Best Gynecologist in South Delhi, Obstetrician in South Delhi
Follow Dr. Anita Gupta on Facebook Follow Dr. Anita Gupta on Twitter Dr. Anita Gupta's profile on  google plus Dr. Anita Gupta's profile on  google plus blog
Home News & Articles Patient Testimonials Appointment Contact
SPECIALIZATION
Management of Pregnancy
High Risk Pregnancy Care
Menstrual Problems
Fibroid Uterus
Ovarian Cysts
Ectopic Pregnancy
PCOD
Adenomyosis
Infertility
 
NEWS & ARTICLES
World Mother’s Day: Labour Pain is a Wonderful Experience
For a mother, natural birth leads to a healthier and easier postnatal recovery. It is beneficial for the infant..
  Read More
   
Mother's Milk: Essential For Newborns
For good health of babies and to make people aware of the importance of breastfeeding...
  Read More
   
To be born in the lap of luxury
New Delhi, Aug 23 (IANS) Who doesn't want to bring up his child in a cocoon of comfort? Little Lavanya's parents...
  Read More
   
Navbharat Times-Delhi Times Quotes
Quotes of dr Anita Gupta in Navbharat Times-Delhi Times...
  Read More
   
Woman with a major fibroid saved
A 40-year-old woman was successfully operated for a very rare condition...
  Read More
   
PCOD, a cause of female infertility
Most of the time, poly cystic ovarian disease is diagnosed in women in their 20s or 30s. However it may also affect...
  Read More
   
Birthing you baby
Dr. Anita Gupta, Senior Consultant-obstetrics and Gynaecology, Fortis La Femme, tells you all about birthing naturally and clears some common myths about it..
  Read More
   
 
All News
     
    
           Patient Testimonials
Indu Yadav
I want to say big thanks to you for giving me such good care and support.....
Bhavana
Mam thnx for bringing our baby safely in this world......
Deepmala
Without ur guidance n treatment we wouldn't be able to see this happiness it's been five years of marriage.....
Divya
Her Professional excellence aptly combined with highly sensitive, personalized & warmth in attitude....
Jyoti's Husband
Going through childbirth is a mix of immense pain followed by immense happiness.....
Pamela
May d almighty Lord impact more knowledge & wisdom in u thru which u save life....
Ifsan
Thanks to your excellent and quality care, both mother and baby are healthy and happy..
Tanushree
Thank u so much for ur lovely care and support...this is sec birth that u given me...n always thanking to god that u were always with me with ur care...
Sarika
Thanks Dr Anita Gupta for ur care, support n grt consultation. My search for best gynaecologist ends after meeting you...
Rupali
Thanks Dr Anita Gupta
for your extraordinary care you provided throughout my pregnancy when I was looking for best gynecologist for me.
Astha
I am extremely grateful to u for the enormous amount of support,advice n confidence that u gave me throughout my pregnancies.
View All  
Gynecologist in delhi
  Specialization
 
Infertility Treatment Management of Pregnancy

Complete care of your pregnancy starting with pre-pregnancy consultation and guidance, total ante-natal (during pregnancy) care and finally delivery both Vaginal and Caesarean. And finally post pregnancy guidance and contraceptive advice including intra-uterine device (like copper-T, multiload) insertion and tubal sterilization both Laparoscopic and mini-lap.

   
High Risk Pregnancy Care High Risk Pregnancy Care

Care during pregnancy associated with Thyroid problems, High blood pressure, Diabetes, multiple pregnancy (Twin pregnancy, Triplet Pregnancy) and also when pregnant at an age more than 35 years. These ladies need extra care to ensure delivery of a healthy Baby along with good health of the mother.

   
Menstrual Problems Menstrual Problems

If you have any abnormality in your menstrual cycle you may need guidance to find out the cause by blood tests and/or ultrasound. To correct the problem you may need medicines. At times you may need minor surgical procedures like D&C, Polypectomy, Hysteroscopy or Laparoscopy. I take care of all these things.

   
Fibroid Uterus Fibroid Uterus

Uterine Fibroids are non-cancerous tumours in the uterus. This is a most common health problem among women of child bearing age. Generally the complaint of uterine fibroid comes between the age group of 30 to 45 years. This benign tumour can cause pain, excessive menstrual bleeding, infertility. It can vary in size, from that of a few mm to as large as a melon. Small fibroids may not need treatment while large fibroid can be treated only through surgery. Very large fibroids as large as water-melon are not very common.
Some women have no symptoms to indicate that they have fibroids, and will find out only on a routine ultrasound or gynaecological examination.

Fibroids affect at least 20% of all women during their life. Overweight and obese women are at significantly higher risk of developing fibroids, compared to women of normal weight.

Symptoms of Fibroids
  • Anaemia (as a result of heavy periods)
  • Discomfort in the lower abdomen (especially if fibroids are large)
  • Retention/frequent urination
  • Heavy painful periods
  • Painful sex
  • Swelling in the lower abdomen (especially if fibroids are large)

    Other symptoms may include:
  • Pregnancy problems
  • Fertility problems
  • Repeated miscarriages
  • A fibroid can sometimes degenerate causing fever and severe pain.
  • During a woman's reproductive years her oestrogen and progesterone levels are high. When oestrogen levels are high, especially during pregnancy, fibroids tend to swell. When oestrogen levels are low fibroids may shrink as can be seen after menopause.
Treatment of Major Fibroid

Treatment of fibroids can range from no treatment at all to surgery. Unless fibroids are causing excessive bleeding, discomfort or bladder problems, treatment usually isn't necessary.

Myomectomy is an operation to remove fibroids while preserving the uterus. For women who want to have children in the future, myomectomy is the treatment option.

Women above forty years or those who have completed their family need Hysterectomy which is a surgical procedure in which the uterus is removed either Laparoscopy or by open surgery.

So if you are already experiencing symptoms like pelvic pain and cramping, excessive bleeding during your menses, it’s time to go for a gynaecological check-up.

 
   
Ovarian Cysts Ovarian Cysts

The ovaries are the very important part of a female body. They are a in a pair in the female reproductive system and are located one on each side of the uterus. Each ovary is about the size and shape of an almond. The ovaries produce eggs and are also the main source of the female hormones oestrogen and progesterone. They influence the development of a woman's breasts, body shape, and body hair. They also regulate the menstrual cycle and pregnancy.

A cyst is a fluid-filled sac, and can be located anywhere in the body. Ovarian cysts are fluid-filled sacs or pockets within or on the surface of an ovary. Different types of cysts can form in the ovary.

Many cysts are completely normal. These are called functional cysts and these are very commonly found. They occur during egg formation. Functional cysts normally shrink over time, usually in few months. If you have a functional cyst, you may need a check-up once again in 1 to 2 months to make sure that the cyst has become smaller or has it completely resolved.  These cysts are almost never associated with cancer. But if you are menopausal and are not having periods, you will not have functional cysts.

The other types of cysts are chocolate cyst, Simple cyst, or dermoid cyst.

Many women have ovarian cysts without having any symptoms. In some the cyst will cause these problems:

  • Pressure, fullness, or pain in the abdomen
  • Pain during sexual intercourse
  • Painful menstrual periods and abnormal bleeding
  • Nausea or vomiting

To identify the type of cyst, the following tests are needed:
          1. Pelvic ultrasound
          2. CA 125 blood test- It is a tumour marker and is often elevated in ovarian cancer.

The ovarian cysts can be treated in the following ways-
1. Wait and watch-
The patient waits and gets re-examined in one to three months to see if the cyst has changed in size. This is a common treatment option for women who are in their childbearing years, have no symptoms, and have a simple cyst less than 5 cm size.

2. Surgery-
If the cyst does not go away after few menstrual cycles, has become larger, or looks unusual on the ultrasound, causes pain, or the woman is postmenopausal, then there is a need to remove it. There are two surgical methods-

Laparoscopy
-if the cyst is small and looks non-cancerous on the ultrasound, CA-125 is normal then laparoscopy can be done. This procedure is done under general anaesthesia. Very small incisions of 0.5 to 1.0 cm are needed in this surgery.

Open Surgery-
if the cyst is solid and looks suspicious, then open surgery is needed. The incision in open surgery is quite big.

   
Ectopic Pregnancy Ectopic Pregnancy

What is Ectopic pregnancy? It means that pregnancy is somewhere outside the uterus. Such a pregnancy could be inside a fallopian tube or ovary or very rarely in the abdominal cavity outside the uterus. Most common is the tubal pregnancy so we are broadly talking about the fallopian tube pregnancy.

Any pregnancy could be an ectopic pregnancy, so awareness of this problem is a must. This type of pregnancy usually presents with a lower abdominal pain. When in doubt an ultrasound and blood test for serum Beta HCG helps in diagnosing it.

Sometimes you may not have any symptom and your routine early pregnancy ultrasound may show an ectopic pregnancy.

Many times when it is left undiagnosed and allowed to go beyond six weeks of pregnancy it leads to rupture of the fallopian tube leading to bleeding inside the abdomen along with severe pain, leading to shock and the lady collapses. This is big emergency as she needs urgent surgery to stop the bleeding and she will also require blood transfusion. If managed in time the patient recovers well although her ruptured fallopian tube might have been removed.

If diagnosed in the unruptured stage then ectopic pregnancy can be treated medically under supervision.
One important point, as these days abortion pills are very popular and also available off the counter, be sure that you are not ectopic pregnant before using these pills. Such a situation can be life threatening. This is even more crucial in unmarried pregnant girls who take these pills very secretly. So please, please be aware of the fact that you may be ectopic pregnant so do not shy away from the doctor.

   
PCOD PCOD

PCOD is a problem related to hormones. Oestrogen and progesterone are main female hormones and some amount of androgen which is a male hormone is also present in females. Imbalance in these hormones leads to PCOD. It is not completely understood why or how the changes in the hormone levels occur. These changes lead to problems in the ovulation process of the ovaries resulting in development of many immature eggs. Mature eggs are not formed.  In normal ovulation one or more eggs get matured and are released during one menstrual cycle.  In PCOD as eggs are not released from the ovaries and they form many small cysts in the ovary so the name Poly-Cystic Ovarian Syndrome. Women with this disorder often have a mother or sister who has symptoms similar to those of polycystic ovary syndrome therefore it is thought to have a genetic etiology. Most of the time, PCOS is diagnosed in women in their 20s or 30s. However, it may also affect teenage girls. PCOD produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be one of the leading causes of infertility and the most frequent endocrine problem in women of reproductive age.

Symptoms tend to be mild at first. You may have only a few symptoms or a lot of them. Rarely on a routine ultrasound is it an accidental finding while the female is not having any symptoms of PCOD. The most common symptoms are:

  • Delayed cycles, scanty menstrual bleeding or irregular spotting during the menstrual cycle.
    Acne.
  • Excessive weight gain.
  • Extra facial hair. Often women get thicker and darker facial hair.
  • Hair fall (scalp)
  • Difficulty in conceiving (infertility).

History of menstrual irregularities with weight gain or increased facial hair gives the hint of it being due to PCOD. An Ultrasound of the ovaries leads to a clear diagnosis as we can see the typically multi cystic or poly cystic ovaries. Blood tests to see hormonal levels can reconfirm the diagnosis. Blood tests are also done for glucose metabolism as this is found to be deranged in some cases of PCOD.

Regular exercise, balanced diet is important for the treatment. One should try to lose weight with exercise and diet management preferably under the guidance of a dietician

Hormonal pills are usually needed which should only be taken under proper medical guidance.

A diabetes medicine called metformin may also be needed.

Fertility medicines will be needed if you are trying to get pregnant.

If above treatment does not correct the problem then surgical treatment is needed through Laparoscopic surgery. Well we can say that it is a treatable problem. You need to be aware of it so that treatment is started sooner.

   
Adenomyosis Adenomyosis

This is a problem usually found in women between the ages of 35 and 50. Women with adenomyosis can have painful and/or profuse heavy menses.
Some women with Adenomyosis do not experience any symptoms.

Symptoms of anenomyosis are -

  • Pain in the lower abdomen
  • Excessive pain during menses
  • Pressure on urinary bladder
  • Heavy bleeding during menses
  • Prolonged bleeding during menses

This condition can be diagnosed with ultrasound and further reconfirmed on MRI. Transvaginal ultrasound shows an enlarged uterus with adenomyotic changes in the muscle layer.

The treatment of adenomyosis may be medical, when hormonal tablets are prescribed. Or there may be a need of surgery, the uterus needs to be removed which is usually possible by laparoscopic method.

   
Infertility Infertility

Infertility means inability to conceive. A couple may be considered infertile if, after two years of regular sexual intercourse, without contraception, the woman does not become pregnant.

Infertility may be primary or secondary. Primary infertility is infertility in a couple who have never had a child. Secondary infertility is failure to conceive following a previous pregnancy.

Common causes of infertility of females include:

  • Ovulation problems
  • Tubal blockage
  • Pelvic infection
  • Age-related factors

Uterine problems
The main cause of male infertility is low semen quality.

The treatment depends on the cause of infertility. It may be managed by medicines in some couples or there may be a need of some corrective surgery which is usually done laparoscopically and by Hysteroscopy.
If these methods fail there may be a need of procedures like IUI, IVF.

Gynecologist/Gynaecologist, Obstetrician in South Delhi - Dr. Anita Gupta

Tel: +91-9599678119, E-mail: anitagupta.gynae@gmail.com Blog Disclaimer © 2018-2019