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Thursday, June 13, 2024

General Gynaecology at Niraamaya Clinic

Gynecologists are doctors who specialize in women’s reproductive systems and offer assistance with anything from pregnancy and childbirth, menstruation, and fertility problems to general reproductive wellness issues.

Dr. Bhumika is an esteemed Gynecologist in Noida. Known for her warm approach and expertise in Normal Delivery, Abortion/ Medical Termination of Pregnancy services and Fertility Management solutions.

Pelvic Examinations

A pelvic exam can help pinpoint the source of lower abdominal discomfort, abnormal vaginal bleeding or discharge, skin changes, sex or urinary problems and any painful sex or urinary issues. Your healthcare provider will ask about your past medical history as well as any current symptoms you’re experiencing before using a metal-hinged tool called a speculum to inspect both vulva and cervix (neck of uterus) using its duck-billed probe called “speculum”, and use this device to look for areas of irritation such as irritations, enlargements lesions cysts or any signs of disease or discomforts in these organs.

Your healthcare provider will conduct a visual exam of both your vulva and sometimes your rectum, including conducting an exam of blood flow to each organ. If you have been having problems with your menstrual cycle, bring along a period diary so you can discuss it with them during this visit – such as recording dates of menstruation as well as blood flow throughout each month.

Your doctor will then conduct a Pap test, which serves as a screening test for cervical cancer. A Pap smear takes a sample from the top of your cervix using a small wand, while also screening for HPV which has been linked with cervical cancer over time. Therefore, the US Preventive Services Task Force advises women aged 21 or over should have regular Pap tests.

At an internal physical exam, your healthcare provider will use one hand to feel the interior of your stomach area and pelvis while pressing gently against your lower belly with another. With their other hand, they will insert one or two lubricated fingers into your vagina or may insert a speculum for 30 seconds that could feel uncomfortable at first. If sexually active, as part of their pelvic exam they may also perform a screening exam for gonorrhea, chlamydia or trichomoniasis as part of their pelvic exam.

Abdominal Examinations

An abdominal examination is an integral component of clinical assessment. Conducted before any laboratory or radiological investigations are ordered, it can provide valuable clues that help narrow down potential diagnoses – often eliminating the need for more extensive investigation. Before beginning an OSCE examination, physicians must always thoroughly wash their hands and introduce themselves to their patient. Assuring patients remain calm and relaxed will allow the examiner to collect relevant data efficiently. Voluntary or involuntary guarding can make collecting relevant information challenging, making the job of the examiner even more complex. Once the patient is comfortable in their position, it is important that they localize any pain or discomfort so it can be targeted and palpated. This can be accomplished by asking the patient to point their finger in the area where it hurts, or placing their hand on their abdomen and instructing them to ‘feel’ for maximum discomfort. A pillow under their head or knees may provide extra comfort and reduce pelvic floor muscle tightening that could increase discomfort levels and result in pain sensitivity.

Visual inspection of the abdomen includes noting the shape and appearance of its skin. Any abnormalities identified during inspection are followed up with auscultation and palpation for follow up. This allows clinicians to detect hidden anomalies within the bowel such as changes to its sound such as bowel rub or vascular bruit which could indicate inflammation of serosal surfaces causing organs to rub together producing sound (or bruits).

Abdominal palpation involves using fingers or the palm of the hand to feel for abnormalities in the abdomen using various senses, particularly above and below to ensure all underlying structures are being checked for. When performing the examination it can also be beneficial to think anatomically by dividing it into four quadrants – right upper quadrant, right lower quadrant, left upper and left lower; this way it’s easier for examiners to recall which quadrant each body part falls under while also making comparison easier between patients.

Vaginal Examinations

Vaginal examinations (VEs) are vital health screening tests, designed to detect warts, cysts, and abnormal discharge. Your physician or midwife typically performs these examinations. Prior to each VE, you may lie on an exam table and your feet placed either on its corners or stirrup supports called stirrups. Your provider will wash their hands, use lubricant on their gloves before performing their examination; checking your vagina from outside for sores, changes in skin colour, swelling or irritation before performing their examination from inside!

Your health care provider will use a plastic or metal hinged tool called a speculum to widen your vagina, then examine both the cervix and inside of your vagina for issues. While this process can sometimes be uncomfortable, try and relax throughout. If any pain arises let them know as soon as possible so they can stop testing.

Ultrasound Examinations

Ultrasound utilizes sound waves to produce real-time images (or videos) of organs and soft tissues within the body without making incisions, enabling healthcare providers to observe tissue and fluid movements and detect abnormalities such as cysts or tumors without incurring surgery or using radiation treatment. Also referred to as ultrasound scanning or sonography, ultrasound is safe, noninvasive and doesn’t use radiation rays.

Ultrasound examinations are frequently utilized for medical diagnosis purposes. An ultrasound can examine an individual’s abdominal and pelvic organs, musculoskeletal system, blood vessels, fetus during gestation as well as various noncancerous growths such as polyps, cysts or calcifications of their ovaries. Ultrasound exams also can detect conditions like fibroids uteri as well as noncancerous polyps or cysts on ovaries which might otherwise remain undetected without this testing tool.

Health care providers (sonographers) apply a special gel over the area they wish to examine before using an ultrasound probe as a wand-like device that transmits high-frequency sound waves and records their reflection (called echos ). Some ultrasound machines offer three-dimensional and Doppler ultrasound technology which formats this reflected wave information into moving images of internal structures within the body.

Your ultrasound exam depends on the purpose of your visit; for instance, an abdominal diagnostic ultrasound will scan organs and structures within your belly such as liver, gallbladder, appendix and gallbladder; while kidney ultrasound can detect cysts, tumors or blockages in kidneys ureters or bladder.

Before an ultrasound exam, your healthcare provider may request that you fast for up to 12 hours prior to having transvaginal or prenatal ultrasound procedures done. Transvaginal exams involve inserting an ultrasound probe directly into your vagina and using it to analyze reproductive tissues such as your uterus and ovaries. Prenatal ultrasound can also determine how many fetuses there are present as well as size and position issues as well as potential issues with brain, spinal cord or heart development in addition to helping estimate due dates for babies. Lastly, ultrasound can show thickness of your cervix as well as measuring amniotic fluid levels within.

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