Doctor in Yashlok Medical Centre
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
Delivering a baby is a painful, but also a pleasurable moment for the mother. But if the delivery is done through a C-section surgery or what is more commonly termed as Caesarean delivery, the pain is not felt during the actual delivery since the woman in under anaesthesia. However, the real challenge is to recover from the operation. The first week is particularly critical. Here are some things you can do to manage it with less discomfort:
- The first few hours, naturally, you will be under close observation till you fully regain conscience if it was a general anaesthesia. If only the lower portion was numbed for the surgery, then also the feelings in the legs etc. will return within a few hours.
- You will start breastfeeding you baby; wear comfortable clothes so that you can feed the baby without any discomfort. If this is the first experience, learn things that you need to know through books or from friends and relatives who would have had a C-section earlier.
- You may feel more comfortable in a recliner than a flat bed. Most hospitals should be able to provide you one.
- You might be better off with a heater pad of your own, since your back may be aching considerably and bringing down the pain is essential.
- Wearing a binder around your tummy is another suggestion given by many women who have had a C-section delivery; besides helping with easing the pain, it also prevents the tummy from bulging, which you would want to avoid.
- Follow the obstetrician’s advice on having a shower and also on resuming some of your physical activities without hurting the stitches or the sutures.
- By Day 3, you should be able to resume eating your normal diet; in many cases, it could be earlier than that.
- Do take care to avoid lifting anything heavy. The heaviest object you can lift is your baby. Make your husband or any other person to help you through this period to avoid any complications later.
- How about medicines? If you are already on any kind of medication and if you had stopped any of them due to the surgical procedure, check with the doctor and resume taking the medicines.
- Keep a close watch on the food you eat, particularly since you will also be nursing your baby. Don’t hesitate to consult the doctor on things you may be fond of, but have to avoid in order to protect the kid from being affected in any way.
Pregnancy and delivery are some of the happiest moments in any mother’s life; so remain cheerful throughout and enjoy the moments. If the delivery has been done through C-section, some of these extra precautions are to be observed to make it easy for yourself to recover fast. If you wish to discuss about any specific problem, you can consult a gynaecologist.
The part of the woman’s reproductive system where the eggs are stored and released for fertilisation, are known as the ovaries. The ovaries also produce various hormones. When a female patient has to go through a procedure to remove the ovaries, this surgical procedure is known as an oophorectomy. The patient may have to go through this procedure for a number of reasons. Let us find out more about the procedure and the recovery of the patient thereafter.
Causes: There are a number of reasons as to why a patient may have to go through this procedure. One of the most common reasons include pelvic diseases like ovarian cancer which makes it imperative to remove the ovaries so that the cancer does not spread to any other part of the uterus or the rest of the body. Also, when the endometriosis becomes particularly painful and severe, the patient may have to go through a hysterectomy to remove the uterus and an oophorectomy to remove the ovaries. Most of the times, these two procedures go hand in hand. Also, when the patient is suffering from breast cancer, the doctor may deem it fit to remove the ovaries to stop the spread and growth of the cancer. Other hereditary diseases may also be treated with this procedure.
Preparation: In order to prepare for the surgery, one will need to go through a series of imaging tests like an ultrasound as well as an MRI scan which will help the doctor decide on the kind of procedure that needs to be carried out. Most doctors will ask you to stop eating at least a day before the surgery and to ingest a solution so that the intestines are properly cleaned out. Also, if you are taking any kind of medication, you will need to stop taking the same before the surgery.
Procedure: The procedure can be done either with one large incision or with multiple small incisions, depending on the area and the severity of the problem that is being treated. The surgeon will insert a small tube bearing a camera into this incision, which in turn will beam the images on to a screen in the operating theatre. The ovaries will be separated from the blood supply before the tissue surrounding them will be placed in a pouch. This pouch will be pulled out through the smaller incisions.
Recovery: How soon you recover depends on how soon you choose to sit up and start walking after the surgery. One can get back to normal life within a few weeks or a month after the surgery by taking small steps every day. Complete recovery takes about six weeks. f you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
Vestibulodynia is a disorder in which women suffer from discomfort or pain in the vestibular area of the vagina, which comprises of the Bartholin's gland known for producing vaginal lubrication, the urethra from where you pass urine, and other minor vestibular glands known to produce vaginal discharge. Overgrowth or excessive sensitivity of the nerve fibers present there is considered to be the reason why women suffer from Vestibulodynia. The symptoms have a huge impact on the sufferer as simple acts, such as sitting down for prolonged periods or walking causes discomfort. This disorder usually affects women between 20 to 40 years of age.
- The symptoms of Vestibulodynia typically lasts for half or quarter a year. However, in some cases it may last for years, and a lifetime if untreated.
- Most women realize that they suffer from Vestibulodynia during their first sexual experience since the vestibular area is so hypersensitive that even the slightest touch during sexual intercourse, moving while in tight clothing as well as inserting tampons may cause some discomfort and pain.
The degree of pain experienced by women suffering from Vestibulodynia is variable. You may experience pain even after having had comfortable sexual relationships.
- Apart from overgrowth or hypersensitivity of the nerve fibers in that region, other possible causes are tendencies of pain problems or disorders, chronic yeast infections like thrush, injuring the vestibular area during surgery or childbirth and/or extreme sensitivity to irritants like panty liners and detergent etc.
- Sometimes, the pain is due to deeply rooted psychological issues, such as sexual trauma and other factors, such as birth or while moving house.
Vestibulodynia is sometimes mistaken for a type of skin diseases. However for the best treatment, you must consult a gynecologist who will treat your condition depending on your symptoms. Mentioned below a few ways to treat Vestibulodynia:
- Vaginal dilators, which are inserted into the vagina to relax the muscles present and gently stretch that area. Vestibulodynia also causes the pelvic floor muscles to tense up which can be overcome through vaginal dilators.
- Anesthetic Gels are water based gels, which have a small amount of local anesthesia and may numb the sensitive nerve fibers present there temporarily. Rub the gel over the tender areas, half an hour before indulging in sexual activities.
- You may even consume nerve fiber blocking tablets if you experience constant pain due to Vestibulodynia to tend to the sensitive nerve endings in your skin. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
If you want to have a safe pregnancy by curtailing all sorts of complications, then you have to promptly respond to warning bells. There are certain warning symptoms that should not be neglected at all as that might put your pregnancy in danger.
- Bleeding: This kind of situation cannot be ignored as that often leads to serious issues like placental abruption or miscarriage. In this case, you are definitely in need of the assistance of any expert midwife.
- Swollen face or hands: Slightly swollen face or hands in pregnancy are normal, but if you observe excessive puffiness, especially on your feet and ankles, then it is a warning sign as it might lead to toxaemia or PIH. Therefore, consulting a doctor is very much needed in this regard.
- Abdominal pain: Round ligament pain is quite normal, and you do not have to worry about the same. But if the pain is accompanied by bleeding, then the danger of miscarriage might come into being, and thus you should be very much alert about the same.
- Blurry vision: Both blurry vision and dizziness are the commonest pregnancy symptoms. But if they get increased suddenly, visit your doctor.
- Itching: Itching is common during pregnancy mostly due to stretching of the skin. Your skin also becomes dry. But if it continues for long, then you should check the same with your doctor for avoiding liver disorder.
- Fever: Exposure to flu and cold viruses increases during pregnancy, as a result of which fever occurs. But if the fever lasts for more than 48 hours, then viral conditions can be expected, which are pretty dangerous.
- Unwanted back pain: Normal pain in pregnancy is alright, but excessive pain might indicate bladder or kidney infections, preterm labour, miscarriage or cyst. All these conditions should be essentially avoided to ensure a healthy pregnancy.
- Gushing of fluid: If you are not in labour, but are feeling wet constantly, then it is better to see a doctor. There might be a great possibility of breaking of water, and this is quite dangerous in the advanced stage of pregnancy.
Less movement of baby Experiencing baby kicking is quite natural during pregnancy, and if stops suddenly, then there is something wrong. Kicking patterns should be followed and then only you will be able to realize whether the baby is normal or not. If you are facing any of the above symptoms, then immediately visit your doctor.
Sudden Infant Death Syndrome (SID) refers to the unexplained and sudden death of a seemingly hale and hearty baby. This condition tends to occur when the baby is asleep and that's why it's also known as crib death. Although the reason for the condition is still not known, many experts have attributed the cause of the condition to abnormal development in the parts of the baby's brain that oversees breathing and awakening from sleep. Nonetheless, there are ways that can prevent the problem from occurring and which are:
- Always place your baby on the back to sleep - Sleeping on the back is the safest position that your baby should be in, whenever he or she sleeps. You shouldn't let your child sleep on the sides as he or she can roll onto the stomach, and may hamper the breathing process. You can place your baby on the stomach when he or she is awake.
- Place your baby on a firm surface to sleep sans of any objects - It's best to place your baby on a firm mattress to sleep while avoiding thick and feather padding like a thick comforter. At the same time, objects like toys, stuffed animals or pillows should be removed from the crib as they may get in the way of your child's breathing by pressing on his or her face.
- Make sure your baby doesn't become very hot - For keeping your baby warm during sleep, it's best to opt for sleep clothing or blanket made of light material so that it doesn't make him or her feel very hot. If using a blanket, it should be placed loosely over the baby and one should also remember to not cover the baby's head during sleep.
- Use a pacifier - Research suggests that the use of the pacifier can reduce a baby's chance of dying from SIDS. This is because the pacifier helps in preventing the baby from rolling over onto his or her stomach during sleep. At the same time, it's also believed that the instrument helps in keeping the baby's tongue positioned in a manner that keeps his or her airways open.
- Breastfeed your baby - breastfeeding your baby for a minimum of 6 months can help in preventing the occurrence of SIDS. Several studies have revealed this beneficial aspect of breastfeeding. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
As we all know that IVF stands for In vitro fertilisation. It is a method of stimulating the ovaries in a female body, to release an ovum (egg), which is taken out of the body and fertilised artificially in the laboratory with the help of a sperm. After this, the embryo is transferred back to the uterus where it grows and develops naturally.
Understanding the Procedure
- The doctor attempts to have complete control over your menstrual and ovulation cycles, so as to know the correct time of the month when you ovulate. This includes, charting basal body temperatures, hormonal therapy drugs etc.
- Frequent blood tests, ultrasound will be required to map the progress of ovulation.
- Injections, drugs will be prescribed in required dosage to stimulate the ovaries.
- During this time, the doctors will monitor the growth of oocytes (eggs).
- After a suitable growth of the oocytes follicles, the eggs are retrieved for artificial insemination. (Fertilisation with the use of sperm cells in the laboratory).
- After the successful fertilisation, the embryo is transferred back to the uterus.
Can IVF have side effects?
- As a side effect it has a major chance of multiple pregnancies. People intending to have just one child, may not be mentally or economically prepared to take the responsibility of more than one child.
- The drugs and medicines used throughout the IVF procedure may create hormonal complications in the long run. It bears a risk of ovarian hyperstimulation syndrome, if the mother has to go through the cycle multiple times.
But it offers a number of benefits too...
- IVF increases the chance of pregnancy by a large percentage. It is one of the most successful methods of boosting fertility and pregnancy.
- Couples, who have repeatedly failed to bear children naturally, can opt for this treatment to produce their own offspring.
- In case the couples are completely infertile, donor eggs or sperms may be used in the process. However, in that case, the offspring will not bear the DNA of both parents.
- IVF can greatly reduce the chance of surgery on the fallopian tubes.
- IVF also provides an opportunity to choose the healthiest embryos before implanting it back in the uterus. A procedure, known as the pre-implantation genetic diagnosis, determines the presence of any abnormal genes or other chromosomal absurdity.
- The procedure of IVF has a very high success rate and with technological advancements in the field of medicine, it has also become much safer.
- IVF allows women, who go into premature menopause, to be able to bear a child. This treatment is mostly for women who decide to experience motherhood at a slightly older age.
- IVF allows same sex partners and single women to bear an offspring.
- It is extremely helpful for women who have their fallopian tubes damaged, blocked or surgically removed. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Premenstrual syndrome is a common condition that affects women who are menstruating. A multitude of psychological and physical symptoms might show up before the onset of a menstrual period. What causes PMS is unknown, but fluctuating hormonal levels (progesterone and oestrogen) seem to be linked to it.
PMS has many symptoms. These vary in severity and frequency and aren’t the same in every woman. These are the common symptoms of PMS:
1. Tenderness of breasts
3. Increase in weight
5. Impaired concentration
6. Backaches or headaches
10. Depression or mood swings
11. Overeating or food cravings
A doctor might recommend a few tests to understand and rule out related symptoms:
- Diary: Keeping track of the PMS symptoms in a diary for a few months to check the duration will help you understand the condition better. You might be able to see recurring patterns in your behaviour and moods after keeping track of them for few consecutive months.
- Thyroid test: Thyroid disease is fairly common in women and a lot of its symptoms match those of PMS. To rule out any thyroid problem, a test can be done to check the efficiency of the thyroid.
Relief can be found by treating the symptoms as there is no prevention of the condition. A nutritious diet, sufficient rest and exercise can help deal with the symptoms better.
- Nutrition: Proper nourishment leads to overall mental and physical well-being. Dietary changes like consuming less caffeine, sugar and salt might reduce the PMS symptoms. Supplements prescribed by your doctor such as vitamin E, calcium, magnesium and vitamin B6 help as well.
- Medications: Painkillers such as naproxen, ibuprofen and aspirin may provide relief from cramps, backache, breast tenderness and headache. If the PMS causes severe depression, your doctor may prescribe certain antidepressants.
- Being Informed: Tracking your periods by maintaining a monthly diary can help you understand and in turn prevent the severity of the PMS symptoms. Learning about coping mechanisms can help you as well. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Ovarian cancer occurs when there is a formation of tumor in the ovarian cells. This kind of cancer basically happens in the cells of the ovaries, which are responsible for the production of estrogen and progesterone the two female hormones. The ovaries themselves are the reproductive glands that produce and release eggs. When abnormal cells in these glands begin to grow and multiply, then a tumor begins to manifest, which leads to cancer. Let us find out more about ovarian cancer, including its early diagnosis.
Detecting Early Signs: The problem with this kind of cancer is that it produces vague symptoms in the beginning, which may be easy to dismiss. Yet, as per many medical reports, about 20% of the cases may be detected in the early stages, depending on the kind of cancer.
Symptoms and Early Signs: The earliest signs of this kind of cancer include bloating in the abdomen, as well as a feeling of excessive fullness after each and every meal. Many people tend to ignore such signs, but they must be reported to a doctor in case these signs are persistent and do not go away after a few days. Gradually, the patient will also show signs like lack of appetite and a failure to eat and retain food properly. An increase in the urge to urinate is also an early sign that must not be ignored.
Other Signs and Symptoms: As the cancer progresses, other signs and symptoms of the condition include indigestion, unexplained fatigue, Irregular menstrual cycles, pain during sexual intercourse and back pain as well as constipation. While these symptoms may occur due to a number of reasons, it is best to have the same checked by a doctor so that proper diagnosis may take place and cancer may be ruled out.
Diagnosis: For the earliest signs of the disease, the doctor will prescribe an ultrasound and an X-ray. These tests will help in creating an image of the internal organs that may have been affected. Also, CT and MRI scans will usually follow in such cases. Routine lab tests will also be conducted with the help of blood and urine samples.
Pap Smear: One of the best ways of early diagnosis is with the help of a regular Pap Smear test. This test is usually taken by extracting a sample from the vaginal area so that the doctor may study any growth or anomalies in the cervical and ovarian cells. One must have this test done on a regular basis after going through child birth and even after reaching one’s thirties, so that any change may be detected at the earliest. It is said that every woman must go through this test annually as a matter of priority. If you wish to discuss about any specific problem, you can consult a Gynaecologist.