Health Care

By: Juliet Cohen

Gynaecological is non-cancerous condition. It is found in women where some of the tissues that line the inside of the womb are found elsewhere in the human body, although most times with the pelvis. Poor nutritional status as a cause of gynaecological problems. Common gynacological problems is abnormal uterine bleeding. This is traditionally done by a procedure called dilatation and curettage (D&C), which normally requires you to be under general anaesthesia. However, this is a blind procedure, performed without any visual aid and can sometimes miss the problem areas. Another Common gynacological problems is Endometrial Ablation. Endometrial ablation is a form of minimally invasive procedure in the treatment of heavy menstrual bleeding. During endometrial ablation, the endometrium (menstruating lining of the womb) is destroyed or removed. Endometrial ablation is usually done under general anaesthesia. Hence you will be asleep during the operation and will not feel any pain. During the surgery, the endometrium (menstruating lining of the womb) is either surgically removed or destroyed with heat or microwave. In some cases, heavy periods may continue initially but your menstruation will begin to become lighter in the following months. A percentage of patients will not experience any more menstruation.

Endometriosis is a gynacological problems. It is affects women usually between the ages of 30 - 45 years old. Many problem produce endometriosis such as, Heavy and sometimes irregular periods , Pain in the pelvis or lower abdomen in between periods , Pain during painful periods. Fibroids is also gynacological problems. Uterine fibroids are muscle swellings that are found in the womb. Fibroids are very common in women. Some people think that they occur in about 20% of women. They commonly found in women between the ages of 35 - 45 years old. They can occur in many shapes and sizes, single or multiple, located in various parts of the womb. They are more common in certain races like the West Indians and Africans. In Singapore, all races can be affected by fibroids. Most women with fibroids have no problems. In other cases, fibroids can cause heavy menstrual bleeding or menstrual cramps or both.

Sometimes, they can put pressure on the surrounding organs like the bladder or the kidneys, giving rise to difficulty in emptying your bladder. Laparoscopic "Key-Hole" Surgery is Major problem of gynacological. Laparoscopy is done with a slender telescope-like instrument, called a laparoscope.Laparoscopy is commonly performed procedure to Investigate and perform some key hole surgeries on abdominal and pelvic organs. It can be used to diagnose a vast majority of gynaecological conditions, which sometimes cannot be detected via X-ray, ultrasound or other tests. The laparoscope is a long thin instrument with a light source at its tip, to light up the inside of the abdomen or pelvis. The laparoscopic operation will be done under general anaesthesia. Hence you will be totally asleep during the operation and not feel any pain. You should be able to resume your activity after one week if the laparoscopic operation was not extensive.

Hysteroscope is similar to a laparoscope in general terms and is tailored to be used inside the uterus both for diagnostic and operative purposes. This is especially so for diagnosing and removing endometrial polyps otherwise thick secretory endometrial fragments might give high false positive or negative results. Sessile polyps should be shaved in layers whereas pedunculated ones could be resected at the stalk. Commonly used homeopathic medicines / remedies for excessive bleeding during periods / menses are: Sepia, Caulophyllum, Secale cor, Sabina, Melifolium, Hamamelis, Trillium pendulum,Cyclamen etc. Leucorrhoea is secretion of excessive white discharge.Normally an increased secretion is observed during the mid-cycle i.e at about 12th-15th day after the menses & lasts for 3-4 days. Commonly used homeopathic medicines/remedies for leucorrhoea are: Alumina, Borax, Kreosote, Mag carb, Merc sol, Sepia, Pulsatilla, Medorrhinum, Ammon mur etc.

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