Obstetrics and Gynecology

 A woman in her life passes through several phases that are associated with many physical and psychological issues. When she enters in her puberty which is marked by menarche, she undergoes physical, emotional and psychological changes. And, then after, in every menstrual cycle, she passes through the same sort of experiences, until she reaches menopause. Whenever she faces any sort of health related issues, Virinchi Hospitals is always there for her at whatever stage of life she is – pubertal stage, child-bearing stage, pregnancy stage, at the stage of child birth and up to menopause as well. Her requirement could be a routine health check-up, gynaecological check-up, pregnancy related check-up, routine diagnosis of a pre-existing health condition, screening for breast and cervical cancer, and so on.

The Department of Obstetrics and Gynecology provides complete care for all health issues of a woman. The services range from routine health check-ups, medical screening, breast cancer screening, cervical cancer screening, gynaec & obstetrics surgery, oncological surgeries to reconstructive surgeries.

Advanced Technology

Latest advancements in gynaecology surgery allows us to offer treatment for several issues including cervical cancer, ovarian cancers, genital anomalies, pelvic cancers and other benign gynaecological disorders. Laparoscopic surgery helps offer infertility treatment. In addition, our gynaecology oncologists offer comprehensive care to the patients with cancer and precancerous conditions of the lower reproductive tract. Our gynaecology and obstetrics department is well supported by pioneering research that helps in identifying the causes of several types of cervical, uterine, ovarian and pelvic cancers and thus paying a way for early diagnosis, detection, treatment and prevention of the cancers of the women reproductive tract.

Salient features of the department

  • We provide a care coordinator for each patient – who oversees insurance issues, conveniently schedules diagnostic testing and meetings with sub-specialists on the same day, and facilitates communication between physicians and patients
  • We provide a complete report that summarizes the results of the day’s consultations, so that each patient has a complete and accurate picture of their medical situation
  • We provide a recommended program of care, complete with follow-up and coordination with the referring doctor

Conditions Treated

  • Gynaecologic Illness
  • Menstrual abnormalities
  • Premenstrual Syndrome (PMS)
    • Painful periods
    • Heavy bleeding
    • Polycystic Ovarian Syndrome (PCOS)
    • Prolapsed uterus
  • Fibroids
  • Endocrinological disorders
  • Recurrent Pregnancy Loss
  • Infertility
  • Urologic disorders
  • Cancers of the Reproductive tract – Uterine, Ovaries, etc.,

Advanced Treatments

  • Interventional Radiology for Fibroids
  • Transvaginal Laparoscopy
  • Hormone Replacement Therapy for Menopausal Women

Infertility Treatment for Women

The infertility treatment in women involves a few therapies to restore fertility. Sometimes, infertility is treated by opting several different types of treatments to ensure that a woman will be able to conceive. Other treatment options include:

Laparoscopic Surgery (Minimally Invasive Surgery) for Infertility Treatment in Women:

  • Laparoscopic Myomectomy (Removal of Fibroids from the Uterus)
  • Laparoscopic Hysterectomy (Removal of Uterus if necessary)
  • To check & treat conditions like endometriosis, ectopic pregnancy or pelvic inflammatory disease (PID)
  • To check & treat conditions like cysts (Ovarian Cyst Removal) and infections
  • Laparoscopy for tube ligation
  • Diagnostic hystero-laparoscopy (as a part of infertility workup)

Other Infertility Treatment

  • Inhal Corrective Surgery
  • ICU-AIH/AID
  • Mullerian Defects- Corrective surgery
  • Varicocele & other Corrective Surgeries
  • Stimulating ovulation with fertility drugs
  • Intrauterine insemination (IUI)
  • In vitro Fertilization (IVF)
  • PCOS Treatment
  • Endometriosis Treatment
  • Ovulation Induction
  • ICSI
  • PGD
  • Egg Freezing
  • Vitrification
  • Surgery to restore fertility
  • Assisted reproductive technology

In this type of treatment both the egg and sperm are handled in vitro (outside in an artificial environment)

Infertility Diagnosis

Hysteroscopy Evaluation (To know uterine or fallopian tube disease)

  • Male Factor Evaluation Scrotal Doppler
  • Endocrine Profile
  • Genetic Abnormality Evaluation
  • Ultrasonic Follicular Evaluation
  • Diagnostic Laparoscopy

Infertility Tests for women

  • Ovulation test: This test detects luteinizing hormone, which appears a day or two before ovulation.
  • Hysterosalpingography (HSG) evaluates the condition of the uterus and fallopian tubes.
  • Ovarian reserve testing (AMH) is done to know the quality and quantity of the eggs available for ovulation.
  • Other hormone testing: includes thyroid and pituitary hormone
  • Imaging tests. Pelvic ultrasound is done to detect uterine or fallopian tube diseases, ovaries (antral follicle count)

Depending on the situation, rarely the testing may also include:

Laparoscopy: The conditions like endometriosis, blockages, scarring & irregularities in the fallopian tubes, abnormalities in the ovaries and uterus can be identified by Laparoscopy.

Genetic testing: Genetic testing helps determine whether there’s a genetic defect causing infertility.

Special Procedures

  • Vaginal vault prolapse repair
  • Pelvic floor repair
  • Sling operation

Day Care

  • Polypectomy
  • Cryocautery
  • D & C

Special Conservative Treatment

You don’t have to undergo hysterectomy (Removal of Uterus) because Thermachoice (Balloon Endometrial ablation, Mirena Coil (LNG IUS) are the conservative treatment methods for women with heavy period.

Gynaecological & Obstetrics Care

Before selecting any hospital for your delivery, you must know the following facts:

  • Nearly 7-10% pregnant women have high blood pressure during pregnancy.
  • More than 15% women have diabetes and about 6% have thyroid disorders
  • 5 in 1000 deliveries have severe bleeding during or after delivery.
  • 77 out of 1000 babies born may need NICU observation after delivery.

Therefore, you must select a right hospital for the birth of your baby. Before zeroing in on any hospital, see the facilities, medical staff, availability of neonatal emergency care, blood bank and so on. The best bet is to select a hospital with better facilities. 

The right place for the birth of your baby

Virinchi Hospitals is a multi-specialty tertiary care hospitals with level III Paediatric critical care units and level I emergency department. It is well-equipped to handle complicated and high-risk pregnancy cases. At Virinchi Hospitals a level III neonatal intensive care unit (NICU) is well-equipped to handle any neonatal emergency. Virinchi Hospitals has a well-equipped blood bank with round the clock services and availability of blood.

We offer a comprehensive pregnancy care. When you choose to deliver at Virinchi Hospitals, doctors “manage” the delivery. Pain medications are available during labour and delivery, and the foetus is electronically monitored. We offer prenatal and postnatal care and also the following:

  • Ectopic Pregnancy Management
  • Genetic Counselling
  • Early Pregnancy Assessment
  • Child birth & postpartum period care
  • Care of the New-born

The Department of Obstetrics and Gynaecology has specially trained obstetricians who handle high risk pregnancies or women with a history of complicated or failed pregnancies and also with complications like diabetes, hypertension, cardiac problems, hepatitis B infections and other medical disorders.

We have state-of-the-art facilities to diagnose foetal anomalies and correct them in time with timely intervention and treatment. Foetal anomalies are diagnosed with the help of sophisticated ultrasound by using state-of-the art sonography, echocardiograms and percutaneous umbilical blood sampling (PUBS). We have put in place our genetic counselling services to offer support to the couples who are willing to consider testing procedures like amniocentesis and chronic villus sampling for knowing the foetal genetic disorders.

Breast Clinic

  • Breast Screening
  • Breast Cancer Treatment
  • Lymphodema Clinic
  • Pregnancy Breast Care

Women’s Aesthetic Clinic

  • Plastic Surgery
  • Cosmetic Breast Implants
  • Breast Reduction
  • Refashioning of Female Genitalia

Women’s Rehabilitation Centre

  • Pain Management
  • Fitness
  • Dietetics
  • Obesity
  • Counselling Services
  • Support Groups

Prevention is the foundation of Virinchi Hospitals approach to uprooting Breast Cancer. Breast cancer screening (Annual Mammogram & Breast Examination) is strongly recommended for women above 40 years.

Why you need Screening?

  • Regular screening helps detect cancers early and it is better way to initiate timely treatment
  • Breast Cancer is a silent killer
  • Most of the breast cancer cases are detected in the advanced stage wherein treatment becomes difficult.

What are the risk factors?

  • Age ( Any age)
  • Family History ( Ovarian or breast cancers run in families – mother, sisters, daughters)
  • Hormonal abnormalities
  • Before age 12 early menarch
  • menopause
  • Late pregnancy & Child Birth
  • Hormone therapy after menopause
  • History of radiation exposure to chest area
  • Previous abnormal breast biopsy results
  • Breast Disease
  • Obesity or weight gain after menopause
  • Inherited susceptibility genes BRCA I & II for about 5 to10% of cases

Other Risk Factors

  • Use of birth control pills (Oral Contraceptive Pills)
  • Consumption of diet high in saturated fats
  • Sedentary lifestyle
  • Alcohol consumption in excess

Note: Not everyone with the risk factors gets breast cancer, but when anyone is at risk, then it would be better to discuss the issue with your doctor

Breast Cancer Screening Recommendation

  1. Age 20 to 39 years
    • Clinical breast exam should be done every 1 to 3 years (Your gynaecologist checks for lumps & for any other changes).
  1. Age 40 and Older
    • Clinical Breast Exam every year
    • Mammogram every year
  1. Tests for women at increased risk
    • Women at increased risk have a higher chance of getting breast cancer. However, it does not mean that everyone with increased risk would get breast cancer, but beginning screening at an early age is better. If required getting additional test done is very essential.

Cervical Cancer Screening for Women 21 to 65 years – Pelvic Examination & PAP Smear

What happens if you don’t do cervical cancer & breast cancer screening?

If you don’t do screening, both breast cancer and cervical cancer become aggressive & invasive and lead to several complications, which may eventually result in life-threatening consequences

Why You Need Cervical Cancer Screening?

You need both cervical cancer & breast cancer screening to ensure that they are detected at an early stage wherein they are less aggressive and therefore treatment becomes easy for potential cure.

Who are at Risk for Cervical Cancer?

  • Women of any age
  • Women undergoing hormonal therapy after menopause
  • Women approaching menopause
  • Obese and overweight women
  • Hormonal abnormalities
  • Women with Late pregnancy & child birth
  • Intrauterine Device usage
  • Human Papilloma virus (HPV) infection
  • Women with multiple full term pregnancies
  • Women with early pregnancy
  • Family History (Ovarian or breast cancers run in families – mother, sisters, daughters)

OTHER RISK FACTORS

  • Use of birth control pills (Oral Contraceptive Pills)
  • Consumption of diet high in saturated fats
  • Sedentary lifestyle
  • Alcohol consumption in excess

Cervical Cancer Screening Recommendation

  1. Age 21 to 65 years
    • PAP test: Every woman between ages 21 – 65 should get a PAP test done every 3 years; for women age 30 and above a combined PAP and HPV test is recommended every 5 years. In the absence of HPV test, a PAP test can be done every 3 years. If you have had your cervix and uterus removed, ask your health care provider if you need to continue screening.        Pap test helps identify women at risk for developing cervical cancer.
  2. Age 30 to 65 years
    • HPV test is recommended every 5 years along with Pap test in women ages 30-65 (and in younger women with inconclusive Pap tests).            The HPV test in combination with the Pap test is better at identifying women at risk for developing cervical cancer than the Pap test done alone.
  3. Age 21 and Above
    • Pelvic exam is recommended annually starting at age 21 based on the medical history and other risk factors. However, as a part of preventive healthcare, you can consult with your gynaecologist to assess your health, lifestyle and other risk factors.

Tests for women at increased risk

Women at increased risk have a higher chance of getting cervical cancer. Therefore, beginning screening at an early age is better. If required getting additional test done is very essential.