Monday, 13 May 2019

Real Women-Real Experiences-14.5.19

Real Women-Real Experiences-14.5.19

Trans-vaginal Ultrasound for doing Antral Follicular Count-AFC

In women undergoing fertility treatment, a very important test is determining Antral Follicle count that is primordial follicles that get recruited on day 1 or 2 of start of menses.
These follicles have potential to increase in size and give rise to mature follicle with good quality ova in it.
The correct way to do this test is ultrasound by vaginal route.
As these follicles are very small 4-6 mm in size, Trans-abdominal route may not give us correct exposure.
As woman is still menstruating in this phase, we frequently come across mental resistance .
With the help of proper counselling and maintaining hygiene, we can make the woman comfortable.

To know more , log on to our website
www.mygynaecworld.com

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

List of our attachment hospitals-
-Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai

-Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai

-Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai

-Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai

-Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai

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,Ulwe


Sunday, 24 March 2019

SAATHI HAATH BADHANA HUMKO TB KO HAI HARANA -WORLD TB DAY 24.3.19- PART 2

SAATHI HAATH BADHANA HUMKO TB KO HAI HARANA -WORLD TB DAY 24.3.19- PART 2

DIRECTOR AND WRITER | DR. DEEPA KALA

https://www.youtube.com/watch?v=OtEQuZllfes




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

www.mygynaecworld.com

SAATHI HAATH BADHANA HUMKO TB KO HAI HARANA -WORLD TB DAY 24.3.19- PART 1

SAATHI HAATH BADHANA HUMKO TB KO HAI HARANA -WORLD TB DAY 24.3.19- PART -1

DIRECTOR AND WRITER | DR. DEEPA KALA

https://www.youtube.com/watch?v=qJlBRpHmoTM



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

www.mygynaecworld.com

Thursday, 14 March 2019

EMERGENCY CONTRACEPTIVE PILL- Do’s & Don’ts


EMERGENCY CONTRACEPTIVE PILL- Do’s & Don’ts
 WHATEVER THERE IS TO KNOW ABOUT IT

https://m.facebook.com/story.php?story_fbid=403179473596022&id=132666296798091
( This Facebook video contains live chat about all these questions and answers )

      
                                

Que1) What is Emergency Contraceptive Pill and what does it do?
Ans) Emergency Contraceptive Pill is supposed to prevent unintended pregnancy after unprotected intercourse or contraceptive failure.

Que2 ) How does Emergency Contraceptive Pill work ?
Ans) First- you should know the very basic of how a woman gets pregnant
-Every month, for a woman the menstrual period will last for 3-5 days
-Afterwards comes stage of folliculogenesis i.e. maturation of ova or egg till day 14-15
- Around middle of cycle there is release of ova from follicle of ovary.
-Meeting of ova and sperm happens in Fallopian tube with starting of life I.e. formation of embryo.
-Embryo travels through the Fallopian tube, comes to the uterine cavity, & gets attached to the endometrium i.e. the lining of the uterus known as implantation and life starts.
            
                              
Now- we will discuss, how Emergency Contraceptive Pill works-
- Emergency Contraceptive Pill will stop the egg from being released from the ovary (prevention of ovulation)
-If ovulation has already happened it will prevent sperm from attaching to the ova.
- It makes endometrium unsuitable for implantation.
What it can not do-
-If pregnancy is already established in the uterus i.e. implantation has happened, Emergency Contraceptive Pill cannot prevent it from growing neither can cause menses to come.
IMPORTANT MESSAGE- EMERGENCY CONTRACEPTIVE PILL IS NOT AN ABORTION PILL
-This notion that it will remove pregnancy is the most important reason for “perceived” failure of Emergency Contraceptive Pill

 Que3) What are the circumstances in which Emergency Contraceptive Pill can be used?
                       
                       
Ans) Please note that Emergency Contraceptive Pill should be used as ‘BACK UP METHOD OF BIRTH CONTROL’ and ‘NOT A SUBSTITUTE OF REGULAR BIRTH CONTROL METHOD’
It can be used under following circumstances-
1)Male contraceptive failure- e. g. leakage/ tear / improper use of condom
2)Female forgot to take daily dose of regular oral contraceptive pill
3)Spontaneous / unnoticed expulsion of IUCD- Intra Uterine Contraceptive Device (Copper-T)
4) Unprotected sex- couple did not use any method to protect themselves
5) Forced sex – e.g. Rape

Que4) Is Emergency Contraceptive Pill safe to use?
Ans) Emergency Contraceptive Pill has approval from proper authorities, if taken for approved indications.

Que5) How effective is Emergency Contraceptive Pill?
                 

Ans) The effectiveness of Emergency Contraceptive Pill is
-          95 % when taken within 12 hours
-          85 % when taken within 25-48 hours
-          58 % when taken within 49-72 hours

Que6) What are the side effects of Emergency Contraceptive Pill?
Ans) Common side effects are
1)      Nausea, vomiting, headache
2)      Lower abdominal pain and breast tenderness
3)      Unexpected vaginal bleeding- this one is the most common side effect that brings woman to the OPD. It is expected to settle down by next menstrual cycle but at times requires medicinal support to control bleeding like- Antifibrinolytics, high doses of hormone – progesterone and Ormeloxifene.
WORD OF CAUTION- It is seen that many couples will use Emergency Contraceptive Pill, repeatedly, indiscriminately & without consulting Gynecologist or family doctor. These women may face severe side effects like intractable (Unstoppable) vaginal bleeding which proves very difficult to manage & control & is quite debilitating for the woman’s health.

Que7) If despite taking Emergency Contraceptive Pill - woman misses her menses, how can we know whether she is pregnant or not?
Ans) If woman misses her periods after taking Emergency Contraceptive Pill, she should do urine pregnancy test & Beta HCG test in blood to check if she has become pregnant.
Decision to continue with pregnancy or terminate can be taken after discussion with the Gynecologist.

Que8) if more than 72 hours have passed since unprotected sex, will Emergency Contraceptive Pill still work?
        
                                     
Ans) Emergency Contraceptive Pill is designed to work within certain time frame. If this is exceeded, you should consult your Gynecologist and consider option options.

Que9) Can Emergency Contraceptive Pill be used as regular birth control pill?
Ans) No woman should replace her regular birth control pill or OC Pill with Emergency Contraceptive Pill. Think about the irregular bleeding that happens after taking it. Also, protection rate is not 100 %. Regular birth control pills when taken as prescribed, on one hand provide 100 % protection & on top of that give extra benefit of regularization of cycles.

Que10) How often Emergency Contraceptive Pill can be used?
Ans) As the name suggests, it is for emergency only and THAT should arise only once in a while.
Couples should take care of themselves by using one of regular methods of contraception.

Que11) What are the points I should clearly understand before I take Emergency Contraceptive Pill?
Ans) Following points you should remember
1)      Emergency Contraceptive Pill will not work for you if you are already pregnant
2)      It should not be used as regular birth control method owing to its too many side effects & higher failure rates.
3)      It doesn’t protect against HIV/ AIDS or any other STD (Sexually Transmitted Disease)

Que12) How is Emergency Contraceptive Pill different from abortion pill?
Ans) Both of them work in diametrically opposite way. Emergency Contraceptive Pill is designed so that it prevents the starting of pregnancy.
Whereas if pregnancy has already occurred then only abortion pills will work on it and aid in removing it.

Que13) Will Emergency Contraceptive Pill still be effective if several acts of unprotected intercourse have happened in a short duration of time?
Ans) We have already discussed the time span & effectiveness of EC. For several acts to happen, time span will naturally increase & hence the effectiveness will go down. Anyway, by indulging in several acts the very basic fundamental concept of ‘Emergency’ is forfeited. It can be used but with clear understanding & after consultation with a Gynecologist.

Que14) Can Emergency Contraceptive Pill be used during breast feeding period?
Ans) Emergency Contraceptive Pill does not have any significant milk decreasing effect. It can be used. However, again use of regular contraceptive method is advised.

Que15) Do I require a check up by doctor before taking Emergency Contraceptive Pill?
Ans) A normal healthy female can take EC on her own. However, it is always better to check with your Gynecologist as soon as & whenever possible.

STAY SAFE, STAY PROTECTED

To know more log on to my website-


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

List of our attachment hospitals-
-Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai

-Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai

-Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai

-Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai

-Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai

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































































Saturday, 23 February 2019

A Genuine Question- Will I Become Diabetic If I Receive Blood Donation From A Diabetic Patient

A Genuine Question- Will I Become Diabetic If I Receive Blood Donation From A Diabetic Patient

Answer

The recipient will not become Diabetic, however there are certain WHO -( World Health Organisation ) guidelines that need to be followed before a Diabetic patient is accepted as a blood donor. They are as follows

Link- https://www.who.int/bloodsafety/publications/guide_selection_assessing_suitability.pdf?ua=1

5.5.1 Diabetes mellitus

Consideration should be given to the donor’s general state of health and ability
to tolerate a blood donation, as well as the possibility of intercurrent infection
that may affect the safety of the blood.

There are no reports suggesting increased adverse donor reactions in diabetic
donors.
A systematic literature review found no studies investigating diabetes
as a possible risk factor for adverse reactions in voluntary blood donors; two
studies on pre-operative autologous donation and three experimental studies
found that blood donation was well tolerated (73).

Individuals with diabetes who require insulin should be permanently deferred from
blood donation (70) because of concerns regarding diabetes-related complications
and an increased risk of hepatitis and other infections if safe injection practices
cannot be assured.

Recommendations
Accept
 Individuals with diabetes mellitus well-controlled by diet or oral hypoglycaemic
medication, provided they have no history of orthostatic hypotension and no
evidence of infection, neuropathy or vascular disease, in particular peripheral
ulceration
Defer permanently
 Individuals with:
— Diabetes who require insulin
— Complications of diabetes with multi-organ involvement

To know more log on to my website-


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

List of our attachment hospitals-
-Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai

-Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai

-Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai

-Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai

-Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai

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






Thursday, 21 February 2019

Real Women- Real Experiences- 22.2.19-Tuberculous Lymphadenitis in Second Trimester of Pregnancy

Real Women- Real Experiences- 22.2.19-Tuberculous Lymphadenitis in Second Trimester of Pregnancy

A 32 year old married women, G-3, P-2, L-2 ( Third time pregnant- Gravida 3, Two pregnancies reaching term- Para 2, and Two living issues Living 2 ) a resident of Khanda colony, New Pnavel, has been consulting for her pregnancy from very start .

Her previous both the deliveries are with Caesarean section. 

Around 14 weeks of Gestation/ pregnancy she complained of loss of weight of 3 kg in past one month.

Her previous history has shown that she recovered from Tuberculosis of Lymph nodes of Axillary region after taking full course of AKT ( Anti Koch's Treatment) in the past and that was some 8-9 years back.

On examination a boggy mass was noted in the neck region.

Upon sonography it revealed a cystic lesion . A FNAC ( Fine Needle Aspiration Cytology ) was performed and material sent for:-

1)Histopathology- The report came as Tuberculous Lymphadenitis

2)Culture and Sensitivity test- the report of which takes around 4-6 weeks and is awaited

3)Gene Expert- which tests sensitivity of bacteria for drug Rifmpicin- which came negative.

She has been started on AKT and is showing improvement.

The discussion here is on early diagnosis, proper investigations and correct choice of drugs in case of Recurrence of Tuberculosis to get optimum response and patient's well being


To know more log on to my website-

www.mygynaecworld.com

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

List of our attachment hospitals-
-Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai

-Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai

-Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai

-Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai

-Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai

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






Friday, 15 February 2019

Mission Of Life- Every Mother With True Healing- 16.2.19- Dr Neelkanthan & Dr Himani Gupta



Mission Of Life- Every Mother With True Healing- 16.2.19 
Dr Neelkanthan & Dr Himani Gupta








To know more log on to my website-

www.mygynaecworld.com

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  +91-9323561384
      +91-7506027299
      +91- 9820193283 
Email-mygynaecworld@gmail.com

List of our attachment hospitals-
-Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai

-Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai

-Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai

-Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai

-Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai

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








Friday, 8 February 2019

Real Women- Real Experiences- 9.2.19-Small Ovarian Dermoid Cyst- Posing Treatment Dilemma

Real Women- Real Experiences- 9.2.19-Small Ovarian Dermoid Cyst- Posing Treatment Dilemma

A 32 year old woman resident of Seawoods, Navi Mumbai, has been coming to OPD as she is desirous of second child. She has a 7 year old girl by normal delivery.

As part of fertility investigations, a sonography of pelvis was done.

A small echogenic ovarian mass of around 1.5x1.2x1.1 cm has been showing in the sonography.
A query diagnosis of Dermoid cyst has been kept by the radiologist.

The fact about Dermoid Cyst of ovary is, that they will keep on increasing in size. They contain totipotent cells and are capable of producing any kind of tissue-Epidermal,Mesodermal,Endodermal.
Most importantly, as they grow, they destroy the surrounding ovarian stroma.

Dermoid Cysts, need to be removed as soon as they are diagnosed, especially in a female who desires a pregnancy and ovarian function is important for her.

After proper pre- operative work up, she was taken in for Laparoscopy.

When we entered the abdominal cavity and examined the said ovary, it was looking, normal, with no obvious mass seen from outside .

We decided to make a nick and explore the ovarian stroma. Upon doing that, a small ovarian cyst , well encapsulated was found and removed.

We took it out, and on cutting it open- cheesy material- classical sign of Ovarian Dermoid Cyst came out.

The cyst was sent for histopathology.

Had it not been for the bold decision of exploring , an innocuous looking ovary would have kept on harboring the lesion which would have been detrimental for the patient , later on.

To know more log on to my website  www.mygynaecworld.com

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  +91-9323561384
      +91-7506027299
      +91- 9820193283 
Email-mygynaecworld@gmail.com

List of our attachment hospitals-
-Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai

-Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai

-Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai

-Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai

-Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai

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


Real Women- Real Experiences- 8.2.19-DUB Leading to Severe Anemia

Real Women- Real Experiences- 8.2.19-DUB Leading to Severe Anemia

A 45 year old female , resident of sector 15, Kharghar, Navi Mumbai, presented with complaints of irregular heavy and prolonged menstruation ( Meno-Metrorrhagia) for 1 year duration.

The woman did not seek medical advice as she thought that it might be sign of approaching menopause.

Though her family members along with husband have been worried, they could not convince her.
At some point she started having buzzing sound in head.

Finally she consulted, and sonography of pelvis, showed, multiple fibroids in uterus, adenomyosis and thickened endometrium. 

What was alarming was her blood tests.Her hemoglobin dropping to 5 gm %.

As this anemia has developed chronically, her body has been compensating, but for how long? No-one can answer that.

Antifibrinolytics, progesterone hormones, Ormiloxefene, all were started to control bleeding, to which she responded.

Parenteral IV ( Intra Venous ) injections of Iron-Sucrose complex were started, which she tolerated well and responded within 24 hours with improvement in subjective symptoms.

Surgical treatment like, D&C and subsequent Laparoscopic Hysterectomy will be offered as definite treatment to her once her general condition improves.

To know more log on to my website-



www.mygynaecworld.com

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  +91-9323561384
      +91-7506027299
      +91- 9820193283 
Email-mygynaecworld@gmail.com

List of our attachment hospitals-
-Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai

-Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai

-Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai

-Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai

-Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai

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

Wednesday, 6 February 2019

Real Women- Real Experiences- 7.2.19- Honeymoon Cystitis

Real Women- Real Experiences- 7.2.19- Honeymoon Cystitis

Hello friends,

Yes, such an entity , really exists.

In a newly married couple, just after onset of sexual intercourse, many a times , the woman will complain of increased frequency of urination along with burning sensation, pain in lower abdomen and at times, white discharge.

The diagnosis is simple- UTI- i.e. Urinary Tract Infection.

Treatment requires a dose of antibiotics, urine alkalyser syrup, anti-spasmodics and antacids.

In a couple of days , the woman will be alright.

To know more log on to my website-


www.mygynaecworld.com

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  +91-9323561384
      +91-7506027299
      +91- 9820193283 
Email-mygynaecworld@gmail.com

List of our attachment hospitals-
-Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai

-Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai

-Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai

-Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai

-Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai

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

Tuesday, 5 February 2019

Early Cancerous Changes in Lower Genital Tract of Women- Update-6.2.19-Cell level changes


Early Cancerous Changes in Lower Genital Tract of Women- Update-6.2.19-Cell Level Changes

Hello friends,

As promised, we will continue our discussion on Preinvasive Lesions/Precancerous of The Lower Genital Tract of Women’.

-These lesions are a spectrum ranging from mildly cytoplasmic & nuclear (cell level) changes to severe dysplasia (severe derangement).

-There is no invasion (penetration) through basement membrane which would then characterize as invasive cancer.

-Grading ( categorisation ) is done by measuring proportion of epithelium ( lining ) affected from basement membrane upwards.

- If it is affecting lower 1/3 rd, it is grade 1 or mild dysplasia.

-Involvement up to middle third is grade 2 or moderate dysplasia.

- Extension in to upper third is grade 3 or severe dysplasia.

- Full thickness involvement is known as carcinoma in situ.

- So, friends, in next update of this series will discuss in detail about some other aspect of this topic.

To know more log on to my website-


www.mygynaecworld.com

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  +91-9323561384
      +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






Monday, 4 February 2019

Pelvic Mass in Women- Update-5.2.19,Causes in Prepubertal Girls,Benign & Malignant

Pelvic Mass in Women- Update-5.2.19,Causes in Prepubertal Girls,Benign & Malignant


Hello friends,

As promised, we will continue our discussion on Pelvic Mass and will discuss causes in pre-pubertal girls.

-The main reasons are functional cysts and benign i.e. non-cancerous lesions like germ cell tumors and mature cystic teratomas which are commonly known as Dermoid Cyst.

-  Cancerous or malignant tumors of ovary are very rare and account for only 1 percent.

-Causes for adolescent girls are pretty much same as pre-pubertal girls and in addition include Endometriosis and sequalae of pelvic inflammatory disease.

- In these age groups the diagnosis is a challenge as these masses present with non-specific signs and symptoms.

- Laparoscopic ovarian cystectomy is the preferred surgery if at all it Is required.

- So, friends, in next update of this series will discuss in detail about some other aspect of this topic.



To know more log on to my website-


www.mygynaecworld.com

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  +91-9323561384
      +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

Sunday, 3 February 2019

Changes During Menopause -Update-4.2.19-Hormonal Changes

Changes During Menopause -Update-4.2.19-Hormonal Changes

Hello friends,

As promised, we will continue our discussion on Changes During Menopause.

-Today we will discuss hormonal changes.

-During this time period the levels of FSH - ie Follicular Stimulating Hormone and LH ie Luteinizing Hormone increase and levels of hormones, Estrogen and Progesterone decrease.

-Impaired folliculogenesis & anovulation happens in ovaries.

-The existing follicles in the ovaries undergo accelerated rate of loss until eventually the supply of follicles is depleted.

-AMH ie Anti Mullerian Hormone is secreted by Granulosa cells of pre-antral ovarian follicles.

-Falling levels of AMH and rising levels of FSH are taken as marker of ovarian reserve during Menopausal transition.

- So friends , in next update of this series we will discuss in detail about some other aspect of this topic.


To know more log on to my website-


www.mygynaecworld.com

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  +91-9323561384
      +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





Techniques Used for Imaging in Gynecology-Update-4.2.19.Routes of Sonography-Trans-abdominal & Trans-vaginal

Techniques Used for Imaging in Gynecology-Update-4.2.19.Routes of Sonography-Trans-abdominal & Trans-vaginal


Hello friends,


Trans-abdominal route of sonography provides global identification of all pelvic organs and their relationship to one another. A full bladder is usually necessary as it provides acoustic window, pushes the uterus upwards from behind the symphysis pubis and makes it more visible.

In Trans-vaginal sonography, the transducer is positioned in the vaginal fornices hence it is closer to the region of examination. Measuring endometrial thickness is easier this way. Urinary bladder is kept empty for the scan.

- So, friends, in next update of this series will discuss in detail about some other aspect of this topic.


To know more log on to our website-


www.mygynaecworld.com

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  +91-9323561384
      +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





Gestational Trophoblastic Disease-a Strangely Abnormal Pregnancy,Update-4.2.19,Cancerous subset-GTN

Gestational Trophoblastic Disease-a Strangely Abnormal Pregnancy,Update-4.2.19,Cancerous subset-GTN




As promised, we will continue our discussion and talk about Gestational Trophoblastic Neoplasia or GTN which is the malignant or cancerous subset of spectrum of Gestational Trophoblastic Diseases or GTD.

-GTN responds to chemotherapy and are routinely cured even in the presence of widespread metastases.

-In GTN, the chances for preservation of fertility and subsequent successful pregnancy are also good.

-Most commonly GTN develops from Molar pregnancy but may follow any kind of pregnancy.


To know more log on to our website-



www.mygynaecworld.com

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  +91-9323561384
      +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




Saturday, 2 February 2019

Medical Investigations of Couple Seeking Fertility-Update-3.2.19-What is sub-fertility & when to investigate

Medical Investigations of Couple Seeking Fertility-Update-3.2.19-What is sub-fertility & when to investigate



Hello friends,

As promised, we will continue our discussion on evaluation of couple seeking fertility.

-Today we will seek deeper understanding of what is infertility and population dynamics.

-It is said that most couples are said to be subfertile as they will ultimately conceive if given enough time.

-The decision to start investigations in the couple depend on many factors like age of woman, for how long they have been married, ovulation status and so on.

- Generally, investigations are started if couple has failed to conceive in one year.

-Fecundability, which by definition is ability of woman to conceive, is highly age related and declines with advancing age.

-Women in age group 35-40 years will require more frequent evaluation than younger woman.


- So, friends, in next update of this series will discuss in detail about some other aspect of this topic.

To know more log on to my website-


www.mygynaecworld.com

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  +91-9323561384
      +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






Endometriosis-a Medical Dilemma in Women-Update-3.2.19-How it happens & spreads

Endometriosis-a Medical Dilemma in Women-Update-3.2.19-How it happens & spreads


Hello friends,

-As promised, we are back with more discussion on Endometriosis.

-Today, we will discuss several theories that propose cause of endometriosis.

-Retrograde menstruation theory states that here is back flow of menstrual blood through Fallopian tubes into peritoneal cavity. These endometrial fragments get implanted there,survive,grow and give rise to endometrial lesions.

-Endometriosis also spreads through vascular or lymphatic channels to unusual locations like groin, perineum and retro-peritoneum.

-There is another theory of coelomic metaplasia which proposes that the lining of abdomen known as peritoneum is capable of turning into endometriotic lesions.

- So, friends, in next update of this series, we will discuss some more aspect of Endometriosis.

-Keep a watch on this space as next update will arrive soon


To know more log on to our website-

www.mygynaecworld.com

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  +91-9323561384
      +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

Ectopic Pregnancy-a Devastating Outcome of Pregnancy,Update-2.2.19,Why it happens

Ectopic Pregnancy-a Devastating Outcome of Pregnancy,Update-2.2.19 Why it happens


Hello friends,

-As promised, we are back with more discussion on Ectopic pregnancy.

-Today, we will discuss various risk factors which are responsible for increased incidence of ectopic pregnancies.

-More people are suffering from sexually transmitted diseases which may lead to damage of the Fallopian tubes.

- This on one hand can cause infertility and on other hand ectopic pregnancy.

-If a surgery is done on Fallopian tube, either to correct its pathology or to reverse permanent family planning operation, it will leave the tube more prone for developing ectopic pregnancy.

- Women who become pregnant in later years of life or who require assisted reproductive techniques like IUI or IVF etc are at increased risk of developing ectopic pregnancy.

-Family planning methods like copper-T and permanent operation of female, when they fail, they lead to increased risk of ectopic pregnancy.

- So, friends, in next update of this series, we will discuss some more aspect of Ectopic Pregnancy.

-Keep a watch on this space as next update will arrive soon


To know more log on to our website-

www.mygynaecworld.com

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  +91-9323561384
      +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