Gynaecology

The common problems include issues related to irregular periods, menstrual pain, heavy menstrual bleeding, endometriosis, fibroids, pelvic pain, infertility, and pelvic floor problems causing incontinence or prolapse. Beginning from problems in pre-puberty to post-menopause, we offer care to women through outpatient, day care surgery and inpatient services. The outpatient services are offered at the Fernandez OP Clinics – Hyderguda and Miyapur, and at Stork Home. Inpatient care including surgeries are offered at Fernandez Hospital - Hyderguda and Stork Home – Banjara Hills (details on schedules and appointments can be accessed by calling 1800 419 1397).

Some of the services that we offer:

Subfertility evaluation and management

Infertility is the inability of a sexually active non-contracepting couple to achieve pregnancy in one year. It is a common problem with a global prevalence. The initial treatment strategy incorporates nutritionist consultation and lifestyle modifications for women who are obese or underweight, and endocrinology referral for those with hormone problems. Broadly, the treatment of subfertility in the female partner may be categorized into ovulation induction, intrauterine insemination and in vitro fertilization or IVF.

A dedicated Andrology Clinic at Stork Home caters to the needs of men with fertility problems. Both infertility and its treatment can lead to emotional and psychological stress and significantly impact the quality of life of these couples. Catering to the emotional needs is an integral part of the treatment plan and psychological counselling by experts can be solicited when needed.

The Infertility division has been instrumental in the formulation of management protocols and streamlining of the infertility services. After evaluation of both partners, the treatment plan is decided by the treating consultant based on standard international guidelines. Evaluation by hysteroscopy and laparoscopy, and surgical correction of tubal blocks and malformed uteri, removal of fibroids and cysts are some of the fertility-related procedures that are performed by consultants trained and experienced in endoscopic surgery. The team strives to achieve success rates in comparison with international standards by keeping abreast with recent scientific advances and offering evidence-based treatment.

Urogynecology Clinic

Urogynecology involves assessment, investigations, and treatment of women with urinary incontinence (leakage of urine), prolapse (mass or lump in vagina), recurrent urinary tract infections, bladder pain and problems following pelvic floor injury at childbirth such as vaginal pain. Urogynecology Clinic is a one-stop clinic to evaluate and treat women presenting with urinary incontinence, frequent urination, sudden urge to pass urine, painful urination, difficulty in emptying the bladder and recurrent infections. We work with physiotherapists to provide comprehensive care towards achieving control of the bladder function (continence). Some women might need a special test called Urodynamics to evaluate bladder function.

Perineal Clinic

Childbirth trauma can sometimes cause damage (tears) to the muscles surrounding the anal canal (motion passage) known as the sphincter muscles. These tears are called 3rd and 4th degree perineal tears or obstetric anal sphincter injuries. They can cause distressing symptoms such as anal incontinence (leakage of motion), urgency to pass motion, dyspareunia (pain during intercourse) and perineal pain (pain at suture site near vagina and anal region) which are reported in 30–50% of women with a clinically recognized anal sphincter injury.

The Perineal Clinic provides a dedicated setting where all women with such injuries can be examined by clinicians with expertise in this field. This helps to standardize follow up care and provides an opportunity for debriefing and clarification of any doubts about the events surrounding the delivery process. Counselling can also be provided about the mode of delivery in future pregnancies. Women with poor outcomes despite adequate repair are managed in consultation with a colorectal surgeon.

What we do not offer at Fernandez Hospital

Contraception facilities such as IUCD insertion and tubectomy

Medical termination of pregnancy

In vitro fertilization (IVF)

Urogynaecology

Urogynaecology Clinic

Urogynaecology is an emerging speciality of gynaecology. This service includes the care of women with urinary incontinence, bladder problems like recurrent urine infections, bladder pain and voiding problems.

We deal with complex pelvic organ prolapses, including vault prolapse – a known complication following a hysterectomy. We perform surgeries for management of stress incontinence, cystoscopies and pelvic floor repairs.

Urogynaecology involves assessment, investigations and treatment of women with urinary incontinence (leakage of urine), prolapse (mass or lump in vagina), recurrent urinary tract infections, bladder pain and problems following pelvic floor injury at childbirth such as vaginal pain.

Urogynaecology Clinic is a one-stop clinic to evaluate and treat women presenting with urinary incontinence, frequent urination, sudden urge to pass urine, painful urination, difficulty in emptying the bladder and recurrent infections. We work with physiotherapists to provide comprehensive care towards achieving control of the bladder function (continence). Some women might need a special test called Urodynamics to evaluate bladder function.

Fertility

Investigation and management of infertile couples, forms a major portion of our general gynaecology practice. We offer full time access to pelvic ultrasound scanning and support the management of fertility and early pregnancy related issues.

Same-Day Procedures

We offer an initial consultation, and diagnostic test in one visit. We are equipped to perform all tests and scans simultaneously, and to draw up and execute a treatment plan immediately. Making our clinic a one-stop solution for conditions such as abnormal bleeding, in which a scan, consultation and the surgical procedures (endometrial biopsy, levonorgestrel IUCD insertion) can take place in a single visit under local anaesthesia.

Surgery

Modern, minimally invasive surgical techniques, enable shorter stays in hospital and a quicker recovery.

Keyhole surgery for diagnostic hysteroscopy, laparoscopy to treat infertility, irregular bleeding, bleeding after menopause.
Operative hysteroscopy for endometrial polyps, uterine abnormalities, submucous fibroids.
Operative laparoscopy for endometriosis, fibroids (myomectomy) and ovarian cysts.
Scarless vaginal hysterectomy for abnormal uterine bleeding.
Vaginal surgeries for prolapse and urinary incontinence.
Total laparoscopic hysterectomy.
Abdominal hysterectomy for large abdominal masses and huge fibroids.