18 September, 2021

Uterine Polyps

What are uterine polyps?

Uterine polyps or endometrial polyps are the growths that happen with in the lining of the uterus (womb- where in the baby grows in pregnancy).

The polyps can be attached to the lining of the uterus by a thin stalk or thick broad base. They are usually no cancerous although sometimes we have to rule out precancerous or cancerous changes in them. Polyps can sometimes cause irregular bleeding or problems with fertility 

Who can have uterine polyps?

Uterine polyps are more likely to develop in women of 40-50 years age. They can also happen after menopause but rare in women under 20 years Women who are overweight or obese or those with high Blood pressure or those who use tamoxifen (medicine used in treatment of breast cancer) are more likely to develop uterine polyps.

What are the reasons & why some women develop uterine polyps?

The exact reasons are unknown Hormonal changes especially retrograde plays a role in causing the lining of the uterus to get thickened and thereby causing polyps.

What symptoms can women have when they have uterine polyps?

Women might experience heavy menstrual bleeding, irregular or unscheduled bleeding, spotting or bleeding in between periods, fertility problems. Most of the time polyps might not cause any problems and are detected at scans done for various other reasons.

What tests are done to know if there is uterine polyp or not?

After taking details of your symptoms and thorough clinical examination your doctor might ask for ultrasound scan. Pelvic ultrasound done from vagina is used to detect uterine polyps. As ultrasound uses only sound waves it is safe. Sometimes it is challenging to detect some polyps especially if lining is thicker or irregular.

Saline can be passed through vagina into the uterus and scan done to get clear view of inside of the uterus. This is called saline sonogram or sonohysterogram. Sometimes biopsy done for lining if uterus can detect polyps. However polyps can be missed at biopsy.

Hysteroscopy is considered to be good standard test to detect and treat uterine polyps. A small camera is passed through vagina and cervix into the uterus and fluid is used to distend the uterine cavity. Direct visualisation of lining of uterus is possible through this test. Major advantage is removal of polyps can be done at same time as the test.

What treatment options are available for uterine polyps?

Not all polyps need removal especially if women don’t have symptoms. However if irregularities of bleeding or polyps that are suspicious of cancer or precancerous or in women with history of miscarriages or fertility problems and in women polyps are noted after menopause removal is suggested.

Medications – hormones like progesterone can be used for temporary treatment. Hysteroscopy and polyp removal is generally the treatment of choice. It enables not only the diagnosis but also ensures complete removal of polyp under vision thereby reducing the regrow of the polyp. Some polyps might reoccur despite complete removal. Just doing curettage without using the cope is not ideal. Additional surgeries might be required if polyps are precancerous or cancerous or recurrent.

Can we prevent formation of uterine polyps?

There is no way to prevent formation of polyps. However by reducing obesity and controlling high blood pressure we can prevent polyps indirectly.

Those who are on tamoxifen medicine for breast cancer will need regular gynaecology check up to detect early. In some premenopausal women who have recurrent polyps and those who have completed family LNG -IUS (progesterone hormone containing coil) has shown to reduce the recurrence.


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27 December, 2022

Tips for dealing with postpartum vaginal discharge

Lochia, or the vaginal discharge that a woman’s body produces following childbirth, is expected to last for a few days to weeks after delivery. After birth, the rapid flow of blood and mucus begins. For the first 2-3 days after birth, the bleeding will be severe and contain blood clots. However, after a few days, the flow will gradually decrease to spotting before stopping entirely. When the uterus recovers after a few weeks, the flow colour can change from dark red to brown, then yellowish-white. It’s an unavoidable and inevitable occurrence, and the only thing you can do is wait for it to end. It continues to decrease in volume before entirely ending. Here are a few essential tips to keep you prepared for this postpartum vaginal discharge.  Pile up with sanitary napkins and replace them regularly. You’ll need big pads with a lot of absorption potential in the first few days. Maintaining strict sanitation and keeping your private parts washed will help you prevent more postpartum infections. To keep away the infections, avoid having tampons or menstrual cups. Empty the bladder regularly, even if you don’t have the urge. This will relieve you.  Medications that thin the blood, such as aspirin and ibuprofen, should
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17 November, 2022

Taking care of mental wellbeing during pregnancy

Pregnancy often is a happy and joyous phase to treasure and cherish. It brings a mix of feelings for you, and not all of them are good. Few thoughts might even trigger the mental health that might disturb you so much during and after the pregnancy. It’s just as important to look at your mental wellbeing and health during pregnancy as your physical health.  For your safe and happy pregnancy, a happy lifestyle is crucial. However, it is good to notice your mood drifts to identify the problems in the early stages.  What can you usually experience?  While mood swings are common during pregnancy, continuous and long down moments are not good. Take a look at the durations you are down.  Feeling fear or anxiety all the time about your baby or pregnancy.  Having negative thoughts about your life, pregnancy and relation  Feeling burdened with unknown pressure in your mind can relate to the stress of pregnancy but requires attention.  Common mental problems experienced during pregnancy  Depression during Pregnancy “During pregnancy, the symptoms of depression such as changes in sleep, appetite, and energy levels are often difficult to distinguish from the regular experiences of pregnancy.“ says Diana Carter, MBBS Xanthoula Kostaras, BSc. In her recent publication, she mentioned that up to 70% of women report
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20 November, 2021

5 easy ways to reduce stress during pregnancy

No matter how happy you are about your pregnancy, stress during the pregnancy phase is unavoidable. Most of the time, it is because of the hormones that play around. But there are a lot of other factors that account to stress. Managing stress during pregnancy is an efficient way to enjoy your pregnancy period.  Knowing the changes and accepting them happening to your body will help you best during this phase. However, know more efficient ways to reduce stress during pregnancy.  Here are the 5 easy ways to reduce stress during pregnancy.  Eat well and sleep well must be a routine  Nothing can replace the best benefits of proper food and sound sleep. Ensure that you follow a balanced diet with all the necessary supplements that your body needs and take enough rest. A night of proper sleep will make your day brighter and keep you comparatively in a cheerful mood. Rest when you are tired. Do not overdo during pregnancy. A perfect routine for food and sleep will ease up your hormones.  Surround yourself with positive energy. Talk to your friends and family. Pregnancy can put you through a lot of thoughts. It will make you think about the least possible negativity. Well, these are the instincts of the mother to safeguard her child. So
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