Menopause

Menopause just like pregnancy is a condition unique to women.Have seen most of the women over 40 waiting with apprehension for menopause.Even doctor colleagues;after 40 start having the sudden middle age crisis.They start complaining even an iota of weight gain,a day here and there in period triggers a panic attack.Am I approaching IT.Periods are a 'symbol' of a females youth,fertility and femininity.And the sudden fear of loosing it makes women irritable even before menopause has actually set in.
Relax!!!!Just like your 1st period,like your first sexual experience,like your pregnancy......it is one more stage of your life which has to set in.Its not the end of your femininity but yes accept it gracefully it is end of your fertile period.Time to move on from procreation to better things in life.
It is the time in a woman's life when her period stops. It usually occurs naturally, most often after age 45. Menopause happens because the woman's ovary stops producing the hormones estrogen and progesterone.

A woman has reached menopause when she has not had a period for one year. Changes and symptoms can start several years earlier. They include
•A change in periods - shorter or longer, lighter or heavier, with more or less time in between

•Hot flashes and/or night sweats

•Trouble sleeping

•Vaginal dryness

•Mood swings

•Trouble focusing

•Less hair on head, more on face

Some symptoms require treatment. Talk to your doctor about how to best manage menopause. Make sure the doctor knows your medical history and your family medical history. This includes whether you are at risk for heart disease, osteoporosis, or breast cancer.Exercise: It strengthens your bone as well as heart.HRT is best avoided.If need be you can be prescribed herbal supplements.A supportive partner is very important.
And don't forget age is just a number.You are as young or old as you feel :)

A salute to Riddhi Purohit

About 2 months back this girl Riddhi came to my OPD along with her loving mom and dad.She seemed very quite,apprensenive and with lots of anxiety in her eyes.
Then suddenly I realised a tracheostomy scar in her throat .She was around 32 weeks Pregnant.And put down a bundle of papaers in front of me.Then she with the help of her parents completed the story of her grit,determination and efficient medical staff at saudi Arabia.She had been on ventilator for 45 days,had suffered respiratory faliure  with swine flu(H1N1 Virus)and had fought back death to be there with me.
Yesterday I had to induce her for an increasing blood pressure.In today's time when it is a difficult job to convince patients for a normal delivery(They are so afraid of pain despite an open offer of epidural analgesia),this girl went through 12 hrs of labour pain very quietly and with confidence,asked for an epidural when required and finallydelivered a healthy  bony baby girl tonight at 1 am..
What motivated me to mention Riddhi in my blog is not her medical history but her positive attitude,the willingness to fight with odds and to come out victorious of it.I salute her spirit and ofcourse her supportive family.

Total Laparoscopic hysterectomy

Mrs Ruhi,24 hours post Total laproscopic Hysterectomy.She was discharged the next day of her operation.

Bilateral endometrioma with adhesiolysis

Post Total Laparoscopic hysterectomy patient

My Sincere thanks to Mrs Soma Sinha for sharing her experience post total laparoscopic hysterectomy of a Uterus as big as 5 months of Pregnancy with multiple fibroids and weighing 700 gms

ECTOPIC PREGNANCY

This patient had lots of dense omental adhesions,left sided simple ovarian cyst and right sided ectopic pregnancy

Paratubal Cystectomy

Asherman's syndrome

Patient Presented with absence of periods since 2 months.USG was suggestive of intrauterine Adhesions.Hysteroscopic Adhesiolysis with return of periods after a course of supplemented estrogen