Infertility
Dr.Meenakshi Sabharwal is a trained IVF specialist who has helped thousands of women to conceive. The dedicated specialized services offered at the department are:-
- Management of female factor infertility
- Management of male factor infertility
- Fertility enhancing Laproscopic and hysteroscopic surgeries
- Intra Uterine Insemination
- PRP Theraphy & Stem cell Therapy for premature Ovarian Failure & Thin endometrium
Urogynaecology- Laser Treatment
This service caters to women with Urological Problems and Pelvic Floor defects. Though not life threatening, these problems severely affect quality of life. Traditional surgeries for these have been found to have many implications and are being increasingly replaced with more scientific and physiological procedures. We provide complete diagnostic solutions for problems related to the vagina, uterus, bladder, urethra, and rectum with specialization in the treatment of female reproductive Health.
- Urinary Leakage or Incontinence (stress, urge or mixed)
- Pelvic Organ Prolapse (uterus, bladder or the Rectum)
- Difficulty in Voiding or Emptying the bladder
- Chronic Pelvic pain
- Others
Both Surgical and Non-Surgical Options are available to customize the Patient's needs Laser treatment for
- SUI
- Vaginal Dryness
- Recurrent UTI
- Post-Menopausal Symptoms
HIFEM EMSELLA CHAIR for Urinary Incontinence
NEWER MODALATIES IN TREATMENT OF PELVIC FLOOR DYSFUNCTION DISORDERS
BY DR. MEENAKSHI SABHARWAL,
Consultant Gynaecologist & Obstetrician
Cosmetic gynaecologist
Jeewan hospital (Pusa Road)
MBBS, DGO, FICOG, FICMH,PGDHM
FELLOWSHIP IN ENDOSCOPIC GYNAECOLOGY SURGERY (GERMANY)
DIPLOMA IN IVF-ICSI-EMRYOLOGY (DGF)
DIPLOMA IN COSMETIC GYNAECOLOGY (ISCG, USA)
DIPLOMA IN COSMETIC GYNAECOLOGY (IASRG, DELHI)
BACKGROUND:-
Pelvic floor dysfunction is common and can include symptoms of urinary incontinence, faecal incontinence and prolapse. Overall incidence of incontinence in India is 21.87%, of the total women having incontinence, 73.8% found to have stress incontinence.
Most cases of stress incontinence are due to poor pelvic floor musculature and deranged neuromuscular control, which leads to these abnormalities. The cause of these abnormalities is not known, but could be injuries to the pelvic floor during childbirth, hormonal imbalance and estrogen deficiency in menopause.
Urinary incontinence can have a significant impact on women’s health including physical, psychological, emotional or social well being.
Most cases of stress incontinence are due to poor pelvic floor musculature and deranged neuromuscular control, that leads to these abnormalities. The cause of these abnormalities is not known, but could be injuries to the pelvic floor during childbirth, hormonal imbalance and estrogen deficiency in menopause.
Urinary incontinence can have a significant impact on women’s health including physical, psychological, emotional or social well being.
TREATMENT:-
The treatment for most pelvic floor disorders, First line therapy is behavioural modification and pelvic floor muscle exercises. PFME requiring repeated voluntary pelvic floor muscle training (i.e, Kegel exercises)may be used in conjunction with bladder retraining. A PFME performed in supervised pelvic floor therapy programmes is more effective then exercises performed independently.
NEWER MODALITY:-
The new revolutionary treatment with BTL EMSELLA is a breakthrough therapy for pelvic health both for incontinence and intimate wellness.
EMSELLA works on the principle of patented high intensity focussed electromagnetic procedure(HIFEM)
Emsella is FDA cleared and provides non-invasive electromagnetic stimulation of pelvic floor musculature, for the purpose of rehabilitation of weak muscles and restoration of neuromuscular control.
HIFEM procedure triggers pelvic floor contractions targeting neuromuscular tissue and inducing electric current. These electric currents depolarize neurons resulting in concentric contractions and lift up the pelvic floor musculature thus improving the support to the bladder and thus improving symptoms of SUI.
Each session lasts for 28 minutes and around 11,000 kegel exercises are done during this time and sessions are scheduled twice a week. Minimum 6 sessions need to be given to the patient.
Our experience at our centre has been very encouraging.
Patients treated for SUI with Emsella, the symptomatic relief was present in 70% patients. Rest 30% did not show much improvement . Patients were assessed with king’s health questionnaire (KHQ). Follow up is for a 3-6 months period.
CONCLUSION:-
Emsella is a good treatment modality for symptomatic relief of SUI in patients with weak pelvic floor and improves the quality of life especially in menopausal women. Emsella is good adjuvant for pelvic floor strengthening after vaginal surgery and postpartum.
Gynae – Endocrinology:-
The Services deal with Endocrine or Hormonal Dysfunction in women. Though Hormonal Problems are more common at the two.