best gynecologist in gurgaon, best gynaecologist, gurugram, in, doctor, gurgaon, dr, deepika, tiwari, reviews, appointment, sohna road, sector 56, 14, 15, 31, practo

Menu

Bones Clinic

0124-4360590 : 8447918981

header photo

About The Doctor

Best Gynecologist in Gurgaon

Dr Deepika Tiwari is among the Best Gynecologist in Gurgaon*. She shares a personal rapport with her patients, and offers best treatment with empathy. Dr Deepika practices as independent Gynaecologist in Gurgaon*, with focus on top quality ethical care. She is affiliated with the best hospitals in Gurgaon including Fortis FMRI,& Artemis. You may connect with Dr Deepika Tiwari via LinkedIn and Facebook pages.
Dr Deepika Tiwari’s Clinic offers treatment for High Risk Pregnancy*, Maternity Packages, Treatment for Gyne disorders like Fibroids in Uterus, Ovarian Cyst, Endometriosis, PCOS, Infertility and Laparoscopic surgery*

Educational Qualification:
MBBS- Grant Medical College, Mumbai
MS- Obstetrician & Gynaecologist- Grant Medical College, Mumbai
Current Position- Visiting Consultant- Obstetrics & Gynaecology @ Fortis FMRI, Artemis, CloudNine, Apollo cradle Hospitals, Gurgaon

CLICK HERE TO VISIT DR. DEEPIKA TIWARI' S OFFICIAL WEBSITE ►

Consultation Timings : Monday to Saturday 9:30 AM - 2 PM; Tuesday & Saturday 6 PM - 8 PM

Google Map Location

Ovarian cyst

Ovarian cyst are fluid-filled sacs within or on the surface of an ovary. Many women have ovarian cysts at some time during their lives. Most ovarian cysts present little or no discomfort and are harmless. The majority of ovarian cysts disappear without treatment within a few months. Ovarian cyst — especially those that have ruptured — sometimes produce serious symptoms.
The symptoms of ovarian cyst, if present, may include:
• Menstrual irregularities
• Pelvic pain — a constant or intermittent dull ache that may radiate to your lower back and thighs
• Pelvic pain shortly before your period begins or just before it ends
• Pelvic pain during intercourse (dyspareunia)
• Pain during bowel movements or pressure on your bowels
• Nausea, vomiting or breast tenderness similar to that experienced during pregnancy
• Fullness or heaviness in your abdomen
• Pressure on your rectum or bladder that causes a need to urinate more frequently or difficulty emptying your bladder completely.
Infrequent complications associated with ovarian cysts include:
• Ovarian torsion- Cysts that become large may cause the ovary to move out of its usual position in the pelvis. This increases the chance of painful twisting of your ovary, called ovarian torsion.
• A cyst that ruptures may cause severe pain and lead to internal bleeding.
To identify the type of cyst, your doctor may perform the following procedures:
Pregnancy test
Pelvic ultrasound
Laparoscopy
CA 125 blood test
The treatment depends upon the type/ stage of the cyst; or the presence of complications. Please talk to your gynecologist for treatment options.

LAPAROSCOPIC SURGERY

Laparoscopy is a minimally invasive surgery performed under GA . It involves making key holes for entry of portable scopes with camera and instruments in to the abdominal cavity.

Common Indications:
Ovarian Cyst
Fibroids Uterus
Diagnostic Laparoscopy
Ectopic Pregnancy
Hysterectomy

Advantages for Laparoscopic surgery is – Early wound healing, Short Hospital Stay, Less Blood loss & Less Post-operative pain

PCOS

Polycystic ovary syndrome (PCOS) is a common endocrine system disorder among women of reproductive age. Infrequent or prolonged menstrual periods, excess hair growth, acne, and obesity can all occur in women with polycystic ovary syndrome. In adolescents, infrequent or absent menstruation may raise suspicion for the condition. Women with PCOS may have enlarged ovaries that contain small collections of fluid — called follicles — located in each ovary as seen during an ultrasound exam.
The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications, such as type 2 diabetes and heart disease.
Most gynecologist treat PCOS with a combination of medication and lifestyle changes.

Excessive Bleeding/ Menorrhagia

 Menorrhagia is defined as menstruation at regular cycle intervals but with excessive flow and duration. Clinically, menorrhagia is defined as total blood loss exceeding 80 mL per cycle or menses lasting longer than 7 days.
 Young patients, from menarche to the late-teen years, most commonly have anovulatory bleeding due to the immaturity of their hypothalamic-pituitary axis.
 Women aged 25-50 years may have organic or structural abnormalities. Uterine Fibroidsor polyps are frequent findings.
 Postmenopausal women with any uterine bleeding should receive an immediate workup for endometrial cancer.
 Pregnancy should be excluded before further testing or medications are advised.
 Other differential diagnoses must be kept in mind while assessing a patient with menorrhagia
 Investigations : Pelvic ultrasound is the best noninvasive imaging study to assess uterine shape, size, and contour; endometrial thickness; and adnexal areas.
Successful treatment of chronic menorrhagia is highly dependent on a thorough understanding of the exact etiology. Treatment must be individualized based on the cause of bleeding.

pROLAPSE Uterus

Patient of Prolapse Uterus usually presents with heaviness in lower abdomen with feeling of something coming out per vaginally . Usually it is associated with rectocele & cystocele & in postmenopausal usually a vaginal hysterectomy with antero-posterior repair of pelvic floor is done, however in young (less common) women there are various sling surgeries which are available depending on the extent of prolapse.
Patient usually presents with something coming out per vaginally, difficulty in evacuating urine completely & constipation, this is the result of pelvic floor weakening. In this surgery we strengthen the pelvic floor.

Painful Menses

Painful periods are common in teenagers and young adults.
Primary dysmenorrhoea is the most common type of painful periods. This is where there is no underlying problem of the womb (uterus) or pelvis. It often occurs in teenagers and women in their 20s.
Secondary dysmenorrhoea is pain caused by a problem of the womb or pelvis. This is less common, and is more likely to occur in women in their 30s and 40s.
The main symptom is crampy pain in your lower abdomen.
 May spread to your lower back, or to the top of your legs.
 Usually starts as the bleeding starts, but it may start up to a day before.
 Usually lasts 12-24 hours, but lasts 2-3 days in some cases.
 Can vary with each period. Some periods are worse than others.
 Tends to become less severe as you get older, or after having a baby.
The following may indicate secondary dysmenorrhoea:
 If you have a change in your usual pattern of pain. For example, if your periods become more painful than they used to be, or the pain lasts longer than it used to. In some women with secondary dysmenorrhoea the pain starts several days before the period begins, and lasts all the way through the period
 Other symptoms may include.
 Irregular periods.
 Bleeding between periods.
 Pains between periods.
 The bleeding becomes heavier than previously.
 Vaginal discharge.
 Pain during sex.
It is important to differentiate between the primary and secondary dysmenorrhoea; the treatment depends on the underlying cause. Supportive care and Anti-Inflammatory medication help control the severity of symptoms.

hysteroscopy

In Hysteroscopy , a small scope with a mounted camera is introduced through the cervical canal, to visualize the Uterine cavity. It can be done both as a diagnostic procedure or operative procedure in cases of Polyps, Fibroids, Uterine Septum, & Uterine Adhesions. Performed under short GA or spinal anaesthesia depending upon the duration of procedure.

Dilatation & Curettage

Dilatation & Curettage- It a minor procedure done under short anaesthesia, wherein the cervix is dilated and uterine cavity curettage done gently. Often performed as a day-care procedure. Performed by the Gynaecologist in cases of Missed or Incomplete Abortion, Excessive menstrual bleeding, etc. When this procedure is performed for Incomplete or missed abortion, it is preferably done under Ultrasound guidance.