Tubal Recanalization

The word recanalization is just a fancy medical term for re-opening. Here, we are re-opening a woman’s fallopian tube. And why would we do that?

The ovaries release an egg, which moves into the fallopian tube. Here, the sperm travels to the fallopian tube and fertilizes the egg. Now, imagine if the fallopian tube is blocked. Even without an advanced degree you must be able to perceive that this could be a potential reason for infertility, and you wouldn’t be entirely wrong. There are several cases where a simple procedure like Tubal Recanalization led to conception and a healthy baby.

There are numerous reasons for the blockage of the fallopian tube. A common cause is the build-up of debris. Scarring from any previous surgery can also cause a blockage in the fallopian tubes. There are also several infections that are known to cause a blockage.

There have been well-documented studies that show that the success rate of such a procedure is more than 90 percent and at-least one of the fallopian tubes will resume normal function after the procedure and close to 40 percent of women conceive as a result of the procedure.

If you or anyone you know would like to know more about Tubal Recanalization, please do get in touch by filling out your contact details on our website.

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Blog reviewed by:Dr Niraj Mahajan

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Medical Abortion of Pregnancy

Medical Abortion is a procedure done with the help of medications to end a pregnancy. It is a safer and most effective method during the first trimester of pregnancy, as it doesn't require any surgery or anesthesia. The reasons for having a medical abortion must include serious situations like rape, a mother's bad health, unplanned pregnancy, or an unhealthy child. 

In India, abortion is legal only if:

• Continuing with the pregnancy poses any risk to the mental and physical health of the mother and the child.
• The pregnancy is the result of rape
• If the fetus undergoes any severe abnormalities
• If failure of the contraception leads to an unplanned pregnancy
• It is illegal to find the sex of the fetus and get an abortion if you and your family do not need a girl child.

How to prepare?
Your doctor will discuss your medical history and examine you. He may also suggest an ultrasound to determine how many weeks into the pregnancy you are, the size of your fetus, and also to make sure the pregnancy is not outside the womb.

Conduct a blood test to confirm if the patient is Rh-positive or negative. If negative, she will be given Rh immunoglobulin. If not, her body may develop antibodies that can cause allergy.

• Do a urine test.
• Check your overall health.

 Risks of Medical Abortion.

The major risks for medical abortion include:

• An incomplete abortion, which may further need a surgical abortion
• Heavy and prolonged bleeding
• Fever
• Infection
• Discomfort in your digestive system

The medications used in medical abortion can cause you vaginal bleeding and abdominal cramping. They can also cause:

• Nausea
• Fever
• Vomiting
• Diarrohea
• Chills
• Headache

During and after a medical abortion, you will be given medications to manage the pain. You may not immediately return to your day to day life as you will have bleeding and pain. You will need follow-up visits with your doctor to ensure that you are healing better. Your doctor will also analyze if you have any signs of infection. You will also be advised not to have vaginal intercourse or to use tampons for two weeks after the abortion. 

Dr. Niraj Mahajan, Gynecologist, and infertility specialists can help you with all your queries on Medical Abortion.

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Blog reviewed by:Dr Niraj Mahajan

Mail Us: gynecologistmumbai@gmail.com

Different Types Of Ovarian Cysts And Their Treatment

Ovaries are the primary female reproductive organs located in the lower abdomen on both sides of the uterus. The primary function of the ovaries is to produce eggs as well as the hormones estrogen and progesterone. Studies reveal that most of the women in their reproductive age group who have regular menstrual cycle develop at least one ovarian cyst in their lifetime. Ovarian cysts are fluid-filled sacs formed on one of the ovaries due to hormonal fluctuations that occur during the menstrual cycle. In most cases, cysts are harmless, small and, cause no symptoms which resolve on their own within 2-3 menstrual cycles.

TYPES OF CYSTS

1) Functional cysts are the most common type of ovarian cysts that develop as part of the menstrual cycle and are usually harmless and short-lived. They almost always resolve without any treatment or surgery. These cysts can be either FOLLICLE CYST or CORPUS LUTEUM CYST.  They are formed due to accumulation of fluid and hormonal changes. Sonography and doctor's clinical correlation is usually enough to diagnose the condition. 

2) Pathological Cysts are not related to the normal function of the menstrual cycle and grow inside the ovaries. These cysts may be harmless or rarely malignant and in some instances, require immediate treatment.They consist of Dermoid cyst, Cystadenomas and Endometriomas.

Apart from the above cysts, some women develop a condition known as poly cystic ovary syndrome(PCOS) in which ovaries contain a large number of small cysts. If left untreated this condition leads to infertility

SYMPTOMS

Most of the ovarian cysts are minor and do not cause any symptoms. The less common symptoms include and not limited to pelvic pain, abdominal bloating, breast tenderness, nausea and, vomiting. Severe symptoms of ovarian cysts that require immediate attention include pelvic pain with fever, Dizziness and, rapid breathing, that might occur due to ovarian torsion (ovary twist) or rupture.

TREATMENT

Most of the ovarian cysts resolve themselves without any surgery or medication. However, if a cyst does not resolve even after watchful observation of 3 months, The doctor might prescribe birth control pills to stop the development of new cysts or recommend surgery if the size of the cyst is large or unusual with recurrent symptoms.

There is no way to prevent ovarian cyst. However, keeping your weight under control and living stressful healthy lifestyle can help in preventing functional cysts and PCOD related cysts. For timely diagnosis and treatment of the cysts visit Dr.Niraj Mahajan, one of the  leading gynecologist, and laparoscopic surgeon in Mumbai

Visit Us: gynecologistmumbai.com

Blog reviewed by:Dr Niraj Mahajan

Mail Us: gynecologistmumbai@gmail.com

Who Is The Right Candidate For Vaginoplasty?

Everyone wishes for a perfect body. But with time, our body soon changes from what it once was to something totally different. There are some possible ways to restore the body to its former self using cosmetic surgeries. Vaginoplasty is one such method to reconstruct the vagina. It is a cosmetic surgery done to tighten the muscles in the vaginal wall. Multiple childbirths and the age of a woman could become contributing factors when it comes to the loosening of the vaginal tissues. Vaginoplasty is sometimes used following the removal of an abscess, to restore the function and shape of the vagina. The method is also preferred to correct congenital defects in the vagina, urethra, and rectum.

Vaginoplasty is not for everyone. Take a look!

Not every small deformity in the vagina requires a vaginoplasty. The patient should have a thorough discussion with the physician before opting for the surgery. Take a look at what makes an ideal candidate for vaginoplasty.

• The patient may suffer from urinary incontinence. While delivering a child, the baby goes through the birth canal and comes out through the vagina. The process can put stress to the pelvic area and weaken the muscles, thereby making it difficult to control the bladder.
• The patient has loose ‘vaginal lips’ or labia minora.
• Loose vaginal tissues interfere while having sexual intercourse.
• Serious damage has occurred to the vaginal tissues.
• The patient suffers from vaginal deformations and lacks vaginal strength.
• The patient has some form of malignant growth in the vagina.
• There is some kind of tissue protrusion from the vagina.

Boost your self-confidence with Vaginoplasty.

A vaginoplasty can reconstruct your vagina and get rid of its deformities. The procedure gives a whole new look to your vagina. It also helps in improving the health of the vagina. Following are the benefits of vaginoplasty:

• Vaginoplasty helps to improve the strength and control of the vaginal muscles.
• The procedure can ensure increased sexual pleasure.
• Gives a boost to self-confidence.
• Restores tightness of the vagina.
• Treat medical conditions like urinary incontinence.
• Get an improved look for the vagina.

Dr. Niraj Mahajan offers one of the most effective cosmetic gynecologists in India. He addresses the root cause of the disease and offers an effective solution. Every patient is given special care and attention and treatment. They are also given the finest medical advices for a better health. Visit  him for the best vaginoplasty in India.

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Who should consider Hymenoplasty?

Hymenoplasty is a medical term used for hymen repair surgery. The procedure aims at reconstructing the thin elastic fibrous tissue named hymen. There is a myth that only initial sexual intercourse can break the hymen wall, but it's not true. Heavy exercise like cycling, skipping, running, horse riding or any sort of injury can break the hymen wall. Most women consider this surgery when the hymen wall gets torn without any sexual intercourse.

How is the surgery conducted?

Through this surgery, the edges of the torn tissues are stitched back together using specialized tools to make it look whole again. After the surgery, the hymen tissues start growing and take the appearance of a natural hymen. Depending on the patient’s demand, sometimes the vaginal walls are also tightened to achieve a more virgin like form. This is an absolutely non-complicated process and it may take up to half an hour to finish the process.

Ideal candidates for Hymenoplasty

Not only in India, but also in some other parts of the world, a high value is imposed on a virgin girl before the marriage. In many communities, the hymen wall is considered to be proof of the girl's virginity. In some communities, they are not even aware that a hymen wall can even rupture due to physical exercise. Hymenoplasty is a saviour for those women who are from such communities or have to maintain such social beliefs. A healthy and physically fit woman who wants to enjoy the flavours of virginity can go for this surgery. Also, women, who think that they are going through some sort of relationship crisis because of the ruptured hymen wall, can also go for this surgery.

Within a day of the surgery, one can start their regular activities. It is recommended not have sexual intercourse within the next 6 to 8 weeks, as that's the healing period.

Choosing the right Gynaecologist for Hymenoplasty surgery in India

If you are looking for the best Gynecologist in Mumbai, Dr. Niraj Mahajan is the one for you! He has conducted several complicated surgeries and has provided excellent treatment to his patients. As he has good communications skills, you can freely discuss your problems with him.
To get further information, book an appointment!

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Abort Unwanted Pregnancy through MTP

A medical termination of pregnancy or abortion refers to pregnancy termination process done due to certain circumstances by nonsurgical procedures. These are performed in the initial stages of pregnancy, specifically before the completion of 7 weeks of conception.

The procedure involves removal of the pregnancy tissues by administering drugs to terminate the unwanted pregnancy. The procedure can be conducted within a day and do not require a long recovery period of hospital stay. Abortion can be either done medically with the help of pills or by surgical procedures during the period of 9 weeks to 20 weeks.

Medical termination of pregnancy in India
The period of pregnancy is counted from first day of the last periods of the woman before conceiving.  Though the World Health Organisation (WHO) has approved medical abortion or MTP till 9 weeks of pregnancy, the law in India approves MTP only till 7 weeks or 49 days of pregnancy. However, abortion can be done with the recommendation of doctors up to 20 weeks of pregnancy in India.
Medical Abortion Procedure
The procedure associated with the medical termination of pregnancy (abortion in Mumbai) involves oral administration of mifepristone tablets initially. Misoprostol tablets are then administered through oral, sublingual, buccal or vaginal means. The vaginal administration is found to be more effective with very low risks of side effects.
The procedure can be done in a single day and do not require hospitalisation. However, if complication like persistent bleeding, fever lasting over 24 hours, general discomfort and so on are evident, medical attention is needed. For pregnancies over 7 weeks of conception a combination of medical and surgical abortion is performed.
Benefits of Medical Abortion
Medical abortion is a relatively simpler process when compared to its surgical counterpart. The benefits of this procedure are as follows.

• Do not require an invasive procedure
• Can be manged at home with proper motivation and counselling
• Does not require hospitalisation
• Bleeding can be well controlled with menstrual pads.

Dr. Niraj Mahajan is a leading gynaecologist and laparoscopic surgeon in Mumbai specialised in treatment of infertility and gynaecological issues including medical termination of pregnancy.

For more details,
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Unwanted Pregnancy : Queries

    The procedure of the ending of Pregnancy by removing the foetus before it can survive outside the uterus is known as Abortion. Similar procedure of the removal of foetus after it can survive outside the uterus is known as Late termination of Pregnancy.

    In some cases, abortion happens on its own. This spontaneous abortion is known as Miscarriage. But sometimes women choose termination of pregnancy by taking medicine or getting surgery. This is known as Induced abortion. The earlier you are in pregnancy, the risk will be lower and you are likely to have more options.

The Abortion procedure type depends on the weeks of pregnancy of the woman. There are mainly two types of Abortion.

• Medical Abortion: This involves taking medicine for the termination of Pregnancy

• Surgical Abortion:  In this procedure the fetus is surgically removed by a minor operation such as vacuum aspiration or dilation and evacuation (D&E) that may be done with a sedation or local anesthetic.

    Surgical abortion is the only option after 9 weeks of pregnancy because the risk from having an abortion is higher in second trimester than in first trimester. During the late second trimester and early third trimester (24 weeks) abortions are done very rarely. In many countries abortions are restricted after 24 weeks.

Will Abortion affects future pregnancy?

    An abortion will not affect a women from becoming pregnant later. It almost takes 1 to 3 weeks to get heal after an abortion right after that itself you can get pregnant.

Is Abortion Safe?

    Usually abortions are safe if it is done in the first trimester because at this stage this procedure can be done by a vacuum aspiration or using a low-risk medicine. Abortions done by an experienced gynecologist  are also safe.

    Dr Niraj Mahajan is one of the leading gynecologist In India and laparoscopic surgeon who offers various treatments such as Cosmetic Gynecology, Adolescent and teenage gynecological issues, menopause, infertility and Abortion in Mumbai. He is one of the best gynecologist who specialised in latest technologies in all Gynecological issues.

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