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Aryan Hospital

Gynaecologist Clinic

Sai Prasad Shopping Complex , Nerul Road Nerul, Landmark: Near Sarkar Bajar, Navi Mumbai Navi Mumbai
1 Doctor · ₹300
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Aryan Hospital Gynaecologist Clinic Sai Prasad Shopping Complex , Nerul Road Nerul, Landmark: Near Sarkar Bajar, Navi Mumbai Navi Mumbai
1 Doctor · ₹300
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About

Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Aryan Hospital
Aryan Hospital is known for housing experienced Gynaecologists. Dr. Hemani Sharma, a well-reputed Gynaecologist, practices in Navi Mumbai. Visit this medical health centre for Gynaecologists recommended by 67 patients.

Timings

MON-SAT
01:00 PM - 02:00 PM

Location

Sai Prasad Shopping Complex , Nerul Road Nerul, Landmark: Near Sarkar Bajar, Navi Mumbai
Nerul Navi Mumbai, Maharastra
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300 at clinic
Available today
01:00 PM - 02:00 PM
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4 Common STDs & Their Symptoms

Sexual Health Clinic
Sexologist, Delhi
4 Common STDs & Their Symptoms

Sexually Transmitted Diseases (STDs) are infections that you can get from having sex with someone who already has the infection. The causes of STDs are bacteria, parasites, and viruses.

Some common STDs are:

  1. Chlamydia
  2. Hepatitis B
  3. Genital Herpes
  4. Syphilis

Some STDs have visible symptoms such as:

  • Painful intercourse: Pain during intercourse is one of the most overlooked symptoms of a sexually transmitted disease. While a little pain may be normal, any sudden increase in pain or new type of pain should not be ignored. This should be kept in mind especially when having intercourse with a new partner or if there is a change in sexual habits. When it comes to men's sexual health, pain at the time of ejaculation can be a symptom of an STD.
  • Skin rash: A rash in the genital area is most often a sign of STDs. This can be in the form of bumps, sores or warts. It may or may not be accompanied by itchiness. A rash caused by an STD usually results in redness and inflammation. Herpes sores may subside within a week or so but just because the rash is gone does not mean the infection has been treated. Hence even if the rash disappears before your doctor's visit, ensure you mention it.

Best preventive measures for preventing STDs:

  • Don't drink Alcohol or use drugs before having sex: It's impossible to make responsible choices about your sex life under the influence of drugs or alcohol. When you are under the influence of any one of them, you are not in your mind and are likelier to choose a partner you wouldn't have picked otherwise. In that case, you may be at a higher risk of contracting an STD. Also, if you are on birth control pills and you vomit, the pills could lose some effectiveness.
  • Using latex condoms: Latex condoms need to be used during sex every time, and these condoms are the safest of all condom varieties available in the market. Both pregnancy and STDs can be easily and efficiently prevented by means of these condoms, and this is the reason everybody is using the same. But you should have the knowledge of correct usage of these condoms.
1 person found this helpful

Know More About Fibroids

MBBS, MS - Obstetrics & Gynaecology, DNB - Obstetrics & Gynecology, Fellowship in Gynecologic Endoscopy
Gynaecologist, Mumbai
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Are Uterine Fibroids Serious?

1 person found this helpful

My wife 5 months pregnant, now she have checked anomaly scan is normal, but other details doctor Don't told. If This scan told for baby birth normal or operation?

MS - Obstetrics and Gynaecology
Gynaecologist, Hyderabad
My wife 5 months pregnant, now she have checked anomaly scan is normal, but other details doctor Don't told. If This ...
This scan only indicates any external body anomalies in the fetus. It doesn't tell about baby delivery mode by caesarean or normal.
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Acidity During Pregnancy - How It Can Be Dealt With?

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Ghaziabad
Acidity During Pregnancy - How It Can Be Dealt With?

If you are experiencing heartburn during pregnancy, it is important for you to know about the ways of dealing with it. Heartburn, which is a fiery, painful sensation, occurs when the lower esophageal sphincter (LES) starts leaking or relaxing. This makes your stomach acids to flow up into the esophagus, resulting in acidity or heartburn. Pregnant women are more susceptible to heartburns because the relaxing hormone slows down the rate of digestion, thereby keeping food in the stomach for longer duration and triggering acidity.

Here are the various measures you should take for dealing with acidity during pregnancy:

  1. Follow regular eating patterns: Overeating triggers heart burns, and hence, you should eat less. During pregnancy, there is much less space in the stomach for it to expand. Maintaining a healthy diet in lesser quantities will help you in eliminating the heartburn throughout your pregnancy. You should eat several small meals a day instead of having two or three large meals. It is easier for your body to digest smaller meals.
  2. Avoid trigger foods: You need to identify the common foods, which trigger your heartburn, and eliminate them from your diet. You should abstain from consuming acidic food items like tomatoes, citrus fruits, fried and spicy food, coffee, carbonated drinks, and alcohol.
  3. Focus on fluids: A liquid diet causes much lesser problems compared to solid food products as they can move through your stomach quickly. You should consume milkshakes, soups, yoghurt, smoothies, puddings, and protein shakes. Try to take liquids, which are rich in protein like dairy products. While having solid foods, ensure that you chew them very well.
  4. Sleep properly: In order to avoid heartburn during the night, you must not eat anything three hours before going to sleep. You should make the head of your bed elevated by placing books or any solid object under the bed’s legs. You should sleep on your left side, which will make it difficult for stomach acids to travel up to your esophagus.
  5. Sit or stand up right after a meal: After taking any meal, you should take a short walk, undertake some housework, or sit down for a while. Avoid lying down, and abstain from doing anything for which you have to bend over.
  6. Wear comfortable clothes: You should wear loose-fitting clothes for dealing with acidity or heartburn during pregnancy. Tight clothing puts extra pressure on your abdomen, which is already crammed. This is capable of worsening acid reflux. Therefore, you should choose loose fitting maternity wear for eliminating acidity and heartburn.
     

Preparing to Get Pregnant: Preconception Counselling!

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Mumbai
Preparing to Get Pregnant: Preconception Counselling!

There is no better feeling than the movement of life inside you. Bearing a baby is no easy feat. Caring for your health before you become pregnant is very important for you and your bundle of joy. Preconception care and counseling will empower you to gear up for pregnancy. The goal of preconception counseling is to check for potential risks to you and your baby during pregnancy and address them well in advance before you get pregnant.

It is all about becoming your healthiest self both physically and mentally before you take the plunge. Planning for your pregnancy will help you make healthy choices and you can start out the right way by getting a preconception counseling appointment with your health care provider.

What happens at a Preconception Counselling?

It is the perfect time for you to discuss with your doctor about any concerns you have in your mind. Here are the things that are most likely to be discussed:

  1. Reproductive History – Your history related to your reproductive health can include your previous pregnancies, menstrual history, contraceptive use, vaginal infections or sexually transmitted diseases.
  2. Medical History – This constitutes of any health problems you have now and can get in under control before you get pregnant. Also, your family health history including diabetes, hypertension and more can be discussed.
  3. Surgical History – Have you had any surgeries done before for any complications? It is very important to let you gynecologist know about the same.
  4. Current Medications – Have you taking any prescribed or over the counter medicines, supplements or herbal medicines? If yes, it is best to speak with a doctor as certain medicines can lead to birth defects so talk to your doctor about them.
  5. Home and Workplace Environment – Are you facing any hazards from environmental factors that will deter your ability to get pregnant or maintain a healthy pregnancy?
  6. Weight ManagementIt is good to have an ideal weight before you get pregnant to avoid complications during pregnancy.
  7. Lifestyle Factors – Your diet, caffeine intake, exercise and other lifestyle habits should be discussed. The goal is to help you stop any unhealthy habits that could stand in your way towards a healthy pregnancy.
  8. Prenatal Vitamins – Even before you conceive, it's good to take these vitamins in order to prevent birth or neural tube defects. Your doctor will help you choose the right one at the right dosage.

Tests Performed During Preconception Counselling

  1. Physical Exam – Tests like pap smear, pelvic exam and more can be done to assess where you stand.
  2. Lab Tests – Blood test to detect any abnormalities can be taken into account
  3. Menstrual Cycles – It is good to chart your menstrual cycles to help you detect ovulation and determine the time to get pregnant
4 people found this helpful

Breast Lumps - How Surgery Can Help?

MBBS, MS - General Surgery
General Surgeon, Pune
Breast Lumps - How Surgery Can Help?

Feeling a lump on your breasts can be a terrifying moment. 'Cancer' is the first thing that comes to mind but in reality, most lumps in the breast are not caused by cancer. Apart from cancer, breast lumps can be caused by non-cancerous growths, injuries and infections. The only way to correctly diagnose the cause of a lump in the beasts is through a biopsy.

Hence, this is the first step towards treating a breast lump. From here on, treatment will depend on the cause identified.

  1. Mastitis or Breast InfectionMastitis is a painful infection of the breast tissue often faced by women who are breastfeeding. It can be treated with heat treatment and antibiotics. Massaging the breast while taking a warm shower or applying a warm compress. This will open up the milk ducts and should be followed by nursing the baby or using a breast pump to relieve the swelling and pain.
  2. Abscess: Antibiotics are the first line of treatment against an abscess but this is effective only if given in the initial stage of the infection. In later stages, an abscess will need to be surgically drained.
  3. Fibroadenomas: This is a non-cancerous tumour often found in young women. It is often difficult to distinguish between a Fibroadenoma and a cancerous tumour and hence these are usually surgically removed.
  4. Fibrocystic Changes: In some cases, the breast itself is composed of knotted, rope like tissue. This is known as having fibrocystic breasts. If a new lump presents itself on fibrocystic breasts, a mammogram and an ultrasound are performed to evaluate the lump. In most cases fibrocystic changes do not require any medication or surgery.
  5. Breasts Cysts: Cysts can be defined as fluid filled lumps. In some cases, these cysts become apparent at the time of ovulation and disappear after the period. In other cases, it may need to be drained with a thin needle. Cysts often recur and need to be re-drained.
  6. Fat Necrosis and Lipoma: Fat necrosis is a lump caused by an injury to the fatty tissue in the breast. Lipoma is a fatty growth within the fatty tissue. In both these cases, no treatment is required but if it causes any problems, it can be removed.
  7. Breast Cancer: If the biopsy reveals the presence of a cancerous tumour, you must immediately consult an oncologist. Treatment options for breast cancer include chemotherapy, radiation, surgery and hormone treatment.
3 people found this helpful

I have pcod and I want to conceive what is the treatment for it I have pimples on my face no sexual interest my age is 28 and weight is 69i have cyst in my breast too.

DGO, MBBS
Gynaecologist, Faridabad
I have pcod and I want to conceive what is the treatment for it I have pimples on my face no sexual interest my age i...
Do reg exercise red wt and take dietary precaution it will correct your pcosand rest you shd meet gynae who will give you supporting treatment.
1 person found this helpful
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During her period I did unprotected sex may be I felt it may have gone sperm I gave I i pill till date she not getting her period what should I do?

Bachelor of Ayurvedic Medicine And Surgery , MD - Ayurveda
Ayurveda, Hyderabad
During her period I did unprotected sex may be I felt it may have gone sperm I gave I i pill till date she not gettin...
Hello Sir, Don't worry about pregnancy, during periods, pregnancy will not come, so, May be stress, hormonal imbalance, or anaemia may cause, should wait, thank you.
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Meat - Red vs White Facts Check

M.Sc - Dietitics / Nutrition, P.G. Diploma in Nutrition and Dietetics, B.Sc. Home Science
Dietitian/Nutritionist, Chandigarh
Meat - Red vs White Facts Check

Meat forms an essential part of the daily diet of many people. But it often gets difficult to choose between white meat (chicken or fish) and red meat (beef or pork or mutton) due to the numerous health benefits offered by both. Moreover, both kinds of meat have some health risks as well, which should be kept in mind while consuming either of them.

Read on to find how each type of meat may affect your health, and, which will be more beneficial for your body.

Fat content

People who are more conscious about their weight often tend to choose white meat over red meat because of its lower fat content. For example, fat content in chicken is only about 11%, whereas pork contains about 45% fat. Moreover, the saturated fat content of red meat is about 2.64 times that of white meat.

Protein content

100 gm of chicken breast has about 29.80 gm of protein, whereas the same amount of lamb and pork contain 22.51 gm and 27.55 gm protein respectively. In this case, consumption of white meat will prove to be beneficial as your body can absorb only 74% of the protein in red meat and 80% of the protein in white meat.

Other nutrient content

Red meat is rich in niacin, vitamin b12, riboflavin and thiamine, iron and minerals like zinc and phosphorus. While vitamin b12 aids proper nerve health and ensures that the red blood cells function properly, zinc is responsible for strengthening your immune system.

White meat contains fewer nutrients in comparison to red meat. However, fish contains high amount of omega-3 fatty acids, which help in improving lipid profiles and prevent cardiovascular diseases.

Health risks

Consumption of both types of meat has been long associated with increased risk of different diseases. The presence of myoglobin, a type of protein in red meat, is responsible for increasing the risk of certain types of cancer. Also, red meat has been often linked with increased chances of hypertension and heart diseases.

These days, feeding antibiotics to chicken for enlarging their size has become a common practise. So, consumption of this type of meat increases the amount of drug-resistant bacteria in your body and reduces the effect of useful drugs too.

White meat and red meat both have their own health benefits and risks, so including small amounts of both in your diet will prove to be beneficial for your body. Determine the amount of each type of meat you will consume depending on your body's specific requirements.

6 people found this helpful

Immuno Shots - How They Can Help You?

DNB (Respiratory disease), Fellowship Bronchoscopy, MBBS
Pulmonologist, Ahmedabad
Immuno Shots - How They Can Help You?

Immuno Shots or allergy shots, in other words, are known as allergen immunotherapy. As the name suggests, it provides a complete relief from severe allergies for longer durations. Severe allergy symptoms can play havoc with life and can curtail your daily activities. You can opt for immuno shots when none of the other treatment plans are working out. Allergies can be due to many reasons, such as dust mites, pollen, feathers, insect bites, pets and pollution.

How can immuno shots benefit you?

  • Immuno shots can easily reduce the signs of different allergens

  • Helps build immunity naturally in your body

  • Reduces your long-term usage of allergy medication

  • Cost effective in the long-term

  • Has reduced side effects as compared to other medications

Immuno shots can easily control allergies triggered by

  • Seasonal allergens

  • Indoor allergens

  • Insect stings

Who can go for immuno shots?

  • Immuno shots can easily benefit people suffering from asthma, allergic rhinitis, and eye allergies

  • They also work effectively on allergies caused by dust mites, pollens, pet dander and bee stings, etc.

  • Immuno shots are not recommended for children less than 5 years of age, pregnant women, people suffering from cardiovascular diseases

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

1 person found this helpful

Pumpkin (Petha) - 5 Amazing Reasons To Eat It!

Bachelor of Unani Medicine & Surgery (B.U.M.S)
Ayurveda, Allahabad
Pumpkin (Petha) - 5 Amazing Reasons To Eat It!

Ayurveda treats food as a medicine, and most of the conditions are cured with Ayurvedic diets. Ayurveda considers certain foods as exceptional as they offer numerous health benefits, and one among them is Pumpkin.
Do you know the pumpkin can offer you numerous health benefits and not be used merely for making your jack-o-lantern during halloween? As per Ayurveda, it is especially beneficial for individuals with elevated vata and pitta doshas. It also serves as “Basti Shodan” and helps maintain bladder health.

Here are some of the most important benefits that pumpkins proffer when you eat them regularly.

  1. Contains copious amounts of vitamin A: Daily consumption of pumpkin can get you high doses of vitamin A, which is necessary to maintain your eye health. Not only eyes, but it will also help you in having a good skin, healthy bones, and teeth.
  2. It has a high dose of fiber: A bowl of mashed pumpkin contains 3 grams of dietary fiber while a handful of pumpkin seeds can give you 1.3 grams of this nutrient. Therefore, pumpkin serves you the required amount of dietary fiber as per our recommended daily requirement.
  3. Pumpkin can give you a good night’s sleep: Don’t forget to use the seed when it comes to a pumpkin. Pumpkin seeds contain Tryptophan which is an amino acid that promotes better sleep while also improving your mood.
  4. Good for your heart health: The fiber contents of pumpkin also protects you from a wide range of coronary diseases. It is also helpful in maintaining a healthy blood pressure owing to the presence of phytoestrogens in it.
  5. Cools the system: Pumpkin also has a cooling effect on the body system which makes it very beneficial for people who suffer from heartburn and burning sensations in the hands, feet, and stomach. It helps in cooling the digestive systems which, in turn, reduces the impacts of stomach infection, acid reflux, enlargement of liver and constipation.

The juice of petha is also useful for the health in a variety of ways. It can cure bleeding from any part of the body such as gums or nose or piles. This type of bleeding generally occurs due to an imbalance in the body temperature. It happens when there is a considerable rise in the temperature of the body. The cooling nature of petha aids in maintaining body temperature and prevent this kind of complications.

It is also beneficial, if you are suffering from kidney problems or urinary tract infections or stones or bladder issues and is also regarded as an excellent remedy for treating asthma. Pumpkin can also help in eliminating the risk of diabetes and can help keep it in control, if you already have diabetes.

As you can see, this simple fruit vegetable is highly beneficial for your good health and deserves to be added as a part of your diet. You can experiment various recipes right from soups to desserts using pumpkin to accomplish this easily.

3 people found this helpful

Before 20 days me and my gf made love. But we did not do sex. Except sex we did everything. She is still virgin. We regret anal sex also. But little sperm touches her anal and little bit very small on vagina, on outer skin of vagina. Can you told me is there any chances of pregnancy. Because her period is getting very late. Pls tell me fast.

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Bangalore
Hello Mr. lybrate-user, I understand your worries. Delayed periods is due to many reasons, one of those is pregnancy. Please tel your girlfriend to take pregnancy test kit and check at home once. If it is negative then I will prescribe tablets to get per periods for any enquiries you can msg me.
1 person found this helpful
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Melasma and it's Management

Dermatology Backed Expert Skin & Hair Care Solution
Dermatologist, Nashik
Melasma and it's Management

Melasma is one of the most common forms of hyperpigmentation .It commonly appears as brow or gray -brown patches on the face . These patches are usually symmetrical and visible on cheeks,forehead,bridges of nose,above the uper lip and chin .

CAUSES OF MELASMA

Melasma is more common in women than men.

1) Sunexposure

2) A change of hormonal level ( pregnancy)

TREATMENT OF MELASMA

1} Sunprotection -is the key factor for decreasing melasma.

2} Depigmenting agents

a} Hydroquinone- the most common used agent ,works to inhibit a melanin -producing enzyme . It has potent antioxidant abilities.Topical hydroquinone creams comes in 2% and 4% concentrations alone or with tretinoin.Creams containing hydroquinone is intended for short-term use. A dermatologist recommendation is very important .

b} Arbutin -natural source of hydroquinone ,is considered to be much safer . It is dervided from the leaves of bearberry,cranberry,mulberry or blueberry shrubs .It too has the ability to ihibit melanin production.

To enhance skin-lightening ,the following ingredients may also help .

  • Retinoic acid
  • Azelaic acid
  • Kojic acid
  • Glycolic acid
  • Low mid-potency steroids

Pocedures fr Melasma

Chemical peels - eg. glycolic acid ,tricholroacetic acid )work well in treatment of melasma . These exfoliate the superfical layers of the skin and increase the cell turnover,which triggers the fading of unwanted pigmentation . The number of sessions depend on the level of pigmentation and skin sensitvity.

Lasers- escpecially the Q-switched Nd:YAG laser ,have a positive effect on early melasma . These are also relatively safe o Indian skin.The laser light beam acts on the pigment(melanin) clumps within the skin and fragments them.Once fragmented ,these are easily cleared by body's immune system . It is done in a gap f 15 to 20 days for a minimum of 8 to 10 sessions.

1 person found this helpful

Music Therapy

MRCP (UK), MD - Psychiatry, MBBS
Psychiatrist, Ghaziabad
Music Therapy

Music at times can be just time pass but if you look at its other benefits it can be an excellent stress buster acting as therapy for various maladies.

1 person found this helpful

Know More About Antibiotics

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Delhi
Play video

Why you should not take Antibiotics without consulting a doctor?

2 people found this helpful

I have low amh of 0.136 and small cyst on my right ovary. I am in USA right now. All other reports have come normal. I am ttc. Should I be worried?

MD Obstetrics & Gynaecology
Gynaecologist, Chandigarh
I have low amh of 0.136 and small cyst on my right ovary. I am in USA right now. All other reports have come normal. ...
AMH levels are very low. This indicates that the ovarian reserve or the number of eggs is almost depleted.
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Hi I'm a married girl last month on 13th I got my period but this month I haven't got my period and I have a pcod/pcos also, we are trying to get conceive need a help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi I'm a married girl last month on 13th I got my period but this month I haven't got my period and I have a pcod/pco...
Hi, please get urine pregnancy test to rule out pregnancy. Delayed period could be because PCOD or pregnancy.
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I have been advise by my doctor to take the deviry tablet so I have already taken 3 pills. But my periods haven't started yet please suggest me something for getting periods.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
I have been advise by my doctor to take the deviry tablet so I have already taken 3 pills. But my periods haven't sta...
It is difficult to comment without knowing what medications you are taking. However, If you have been advised tablets to get your periods, they will most probably be hormonal medications supposed to be taken for about 5 days. You will get your periods after you have completed the full 5 days' course, not while you are taking them.
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Hi I have a baby girl of age 3 years now. Since one year I am trying to conceive again but not able to. I am ovulating on 9-10th day of the cycle got it checked through ultrasound. Everything is normal but still not able to conceive. Please guide.

DHMS (Hons.)
Homeopath, Patna
Hi I have a baby girl of age 3 years now. Since one year I am trying to conceive again but not able to. I am ovulatin...
Hello, Go for frequent intercourse from 10th day to 14th day of ovulation period. Go for meditation to reduce stress of missing ovulation. Tk, plenty of water to hydrate your body. Tk, apples, cheese, carrots, spinach, milk. Tk, homoeopathic medicine:@ Sepia 200 -5 drops at bed time, alternate night. Tk, care.
2 people found this helpful
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Laparoscopy: 4 Myths Debunked!

F.N.B.(Minimal Access Surgery), MS (General Surgery) , MBBS, FALS(Fellow Advanced Laparoscopic Surgery), FCLS(Fellow International College of Laparoscopic Surgeons), FIAGES
General Surgeon, Bhubaneswar
Laparoscopy: 4 Myths Debunked!

A widely used surgical procedure, laparoscopy involves the insertion of certain surgical instruments, small tubes and video cameras in your abdomen through small incisions and cuts. This procedure is used to diagnose a number of ailments such as ovarian cysts, endometriosis, and pelvic inflammatory diseases to name a few. Even though laparoscopy is a very popular form of surgery, there are quite a few myths associated with it, which are:

1. Myth: The images taken through a laparoscope are of poor quality

This is not true. In fact, the visuals obtained through a laparoscope are clearer and much more accurate when compared to those obtained via an open surgery. The visuals of a video laparoscopy provide a detailed magnification of even those parts of the area that are inaccessible by the human eye.

2. Myth: If you've undergone multiple abdominal surgeries in the past, you can't opt for a laparoscopy

The truth is that you can go for a laparoscopy even if you've gone through multiple surgeries previously, irrespective of the location or size of the previous incisions. This is done through the use of a special instrument, called a microlaparscope that enables safe entry into the abdomen of the patient.

3. Myth: If you have large fibroids and ovarian cysts, you can't have them removed through a laparoscopy

False. Even though the incisions made by a laparoscopy are really small, they still allow the safe removal of large abdominal structures by the use of certain devices. For example, a cylindrical tool known as morcellator can be inserted through a laparoscopic incision and be used to remove large fibroids and ovarian cysts.

4. Myth: If you're overweight or underweight, you can't undergo a laparoscopy

No matter if you're obese or too thin, you can still undergo a laparoscopy as the tools used for this surgical procedure are available in different lengths and sizes, and can be adjusted as per the body type of the patient before the incision is made.

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