Arya Women's Hospital

Chlamydia is one of the more common STDs among both the genders. It spreads through physical intimate contact; it can develop irrespective of one’s age, however, is most commonly observed among young women. In women, the symptoms include yellow or green colored odorous vaginal discharge, painful urination and a burning sensation or itching around the vagina, lower abdominal ache, painful menstruation or bleeding during sexual intercourse. Now if the infection reaches up to the fallopian tubes, it causes a disease known as Pelvic Inflammatory Disease (PID). In case of unprotected oral sex, the bacteria causing this disorder, ‘Chlamydia Trachomatis’ might infect the throat as well.

Reasons Behind Chlamydia in Women:

1. Being a sexually transmitted disease, Chlamydia gets passed on from one person to another through unprotected sex or through the contact with the genitals of an infected person.

2. In some cases, infants are likely to inherit the disease from their mothers during birth, if she is already affected with it. Hence pre-natal checkups are essential for detection.

3. Although very rare, this infection can affect the eyes as well via oral or genital contact.

How To Treat Chlamydia?

1. The infection can be resolved within a couple of weeks with the use of antibiotics. Once it is diagnosed, the treatment course should start immediately. The widely used antibiotics for curing chlamydia are azithromycin and doxycycline. If you are breastfeeding or pregnant or suffering from any allergy, your doctor might prescribe erythromycin or amoxicillin. For severe complications, a longer course is administered. The treatment may induce mild side-effects in the form of vaginal thrush, sickness, diarrhea and tummy pain.

2. Try and avoid any sort of sexual activity (intercourse or other activities) till the treatment is completely done and none of you show any other sign of the infection.

During the menstrual days, it is necessary to use some kind of padding or easily absorbent material to remain clean and hygienic throughout the day. This material is available in form of tampons or sanitary napkins.

What is the difference between tampons and sanitary napkin

1. The tampon is a mass of retentive material shaped in a cylinder, which needs to be inserted into the vagina. Most tampons have a cord or string to aid manual removal. Tampons are used especially when you have to wear tight fitting clothes.
2. The sanitary napkins are disposable flat pads that are worn externally to collect menstrual blood and prevent staining. These are mostly made of rayon or cotton. They are available in a variety of sizes, with added benefits of extra absorption and fragrance in some cases. They are easier to carry.

Benefits of using a tampon

1. Tampons are easy to use provided you are very well informed and well practiced about its usage and methods of insertion
2. Tampons can absorb menstrual blood, depending on your flow, for up to six hours.
3. Tampons are more hygienic as the entire material does not get soaked. This helps in preventing the menstrual blood from coming in contact with underwear, skin and staining other clothing.

Disadvantages of using a tampoon

1. Tampons, if not changed within 4-6 hours, may cause leakage and staining.
2. The insertion of a tampon is extremely inconvenient and uncomfortable if not used by practiced hands.
3. Incorrect insertion can be painful and lead to injuries and infection
4. Leaving a tampon on for too long can cause a Toxic Shock Syndrome. It is a fatal disease caused by toxins and bacterial infection.
5. Tampons may increase menstrual cramps in some cases.

Benefits of using sanitaary napkins

1. Sanitary napkins are easy to use. They come in flat, rectangular shapes of absorbent material that are stuck on the underwear and absorb menstrual blood externally.
2. Can be worn overnight.
3. Easier to use and convenient to carry around.
4. Helps to monitor the flow of blood
5. Lessens the risk of infections, and there are fewer health risks

Disadvantages of sanitary napkins

1. Cannot prevent menstrual odours
2. The absorption rate is lower than tampons
3. They show through clothing and tight fitted clothes cannot be worn

It is difficult to say which one is a better or healthier option. Both kinds have their own advantages and disadvantages and are a matter of individual preference. No matter what you use, it is important for you to keep in mind that it is necessary to change it after a few hours, and regular washing helps keeping the menstrual odour in check. It also keeps the pubic region clean and free from the risks of bacterial infections. It is necessary to remain active and maintain a healthy diet to have a regular smooth flow without blood clots. In case of uncontrolled bleeding, you must seek medical attention without delay.

It is very common for women to have heavy and painful periods or have a feeling of fullness in the lower abdomen. Although, it may not sound very alarming these could be the symptoms of uterine fibroids. These are the most common types of benign tumours found in women. The fibroids are basically some tissues and muscle cells that grow within the uterus, outside the uterus, or along the wall of the uterus. The fibroids are usually benign and asymptomatic and do not require any treatment unless they cause problems. 

Know the causes 

Though the exact cause of fibroid formation is not known, it is believed that the female hormones estrogen and progesterone have a role to play in their formation. Fibroids are formed only when a woman is producing these hormones and they are not seen in women in non-reproductive age i.e. before starting of menses or after stoppage of menses (menopause). If fibroids are persisting even after menopause or especially if increasing in size then it is an alarming sign. Such a fibroid needs to be taken care of immediately. 

What are the symptoms? 

Fibroids often remain quiet for long periods of time. They cause nonspecific symptoms in the pelvis and abdomen including: 

1. Fullness in the abdomen 
2. Low back pain 
3. Irregular menstruation 
4. Cramping with menstruation 
5. Painful sex 
6. Increased urgency to urinate 
7. Anemia, leading to tiredness and weakness 
8. Infertility Diagnosing the fibroids 

When these symptoms are recurrent, it is good to confirm the diagnosis. This can happen with a pelvic exam followed by ultrasound scanning to confirm the size and location of the fibroids. A blood test also may be done to confirm anemia, which is common due to heavy periods.

Treatment Options 

Management of fibroids can range from doing nothing to periodic monitoring to surgical removal. 

1. If pain and heavy bleeding are the only symptoms, then pain killers like ibuprofen should suffice for symptomatic relief. Anemia, if severe, may require iron supplementation. 
2. Embolization is an option which shrinks the fibroid, at the same time preserving the uterus. The blood flow to the fibroid is cut off, thereby preventing its further growth. It takes about 1 to 3 hours and requires some bed rest after the procedure. There could be some pelvic pain and vaginal bleeding, which will gradually subside. The fibroids may grow back, but the benefits of keeping the uterus are definitely there. This is suitable in case of single fibroid with specific blood supply. 
3. The next surgical option is myomectomy, where the portion of the uterus which contains the fibroid alone is removed. This is done in women who still wish to get pregnant and in women who would like to retain the uterus. This can also be achieved laparoscopically( key hole surgery). In such cases, fibroids are cut into small pieces and then removed from the body. This procedure should be done by a doctor specialised in advanced gynecological endoscopy as all this cutting should be done in a bag to avoid any spillage of cells inside the abdominal cavity. This procedure is known as Laparoscopic Myomectomy with In-bag Moecellation. 
4. In women who have crossed their pregnancy phase, hysterectomy or complete removal of the uterus is advised. In these women, the bleeding and pain may not have subsided even after years of treatment with hormones. The growing fibroids could be pressing on the adjacent organs, causing pressure. This is the only definitive treatment and should be done in women have completed their family and don’t desire to be pregnant. 
5. Myomectomy and hysterectomy may be done laparoscopically or with an open method depending on the overall health, the size and location of the fibroids in the uterus.

Abnormal uterine bleeding, also known as AUB, is one of the most common causes requiring gynecologic evaluation. Hysteroscopy is a procedure wherein a thin camera called hysteroscope is introduced into the uterus via the vagina and this light helps in a thorough examination of the uterus. In cases where there are cysts or fibroids or even cancerous growths, this is used to get more details on the lesions. However, hysteroscopy also has a therapeutic use in that it is used to treat conditions like abnormal uterine bleeding. Read on to know more about AUB and how hysteroscopy helps in treatment. 

Causes of Abnormal Uterine Bleeding: Vaginal bleeding that occurs more often than 21 days and farther apart than 35 days is known as abnormal uterine bleeding. The bleeding is also abnormal if it lasts longer than 7 days and more than 80 mL of blood is lost during each cycle. 

Some causes include: 

1. Hormonal imbalance 
2. Cancer 
3. Uterine polyps 
4. Uterine fibroids 
5. Cervical infections 

Diagnosis/Treatment: 

When a woman has abnormal bleeding, further diagnosis is required to confirm the exact cause of the bleeding. This is where the hysteroscopy comes into the picture. Hysteroscopy, literally translates to viewing the uterus from inside directly through a camera. 

How it is done: 

Hysteroscopy is done as an outpatient procedure and normally takes about 3 to 4 hours. General or spinal anesthesia may be used depending on complexity and overall patient health. The uterus is filled with a fluid like saline or glycerin and a thin lighted instrument called the hysteroscope is inserted through the vagina, up the cervix, and into the uterus. This tube is flexible and so can be moved across the uterus to identify any areas of abnormality. It also has a camera and so can be used to take pictures of suspicious areas. 

Causes for infertility may also be detected using hysteroscopy. Small knives can also be used to remove the lesion like fibroid or polyp. These are often the cause of abnormal bleeding. Samples can also be taken for biopsy to confirm if any cancerous growth is detected.

Hysteroscopy is a safe and effective way to examine the cervical canal and uterine cavity. It is better to accompany D&C with hysteroscopy instead of going for blind dilatation and curettage, especially in women who are peri or premenopausal. Hysteroscopy is a safe procedure if done by a doctor, specialised in gynecological endoscopy and helps in both diagnosis and treatment of abnormal uterine bleeding.

Hi, this is Dr. Vidya Patil. I’m Obstetrician and a Gynecologist laparoscopic surgeon and infertility specialist.

Today the topic we are discussing is infertility treatment prior to IVF in females. So, there are women who are infertile and they do not conceive in the first year of marriage. Even when they have had a regular intercourse for a year , they need treatment. Simple infection of the cervix like a cervicitis or a vaginal infection can cause infertility and a routine examination by a gynecologist can treat these problems. The uterine problems also are very common these days and they include uterine polyps which can be easily removed using a hysteroscope. Uterine septum can cause abortions. These can be operated easily by a hysteroscopic resection of the septum.

Small fibroids can cause problems and early abortions which can be removed using a hysteroscope. There can be problems with the fallopian tubes and those include pelvic infections which can cause tubal blocks. Using a hysteroscope we can do tubal recanalination procedures. The distant tubal blocks which are caused by infections can be easily treated by Fimbrioplasty procedures done laproscopicaly. The ovarian problems like ovarian tumors can be tackled before going ahead with IVF’s, IUI’s and natural conceptions because ovarian tumors can interfere with a normal functioning of the female genetic urinary system. Infections of the pelvic organs like internal infections are called pelvic inflammatory disease or endometriosis which causes adhesions.

Like there are things which have stuck inside the abdomen which require removal and restoration of normal anatomy can be done laparoscopicaly very successfully and many patients have been pregnant just by these procedures. If these people are not conceiving besides all these operative work, then we go ahead and we do help them out doing intrauterine insemination where husband semen is washed outside and the best of sperms are picked up and instilled within the uterine cavity when the follicle is ripe and ready. If these procedures, say in a young couple where 7-8 IUI has failed, then this couple requires to undergo an IVF procedure.

Now IVF procedures are done where the eggs are retrieve outside and the embryos are found outside. They are also known as test tube babies and the embryo formed outside is instilled inside the uterine cavity and hence helping in the conception. Many a times there are fibroids which are not uncommon, there are uterine tumors and they are generally bening ( bening means non-cancerous) and if they are growing more than 5 cm in size, they need removal. But in infertility patients , the uterine fibroids are even as small as 2.5 cm needs removal in case they are a cause of infertility. All these procedures are done conservatively without any operative big incisions on the tummy and the patient can go home in a day or two.

So friends I hope you found this information informative and for further inquiries you can always contact me at Arya Women’s Hospital. I am Dr. Vidya Patil and you can contact me through lybrate.com Thank You!

Laparoscopy is one of the most common procedures for diagnosing and removing endometriosis. Instead of giving a big incision, this procedure of surgery uses lightweight instrument through a small hole or incision. There could be one or more incisions based on the number of instruments that require access inside the body. This procedure involves the use of a camera to ascertain endometriosis as well as treat it in the same sitting. This brings drastic improvement in infertility as well as pain associated with the endometriosis. If a cyst is found in the ovary, laparoscopic surgeon removes it very delicately without causing any harm to the normal ovary, as a part of the Laparoscopic Surgery for Endometriosis. 

How does the procedure go? 

Eating and drinking should be suspended before 8 hours of the laparoscopic surgery. The doctor takes a call on whether to give a general or local anesthesia. Mostly, General anaesthesia is given during such procedures. A person specialised in Gynecological Endoscopy ( Gynaec Laparoscopic Surgeon) is the best to perform such a procedure. 

How is the procedure performed? 

The abdomen is first inflated with gas with the help of a needle. It pushes the abdominal wall from the organs to give a clear visibility to a surgeon. The laparoscopic Camera is then pushed through an incision or a set of incisions to examine the internal organ. If the scar tissue or endometriosis needs to be removed, a doctor can use one of the several laparoscopic techniques such as electrocautery, excision etc. Post the surgery, the incision is closed with stitches. The whole procedure usually takes 30-60 minutes depending upon the severity of endometriosis. 

Why is laparoscopy done? 

1. If the endometriosis pain has returned after a hormone therapy 
2. If there is a growing endometriotic cyst 
3. If the scar tissue found on the pelvic wall poses a threat on fertility 
4. If the endometriosis interferes with other organs such as the bladder etc. 
5. If the pain during menses ( dysmenorrhoea) refuses to subside 

Duration of hospital stay: 
Operations such as these are usually conducted at the outpatient facility owing to their less risky nature. A patient need not spent more than a day in the hospital. Rarely in severe cases of endometriosis overnight hospitalisation may also be required. One can successfully return to normal work within 1 week of the surgery. 

Post-surgical recovery: Once the laparoscopy is done, the next steps of treatment are decided based on the patient's age and severity of endometriosis. Few hormonal medicines are advised according to the desire for fertility etc. If a patient is over and above 35 years of age, the risk of miscarriages double. Since the quality of egg declines by the year, it makes sense to undergo infertility treatment such as the in vitro fertilization, intake of fertility drugs, insemination etc. If, however, the patient is below 35 years of age, makes sense to conceive naturally first and consult a doctor simultaneously. A routine check-up post-laparoscopic surgery on alternate six months for a year will keep any risks at bay. In case you have a concern or query you can always consult an expert & get answers to your questions!

Breast cancer is a medical condition that refers to the uncontrolled growth of cells in the breast. These cells can be like small tumours or lumps. The tumour can be malignant if it is found that the cells are growing into surrounding tissues or are spreading. It occurs mostly in women.

Breast cancers can originate from any part of the breast. Most of these cancerous growths start in the milk-carrying ducts. There are also cancerous growths in the glands that produce milk. These are known as lobular cancers. In rare cases, cancer may also start from the breast tissues. These are known as sarcomas and lymphomas.

Here are some of the ways to get prevented from the possibility of developing breast cancer:

1. Check your weight: It is important that you maintain a healthy weight. You don’t need do follow the hard and fast dieting charts or starve. But eat a balanced diet and exercise a bit to maintain a stable and healthy weight throughout. Being obese or overweight increases the chance of developing breast cancer.
2. Be Active: A sedentary lifestyle devoid of activities is something that invites diseases. It has been found that women who are physically active and exercise for at least 30 minutes a day are at a low risk of developing breast cancer.
3. Don’t avoid fruits and vegetables: It is important for you to have a balanced diet. Include lots of leafy vegetables and fruits in your diet to avoid the possibility of developing any form of cancer. Don’t drink excessive alcohol on regular basis. Remember a healthy diet is a key to a healthy life.
4. Don’t Smoke: Smoking increases the chance of developing heart diseases, stroke and 15 types of cancers. It also increases the risk for breast cancer.
5. Breastfeed your baby: It is mandatory for good health that you breastfeed your baby. Exclusive breastfeeding is best for the health of your baby as well as yours. It lowers the chances of developing breast cancer.
6. Avoid Birth Control Pills: These pills have side-effects. They increase the risk of developing breast cancer. It also increases the chances of developing heart diseases and ovarian cancer.
7. Avoid Post-Menopausal Hormones: Post-menopausal hormones have an adverse effect on the health. They increase the risk of some diseases while lowering the effects of other ones. It should be taken for a shorter period and its prolonged use must be avoided.

In case you have a concern or query you can always consult an expert & get answers to your questions!