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Hysteroscopy – Why and How?

Hysteroscopy is a valuable diagnostic and therapeutic procedure in the field of gynecology. It offers several benefits and is commonly performed to address various uterine issues. An experienced doctor specializing in minimally invasive surgery in South Delhi performs this technique for various purposes. Let us see why.

Why Hysteroscopy is Performed?

Here are some reasons why hysteroscopy is performed:

Diagnosis of Abnormal Uterine Bleeding

Hysteroscopy helps investigate the underlying causes of abnormal uterine bleeding, such as heavy or prolonged menstrual periods, postmenopausal bleeding, or intermenstrual bleeding. It allows doctors to visually examine the uterine lining and identify conditions such as uterine polyps, fibroids, endometrial hyperplasia, or uterine cancer.

Evaluation of Infertility

It plays a crucial role in evaluating and addressing infertility issues. It enables doctors to assess the uterine cavity for abnormalities that may hinder conception or implantation. Conditions like uterine septum, intrauterine adhesions (Asherman’s syndrome), or scar tissue can be diagnosed and treated during the procedure, improving the chances of a successful pregnancy.

Treatment of Uterine Abnormalities

In addition to diagnosis, hysteroscopy allows for therapeutic interventions. It can be used to remove uterine polyps or fibroids, resect uterine septum, and release intrauterine adhesions. By addressing these abnormalities, hysteroscopy can alleviate symptoms, improve fertility outcomes, and enhance overall uterine health.

How is Hysteroscopy Performed?

Hysteroscopy is a minimally invasive procedure that involves the use of specialized instruments to examine and treat the uterus. Here is how it is done:

Preparation

Before the procedure, the patient may receive general or local anesthesia, depending on the extent of the hysteroscopy. This ensures comfort and pain control during the procedure.

Insertion of the Hysteroscope

The hysteroscope, a thin and flexible instrument with a light source and camera, is gently inserted through the vagina and cervix, and into the uterus. Carbon dioxide gas or a saline solution may be used to expand the uterine cavity, providing a clearer view of the area.

Visual Examination

Real-time images captured by the hysteroscope’s camera are projected onto a monitor, allowing the doctor to visually examine the uterine lining. This enables the identification of any abnormalities or pathologies.

Therapeutic Interventions

If necessary, therapeutic procedures can be performed during hysteroscopy. This may include the removal of polyps or fibroids, resection of uterine septum, or lysis of adhesions. Specialized instruments are used to carry out these interventions.

Post-procedure Care

After the hysteroscopy, the patient is monitored in a recovery area until the effects of anesthesia wear off. Most hysteroscopies are performed on an outpatient basis, allowing patients to return home the same day. Mild cramping or spotting may occur, but these usually subside within a few days.

Hysteroscopy is a valuable procedure used in gynecology for diagnostic and therapeutic purposes. It provides a comprehensive examination of the uterus, allowing for the identification and treatment of various uterine abnormalities. Dr. Ruchi Tandon, an experienced Gynecologist Doctor in South Delhi is an expert in performing hysteroscopy.

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Endometriosis – Causes, Symptoms, & Treatment

Endometriosis is a chronic condition. It occurs when tissue similar to the lining of the uterus, known as endometrial tissue, grows outside the uterus. This misplaced tissue can cause various symptoms and significantly impact a woman’s quality of life. In this article, we will explore the causes, symptoms, and treatment options available for endometriosis. However, it is important to consult an endometriosis doctor in South Delhi timely to prevent the worsening of the condition.

 

What Are the Causes of Endometriosis?

The exact cause of endometriosis remains unknown, but several factors believed to contribute to the condition are:

Retrograde menstruation: Backflow of menstrual blood through the fallopian tubes into the pelvic cavity, allowing endometrial cells to implant and grow.

Hormonal imbalance: Estrogen, a hormone that stimulates the growth of the endometrium, may promote the development of endometriosis.

Immune system dysfunction: Issues with the immune system may prevent the body from recognizing and eliminating misplaced endometrial tissue.

Genetic factors: Endometriosis appears to run in families, suggesting a genetic predisposition to the condition.

Surgical scar implantation: Endometrial cells may attach to surgical incisions, such as those from a Cesarean section or hysterectomy, and grow outside the uterus.

 

What Are the Symptoms of Endometriosis?

The symptoms of endometriosis can vary in severity and presentation, and some women may experience no symptoms at all. However, the most common signs include:

Pelvic pain: This is the primary symptom, ranging from mild discomfort to debilitating pain during menstruation, intercourse, or throughout the menstrual cycle.

Dysmenorrhea: Severe menstrual cramps that may cause nausea, vomiting, or fainting.

Chronic pelvic pain: Persistent pain in the lower back and pelvis.

Painful intercourse: Known as dyspareunia, it can occur during or after sexual activity.

Irregular bleeding: Heavy or irregular menstrual periods.

Infertility: Difficulty in conceiving or carrying a pregnancy to term.

 

What Are the Treatment Options for Endometriosis?

Endometriosis has no cure. However, several treatment options for managing the symptoms and improving quality of life are:

Pain medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve pain and reduce inflammation.

Hormonal therapy: Birth control pills, hormonal patches, or intrauterine devices containing progestin or a combination of estrogen and progestin can help regulate hormone levels and reduce symptoms.

Gonadotropin-releasing hormone (GnRH) agonists: These medications temporarily suppress estrogen production, inducing a menopause-like state and reducing endometrial growth.

Laparoscopic surgery: A minimally invasive surgical procedure to remove endometrial implants and scar tissue, improving pain symptoms and fertility in some cases.

Hysterectomy: In severe cases where other treatments have failed, the removal of the uterus and sometimes the ovaries may be considered.

 

Conclusion

Endometriosis is a complex condition that requires a multidisciplinary approach for diagnosis and management. Early recognition of symptoms and timely intervention can help alleviate pain, preserve fertility, and improve the overall quality of life for women.

If you suspect you may have endometriosis, consult Dr. Ruchi Tandon, the best gynecologist in South Delhi.

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A Quick Guide on Different Methods of Abortions

Abortion is a sensitive and complex topic that involves terminating a pregnancy. There are different types of abortion procedures available, which may vary depending on the stage of pregnancy and the woman’s individual circumstances. However, it is important to find the best abortion clinic in Delhi before opting for the procedure. Besides this, it is also necessary to find the best gynecologist in Delhi for the same. Here, we will discuss different methods of abortion.

Different Types of Abortion Methods

Medical Abortion

Medical abortion, also known as the abortion pill, is a non-surgical procedure used to terminate early pregnancies, typically up to 10 weeks gestation. It involves taking a few medications that work together to induce a miscarriage. One medicine is taken orally at the clinic followed by another one at home, usually within 24 to 48 hours later. This method is generally safe and effective, with the process resembling a heavy menstrual period. The medicine must be taken after guidance.

Aspiration Abortion

Aspiration abortion also referred to as suction or vacuum aspiration, is a common method used in the first trimester (up to 12 weeks) of pregnancy. It involves dilating the cervix and using a suction device to remove the contents of the uterus. This procedure can be performed in a healthcare provider’s office, clinic, or hospital setting. It is typically a quick procedure, lasting about 5-10 minutes, and recovery time is relatively short.

Dilation and Curettage (D&C)

D&C is a surgical abortion method used in the first trimester or early second trimester of pregnancy (up to 16 weeks). It involves dilating the cervix and removing the pregnancy using a suction device and a curette (a spoon-shaped instrument). The procedure is usually performed under local or general anesthesia in a clinic or hospital. D&C may be recommended in cases where the pregnancy has stopped developing or if there are certain complications.

Dilation and Evacuation (D&E)

D&E is a surgical procedure used for second-trimester abortions (from around 13 to 24 weeks gestation). It involves dilating the cervix and using suction and surgical instruments to remove the pregnancy. This procedure is usually performed in a hospital under general anesthesia. D&E may be necessary in cases where the pregnancy poses risks to the woman’s health or if there are fetal abnormalities.

Induction Abortion

Induction abortion is a method used in the second or third trimester of pregnancy (typically after 24 weeks) when the pregnancy is no longer viable or poses significant risks to the woman’s health. It involves the administration of medication to induce labor and deliver the fetus. This procedure is typically performed in a hospital, where the woman is closely monitored throughout the process.

The legality and availability of the procedure varies by country. These procedures are performed after proper documentation by experienced gynecologists. If you are looking for the best abortion clinic in South Delhi, consult Dr. Ruchi Tandon.

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Spine Health and Pregnancy – What You Should Know About?

Pregnancy is one of the best phases in a woman’s life. And why not? It is the time when life is giving birth to another life. However, the fact can also be not denied that this phase is not easy for women as they go through a lot of emotional and physical changes. To avoid any severe complications and manage such changes, it is important to stay in touch with the Best Gynecologist in Greater Kailash.

Well, one of the noticeable facts during pregnancy is the changing spine health, and this is what we will be discussing in the post.

How Pregnancy Affects Spine Health?

If we talk about lower back pain during pregnancy, then it often occurs because of the change in the posture of women. Added weight because of the growth and development of the fetus is the reason.

Now, the fetus’s growth also contributes to postural changes in women. Studies have found that the curvature of the lumbar spine increases to around 2.7° during the third trimester of pregnancy when compared to the curvature in non-pregnant women. This is because of the forward-pushing weight of the fetus. However, lower back pain in the first and second trimesters may not be because of these changes. The pain often becomes intense during the later stages of pregnancy and the growing fetus is the cause of the same.

How to Maintain Spine Health During Pregnancy?

Over 50% of women complain of lower back pain during pregnancy and we can say it is a sign of a developing baby. Well, as the fetus grows, your back has to take all the pain. However, there are certain tips that can help you with the pain and maintain spine health during pregnancy:

Regular Exercise

Exercising is the best form of defense against back pain, and during pregnancy, it becomes a must. So, safe exercises must be routinely performed to get long-term relief from backache and maintain optimum spine health. If you are confused about which exercises you should perform, consult a specialist.

Heat and Cold Therapy

The application of heat or cold packs may also help with temporary back pain relief. This must be done for up to 20 minutes several times a day. Here, it is advised not to apply heat to the abdomen during pregnancy.

Improve Posture

Another way of maintaining spine health is to improve posture while sitting, standing, or sleeping. Leaning towards the back is likely during pregnancy, however, expert advice may help you cope with the changing posture. The use of a support belt may be of good help in such a situation.

Dr. Ruchi Tandon is a renowned pregnancy doctor in Delhi and she also provides the best fibroids treatment in Greater Kailash.