Ovarian Cysts: Causes, Symptoms and Treatment  

Ovarian cyst surgery

Author: Dr. Anuja Thomas MBBS, DGO, DNB (OBGY)

Consultant: Obstetrician & Gynaecologist Motherhood Hospital, Mumbai  

What is an Ovarian Cyst? 

Ovaries- one each located on both sides of the uterus in women in which the eggs develop and mature. Ovarian cysts are fluid-filled sac-like structures that may form on or in the ovaries. These cysts can form in either one of the ovaries or both ovaries. They are quite common and there are several types of ovarian cysts.  

What Causes Ovarian Cysts? 

Functional ovarian cysts are the ones associated with the normal functioning of the ovaries. They are not known to cause any complication. Eg-Follicular cysts that form when the follicle does not open to release the egg, Corpus luteum cysts that form when the follicle sac fails to shrink after releasing the egg during the menstrual phase. 

There are several other factors that may lead to the formation of these cysts 

  1. Hormonal imbalance  can act both as a cause and as a result of multiple or small cysts formation in ovaries eg – Polycystic ovaries, Multicystic ovaries, Hemorrhagic ovarian cyst  
  2. Menstrual lining deposits outside the uterine cavity or in ovaries can result in a condition called Endometriosis. When endometriosis progresses, it may cause the formation of cysts in the ovaries, and  also associated with adhesions inside the tummy in prolonged or advanced stage.   
  3. Infections of the genital organs called Pelvic inflammatory diseases also have the chance of spreading to the ovaries and leading to the formation of cysts.  
  4. Abnormalities associated with cell development or multiplication may cause certain types of cysts, such as cystadenomas and dermoid 
  5. Last but not the least, even cancerous changes can occur in the ovaries- reuslting in cysts of Ovarian Cancers  

Ovarian cyst complications

Symptoms of Ovarian Cysts

Often, ovarian cysts go unnoticed, as they may not cause discomfort or any evident symptoms or abnormalities. This is especially the case with smaller cysts, and they may naturally go away within one to four months. Larger cysts may cause certain symptoms, which may include the following:  

  1. A faint ache in the back or pelvic pain  
  2. A bloated feeling in the lower belly, with one side of the belly feeling relatively fuller based on the location of the cyst
  3. Pronounced pain during periods  
  4. A feeling of pain during intercourse   

Since ovarian cyst symptoms may or may not occur, it is best to go for routine pelvic tests to ensure you take proper measures if you are diagnosed with ovarian cysts. The risk of ovarian cysts association with cancer is more in women who have attained menopause. Hence women with  ovarian cysts in that age group, usually are advised to go ahead with some special blood marker tests too to categorise better.  

Treatment of Ovarian Cysts 

Ovarian cyst treatment depends on the type and severity of the cysts. The following treatments may be recommended by a healthcare practitioner: 

1.Waiting  

Functional cysts may not always require to be treated, as they generally go away on their own within a few months. However, you must go for an ultrasound to keep a check on whether the cyst has gone on its own to ensure the issue has been resolved.  

2. Ovarian Cyst Medication 

Ovarian cysts may also be treated using hormonal medications, such as birth control pills that stop ovulation, which helps in preventing the formation of future cysts.  

3. Ovarian Cyst Surgery  

Larger cysts that cause symptoms may require surgical removal, in which case, the healthcare provider may suggest a laparoscopy or laparotomy. Laparoscopy involves making a small incision and inserting a camera to view reproductive organs and spot the cyst followed by the removal of the cyst, known as an ovarian cystectomy. If the cyst is significantly large, a laparotomy may be performed to remove it. 

FAQ’s:

  1. What size of ovarian cyst is dangerous?
    The size of the cyst generally indicates that it may require to be removed through surgery. When cysts are over 50 to 60 millimeters, they are considered large enough to be removed via surgery. Further, cancerous cysts that are relatively smaller are still considered potentially dangerous and would require surgical removal.

     

  2. Can you get pregnant with an ovarian cyst?
    Ovarian cysts are generally harmless and do not affect your likelihood to get pregnant. They also commonly form during pregnancy even as your menstruation comes to a pause. However, they should be treated on time to prevent them from growing bigger, as large cysts may twist or rupture, which can cause complications. Therefore, it is extremely crucial to undergo ultrasounds and find the cysts early on.

     

  3. What does ovarian cyst pain feel like?
    The pain caused by ovarian cysts can feel sharp, while others might have persistent dull pain. Oftentimes, the pain lasts for a while and goes away. Further, cysts may also increase the pain you experience during your periods.

     

  4. Is normal delivery possible with an ovarian cyst?
    Normal delivery is possible despite having ovarian cysts, as the presence of cysts does not affect the mode of pregnancy.

In conclusion, ovarian cysts are very common, and they are generally caused by ovulation along with several other aspects that may increase the likelihood of cyst formation. However, they are treatable and may not cause any complications or danger when surgically removed or treated through medication well in time before they rupture. Early detection can help make a judgment if the cyst will go away on its own or would need medication/surgery based on its size and whether it is cancerous or benign.  

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Kharghar, Mumbai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. 

Do take an appointment with the best maternity hospital in Kharghar, Mumbai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life. 

If you wish to get in touch with Dr. Anuja Thomas, please book your appointment here.

Postpartum Depression: How To Overcome?

postpartum depression recovery

Author: Dr Pratima Thamke MBBS, MD, MRCOG

Obstetrician & Gynaecologist at Motherhood Hospital, Mumbai  

Did you know? Almost 22% of new mothers suffer from postpartum depression in India. 

Like any disease, postpartum anxiety and depression too is an illness that affects some new mothers where they experience emotional highs and lows adversely impacting their day-to-day life. But the good news is that it is a curable disorder and all you need to do is opt for timely care.  

As they say, prevention is better than cure. So today, let’s understand everything there is to know about postpartum recovery to ensure you are equipped for any situation.  

What Is Postpartum Depression?

While having a newborn is one of the most exciting moments of one’s life, it is also life-altering. It can be extremely tiring and there are situations where new mothers feel overwhelmed, which is completely okay. It’s normal. But with postpartum depression, your emotions are extreme. From a feeling of loneliness to severe mood swings, an intense sadness washes over you.  

There are some people who may ignore this and chalk it off to the anxiousness of having a child, but that’s not the case. Postpartum anxiety and depression or PPD is a type of depression, which occurs post giving birth. While there is more research needed as to why some women experience this condition, the instantaneous hormone drop can be the reason.  

Instead of ignoring or neglecting this condition, the priority must be to seek proper self care after pregnancy for a healthier life. And remember, you are not at fault here and you are definitely not alone. We are right here to help you out.  

Symptoms of Postpartum Depression  

Feeling the blues after giving birth is quite normal and may stay for about 10 days. But it is less intense and passes away on its own. With PPD, the symptoms may last for months. Therefore, keep an eye on the signs to ensure you seek help right away.  

  • Frequent crying spells 
  • Feeling overwhelmed  
  • Not able to enjoy proper sleep  
  • Loss of appetite  
  • Severe mood swings  
  • Feeling sad or worthless  
  • Extreme guilt  
  • Unable to enjoy the activities you once loved  
  • No energy or motivation  
  • Unable to think properly or focus  
  • Feeling anxious around your baby  
  • Unable to feel interested in your baby  
  • Feeling like you don’t want your child  
  • Negative thoughts of wanting to hurt your child  

Don’t hesitate to talk to your doctor right away if you are feeling any of the symptoms as they may be able to diagnose the same and offer proper treatment.    

symptoms of postpartum depression

Risks of Postpartum Anxiety and Depression 

A few factors may elevate the risk of PPD and they are; 

  • Having a history of depression  
  • Family history of depression  
  • If you are suffering from the premenstrual dysphoric disorder  
  • Not enjoying your pregnancy  
  • An unhappy relationship with your partner 
  • If you are someone younger than the age of 20  
  • If you have a baby with special needs  

Diagnosis of Postpartum Anxiety and Depression  

There is no specific test to check if you have postpartum anxiety and depression. However, your doctor will evaluate your mental and physical health condition where you may discuss your symptoms and other issues. Your doctor may want to see you for at least 2-3 weeks as a screening period before starting the treatment. You may also be asked to answer a set of questions as your responses will help your doctor determine the condition correctly. Therefore, you must always answer truthfully.  

Treatment of Postpartum Anxiety and Depression  

The treatment offered for PPD depends on the severity of the condition. Anti-anxiety or anti-depression medicines, psychotherapy, and support group participation are some of the most common treatment methods. If you are breastfeeding, you can still take medications. However, it is essential that you confirm with your doctor. It is essential to follow the treatment prescribed to ensure you get rid of your PPD as soon as possible. 

When To See A Doctor ?

As aforementioned, if you notice any of the symptoms of PPD, make sure you visit your doctor. Other instances where you must seek professional help include; 

  • If your symptoms last more than two weeks  
  • You are having suicidal thoughts  
  • You feel like harming your baby  
  • You are unable to manage everyday situations  
  • You are feeling extremely anxious or scared 

PPD or postpartum anxiety or depression is curable. Even if your symptoms are severe, with proper treatment women will notice a major difference in just six months. However, if you are having obsessive or destructive thoughts about yourself or the baby, speak with your doctor immediately. Remember, there is nothing to be ashamed of as it is a mental health disorder and doesn’t point towards the kind of person you are.  

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Kharghar, Mumbai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. 

Do take an appointment with the best maternity hospital in Kharghar, Mumbai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life. 

If you wish to get in touch with Dr. Pratima Thamke, please book your appointment here.

FAQ’s:

  1. What are the essential nutrients that pregnant women need?
    Essential nutrients that pregnant women need include iron, calcium, folic acid, protein, vitamin D, and omega-3 fatty acids. It is important to eat a variety of nutrient-rich foods to ensure proper nourishment during pregnancy.

     

  2. How can vegetarian women ensure they are getting enough essential nutrients during pregnancy?
    Generally, including  lentils, beans, nuts, seeds, dairy products, and fortified cereals can help you get the essential nutrients during the pregnancy . Consult with your dietitian for expert  guidance and get an individualized diet plan.

     

  3. What are the best foods to eat during the first trimester of pregnancy?
    Fresh fruits and vegetables, whole grains, lean protein sources like lentils and chicken, and dairy products like milk and yogurt. These foods provide essential nutrients for fetal growth and development.

     

  4. What are the dietary restrictions for pregnant women?
    Certain foods to avoid during pregnancy are raw or undercooked meat and eggs, unpasteurized milk and dairy products, and certain types of fish that may contain high levels of mercury. It is also important to limit caffeine intake during pregnancy.

     

  5. How can a doctor help pregnant women with their diet?
    Doctors can help by providing guidance on meal planning and nutrition. They can also monitor the mother’s and baby’s health throughout pregnancy to ensure proper nourishment and growth. 

Pregnancy Diet Plan

Pregnancy diet plan

Author: Dr. Asha Baxi MBBS, FICOG, FRCOG, MS

Consultant – Obstetrician, Gynecologist & Infertility Specialist at Motherhood Hospital, Indore  

Pregnancy Diet Plan: Month By Month (Veg and Non-Veg Foods)  

Maintaining a healthy and balanced diet is important for everyone, but it is especially crucial for pregnant women. A balanced pregnancy diet can provide the essential nutrients needed to support the healthy growth and development of the baby, while also helping to prevent complications during pregnancy. In addition, research has shown that a healthy diet is linked to improved mental health outcomes, which is particularly important for pregnant women who may experience increased stress and anxiety during this time. By focusing on nutrient-dense foods and essential nutrients, pregnant women can support both their physical and mental health throughout their pregnancy journey. 

Essential Nutrients during Pregnancy 

During pregnancy, you need to ensure that you are consuming enough essential nutrients to support your baby’s growth and development. Essential nutrients include folic acid, iron, calcium, protein, omega-3 fatty acids, and vitamin D. Folic acid is essential for preventing birth defects, iron is essential for preventing anaemia, calcium is essential for supporting your baby’s bone development, protein is essential for supporting your baby’s muscle and tissue development, acids are essential for supporting your baby’s brain development, and vitamin D is essential for supporting your baby’s bone development. 

Regardless of dietary preferences, pregnant women require a variety of essential nutrients for a healthy pregnancy. These include: 

  1. Protein: Essential for growth and development of the fetus. Good sources for vegetarians include legumes, tofu, nuts, seeds, and whole grains. Non-vegetarian sources include lean meats, fish, and poultry. 
  2. Omega-3 fatty acid: Essential for supporting your baby’s brain development. Sources of omega-3 fatty acids include fatty fish like salmon and sardines, as well as nuts, seeds, and plant oils like flaxseed oil and canola oil. However, it can be difficult for vegetarian women to get enough EPA and DHA through diet alone. 
  3. Iron: Required for the formation of red blood cells in both the mother and the baby. Good vegetarian sources include dark leafy greens, beans, lentils, fortified cereals, and whole grains. Non-vegetarian sources include beef, chicken, and seafood. 
  4. Calcium: Essential for the development of strong bones and teeth in the fetus. Good vegetarian sources include dairy products, fortified plant milks, tofu, and leafy greens like kale and collard greens. Non-vegetarian sources include dairy products and canned fish with bones. 
  5. Vitamin D: Helps the body absorb calcium and is important for bone health. Good vegetarian sources include fortified plant milks, mushrooms, and exposure to sunlight. Non-vegetarian sources include fortified dairy products, egg yolks, and fatty fish. 
  6. Folate: Important for fetal development and reduces the risk of birth defects. Good vegetarian sources include leafy greens, beans, lentils, and fortified cereals. Non-vegetarian sources include liver and fortified grains.
  7.  Fibre: The Intake of fibre rich foods during pregnancy decreases diabetes risk, preventing constipation & Preeclampsia also helps in promoting good health.

It’s important for vegetarian women to ensure they are getting enough of these essential nutrients through a balanced vegetarian diet or supplements, especially since some nutrients like iron and calcium are often more easily absorbed from animal sources. Consult our experts at Motherhood Hospitals to understand your options for supplementing your diet.  

First Trimester Nutrition: Foods to Eat and Avoid for a Healthy Pregnancy: 

First trimester of pregnancy can be challenging in terms of diet, as many women experience nausea and vomiting, which can make it difficult to eat a healthy and balanced diet. However, it’s important to ensure that you’re getting enough nutrients during this critical time of fetal development. 

During the first trimester, focus on consuming foods that are rich in essential nutrients such as folate, iron, and calcium. Foods that are high in folate include leafy green vegetables, fortified cereals, and legumes. Iron-rich foods include red meat, poultry, fish, fortified cereals, and legumes. Calcium-rich foods include dairy products, leafy green vegetables, and fortified plant-based milk. 

Vegetarian women can meet their nutritional needs during pregnancy by consuming a variety of nutrient-dense plant-based foods:

  1. Protein is essential for fetal growth and development, and vegetarian sources of protein include beans, lentils, soy products, nuts, and seeds.  
  2. Iron is essential for preventing anaemia, and vegetarian sources of iron include leafy green vegetables, dried fruit, fortified cereals, and legumes.  
  3. Vitamin B12 is essential for nervous system development, and vegetarian sources of vitamin B12 include fortified cereals, nutritional yeast, and fortified plant-based milk.  
  4. Calcium is essential for fetal bone development, and vegetarian sources of calcium include leafy green vegetables, fortified plant-based milk, and tofu. 

Second Trimester Nutrition: The Best Foods to Eat During Your 2nd Trimester 

 

Second trimester is often considered the most comfortable period of pregnancy, as nausea and vomiting tend to subside, and energy levels increase. During this time, it’s important to continue focusing on a healthy and balanced diet, as the fetus continues to grow and develop. 

During the second trimester, it’s important to ensure that you’re consuming enough protein, calcium, and vitamin D, which are essential for fetal bone development.  

  1. Good sources of protein include lean meats, fish, eggs, dairy products, beans, and legumes. Vegetarian women can also get protein from sources such as soy products, nuts, and seeds. 
  2. Calcium-rich foods include dairy products, leafy green vegetables, and fortified plant-based milk. 
  3. Vegetarian women should ensure that they are consuming enough omega-3 fatty acids, which are essential for fetal brain development. Vegetarian sources of omega-3 fatty acids include flaxseed, chia seeds, walnuts, and algae-based supplements. 

The Final Stretch Third Trimester: Pregnancy Meal Plan for 3rd rimester 

Third trimester, the fetus continues to grow and develop rapidly, and it’s important to ensure that you’re getting enough nutrients to support this growth. In addition, as the uterus expands, it can put pressure on the stomach, making it difficult to eat large meals. Therefore, it’s important to focus on consuming nutrient-dense foods that are easy to digest. During the third trimester, it’s important to consume enough protein, iron, and calcium. Good sources of protein include lean meats, fish, eggs, dairy products, beans, and legumes.  

  1. Vegetarian women can also get protein from sources such as soy products, nuts, and seeds. 
  2. Iron-rich foods include red meat, poultry, fish, fortified cereals, and legumes.  
  3. Calcium-rich foods include dairy products.

Managing Dietary Restrictions During Pregnancy 

It is important to be aware of dietary restrictions during pregnancy, whether you are a vegetarian or non-vegetarian. Certain foods should be avoided to reduce the risk of foodborne illness and other complications. For example, pregnant women should avoid raw or undercooked meat, poultry, and fish, as well as unpasteurized dairy products and juices. They should also limit their intake of caffeine and avoid alcohol and smoking altogether. Vegetarian women may have additional restrictions if they avoid certain animal products such as meat, fish, eggs, and dairy. However, with careful planning and the inclusion of alternative protein sources such as legumes, tofu, nuts, and seeds, a healthy and balanced vegetarian pregnancy diet is possible. It is important to speak with a healthcare provider or registered dietitian to ensure that all nutrient needs are being met and to address any concerns about dietary restrictions. 

In conclusion, a healthy and balanced pregnancy diet is essential for both the mother and the developing baby. It can be challenging to know what to eat during each trimester, but by focusing on nutrient-dense foods and essential nutrients such as folate, iron, calcium, protein, omega-3 fatty acids, and vitamin D, you can support the healthy growth and development of your baby. If you have any concerns or questions about your pregnancy diet or any other medical support you need, consider reaching out to us at Motherhood Hospitals. We can provide you with the guidance and support you need to have a healthy and successful pregnancy. 

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Indore. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. 

Do take an appointment with the best maternity hospital in Indore at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life. 

If you wish to get in touch with Dr. Asha Baxi, please book your appointment here.

 

FAQ’s:

  1. What are the essential nutrients that pregnant women need?
    Essential nutrients that pregnant women need include iron, calcium, folic acid, protein, vitamin D, and omega-3 fatty acids. It is important to eat a variety of nutrient-rich foods to ensure proper nourishment during pregnancy.

     

  2. How can vegetarian women ensure they are getting enough essential nutrients during pregnancy?
    Generally, including  lentils, beans, nuts, seeds, dairy products, and fortified cereals can help you get the essential nutrients during the pregnancy . Consult with your dietitian for expert  guidance and get an individualized diet plan.

     

  3. What are the best foods to eat during the first trimester of pregnancy?
    Fresh fruits and vegetables, whole grains, lean protein sources like lentils and chicken, and dairy products like milk and yogurt. These foods provide essential nutrients for fetal growth and development.

     

  4. What are the dietary restrictions for pregnant women?
    Certain foods to avoid during pregnancy are raw or undercooked meat and eggs, unpasteurized milk and dairy products, and certain types of fish that may contain high levels of mercury. It is also important to limit caffeine intake during pregnancy.

     

  5. How can a doctor help pregnant women with their diet?
    Doctors can help by providing guidance on meal planning and nutrition. They can also monitor the mother’s and baby’s health throughout pregnancy to ensure proper nourishment and growth.