Obstetrics & Gynaecology

Obstetrics & Gynaecology

Free Fertility Counselling -Saturday 9.am to 4.pm                          

Inspired by a core belief that a woman is a very special person, in body and mind, and that the best healthcare for her emerges from a deep understanding of her physiology, emotions, aspirations and anxieties, the department aims to be her health comfort zone. The Department of Obstetrics & Gynaecology provides a wide spectrum of women’s health services. Right from puberty to pregnancy & from childbirth to menopause women have to travel a long way with many health issues. We offer best care and provide Gynaecological solutions.

Dr.Hema Sivakumar

Obstetrics & Gynaecology

Our mission is to help infertile people to maximize the ability to conceive by providing superior quality treatment in a best way. Our patients are closely co-ordinate by our team of doctors psychologically counseled. Our mission is to achieve pregnancy through conservative least expensive and close to the natural means as far as possible. Our specialty offering the best ICSI method of fertilization to each individual we are proud of our extensive success and our team of co- ordinate work. Our successes rate various between 40% -70% depending upon the patient. Overtime we have found that patients are very much satisfied with our latest mode of treatments. We offer a caring environment to our couples.

Our Preethi fertility clinic is one of the Best Advanced Fertility Clinic of Tamilnadu. It was launched in 2013 as a part of Preethi Hospitals (P) Ltd, Madurai. In fact, it was the Infertility Division of the Obstetrics and Gynecology department of this hospital who did pioneering work in Laparoscopy and related fields, when the IVF facilities were added. Naturally Preethi Hospital became the leader in infertility treatment in  Madurai.

Services

The Gynaecology department of Preethi is well equipped to handle a wide range of gynecological problems of adolescents to elderly women. Adolescent Gynaecology Caters to problems like delayed onset of menstruation, irregular periods, heavy periods, painful periods, PCOD. In addition to the menstrual problems can have a check up for diagnosis of the cause and treatment accordingly For PCO with Obesity we offer nutritional assessment, diet advice and weight loss counseling for such patient.

Gynaecological procedures

  • Laparoscopic Vaginal Hysterectomy
  • Total Laparoscopic Hysterectomy
  • Radical Hysterectomy
  • Laparoscopic Myomectomy
  • Laparoscopic Oophrectomy
  • Laparoscopic Ectopic Surgeries
  • Hysteroscopic Septal resection
  • Hysteroscopic Polypectomy
  • Simple Mastectomy
  • Modified Radical Mastectomy

We provides Antenatal services, its the great way to prepare for the birth of your baby. Our aim is to work in partnership with you throughout your pregnancy. The fully equipped luxury rooms and suites offer the ideal setting for this joyous moment and will not even a second, let you feel you are away from home. Our services includes…

  • Pre-conceptional counseling
  • Routine antenatal care with antenatal screening
  • Prenatal and postnatal diet & nutritional counseling
  • High risk pregnancy care
  • Cervical encirclage
  • Painless Labour – epidural analgesia
  • Normal delivery
  • Continuous electronic fetal monitoring during delivery
  • Cesarean section
  • Postnatal care and exercise
Fertility

Infertility is not a disease but a condition where in a particular couple is not able to conceive. Infertility problems in a couple can be due to either the woman or the man, or it can be even due to problems in both partners. We consider a couple to be infertility if:

The female is under the age of 34 and the couple has not conceived after 12 months of contraceptive-free intercourse. 12 months has been used as the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization. The female is over the age of 35 and the couple has not conceived after 6 months of contraceptive-free intercourse. The declining egg quality of females over the age of 35yrs is the reason for the age-based discrepancy as and when to seek medical intervention.

 

Subfertility

A couple that has tried unsuccessfully to have a child for a year or more is said to be sub fertile meaningless fertile than a typical couple. The couple’s fecund ability rate is approximately 3-5%. Many of its causes are the same as those of infertility. Such causes could be endometriosis,, or polycystic ovarian syndrome.

 

Primary vs. Secondary Infertility

Couples with primary infertility are the ones who have never been able to get pregnant. Whereas, secondary infertility is defined as the difficulty in conceiving after already having conceived (and either carried the pregnancy to term, or had a miscarriage). Technically, secondary infertility cannot be considered, if there has been a change of partners.

Gynae-oncology focuses on cancers of the female genitals and reproductive system.The Gynae-oncology includes all types and stages of gynaecological cancer, including those with uncommon or complex presentations. Care is coordinated by a team of experts in surgical oncology, radiation oncology and medical oncology in association with specialist gynaecologist.

We offer a variety of treatments for all cancers of the female genital tract (womb or endometrial, ovary, cervix, vagina and vulva). Our aim is to provide the most appropriate treatment for the individual, aiming for quality of life after treatment.

Urogynaecology services include the care of women with incontinence, bladder problems including recurrent UTIs, bladder pain and voiding difficulties. Urodynamic studies, which assess the function of the bladder and urethra and are often useful in the assessment and diagnosis of patients presenting with lower urinary tract symptoms. Our pelvic floor clinic is for women with recurrent or complex pelvic organ prolapse. We have a multidisciplinary approach, which includes both urology and colorectal surgeons.

  • Pubovaginal slings
  • Repair of vesicovaginal fistula
  • Sacral nerve stimulation
  • Vaginal surgery, including reconstruction for prolapse
  • Sacropexy
  • Rectopexy

Gynaecological Procedures

  • Laparoscopic Vaginal Hysterectomy
  • Total Laparoscopic Hysterectomy
  • Radical Hysterectomy
  • Laparoscopic Myomectomy
  • Laparoscopic Oophrectomy
  • Laparoscopic Ectopic Surgeries
  • Hysteroscopic Septal resection
  • Hysteroscopic Polypectomy
  • Simple Mastectomy
  • Modified Radical Mastectomy
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Fertility Procedures:

  • Recanalisation
  • Adhension Release
  • Laparoscopic adhesiolysis in endometriosis
  • Laparoscopic ovarian drilling / cystectomy
  • Hysteroscopic septal resection
  • Varicocele Surgery for male

1 . Mrs.Raji, Chennai

Hello doctor, I am 36 yrs old married recently, is it possible to conceive after this age?

Yesit is better to conceive as early as possible because chromosomal anomalies are common after the age of 35 years for which screening tests have to be done during your pregnancy.

2.Mrs.Manisha, Mumbai

My weight is around 90 kg, What are the factors I have to follow for conception?

First you have to reduce weight by avoiding carbohydrate rich food and atleast 2 hrs of physical exercise daily. Obesity is associated with PCOS, which leads to anovulation and infertility.

3.Mrs.Sheetal, New Delhi

I am married since 5 yrs, I aborted twice at 4 th and 5 th month. My scan report says I am having larger uterine fibroid, is it treatable?

Yes, you can undergo laproscopic myomectomy to avoid future abortions to deliver a healthy baby.

4.Mrs.Priyanka, Mangalore.

My age is 30 yrs, married since 3 yrs. My scan report says I am having chocolate cyst. What is chocolate cyst? Can patients with Ovarian chocolate cyst conceive?

Ovarian endometriomas, also known as “chocolate cysts,” are benign ovarian cyst containing thick, old blood that appears as a brown fluid. They can be asymptomatic or can present with pelvic pain (especially with a woman’s period), painful intercourse and infertility. If you remove the cyst through laparoscopy  your chances of conception will increase.

5.Mrs.Nandhana,Cochin

I got married before 5 yrs, Not yet conceived ,but am having thyroid problem (hypothroidism),whether I can conceive?

Yes, Sub-clinical hypothyroidism can  cause infertility and miscarriages and thus needs proper treatment and correction for ovulation and conception.

6.Mrs.Renu S.Das,Calcutta

We are married for 5 years, My husband having absent sperm count in semen analysis, but his hormone report is normal, so I want to know any latest treatment for this ?

Yes latest treatments are available. He may have obstructive cause for azoospermia. In such condition following tests are useful

  • Testicular sperm aspiration(TESA)
  • Testicular sperm extraction(TESE)
  • Percutaneous epididymal sperm aspiration (PESA)
  • Microsurgical epididymal sperm aspiration (MESA)

7.Mrs.Anusha ,Bangalore

I am 40 yrs old, Married since 15 yrs, My USG report shows Streak ovaries, is there any possibility for conception?

Yes, you can conceive with donor egg with your husband’s sperm  by ICSI method.

8. Mrs.Vinitha, Madurai

I m married for 3 yrs, had twice abortion at 2nd and 3rd month. My family doctor suspected presence of uterine problem, my scan showed uterine septum..what can be done for the same?

You have to undergo hysteroscopic septal resection and then conceive to prevent abortions.

BRENNER TUMOUR

Case Report

A 27 year old female presented to our gynecology op with compliants of abdominal pain for one month. She was a nulligravida, married for 6 years. She had irregular menstrual cycles once in 2 months. She had felt a mass in the right lower abdomen for past one month. Her past medical and surgical history was not significant. There was no family history of systemicdisease.On physical examination, she was a healthy looking woman, who was not febrile, pale or jaundiced.There was no peripheral lymphadenopathy.Her chest was clinically clear. Her radial pulse rate was 80beats per minute, regular and of full volume. The bloodpressure was 130/80mmHg. Her heart sounds werenormal.On abdomen examination, there was an irregularly shaped, hard, non-tender,mobile mass, the size of a 14 weeks pregnancy. The liver, spleen and kidneys were not palpably enlarged. `There was no demonstrable ascites.The vulva and the vagina were normal.On vaginal examination mass was felt through right fornix, exact uterine size was not made out.for more info Click

TRIPLET PREGNANCY

Case Report

A 30 year old antenatal lady with 8 months pregnancy reported to our antenatal opd. She had one previous spontaneous abortion at 2 months amennorhoea. In this pregnancy she was given ovulation induction with clomiphene citrate by a local practionner. She had a triamnniotictrichorionic triplet gestation now at 33 weeks. She was booked and immunised. She was not anemic, had mild pedal edema. Her Pulse rate was 80/min and blood pressure was 130/90 mm Hg. Chest was clear. Abdomen was over distended with multiple fetal parts and all three fetal heart sounds were good. She was admitted for safe confinement. Serial ultrasounds was done. On follow up she developed non-severe preeclampsia, for which she was started on T.Labetalol 100 mg twice a day. Injection Betamethasone 12 mg intramuscular two doses was given for lung maturity.for more info Click

WELL WOMEN’S CLINIC

We all know “Prevention is better than cure”. Women are increasingly prone to various health problem in the current era. Women’s care recognizes the importance and need for preventive health care. Well Women Clinic at our center is designed specifically with women of different ages and requirements in mind. The tests are recommended to be taken by every women and adolescent. On a regular women who have a family or genetic history of health problems will have individualized care provided.

Cancer screening done with:

  • Pap smear
  • Ultra sound abdomen pelvis
  • Breast Examination
  • Mammogram (If Required)
  • Human Papilloma virus Vaccination (Cervical Cancer vaccine)

INFERTILITY & EMBRYOLOGY FACILITIES

  • Intra Uterine Insemination (Husband & Donor)
  • IVF (InvitroFertilisation)
  • Frozen Embryo Transfer
  • Blastocyst Culture & Transfer
  • ICSI (Intra-Cytoplasmic Sperm Injection)
  • IVM ( InVitro Maturation)
  • PESA (Percutaneous Epididymal Sperm aspiration)
  • TESA (Testicular Sperm Aspiration)
  • GIFT(Gamete intrafalliopian tube transfer)
  • IMSI (Intracytoplasmic Morphologically selected Sperm Injection)
  • Micro TESA Fertility Preservation Program

Fertility Preservation Program

  • Sperm cryo preservation
  • Oocyte & Embryo cryo preservation
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Consultant & Head

Dr.S.Hema
Dr.S.Hema
MD.,DGO.,DNB(OG).,MNAMS
Dr.S.Hema
Dr. R. Annapoorani
MS (OG)
Dr.S.Hema
Dr.Padma Bharathi
M.S,DGO
Dr.S.Hema
Dr. M. Karthiyayini
MBBS.,DGO.,
Dr.S.Hema
Dr. Susila
MS DGO

Coordinator

Dr. M.S.Bhagavathi
Dr. M.S.Bhagavathi