Chawla Nursing Home and Maternity Hospital

"Advanced Gynaecological Laparoscopy: A Beacon of Hope from Pathankot to Jalandhar".   In the realm of women's health, advancements in medical technology have paved the way for minimally invasive procedures that provide effective solutions for various gynaecological conditions. Pathankot residents seeking cutting-edge treatments for fibroids, endometriosis, ovarian cysts, uterus removal, and uterine prolapse now have a beacon of hope at Chawla Nursing Home and Maternity Hospital in Jalandhar. Chawla Nursing Home and Maternity Hospital stands as an advanced Laparoscopic and IVF centre, offering state-of-the-art facilities for comprehensive women's health care. The hospital specializes in  Advanced Laparoscopic and laser surgery procedures, hysteroscopic surgeries, and low-cost IVF treatments. For women grappling with fibroids, Chawla Nursing Home provides advanced laparoscopic procedures that enable precise removal of these non-cancerous growths. The minimally invasive

Ovaries are the production house of female body where the eggs are produced. The Ultrasound appearance of the ovary is an ovoid shaped structure with homogenous echotexture and a central echogenic Medulla. We usually measure the size of the ovary in 3 dimensions and calculate volume on ultrasound by 0.523*length*width*depth. There are two ovaries- Right and Left. Typically the two ovaries alternately release Egg and usually one Egg is released per month. If the Egg is not fertilized, then the egg becomes atretic after 24 hours. The Corpus luteum also eventually die and level of progesterone hormone drops, the uterus lining sheds and the period begins after 14 days of ovulation. Beginning of The Puberty From birth, the ovaries of the human female contain a number of immature primordial follicles. At the puberty the follicles begins folliculogenesis entering a growth pattern that ends in ovulation or atresia. Folliculogenesis When the follicles changes into antral follicle stage they bec

Egg quality is one of the prime factors needed for your fertility. The two important blood test which define your ovarian reserve are AMH and FSH on day 2/ day 3 of your periods. It is not only in women older than 35 years of age , who need to be aware of the egg quality, any age is susceptible to poor quality and poor reserve. Today we are discussing the ways to improve our eggs. 1)  Relaxation exercises: Stress hormones are major deterrents when it comes to fertility. You need to practice pranayam and breathing techniques of yoga to allay your anxiety. Daily 30 minutes of these exercises helps in improving your fertility. In my last twenty years of fertility practice. I have seen magical improvement in patient’s response after practicing pranayam. 2)  Add some supplements to your diet: The process of egg formation depends on the availability certain nutrients and hormones. Micronutrients status is a modifiable risk factor that may have an impact on female fertility. Micronutrients ar

Preserving Fertility: Guarding Your Ovarian Reserve   Maintaining reproductive health is a crucial aspect of a woman's overall well-being. For many, the concept of ovarian reserve might not be familiar, but it plays a pivotal role in a woman's fertility. Ovarian reserve refers to the quantity and quality of a woman's eggs, and protecting it is essential for those who wish to conceive in the future. Understanding Ovarian Reserve  :- A woman is born with a finite number of eggs, and as she ages, this ovarian reserve gradually diminishes. Factors such as age, genetics, and certain medical conditions can accelerate this decline. A reduced ovarian reserve may lead to difficulties in conceiving naturally and an increased risk of infertility. How to Check Ovarian Reserve: Blood Tests:  Two primary blood tests are commonly used to assess ovarian reserve: Anti-Müllerian Hormone (AMH) and Follicle-Stimulating Hormone (FSH). AMH levels are a reliable indicator of the number of eggs re

Understanding Umbilical Hernias: Causes, Symptoms, and Treatment Umbilical hernias are a relatively common health issue that can affect people of all ages, from infants to adults. Here we will explore what umbilical hernias are, their causes, symptoms, and potential treatment options. What is an Umbilical Hernia? An umbilical hernia occurs when a portion of the intestine or fatty tissue protrudes through a weakened area in the abdominal muscles near the navel (umbilicus). This can create a noticeable bulge or lump in the belly button area. Causes: Congenital : In infants, umbilical hernias often occur due to an incompletely closed abdominal wall around the umbilical cord. These usually resolve on their own by the age of 2 or 3 years. Adult-Onset : In adults, umbilical hernias can develop as a result of increased pressure on the abdominal wall, often due to factors such as obesity, pregnancy, heavy lifting, or chronic coughing, chronic constipation or excessive straining.              

Endometrial Thickness:- One of the most important parameters in infertility treatment is endometrial thickness. The thickness of the endometrial lining is important for embryo implantation. In the natural cycle as well as in the stimulated cycle, when the egg reaches around 18 mm the endometrium grows under the effect of oestrogen and usually reaches the magic measurement of around 10.3+- 0.3 mm or more and becomes triple layered. If endometrium remains thin in spite of good egg size then that needs an evaluation.     Causes of Thin Endometrium:- Some important causes of the thin endometrium include chronic pelvic infection, genital tuberculosis, previous history of dilatation and curettage or asherman's syndrome. It has been seen that when we use clomiphene citrate for ovulation induction, it is associated with a thinner endometrium. Compared with clomiphene citrate, letrozole has been associated with a thicker endometrium. Gonadotropins represents the most aggressive ovarian stim

Hysteroscopy: Know the Procedure, Anaesthesia used, and Safety Are you facing concerns related to your reproductive health? Hysteroscopy might be the key to unlocking answers and solutions to your fertility issues.  What is Hysteroscopy? Hysteroscopy is a minimally invasive medical procedure used to diagnose and treat issues within the uterus. It involves the use of a thin, flexible tube with a camera (hysteroscope) inserted through the cervix into the uterus. The camera allows your doctor to visualize the uterine cavity and identify any abnormalities or conditions that may be affecting your reproductive health.     Some of the things the gynaecologist or fertility specialist can see during a hysteroscopy include:   1. Uterine Abnormalities:  The hysteroscope allows the gynaecologist to examine the overall shape and size of the uterus. They can identify issues like uterine septum (a partition inside the uterus), bicornuate uterus (a heart-shaped uterus), or other congenital abnormaliti

Hemorrhoids (Piles): Grading, Treatment, and Lifestyle Modifications Hemorrhoids, commonly known as piles, are a widespread condition affecting people across the globe. They can cause discomfort, pain, and sometimes bleeding, and itching. World Piles Day: Raising Awareness Every year, on November 20th, World Piles Day is observed to raise awareness about hemorrhoids and promote better understanding and management of this condition. It's an opportunity to educate people about the causes, symptoms, and available treatments. The key is early detection and prevention. Grading of Hemorrhoids Hemorrhoids are classified into four grades based on their severity: Grade I : Hemorrhoids that bleed but do not prolapse (protrude) beyond the anal canal. Grade II : Hemorrhoids that prolapse during a bowel movement and retract spontaneously. Grade III : Hemorrhoids that prolapse during a bowel movement and require manual repositioning. Grade IV : Hemorrhoids that are always prolapsed, often irredu

Understanding Uterine Shape Abnormalities, Their Detection, and Impact on Fertility The uterus, a vital organ in a woman's reproductive system, plays a crucial role in fertility. Its shape can vary significantly among individuals, and abnormalities in uterine shape can have a significant impact on a woman's ability to conceive. Uterine Shape Abnormalities: Bicornuate Uterus:  This condition is characterized by a heart-shaped uterus, where the organ is divided into two sections. It can reduce the space available for an embryo to implant, increasing the risk of miscarriage. Septate Uterus:  In this condition, a septum or wall divides the uterus into two parts, limiting the available space for an embryo to implant. It can also increase the risk of miscarriage. Arcuate Uterus:  An arcuate uterus has a slight indentation at the top, but it generally doesn't affect fertility. However, in some cases, more significant indentations may impact implantation. Unicornuate Uterus:  This

  PRP and the Endometrium: A Promising Approach to Enhance Fertility Platelet-Rich Plasma (PRP)  has gained popularity in the medical field for its potential benefits in various applications, including orthopedics, dermatology, and more recently, reproductive medicine. One of the exciting areas is the use of PRP to improve the thickness of endometrium, a crucial factor in female fertility. Significant improvement has been seen in endometrial thickness and improved pregnancy rates in individuals with previous cancelled embryo transfer cycles. What is PRP? Platelet-Rich Plasma (PRP)  is a concentrated form of plasma obtained from a patient's blood, which contains a higher concentration of platelets and growth factors than normal blood. These growth factors play a crucial role in tissue regeneration and repair, making PRP a promising therapy in various medical fields. How is the PRP Sample Prepared? The process of preparing PRP begins with a simple blood draw from the patient. The blo

  Boosting Sperm Count: Strategies, Nutrients, and Lifestyle Changes Infertility affects a substantial number of couples, and low sperm count is a common underlying issue. Fortunately, there are various methods to improve sperm count, including dietary adjustments, lifestyle changes, and medical interventions. Today we will explore the role of antioxidants, zinc, selenium, folic acid, vitamin E, and vitamin B12, as well as the impact of smoking and alcohol consumption, and the role of medications and hormones in enhancing sperm count. Nutritional Support: a.  Antioxidants:  Antioxidants play a crucial role in protecting sperm from oxidative stress and damage. Oxidative stress can impair sperm quality and quantity. Vitamins C and E, selenium, and coenzyme Q10 are powerful antioxidants that help reduce this damage. Incorporating a diet rich in fruits, vegetables, nuts, and seeds can provide the necessary antioxidants to support sperm health.                                              

Enhancing Sperm Count in Oligospermia   Oligospermia is a significant factor in male infertility, with the WHO defining it as a sperm count of less than  15 million sperm per milliliter  of semen. Its etiology is complex, and it requires a comprehensive assessment to identify contributing factors, which can range from hormonal imbalances to lifestyle choices. Oligospermia Causes: Identifying the root causes of oligospermia is essential for effective interventions. The causes include: Hormonal Dysregulation:  Hormonal imbalances, especially involving testosterone, FSH, and LH, can lead to decreased sperm production. Varicocele:  Varicoceles, a common issue where testicular veins become enlarged, are surgically correctable and can improve sperm count. Reproductive Infections:  Infections in the male reproductive tract can adversely affect sperm production and quality if left untreated.                                                    click here for more information

Operative Hysteroscopy for Submucosal Fibroids: Why It's Required Submucosal fibroids or submucosal myomas or submucosal leiomyomas are specific type of uterine fibroid that grows just beneath the lining of the uterine cavity. These fibroids can be problematic due to their location whereby they tend to project in to the uterine cavity and disrupt the endometrium lining and the cavity of the uterus. From the medical stand point these submucosal leiomyomas can be type 0 when it is exclusively intracavity or type 1 and 2 depending upon its intramural extension being less than 50% or more than 50%.  While they may not always cause symptoms, they can lead to a range of issues, including abnormal uterine bleeding and infertility. Operative hysteroscopy is a day care surgical procedure often recommended to treat submucosal fibroids, addressing both the bleeding problems and infertility concerns associated with these growths.                                                        click her

Is Hysteroscopy Essential Before IVF? Hysteroscopy is a minimally invasive surgical procedure that allows a gynaecologist or hysteroscopy specialist to examine the inside of the uterus using a thin, flexible tube with a camera attached. While hysteroscopy is not always required before  in vitro fertilization (IVF) , it can be a valuable tool in certain cases.  Before embarking on the IVF journey, many fertility specialists recommend a hysteroscopy for several reasons. Firstly, it helps identify and address any structural abnormalities within the uterus, such as polyps, fibroids, adhesions, or septum, which could interfere with embryo implantation. Removing these obstacles can improve the chances of a successful IVF cycle. Hysteroscopy   also allows the gynaecologist to assess the uterine lining's health and thickness, which is critical for embryo implantation. Any inflammation, scarring, or irregularities in the lining can be detected and treated during the procedure. In some patie

  "Journey to Wellness: Expert Laparoscopic Surgery at Chawla Nursing Home, Jalandhar" When it comes to advanced laparoscopic surgeries for conditions such as fibroids, endometriosis, laparoscopic uterus removal, and other gyanecological procedures, selecting the right healthcare destination is pivotal. At Chawla Nursing Home and Maternity Hospital in Jalandhar, you'll find a world of medical excellence, personalized care, affordability, and an experienced gynecological and laparoscopic team. Today we will explore why traveling from New Delhi to Chawla Nursing Home Jalandhar is a smart choice and how you can take advantage of their unique offerings, including a one-day stay after surgery. Plus, we'll guide you on how to book an online appointment with Dr. Chawla and discuss your options thoroughly, ensuring the best decision for your healthcare journey. 1. Personalized Care: At Chawla Nursing Home, your health and well-being are always the top priority. The expert med

Laser surgery for piles is one of the most common and modern treatments for piles that have been creating a significant impression lately. It is considered the best treatment when the patient is suffering severely and the pain is tormenting.   There are many options to get rid of painful piles. Surgery is the most effective one, especially when someone has reached an advanced stage. If you are not getting relief from the conservative treatment options, you can consider getting laser treatment for piles. Although Laser surgery is quite popular nowadays, there are a few obvious pros and cons of laser treatment that one should know about.   A list of reasons why people prefer undergoing laser treatment of piles includes: Less Painful and Much Safer Laser treatment is one of the least painful surgical treatments for piles. Formerly, piles surgery was frightening due to the amount of pain caused. However, Laser surgery does not create any sparks, steam, or smoke. This makes the surgery safe

Haemorrhoids, or piles, are a common issue. These swollen veins inside of your rectum or outside of your anus can cause pain, anal itching and rectal bleeding. Symptoms often improve with at-home treatments, but on occasion, people need medical procedures. Eating more fibre can help prevent haemorrhoids. What Are Haemorrhoids? Haemorrhoids are swollen, enlarged veins that form inside and outside of your anus and rectum. They can be painful and uncomfortable and cause rectal bleeding. Haemorrhoids are also called piles. We’re all born with haemorrhoids, but at baseline, they don’t bother us. It’s only when they become swollen and enlarged that they produce irritating symptoms. How Common Are Haemorrhoids? An estimated 1 in 20 persons has symptomatic haemorrhoids. They affect people of all ages, sexes, races and ethnicities. They’re more common as you age, affecting more than half of people over age 50. Who Might Get Haemorrhoids? Anyone can get symptomatic haemorrhoids, even teenagers.

click here for more information An anal fissure is a crack or splits in the tissues that line your anal canal. Trauma causes the lining to tear, causing acute pain and bleeding. Most fissures heal with self-care. What is an anal fissure? An anal fissure is a crack or tear in the lining of your anal canal. It’s a common cause of anal pain and rectal bleeding, especially during bowel movements (pooping). Anal trauma usually causes a fissure, especially from straining to pass hard stools. Anal fissures can occur suddenly or gradually. They can also heal quickly or slowly. Are anal fissures common? Anal fissures are very common, especially in infants and pregnant people. About half of people with anal fissures get them before they turn 40.   What Are The Symptoms Of An Anal Fissure? The most common symptoms are: Sharp pain when pooping. Burning or itching with pooping. Fresh, red blood in your poop.   Some people may also have: Anal muscle spasms. A lump on the skin near the tear.

An anal fistula is a small tunnel that connects an infected gland inside the anus to an opening on the skin around the anus. Symptoms include pain and swelling around the anus. Diagnosis and treatment are discussed.   What Is An Anal Fistula? An anal fistula is a small tunnel that connects an abscess, an infected cavity in the anus, to an opening in the skin around the anus. The anus is the external opening through which faeces are expelled from the body. Just inside the anus are several small glands that make mucus. Occasionally, these glands get clogged and can become infected, leading to an abscess. About half of these abscesses may develop into a fistula.   What Causes An Anal Fistula? The leading causes of an anal fistula are clogged anal glands and anal abscesses. Other, much less common, conditions that can cause an anal fistula include: Crohn’s disease (an inflammatory disease of the intestine) Radiation (treatment for cancer) Trauma Sexually transmitted infections Tuberculosis

The female sexual health surgical procedures we offer in our Chawla Nursing Home & Maternity Hospital aim to alter various aspects of the outer and inner vagina. These procedures could help reverse changes resulting from ageing, childbirth, or genetics to improve sexual well-being and confidence in vaginal appearance. Vaginal Tightening After childbirth, many women experience vaginal canal widening which could lead to decreased sexual pleasure and sensation. Vaginal Tightening is a great surgical option for tightening the vaginal canal by bringing the muscles together and removing excess skin for improved feel and function. Labiaplasty A labiaplasty procedure reduces enlarged labia minor tissue that extends beyond the outer labia majora. This surgery helps with proportioning vulvar tissue for an improved appearance and reducing physical discomfort. Additionally, a labiaplasty could promote optimal health of the vulva. Perineoplasty Childbirth widens and scars the perineum, the area

Laparoscopic surgery   is a minimally invasive surgical technique used in the abdominal and pelvic areas. It uses the aid of a laparoscope — a thin, telescopic rod with a camera at the end — to see inside your body without opening it up. Instead of the 6- to 12-inch cut necessary for open abdominal surgery, laparoscopic surgery uses two to four small incisions of half an inch or less. One is for the camera, and the others are for the surgical instruments. Minimally invasive surgery may also be called “keyhole surgery,” referring to these small incisions. A laparoscopy is a kind of exploratory surgery using a laparoscope. The surgeon explores your abdominal and pelvic cavities through one or two keyhole incisions. This is the less-invasive alternative to a laparotomy. It’s usually done for diagnostic purposes, to look for problems that imaging tests haven’t been able to identify. The surgeon may take tissue samples for biopsy during the exam. They may also be able to treat minor problem

Circumcision is the surgical removal of the foreskin from a baby’s penis. There are several benefits to circumcision, including a lower risk of diseases like urinary tract infections. Older boys and men get circumcised as well. At any age, the circumcised penis usually heals within a week.   What Is Circumcision? Circumcision removes the foreskin covering the glans (head) of the penis. Usually, babies undergo circumcision shortly after birth. Circumcision began as a religious rite. Today, people get circumcised for religious, medical and cultural reasons. Many baby boys get circumcised, usually within the first week of life. Adults can get circumcised as well, though it’s less common. What Is The Foreskin? The foreskin is a piece of skin that covers the round tip of the penis. When a baby is born, the foreskin is completely attached to the penis. Over time, the foreskin separates from the head of the penis and can be retracted, or pulled back. Sometimes, the foreskin doesn’t separate w

A penile implant restores your ability to get an erection. There are two types of penile implants: inflatable and non-inflatable. Risks include erosion and mechanical failure. Most people can resume sexual activity six weeks after receiving a penile implant.   What Is A Penile Implant? A penile implant is a surgically implanted device that helps you get an erection, usually if you have  erectile dysfunction (ED) . There are two types of penile implants: Inflatable penile implant : A pump in your scrotum (the pouch of skin behind your penis) allows you to get an erection whenever you choose. Non-inflatable penile implant : Bendable silicone rods in the erection chambers of your penis allowing you to extend the rods into an erect position. Other names for a penile implant include penis implant and penile prosthesis. click here for more information

A hernia is usually treated with surgery. There are three main types of hernia surgery; open hernia repair, laparoscopic hernia repair and robotic hernia repair. What is open hernia repair surgery? Open hernia repair is where an incision, or cut, is made in the groin. The hernia “sac” containing the bulging intestine is identified. The surgeon then pushes the hernia back into the abdomen and strengthens the abdominal wall with stitches or synthetic mesh. Most patients will be able to go home a few hours after surgery and feel fine within a few days. Strenuous activity and exercise are restricted for four to six weeks after the surgery.                                                click here for more information

Varicoceles (pronounced “VAIR-ick-oh-seals”) are a common disorder of the veins inside your scrotum, the protective sac that protects and holds your testicles (balls). If you have a varicocele, it means veins inside your scrotum are enlarged (wider than they should be). Varicoceles are similar to varicose veins, a common condition that causes veins in your leg to swell and lose their shape. Varicoceles are usually painless but can sometimes cause aching testicles or pain that may come and go. In some people, a varicocele can affect fertility. If a varicocele doesn’t bother you, you may not need treatment.                                                  click here for more information

Azoospermia means there’s   no sperm   in a man’s ejaculate. Its causes include a blockage along the reproductive tract, hormonal problems, ejaculation problems or issues with testicular structure or function. Many causes are treatable and fertility can be restored. For other causes, it may be possible to retrieve live sperm to be used in assisted reproductive techniques.   What Is Azoospermia? Azoospermia is a condition in which there’s no measurable sperm in a man’s ejaculate (semen). Azoospermia leads to male infertility.   How Common Is Azoospermia? About 1% of all men and 10% to 15% of infertile men have azoospermia.                                            click here for more information  

You may not know you have a low sperm count (also called oligospermia) until you’re trying to have a baby and aren’t succeeding. Tests may show that you have fewer than the typical number of sperm. There are treatments for many causes of low sperm count. What is oligospermia (low sperm count)? Oligospermia is a term that means you have a low sperm count. One medical definition is that you have fewer than 15 million sperm in 1 millilitre of semen. A typical sperm count is more than 15 million sperm per 1 milliliter of semen. Besides being known as low sperm count, oligospermia is also called oligozoospermia. A severely low sperm count (fewer than 5 million sperm in 1 millilitre of semen) is also known as severe oligospermia.                                                      click here for more information