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Dr. Vishakha Munjal - Gynaecologist, New Delhi

Dr. Vishakha Munjal

88 (26 ratings)
Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gyn...

Gynaecologist, New Delhi

32 Years Experience  ·  800 at clinic  ·  ₹500 online
Dr. Vishakha Munjal 88% (26 ratings) Visiting Consultant - (Apollo Cradle - Nehru Enclave) , M... Gynaecologist, New Delhi
32 Years Experience  ·  800 at clinic  ·  ₹500 online
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Treatment of Infertility by Laparoscopy and Hysteroscopy<br/><br/>I am Dr. Vishakha Munjal. I am ...

Treatment of Infertility by Laparoscopy and Hysteroscopy

I am Dr. Vishakha Munjal. I am a laparoscopy surgeon and infertility specialist. Today, I am going to talk about the role of laparoscopy and hysteroscopy in treating infertility.

Today, infertility has almost become an epidemic. This is because of multiple reasons like late marriages, late planning of pregnancy, various diseases like tuberculosis and pelvic infections which affect the fallopian tubes and cause their blockages. Then there is a certain disease like Endometriosis and fibroids which are at times the reason for infertility. These days’ lifestyle changes and an increase in stress level is also one of the reasons for ovulatory dysfunction and decreased sperm count. Couples facing infertility should consult an experienced gynecologist to understand the reason for infertility and how best it can be solved. Laparoscopic and Hysteroscopic surgeries can greatly help in diagnosing as well as many factors of infertility, thus, helping a woman to conceive naturally. Also, certain conditions like fibroids, endometriosis, and tubal factors need to be treated prior to IVF to increase the success rate of IVF else the woman will undergo multiple cycles of IVF and will get no results. So, it is very important to treat disease prior undergoing IVF.

The major Fertility Enhancing Surgery is Fibroid Removal, which is also called Myomectomy. Almost, any size of the fibroid can be taken care of laparoscopically. Compared to an open surgery, Laparoscopic Myomectomy has lesser blood loss and leads to lesser addition formation. It is also less painful for the patients. Patients can return back to work more quickly and they can plan for pregnancy also more quickly. Then, there is Endometriosis which is a chronic painful condition which causes severe pain during periods and during sex along with fertility. It is one of the major reasons for infertility in today’s age. It is also associated with cyst formation at times which is called the chocolate cyst. Laparoscopy is a gold standard for treating Endometriosis. After Endometriosis, a woman gets not only relieve her pain but also she is able to conceive quickly. Then there are variances which are a hindrance for conception. Any size of the ovarian cyst can be treated laparoscopically.

First of all, get a histopathological diagnosis to rule out any malignancy in the cist as well as we remove the hindrance which is coming in the way of conception. Then, talking about tubal factors, tubal blockage at any level can be treated laparoscopically and if the blockage is at the starting of the fallopian tube then there are very fine cannulas available along with guide wires available which we used to cannulate the fallopian tubes and this can be done very effectively and it increases the chances of conception naturally. Now, let me talk about hysteroscopy. Well, hysteroscopy is a small telescope which is passed into the uterine cavity to see the cavity from inside for any pathology and to see the opening of the fallopian tube. Certain factors like presence of a fibroid, a polyp, a polyp is a sort of growth inside the uterine cavity, a septum which is like a wall causing a partition inside the uterine cavity. They all can be removed hysteroscopic ally, once this thing is removed hysteroscopic ally, the chances of the conception of a woman in creases greatly. All in all laparoscopy and hysteroscopy are a boon for infertility management. Laparoscopy is technically as much superior procedure than an open surgery. Since it is done through small punctures it is cosmetically very appealing, it causes less pain, less blood loss, less hospital stay, early recovery and early return to work for a patient.

If you wish to contact me for any laparoscopic enhancing surgery or infertility related problems, you can contact me at MediClinic, E16 Lajpat Nagar 3. Thank you.
 

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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Vishakha Munjal
Dr. Vishakha Munjal is a gynaecologist and obstetrician having an experience of over 33 years in her field. She did her MBBS from Maulana Azad Medical College, New Delhi and her MD in Obstetrics & Gynaecology from All India Institute of Medical Sciences, New Delhi (AIIMS). Added to this she has a diploma in endoscopy from the University of Kiel in Germany and has completed a Certificate Course in Assisted Reproductive Techniques (ART) from the prestigious Lilavati Hospital, Mumbai. She writes a monthly column for Vanitha magazine and is regularly featured in magazines like Grahshobha,Women’s Era and Sarita. She has been awarded the Spardha Shree Award for outstanding social service in the field of Medicine. Dr Vishakha Munjal is also an active member of the Indian Medical Association (IMA), Society of Federation of Obstetrics & Gynaecological Societies of India (FOGSI), Indian Federation of Endosonography & Endoscopy (IFEE) Gynaecological Laparoscopist (ISGE), American Association of Gynecological Laparoscopist (AAGL) and Delhi Gynaecological Endoscopist's Society (DGES). Apart from being an excellent gynaecologist and obstetrician, she also specialises in IVF (In Vitro Fertilisation), infertility, hysteroscopy and laparoscopy. Dr Vishakha Munjal is currently a visiting consultant at Apollo Cradle, Neelkanth in Gurgaon.

Info

Education
Visiting Consultant - (Apollo Cradle - Nehru Enclave) - . - 2001
MD - Obstetrics & Gynaecology - All India Institute of Medical Sciences, New Delhi - 1992
MBBS - Maulana Azad Medical College, New Delhi, - 1985
...more
Apollo Spectra - Kailash colony,Paras Bliss - East of kailash - . - 2001
Moolchand - Lajpat Nagar Neelkanth - Gurgaon - . - 2001
Past Experience
Consultant at AIIMS
Consultant at Moolchand Hospital
Consultant at Saket City Hospital
...more
Consultant at Adiva Hospital
Consultant at Nova Speciality Surgery
Consultant at Paras Spring Meadows Hospital
Neelkanth Hospital IVF Centre at Consultant
Visiting Consultant ( Presently ) at Apollo Cradle- Nehru Enclave,Apollo Spectra.Kailash colony, Paras Bliss-East of kailash, Moolchand- Lajpat nagar), Neelkanth- Gurgaon
Languages spoken
English
Hindi
Professional Memberships
International Society of Gynecological Laparoscopist (ISGE)
Federation of Obstetrics & Gynecological Societies of India (FOGSI)
Indian Federation of Endosonography & Endoscopy (IFEE)
...more
Indian Medical Association (IMA)
American Association of Gynecological Laparoscopist (AAGL)
Delhi Gynecological Endoscopist's Society (DGES)
Spardha Shree Award for outstanding social service in the field of Medicine in April - 2002
Monthly Columnist For Vanitha Magazine

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Medi Clinic

E-16, Lajpat Nagar Part 3, Landmark: Near Moolchand HospitalNew Delhi Get Directions
  4.4  (26 ratings)
800 at clinic
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Things you should know during pregnancies

Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gynaecology, MBBS, Apollo Spectra - Kailash colony,Paras Bliss - East of kailash, Moolchand - Lajpat Nagar Neelkanth - Gurgaon
Gynaecologist, Delhi
Things you should know during pregnancies

It is a wonderful feeling when you find out that you are pregnant. You feel ecstatic about being pregnant and end up deciding names for your soon-to-arrive child/children. It is good news for you, your partner and your entire family. Your family will end up giving you tips about your pregnancy and how to take care of yourself and your baby. Along with their tips, here are a few other things you should know during pregnancies:


1.        Medicine for headaches is harmful: If you are taking medicines for headaches during your pregnancy, you are risking a miscarriage. The risk of having a miscarriage might increase to 2.4 times if you are taking medicines belonging to the category of non aspirin non steroidal anti-inflammatory drugs. These drugs can also cause congenital defects if you take them during your pregnancy. The only safe way to get rid of headaches during this time is by relaxing and you might consider having an acetaminophen as a pain reliever.


2.        Stay calm and cool: This is very important as your temperament is going to affect the baby directly. If you are anxious or unhappy, your baby will also be the same. If you have too much of negative feelings while you are pregnant, it will also affect the temperament of your baby, as in your womb, they will be preparing to come out to a very negative world as they keep growing in an acidic and a more toxic environment. Hence it is extremely important to be happy, cheerful, and calm.


3.        Exercise is beneficial: Contrary to popular belief, you just do not need to lie down or sit throughout the day to have a healthy baby. In fact, you need to be active and you need to move around and exercise. You need to move your muscles so that they do not become stiff. In fact, mothers who regularly practiced aerobic exercises had babies with healthier hearts than those who didn't do any type of exercise. But you should always take your doctor's advice on which exercise to do and which ones you should avoid.


4.        Eat well: The more you eat, the less will be the chances of your baby suffering from obesity. But that absolutely doesn't mean fatty foods; as that will make your baby prone to suffering from obesity. Eat healthy, less fattening foods to have a healthy baby. Even if you get overweight by eating healthy food during your pregnancy, do not fret. Your baby will still be healthy and have less chances of suffering from obesity.

Uterine Prolapse - Can Decrease in the Estrogen Level Lead to it?

Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gynaecology, MBBS, Apollo Spectra - Kailash colony,Paras Bliss - East of kailash, Moolchand - Lajpat Nagar Neelkanth - Gurgaon
Gynaecologist, Delhi
Uterine Prolapse - Can Decrease in the Estrogen Level Lead to it?

The womb or the uterus is a muscular structure that is fixed in its place by the ligaments and the pelvic muscles. If these ligaments or muscles become weak or stretch, they no longer will be capable of holding the uterus, resulting in a prolapse. Uterine prolapse happens when the uterine slips or sags from its usual position into the birth canal or vagina. The main indications of uterine prolapse are recurrent bladder infections, constipation, a tug at the pelvic area, the cervix or uterus protruding out of the vagina, problems during sexual intercourse, increased discharge and vaginal bleeding.

What causes it?
1. Age is the most important reason for this condition to manifest itself.
2. A dip in the estrogen level as this hormone keeps the pelvic muscles strong.
3. Damage to the pelvic tissues and muscles due to pregnancy or during childbirth can also contribute to this condition.
4. A woman who has undergone multiple vaginal births is at an increased risk of this condition.
5. Any physical activity that exerts pressure on the pelvic muscles can also result in this disorder.
6. Chronic constipation and obesity, over time, can lead to this disorder.

How it can be treated?
1. Nonsurgical methods:

  • Shedding the extra kilos helps reduce stress from the pelvic structures. This helps to avert this disorder.
  • Avoid lifting heavy objects throughout the course of the treatment.
  • Pelvic floor exercises or Kegel exercises help build up the vaginal muscles.
  • Estrogen replacement therapy or Hormone Replacement Therapy can help relieve the symptoms of this disease.
  • Wearing a pessary (an instrument that is placed into the vagina and fits under the cervix) helps to push up and stabilize the cervix and the uterus.

2. Surgical treatments:

  • Uterine suspension- In this case, the surgeon inserts the uterus back into its former position by reattaching the pelvic ligaments by the use of surgical techniques.
  • Hysterectomy- Here, the surgeon removes either the whole or just a part of the womb.

However, such procedures should not be opted by women who plan on getting pregnant. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4004 people found this helpful

Foods to keep your ovaries healthy

Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gynaecology, MBBS, Apollo Spectra - Kailash colony,Paras Bliss - East of kailash, Moolchand - Lajpat Nagar Neelkanth - Gurgaon
Gynaecologist, Delhi
Foods to keep your ovaries healthy

The ovaries play a major role in the female reproduction system. They contain numerous follicles, each holding the capability to form a mature egg. Hence it is extremely important for you to keep your ovaries healthy. Healthy ovaries secrete the essential sex hormones required for reproduction. Here are a few food items you might consider consuming in order to keep your ovaries healthy:


1.        Foods rich in Vitamin A: Vitamin A is extremely important to keep your ovaries healthy. Vitamin A enables the ovaries to start the process of meiosis. Meiosis contributes to the production of eggs. Your diet must include small amounts of Vitamin A everyday. Some foods rich with vitamin A are carrots, cod liver oil, kale, eggs, milk, pumpkin, sweet potatoes, spinach, etc. 


2.        Food rich with selenium: Selenium is an extremely important mineral when it comes to the health of ovaries. It activates a group of enzymes called the glutathione peroxidases, which then perform the function of antioxidants. Hence, the mineral helps to protect your tissues for any kind of oxidative damage. Oxidative damages might cause an increase in the risk of suffering from genetic mutations which could eventually lead to cancer. It also helps to activate a protein called the Sep15 which has cancer fighting abilities. Selenium can also lower the risk of suffering from ovarian cancer. Foods like whole wheat bread, meat, Brazilian nuts, shellfish and eggs can supply you with the required amount of selenium. 


3.        Food rich in Vitamin C: Vitamin C helps prevent ovarian cancer. It provides a natural protection to the ovaries from any kind of diseases which might affect them, as Vitamin C helps to activate the immune cells which fight cancer. You will require a sufficient amount of Vitamin C to have proper functioning ovaries as it will help activate the genetic activity required for the development of the follicles. Try to include fresh sources of Vitamin C in your diet like strawberries, broccoli, red peppers, oranges, lemon, etc. 


To improve your ovarian health, make sure you include the above mentioned foods in your daily diet.
 

Infertility Treatment

Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gynaecology, MBBS, Apollo Spectra - Kailash colony,Paras Bliss - East of kailash, Moolchand - Lajpat Nagar Neelkanth - Gurgaon
Gynaecologist, Delhi
Play video

Treatment of Infertility by Laparoscopy and Hysteroscopy

I am Dr. Vishakha Munjal. I am a laparoscopy surgeon and infertility specialist. Today, I am going to talk about the role of laparoscopy and hysteroscopy in treating infertility.

Today, infertility has almost become an epidemic. This is because of multiple reasons like late marriages, late planning of pregnancy, various diseases like tuberculosis and pelvic infections which affect the fallopian tubes and cause their blockages. Then there is a certain disease like Endometriosis and fibroids which are at times the reason for infertility. These days’ lifestyle changes and an increase in stress level is also one of the reasons for ovulatory dysfunction and decreased sperm count. Couples facing infertility should consult an experienced gynecologist to understand the reason for infertility and how best it can be solved. Laparoscopic and Hysteroscopic surgeries can greatly help in diagnosing as well as many factors of infertility, thus, helping a woman to conceive naturally. Also, certain conditions like fibroids, endometriosis, and tubal factors need to be treated prior to IVF to increase the success rate of IVF else the woman will undergo multiple cycles of IVF and will get no results. So, it is very important to treat disease prior undergoing IVF.

The major Fertility Enhancing Surgery is Fibroid Removal, which is also called Myomectomy. Almost, any size of the fibroid can be taken care of laparoscopically. Compared to an open surgery, Laparoscopic Myomectomy has lesser blood loss and leads to lesser addition formation. It is also less painful for the patients. Patients can return back to work more quickly and they can plan for pregnancy also more quickly. Then, there is Endometriosis which is a chronic painful condition which causes severe pain during periods and during sex along with fertility. It is one of the major reasons for infertility in today’s age. It is also associated with cyst formation at times which is called the chocolate cyst. Laparoscopy is a gold standard for treating Endometriosis. After Endometriosis, a woman gets not only relieve her pain but also she is able to conceive quickly. Then there are variances which are a hindrance for conception. Any size of the ovarian cyst can be treated laparoscopically.

First of all, get a histopathological diagnosis to rule out any malignancy in the cist as well as we remove the hindrance which is coming in the way of conception. Then, talking about tubal factors, tubal blockage at any level can be treated laparoscopically and if the blockage is at the starting of the fallopian tube then there are very fine cannulas available along with guide wires available which we used to cannulate the fallopian tubes and this can be done very effectively and it increases the chances of conception naturally. Now, let me talk about hysteroscopy. Well, hysteroscopy is a small telescope which is passed into the uterine cavity to see the cavity from inside for any pathology and to see the opening of the fallopian tube. Certain factors like presence of a fibroid, a polyp, a polyp is a sort of growth inside the uterine cavity, a septum which is like a wall causing a partition inside the uterine cavity. They all can be removed hysteroscopic ally, once this thing is removed hysteroscopic ally, the chances of the conception of a woman in creases greatly. All in all laparoscopy and hysteroscopy are a boon for infertility management. Laparoscopy is technically as much superior procedure than an open surgery. Since it is done through small punctures it is cosmetically very appealing, it causes less pain, less blood loss, less hospital stay, early recovery and early return to work for a patient.

If you wish to contact me for any laparoscopic enhancing surgery or infertility related problems, you can contact me at MediClinic, E16 Lajpat Nagar 3. Thank you.
 

3811 people found this helpful

All About Hysterectomy

Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gynaecology, MBBS, Apollo Spectra - Kailash colony,Paras Bliss - East of kailash, Moolchand - Lajpat Nagar Neelkanth - Gurgaon
Gynaecologist, Delhi
All About Hysterectomy

A hysterectomy is a surgical procedure to remove a woman's uterus. The uterus, also known as the womb, is where a baby grows when a woman is pregnant. The uterine lining is the source of menstrual blood.
You may need a hysterectomy for many reasons. The surgery can be used to treat a number of chronic pain conditions as well as certain types of cancer and infections.

A woman may have a hysterectomy for different reasons, including:

  1. Uterine fibroids that cause pain, bleeding, or other problems
  2. Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
  3. Cancer of the uterus, cervix, or ovaries
  4. Endometriosis
  5. Abnormal vaginal bleeding
  6. Chronic pelvic pain
  7. Adenomyosis, or a thickening of the uterus
  8. Hysterectomy for noncancerous reasons is usually considered only after all other treatment approaches have been tried without success.

Types of Hysterectomy: 
Depending on the reason for the hysterectomy, a surgeon may choose to remove all or only part of the uterus. Patients and health care providers sometimes use these terms inexactly, so it is important to clarify if the cervix and/or ovaries are removed:

In partial or supracervical hysterectomy, the upper portion of the uterus is removed, leaving the cervix intact.

Complete or total hysterectomy involves the removal of both the uterus and the cervix. This is the most common type of hysterectomy performed.

Hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, cervix, fallopian tubes, and ovaries.

Radical hysterectomy is an extensive surgical procedure in which the uterus, cervix, ovaries, fallopian tubes, upper vagina, some surrounding tissue, and lymph nodes are removed.

Hysterectomy Surgical Procedures
Traditionally, hysterectomies have been performed using a technique known as total abdominal hysterectomy (TAH). However, in recent years, two less-invasive procedures have been developed: Vaginal hysterectomy and Laparoscopic hysterectomy:

  1. Total Abdominal Hysterectomy (TAH): In a total abdominal hysterectomy (TAH), the surgeon makes an incision approximately five inches long in the abdominal wall, cutting through skin and connective tissue to reach the uterus. This type of surgery is especially useful if there are large fibroids or if cancer is suspected. Disadvantages include more pain and a longer recovery time than other procedures, and a larger scar.
  2. Vaginal Hysterectomy: A vaginal hysterectomy is done through a small incision at the top of the vagina. Through the incision, the uterus (and cervix, if necessary) is separated from its connecting tissue and blood supply and removed through the vagina. This procedure is often used for conditions such as uterine prolapse. Vaginal hysterectomy heals faster than abdominal hysterectomy, results in less pain, and generally does not cause external scarring.
  3. Laparoscopic Hysterectomy: During a laparoscopic hysterectomy, your doctor uses a tiny instrument called a laparoscope. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through incisions in the abdomen. Three or four small incisions are made instead of one large incision. Once the surgeon can see your uterus, they will cut the uterus into small pieces and remove one piece at a time.

A hysterectomy is a major decision that you should take after careful consultation with your doctor. You should understand the reason for the operation, the benefits and risks and the alternatives to a hysterectomy. If you are unsure, discuss the issue with your doctor or obtain a second opinion.

3285 people found this helpful

Symptoms, Causes and Treatment of Cervical Dysplasia

Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gynaecology, MBBS, Apollo Spectra - Kailash colony,Paras Bliss - East of kailash, Moolchand - Lajpat Nagar Neelkanth - Gurgaon
Gynaecologist, Delhi
Symptoms, Causes and Treatment of Cervical Dysplasia

Cervical dysplasia is a type of condition, which occurs before cancer. This condition is associated with abnormal cell growth occurring in the cervix, uterus, vagina and endocervical canal. Cervical dysplasia is most commonly caused by the human-papillomavirus and is a sexually transmitted infection or STI. This disease is common in young women under 30 years of age. It is worth noting however, that cervical dysplasia can occur at any age whatsoever. Here are the causes of cervical dysplasia.

Causes:

  1. HPV infection: An infection caused by the human papillomavirus is the main reason why cervical dysplasia occurs. It is worth noting that HPV is most commonly transmitted through sex.
  2. Smoking: People who smoke are twice as likely to suffer from cervical dysplasia in comparison to those who do not.
  3. Immunosuppressive drugs: These are more likely to cause cervical dysplasia because they weaken the immune system of your body.
  4. Organ transplant: Organ transplant also increases your chances of cervical dysplasia due to the fact that it weakens your immune system.
  5. HIV-AIDS: This is a disease, which also weakens your immune response and therefore increases your chances of contracting cervical dysplasia.

Symptoms:
There are not too many symptoms of cervical dysplasia and it can only be diagnosed using a Pap test without, which more complicated tests have to be performed.

Treatment:
Once the diagnosis for this is complete, several factors will have to be considered before deciding, which treatment to give the patient. These include the age of the patient and the severity of the condition. However, in most of the cases women who have cervical dysplasia are not treated and the cell growth goes away on its own however when it is treated the following treatments are used.

  1. LEEP
  2. Cone biopsy
  3. Cryosurgery
  4. Electrocauterization
  5. Laser surgery
4440 people found this helpful

Hi I am a 29 years old, I am married for past 4 years and trying for baby but I can't get a success. I have gone through a blood test it's all normal, laparoscopy is also done please suggest me what I'll do?

Visiting Consultant - (Apollo Cradle - Nehru Enclave) , MD - Obstetrics & Gynaecology, MBBS, Apollo Spectra - Kailash colony,Paras Bliss - East of kailash, Moolchand - Lajpat Nagar Neelkanth - Gurgaon
Gynaecologist, Delhi
Hi I am a 29 years old, I am married for past 4 years and trying for baby but I can't get a success. I have gone thro...
If every test of yours including laparoscopy is normal, then go ahead with iui first. If that also fails then ivf is the answer. Get your husband's semen testing also done.
3 people found this helpful
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