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| • Heavy Period in Adolescent Girls |
| • Heavy Periods in Reproductive Age |
| • Postmenopausal Vaginal Bleeding |
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| Cause of Regular Heavy Bleeding |
FIBROIDS |
POLYPS |
CERVICAL LESION |
ENDOMETRIAL HYPERPLASIA |
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| Cause of Irregular Bleeding |
POLYCYSTIC OVARY SYNDROME |
VAGINAL & UTERINE ATROPHY |
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| Cause of Lack of Menstrual Bleeding |
ASHERMAN'S SYNDROME
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PROLACTINOMA |
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| Update on Uterine Balloon Therapy For Heavy Periods |
| The modern era of endometrial ablation commenced just over 20 years ago with the development of several method of permanent endometrial destruction for women with heavy periods. |
In 90% cases, it is very effective and no more surgery on uterus is required.Only uterine is the technique should be 100% safe for patient. |
| Uterine thermal balloon therapy |
The uterine thermal balloon therapy was developed just over 10 years ago and claimed to be as most safe and effective as rollerball ablation in a randomized trial. The device is simple and has the potential for use with local anesthetic.
The simplicity of the thermal balloon therapy is its greatest benefit and, despite the cost of this disposable device.
The apparatus consist of a distensible latex balloon at the tip of a catheter through which heated 5% dextrose in water is circulated at about 87 o C for 8 minutes. The heating element is contained in the balloon. As a safety measure to confirm.
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It is covered by Mediclaim (TPA) and full payment is made. |
Dr. Sharda Jain has largest experience of using Uterine Balloon Therapy in Northern India for last 10 years. It has been found to be 99% effective (see table of our experience / see video )
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USP of Balloon Therapy:
- It is 10 minutes procedure
- It can be used in medically where long surgery is contracted
- Meet happy and satisfied patients of ours.
- Balloon Therapy club was started with our happy patients and Dr. Sharda Jain.
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UTERINE BALLOON THERAPY CLUB (11.1.09) |
Good Example of Doctor Patient Partnership
Uterine Balloon Therapy Club was started on 11/1/09 at Pushpanjali Crosslay Hospital by 20 satisfied patients during workshop of DUB update. 104 gyanecologists of East Delhi, Gaziabad and Noida participated in the workshop. The mission of this club is educate the community on how to control Heavy Bleeding by simple 8 minute treatment of uterine balloon therapy without removal of uterus i.e. Hysterectomy. This simple procedure cures the disease promptly in good. 94-95% cases, promotes positive health, women improves their haemoglobin status and makes them satisfied and more productive human being. Dr. S. Lakshmi Devi (Principal Rajguru College of Applied Sciences), Dr Anuradha Saxena (Principal Central School), Mrs. Sunanda Shrivastava (Sr. Executive in public sector marketing) and 17 more higher educated and working women who are satisfied patients of Uterine Balloon Therapy joined hands with Delhi Gynaecologist Forum and Doctor working in Pushpanjali Crosslay Hospital to reach out with this information to every women troubled by heavy periods. Pushpanjali Crosslay Hospital is centre of excellence of Balloon Therapy training for gynaecologists from all over India. Dr. Sharda Jain, Organizing Chairperson of DUB update, said “this therapy is boon for patients who do not have big fibroids or cancer in the uterus. It is also very useful for women who are medically HIGH RISK case to under go major surgery which mortality i.e. morbid obesity with co-morbities like Diabetes and Hypertension, Kidney and renal failure, blood diseases, disabling heart disease, poor cardiac reserve and sever anemia.
Dr. Lakshmi Devi, President of WOW India (well being of women) requested Gynaecologists to become its members and lead the 21st century movement of creating awareness among women about BEST PRACTICES AND EVIDENCE BASED TREATMENT for common disease bothering and incapacitating women in India.
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| Click to see Balloon Therapy Patient List |
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| Our Experience - The Role of Office Hysteroscopy In Abnormal Uterine Bleeding |
Dr. Sharda Jain
Dr. Jyoti Agarwal
Methods: 50 subjects with the complaints of Abnormal Uterine Bleeding (AUB) were included in the study. All patients underwent TVS, Office Hysteroscopy and Endometrial sampling in the premenstrual phase. The results of these investigative modalities were compared to histopathology which was taken as the gold standard.
Observation: The mean age of patients was 40.42-5.6 years. The overall sensitivity and specificity of hysteroscopy was 84% and 72% respectively, of TVS was 52% and 68% respectively and of endometrial sampling was 60% and 100% respectively. The analysis was done for each lesion.
Conclusion: Office Hysteroscopy had a higher sensitivity (84%) than TVS (52%) and Endometrial sampling (60%). Hysteroscopy is the best modality to diagnose polyps and submucous fibroids. However, sensitivity to detect hyperplasia is lower.
See Video Please |
| Endometrial pathology in post menopausal bleeding |
Dr. Sharda Jain
Dr. Jyoti Agarwal
In this era where life expectancy of women has increased, hence many women will experience post menopausal bleeding. Postmenopausal bleeding is an important indicator that points towards the presence of malignancy.
Objective: The purpose of the study was to ascertain incidence of malignancy in post menopausal patients.
Methods: This was a prospective study conducted over a period of 2 years i.e. 2007, 2008 at Life Care Centre: A Super Speciality Gynae Clinic. 48 cases were enrolled. The age of the patient, time span after menopausal were recorded. All women were subjected to Hysteroscopic guided endometrial biopsy. The endometrial samples were reviewed histopathologically and classified as benign and malignant.
Result: HPE finding were as follows:
Atrophic (9%),
Proliferative (24%),
Hyperplasia (31%),
Polyp (19%),
Atypical hyperplasia (5%),
Endometrial cancer (12%).
Conclusion: Postmenopausal bleeding symptom is not to be underestimated ever. Delay in seeking medical help after the onset of bleeding & presentation is worrisome, also increasing age had increased the incidence of endometrial cancer. The incidence of postmenopausal bleeding decreased with increasing age; however probability of malignancy as underlying cause increased. This study shows the importance of even slight postmenopausal bleeding should be thoroughly investigated; hence a need for public education is the need of hour. |
