Frequently Asked Questions

Miscarriage
1.      What are the common causes of miscarriage?
a.      Miscarriages can result from various factors, including chromosomal abnormalities, maternal age, uterine abnormalities, hormonal imbalances, infections, and lifestyle factors (American College of Obstetricians and Gynecologists).
2.      What are the signs and symptoms of miscarriage?
a.      Warning signs of miscarriage may include vaginal bleeding, abdominal pain or cramping, and the passage of tissue. Emotional indicators may involve sudden loss of pregnancy symptoms. Early detection and consultation with a healthcare professional are crucial (Mayo Clinic)
3.      How can miscarriage be prevented or managed?
a.      While not all miscarriages can be prevented, maintaining a healthy lifestyle, managing chronic conditions, avoiding harmful substances, and seeking prompt prenatal care contribute to a healthier pregnancy. In cases of recurrent miscarriages, consulting with a healthcare provider is essential for personalized guidance (American Pregnancy Association)

Infertility
1.      What are the main causes of infertility in men and women?
a.      Infertility in men can be caused by issues such as low sperm count, abnormal sperm function, or blockages that prevent the delivery of sperm. In women, common causes include ovulation disorders, blocked fallopian tubes, and age-related factors affecting egg quality (Mayo Clinic)
2.      What are the available treatment options for infertility?
a.      Treatment options for infertility vary depending on the underlying cause and may include lifestyle changes, medication to induce ovulation, surgery to address anatomical issues, assisted reproductive technologies (ART) like in vitro fertilization (IVF), or donor eggs or sperm. Consulting with a fertility specialist can help determine the most suitable treatment.
3.      When should I seek help for infertility?
a.      If you're a woman under 35 and have been trying to conceive for over a year without success, or if you're over 35 and haven't conceived after six months of trying, it's advisable to seek assistance from a fertility specialist. Additionally, if you have known fertility issues or other factors that may affect fertility, such as irregular menstrual cycles or prior pelvic surgeries, consider consulting a healthcare provider sooner. For men, factors like testicular trauma, prior hernia surgery, or infertility history with another partner should prompt timely consultation with a healthcare provider (Centers for Disease Control and Prevention)
 
Gynae-laproscopic surgery
1.      What conditions can be treated with gynecological laparoscopic surgery?
a.      Gynecological laparoscopic surgery can treat various conditions including endometriosis, ovarian cysts, uterine fibroids, ectopic pregnancy, pelvic inflammatory disease (PID), and infertility issues like blocked fallopian tubes (American College of Obstetricians and Gynecologists).
2.      How is gynecological laparoscopic surgery performed?
a.      Gynecological laparoscopic surgery, a minimally invasive procedure,  involves making small incisions in the abdomen through which a laparoscope (a thin, lighted tube with a camera) and specialized surgical instruments are inserted. The surgeon then performs the procedure while viewing the internal organs on a monitor (American College of Obstetricians and Gynecologists).
3.      What are the benefits and risks of gynecological laparoscopic surgery?
a.      Benefits of gynecological laparoscopic surgery include shorter recovery times, reduced pain, smaller incisions, and lower risk of infection compared to traditional open surgery. However, risks may include injury to surrounding organs, bleeding, infection, and anesthesia-related complications. Consulting with a healthcare provider can provide personalized information regarding benefits and risks (American College of Obstetricians and Gynecologists).
 
Cryo-cauterization
1.      What is cryo-cauterization and how is it used in gynecology?
a.      Cryo-cauterization is a medical procedure that uses extreme cold temperatures to destroy abnormal tissue. In gynecology, it's commonly used to treat various conditions such as abnormal cervical cells (dysplasia), genital warts caused by human papillomavirus (HPV), and precancerous lesions of the cervix, vagina, or vulva (National Health Service).
2.      What conditions can be treated with cryo-cauterization?
a.      Cryo-cauterization is effective in treating conditions such as cervical dysplasia (abnormal cervical cells), genital warts (caused by HPV), and precancerous lesions of the cervix, vagina, or vulva. It's a minimally invasive procedure that can often be performed in a doctor's office.
3.      What are the potential side effects or risks of cryo-cauterization?
a.      While cryo-cauterization is generally considered safe, potential side effects may include pain or discomfort during the procedure, temporary swelling or redness at the treatment site, and a watery vaginal discharge. Rarely, there might be complications such as infection or scarring. Consulting with a healthcare provider can provide personalized information regarding potential risks (Jahic).
 
Normal delivery
1.      What are the stages of normal delivery?
a.      Normal delivery typically involves three stages: the dilation and effacement of the cervix, the delivery of the baby, and the delivery of the placenta. Each stage has specific milestones and may vary in duration for each individual.
2.      How can I prepare for a normal delivery?
a.      Preparing for normal delivery involves prenatal care, attending childbirth education classes, practicing relaxation techniques and breathing exercises, creating a birth plan, and discussing preferences with healthcare providers. Maintaining a healthy lifestyle, staying active, and following medical advice are essential aspects of preparation.
3.      What are the benefits of choosing a normal delivery?
a.      Choosing normal delivery, when medically appropriate, can offer benefits such as shorter recovery times, reduced risks of surgical complications, potential bonding experiences between mother and baby immediately after birth, and a more natural birthing process. However, it's crucial to discuss individual circumstances with healthcare providers to make informed decisions.
 
C-section
1.      When is a C-section recommended during pregnancy?
a.      A cesarean section (C-section) may be recommended during pregnancy for various reasons including fetal distress, breech presentation, placenta previa, multiple pregnancies, maternal health concerns, or previous C-sections with specific indications. The decision is typically made in consultation with healthcare providers based on individual circumstances (Mayo Clinic)
2.      What are the risks and benefits of a C-section compared to a normal delivery?
a.      C-sections carry risks such as increased likelihood of infection, blood loss, surgical injury, and longer recovery times compared to vaginal delivery. However, they may be beneficial in certain situations by reducing risks associated with prolonged labor or complications during delivery, such as fetal distress or birth injuries. It's important to discuss potential risks and benefits with healthcare providers to make informed decisions.
3.      What is the recovery process like after a C-section?
a.      Recovery after a C-section involves hospital stay typically lasting 2 to 4 days, pain management, gradually resuming normal activities, and avoiding heavy lifting or strenuous exercise for several weeks. Patients are advised to follow post-operative care instructions, including proper wound care and monitoring for signs of infection or complications. Support from healthcare providers and family members can aid in the recovery process.  
 
Excessive bleeding
1.      What are the common causes of excessive bleeding in women?
a.      Common causes of excessive bleeding in women include hormonal imbalances, uterine fibroids, endometrial polyps, adenomyosis, pelvic inflammatory disease (PID), miscarriage, ectopic pregnancy, and certain blood disorders  (American College of Obstetricians and Gynecologists).
2.      How is excessive bleeding diagnosed and treated?
a.      Excessive bleeding in women is diagnosed through a combination of medical history, physical examination, blood tests to check for anemia or clotting disorders, pelvic ultrasound, and possibly other imaging studies or endometrial biopsy. Treatment options depend on the underlying cause and may include medication (such as hormonal therapy or tranexamic acid), minimally invasive procedures (such as endometrial ablation), or surgery (such as hysterectomy)
3.      When should I seek medical attention for excessive bleeding?
a.      Seek immediate medical attention if you experience excessive bleeding that is heavy enough to soak through one or more sanitary pads or tampons per hour, bleeding with large blood clots, bleeding that lasts longer than seven days, or bleeding accompanied by symptoms like dizziness, fainting, or weakness. Prompt medical evaluation is essential to identify and address the underlying cause.
 
Menstruation problem
1.      What are common menstrual problems and their causes?
a.      Common menstrual problems include irregular periods, heavy menstrual bleeding (menorrhagia), painful periods (dysmenorrhea), and absence of menstruation (amenorrhea). Causes may vary and include hormonal imbalances, uterine fibroids, polycystic ovary syndrome (PCOS), endometriosis, and thyroid disorders (National Institutes of Health).
2.      How can menstrual problems be managed or treated?
a.      Menstrual problems can be managed or treated depending on the underlying cause. Treatments may include hormonal birth control, nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief, hormone therapy, surgical interventions (e.g., removal of fibroids), lifestyle modifications, and dietary changes.
3.      When should I consult a doctor for menstrual irregularities?
a.      Consult a doctor if you experience severe menstrual pain or cramping, irregular periods, unusually heavy bleeding, periods lasting longer than a week, or absence of menstruation for three months or more. It's important to seek medical attention to identify and address any underlying issues affecting menstrual health.
 
Ultrasound
1.      What is an ultrasound and how is it used in gynecology?
a.      An ultrasound is a non-invasive imaging technique that uses sound waves to create images of internal organs. In gynecology, ultrasound is commonly used to assess the reproductive organs such as the uterus, ovaries, and fallopian tubes. It helps diagnose conditions like ovarian cysts, uterine fibroids, and ectopic pregnancies (Mayo Clinic).
2.      What are the different types of ultrasound scans?
a.      There are different types of ultrasound scans used in gynecology, including transabdominal ultrasound, transvaginal ultrasound, and Doppler ultrasound. Transabdominal ultrasound is performed over the abdomen, while transvaginal ultrasound involves inserting a probe into the vagina for better visualization. Doppler ultrasound measures blood flow in the pelvic organs (Radiological Society of North America (RSNA) & American College of Radiology (ACR))
3.      What information can be obtained from an ultrasound during pregnancy?
a.      During pregnancy, ultrasound scans provide valuable information such as confirming pregnancy viability, determining gestational age, assessing fetal growth and development, identifying multiple pregnancies, evaluating the placenta and amniotic fluid levels, and detecting fetal abnormalities. It also helps monitor the well-being of the fetus and maternal health (Ulrich & Dewald, 2024).
 
Family planning advice
1.     What are the different methods of family planning available?
a.      Family planning methods include hormonal contraceptives (pills, patches), barrier methods (condoms, diaphragms), IUDs, fertility awareness, sterilization, and emergency contraception. Each method offers unique benefits and considerations (Center for Disease Control and Prevention)
2.     How do I choose the right family planning method for me?
a.      Choosing the right family planning method depends on individual preferences, lifestyle, health considerations, and contraceptive effectiveness. Factors to consider include desired pregnancy timing, frequency of sexual activity, effectiveness, ease of use, side effects, and medical history. Consulting with a healthcare provider can help determine the most suitable method (World Health Organization).
3.     What are the benefits and risks associated with different family planning methods?
a.      Benefits of family planning methods include pregnancy prevention, menstrual cycle regulation, and control over family size. Risks and side effects vary depending on the method and may include hormonal changes, menstrual irregularities, allergic reactions, and, in rare cases, serious complications like blood clots or ectopic pregnancy. It's important to weigh the benefits and risks when choosing a method (World Health Organization).
 
Miscellaneous FAQs
1.      what does a gynecologist check-up consist of
a.      A gynecologist check-up typically includes a medical history review, physical examination (including breast and pelvic exams), screening for sexually transmitted infections (STIs), and discussion of any concerns or symptoms. Additional tests or procedures may be recommended based on individual health needs.
2.     What are the routine tests for gynecology?
a.      Routine tests in gynecology may include a Pap smear (or Pap test), pelvic exam, breast exam, HPV test, STD screenings, and, depending on age and risk factors, mammograms and bone density tests. These tests help detect abnormalities and ensure reproductive health.
3.     Why do I need a routine gynecological exam?
a.      Routine gynecological exams are essential for early detection of gynecological conditions, such as cervical cancer, STIs, and reproductive health issues. They also provide an opportunity to discuss contraception, family planning, and overall wellness with a healthcare provider.
4.     How do gynecologists test for pregnancy?
a.      Gynecologists may test for pregnancy using urine or blood tests. Urine tests detect the presence of the pregnancy hormone hCG, while blood tests measure hCG levels more precisely. These tests can confirm pregnancy as early as a few days after conception.
5.     How do I self check my stomach for pregnancy?
a.      Self-checking for pregnancy involves observing changes in the stomach area, such as a protruding belly or feeling fetal movements (quickening). However, stomach changes typically become noticeable in the second trimester, around the fourth to sixth month of pregnancy.
6.     What month does the stomach come out during pregnancy?
a.      The stomach typically begins to show or "pop" between the 12th and 16th weeks of pregnancy for first-time mothers. However, the exact timing varies for each woman depending on factors like body type, abdominal muscles, and the position of the uterus.
7.     What are the dos and don'ts before obgyn appointment
a.      Dos before an OBGYN appointment include bringing relevant medical records, making a list of questions or concerns, and arriving on time. Don'ts include avoiding douching, sexual intercourse, and using vaginal medications or products before the appointment unless advised by the doctor.
8.     Common signs of early pregnancy
a.      Common signs of early pregnancy include missed periods, breast tenderness, nausea or vomiting (morning sickness), fatigue, frequent urination, and heightened sense of smell. However, these symptoms can vary among individuals.
9.     When does the baby start kicking?
a.      Fetal movements, commonly known as "quickening," typically begin between the 16th and 25th weeks of pregnancy. However, first-time mothers may feel movements closer to the 25th week, while women who have been pregnant before may feel them earlier.
10.  How do you calculate the due date?
a.      The due date is calculated by adding 280 days (40 weeks) to the first day of the woman's last menstrual period (LMP). Alternatively, it can be estimated using ultrasound measurements taken during early pregnancy. Due dates are approximate and may vary based on individual factors.
11.  What is a pelvic exam?
a.      A pelvic exam is a physical examination of a woman's reproductive organs, including the vagina, cervix, uterus, and ovaries. It involves the insertion of a speculum into the vagina to visualize the cervix and the use of gloved fingers to palpate the pelvic organs for abnormalities.
12.  What is a Pap test and why do I need it?
a.      A Pap test, also known as a Pap smear, is a screening test used to detect cervical cancer or precancerous changes in the cervix. It involves collecting cells from the cervix during a pelvic exam and examining them under a microscope for abnormalities. Regular Pap tests are crucial for early detection and prevention of cervical cancer.