Gynecologists: When to visit? Symptoms, Tests and Related Services

Posted on Healthcare By DoctorUna - Published on 2019-10-22

 

A woman's life through the eyes of a doctor is divided into four life cycles; ages 13 to 18, 19 to 39, 40 to 64, and from 65 years and onwards. For maintaining optimum health, women of all ages must visit gynecologists in dubai or a healthcare specialist doctor. A gynecologist focuses on women's health and addresses various problems relating to the female reproductive system that include menstruation, pregnancy, childbirth, sexually transmitted infections or STIs, fertility problems, hormonal disorders, urinary tract infections, and sexual related issues. 

Gynecological Issues & Symptoms 

From mild infections to bigger concerns, diseases related to gynecological conditions can aggravate quickly if not treated on time. Some of the glaring examples are infertility problems and permanent kidney damage due to health negligence. In some cases, the symptoms may develop into serious medical problems if left untreated, such as the development of cancerous growth in the reproductive tract. 

Detecting vaginal distress symptoms is not an easy task and therefore it is all the more vital to visit your local gynecologist if you have the below-mentioned symptoms:

  • Vaginal bleeding between the periods 
  • Frequent urination on an urgent basis or feeling a burning sensation when urinating 
  • Abnormal vaginal bleeding at the time of intercourse 
  • Feeling some pressure in the pelvis area other than normal menstrual cramps 
  • Severe itching, swelling, redness, burning sensation in the vaginal area 
  • Abnormal sores or small lumps found in the genital region 
  • Unpleasant or bad odor detected from vaginal discharge 
  • An increase in the quantity of vaginal discharge
  • Mild or severe discomfort and pain during intercourse 

Recognizing and noting the symptoms early and consulting a reputed gynecologist in UAE can definitely increase your chances of receiving successful treatment. 

Gynecological Related Conditions and Problems 

Let us study some of the gynecological related issues that are faced by millions of women worldwide

  • Abnormal Uterine Bleeding – This condition could indicate an underlying medical issue such as anovulation or irregular menstrual bleeding, abnormalities found in the vaginal area or the cervix, postmenopausal bleeding, growth of benign or non-cancerous fibroid within the uterus, benign polyps found in the lining of the uterine, and endometrial cancer that originates in the uterus lining. 
  • Adenomyosis –  In this medical condition, the inner lining forming the uterus called the endometrium falls or breaks through the myometrium (the muscle wall of the uterus). It is generally considered a benign issue that causes heavy bleeding and painful cramps. This condition can have a depressing and negative affect on your normal life. 
  • Amenorrhea – The absence of a female menstrual cycle with three continuous missed periods in a row is called amenorrhea. It is also related to young girls who have not started menstruating by the age of 15 years. 
  • Cervicitis – The inflammation of the slender and narrow part of the uterus that opens out into the vaginal area is called cervicitis. The symptoms include pain during intercourse, pain during a cervical examination, bleeding in between monthly menstrual periods and irregular vaginal discharge. 
  • Dysmenorrhea – It is also referred to as painful periods with extreme menstrual cramps. It starts a day before the periods or during the onset of the monthly cycle. The pain occurs in the pelvic area and lower abdomen. 
  • Dyspareunia – In this condition, the person experiences pain during intercourse because of medically related causes or other psychological reasons. The pain or discomfort is felt either on the external surface of the genital area or deep inside the pelvic region. It affects the entire vaginal area or just a small part of the vulva.  
  • Dysplasia – When a normal cell starts to undergo abnormal changes before becoming cancerous, it is called dysplasia. The cells appear as abnormal under the scrutiny of a microscope but they are not cancerous. 
  • Ectopic Pregnancy – It is a medical complication that affects pregnant women, wherein the embryo attaches itself outside the safety of the uterus. It is followed by acute abdominal pain, vaginal bleeding, and tiredness. The pain could be dull or intense, varying from person to person. 
  • Endometrial Hyperplasia – This is a uterus-related problem in which the lining of the uterus starts to thicken. The condition is caused by excessive estrogen minus the progesterone or the female hormones. It cannot be termed as a form of cancer, although it can eventually develop into uterine cancer. 
  • Endometriosis – The abnormal growth of endometrial cells on female organs such as the pelvis is called endometriosis. It usually happens outside the uterus region. The cause of this condition is still unknown. 
  • Endometritis – In this condition, the inner wall lining of the uterus is affected and inflamed. The symptoms can include mild fever, pain in the lower abdominal area, vaginal bleeding, and vaginal discharge. It is one of the common-most infections that occurs after the delivery of a baby. 
  • Fibroids – They are abnormal growths that develop inside or outside the uterus. They are non-cancerous and made of complex fibrous tissues and may vary in size. They are also termed as uterine myomas. Fibroids do not exhibit any outer symptoms and therefore they are difficult to detect. 

Gynecological Exams or Tests 

Visiting a gynecologist should not make you worried or apprehensive. Here, we explain some of the primary procedures that take place during routine gynecological testing.

Pelvic Examination

It is a thorough inspection of your genital areas (both outer and inner parts) and a health assessment of your core reproductive system and procreative organs.  Pap tests are vital to detect the presence of cancerous cells in your cervix. Routine Pap tests act as an ideal procedure to detect early cases of cervical cancer and related deaths. 

What happens at a gynecologist's examination table? 

A gynecologist is a trained specialist and a primary healthcare provider. He/she makes a complete assessment of your female organs and reproductive system by external and internal inspection. 

A regular pelvic screening or examination is divided into 3 parts:

  • External Genitalia Examination – This involves visual scrutiny and physical examination of the vulva, labia, pubic hair, and the vaginal entrance or opening.  
  • Speculum Examination – In this test, a medical tool called a speculum is used to slowly and gently widen the vaginal opening. It is inserted inside the vagina so that your gynecologist can see and determine the health of the cervix and the vagina. He/she may also take a sample of the vaginal and cervical fluid to check the acidic ratio and also check for any bacterial or viral infections that may be present in the cervical cells. 
  • Bimanual Examination – This is a test wherein your gynecologist physically checks the vagina by inserting two fingers into the vaginal opening and puts the other hand over the lower abdomen to evaluate the approximate size and mobility functions of the uterus and ovaries. You may find it too intrusive, but the specialist makes sure that you are relaxed and do not experience any pain during the procedure.  

If any additional follow-up tests need to be done, your gynecologist may suggest blood tests or special ultrasound testing. 

What happens during a Pap test?

A Pap Smear test is an examination conducted during pelvic testing. The speculum tool is used to collect sample cells. The cervical cells are scraped away softly and later examined for any abnormal growth. Pap test helps to find pre-cancerous or already formed cancerous cells on your cervix. 

Doctors may suggest that in order to get precise results, you should avoid the use of vaginal douches, vaginal suppositories and not indulge in intercourse 48 hours before the testing. You should also take care to plan a date before or after your menstruation period. The Pap smear test sample is sent to the lab for cytological inspection. 

Gynecologist Related Services, Check-ups & Testing 
Abnormal Bleeding

Abnormal bleeding may happen at any age. Apart from the common issue of heavy periods, it is normal to have period-free months or the vaginal bleeding to get light to heavy during the stage of perimenopause.  

Other than the above-mentioned reasons, if you experience heavy abnormal bleeding then it has to be diagnosed and treated as soon as possible. 

Causes of Abnormal Uterine Bleeding

  • Ovulation problems
  • Development of fibroids and polyps 
  • Endometrium problems 
  • Problems that are connected with certain birth control methods 
  • Miscarriage 
  • Ectopic pregnancy issues 
  • Cancerous growth in the uterus 

Speak to your obstetrician or gynecologist in UAE to conduct regular check-ups for common woman-related problems in your age group. 

Treatment to control abnormal bleeding can start with medications such as oral birth control pills, vaginal rings, skin patches. Doctors may also give hormonal drugs to reduce fibroid size or stop the menstrual irregular cycle. Tranexamic acid, antibiotics, and anti-inflammatory drugs can also be used to reduce heavy bleeding flow during menstruation. 

Apart from medications, surgical procedures can also help stop uterine bleeding. Procedures like endometrial ablation, myomectomy or hysterectomy can be suggested by your gynecologist depending on your health condition, age and the desire to have more children. 

Aesthetic Gynecology

Aesthetic gynecological is a new fresh approach to treat women-centric medical issues. It allows women to rectify or correct the intimate parts of their bodies using certain procedures. It is aimed at helping modern women become more comfortable with their bodies and correcting their private body parts to solve many medical problems. 

Aesthetic Gynecology For Vaginal Laxity

The controversial subject discussed and covered in this new subspecialty of aesthetic gynecology is known as Vaginal Rejuvenation that is performed to rectify the VLS or vaginal laxity syndrome. The procedure is aimed at improving sexual function through vaginal tightening for better sexual contentment. A few years back vaginal rejuvenation procedures were not supported by many scientific communities. But, in recent years, there has been enough scientific study and back-up for vaginal rejuvenation surgery. It has also been presented as a contemporary gynecological topic open for discussion and further research at many global scientific conferences. 

Antenatal Checkup & Antenatal Exercises

Prenatal care is also called antenatal checkup. It is a healthcare process for pregnant women. The main goal of such regular checkups is to prevent any potential danger to the unborn baby or the mother. Gynecologists and midwives deal with various healthcare problems faced by pregnant women so that they follow a healthy lifestyle, which is beneficial for the mother as well as the child. 

Some of the best antenatal exercises include brisk walking, swimming, doing water aerobics, joining a yoga class, doing squats, bridging exercises, and breathing exercises to name a few. 
Caesarean Section/ C-Section

Caesarean delivery or a C-section is a modern surgical method used to deliver a baby by making incisions in the abdominal and uterus areas. C-section surgery can be planned in advance. It is done in case of any pregnancy complications, or previous history of C-section deliveries. It can also be performed if you do not want a vaginal birth. 

Let us look at the many reasons for you to opt C-section delivery 

  • Your gynecologist or healthcare provider decides that C-section is best for you as compared to a normal delivery due to medical complications
  • Your labor is not really progressing and your cervix isn’t wide enough for delivering the baby even though you are undergoing strong contractions. 
  • The baby is in distress inside the womb and there are slight changes in the baby's heartbeats. 
  • Your baby is in a breech position or an abnormal transverse position than it is best to opt for a cesarean 
  • You are carrying more than one baby such as twins or triplets, then C-section is recommended by the doctor 
  • If your placenta is covering the cervical opening, then again C-section is the best method for delivering the baby 
  • If there is a prolapsed umbilical cord situation and a loop has been formed, it can harm the baby and C-section can be the best way to deliver the baby 
  • If there is any evidence of fibroid obstruction in the birth canal then normal delivery is not advisable 
  • If you have a pelvic fracture then normal delivery cannot be possible. 

Chorionic Villus Amniocentesis

Chorionic Villus Sampling along with amniocentesis testing are two best prenatal diagnostic care procedures for detecting some serious fetal genetic abnormalities. During the amniocentesis testing, samples are taken from the fluids that contain the fetus and given for clinical testing. This fluid holds the cells that have been shed from the fetal organs and fetal skin. The amniocentesis test is done precisely at 15 to 18 weeks gestation period. 

Chorionic Villus Sampling

CVS or Chorionic Villus Sampling is essentially a prenatal test wherein a small sample of the chorionic villi is extracted from the placenta for evaluation and testing. The sample is removed via the abdominal wall or the cervix. 

The chorionic villi are placental tissue projections that share similar genetic make-up like that of the baby. The testing can be conducted when the patient is 10 weeks pregnant. CVS can find out the chromosomal condition of the fetus and whether it has Down Syndrome or other grave genetic conditions. This testing provides valuable info about the unborn baby. As an expectant mother, you can understand all the associated risks and also be prepared for the final results by going for chorionic villus sampling test. 
Clinical Breast Examination (CBE)

Clinical breast examination is performed to discover any breast abnormalities of a patient based on previous reports or to seek fresh findings. CBE can help to detect breast cancer in its initial stage. Treatment options in UAE can include oral medications, surgery, radiation, chemotherapy, hormone therapy, targeted therapy, and alternative treatments such as acupuncture, aromatherapy, exercises, and hypnosis. 

For women under 40 years, early detection of perceptible tumors can be identified by CBE and lead to better chances of success during earlier therapy. After the age of 40, doctors recommend mammography and CBE is viewed as a supportive procedure along with mammography. Clinical experts are undecided about the clinical proof that supports the CBE and their trust in the procedure. However, CBE is known to be practiced in the United States and it is suggested by many reputed healthcare providers and best health centers. 

Epidural Analgesia

In some cases, where the pregnancy is prolonged and has many complexities, the gynecologist or obstetrician can recommend a shot of epidural analgesia injection. It is a local anesthetic drug to combat pain. The injection is given in the lower back region. 

Benefits of Using Epidural Analgesia

  • It provides excellent relief from pain during labor 
  • It does not cause fetal central depression like other pain drugs. 
  • It is used in cases of difficult and prolonged childbirth
  • It is used in pregnancy cases that involve delivery with forceps 
  • Epidural analgesia is used in situations when the expectant mother is exhausted and experiences intense pain 
  • Used to treat pregnant women who develop pre-eclampsia 

A dose of epidural analgesia causes the temporary motor and sensory paralysis or loss of sensation near the area of pain. However, women who have been injected with epidural analgesia become suddenly immobile and have to be kept under constant observation by the assistant doctor or nurse. 

Infertility Treatment

It is advisable to have an open conversation with your specialist regarding your sexual habits and preference before going for infertility testing. Many times, women get motivated and guided in the right direction for improving their chances of becoming pregnant. 

Infertility treatment and evaluation are expensive and time-consuming process. It may also involve various embarrassing or uncomfortable procedures. You also have to inquire with your medical insurance company to find out whether infertility treatment cost is covered in your package. Even after you go through all the oral counseling and testing, there is no 100% guarantee given by the specialist doctors about positive end results. 

No two women respond in a similar way to such fertility therapies. You may require a completely different fertility treatment when compared to another female with the same problem. The main aim of such treatments is to achieve pregnancy. 

Let us talk about some of the common infertility treatment procedures:

  • Fertility Stimulants – Stimulating the ovulation process within the body with the help of fertility drugs is one of the leading treatment methods for infertile women with ovulation issues. Such medication drugs induce forced ovulation. You can have a frank talk with your gynecologist about this option and the risks involved therein. 
  • Intrauterine Insemination – IUI process is performed by placing the healthy sperm directly inside the uterus at the time of ovulation or when the ovary is likely to release one or two eggs that have to be fertilized. The time frame of an intrauterine insemination procedure can be carried out during your normal cycle or with the aid of fertility medications. 
  • Fertility Surgery – When there are uterine complexities involved such as the uterine septum, fibroids or endometrial polyps, it can be rectified by preparing for hysteroscopic surgery. Other problems like pelvic adhesion, larger fibroids or endometriosis may have to be treated with laparoscopic surgery that is done by making a larger incision over the abdominal area. 

Gynecology annual congress 2019 meet to discuss reports on gynecological progress and female healthcare issues is scheduled to be conducted on 4th December, 2019 in the city of Dubai. The presenters and exhibitors will discuss the colossal improvement in patient healthcare sector in the UAE. All the topics related to research and innovative studies on women's healthcare will be covered and cross-cultural treatment measures will be highlighted. 

It will be an ideal podium to discuss the statistical reports and analyze the modern treatment options adopted by the UAE for the welfare of women living in the UAE. 

Tagged with Gynecologist, Women

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