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Management and treatment of Gynecological problems

There are various gynaecological health disorders that arise over time as a woman’s body undergoes many changes during her reproductive years. Improved knowledge is the first step in treating and managing gynaecological diseases.

Gynaecological issues that are frequently encountered include:

1. Abnormal Uterine Bleeding

Abnormal uterine bleeding, which includes irregular vaginal bleeding, is referred to as abnormal uterine bleeding. The definition of abnormal uterine bleeding varies according to a woman’s life stage. In pregnant women, any bleeding is considered abnormal. Abnormal bleeding in women of menstrual age refers to excessive bleeding during menstruation.


Severe menstrual cramps, spotting, a period lasting more than seven days, and cycles longer and shorter than 38 and 24 days, respectively, are all symptoms.


The doctor may suggest surgery to halt the bleeding if the medications aren’t working for:

  • Endometrial ablation:  The surgeon will use heat, cold, electricity, or a laser to remove the uterine lining.

  • Uterine artery embolization or myomectomy.

  • Hysterectomy. If you have large fibroids and endometrial or uterine cancer, your doctor will remove your uterus.

What are the benefits of antenatal care?

Menstrual fluid or endometrial discharge may be produced from the uterus at the end of the menstrual cycle. Endometrial tissue grows outside the uterus and bleeds during the menstrual cycle. It’s possible that blood from the displaced tissue doesn’t have anywhere to go, causing swelling and inflammation in the surrounding tissues. Lesions or growths are formed as a result of scarring that occurs as a result of inflammation.


Symptoms include Persistent discomfort in the pelvis When urinating, having a bowel movement, or having pain during or after sexual activity, An inability to conceive and excessive menstrual bleeding.


Despite the lack of an endometriosis cure, the condition can be controlled. There are a variety of medicinal and surgical treatments for treating this condition, and the optimal course of action depends on the individual patient and their gynaecologist. Consult the best gynaecologists in Karachi

Conservative surgery

Women who are unable to conceive despite taking hormone therapy will be recommended conservative surgery by their doctor. It is the primary goal of traditional surgery to remove the endometrial growths without harming the reproductive organs. Because it is a less invasive procedure, laparoscopy allows for the removal of the endometrial tissue. The growths are surgically removed through a small cut or incision in the abdomen. In the modern era, lasers are widely used.

Total hysterectomy is the last resort if other therapies fail to improve your condition. Endometriosis is not cured by a hysterectomy. Pregnancy will not be an option after having your hysterectomy.

How many Antenatal Appointments should I expect to attend?

Smooth muscle develops nodules in the uterine wall at any age, although they are most common in women between the ages of 30 and 40. Fibroids in the uterus are not cancerous, but they can produce menstrual bleeding that is both copious and uncomfortable. They include sub-mucosal, uterine fibroid and intramural uterine fibroid.


Heavy or prolonged periods Painful intercourse, abdominal pressure, and trouble peeing.


First-time patients benefit from specific natural treatments such as acupuncture, massage, and yoga.


The fibroids are removed via an abdominal myomectomy, which requires making a big incision in the abdomen. Laparoscopic surgery is currently used to do the procedure, which requires only a few minor incisions. The doctor may perform a hysterectomy if your condition worsens and no other treatments are working.


Myomectomy is a surgical procedure that removes noncancerous uterine fibroids or leiomyomas.

Fibroids in the uterus can develop at any age, although they are more common in women who are expecting a child. These fibroids are removed and the uterus is reconstructed as part of this procedure. After this operation, women report lessening of fibroid symptoms. Pelvic pressure and heavy menstrual bleeding are two more issues that often resolve after myomectomy.

It is recommended to get this procedure to address fibroids that are interfering with your daily routines. Fibroids might interfere with your fertility, which makes pregnancy planning difficult.

Based on the type of myomectomy being performed, the surgeon will determine the best course of action to be taken.

Abdominal myomectomy

General anaesthesia is used for this surgery. The surgeon can do a horizontal incision over the pubic bone, which is less invasive and leaves a smaller scar, but it can only be used to remove tiny fibroids from the uterus. To treat big fibroids, surgeons may make a vertical incision just below the belly button above the pubic bone.

The surgeon will finally be able to remove the fibroids from the uterine wall after making the incision.In the end, the surgeon will stitch the uterine muscle layers.

Laparoscopic myomectomy

While you’re asleep from the anaesthetic, the surgeon will make four very small incisions in the lower belly, each measuring approximately half an inch. Carbon dioxide gas will be pumped into your abdomen to assist the surgeon in seeing what’s going on inside.

A camera-equipped laparoscope will be inserted into one of the incisions by the surgeon. The other incisions are made to insert other small instruments that will be used during the procedure.

Remove fibroids by cutting them into small pieces or by switching to an abdominal myomectomy if the fibroids are too large for a small incision.Next, By removing the instrument, the surgeons are able to release the gas and close the incisions. It necessitates a one-night hospital stay.

Hysteroscopic myomectomy

During this procedure, a local anaesthetic or general anaesthetic both can be used.

The surgeon will place a thin, lighted scope into the uterus and leave a liquid in it to expand the uterus and allow him to see the fibroids. The fibroids will be shaved off with a wire loop, and the fluids will be removed with the fibroid pieces. The majority of women go home the same day as their procedure.

Myomectomy risks

Myomectomy risks: To avoid this, you should seek the advice of the best gynaecologist in Karachi to reduce the chance of complications.

What is the process of recovery like?

After your operation, you may experience some pain, and your surgeon will prescribe medicine to help you cope. For a few days to weeks, there may be spotting.

The recovery time is longer if you have open surgery. Abdominal myomectomy takes four to six weeks to recover from. The recovery period for laparoscopic myomectomy is two to four weeks, and the recovery time for hysteroscopic myomectomy is two to three days.

It would be beneficial if you avoided lifting anything heavy or engaging in rigorous exercise until the incisions are totally healed.

This operation has been shown to be beneficial in the treatment of symptoms such as pelvic pain and excessive menstrual bleeding, so contact us for the best fibroid removal in Karachi.

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