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Caesarean Section Procedure
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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
No matter how critical be the situation, she is always very calm. I found the Action Cancer Hospital itself quite pleasant. It's been more than a year now, and I have noticed considerable change in myself. Finally with her treatment, I am completely cured from the disease. The symptoms were severe and unmanageable, as I was suffering from polycystic ovary synDrome, but my Shruti Bhatia was able to handle it. Shruti Bhatia doesn't just randomly prescribes medicines, but first properly diagnoses the problem. The Action Cancer Hospital is designed in such a manner that all requirements of patients are taken care of.
She is very patient with all herpatients. 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. All of sudden I developed therdelay periods issue and didn't know what to do. In the very first sitting, Shruti Bhatia clearly told us the problem and the what the treatment procedure will be in future. The entire Action Cancer Hospital was spotlessly, clean.
Due to my breast pain I was feeling very depressed and had no hope. Dr. Shruti Bhatia is very professional and is a really patient listener. Hygiene is very important, and I must Action Cancer Hospital was extremely clean. It was so quite pleasant in the Action Cancer Hospital. her advice and counselling has helped me immensely. I was quite impressed with Shruti Bhatia concept of holistic healing.
Shruti Bhatia is really like God send person. Due to my hormonal imbalance, I lost my hair for which I consulted Dr Shruti Bhatia.Shruti Bhatia certainly knows the in and out of her speciality. The facilities available in the Action Cancer Hospital are very nice. The hair regrowth treatment she gave benefitted me great extent.I owe her a big thank for the treatment.
Overall irregular periods treatment was very effective.One of my cousin's referred to her. In order to diagnose my problem completely she asked me a number of questions. The overall atmosphere in the Action Cancer Hospital is very soothing. I am amazed that Dr Bhatia is such a sweet doctor, even though she is so busy all the time.
I was trying to conceive but was not able to , so my husband took me to Dr Shruti. She is one of the best gynaecologist in the city. My previous experiences were not so good, but she has completely changed my opinion as she is very helpful and humble. I am completely satisfied with the results of my treatment.
I was having this stomach pain, but the symptoms were not very visible. I consulted Dr Shruti, she is not just friendly, but also is very motivating. I'am almost on the path to recovery, Thanks to her for the perfect advice. I am really grateful as her stomach pain treatment has give me a ray of hope.
I was shocked to experience the problem of no periods. The overall outlook of the Action Cancer Hospital was very nice. I consulted a number of specialists but the way she treated me was the best. Dr Shruti Bhatia guidance has helped me immensely and has helped gain confidence.
Also known as Posterior Prolapse, Rectocele involves a weakening of the walls between vagina and rectum, thereby, causing the rectal wall to swell and protrude into the space of the vagina. This bulging is a common, but temporary problem that arises after childbirth. In severe cases, the swollen tissues may extend out of the vaginal opening and usually cause more discomfort than pain.
What are the most common causes for Rectocele?
1. An upright posture places a lot of weight on the pelvic region, which is probably the most important cause for Rectocele or Posterior Prolapse.
2. Constipation is also a very valid reason for Rectocele because it causes straining of the connective tissues that separate the vagina and the rectum.
3. Constant heavy lifting and indiscriminate increase of body weight may also put a lot of pressure on the pelvic region that could ultimately lead to weakening of rectal and vaginal tissues.
5. Chances of developing Posterior Prolapse increases with age.
Physiological problems posed due to Rectocele
1. Passage of bowel becomes difficult and may sometimes require pressure on the vaginal bulge.
2. The protrusion of tissue takes place from your vaginal opening, when you strain while passing bowel. This usually happens in people with constipation.
3. This disorder may also induce a sensation that the bowel tract has not been fully emptied even after passing stool.
4. Such vaginal bulging also causes difficulties and embarrassing concerns during sexual intercourse.
Medical recommendations and preventive measures to tackle Rectocele
Home-made remedies and exercise are usually effective. Performing exercises help re tighten the pelvic muscles and tissues, thus reversing the effects of Rectocele. Vaginal pessaries or rubber rings, inserted into the vagina, can also support loose tissues and keep them in place.
Surgical procedures are hardly needed in most cases of Rectocele. But if the issue is chronic, you may opt for removing the protruding tissues by surgery or strengthen the boundary between vagina and rectum by a mesh patch.
If you are thinking of adopting one of the effective birth control measures, you can try an intrauterine device (IUD). An IUD is a small plastic device which is placed in the uterus and it helps in preventing the pregnancy. A plastic string is attached to one end for ensuring proper placement and for removal. An IUD can be removed easily and is a reversible birth control method. There are several advantages and disadvantages of using IUDs.
There are two types of IUDs which are commonly used. They are as follows:
- Hormonal IUDs: In case of hormonal IUDs, a small amount of progestin is released into the lining of the uterus. This hormone is similar to the progesterone hormone. This hormone helps in thickening the cervical mucus, thereby, making it difficult for the entry of sperm into the cervix. The growth of the uterine lining is slowed down, which makes fertilised eggs inhospitable.
- Copper IUDs: In this form of IUD, a tiny amount of copper gets released into the uterus. Sperm is prevented from entering the egg as they get immobilised on the way to the fallopian tubes.
- Most women who have used this contraceptive device are satisfied with them, according to surveys.
- A woman using an IUD is protected from pregnancy totally and no other preventive measures such as taking a pill every day is required.
- These devices start working as soon as they are fitted and can easily be removed.
- They can be implanted in the uterus four weeks after giving birth to a baby or after an abortion.
- Breastfeeding is safe for women using copper IUDs.
- Using IUDs enables a woman to smoke cigarettes and high blood pressure is prevented.
- Women who use hormonal IUDs experience less blood loss during menstruation and less pain.
- IUDs can be used for several years.
- IUDs are quite expensive.
- IUDs can only be removed by a health professional.
- These devices do not provide protection from any sexually transmitted disease or HIV.
- The insertion of IUDs can cause a genital infection in the uterus and lead to pelvic inflammatory diseases.
- There are chances of an IUD getting misplaced in the uterus, which may lead to pregnancy and injuries as well. The wall of the uterus may get punctured upon insertion of this device, leading to cramping, backache and excessive uterine bleeding accompanied by pain.
It is important that you must consult a doctor before thinking of getting an IUD fitted. Several screenings and tests need to be carried out before deciding upon the IUD that would work best for you.
Ovaries are a part of a woman’s reproductive system. The primary function of ovaries include producing ‘ova’ or eggs and secreting hormones such as progesterone and estrogen. Cysts are fluid filled sacs that form the ovaries; they usually do not cause any symptom and are not painful.
There are primarily two types of ovarian cysts:
1. Follicle cysts: During a woman’s menstrual cycle, the egg develops in a sac known as the follicle. Under normal circumstances, the sac breaks open and releases the egg. When this doesn’t happen, fluids start accumulating in the follicle to form a cyst.
2. Corpus luteum cysts: Follicle sacs dissolve after releasing the egg, but in some cases, these sacs remain and the opening of the sacs gets sealed. It again results in fluid accumulation, leading to the formation of corpus luteum cysts.
Usually, cysts do not cause any symptom. If the size of the cysts increases, they may cause symptoms such as stomach pain, pain during bowel movements and sex as well as pelvic floor pain. The breasts may become tender and one may experience rapid breathing. Other symptoms of ovarian cysts are fever, nausea and dizziness. Usually, rupturing of a cyst leads to these symptoms surfacing; hence you would know when exactly to call the doctor.
The treatment options for ovarian cysts are:
- Laparoscopy: Laparoscopy is carried out if the cysts are small in size. An incision is made close to the navel, through which an instrument is inserted to get rid of the cyst.
- Birth control pills: For chronic ovarian cysts, oral contraceptives are prescribed to stop the ovulation process in order to arrest the formation of cysts.
- Laparotomy: In case of large cysts, this procedure is recommended. A relatively bigger incision is made in the abdomen, through which the cyst is removed.
Ovarian cysts, if left untreated, can certainly cause infertility. Pre-menopausal women and who suffer from frequent hormonal imbalances in the body are the most vulnerable to this condition.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The uterus is a very important organ within the human reproductive system as this is the chamber where an embryo grows into a baby. Due to a multitude of factors, the incidence of uterine cancer has been on the rise. Let's look at some of its symptoms.
Symptoms of uterine cancer
When cells within the uterus grow abnormally and turn malignant, it may be termed as uterine cancer. This may be in the form of a fibroid or tumor or be part of the uterine tissue itself. It may be caused due to a multitude of factors such as late menopause, radiation exposure, estrogen treatments and many others. Some of the common symptoms for uterine cancer could be:
a. Pain in the abdomen, lower back and especially the pelvic area.
b. Pain during urination,
c. Weight loss without any apparent reason
d. Vaginal bleeding with or without discharge
e. Pain during sex
Stages of uterine cancer:
Before we understand the stages of uterine cancer you need to know how doctors diagnose the various stages. This is done by the three following steps in the TNM method:
Tumor - Doctors try and search for tumors and locate them within the uterus, estimate its size and whether it is malignant or not.
Node - If the tumor is malignant, then doctors try to find out whether the tumor has reached the lymph nodes or not.
Metastasis - Doctors look for Metastasis which is whether the cancer has spread to other organs within the body and to what extent.
Stages of cancer - Cancer is primarily grouped in five stages from 0 to V according to the T, N and M stages mentioned below.
Stage 0 - This is a very early stage of cancer where the cells have malignant growth but are still small in number and haven't spread anywhere.
Stage I - If the cancer has developed a little but is restricted within the uterus, it is considered as stage one. This is also further divided into Stage 1A and 1B.
Stage II - When the cancer has started spreading but only to some parts of the cervix from the uterus, it is diagnosed as stage 2 uterine cancer.
Stage III - Categorized into Stage IIIA, Stage IIIB, Stage IIIC1 and Stage IIIC2, it is primarily where the cancer has spread to other organs but it is only limited to the pelvic area.
Stage IV A - When the cancer has gone beyond the pelvic area and also spread to the rectum and balder area.
Stage IV B - This is where the cancer has metastasized in the groin area or gone to other organs within the body as well.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Uterine cancer, also known as endometrial cancer, occurs mostly to middle aged women. The uterus of a woman is a muscular organ. The cancer can affect any part of the uterus and is more common in women having obesity, diabetes and hypertension. In most cases, the cancer starts in the endometrium, hence called endometrial cancer. Uterine cancer can be cured using any of the following methods:
1. Surgical removal of the uterus along with ovaries, lymph nodes and fallopian tubes
2. Radiation therapy
Although uterine cancer is curable, it's always a better option to prevent it. You cannot control all the causes for uterine cancer like those related to heredity. But other than that, here are a few ways in which you can prevent suffering from uterine cancer:
1. Control body weight: Keep your body weight in control. Obesity can pose a huge risk of getting affected with uterine cancer. The fat in the body produces estrogen, which promotes the growth of uterine lining that is the Endometrium and may lead to Endometrium cancer.
2. Breast feed: If you are lactating, then the risk of the cancer decreases, as breast feeding decreases ovulation as well as estrogen activities.
3. Treat abnormal bleeding: If you are suffering from any type of abnormal bleeding, be that heavy periods, bleeding even after you reached menopause or if you start bleeding between two period cycles, consult your doctor immediately. Abnormal bleeding is the symptom of endometrial hyperplasia, which might eventually turn cancerous.
4. Exercise: As already said earlier, keep your weight under control to avoid uterine cancer. Exercise to avoid increase in weight leading to obesity. It also reduces the estrogen level in your body.
5. Healthy food: Healthy food is the key to avoid any disease, be that a common cold or uterine cancer. Eat a healthy and balanced diet everyday to be fit and bouncing.
6. Birth control pills: It is believed that the intake of birth control pills helps to keep uterine cancer at bay.
So eat healthy, exercise and adopt healthy habits. Then nothing can stop you from enjoying life to the fullest. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
A is a screening test done to to test for occurrence of uterine cancer. Carried out in a quick and simple way to extract a sample, the sample is collected from the cervix area of a woman during a pelvic exam. The examination of the sample takes place under a microscope thereafter to find abnormalities that can point towards cancer and pre cancer changes.
There are many reasons why women should get a pap smear screening done:
1. Women who are HIV positive should get this test done regularly so as to detect any anomalies in the cervix. This condition usually comes with higher risk of infections and cancer, which is why regular screening is required.
2. Age is also another factor and women over the age of 30 should go through an annual screening on a compulsory basis. This is also true for women who have been through pregnancy and child birth.
Preparing for a Pap Smear: To prepare for a pap smear test, you need to ensure that you are not menstruating at the time. Also, you may want to avoid sexual activity just before the test so as to get the most accurate readings. During the process, remember to stay calm and relax your body physically.
Procedure: The pap smear procedure is a quick one that might be only slightly uncomfortable. This test is usually carried out on the examination table at the gynecologist's clinic. The legs will need to be spread and placed in stirrups. The doctor will insert a speculum to hold open the vaginal opening so that the spatula can be inserted easily to take a sample from the area. This sample of the cells will be tested in a lab after due preservation.
Test Results: The test results can either be normal or abnormal. An abnormal result does not point at the presence of cancer. Rather it can simply mean that abnormal cells exist in the cervix. The doctor may ask you to go through these tests and screening more frequently so as to study the anomalies in a more detailed manner.
In case you have a concern or query you can always consult an expert & get answers to your questions!
One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:
1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile
Which specialist should you visit?
If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:
- Specialists for men - Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.
- Specialists for women - Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery. Consult an Expert & get answers to your questions!
There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.
What is Hirsutism?
Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.
Why do some women develop Hirsutism?
In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.
Causes of Hirsutism:
1. Endocrine causes
- Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS.
- Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
- Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.
2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens
- Long term steroid consumption (commonly used for immunosuppression, rheumatoid arthritis, and multiple sclerosis)
- Performance enhancing drugs (often used by athletes)
4. Idiopathic - The woman may be having hirsutism despite normal hormone levels
There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.
Medical treatments for Hirsutism -
A. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.
B. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.
- I. Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.
- II. Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.
- III. Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.
However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.
C. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.
D. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.
Cosmetic treatment for Hirsutism -
One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.
Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA. If you wish to discuss about any specific problem, you can consult a Gynaecologist.