Author: mygynaec

My Gynaecology World

http://mygynaecworld.blogspot.in/

Eternal Question- when to start next packet of oral contraceptive pill

The first packet of OCP- pills is started right on first day of the menses.

One tablet every day after food , preferably on same time.

When packet is finished, give a gap of 7 days.

The day gap is over , next packet is started.

Irrespective of the day of menstrual cycle

The rest of all next packets are started with gap of 7 days.

 

Abortion By Pills in Kharghar

To know more – Visit

http://abortionbypillsinkharghar.blogspot.in/

Real Women-Real Experiences-14.5.19

A 40 year old woman, resident of Khandeshwar, Raigad district, a highly trained professional in teaching field, working in Panvel, underwent abortion by pills at an early gestation. Her family is already complete with two kids, both having been born by Caesarean delivery.

For some reason the couple has still not opted for permanent solution of birth control.

The husband is reluctant to undergo Vasectomy for unspecified reasons.

Wife is furious with husband for refusing the operation. In retaliation, she comments , why everything should happen on woman’s body. Why can’t man also take some responsibility on their body.

She has a point , I think.

But in this tug of war, already two unwanted pregnancies have come and gone. Whose body is suffering?

These days, Laparoscopic Tubal Ligation- permanent family planning operation of female has become technically so easy and safe and in most of the cases, the woman is discharged on the same day.

 

http://abortionbypillsinkharghar.blogspot.in/

Gynaecologist in Kharghar

http://gynaecologistinkharghar.blogspot.in/

Real Women-Real Experiences-14.5.19

Trans-vaginal Ultrasound for doing Antral Follicular Count-AFC

In women undergoing fertility treatment, a very important test is determining Antral Follicle count that is primordial follicles that get recruited on day 1 or 2 of start of menses.

These follicles have potential to increase in size and give rise to mature follicle with good quality ova in it.

The correct way to do this test is ultrasound by vaginal route.

As these follicles are very small 4-6 mm in size, Trans-abdominal route may not give us correct exposure.

As woman is still menstruating in this phase, we frequently come across mental resistance .

With the help of proper counselling and maintaining hygiene, we can make the woman comfortable.

EMERGENCY CONTRACEPTIVE PILL- Do’s & Don’ts

EMERGENCY CONTRACEPTIVE PILL- Do’s & Don’ts

WHATEVER THERE IS TO KNOW ABOUT IT

https://m.facebook.com/story.php?story_fbid=403179473596022&id=132666296798091

( This Facebook video contains live chat with Dr Himani Gupta about all these questions and answers )

Que1) What is Emergency Contraceptive Pill and what does it do?

Ans) Emergency Contraceptive Pill is supposed to prevent unintended pregnancy after unprotected intercourse or contraceptive failure.

Que2 ) How does Emergency Contraceptive Pill work ?

Ans) First- you should know the very basic of how a woman gets pregnant

-Every month, for a woman the menstrual period will last for 3-5 days

-Afterwards comes stage of folliculogenesis i.e. maturation of ova or egg till day 14-15

– Around middle of cycle there is release of ova from follicle of ovary.

-Meeting of ova and sperm happens in Fallopian tube with starting of life I.e. formation of embryo.

-Embryo travels through the Fallopian tube, comes to the uterine cavity, & gets attached to the endometrium i.e. the lining of the uterus known as implantation and life starts


Now- we will discuss, how Emergency Contraceptive Pill works-

– Emergency Contraceptive Pill will stop the egg from being released from the ovary (prevention of ovulation)

-If ovulation has already happened it will prevent sperm from attaching to the ova.

– It makes endometrium unsuitable for implantation.

What it can not do-

-If pregnancy is already established in the uterus i.e. implantation has happened, Emergency Contraceptive Pill cannot prevent it from growing neither can cause menses to come.

IMPORTANT MESSAGE- EMERGENCY CONTRACEPTIVE PILL IS NOT AN ABORTION PILL

-This notion that it will remove pregnancy is the most important reason for “perceived” failure of Emergency Contraceptive Pill

Que3) What are the circumstances in which Emergency Contraceptive Pill can be used?

                                              

Ans) Please note that Emergency Contraceptive Pill should be used as ‘BACK UP METHOD OF BIRTH CONTROL’ and ‘NOT A SUBSTITUTE OF REGULAR BIRTH CONTROL METHOD’

It can be used under following circumstances-

1)Male contraceptive failure- e. g. leakage/ tear / improper use of condom

2)Female forgot to take daily dose of regular oral contraceptive pill

3)Spontaneous / unnoticed expulsion of IUCD- Intra Uterine Contraceptive Device (Copper-T)

4) Unprotected sex- couple did not use any method to protect themselves

5) Forced sex – e.g. Rape

Que4) Is Emergency Contraceptive Pill safe to use?

Ans) Emergency Contraceptive Pill has approval from proper authorities, if taken for approved indications.

Que5) How effective is Emergency Contraceptive Pill?

                 

Ans) The effectiveness of Emergency Contraceptive Pill is

  • 95 % when taken within 12 hours
  • 85 % when taken within 25-48 hours
  • 58 % when taken within 49-72 hours

Que6) What are the side effects of Emergency Contraceptive Pill?

Ans) Common side effects are

  • Nausea, vomiting, headache
  • Lower abdominal pain and breast tenderness
  • Unexpected vaginal bleeding- this one is the most common side effect that brings woman to the OPD. It is expected to settle down by next menstrual cycle but at times requires medicinal support to control bleeding like- Antifibrinolytics, high doses of hormone – progesterone and Ormeloxifene.

WORD OF CAUTION– It is seen that many couples will use Emergency Contraceptive Pill, repeatedly, indiscriminately & without consulting Gynecologist or family doctor. These women may face severe side effects like intractable (Unstoppable) vaginal bleeding which proves very difficult to manage & control & is quite debilitating for the woman’s health.

Que7) If despite taking Emergency Contraceptive Pill – woman misses her menses, how can we know whether she is pregnant or not?

Ans) If woman misses her periods after taking Emergency Contraceptive Pill, she should do urine pregnancy test & Beta HCG test in blood to check if she has become pregnant.

Decision to continue with pregnancy or terminate can be taken after discussion with the Gynecologist.

Que8) if more than 72 hours have passed since unprotected sex, will Emergency Contraceptive Pill still work?

Ans) Emergency Contraceptive Pill is designed to work within certain time frame. If this is exceeded, you should consult your Gynecologist and consider option options.

Que9) Can Emergency Contraceptive Pill be used as regular birth control pill?

Ans) No woman should replace her regular birth control pill or OC Pill with Emergency Contraceptive Pill. Think about the irregular bleeding that happens after taking it. Also, protection rate is not 100 %. Regular birth control pills when taken as prescribed, on one hand provide 100 % protection & on top of that give extra benefit of regularization of cycles.

Que10) How often Emergency Contraceptive Pill can be used?

Ans) As the name suggests, it is for emergency only and THAT should arise only once in a while.

Couples should take care of themselves by using one of regular methods of contraception.

Que11) What are the points I should clearly understand before I take Emergency Contraceptive Pill?

Ans) Following points you should remember

  • Emergency Contraceptive Pill will not work for you if you are already pregnant
  • It should not be used as regular birth control method owing to its too many side effects & higher failure rates.
  • It doesn’t protect against HIV/ AIDS or any other STD (Sexually Transmitted Disease)

Que12) How is Emergency Contraceptive Pill different from abortion pill?

Ans) Both of them work in diametrically opposite way. Emergency Contraceptive Pill is designed so that it prevents the starting of pregnancy.

Whereas if pregnancy has already occurred then only abortion pills will work on it and aid in removing it.

Que13) Will Emergency Contraceptive Pill still be effective if several acts of unprotected intercourse have happened in a short duration of time?

Ans) We have already discussed the time span & effectiveness of EC. For several acts to happen, time span will naturally increase & hence the effectiveness will go down. Anyway, by indulging in several acts the very basic fundamental concept of ‘Emergency’ is forfeited. It can be used but with clear understanding & after consultation with a Gynecologist.

Que14) Can Emergency Contraceptive Pill be used during breast feeding period?

Ans) Emergency Contraceptive Pill does not have any significant milk decreasing effect. It can be used. However, again use of regular contraceptive method is advised.

Que15) Do I require a check up by doctor before taking Emergency Contraceptive Pill?

Ans) A normal healthy female can take EC on her own. However, it is always better to check with your Gynecologist as soon as & whenever possible.

 

STAY SAFE, STAY PROTECTED

By

Dr Himani Gupta

Gynaecologist & Obstetrician

Director-My Gynaec World


Official Head Quarter

Mother ‘n’ Care Clinic

Row House F 44/32

First Floor

Near Shivaji Chowk

Sector 12-Kharghar, Navi Mumbai


Ph  +91-7506027299

      +91- 9820193283 

Email-mygynaecworld@gmail.com


List of our attachment hospitals-

Om Navjeevan Hospital,Plot No.2, Sector-21. Kharghar, Navi Mumbai


Sanjeevan Hospital,Plot No. F/14, Opp. State Bank of Hyderabad,Sector-12, Kharghar,Navi Mumbai


Kharghar Medicity Hospital,Aum Sai CHS, Plot NO – C/23 Sector 7, Kharghar, Navi Mumbai


Motherhood Hospital,Utasav Chowk, Plot -No-5, Sector -7, Kharghar, Navi`Mumbai


Cloudnine Hospital, Palm Beach Galleria, Plot-no- 17,Sector- 19-D, Vashi, Navi Mumbai


People from following locations of Navi Mumbai and Raigad can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Early Cancerous Changes in Lower Genital Tract of Women- Update-24.2.19-Cell level changes

Early Cancerous Changes in Lower Genital Tract of Women- Update-24.2.19-Cell level changes

Hello friends,

As promised, we will continue our discussion on Preinvasive Lesions/Precancerous of The Lower Genital Tract of Women’.

-These lesions are a spectrum ranging from mildly cytoplasmic & nuclear (cell level) changes to severe dysplasia (severe derangement).

-There is no invasion (penetration) through basement membrane which would then characterize as invasive cancer.

Grading ( categorisation ) is done by measuring proportion of epithelium ( lining ) affected from basement membrane upwards.

– If it is affecting lower 1/3 rd, it is grade 1 or mild dysplasia.

-Involvement up to middle third is grade 2 or moderate dysplasia.

– Extension in to upper third is grade 3 or severe dysplasia.

– Full thickness involvement is known as carcinoma in situ.

– So, friends, in next update of this series will discuss in detail about some other aspect of this topic.

By

Dr Himani Gupta

Gynaecologist & Obstetrician

Director-My Gynaec World

Official Head Quarter

Mother ‘n’ Care Clinic

Row House F 44/32

First Floor

Near Shivaji Chowk

Sector 12-Kharghar, Navi Mumbai

Ph  +91-7506027299

+91- 9820193283

 

Pelvic Mass in Women- Update-24.2.19,Causes in Prepubertal Girls,Benign & Malignant

Pelvic Mass in Women- Update-24.2.19,Causes in Prepubertal Girls,Benign & Malignant

Hello friends,

As promised, we will continue our discussion on Pelvic Mass and will discuss causes in pre-pubertal girls.

-The main reasons are functional cysts and benign i.e. non-cancerous lesions like germ cell tumors and mature cystic teratomas which are commonly known as Dermoid Cyst.

–  Cancerous or malignant tumors of ovary are very rare and account for only 1 percent.

-Causes for adolescent girls are pretty much same as pre-pubertal girls and in addition include Endometriosis and sequalae of pelvic inflammatory disease.

– In these age groups the diagnosis is a challenge as these masses present with non-specific signs and symptoms.

 Laparoscopic ovarian cystectomy is the preferred surgery if at all it Is required.

– So, friends, in next update of this series will discuss in detail about some other aspect of this topic.

By

Dr Himani Gupta

Gynaecologist & Obstetrician

Director-My Gynaec World

Official Head Quarter

Mother ‘n’ Care Clinic

Row House F 44/32

First Floor

Near Shivaji Chowk

Sector 12-Kharghar, Navi Mumbai

Ph  +91-7506027299

+91- 9820193283

 

Changes During Menopause -Update-24.2.19-Hormonal Changes

Changes During Menopause -Update-24.2.19-Hormonal Changes

Hello friends,

As promised, we will continue our discussion on Changes During Menopause.

-Today we will discuss hormonal changes.

-During this time period the levels of FSH – ie Follicular Stimulating Hormone and LH ie Luteinizing Hormone increase and levels of hormones, Estrogen and Progesterone decrease.

-Impaired folliculogenesis & anovulation happens in ovaries.

-The existing follicles in the ovaries undergo accelerated rate of loss until eventually the supply of follicles is depleted.

-AMH ie Anti Mullerian Hormone is secreted by Granulosa cells of pre-antral ovarian follicles.

-Falling levels of AMH and rising levels of FSH are taken as marker of ovarian reserve during Menopausal transition.

– So friends , in next update of this series we will discuss in detail about some other aspect of this topic.

By

Dr Himani Gupta

Gynecologist & Obstetrician,Kharghar

Director-My Gynaec World

Official Head Quarter

Mother ‘n’ Care Clinic

Row House F 44/32

First Floor

Near Shivaji Chowk

Sector 12-Kharghar, Navi Mumbai

Ph  +91-7506027299

+91- 9820193283

Main facilities- Normal delivery, Caesarean delivery,Medical abortion by abortion tablets, Pregnancy care

 

Techniques Used for Imaging in Gynecology-Update-24.2.19.Routes of Sonography-Trans-abdominal & Trans-vaginal

Techniques Used for Imaging in Gynecology-Update-24.2.19.Routes of Sonography-Trans-abdominal & Trans-vaginal

Hello friends,

As promised, we will continue our discussion on Techniques used for Imaging in Gynecology & will talk about different routes of sonography.

Trans-abdominal route of sonography provides global identification of all pelvic organs and their relationship to one another. A full bladder is usually necessary as it provides acoustic window, pushes the uterus upwards from behind the symphysis pubis and makes it more visible.

In Trans-vaginal sonography, the transducer is positioned in the vaginal fornices hence it is closer to the region of examination. Measuring endometrial thickness is easier this way. Urinary bladder is kept empty for the scan.

– So, friends, in next update of this series will discuss in detail about some other aspect of this topic.

By

Dr Himani Gupta

Gynaecologist & Obstetrician

Director-My Gynaec World

Official Head Quarter

Mother ‘n’ Care Clinic

Row House F 44/32

First Floor

Near Shivaji Chowk

Sector 12-Kharghar, Navi Mumbai

Ph  +91-7506027299

+91- 9820193283

Gestational Trophoblastic Disease-a Strangely Abnormal Pregnancy,Update-24.2.19,Cancerous subset-GTN

Gestational Trophoblastic Disease-a Strangely Abnormal Pregnancy,Update-24.2.19,Cancerous subset-GTN

Hello friends,

As promised, we will continue our discussion and talk about Gestational Trophoblastic Neoplasia or GTN which is the malignant or cancerous subset of spectrum of Gestational Trophoblastic Diseases or GTD.

-GTN responds to chemotherapy and are routinely cured even in the presence of widespread metastases.

-In GTN, the chances for preservation of fertility and subsequent successful pregnancy are also good.

-Most commonly GTN develops from Molar pregnancy but may follow any kind of pregnancy.

– So, friends, in next update of this series will discuss in detail about some other aspect of this topic.

By

Dr Himani Gupta

Gynaecologist & Obstetrician

Director-My Gynaec World

Official Head Quarter

Mother ‘n’ Care Clinic

Row House F 44/32

First Floor

Near Shivaji Chowk

Sector 12-Kharghar, Navi Mumbai

Ph  +91-7506027299

+91- 9820193283