Friday, September 18, 2020

PCOS and Gynaecology Cancer

PCOS is gradually becoming a common term, especially among adolescents and women in the be reproductive age group. A hormonal disorder, PCOS or polycystic ovarian syndrome is a condition in which there is a number of fluid-filled follicles in the ovaries. Apart from uncertain hormonal activity, PCOS can also lead to excessive hair growth, acne and even serious problems like infertility and diabetes. The long term risk associated with PCOS is a cancer of the uterus, also called endometrial cancer. Though the disease is found in almost 10% of women, there are still certain misconceptions surrounding this condition.

Gynaecology Cancer 

The endometrium is the inner lining of the uterus. With PCOS, when women suffer lack of periods or irregular periods, the lining can become thick and lead to gynaecology cancer if left untreated in the long run.

Understanding the Causes of PCOS

The exact causes of the disease are not known, but it is established that women who have had PCOS running in the family are more susceptible to it. Apart from genes, insulin resistance in the body can also lead to triggering the ovaries to produce higher amounts of male hormones. This in turn can lead to Obesity which further aggravates PCOS.

Understanding the Symptoms of PCOS

According to a recent study, almost 70% of the women who suffer from PCOS are not aware of it. Some women may see the symptoms when they have irregular cycles while some may only discover the problem when they gain too much weight or are having trouble in conception. The following are some of the typical symptoms:

Periods become irregular

Excessive bleeding during periods

Too much hair growth on body and face


Skin darkening

Mood swings

Understanding the Effects of PCOS

When the androgen levels in the body are higher-than-normal, there are multiple effects on the woman, some of them are:


Unexplained weight gain

Sleep apnea

Increased risk of Endometrial cancer


Understanding the Treatment of PCOS

Polycystic ovary disease can greatly disturb a woman’s menstrual cycle and cause problems like infertility. Some women are also bothered because of excessive hair growth, especially on the face. Making some lifestyle changes can greatly help in the management of PCOS. Losing weight, eating a balanced diet and exercising regularly have helped a lot of women in improving their overall health. If lifestyle changes do not bring improvement, medical treatment may be required based on the symptoms or goal of treatment. In some severe case where women are unable to conceive, surgery may also play a role in helping them to conceive.

Blog Reviewed By: Dr Sunil Eshwar
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Wednesday, January 29, 2020

Can a cancer patient undertake IVF treatment? Will it affect the baby?

Cancer is scary and being a cancer survivor comes with a lot of trauma on its own. Often times a lot of you who are looking to get away from the past traumatic experience attempt to start a family. A family will bring you joy and happiness and peace; however a lot of you may be worried that the cancer that you’ve already defeated may prevent you from starting and raising a family.

This is a difficult situation, the hard truth is that there are certain types and treatments of cancer that may cause you to be infertile, and however, the only way to know is to get yourself checked out by a trained physician, you can schedule a visit with us so as to get an accurate picture.

However, even if the cancer has left you infertile, that is by no means the end of the road. Here are a few of the ways you can start or expand your family even if cancer or its treatment has made you infertile.
  • Egg donation for women (if your ovaries do not produce healthy eggs anymore)
  • Sperm donation for men (if your testicles do not produce healthy sperm anymore)
  • Surrogacy for women (if your uterus is not able to carry a pregnancy or it is unsafe for you to get pregnant)

If you or anyone you know is a cancer survivor and is looking to expand or start a family, get in touch and we’ll see if we can help you in this pursuit.

Blog Reviewed By: Dr Sunil Eshwar
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Tuesday, January 28, 2020

Can you get pregnant if you have endometriosis?

Well, all of us have heard of Endometrium ever since our first period, however, the whole concept of endometriosis could be alien to some of us. Endometriosis is the inflammation of the tissue on the outside of the uterus. The result is often painful inflammation. The tissue is similar in structure to the Endometrium which is on the inside of the uterus.


As you can imagine the inflammation on the outside of the uterus can be a significant obstruction to conception and by extension to pregnancy. The inflamed tissue can both block the release of the egg during fertilization and/or block the passageway of the sperm to the uterus thus eliminating the chances of pregnancy.

Some well-documented studies wherein women have had unprotected intercourse for a year couldn't conceive because of endometriosis. Fortunately, women nowadays have the option to opt for an IVF and this can increase the probability of conception and by extension the chances of a healthy pregnancy and child-birth.

Some experts may suggest surgery as a means to remove this obstruction. However, the majority of medical literature points to the fact that surgery, while effective in some cases can cause more problems than it solves. There's a possibility of scarring due to the surgery. In some cases, it has even lead to blockage in the blood flow wherein the healthy functioning of the reproductive organs have been obstructed. Therefore, it is the opinion of the author that surgery ought to be taken as an option only if all other means are exhausted.

The safest course and the ones with the least side-effects and highest chances of success is the IVF route. Before taking this route, your healthcare professional will conduct a thorough evaluation of your hormonal levels and other factors that affect your reproductive health. Hormonal treatments are often recommended in-order to normalize the Endometriosis and boost the odds of a healthy pregnancy.


If you or anyone you know is suffering from Endometriosis, you should reach out to us and we'll help recommend an appropriate course of action.

Blog Reviewed By: Dr Sunil Eshwar
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Tuesday, January 7, 2020

Trickling in the initial trimester

Bleeding is considered to be quite normal in the first trimester of pregnancy. There are a lot of bodily changes that occur to a woman during her initial stages. Even though it will not be an alarming matter, one needs to find the possible reasons for spotting during pregnancy. 

Various causes of bleeding

Spotting or light bleeding in the initial stages of pregnancy can be considered to be normal if it lasts only for a day or two. Nearly 20% of women would experience spotting in the first trimester. However, they would have a healthy pregnancy and a healthy baby. 
  • Implantation bleeding: light bleeding that occurs when the fertilized egg implants itself in the lining of the uterus is considered to be implantation bleeding. This would occur within six to 12 days of conceiving and would last for a few hours or days. 
  • Miscarriage: at times, lighter bleeding might lead to heavy flow with pain, and this could be a sign of miscarriage. Usually, a lot of miscarriages happen in the first trimester itself. However, if there is a heartbeat found in the ultrasound, then they may not lose the baby but need to be careful. 
  • Cervical polyp: rarely women would get polyps or finger-like growths near or on the cervix. This would lead to inflammation and irritation, which will eventually lead to bleeding. Through a pelvic examination, it is easy to diagnose and resolve the issue. 
  • Intercourse or physical examination: the body will be sensitive than usual hence, anything that pokes could lead to bleeding. This includes intercourse as well as physical examination, and right after the act, a woman might see blood. The bleeding will go away on its own after a while. 
  • Ectopic pregnancy: when a fertilized egg gets attached outside the womb, usually in the fallopian tubes. This would lead to bleeding and need to be medically treated. 
  • Molar pregnancy: the placental tissue tends to grow abnormally due to a genetic problem during fertilization. In a molar pregnancy, the fetus may not grow at all, and this would cause a miscarriage in the first trimester. 
  • Subchorionic hemorrhage: if the placenta gets detached slightly from the wall of the womb, a woman will bleed. A sac might form in the gap between these two. Depending on the size of the hemorrhage, the risk would also vary. A large hemorrhage might lead to miscarriage within the first 20 weeks of pregnancy. 
  • Infection: An infection in the pelvic area or urinary tract or the bladder can cause bleeding or spotting. Bacteria, viruses, or fungi could cause it. 


Be it at any time when a woman bleeds during her pregnancy; it is better to consult the doctor on time. At Aikya Speciality Clinic,the doctor helps to identify the cause of spotting during the first trimester and provides the necessary support and care.

Blog Reviewed By: Dr Sunil Eshwar
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Thursday, December 12, 2019

How to prepare yourself before IVF?

Undergoing an IVF can be stressful enough, fear, excitement and several other emotions all bundled into one nervous human being. However, there are numerous things that you need to have on your checklist while going into an IVF. We’ve listed some of them out here in a simple and orderly fashion so that you can take it easy.

IVF treatment

1.Quit smoking

This should come as a no-brainer, Smoking is bad for you so please stay away from it always and especially when you are about to go in for an IVF. While you are at it, remember not to smoke when you are pregnant, why don’t you quit all together, that should be easier.

2.Take your vitamins

There must be lots of vitamins that your doctor has recommended you should take. These are absolutely crucial to your health and the efficacy of the IVF treatment. Your body is delicate and needs to be prepared for this procedure.

3.Eat fertility enhancing foods

Foods which are themselves gametes or nourish the gametes of organisms are considered to be excellent fertility enhancing foods. These include royal jelly, eggs, fish roe, caviar, seeds etc.

4.Do Breathing exercises

Breathing is important and it strengthens your tissues via the supply of oxygen. Before an IVF make sure that you are performing breathing exercises, this will ensure that your tissues are better equipped to take on the challenges posed by an IVF.

In conclusion, an IVF is a delicate process and your body is sensitive to this procedure, you need to prepare your body well, before undertaking such a procedure. If you haven’t been successful with IVF until now, there could be several external factors that are affecting the efficacy of your treatment which could be fixed. If you or anyone you know is having issues with fertility or has repeatedly failed at IVF, reach out to us and we’ll see if we can help.

Blog Reviewed By: Dr Sunil Eshwar
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Tuesday, November 12, 2019

Can uterus be removed laparoscopically

Having the uterus removed sounds extremely scary; however there are certain conditions that necessitate such an operation. Some of them are
  • Abnormal uterine bleeding that cannot be controlled with other treatments.
  •  Non-cancerous growths in the uterus called fibroids.
  • chronic Pelvic pain that cannot be controlled with other treatment. 
  • Abnormal growth of endometrial tissue outside the uterus a condition   commonly referred to as endometriosis. 
  •  Pre-cancerous or cancerous cells on the cervix or in the uterus.
If your health care professional has recommended this, then you need to now prepare yourself for this surgical procedure. Laparoscopic procedures are known to provide faster recovery, less post operative pain due to smaller incisions, less blood loss.


If you or anyone you know is in need of this procedure, reach out to us.

Blog Reviewed By: Dr Sunil Eshwar
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Wednesday, October 23, 2019

What are the basic tests required on confirmation of pregnancy?

The best feeling in your life is when your pregnancy gets confirmed. Nothing can be more beautiful than having a baby in your life. After your pregnancy gets confirmed through a urine or blood test and ultrasound,  you need to go through several prenatal tests. These are done to check for any abnormalities that might affect the pregnancy and development of the fetus.
pregnancy tests

Once you visit the clinic for your first prenatal tests, the doctor will ask you to undergo a few blood tests. 

Outline of all tests that need to be done and  are offered by Aikya Speciality Clinic 
  • Blood group test  
As part of your first prenatal test, a blood test will be conducted to find out your blood group.  

  • Rhesus (RhD) factor 
Once your blood group is identified, next, your RhD factor will be detected. The RhD factor indicates whether you have a substance called D antigen in your red blood cells. If you have D antigen, that means you are RhD positive if you don\'t have that means you are RhD negative. 

  • Hemoglobin test 
During pregnancy, a woman may develop anemia. Having anemia means you don\'t have enough red blood cells. A hemoglobin test is conducted to check level of hemoglobin and to give supplements accordingly.  
  • Infection tests 
Blood tests are also conducted to check for certain infections that might affect you during pregnancy period and might even pass on to the child. You will be tested for HIV, syphilis, Hepatitis B, Hepatitis C.
  • Thyroid and blood sugar testing 
Lastly, you will be asked to go through a fasting blood sugar test and a thyroid test to check the TSH and glucose levels. Thyroid hormones are necessary for development of nervous system of the fetus and hence low levels of these hormones require early supplementation.

pregnancy tests

Blog Reviewed By: Dr Sunil Eshwar
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