Services by Dr Monika Gupta
Management of Pregnancy
Complete care of your pregnancy starting with pre-pregnancy consultation and guidance, total ante-natal (during pregnancy) care and finally delivery both Vaginal and Caesarean. And finally post pregnancy guidance and contraceptive advice including intra-uterine device (like copper-T, multiload) insertion and tubal sterilization both Laparoscopic and mini-lap.
High Risk Pregnancy Care
Care during pregnancy associated with Thyroid problems, High blood pressure, Diabetes, multiple pregnancy (Twin pregnancy, Triplet Pregnancy) and also when pregnant at an age more than 35 years. These ladies need extra care to ensure delivery of a healthy Baby along with good health of the mother.
Menstrual Problems
If you have any abnormality in your menstrual cycle you may need guidance to find out the cause by blood tests and/or ultrasound. To correct the problem you may need medicines. At times you may need minor surgical procedures like D&C, Polypectomy, Hysteroscopy or Laparoscopy. I take care of all these things.
Fibroid Uterus
Uterine Fibroids are non-cancerous tumours in the uterus. This is a most common health problem among women of child bearing age. Generally the complaint of uterine fibroid comes between the age group of 30 to 45 years. This benign tumour can cause pain, excessive menstrual bleeding, infertility. It can vary in size, from that of a few mm to as large as a melon. Small fibroids may not need treatment while large fibroid can be treated only through surgery. Very large fibroids as large as water-melon are not very common.
Treatment of major fibroid
Treatment of fibroids can range from no treatment at all to surgery. Unless fibroids are causing excessive bleeding, discomfort or bladder problems, treatment usually isn’t necessary.
Myomectomy is an operation to remove fibroids while preserving the uterus. For women who want to have children in the future, myomectomy is the treatment option.
Infertility
Infertility means the inability to conceive. A couple may be considered infertile if, after two years of regular sexual intercourse, without contraception, the woman does not become pregnant.
Infertility may be primary or secondary. Primary infertility is infertility in a couple who have never had a child. Secondary infertility is a failure to conceive following a previous pregnancy.
Uterine Problems
The uterus, or womb, is the place where a baby grows when a woman is pregnant. The first sign of a problem with the uterus may be bleeding between periods or after sex. Causes can include hormones, thyroid problems, fibroids, polyps, cancer, infection, or pregnancy.
Treatment depends on the cause. Sometimes birth control pills treat hormonal imbalances. If a thyroid problem is the cause, treating it may also stop the bleeding. If you have cancer or hyperplasia, an overgrowth of normal cells in the uterus, you may need surgery.
With two other uterine problems, tissue that normally lines the uterus grows where it is not supposed to. In endometriosis, it grows outside the uterus. In adenomyosis, it grows in the uterus’s outside walls. Pain medicine may help. Other treatments include hormones and surgery.
Adenomyosis
This is a problem usually found in women between the ages of 35 and 50. Women with adenomyosis can have painful and/or profuse heavy menses.
Some women with Adenomyosis do not experience any symptoms.
PCOD
PCOD is a problem related to hormones. Oestrogen and progesterone are the main female hormones and some amount of androgen which is a male hormone is also present in females. Imbalance in these hormones leads to PCOD. It is not completely understood why or how the changes in the hormone levels occur. These changes lead to problems in the ovulation process of the ovaries resulting in the development of many immature eggs. Mature eggs are not formed. In normal ovulation, one or more eggs get matured and are released during one menstrual cycle. In PCOD as eggs are not released from the ovaries and they form many small cysts in the ovary so the name Poly-Cystic Ovarian Syndrome. Women with this disorder often have a mother or sister who has symptoms similar to those of polycystic ovary syndrome therefore it is thought to have a genetic etiology. Most of the time, PCOS is diagnosed in women in their 20s or 30s. However, it may also affect teenage girls. PCOD produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be one of the leading causes of infertility and the most frequent endocrine problem in women of reproductive age.
Ectopic Pregnancy
What is Ectopic pregnancy? It means that pregnancy is somewhere outside the uterus. Such a pregnancy could be inside a fallopian tube or ovary or very rarely in the abdominal cavity outside the uterus. Most common is the tubal pregnancy so we are broadly talking about the fallopian tube pregnancy.
Ovarian Cysts
The ovaries are a very important part of a female body. They are in a pair in the female reproductive system and are located one on each side of the uterus. Each ovary is about the size and shape of an almond. The ovaries produce eggs and are also the main source of the female hormones estrogen and progesterone. They influence the development of a woman’s breasts, body shape, and body hair. They also regulate the menstrual cycle and pregnancy.
White Discharge (Leucorrhoea) & S.T.D
Leucorrhoea is a thick, whitish or yellowish vaginal discharge. It is the most commonly experienced condition of women of reproductive age. Women experiencing vaginal discharge, at first instance, feel very embarrassed and worried as to why they are suffering from this problem. Though majority of the women fear and think of it as a disease, usually it is a sign of just an infection. It is normal to experience vaginal discharge few days before menarche (before a woman starts on her periods for the first time), just before periods and during a sexual fantasy or sexual stimulation. Some amount of discharge is normal and essential for vaginal lubrication. However, the amount of discharge may increase due to vaginal infections and may come and go from time to time.
This condition can be quite embarrassing if characterised by foul-smelling vaginal discharge. Leucorrhoea can often be a pointer to various gynaecological conditions and infertility, and hence requires evaluation and treatment.
Post Menopausal Ladies Treatment
Postmenopause is the time after you’ve been without a menstrual period for 12 months. During this stage, menopausal symptoms, such as hot flashes, get milder or go away. People in postmenopause are at increased risk for osteoporosis and heart disease. Medication or healthy lifestyle changes may reduce the risk of these conditions. Female in postmenopause can feel symptoms such as:
Hot flashes and night sweats.
Vaginal dryness and sexual discomfort.
Depression.
Changes in sex drive.
Insomnia.
Dry skin.
Weight changes.
Hair loss.
Urinary incontinence.
If your symptoms become more intense or interfere with your daily life, talk with your healthcare provider. They may want to rule out any underlying condition causing these symptom