GYNAECOLOGY AND OBSTETRICS
Gynaecology and Obstetrics: is a medical speciality that encompasses two sub-specialities which are Obstetrics that covers pregnancy, childbirth and the postpartum period, while gynaecology deals with the health of the female reproductive system – vagina, uterus, ovaries and breasts.
Gynaecology is the speciality and the branch of medicine that administers the healthcare of women, specifically the diagnostics and treatment of disorders and diseases affecting the female reproductive organs.
Obstetrics deals with the care of the pregnant women, the unborn baby, labor and delivery and the immediate period following childbirth. The obstetrician ensures that mother and child get the best prenatal care to ensure labor and delivery is accomplished without complications and that should intervention be needed, it is done quickly and safely.
While most gynaecologists are also obstetricians, the field of gynaecology focuses on all other aspects of a woman’s reproductive health from the onset of puberty through menopause and beyond.
Treatment and Procedures
Millions of women across the world face an uncertainty, hesitance and fear of going through a procedure to ascertain and evaluate a gynaecological problem. While it is a vast speciality that explores and deciphers the infinite intricacies in the female body, the most common and widely performed procedures and treatments are as under
- Colposcopy: This is a more thorough and comprehensive examination of the cervix and vaginal tissues, which may be needed, if the results of a cervical cancer screening test, such as Pap smear or HPV test, are abnormal
- Loop electrical excision procedure (LEEP): a surgical procedure to quickly remove abnormal vaginal tissue within the cervix. A local anaesthetic and a solution to enhance the points of removal visually is administered during the process. There is a chance of experiencing watery, pinkish discharge, brownish discharge, and mild cramping.
- Endometrial biopsy: a procedure that collects a tissue sample from the endometrial lining of the uterus. The sample is tested and checked under a microscope for abnormal cells or indicators of cancer.
- IUD insertion: an intrauterine device that is T-shaped and is placed in the uterus through the cervix. It is a reversible contraceptive that can be done in a doctor's office.
- Nexplanon: is about a 4 cm implant that goes into the upper forearm. This implant releases birth control hormones into the body and can last up to three years. This type of birth control has a 99% success rate for pregnancy prevention.
- Dilation and curettage (D&C): is an out-patient procedure to open (dilate) the cervix to collect samples of endometrial tissue with a curette. A D&C can also be done to remove a foetus that was not passed naturally after a miscarriage or to induce an abortion, which is a surgical procedure
- Tubal ligation: a surgery to close the fallopian tubes for the prevention of pregnancy. It is also known as "tying the tubes".
- Ovarian cystectomy: the removal of a cyst that either has a solid appearance, larger than three inches in diameter, has the possibility to become cancerous, or causes a constant pain. Cysts can be removed without removing an ovary. Women who do not take birth control produce small cysts every other month but they can disappear on their own.
While the above are all non surgical procedures for diagnosis and treatment, a gynaecologist recommends a surgery, when conditions are severe or the invasive procedure is the last resort to treat a patient. Some of the surgical treatment and procedures are
- Hysteroscopic (myosure) fibroid and polyp removal
- Hysterosalpingogram, a day care procedure
- Diagnostic and operative hysteroscopy
- Diagnostic laparoscopy and biopsy
- Myomectomy for fibroid uterus
- Robotic laparoscopic surgery
- Hysterectomies (abdominal laparoscopic and vaginal)
- Endometrial ablation for heavy bleeding
- Pelvic organ prolapse surgical correction
When should women consult a gynaecologist?
Women undergo many changes in their body over time. In such a situation, she may encounter several health-related symptoms such as vaginal discharge, UTI or pelvic pain. In such circumstances, women, irrespective of age, should immediately meet a gynaecologist because caution and prevention are the only ways to protect her from serious health problems. Negligence to consult a gynaecologist can lead to long term health concerns and therefore, regular check up should be the way of life.
According to experts in the field across the globe, the four signs and symptoms where a woman should consult a gynaecologist without any delay are as follows
- Irregular or missed periods – Many women consider this as common and thereby overlook the sensitivity and urgency associating it with body weakness. However if there are any strange feelings that a woman may experience during the periods, such as dizziness, fainting, blood clots irregular or missed periods, during the cycle, she should be consulting a gynaecologist at once, as these can be symptoms to an underlying condition as PCOS.
- Vaginal Discharge and Itching - Vaginal discharge and vaginal itching or foul odour may indicate some vaginal infection, such as bacterial infection, yeast infection, or sexually transmitted infection. In most cases, these problems do not go away on their own. Therefore, you should visit a gynaecologist for the right treatment and medication.
- Sudden spotting or postmenopausal bleeding - If a woman notices occasional spots after periods or have severe pain during periods, she should immediately contact her gynaecologist. This can be a sign of vagina or cervical or uterine cancer. Also, it is advisable to have a check-up if periods have stopped due to menopause too.
- Pelvic Pain - It is essential to know what kind of pain you are feeling. At times, severe pain in the pelvic can be a warning sign of an infection, a broken ovarian cast or a dangerous ectopic pregnancy. Persistent pelvic pain or abdominal uterus indicates fibroids, which are non-cancerous tumours. Another potential source of regular pelvic pain may be endometriosis.
The most common symptoms which indicate a gynaecological problem are
- Bleeding between periods or during and after an intercourse
- Sores or lumps on the genitals
- Increased vaginal discharge accompanied by an unusual smell
- Itching, burning or swelling around the vaginal area
- Pain in pelvis, which are not related to menstrual cramps
- Burning sensation during urination
The common gynaecological problems can be
- STD: STDs cause all sorts of issues and relates to chancroid, chlamydia, crabs, gonorrhoea, genital herpes, genital warts and HPV virus.
- Vulvodynia: a chronic vulva pain, which can be sharp and stinging arising out of yeast and HPV infections, or injury in the area.
- Pelvic disorders include UTI, urinary incontinence and uterine fibroids.
Why choose Greenleaf Health Centre:
Headed by Dr. Sridevi, who is a very renowned and senior Gynaecologist and Obstetrician, Greenleaf Health Centre has one of the finest and best Gynaecology and Obstetrics facility in Kukatpally and engages competent, experienced and some of the best gynaecologists in Hyderabad.
Dr. Sridevi, with 17 plus immaculate years in medical profession, she is respected, regarded, admired and held with a high appreciation and esteem in the medical fraternity.
She has piloted and pioneered one of the most advanced and modern state of the art facilities in the field of Gynaecology and Obstetrics at Greenleaf Health Centre, which provides health care and service to women of all ages, pregnant women and newborns.
Being one of the best and one of the most trusted Obstetrician in Hyderabad, she and her team has dedicated themselves to the betterment of woman’s health offering comprehensive Obstetrics and Gynaecological services in Hyderabad.