Fibroids and its Complications

Uterine fibroids are common, non-cancerous growths of the uterus that can cause symptoms like heavy menstrual bleeding, pelvic pain, and pressure on the bladder. Management ranges from observation and medication to surgical removal (Myomectomy) or total removal of the uterus (Hysterectomy), depending on the size, location, and severity of complications.

Menstrual Disorders

Menstrual disorders encompass a wide range of issues related to a woman’s cycle, including abnormal bleeding, amenorrhea (absence of periods), dysmenorrhea (painful periods), and irregular cycles. Diagnosis involves identifying the underlying hormonal or structural cause, with treatment aimed at regulating the cycle and alleviating symptoms.

PCO (Polycystic Ovary Syndrome)

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder characterized by irregular periods, excess androgen (male hormone) levels, and the presence of small cysts on the ovaries. PCO management is highly personalized, focusing on managing symptoms like irregular periods, excess hair growth, and insulin resistance, often through lifestyle changes and medication.

Endometriosis

Endometriosis occurs when tissue similar to the lining of the uterus (endometrium) grows outside the uterus, most commonly on the ovaries, bowels, or pelvic lining. This condition can cause chronic pelvic pain, painful periods, and infertility. Treatment involves medication to manage pain and hormonal symptoms, or surgery to remove the endometrial implants.

Adenomyosis

Adenomyosis is a condition where endometrial tissue infiltrates the muscular wall of the uterus (myometrium). This causes the uterus to enlarge, leading to heavy, prolonged, and painful menstruation. Treatment options vary from pain management and hormonal therapy to hysterectomy in severe cases.

Pelvic Inflammatory Disease (PID)

Pelvic Inflammatory Disease (PID) is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. If left untreated, PID can lead to long-term complications such as chronic pelvic pain, tubal factor infertility, and ectopic pregnancy. Treatment involves immediate and aggressive antibiotic therapy.

Uterine Prolapse

Uterine prolapse occurs when the pelvic floor muscles and ligaments stretch and weaken, causing the uterus to descend from its normal position into the vagina. Management depends on the severity and includes lifestyle modifications, Kegel exercises, use of a pessary device, or corrective surgery to restore pelvic support. [Image of Uterine Prolapse severity]

Menopause

Menopause is the time when a woman permanently stops having menstrual periods, marking the end of her reproductive years. Care during this stage focuses on managing symptoms like hot flashes, sleep disturbances, and mood changes, through lifestyle adjustments, non-hormonal treatments, or Hormone Replacement Therapy (HRT) after careful risk assessment.

Mid-Life Crisis

While not strictly a medical diagnosis, mid-life often presents emotional and psychological challenges for women alongside hormonal changes. Support involves comprehensive counseling and care to address feelings of depression, anxiety, or life dissatisfaction that may coincide with menopause and major life transitions.

Contraception

We offer comprehensive family planning services, including counseling on all available methods of contraception. Options range from hormonal methods (pills, patches, rings), barrier methods (condoms), long-acting reversible contraceptives (IUDs, implants), and permanent sterilization, ensuring a choice that fits each woman’s lifestyle and health needs.

Diagnostics and Screening

Screening for Cervical and Breast Malignancy

Early detection is critical for successful cancer treatment. We provide routine screening services for cervical cancer (Pap Smear and HPV testing) and breast cancer (Clinical Breast Exam and Mammography) to identify pre-cancerous and cancerous changes at their earliest, most treatable stages.

Pap Smear

The Pap Smear (Papanicolaou test) is a common screening test used to detect pre-cancerous and cancerous cells on the cervix. This quick procedure involves collecting cells from the cervix to be examined in a lab.

Pap Smear + HPV DNA

Combining the Pap Smear with Human Papillomavirus (HPV) DNA testing provides the most accurate cervical cancer screening available. Since persistent infection with high-risk HPV types is the primary cause of cervical cancer, this co-testing approach significantly improves early detection and risk stratification.

Advanced Gynecological Surgeries

Vaginal Hysterectomy

Vaginal Hysterectomy is the surgical removal of the uterus through an incision in the vagina. This minimally invasive approach typically results in a shorter hospital stay, less pain, and a quicker recovery compared to abdominal surgery, and is often preferred for uterine prolapse or non-cancerous conditions.

Total Abdominal Hysterectomy

Total Abdominal Hysterectomy (TAH) involves the removal of the uterus through a surgical incision in the abdomen. This approach is typically necessary when the uterus is significantly enlarged (e.g., due to large fibroids), when cancer is suspected, or when extensive surgical access is required.

Laparoscopic Hysterectomy

Laparoscopic Hysterectomy uses small incisions and a camera (laparoscope) to remove the uterus. This minimally invasive technique offers patients reduced blood loss, smaller scars, and a much faster return to normal activities than a traditional abdominal approach.

Myomectomy

Myomectomy is the surgical procedure to remove uterine fibroids while preserving the uterus. This procedure is the preferred choice for women who wish to retain their fertility or uterus. It can be performed abdominally, laparoscopically, or hysteroscopically, depending on the fibroid's size and location.

Endometrial/ Ovarian Cancer/ Cervical Cancer Surgeries and its Management

We offer comprehensive surgical and medical management for gynecologic malignancies. This includes staging, tumor removal (e.g., radical hysterectomy, debulking surgery), and multidisciplinary management involving chemotherapy and radiation to provide the best oncological outcome.

Breast Cancer Surgeries

Surgical options for breast cancer range from breast-conserving surgery (lumpectomy) to mastectomy (removal of the entire breast). Our surgeons also perform lymph node procedures and work closely with oncologists to plan subsequent treatments like radiation, chemotherapy, or hormonal therapy for comprehensive care.