Obstetrics & Gynaecology

Gynecology in Chennai is a medical specialty that focuses on the health and well-being of the female reproductive system. It encompasses a wide range of services and treatments related to women’s reproductive health, from adolescence through menopause and beyond.

Pregnancy for Gynecology in Chennai

Pregnancy is an exciting time for women as they prepare to bring a new life into the world. It is a journey that requires a lot of care and attention to ensure the health and well-being of both the mother and the baby.

Pregnancy is divided into three trimesters, each lasting approximately 12-14 weeks. During these trimesters, the baby goes through various stages of development, and the mother’s body changes to accommodate the growing fetus.

The first trimester is characterized by the development of the baby’s organs and the formation of the placenta. During this time, the mother may experience symptoms such as nausea, fatigue, and breast tenderness.

The second trimester is often referred to as the “honeymoon” phase of pregnancy. The baby’s organs continue to develop, and the mother’s body adjusts to the growing fetus. Many women feel more energetic during this time and may experience the baby’s first movements.

The third trimester is the final stretch of pregnancy, and the baby continues to grow rapidly. The mother’s body prepares for childbirth, and she may experience symptoms such as back pain, Braxton Hicks contractions, and difficulty sleeping.

Prenatal Care

Prenatal care is crucial during pregnancy to ensure the health and wellbeing of the mother and the baby. Prenatal care includes regular check-ups with a healthcare provider, including physical exams, blood tests, and ultrasounds to monitor the baby’s growth and development.

Prenatal care also includes lifestyle recommendations, such as eating a healthy diet, exercising regularly, and avoiding harmful substances such as tobacco and alcohol. Healthcare professionals may also recommend prenatal vitamins to ensure the mother and baby receive adequate nutrition.

Postnatal Care

Postnatal care is the care and support provided to women and their newborn babies in the weeks and months following childbirth. This care is essential for the health and wellbeing of both the mother and the baby.

Postnatal care typically involves regular check-ups with a healthcare provider, such as a doctor or midwife, to monitor the mother’s physical and emotional recovery, as well as the baby’s growth and development. During these check-ups, the healthcare provider will assess the mother’s physical health, including her healing from any perineal tears or C-section incisions, and provide advice on managing any pain or discomfort. The healthcare provider will also monitor the baby’s weight gain, feeding, and overall health.

Postnatal care may also include support for breastfeeding, as well as advice on postpartum depression and other emotional and mental health issues that may arise after childbirth. In addition, the mother may receive guidance on contraception and family planning, as well as advice on resuming exercise and other physical activities.

Postnatal care is critical for the long-term health and wellbeing of both the mother and the baby. It can help to prevent complications and ensure that any health issues are addressed promptly. 

High-Risk Pregnancy

A high-risk pregnancy is one that has an increased chance of complications for the mother, the fetus, or both. High-risk pregnancies can be due to various factors, including maternal age, pre-existing medical conditions, and pregnancy-related complications.

1. Maternal Age: Women who are under 17 or over 35 are at a higher risk of pregnancy complications. Older women are more likely to have pre-existing medical conditions that can complicate pregnancy, such as high blood pressure and diabetes.

2. Pre-existing Medical Conditions: Pre-existing medical conditions such as diabetes, high blood pressure, autoimmune diseases, and kidney disease can increase the risk of complications during pregnancy. Women with these conditions require careful monitoring throughout pregnancy to prevent complications such as preeclampsia, preterm birth, and gestational diabetes.

3. Pregnancy-Related Complications: Complications that arise during pregnancy can also increase the risk of a high-risk pregnancy. These complications can include:

• Gestational diabetes
• Preeclampsia
• Preterm labor
• Placenta previa
• Fetal growth restriction

4. Management of High-Risk Pregnancy: The management of a high-risk pregnancy involves close monitoring and care to ensure the health and wellbeing of both the mother and the fetus. Women with high-risk pregnancies may require more frequent prenatal appointments and specialized testing, such as ultrasounds and fetal monitoring.

Medical interventions may also be necessary, such as medication to manage high blood pressure or diabetes, bed rest, or induction of labor. In severe cases, a cesarean delivery may be necessary to reduce the risk of complications.

 High-risk pregnancies require careful management to ensure the health and wellbeing of both the mother and the fetus. Regular prenatal care and monitoring can help reduce the risk of complications and improve outcomes for both the mother and the baby.

Surgery

Hysterectomy

Laparoscopic Hysterectomy

Laparoscopic hysterectomy is a minimally invasive alternative to open hysterectomy and may be used to treat a variety of conditions, including uterine fibroids, endometriosis, and abnormal uterine bleeding. Laparoscopic hysterectomy is a surgical procedure in which the uterus is removed using small incisions in the abdomen and a laparoscope, a thin tube with a camera and surgical instruments attached. 

During the procedure, the patient is placed under general anesthesia, and several small incisions, typically 0.5 to 1 cm in length, are made in the abdomen. The laparoscope is then inserted through one of the incisions, allowing the surgeon to view the surgical site on a monitor. Other specialized instruments are inserted through the other incisions to remove the uterus, and in some cases, the cervix, ovaries, and fallopian tubes.

Types of laparoscopic hysterectomy:

• Total laparoscopic hysterectomy (TLH)
• Laparoscopic-assisted vaginal hysterectomy (LAVH)
• Laparoscopic supracervical hysterectomy (LSH)

Total laparoscopic hysterectomy involves removing the entire uterus using only the Laparoscope, while Laparoscopic assisted vaginal hysterectomy involves using the laparoscope to detach the uterus and then removing it through the vagina. Laparoscopic supra-cervial hysterectomy involves removing the upper part of the uterus while leaving the cervix intact.

LAVH

LAVH stands for “laparoscopic-assisted vaginal hysterectomy.” It is a surgical procedure in which the uterus is removed through the vagina with the assistance of laparoscopic instruments. 

Laparoscopic-assisted vaginal hysterectomy is the most preferred form of laparoscopic surgeries for patients who have undergone previous abdominal surgeries. This procedure is commonly used to treat conditions such as uterine fibroids, endometriosis, and abnormal uterine bleeding.

During LAVH, several small incisions are made in the abdomen, and a laparoscope is inserted to provide visualization of the surgical site. The uterus is then detached from the surrounding tissues using laparoscopic instruments, and the blood supply to the uterus is carefully ligated. Once the uterus has been detached, it is pulled through the vagina and removed.

Vaginal Hysterectomy

Vaginal hysterectomy is a surgical procedure in which the uterus is removed through the vagina. It is a minimally invasive alternative to open or laparoscopic hysterectomy, and may be used to treat a variety of conditions, including Uterine prolapse, Uterine fibroids, endometriosis, and abnormal uterine bleeding.

Types of Vaginal Hysterectomy include:

1. Vaginal Hysterectomy
2. Non Descent Vaginal Hysterectomy (NDVH)

During the procedure, the patient is placed under general anesthesia, and the surgeon makes an incision in the vagina to access the uterus. The uterus is then detached from the surrounding tissues, and the blood supply to the uterus is carefully ligated. The uterus is then removed through the vagina, and the incision is closed with stitches.

Non Descent Vaginal Hysterectomy (NDVH)

Non-descent vaginal hysterectomy (NDVH) is a technique used to remove the uterus through the vagina without the need for the uterus to be pushed down or pulled out of the pelvis during the procedure.

In a traditional vaginal hysterectomy, the uterus is pushed down and out of the pelvis before being removed through the vagina. This can cause strain on the pelvic floor muscles and increase the risk of pelvic organ prolapse in the future. NDVH, on the other hand, preserves the normal anatomy and helps to maintain the natural support of the pelvic organs.

Open Type Hysterectomy

An open hysterectomy is a surgical procedure in which the uterus is removed through a large incision in the abdomen. It is a type of open surgery, which means that the surgeon makes a long incision in the abdomen to access the uterus and other pelvic organs.

During an open hysterectomy, the patient is placed under general anesthesia, and the surgeon makes a horizontal or vertical incision in the abdomen. The abdominal muscles are then separated, and the surgeon removes the uterus, and possibly the cervix, ovaries, and fallopian tubes.

Obstetric Emergencies

An obstetric emergency refers to a situation during pregnancy, labor, or delivery that poses a significant risk to the health of the mother, fetus, or both. These emergencies can arise unexpectedly and require immediate medical attention to prevent serious complications or death.

Some common obstetric emergencies include:

• Placenta previa: A condition in which the placenta covers the cervix, causing bleeding and potential harm to the fetus.
• Preeclampsia: A serious complication characterized by high blood pressure and damage to organs, such as the liver or kidneys.
• Eclampsia: A severe form of preeclampsia that can lead to seizures and other life-threatening complications.
• Preterm labor: When labor begins before the 37th week of pregnancy, potentially causing harm to the fetus.
• Umbilical cord prolapse: When the umbilical cord comes out of the cervix before the baby, causing a loss of blood flow and oxygen to the fetus.
• Fetal distress: When the fetus shows signs of distress, such as an abnormal heart rate or lack of movement.
• Shoulder dystocia: When the baby’s shoulders get stuck behind the mother’s pubic bone during delivery, potentially causing injury to both the mother and baby.

In an obstetric emergency, it is important to act quickly and seek medical attention right away. Treatment will depend on the specific emergency, but may involve emergency cesarean section, medication to manage blood pressure or seizures, or other interventions to stabilize the mother and/or fetus.

Obstetric emergencies can be very stressful and overwhelming for both the mother and healthcare providers. It is important for women to receive regular prenatal care to monitor for potential complications and reduce the risk of an emergency situation. Women should also be aware of warning signs, such as vaginal bleeding, severe abdominal pain, or decreased fetal movement, and seek medical attention right away if they experience any of these symptoms.

Obstetric emergency surgery refers to surgical interventions that are performed during pregnancy, labor, or delivery to address a life-threatening condition for the mother, fetus, or both. These surgeries are typically performed in a hospital or other medical facility and require highly skilled obstetricians, anesthesiologists, and neonatologists.

Obstetric emergency surgeries include:

• Repair of vaginal or cervical lacerations: In some cases, a tear may occur in the vagina or cervix during delivery, potentially causing significant bleeding or other complications. These tears may require surgical repair.
• Manual Removal of Placenta: Manual removal of the placenta (MROP) is a procedure that is performed when the placenta does not deliver naturally after the birth of the baby. This can occur due to a variety of reasons, including a retained placenta or an incomplete separation of the placenta from the uterine wall.
• Emergency Cesarean section: This is a surgical procedure in which the baby is delivered through an incision in the mother’s abdomen and uterus. It is performed when there is a risk to the mother or baby if a vaginal delivery is attempted, such as in cases of fetal distress or umbilical cord prolapse.
• OBSTETRIC Hysterectomy: This is a surgical procedure in which the uterus is removed. It may be necessary in cases of severe hemorrhage or placenta accreta, a condition in which the placenta grows too deeply into the uterine wall.
• Laparotomy: This is a surgical procedure in which a large incision is made in the abdomen to access the uterus and other organs. It may be performed in cases of ectopic pregnancy, severe uterine rupture, or other life-threatening conditions.

Obstetric emergency surgeries are typically performed under general anesthesiology treatment and may require a longer hospital stay and recovery period than a routine vaginal delivery. However, these surgeries are critical for ensuring the safety of the mother and baby, and can often prevent serious complications or even save lives.

Gynaec Emergencies

A gynecologic emergency is a medical condition that requires immediate attention and treatment to prevent serious or life-threatening complications. These emergencies can arise in women of all ages, from puberty to postmenopause. Some common gynecologic emergencies include:

• Ectopic pregnancy: This is a pregnancy that occurs outside the uterus, typically in the fallopian tube. It can be life-threatening if the fallopian tube ruptures, causing severe bleeding.
• Ovarian torsion: This occurs when an ovary twists on itself, disrupting blood flow to the ovary. This can cause severe abdominal pain, nausea, and vomiting.
• Ruptured ovarian cyst: Ovarian cysts are fluid-filled sacs that can form on the ovaries. In some cases, these cysts can rupture, causing sudden and severe abdominal pain.

In the event of a gynecologic emergency, it is important to seek immediate medical attention. Treatment will depend on the specific condition and may include surgery, medication, or other interventions to stabilize the patient and prevent further complications.

Prevention of gynecologic emergencies can be achieved through regular gynecologic check-ups and seeking prompt treatment for any symptoms of reproductive health problems.

Keyhole Laparoscopy

Keyhole laparoscopy, also known as minimally invasive surgery, is a surgical technique used to perform various procedures through small incisions in the body. It is commonly used in gynecology in Chennai to diagnose and treat conditions such as endometriosis, ovarian cysts, and fibroids. Laparoscopy is also used for hysterectomy and oophorectomy.

The procedure involves inserting a laparoscope, a thin tube with a camera and light, through a small incision near the belly button. The camera allows the surgeon to view the internal organs on a monitor. Additional small incisions are made in the abdomen for the insertion of other surgical instruments. The surgeon then performs the procedure while watching the monitor.

Advantages of Keyhole Laparoscopy

There are several advantages of keyhole laparoscopy, also known as minimally invasive surgery, compared to traditional open surgery. Some of the main advantages include:

• Smaller incisions: Laparoscopy requires only small incisions, typically less than one centimeter in size, compared to the larger incisions required for open surgery. This results in less pain and scarring for the patient.
• Reduced blood loss: Laparoscopy is associated with less blood loss during surgery compared to open surgery. This can reduce the need for blood transfusions and decrease the risk of complications associated with excessive bleeding.
• Shorter hospital stays: Patients who undergo laparoscopic surgery typically have shorter hospital stays compared to those who have open surgery. This can lead to a quicker recovery time and a faster return to normal activities.
• Faster recovery time: Laparoscopic surgery is associated with a faster recovery time compared to open surgery. Patients may be able to return to work and other normal activities sooner after laparoscopy.
• Improved visualization: Laparoscopy provides the surgeon with a better view of the internal organs compared to open surgery. This can result in more precise surgical procedures and fewer complications.
• Lower risk of infection: Laparoscopy is associated with a lower risk of infection compared to open surgery. This is because the incisions are smaller and there is less tissue damage during the procedure.

Procedures done in women with keyhole laparoscopy include:

• Diagnostic laparoscopy: This is a procedure used to diagnose the cause of abdominal or pelvic pain, infertility, or abnormal uterine bleeding. During the procedure, the surgeon inserts a thin, flexible tube with a camera attached through a small incision in the abdomen to view the pelvic organs.
• Hysterectomy: This is a procedure used to remove the uterus. Laparoscopic hysterectomy involves making small incisions in the abdomen to insert the laparoscope and surgical instruments to remove the uterus. This procedure is associated with less pain, shorter hospital stays, and quicker recovery times than traditional open surgery.
• Myomectomy: This is a procedure used to remove uterine fibroids. Laparoscopic myomectomy involves making small incisions in the abdomen to insert the laparoscope and surgical instruments to remove the fibroids while preserving the uterus.
• Ovarian cystectomy: This is a procedure used to remove ovarian cysts. Laparoscopic cystectomy involves making small incisions in the abdomen to insert the laparoscope and surgical instruments to remove the cysts while preserving the ovary.
• Endometriosis surgery: This is a procedure used to remove endometrial tissue that grows outside the uterus. Laparoscopic endometriosis surgery involves making small incisions in the abdomen to insert the laparoscope and surgical instruments to remove the tissue.

PREVENTION

Contraception

Contraception for women is a way to prevent pregnancy through the use of various methods. Here is a detailed article on the different types of contraception for women and how they work.

Hormonal Contraception

Hormonal contraception is a method of birth control that uses synthetic hormones to prevent pregnancy. They work by preventing ovulation, thickening cervical mucus to prevent sperm from reaching an egg, and thinning the lining of the uterus to prevent implantation of a fertilized egg. There are several types of hormonal contraception available, including:

• Pills
• Patches
• Injections
• Vaginal rings
• Implants

Barrier Methods

Barrier methods of contraception work by physically blocking sperm from reaching the egg. Types of barrier methods include:

• Condoms: Male condoms are worn over the penis and female condoms are inserted into the vagina to prevent pregnancy and sexually transmitted infections.
• Diaphragms: The diaphragm is a soft, silicone cup that is inserted into the vagina to cover the cervix and prevent sperm from reaching the egg.
• Cervical cap: The cervical cap is a small silicone cup that is inserted into the vagina to cover the cervix and prevent sperm from reaching the egg.

Intrauterine Devices (IUDs)

Intrauterine devices (IUDs) are a type of long-acting reversible contraceptive (LARC) that are inserted into the uterus to prevent pregnancy. There are two types of IUDs available: hormonal and non-hormonal.

Hormonal IUDs release a small amount of progestin into the uterus, which thickens the cervical mucus to prevent sperm from reaching the egg, and thins the lining of the uterus to prevent implantation. They can be effective for up to five years, depending on the type.

Emergency contraception

Emergency contraception (EC) is a type of birth control used after unprotected sex or contraceptive failure to prevent pregnancy. There are two types of EC: emergency contraceptive pills (ECPs) and the copper intrauterine device (IUD).

Emergency contraception pills are a type of hormonal contraception that can be used to prevent pregnancy after unprotected sex or if another form of birth control fails. 

A copper intrauterine device (IUD) can be taken up to 7 days of unprotected sex. It is made of plastic with a copper wire wrapped around the stem and arms of the device. Copper IUDs are one of the most effective forms of long-acting reversible contraception and can last for up to 10 years.

Copper IUDs work by creating a toxic environment for sperm, preventing fertilization. They also change the lining of the uterus, making it difficult for a fertilized egg to implant and grow.

When choosing a method of contraception, it is important to consider factors such as effectiveness, side effects, cost, and personal preferences. It is also important to remember that no method of contraception is 100% effective in preventing pregnancy, and using a combination of methods may be necessary for optimal protection.

Cancer Screening

Cancer is a group of diseases that occur when abnormal cells in the body grow and divide uncontrollably, potentially damaging nearby tissues and organs. Women can develop various types of cancer, with some being more common than others. The following are some of the most common types of cancer in women:

• Breast cancer: This type of cancer develops in the breast tissue and is the most common cancer among women worldwide.
• Ovarian cancer: Ovarian cancer occurs in the ovaries and is often not detected until it has spread to other parts of the body.
• Uterine cancer: Also known as endometrial cancer, this type of cancer develops in the lining of the uterus.
• Cervical cancer: This type of cancer develops in the cervix, which is the lower part of the uterus.
• Lung cancer: Although more common in men, lung cancer is still a significant concern for women who smoke or have been exposed to secondhand smoke.
• Colorectal cancer: This type of cancer affects the colon or rectum and is more common in older women.

It’s important for women to have regular check-ups and cancer screenings to detect cancer early, when it is easier to treat. 

Pap Smear

A Pap smear, also known as a Pap test, is a simple and quick test that is used to screen for cervical cancer. The test involves collecting cells from the cervix, which is the lower part of the uterus that connects to the vagina. The collected cells are then examined under a microscope to check for any abnormal changes.

Liquid-based cytology with HPV Screening

Liquid-based cytology with HPV screening is a method of cervical cancer screening that combines two tests: the Pap test (also known as cytology) and the HPV test. This screening method is more sensitive and accurate than traditional Pap tests alone, as it can detect both abnormal cervical cells and the presence of high-risk types of the human papillomavirus (HPV) that can cause cervical cancer.

Self-breast Examination

A self-breast exam is a way for women to check their breasts for any changes that could be a sign of breast cancer. While self-breast exams are not a substitute for regular mammograms or clinical breast exams performed by a healthcare provider, they can be a useful tool for detecting changes in the breast tissue.

Mammogram

A mammogram is a type of x-ray that is used to screen for breast cancer. The test can detect changes in the breast tissue that may be too small to be felt during a breast exam. Mammograms are an important tool for detecting breast cancer in its early stages, when it is easier to treat.

Alternatives to mammography

Some women may be interested in alternative methods of breast cancer screening, such as breast MRI or 3D mammography. These tests may be recommended for women at higher risk of breast cancer, but may not be appropriate for everyone.

It’s important to talk to our doctor about your individual risk of breast cancer and what type of screening is right for you. If you have concerns about mammography or breast cancer screening, don’t hesitate to ask questions and seek out more information. Early detection and treatment can greatly improve the chances of surviving breast cancer.

Ultra-sound of the Pelvis

An ultrasound of the pelvis can be used as a screening system as this non-invasive test uses sound waves to create images of the pelvic area and can detect changes in the size or shape of the pelvic organs. Any abnormality picked up in the ultrasound imaging can be suspected for certain types of cancer which must be confirmed with cancer screening tests.

Alternatives to ultrasound pelvis screening

Other screening tools, such as a pelvic exam, blood tests, or imaging tests like CT scans or MRI, may also be used to screen for certain types of cancer.

Vaccination in Women

Vaccination is a process of administering a vaccine, which is a substance that stimulates the body’s immune system to produce an immune response to a particular disease. This immune response helps protect the body from future infections with the same disease. Vaccination is one of the most effective ways to prevent the spread of infectious diseases.

Benefits of Vaccination

 Vaccination can prevent the spread of infectious diseases, protect vulnerable populations (such as young children or people with weakened immune systems), and save lives. Vaccines have been shown to be highly effective in preventing many serious diseases, and are often the best way to protect against diseases that cannot be treated with antibiotics.

Side Effects

 Most vaccines are safe and well-tolerated, but some people may experience mild side effects such as fever, headache, or soreness at the injection site. Serious side effects are rare but can occur, and it’s important to talk to your healthcare provider about any concerns you may have.

Important vaccinations for women

• Human papillomavirus (HPV) vaccine: The HPV (human papillomavirus) vaccine is a vaccine that is designed to protect against certain types of HPV, which can cause a variety of health problems, including genital warts and various types of cancer, such as cervical, anal, and oropharyngeal cancer.
• Influenza vaccine: The flu is a highly contagious respiratory illness that can cause serious complications, especially in women who are pregnant or have certain chronic medical conditions. The flu vaccine is recommended for all adults, including pregnant women, every year.
• Tetanus, diphtheria, and pertussis (Tdap) vaccine: The Tdap vaccine protects against three serious bacterial infections: tetanus, diphtheria, and pertussis (also known as whooping cough). The vaccine is recommended for all adults, including pregnant women, and should be given every 10 years.
• Shingles vaccine: Shingles is a painful, blistering rash that can occur in people who have had chickenpox. The risk of shingles increases with age, and the shingles vaccine is recommended for women over the age of 50.
• Measles, mumps, and rubella (MMR) vaccine: The MMR vaccine protects against three viral infections: measles, mumps, and rubella. Women who are planning to become pregnant should make sure they are vaccinated against these diseases, as they can cause serious complications during pregnancy.
• Hepatitis B vaccine: Hepatitis B is a serious viral infection that can cause liver damage and even liver cancer. The vaccine is recommended for all adults who are at risk of infection, including healthcare workers, people with multiple sexual partners, and people with certain medical conditions.

Aesthetic and Functional Gynecology

Aesthetic and functional gynecology is a branch of gynecology in Chennai that focuses on both the functional and aesthetic aspects of the female genitalia. It aims to improve the quality of life of women by addressing both the functional and aesthetic concerns that they may have regarding their genitalia.

Functional gynecology involves the diagnosis and treatment of various gynecological conditions that affect a woman’s reproductive and urinary systems. This includes conditions such as vaginal prolapse, urinary incontinence, pelvic organ prolapse, and other pelvic floor disorders. These conditions can significantly impact a woman’s quality of life, affecting her ability to perform daily activities and engage in sexual intercourse.

Aesthetic gynecology, on the other hand, addresses cosmetic concerns related to the female genitalia. This may include procedures such as labiaplasty, vaginoplasty, and hymenoplasty. Labiaplasty is a procedure that involves the reduction of the labia minora to reduce discomfort or improve the appearance of the genitalia. Vaginoplasty is a procedure that tightens the vaginal canal, which can improve sexual function and reduce discomfort. Hymenoplasty is a procedure that restores the hymen, which can be beneficial for cultural or religious reasons.

In recent years, there has been an increase in demand for aesthetic gynecology procedures. This may be due to increased awareness and acceptance of these procedures or changes in societal norms regarding female genitalia. However, it is important to note that these procedures should be performed by qualified and experienced professionals and only after careful consideration of the potential risks and benefits.

Sexual Problems

Sexual problems are a common concern for many women, and functional gynecology in Chennai can play a significant role in addressing these issues. Sexual problems may be caused by various factors, including medical conditions, hormonal changes, psychological issues, and relationship problems. Some of the common sexual problems that women may experience include:

• Low libido: This refers to a decreased interest in sexual activity and can be caused by hormonal imbalances, medications, stress, and relationship issues.
• Vaginal dryness: This occurs when the vagina does not produce enough natural lubrication during sexual activity, causing discomfort and pain.
• Painful intercourse: Pain during sexual activity can be caused by a range of factors, including vaginal dryness, infections, endometriosis, and pelvic floor disorders.
• Difficulty achieving orgasm: This is a common issue for many women and can be caused by a range of factors, including psychological issues, hormonal imbalances, and medical conditions.

Functional gynecology can help address sexual problems by providing a range of treatments and interventions. Treatment options that may be recommended include:

• Hormone therapy: This involves the use of hormones to balance the levels of estrogen and progesterone in the body. Hormone therapy can be beneficial for women who are experiencing low libido, vaginal dryness, and other sexual problems related to hormonal imbalances.
• Pelvic floor therapy: This involves exercises and other techniques designed to strengthen the muscles of the pelvic floor. Pelvic floor therapy can be beneficial for women who are experiencing pain during sexual activity or urinary incontinence.
• Vaginal lubricants: These are products that can be used to alleviate vaginal dryness and discomfort during sexual activity.
• Surgery: In some cases, surgical interventions may be necessary to address sexual problems. For example, women who are experiencing pain during sexual activity may benefit from surgery to correct pelvic floor disorders or endometriosis.

It is important to note that sexual problems can be complex and multifaceted, and addressing them may require a combination of interventions. Functional gynecology in Chennai can play a significant role in identifying and addressing the underlying causes of sexual problems and providing effective treatment options to help women improve their sexual health and wellbeing.

Vaginismus

Vaginismus is a condition that affects many women and can be characterized by involuntary spasms or contractions of the muscles around the vagina, making it difficult or impossible to engage in sexual activity. This condition can be caused by a variety of factors, including physical, psychological, and emotional issues.

Physical causes of vaginismus may include vaginal infections, injuries, surgeries, or childbirth trauma. Psychological factors such as anxiety, fear, or negative beliefs about sex can also contribute to the development of vaginismus. Additionally, past experiences of sexual abuse or trauma can also be a contributing factor.

The symptoms of vaginismus can vary in severity and may include pain, discomfort, or tightness in the vaginal area during sexual activity or penetration. The condition can also cause difficulty with gynecological exams and tampon use.

Fortunately, vaginismus can be treated effectively, and there are a range of treatment options available. Some of the most common treatment options include:

• Pelvic floor physical therapy: This involves exercises and techniques designed to strengthen the muscles of the pelvic floor, reducing the spasms and contractions that cause vaginismus.
• Counseling or psychotherapy: This can help women address underlying psychological or emotional issues that may be contributing to the development of vaginismus.
• Cognitive-behavioral therapy (CBT): This is a type of psychotherapy that focuses on changing negative thought patterns and behaviors associated with sexual activity.
• Gradual desensitization: This involves gradually exposing the body to sexual activity or penetration in a controlled and safe environment, allowing the body to become more comfortable and relaxed with sexual activity over time.
• Vaginal dilators: These are cone-shaped devices that can be used to gradually stretch the vagina, allowing women to become more comfortable and relaxed during sexual activity.

It is important to note that treatment for vaginismus may require a combination of interventions, and it is important to work closely with our experts to identify the underlying causes and develop an effective treatment plan. With the right approach, many women are able to overcome vaginismus and enjoy a healthy and satisfying sex life.

Lax Vagina

A lax vagina is a condition that can occur when the muscles of the pelvic floor lose their tone and strength, leading to decreased muscle control and elasticity. This condition can result in a range of symptoms, including decreased sexual satisfaction, urinary incontinence, and discomfort or pain during sex.

There are several factors that can contribute to a lax vagina, including:

• Childbirth: The process of giving birth can cause significant stretching and tearing of the vaginal tissues, which can lead to decreased muscle tone and elasticity.
• Hormonal changes: As women age, their bodies undergo changes in hormone levels that can impact the health and function of the vaginal tissues.
• Menopause: Menopause can cause a decrease in estrogen levels, which can lead to thinning of the vaginal walls and decreased elasticity.
• Obesity: Excess weight can put added pressure on the pelvic floor muscles, leading to decreased muscle tone and elasticity.
• Smoking: Smoking can cause a decrease in blood flow to the vaginal tissues, leading to decreased muscle tone and elasticity.

The symptoms of a lax vagina can vary but may include:

• Decreased sexual satisfaction: A lax vagina can lead to decreased sensation during sexual activity, making it difficult to achieve orgasm.
• Urinary incontinence: The loss of muscle control in the pelvic floor can lead to urinary incontinence or the involuntary release of urine.
• Discomfort or pain during sex: A lax vagina can cause discomfort or pain during sex, as well as a feeling of looseness or vaginal “gaping”.

Treatment options available for a lax vagina depend on the severity of the condition and the underlying causes. Treatment options include:

• Kegel exercises: These exercises are designed to strengthen the pelvic floor muscles, improving muscle tone and elasticity.
• Vaginal rejuvenation: This can involve a range of treatments, including laser therapy, radiofrequency therapy, or surgical procedures, to help tighten and tone the vaginal tissues.
• Hormone therapy: This can involve the use of estrogen creams, pills, or patches to help improve the health and function of the vaginal tissues.
• Weight loss: For women who are overweight, losing weight can help reduce pressure on the pelvic floor muscles, leading to improved muscle tone and elasticity.
• Quitting smoking: Quitting smoking can help improve blood flow to the vaginal tissues, leading to improved muscle tone and elasticity.

It is important for women to understand that there are many effective treatment options available for lax vagina. With the right approach, many women are able to improve their sexual health and overall well-being.

Benefits of Gynecology

• Reproductive Health Management: Gynecology ensures the monitoring and maintenance of reproductive health, addressing issues like menstrual disorders, fertility concerns, and contraception.
• Preventive Care and Screening: Regular gynecological check-ups enable early detection of conditions such as cervical and breast cancers, allowing for timely intervention and improved treatment outcomes.
• Pregnancy and Postpartum Care: Gynecologists provide essential care during pregnancy, ensuring the well-being of both the mother and the developing fetus. Postpartum care is also a crucial aspect, addressing recovery and any related concerns.

Conclusion

In conclusion, Gynecology in Chennai offers comprehensive and compassionate care for women’s reproductive health needs. With a focus on prevention, early diagnosis, and state-of-the-art treatments, the gynecologists in Chennai are dedicated to enhancing the well-being and quality of life for women of all ages. Whether it’s routine check-ups, advanced procedures, or addressing specific concerns, the gynecological services in Chennai play a crucial role in promoting women’s health and ensuring that they receive the care and attention they deserve.

Read also Pediatricians in Chennai.