In- Vitro Fertilization [IVF] and fertility- enhancing surgeries
In vitro fertilization (IVF) is a complex series of procedures used to help with infertility , i.e problems in conception of a child. IVF is the most effective form of assisted reproductive technology. The procedure can be done using your own eggs and your partner's sperm. Here, mature eggs are collected (retrieved) from ovaries and fertilized by sperm in a lab. IVF is generally done in case of Fallopian tube damage or blockage, ovulation disorders, endometriosis, previous tubal sterilization or removal, impaired sperm production or function and Unexplained infertility. Infact, you and your partner might be able to try less-invasive treatment like Intra- uterine Insemination and ovulation induction
Gynaecological Cancer management
1 out of 4 of all cancers in women in developing countries is gynaecological cancer. Many cancer symptoms may look like common conditions or ailments, but it’s always good to bring it up with your doctor. Because when it comes to cancer, the best ways to defeat it is by detecting it as early as possible. Depending on the site of origin, the cancers are of a different kind, and the treatment of it depends on the same Early detection of any form of cancer elevates the chances of successful treatment.
Laproscopic Gynaecological Surgeries
Diagnostic Laproscopy involves vision into the abdomen through a small incision in the abdomen. Operative laproscopy in gynaecology involves performing surgeries, through small ports, approx one centimetre each. With the advancement in laproscopic instruments and expertise, nearly all gynaecological surgeries can be performed laproscopically, including cancer surgeries. A high degree of precision is facilitated by the magnification provided. Multiple studies have shown laparoscopy to be safer, less post- operative pain, and to have a shorter recovery time. Extensive list of gynae laproscopic surgeries include diagnostic Laparoscopy for infertility and Laparoscopic Sterilization, Ovarian Cystectomy, ectopic pregnancy, hysterectomy ( removal of uterus), Re-canalization Surgery ( reversal of sterlizaion), Burch Suspension ( for stress urinary incontinence), Myomectomy ( removal of fibroid), Sacro-Colpopexy and hysteropexy ( for prolapse), Radical Laparoscopic Hysterectomy ( for cancer uterus and cervix), Pelvic Floor Repair, TVT and TOT & TVTO for Stress Urinary Incontinence, Laparoscopic Vesico-Vaginal Fistula Repair Lymphadenectomy for Gynecological Malignancies, Laparoscopic uterine nerve ablation (LUNA) for chronic pelvic pain, Laparoscopic Management of severe Endometriosis
high- risk pregnancies management
A high-risk pregnancy is one in which the mother and/or fetus are at higher risk for problems during pregnancy or labor than in a typical pregnancy. Risk factors include existing health conditions, such as high blood pressure, pregnancy induced hypertension, pre- eclampsia, diabetes, heart & kidney problems, anaemia, thyroid disorders, twins, obesity, old maternal age, history of multiple abortions or preterm births. In India about 20-30% pregnancies belong to high risk category, which is responsible for 75% of perinatal morbidity and mortality. Early detection and effective management of high risk pregnancy can contribute substantially in reduction of maternal and foetal adverse outcomes. We ensure that women with high-risk pregnancies receive care from a special team of doctors to ensure the best possible outcomes.
Pap smear and Cervical Cancer screening
Cervican cancer is preventable and yet it is one of the most frequent causes of cancer deaths in indian women. A Pap smear, also called a Pap test, is a procedure to test for cervical cancer in women. A pap test needs to be done every three years.Cervical cancer screening is an essential part of a woman’s routine health care. Nearly all cases of cervical cancer are caused by infection with sexually transmitted oncogenic, or high-risk, types of human papillomavirus, or HPV. The primary goal of screening is to identify precancerous lesions caused by HPV so they can be removed to prevent invasive cancers from developing. In case of suspicion, Colposcopy is done for confirmation and guided biopsy is taken.
Genetic testing and Amniocentesis
The Amniocentesis is a procedure where we take a small sample of amniotic fluid (the fluid which surrounds baby) from uterus . It helps to find certain chromosomal defects, like Down syndrome, Edward and Patau syndrome. Also, some genetic defects like sickle cell disease, thallasemia, tay sachs disease, muscular dystrophy. It is usually done when there are fetal abnormalities noted on an ultrasound or a positive screening test for a chromosome abnormality or a family history or have previously had a child with a genetic disorder. Amniocentesis is usually painless and safe and can be done any time after the 15th week of pregnancy.
Antenatal check up and Delivery
Antenatal care is the systemic supervision of women during pregnancy to monitor the progress of foetal growth and to ascertain the well-being of the mother and the foetus. Every woman must undergo atleast once a month checkup during first seven months, twice a month during 8th and 9 th month, with increased frequency in last few weeks. A proper antenatal check-up provides necessary care to the mother and helps identify any complications of pregnancy. It is also necessary to discuss plan of delivery including provision of epidural analgesia and selection of birth companion.
Post-delivery services: Adjusting to motherhood
The postpartum period involves your moving through many changes, both emotionally and physically. Your body has undergone many changes during pregnancy and birth. You need time and proper guidance to recover. Nevertheless, its also time for 24 x 7 baby care and breastfeeding. We are here to solve all your queries, breastfeeding issues, post- pregnancy exercises, yoga, psychological counselling, and most importantly birth spacing, i.e. contraception.
Any pregnancy that is outside the uterine cavity is Ectopic Pregnancy. The presentation can be highly variable, leading to delayed diagnosis in some cases. However, as nowadays , ultrasound is done in most pregnancies early and due to its high resolution and availability of TVS, many cses are diagnosed early. Both medical and Surgical management are available for ectopic pregnancies. However, medical management is safe only when the Gestational sac is less than 3.5 cm, no visible heart beat in pregnancy and low beta hCG values. Medical management is done with in. methotrexate most commonly and is monitored by sequential levels of beta h CG. Surgical options like laproscopic removal of tube (salpingectomy) or repair of tube (salpingostomy) are very safe options also, as compared to open surgeries (laprotomy).
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