The importance of seeing a gynaecologist

Women's Health Care:Gynaecologist Importance - Motherhood Hospital India

A gynaecologist doctor is an expert in the female reproductive system. They specialize in the health & diseases field. It is essential to choose the right doctor because we trust them with our most intimate medical problems such as pregnancy, missed periods, etc. Many gynaecologists are also obstetricians who deal with pregnancy and delivery.

Every female needs to see a gynaecologist sustain good health. As reproductive organs mature during puberty, a regular gynaecological evaluation is a must. One can expect a detail explanation about normal body functions or answers to any female health-related questions upon their visit to the gynaecologist.

During the visit, a gynaecologist performs breasts & pelvic exams. Breasts exam allow the doctor to check for breast abnormalities. Pelvic exams detect potentially cancerous cells. It is encouraged for every woman to go for a pelvic exam annually to assess/prevent any disorders in the reproductive system. Here are some necessary tests conducted during a gynaecology examination- 

  • The conduct of Amniocentesis and ultrasound to detect abnormalities of the fetus in a pregnant woman. Chorionic villus sampling for evaluating the fetus.
  • The evaluation of unusual vaginal discharge is undertaken to detect sexually transmitted diseases (STDs). Gynaecologists take smears to decide if the discharge is an STD-related issue. The STDs may include Herpes, bacterial vaginosis, Chlamydia, Gonorrhea, etc. 
  • Gynaecologist also conduct tests related to fibroid tumours, cancer, and more. They treat it with surgery or medicines depending upon the evaluation.
  • Doctors evaluate blood hormone levels for menopause symptoms such as physical and emotional turmoil. They prescribe hormone replacement therapies to eliminate these symptoms. 

Do proper research before searching for a?˜gynaecologist in Sarjapur road Bangalore. You want to pick a doctor that you feel comfortable sharing your problems. Cross-check the doctor’s education, qualifications, experience, etc. and affiliated hospitals.

Why chose a laparoscopic surgery?

Laparoscopic surgery is an invasive surgery which is also called keyhole surgery. During the laparoscopy procedure, the doctor conducts a small incision to insert a tube. The tube has a light attached to it. The light helps the surgeon to get a better visual inside the operated area.  Laparoscopic surgery gives a denser accuracy about the patient’s illness. Choosing a laparoscopic surgery is less painful than other surgical procedures. 

Aside from accurate assessments, less painful, cost-friendly, Laparoscopic surgery is also a short procedure. Here are the reasons in details to why you should opt for laparoscopic surgery- 

  • It provides an accurate assessment. This is appreciated massively by the doctors because it helps in determining the exact illness of the patient. And also, makes it easier to spot the treatment needed. 
  • The surgery completes in 30 to 60 minutes. However, the timing may slightly be different based on the operated area. It is a short surgery process and highly preferred by many. 
  • Laparoscopic surgery leaves the most minimal scar. In comparison to other major surgeries, laparoscopic surgery is relatively painless. The invasive steps during the operation are minimum, and this results in minimum pain. 
  • To many, cost plays a significant factor in deciding if the procedure will happen. However, laparoscopic surgery is a win in many ways. It is cost-friendly, less painful, and leaves little to no surgery scars. 
  • Laparoscopic surgery is a short surgery which is complete in under an hour. The healing period is also fast due to cuts and leads to less no surgical complications. 

Laparoscopic surgery comes with many advantages. A short surgical process with fast recovery- such operations rid unnecessary post-surgery constraints and enables a rapid return to the regular routine.  

Are you looking to make an appointment with the?˜best laparoscopic surgeon in Sarjapur or for the best laparoscopic surgeon in Hebbal? Motherhood hospitals provide top services with treatments under highly qualified doctors.

Motherhood Hospitals introduces Fastrack teleconsultation services

In the wake of disruptions being caused due to lockdown situations in many cities across the country, Motherhood Hospitals is using telemedicine technology to provide continuity of care to women and children and has launched an integrated online Teleconsultation service. The video consultation services can be availed in Gynaecology, Obstetrics and Pediatrics. Pregnant women can go through their routine follow up consultations through this technology so they have continued access to their care. Similarly children requiring routine consultations particularly at this time to distinguish between common cold and other issues can also be provide through this service.

Patients opting for online consultation can access the Motherhood Hospitals website to book an appointment, which will be facilitated via a video call. Post completing the registration process, the patient will receive an email with a link to join the video call. All patient details, observations, etc. will be digitally recorded on a central system so these will go under the outpatient records of the patient. At the end of the consultation, the patient will receive a digitally signed copy of diagnosis, investigation advice and prescription via email.

On the introduction of the online consultation services, Vijayarathna Venkatraman, CEO, Motherhood Hospitals said, “In the current times of uncertainty and restrictions, we at Motherhood want to ensure that women & children are provided appropriate medical advice through virtual doctor consultation sessions. We believe through the launch of this service most of our patients will not have any break in their medical treatment and all our senior consultants in Gynaecology and Pediatrics will be available through this technology interface. He further added, Social distancing processes have created their own challenge in healthcare services and we are creating solutions to meet our patient expectations. All our services at the hospitals are continuing and our emergency department is open 24/7 to extend medical attention.

Through the launch of the Video Teleconsultation services Motherhood Hospitals has created a new model of hospital based patient care coupled with virtual care wherever applicable. At this time the anxiety levels particularly with expectant mothers and children are high, having access to their doctors will give the patients extreme comfort and confidence. This service is extended beyond Motherhood patients to the larger community on the whole.

Indian Express Doctor Availability on call

BENGALURU:  In the midst of the Covid-19 lockdown, there’s always a concern about health and how one can reach their doctors.Which is why, many hospitals have come up with online consultations, wherein patients can take part in a video conference with their doctor over Skype or Zoom. We rolled it out a few days ago, understanding the restrictions on transport, and the general apprehension of coming to a hospital at this point, says Dilip Jose, MD and CEO, Manipal Health Enterprise. On Thursday, they received about 50 consultations among various departments, including neurology and medical oncology. Doctors, who are following a rota, have access to the patients medical records, he says, adding that the fee is the same as a regular face-to-face consultation.  

It being a tough time for expectant mothers, Motherhood Hospitals has rolled out a telemedicine technology for pregnant women who can go through their routine follow-up consultations. Social distancing processes have created their own challenges in health care services and we are creating solutions to meet our patients expectations, says Vijayarathna Venkatraman, CEO, Motherhood Hospitals, adding that video consultation services are available in gynaecology, obstetrics and paediatrics.
To relieve general health anxiety, Dr Kishan Rao, founder of The White Army a group of over 1,000 medical students across India that provides online medical consultation has started a helpline for minor ailments, which is mostly to reassure patients.

In the last two days, we have received almost 50-60 calls. Most of the cases we re getting right now are solved through counselling. More than a doctor, I am trying to be a responsible citizen, he says, adding that they are open to home consultations, if required. For more serious ailments, including cancer, Onco.com, an internet aggregator for cancer care, has introduced teleconsultation to help cancer patients and caregivers get advice from oncologists through a telephonic call or video conferencing. The teleconsultation will be 20 minutes long and scheduled within 24 hours. Cancer patients undergoing active treatment, or those with blood cancers have reduced immunity and are at a much higher risk of acquiring Covid-19 infection. As patients are unable to travel and consult doctors, they can speak with their oncologists regarding treatment and address their concerns, says Dr Amit Jotwani, co-founder and Chief Medical Officer, Onco.com.  (With inputs from Tanya Savkoor)

Reach out 
Manipal Hospitals Old Airport Road: 1800-102-5555/9606457127 Motherhood Hospitals: 1800-108-8008
Onco.com: 7996579965 The White Army Online Helpline: 8105232787

Factors which decide IVF Success Rates Blog by Dr Geetha R

Dr. Geetha R on IVF Success Factors - Motherhood Hospital India

Reproductive medicine is an evolving field constantly working towards improving the success rates IVF has contributed to more than 6 million babies worldwide, innovations keep emerging and the success rates keep improving.

Success rates with IVF treatment though high cannot be 100% always.
The success rates are influenced by many external and internal factors

Internal factors:
Age of the couple and the type of infertility

External factors :
Lifestyle factors
Laboratory quality
Experience and the Skill of the Clinician and the embryologist

1. Age of the couple:

Age has got its own impact on fertility as in any other system .Advancing age has an impact on both the quantity and quality of available oocytes
More than 80% of embryos formed out of oocytes obtained from woman >42 years are found to be aneuploidy or chromosomally abnormal
The IVF success rates dramatically decreases when the woman is >35 years
Success rates are 40% if the woman is <35
30% – 35-37 years
22% – 38-40 YEARS
10% in 40-42
<5 % in woman>43 years

Paternal aging also has an impact on fertility by compromising the sperm quality by increasing the damage on the Sperm DNA hence decreasing the fertilisation capacity as well as embryo quality
Sperm DNA damage is considerably increased in men over 45 years.

2. Type of Fertlity problem

The most important factor which decides the success with IVF is the ovarian reserve.
The higher the number of follicles available, higher the number of oocytes obtained which translates to higher success rates.

Woman with low reserve yield less number of oocytes, < 3 oocytes is considered a decreased ovarian response which compromises the success rates

Low reserve may be a part of aging or conditions like endometriosis, surgery on the ovaries, some autoimmune or chromosomal problems or an exposure to chemotherapy or Radiotherapy
Success rates are very high even upto 80% when infertility is only due to tubal factor or low sperm counts
Suceess rates are compromised when multiple factors are present, Higher the number of factors contributing to infertility poorer are the success rates.

Success rates decease when the woman has multiple fibroids closer to the cavity, or adenomyosis.Both these factors may affect the implantation

External Factors

1. Lifestyle factors

Obesity

Obesity in both male and female is proven to affect the gamete quality.It can also affect the way the body responds to fertility medications, very high doses of gonadotropins may be needed to achieve a desired response
Obesity may cause procedural difficulties which may affect oocyte yield
It is also known to affect implantation and is associated with increased rates of miscarriage

Smoking: Cigarette smoke has serious reproductive consequences for both men and women. The sperm of male smokers has been found to have reduced fertilizing capacity, and embryos from that sperm also display lower rates of implantation. In female smokers, the aging of the ovaries is faster, and their uteruses are less receptive. Overall, the outcome of IVF cycles has been found to be significantly worse in female smokers, who may require twice as many IVF cycles to become pregnant.

2. Laboratory quality

IVF laboratory plays a very crucial part in determining the success rates.After all the gametes need to be handled in a highly controlled and protective environment as the human body

Microorganisms such as germs or fungi can have an adverse effect on developing embryos, so excellent air quality is a must. Specially designed Heating, Ventilating, and Air Conditioning (HVAC) units equipped with charcoal filters and high-efficiency particulate (HEPA) air filters and enough dair pressure to completely change the air in the room 20 times per hour should be standard.

Temperature and light: In the first few delicate hours and days of development, both of these factors are crucial. Keeping embryos at body temperature and filtering out ultraviolet light are two ways to eliminate stress which could damage growth.

An IVF lab with highest quality control constantly maintained by regular auditing of the lab conditions and procedures can definitely help in achieving highest success rates.

3. Experience and expertise of the clinician/Embryologist

Well experienced and qualified IVF clinician/Andrologist are of utmost importance in optimising the success rates as they can offer adjuvants , individualised protocols and sperm selection methods based on the ovarian reserve and sperm parameters respectively.Success of IVF also depends on the optimal preparation of the endometrial lining and the ease of embryo transfer technique.However good quality the embryos may be if fails to implant if the uterine environment is unfavourable or when difficulty is encountered in embryo transfer.A well experienced can make a big difference in these areas.

Qualification and the experience of the embryologist is also invaluable in determining the success rates.Minimal handling of the embryos, speed and gentleness of the procedures like ICSI, embryo freezing, thawing are critically important for high success rates, the minimum the exposure of the gametes/embryos outside the incubator, the maximum are the success rates.

Every fertility journey has an element of uncertainty, but there is a lot that your fertility clinic can do to contribute to IVF success

By Dr. Geetha R

 

Do you know the best maternity hospital in Bangalore?

Among other metros, we are now offering our specialized maternity assistance in remote areas of Bangalore such as Hebbal and Banashankari. Find out more.

A working couple looking out for expert advice and sincere care towards their expecting toddler must consult our trained maternity doctors. With our absolute comforting maternity care unit, we strive to sustain as the best maternity hospital in Hebbal, Bangalore. Therefore, the flexible and customized packages for all tiers helps us provide extensive infrastructure.

Our team is trained to maintain a friendly environment and always-ready-to-help approach is wore on sleeves by Motherhood team. To elevate the comfort level of mothers and reduce the stress level of everyone around them, the services are designed keeping all those practical realities in mind.

The intention behind being the best maternity hospital in Banashankari is to provide an all-inclusive set of maternity care facilities, starting from conceiving to delivery. The specialized team of paediatricians ensures regular check-up and visits, there are no delays or exceptions. While you are in the most dedicated maternity health care centre, no need to worry about any complication or unusual experience during your pregnancy. The doctors are primarily concerned about the health of the mother and child. Special assistance for a nutritious diet, care at home, and handling pre-delivery anxiety is what the maternity centre guides the mother and family about.

All pregnancy conditions and situations differ; hence, all the cases are treated with a customized approach, which helps our team to empathize with the parents at best. Post-delivery the doctors stay in regular touch to share their advice for breastfeeding, childŸ??s health and growth, diet and much more. They are always there to help you go through different stages of progression with the child. We know that a small word with your doctor is enough to comfort you in a difficult situation.

A HAPPY ENDING FOR THE YOUNG COUPLE- By Dr. Mirudhubashini Govindarajan

For long, this young pair had been dreaming of a happy home resounding with the gurgles and laughs of their little bundle of joy. But when this dream failed to turn into reality despite many tries there was extreme disappointment.

Thanjavur-based couple, 24-year-old Sowmya (name changed) and her 31-year-old husband Shrikant (name changed), had been married for three years. After they failed to conceive naturally, they consulted many IVF clinics but to no avail. They were put through many fertility treatments such as Ovulation Induction (in this treatment, a woman is given medication to help in the ovulation process or to increase the number of eggs released from the ovary) and two cycles of Intrauterine Insemination (IUI), wherein the sperms from the male partner are directly placed in the uterus of the woman to increase the chance of conception. But all these treatments failed to get any results. That is when the couple decided to visit Womens Center by Motherhood, Coimbatore.

When they came to us, the couple’s previous reports showed that the male partner’s sperm count was fluctuating quite remarkably – from no sperms in the semen to about 10 million. We did detailed evaluations of both the husband and wife at our hospital; we found that the wife’s parameters were more or less normal while the husband had hormonal imbalances, including low testosterone levels, said Dr. Mirudubhashini Govindarajan, Clinical Director-Obstetrics, Gynaecology & IVF Specialist at Womens Center by Motherhood.

To add to this, the man was morbidly obese with a BMI of 38, which could have been one of the contributing factors. As a first step, the doctor advised him to reduce weight and also put him on medication to bring his hormone levels to normal.
In two months, there was considerable progress. The male partner’s weight had reduced, and his hormones levels were better. As a result, the number and quality of the sperms improved.

Ÿ??Following this, we stimulated a few of the wife’s eggs for ovulation and carried out an IUI procedure on her. The treatment has borne fruit, and she is pregnant, added Dr. Mirudubhashini.

Many a time, when an infertility couple are seeking fertility treatment, the women is investigated for the cause and a cursory treatment is started. Often, not much attention is paid to the male partner. In about half the couples, there is a problem on the male side also. This may not be apparent by doing semen analysis alone and requires a proper work up to complete the initial assessment. This couple were a prime example of what can be achieved by this approach.

For more information on Advanced Fertility Procedures and Appointments, call 98848 38349.

My breastfeeding story – Mrs. Ramya

This is my breastfeeding story

Like any other new mother, I thought breastfeeding my newborn would be one of the easiest and natural things to do and no extra work was needed to be put in, especially mentally or emotionally. But was I so wrong! I found out the very second day after my baby was born that she wasn’t latching onto my breasts the right way and was losing weight because she isn’t taking in enough milk.

To me I didn’t know there was a right or a wrong and you could say I was very naive about it. I was in tears most times from the very beginning of my journey, whether be it cracked nipples, blocked ducts, milk blisters, engorgement, sore nipples etc. you name it I had it. Initially I even taught it may be because I did not have enough milk and that’s why my baby wasn’t putting weight which was not the case. I was producing enough or rather more than needed. It was at the hospital where I began expressing milk through a breast pump and I fed my baby. I had to resort to pumping because she needed it even after her direct feeds. I was producing so much milk that was way more than required.

In a way I would say I was lucky that I produced that much because even though she had a bad latch there was some milk entering her and she slowly started to gain weight. Initially she refused feeding from a feeding bottle and would drink very little through direct feeds. So, you can see I was challenged in in all sorts of ways. Then, after the third week she somehow latched onto the bottle and drank the required amount and gained so much weight that she was back on track but then she refused to get back on my breasts and that’s when my exclusively pumping journey began.

It was not easy to exclusively pump, the tears continued to roll down and it felt I couldn’t catch a break at all. There were times when I just felt defeated and decided to give her powder formula because excessive pumping was taking a toll on my mental and emotional stability. I was on the verge of getting into serious postpartum depression.

I didn’t give up though. I somehow found my strength to bounce back from these challenges just so that I could continue feeding my baby girl the best food I can give her which is a mother’s milk. From giving up in the first month I slowly pushed my giving up time to three months and then six months and now my baby is seven months old and I continue to exclusively pump.

It is because I had to make the hard choice of going against the stereotypical breast feeding. My baby has gained weight and her immune system has improved so much better. I will continue pumping till I can and until I feel it’s necessary.

Also, I am happy and proud to do this all myself and for all the milk I donated for those mommies with less milk and newborns who needed breast milk!

PS: No mommy should be obliged to forcefully go through this path. This is just my story of strength. I have found the courage to find happiness in feeding my baby girl through pumping.

Excessive or abnormal vaginal discharge: What can be the reasons?

Vaginal discharge is quite common, and there’s usually no reason to worry too much about it. However, there’s a sense of uncertainty involved in it which causes confusion and doubt for the person who is facing this problem.

While vaginal discharge is the way a woman’s body manages fluid and cells, it can also indicate vaginal infections and whether you have a potential health issue which needs the attention of a gynaecologist. The reason for white discharge varies from woman to woman, and can change depending on multiple factors such as potential infections, menstrual cycle, hormones and pregnancy.

Excessive vaginal discharge or leukorrhea is often caused by an infection. Some commonwhite discharge causing infections include bacterial vaginosis, trichomoniasis, yeast infection, vaginal atrophy, vaginitis, gonorrhoea, chlamydia, pelvic inflammatory disease (PID) and human papilloma virus (HPV) or cervical cancer.

Bacterial vaginosis is likely to affect women who receive oral sex or who have multiple sexual partners. It has a strong, foul and sometimes fishy odour. Trichomoniasis results ina yellow or green discharge that has a foul odour. Pain, inflammation, and itching are also common symptoms. A yeast candida infection causes white, cottage cheese-like discharge in addition to burning and sometimes no discharge, just itching sensations.

Vaginal atrophy is the thinning and drying out of the vaginal walls during menopause while Vaginitis is characterised by irritation in or around the vagina.

Gonorrhoea and chlamydia are sexually transmitted infections (STIs) that can produce an abnormal discharge. PID occurs when bacteria spread up the vagina and into other reproductive organs. HPV or cervical cancer spreads through sexual contact. Cervical cancer can easily be screened with yearly Pap smears and HPV testing.

Stay aware of normal and abnormal changes in vaginal discharge. This allows you to identify infections and other health problems. You should contact your doctor if you notice your vaginal discharge has changed from its typical consistency, colour and smell or if you have other symptoms in your vaginal area. You should discuss your white discharge reason with your doctor if:

  • It has changed in consistency and appears yellow, green or even gray
  • It resembles cottage cheese in colour and consistency
  • It looks foamy or frothy and has a strong smell of fish, yeast or another odour
  • It is brown or blood-stained
  • You experience vaginal itching, swelling burning, or pain

If you have any questions about the vaginal discharge you re experiencing, contact Motherhood Hospitals which has a team of highly experienced gynaecologist’s for white discharge treatment and quick relief from the problem. Older women should see a doctor promptly if they have a discharge, particularly if the discharge contains blood or is brown or pink (possibly indicating a small amount of blood). A discharge that occurs after menopause can be a warning sign of a precancerous disorder (such as thickening of the lining of the uterus) or cancer and should not be ignored. Our experts mitigate risk and suggest you thorough options, medicinal as well as highly advanced minimally invasive procedures like endometriosis surgery (hysteroscopy, laparoscopy).

 

Endometrial Cancer

Supportive care and treatment options for endometrial cancer - Motherhood Hospital India

Safe Surgical Treatment For Every Woman

Many conditions affecting the reproductive organs may go unnoticed till the patients suffer severe symptoms like bleeding and pain. Advanced gynaecological surgeries can help women get back to normal. So, Motherhood hospital’s gynaecological programme ensures that women get the advantage of a timely diagnosis and effective treatment that includes advanced gynaecological surgeries wherever necessary.

Dr Suhasini Inamdar, Consultant, Obstetrics and Gynaecology at Motherhood hospitals, Indiranagar talks about a few conditions and the advanced treatment for them:

Endometrial Cancer

Endometrial cancer arises from the cells that make up the endometrium, which is the lining of the uterus. This type of cancer is known to affect 3-4 per 100, 000 women in India, according to a study published in the US-based Journal of the National Cancer Institute in October 2017. The 15-year study, across 43 countries, conducted by researchers from the American Cancer Society and International Agency for Research on Cancer found that endometrial cancer was more common among postmenopausal women. One of the most common signs of cancer of the endometrium is bleeding after menopause.

Symptoms

  1. Vaginal bleeding/post-menopausal bleeding
  2. Pelvic pain
  3. Irregular menstruation
  4. Bleeding between periods

The condition can be diagnosed through a hysteroscopy. One of the patients who presented with endometrial cancer at Motherhood Hospital was a 50-year-old woman with a history of breast cancer.

Around 15 years ago, the patient had undergone a procedure to remove a lump in her breast. At that time, doctors had also performed an oopherectomy (a surgical procedure to remove the ovaries) on her to prevent cancer from recurring. Later, she was diagnosed with hyperthyroidism and was taking radioactive iodine as treatment. As a result, she became hypothyroid.

Treatment

When she consulted us this year, she had severe post-menopausal bleeding. Because of the hypothyroidism, the patient had become obese. We did a hysteroscopy and found that the endometrial lining was thickened considerably. The best option is to do a laparoscopic hysterectomy. The risk was high because of the patient’s weight and her earlier procedures, said Dr Inamdar.

Laparoscopic hysterectomy is a minimally-invasive procedure to remove the uterus. It is carried out with the help of a laparoscope, a thin lighted tube with a camera at the end. Small incisions are made near the navel and the lower abdomen; the device is inserted through one of them and the surgeon performs the procedure by seeing the images beamed from the camera on a screen.

In this case, the expertise of the doctors at Motherhood ensured that the surgery had a successful outcome. The patient also made a quick recovery as blood loss and pain was minimal.