Obstetrician & Gynecologist (Specialist)
Dr. P.G Sasikala is a specialist obstetrician and gynecologist working at Keerthi Medical Center. Doctor have 28 years of experience in Dubai, specially in level one Infertility management and outpatient department. Dr.Sasikala have completed her MBBS from Govt. Medical College Calicut, Kerala, done her post graduation diploma in obstetrics and gynecology as well as MD (Obstetrics and gynecology) from Kasthurba Medical College, Mangalore, Karnataka.
The goal of every pregnant woman and her doctor is the birth of a healthy baby. It is advisable and recommended to visit your doctor before your are pregnant. The doctor will do your routine check-up. The tests include Papsmear and check for diabetes and thyroid imbalance. You should discuss regarding any family history of inherited problems, any past medical problems which may be important while planningpregnancy. The doctor will advise you on changes in nutrition intake and lifestyle when you are planning a baby.
Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or older. Women who can get pregnant but are unable to stay pregnant may also be infertile. Pregnancy is the result of a process that has many steps. To get pregnant:
- A woman must release an egg from one of her ovaries (ovulation).
- The egg must go through a Fallopian tube toward the uterus (womb).
- A mans sperm must join with (fertilize) the egg along the way.
- The fertilized egg must attach to the inside of the uterus (implantation).
Infertility can happen if there are problems with any of these steps.
Infertility can be due to the woman (33%), the man (33%) and by both sexes or due to unknown problems (33%), approximately.Infertility in men can be due to varicocele, low or absent sperm count, sperm damage or certain diseases.
Risk factors for mens infertility include alcohol and drug use, toxins, smoking, age, health problems, medicines, radiation, and chemotherapy.Risk factors for womens infertility include ovulation problems, blocked Fallopian tubes, uterine problems, uterine fibroids, age, stress, poor diet, athletic training, and those risk factors listed for men.
Aging decreases a womans fertility; after age 35 about 33% of couples have fertility problems; older womens eggs are reduced in number, not as healthy and less likely to be released by the ovary – the woman is also more likely to have a miscarriage and other health problems. Women under 35 should try for a year or 6 months if 35 or older to become pregnant before contacting your doctor if they have no health problems.
Pelvic organ ultrasound is used to monitor pregnancy, find cysts on your ovaries, examine the lining of your uterus, look for causes of infertility, and find cancers or benign tumors in the pelvic region. Depending on the view needed, the ultrasound sensor is placed either on your abdomen (pelvic ultrasound) or in your vagina (transvaginal ultrasound).
Ultrasound uses sound waves instead of radiation to generate snapshots or moving pictures of structures inside the body. This imaging technique works in a manner similar to radar and sonar, developed in World War II to detect airplanes, missiles, and submarines that were otherwise invisible. After coating your skin with a lubricant to reduce friction, a radiologist or ultrasound technician places an ultrasound transducer, which looks like a microphone, on your skin and may rub it back and forth to get the right view. The transducer sends sound waves into your body and picks up the echoes of the sound waves as they bounce off internal organs and tissue. A computer transforms these echoes into an image that is displayed on a monitor.
How do I prepare for the test?
Your doctor might ask you to drink a few glasses of water before the test because a full bladder lifts your intestines out of the way and provides a clearer view of your pelvic organs. If youre having a transvaginal ultrasound and have a tampon in place, youll need to remove it before the test.
What happens when the test is performed?
You lie on your back on a table for the test. For a pelvic ultrasound, after squirting some clear jelly onto your lower abdomen to help the ultrasound sensor slide around easily, a doctor or technician places the sensor against your skin. For a transvaginal ultrasound, the doctor or technician covers a sensor with a condom and some jelly before inserting it into your vagina.When the sensor is in place, a picture will appear on a video screen. The technician or doctor moves the sensor on your abdomen or in your vagina to see the uterus and ovaries from many different views.
Antenatal care refers to the regular medical care recommended for women during pregnancy. Antenatal care is a type ofpreventive care with the goal of providing regular check-ups that allow your Obs & Gyn doctor to treat and prevent potential health problems throughout the course of the pregnancy while promoting healthy lifestyles that benefit both mother and child. During check-ups, women will receive medical information over maternal physiological changes in pregnancy, biological changes, and antenatal nutrition including antenatal vitamins. Recommendations on management of healthy lifestyle changes are also made during regular check-ups. The availability of routine antenatal care has played a part in reducing maternal deathrates and miscarriages as well as birth defects, low birth weight, and other preventable health problems.
The Papanicolaou test (abbreviated as Pap test, known earlier as Pap smear, cervical smear, or smear test) is a method of cervical screening used to detect potentially pre-cancerous and cancerous processes in the endocervical canal (transformation zone) of the female reproductive system. Unusual findings are often followed up by more sensitive diagnostic procedures, and, if warranted, interventions that aim to prevent progression to cervical cancer.
In taking a Pap smear, a speculum is used to open the vaginal canal and allow the collection of cells from the outer opening of the cervix of the uterus and the endocervix. The cells are examined under a microscope to look for abnormalities. The test aims to detect potentially pre-cancerous changes (called cervical intraepithelial neoplasia (CIN) or cervical dysplasia), which are usually caused by sexually transmitted human papillomaviruses. The test remains an effective, widely used method for early detection of pre-cancer and cervical cancer. The test may also detect infections and abnormalities in the endocervix and endometrium.
Outstanding dental health for a lifetime, or finally having the beautiful smile of your dreams — whatever your goals, our DENTIST’S and ORTHODONTIST’S suggestions for your care are based upon sound principles and the highest standards of health care that ensure you the best long-term results.
Your initial appointment enables us to review your medical and dental history, discuss your treatment goals and conduct a comprehensive dental examination. Once we gather all essential information, we will share our findings and provide you with information and options to achieve your goals.
IMPORTANT: Patients under 18 must be accompanied by a parent or guardian.
Please alert the office if you have any adverse reaction/allergies to drugs or a medical condition that may be of concern, such as a heart murmur, diabetes, high blood pressure, artificial heart valves or joints, rheumatic fever, etc.; or if you are on heart medications, aspirin therapy, anticoagulant therapy, etc.