Gynaecology

Gynaecology Department

Reproductive Care

Medical checkups and screening tests help keep you and your baby healthy during pregnancy. This is called prenatal care. It also involves education and counseling about how to handle different aspects of your pregnancy. During your visits, your doctor may discuss many issues, such as healthy eating and physical activity, screening tests you might need, and what to expect during labor and delivery.

Postnatal care (PNC) is the care given to the mother and her newborn baby immediately after the birth and for the first six weeks of life. This period marks the establishment of a new phase of family life for women and their partners and the beginning of the lifelong health record for newborn babies (or neonates — a term often used by doctors, nurses and midwives). Although for most women and babies, the postnatal period is uncomplicated, effective postnatal care (PNC) is also about recognising any deviation from expected recovery after birth, and evaluating and intervening appropriately in a timely fashion. It is of major concern that less than 6% of women in Ethiopia give birth in health facilities and not more than 10% receive any postnatal care within two days of delivery.

Our pregnancy services include:

  • Cervical cerclage
  • D & E (MTP)
  • Normal Vaginal Delivery
  • Pregnancy Exercises
  • Caeserian Section
  • High Risk Pregnancy Care
  • Abortion
  • Diseases of Pregnancy

We also provide Double Marker & QUAD Screening tests as well in our state of the art pathology lab.

Infertility

In general, infertility is defined as not being able to get pregnant (conceive) after one year (or longer) of unprotected sex. Because fertility in women is known to decline steadily with age, some providers evaluate and treat women aged 35 years or older after 6 months of unprotected sex. Women with infertility should consider making an appointment with a reproductive endocrinologist—a doctor who specializes in managing infertility. Reproductive endocrinologists may also be able to help women with recurrent pregnancy loss, defined as having two or more spontaneous miscarriages. Pregnancy is the result of a process that has many steps.

Diagnosis of Infertility

Doctors will begin by collecting a medical and sexual history from both partners. The initial evaluation usually includes a semen analysis, a tubal evaluation, and ovarian reserve testing.

Treatment of Infertility

Infertility can be treated with medicine, surgery, intrauterine insemination, or assisted reproductive technology.Often, medication and intrauterine insemination are used at the same time. Doctors recommend specific treatments for infertility on the basis of

  • The factors contributing to the infertility.
  • The duration of the infertility.
  • The age of the female.
  • The couple’s treatment preference after counseling about success rates, risks, and benefits of each treatment option.

Gynaecological Problems

We offer treatments for the following problems:

  • Well Woman Healthcheckups
  • Female Sexual Problems
  • Breast problems, Cancer Screening
  • Cervical Cancer Screening by PAP Smear
  • PID
  • PCOD, Dysmenorrhea
  • Abdominal, Vaginal Hysterectomy, Salphingo Oophorectomy.

Contraceptive Advice

In choosing a method of contraception, dual protection from the simultaneous risk for HIV and other STDs also should be considered. Although hormonal contraceptives and IUDs are highly effective at preventing pregnancy, they do not protect against STDs, including HIV. Consistent and correct use of the male latex condom reduces the risk for HIV infection and other STDs, including chlamydial infection, gonococcal infection, and trichomoniasis.

Contraception can be done using various methods such as :

  1. Intrauterine Contraception
    • Copper T intrauterine device (IUD)
    • Levonorgestrel intrauterine system (LNG IUD)
  2. Hormonal Methods
    • Implant
    • Injection or “shot”
    • Combined oral contraceptives
    • Progestin only pill
    • Patch
    • Hormonal vaginal contraceptive ring
  3. Barrier Methods
    • Diaphragm or cervical cap
    • Sponge
    • Male condom
    • Female condom
    • Spermicides
  4. Fertility Awareness-Based Methods
  5. Emergency Contraception
    • Copper IUD
    • Emergency contraceptive pills
  6. Permanent Methods of Birth Control
    • Female Sterilization—Tubal ligation or Tubectomy
    • Male Sterilization–Vasectomy

Adolescent Health problems

Adolescent gynaecology is increasingly recognised as an area in which specific knowledge and expertise is required to ensure that patients achieve the best outcome. Gynaecological problems in adolescents are common, and although serious pathology is rare, distress and discomfort can be significant. Adolescent girls are under greater pressure than ever before, particularly in terms of examination performance; they find menstrual dysfunction particularly difficult to manage. Careful and sympathetic assessment is crucial, and simple treatment remedies may be all that is required. However, complex and rare medical conditions can also occur and must not be missed. Some congenital disorders present for the first time in adolescence. Early detection and appropriate treatment will ensure the best possible outcomes in terms of sexual function and potential fertility.

Puberty is the time in life when a girl becomes sexually mature. It is a process that usually happens between ages 10 and 14. It causes physical changes, and affects boys and girls differently.

In girls:

  1. The first sign of puberty is usually breast development.
  2. Then hair grows in the pubic area and armpits.
  3. Menstruation (or a period) usually happens last.

In boys:

  1. Puberty usually begins with the testicles and penis getting bigger.
  2. Then hair grows in the pubic area and armpits.
  3. Muscles grow, the voice deepens, and facial hair develops as puberty continues.

Polycystic ovary syndrome (PCOS) is a set of symptoms due to elevated androgens (male hormones) in females. Signs and symptoms of PCOS include irregular or no menstrual periods, heavy periods, excess body and facial hair, acne, pelvic pain, difficulty getting pregnant, and patches of thick, darker, velvety skin. Risk factors include obesity, a lack of physical exercise, and a family history of someone with the condition. Diagnosis is based on two of the following three findings: no ovulation, high androgen levels, and ovarian cysts. Cysts may be detectable by ultrasound. Other conditions that produce similar symptoms include adrenal hyperplasia, hypothyroidism, and high blood levels of prolactin. PCOS has no cure. Treatment may involve lifestyle changes such as weight loss and exercise. Birth control pills may help with improving the regularity of periods, excess hair growth, and acne.