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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
Family Planning Procedure
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Patient Review Highlights
My boss referred me this Dr Rushabh. No matter how critical be the situation, he is always very calm. Rushabh Mehta certainly knows the in and out of his speciality. I was panicked, because I never thought I will suffer from infertility. The complete process of infertility treatment was so painless and quick, and i am so relieved that I chose to consult him. The overall atmosphere in the EVA hospital is very soothing
It was getting very difficult for me to cope us with my insulin resistance. He ensures that he listens to his patients. I remember, I read an article of Rushabh Mehta in the paper and made contact. He definitely is aware about the latest and advanced ways to treat serious cases. Thanks to the expert care and guidance, I feel much better than before. The entire EVA hospital is very nicely designed.
It was getting very difficult for me to cope us with my problem of no periods. Even in case of emergency, the staff is always willing to help. He is so nice that they even at odd hours one can call him in case of emergency. I have consulted so many doctors , but no one was able to solve my problem. Dr Rushabh Mehta has so much knowledge that for everything my family takes his reference.
I was having this irregular periods . I am so happy with the results of my treatment, that I will surely recommend Dr Mehta to anyone gladly. In the very first sitting, Rushabh Mehta clearly told us the problem and the what the treatment procedure will be in future. The overall cleanliness in the EVA hospital was amazing.
My wife was not able to conceive even during fertile period. I consulted Dr Rushabh Mehta who is a famous Gynaecologist In Gujarat. He suggested the fertile period treatment which benefitted to a great extent. I owe him a big thank for providing me the simpel treatment which gave positive results.
The problem of my delayed periods was severe and unmanageable but drRushabh Mehta was able to handle it. I'am almost on the path to recovery, Thanks to my herperfect advice.Even though there was a long queue, still the staff was very pleasant at herclinic EVA hospityal in surat.
My boss referred me dr Rushabh Mehta for my problem of anus Infection.He has in depth knowledge and ensures that he explains the problem in detail. He can be consulted at EVA hospital in Surat.
i am very happy with my treatment with dr Rushabh Mehta to avoid pregnancy at his clinic EVA hospital in ahmedabad. he is a very efficient doctor and very nice too. I am thankful to him.
A study published in the Journal of Family Psychology reveals that couples who opt for pre-marital counselling experience higher levels of conjugal satisfaction than couples who don’t go for it. Moreover, these couples, the study says, experience a 30% drop in the possibility of divorce over a 5-year period.
Pre-marital counselling is a wise choice as it can help you and your partner to better understand the dynamics of your relationship and build the foundation of a happy future together.
A pre-marital counselling helps you with the following factors-
Apart from stressing on the importance of personal health and hygiene, you would also hear a gynaecologist emphasising on the significance of sexual hygiene for a problem-free married life. While preventing infections that may affect your reproductive system, maintaining sexual hygiene can also significantly elevate the overall hygiene levels of your entire body.
Pre-marital sex counselling is essential as it helps to fill in the gaps in your knowledge of sex. During your consultation with a gynaecologist, you can expect to receive information about the male and female anatomy as well as about the actual act. Even thoughts like “sex can be painful” get addressed during the counselling.
Counselling sessions with a gynaecologist can also help you in getting your facts right about pregnancy. He or she could guide you on how to work out safe and unsafe days to have sex; talk to you about contraceptive methods; and best family planning practices.
4. Folic acid for pregnancy
During a counselling session, you can expect to be encouraged by a gynaecologist to have Vitamin B (folic acid) before and during your pregnancy to avert birth defects in the brain and spinal cord of your potential offspring.
Opting for a counselling session before marriage can help you to learn about vaccines that will protect you against cervical cancer (cancer of the cervix caused mainly by HPV- a virus) and rubella (a disease caused by the rubella virus, which can cause miscarriage, birth defects and stillbirth).
6. Medical investigations
You should also expect investigations based on the following tests-
a. Complete blood count test: The aim of this test is to assess your overall health and identify a range of disorders such as anaemia, leukaemia, and infection to name a few.
b. Fasting/blood sugar test: The test is performed to diagnose diabetes. A fasting blood glucose level of less than 100mg/dl is considered normal.
c. Thyroid stimulating hormone test: This test is taken to check for problems in the thyroid gland.
d. Rubella test: It is used to identify antibodies that are formed in the blood, as a result of immunisation or the rubella infection.
e. HPLC (high performance liquid chromatography): The test is performed to determine Thalassemia.
f. Urine microscopy: The test helps in determining the condition of your urinary tract and kidney. It identifies injury, presence of disease or inflammation of these areas. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Ovarian cancer is the most common cancer to affect the female reproductive system. The exact cause of ovarian cancer is not yet known and the risk factors involved are numerous, the most prevalent of which are genetic defects and hereditary problems.
The symptoms of ovarian cancer are not always clear and range from pelvic and abdominal pains to irregularities in the menstrual cycle. Women beyond the age of 50 are most at risk of developing this type of cancer and the risk factor increases in case of family history.
Prevention of Ovarian Cancer
There is no sure shot way of preventing ovarian cancer. Some factors such as genetics cannot be controlled at all. There are, however, ways to take precaution against it through some simple lifestyle choices. A few of those ways are as follows:
• Eat a healthy balanced diet which is rich in all the nutrients, vitamins and minerals that the body requires for boosting and maintaining immunity.
• Exercise regularly and stay active. Maintaining fitness is an important aspect of preventing the onset of all sorts of diseases and disorders.
• Go for frequent health checkups and make regular consultations with your gynaecologist so as to ensure early detection of the problem.
Another notable way of avoiding ovarian cancer is taking birth control pills which are known to reduce the risk levels. However, studies have shown that there are other health risks associated with taking birth control pills and hence you should always consult a gynaecologist for a proper prescription.
Vaginal Looseness: A concern of damage from childbirth causing the vaginal muscles to not be a tight as before labor.
Lack of Sensation During Sex: Having a stretched or relaxed pelvic structure is often a concern of women after child birth but may be due to other factors such as genetics or age.
Stress Urinary Incontinence: An involuntary loss of urine that may occur during physical activity, such as coughing, sneezing, laughing, or exercise. Genetics, aging and childbirth can play a major role in its onset.
Vaginal Appearance: Some patients are unhappy with the shape, size, color or overall look of their vagina leading them to feel self conscious about its appearance.
Pain or Discomfort: In a woman’s labial, vaginal or pelvic areas that can occur during intercourse or in daily life.
Vaginal relaxation is a condition linked to childbirth and aging.
Vaginal rejuvenation is not an aesthetic procedure – it is a functional procedure involved with the tightening or narrowing of the inner and outer muscles and structures of the vagina boosting muscle tone, strength, and control.
Nearly all women encounter a certain degree of damage to their vagina as a result of childbearing. Most will also have vaginal weakness and stretching from aging or genetics. These can cause:
- A sensation of vaginal looseness
- Inadequate sensation during sex
- Discomfort during sex
- Decreased sexual gratification
- Decreased self-esteem and confidence
- Besides the mental and emotional aspects, sexual gratification demands physical stimulation. The altered condition of the vagina can impact a woman’s confidence and eventually her capability to enjoy sex. The degree of sensation felt is dependent upon friction and nerve stimulation, which is directly related to the diameter and the degree of smoothness of the vaginal tissue.
The vaginal rugae are ridges that functions to generate sensation while the penis moves back and forth over the rugae. The diameter of the vagina and the quality of the rugae are essential in determining the amount of pleasure experienced by both the woman and her partner.
When the vagina is loose and the ridges smooth out, sexual pleasure is reduced or lost.
The uterus is a muscular structure held in place inside your pelvis with the help of muscles, ligaments, and tissues. These muscles weaken in women due to pregnancy, childbirth or delivery complications and can lead to severe complications. One such complication is a uterine prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position into the vaginal canal.
The causes of uterine prolapse are varied and include:
- Delivering a large baby
- Difficulty in labor and delivery
- Reduction in estrogen levels post menopause
- Traumatic childbirth
- Loss or weakening of the pelvic muscle
- Conditions which lead to increased pressure in the abdominal area such as a chronic cough, straining, pelvic tumors or accumulation of fluid in the abdomen
- Loss of external support due to major surgery in pelvic area
Uterine prolapse can be complete or incomplete depending on how far the uterus sags into the vagina. Women who have minor uterine prolapse may not have any visible symptoms. However, if the condition worsens, it manifests itself in visible signs.
Symptoms of moderate or severe prolapse are:
1. A feeling of fullness or pressure in your pelvis when you sit
2. Seeing the uterus or cervix coming out of the vagina
3. Vaginal bleeding or increased discharge
4. Painful sexual intercourse
5. Recurrent bladder infections
6. Continuing back pain with difficulty in walking, urinating and moving your bowels
Without proper attention, the condition can cause impairments in the bowel, and can also affect bladder and sexual function. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:
1. Kegel Exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-
Slow kegels: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.
Fast kegels: To do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.
2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here’s what you should do:
1. Begin by standing behind a chair for support with your feet wide apart
2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor
3. While inhaling and exhaling deeply, push into your legs and go back into a standing position
3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. Here’s how it’s done:
1. Get down on both your hands and knees while keeping your head in a parallel position with your back
2. While arching your back, pull in your stomach
3. Hold this position for a few seconds before releasing
The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold over your back and stomach.
4. Tailor Pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:
1. While keeping your back straight, sit comfortably on the floor
2. Placing the soles of both the feet together, press your knees gently towards the floor
3. Keep the position for 10-15 seconds. You can repeat the exercise for 5-10 times. If you wish to discuss about any specific problem, you can consult a gynae.
The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that the conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories.
- Blocked fallopian tubes
- One blocked and one open fallopian tube
- Tubal scarring
The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include
- STDs such as chlamydia trachomatis and neisseria gonorrhea
- Adhesions caused by ruptured ovarian cysts
- Peritonitis and
- A history of ectopic pregnancies
Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.
- Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however, does not say much about tubal scarring.
- Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes.
Treatment for infertility caused by tubal scarring is of two types.
- Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. He may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
- In vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Diagnostic laparoscopy is a surgical process for examining different kinds of organs present in the abdomen. It is a low-risk and minimally invasive process in which just a small incision is made. This allows the doctor to evaluate the conditions of your abdominal organs without opting for an open surgery. It’s mostly performed when the patient complains of pain in the pelvic region and when other assessing methods have failed to detect the reason behind the pain and discomfort.
How is laparoscopy done?
The laparoscope is a slim and well-lit telescope that allows your doctor to evaluate the conditions of various organs in your body. It can help in determining whether there is any instance of fibroid or endometriosis. It can help in performing a variety of surgeries like removal of ovarian cysts, hysterectomy and tubal ligation. This surgery involves much lesser healing time compared to other elaborate surgeries.
Why should you go for laparoscopy?
Your gynaecologist may recommend you to get a laparoscopy for a treatment or for diagnosis. It is mostly performed due to unexplained pelvic ache, infertility and a history of pelvic infection. Laparoscopy is also performed for the diagnosis of conditions such as uterine fibroids, ovarian cysts, endometriosis, pelvic pus or abscess, ectopic pregnancy, painful scar, inflammatory disease in the pelvic region and reproductive cancers.
How to prepare for gynaecological laparoscopy?
Your gynaecologist would ask you to prepare for the laparoscopy test on the basis of the type of surgery. Your doctor would ask you about the medication you take, which would include health supplements and over-the-counter medications and in certain cases you may have to stop certain medications. This process is performed under anaesthesia and you would be able to go home on the same day. The following process depends on the type of process. The diagnosis process is completed faster than the surgical process in which an incision is required to be made. The instrument would be inserted through the incision and then the surgery is executed by inserting the laparoscope tool. Once the process is completed, all the tools are removed from the body and the incision would be closed with stitches and the affected area would be bandaged.
In recent times, the laparoscopic process has advanced to a great extent and robotic surgery is often used for performing the surgical process. This is because it has been proven that robotic hands are steadier than human hands and can perform fine manipulations effortlessly. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.