Gynecology

Common Symptoms of Gynecology

The service can help with advice and therapy for management of symptoms which may include:

• hot flushes
• night sweats
• poor sleep
• forgetfulness
• mood swings
• vaginal dryness
• loss of libido
• poor bladder control.

Adolescent Clinic

Adolescence is a critical period of transition between childhood and adulthood during which an individual undergoes major physical and psychological changes. Adolescents are generally considered healthy; however, they have specific healthcare needs, which differ distinctly from those of children and adults. To meet those challenges, the field of Adolescent Pediatric has emerged as a subspecialty of Paediatrics.

Services
Adolescent Paediatric service provides care to adolescents from 9 to 18 years of age.We strive to meet the developmentally unique needs of the adolescents and their parents by providing excellent outpatient and inpatient services in an age appropriate setting.
We work closely with other specialties in the hospital to ensure the adolescent is not only receiving the best care possible, but that treatment is tailored specifically for their needs.

Our Services include :   
Routine health screening of

1. Physical Growth
2. Pubertal Growth

Behavioral health screening for

1. Anxiety
2. Bullying
3. Body image
4. Depression
5. Eating disorder
6. School performance
7. Self-harm
8. Social adaptation
9. Substance abuse and others

• Teen Immunization.
• Pubertal problem; both male & female.
• Acute illnesses.
• Chronic medical conditions; asthma, obesity, diabetes etc.
• Education for patients & families regarding adolescence.
• Inpatient care.

PCOS Clinic

If it isn’t treated, over time it can lead to serious health problems, such as diabetes, heart disease and even cancers! Most women with PCOS grow many small cysts on their ovaries. That is why it is called polycystic ovary syndrome. The cysts themselves are not harmful, but lead to hormone imbalances.

Common symptoms of PCOS include :

irregular periods or no periods at all.
difficulty getting pregnant (because of irregular ovulation or failure to ovulate)
excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks.
weight gain.
thinning hair and hair loss from the head.
oily skin or acne.

To help decrease the effects of PCOS, try to :

1. Maintain a healthy weight. Weight loss can reduce insulin and androgen levels and may restore ovulation. …
2. Limit carbohydrates. Low-fat, high-carbohydrate diets might increase insulin levels. …
3. Be active. Exercise helps lower blood sugar levels.Even if a young woman in her teens is diagnosed with PCOS, there is no need to panic and get confused about what is the best treatment for polycystic ovarian syndrome.However, their PCOS hormonal imbalance does not change with age, so they may continue to have symptoms of PCOS. Also, the risks of PCOS-related health problems, such as diabetes, stroke, and heart attack, increase with age.

Your doctor may diagnose PCOS if you have at least two of these symptoms: Irregular periods. Higher levels of androgen (male hormones) shown in blood tests or through symptoms like acne, male-pattern balding, or extra hair growth on your face, chin, or body.

Cysts in your ovaries as shown in an ultrasound exam.
Many adolescents with PCOS have higher levels of the hormone, insulin, in their blood. Higher levels of insulin can sometimes cause patches of darkened skin on the back of the neck, under the arms, and in the groin area. This condition is called acanthosis nigricans

Medical and Surgical Management of Abnormal Uterine Bleeding

Problem bleeding is among the most common gynecologic complaints of reproductive age women in ambulatory care settings—of similar frequency to the number seeking care for urinary tract infections and vaginitis. In the general population, abnormal uterine bleeding is estimated to affect 11 to 13 percent of reproductive age women at any given time; this prevalence increases with age, reaching 24 percent in those ages 36 to 40 years. In addition to gynecologists, all primary care practitioners including pediatricians, family physicians, advanced practice nurses, and internists, will encounter the need to evaluate, treat, or refer women with bleeding-related symptoms.3 Women generally present because the amount, timing, or other characteristics of the bleeding have changed from their individual norm.

Population norms for menstrual bleeding, as established by 5th and 95th percentiles, are :

• Frequency of menses within a 24 to 38 day window
• Regularity (cycle-to-cycle variation) within ± 2 to 20 days
• Duration of flow from 4 to 8 days
• Volume of blood loss from 5 to 80 ml

Symptoms outside this normal range, or different from normal for the individual, can become problematic and deserve evaluation whether or not they cause difficulties. Common problems include worry about the cause, embarrassment if the bleeding includes flooding type bleeding with saturation of clothing, missed work and responsibilities, limitations of social activities and exercise, decreases in sexual activity, and frustration with costs of sanitary protection. Collectively, the effects of troublesome bleeding reduce quality of life and drive desire for information about causes and treatment options.

Management of Fibroid Uterus

Uterine fibroids are common benign neoplasms, with a higher prevalence in older women and in those of African descent. Many are discovered incidentally on clinical examination or imaging in asymptomatic women.

Fibroids can cause abnormal uterine bleeding, pelvic pressure, bowel dysfunction, urinary frequency and urgency, urinary retention, low back pain, constipation, and dyspareunia. Ultrasonography is the preferred initial imaging modality. Expectant management is recommended for asymptomatic patients because most fibroids decrease in size during menopause. Management should be tailored to the size and location of fibroids; the patient’s age, symptoms, desire to maintain fertility, and access to treatment; and the experience of the physician.

Medical therapy to reduce heavy menstrual bleeding includes hormonal contraceptives, tranexamic acid, and nonsteroidal anti-inflammatory drugs. Gonadotropin-releasing hormone agonists or selective progesterone receptor modulators are an option for patients who need symptom relief preoperatively or who are approaching menopause. Surgical treatment includes hysterectomy, myomectomy, uterine artery embolization, and magnetic resonance–guided focused ultrasound surgery.

Prolapsed Uterus

Your physician can diagnoseeyour uterine prolapse during a pelvic exam. You will be asked to bear down as if you’re trying to push out a baby so your doctor can determine how far the uterus has dropped. You may have mild or moderate prolapse, depending on whether your cervix drops into the lower part of the vagina or through the vaginal opening.

Lifestyle changes such as losing weight, quitting smoking to control a chronic cough and avoiding heavy lifting or straining is enough to bring relief to many women. Your physician may recommend a vaginal pessary, which is a donut shaped device fitted for your vagina, much like a diaphragm, that keeps the uterus in place.

Surgical treatment isn’t performed until the prolapse symptoms are worse than the risks of having surgery. If you do require surgical treatment, know that the specialists at Hrudayam Heart Woman Care Clinic for Advanced Gynecologic Surgery have years of experience caring for women with some of the most complex gynecological conditions.

Hrudayam Heart Woman Care Clinic surgeons Dr. Bang offers new techniques in minimally invasive surgery. These methods lead to shortened recovery times, reduced pain and blood loss, letting you get back to your life in record time.