Monday, 21 January 2019

Real Women - Real Experiences- 22.1.19

Real Women - Real Experiences- 22.1.19

In our clinical practice, we see a lot of cases of infertility.

Some women suffer from Frigidity- emotional inability to have intercourse, or Vaginismus- painful contraction of vaginal muscles, making penetration with penis either difficult or impossible.

In these cases rest of the female factors are normal , like ovulation, menses and passage of female genital tract from cervix till fimbrial end of Fallopian Tube.

This condition presents a medical dilemma.

Treatment options may include Follicular/ Ovulation studies by trans-abdominal ultrasound which can be technically difficult as patient will not allow trans-vaginal route for sonography.

IVF ( In Vitro Fertilization )That is costly and ET ( Embryo Transfer ) - Under General Anesthesia -that again is costly and not without complications.

For these patients we got innovative and tried an Indian Jugaad - technique.

Husband was instructed that after ejaculation outside , the semen should be collected in a 1 ml sterile disposable syringe and sample should be deposited either at introitus or just at the entrance of vagina.
Every time a fresh syringe to be used to avoid infection.
They could also use smearing method in similar manner using fingers.

So far we have two reported cases of confirmed pregnancies.

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Row House F 44/32
First Floor
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai and Raigad can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-



www.mygynaecworld.com





Thursday, 17 January 2019

Real Women- Real experiences- 17.1.19

Real Women- Real experiences- 17.1.19

A 25 year old married woman, resident of sector 6, Kharghar , came to seek consultation for available  options for permanent sterilization methods.
She has one daughter of 3 years by normal vaginal delivery.
The age of husband also is not much, 29 years.
The reason for asking permanent family planning method- either bilateral tubal ligation ( for female ) or vasectomy ( for male ) was this- the woman was suffering from some temporary medical ailments from which the recovery is expected to be full.
The age of couple also is very young.
They were talking about sperm banking and embryo cryo-preservation should in case they want to have one more biological child.
This request clearly indicated that they require proper counseling .
No couple should opt for permanent family planning operation if they have further desire of expanding family.
As once these operations are done, reversal operations and resuming fertility, chances are very low and very costly procedures.
There are many effective methods available for spacing between children and planning your family.
A Gynecologist will guide you properly

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Row House F 44/32
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai and Raigad can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-



www.mygynaecworld.com

Tuesday, 15 January 2019

Real Women- Real Experiences- 16.1.19

Real Women- Real Experiences- 16.1.19


Citing a case of a 36 years old woman , resident of sector 11,Kharghar, Raigad  who , a couple of months ago, delivered her 5th child which is a boy by normal delivery after having 4 girl children .
Afterwards she underwent a Puerperal Tubal Ligation ( permanent family planning operation of female)
Both her delivery as well as PTL were uneventful.
She was discharged from hospital, fully mobile and in good health clinically .
After a couple of days, she complained of swelling in one of the legs.
Ultrasound and color doppler showed that a thrombus ( blood clot) is forming in the veins of the leg.
Clinically this condition is called - DVT- Deep Vein Thrombosis
Pregnancy is a hyper-coagulable state ( more tendency of forming clots )
It is body's natural defense against uterine bleeding which is a part of natural birthing process.
The patient was managed with the help of clot dissolving injections like Low Molecular Weight Heparin- LMWH- Enoxaparin- Clexane, followed by embolectomy ( removal of clot through telescope) in a higher center with ICU and CVTS ( Cardio Vascular Thoracic Surgery) facility.

Timely reporting of the complaint on patient's part and urgent actions taken by the medical team, prevented a catastrophe, which could have been amputation.

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Row House F 44/32
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com

Tuesday, 25 December 2018

Real Women -Real Experiences- 26.12.18

Real Women -Real Experiences- 26.12.18 

A woman aged 46 years, a resident of Kharghar, Navi Mumbai has been suffering from irregular heavy menstrual bleeding since 6-7 years. She has had two deliveries , both by Caesarean section. She underwent D & C a couple of times to manage her condition. She has been put on medicinal management for this time period for which she has responded inadequately.

She has been advised to undergo a hysterectomy as her condition is not controlled. And she has been refusing the decision for a couple of years now, making her management very difficult.

She also suffers from multiple other medical issues like hypertension and diabetes making her a high risk case surgically.

She required repeated counselling sessions to make her understand that she needs to undergo laparoscopic hysterectomy as soon as possible as the vaginal irregular bleeding was not controlled.
A couple of weeks ago she finally agreed for a hysterectomy.

The case proved to be a challenging one as  when we entered the peritoneal cavity , laparoscopically, we realized that there were a lot of adhesions between intestinal mesentry and uterus and adnexa.
The uterus per se also had increased to quite a massive size. The normal weight of the uterus is around 50-60 gm. The specimen that we took out weighed close to half a kilogram. It required a special laparoscopic instrument called morcellator to remove the specimen in bits and pieces taking almost 45 minutes of additional general anaesthesia time.

Very capable laparoscopic surgeon - Dr Santosh Jaybhaye  completed this surgery in 3.5 hours.

The uterus specimen had all the findings of having severe adenomyosis.

The beauty of laparoscopic surgery is that the post operative recovery is very smooth and quick. Patient can be mobile the next day and fully eating by day after. After completion of 72 hours of IV antibiotics, patient can be sent home.


By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com


Friday, 26 October 2018

Preinvasive/Pre-Cancerous Lesions of the Lower Genital Tract of Women

Preinvasive/Pre-Cancerous Lesions of the Lower Genital Tract of Women


Hello friends,                                                                                                                                                                                                                                                                           Dated- 26.10.18

As this topic 'Preinvasive/Pre-Cancerous Lesions of the Lower Genital Tract of Women' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series.

The introductory article will give you a glimpse about how will we go about it.

Let's start

-Pre-invasive lesions of the genital tract also is referred to as intraepithelial neoplasia which essentially means that the pathology or lesions are diagnosed by biopsy and histologic evaluation.

- These lesions include squamous epithelium or superficial surfaces of cervix, vagina, vulva, perineum and anus.

-In this series we will talk about the grading of these lesions and their terminology.

-In brief we will discuss pathology of external genitalia and vagina.

- However, we will discuss in detail the pathology involving cervix.

- I would like to mention that the formation and dynamics of cervix is such that squamo-columnar junction plays a big part in its pathology.

- This junction undergoes changes depending upon age, hormonal status and many other factors which we will discuss.

- Transformation zone which is the origin point of cervical cancer usually lies near to squamo-columnar junction. We will discuss relation between them.

-Human papilloma virus also known as HPV is the causative factor of cervical cancer.

-About HPV we will discuss its life cycle, types of virus, HPV transmission, outcome, natural history, diagnosis, treatment and prevention of HPV infection.

-While discussing cervical intraepithelial neoplasia we will talk about it incidence, natural history and risk factors.

-For its diagnosis cervical cytology also popularly known as Pap’s smear, HPV testing and colposcopy is used. We will discuss the guidelines and various procedures involved.

-Biopsy means microscopic evaluation of a piece of cervix. We will discuss its procedure.

-In management of cervical intraepithelial neoplasia, we will discuss ablative and excisional methods along with post treatment surveillance.

-For lesion involving vagina, vulva and anus we will discuss their pathophysiology, risk factors, diagnosis, treatment and prognosis.

-So, friends you do get an idea of what all things we will cover under this topic ‘Preinvasive/Precancerous Lesions of The Lower Genital Tract of Women’

-In next update of article of this series we will take one of the above listed topics and bring more clarity on that
-Keep a watch on this article itself as a dated update will arrive soon.

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com




Preinvasive/Precancerous Lesions of The Lower Genital Tract of Women

Thursday, 25 October 2018

Pelvic Mass in Women

                                                     
 Pelvic Mass in Women


Hello friends,                                                                                                                                                                                                                                                                                                                                                                                                                                                   Dated- 26.10.18

As this topic 'Pelvic Mass in Women' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series.

The introductory article will give you a glimpse about how will we go about it.Let's start

- Pelvic masses   are common finding.

- In this series we are going to talk about gynaecological reasons for these masses, their symptoms, evaluation and treatment.

- The pathology of pelvic masses differs with each age group namely- pre-pubertal girls, adolescents, reproductive aged women and post-menopausal women.

- We will have a discussion age group vies about concerned pathologies.

-  In discussion of uterine causes, we will discuss leiomyoma or commonly  known as fibroid.

We will discuss is pathology, hormone effects, risk factors, classification, symptoms, management options- which include drug therapy and many modalities of surgery like myomectomy and hysterectomy and their routes like hysteroscopy, laparoscopy and laparotomy.

- We will talk about adenomyosis- its pathogenesis, risk factors, symptoms, diagnosis and management.

- We are going to discuss about masses arising from ovary.

Ovarian mass is a vast group. Our discussion will be mainly on ovarian cystic masses and functional ovarian   cysts.

- In this, we will discuss its pathogenesis, risk factors, symptoms, diagnosis and management.

-In tubal pathology, we will have a discussion on hydrosalpinx.

-In next update of article of this series we will take one of the above listed topics and bring more clarity on that

-Keep a watch on this article itself as a dated update will arrive soon.

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com