Gynecology

Services offered

Menorrhagia

Q-What is Menorrhagia?

  • Excessive bleeding during menstrual cycle when associated with frequent pad changes, clots, lasting for 7 days or more. Q-How is this investigated?
  • Bleeding of this pattern or if irregular needs further investigation in the form of an Ultrasound scan, Hysteroscopy, D&C.

Q-What are the treatment options?

-Treatment can be medical with Hormonal medication or surgical methods that include, Endometrial ablation or Hysterectomy.

Fibroids

Q-What are Fibroids?

These are common benign growths arising from the muscle layer of the uterus. These can remain small or grow to very large sizes and can be several in number.

Q-What are the symptoms commonly associated with fibroids?

They are usually asymptomatic but can cause heavy periods, abdominal discomfort, urinary problems and difficulty conceiving.

Q-How are they diagnosed?

They are investigated by Ultrasound scan, MRI Scan and Hysteroscopy.

Q-How can they be treated?

This condition can be treated with Hormonal Medication like the progesterone Intrauterine device, GnRH injections or Radiological fibroid embolization Surgical treatment includes Myomectomy, which is the removal of the fibroid/fibroids leaving the uterus intact. This can be done by Open technique Or Laparoscopic or Robotic myomectomy.
Hysterectomy is another option if the patients' family is complete.

Fibroids

Endometriosis

What is endometriosis?

When the lining of the uterus is present outside the uterus in the pelvic cavity, it can result in cysts, scarring or adhesions.

Q-What are the symptoms?

This condition is associated with painful periods, infertility and rarely cyclical bleeding from other sites.

Q-How is the condition diagnosed?

We investigation this with diagnostic laparoscopy.

Q-What are the treatment options?

Treatment can be through painkillers, hormonal medication or Surgery.
The Surgery involves laparoscopic excision of the endometriosis, or in severe cases where family is complete, a Hysterectomy with the removal of ovaries.

Endometriosis

Uro-gynecology

Uro-gynecology involves the treatment of urinary incontinence, which is a common condition estimated to affect a third of the female population above the age of 40 yrs.
The filed also involves correction of utero-vaginal prolapse.

Q-What are the diagnostic facilities?

We have Urodynamics performed by specially trained doctors.This is a sophisticated diagnostic tool which determines the cause of the condition and guides further management.

Q-How is incontinence treated?

Treatment of stress incontinence is through the minimally invasive approach, a Mid-urethral sling operation called TVT/TVT-O. These are very effective procedures which have shown a 85-90% cure rate at 10 year follow up.
We treat urge incontinence (OAB) with medication or Bladder Botox injections in cases where medication is ineffective.

Endometriosis

Infertility

Failure to conceive following a year of trying.
It may be due to a reduced sperm count in males or irregular or absent ovulation, tubal block or uterine abnormalities in females.
We investigate both male and females and offer treatments options like ovarian induction, treatment of PCOS with ovarian drilling, treatment of endometriosis and intrauterine insemination.

Endometriosis