Dr. Namrathaa MD(OBG)

Chief Gynecologist and Fertility Specialist
Member of ASRM, ESHRE

Dr. V. Karuna M.S

Dr. Karuna (MS,OBG)

Chief Gynecologist

Gynecologists in Vijayawada

Dr. Namratha, (MD/OBGYN) is the Chief Gynecologist and Fertility Specialist with 25+years of experience working in the Gynecological and Fertility Field. She is a renowned laparoscopic surgeon and has done many surgeries successfully. She is very passionate about her work and reaches the cause of the disease to find a cure. She is a patient-centered doctor who strives to provide a thorough explanation of the medical issues so that she can choose the best treatment option for them. Dr. Karuna (Gynecologist) is a renowned Gynecologist in Vijayawada with 15+ years of experience. It is rightly said a good doctor can make a lot of difference in your treatment journey. Both these doctors are adaptive and ambitious, and have kept their calm and focused in most difficult cases. Their expertise includes but is not limited to labor ward skills, high-risk pregnancy management, Laparoscopic surgeries, pre-cancer diagnosis, fertility treatments, and other health conditions related to women’s bodies. Let’s have a look at the services we offer.

General OPD

Women’s reproductive system is rather complicated, we are here to help you by diagnosing and treating your various health issues. White discharge, vaginal infection, UTI, STD, family planning procedures(oral contraceptive pills, injectables, copper T, multi-load, etc), tuberculosis, or any other infections or disorders you can consult us. Lower back pain is also very common among women. Let’s look into it.

  • Lower back pain

Lower back discomfort is a frequent symptom of PMS, a condition that affects the majority of women during their menstrual cycle. Severe lower back discomfort, on the other hand, could be a sign of endometriosis, a more serious ailment. We provide comprehensive treatment for this.

Labor/Delivery

We provide comprehensive and utmost care during pregnancy and childbirth. We have successfully delivered healthy babies in the most complicated cases. Be it vaginal delivery or C-section we have mastered the skills of both. We also provide treatment for high-risk pregnancies. Almost every woman is aware of the excruciating pain that a woman goes through during natural birth, which is considered the most terrible type of pain. Some women experience greater pain during delivery than others. With the advancement in science now you can opt fora way to bring your baby into the world without suffering, you can have a painless vaginal delivery.

  • Painless delivery

The painless delivery is the same as a regular natural delivery, however, the pain during labor is minimal. So, a painless birth is essentially a normal delivery without the pain! An epidural injection is injected into the lower back so the drugs are released around the spinal cord.Uterus contracts and stretches with considerable energy during labor to push the baby out. Contractions, in particular, are the primary cause of labor pain. As the labor progresses, the uterus contracts and the cervix expands to move the baby out. The discomfort induced by uterine contractions travels from the uterus to the brain via the network of nerves in the backbone or spine during labor. Due to epidural, these signals could not reach the brain and there is no minimum pain in normal delivery. These injections are safe. And painless deliveries are safer too.

Best Gynecologists in Vijayawada


Gynecological surgery

Any surgical procedure involving the uterus, ovaries, cervix, fallopian tubes, vagina, and vulva, as well as the organs and structures of the female pelvic area comes under gynecological surgery. There are a variety of reasons why a woman may require gynecological surgery. Some of them are listed below.

  • ABDOMINAL HYSTERECTOMY

An abdominal hysterectomy is a surgical procedure that removes the uterus through a small incision in the lower abdomen. During the surgery, one or both ovaries and fallopian tubes may be removed depending upon the medical condition of the patient.

  • Vaginal Hysterectomy

Vaginal Hysterectomy is a surgical procedure for the removal of the uterus through the vaginal canal.

  • Ectopic pregnancy

When a fertilized egg implants and grows outside the main cavity of the uterus, it is called an ectopic pregnancy. The most common site of an ectopic pregnancy is the fallopian tube. Sometimes the fallopian tube may also burst due to an ectopic pregnancy. It is a life-threatening condition that required emergency surgery.

  • Medical termination of pregnancy(MTP)

Medical Termination of Pregnancy, or MTP, is a method of ending a pregnancy by the use of medications. It is possible to terminate a pregnancy with drugs in the early stages (7-9 weeks); otherwise, surgery is required. We carry out this procedure in accordance with government guidelines

  • Torsion cyst emergency

A fluid-filled sac inside or on the surface of the ovary is known as an ovarian cyst. It usually develops during or shortly after ovulation. Sometimes these cysts can become large enough to burst or rupture. The larger the cyst, the more likely it is to cause ovarian torsion. The blood flow to the ovary can be stopped by ovarian torsion, causing permanent damage to the ovary. In most severe cases surgeries are required.

  • All daycare surgeries

Day-care surgeries are procedures that allow patients to recover quickly from surgery and be ready to return home usually the same day.

Infertility treatment

Getting pregnant is not easy for some couples. If you are not able to get pregnant despite trying for a year you should consult a doctor. After a proper diagnosis, the cause for your infertility can be known, and accordingly, we will provide you with the treatment. Our treatment includes simple ovulation stimulation cycles to more advanced assisted reproductive techniques. Some of our services are

  • Female infertility Treatment
  • Male infertility treatment
  • PCOD/PCOS treatment
  • Recurrent miscarriage treatment
  • IUI
  • IVF
  • ICSI
  • Surrogacy
  • PGS/PGD
  • Egg freezing
  • Sperm bank
  • Egg Donation

Gynecological Laparoscopy:

This is a very simple and daycare procedure doctors can better look at the organs in your belly. Only one or two very small incisions are made instead of cutting a whole abdomen. This method can be used to diagnose various medical disorders as well as take tissue samples that are examined. It can also be used as a treatment method. Your doctor can also perform less invasive laparoscopic surgeries for various medical disorders

A laparoscopy is performed when you’re lying down with your head lower than your feet in a slightly inclined position. During surgery, you’ll be given general anesthesia to relax your muscles and avoid discomfort. After that, a tiny incision near the umbilicus is made. Usually, it is half centimeters long, this incision is used to introduce the laparoscope. Your abdomen is enlarged to make it easier to see your organs by introducing Co2 gas. It is not harmful at all.  Surgical equipment for obtaining tissue samples or removing scar tissue may be included with the laparoscope. A second incision may be made at the pubic hairline by your provider. This incision creates a second passage for instruments used for minor surgical procedures.

You’ll normally spend approximately an hour in a recovery room after surgery. You will be discharged from the hospital the same day. The recovery period is minimal.

Laparoscopic surgery is done to treat the following medical conditions

  • Endometriosis
  • Ectopic pregnancy
  • Fibroids
  • Polyps
  • Ovarian cysts
  • Hysterectomy(removal of the uterus)
  • Pelvic adhesions
  • Tubal Ligation
  • Diagnosis of infertility causes
  • Other pelvic disorder

Tubal Ligation / Family Planning Procedures

Birth control or family planning procedure or technology are the methods used to prevent unwanted pregnancy. It could be done through laparoscopy or general Tubectomy. Commonly known as tubal sterilization, is a long-term contraception procedure for women. It is a surgical procedure that prevents the egg produced by the ovary from reaching the uterus by blocking the fallopian tubes. And thereby preventing pregnancy.

Perimenopause and menopausal Care

Menopause is the end of a woman’s menstrual cycle. Menopause transition, also known as perimenopause, begins around 40 ( several years before menopause). It’s the point at which the ovaries start to produce less estrogen. It usually begins in women’s 40s, but it can begin as early as their 30s. Smoking, genetics problems, removal of ovaries can be reasons for the same. In both these conditions, women can face various health issues due to hormonal imbalance. Mood swings, hot flushes are some of the common symptoms. We provide the treatment plan for these menopausal phases.

The hormone estrogen plays a crucial role in keeping your joints healthy and lubricated. Menopause causes low levels of estrogen, which can make bones weak and brittle and more vulnerable to cracks. It can also produce symptoms including aching joints and stiffness specially in the knees, shoulder and hips. Menopausal joint pain is a type of joint pain that occurs after menopause. We take care of all these issues due to menopause and provide effective treatment.

Adolescents Gynecology

Adolescent gynecology, as the name suggests, deals with gynecologic issues that affect young women or teenage girls as they approach puberty. They have a lot of hormonal rise leading to

This includes

  • Pain in Breasts
  • Abnormal vaginal discharge
  • No/Irregular menstrual Cycle
  • PCOD/PCOS
  • Adolescent endometriosis
  • Facial hairs/acne(hormonal imbalance)

Apart from the above-mentioned, many psychosexual issues would arise. Due tothe rise in hormones or hormonal imbalance lot of changes happen in their body, their appearance would start changing, menstruationcycle will start. And also they will start developing an interest in the opposite sex.At this moment many questions arise in their mind. Parents could not answer all. Having the opportunity to speak with a medical professional about all of such issues guarantees that young women have access to accurate and dependable information. Doctors can explain in detail what’s happening in their bodies and answer all their psychosexual questions which sometimes they could not discuss with their parents. Furthermore, these office visits are fully anonymous, allowing them to express questions in a safe and supportive way. We explain everything to parents and teenagers about what is happening in their bodies and the reasons for the same. This will help to understand the reasons for changes going on in their bodies and make their journey smooth.

Gynecological Pre-cancer screening

All types of cancer that can arise in or on a woman’s reproductive organs and referred to as gynecological cancer. These Include

  • Cervical cancer
  • Uterus cancer
  • Breast cancer
  • Cancer in ovaries
  • Cancer of the Vulva
  • Vaginal cancer

A pap test in combination with other tests can be done to diagnose the pre-cancerous cells in the cervix. Anendometrial biopsy can be done to take the sample in case of uterine cancer. Mammography can be done in cases of breast cancer.

Ultrasonogram

Ultrasonography is a diagnostic medical process that involves the transmission of high-frequency sound waves into the body’s deeper organs to produce their images. This treatment allows your radiologist to see or see your interior organs, veins, and tissues without having to make an incision. It aids in the analysis of the fetus’s growth and any malformations that may exist. It can be done in infertile patients for follicular monitoring or in pregnant ladies to identify the growth of the fetus or in women who have any abnormality in the pelvic

  • Ultrasonography in gynecology

Gynecologic ultrasonography, sometimes known as gynecologic sonography, is the use of medical ultrasound to examine the female pelvic organs, including the bladder and recto-uterine pouch. It also helps in identifying medically significant abnormalities in the pelvis. It can be used to identify the cause of any abnormal bleeding, ectopic pregnancy, cyst etc. During infertility treatment, highly used for the follicular study.

  • Ultrasonography for Fetal Monitoring

During pregnancy, an obstetric ultrasound is commonly conducted every three to four weeks to check the fetus and the pregnant mother’suterus.Fetal monitoring is done during pregnancy to identify the following

  • Confirm pregnancy location
  • Number of babies and their gestational age
  • Babies growth and if they have any birth defect
  • Study the placenta and the level of amniotic fluid
  • Investigate fetal position or any other complication.

There are two types of ultrasounds

  • Transvaginal ultrasound is a type of ultrasound in which a device called a transducer is put in your vagina to send out sound waves and collect the reflections during this type of prenatal ultrasound.
  • Transabdominal ultrasonography is a type in which a transducer over your abdomen is moved to examine.

Other important ultrasounds include

  • Color Doppler ultrasound

Sound waves are used in Doppler ultrasound to detect blood flow in arteries. It is used to examine blood circulation in the fetus, uterus, and placenta during pregnancy.

  • Cardiotocography (CTG)

During pregnancy and labor, cardiotocography (CTG) is a technique for monitoring the fetal heartbeat and uterine contractions.

Hysteroscopy

If you have heavy menstrual cycles and severe cramping, or if your doctor needs to understand more about your reproductive health, a hysteroscopy may be advised. They can get a good look at your cervix and uterus during the procedure, which can help them figure out what’s wrong.

We provide all women’s health care services under one roof. If you suffer from any discomfort contact us. A team of proven track recors is waiting to help you.

                                                F & Q’s

ABOUT MENSTRUAL DISTURBANCE?

1. What causes my periods to be irregular?

 A) Your lifestyle has a considerable influence on your periods. Poor diet and taking a lot of stress can delay your period by several days or even a month. Other reasons may include polycystic ovarian syndrome for which your Gynecologist may prescribe birth control pills.

2. What Could Be The Reason For My Heavy Bleeding?

 A) Heavy bleeding during periods is the woman’s worst nightmare.. There could be an underlying health issue or the onset of menopause or a bigger issue in the making. Speak up as soon as you get a chance to see your doctor.

3. Is there something that can keep my craving under control during PMS?

 A) Because sometimes wine and chocolate do not cut, your doctor can help you cope with the situation through many simple yet effective means.

4. Few people with irregular and prolonged episodes of period, are there any chances of conception?

 A) yes, there may be chances of threatened/missed abortions, those people should consult dr.

5.  Is it normal to feel pressure in my pelvis and vagina?

 A) Feeling the pressure in the pelvis and/or vagina for an extended duration may be a sign of pelvic organ prolapse. Ask your Gynecologist about the symptoms of prolapse and just when you observe any of them, get yourself examined immediately.

6.   How can I avoid getting large blood clots during my menstrual period?

A) First, you need to see a doctor and do tests as suggested by them. This will help them understand the cause of blood clots and diagnose the actual problem. Once the cause is confirmed, then appropriate treatment can be done to resolve the issue.

7.    What is the cause for an irregular period?

A) This is not normal and the commonest reason is hormonal im balance, obesity and polycystic ovarian syndrome.

8. Is it possible to have your period 3 times a month?

A) Stress, usage of birth control pills, polpy,PCOS , are few reasons for menstrual disturbances. Imbalances in the hormonal secretion may result in period disorders as well. The primary hormones contributing to having a period three times a month include female sex hormones such as estrogen, progesterone, Luteinizing Hormone (LH), and Follicle Stimulating Hormone (FSH). Other than these, higher testosterone levels can also result in period 3 times in one month. Furthermore, anomalies in Thyroid levels may result in irregular periods as well.

9. Is it ok to not have my period for 100 days?

A) The absence of a period for 100 days or more is considered abnormal unless you’re pregnant, breastfeeding or going through menopause (which generally occurs between ages 45 and 55). you need to consult a gynaecologist to rule out underlying cause.

10. Can irregular periods cause infertility? How can it be treated?

A) Yes definetely, treat underlying cause

11.What are the causes and the symptoms of irregular periods?

A) hormonal imbalance, fibroid, pcos, thyroid, pallor, sob, hairloss, acne, constipation, lethargy, depression

12. Is it normal to have vaginal discharge?

A) Vaginal discharge is your body’s cleansing mechanism. It is normal to have clear or milky discharge, but in case you notice a variation in the color, odour or volume (unusually high), it may be a sign of infection. Rush to your doctor for immediate evaluation

 

QUIRIES ABOUT SEXUAL DISTURBANCE AND PREGNANCY

 

 1. Is it normal to have painful sexual intercourse?

A) Painful sex may be a result of the following situations:

  • Inadequate lubrication due to lack of foreplay or medication
  • Infection
  • Thinning of the vaginal walls

Your doctor will examine the situation and will also walk you through various treatment options available

2. Is it normal to have occasional aversions to sex?

 A) Low libido is one of the underlying causes.This may be because of hormonal imbalance or medication or perhaps you are approaching menopause. However, you are not doomed. You can revive your sex life with a few lifestyle changes, and in this case, talking to your doctor about how you feel is the best way out.

3. What options do I have when it comes to birth control?

 A) Today, birth control options are greater in number as well as safer than ever. With multiple options, you are free to opt for a birth control measure that suits your situation. Who else can give you the best advice than your Gynecologist?

4. How to perform Kegels?

 A) Performing Kegel exercises is a great way to keep your pelvic floor strong and healthy, especially in the case of pregnant women and post delivery , as these muscles play an important role during childbirth. Based on your evaluation, your doctor will recommend the right exercise regimen for you.

5. Why do I struggle to achieve orgasm or don’t orgasm at all?

A) According to a survey, 30% of women had struggle stories to share when asked about achieving orgasm. Mostly it’s just a matter of how you go about having sex. That being said, it is something you must bring up in your conversations with the ob-gyn.

6. When is the best time to get pregnant?

 A) usually it is the period of ovulation in a normal menstrual cycle that is 10 to 15day

7. Is back pain normal during pregnancy?

A) backpain is due to postural defects due to enlarged uterus and gives some stress to lumbar spine

8.Do hormones contribute to back pain in pregnnacy?

A) Yes,  pregnancy hormonescan contribute to back pain. To prepare for the passage of the baby through the birth canal, a hormone relaxes the ligamentsin the joints of your pelvis to make them more flexible. Back pain can occur if the joints become too flexible and due to dysproiate of lumbar spine.

9. Why pregnancy test in the morning?

A) The pregnancy test in the morning is recommended in the early pregnancy as the urine is more concentrated. This helps to detect the hormone easily.

10. Will pregnancy affect my breast size and shape?

A) Pregnancy and breast lift or breast reduction.

During pregnancy, the breast will enlarge (up to one and half times) and usually, it will reduce a little after weaning.

11. Is it safe to travel while only a few weeks pregnant?

A) Air travel does have inherent risks in pregnancy. But if one has to travel then one must take the necessary precautions. e.g. adequate hydration, walk every half to one hour so that there is no clogging of vessels in the legs, and wear the seat belt whenever advised to do so. You should, however, consult your gynecologist to understand if you have any risks in your pregnancy.

12. Can a person become pregnant after clipping the tubes?

A)    Occassionally, due to failure of clipping due to tubal recanalisation

13. Could ectopic pregnancies ever be saved and transferred to the uterus?

A) It is not possible or at least has not been done as yet.

14. Does a doctor need to know the incision on the uterus from a previous c-section before planning VBAC for second baby??

A) Yes, the doctor needs to know the incision on the uterus. The decision is taken considering:

1- If the incision is transverse and on a lower segment then a VBAC is possible.

2- If the incision is on the upper body and or longitudinal then VBAC IS contraindicated.

15. What is the best option to have healthy pregnancy?

A) Good mental and physical well-being will give a healthy pregnancy. You should have a healthy meal, a well-balanced diet, and do regular exercise.

16. Can pregnancy cause UTI?

A) Yes, in pregnancy there is an increased flow of blood to the pelvic regions and there is decreased immunity. This increases the predisposition to urinary tract infections.

17. Is cramping during pregnancy normal?

A) You may experience cramping very early in the pregnancy—before you realize that you’re expecting—due to the embryo implanting into your uterus. But you may also notice some cramping in the first trimester.

18. When do pregnancy cravings start?

A) Up to 90 percent of all women report pregnancy cravings, and around ¾ experience them by the 13th week of pregnancy.

19. Can having a fever hurt my baby?

A) Having a fever during pregnancy—especially during your 1st trimester—may cause problems for your baby.

People who had a fever just before or during early pregnancy were more than twice as likely to have a baby with a neural tube defect (NTD) than those who didn’t have a fever.