Thursday, 31 January 2019

Real Women-Real Experiences-1.2.19-One with Puerperal Fever

Real Women-Real Experiences-1.2.19-One with Puerperal Fever

-A 32 year old woman, resident of sector -15 Kharghar, Navi Mumbai,G2, P1, L1 underwent emergency Caesarean delivery with bilateral tubal ligation as permanent family method, a few weeks ago.
-On post operative Day -2 she developed moderate grade fever. Routine investigations like CBC, PS for MP- Malarial Parasite, Urine routine , Dengue NS1, blood culture and urine culture were sent.
-A simple thing like increased pus cells in urine were detected.
-A change of IV antibiotics settled the patient in a couple of days.
-Puerperal fever- i.e. fever happening to the woman who has just delivered is cause of concern as it can be because of  Septicemia, DVT-Deep Vein Thrombosis, Breast engorgement , Endometritis and so many other reasons.
-Vigilance and timely treatment will make a difference.

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





Wednesday, 30 January 2019

Real Women-Real Experiences-31.1.19- One with Sub-Fertility

Real Women-Real Experiences-31.1.19- One with Sub-Fertility

A 39 year old woman , resident of sector 35- Kharghar, Navi Mumbai came for consultation. She has one living male child by normal delivery who is now 8 years old. She is desirous of second pregnancy since last more than 1 year.
All the standard primary investigations of infertility including follicular study, USG pelvis, Husband's semen analysis have been normal.
A few basic treatment cycles were done for her including ovulation induction with Clomiphene Citrate and timed intercourse.
When she failed to conceive, the couple decided to stop all treatment and get on with life.
This happened 4 months back.
Just a couple of days ago she missed her menses and her urine pregnancy test is positive and she is on cloud 9

We have always maintained that many a couples seeking fertility treatment are actually subfertile. Given enough time to try on their own, they will eventually come with pregnancy achieved.
And subsequently due care can be provided to them.

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


Saturday, 26 January 2019

Preinvasive/Precancerous Lesions of The Lower Genital Tract of Women ( V...

Pelvic Mass in Women ( Video series- Epi-2)

Menopausal Transition ( Video Series- Epi-2)

Techniques Used for Imaging In Gynaecology- Video Series-Epi-2

Gestational Trophoblastic Disease ( Video Series-Epi-2)

Evaluation of Couple Seeking Fertility ( Video Series- Epi-2)

Endometriosis ( Video series- Epi-2)

Ectopic Pregnancy ( Video Series-Epi-2)

Cervical Cancer (Video Series- Epi -2 )

Abnormal Uterine Bleeding in Women (Series- Epi-2))

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