We offer and do Pap test to all women who visit our clinic as routine. Sample is collected with us sent to laboratory and report made available next day.
A Pap test is a procedure to collect cells from the surface of the cervix and vagina. A brush is used to gently scrape cells from the cervix and vagina and are placed into a liquid before being placed on a slide. The cells are viewed under a microscope to find out if they are abnormal.
Traditionally, recurrent miscarriage is when a woman experiences three or more miscarriages in a row. But today experts recommend a medical evaluation after two recurrent miscarriages. Nearly one to two percent of women suffer recurrent miscarriage.
Hysteroscopy is a procedure that allow us look inside your womb (uterus). This is done using a narrow tube-like instrument called a hysteroscope. The hysteroscope is very slim (about 3 to 5 millimetres in diameter). It’s carefully passed through the vagina and neck of the womb (cervix) and into your uterus. The hysteroscope has a video camera inside which sends pictures to a computer screen. This allows us to check for any abnormalities in the lining of the uterus.
Many people are aware how important it is to maintain a healthy lifestyle during pregnancy, but often forget about prenatal and postnatal care. Preparing your body before pregnancy and helping it to heal afterwards should also be essential components of pregnancy care.
For most couples trying to have a baby, getting pregnant takes an average of six months. After having frequent, unprotected (without using birth control) intercourse for one year, about 10 percent to 15 percent of couples in their 20s and early 30s have difficulty getting pregnant-difficulty getting pregnant jumps to 40-50% in women in their late 30s and 40s. When this happens, the couple most likely has a problem with infertility.
In each menstrual cycle, follicles grow on the ovaries. Eggs develop within those follicles, one of which will reach maturity faster than the others and be released into the fallopian tubes. This is “ovulation”. The remaining follicles will degenerate. In the case of polycystic ovaries, however, the ovaries are larger than normal, and there are a series of undeveloped follicles that appear in clumps, somewhat like a bunch of grapes. The cysts are not harmful but lead to hormone imbalances.
Early diagnosis and treatment can help control the symptoms and prevent long-term problems. If it isn’t treated, over time it can lead to serious health problems, such as diabetes and heart disease.
A variety of treatments are available to address the problems of PCOS. Treatment is tailored to each woman according to symptoms, other health problems, and whether she wants to become pregnant.
Combined hormonal birth control pills can be used for long-term treatment in women with PCOS who do not wish to become pregnant. Combined hormonal pills contain both estrogen and progestin. These birth control pills regulate the menstrual cycle and reduce hirsutism and acne by decreasing androgen levels. They also decrease the risk of endometrial cancer.
For overweight women, weight loss alone often regulates the menstrual cycle. Even a small weight loss of 5 kg can be helpful in making menstrual periods more regular. Weight loss also has been found to improve cholesterol and insulin levels and relieve symptoms such as excess hair growth and acne.
Insulin-sensitizing drugs used to treat diabetes frequently are used in the treatment of PCOS. These drugs help the body respond to insulin. In women with PCOS, they can help decrease androgen levels and improve ovulation. Restoring ovulation helps make menstrual periods regular and more predictable
Successful ovulation is the first step toward pregnancy. For overweight women, weight loss often accomplishes this goal. Medications also may be used to cause ovulation. Surgery on the ovaries has been used when other treatments do not work.
Presently, the exact cause of PCOS is unknown. Some experts lean toward the theory that it might be a genetic, inherited condition since women who have it are more likely to have a sister or mother who also has it. Most feel that women with PCOS have a defect in insulin or insulin secretion that leads to the disease, that is why women with PCOS are more likely to get diabetes.
It might. Because it is a hormonal imbalance, it can hamper normal ovulation and cause female infertility as well as sub-fertility.
There is no one definitive test that can diagnose PCOS. The diagnosis of PCOS is a clinical diagnosis, meaning the diagnosis is made by your medical history and not any specific blood test. Three criteria determine if you have PCOS. Irregular menstrual cycles since puberty (when not on hormones), signs of androgen excess (excessive hair growth, acne or an elevated blood testosterone level) and PCOS appearing ovaries by ultrasound. To have the diagnosis of PCOS you on need to meet 2 of the 3 above mentioned criteria. The Colorado fertility clinic doctor will generally use a variety of tests and check things such as your weight, hair growth, menstrual history, screening test for diabetes, endometrial lining and more to treat your PCOS.
We offer and do Pap test to all women who visit our clinic as routine. Sample is collected with us sent to laboratory and report made available next day.
A Pap test is a procedure to collect cells from the surface of the cervix and vagina. A brush is used to gently scrape cells from the cervix and vagina and are placed into a liquid before being placed on a slide. The cells are viewed under a microscope to find out if they are abnormal.
A Pap test is a procedure to collect cells from the surface of the cervix and vagina. A brush is used to gently scrape cells from the cervix and vagina and are placed into a liquid before being placed on a slide. The cells are viewed under a microscope to find out if they are abnormal.
This procedure is also called a Pap smear where a slide is prepared. We follow a new method of collecting and viewing cells known as liquid based cytology work better than routine method to screen cervical cancer.
According to the national cervical screening program all women from ages 25 to 64 needs cervical screening. Women aged 25 to 49 should undergo every 3 years. After that, women are invited every 5 years until the age of 64.
Usual signs of breast cancer include a painless lump or mass, bulging of skin, dimpling, puckering, nipple retraction, change in skin colour and discharge. Having one or more of these signs and symptoms is not a sure shot sign of breast cancer, however, consulting a specialist is recommended.
Though the definite cause of breast cancer is still not clear, many factors increase the risk. These factors include increasing age, alcohol, late pregnancy, early menstruation, late menopause, and family history, use of oral contraceptives and history of radiation therapy.
There has been a lot of discussion around the connection between bra (especially padded) and breast cancer. However, there are still no studies or surveys that prove wearing a padded bra can cause cancer.
Traditionally, recurrent miscarriage is when a woman experiences three or more miscarriages in a row. But today experts recommend a medical evaluation after two recurrent miscarriages. Nearly one to two percent of women suffer recurrent miscarriage.
Miscarriage is the natural or spontaneous end of a pregnancy at a stage where the embryo or the fetus is incapable of surviving, generally defined at 20 weeks of pregnancy. Miscarriage is a common complication of pregnancy, and may occur in one of six clinical pregnancies. Many more miscarriages may occur before a woman even knows she is pregnant. A majority of these preclinical miscarriages are due to a random chromosome error.
When experiencing a miscarriage, patients may struggle with feelings of depression, loss, grief and anger. Psychological support can help these patients to cope up with the emotional issues they may have to deal with.
At our center we give one to one care to couple giving them psychological support along with evidence based treatment.
Probable Causes of Recurrent Miscarriage
Abnormal Uterine Cavity
Septums, polyps, “fibroids”, adhesions
Diagnosed by hysterosalpingogram, sonohysterogram, or hysteroscopy
Treated by surgery (outpatient usually)
Abnormal Chromosomes of Parents
Can lead to pregnancies with abnormal genetic make-up
Diagnose by blood test of parents for chromosome make-up
Abnormal Immune System
Inappropriate regulation of immune system compromising growth of pregnancy and placenta
Diagnosed by blood tests for antiphospholipid antibodies (including anticardiolipin and lupus anticoagulant)
Treated with low-dose aspirin and heparin
Abnormal Regulation of Blood Clotting
Genetic abnormalities in the blood clotting system can contribute to miscarriage and pregnancy complications
Diagnosed by blood tests for several genetic abnormalities
Infection
If you have had a late miscarriage, tests such as blood samples and vaginal swabs may be taken at the time to look for any source of infection.
Referral for genetic counseling
If either you or your partner has a chromosome abnormality, you should be offered the chance to see a specialist called a clinical geneticist. They will discuss with you what your chances are for future pregnancies and will explain what your choices are. This is known as genetic counseling.
Monitoring and treatment for a weak cervix
If you have had a miscarriage between 14 and 24 weeks and have a diagnosis of a weak cervix, you may be offered an operation to put a stitch in your cervix. This is usually done through the vagina at 13 or 14 weeks of pregnancy under a general or spinal anesthetic. Your doctor should discuss the surgery with you.
If it is unclear whether your late miscarriage was caused by a weak cervix, you may be offered vaginal ultrasound scans during your pregnancy to measure the length of your cervix. This may give information on how likely you are to miscarry. If your cervix is shorter than it should be before 24 weeks of pregnancy, you may be offered an operation to put a stitch in your cervix.
Hormone treatment
Taking progesterone or human chorionic gonadotrophin hormones early in pregnancy has been tried to prevent recurrent miscarriage. More evidence is needed to show whether this works.
Immunotherapy
Treatment to prevent or change the response of the immune system (known as immunotherapy) is not recommended for women with recurrent miscarriage. It has not been proven to work, does not improve the chances of a live birth and may carry serious risks (including transfusion reaction, allergic shock and hepatitis)
To help find the cause of repeated miscarriage, you will be asked about your medical history and past pregnancies. A complete physical exam, including a pelvic exam, may be done. You may be offered genetic counselling. You also may need certain tests:
• Blood tests to detect any problems with hormones or the immune system
• Chromosomal testing of both you and your partner or of the miscarriage tissue, if it is available
• Procedures also may be done to help detect problems in the Uterus :
• Hysterosalpingography An X-ray of the uterus and fallopian tubes is taken after the organs are injected with a small amount of dye.
• Hysteroscopy A thin, light-transmitting device is inserted through the vagina and cervix to view the inside of the uterus.
If you have had repeated miscarriages, you need to think ahead. Future pregnancies should be planned, diagnosed early, and checked closely. You may be able to improve your chances of having a successful pregnancy in the future by doing.
Hysteroscopy is a procedure that allow us look inside your womb (uterus). This is done using a narrow tube-like instrument called a hysteroscope. The hysteroscope is very slim (about 3 to 5 millimetres in diameter). It’s carefully passed through the vagina and neck of the womb (cervix) and into your uterus. The hysteroscope has a video camera inside which sends pictures to a computer screen. This allows us to check for any abnormalities in the lining of the uterus.
The hysteroscope has special channels which allow the doctor to pass various instruments into the uterus. This means that as well as being able to look inside the uterus, we can perform certain · Remove polyps – small lumps of tissue growing on the lining of the womb (uterus).
Remove scar tissue in the uterus.
Perform endometrial ablation – a procedure where the lining of the womb is made thinner in order to prevent heavy periods.
Remove adhesions (areas where the walls of the uterus are sticking together).
Remove non-cancerous growths (fibroids) in the uterus.
Locate a ‘lost’ or stuck contraceptive device, such as an intrauterine contraceptive device (IUCD) – also known as a ‘coil’. procedures like Hysterectomy means Removal of the uterus or womb.
A hysterectomy can be done in different ways: through the vagina, through the abdomen, or with laparoscopy. Several factors are considered before opting for the most suitable method for the individual patient. Sometimes, the decision is made after the surgery begins and the surgeon is able to see whether other problems are present. The methodology should be left to the surgeon. . In the open method the hospital stay is also only two nights, but rest at home is advised for one month. In laparoscopy also hospital stay is about 2 nights but return to work is between 7 to 10 days later.
Laparoscopic surgery, also known as minimally invasive surgery is a highly specialised method of performing surgery Unlike traditional surgeries, where a single large incision is done, laparoscopic surgery can involve creating multiple small incisions called “port” that are of 0.5 to 1 cm in diameter.
A tubular instrument called trochar is inserted into each port. Once trochars are inserted, certain specialized instruments such as a special camera known as the laparoscope are passed through them into the surgical area. Before beginning the procedure, the abdomen is inflated with carbon dioxide in order to provide a sufficiently large working space. The laparoscope can relay the images of the surgical area to the high-resolution video monitors in the operation theatre. The surgeon can use these detailed images to perform the same operation that a traditional surgery involves.
Compared with abdominal hysterectomy, laparoscopic surgery results in less pain, has a lower risk of infection, and requires a shorter hospital stay. You may be able to return to your normal activities sooner.
n a vaginal hysterectomy, the uterus is removed through the vagina. There is no abdominal incision. Not all women are able to have a vaginal hysterectomy. For example, women who have adhesions from previous surgery or who have a very large uterus may not be able to have this type of surgery.
Vaginal hysterectomy generally causes fewer complications than abdominal or laparoscopic hysterectomy. Healing time may be shorter than with abdominal surgery, with a faster return to normal activities. It is recommended as the first choice for hysterectomy when possible.
Abdominal hysterectomy can be performed even if adhesions are present or if the uterus is very large. However, abdominal hysterectomy is associated with greater risk of complications, such as wound infection, bleeding, blood clots, and nerve and tissue damage, than vaginal or laparoscopic hysterectomy. It generally requires a longer hospital stay and a longer recovery time than vaginal or laparoscopic hysterectomy.
Tubal ligation is an operation to stop a woman from getting pregnant. It is PERMANENT. Therefore, you should only consider this procedure if you are sure you will never want another child. The Fallopian tubes, which carry the eggs from the ovary to the womb (uterus), are burned, clipped, cut or tied (the tubes are sealed). The tubes are therefore closed so the sperm and egg do not meet. The egg then dissolves and is absorbed by the body.
Many people are aware how important it is to maintain a healthy lifestyle during pregnancy, but often forget about prenatal and postnatal care. Preparing your body before pregnancy and helping it to heal afterwards should also be essential components of pregnancy care.
Prenatal care is the medical care that a woman receives during pregnancy or prenatal. It is important for a woman to receive regular prenatal care to ensure the health and well-being of both the mother and the developing baby.
Prenatal care usually begins with a visit to a healthcare provider as soon as a woman suspects she is pregnant or confirms the pregnancy with a home pregnancy test. The healthcare provider will perform a physical exam and order blood and urine tests to confirm the pregnancy and determine the due date.
During prenatal care, the healthcare provider will monitor the health of the mother and baby through regular check-ups and may perform tests, such as ultrasound and blood tests, to check the baby’s development and the mother’s health. The healthcare provider will also provide education and support to the expectant mother on topics such as nutrition, exercise, and childbirth.
It is important for a woman to receive regular prenatal care to ensure the health and well-being of both the mother and the developing baby.
Physical therapy is great for pregnant women and can benefit both you and your baby, during and after your pregnancy. The weight of a growing infant can cause lower back pain, leg pain, postural shifts or it can bring on pre-existing musculoskeletal issues forward that were there before the baby and are now contributing to pain or discomfort.
Atlantic Spine Center places emphasis on the comfort of the mother and child by providing knowledgeable women’s health experts and modern techniques. We are equipped to handle your pregnancy discomforts for the smoothest delivery possible. Some of the common pregnancy conditions we handle include during and after pregnancy include:
Some pregnant women also participate in our comprehensive prenatal and postnatal chiropractic care, massage therapy and pain management programs. Ask our board-certified physician which programs are right for your needs.
What is Postnatal Care
Postnatal care is the medical care that a woman receives after giving birth or post natal. It is important for a woman to receive proper after birth care to ensure the health and well-being of both the mother and the newborn baby.
Postnatal care usually begins immediately after birth of the baby and may involve a stay in the hospital or a visit to a healthcare provider’s office. During postnatal care, the healthcare provider will check the mother’s and baby’s health and provide support and education on topics such as breastfeeding, newborn care, and postpartum recovery.
The healthcare provider may also provide guidance on contraception and family planning, as well as address any concerns or questions the mother may have about the postpartum period.
It is important for a woman to receive proper postnatal care to ensure the health and well-being of both the mother and the newborn baby. This may involve regular check-ups with a healthcare provider, as well as self-care and support from family and friends.
Prenatal Nutrition
Prenatal nutrition is an important aspect of prenatal care, as the health and nutrition of the mother during pregnancy can have a significant impact on the health of the developing baby.
During pregnancy, a woman’s nutritional needs increase to support the growth and development of the baby. It is important for a pregnant woman to consume a varied and balanced diet that includes a range of nutrients, such as protein, carbohydrates, fats, vitamins, and minerals.
Some specific nutrients that are particularly important during pregnancy include:
Prenatal Supplements
In some cases, a healthcare provider may recommend the use of prenatal supplements to help ensure that a pregnant woman is getting enough of certain nutrients. Prenatal supplements are formulated specifically for pregnant women and may contain a range of nutrients, such as folic acid, iron, and calcium. It is important to discuss the use of prenatal supplements with a healthcare provider before starting any new supplement regimen.
To help find the cause of repeated miscarriage, you will be asked about your medical history and past pregnancies. A complete physical exam, including a pelvic exam, may be done. You may be offered genetic counselling. You also may need certain tests:
• Blood tests to detect any problems with hormones or the immune system
• Chromosomal testing of both you and your partner or of the miscarriage tissue, if it is available
• Procedures also may be done to help detect problems in the Uterus :
• Hysterosalpingography An X-ray of the uterus and fallopian tubes is taken after the organs are injected with a small amount of dye.
• Hysteroscopy A thin, light-transmitting device is inserted through the vagina and cervix to view the inside of the uterus.
If you have had repeated miscarriages, you need to think ahead. Future pregnancies should be planned, diagnosed early, and checked closely. You may be able to improve your chances of having a successful pregnancy in the future by doing.