General Obstetric and Gynecological Care
General Obstetrics and Gynecology focuses on primary and preventive care, education on key areas, Gynecologic surgery, and complete obstetrics care. We are equipped to provide a full range of general obstetrical and Gynecological services ranging from outpatient care to surgery and from routine/normal visits to complicated consultations.
Right from the adolescence through the postmenopausal years, our the General Obstetrics and Gynecology services cater to all women issues in a well-equipped and active private office setting.
We carefully assess your health and well-being, accurately diagnose any existing or potential problems that may arise, and offer advanced solutions for medical conditions, such as heavy menstrual bleeding, uterine polyps and fibroids, premenstrual syndrome, and other common problems. Our services include, but are not limited to:
- Pap tests and PapSure, to identify early abnormalities Pap smears may miss
- Clinical breast exams, mammography
- Screening for sexually transmitted diseases (STDs)
- Endometrial ablation – an outpatient procedure to end heavy, painful periods
- Family planning
- Paediatric and adolescent Gynecology
- Genetic counselling and testing
- Easy access to advanced diagnostics, including pelvic ultrasound and hysteroscopy
- Operative hysteroscopy, a minimally invasive outpatient procedure for uterine problems
We care for you – we manage your care during normal pregnancies and counsel patients on family planning/contraception.
For females requiring close monitoring during pregnancy, we provide specialised maternal-foetal care. A pregnancy may be considered high-risk if the pregnant woman:
- Is over 35-years; or 15-years-old or younger
- Was underweight or overweight before she became pregnant
- Is carrying more than one foetus
- Has gone into premature labour
- Has had a previous premature baby
- Has had a previous baby with a birth defect
- Has gestational diabetes, diabetes, high blood pressure, heart disease or another longstanding medical problem
Fertility and IVF Services
In Vitro Fertilization (IVF) or ‘test tube baby’, as is commonly known, is the magic word for infertile couples desperate for a child.Dr Suman Lal follows a phase wise, empathetic approach in treating “infertility” or “Low Fertility”
It involves understanding the reasons behind infertility or low fertility, which could be any of the following:
- Tubal Damage or Block
- Absent or Low Sperm Count (< 5million /ml)
- Damaged uterine lining ( Endometrium )
- Poor Ovarian (Egg ) capacity
- Failure of Fertility treatment for more than 3 years
Dr Suman Lal follows an empathetic approach in treating patients with infertility. She understands the pain and the agony patients go through after multiple unsuccessful attempts in having a child. She caters to each patient at an individual level, understanding that every case is unique, and not one standard solution can be applied to all. She gives ample time to each patient, listens to them, and then explains in detail the kind of treatments that are required, and the reasons for the same. When feasible, she offers patients the choice of one treatment over the other, and explains them the advantages / disadvantages associated with the same. She also explains them the success rates and risks associated with each cycle.
A typical IVF cycle consists of ovarian stimulation, egg collection, fertilization, embryo culture and embryo transfer. Ovarian stimulation is done through daily injection of hormones to the female with frequent clinical and ultra-sonographic monitoring, which usually carries on for 2 weeks. After the egg ruptures, it is retrieved under anaesthesia through the internal route. The egg and sperm are then mixed or the sperm is injected into the egg. The fertilized egg then forms the embryo, which is cultured in the laboratory for 2-3 days. Two-three best embryos are then selected and transferred into the womb (uterus) on the second or the third day. The pregnancy test is done 14 days after the day of embryo transfer.
Once the precious pregnancy is confirmed, due care is provided to the pregnant women with regular foetal monitoring, and administration of hormones when required.
Minimally Invasive Surgery
Our Minimally Invasive Gynaecologic Surgery caters to conditions such as uterine fibroids, abnormal uterine bleeding, pelvic pain, infertility, endometriosis, adenomyosis, cervical incompetence and ovarian cysts. We use the latest minimally invasive options for these conditions.
Dr Suman Lal’s expertise lies in providing a safer and more effective alternative to traditional open surgery by performing majority of procedures through laparoscopy or hysteroscopy. We also cater to complicated cases that would otherwise be performed through a large incision. Minimally Invasive Gynaecologic Surgery leads to faster recovery; less pain, smaller incisions, early return to normal daily activities, and brief hospital stay
Hysteroscopy is a procedure that lets your doctor look inside your uterus (womb). This is done using a narrow tube-like instrument called a hysteroscope. The hysteroscope is very slim (about 3 to 5 millimetres in diameter). It’s carefully passed through the vagina and cervix (neck of the uterus) and into your uterus. The hysteroscope has a video camera inside which sends pictures to a computer screen. This allows your doctor to check for any abnormalities in the lining of the uterus.
The hysteroscope has special channels which allow the doctor to pass various instruments into the uterus. This means that as well as being able to look inside the uterus, the doctor can perform certain procedures.
What is hysteroscopy used for?
A hysteroscopy may be used to find the cause of various problems such as:
- Heavy or irregular bleeding that has not got better with medication.
- Bleeding in-between periods.
- Bleeding after your menopause.
- Irregular bleeding whilst you are taking hormone replacement therapy (HRT).
- If you are thinking about having an operation to make your periods less heavy (endometrial ablation or microwave ablation).
- Unexplained miscarriages.
Apart from being used to investigate the cause of various problems, it can also be used to:
- Remove polyps – small lumps of tissue growing on the lining of the uterus.
- Remove scar tissue in the uterus.
- Remove adhesions (areas where the walls of the uterus are sticking together).
- Remove fibroids (noncancerous growths in the uterus).
- Locate a ‘lost’ or stuck contraceptive device, such as an IUD (coil).
Laparoscopy is a procedure to look inside your abdomen by using a laparoscope. A laparoscope is like a thin telescope with a light source. It is used to light up and magnify the structures inside the abdomen. A laparoscope is passed into theabdomen through a small incision (cut) in the skin.
A laparoscopy may be done to find the cause of symptoms such as abdominal pain, pelvic pain, or swelling of the abdomen or pelvic region. Or, it may be done if a previous test such as an X-ray or scan has identified a problem within the abdomen or pelvis.
A laparoscopy enables a doctor to see clearly inside your abdomen. Some common conditions which can be seen by laparoscopy include:
- Pelvic inflammatory disease
- Ectopic pregnancy
- Ovarian cyst
What Is Laparoscopic Surgery?
In addition simply to looking inside, a doctor can use fine instruments which are also passed into the abdomen through another small incision in the skin. These instruments are used to cut, trim, biopsy, grab, etc, inside the abdomen.This laparoscopic surgery is sometimes called ‘key-hole surgery’ or ‘minimal invasive surgery’. Laparoscopic surgery can be used for various procedures.
Some commonly performed operations include:
- Removal of Uterus and ovaries – this is called Laparoscopic hysterectomy
- Removal of ovarian cysts
- Removal of patches of endometriosis and adhesions
- Genital cancer surgery
- Female sterilisation
- Treating ectopic pregnancy
- Taking a biopsy (small sample) of various structures inside the abdomen which can be looked at under
the microscope and/or tested in other ways
In general, compared with traditional surgery, with laparoscopic surgery there is usually:
- Less pain following the procedure
- Less risk of complications
- A shorter hospital stay and a quicker recovery
- A much smaller scar
Non-incisional sterilization for permanent contraception
Female sterilization is a permanent procedure to prevent pregnancy. Non-incisional sterilization is different from the traditional method of surgical tubal ligation as it does not lead to any cut in the body. During non-incisional female sterilization, we place a tiny insert into your fallopian tubes through vagina, cervix and uterus. This stimulates your body’s own tissue to grow in and around the insert in your fallopian tubes, thus creating a natural obstruction to prevent pregnancy. The procedure can be performed in the doctor’s office within minutes and without general anaesthesia.
In general, Menopause requires no treatment. However, the treatments focus on relieving your signs and symptoms and preventing or managing chronic conditions that may occur and increase with aging. Such treatments include: Hormone Therapy, Vaginal Estrogen, Low Dose Antidepressants (when and if required), Medications to prevent or treat osteoporosis (if required).