Clinic are very nice.
Dr Malvika is not just friendly, but also is very motivating. I am so much benefitted with her irregular periods treatment, that i am perfectly fine now. Even in case of emergency, the staff is always willing to help. During the complete irregular periods treatment program she always supported and motivated me.
I read about Dr Malvika on one of the social media platform. She is not just friendly, but also is very motivating. In order to diagnose my problem completely he asked me a number of questions. I was having the problem of infertility. The nurses at the Jeewan Mala Clinic were really helpful.
I was shocked to experience the problem of no periods. It was so quite pleasant in the Jeewan Mala hospital. I consulted a number of specialists but the way he treated me was the best. I am so happy that I chose Dr Malvika Sabharwal for my treatment as now I am perfectly fine
Dr. Malvika Sabharwal provides answers that are well-reasoned. Nice explanation and suggestion Given by Doc which help me to relieve my tension.
Very nice behaviour and her way of talking to patients is excellent
In a normal pregnancy, the egg that the ovaries release enters the fallopian tube. If a sperm fertilises it, the fertilised egg attaches itself inside the uterus. However, sometimes the fertilised egg can attach itself outside the uterus. This condition is called ectopic pregnancy.
Ectopic pregnancy can be detected in the first few weeks of the pregnancy itself. If your doctor does discover ectopic pregnancy, you would need immediate medical attention. Ectopic pregnancies can be sad and scary. The survival rate of the baby is extremely low, and you may need some time to get over your loss. Fortunately, one ectopic pregnancy doesn't mean you can never conceive again. Many women who lost their first baby to ectopic pregnancy have been able to have a healthy and normal pregnancy the second time around.
The causes of ectopic pregnancy include:
- An inflammation or infection of the fallopian tube can lead it to become entirely or partially blocked.
- Scar tissue from a surgery or an infection of the fallopian tube may also hinder the movement of the fertilised egg.
- Surgery in the tubes or pelvic areas in the past might cause adhesions.
- Birth defects or abnormal growths can cause anomalies in the shape of the tube.
These causes are usually followed by certain risk factors, such as:
- Age (The age group of 35-44 especially)
- An ectopic pregnancy in the past
- Previous abdominal or pelvic surgery
- Pelvic inflammatory disease
- Several prompted abortions
- Conceiving with an intrauterine device in place
- Endometriosis (growth of uterus lining tissues outside the uterus).
- Fertility treatments.
The signs and symptoms of ectopic pregnancy include:
- Minimal vaginal bleeding
- Vomiting and nausea with pain
- Pain in the lower abdomen
- Sharp cramps in the abdomen
- Localised pain (Pain concentrated on one side of your body)
- Pain in your neck, rectum or shoulder
- Rupture of the fallopian tubes can cause fainting due to the bleeding and pain
The treatment of ectopic pregnancy can be any one of the following:
- If the pregnancy has not progressed too far, methotrexate will be administered. This absorbs the pregnancy tissue and can save the fallopian tubes.
- The tubes may be removed if they have ruptured or stretched, and have started bleeding.
- Laparoscopic surgery (operations performed by making minor incisions) may be performed to remove or repair the tubes and recover the ectopic pregnancy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The uterus contracts the lining of its wall during the menstruation cycle. Hormone like substances, called prostaglandins, which are a part of the pain and aggravation, trigger the uterine muscle spasms. Increased amount of prostaglandins are in this way, connected with more serious menstrual issues. For a few females, their issues may even affect their work, school and everyday activities. Around three out of four females encounter menstrual pain and each one out of ten females encounters extreme cramps.
To help with the monthly cramps, here are some home remedies that help get rid of the menstrual cramps:
- Exercising: This may sound somewhat unrealistic and impractical during your menstrual cycle, however, is very effective and practical. A light walk or stroll or any sort of physical activity, can help your menstrual pain and get rid of cramps. When you are doing any sort of high-intensity workout, your body starts to pump more blood. This discharges endorphins to balance the prostaglandins and gets rid of your cramps or spasms. Exercising three to four times each week is useful for the general wellbeing of your body, yet it is particularly important in case you are inclined to having very painful menstrual cramps.
- Apply heat pads: Warmth or heat relaxes the contracting muscles in your uterus, which is the reason for your pain. There are numerous over-the-counter warming patches and cushions or electric, reusable ones. Then again, taking a general plastic bag with boiling water and applying it to your belly is an option when you do not have access to a warming cushion. This could be risky hence, warm some clothes and put them on your belly and cover it with a blanket.
- Drink chamomile tea: There may be pain diminishing properties in this fragrant tea. Calming elements present in the tea diminish the prostaglandin generation. This alleviates the menstrual cramps.
- Ensure you are getting enough vitamin D: Aversion is constantly possible to whatever cure you decide to take for the cramps. This is the reason why ensuring your body has enough vitamin D is very important in finding relief from menstrual cramps.
- Having an orgasm: Orgasms mitigate a wide range of pain, including menstrual cramps. Before an orgasm, the uterus is very relaxed, and at the peak, the blood stream starts flowing, easing the cramps. Orgasms ease the pain through the generation of endorphins, which help you to feel better. They additionally relax your entire body and incite rest so you will not feel any cramping by any means.
- Acupuncture: Acupuncture is a part of the conventional Chinese treatment, which includes covering the skin with needles on specific pressure points. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
A rising number of teenage girls in the country are getting affected with Poly Cystic Ovarian Disease or PCOD. Though an advanced menarche has become very rampant these days, there are many young women who are suffering from a delay in menarche which in turn is leading to PCOD as opined by gynaecologists. Obesity and sedentary lifestyle among young people have caused a rapid doubling of PCOD cases in the past five to eight years.
Occurrence and Symptoms:
Gynaecologists report that they get at least 15 fresh instances of PCOD cases, and a considerable number of teenagers aged 16-17 are not getting their menarche. Such patients are recommended to take a strictly balanced diet which will help them to lose weight. Initially, their mothers think that they would experience their menarche in proper time, but some girls are diagnosed with PCOD when taken to a family gynaecologist. Even worse, they could never imagine that their obesity can pave the way for such a grave health issue. PCOD can cause numerous other problems like delayed and irregular menses, rapid weight gain and tremendous difficulty in losing weight, developing acne and blocked skin pores.
Help yourself with the right diet:
There is no proven evidence regarding the cause of PCOD though gynaecologists are of the opinion that some females possess a predisposition to this disease, and it may run hereditarily in the family. You can alleviate your PCOD symptoms to a considerable extent by regulating your diet properly.
Have loads of fruits and green leafy vegetables and try to abstain from dairy products as many experts believe that dairy products are a direct cause of an increase in insulin levels, which can aggravate skin troubles along with other PCOD symptoms. Avoiding red meat and eating lean meat instead will help the condition and reduce the chances of infertility. It is always recommended to avoid hydrogenated and saturated fats, which are normally found in animal and dairy-based food. Try to put a stop to cheese, cottage cheese, clarified butter, pork, lamb, beef, etc. and certain baked products like cookies, cakes and fudges as they will trigger a rise in your blood sugar and cholesterol levels.
PCOD is such a condition which you can never afford to overlook. If you had been facing any of the common symptoms, then it is probably time to pay a visit to a responsive gynaecologist.
Painful intercourse can happen because of many reasons from physical problems to psychological problems. Numerous men and women encounter pain during intercourse sooner or later in their lives. The medical term for this is dyspareunia, which is characterised by constant or repetitive genital pain that occurs just before, during or after sex. Physical reasons for excruciating intercourse differ, depending upon whether the pain happens at the entry or the inside of the genitalia.
Torment during penetration might be connected with a number of factors, including:
- Insufficient lubrication, which is a consequence of insufficient arousal during intercourse. Inadequate lubrication is normally brought on by a drop in the estrogen levels after menopause or after labour.
- Certain medicines are known to repress craving or excitement, which can diminish the lubricants and make sex painful. These include antidepressants, hypertension medicines, narcotics, antihistamines and certain contraceptive pills.
- Trauma, injury or irritation including harm from a miscarriage, pelvic surgery, female circumcision or a cuts made during childbirth.
- Irritation, infection or skin problems in your genital area or urinary tract can result in excruciating intercourse. Dermatitis or other skin diseases in your genital region additionally can be the problem.
- Vaginismus is automatic fits or spasm of the muscles of the vaginal wall that can make the penetration extremely painful.
- Congenital abnormality during childbirth, for example, the absence of a full-fledged vagina (vaginal agenesis) or growth of a membrane that hinders the vaginal opening (imperforate hymen), could be the basic reason for dyspareunia.
Profound pain typically happens with deep penetration and might be more painful with specific positions. The causes for that include:
- Certain diseases and conditions, these include endometriosis, pelvic incendiary disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, haemorrhoids and ovarian pimples.
- Surgeryor restorative medicines used for the scarring from pelvic surgery, including hysterectomy, can some of the time cause painful intercourse.
- Emotions play a huge role during sexual intercourse and may be a reason behind the sexual pain. Enthusiastic elements include:
- Mental issues. such as tension, sadness, worries about your physical appearance, fear of closeness or relationship issues can add to a low level of excitement and a subsequent uneasiness or pain.
- Your pelvic floor muscles have a tendency to tighten because of worry and stress in your life. This can add to pain during intercourse.
- History of sexual abuse i.e. most women with dyspareunia do not have a background marked by sexual abuse. However, in case that you have been abused in the past, it might be a reason behind the painful sex.
In some cases, it can be hard to tell whether psychological factors are connected with dyspareunia. Pain, in the beginning, can cause fear of repeated pain, making it hard to relax, which can lead to more pain.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Miscarriage refers to the spontaneous loss of the fetus before one completes the 20th week of pregnancy, taking into account the period from the conception to gestation. It usually happens in the first trimester of the pregnancy; that is within the seventh and the twelfth week of conception. Recurrent miscarriage is when one suffers from multiple miscarriages in a row.
- Abnormally-shaped Uterus: Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.
- Polycystic Ovary Syndrome (PCOS): Women with this condition have many small cysts in their ovaries.They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood, which can lead to recurrent miscarriage.
- Infection: Some serious infections can cause or increase the risk of single miscarriages. These include toxoplasmosis, rubella, listeria and genital infection. But it is not clear whether infection plays a role in recurrent miscarriage.
- Diabetes and Thyroid Problems: Uncontrolled diabetes and untreated thyroid problems can cause miscarriage. But well-controlled diabetes and treated thyroid problems do not cause recurrent miscarriage.
Your risk of recurrent miscarriage is higher if:
- you and your partner are older; the risk is highest if you are over 35 and your partner over 40;
- you are very overweight. Being very underweight may also increase your risk.
Each new pregnancy loss increases the risk of a further miscarriage. But even after three miscarriages, most couples will have a live baby next time.
Testing After Recurrent Miscarriage:
If you have had three miscarriages in a row, you should be offered tests to try to find the cause. This should happen whether or not you already have one or more children. Testing is usually offered two early miscarriages (up to 14 weeks) because these are often due to chance. But you might be offered tests after two early miscarriages if you are in your late 30s or 40s or if it has taken you a long time to conceive.
If you had a late (second trimester) miscarriage, where your baby died after 14 weeks of pregnancy, you should be offered tests after this loss.
- You can opt for blood tests to check for sticky blood syndrome or APS. Tests would look for antibodies that would help treat the condition. Antibodies are chemicals produced by the body to combat infections.
- Get an examination done should the doctor suspect chromosomal abnormalities and in case it is diagnosed, both of you can consult a clinical genetics specialist for genetics counseling.
- Your doctor will recommend an ultrasound scan to trace any type of abnormality that may make a pregnancy futile, for instance, a short or a fragile cervix.
It is natural to pin your hopes on testing as the answer to your problems. But there are three reasons why it may not be the answer you’re looking for:
- A cause may not be found; when this happens your miscarriages are called ‘unexplained’
- Even if a cause is found, it may not be treatable;
- Treatment may not lead to a successful pregnancy. This can happen if a pregnancy miscarries for a different reason than the one being treated. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
The pelvic floor is a group of muscles in your pelvic area. These muscles support the organs in your pelvis like a sling. The organs in this area include the bladder, uterus (women), prostate (men), and rectum (the area at the end of the large intestine where your body stores solid waste). By contracting and relaxing these muscles, you control your bowel and bladder movements.
What is pelvic floor dysfunction?
When you are unable to control the muscles in your pelvic floor to have a bowel movement, it is called pelvic floor dysfunction. People with pelvic floor dysfunction contract these muscles rather than relax them. Because of this, they cannot have a bowel movement, or they have an incomplete one.
It is important to be aware of the symptoms of pelvic floor dysfunction as there is no comprehensive list of causes. However, it can be said that traumatic injuries to the pelvic area seems to have a rather higher preponderance among the causes of pelvic floor dysfunction, which is also known as PFD. While giving birth to a child is an experience that is life changing, the potential downside is that it can be one of the causes of pelvic floor dysfunction in women!
Other symptoms include feeling the need to urinate often and then finding the process to be quite painful. Constipation which occurs in spite of a diet which contains enough roughage is a sign, as well, that it is about time that a person should schedule an appointment with the doctor.
Medication is a possible solution and is usually in the form of a muscle relaxant of a low intensity. However, it is great for a person who has the misfortune of having pelvic floor dysfunction to know that there are solutions which are completely bereft of the need of any form of medication!
Cure Pelvic Floor Dysfunction-
Reducing the effects of pelvic floor dysfunction can be quite simple, really. Warm baths and some exercises suggested on a subjective basis are quite common. This is a process called biofeedback.
Biofeedback aims to retrain the pelvic floor so that there is far better functioning. The success of this method is well known to a specialist, it has vastly improved the pelvic floor dysfunction conditions of more than 75% of the patients significantly!
The method works by observing the workings of the pelvic floor and then providing feedback regarding its coordination as it expands and contracts. Some of the many things which make this method truly great are that it is non-invasive and non-medical. As a matter of fact, taking into due account its success rate, people should really give it a shot before they try medication or surgery.
Surgery is said to be effective in the case of rectocele. Nevertheless, this is the last resort as it is always better to sort out such problems sans having to resort to surgery. Multidisciplinary approaches which involve fields such as psychology are good options. Pelvic floor dysfunction is something that is a pain to have, but it really need not be! If you wish to discuss any specific problem, you can consult a gynaecologist.
The uterus, or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.
Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina, or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.
Risks: The risks of this condition are many and have been enumerated as follows:
- Complicated delivery during pregnancy
- Weak pelvic muscle
- Loss of estrogen during menopause causes atrophy of uterus
- Excessive straining on the abdomen and pelvic area ex. Chronic cough, chronic constipation, etc.
- Being overweight
- Obesity causing extra strain on the muscles
- Pelvic surgeries in the pelvic zone
Symptoms: Some of the most common symptoms of prolapse involve:
- Feeling of sitting on a ball
- Abnormal vaginal bleeding
- Increase in discharge
- Problems while performing sexual intercourse
- Seeing the uterus coming out of the vagina
- A pulling or full feeling in the pelvis
- Bladder infections
Nonsurgical medications include:
- Losing weight and getting in shape to take stress off of pelvic structures
- Maintaining a distance from truly difficult work
- Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
- Taking estrogen treatment especially during menopause
- Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
- Indulging in normal physical activity
Some specialists use the following methods to diagnose the problem:
- The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
- Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an dye is used to view the flow of color through your urinary bladder.
- An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves. If you wish to discuss about any specific problem, you can consult a Gynaecologist.