Gynecology
Gynecology and obstetrics are sister health specializations that focus on the female reproductive organ. Because, obstetrics is basically concerned with pregnancy, its management, procedures, and possible complications. Gynecology, meanwhile specializes in the diagnosis and treatment of non-pregnant women.
First, The specialty of gynecology is medical and surgical in nature. Indeed, Some gynecological conditions are best treated with hormonal or pharmacological therapies; others like cancers and fibroids require surgical removal.
Functions of a gynecologist
Gynecologists perform many diagnostic and therapeutic procedures, such as the following:
- Hysterectomy, removal of ovaries, or removal of fallopian tubes
- Suspicious uterine cancer resection by cone biopsy
- Colposcopy and hysteroscopy for internal examination
- Cervical biopsies and routine Pap smears to check for cancer
- Ultrasound imaging of reproductive organs
- Laparoscopy for cysts and infections
- Fibroid removal
- STD diagnosis and treatment
- Urinary incontinence treatment
- Assessment of menstrual irregularity
- Diagnosis and treatment of cervical, vaginal, vulvar, uterine, and ovarian cancers typically performed as an interdisciplinary approach with oncologists.
Key Areas in Gynecology:
1. Reproductive Health
Menstruation and Menstrual Disorders:
- Amenorrhea: Absence of menstruation.
- Dysmenorrhea: Painful periods.
- Menorrhagia: Heavy menstrual bleeding.
- Premenstrual Syndrome (PMS): Symptoms like mood swings, bloating, and fatigue before menstruation.
Contraception:
- Birth control methods like pills, intrauterine devices (IUDs), implants, and permanent solutions such as tubal ligation.
Fertility Issues:
- Diagnosis and treatment of conditions affecting a woman’s ability to conceive, such as polycystic ovary syndrome (PCOS), endometriosis, and ovulatory disorders.
- Assisted Reproductive Technologies (ART): In vitro fertilization (IVF), egg freezing, and other fertility treatments.
2. Pregnancy and Childbirth (Obstetrics)
- Antenatal Care: Routine checkups to monitor the health of the mother and fetus during pregnancy.
- Complications in Pregnancy: Management of high-risk pregnancies, preeclampsia, gestational diabetes, and ectopic pregnancies.
- Postnatal Care: Ensuring the health of the mother after childbirth, including recovery from delivery and breastfeeding support.
3. Gynecological Disorders
- Endometriosis: A condition where the tissue similar to the lining inside the uterus (endometrium) grows outside the uterus, causing pain and potentially affecting fertility.
- Uterine Fibroids: Non-cancerous growths in the uterus that can cause heavy bleeding, pelvic pain, and reproductive issues.
- Polycystic Ovary Syndrome (PCOS): A hormonal disorder causing irregular periods, excess hair growth, and difficulty with fertility.
- Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs, often due to sexually transmitted infections (STIs), which can lead to infertility if untreated.
- Ovarian Cysts: Fluid-filled sacs that form in or on the ovaries, often benign but sometimes requiring treatment.
4. Cancer Screening and Treatment
- Cervical Cancer: Often detected through routine Pap smears and HPV tests. Early detection is key in the preventing progression.
- Ovarian Cancer: Symptoms may be vague, making early detection difficult. Ultrasounds and CA-125 blood tests are common diagnostic tools.
- Uterine Cancer (Endometrial Cancer): Usually presents with abnormal vaginal bleeding, particularly post-menopause.
- Breast Cancer: Routine mammograms help of a detect breast cancer early.
5. Menopause and Hormonal Issues
- Menopause: The natural end of menstruation, usually occurring between ages 45-55, accompanied by symptoms like hot flashes, mood swings, and vaginal dryness.
- Perimenopause: The transition period before menopause when hormone levels fluctuate, causing symptoms like irregular periods and sleep disturbances.
- Hormone Replacement Therapy (HRT): Used to relieve symptoms of menopause by replacing declining hormone levels.
6. Sexually Transmitted Infections (STIs)
- Screening and treatment of infections such as chlamydia, gonorrhea, syphilis, genital herpes, HIV, and human papillomavirus (HPV), which can lead to complications like infertility and cancer if untreated.
7. Pelvic Floor Disorders
- Conditions like urinary incontinence, pelvic organ prolapse, and chronic pelvic pain, which may be treated through physical therapy, medication, or surgery.
8. Gynecological Surgeries
- Hysterectomy: Removal of the uterus, sometimes including the ovaries and fallopian tubes, often performed for conditions like fibroids, heavy bleeding, or cancer.
- Laparoscopy: A minimally invasive surgery to diagnose or treat conditions like endometriosis, ovarian cysts, and pelvic adhesions.
- Myomectomy: Removal of uterine fibroids while preserving the uterus, often performed for women who wish to maintain fertility.
- Oophorectomy: Removal of one or both ovaries, typically for ovarian cysts, cancer, and severe endometriosis.
Common Tests and Screenings in Gynecology:
- Pap Smear: A test that screens for cervical cancer by detecting abnormal cells in the cervix.
- HPV Test: Screens for human papillomavirus, which can lead to the cervical cancer.
- Pelvic Exam: The physical examination to check the health of a reproductive organs.
- Mammogram: An X-ray of the breasts used to detect breast cancer.
- Ultrasound: Imaging test used to diagnose conditions like fibroids, ovarian cysts, and monitor pregnancies.
- Hysteroscopy: A procedure that uses a thin, lighted tube to examine the inside of the uterus for abnormalities.
Gynecology In Nagpur
Dr Priya Sahu Nawkhare, MBBS, MS (OBGY) has been traine at Bangalore Fetal Medicine Centre (BFMC) under the guidance of Dr Prathima Radhkrishnam, A world renowne expert in Fetal Medicine. She also has been traine at Chikitsa Ultrasound Centre, Mumbai. Dr Priya has been traine extensively in all the pregnancy relate scan and Invasive Procedure. She is also Certifie by Fetal Medicine Foundation,UK
Gynecological Problems and Disorders
Many women experience gynecologic problems at some time in their lives. Pelvic pains may be confused with other medical conditions. Some of the issues are irregular bleeding and spotting, post-coital bleeding, and pelvic or back pain. Baptist Health System is where you can find care from experienced gynecologists who use advance technology to make a precise diagnosis and provide innovative treatment.
At our Neurosys Multispeciality Center, we perform several key procedures including Craniotomy, which is primarily for the excision of brain tumors; V-P Shunt Surgery for treating hydrocephalus; surgeries for epilepsy; and operations targeting brain stem glioma. Beyond these, we offer a range of other neurosurgical services. If you have any questions that are not answere, please contact us through our Contact Us or Book your Appointment.