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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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Hello doctor, I want to know I am intimated with my fiance last 23 july 2016, and I use precaution like condom and intimated with her first time after 2 days of intimation her stomach has to much pain and doc unko date bhi time se a gyi thi but vo bata rehe the ki proper nhi a rehi ruk ruk kr a rehi h or unko date 7th ko a jati hai haar month. Uss tym bhi a gyi thi but iss baar nhi ayi 2 days upar ho gye hai, kya vo pregnant to nhi hai? May you pleases give me suggestion.
I've my last period on28 march n still it doesn't come i've done pregnancy test on 5 may its negative way can I do.
Hi doctor, My mom's age is 46. Now a days on during the periods time she is facing the problem such as heavy stomach pain and over flow. We have consulted with doctor but they said some problem in the uterus, we need to operate else possible to cure by medicines but now a days she is baring too much of pain and bleeding also increased. So what kind of therapy need to follow to relief from pain/? Is there any possible chances to cure that problem without an operation? Will you help us?
Sir meri wife ko abhi 4th mahina chal raha hai. Unko akshar kamar me dard rehta hai hamare local doctor ki davai to chalu hai len usse dard kam nai ho raha. Kya karu ?
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
Writing on behalf of my mother. She will be 49 YO this Nov. She has a history of painful periods with heavy flow. She has fibroids on the uterine wall and has been undergoing treatment for several years. She was having Novelon OC for about 2 years. She often took the pills at a stretch for 1.5- 2 months with the doctors permission so the periods were delayed. A few months back her bleeding started inspire of the Novelon pills (taking two pills a day). So she consulted another doc who prescribed Regestrone Sandoz .5 mg. Taking the pills twice a day was showing light spotting so she consulted with the doc and started having 3 pills a day after which the bleeding completely stopped until she stopped taking the pills to get started with periods. The last usg done 2 months back shows that the uterus size and wall thickness have grown. Is this due to overuse of Novelon? Is it possible these irregularities are happening because she is approaching menopause? Her doc said she might need to get a biopsy done. Is this really anything serious? Pl reply asap as are all extremely worried.
I am 4 days ahead of my periods. Last month the date was 27 th today is 31st. I did urine test it came out positive. Kindly prescribe the medicine because I am already blessed with two kids.
Hi, me and my planning for second child, from last 9 years, but we are not getting success, my wife got miscarriage 2 times from last 2 years. My age is 36 and my wife is 35, She has diabetes, thyroid, and stone problem. Please suggest on this.
As one of the fifth leading cause of cancer deaths for women globally, Ovarian cancer is a serious ailment. This type of cancer usually cannot be detected until it has spread considerably and causes significant damage. It affects the ovaries of women who are in their late fifties and upwards. Yet, careful screening and vigilance with the help of regular gynaecology check-ups can help in detecting and treating this potentially fatal disease. Read on to know what you may be missing during those crucial gynaecology check-ups!
- Screening Tests: Whether or not you are risk genetically or due to the environment, your annual gynaecology check-up must include Ovarian Cancer screening, which will basically try to look for the earliest signs and symptoms by studying the fallopian tubes and other areas for peritoneal screening for ovarian, fallopian and primary peritoneal cancer. The CA 125 Blood Test can also be used in order to detect this condition.
- Ovaries: During the screening and normal check-ups as well, ask your doctor to concentrate on the size, shape and consistency of the ovaries as well as the uterus. A pelvic exam will also be helpful in detecting even the smallest anomalies that can point at the existence of symptoms.
- Pap Test: It is a well-known fact that women over the age of 25 years and especially those who have been through childbirth even once, must get the Pap Smear Test done on a routine basis so as to rule out ovarian and cervical cancer. While this test may not be able to detect ovarian cancer for many cases, it can detect this kind of cancer in the more advanced stages.
- Bloating and Fluid Build-up: If you are experiencing various symptoms like edema or fluid retention and bloating in the area, then you may want your doctor to put you through a screening test for Ovarian Cancer screening. Usually, we tend to overlook these symptoms as a part of an infection or even normal menstrual cycle, but the detection of these symptoms must be followed up by proper screening.
- Ultrasound Wand: An ultrasound wand will be able to detect even the tiniest changes in the ovaries and the surrounding areas with the help of the TVUS test which can find a mass in the ovary. This can then be followed up by a biopsy to tell whether or not it is malignant.
Symptoms like too much of vaginal discharge and unusual amount of bleeding during the menstrual cycle should not go unnoticed or unreported and it is best to get a proper ultrasound done, followed by the various types of screening for this kind of cancer.