Labor Induction: When Is It Necessary and What Are the Methods?

Labor Induction When Is It Necessary and What Are the Methods

Author –  Dr Ekawali Gupta

MBBS, MS Degree in OBG, 

Consultant Obstetrician and Gynaecologist, Mohali.

Labor Induction: When Is It Necessary and What Are the Methods?

Introduction:

Labor induction is a medical procedure wherein doctors use medications or other methods to trigger labor in a pregnant woman. Dr Ekawali Gupta, MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist says that This procedure is critical when waiting for natural labor could pose risks to either the mother or the baby. In India, with its burgeoning population and diverse healthcare challenges, labor induction is a commonly practiced procedure to ensure the safety and timely delivery of babies.

Section 1: Circumstances Necessitating Labor Induction

Labor induction is not a one-size-fits-all solution and is recommended under specific circumstances. Some of the situations that might necessitate labor induction include:

  • Post-term Pregnancy: When a pregnancy extends beyond 40 weeks, it is considered post-term. In such cases, labor induction may be recommended to avoid potential complications.
  • Pre-eclampsia or High Blood Pressure: Pre-eclampsia is a serious condition characterized by high blood pressure and signs of damage to other organ systems, most often the liver and kidneys. Labor induction may be necessary to prevent severe complications.
  • Health Conditions: Certain health conditions in either the mother or the baby may necessitate earlier delivery. These could include gestational diabetes, heart disease, or other serious conditions.
  • Water Breaking: If a woman’s water breaks (membranes rupture) without the onset of contractions, labor may need to be induced to prevent infections and complications.
  • Fetal Growth Restriction (FGR): This condition occurs when the baby grows slower than normal during pregnancy. Labor induction might be considered to prevent further complications.
  • Cholestasis of Pregnancy: This is a liver condition that causes severe itching and can lead to complications for both the mother and the baby, prompting the need for labor induction.

Labor induction is a decision taken in conjunction with medical professionals who assess the unique health conditions and risks involved. It is a step towards ensuring the safety and well-being of both the mother and the child.

Section 2: Methods of Labor Induction

Labor induction can be achieved through various methods. The choice of method largely depends on the condition of the cervix and the particular circumstances of the pregnancy. Below are some common methods of labor induction:

  • Medicinal Methods:
  • Misoprostol: A synthetic prostaglandin, Misoprostol is used to ripen the cervix and induce labor. The INFORM study conducted in India highlighted the effectiveness and acceptability of low-dose oral Misoprostol, showing promising results, especially in low-resource settings.
  • Dinoprostone: Similar to Misoprostol, Dinoprostone is a Prostaglandin gel used for cervical ripening and labor induction.
  • Mechanical Methods:
  • Foley Catheter: A Foley catheter is inserted into the cervix and inflated to help the cervix dilate. It’s a mechanical method of induction that doesn’t involve medications.
  • Membrane Stripping: This method involves a healthcare provider inserting a finger into the cervix and gently separating the amniotic sac from the uterine wall to stimulate labor hormones.
  • Surgical Methods:
  • Artificial Rupture of Membranes (Amniotomy): This procedure involves making a small opening in the amniotic sac to stimulate contractions and induce labor.

Each method has its own set of advantages, disadvantages, and suitability based on individual circumstances. It’s imperative that the chosen method is discussed and agreed upon with healthcare providers.

Section 3: Success and Acceptability of Various Induction Methods in India

The success and acceptability of labor induction methods in India were notably highlighted in the INFORM study. This study compared oral Misoprostol with Foley catheter induction in a government hospital in India, revealing a 10% higher rate of vaginal birth within 24 hours and less need for caesarean section with Misoprostol. Women in the Misoprostol group were also more satisfied with the outcome compared to those induced with the catheter method.

The results of the INFORM study are encouraging for the use of low-dose Misoprostol, particularly in patients with mild hypertensive disease in low-resource settings. However, further studies are needed in women with severe, early-onset hypertensive disease and intrauterine growth restriction.

The choice of induction method greatly affects the experience and satisfaction of women undergoing labor induction. Hence, continuous research and patient education are pivotal in optimizing the labor induction process in India.

Section 4: Risks and Precautions

The best gynaecologist in sector 32 says While labor induction is a common practice, it is not without risks. Some potential risks include:

  • Uterine Hyperstimulation: Over-stimulation of the uterus can lead to fewer resting times between contractions, potentially stressing the baby.
  • Infection: Any invasive procedure carries the risk of infection, which could be detrimental to both mother and baby.
  • Unintended Cesarean Delivery: Labor induction might increase the likelihood of needing a cesarean section, especially if the cervix isn’t ready for labor.

It’s crucial to discuss these risks and any concerns with healthcare providers. Proper prenatal care, understanding the procedure, and following medical advice can significantly mitigate these risks.

Section 5: Preparing for Labor Induction

Preparation is key to a smoother labor induction experience:

  • Mental Preparation: Understanding the procedure, setting realistic expectations, and staying positive are essential.
  • Discussion with Healthcare Providers: Having a detailed discussion about the induction plan, potential risks, and pain management options is crucial.
  • Pain Management: Considering pain relief options in advance and discussing these with healthcare providers will ensure better preparedness.

Section 6: Conclusion

Labor induction is a vital procedure that can ensure the safety and timely delivery of the baby. While it carries certain risks, with proper preparation and medical guidance, the process can be made smoother and less stressful. The choice of induction method should be a collaborative decision made with experienced healthcare providers.

Dr Ekawali Gupta will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Mohali.

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

Do make an appointment with the best woman care hospital in Mohali at a center 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. Ekawali Gupta, please book your appointment here.

Postpartum Hair Loss: Causes and Coping Strategies

postpartum hair loss

Author –  Dr Ekawali Gupta

MBBS, MS Degree in OBG, 

Consultant Obstetrician and Gynaecologist, Mohali.

Postpartum Hair Loss: Causes and Coping Strategies

Introduction:

The journey of motherhood brings with it a whirlpool of emotions and changes, both joyous and challenging. One such change that often catches new mothers by surprise is postpartum hair loss. As you navigate through the ups and downs of motherhood, the sight of hair strands on the pillow or in the shower drain can be disconcerting. However, it’s important to know that postpartum hair loss is a common and temporary phase. This article by Dr Ekawali Gupta, MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist, aims to demystify postpartum hair loss, delve into its causes, and offer coping strategies to manage and mitigate this phase gracefully.

Understanding Postpartum Hair Loss

The anatomy of hair growth is a delicate and complex process regulated by various factors including hormonal levels. Under normal circumstances, as per the best Gynecologist and Obstetrician in Sector 32, hair goes through a growth cycle that consists of the anagen (growing), catagen (transitional), and telogen (resting) phases. During pregnancy, elevated estrogen levels prolong the anagen phase, leading to thicker, lusher hair. However, post-childbirth, as the hormonal tide ebbs, a larger number of hairs transition into the telogen phase, eventually leading to increased shedding, known as postpartum hair loss.

Causes of Postpartum Hair Loss

  1. Hormonal Changes:
  • The primary cause of postpartum hair loss is the sudden drop in estrogen levels after childbirth. During pregnancy, high levels of estrogen prevent the usual rate of hair shedding, leading to thicker hair. Post childbirth, as estrogen levels plummet, the extra hairs start to shed, manifesting as postpartum hair loss.
  1. Thyroid Issues:
  • Some women may experience thyroid imbalances post-pregnancy, which can further contribute to hair loss. Thyroid hormones play a vital role in regulating the hair growth cycle. An overactive or underactive thyroid can disrupt this cycle, leading to increased hair shedding.
  1. Iron-Deficiency Anemia:
  • Iron is crucial for hair health, and a deficiency can lead to hair loss. Pregnancy can deplete iron stores, and if not adequately replenished, may lead to iron-deficiency anemia and subsequent hair loss post-pregnancy.
  1. Vitamin and Mineral Deficiencies:
  • Deficiencies in essential vitamins and minerals like vitamin D, B vitamins, and zinc can also contribute to postpartum hair loss.
  1. Stress:
  • The postpartum period can be stressful, and stress can further exacerbate hair loss. It’s a vicious cycle that needs attention and management.

Coping Strategies

  1. Maintaining a Balanced Diet:
  • A nourishing diet rich in essential vitamins, minerals, and proteins can support hair health. Incorporate a variety of nutrient-dense foods like leafy greens, nuts, seeds, lean meats, and whole grains. Ensure adequate intake of iron and vitamins, particularly vitamin A, which is known to support hair growth.
  1. Gentle Hair Care:
  • Adopt a gentle hair care regimen to minimize breakage and further loss. Use mild shampoos, avoid harsh chemical treatments, and be gentle while combing and styling your hair. Avoid tight hairstyles that pull on the scalp.
  1. Stress Management:
  • Practice stress-reducing techniques like yoga, meditation, and deep breathing. Creating a supportive and serene environment can significantly help in managing stress levels during this transitional phase.
  1. Regular Scalp Massages:
  • Scalp massages can promote blood circulation, nourish the hair follicles, and create a relaxing routine. Use nourishing oils like coconut or almond oil for the massage, and if possible, indulge in a professional massage session.
  1. Consulting a Healthcare Provider:
  • If you notice severe hair loss or bald patches, or if the hair loss continues beyond six months, it’s advisable to consult with a healthcare professional. They can provide a proper diagnosis and suggest a treatment plan if necessary.
  1. Patience and Understanding:
  • Understand the temporary nature of postpartum hair loss and practice patience. Your body has undergone significant changes, and it’s crucial to give it the time and care it needs to recover fully.

Conclusion

Postpartum hair loss, though startling, is a temporary and natural part of the post-pregnancy journey. By understanding the underlying causes and adopting a holistic approach to managing it, you can navigate through this phase with grace and confidence. Remember, every strand of hair that sheds makes way for new growth, mirroring the beautiful journey of motherhood.

Dr Ekawali Gupta will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Mohali.

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

Do take an appointment with the best woman care hospital in Mohali 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. Ekawali Gupta, please book your appointment here.

Fear of Labour and Childbirth: Understanding and Overcoming the Dread

fear of labour and childbirth

Author –  Dr Ekawali Gupta

MBBS, MS Degree in OBG,

Consultant Obstetrician and Gynaecologist, Mohali.

Fear of Labour and Childbirth: Understanding and Overcoming the Dread

Introduction

The journey towards motherhood, albeit beautiful and exhilarating, is often accompanied by a spectrum of emotions, fears being one of them. The fear of labour and childbirth is a common concern among expecting mothers, especially in a culturally rich and diverse country like India. However, understanding and addressing these fears can significantly enhance the birthing experience. This article by Dr Ekawali Gupta, MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist,  delves into the common fears associated with labour and childbirth, and their underlying causes, and provides pragmatic coping strategies to overcome them.

Understanding Fear of Labour and Childbirth

As per the best Gynecologist and Obstetrician in Sector 32, Labour and childbirth is a profound life event. The fears surrounding it are often rooted in the fear of pain, fear of the unknown, fear of medical interventions, and fear of something going wrong during the process. Each fear carries its own set of anxieties that can significantly impact the mental and emotional well-being of the expecting mother.

Causes of Fear

  1. Lack of Knowledge: The unknown aspects of labour and childbirth can be daunting. Lack of knowledge can magnify fears and lead to increased anxiety and stress.
  2. Past Traumatic Experiences: Women who have had past traumatic experiences, or who have been exposed to negative childbirth narratives, may carry a heightened fear towards childbirth.

Impact of Fear

Fear can have a ripple effect, influencing the mother’s psychological well-being, her experience of childbirth, and potentially leading to adverse obstetric outcomes and postpartum mental health difficulties.

Coping Strategies

  1. Education and Preparation:
  • Antenatal education can demystify the process of childbirth and provide realistic expectations. Understanding what to expect can alleviate fears and provide a sense of control.
  1. Professional Support:
  • A doula can provide support, information, and advocacy during pregnancy, labour, and postpartum, making the process less intimidating.
  1. Mindfulness and Relaxation Techniques:
  • Practices like yoga, meditation, and breathing exercises can help manage stress and anxiety, providing a calming effect.
  1. Positive Reinforcement:
  • Surrounding oneself with positive childbirth stories and avoiding negative narratives can help in fostering a positive outlook towards childbirth.
  1. Individualized Birth Plan:
  • Creating a birth plan that aligns with one’s values, preferences, and comfort levels can provide a sense of empowerment and reduce fear.

Professional Help

Seeking counselling or joining support groups can provide a safe space to express fears and work through them with professional guidance.

Conclusion:

Facing the fear of labour and childbirth is a crucial step towards ensuring a positive birthing experience. By understanding the root of these fears and employing coping strategies, expecting mothers can look forward to embracing the transformative journey of childbirth with confidence and serenity.

Dr Ekawali Gupta will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Mohali.

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

Do take an appointment with the best woman care hospital in Mohali 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. Ekawali Gupta, please book your appointment here.

How Does Smoking Affect Fertility?

how does smoking affects for fertility

Author – Dr. Shruti Mane 

MBBS, M.S, PG Diploma in ART AND Reproductive Medicine, FELLOWSHIP IN REPRODUCTIVE MEDICINE (MUHS), Consultant – Infertility Specialist

 

How Does Smoking Affect Fertility?

Smoking, both active and passive is detrimental for men and women. A constant habit of having cigarettes in your hands does not only affect your lungs but it also deteriorates other organs. The harmful chemicals from cigarettes spread all across your body through the blood vessels. While its consequences may not be evident today, it may cause hindrances when planning a baby. According to Dr Shruti Mane, MBBS, MS, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS), Consultant- Fertility Specialist, smoking is dangerous for your reproductive system and decreases your chances of having a baby. This is one of the reasons why putting a hard stop to the smoking habit is the first advice given by Dr Shruti to her patients.

How Does Smoking Affect Women’s Fertility?

A woman’s body is affected greatly by smoking. The top IVF doctor in Navi Mumbai explains how:

1. It Impacts Your Eggs Quality

Carrying cigarettes in your hands may seem fun and games for you today. It, however, can be detrimental to your body in the long run. The chemicals emitted from a cigarette spread all across your body as well as the reproductive system. Upon reaching your reproductive organs, it starts damaging your eggs by promoting premature ageing. Consequently, this leads to a repository of lower–quality eggs in your ovaries. Moreover, this habit also hampers your regular ovulation cycle and brings you to the verge of menopause.

2. More Chances of Miscarriage

As mentioned above, ovaries are adversely affected due to smoking. The best IVF doctor in Navi Mumbai tells us that the chances of women conceiving with lower–quality eggs are rare. Even if a woman conceives, the eggs may not add up to the uterine environment. This way, the eggs may not be able to sustain themselves. Moreover, smoking may also affect the quality of your embryo and increase your miscarriage chances.

How Stopping Smoking Can Affect a Woman’s Fertility?

Since a woman’s body is required to be able to sustain a baby, the fertility specialist in Navi Mumbai restricts women from smoking or even being around those who smoke.  

1. It Improves Fertility 

Quitting cigarettes can bring miraculous changes to your body. Giving up on the habit of smoking can reverse the damage caused over the years and boost your fertility. The doctor advises this, especially for women with polycystic ovary syndrome. Women with PCOS also have a slower metabolism and smoking may further damage the condition. 

2. Normal and Full-Term Delivery 

Smoking causes hurdles in your motherhood journey right from conception. If you are a regular smoker, you may first find it difficult to conceive. Now, even if you conceive, your baby may have a premature birth or other abnormalities. Hence, putting a hard stop on cigarettes way before planning to conceive can decrease such risks. Eventually, this may also make your journey more memorable and you may also have a normal and full-term delivery.

3. Healthy Birth Weight

Smoking is hazardous for the health of both the mother and the baby. The smoke coming out of the cigarette also hampers the normal growth of your baby along with the birth weight. By quitting cigarettes, you can give your baby some fresh air to breathe and a healthy environment to grow.

If you are planning to start a family, you need to bid goodbye to cigarettes. Both you and your partner need to be clean to ensure a normal pregnancy. If you are finding it difficult to stop cigarettes or conceive, visit Dr Shruti Mane at the Motherhood Hospitals.

Fertility and Cancer: What are Your Options?

Fertility and Cancer

Author –Dr Shruti Mane

MBBS, M.S, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS),

Consultant Infertility Specialist

Fertility and Cancer: What are Your Options? 

Introduction:

Cancer can be frightening regardless of your age. It is more difficult when you are in your reproductive years. According to Dr Shruti Mane, MBBS, M.S, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS), Consultant Infertility Specialist, a lot of couples are worried about their chances of conceiving when fighting cancer. Modern medicine, however, provides solutions and allows cancer survivors to embrace parenthood. On this note, the best IVF doctor in Navi Mumbai recommends cryopreservation.  

What is Cryopreservation? 

Cryopreservation embryo freezing or embryo preservation is a process of storing and freezing embryos for future use. The best IVF specialist in Navi Mumbai recommends this technique to safeguard your chances of pregnancy. 

What is the Procedure for Cryopreservation? 

The primary goal of cryopreservation or embryo preservation is to save embryos for later use. The produced embryos are controlled and maintained in such environmental conditions to ensure that the embryo does not die. The top IVF doctor in Navi Mumbai explains the following steps: 

1.Embryo Selection: 

 Initially, the IVF doctor may give certain medications or injections to stimulate your body to produce more eggs. Similarly, your partner is also given medications to produce more sperm cells. Both sperm and eggs are mixed in the laboratory to generate plenty of embryos. The embryos go through extensive testing to select the healthiest one. These healthy embryos are stored for later use. 

2. Removing Water Content: 

The selected healthy embryo cannot be frozen directly since the water content from cells has to be replaced. According to the best IVF doctor in Navi Mumbai, the water from the cells is removed as it also freezes or crystallizes. These crystals can expand over time and burst the cell open to die. 

3. Embryo Freezing: 

 As the water is removed, the embryo is cooled and frozen. The embryos are put inside a tube to save them from any damage. The temperature inside the tubes is gradually lowered to prevent ageing and damage. Once an optimal temperature is reached, the tube is transferred from the freezer and stored in a liquid nitrogen container to maintain a temperature of -196 degrees Celsius.  

How are Embryos Used Again? 

The process to de-freeze an embryo is called thawing. When embryos are required, it is retrieved from the liquid nitrogen container and kept in a water bath to gradually increase the temperature. Once a required temperature is reached, the embryo is ready to be transferred into your uterus. 

Fighting cancer has its challenges as it hampers every aspect of your being. Mostly, it affects your chances of parenthood. The modern assisted reproductive techniques, however, including IVF and cryoprotection have made it easier for you to get pregnant after your cancer therapy. It is, however, also important for you to visit the top IVF doctor in Navi Mumbai when you are diagnosed with cancer to discuss your future options. You can visit Dr Shruti Mane at the Motherhood IVF for expert guidance. 

Low Blood Pressure in Pregnancy and Its Treatment 

low blood pressure in pregnancy

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Low Blood Pressure in Pregnancy and Its Treatment 

Introduction

 According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, a woman’s body goes through several hormonal and physiological changes during pregnancy. Some of these changes can also cause gestational diabetes or low blood pressure (hypotension). To nourish the growing foetus, the blood vessels in the woman’s body are dilated. This also reduces blood pressure and may also affect the baby if left untreated. Low blood pressure is common during pregnancy and can also be managed by dietary and lifestyle changes.  

What Causes Low Blood Pressure in Pregnancy? 

The best gynaecologist in sector 57 tells us that low blood pressure in pregnancy lasts for close to 24 weeks and resolves on its own as the mother’s body starts adjusting to the pregnancy. A prolonged lowering of blood pressure, however, is detrimental to the health of the mother and the baby.  

The common reasons behind low BP are: 

1. The hormones responsible for the baby’s growth cause dilation of blood vessels. 

2. A growing foetus utilizes your energy for cell division and growth so you feel low on energy levels. 

3. Since nausea and vomiting are also common in pregnancy, the diet slows down which also leads to low energy. 

The other causes also include: 

1. Dehydration. 

2. Excessive vomiting. 

3. Anaemia. 

4. Loss of blood or internal bleeding. 

5. Infections. 

6. Other medical conditions include heart disease. 

What are the Symptoms of Low Blood Pressure? 

The gynaecologist in Gurgaon states the following common low blood pressure symptoms: 

1. Nausea. 

2. Fatigue. 

3. Weakness. 

4. Increased thirst. 

5. Lethargy. 

6. Double or blurred vision. 

7. Weakness. 

8. Cold skin. 

 It is important to note that the initial symptoms of hypotension may not be alarming. A sudden drop in BP, however, can cause: 

1. Falls and shock. 

2. Organ damage. 

3. Ectopic pregnancy. 

 A continued low BP can be fatal for the growing foetus and the mother. Hence, you should reach out to the gynaecologist in Gurgaon for immediate support. 

What is the Treatment for Low Blood Pressure During Pregnancy? 

Since hypotension is common during pregnancy, it is usually managed by medications. Apart from medications, the best gynaecologist in sector 57 also recommends lifestyle modifications, this includes: 

1. Diet 

The diet in pregnancy should include a balanced meal. You can create small portions and frequent meals throughout the day instead of one large meal to avoid nausea. Apart from this, make sure to hydrate yourself with coconut water or fruit juices. 

2. Adequate Rest 

If you have low BP, do not get up abruptly from a seated position or while lying on the bed to prevent sudden changes in BP. If you feel dizzy, lie on your left side to increase blood flow to the heart. Make sure that you give yourself sufficient rest. You can also try wearing loose clothes or high-knee compression stockings to improve your blood circulation. 

3. Exercise 

Although sudden physical activity may not be suitable for women with low BP, moderate exercise may help you in the long run. Before starting any workout regime, make sure that you consult a gynaecologist in Gurgaon to prevent complications. 

If you are experiencing low blood pressure during pregnancy, it is important to know when to seek medical attention. You should contact Dr Preety Aggarwal at the Motherhood Hospitals if you are experiencing prolonged symptoms.  

All You Need to Know About Fibroid Treatments

all you need to know about fibroid treatment

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology.

All You Need to Know About Fibroid Treatments

Treatment for fibroids can range from no treatment at all to surgery. Usually, small fibroids do not cause any symptoms and are not treated. The big fibroids, on the other hand, show symptoms including excessive bleeding or bladder problems for which treatment is required. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, fibroids are generally harmless until they show disabling symptoms. If your fibroids are causing excessive pain and making it difficult for you to carry out your daily activities, it is time to get yourself treated.

All You Need to Know About Fibroid Treatments

The best laparoscopic gynaecology doctors in Gurgaon suggest the following treatment modalities for patients with fibroids:

1. Medications

The medications are a temporary solution to fibroids and generally improve symptoms. The medications cannot make your fibroid go away. The medications, however, do help with heavy bleeding or pain.

2. Intrauterine Devices (IUD)

Although IUDs are normally used to prevent pregnancy, they may also provide other benefits. An IUD releasing a small amount of hormone into the uterine cavity can decrease the bleeding caused by fibroids.

3. Myomectomy

Myomectomy refers to removing fibroids while preserving the uterus. The surgery is suitable for women with fibroids who want to have children in the future. Although the surgery is effective the fibroids can re-grow. The surgery can be performed in the following ways:

  • Abdominal myomectomy: During this procedure, the doctor will make an incision on the lower abdomen. The fibroids will be removed and the incision will be sewn back together. The recovery may take four to six weeks. 
  • Laparoscopic myomectomy: During this procedure, the doctor will make a small incision on your abdomen. A thin, telescope-like tube will be inserted through the incision to remove the fibroid. The recovery with this procedure is shorter from around two to four weeks. 
  • Hysteroscopic myomectomy: Women with only submucosal fibroids are treated with this procedure. During this surgery, the doctor will place a speculum in the vagina and a telescope will be inserted. The telescope will remove the submucosal fibroids. The recovery with this procedure is also within two to four weeks.

4. Hysterectomy

Hysterectomy refers to the surgical removal of the uterus. The majority of women go for a hysterectomy instead of a myomectomy to prevent the recurrence of fibroids. After hysterectomy, however, a woman cannot get pregnant. It is performed in the following ways:

  • Vaginal hysterectomy: During this procedure, the uterus is removed through the vagina. The recovery is for four weeks. 
  • Abdominal hysterectomy: During this procedure, the uterus is removed through the lower abdomen.  
  • Laparoscopic hysterectomy: During this procedure, the best laparoscopic gynaecology doctors in Gurgaon will create a small incision on the lower abdomen. The doctor will insert a telescope fitted with a camera and tiny surgical instruments. The surgical tools will cut the uterus into small segments and remove it from the incision. The recovery after this procedure is usually shorter with two to four weeks.

5. Uterine Artery Embolization (UAE)

Uterine artery embolization is a new procedure that blocks the blood flow to the fibroids. Limiting blood flow causes the fibroids to shrink and die. This helps with decreased menstrual blood flow, pain, and urinary frequency.

Fibroid symptoms can cause excruciating pain and make it difficult for you to carry out your daily activities. If you are suffering from fibroids or are noticing such symptoms, consult Dr Preety Aggarwal  at the Motherhood Hospitals.

5 Treatment Modalities to Manage Menopause

modalities to manage menupause

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

5 Treatment Modalities to Manage Menopause 

Introduction:

Menopause refers to the cessation of periods or menses. It is a natural process of ageing caused by the depletion of ovarian reserves as well as the fall of hormones including oestrogen and progesterone. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology,  the average age of menopause is between 40-45 years. Some women, however, may experience menopause even before the age of 40. In such cases, you should consult a doctor and get yourself treated as soon as possible.  

What Causes Menopause? 

Menopause occurring before the age of 40 refers to premature menopause. It is caused by premature ovarian failure and occurs in rare cases close to 2%. In some cases, it might also be caused by:

1. Surgery: Hysterectomy (removal of the uterus) or Oophorectomy (removal of uterus and ovaries). 

2. Radiation: Certain radiations can also cause your ovarian reserves to deplete and lead to menopause. 

What is Perimenopause? 

Perimenopause refers to the transition years of menopause. It is a time before and after the date of the final episode of menstrual flow. According to the best laparoscopic gynaecology doctors in Gurgaon, the transition is of 3 phases, that is, pre-menopause, menopause, and post-menopause. This transition in total can last for 4 to 8 years and even up to 12 years In some people.  

What are the Symptoms of Menopause? 

Perimenopause and menopause may cause various physical, emotional, and psychological changes in women. Dr. Shweta Wazir tells us that the period between perimenopause and menopause can lead to varying degrees of signs and symptoms. The common problems include: 

1. Hot flashes. 

2. Vaginal dryness. 

3. Night sweats. 

4. Irregular periods. 

5. Weight gain. 

6. Mood changes. 

7. Decreased metabolism. 

8. Thinning of hair. 

9. Dry skin. 

Periods are often skipped during perimenopause. If you, however, experience irregular periods during this time, a pregnancy may be suspected.  

What are the Treatment Modalities for Menopause? 

According to the best laparoscopic gynaecology doctors in Gurgaon, the treatment modalities for menopausal symptoms include: 

1. Hormonal Therapy: 

Since menopause is caused by the depletion of the oestrogen hormone. Hence, oestrogen therapy remains the cornerstone of menopause treatment. Depending on your condition, your doctor may also add progesterone to the therapy for effective results. 

2. Vaginal Oestrogen: 

Oestrogen can also be administered directly to the vagina in the form of cream, tablet, or ring to relieve vaginal dryness. The oestrogen released from these is absorbed directly into the vaginal tissues and helps in dealing with urinary symptoms. 

3. Selective Oestrogen Receptor Modulators (SERMS): 

SERMs include a separate category of drugs that act directly on the oestrogen receptors in the body. These drugs not only reduce the chances of breast cancer but also prevent osteoporosis in post-menopausal women. 

4. Antidepressants: 

A low dose of antidepressants can also be prescribed in some cases to deal with hot flashes. These are usually prescribed for women who cannot take oestrogen due to other medical conditions. These are also prescribed for women with a history of depression or a mood disorder. 

5. Gabapentin 

Another drug, gabapentin may be prescribed to reduce hot flashes. This drug is also indicated only for women who cannot take oestrogen or who also have migraines. 

Apart from treatment modalities, certain lifestyle modifications can also help you in dealing with menopausal symptoms. A balanced diet, regular exercise, enough sleep, and relaxation techniques also improve your health.  

If you are on the verge of menopause and are experiencing any of such symptoms, visit Dr Preety Aggarwal at the Motherhood Hospitals for expert guidance. 

Cervical Cerclage: Procedure & Female Infertility Treatment 

cervical cancer

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Cervical Cerclage: Procedure & Female Infertility Treatment 

Introduction

 Throughout the pregnancy, the cervix remains long and firm. It, however, begins to dilate and soften to allow passage of the foetus. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, the cervix in some women may lose its integrity and can result in miscarriage or preterm birth. In such cases, the best pregnancy doctor in Gurgaon suggests cervical cerclage to prevent complications. 

 What is Cervical Cerclage? 

 Cervical cerclage is a procedure to keep your cervix closed during pregnancy to prevent immature birth due to a weak cervix. If your cervix is weakened, your best pregnancy doctor in Gurgaon will recommend the procedure at the earliest. This will ensure that the foetus is inside of your uterus.  

 During this procedure, the laparoscopic surgeon in Gurgaon will place one or several sutures in the opening of your cervix to keep it closed during pregnancy.  

When a Cervical Cerclage is Performed? 

 Cervical cerclage may be recommended for several reasons, such as: 

1. Weak or incompetent cervix: At times the cervix may become weak due to past surgeries on the cervical tissues. 

2. Past miscarriages: A past miscarriage can also cause an abnormally shaped uterus or damage to the cervix. A past miscarriage in the second trimester usually causes a weak cervix. 

If your best pregnancy doctor in Gurgaon thinks that you require a cervical cerclage, they will perform it for about 12 to 14 weeks into your pregnancy way before the cervix thins out. 

 How is Cervical Cerclage Performed? 

 During a cervical cerclage: 

1. You will be given a pain-numbing medication or a local anaesthetic. 

2. After the anaesthesia takes effect, your doctor will stitch your cervix with strong sutures. This will tighten and secure the cervix. 

 The surgery may cause a slight discomfort and pain. Some patients also experience cramping, light bleeding, or spotting for a few days after the procedure. If, however, you feel abnormal pain after the procedure, contact your laparoscopic surgeon in Gurgaon at the earliest.  

 How is Recovery after the Procedure? 

 After your procedure, you will be discharged on the same day. You should, however, ensure proper rest for at least 10 days after the surgery to let your stitches heal. Make sure that you follow all the instructions given by the doctor including follow-up appointments to monitor your pregnancy. 

 What are the Risks After the Cervical Cerclage? 

 A cervical cerclage is recommended only in severe situations. The best pregnancy doctor in Gurgaon will only recommend the procedure if the benefits outweigh the risks. You may experience certain complications after the procedure such as: 

1. Bleeding. 

2. Infection in the cervix. 

3. Premature rupture of membrane; you may experience your water breaking. This may lead to preterm labour. If you notice, any spotting after the procedure, make sure that you visit your doctor immediately. 

4. Preterm labour. 

5. Cervical stenosis. 

6. Scar tissues on your cervix. 

7. Tearing of cervix or uterus. 

When Should You Visit a Doctor After the Procedure? 

 Cervical cerclage is usually safe; however, you may experience certain complications as mentioned above. You should visit your doctor at the earliest if you notice the following: 

1. A high fever. 

2. Contractions in the lower abdomen. 

3. Foul-smelling discharge from the vagina. 

4. Water breaking or leaking. 

5. Excessive bleeding. 

Cervical cerclage is a common procedure performed to improve cervical integrity and prevent preterm birth. The procedure, however, should only be performed by the best pregnancy doctor in Gurgaon to avoid complications. You can visit Dr Preety Aggarwal at the Motherhood Hospitals for consultation and expert guidance.  

Fibroids: Symptoms and Treatments 

Fibroids Symptoms and Treatmentss

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Fibroids: Symptoms and Treatments 

Introduction

Fibroids or Uterine fibroids refer to the abnormal growth in or on the uterus. These are non-cancerous tumours that might not even go unnoticed for several years. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, not all fibroids show symptoms, but when they do, it may lead to heavy menstrual bleeding, frequent urination, and pain during sex. Moreover, small fibroids do not require any treatment, the larger ones, however, need to be treated with medications or surgery.  

What are Uterine Fibroids? 

Uterine fibroids are abnormal growths of muscle and tissues in or on the wall of your uterus. These can either grow as a single nodule or in a cluster. According to the best gynaecologist & obstetrician doctors in Gurgaon, cluster fibroids can range from 1 millimetre to more than 20 centimetres in diameter. Although non-cancerous, these can show severe symptoms in some patients.  

What are the Types of Uterine Fibroids? 

The type of uterine fibroid depends on where they are located and attached. The common types are: 

1. Intramural fibroids: These grow on the muscular wall of the uterus. 

2. Submucosal fibroids: These grow under the inner lining of the uterus. 

3. Subserosal fibroids: These grow under the lining of the outer surface of the uterus. 

4. Pedunculated fibroids: These grow like mushrooms on your uterus

What are the Symptoms of Uterine Fibroids? 

As mentioned earlier, fibroids do not cause any symptoms and do not even require any treatment. Larger fibroids, however, cause a variety of symptoms as follows: 

1. Excessive bleeding during periods. 

2. Bleeding between your periods. 

3. A feeling of fullness in the abdomen or bloating. 

4. Frequent urination. 

5. Pain during sex. 

6. Constipation. 

7. Chronic vaginal discharge. 

8. Low back pain. 

9. Increased abdominal distention. 

What are the Causes of Uterine Fibroids? 

 The exact cause of uterine fibroids is not known, the best gynaecologist & obstetrician doctors in Gurgaon, believe that hormones like oestrogen and progesterone play a vital role. Fibroids develop when these hormone levels are higher. Apart from this, some risk factors also increase your chances of developing fibroids: 

1 .Obesity and high body mass index (BMI). 

2. A family history of fibroids. 

3. Early onset of menstruation. 

4. Late menopause. 

How are Uterine Fibroids Treated? 

The treatment of uterine fibroids depends on the size, number, location, and symptoms of fibroids. If you are not experiencing any symptoms, you may not need any treatment. Small fibroids, usually, are not treated. The larger ones, however, may require the following treatments: 

1. Over-the-counter medications. 

2. Iron supplements. 

3. Birth control pills. 

4. Oral therapies. 

5. Fibroid surgery. 

Fibroid surgery or myomectomy is a procedure to remove fibroids. The procedure is performed in the following ways: 

1. Hysteroscopy: In this procedure, the best gynaecologist & obstetrician doctors in Gurgaon insert a scope (a thin, flexible tube) into your vagina to reach the uterus and the fibroids are removed. 

2. Laparoscopy: In this procedure, the doctor inserts a laparoscope (a thin, flexible tube attached to the camera and tiny surgical instruments) through a small incision in your abdomen. 

3. Laparotomy: In this procedure, the doctor creates a large incision on your abdomen to remove fibroids with one cut. 

 Fibroid treatment depends largely on the medical condition of the patient. Some patients may not require any treatment, the others may need immediate medical attention. If you feel sudden pain and discomfort along with heavy menstrual bleeding, visit Dr Preety Aggarwal at the Motherhood Hospitals for immediate medical attention.