Hysteroscopy: Diagnosis and Cure Concurrently

Many times a woman has to suffer through terrible abdomen throbbing. The root of this pain might be from her uterus, fallopian tubes or other related parts. Diagnostic hysteroscopy is considered as one of the best method to detect the problems of uterus. Further it is also used to confirm the results of other tests like X-ray dye test. Such diagnostic tests can be performed many times in an office setting. Hysteroscopy is defined as a scrutiny of the uterine cavity by endoscopy with admittance through the cervix. It permits the diagnosis of intrauterine pathology and serves as a technique for surgical intervention.

Hysteroscopy equipment is an endoscope that carries optical and light channels. It is placed in a cover which offers an inflow and outflow channel for the inspection of the uterine cavity. A doctor inserts the endoscope through the incision made below the naval of a patient. The instrument projects a clear image of outside wall of uterus. In addition to this, an operative outlet may be inserted to introduce graspers, scissors or biopsy instruments. There is another type of hysteroscopy called operative hysteroscopy. It is used to correct an unusual condition which has been found during the diagnostic hysteroscopy. Hysteroscopy has become a very popular terminology due to its prominent features in the contemporary gynaecology science.

When operative hysteroscopy is applied?

  

a) Removal of non-cancerous growths found in the uterus
b) Elimination of adhesions- Adhesions are bands of wound tissues that can outline in the uterus and lead to changes in menstrual flow as well as infertility.
c) Abnormal bleeding-Hysteroscopy can help to identify the cause of heavy
d) Septum- Hysteroscopy helps to identify whether you have a uterine septum, a deformity that is present from birth

Benefits:

1) No separate surgery is required. If a defect is identified then it is treated at that instant only

2) Less pain resulting in less medication after surgery

3) Hospital stay time is shorter

4) Convalescence period is less

5) Probable dodging of open surgery

Risk associated:

Hysteroscopy is comparatively a safer procedure. Nevertheless, like other type of surgery, complications may take place in it too. Complications may occur in less than one percent, which include:

• Infection
• Heavy bleeding
• Injury to uterus, cervix, bladder
• Issues related with anaesthesia
• Scar inside the uterine

Suggestion: The Top Gynaecologists in Gurgaon, Gynaecology Group Gurgaon suggest scheduling the hysteroscopy for the first week after the menstrual period of the patient. Such timing allows doctors to have the optimum view inside the uterus. This helps the doctor team to fix the issues correctly and their treatment accordingly.

Type of anaesthesia:

Anaesthesia for hysteroscopy might be local, regional or general

1. Local anaesthesia- Only a part of body is numbed for a short interval
2. Regional anaesthesia- A large portion of body is numbed for a few hours
3. General anaesthesia- The entire body is numbed during surgery

The category of anaesthesia is performed on the basis of the location for the hysteroscopy and whether other procedures have to take place simultaneously. 

Dr. Ragini Agrawal - Director of Medical Services W - Hospital by Pratiksha

Gynecology: an insight about its Real Aspect

Common people often comprehend that the term gynecology is confined only to the delivery of a baby. However this is a partial truth. Gynecology is a very broad spectrum, which includes the medical practice handling the health of the female reproductive systems (uterus, ovaries and vagina) and the breasts. The head of the best gynecology Doctor in Gurgaon, Gurgaon Gynecology Group Doctor Ragini Agarwal states that literally gynecology means ‘Science of woman’ beyond medical language. It involves a complete care of a woman.  Normally a woman seeks to take the help of a general practitioner at the initial stage. However, when her problems do require special knowledge, expertise then she is referred to a gynecologist. Doctor Ragini firmly convicts that a gynecological examination is quite more intimate than other routine physical exam.

This gynecological inspection requires an instrument called as speculum, which consists of two hinged blades of concave plastic or metal to draw in the tissues of the vagina and allow the examination of the cervix. Cervix is the lower of the uterus positioned within the higher portion of the vagina. Normally gynecologists do a bimanual examination that is their one hand is kept on the tummy and one or two fingers in the vagina to palpate the cervix, uterus, bony pelvis and ovaries. If the presence of any suspicious matter is expected than cross vaginal examination is conducted for the complete assessment of the pelvis.  A vaginal and abdominal ultrasound may be used to substantiate any irregularity suspected during the bimanual examination or even indicated by the concerned female medical history.

Coming with more than 27 years of experience in the gynecology field, Doctor Ragini illustrates that a gynecologist can handle the following situation: 

 Amenorrhoes (absence of menstrual periods)

 Dysmenorrhoea (agonizing menstrual periods)

 Cancer and pre-cancerous ailments of the reproductive organs like fallopian tubes, cervix, vagina, ovaries

 Incontinence of urine

 Menorrhagia (serious menstrual periods)

 Infertility

 Other types of vaginal ailments

Therapies:  Doctor Ragini further shares her ideas that a gynecologist may execute medical or surgical therapies depending upon the precise nature of the issue. Antibiotics, diuretics, antiemetics and antihypersensitives come under the medication area. In addition to this a gynecologist may also utilize hormone modulating therapy to heal the female genital disorders which are responsive to gonadal and/or pituitary signals.

Notwithstanding with all such treatments, surgery is considered as the best solution in the gynecology department.

A gynecologist may perform following type of surgeries:

• Hysterectomy (elimination of the uterus)
• Dialation and curettage (elimination of the uterine contents due to some serious reasons)
• Oophorectomy (elimination of the ovaries)
• Hysteroscopy (check up of the uterine cavity)
• Diagnostic laparoscopy- It is used to identify and heal sources of pelvic and abdominal pain
• Surgical treatments for urinary incontinence

Doctor Ragini states that although male gynecologists have outnumbered their female counterparts. However, now a day’s things are changing due to the proper expansion of education among girls. It is inevitable that a husband will never prefer that his wife should undergo such kind of intimate examination with any male doctor. Further things are under scanner at the character of the male doctor concerned, too. Gurgaon Gynecology Group is the team of female doctors only, who are efficient to handle any kind of gynecology related issues. 

Adolescent Gynecology: The first step towards fecundity

Almost every teenager girl has to face hormonal changes in her life. She may take them eerie sometimes and painful too occasionally. Her menstrual dysfunction becomes so irritating that it starts to punctuate her studies or other important aspects of her life. Sometimes these issues are natural and sometimes they might be unnatural an indication of abnormalities in the body. Early diagnosis and suitable healing will be helpful in ruling out the problems of sexual dysfunction or infertility at their initial stage itself.  Menstrual disorders are common in juvenile girls. Nevertheless their exact reasons are difficult to figure out. Since the girls feels reluctant in confiding their private matters even to their close acquaintances due to embarrassment or lack of understanding about the normal and potential cure options. Best Gynecologists in Gurgaon, Gurgaon Gynecology group illustrates a few related disorders:

Menorrhagia

Difference of time intervals among menstrual cycles may be non-uniform. Further the amount of bleeding may also vary from cycle to cycle. The menstrual pain may be unbearable. In most of the cases, the basic cause is anouvulatory cycle in early months following menarche. The symptoms are irregular menstrual cycle and prolonged periods. These symptoms may be regarded normal for the first two years after menarche. At the same time the hypothalamic-pituitary-ovarian axis establishes regular cycles. In case of prolonged trouble, ultrasound is helpful to diagnose the accurate origin of problem. However, contraceptive pill is found to be the best common method of treatment. It is primarily used to trim down blood loss and is also safe for girls who do not suffer through any contraindicating factor. 

Acute menorrhagia

Heavy and delicate vaginal bleeding can intermittently take place with menstruation and requires hospitalization too. Severe anemia and hemodynamic instability can occur due to relentless blood loss. Admission to a hospital, recovery and blood transfusion may be required.The combined oral contraceptive pill is advisable in such cases. The organization of high-dose of oral progesterone can dampen the speed of bleeding.

Dysmenorrhoea

Prior periods may be pain free and the beginning of agonizing menstruation normally heralds the founding of regular ovulatory cycles. However such excruciating pain may be detrimental to the ongoing process of normal school life. Dysmenorrhoea may be linked with barrier of the lower genital tract. The use of combined contraceptive pills is considered very effective in making the periods lighter and less hurting. 

Disorders of puberty

The commencement of puberty among girls takes place between the ages of eight and thirteen years and are struck by the augmentation in the amplitude of the liberation of gonad hormones by hypothalamus. There are many factors which determine the beginning of puberty. These factors may include general fitness, hereditary influences, and diet and work out. The abnormalities in any of these factors may lead to precocious puberty or delayed puberty. In precocious puberty the pubertal development generally begins before the age of eight years in girls. On the other hand the same is absent till the age of fourteen in them.

Contact information: 
Women's Speciality Hospital
Golf Course Ext. Road, Sushant Lok - II, Sector 56, Gurgaon - 122002
Call us +91- 971 118 7176
Email at:info@GurgaonGynecologyGroup.com
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Natural Treatments for Menopause Symptoms

There comes a time in a girl’s life, when her menstrual period starts to take place and this juncture is called Menarche. She can conceive a child since this time. When she grows old with the passage of time and at one point her menstrual period ceases permanently and this condition is reckoned as Menopause. Termination of menopause makes the fact evident that she will no longer be able to give birth to a child.

Periods become erratic before the arrival of this phase which means that they might be shorter or longer or even lighter or heavier in terms of amount of flow.  A woman often suffers through hot flashes, which typically prolong from 30 seconds to 10 minutes and may be linked with shivering, sweating and reddening of skin. Hot flashes often discontinue after 1 or 2 years. Other symptoms may include painful intercourse, vaginal dryness.

She may have to suffer through the loss of energy, joint tenderness, back pain, breast enlargement or pain, heart palpitation, disturbed slumber pattern, heavy night sweats. Psychologically, she may experience apprehension, poor memory, wavering mind, depression and deteriorated interest in sexual activities. Menopause may inflict cardiovascular diseases and risks of osteoporosis (thinning of bone), as its long term effects. Normally the average age of menopause is 51 years. However it may begin in early 30s and even in late 60s. There is no authentic test to determine when a woman will experience menopause.

Causes:

Premature ovarian failure is diagnosed by high blood levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH) on at least 3 occasions at least 4 weeks distant. The running down of the ovarian reserve leads to intensify the circulating FSH and LH levels because there are decreased number of oocytes and follicle responding to these hormones and production of estrogen.Cigarette smoking, higher body mass index, racial and ethnic factors, illness and the surgical ovaries with or without the removal of uterus are also a few factors responsible for Menopause Clinic in Gurgaon.

Mechanism: - Menopause occurs because of the sharp reduction in estrogen and progesterone production by the ovaries. This process does not occur overnight, but rather is a gradual process. This is called perimenopausal transition period, which is a different experience for each woman. The ovaries are the main source of female hormone, which regulate the menstrual cycle and pregnancy. One of these hormones is estrogen, which also protect the bones. Inadequate production of estrogen makes a woman infertile as well as leads her struggle through osteoporosis.

Prevention: Treatments are directed towards mitigating uncomfortable and upsetting symptoms. Hormone replacement theory and certain medication might cure her pain. A woman suffering through menopause is advised to use vaginal moisturizers, low-dose prescription vaginal estrogen products and quit smoking if indulged in. She is also suggested to boost the amount of Vitamin D in her diet and perform regular weight bearing exercise. 

Factors that affect fertility in Man and Women

Sometimes there are mysterious situations in which the exact reason of infertility could not be figured out between a male and his corresponding female partner, notwithstanding assessing semen quality in the former and the same of the status of fallopian tubes and ovaries in the later.  Possible causes may be assumed that the egg must not be getting unrestricted at the most favourable time for fertilization or it may not be able to reach the fallopian tube. Sperm is either not able to reach to egg or deliver its DNA package to it if already reached. There might be some disturbance in the zygote movement. Infertility in either male or female or both partners hinders the entire insemination process. The Gynaecology Group Gurgaon illustrates all the factors related to male as well as female infertility.

Male infertility: It may be referred as the deficiency of a man to conceive a fertile woman. There are several factors which make signification contribution in its transmission.  A few of them are as follows:

• Coeliac disease- It is not easy to make a proper diagnosis of the disease. Since there might be non-gastrointestinal symptoms present involving nearly to an organ system even in the absence of gastrointestinal symptoms. As a result there comes a steep decline in semen value.
• Smoking and alcohol consumption.
• Overweight
• Exhausting vehicle  riding
• Testicular issues like varicocele, genetic defect on Y chromosome, trauma, hydrocele, malaria, acrosomal defects on penetration of eggs, infection, retrograde ejaculation, impotence.

Female infertility:  It can be defined as an inability to become pregnant to carry a live birth. Normally a woman is advised to approach a gynaecologist if she does not conceive even after continuous 1 year of unprotected sexual intercourse. Normally such infertility can be classified into two categories- Primary and secondary infertility.

In primary infertility, a woman is not getting pregnant for the first time itself. On the other hand in secondary infertility she is not able to conceive when she has already delivered a baby earlier.

Factors accountable for this:

1. Age- A woman’s fertility is found to be in its full swing in her early and mid 20s. It starts to depreciate after 35.
2. Tobacco smoking- Tobacco inflicts adverse ramifications on ovaries, thereby making it incompetent to generate fertile eggs.
3. Sexually transmitted disease leads to decreased fecundity.
4. Body weight- Neither a fat or a thin woman is able to conceive easily. Too much fat leads much production of estrogen and the body begins to react as if it is on birth control. Too little body fat causes production of scarce estrogen.
5. Chemotherapy supplies high risks to fertility.