Gynaecology

The science of women may be the literal meaning of the word gynaecology, however, since womanhood is a complex mix of various stages of adolescence, motherhood and seniority, this branch of medicine focuses on each and every aspect of a woman’s body. And, who best than Fortis Fertility Centre to understand all the phases of a woman’s life especially issues that hinder the natural process of motherhood.

At Fortis Fertility Centre, we know that thousands of women desire to be mothers. This is the gift of the womb or uterus. As a girl attains puberty, all her reproductive organs begin preparing for this beautiful phase of her life. This is why her health is of primary importance right from the start.
Our team of experienced gynaecologists comprises specialists skilled to take care of women’s health from the smallest of disorders that can affect the chances of motherhood, and after.

Fibroids

There are various myths about fibroids because not much is known about them. While there is no verified cause for fibroids, gynaecologists are of the opinion that they need not be feared, and are usually harmless.

Fibroids are fleshy growths of tissue that often ride piggyback on the inner or outer wall of the uterus. These appear during a woman’s childbearing years. While they are non-cancerous, in some they can cause maximum discomfort like low back pain and heavy menstrual periods.
While the real cause of fibroids are unknown, medical experts point out a family history, high hormonal activity, obesity and even a diet rich in red meat.
Also, it is perfectly safe for anyone having fibroids to go through a safe pregnancy and delivery. Your gynaecologist at Fortis Fertility Centre is not just experienced but also equipped to offer the best medications and other options to treat this common gynaecological condition. Only in extreme emergencies will doctors prescribe a surgical way out.

Ovarian Cyst

The ovaries are twin organs which are part of a woman’s reproductive system. These produce hormones especially oestrogen that facilitates menstruation. Each month, the ovaries in turn produce an egg which when fertilized, gives new life to the foetus.
Sometimes, the ovaries can develop cysts or abnormal growths within or on their lining. These are either solid growths or filled with fluid like sacs. While these cysts rarely show up symptoms, they can sometimes cause discomfort in the form of bloating, irregular periods or even irritable bowel movement. Most disappear on their own, however, if they don’t, the gynaecologists at Fortis Fertility Centre know exactly how to treat them.

Adhesions & Chronic Pelvic Pain

The lower part of the body where the reproductive organs are located is called the pelvic regions. If you are suffering from chronic pain in this area, your gynaecologist will test you for various disorders including adhesions.
Adhesions are rings of scar tissue of the organs that can sometimes stick together, hindering natural movement of the organs. In the pelvic region, adhesions are common in the uterus, ovaries, bladder, ureter and bowels. While adhesions are common after a surgery, they can also be due to endometriosis or pelvic inflammatory disease. Endometriosis or the growth of the uterine lining outside of the uterus, can cause severe pelvic pain.
While pelvic adhesions can be removed surgically by skilled gynaecologists, they can go on to cause infertility in women trying to conceive.
At Fortis Fertility Centre, the expert gynaec team is adept at handling all cases including this one, with gentleness and precision.

Pelvic Inflammatory Disease

This condition usually occurs in sexually active women especially in the child-bearing years. Pelvic Inflammatory Disease or PID is caused by bacteria which spreads and affects the reproductive organs during sexual contact. The common symptoms are fever and pelvic pain, and in extreme cases can include vaginal discharge.
Antibiotics can cure this condition however, if left undiagnosed and untreated, it can go on to cause infertility.

Hysterectomy

The womb or uterus goes through one of the most amazing phases in a woman’s life. It is the safe cocoon where a baby takes shape. However, it can also be vulnerable to certain delicate conditions that may cause it to be removed. The surgical removal of the uterus is called hysterectomy.
Hysterectomy may be prescribed as the last solution when the uterus is affected by persistent uterine fibroids, vaginal bleeding, endometriosis despite medication and surgery, cancer of the uterus, cervix and ovaries, as well as chronic pelvic pain.
With advanced medical technology, hysterectomy can be performed laparoscopically at the hands of expert gynaecologists.

Menstrual Disorders

Every female is born with eggs in her two ovaries, and goes through the natural process of menstruation which prepares her body for motherhood. When she reaches puberty, normally between 10 and 18 years, each egg is released by the ovaries every month in a natural alternate cycle of 28 days. This cycle can vary from female to female. If the egg is not fertilized to form a foetus, it is released from the vagina along with parts of the endometrium or the lining of the uterus. This is the monthly menstrual period which lasts till around 55 years when a woman enters menopause. Doctors say that a woman has over 500 periods in her lifetime and involves a large amount of release of hormones by the thyroid gland.

However, when something is wrong with your body, the monthly period becomes irregular, stops before the normal phase of menopause, severe bleeding causing anaemia, or even causes bleeding between periods. This is a cause for concern but in gentle expert hands of gynaecologists at Fortis Fertility Centre, menstrual disorders can be diagnosed and treated in time.

Medical Management

As soon as your gynaecologist suspects an underlying menstrual disorder, s/he will prescribe relevant tests to determine the causes in order to treat the condition. Often, the usual causes of irregular or no period, or heavy bleeding are fibroids, abnormal uterine bleeding (AUB), liver or kidney disease, as well as stress, over exercise and sudden weight loss, or even a lurking cancer.
The tests involve a combination of ultrasound, dilation and curettage (D&C), endometrial biopsy where tissues from your uterine lining are scraped for further study, and hysteroscope.
Some menstrual disorders, especially due to hormonal issues are treated with mild medications. Only in chronic cases where the gynaecologist diagnoses a far serious problem will surgery be the only option.

Surgical Management

When medications to treat your menstrual condition do not work or your body does not respond to certain medications, your gynaecologist will resort to a surgical procedure to relieve your conditions.
Where fibroids are the cause of severe bleeding during the menstrual cycle, your gynaecologist will opt for a myomectomy where the fibroids will be surgically removed.
Equipped with advanced medical technology and prowess, gynaecologists at Fortis Fertility Centre offer the best of surgical options to treat the chronic disorders. Depending on the number and size of the fibroids, a minimal invasive method of surgery – the laparoscopy kind, is adopted to cause shorter hospitalization and a scarless experience.
Hysterectomy is the last surgical solution to AUB when all medications and smaller procedures like D&C have failed.

Early Pregnancy and Complications

Pregnancy is one of the most emotional and beautiful phases in a woman’s life. From the moment she conceives, she goes through host of mixed emotions and complex physical changes. All she wants then is a healthy pregnancy and the birth of a healthy baby.
However, there are certain cases when due to inexplicable reasons a pregnancy does not go through its normal phase. This is because each woman’s is made differently. Also, lifestyle changes can alter a woman’s physical and mental wellbeing.

Early vaginal bleeding during the first three months of pregnancy known as the trimester, can frighten the soon-to-be mother but is considered normal by gynaecologists. This ‘spotting’ is experienced by more than 20 percent of women during pregnanc y. Slight bleeding can also occur during the expected time of a normal menstrual period. This is all due to the changes in the cervix and is no cause for concern unless your gynaecologist suspects a disorder.

The common complications during the first trimester that can cause a great amount of concern are miscarriage, preeclampsia or high blood pressure, placenta previa, and ectopic pregnancy.
Your gynaecologists at Fortis Fertility Centre are gifted and experienced with a fine eye for detection and management of these delicate complications that can endanger two precious lives.

Miscarriage

When a pregnancy gets naturally terminated in the first trimester, it is called a miscarriage. It can be extremely traumatic for a mother-to-be and her family. Knowing the reasons for this can help in avoiding future episodes and taking extra care during the next pregnancy. There are various reasons for a miscarriage.

One of the foremost and common reasons is chromosomal abnormalities in the growing foetus during the first three months. This means, there is something wrong with the foetus in the womb which is caused in the process of conception where there is an underlying deficiency in either the woman’s egg or the man’s sperm cell, or even during the division of the unifying cell called zygote.

Other reasons could be a combination of, or singular ones, including the mother’s age or stress, over exercising during pregnancy, infections, hormonal deficiencies, lifestyle habits such as smoking, substance abuse, malnutrition, and exposure to toxins and chemicals.
Getting the right care in experienced, compassionate hands at Fortis Fertility Centre can be reassuring and ensuring the next pregnancy is a beautiful healthy one.

Ectopic Pregnancy

A tubal or ectopic pregnancy occurs when the fertilized egg plants itself onto the external wall of the uterus instead of inside it, or even in one of the fallopian tubes. This is a risky pregnancy often caused by several conditions in the mother-to-be. The causes for ectopic pregnancy could be due to pelvic adhesions caused by previous surgeries or PID, abnormal growth of the fallopian tubes during the mother’s birth itself, scar tissue from a previous infection of the pelvic region, an infection of the fallopian tubes causing them to block the safe passage of the egg from the ovaries, smoking, endometriosis, or even the expectant mother’s age.

If you notice any symptoms of vaginal bleeding that is heavier or even lighter than the regular period, a sharp and stabbing pain in the pelvic and abdominal area, dizziness and fainting spells, or digestive problems, seek expert help from the best gynaecological team at Fortis Fertility Centre.

Adolescent Gynaecology

Puberty is the time when a girl or boy goes through a whole lot of body changes on the way to adulthood. This phase takes place in girls between 7 and 13 years and 9 and 15 years in boys.

This is the phase that prepares her for motherhood as her reproductive organs undergo physical and hormonal transformations. There are several disorders too that occur in this beautiful phase in a girl’s life which need to be addressed during the early years to stem their exacerbation in later years.

Because the adolescence stage is a delicate one, it has to be handled with gentleness and care. And at Fortis Fertility Centre, our kind gynaecologists know perfectly how to do this.

Some of the adolescent disorders are delayed puberty, menstrual abnormalities, ovarian cysts, sexually transmitted infections, and the rare Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.

Delayed puberty can be caused by a hereditary gene especially if the mother had reached puberty late in her teens, cystic fibrosis, underlying kidney disease, asthma, abnormal function of the glands that produce hormones causing puberty, and even malnutrition.

MRKH is a very rare condition that causes the vagina and the uterus to be either underdeveloped or absent. The patients and their families need compassion and counselling to manage this condition in the best way possible. And who best than the skilled team at Fortis Fertility Centre!

Gynae-Endocrinology

With the vast number of changes in the body – both, hormonal and physical – occurring in a female during adolescence, pregnancy and menopause, it is a given to have all round care during all these delicate stages of her life. From menstrual, PCOS, and pituitary disorders in puberty and the child-bearing years, gestational diabetes and thyroid disorders during pregnancy, and diabetes, osteoporosis and menopausal abnormalities in the later years, it is indeed a roller coaster ride of life for a woman.

Medical Management

The endocrine system controls the growth hormones that are needed to grow and evolve from a baby into an adult. In this process, the body goes through myriad changes, especially during puberty.

In the female, Poly Cystic Ovarian Syndrome (PCOS) can occur during puberty and in early adulthood. It can cause irregular or missed periods and some women may develop cysts on their ovaries. Obesity and weight gain, fatigue, infertility, pelvic pain, sleep disorders, headaches and thinning of hair are some of the common symptoms of PCOS.
While it is the most common cause for infertility, advanced fertility treatment protocols and medications have given women hope to conceive.

Surgical Management

Every human desires to have a baby, especially the woman. For those who cannot conceive the natural way due to a host of health disorders that cannot be treated despite the best of medications, the surgical route is the best one. At Fortis Fertility Centre, compassion and empathy is our bedrock and we leave no stone unturned to offer the best of gynaecological solutions for infertility. Our fertility specialists are experienced to perform the latest techniques in hormone stimulation and intra-uterine insemination, IVF and embryo transfer, ICSI or intracytoplasmic sperm injection, as well as the cryopreservation of egg cells, tissues, and sperm cells.

Cancer Screening

Some of the common cancers that women are susceptible to are breast, cervical, ovarian, uterine or endometrial. While a family history of cancer puts most women in the risk category, early screening can to a great extent send out an early warning too, making it easier to treat it in the early stages itself.
Regular mammography as well as the Pap smear test can go a long way in early detection of these cancers.

Pap smear

This is the most effective test to detect cervical cancer. During a routine pelvic examination, the gynaecologist scrapes away some cells from the cervix and tests them for cancerous tissues. This test is recommended for women aged 21 to 65, every 3 years.