There is a significant gender gap in between the knowledge that we have related to women and men. Most of the biomedical knowledge we have is based on the research and effects that were solely concerned on men. It’s only during the past few decades that the research community is paying attention to the existing gender differences, though there is still a lot more needed to understand the women health and broaden this concept.

If we trace the history, we come to know that the National Institutes of Health hardly used to enlist the people to keep the track of women in research. Besides, The Food and Administration Department was also excluding women of childbearing age from participating in drug trails that were conducted. The possible reasons researchers would give in was the child bearing capacity of a woman that could endanger two lives or the hard work that had to be carried out for women’s varying hormonal changes and cycles. To understand it better, if we look at the case of depression, women are twice as likely to have depression than males, yet the majority of research was conducted on males.

Though the scenario has changed and women are being a part of the research more than ever, they are still under presented in most of the research areas. Most of the tissue samples and cell lines are obtained from men where the knowledge on the symptoms and risk factors of various diseases remain limited to them only. Besides, it has been seen that most of the health problems common in women are comparatively under researched which include autoimmune diseases, gynecological disorders, fertility, chronic pain conditions etc. Besides being neglected of research, research funding has been also very petite in these areas.

Author – Dr. Jainesh Doctor MBBS, MS (Obgyn), FMAS

Consultant – Advanced Gynaecological Endoscopic Surgeon at Motherhood Hospital Kharghar, Mumbai

What Are Uterine Fibroids?

Uterine fibroids are common non-cancerous growths that develop in the uterus. They are often asymptomatic and can go unnoticed, but when they do cause symptoms, they can have a significant impact on a woman’s life. This is particularly true during pregnancy, where the presence of fibroids can complicate the pregnancy and put the health of both the mother and the baby at risk.

Motherhood India Hospitals are equipped to handle all aspects of pregnancy, including the management of uterine fibroids. Our hospitals have a team of experts, including gynecologists and obstetricians, who are well-versed in the latest diagnostic and therapeutic techniques for the management of fibroids in pregnancy.

Symptoms & Diagnosis of Uterine Fibroids

Some of the symptoms of uterine fibroids during pregnancy may include:

• Heavy or prolonged menstrual bleeding: Fibroids can cause heavy or prolonged menstrual bleeding, which can be particularly noticeable during pregnancy.
• Abdominal pain or pressure: Fibroids can cause abdominal pain or pressure, which may be exacerbated by the growing uterus during pregnancy.
• Urinary frequency or incontinence: As fibroids grow, they can put pressure on the bladder, causing frequent urination or incontinence.
• Constipation: Fibroids can also put pressure on the rectum and cause constipation.
• Miscarriage or preterm labor: In some cases, fibroids can increase the risk of miscarriage or preterm labor.
• Enlarged uterus: An enlarged uterus may be a sign of fibroids.
• Difficulty becoming pregnant: Fibroids can cause infertility in some women.

Diagnosis of fibroids in pregnancy is typically made using ultrasound or MRI scans. Once the diagnosis is made, the next step is to determine the size, location, and number of fibroids. This information is critical in determining the best course of action for the mother and her baby.

Treatment Of Uterine Fibroids

There is no cure for uterine fibroids, but there are several treatment options available to manage the symptoms and reduce their impact on a woman’s life. The appropriate treatment will depend on a variety of factors, including the size and location of the fibroids, the severity of the symptoms, and the woman’s age, overall health, and plans for future pregnancy.

Here are some of the common treatments for uterine fibroids:

• Medications: Hormonal medications, such as birth control pills or gonadotropin-releasing hormone (GnRH) agonists, can help to manage symptoms such as heavy bleeding and reduce the size of fibroids.
• Uterine Artery Embolization (UAE): UAE is a minimally invasive procedure that cuts off the blood supply to the fibroids, causing them to shrink.
• Myomectomy: Myomectomy is a surgical procedure that removes the fibroids from the uterus, preserving the uterus and allowing for future pregnancy if desired.
• Hysterectomy: Hysterectomy is a surgical procedure that removes the uterus and is typically recommended as a last resort for women who no longer wish to have children and have debilitating symptoms from the fibroids.
• Magnetic Resonance-guided Focused Ultrasound (MRgFUS): MRgFUS is a non-invasive procedure that uses high-intensity focused ultrasound to destroy the fibroids.

In some cases, fibroids can be managed conservatively during pregnancy, with close monitoring and observation. This may involve regular prenatal visits, ultrasound scans, and bed rest. However, if the fibroids are causing significant symptoms, such as heavy bleeding, pain, or affecting the growth and development of the baby, then intervention may be necessary.

If you’re looking for the right doctor for treatment, Dr. Jainesh is a highly respected gynecologist and obstetrician from Motherhood Hospital, Kharghar, Navi Mumbai with expertise in the diagnosis and treatment of uterine fibroids. He has a passion for helping women overcome the symptoms of fibroids and has helped countless women to manage their fibroids and regain their quality of life. Dr. Jainesh has extensive experience in both surgical and non-surgical treatments for uterine fibroids, including myomectomy, uterine artery embolization, and magnetic resonance-guided focused ultrasound. With a commitment to providing individualized, patient-centered care, Dr. Jainesh takes the time to listen to each woman’s concerns, answer her questions, and develop a customized treatment plan that is right for her.

In conclusion, uterine fibroids are common during pregnancy and can have significant impacts on the health of both the mother and the baby. Motherhood hospitals in India have the expertise and resources to manage fibroids in pregnancy and provide women with the best possible care and support during this critical time. If you are pregnant and have been diagnosed with fibroids, it is important to discuss your options with your doctor and choose a treatment plan that is right for you and your baby.

FAQ’s

What are the symptoms of fibroid in the uterus?

Common symptoms of uterine fibroids include heavy or prolonged menstrual periods, pain during sex, pelvic pressure or pain, frequent urination, and constipation. Some women may experience no symptoms at all.

What is the main cause of fibroids?

The exact cause of uterine fibroids is unknown, but they are believed to be related to hormonal imbalances, particularly the increase in estrogen levels. Genetics, obesity, and certain lifestyle factors may also play a role in the development of fibroids.

What is the best treatment for uterine fibroids?

The best treatment for uterine fibroids depends on several factors, including the size and location of the fibroids, the severity of symptoms, and the woman’s age, overall health, and plans for future pregnancy. Options for treatment include hormonal medications, uterine artery embolization, myomectomy, hysterectomy, and magnetic resonance-guided focused ultrasound. To know more about treatment options, connect with Motherhood Hospitals on 𝟭𝟴𝟬𝟬 𝟭𝟬𝟴 𝟴𝟬𝟬𝟴 or book an appointment by going here.

Can uterine fibroids come back after being removed?

In some cases, fibroids may grow back after they have been removed. This is more likely to occur if the fibroids were large or if multiple fibroids were present.

Are fibroids cancerous?

Uterine fibroids are noncancerous (benign) growths. They may cause symptoms that impact a woman’s quality of life, but they do not become cancerous or spread to other parts of the body.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists 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 Gynaecology 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. Jainesh Doctor, please book your appointment here.

Author – Dr. Surabhi Siddhartha MBBS, DGO

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Kharghar, Mumbai

While menstruation can lead to many disruptions in everyday life, some women may also suffer from a disorder known as heavy menstrual bleeding or menorrhagia. It refers to heavy bleeding that can last for more than seven days. During menorrhagia heavy bleeding with clots is a common sight. You are bound to change your tampon every 2 hours.

Quick Fact – It has been seen that around one in four women experiences heavy menstrual bleeding, which is common in women aged between 30 to 50.

Heavy menstrual bleeding

When the heavy bleeding lasts for more than 7 days, it is referred to as menorrhagia. It is advised to consult an expert Gynaecologist who will provide you professional health care if you are having continuous heavy bleeding. Avoiding it may cause anaemia and restrict you from being at your optimum.

Causes of heavy menstrual bleeding

Though in many cases, the cause of heavy periods is unknown, yet there are several conditions that relate to it:

• Hormonal imbalance: The hormones that regulate the lining of the uterus called endometrium are progesterone and estrogen, which are balanced in normal bleeding. If any imbalance occurs in these two, the endometrium lining can develop in excess where its shedding relates to heavy bleeding.
• Bleeding disorder due to ovaries: Ovaries release an egg during the menstrual cycle, whereas progesterone is produced during a regular menstrual cycle. However, your ovaries may not release an egg which leads to an imbalance in the progesterone levels and lead to heavy menstrual bleeding.
• Uterine problems: In extreme cases, cancer of the uterus or cervix can be one of the causes. Besides, any growth on the uterus, called uterine fibroids or polyps, can also lead to heavy periods.
• Infections: Infections or injuries in the vagina can also lead to heavy bleeding
• Pregnancy-related problems: In the case of ectopic pregnancy (when the fertilised egg gets implanted outside the uterus), a person may suffer from heavy bleeding during periods.A miscarriage can also cause heavy periods.

Signs and symptoms of heavy menstrual bleeding

The leading signs of menorrhagia are:

• Frequent change of sanitary pads every hour
• Using double sanitary protection to control the blood flow
• Feeling the need to change the tampon during the night due to heavy flow
• Bleeding for more than seven days or a week
• Discharging blood clots that are larger in size
• Experiencing symptoms of anaemia due to blood loss like tiredness, shortness of breath etc.
• Diagnosis and testing

When consulting with your lady gynaecologist, she will inquire about your menstrual cycles along with medical history. She may also suggest taking some common blood tests, pap tests, endometrial biopsy or ultrasound.

Treatment of heavy menstrual bleeding

Treatment for heavy periods will depend on many factors. Some common approaches are:

• Medications, including NSAIDs, oral contraceptives, oral progesterone etc.
• Surgical procedures like uterine artery embolization, dilation and curettage, focused ultrasound surgery etc.

Conclusion

Heavy bleeding should not be considered normal especially if it extends for more than 7 days. In such cases, it is best to consult with a gynaecologist who will diagnose your heavy menstrual bleeding situation and provide an accurate line of treatment.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists 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 Gynaecology 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. Surabhi Siddhartha, please book your appointment here.

Author – Dr. Jainesh Doctor MBBS, MS (Obgyn), FMAS

Consultant – Advanced Gynaecologic Endoscopic Surgeon at Motherhood Hospital Kharghar, Mumbai

Laparoscopy also known as “Keyhole surgery”, is a type of minimal invasive surgical procedure that is used to deal with pathologies of the organs present in the abdomen including those of a woman’s reproductive system. It derives its name from Latin ~ Lapara which means flank and scopy which represents the instrument used i.e., a thin tube with a camera-lens system.

Quick fact

In Laparoscopy, Advanced Techniques are employed leading to pain free/minimal pain associated major surgeries, bloodless surgeries along with fewer complications. Immediate post-surgical recovery and in some instances spending just a few hours in the hospital without the need for a night stay i.e., daycare surgery are exclusive miracles. Against this, Traditional Open Surgeries are associated with lot of post op care, pain due to extensive damage to nerves & muscles, big gruesome scars, delayed recovery- affecting personal-professional lifecare in an unimaginable way.

Best laparoscopic hospital

When it comes to best laparoscopy hospital in the region, Motherhood Hospital holds a distinct place due to its German-US Advanced Instrumentation and its association with the best of the best Laparoscopic specialists. Along with complete palette of advanced surgical work by experienced hands, it also stands out with an advanced diagnostic centre.

Hysterectomy

When it comes to hysterectomy, it is defined as the surgical removal of the uterus of a woman. Uterus can be removed due to various reasons like fibroids, abnormal heavy bleeding, severe menstrual pain, uterine prolapse and cancer. Once the uterus is removed, a woman loses the ability to become pregnant and menstruate. A hysterectomy was considered a major surgery, but along with the development of technological advances, the infections, discomfort and recovery time has been diminutive due to the laparoscopic method.

Laparoscopic hysterectomy

A laparoscopic hysterectomy is also a minimal invasive surgical procedure, where a uterus is removed using small 2-3, 5 mm incisions instead of large cuts. Performed by an expert these surgeries are bloodless and pain free. Patients hence resume daily chores/professional responsibilities as early as 7-10 days.

Before the treatment is carried out using laparoscopic hysterectomy, a pre-operative lab work is performed, and fitness taken by a physician or an anesthetist. Patients are advised not to eat or drink anything after the midnight of the night that falls before surgery.

The patient is wheeled inside the Operating room and immediate put under general anesthesia, so no pain is felt at all. Then a small sub-centimetric incision is made above the belly button through which a tiny camera is inserted. After this, the surgeon watches the internal organs in High Definition on a screen and performs the procedure using advanced precise technologies.

Following the surgery, patient sips liquids and walks within 4-6 hrs. Patient is usually discharged within 2 days. Surgical sutures are taken in cosmetic way and are absorbable leaving the patient free to wear a saree within days of surgery.

In all, hysterectomy is considered a safe procedure when done by expert hands and the chances of any complications are negligible.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in 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 Gynaecology 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. Jainesh Doctor, please book your appointment here.

Author – Dr. Preethika Shetty MBBS, DNB, M.S(OBGY), Fellowship in Reproductive Medicine (ICOG)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital, Kharadi, Pune

If you are trying to get pregnant, do you know when you ovulate? Ovulation is the process in which a mature egg is released from the ovaries, which is referred to as the most fertile period for conceiving. It happens every month usually halfway of the menstrual cycle i.e. around the 14th day of the average 28-day cycle. So, to increase the chances of getting pregnant, it is better to know the days that are most fertile for it.

Quick fact

Most ovulation calculator tools can predict your ovulation by asking about the date of the first day of your last period and the average length of your menstrual cycles.

Ovulation calculator

For each menstrual cycle, there are about 6 days during which pregnancy can occur which are referred to as the fertile window or the time of ovulation, and it can be different for every woman. The estimation of this fertile window is given by the ovulation calculator which is based on a woman’s last menstrual date.

Signs and symptoms of ovulation

• The common signs and symptoms that are to be noticed for ovulation are:
• There can be change in the sustained basal body temperatures where it can fall slightly and then rise again.
• The mucus in the cervix can become thinner and clearer.
• Cervix can open up due to softening
• One may feel breast tenderness as well
• Some may feel light pain in the lower abdomen along with some mild cramps
• There may be swelling in the vulva or vagina

Ovulation calendar and preparation

There are some steps that may help in the preparation and pinpointing the time of ovulation, like:

• Keeping a menstrual cycle calendar can give you an idea of when it is most likely the ovulation can take place where you can use tools like pregnancy and ovulation calculator to estimate the same
• Body symptoms can be usually felt like twinge of pain or cramps that point towards ovulation.
• Keeping track of your basal body temperature which can be lowest during ovulation and rise as soon as ovulation occurs.
• You can buy an ovulation predictor kit to identify the date of ovulation by looking at the levels of LH (luteinizing hormone), the hormone that rises before ovulation. They are usually available at the chemists.

Pregnancy ovulation calculator

From the figures of your pregnancy ovulation calculator, you can get an estimated date when you are likely to be fertile. Perfect ovulation calculator is not possible for all menstrual cycles, for some can be regular and irregular. It can be helpful in the case of a regular menstrual cycle, as there is no 100 percent accurate ovulation calculator. When it comes to ovulation calculators for irregular periods, ovulation urine tests or ovulation tracking may be helpful. It is better to consult your health care professional and seek further guidance in this case. Ovulation tracking is a process to identify the days during which you are the most fertile by tracking the hormone cycle, which are at a surge during ovulation. Using simple blood and ultrasound tests, you can detect the hormonal surge and know about your ovulation. Besides, it is a more advanced and accurate ovulation calculator than home ovulation prediction kits.

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

Do take an appointment with the best Gynaecology hospital in Kharadi, Pune 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. Preethika Shetty, please book your appointment here.

Author – Dr. Asha Hiremath MBBS, MD

Consultant – Obstetrician, Gynaecologist & Laparoscopic Surgeon at Motherhood Hospital, Indiranagar, Bangalore

When any part of the urinary system is infected, it is referred to as urinary tract infection (UTI) or bladder infection. Urinary tract comprises kidneys, ureters, bladder and urethra, where usually bacteria from outside can infect the urinary system concurring to problems, like an infection or inflammation. Though it is apparent in all the age groups, it is commonly seen during pregnancy. The prevalence of UTI increases in young women where during pregnancy the incidence of physical and hormonal changes lead to chances of developing a UTI.

The entry of bacteria into the urinary tract leads to its multiplication where painful urination and other symptoms become prevalent. During pregnancy, the levels of progesterone and estrogen increase which leads to the weakening of the bladder and the ureters, along with the changing anatomy of kidneys and compression of uterus and bladder. This makes it prone to UTI whereupon the excess sugar in the urine encourages bacterial growth. Therefore, it is important to consult a gynaecologist and obstetrician during pregnancy and receive urinalysis and urine culture at 12 to 16 weeks.

It is always recommended to visit the best gynaecologist nearby during the early weeks of pregnancy to look out for any prevailing conditions. Besides, there can be some symptoms that correspond to UTI whereby it becomes necessary to see your healthcare provider. Common symptoms of UTI can be:

• Strong and frequent urge to visit the bathroom
• Burning sensation while urinating
• Passing small amounts of urine
• Cloudy, red or pink colored urine
• Foul smell in the urine
• Pelvic pain

While these symptoms are noticeable, pregnant women can also have asymptomatic UTI’s where there are no signs or symptoms. As it progresses, it can lead to other developing symptoms or problems like symptomatic UTI or even kidney infection which requires immediate treatment.

With respect to treatment, UTI’s can be prevented in the first place by:

• Trying to empty your bladder frequently
• Wearing cotton underwear
• Trying to avoid perfumes or sprays
• Staying hydrated by drinking ample amount of water
• Avoiding the use of harsh soaps or body wash in the genital area

When it comes to treatment, most UTI’s are treated using antibiotics. While during pregnancy the treatment would be the same where the antibiotics are safe for mother and baby usually following the 3-day low-dose and long term course. Antibiotics commonly used include amoxicillin, ampicillin, cephalosporin’s, etc. Besides, a doctor may also prescribe some pain relieving medications to get relief from the discomfort of UTI. When a UTI is recurring, a doctor may carry out some tests, like urine culture test (diagnosing the bacterial cultures in urine), visual bladder and urethra exam or CT scan of the urinary tract.

There are some home remedies that may be suggested for UTI, such as:

• Consuming acetaminophen to get relieve from pain and reduce the fever
• In case of stomach discomfort, placing a hot bottle on the lower stomach may relieve from it
• In order to flush out the bacteria from the urinary tract, plenty of water should be drunk
• Having a plenty amount of rest so that the body can fight the infection

If urinary tract infection remains untreated, it can involve kidneys and become more dangerous. In rare cases, chronic UTI’s may lead to sepsis (blood poisoning) if left untreated.

Therefore, a person should tend to the early signs of infection and take the prescribed antibiotics as soon as possible. Moreover, it is important to closely work with your healthcare provider and ask for further treatment if UTI keeps recurring.

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

Do take an appointment with the best Gynaecology hospital in Indiranagar, Bangalore 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 Hiremath please book your appointment here.