A Pioneer Center for Laparoscopic Gynecological Surgery in Haryana

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Have some questions about Gynecology, Obstetrics, Infertility

FAQ Gynecology

  • What are the causes of excessive bleeding during menstrual cycle?

    • Fibroid Uterus
    • Polyps
    • Dysfunctional uterine bleeding
    • Foreign body in uterine cavity
    • Genital cancers of as uterus & cervix

  • How to diagnose these problems?

    • Pelvic examination
    • Ultrasonography
    • Hysteroscopy
    • D&C Biopsy
    • Colposcopy & Cervical biopsy
    • MRI
    • Laboratory Investigations

  • How to treat?

    • Medical – Only for benign conditions
         (Non cancerous)
    • Surgical:
         I) D&C
         ii) TABC – Thermal Balloon Ablation
             of Endometrium.
         iii) TCRE – Trans cervical Resection
             of Endometrium.
         iv) HYSTERECTOMY
         v) Radical Hysterectomy (Malignant 
             Causes)

  • What is Hysterectomy?

    Removal of uterus (womb) In hysterectomy for benign diseases only uterus is removed and both ovaries are saved Where as for malignant diseases uterus along with fallopian tubes and both ovaries are removed.

  • What are various types of Hysterectomy?

    1. Laparoscopic removal of uterus
        (Laparoscopic Hysterectomy)
            a) Total Laparoscopic Hysterectomy
                (TLH)
            b) Laparoscopic Assisted Vaginal
                Hysterectomy (LAVH)
    2. Total Abdominal Hysterectomy
    3. NDVH-Non descent Vaginal
        Hysterectomy
    4. Vaginal Hysterectomy

  • What are the indications of hysterectomy?

    1. Fibroids.
    2. Prolapse
    3. Abnormal uterine bleeding.
    4. Cancers of uterus and cervix.

  • What is Laparoscopic Hysterectomy?

    The separation of uterus through multiple ports (key holes) in the abdominal wall & removal of uterus through the birth canal (normal passage)

  • What are the benefits of laparoscopic
    surgery?

    I) Quick recovery time.
    ii) Less painful – Post surgery.
    iii) Cosmetically better.
    iv) Less blood loss during surgery.

  • What are the other procedures which can be done laparoscopically?

    I) Ovarian cysts.
    ii) Ectopic pregnancy – Pregnancy in tubes or        outside uterus.
    iii) Infertility
        a) Ovarian drilling
        b) Tubal cannulation
    iv) Myomectomy

  • Is this operation painful?

    No, as a comfortable anaesthesia is given to do the Operation. Preferably, it is done under general anaesthesia.

  • When can I go back to normal work?

    It varies with type of surgery & condition of
    the patient. Doctor will advice you on how
    soon you can return to work.

  • Does it require hospitalization?

    It depends on the type of surgery. Some surgeries may require an overnight stay.

  • How much pain, does one feel
    post - surgery?

    It depends on a patient’s tolerance level. In pain medications are prescribed for the post-surgery patients.

  • When can I get back to routine exercises?

    This again depends on the type of surgery performed. All patients are suggested to start a slow walking routine on the second day of the surgery. She keeps on increasing the exercises depending on her convalescence.

  • Is it must to get treatment of fibroid uterus?

    No. All patients diagnosed to be having fibroid
    uterus need not be treated. A symptomless patient whose fibroid is a coincidental finding while investigating for something else should be left untouched. Only fibroids causing any of the following symptoms need to be treated surgically.
         a) excessive bleeding
         b) Infertility
         c) Pressure symptoms
         d) Sudden enlargement
         e) Appearance of degenerative changes
         f) It becomes painful
         g) Cancerous changes which are
             mostly sarcomatous.
         h) Very big fibroids causing abdominal
            distension.

  • What is the treatment of fibroid uterus?

    There is no permanent medical treatment of
    fibroids. Surgical treatment is HYSTERECTOMY i.e. removal of uterus or MYOMECTOMY i.e. removal of fibroids only.

FAQ Infertility

  • When should I contact a doctor for not able to conceive after marriage?

    When after one year of cohabitation i.e. living
    together after marriage if a couple doesn’t
    conceive should report to a doctor for
    investigation or report earlier if the female partner has irregular menstrual cycle.

  • What is infertility?

    Infertility is not able to conceive which may be because of many factors.
          • Male Factors
          • Female Factors
          • Factors from both partners

  • Male Factors

    Azoospermia
    Oligospermia
    Asthenospermia
    pyospermia
    Blockage in the ducts that carry sperm
    Physical problems with the testicles
    Hormonal problems
    Genetic disorder
    Lifestyle or environmental factor
          a) Addiction of smoking
          b) Excessive drinking
          c) More stress
          d) Working in hot places
          e) Wearing tight clothes

  • Female Factors

    Uterine
    a) Congenital Abnormality
         i. Small Uterus (Hypo-plastic Uterus)
         ii. Septum of Uterus
         iii. Double Uterus
    b) Synechiae Uterus
    c) Polyp of Endometrial Cavity
    d) Fibroid Uterus
    e) Tuberculous Endometritis

  • Tubal

    Tubal
          a) Hydrosalpinx
          b) Pyosalpinx
          c) Blocked Tubes

  • Ovarian

    a) Hyoovalation
    b) Anovulation
    c) PCOD
    d) Ovarian Cysts

  • Harmonal Factors

    Harmonal Factors
       a) Thyroid Diseases
             i. Hypothyroidism
             ii. Hyperthyroidism
       b) Ovarian Hormonal imbalance
       c) Hypothalamic Factors
       d) Hyperprolactinaemia

  • Others

    a) Endometriosis
    b) Adhesions in ‘Pouch of Douglas’ (POD)
    c) Previous abdominal surgery

  • What all tests / investigations are
    required for infertile couple?

    A) Investigations for the male partner
         I) Semen examinations
         ii) Testicular biopsy if azoospermic
             (FNAC OR INCISION BIOPSY)
        iii) Male hormonal study
        iv) Routine blood investigations.

    B) Investigation for the female partner
        I) Routine blood investigations
        ii) Female hormonal study
        iii) Follicular study
        iv) HSG/ SSG
        v) PCR for tuberculous endometritis.

  • Is a female partner alone getting
    investigated is enough?

    No as already mentioned infertility can
    be from both partners. So investigation
    for both the partners is mandatory.

  • What is HSG?

    HSG stands for HYSTERO SALPINGO-GRAPHY. It is a test to know the patency of the fallopian tubes. It is done by injecting a dye in the uterus through cervix by inserting a cannula under screening and taking X-RAYS. In normal patent tubes the dye should freely move from uterus to fallopian tubes and should be seen in the peritoneal cavity i.e. abdomen. If we don’t see the dye in the tubes then it shows that tubes are blocked.

  • What is SSG?

    SSG stands for SONO SALPINGOGRAPHY, which is done by putting a dye/saline through the cervix and the movement of the dye through the tube is visualised under ultrasound.

  • What is Hysteroscopy and Laparoscopy?

    Hysteroscopy is visualising the endometrial
    cavity with an endoscope which helps to
    find out the factors of the uterus effecting
    the implantation of the embryo. The
    various common factors are foreign body,
    polyp, myoma in the cavity, septum of the
    uterus or tubercular endometritis.

    Laparoscopy is visualization of the
    abdominal cavity i.e. peritoneal cavity with
    an endoscope. It helps to find out :-
         A) Shape, size and position of uterus.
         B) Size position and texture of the ovary.
         C) Any pathology associated with the
             fallopian tubes.
         D) Any adhesions surrounding female
             genitalia.
         E) Any nodes or masses.

  • What is ectopic pregnancy?

    Pregnancy which is outside uterus is
    ectopic pregnancy. The various common
    sites are :-
           a) Fallopian tubes
           b) Ovaries
           c) Broad ligament
           d) In the abdomen

FAQ Obstetrics

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Chintu

I Had a great experience at rp stone stone clinic the staff and specialty Lady Doctor Dr Renu Gupta (Gynecologist) is too good and a very nice person thnaks a lots to all staff and Doctor.

Gagan Khanna

Blessed with a baby here…now attached emotionally too with this place…very well supported by each and every person of RP Stone Clinic…thanks a ton to Lady Doctor Dr Renu Gupta (Gynecologist) for her extended support at eac h and every moment

Gaurav Kumar

The hospital stay was very comfortable; there was neat, hygienic and clean environment, Gynecologist Dr. Renu Gupta and her team is really good and they made our stay as like homely to us. Thanks to the team, hospital and Gynecologist Dr. Renu Gupta mam for the support and care.

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+91 - 9729181174

info@rpstoneclinic.com

SCF 30-31, Sector - 11,
HUDA, Panipat 132103,
Haryana (India)

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