Category Archives: gynaecologist

AWAITING SURGERY? HOW TO CHOOSE THE SURGEON

Surgery outcome is better if the surgeon is female.
– BMJ, number 2 in the list of top medical journals of the world

“Patients have a right to know how good a surgeon is,”
– Dr. Fiona Godlee, editor in chief of the BMJ

Surgeon Rating

The US has websites that rate the surgeons. A patient can use these to choose the surgeon. Also, in May 2015, three major hospital systems in the US implemented the “Take the Volume Pledge” that prevents surgeons and hospitals from doing surgeries in which they have “low volume.” Surgical “volume” is the number of times a surgeon/hospital has done a specific surgical procedure in a defined time period.

India will not have surgeon-rating websites for many, many years to come. And surgeons/hospitals do not have any guidelines to prevent them from doing surgeries that they have little experience or currency of doing. How may the patient in India choose the surgeon?

Surgeon’s Experience

For over two decades researchers have acknowledged that the outcome of a surgery is related to the surgeon’s experience. This was confirmed by a recent Harvard University study that analysed surgical performance in 14 countries with a total of more than 17,000 surgeons and 35 different procedure types. Analysis of data on more than one million surgeries has shown that the more procedures a surgeons has performed, the better her patients’ outcome, at least until she hits a learning plateau. The plateau is reached after 25 to 750 procedures depending on the complexity of the surgery.

“Low Volume” surgeons’ patients have higher mortality, morbidity, intraoperative and postoperative complications, readmissions to hospital, and mortality within 30 days of surgery, as compared to “high volume” surgeons: for example, in pancreatic cancer surgery, annual death rates were nearly four times higher; in certain other surgeries, death rates were three times higher; in endocrine surgery, complication rates and reoperation rate were about two times higher; in gastric bypass surgery, risk of serious complications fell by 10 percent for every additional 10 cases per year the surgeon performed.

Choosing the Surgeon in India

In India, search engines like Google, Bing and Yahoo may be used to find a better surgeon. But Google is the best and the most widely used search engine. Let us say you are looking for a Gynaecologic laparoscopy surgeon in Delhi. Search “Best Gynae laparoscopic surgeon in Delhi.” Take the first ten names on the list and look at their average ‘rating’ and the number of persons who have given it. The higher the average ‘rating’ and the greater the number of persons giving it, the better: a surgeon with a rating of 5/5 given by 100 persons is likely to be better than the one with 4.7/5 rating given by 40 persons.

Next, look at the Google search pages. Page 1 is usually full of ads and sites of big hospitals and agencies like Practo, Lybrate, Quora and so on. You will find surgeons at page two onwards. Visit their website and check:

a. Their performance in medical school and later. Academic brilliance is often indicative of good professional competence.
b. Whether they have done specialised training and whether they have done it at a reputed, highly selective, institute. Specialisation is even more important than “volume.”
c. Whether they are keeping current with the latest technology by visiting Centres of Excellence in developed countries like the US, UK, Germany etc.
d. Browse her Blogs

Next, schedule a consultation with the selected surgeon. At the consultation ask the surgeon:

i. How many years’ experience she has in doing the specific surgical-procedure. A minimum of five years’ is preferred.
ii. How many total specific surgical-procedure she has done. Depending on the complexity of the procedure, minimum of 25 to 750 is suggested.
iii. How many specific-procedure she has done in the previous two years. For complex surgery, a minimum of 30 per year is suggested.

A good surgeon will not mind such questions and will not give incorrect information.

And finally, surgeon’s communication skills and trust-building ability are of singular importance.

Now ask yourself: “Was I comfortable talking? Did she answer my questions well? Did she ask good questions of me? Was she caring? Is she someone I can trust my life with?”

If possible, ask the surgeon’s other patients about their experience; and other doctors about surgeon’s expertise.

Before taking a final decision, seek a second opinion. In complex cases, about 1 in 5 second opinions are different from the initial treatment recommendation.

Conclusion

Every surgery has the potential for life-threatening complications. “Even in the best of circumstances, bad things can happen.” Occasional bad outcome are inevitable; but many surgical injuries are avoidable.

Minimize the probability of bad outcomes by choosing the right surgeon and the right hospital.

 

DAUGHTER OF UTTARAKHAND AWARD

DAUGHTER OF UTTARAKHAND AWARD

 

Dr Monika Pant (Vice President, BJP, Delhi) and Dr Rashmi Malhotra – my two nieces – accepted the Award for me since I was away; and Dr Monika read out my speech.

Extract from my acceptance speech at the Daughter of Uttarakhand Award;

“I’m an Uttarakhandi. But born in Lucknow, medical education and practice in Kanpur and in the US and in Delhi. My only connect to Uttarakhand was summer vacations in Nainital during my schooldays.

Then came the Uttarkashi earthquake, 1991. I spent a few weeks there to oversee the relief work undertaken by Swami Rama. That brought me face to face with the plight of the people in my home-state living in the villages perched on steep mountains.

I then founded Family Welfare Foundation of India to bring some medical care to the doorsteps of the villagers. The Foundation’s USP was that it neither sought nor accepted any donation from any one – individual, institution or govt.

In 1999, we became one of the few NGOs from India to be accredited by the United Nations (UN). Till date, we remain the only NGO in the UN system that does not accept donations from any one.

I also did bit of work for the setting-up of Swami Rama medical college, now HIHT University, at Rishikesh. I was a Professor in the college and trained the faculty in Minimally Invasive Surgery (MIS).

My work in Uttarakhand has been the best part of my life’s journey.”

26 April 2016

Laparoscopic & Robotic Gynec Surgeon

“I treat the patient, not the diagnosis”

Dr (Prof) Sadhana Kala
Laparoscopic & Robotic Gynec Surgeon
See:
www.drsadhanakala.com





FEMALE INFERTILITY TREATMENT

Fertility is God’s gift to women. And to men. But the gift is not equitable. A few have more of it, a few have less of it, and a few have none of it.

About 17% of couples have infertility. But with today’s technology, most of them can have a baby.

If a couple fails to conceive despite trying for 12 months, then it needs infertility treatment in Delhi. Since infertility can be in the man, or in the woman, both of them must be evaluated. In males, more than 90% of infertility is due to low sperm counts, poor sperm quality, or both. The remaining cases can be for several reasons: anatomical problems, hormonal imbalance, and genetic defects.

In females, infertility is mostly because of problems with ovulation or cervix, or damage to fallopian tubes or uterus, or abnormal cervical mucus. Also, as a woman ages, her fertility decreases.

DIAGNOSIS

Female infertility is a contributory factor in about half of all infertility cases; and the only factor in about one-third of all the cases. Most frequent causes of female infertility are:

• Ovulation problems • Damaged fallopian tubes or ovary • Cervix problem • Abnormal cervical mucus which prevents, or makes it difficult, for the sperm to reach the egg and to penetrate it • Age: as a woman ages, her fertility decreases.

Female fertility is diagnosed by physical, pelvic and breast examination, medical history and one or more tests such as:
• Urine or blood tests to check for infection, hormone problem and thyroid function • Ovarian reserve tests to determine the quality and quantity of eggs available for ovulation. • Cervical mucus and tissue test to check for ovulation. • Ultrasound to look at the uterus and ovaries’ abnormalities or problems. • Hysteroscopy to look for uterine abnormalities and growth inside the uterus. • Laparoscopy to see endometriosis, scarring, blockages or irregularities of the fallopian tubes, and problems with the ovaries and uterus and surrounding area. • Genetic tests to find if a genetic defect is causing infertility.

Depending on the cause, your age, and how long you have been infertile, one or more therapies may be needed to restore fertility.

TREATMENT

In India, 10-15 out of 100 couples (22-33 million couples) need Infertility treatment. And the number is increasing. Female infertility treatment may be medication or surgery or Assisted Reproductive Technologies (ART).

Medication:

• Antibiotics for infections.
• Hormones for hormone imbalance, endometriosis, or a short menstrual cycle.
• Medicine to stimulate ovulation.
• Supplements to enhance fertility.

Laparoscopic surgery to:

• Correct an abnormal uterine shape.
• Remove:
 Endometrial polyps and fibroids that misshape the uterine cavity.
 Pelvic or uterine adhesions.
 Blockage or scar tissues from the fallopian tubes, uterus, or pelvic area.

ART

• Intra Uterine Insemination (IUI). In IUI, ovulation is monitored and millions of healthy sperms are placed inside the uterus at the time of ovulation.

• In Vitro Fertilization (IVF). In IVF, mature eggs are retrieved from the woman, fertilized with a man’s sperm in a dish in a lab, and the embryo is then transferred to womb. IVF cycle takes several weeks and requires frequent blood tests and hormone injections.

IUI is less physically demanding and a much shorter, and much cheaper (for three cycles, IUI, ₹ 10-15,000; IVF, ₹ 3-5 lakh) process than IVF; but IUI has a higher risk of multiple pregnancy.

Also, IUI success rate after three cycles is about 55%; for ART, it is 75-94%. For IUI, the rate dips sharply with woman’s age: dips to 3-14% for a woman of 45. For IVF the dip is hardly any.

For women in their late 30s and above, going directly for IVF may be a more cost-effective option.

But remember, ART is an art, not just science. Just as art depends on artist, so ART depends on the ARTist – the infertility specialist in Delhi. Just as the artist becomes more skilled with practice and experience, so does the ARTist, the doctor. So the right question to ask is not what the success rate of ART is; the right question to ask is what the success rate of the ARTist, the infertility doctor in Delhi, is.

Infertility is a complex disorder. Treatment demands significant financial, physical, psychological and time commitments. Be prepared for that.

Blog 02

Gynecologist in New Friends Colony for Treating Women Health Issues

Gynecology can be a very in-depth field and all women are advised to get routine and typical regular checkups to assure that their health is 100% and they are free of charge from disorders. A specialist of Gynecology really should often be professional and be sure ladies patients are always treated with respect, full esteem and kept comfortable. When a woman is fishy of issues with female organs she needs to right away look, aid and care from a Gynecologist in New Friends Colony.

Gynecological issues in women

When a lady is worried about finding herself pregnant, the most efficacious physician to talk with would be the Best Gynecologist in New Friends Colony. There isn’t anything worse for a woman than the fear of a disorder with her private organs; a Gynecologist in New Friends Colony can help diagnose if anything is present and the best way to proceed forward.

With the changing lifestyle practices, the numerous medical complications that can affect a woman keep increasing. Everywhere on the earth, the Governments are striving to provide the best healthcare facilities for women. Some of the common diseases and complications that women face in their lifetime include,

  • Hormonal imbalance
  • Infertility
  • Ovarian and Cervical cancer
  • Breast cancer

FEMALE GYNECOLOGIST IN DELHI

Gynecology was a field that was preponderantly filled with male doctors. As years went by, it was recognized that plenty of the patients did not feel much comfort with being treated by them. But in the recent times, there has been a substantial rise in the number of female gynecologists in the field. This condition does not connote that the male doctors are not pretty competent, but its roots from the fact that women feel a bit embarrassed, humiliated or held back when they want to ask a question related to their condition. This, in turn, forecloses them from telling the Gynecologist what problems they are suffering from, leading to a misdiagnosis on the part of the gynecologists. Dr. (Prof.) Sadhana Kala is a female Gynecologist in Delhi New Friends Colony for women who are in need of a female doctor to assist them for their condition.

Blog 04

Preventive Care Tips by Gynecologist in Kalkaji Delhi

Gynecologist in Kalkaji Delhi has a dedicated unit for Gynecology and to treat disorders of the reproductive system. She will guide you right from the commencing when you have decided to be a mother through the whole period of pregnancy till the birth of the child and afterward. With highly experienced specialists as part of the gynecology, you can totally rely on her and be assured you’re in safe hands.

gynaecological issues in women

Because a woman’s health needs change with each stage of life, Best Gynecologist in Kalkaji, Delhi caters quality, feel for care from adolescence through climacteric.

From well-woman exams to treatment for self-gratification, overactive bladder, pelvic prolapse and many other disorders, you can count on the Dr. (Prof.) Sadhana Kala, Best Gynecologist in Delhi.

And when you are in a situation that’s troubling you, causing you discomfort, concern or embarrassment, you should not have to wait and bear. That’s why Dr. (Prof.) Sadhana Kala, Gynecologist in Kalkaji, makes appointments available quickly.

With Dr. (Prof.) Sadhana Kala, Gynecologist in Delhi, much of her attention is dedicated to the increasing medical needs of today’s women to cater the care possible at its best. She caters several Gynecological services through latest techniques and minimally invasive procedures.

With Dr. (Prof.) Sadhana Kala, Gynecologist in Kalkaji, she focuses on care of all women, from the cradle to climacteric, and she is one of the potent and powerful advocates for women’s health. As a highly qualified Gynecologist, she has an energy that is incomparable. She has a compassionate and deep esteem for variant morals, principals, and faiths, yet she works in a seamless way. She realizes that all women have different desires, and we customize the care accordingly.

Dr. (Prof.) Sadhana Kala, Gynecologist in South Delhi, specializes in preventive care and cure. She thinks beyond the patient’s immediate medical requirements by offering holistic and seamless unified care.  She caters comprehensive services under one roof.  As a Specialist, she covers multiple areas, including check-ups, Laparoscopy, Dysfunctional Uterine Bleeding, and Fibroids.

The services range from diagnosis to curing, aiding and even emotional and psychological support. You will feel the Warmth and Care of Dr. (Prof.) Sadhana Kala, Best Gynecologist in South Delhi, Exceptional Care for You and your Baby by her backed by modern, up to the minute equipment.

Best Gynecology treatment

Gynecologist in Defence Colony Helping Women for Their Health Issues

Dr. Sadhana Kala is a well-known Gynecologist in Defence Colony holding the degree of MS, FIAMS, FACS from USA, FICOG, MAAGL. She has a clinical, teaching, and research experience of 41 years and she has expertized in the medical fields of Laparoscopic surgery in Delhi, Infertility treatment in Delhi, Hysteroscopic surgery, high risk pregnancy treatment in Delhi, gynecology surgery, and Obstetrics. She was a university topper at her time of academics and achieved several Gold and Silver medals and Certificates of Honor, and Distinction in Medicine.

Currently, she is professionally appointed as senior consultant Gynecologist and Laparoscopic Surgeon at Apollo Hospitals, Cradle Royale – R-2, Nehru Enclave, New Delhi 19 and Moolchand Medcity & Hospitals, Lajpat Nagar, New Delhi – 24. Previously, she has been working as a consultant to:

  • Apollo Hospitals, New Delhi
  • Batra Hospital, New Delhi
  • Modi Hospital, New Delhi
  • Max Hospital, New Delhi
  • Fortis La Femme, New Delhi
  • AI, ONGC, AAI, SAIL etc.
  • Army, Navy, Air Force

Therefore, no matter what sort of gynecological problem you are facing, you can consult the most trusted best Gynecologist in Defence Colony without any hesitation. Dr. Sadhana Kala is known as the best Gynecologist in Delhi as she comforts the patient to freely discuss the problems they are facing and recommends completely safe and guaranteed treatment for diagnosing the problems. She takes her professional responsibilities with keen dedication and always stay focused on what her patients actually want to discuss.

Holding 41 years of experience, she has resolved many cases of infertility among the couples and here she discusses the infertility causes in the female.

  • Damage to fallopian tubes – Fallopian tubes transmit the fertile eggs from the ovaries to the uterus, and thus, the blocked or damaged fallopian tubes can actually prevent the sperms getting to the egg.
  • Improper hormonal changes – As an experienced Gynecologist in Defence Colony, Dr. Kala explains that most women suffer from several problems during their time of ovulation and the most common are observed while releasing the egg from the ovary and stiffening of the endometrium.
Infertility Treatment

Infertility Treatments Offered by the Best Gynecologist in South Extension

Today, witnessing the infertility concerns are very common the couples. 3 out of 10 couples are looking for the infertility treatment near their local area. And if you are among those couples, then wait, you don’t have to worry more about getting pregnant. Dr. Sadhana Kala is the best Gynecologist in South Extension, holding the degrees of MS, FIAMS, and FACS from USA, FICOG, MAAGL. She is an expert in the field of Gynecology and Obstetrician. She says that “I have come across many patients are facing complications with conceiving a child, such couples start feeling frustrated just after the few attempts of unprotected sex. But, having patience is the key and our team of doctors has successfully given the gift parenthood to many couples”.

best Gynecologist in South Extension Delhi

Infertility is the inability of getting pregnant even after having a year of unprotected intercourse. Both the partners can be responsible for infertility. Discussing female infertility, Dr. Sadhana Kala says that undergoing the treatment at right time is really vital for the couple that is planning to expand their family. She is trusted as leading Gynecologist in South Extension Delhi and many couples have undergone the medical assistance of her and her team and attained the delights of parenthood.

Infertility treatment:

Fertility drugs – These drugs are useful in balancing the fertility hormones in both male and female. These drugs are helpful even in the case when the actual causes are not known. The fertility drugs can be taken with a combination of other treatments like Intrauterine Insemination (IUI).

What is Intrauterine Insemination (IUI)? When the male’s sperm need help to get to the female partner’s egg, then a concentrated sample of sperm is placed directly into the uterus of the female partner at the proper time that can improve the chances of getting pregnant.

Surgery – As the best Gynecologist in South Extension, she states that the surgery is conducted if a female partner is having blocked fallopian tubes, fibroids, endometriosis, anatomic problems with reproductive organs, or ovarian cysts.

Consult Gynecologist in Hauz Khas for Healthy Marriage Life

Dr. Sadhana Kala is a Chief Emeritus and currently is known as Sr. Gynecologist consultant in Delhi. She is an expert Laparoscopic surgeon and robotic surgeon who has completed her learning from the University of Tucson, USA and North Shore University Hospital, Manhasset, New York respectively. She is the most trusted Gynecologist in Hauz Khas dealing with the health issues of the female reproductive organ including vagina, ovaries, and breasts. Based on her years of experience, she shares that today the couples are facing problems in their married life because of either of the partners is not sexually active or does not participate in the sexual activities willingly. Based on her experience, she has observed that there are many factors behaving as sex-drive killers in one’s life affecting the relationship between them and their partner.

gynecologist in Hauz Khash

Stress – The major and key sex-drive killer is stress. We are living in a competitive edge where the desire to lead the race makes a person stressed. Some degrees of stress is good, but, if it crosses the boundary, then it is high time to consult the best Gynecologist in Hauz Khas. Dr. Sadhana Kala has resolved many cases in which either of the partners is stressed and due to that their sex life gets highly affected.

Partner problems – Sex is the key to any healthy marriage and avoiding the problems like infertility, low libido, quick ejaculation, etc. can make the partners feel betrayed. Here, you will get the best treatment to diagnose the sexual problems that make both the partner apart.

Alcohol – Consuming too much alcohol can numb the sex drive. Being too much drunk turns off the partner leaving the sexual desire of the other partner to keeps burning.

Unbalanced diet – At our consultation session, Dr. Sadhana Kala, Gynecologist in Hauz Khash, advises to follow a healthy and protein-full diet because the food we intake makes a huge difference in the sexual life of married couples. It is recommended to completely avoid consuming sodas, junk food, high calories, and fat.

Eliminate the High Risk of Pregnancy with Best Gynecologist in Green Park

Do you feel hesitated and awkward visiting a Gynecologist and sharing issues relating to your reproductive organ? Well, you don’t need to worry because this is a case for many people. You must be willing to visit a Gynecologist who is calm, patience, and clearly understands your hesitation. Then for sure, your search is over. Dr. Sadhana Kala is a medical professional in the field of Gynecology since last 41 years. She is calm, polite, patience, and makes you feel comfortable while sharing the gynecologic problems. She is the well-known and experienced Gynecologist in Green Park, Greater Kailash, Lajpat Nagar, East of Kailash, Defence Colony, South Extensions, New Friends Colony, Kalkaji, Malviya Nagar, Chitranjan Park, and Hauz Khas.

Gynecologist in Green Park

Dr. Sadhana Kala is experienced in diagnosing the conditions of high-risk pregnancy. As an experienced Gynecologist in Green Park, she values the emotions of an expecting mother and makes every effort to have a healthy baby and mother as she understands that motherhood is the inexpressible feeling. Here she explains what can be the factors responsible that cause the high-risk pregnancy. Basically, there are four factors and they are:

  • Existing health conditions
  • Age
  • Lifestyle
  • Conditions of pregnancy

Existing health conditions – Of course, the existing health conditions of a patient can put the pregnancy at risk such as high blood pressure, polycystic ovary syndrome, diabetes, kidney disease, autoimmune disease, thyroid disease, obesity, infertility, and/or HIV-AIDS.

Age – Yes, age makes a huge difference for the risks of pregnancy. For instance, pregnancy in the teenagers is more likely to develop anemia and high blood pressure. Whereas, conceiving a baby for the first time after the age of 35 can increase the risk of delivery complications, cesarean, prolonged labor or an infant with a genetic disorder.

Lifestyle – What you eat, what you drink, and how much hours of sleep do you take, all of these lifestyle factors influence the risk of pregnancy.

Pregnancy conditions – The Best Gynecologist in Green Park, Dr. Sadhana Kala, explains that multiple gestations, gestational diabetes, and preeclampsia and eclampsia conditions can also be the risk factor.