Dr Amita Shah has more than 25 years of experience in the field of Obstetrics and Gynaecology. She has been the head of department at Columbia Asia Hospital, Gurgaon for the last 12 years and now heads the department of obstetrics and gynaecology at Apollo Cradle Hospital, Sector-14 and Miracles Mediclinic, Sector-56, Gurgaon.
Most of the women have two ovaries which are located on either side of the uterus and form an important part of the female reproductive system. The ovaries produce eggs which are fertilized by the male sperm resulting in pregnancy. The ovaries also produce the female hormones estrogen and progesterone which makes a woman feminine.
Cysts are fluid filled sacs which develop inside one or both the ovaries. The most commonly found cysts are the follicle cyst, corpus luteum cyst, dermoid cyst and the the endometriomas. The best thing about most of the ovarian cysts is that they do not cause any symptoms and are mostly diagnosed when you are unsuccessful in getting pregnant despite trying for some time. However some of the females may suffer from pain in the bowel, pain before and after the menstrual cycle, pain in the thighs or lower back and pain during sexual intercourse. Some females may suffer from more severe symptoms like fever, faintness, dizziness and rapid breathing.
One cannot ignore the large ovarian cysts as they not only interfere in pregnancy but can have serious health repercussions. Sometimes when the cysts rupture they can cause a medical emergency requiring ICU admission for the patient.
Diagnosis and Treatment
Ovarian cysts can be easily diagnosed on an ultrasound scan which may be followed with MRI Pelvis and some blood tests to rule out ovarian cancer. Most of the cysts do not require any treatment and would disappear in a few months time on their own. However you must follow up with your gynaecologist who may do a repeat ultrasound scan to check the status of the ovaries and the cyst inside them.
Most of the cysts would not require any medicines. If the cysts do not disappear on their own and are preventing pregnancy then your gynaecologist may prescribe medication to shrink them. Smaller cysts in the ovaries can be removed surgically using a Laparoscope. If the cyst is large then abdominal surgery might be required for removing it. If malignancy is diagnosed, then instead of removing the cysts, the gynaecologist may advice you to get the ovaries removed. In such cases it is better to get the ovaries, fallopian tubes and the uterus removed to prevent the spread of cancer in the body.
If the cyst is larger then 5 cm in diameter and is not disappearing on its own despite waiting for some months then going for surgical removal is the best option to retain fertility. The biggest challenge comes in patients having large ovarian cysts and who want to get pregnant. In such patients the preservation of ovary while removing the cyst is of paramount importance. Dr Amita Shah has done a large number of surgeries for big ovarian cysts while preserving the ovaries during her stint with various hospitals in Delhi & Gurgaon. Most of these surgeries have been done laparoscopically.
Best Doctor and Cost
Dr Amita Shah s one of the leading gynaecologist having more than 25 years of experience for doing this procedure. Laparoscopic Gynae surgery is not very common amongst the gynaecologists in India. Very few gynaecologists have trained in laparoscopy and those having adequate experience are even fewer. In Dr Amita Shah, you get one of the best trained and experienced gynaecologist for doing the Laparoscopic Tubal Ligation.
The cost of Laparoscopic Tubal Ligation is in the range of Rs. 25000 – Rs. 35000 in Gurgaon. The cost of hysteroscopic tubal ligation is Rs. 20000 – 25000. The hospital stay is daycare for hysteroscopic procedure. You will have to stay in the hospital for one day for the Laparoscopic surgery. If you are holding a health insurance policy please check whether the insurance company covers this procedure. In India most of the insurance companies do not cover contraceptive procedures.
Getting permanent birth control gives much more freedom to a female over her body. Financially also it is much cheaper than using condoms everytime. Ofcourse it also depends on the frequency of intercourse and the cost of the condoms that one is using. Condoms have their own advantage as mentioned earlier. Tubal Ligation is not 100% successful in preventing unwanted pregnancies. In some cases it may result in ectopic pregnancy which is an emergency and life threatening condition for the female.