Sunday, 9 September 2018

Menopausal Transition ( Video Series- Epi-1)

Menopausal Transition

                                         
                                                   Menopausal Transition

Hello friends,                                                                                                                                                                                                                                                                     Dated- 10.9.18

As this topic 'Menopausal Transition' 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

-The   menopausal transition is a progressive endocrinological continuum that takes reproductive aged women from regular cyclic and predictable menses that are characteristic of ovulatory cycles to a final menstrual period associated with ovarian senescence.

-The term menopause refers to a point in time that follows one year after the   cessation of menstruation.

- The post menopause describes those years following this point. The average age of women experiencing their final menstrual period is 51-52 years.

-  The hormonal changes begin to happen a few years earlier to cessation of menses and extend to one year after that. These years are referred to as menopausal transition.

- We will discuss the changes that happen during this period that will include: - 

- Physiological changes- under this head we will discuss hormonal changes that occur in hypothalamus, pituitary, ovary and adrenal glands. 

- Endometrium is the lining of the uterus, that sheds with menses.  We will discuss menstrual disturbance patterns and fertility potential during menopausal transition

-The woman experiences thermoregulatory changes or vasomotor symptoms   such as hot flushes. We will discuss what causes it and its treatment part.

- Female hormones - Especially estrogen is very essential for maintaining strength of bones. When estrogen levels fall with menopause, skeletal disorders like osteopenia and osteoporosis may set in.

-We will discuss pathophysiology, diagnosis, prevention and treatment of these disorders.

- Menopausal transition and hormonal changes associated with it for changes in other systems too like, cardiovascular system, weight gain and fat distribution, skin changes, breasts changes, sleep disorder, psychosocial changes and sexual dysfunction.

-Along with this we will also discuss physical examination and lab testing for these disorders.

-So, friends you do get an idea of what all things we will cover under this topic ‘Menopausal Transition’

-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


Saturday, 8 September 2018

Gestational Trophoblastic Disease ( Video Series-Epi-1)

Gestational Trophoblastic Disease

Gestational Trophoblastic Disease


Hello friends,                                                                                                                                                                                                                                                                           Dated- 8.9.18

As this topic 'Gestational Trophoblastic Disease' 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

-Gestational trophoblastic disease or GTD refers to a spectrum of interrelated but histologically distinct tumors originating from the placenta.

- These diseases are characterized by a reliable tumors marker beta HCG   and have varying tendencies towards local invasion and spread.

-Gestational trophoblastic neoplasia or GTN refers to the subset that develops malignant and cancerous sequelae.

-We will discuss incidence and risk factors of GTD.

- Hydatidiform mole or molar pregnancy is the subset which is benign or non- cancerous in nature.

-It is divided into two complete and partial hydatidiform mole. In this discussion we will see karyotype pattern, microscopic and macroscopic findings and clinical findings.

- Diagnosis of  mole is usually done by beta HCG estimation, trans- vaginal sonography and histopathology.

- Management requires suction evacuation of molar pregnancy and post molar surveillance by serial beta HCG level estimation. We will have a discussion on that.

-Gestational trophoblastic neoplasia include 

-Invasive mole 

-Gestational  choriocarcinoma 

-Placenta like trophoblastic tumor and 

-Epithelioid trophoblastic tumor

We will discuss criteria for diagnosis of GTN and their individual features.

- Most GTN cases are clinically diagnosed based on beta HCG levels.Tissue histology is also used.

-After diagnosis patients with GTN undergo thorough pre-treatment assessment including CT scan.

-Staging is done as per Gynaec society and WHO guidelines.

-This disease is divided into non-metastatic and metastatic disease.

- Treatment of GTN is either surgical or with chemotherapy.

-We will also discuss psychological consequences and subsequent pregnancy outcome of this disease.

-So, friends you do get an idea of what all things we will cover under this topic ‘Gestational Trophoblastic Disease’

-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

Wednesday, 5 September 2018

Evaluation of Couple Seeking Fertility ( Video Series- Epi-1)

Evaluation of Couple Seeking Fertility

Evaluation of Couple Seeking Fertility


Hello friends,                                                                                                                                                                                                                                                                          Dated- 6.9.18

As this topic 'Evaluation of Couple Seeking Fertility' 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

-Infertility is defined as the inability to conceive after 1 year of unprotected intercourse of reasonable frequency.

- it can be subdivided into primary infertility, that is no prior pregnancies and secondary infertility referring to infertility following at least one prior conception.

- We will look into the definition of fecundability and population studies and its relation to age.

-We will discuss when should we consider investigations in a couple.

- We will have a discussion on etiology

- that is causative factors, both male and female leading to infertility.

- Medical History taking of both partners will be discussed that will include medical, surgical, medication and social aspects.

-Importance of physical examination will be explained.

-There are certain tests which determine specific causes of infertility like- 

- Ovulation studies 

-Tubal and pelvic factors 

-Uterine abnormalities and 

-Cervical factors 

We will have a discussion on these factors

-We will have a separate discussion on normal and abnormal production of sperms and its evaluation.

-So, friends you do get an idea of what all things we will cover under this topic ‘Evaluation of Couple Seeking Fertility’

-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

Tuesday, 4 September 2018

Endometriosis


Endometriosis

Hello friends,                                                                                                                                                                                                                                                                           Dated- 5.9.18

As this topic 'Endometriosis' 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

-Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location.

- The word endometrium means- inner lining of the uterus which gets shed every month during menstruation.

- Endometriosis gives rise to variety of symptoms in women of chiefly reproductive age group.

- In simple language we will explain the causes of endometriosis, its hormone dependence and role of the immune system.

- We will discuss   risk factors of endometriosis.

- We will discuss its classification system and anatomic sites where it is present.

- Patient may present with pain of various origins, infertility of various degrees and in advanced cases- intestinal and ureteral obstruction.

- In diagnosis of endometriosis, we will discuss physical examination, lab testing, role of sonography, CT scan, MRI, importance of diagnostic laparoscopy and histopathologic analysis.

- Treatment of endometriosis depends on many factors like severity of symptoms, location of endometriotic lesions and desire to conserve future fertility.

- Medical management of endometriosis requires giving non-steroidal anti-inflammatory drugs, hormones, GnRH agonists and GnRH antagonists.

- The route of surgical treatment can be either laparoscopy or laparotomy. it can include lesion removal and adhesiolysis, endometrioma resection and hysterectomy with bilateral salpingo-oophorectomy-

So, friends you do get an idea of what all things we will cover under this topic ‘Endometriosis’.


-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






Endometriosis ( Video series- Epi-1)

Monday, 3 September 2018

Ectopic Pregnancy

                                                 

                                                 Ectopic Pregnancy


Hello friends,                                                                                                                                                                                                                                                                           Dated- 4.9.18

As this topic 'Ectopic Pregnancy' 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

-An ectopic or extra uterine pregnancy is one in which the blastocyst implants anywhere other than the endometrial lining of the uterine cavity.

-We will discuss the factors that will help in explaining the increased incidence of ectopic pregnancy.

-There are consequences of ectopic pregnancy like tubal rupture and tubal damage which are associated with maternal morbidity and in rare cases with mortality too. We will have a discussion on that.

-We will discuss clinical symptoms and signs of ectopic pregnancy.

-Certain blood tests and sonography or ultrasound aid in arriving at a diagnosis. We will have discussion on these findings.

-Ectopic pregnancy can be managed either medically or surgically.

-There are certain criteria to be met during medical management, we will discuss that.

-Surgical treatment is either by laparotomy or laparoscopy.

-Surgery done is either salpingectomy or salpingostomy.

-So, friends you do get an idea of what all things we will cover under this topic ‘Ectopic Pregnancy’



-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

Ectopic Pregnancy ( Video Series-Epi-1)

Sunday, 2 September 2018

Abnormal Uterine Bleeding in Women

Hello friends,                                                                                                                                                                                                                                                                           Dated- 2.9.18
As this topic  'Abnormal Uterine Bleeding 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
We will first discuss the definitions and the terms used to describe abnormal uterine bleeding like menorrhagia, metrorrhagia and oligomenorrhea.
- We will discuss normal cycle duration and interval.
-Incidence of abnormal uterine bleeding and most common reasons that are there in childhood, adolescence, reproductive age, perimenopause and menopause age group will be discussed.
- We will also talk about other symptoms of AUB like post coital bleeding and pelvic pain.
- Diagnosis is done by physical examination of patient, lab investigations include blood tests and cytologic examination.
- Endometrial biopsy, sonography, colour doppler and hysteroscopy are also done to arrive at diagnosis.
-Management options depend on cause of the problem, like surgical treatment in cases of endometrial and endocervical   polyp.
- Hormone releasing intra uterine devices and oral tablets which can be hormonal or non-hormonal are used.
-Other medicines like antifibrinolytic drugs, haemostatic agents and iron therapy are also used 
-So friends you do get an idea of what all things we will cover under this topic ‘Abnormal Uterine Bleeding in Women’ or AUB
-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