It is quite common for patients from all over the world, especially from Dubai, Sharjah, Abu Dhabi, Fujairah – UAE (United Arab Emirates), Riyadh, Jeddah – Saudi Arabia, Bahrain, Kuwait, Doha – Qatar, Muscat – Oman, Singapore and Philippines from Southeast Asia, to visit Mumbai, India to seek gynecological advice and abortion treatment from Dr Sangeeta Agrawal.
Pelvic inflammatory disease (PID) is an inflammation in the pelvis. It involves the uterus, tubes ovaries and the pelvic area. It usually starts with an infection in the vagina and the cervix and then travels upwards to affect the pelvic organs.Pelvic inflammatory disease is said to be acute when there is sudden or severe inflammation of the uterus, fallopian tubes, ovaries and pelvic area due to infection. When it persists for a long time then it is said to be chronic.
Osteoporosis is a progressive bone condition wherein there is loss of bone mass which leads to decrease in bone strength. They become brittle, weak and more susceptible to fracture. The bones undergo change throughout life. Up to age of 30 bone is made and very little is broken down. After age of 30, it is broken down faster. This loss is further aggravated after menopause.
Mastalgia is the medical name for breast pain. It is normal for women to have 2-3 days of mild breast pain just before their menstrual period. It normally settles with the onset of period flow. Some women have pain severe enough to interfere with their normal activities. They may not feel comfortable even with a slight touch to the breast.
The lining of the uterus changes throughout the menstrual cycle in response to the hormones (oestrogen and progesterone) that is produced by the ovaries. Oestrogen is made before the egg ovulates and progesterone is made after the egg ruptures. Oestrogen enables the lining to grow and progesterone enables the lining to store glycogen. As and when the fertilized egg comes along, the lining can nourish it and enable it to attach itself to the uterus and thus grow. If fertilization has not happened, then the hormone levels decrease and the lining is eventually shed as a period.
Patients may have various symptoms besides the lack of periods depending on the cause of amenorrhea. If you have missed your period for 6 months or more then make an appointment to see Dr. Sangeeta Agrawal. You may need a check-up, hormonal tests, sonography, and certain special tests depending on the suspected cause of Amenorrhea. Treatment will depend on the cause of the problem.
There are three main organs that are present in the pelvis: the womb, the urinary bladder and the lower end of the bowel i.e. rectum. All three of them open to the outside through the pelvic floor. They are supported above by the pelvic floor muscles and the ligaments. When these become weak then the organs bulge through the vagina. This bulging is called prolapse.
Most women will have pain during their periods. The pain is usually a painful spasm or cramp. It is felt in the lower abdomen, back, and thighs. The intensity of the pain may be very variable. It may be a dull discomfort or else it may be severe enough to affect the daily routine of the woman. A typical period pain will start at the start of the period or a few hours earlier and it usually settles in by day 1 or 2 of the period when the flow of blood begins. This pain happens mainly because the womb…
Many women complain of leaking of urine. Many suffer it silently simply because they are too shy to talk about it and seek help. Call Dr Sangeeta now if you leak urine while coughing laughing or during routine day to day activities. Do not be embarrassed and do not suffer in silence. There is a lot of help available. Exercises, medication and surgical options are available that can relieve you.
Urinary Tract Infection (UTI) is an infection in the urinary system i.e. kidneys, ureters, bladder and urethra. Infection is common in the lower urinary tract i.e. bladder and urethra. When infection spreads upwards and involves the kidney then it is serious. If you think you have urine infection, then feel free to make an appointment to see Dr Sangeeta Agrawal for a comprehensive evaluation and best treatment.
The neck of the uterus is called cervix. The cervix has two parts -the endocervix and the ectocervix. These two parts have different types of cells. Cancer can happen in any of these two parts. The cancer cells may grow on the cervix and cause a growth/ mass and they may grow within the tissues and spread to the adjacent organs.
Infection can affect the external genitalia, the lower tract i.e. vagina or the upper organs i.e. cervix,uterus, tubes and ovaries. Infections can be viral, fungal, bacterial, and parasitic. There can be mixed infections too. Women will normally present with vaginal discharge, fever nausea, vomiting and pain in the lower abdomen, either singly or in various combinations. Infections can occur in all age groups and is particularly common in teenagers, young adults and the geriatric population. Sexual history, presence of important medical conditions such as diabetes and HIV, and pregnancy play an important role in the course of the infection and…
An Ectopic Pregnancy is when a pregnancy starts to grow outside the uterus. Normally the sperm and egg meet in the fallopian tube. When the pregnancy starts to develop then it moves into the uterus to grow and develop. If this does not happen, then it may start to develop outside the uterus as an ectopic pregnancy. It may continue to grow in the tube and is also called tubal pregnancy. Sometimes it can occur even in the ovary or the abdomen. This is extremely rare.
A Miscarriage can be devastating and very distressing. Further, if it happens repeatedly it can be very traumatizing. Miscarriage is if you lose a baby before 24 weeks of pregnancy. A miscarriage in the first 3 months of pregnancy is known as an early miscarriage. Early miscarriages are common, about 10–20% of all pregnancies. A late miscarriage is when it happens after 3 months of pregnancy but before 24 weeks. They are less common, about 1–2%. When a woman has 3 consecutive miscarriages then it is called recurrent miscarriage.
Every pregnancy should be a wanted pregnancy and therefore it should be a planned pregnancy. It is imperative then to ensure use of a contraceptive that suits the need of the couple. In present times there is a wide range of options available in the basket of contraceptives. There are temporary methods i.e. reversible and permanent methods i.e. irreversible. Permanent methods are used when child bearing is no longer desired. Tubal sterilization and vasectomy are the choices available.
Bleeding problems in women are common, especially above 40 years. In a woman having abnormal and/or heavy vaginal bleeding, there are two possibilities. There is a cause for the bleeding such as Thyroid disorders, Fibroid Uterus, adenomyosis or there is no obvious cause & the bleeding is due to hormonal variations. This is called Dysfunctional Uterine Bleeding (DUB).
Pregnancy is one of the most precious times in the life of a woman. Nine months and then a bundle of joy is true happiness. This pleasure needs to be nurtured very well. Signs and symptoms of pregnancy. The commonest symptom is missing of a period. Occasionally one may have spotting at the time one would have expected the period. The other common symptoms are nausea, vomiting, shortness of breath, fatigue, and tiredness. On examination, the doctor may notice an enlarged uterus that can be felt through the abdomen only when more than 12 weeks of pregnancy.
Puberty is the time in life when a boy or girl becomes sexually mature, i.e. there are physical changes. A girl develops from being a girl to being a woman. A boy develops into a man. It usually happens between ages 10 and 14 for girls and ages 12 and 16 for boys. Various factors such as race, nutrition and family history influence the age of puberty.
Approximately 15 % of couples require assistance with conceiving. The reasons for the inability to conceive spontaneously may be related to either of the partners or may be unexplained. If a couple has not been able to achieve a pregnancy within one year then they are offered investigations and further management. Basic tests include hormonal profile, tubal patency, and semen analysis. Dr. Sangeeta offers the whole range of basic management of infertility such as follicular studies, ovulation induction, intrauterine insemination, and donor insemination.
In present times, with easy access to information and home pregnancy test kits, women are able to confirm that they are pregnant or not, quite early, almost within a few days of missing the period. Some may need to have an abortion for various reasons, commonest being that they are not yet prepared to have a baby or, failure of contraception. Abortion with tablets or pills is popular as it provides the woman with privacy and does not need any admission, hospitalization, and anesthesia.
Sometimes a woman may go beyond 7 weeks and then decide to terminate the pregnancy. In India, it is not permitted to take tablets (mifepristone and misoprostol) once you have crossed 7 weeks. Pregnancies between 7 to 12 weeks are terminated by a procedure called dilatation and suction evacuation. It is commonly referred to as D&C in India. Dilatation and suction evacuation is a surgical procedure. It has to be done in a nursing home or a hospital that is licensed for the purpose.
Bartholin glands are two glands located on either side of vaginal opening. These glands secrete mucus, which helps in lubricating the vagina. Most women will not notice the presence of these Bartholin glands in their body. Sometimes the opening of the Bartholin glands can get blocked; this will result in collection of the mucus inside the glands. Thus the gland will get distended and may feel like a lump and is called a cyst.
Endoscopic surgery is commonly known as key Hole surgery In Gynecology key hole surgery includes laparoscopic and hysteroscopic surgery. Advances in technology and optics, availability of designer equipment has changed the mode of surgical management of common gynecological problems. Keyhole surgery allows very small scars less pain, less duration of hospital stay, and faster recovery.
PCOS is an endocrine and metabolic disorder. It is considered in any woman with acne, hirsutism, menstrual irregularity, or obesity. Patients with PCOS, have anovulation, i.e. they may not produce a follicle cyclically. They may therefore present with primary amenorrhea (i.e. no periods at all), too few periods (oligomenorrhea) or secondary amenorrhea i.e. absence of periods for six months or more. Some may also have excessive, frequent and irregular bleeding (dysfunctional uterine bleeding).
