Adolescence describes the teenage years between 13 and 19 and can be considered the transitional stage from childhood to adulthood. However, the physical and psychological changes that occur in adolescence can start earlier, during the preteen or “tween” years (ages 9 through 12). The transitional period can bring up issues related to their health, menstruation, sexuality, drugs, self-identity and social life. CIMS provides tender support to the girls in resolving their queries.

With integrated support from expert radiation oncologists’ team, CIMS Gynaec Oncology unit provides multitude of services ensuring compassionate and best of care for patients with cancer problems in their reproductive system.

Treatment of specific gynaecologic cancers includes:

• Cervical cancer
• Endometrial/uterine cancer
• Ovarian/fallopian tube cancer
• Vaginal cancer
• Trophoblastic disease / molar pregnancies
• Pre – invasive conditions / dysplasia of cervix or vulva

We offer all FDA (Food and Drug Administration-USA) approved birth control methods for our patients. This includes birth control pills, birth control patch, birth control ring, intrauterine device (IUD), and birth control implant and barrier methods. Our specialists offer advanced fertility control consultation for women with complex medical needs including –

As women complete their families, we provide counseling and therapeutic management for mid-life women in the peri-menopause and post-menopause period.

Our services include:

• Breast Cancer risk assessment
• Cardiovascular risk assessment and advice
• Hormonal and menstrual disorders
• Use of bioidentical hormone therapy
• Medical treatment of urinary incontinence
• Sexual dysfunction
• Vulvar and vaginal disorders
• Osteoporosis prevention and treatment
• Nutrition and exercise to minimize health risks

Who should request a menopause consultation? 

• Difficult menopause
• Serious mood problems
• Osteoporosis or risks for osteoporosis
• Alternative therapies for menopause symptoms
• Hormone therapy with a comprehensive discussion of their individual risks and benefits.
• Hormone therapy adjustment
• Low libido in the setting of menopause
• Premature menopause

Osteoporosis screening

Bone Density Test

Not more frequently than every 2 years for women over 65

A bone density test determines if you have osteoporosis — a disease that causes bones to become more fragile and more likely to break.

In the past, osteoporosis could be detected only after you broke a bone. By that time, however, your bones could be quite weak. A bone density test enhances the accuracy of calculating your risk of breaking bones. A bone density test uses X-rays to measure how many grams of calcium and other bone minerals are packed into a segment of bone. The bones that are most commonly tested are in the spine, hip and forearm.

The Vulvovaginal Service at CIMS provides a multidisciplinary approach – combining expert clinical minds with advanced technology to diagnose and treat a variety of vaginal and vulvar-related ailments.Vulvovaginal problems can cause confusing symptoms including itching, burning, discharge or bleeding; frequent urge to urinate; and pain and discomfort during intercourse. Patients often experience continuing or recurring problems that are not diagnosed and treated. Our doctors are expert to analyze the need of the patient and advise accordingly.

We provide innovative care including laparoscopic, same day surgery as well as trans -cervical procedures to treat patients.  Certain gynaecological conditions are now treated with less invasive surgical procedures.  The Minimally Invasive Gynaecologic Surgery Service (MIGS) of CIMS offers treatment options for women with benign gynaecologic disorders through use of laparoscopy and hysteroscopy.

The following conditions can potentially be treated with minimally invasive gynaecologic surgery:

Investigation and treatment of pelvic pain Uterine fibroids Uterine fibroid embolization (UFE) Suspension surgery (pelvic organ prolapse repair) Endometriosis Adenomyosis Tubal ligation – both laparoscopic and hysteroscopic procedures Endometrial ablation Abnormal uterine bleeding Laparoscopic removal of the uterus or ovary Removal of ovarian cysts

Benefits of minimally invasive gynaecologic surgery 

• Can be done on an outpatient-basis
• Faster recovery
• Minimal post-operative discomfort
• Less blood loss
• Less likelihood of infections
• Faster return to normal activities
• Can improve or maintain fertility

Hysterectomy 

Traditionally, hysterectomies have been performed using a technique known as total abdominal hysterectomy (TAH). However, in recent years, two less-invasive procedures have been developed

• vaginal hysterectomy
• laparoscopic hysterectomy 

Types of hysterectomy

• Total Abdominal Hysterectomy(TAH)
• Only advantage of total abdominal hysterectomy is that the surgeon can get a complete, unobstructed look at the uterus and surrounding area. There is also more room in which to perform the procedure. This type of surgery is especially useful if there are large fibroids or if cancer is suspected.
• Disadvantages include more pain and a longer recovery time than other procedures, and a larger scar.
• Vaginal Hysterectomy
• A vaginal hysterectomyis done through a small incision at the top of the vagina.
• Vaginal hysterectomy heals faster than abdominal hysterectomy, results in less pain, and generally does not cause external scarring.
• Laparoscopic Hysterectomy

In laparoscopic hysterectomy, special surgical tools are used to operate through small incisions in the abdomen and vagina.

Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Although heavy menstrual bleeding is a common concern, most women don't experience blood loss severe enough to be defined as menorrhagia.

With menorrhagia, you can't maintain your usual activities when you have your period because you have so much blood loss and cramping. If you dread your period because you have such heavy menstrual bleeding, talk with your doctor. There are many effective treatments for menorrhagia.

Source : Mayo Clinic