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Management of Pregnancy Complete care of your pregnancy starting with pre-pregnancy consultation and guidance, total ante-natal (during pregnancy) care and finally delivery both Vaginal and Caesarean. And finally post pregnancy guidance and contraceptive advice including intra-uterine device (like copper-T, multiload) insertion and tubal sterilization both Laparoscopic and mini-lap. High Risk Pregnancy Care High Risk Pregnancy Care Care during pregnancy associated with Thyroid problems, High blood pressure, Diabetes, multiple pregnancy (Twin pregnancy, Triplet Pregnancy) and also when pregnant at an age more than 35 years. These ladies need extra care to ensure delivery of a healthy Baby along with good health of the mother. Menstrual Problems Menstrual Problems If you have any abnormality in your menstrual cycle you may need guidance to find out the cause by blood tests and/or ultrasound. To correct the problem you may need medicines. At times you may need minor surgical procedures like D& C, Polypectomy, Hysteroscopy or Laparoscopy. I take care of all these things. Best gynecologist lady doctor in Jalandhar
Pelvic pain Every woman experiences pelvic pain due to one or other reason many times in their life. Sometimes pelvic pain may be hinting towards a major disorder, while other times it may be part of a normal menstrual cycle. Here you can read the possible causes and treatment of pelvic pain. What is pelvic pain? As you know, pelvic region refers to the organs in your lower abdomen. Organs in your pelvic area include womb, bowel, bladder, fallopian tube, cervix, vagina ovaries etc. A pelvic pain occurs due to irregularities or dysfunction of any of these organs. The pain in the pelvic region may be acute or chronic. What causes pelvic pain? Pelvic pain may be caused by any disorder, infection or condition related to urinary, reproductive or digestive system in woman. Pelvic pain is one of the major symptoms of diseases affecting the reproductive system in woman. It includes: Endometriosis: A common gynaecological disorder in which the endometrium (uterine lining) grows outside the uterine cavity. Dysmenorrhoea: The menstrual cramps accompanying the periods may turn severe in women sometimes. Ovarian torsion: Twisting or rupturing of the ovary caused by ovarian masses or cysts. Uterine fibroids: Non-cancerous tumours that grow inside the female reproductive system leading to heavy bleeding Ovarian/cervical/uterine cancer: A cancerous growth in the pelvic region Pelvic inflammatory disease: A common infection that occurs in the pelvic region Ovulation: A pelvic pain that lasts for a few hours may occur when the egg is released from the ovaries. Ectopic pregnancy: A condition in which the fertilised egg attaches itself anywhere outside the uterus and begins to develop. Miscarriage during pregnancy: Loss of pregnancy in the initial 24 weeks. Premature labour: Labour occurring before 37 weeks of pregnancy. Placental Abruption: An emergency condition in which the placenta detaches from the uterus partially or wholly, before the baby is born. Chronic pelvic pain: The pain which lasts for more than six months. It can be caused due to history of accidents, physical abuse, chronic stress or depression etc. gynecologist hospital in Jalandhar
CLINICAL FEATURES The conditions may not produce any clinical manifestation. GYNECOLOGICAL : INFERTILITY AND DYSPAREUNLA are often related in association with vaginal septum. : DYSMENORRHEA in bicornuate uterus or due to cyrptomenorrhea ( pent up menstrual blood in rudimentary horn). : MENSTRUAL DISORDERS ( menorrhagia, crymtomenorrhea) are seen. Menorrhagia is due to increased surface area in bicornuate uterus. OBSTETRICAL : MIDTRIMESTER MISCARRIAGE which may be recurrent. : Rudimentary HORN PREGNANCY may occur due to transperitoneal migration of sperm or ovum from the opposite side, cornual pregnancy (ectopic) inevitably ends in rupture around 16th week. Dr Ruche Bhargava Gynecological in Jalandhar
Ovarian cyst treatment in Jalandhar Ovarian cyst are fluid-filled sacs within or on the surface of an ovary. Many women have ovarian cysts at some time during their lives. Most ovarian cysts present little or no discomfort and are harmless. The majority of ovarian cysts disappear without treatment within a few months. Ovarian cyst — especially those that have ruptured — sometimes produce serious symptoms. The symptoms of ovarian cyst, if present, may include: • Menstrual irregularities • Pelvic pain — a constant or intermittent dull ache that may radiate to your lower back and thighs • Pelvic pain shortly before your period begins or just before it ends • Pelvic pain during intercourse (dyspareunia) • Pain during bowel movements or pressure on your bowels • Nausea, vomiting or breast tenderness similar to that experienced during pregnancy • Fullness or heaviness in your abdomen • Pressure on your rectum or bladder that causes a need to urinate more frequently or difficulty emptying your bladder completely. Infrequent complications associated with ovarian cysts include: • Ovarian torsion- Cysts that become large may cause the ovary to move out of its usual position in the pelvis. This increases the chance of painful twisting of your ovary, called ovarian torsion. • A cyst that ruptures may cause severe pain and lead to internal bleeding. To identify the type of cyst, your doctor may perform the following procedures: Pregnancy test Pelvic ultrasound Laparoscopy CA 125 blood test The treatment depends upon the type/ stage of the cyst; or the presence of complications. Please talk to your gynecologist for treatment options.
STAGES OF BREAST CANCER No two breast cancers are same. These are staged from stage I to IV according to extent of spread of tumor.Stage I & II tumors are early breast cancers with high probability of disease being limited to breast. Stage III generally tumor is big or ulcerated with spread to armpit. Stage IV disease has spread to other organs of body and is beyond cure though life can be prolonged and quality of life can be improved. So, no two cancers are same, their treatment may be different and their chances of cure are different. Let us understand the ailment in more details : >Clinical breast examination >Methods of treating breast cancer >Protect yourself from breast cancer >Clinical breast examination Your yearly checkup should include a clinical breast examination preferably by cancer specialist. This is to ensure that cancer is detected early. Starting at age 20, you should have a clinical breast examination every 1 - 3 years. After age 40, have clinical breast examination yearly. If you are at increased risk of breast cancer, you may need more frequent examinations. RISK FACTORS OF BREAST CANCER :Age above 50 years or postmenopausal . :A family history of breast cancer. :Having had no pregnancies or a first pregnancy after age 30. :Obesity :Heavy alcohol use .
Prognosis Proper counseling of women with endometriosis requires attention to several aspects of the disorder. Of primary importance is the initial operative staging of the disease to obtain adequate information on which to base future decisions about therapy. The woman's symptoms and desire for childbearing dictate appropriate therapy. Not all therapy works for all women. Some women have recurrences after surgery or pseudo-menopause. In most cases, treatment will give women significant relief from pelvic pain and assist them in achieving pregnancy. The underlying process that causes endometriosis may not cease after surgical or medical intervention. Studies have shown that endometriosis recurs at a rate of 20 to 40 percent within five years following conservative surgery, unless hysterectomy is performed or menopause reached. Monitoring of women consists of periodic clinical examinations and sonography . Vaginal childbirth decreases recurrence of endometriosis. In contrast, endometriosis recurrence rates have been shown to be higher in women who have not given birth vaginally, such as in Cesarean section.
ENDOMETRIOSIS Endometriosis is a painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs. With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other. Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available. Symptoms The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual pain that's far worse than usual. They also tend to report that the pain increases over time. Common signs and symptoms of endometriosis may include: • Pelvic pain • Painful periods (dysmenorrhea) • Pain with intercourse • Pain with bowel movements or urination. • Excessive bleeding • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility. • fatigue • diarrhea • constipation • bloating or nausea, especially during menstrual periods. The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all. Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as pelvic inflammatory disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis. Causes Although the exact cause of endometriosis is not certain, possible explanations include: • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle. • Transformation of peritoneal cells. In what's known as the "induction theory, " experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells. • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty. • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision. • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body. • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus. Risk factors Several factors place you at greater risk of developing endometriosis, such as: • Never giving birth • Starting your period at an early age • Going through menopause at an older age • Short menstrual cycles — for instance, less than 27 days • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces • Low body mass index • Alcohol consumption • One or more relatives (mother, aunt or sister) with endometriosis • Any medical condition that prevents the normal passage of menstrual flow out of the body • Uterine abnormalities Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen. Complications • Impaired fertility. Diagnosis • Pelvic exam • Transvaginal ultrasound • Laparoscopy. Treatment • Medications : Pain medications • Hormone therapy • Progestin therapy • Surgery ENDOMETRIOSIS TREATMENT IN JALANDHAR
Precautions to be taken to avoid breast cancer • Avoid high fat diet. • Avoid becoming overweight. • Avoid smoking and alcohol. • Avoid hormone replacement therapy. • Breast feed your babies for as long as possible. • Avoid first pregnancy at late age (˃30 years). • Get genetic testing if your close relative (mother, sister) has breast cancer. • Self-breast examination (SBE) is the key to detect any lump in the initial stages. Breast cancer treatment In Jalandhar Breast Cancer specialist in Jalandhar
Uterine cancer Uterine cancer begins in the uterus, in a woman’s pelvis where a baby grows during pregnancy. A woman’s hormone balance plays a role in the development of most uterine cancers. While abnormal bleeding is a common sign of uterine cancer, vaginal bleeding or spotting, abnormal vaginal discharge and pelvic pain or pressure are other noted symptoms. Uterine cancer Treatment in Jalandhar cancer specialist doctor in Jalandhar