Tag Archives: Best Gynecologist in South Delhi

DOCTOR

In nothing do men more nearly approach the gods than in giving health to men.

― Cicero (106 BCE – 43 BCE)

My take on ‘Being a doctor: How is it really like?’ was published by The Times of India on Doctors’ Day, 01 July 2016.

After forty-two years as a specialist doctor, what is my life like? Better in some ways, and inferior in other ways to what it was when I was a young doctor.

As a young doctor I had little responsibility. I had Seniors to advise me, to correct my errors, to take responsibility for bad outcomes, and to face the patients and relatives with catastrophic news. “The doctor should be opaque to his patients and, like a mirror, should show them nothing but what is shown to him,” the Seniors repeatedly told me. For thirty-two years now, I am that ‘Senior.’

I don’t have eighty or hundred-hours-a-week work. I am on call 24×7. Sacrificing family life and personal interests comes with the job. I sometimes miss weddings and social events. My day is unpredictable, I never know when I will be finished working. I have piles of paperwork, the consumer court peering over my shoulder. After ten years of training to become an expert, and thirty-two years as an expert, I still have to work hard – peruse journals, participate in world and international conferences, seminars, and workshops – to keep up with the rapidly-evolving medical technology and knowledge.

FIGO World Congress, Oct 14 – 19, 2018, at  Rio De Janeiro, Brazil.

But medicine has rewards which far outweigh the negatives. I work on the most complex machine the world has known: the human body. I am challenged every day. Every patient is special: I regularly encounter unique situations. Interacting with the family of a healing patient, and when I save a life, is the moment that seals a bond between me and the patient and his family. That is the moment I realize I can positively impact a patient’s life; that I make a difference. That moment is my reward.

Robotic surgery, North shore University, New York, USA 

Medicine is the most challenging and intellectually satisfying calling. But it is demanding. It is not for the faint hearted or the weak kneed or the weak minded. It is only for persons who have a passion for medicine.

I began with a quote. And I end with a quote:

Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less, in human beings of whom they know nothing.

Francois Marie Arouet Voltaire

Prof Dr. Kenneth Hatch, University of Arizona, Tuscan, USA, is the pioneer of laparoscopic gynec surgery

INFERTILITY IN WOMEN

INFERTILITY IN WOMEN

SYNOPSIS 

In India, infertility affects one in six couples in urban areas; and about 27.5 million couples actively trying to conceive. Women contribute to about 50% of all infertility cases. In women, common causes of infertility  are ovulation-problems, damage to Fallopian tubes or uterus, or cervix-problems. Diagnosis is mainly by urine and blood tests, ultrasound, laparoscopy and hysteroscopy. Treatment is hormones, medication and minor surgery. Safe sex, hygiene and healthy life style and diet may reduce the probability of infertility. With assisted reproductive technology (ART), most of the women can achieve pregnancy. Infertility and its treatment have psycho-social impact which may need counselling and psychotherapy.

 

INFERTILITY IN WOMEN

Infertility is a loss. It’s the loss of a dream. It’s the loss of an assumed future. And, like every loss, it will be grieved.

INTRODUCTION

In India, infertility affects one in six couples in urban areas; and 10-14% of the population overall; about 27.5 million couples actively trying to conceive suffer from infertility.

If a couple is unable to conceive despite trying for one year, they are diagnosed as infertile. Cause of infertility can be either in male or in female partner. When it is in female partner, it is called female infertility. Female infertility factors contribute to about 50% of all infertility cases; and female infertility alone cause about one-third of all infertility cases.

In a few cases the infertility remains unexplained, or idiopathic, that is, its cause remains unknown.

CAUSES

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 women, common causes of infertility  are ovulation-problems, damage to Fallopian tubes or uterus, or cervix-problems. Also, as a woman ages, her fertility tends to decrease, and this can cause infertility.

Ovulation problems may be caused by one or more of the following:

Damage to the Fallopian tubes or uterus can be caused by one or more of the following:

DIAGNOSIS

One or more of the following tests/exams are used to evaluate fertility:

  • Urine and blood test to check for infections or a hormone problem, including thyroid function
  • Pelvic exam and breast exam
  • Test of cervical mucus and tissue to determine if ovulation is occurring
  • Laparoscopic examination to view the condition of organs and to look for blockage, adhesion or scar tissue.
  • HSG, which is an x-ray used in conjunction with a dye inserted into the fallopian tubes to check for blockage of the Fallopian tubes.
  • Hysteroscopy that uses a tiny telescope with a fibre light to look for uterine abnormalities.
  • Ultrasound to look at the uterus and ovaries. May be done vaginally or abdominally.
  • Sonohystogram combines an ultrasound and saline injected into the uterus to look for abnormalities or problems.
  • Tracking your ovulation through fertility awareness will also help your infertility specialist to assess your fertility status.

A scene of longing that gets at what infertility is like

TREATMENT

Female infertility is most often treated by one or more of the following methods:

  • Taking hormones to address a hormone imbalance, endometriosis, or a short menstrual cycle
  • Taking medications to stimulate ovulation
  • Using supplements to enhance fertility
  • Taking antibiotics to remove an infection
  • Having minor surgery to remove blockage or scar tissues from the fallopian tubes, uterus, or pelvic area.

PREVENTION

Usually nothing can be done to prevent female infertility caused by genetic problems or illness.

But several things can be done to reduce the possibility of infertility:

  • Take steps to prevent sexually transmitted diseases
  • Avoid illicit drugs
  • Avoid heavy or frequent alcohol use
  • Adopt good personal hygiene and health practices
  • Have annual check-ups with your GYN once you are sexually active

You must contact your doctor in case of any of the following symptoms:

  • Abnormal bleeding
  • Abdominal pain
  • Fever
  • Unusual discharge
  • Pain or discomfort during intercourse
  • Soreness or itching in the vaginal area

Some couples want to explore more traditional or over the counter efforts before exploring infertility procedures. However, do consult your fertility specialist about these.

ASSISTED REPRODUCTIVE TECHNOLOGY (ART)

In recent years, several medical procedures have become available to treat infertility. Collectively, these procedures are called assisted reproductive technology (ART). A few of these procedures are, in vitro fertilization (IVF),  intracytoplasmic sperm injection (ICSI), cryopreservation of gametes or embryos, and/or may involve the use of fertility medication. ART includes “all fertility treatments in which both eggs and sperm are handled. In general, ART procedures involve surgically removing eggs from a woman’s ovaries, combining them with sperm in the laboratory, and returning them to the woman’s body or donating them to another woman.”

With ART and other fertility treatments, it is now highly probable for almost all couples to have a baby.

 

PSYCHO-SOCIAL IMPACT OF INFERTILITY 

Psycho-social impact of infertility is often overlooked because the focus is on physical causes of infertility. But this impact is important. And although it affects both the male and the female partner, the impact on women is greater.

Emotional Impact

Women are astonished, sad and angry when they first find out about their infertility.  As the treatments progresses, they are:

  • stressed
  • depressed
  • confused
  • worried
  • angry
  • upset
  • sad
  • pressured
  • grieved
  • suffer loss of:
    • self-esteem
    • self-confidence
    • sense of control over one’s destiny

Side effects of medication, money worries, and uncertain outcomes heighten the infertility-related stress.

Treatment failure, differences between partners on when to stop seeking treatment, decisions on adoption or living childless, cause further stress.

Coping with Stress

Counselling, Psychotherapy, Medications and Relaxation techniques such as mindfulness meditation, deep breathing, guided imagery, and yoga help cope with the psycho-social impact.

Other ways to cope with stress is to accept your feelings and to know that it happens to most women undergoing infertility treatment; to allow yourself to be angry, to cry to grieve; to stay connected to, and to communicate with, family and friends and your partner; to share with them your questions and fears.

Long invigorating walk, new hobby, listening to soothing music may also help. Also, cut down on intake of sugar, salt, saturated fats, and white flour; reduce or eliminate from diet chemical additives, alcohol, and caffeine, including colas, coffee, black tea, and hot cocoa.

If you feel stressed, angry and frustrated during infertility treatment, remember you are not alone. Everyone undergoing such treatment feels that way. The difference is only in the degree to which one is affected.

CONCLUSION

With ART and other fertility treatments, it is now highly probable for almost all couples to have a baby.

Still, 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.

Fertility treatment is often a long and arduous journey. It generates psycho-social pressures. But don’t lose hope. Don’t give up. Even miracles take a little time.

Art work made from think glass medication vials, Q-caps (used to administer fertility meds), and gauze, along with ceramic pieces and glue. Titled ‘Letting Go,’ made by Denise after infertility treatment failed and she decided to live childless.

ABNORMAL VAGINAL DISCHARGE (LEUCORRHOEA)

SYMPTOMS

Women often feel embarrassed to speak about vaginal discharge, leucorrhoea, though it usually is a harmless, natural, occurrence. Except when the discharge, which normally is clear and white and odorless, becomes yellow, green or grey, or white and curdy like cottage cheese, or frothy, or foul-smelling usually a fish-odor.

The other symptoms of Leucorrhoea are:

  • Rashes or sore spots on the genitals
  • Intense itching of the vagina
  • Pain during sex
  • Burning urination and frequent urge to urinate even with very little urine
  • Constipation and other Digestive disturbances
  • Backache, pain in the leg, pain in lower abdomen
  • Irritability and lack of concentration in work
  • Fatigue because of loss of fluids as discharge
  • Headaches

CAUSES

Leucorrhoea may be caused by:

  • Antibiotic or steroid use
  • Bacterial vaginosis (a bacterial infection)
  • STD
  • Pelvic infection
  • Pelvic inflammatory disease (PID)
  • Urinary tract infection
  • Injuries to the cervix or any of the tissues in the reproductive system during pregnancy
  • Diabetes
  • Anemia
  • Birth control pills
  • Douches, scented soaps or lotions, bubble bath
  • In young girls, hormonal imbalance caused by severe mental stress and trauma
  • Overindulgence in sexual activity
  • Improper diet and lifestyle during menstrual cycle
  • Lack of nutrients
  • Improper vaginal hygiene
  • Alcohol and smoking
  • Cervical or endometrial cancer

DIAGNOSIS

The doctor will take your health history, note the symptoms, and may test the discharge and may also do a Pap test to find the cause of the problem.

 

TREATMENT

Treatment will depend on the cause of the problem.

 

PREVENTION

To prevent Leucorrhoea:

  • Keep the vagina clean by washing regularly with a gentle, mild soap and warm water
  • Never use scented soaps and feminine products or douche. Also avoid feminine sprays and bubble baths
  • After going to the bathroom, always wipe from front to back to prevent bacteria from getting into the vagina and causing an infection
  • Wear 100% cotton underpants
  • Avoid too tight clothing

Whenever you feel that the vaginal discharge is abnormal, consult your gynecologist.

 

 

MEDICAL YOGA

June 21 is International Yoga Day

Yoga: for the young

Yoga is a 5000-year old practice that originated in India. it is mostly thought of as a practice to enhance flexibility, balance, muscle tone, body-strength, endurance and mindfulness. But multiple studies in recent years have shown that it is also useful in the prevention and treatment of certain medical conditions. And also has important psychological benefits.

Medical Yoga (MY), योग चिकित्सा, is a combination of poses (योगासन), breathing techniques (प्राणायाम), meditation (ध्यान) and mindfulness (सचेतन). It is holistic. It takes into account the patient’s mind, body and spirit; and their family, support network, work situation, and culture. It is tailored to an individual just as medical treatment is. It is prescribed by persons trained in MY. It is therefore different from the yoga taught by persons who are trained yoga teachers but are not trained yoga therapist.

Yoga: for the old

MY is natural, low-tech, inexpensive, safe and avoids the potential adverse effects of medication. It is therefore preferred by patients as an alternative approach to wellness. Because of its medical and wellness benefits, many healthcare providers have begun to incorporate yoga in their practice as a supplement or complement to medical treatment. And MY has emerged as a Complementary and Alternative Medicine (CAM) practice.

The American Heart Association says yoga helps to lower blood pressure, increase lung capacity, improve respiratory function and heart rate, improve circulation, boost muscle tone, and enhance cardiovagal function. A study has suggested that even a short-term yoga-based program may reduce the risk for cardio vascular disease (CVD). Another study has suggested that yoga therapy could be of great benefit as an adjunct to medical treatment in patients with heart failure. Especially because patients with severe and/or decompensated heart failure may not tolerate well physical exercise; but they may tolerate well yoga, particularly gentle asanas, breathing exercises and meditation.

Yoga: for the old

The American College of Rheumatology says that exercise and physical activity is an effective treatment program for patients with both osteoarthritis and rheumatoid arthritis; and has a vital role in promoting joint health without worsening disease. Yoga is helpful here. Also, for chronic low back pain (CLBP), Yoga is more effective than physical exercise to improve pain, back function, spinal mobility, depression and anxiety; and, in short term, to improve the functional disability.

Research has shown that meditation helps reduce chronic stress and anxiety. In the brain, it increases cortical thickness and gray matter in areas controlling emotional regulation and executive functioning that includes planning, problem solving and emotional regulation. It also increases levels of oxytocin, the “bonding hormone,” thus helping with feelings of connectedness and “being seen and heard;” it helps sleep quality and regulation; it helps increase alertness and positive feelings, and decrease negative feelings of aggressiveness, depression and anxiety; it helps build resilience, and ability to  cope with stress and anxiety. MY is strong adjunct and complement to medications and psychotherapy to prevent, cure, and/or ameliorate chronic stress and anxiety.

Yoga: for the middle-age

Studies have shown that meditation and Yoga helps prevent premature aging and a broad range of aging-related diseases, including cardiovascular disease, cancer, stroke, dementia, obesity, osteoporosis, Alzheimer’s, macular degeneration, acquired immunodeficiency syndrome (AIDS), and osteoarthritis.

A controlled trial in 2008, with a follow up in 2013, showed that comprehensive lifestyle changes – yoga, meditation, breathing, stress management and a healthy whole-food, plant-based diet – reduced withering with age, aging, disease and premature morbidity.

Yoga: for all ages

Research till date has shown multiple health-benefits of Yoga. Ongoing research is adding to the current list of benefits. But the research till date has small sample sizes, non-standardized methodologies and short follow-up periods.  Larger, standardized, studies are needed.

MY should therefore be used as a supplement or complement, not a replacement, to medical treatment.

Yoga is not easy or quick. It demands time, patience and perseverance. But it is worth devoting these. Because the benefits are immense. And in truth, yoga doesn’t take time – it gives time.

Desert Yoga

 

 

INDIA’S BEST GYNECOLOGIST

DR (PROF) SADHANA KALA, MS, FICOG

‘INDIA’S TOP 8 GYNECOLOGIST’
“at the top of the list is Dr Prof Sadhana Kala”
She is the only one from Delhi in the List

“View the list of best gynecologists in India, with their Review Rating, experience and Services offered. Dr (Prof) Sadhna Kala (Delhi) and Dr. Shobha Venkat (Bangalore) top the list because of their experience, review ratings and service quality.”

 

1. Best Gynecologists in India with Highest Review Ratings (published: 15 November 2017)https://www.elawoman.com/…/best-gynecologists-in-india-with…

 

2. Top 10 Best Gynecologists in India (published: Oct 25, 2017) http://essencz.com/piyalis…/top-10-best-gynecologists-india/

(At the World Congress of Gynecologist, Rio De Janerio, October 2018)

3. Top 10 Best Gynecologists in Delhi
http://essencz.com/piyalis…/top-10-best-gynecolaogist-delhi/

(At the World Congress of Gynecologist, Rio De Janerio, October 2018)

4. Best Gynecologists in Delhi NCR with Highest Ratings and Reviews
https://www.elawoman.com/…/best-gynecologist-in-delhi-ncr-w…

(Robotic Surgery Workshop, New York, 2016)

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CANCER SELF SCREENIG VIDEO

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Posted on 12 October

Pl do view and comment. Pl do share and spread the breast cancer AWARENESS because:

• breast cancer is the biggest killer-cancer of women in the world. And in India

• it cannot be prevented. Early detection is the only cure. Late detection is fatal.

 

CESAREAN VS VAGINAL DELIVERY

The birth of a child is supernatural spiritual event. – Lailah Gifty Akita,
A miracle is really the only way to describe motherhood and giving birth. – Jennie Flnch

SYNOPSIS

A baby may be delivered by a vaginal or a cesarean delivery. But in a given situation, one procedure may be safer for the mother and the baby than the other procedure.

Advantages of the vaginal delivery are that the mother feels it is natural, the recovery period is shorter and she can breastfeed earlier. Disadvantages are that it is a gruelling event and has a higher risk of urinary incontinence; and that the baby may be injured during delivery.

A cesarean may be required in certain situations such as low-lying placenta or breech baby. Mother has longer recovery period; and risk of excessive blood loss and bowel or bladder injury. Baby may have breathing problem and childhood ashthama and obesity.

A successful. VBAC (vaginal birth after a cesarean) is possible. However, there is a small risk of rupture of the uterus. Therefore, suitable doctor and hospital are required.

INTRODUCTION

Between cesarean and vaginal delivery, choose the one which has the least chance of causing injury or morbidity to the baby and the mother. Both procedures have risks. But in a given situation, risks in one procedure are greater than in the other. Aim is to minimize the risk.

For an informed discussion with the therapist, for choosing the optimum delivery method in a given situation, and for giving an informed consent, the expecting mother and her family need to know the pros and cons of the two methods of delivery.

This paper summarizes the pros and cons of the two methods for the mother and for the baby.

INCIDENCE

According to WHO, maternal and new-born deaths decrease as the cesarean rate rises up to 10-15% of the number of deliveries. Higher cesarean rate does not further reduce maternal or neonatal mortality. We may interpret that to mean that in 10-15% cases cesarean is called for; but in 85% of the cases, that is majority of the cases, vaginal delivery is possible. In a few other studies, the death rate continues to reduce till 19% of caesarean rate.

The average caesarean rate in India is 18%. However among the 20% richest population, the rate is 30%. In the United States caesarean rate is about 32% (2017). Clearly, among the rich, more caesareans are being done than are medically needed: rich women choose caesarean rather than vaginal delivery.

VAGINAL DELIVERY

A Mother finds vaginal delivery a more natural experience, feels she is giving birth the way nature intended her to. The other advantages are:

  • A shorter hospital stay (24 – 48 hours) and recovery time compared with a cesarean.
  • Avoid major surgery and its associated risks, such as severe bleeding, scarring, infections, reactions to anesthesia and longer-lasting pain.
  • Earlier contact with the new-born, hold her baby and begin breastfeeding sooner after she delivers
The disadvantages for the mother are;
  • Labor is a physically gruelling process and is hard work.\
  • A risk that the skin and tissues around the vagina can stretch and tear while the fetus moves through the birth canal. If stretching and tearing is severe, a woman may need stitches or this could cause weakness or injury to pelvic muscles that control her urine and bowel function.
  • Higher risk of bowel or urinary incontinence; more prone to leak urine when they cough, sneeze or laugh.
  • May experience lingering pain in the perineum, the area between her vagina and anus.
  • Increased risk of:
    o anxiety and stress during pregnancy
    o sexual problems post-delivery
    o increased risk of post partum depression
For the Baby the advantages are:
  • Muscles involved in birthing may squeeze out fluid in a new-born’s lungs, making breathing problems at birth less likely.
  • Good bacteria received as the new-born travels through the birth canal may boost its immune systems and protect its intestinal tracts.
  • For the Baby the disadvantage is that in long labor, or if the new-born is large, it may get injured during the birthing, resulting in a bruised scalp or a fractured collarbone.

CESAREAN

In certain medical situations, vaginal delivery may be too risky. Therefore a cesarean may be planned. Typical risky situations are:

  • Twins or other multiples
  • A very large baby in a mother with a small pelvis
  • Baby not in a heads-down position and efforts to turn the baby into this position before birth were unsuccessful.
  • Medical conditions such as diabetes or high blood pressure
  • An infection, such as HIV or genital herpes, that she could pass along to her baby during birth
  • Problems with the placenta during pregnancy

Sometimes an unplanned, or emergency cesarean, may become necessary because the health of the mother, the baby, or both, is in jeopardy. This may happen because of a problem during pregnancy; or after a woman has gone into labor: if labor is happening too slowly or if the baby is not getting enough oxygen (fetal distress).

Sometimes a mother may request for an elective cesarean because she wants to plan her delivery; or because she previously had a complicated vaginal delivery.

In certain situations cesarean is lifesaving. But opening up a woman’s abdomen and removing the baby from her uterus is a major surgery. The risks are:

• often leads to repeat C-sections in future pregnancies,
• longer hospital-stay, two to four days on average.
• longer recovery period, often at least two months; more pain and discomfort in the abdomen as the skin and nerves surrounding the surgical scar need time to heal.
• increased physical complaints such as pain or infection at the site of the incision and longer-lasting soreness.
• increased risk of:
o blood loss and a greater risk of infection, bowel or bladder injury or a blood clot forming during the operation.
o future pregnancy complications, such as placental abnormalities and uterine rupture, which is when the uterus tears along the scar line from a previous cesarean. The risk for placenta problems increases with every cesarean a woman undergoes.
o death during surgery: three time more likely in a cesarean than in a vaginal birth, due mostly to blood clots, infections and complications from anesthesia.
o miscarriage and stillbirth in pregnancy after cesarean.

Baby born by cesarean is at a higher risk of:

• stillbirth
• higher mortality rate than vaginal delivery baby
• more likely to be admitted to the NICU for breathing problems
• higher rate of childhood (up to the age of 12) asthama
• a greater risk of becoming obese as children and as adults (perhaps because women who are obese or have pregnancy-related diabetes are more likely to have a C-section)
• lesser immune system

VBAC

VBAC (vaginal birth after cesarean) is possible under certain conditions. But VBAC is not safe for every woman and can even be life threatening to her. Before attempting a trial of labor after cesarean (TOLAC), remember that the following are contraindications:

• obesity (body mass index 30 or higher; weight over 200 pounds)
• pre-eclampsia (high blood pressure during pregnancy)
• age (usually older than 35)
• previous caesarean was in the last 19 months
• fetus is very large
• the reason for the initial caesarean is recurrent (for example, very small maternal pelvic dimensions). In this case, TOLAC may be dangerous to both mother and baby.
• more than two previous caesareans
• scar is a vertical cut, that is, it goes from top to bottom (high risk it will rupture and harm the baby and the mother and will call for a cesarean)
• additional uterine scars, anomalies, or ruptures

If scar is low and a transverse cut, that is, goes from side to side, then TOLAC may be attempted.

According to ACOG (The American College of Obstetricians and Gynecologists):

• 3-4 out of 5, ie, 60-80% women can have successful VBAC
• transverse cut, risk of rupture, is 0.2 to 1.5%, ie 1 in 500
• VBAC is safer than repeat caesarean
• more than one previous caesarean does not pose any additional risk in VBAC
• genital herpes is acceptable, unless a visible lesion
• no evidence that a large baby requires cesarean. Squatting increases outlet of the pelvis by 10%

Rupture of the uterus is the principal risk of VBAC. The risk is small: less than 1% VBAAC result in rupture. But it is dangerous if it happens. Go for VBAC only if you are prepared to take that risk.

Also be sure to choose a best pregnancy doctor in south delhi and a hospital who can handle the rupture and do a cesarean if needed.

You may wish to attempt a VBAC because if it is successful, you will avoid the disadvantages of a Cesarean.

History

The second Mauryan Samrat (emperor) of India, Bindusara, was born c. 320 BCE by caesarean. His mother accidentally consumed poison and died when she was close to delivering him. Chanakya, his father Chandragupta’s teacher and adviser, cut open the belly of the queen and took out the baby Bindusara, thus saving the baby’s life.

That Julius Caesar was born by caesarean, hence the name caesarean for the procedure, is a myth. Though caesareans were performed in Roman times and Jewish woman are said to have survived such operation. But caesareans usually led to the death of the mother and were usually performed only when woman was dead or supposed to be beyond help. In Great Britain and Ireland, the caesarean-mortality rate in 1865 was 85%.

REFERENCES

1. Vaginal Birth vs. C-Section: Pros & Cons – Live Science
https://www.livescience.com › Health
2. Normal Delivery Vs Cesarean – Risks And Benefits – MomJunction
https://www.momjunction.com › Pregnancy › Giving Birth
3. Why You Don’t Want a C-Section | Fit Pregnancy and Baby
https://www.fitpregnancy.com › … › Why You Don’t Want a C-Section
4. Vaginal Birth After A C-Section (VBAC): Benefits & Risks – WebMD
https://www.webmd.com › Pregnancy › Reference
5. VBAC: Vaginal Birth after Cesarean – American Pregnancy Association
americanpregnancy.org › Labor and Birth

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.

Dysmenorrhea : Affect Most Of The Ladies

Numerous ladies know how agonizing their period can be. This is alleged essential dysmenorrhea and it is common to the point that can even be considered as should be expected. Not at all like this, auxiliary dysmenorrhea happens later in lady’s life, which beforehand didn’t experience menstrual torment and this is typically neurotic.

Best Gynecologist in Delhi

This implies auxiliary dysmenorrhea happens later in life (usually in the 20s or 30s) and in the event that you encounter your first menstrual spasms in this age, you ought to visit a  Best Gynecologist in Delhi Dr. Sadhana Kala. You shouldn’t overlook it in light of the fact that there are numerous reasons for auxiliary dysmenorrhea, for example,

  • Endometriosis,
  • Pelvic provocative ailment,
  • Leiomyoma
  • Much tumor

Then again, a few ladies may have exorbitant seeping amid monthly cycle however possibly they are reluctant to discuss it or they don’t know about it. On the off chance that you need to change the cushions or tampons each hour, or if your period keeps going longer than usual (seven days or more), you ought to instantly visit a Gynecologist in Delhi.

This can happen in each age, so it can be brought on by numerous reasons, for example,

  • Hormone lopsidedness,
  • Ovarian cysts,
  • Uterine polyps,
  • Adenomyosis,
  • Uterine tumor

In more youthful patients this substantial draining is normally brought about by hormone lopsidedness, yet in ladies in their 50s, the most widely recognized cause is the endometrial malignancy. What’s more, this likewise something that you shouldn’t disregard.

Contemplates have demonstrated that 80 percent of ladies don’t request specialists help about issues amid their cycle.

This substantial or delayed draining happens in around 25 percent of ladies, however, they once in a while choose to look for help and to put a conclusion to this issue. They typically call a specialist when they get to be pale (the most well-known confusion from menorrhagia).

How to stop or avoid uterine spasms actually?

A standout amongst the most critical approaches to stop uterine spasms is to get thinner. This will likewise avert endometrial disease in later age since weight is the most vital danger variable in charge of this sort of tumor.

Best Gynecologist South Delhi To Help Women Away From Various Health Related Dangers

Ladies may have complex health issues, frequently beginning from their adolescents. Significant concerns a lady may confront amid her life can be connected with the period, pregnancy, hormonal irregularity and numerous other well-being issues. These conditions on occasion may definitely prompt bargain a personal satisfaction, disposition swings, thyroid lopsidedness, osteoporosis, pallor, stress and so on. These well-being issues may not be obvious at a case in a lady. Subsequently, it is vital to hold fast to convenient checkups to recognize any physical signs and indications, so that the important examinations and a viable administration arrangement can be taken after.

gynecologist in Delhi

With innovation progressing in each field, there are numerous offices, treatments and compelling methodologies accessible that guarantees lightening of these conditions. Nutritious and natural medication close by a coordinated therapeutic methodology can be of awesome advantage to a significant number of these female afflictions. On the off chance that you are looking forward to those clinics for treatment of various sicknesses or issues connected with female gainful parts, you can contact with best gynecologist in south Delhi to get their optimum services.

Sometimes there will be issues taking after the introduction of your child. A decent clinic will see to it that you have entry to a few medicinal administrations including nutritionist and dietitian help for your recuperation to perfect wellbeing. The best doctor’s facilities in South Delhi for conveyance ought to likewise incorporate a pediatrician’s administrations. He will be observing your child guarantee that nourishment and end are working as they ought to and the infant is keeping up a consistent weight pick up. The gynecologist will be observing you with blood tests, weight reduction or increase and womb condition.

Healing facilities with best ladies care administrations are normally favored by the patients searching for best treatment for infections connected with female beneficial parts. Patients regularly search for exceptionally successful doctor’s facilities with very viable birthing administrations. Birthing administrations, for example, an easy conveyance makes the clinics very requested in patients. In a pizzazz to accomplish an amazing position in this area, healing centers likewise offer precise administration of high hazard pregnancy cases. These medical centers also offer people with modern instruments as to enable great health to their patients with putting excessive pressure on their pocket.

The best gynecologist in south Delhi gives viable cervical malignancy screening to a location of the cervical tumor in the most methodical way. Discovery methodologies are utilized with the end goal of compelling identification of cervical tumor screening. For screening systems to be viably done, these healing centers have created howdy tech lab. Every one of these techniques is performed by first class specialists of industry which have substantial experience of working in the same field.