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Gynecology

Gynecology is a specialist branch of medicine practiced by obstetrician-gynecologists, who treat patients who were born female or have female body parts (whether or not they identify as women).
A gynecologist is a doctor who treats medical conditions and diseases that affect women and female reproductive organs. (Gynecologists are also trained in obstetrics – the care of women going through pregnancy and childbirth, which overlaps with gynecology.

Examples of conditions dealt with by a gynecologist are:

  • Cancer and pre-cancerous diseases of the reproductive organs including ovaries, fallopian tubes, uterus, cervix, vagina, and vulva
  • Incontinence of urine
  • Amenorrhea (absent menstrual periods)
  • Dysmenorrhoea (painful menstrual periods)
  • Infertility
  • Menorrhagia (heavy menstrual periods); a common indication for hysterectomy
  • Prolapse of pelvic organs
  • Infections of the vagina (vaginitis), cervix and uterus (including fungal, bacterial, viral, and protozoal)
  • UTI and Pelvic Inflammatory Disease
  • Premenstrual Syndrome
  • Other vaginal diseases

Gynecological Treatments

Antenatal Checkup and Treatment

Antenatal care is methodical medical supervision involving check up and advice to a pregnant woman. The main purpose of antenatal care to ensure the secure pregnancy culminates in the delivery of a healthy baby. Antenatal care should begin soon regularly after the pregnancy. You should awareness with the pregnancy and get medicine and check up regularly. In the many cases the women’s come to the hospital only when they are in labour. The perfect antenatal care stops the maternal, neonatal mortality and morbidity to some extent.
The objectives of antenatal care are: First the confirm pregnancy and expected date of delivery, identify high risk pregnancies, detect associated medical, surgical and gynecological disorders, screen for infections, etc.

Treatment of High Risk Pregnancy

The several women have medical difficulties related to their health and their baby. Its women experience called high risk pregnancy.

The some risk factors are:

  • Existing health conditions, like high blood pressure, HIV positive, diabetes.
  • The overweight and obesity of women be a high risk pregnancy. If obesity increases in the pregnant women them high blood pressure, gestational diabetes, preeclampsia, cesarean delivery and neural tube defects are can be increases in the women.
  • Multiple births: In this factor baby can birth more than one. In the some complications include like premature labor, preterm birth and preeclampsia.
  • Old and Young age: The age of women if 35 or over its increases the risk for the gestational high blood pressure and preeclampsia.
Normal Delivery

A spontaneous vaginal delivery (SVD) occurs when a pregnant female goes into labor without the use of drugs or techniques to induce labor, and delivers her baby in the normal manner, without forceps, vacuum extraction, or a cesarean section.

Cesarean Delivery

A cesarean delivery is a surgical procedure in which a fetus is delivered through an incision in the mother's abdomen and uterus.

Ovarian Cysts

The ovaries are the very important part of a female body. They are a in a pair in the female reproductive system and are located one on each side of the uterus. Each ovary is about the size and shape of an almond. The ovaries produce eggs and are also the main source of the female hormones oestrogen and progesterone. They influence the development of a woman's breasts, body shape, and body hair. They also regulate the menstrual cycle and pregnancy. A cyst is a fluid-filled sac, and can be located anywhere in the body. Ovarian cysts are fluid-filled sacs or pockets within or on the surface of an ovary. Different types of cysts can form in the ovary. Many cysts are completely normal. These are called functional cysts and these are very commonly found. They occur during egg formation. Functional cysts normally shrink over time, usually in few months. If you have a functional cyst, you may need a check-up once again in 1 to 2 months to make sure that the cyst has become smaller or has it completely resolved. These cysts are almost never associated with cancer. But if you are menopausal and are not having periods, you will not have functional cysts. The other types of cysts are chocolate cyst, Simple cyst, or dermoid cyst.

Many women have ovarian cysts without having any symptoms. In some the cyst will cause these problems:

  • Pressure, fullness, or pain in the abdomen.
  • Pain during sexual intercourse.
  • Painful menstrual periods and abnormal bleeding.
  • Nausea or vomiting.

The ovarian cysts can be treated in the following ways-

1. Wait and watch-

The patient waits and gets re-examined in one to three months to see if the cyst has changed in size. This is a common treatment option for women who are in their childbearing years, have no symptoms, and have a simple cyst less than 5 cm size.

2. Surgery-

If the cyst does not go away after few menstrual cycles, has become larger, or looks unusual on the ultrasound, causes pain, or the woman is postmenopausal, then there is a need to remove it. There are two surgical methods-

Laparoscopy-if the cyst is small and looks non-cancerous on the ultrasound, CA-125 is normal then laparoscopy can be done. This procedure is done under general anaesthesia. Very small incisions of 0.5 to 1.0 cm are needed in this surgery.

Open Surgery-If the cyst is solid and looks suspicious, then open surgery is needed. The incision in open surgery is quite big.

Ectopic Pregnancy

What is Ectopic pregnancy? It means that pregnancy is somewhere outside the uterus. Such a pregnancy could be inside a fallopian tube or ovary or very rarely in the abdominal cavity outside the uterus. Most common is the tubal pregnancy so we are broadly talking about the fallopian tube pregnancy.
Any pregnancy could be an ectopic pregnancy, so awareness of this problem is a must. This type of pregnancy usually presents with a lower abdominal pain. When in doubt an ultrasound and blood test for serum Beta HCG helps in diagnosing it.
Sometimes you may not have any symptom and your routine early pregnancy ultrasound may show an ectopic pregnancy.
Many times when it is left undiagnosed and allowed to go beyond six weeks of pregnancy it leads to rupture of the fallopian tube leading to bleeding inside the abdomen along with severe pain, leading to shock and the lady collapses. This is big emergency as she needs urgent surgery to stop the bleeding and she will also require blood transfusion. If managed in time the patient recovers well although her ruptured fallopian tube might have been removed.
If diagnosed in the unruptured stage then ectopic pregnancy can be treated medically under supervision. One important point, as these days abortion pills are very popular and also available off the counter, be sure that you are not ectopic pregnant before using these pills. Such a situation can be life threatening. This is even more crucial in unmarried pregnant girls who take these pills very secretly. So please, please be aware of the fact that you may be ectopic pregnant so do not shy away from the doctor.

PCOD

PCOD is a problem related to hormones. Oestrogen and progesterone are main female hormones and some amount of androgen which is a male hormone is also present in females. Imbalance in these hormones leads to PCOD. It is not completely understood why or how the changes in the hormone levels occur. These changes lead to problems in the ovulation process of the ovaries resulting in development of many immature eggs. Mature eggs are not formed. In normal ovulation one or more eggs get matured and are released during one menstrual cycle. In PCOD as eggs are not released from the ovaries and they form many small cysts in the ovary so the name Poly-Cystic Ovarian Syndrome. Women with this disorder often have a mother or sister who has symptoms similar to those of polycystic ovary syndrome therefore it is thought to have a genetic etiology. Most of the time, PCOS is diagnosed in women in their 20s or 30s. However, it may also affect teenage girls. PCOD produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be one of the leading causes of infertility and the most frequent endocrine problem in women of reproductive age.

Symptoms tend to be mild at first. You may have only a few symptoms or a lot of them. Rarely on a routine ultrasound is it an accidental finding while the female is not having any symptoms of PCOD. The most common symptoms are:

  • Delayed cycles, scanty menstrual bleeding or irregular spotting during the menstrual cycle.
  • Excessive weight gain.
  • Extra facial hair. Often women get thicker and darker facial hair.
  • Hair fall (scalp).
  • Difficulty in conceiving (infertility).

History of menstrual irregularities with weight gain or increased facial hair gives the hint of it being due to PCOD. An Ultrasound of the ovaries leads to a clear diagnosis as we can see the typically multi cystic or poly cystic ovaries. Blood tests to see hormonal levels can reconfirm the diagnosis. Blood tests are also done for glucose metabolism as this is found to be deranged in some cases of PCOD.

Regular exercise, balanced diet is important for the treatment. One should try to lose weight with exercise and diet management preferably under the guidance of a dietician.

Hormonal pills are usually needed which should only be taken under proper medical guidance.

A diabetes medicine called metformin may also be needed.

Fertility medicines will be needed if you are trying to get pregnant.

If above treatment does not correct the problem then surgical treatment is needed through Laparoscopic surgery. Well we can say that it is a treatable problem. You need to be aware of it so that treatment is started sooner.

24 Hours Emergency

Manas Hospital provides facility of 24X7 hours emergency services. The hospital placed on D-131, Jagdamba Nagar, Dhabas Road, Near 200 ft. Bypass, Heerapura Power Hous, Jaipur. Manas Hospital have well equipment emergency and maternity center with fully space and experienced, well qualified doctor's team. Our hospital emergency team always ready for the patient care services. Hospital gives facility of medicine on the medical store for 24 hours. Our services are cheaper and fully satisfactory for the patients.