Obstetrician & Gynecologist Checkup : Pre-pregnancy counseling and care

NHC provides obstetric care to pregnant women with appropriate antenatal care including care to the high risk pregnancy with hypertension, diabetes, thyroid disorders, etc. The clinic also offers services to all gynecological problems including planning for surgical management by minimally invasive techniques like laparoscopic and hysteroscopic approach.

Assessment & handling of high risk pregnancy cases (includes Deliveries) which includes the following:

Antenatal Care

Gynaecological Checkup

Preventive Health Checkup

Preventive Health Checkup is a great way to invest in your health to keep a tab on your general health. Gynaecological problems are hard to diagnose and constantly examining and evaluating the condition through preventive checkup can help you cope up with your health. It is especially important for people who are planning to conceive as good health of the mother is very important to ensure a safe child birth. Preventive Check Up can also help you through your puberty and menopause which are two very important stages of a woman’s life as you are aware of the changes in your body.

Pap Smear / HPV DNA Test

Cervical Smear Test is a very useful test to detect the development of any cancerous or non-cancerous process in your cervix (the opening of the uterus or the womb). PAP Smear Test can make anyone anxious. All efforts are made to complete the test and appointment on the same day for the greatest peace of mind. The procedure is simple where an internal exam will be performed to detect any cancerous process.

Breast Ultrasound

Breast Cancer is known to affect most women in present times. The breast ultrasound is a great test to screen for breast cancer so that the condition can be diagnosed and treated early.

• Pelvic ultrasound
• Endometrial biopsy / hysteroscopy where appropriate
• Cervical Cancer prevention Vaccination

Infertility

Infertility is a condition where a couple is not able to conceive due to various reasons. With the changing lifestyle and pollution, it is a very common condition among male and female today. However, with the advent of technology it is possible to conceive through appropriate treatment.

Infertility can happen due to sub-fertility, ovulation disorder, age problem and problems in follicle growth. You can undergo investigation to find out the reason for this problem and NHC will plan and recommend best possible treatment for you.

IVF or In Vitro Fertilization is known to help many childless parents complete their family and dream. It is not the first treatment that is used when a couple has fertility issues. A set of other treatments like fertility drugs, surgery etc  are initial method for helping conceiving parents. However, when the above procedures are not sufficient, the couple  might have to undergo IVF wherein the egg and sperm are combined outside the womb in a laboratory set up and once the embryo is formed it is carefully implanted in the womb. The success of the procedure depends on the technology used and the skill of the Gynaecologist. NHC will guide the sub-fertile couple to find the best IVF center in the country and abroad whenever needed.

• Evaluation of Infertility
• Laparoscopy for Infertility Management
• Ovulation Induction
• Evaluation of Male and Female infertility
• Contraception and Family Planning

Family Planning or Contraception

Family Planning or Contraception is very important for couples with the increase in pressure and stress from our lifestyles. It is especially important with both partners working. Contraception is a very useful way of preventing pregnancy. Planning, Provision and Use of Contraception Procedures is part of family planning. The NHC offers-

• Assessment of contraception needs
• Birth control pill
• Emergency contraception
• Intra Uterine Contraception Devices
• Mirena Ius
• Injections
• Laparoscopic female sterilization
• Medical Termination of Pregnancy

Laparoscopy/ Hysteroscopy : Gynaecological Surgeries

Laproscopy or Hysterescopy are advanced Gynaecological surgeries that can be used to handle complex conditions with the minimum incision or discomfort to the patient. Earlier Gynaecological Surgeries could leave scar marks on the body and over 6-8 weeks of post treatment down time. With the latest Laproscopic and Hysteroscopic Surgeries, the procedure is performed using small incisions without leaving any mark on the body. The amount of discomfort is minimal and the patient can recover within a couple of weeks. Dr Nira singh Shrestha is trained in Laparoscopic/ hysteroscopic procedure with extensive experience. She provides treatment for:

• Ovarian cyst
• Fibroids in the uterus
• Endometriosis
• Ectopic pregnancy
• Vaginal prolapse
• Diagnostic laparoscopy
• Diagnostic hysteroscopy
• Chromotubation
• Laparoscopic PCOD drilling etc.

Hysterectomy (Uterus Removal Surgery)

• Abdominal
• Vaginal
• Laparoscopic
• Non descent vaginal hysterectomy