What Options Are Available for PCOD Treatment?

PCOD, or Polycystic Ovary Syndrome, can feel like a complex issue with irregular periods, unwanted hair growth, weight struggles, and frustrating acne. But take a deep breath! You’re not alone. Plus, there are a whole bunch of treatment options available to help you manage PCOD and feel your best. In this blog, we will have look at the available treatments for this condition. However, first, you need to find an experienced PCOD specialist doctor in South Delhi.

Treating Polycystic Ovary Syndrome

Lifestyle Tweaks for Big Results

Before diving into medications, let’s explore some powerful lifestyle changes that can significantly improve your PCOD journey.

Diet

Think quality over quantity. Focus on whole, unprocessed foods like fruits, vegetables, lean proteins, and whole grains. Reduce sugary drinks and refined carbohydrates, which can worsen insulin resistance, a key player in PCOD.

Exercise

At least 30 minutes of exercise daily can be of great help. Physical activity helps regulate hormones, improve insulin sensitivity, and promote weight loss, all of which can significantly improve PCOD symptoms. Ask for a gynecologist doctor in South Delhi to know about safe exercises.

Weight Management

Even modest weight loss (5-10%) can make a big difference. It can regulate periods, improve fertility, and reduce the risk of long-term health problems associated with PCOD.

Managing Hormonal Levels

Birth Control Pills

These are a mainstay of PCOD treatment. Combination pills containing estrogen and progestin regulate your cycle, reduce androgen levels, and lower your risk of endometrial cancer, a potential concern with PCOD. Take these pills only under prescription by a PCOD specialist in South Delhi.

Progestin Therapy

If you’re not looking to prevent pregnancy, taking progestin for a specific period each month can regulate your periods and protect against endometrial cancer. However, it won’t address androgen levels.

Addressing Specific Concerns

Irregular Periods

If your periods are infrequent or absent, progestin therapy or birth control pills can help regulate your cycle. This needs to be taken under doctor’s prescription.

Infertility

If you’re struggling to conceive, medications like clomiphene citrate can help stimulate ovulation. In some cases, laparoscopic ovarian drilling, a minimally invasive surgery, may be an option. A gynecologist doctor in South Delhi can decide the best course of action after a thorough examination.

Hirsutism (Excess Hair Growth)

Birth control pills, which reduce androgen levels, are a common solution. Topical medications like spironolactone can also help.

Beyond Medications

Stress Management

Chronic stress can worsen PCOD symptoms. Explore relaxation techniques like yoga, meditation, or deep breathing to help manage stress and improve your overall well-being.

Supplements

While not a replacement for a healthy lifestyle, some supplements like inositol may offer additional benefits for managing PCOD symptoms. Discuss these with your doctor to see if they’re right for you.

Remember, there’s no one-size-fits-all approach to PCOD treatment. The best course of action will depend on your individual needs and goals. Work closely with your PCOD specialist in Greater Kailash to develop a personalized treatment plan that addresses your specific concerns and helps you feel empowered to manage your PCOD.

June 2, 2024

What Are the Common Causes of Female Infertility?

The journey to parenthood can be an exciting time, filled with anticipation and hope. But for some couples, this path can be unexpectedly challenging due to infertility. Infertility can affect both men and women and one should consult an infertility specialist in Greater Kailash. This blog will focus on the common causes of female infertility.

Understanding the Common Causes of Female Infertility

Knowing these factors can empower women on their path to conception. It’s important to remember that infertility is a medical condition, and there are often treatment options available.

Ovulation Issues

Ovulation, the release of an egg from the ovary, is a crucial step in conception. If ovulation doesn’t happen regularly or at all, it can significantly hinder getting pregnant.

Polycystic Ovary Syndrome (PCOS)

This hormonal imbalance is a leading cause of female infertility. PCOS can cause irregular periods, anovulation (absence of ovulation), and problems with egg quality. Such issues must be consulted with a gynecologist doctor in South Delhi.

Hormonal Imbalances

Other hormone imbalances, such as those related to the thyroid gland or excessive prolactin production, can disrupt ovulation and make pregnancy difficult.

Age-Related Decline

As women age, their fertility naturally declines. With that, the quality and quantity of eggs also decrease.

Beyond Ovulation: Factors Affecting the Reproductive System

While ovulation is essential, a healthy reproductive system is necessary for a successful pregnancy. Here are some conditions that can affect a woman’s ability to conceive:

Fallopian Tube Blockage

Blockages in the fallopian tubes, often caused by pelvic inflammatory disease (PID) or past surgery, can prevent sperm from reaching the egg or hinder the fertilized egg’s journey to the uterus. An experienced infertility specialist in Greater Kailash can identify the right cause after a thorough examination.

Uterine Fibroids

These non-cancerous growths in the uterus can interfere with implantation, the process where the fertilized egg attaches to the uterine lining.

Endometriosis

This condition occurs when endometrial tissue, normally lining the uterus, grows outside of it. Endometriosis can cause inflammation and pelvic pain while affecting fertility.

Lifestyle Choices and Environmental Factors

Certain lifestyle choices and environmental factors can also play a role in female infertility:

Weight Extremes

Both obesity and being underweight can disrupt ovulation and hormone regulation.

Smoking

Smoking reduces blood flow to the ovaries and uterus, impacting egg health and implantation.

Heavy Alcohol Consumption and Drug Use

Excessive alcohol and recreational drugs can negatively affect fertility in several ways, including hormonal imbalances and egg quality.

Remember, You’re Not Alone

If you’re struggling to conceive, it’s important to seek professional medical advice. A gynecologist doctor in South Delhi can help diagnose the underlying cause of infertility and recommend appropriate treatment options. There are many success stories of women overcoming infertility challenges. Sharing your concerns with your partner and seeking support groups can also be invaluable during this journey.

By understanding the common causes of female infertility and taking a proactive approach, couples can increase their chances of achieving a healthy pregnancy.

April 20, 2024

An Educational Guide to Advances in Contraception Technology

For decades, contraception relied heavily on the pill and a few other methods. Thankfully, the landscape is changing! Researchers are developing new options that are more convenient, user-controlled, and cater to a wider range of preferences. This blog will explore some of these exciting advancements. For details, consult a gynecologist in Greater Kailash.

Advances in Contraception

Implants and IUDs Get an Upgrade

Implants like Norplant were a game-changer, offering long-term birth control. Now, imagine an implant effective for several years that’s discreet and easily reversible. Researchers are working on such implants that release progestin, a hormone that prevents ovulation. These could be ideal for people who prefer not to think about contraception daily.

Intrauterine devices (IUDs) are another long-acting option. New IUDs in development boast extended lifespans, lasting up to a decade. Additionally, some IUDs combine hormonal action with copper, making them even more effective. A pregnancy doctor in South Delhi can help you better with the information about these devices.

User-Friendly Options on the Horizon

Imagine a birth control patch that releases hormones through the skin, lasting for weeks and easily applied at home. This is a reality in the making! Similarly, researchers are developing vaginal rings that deliver low, steady doses of hormones over several months. These options empower users with more control over their bodies and offer a discreet alternative to pills.

Male Contraception Steps Up

For far too long, the burden of contraception has primarily fallen on women. The tide is turning! Researchers are exploring various male contraceptive methods. One approach involves a gel applied topically that reduces sperm count. Another method involves a pill that suppresses sperm production. While these are still in the clinical trial phase, they offer a much-needed expansion in contraceptive options. But sooner, a gynecologist in Greater Kailash may have such an option.

Exploring New Avenues

The world of contraception isn’t limited to just hormones. Researchers are investigating innovative approaches. One area of focus is vasal gel, a non-hormonal method that blocks sperm from reaching the ejaculate. This could be a welcome alternative for people who prefer non-hormonal birth control.

Accessibility and Education Remain Key

These advancements hold immense promise for the future of family planning. However, ensuring accessibility and education is crucial. New technologies should be affordable and readily available to those who need them. Additionally, comprehensive sex education plays a vital role. A Pregnancy doctor in South Delhi can provide you with valuable information. It empowers individuals to make informed choices about their sexual health and reproductive rights.

The future of contraception is bright. With ongoing research and development, we can expect even more user-friendly, effective, and diverse options. This will empower individuals and couples to make informed decisions about their reproductive health, creating a future where family planning is accessible and convenient for everyone.

For more, consult Dr. Ruchi Tandon, an experienced Gynecologist Doctor in South Delhi.

March 30, 2024March 30, 2024

What You Should Know About Minimally Invasive Fibroids Treatment

In the realm of women’s health, fibroids have long been a challenging adversary, causing discomfort and disrupting daily lives. However, the landscape of fibroids treatment in South Delhi is evolving, and a promising ray of hope is emerging in the form of minimally invasive procedures. In this blog, we delve into the world of minimally invasive fibroid treatment, exploring the benefits and advancements that offer a more comfortable path to recovery.

The Need for Minimally Invasive Approaches

Traditional surgical methods for treating fibroids, such as hysterectomy or myomectomy, often involve large incisions, extended hospital stays, and prolonged recovery periods. Recognizing the need for less invasive alternatives, medical professionals have turned to innovative techniques that minimize trauma to the body. However, the decision as to whether the minimally invasive approach is best for the patient or not will be taken by the gynecologist doctor in South Delhi.

Benefits of Minimally Invasive Fibroids Treatment

Reduced Recovery Time

Minimally invasive approaches are often advantageous as they reduce the recovery time after surgery. Unlike traditional surgeries, which may require weeks of downtime, patients undergoing minimally invasive treatments can often resume their normal activities within days.

Smaller Incisions, Lesser Scarring

Minimally invasive procedures involve small incisions, minimizing the impact on the body. This not only leads to less postoperative pain but also results in smaller, more cosmetically appealing scars, boosting the patient’s confidence and overall satisfaction with the fibroids treatment in South Delhi.

Lower Risk of Complications

The risk of complications, such as infections or excessive bleeding, is generally lower with minimally invasive approaches. This is because these procedures are designed to be precise, targeting the fibroids with minimal disturbance to surrounding tissues.

Types of Minimally Invasive Fibroids Treatment

Laparoscopic Myomectomy

In this procedure, surgeons make small incisions and use a laparoscope to remove fibroids. The recovery time is comparatively shorter than traditional myomectomy, and the risk of infection is reduced.

Uterine Fibroid Embolization (UFE)

This technique blocks the blood vessels through which blood is supplied to fibroids. This causes the fibroids to shrink and die without the need for surgery. This technique is less painful and often results in faster recovery.

Robotic-Assisted Surgery

Robotic surgery combines the precision of technology with the surgeon’s expertise. The robotic system allows for more intricate movements, enabling the removal of fibroids through small incisions with enhanced precision.

Patient Experiences

Real-life stories of individuals who have undergone minimally invasive fibroids treatment in South Delhi highlight the transformative impact of these procedures. Women express gratitude for the swift recovery, minimal scarring, and the ability to regain control of their lives without the prolonged interruption that comes with traditional surgery.

Contact Dr. Ruchi Tandon, a good gynecologist doctor in South Delhi for the best minimally invasive fibroids treatment.

December 23, 2023

Navigating the Challenges: Thyroid Disorders and Their Impact on Pregnancy

Pregnancy is an exciting yet emotional journey filled with anticipation and excitement, but it also comes with a myriad of physical and hormonal changes. Among the various factors influencing a smooth pregnancy, thyroid health plays a crucial role. Thyroid disorders, which affect the butterfly-shaped gland in our neck responsible for regulating metabolism, can significantly impact the well-being of the mother and the developing fetus. In such cases, it becomes important to consult high-risk pregnancy doctors in Greater Kailash.

Understanding Thyroid Disorders

Thyroid disorders encompass a spectrum of conditions, including hypothyroidism (underactive thyroid), hyperthyroidism (overactive thyroid), and autoimmune disorders like Hashimoto’s disease and Graves’ disease. These disorders can disrupt the delicate balance of hormones essential for maintaining a healthy pregnancy. A good Gynecologist doctor in South Delhi must be consulted in such scenarios.

Hypothyroidism and Pregnancy

Hypothyroidism is a condition where the thyroid gland doesn’t produce enough thyroid hormones. During pregnancy, this condition can lead to complications such as preeclampsia, an increased risk of miscarriage, premature birth, and developmental issues in the baby. The developing fetus depends on the mother’s thyroid hormones, particularly in the early stages when the baby’s thyroid is not yet fully functional.

Untreated hypothyroidism during pregnancy has been linked to cognitive impairments in the child, emphasizing the critical importance of identifying and managing this condition. Regular monitoring of thyroid function by high-risk pregnancy doctors in Greater Kailash through blood tests is crucial for pregnant women with hypothyroidism to ensure that hormone levels remain within the optimal range.

Hyperthyroidism and Pregnancy

Conversely, hyperthyroidism, characterized by an excess of thyroid hormones, poses its own set of challenges during pregnancy. Complications can include an increased risk of preterm birth, low birth weight, and in severe cases, preeclampsia. The autoimmune nature of conditions like Graves’ disease adds an additional layer of complexity, as the antibodies produced by the mother can potentially affect the baby’s thyroid function.

Managing hyperthyroidism during pregnancy often involves a delicate balancing act. Medications may be adjusted to maintain thyroid hormone levels within a safe range, and close monitoring is essential to address any changes that may occur as the pregnancy progresses.

Autoimmune Thyroid Disorders

Autoimmune thyroid disorders, such as Hashimoto’s disease and Graves’ disease, involve the body’s immune system mistakenly attacking the thyroid gland. These conditions can have implications for fertility and increase the risk of miscarriage. Managing autoimmune thyroid disorders during pregnancy may require a multidisciplinary approach involving endocrinologists, obstetricians, and other healthcare professionals.

Ensuring a Healthy Pregnancy

For women with pre-existing thyroid disorders or those diagnosed during pregnancy, a collaborative approach between the patient and the Gynecologist doctor in South Delhi is crucial. Regular prenatal check-ups, including thyroid function tests, help monitor hormone levels and ensure timely adjustments to medication.

A well-balanced diet rich in iodine, a vital nutrient for thyroid function, is essential for pregnant women, but supplementation should be approached with caution and under medical supervision.

June 24, 2023June 24, 2023

Lifestyle Modifications to Reduce Fibroid Growth and Recurrence

Uterine fibroids are noncancerous growths that can cause significant discomfort and disrupt a woman’s quality of life. While medical interventions are available, certain lifestyle modifications can play a crucial role in reducing fibroid growth and recurrence. By making proactive changes to their daily routines, women can potentially manage fibroids more effectively. If you have been diagnosed with fibroids, you must consult the best fibroids surgeon in South Delhi.

In this blog post, we will explore lifestyle modifications that can help reduce fibroid growth and minimize the chances of recurrence.

How to Minimize the Risk and Recurrence of Fibroid Growth?

Maintain a Healthy Weight

Maintaining a healthy weight is essential for managing fibroids. Obesity and excess weight have been associated with a higher risk of fibroid development and growth. By adopting a balanced diet and engaging in regular physical activity, women can achieve and maintain a healthy weight, potentially reducing the size and growth of fibroids.

Incorporate a Nutrient-Rich Diet

A diet rich in nutrients can support overall health and potentially influence fibroid growth. Add a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats to your daily diet. Emphasize foods high in antioxidants, such as berries, leafy greens, and nuts, which can help reduce inflammation and promote cellular health.

Opt for Low Glycemic Index Foods

Choosing foods with a low glycemic index (GI) can be beneficial for managing fibroids. High GI foods can lead to increased insulin levels, potentially promoting fibroid growth. Opt for complex carbohydrates like whole grains, legumes, and non-starchy vegetables, which have a lower GI and provide sustained energy while regulating insulin levels.

Reduce Stress Levels

Chronic stress can impact hormonal balance and potentially contribute to fibroid growth. Engaging in stress-reducing activities such as meditation, yoga, deep breathing exercises, and regular physical exercise can help manage stress levels. Prioritize self-care, engage in hobbies, and create a balanced work-life routine to minimize stress and its potential effects on fibroids.

Limit Alcohol Consumption

Excessive alcohol consumption has been associated with an increased risk of fibroid growth and recurrence. Limiting alcohol intake or avoiding it altogether can help reduce the chances of fibroid development and its potential complications. Alternatives such as herbal teas, infused water, or mocktails could be better and healthier options.

Seek Regular Medical Monitoring

Regular medical check-ups and monitoring are essential for managing fibroids. Consult with your healthcare provider for regular screenings and examinations. Discuss appropriate treatment options and potential interventions to manage fibroids effectively. By actively participating in your healthcare journey, you can stay informed and make informed decisions.

For proper treatment and guidance for fibroids, you can take an appointment with Dr. Ruchi Tandon, a reliable and experienced gynecologist doctor in South Delhi.

May 27, 2023

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.

April 30, 2023April 30, 2023

What Are the Common Gynecological Problems?

Gynecological problems are common as almost every woman experiences one or the other issues in her lifetime. However, in most cases, the conditions are mild and easily treatable. While on the other hand, some issues are severe enough to need surgical intervention. It is always better to consult an experienced Gynecologist doctor in South Delhi to address these issues timely and get the best treatment.

In this blog, we will have a quick look at some of the commonly reported gynecological problems.

Common Gynecological Problems

There are several common gynecological problems that women may experience at some point in their lives. Some of these problems include:

Menstrual disorders: Menstrual disorders refer to a range of conditions that affect a woman’s menstrual cycle, including the length of her cycle, the amount of bleeding, and the regularity of her periods. These include irregular periods, heavy periods, painful periods, and the absence of periods.

Pelvic pain: Pelvic pain refers to discomfort or pain in the lower abdominal area, below the belly button, and between the hips. It can affect both men and women. However, women are commonly affected. This can be caused by various factors such as endometriosis, pelvic inflammatory disease, ovarian cysts, and fibroids.

Vaginal infections: These can be caused by yeast, bacteria, or viruses and may cause symptoms such as itching, discharge, and pain during intercourse.

Polycystic Ovary Syndrome (PCOS): Polycystic ovary syndrome (PCOS) is a hormonal disorder that affects women. It is characterized by the presence of multiple cysts on the ovaries, which can cause irregular periods, infertility, weight gain, and other symptoms.

Menopause and perimenopause: These are natural stages in a woman’s life when the ovaries stop producing eggs and the levels of estrogen and progesterone decline, leading to symptoms such as hot flashes, mood changes, and vaginal dryness.

Sexually Transmitted Infections (STIs): Sexually transmitted infections (STIs), also known as sexually transmitted diseases (STDs), are infections that are spread through sexual contact, including vaginal, anal, and oral sex. These infections can be caused by bacteria, viruses, or parasites and may cause symptoms such as itching, burning, discharge, and pain during intercourse.

Pelvic organ prolapse: Pelvic organ prolapse is a medical condition in which one or more organs in the pelvic region, such as the uterus, bladder, or rectum, slip or protrude into the vaginal wall or outside the vaginal opening. This condition is more common in women and is caused by weakened pelvic floor muscles or damaged connective tissues that support the pelvic organs.

It is important to seek medical attention if you experience any symptoms or have concerns about your gynecological health. Consult Dr. Ruchi Tandon, an experienced Gynecologist doctor in South Delhi.

February 21, 2021April 9, 2023

Cervical infection in women

Cervicitis

Cervicitis is an inflammation of the cervix (the end of the uterus). Cervicitis often does not cause symptoms, but if they do happen, they may include abnormal vaginal discharge, painful intercourse, or vulvar or vaginal irritation. Antibiotics successfully treat cervicitis in most cases. For other cases, laser therapy or surgery may be required.

What is cervicitis?

Cervicitis is an inflammation of the cervix (the end of the uterus). This inflammation may be acute or chronic in nature. Cervicitis might not have symptoms, or a woman with cervicitis may have abnormal vaginal discharge.

Who gets cervicitis?

Cervicitis is very common. It has been projected that more than half of all adult women will have cervicitis at some point. Women who engage in high-risk sexual behaviors and have multiple partners are at a higher risk for cervicitis. Women who have had sexually transmitted diseases, or who have partners who have had sexually transmitted diseases, are also at a higher risk for cervicitis. Sexual practices are far from the only cause of the condition, however.

What are the causes of cervicitis?

There are many causes of cervicitis. Acute cervicitis is usually caused by an infection. Chronic cervicitis is more likely from a noninfectious cause.
Infections can result from the introduction of staphylococcus or streptococcus bacteria into the uterus. The sexually transmitted diseases chlamydia and gonorrhea are also significant causes of cervicitis. It has been estimated as much as 40 percent of cases of cervicitis are related to chlamydia. Herpes simplex virus, trichomonas and mycoplasma genitalium are also sometimes a cause.

Noninfectious causes of cervicitis include exposure to chemicals or

mechanical irritation. These include:

• Chemical irritation from spermicides or douches or the latex used in condoms
• Reaction to diaphragms, cervical caps, tampons or pessaries inserted
• Radiation therapy or systemic inflammatory diseases

What are the symptoms of cervicitis?

Symptoms of cervicitis can include:

• Abnormal vaginal discharge that may be yellow, white, or gray and have an unpleasant odor. This may persist for a long period of time.
• Sexual intercourse may become painful.
• Vulvar or vaginal irritation.

Cervicitis often does not have any symptoms, however. This is one reason why women should have regular gynecological appointments. It is especially important to seek an exam if you notice any of the above symptoms and/or have had chlamydia or another sexually transmitted disease in the past.

How is cervicitis diagnosed?

If you have any of the above symptoms, or if you have engaged in high-risk sexual practices, you should see your Gynecologist for a full pelvic exam. At this exam, your Gynecologist may perform tests including a Pap smear. In this test, a swab is used to collect cells from the cervix and uterus to look for abnormalities.

Your Gynecologist will also take a sample of any vaginal discharge to test for bacteria, such as bacterial vaginosis under a microscope. Tests for the sexually transmitted diseases gonorrhea and chlamydia will also be done.

Your Gynecologist also perform a full manual pelvic exam, looking for:

• Any redness on the cervix
• Discharge
• Blood on the vagina or cervix
• Inflammation of the vaginal walls
You will lay down on an examination table with your feet in stirrups for these tests.

How is cervicitis treated?

If your Gynecologist determines that you have cervicitis, you will usually be prescribed an antibiotic to treat any bacterial infections that may be causing the condition. Women under age 25 or who engage in high-risk behaviors may be treated with antibiotics even if bacteria are not detected in the diagnosis. Some bacteria can be hard to detect but may still be present. You should abstain from intercourse until treatment is done.

Antibiotics successfully treat cervicitis in most cases. If cervicitis is not successfully treated by antibiotics, laser therapy or surgery may be required. Your Gynecologist can best determine the treatment for your cervicitis based on your age, habits, diagnostic tests, and the length of the condition.

Dr. Ruchi Tandon is a reputed Gynecologist practicing in leading hospitals in South Delhi namely Max and Apollo hospitals with over 14 years of experience in handling all kinds of Gynecological conditions including cervical and vaginal infections .

February 12, 2021

Can Pelvic or uterine adhesions cause infertility?

Pelvic adhesions, sometimes referred to as “scar tissue”, are a common cause of both infertility and pelvic pain.

Pelvic adhesions can occur as a result of a variety of different conditions including endometriosis, pelvic infection, and previous abdominal or pelvic surgery. It is well known that pelvic adhesions develop over 90% of the time following major abdominal surgery. The most common types of surgery that predispose to the development of pelvic adhesions include the removal of uterine fibroids (myomectomy), treatment of endometriosis, removal of ovarian cysts, and the repair of obstructed fallopian tubes.

Many complications can occur as a result of pelvic adhesions. For example, it is thought that adhesions may be a significant factor in as much as 40% of cases of infertility. They are also thought to be responsible for up to 50% of cases of chronic pelvic pain. In addition, adhesions are typically responsible for 50-75% of cases of bowel obstruction. Although more recent data are lacking, the treatment of pelvic adhesions accounted for 3% of all surgical procedures performed in the United States in 1998, as well as 1% of all hospital admissions and 2% of all patients admitted for surgeries around that time.

How do pelvic adhesions occur?

Adhesions typically develop in response to injury, as part of the normal healing process. Immediately following injury, cells that cause healing (inflammatory cells) migrate to the site of the injury. Within seven days following injury, the scaffold for healing or adhesion formation has already developed. As a result, it appears that no new adhesions form more than seven days after an injury. Rather, the character of the adhesion changes, progressing from thin, filmy adhesions to more dense, vascular adhesions. The earlier in this process that adhesions can be removed, the less likely it is that they will recur and cause long-term problems.

Adhesion formation that occurs following surgery can be of two types; de novo adhesion formation or adhesion reformation. De novo adhesion formation means the formation of adhesions at a site that did not have any adhesions affecting it prior to surgery. This would include the formation of adhesions around the uterus following the removal of a fibroid tumor or the formation of adhesions around an ovary following removal of an ovarian cyst.

Adhesion reformation refers to the recurrence of adhesions following a procedure designed to remove pre-existing pelvic adhesions. This difference is important, as the techniques described below may be very effective at preventing de novo adhesion formation, while they appear to be somewhat less effective at preventing adhesion reformation

What types of surgeries can increase my risk of adhesions?

In most cases of adhesions, they form in the majority of women after gynaecologic pelvic surgery. Studies have shown that adhesions formed in 55-100% of patients who had reproductive pelvic surgery, whether open or laparoscopic.

For example:

• myomectomy (surgery to remove fibroids)
• tubal surgery (to remove an ectopic pregnancy)
• surgery on the ovary (to remove cysts)
• surgery for endometriosis
Even surgery to remove adhesions can lead to new adhesions. It can be a vicious cycle.
• Laparoscopic surgery (surgery done through several small incisions using a camera) has been known to cause less adhesion formation than laparotomy (surgery through one larger incision without use of a camera).
• Microsurgery (surgery using a microscope or magnifying glass, and special surgical technique) leads to less tissue damage and has a lower incidence of adhesion development than the traditional approach.
• Diagnostic procedures, which only involve a visual inspection of the organ(s), such as a diagnostic hysteroscopy or diagnostic laparoscopy, rarely lead to adhesions.

How can I reduce my risk of adhesions?

It starts with talking to your doctor and explaining your concerns about adhesions. There are techniques which can be used at the time of surgery to reduce the risk of developing adhesions. In addition to using microsurgery or laparoscopic techniques, prevention of infection is essential.

During surgery, various products are used to inhibit adhesion formation, known as adhesion barriers. These include gauze-like materials placed over the tissue which dissolve to become a gelatinous layer to reduce the incidence of post-operative adhesions. This material is eventually absorbed by the body.