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Health Clinic for Women

Delivering Care. At Every Stage Of Her Life

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About the Clinic

Men and women are different. Not just anatomically, but physiologically, emotionally, and existentially.

Addressing the above difference of the sexes and keeping in mind the evolving lifestyle and health concerns of today’s women, RxDx has launched a dedicated Women’s Health Clinic for all deserving women out there.

The RxDx Women’s Health Clinic is on a mission to create a Health Station where female beneficiaries (adolescent to elderly) can:

  • Seek specialist consultations on female-specific health issues including infertility, Pregnancy, after-birth care, hormonal problems, and menstrual disorders
  • Get laboratory and radiology work done
  • Choose health screening packages tailored for women of different ages and needs
  • See a Family physician for initial screening and long-term chronic ailment management (e.g., Diabetes, Hypertension, Cardiovascular issues, Thyroid problems)
  • Consult dietitians and physical therapists for a healthy lifestyle

RxDx Whitefield | RxDx SAMANVAY, Malleswaram

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Reproductive Health

Women of reproductive age may choose to practise birth control for various reasons. Keeping the societal judgments aside, contraception protects a woman from unwanted Pregnancy. Pregnancy may also be a health risk in some cases. Specific methods also pose substantial barriers against sexually transmitted diseases. Common advice from doctors are:

Temporary methods

  • Contraceptive pills
  • Intrauterine Devices (IUDs)
  • Implants
  • Condoms

Permanent methods

  • Tubal ligation
  • Vasectomy (surgical method in males)

Having a child of your own, holding the warm little body close to your heart, crooning a lullaby to soothe your cooing baby, that’s your life’s dream. For some, it happens by chance. For some others, everything goes as planned. But what do you do, when you try and try, but your wait keeps getting longer?

See a Fertility Specialist. Technologically, Reproductive medicine has advanced enough that your doctor can offer you a variety of solutions to make your dream of motherhood become a reality. Fertility Specialists are usually highly qualified OB-GYNs with special education and training for infertility treatment.

During your Infertility Counselling, the fertility specialist may advice investigative tests and procedures to understand the cause of infertility:

Imaging:

  • Transvaginal Ultrasound or Pelvic Ultrasound

Tests:

  • DAY 2 FSH, LH, Prolactin, TSH, AMH
  • Semen analysis for partner

Procedures:

  • Diagnostic Hysterolaparoscopy

Some fertility treatment may involve:

  • Controlled Ovarian Stimulation
  • Intrauterine insemination (IUI)
  • Oocyte Retrieval
  • Embryo Transfer
  • Lap Cystectomy
  • Laparoscopic Tubal Cannulation

Your doctor will explain each procedure and recommend the best course of action considering your age, health condition, and medical cause of difficulty in conceiving.

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Obstetrics

A planned pregnancy is beneficial for the health of the mother and prepares the path to a smooth birth and enhances the chance of foetal well-being.

Here are a few things your doctor will discuss with you:

  • Your medical history
  • Your and your spouse’s family history
  • Lifestyle, stress, habits
  • Your current medication
  • Vaccines

Your doctor will advise you to:

  • Stop alcohol, smoking, certain drugs
  • Follow a balanced diet, keeping in mind you are growing life within you
  • Begin Vitamins and Folic Acid supplement (depending on your nutrition status)
  • Maintain a healthy body weight
  • Start light exercises like walking if not already doing so
  • Focus on mental health

If you have been trying for a while, your doctor will give you some practical advice on best practices regarding conception. You and your partner may need some tests. If the doctor suspects a medical reason, she may refer you to a Fertility Specialist. If the reason seems to be stress, a doctor will recommend necessary lifestyle changes or mental health counselling.

Happy mothers make happy babies. Of course, your doctor will also have that “Talk” with your partner.

During Pregnancy, a woman needs care. A solid supportive partner, friends, family, and a team of healthcare providers, just like the old saying, “It takes a village…”, to birth and raise a child.

Regular medical appointments vary with the pregnancy stage. The doctor checks on your condition and the foetal progress. A rough plan may be as follows:

  • Once a month in the first six months or more, depending on your condition
  • Every two weeks in the 7th and 8th months
  • Every week during the 9th month

Your visits may include:

  • Routine tests (blood test for anaemia, HIV, blood typing)
  • Monitoring for

If you choose to seek nutrition counsel, a dietician will advise you on a diet. Physiotherapists help with backaches and exercises to improve fitness and maintain a healthy weight.

A new mother needs care as much as a mother-to-be. The postpartum or postnatal phase begins after the childbirth and continues until the body has almost returned to the pre-pregnant state. Postpartum can last 6 to 8 weeks.

As a new mother, you learn new responsibility and care for your young one entirely dependent on you. Your body has changed, and your life is changing in so many ways, that things may feel a little overwhelming. Talk to your doctor. Ask for mental health counselling if you feel the need. Work on your physical fitness. Build up your strength. Eat well. Your baby continues to need and get the nutrition from you through breastmilk. Get ample rest. You need and deserve it. Our doctor will also have that “Talk” with your partner.

General Gynaecology

Matured Adults

Adolescent & Young Adults

Matured Adults

Let’s focus on the hormones or chemicals that influence the female organs system in this section. Hormones released by the endocrine systems are major regulators of our bodily functions like, mood, temperature, metabolism, growth, heart rate, sleep, stress, reproductive cycles.

In women, the menstrual cycle drives hormonal fluctuations. Periods, Pregnancy, menopause are significant influencers of the female hormonal shifts. Adrenaline, steroid hormones, growth hormones, insulin, oestrogen, progesterone, FSH, LH are the powerful players belonging to the women’s endocrine system.

Hormonal imbalances in women are marked by bloating, weight gain, fatigue, mood swings and spikes in body temperature, changes in a menstrual cycle like delayed or skipped periods, depression, infertility, sleeping difficulty. In addition, physical and emotional discomforts may result from changes in hormonal levels.

Causes of hormonal imbalances may be:

  • Unhealthy diet, excessive stress, high body fat
  • Some types of tumours
  • Diabetes, certain types of pancreatitis, endocrine gland injury
  • Severe infections, toxins, pollutants, herbicides and pesticides
  • Anabolic steroid abuse
  • Turner syndrome (single functional x chromosome possibly causing heart and ovary defects)
  • Overactive or underactive thyroid
  • Phytoestrogens or natural plant oestrogens in soy products (linked to breast cancer, ovarian cancer, infertility and autoimmune disorders)
  • Under or over normal levels of parathyroid hormone
  • Some medications
  • Endocrine gland cancers, deficient levels of iodine, anorexia

The doctor may recommend these tests for diagnosis:

  • Blood test to assess levels of different hormones
  • Pelvic exam to check unnatural lumps, cysts, tumours
  • An ultrasound scan of the uterus, ovaries, thyroid and pituitary gland
  • X-rays, magnetic resonance imaging (MRIs), biopsies or thyroid scans

Besides mediation, doctor will advise altering lifestyle habits to alter the imbalanced hormone level.

Endometrium tissues line the uterine walls. Sometimes, a similar lining grows in other organs in the pelvic region like ovaries, fallopian tubes or beyond; it is a painful condition called Endometriosis. Like the uterine lining, this tissue also thickens and then sheds in menstrual cycles but has no exit. In ovaries, they become cysts and irritate the surrounding tissues to cause scarring inside.
This is a life-long situation with a huge impact on general and reproductive health. Unfortunately, not everybody experiences symptoms of Endometriosis, making it difficult to diagnose.

Symptoms:
Lower abdomen or pelvic area Pain

  • worse during menstruation
  • during or after intercourse
  • during bowel movement or urination

Nausea, bloating, fatigue, constipation, diarrhoea during menstruation
Heavy menstrual bleeding or mid-cycle (intermenstrual bleeding)
In some women, depression requires mental health counselling

The symptoms are similar to pelvic inflammatory disease or ovarian cysts, or even Irritable Bowel Syndrome (IBS), it’s a challenge to diagnose Endometriosis. Infertility is most often the reason a doctor checks for this condition. IBS may be an accompanying disorder in some cases.

See your family physician or gynaecologist if you experience any of the symptoms listed above. While Endometriosis is not curable, timely intervention can relieve a person from physical and emotional pain.

These are noncancerous tumours, single or clustered, small or large (1 mm to 8 inches in diameter or more), and grow in or on the uterus. Fibroids are not uncommon but remain largely undiagnosed as they may or may not induce symptoms similar to Endometriosis. Some risk factors are obesity, family history, early menstrual onset age, delayed menopause.

Symptoms:

  • Excessive bleeding
  • Painful menstruation
  • Intermenstrual bleeding
  • Bloating
  • Frequent urination (fibroids adding pressure on the bladder)
  • Pain during intercourse
  • Low back pain
  • Constipation
  • Chronic vaginal discharge
  • Inability to urinate or emptying the bladder completely
  • Abdominal enlargement (abdomen may seem similar to Pregnancy)

Anaemia in women has been associated with Fibroids responsible for causing excessive bleeding.
The doctor may order these procedures for diagnosis:

  • Ultrasonography
  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • Hysteroscopy
  • Hysterosalpingography (HSG)
  • Sono-hysterography
  • Laparoscopy

Women can get pregnant even if they have Fibroids but may face complications during delivery, leading to C-section. In addition, fibroids have been observed to alter in size over time with hormonal levels. In some women, they have reportedly shrunk after menopause.

A woman goes through menopause, perimenopause and post-menopause phases during the twilight years of her reproductive age. She starts with Perimenopause, 8-10 years before menopause, the point when she doesn’t have a menstrual bleed for a minimum of 12 months. The cycle ends at post-menopause. The entire event may start in the 40s but in some women, it begins in the late 30s.

The phase-wise transition of the menstrual cycle engenders symptoms like:

  • Reduction in the frequency of menstruation
  • Change in bleeding flow (heavier or lighter than regular)
  • Hot flashes (reportedly 75% of women experience it), night sweats, flushing
  • Insomnia
  • Weight gain
  • Depression, anxiety, concentration and memory problems
  • Vaginal dryness, reduced libido, or sex drive
  • Dry skin, mouth, and eyes
  • Increased urination
  • Headaches
  • Urinary tract infections (UTIs)
  • Reduced muscle mass
  • Painful or stiff joints
  • Reduced bone mass
  • Hair thinning or loss

And many more.
Doctors prescribe hormonal assessments to confirm menopause when women present a combination of these symptoms.

Common hormonal assessments:
Follicle-stimulating hormone (FSH) level elevates near menopause
Oestradiol level to check oestrogen production rate in the ovaries
Thyroid hormones to prevent thyroid gland disorders which are known to cause symptoms resembling menopause
Anti-Mullerian hormone (AMH) created in the reproductive tissues checked for a reserve of eggs in the ovaries

The menopause phenomenon has a substantial physiological and emotional impact on a woman’s life. A doctor can help you deal with it medically and advise counselling to better manage your mental health and sleep pattern.

Osteoporosis is the name of the disorder in which the bone becomes weak and breakable. Women from the Asian continent who are past their menopausal phase have been known to have a significant risk of developing osteoporosis.

Women of 40 and above should see a doctor if they present with signs like prolonged back pain, fractured or collapsed vertebra, loss of height over time, stooped posture, easy breaks of bones than expected. It’s not easy to know if you have osteoporosis, so better talk to your doctor.

Some causes of osteoporosis are:

  • Low oestrogen levels, one of the most substantial risk factors
  • Treatments for breast cancer
  • Hyperthyroidism or hormonal therapy that increases levels
  • Overactive parathyroid and adrenal glands.
  • Low calcium intake
  • Underweight
  • Celiac disease
  • Inflammatory bowel disease
  • Kidney or liver disease
  • Cancer
  • Lupus
  • Multiple myeloma
  • Rheumatoid arthritis
  • Lifestyle choices
  • Gastrointestinal surgery
  • Steroids and certain other medications
  • Complications

Your doctor will recommend dietary changes and supplements for elements that increase calcium uptake by the system. In addition, exercises, avoiding substances or drug abuse, and other factors can help manage the condition.

Early screening for breast and cervical cancer is the best way to ensure timely intervention and the best possible outcome (CDC).

Breast Cancer:

  • Sono-Mammograms to look for suspicious lumps or tissue growths

Cervical Cancer

  • Pap test to detect cancerous cells in the cervix
  • HPV test for the presence of human papillomavirus that causes cervical cancer

According to your age group, the doctor will advise health check packages that cover cancer screening and more and help your medical team plan early intervention should there be a need.

Adolescent & Young Adults

Early puberty (Precocious Puberty) or delayed puberty may be related to nourishment levels, body weight, race, and genetics. Ovarian cysts, hormonal imbalances, and radiation therapy also affect the way the adolescent child grows. Staying in touch with the family physician can smoothen the emotionally upheaving gradual physical transformation of a young girl. Acne is teenage life’s bane. The changes in hormones and sebum secretion, etc., contribute to the pimply problems of budding youngsters.

Most common are irregular menstruation and dysmenorrhoea or pain. Pain during periods is a genuine thing and not a myth, as many seem to continue believing. It’s also associated with nausea, bloating, overall unwell feeling, and mood swings.

Dysmenorrhoea is associated with:

  • Severe cramps
  • Bouts of sharp pain in the lower abdomen, lower back and thighs
  • Sweating
  • Fatigue
  • Headache
  • Dizziness
  • Nausea (with or without vomiting)
  • Diarrhoea

Irregular menstrual bleeding is also known as dysfunctional uterine bleeding and require medical attention. The cycle may:

  • Have less than a 21-day interval (counting from day 1 of one period to that of the next)
  • Have interval of 35-42 days
  • Run longer than 7 days

The doctor may perform a physical examination, take a thorough medical history, and, if required, advise tests:

  • Complete blood count (CBC)
  • Thyroid function tests
  • Hormonal assessment (gonadotropins or sex hormones, prolactin and androgens)

Management Of Chronic Conditions

Long term conditions can affect a woman’s life as adversely as reproductive concerns. Stay in regular touch with your physician to keep a control on your health and life.

Thyroid Disorders

Diabetes

Cardiovascular Diseases

Hypertension

Healthy living

Busy professionals, creative hobbyists, stay-at-home-moms, retired grandmothers, and not to forget the budding little women in the family, every age group has different health needs. From puberty to adulthood, women go through significant changes, just like men. The right nutritional intake and an active life can make the exciting journey of womanhood a healthy and fruitful one.

Nutrition

  • Fertility Diet
  • Prenatal, Antenatal, Postnatal Diet
  • Under 40 Diet
  • Over 40 Diet
  • Diet for Thyroid disorders
  • Diet for Diabetics
  • Diet for Hypertensives

Physiotherapy

  • Exercises to Improve Conception
  • Pregnancy Exercises
  • Post Pregnancy Exercises
  • Exercises for Chronic Health Problems
  • Exercises for Perimenopausal Women
  • Physical Therapy for Elderly Women

Lab & Imaging

Physicians and women’s health specialists may require routine or specific tests for diverse reasons like general well-being, pregnancy, cancer screening, and so forth. RxDx Laboratory & Diagnostics department covers a wide range of services as follows.

Physical exam

  • Breast exam

  • Pelvic exam

Diagnostics

Day Care Surgeries

  • Laparoscopy
  • Hysteroscopy
  • Endometrial Biopsy
  • Dilation and Curettage

Imaging

  • Monitoring Foetal Size & Condition
  • Guide instruments during amniocentesis or chorionic villus sampling
  • Ectopic Pregnancy
  • Tumours
  • Cysts
  • Abnormalities in the internal reproductive organs (ovaries, fallopian tubes, uterus, and vagina)
  • Sono-Mammography
  • X-Ray of Fallopian Tubes
  • Investigate cause of infertility
  • Confirm sterilization procedure is successful

Lab Tests

  • CBC
  • TSH
  • PAP / HPV Test
  • Urine or blood sample depending on test for pregnancy check (more than 99% accurate)
  • PAP / HPV Test
  • Screening for STDs

Day Care Surgeries

  • Pelvic pain
  • Infertility
  • Other gynaecological disorders
  • Surgical procedures (biopsies, sterilization procedures, ectopic pregnancy removal from a fallopian tube)
  • Structural abnormalities too small for imaging. E.g., Endometriosis
  • Intrauterine Pathology Diagnosis
  • Investigation for Abnormal Bleeding
  • Surgical Intervention Method
  • Visual Confirmation of Other Test
  • Aiding in Removal of Fibroids and Polyps
  • As part of some Laparoscopic Procedures
  • As part of Dilation and Curettage Procedure
  • Looking for a Uterine Malformation
  • Investigating Irregular or Heavy Bleeding
  • Investigating Irregularities in the Endometrial Lining
  • Diagnosing Endometrial Cancer and other
  • Checking Endometrial Changes from Hormone Level Imbalance

Diagnostic:

  • To Investigate Abnormal Uterine Bleeding
  • To Investigate Bleeding After Menopause
  • Testing Tissue Sample for Endometrial Hyperplasia (precancerous condition – thickening of uterine lining), Uterine polyps, Uterine cancer

Treatment:

  • After a miscarriage or abortion to prevent infection or heavy bleeding
  • Remove a molar pregnancy (tumour formed instead of pregnancy)
  • Clearing placenta after delivery to treat excessive bleeding
  • Removal of benign cervical or uterine polyps

Care Team

Dr Jyotika Gupta

Dr Jyotika Gupta

Primary Care Physician

Dr Deepthi Bawa

Dr Deepthi Bawa

Obstetrician & Gynaecologist Fertility Specialist

Dr Shantala Kumari R

Dr Shantala Kumari R

Obstetrician & Gynaecologist

Health Check Packages for Women

Adolescent Package

₹ 5,000

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  • Complete Hemogram
  • C – Reactive Protein
  • Vitamin D
  • Vitamin 812
  • Ferritin
  • Urine Routine and Microscopy
  • Thyroid Profile – T3, T4, TSH
  • Lipid Profile
  • LFT – Liver Function Test
  • Renal Function Fest

Comprehensive Health Check [Female]

₹ 8,800

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  • Complete Hemogram
  • Blood Grouping and Rh Factor
  • FBS – Fasting Blood Sugar
  • PPBS – Post Prandial Blood Sugar
  • Serum Creatinine
  • Serum Uric Acid
  • Lipid Profile
  • LFT – Liver Function Test
  • Thyroid Profile- T3, T 4, TSH
  • HBsAg (Rapid Card Test)
  • Glycosylated Hemoglobin (HbAlcJ
  • Stool Occult Blood
  • Vitamin B 12
  • Vitamin D
  • Iron With TIBC
  • Ferritin
  • Blood Urea
  • Serum Calcium
  • Pap Smear
  • Urine Routine and Microscopy
  • Stool Routine and Microscopy
  • ECG – Electro Cardiogram
  • Treadmill Test/ 2D – Echocardiography
  • Chest X-ray
  • Ultrasound – Abdomen / Pelvis
  • X – ray Mammography/ Sono Mammography
  • Audiometry (Does not include Consultation)
  • Eye Screening (Does not include Consultation)
  • PFT- Pulmonary Function Test
  • Gynaecologist Consultation
  • Physician Consultation
  • Nutritionist Consultation
  • Dental Screening
  • Diabetic Foot Screening / Diabetic Retinopathy / Bone Density Test

 

Below 40 [Female]

₹ 3,500

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View Package
  • Complete Hemogram
  • Blood Grouping and Rh Factor
  • FBS – Fasting Blood Sugar
  • PPBS – Post Prandial Blood Sugar
  • Serum Creatinine
  • Serum Uric Acid
  • Lipid Profile
  • LFT – Liver Function Test
  • TSH – Thyroid Stimulating Hormone
  • Pap Smear
  • Urine Routine and Microscopy
  • Stool Routine and Microscopy
  • Chest X-ray
  • ECG – Electro Cardiogram
  • PFT – Pulmonary Function Test
  • Ultrasound – Abdomen / Pelvis
  • Eye Screening (Does not include Consultation)
  • Gynaecologist Consultation
  • Physician Consultation
  • Nutritionist Consultation
  • Dental Screening

Complete Deficiency Package

₹ 2,750

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  • Complete Hemogram
  • Iron profile
  • Ferrittin
  • Thyroid Profile – T3, T4, TSH
  • Vitamin D
  • Vitamin 812
  • Calcium

Above 40 [Female]

₹ 6,200

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View Package
  • All of the from Below 40 package plus
  • Treadmill Test/ 2D
  • Echocardiography
  • Blood Urea
  • Serum Calcium
  • X – ray Mammography/ Sono Mammography
  • Diabetic Retinopathy / Bone Density Test/ Diabetic Foot Screening
  • Audiometry (Does not include Consultation)

Geriatrics Package

₹ 2,800

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  • Vitals Assessment
  • Cognitive Assessment (Alzheimers Assessment)
  • Physiotherapy (Osteoarthritis – 3 Sessions)
  • HB – Hemoglobin
  • FBS – Fasting Blood Sugar
  • Lipid Profile
  • TSH – Thyroid Stimulating Hormone Serum Creatinine
  • Electrolytes – Sodium, Potassium
  • Bone Density Test
  • Physician Consultation
  • Neurologist Consultation (Teleconsultation)
  • Psychology Screening

Other Specialised Clinics

Diabetes Clinic

Sports Medicine Clinic

Surgical Care

Plot No. 7G, Opp. Graphite India
Kundalahalli Main Road
Whitefield
Bengaluru – 560 048
P: 901 409 1111
E: info@rxdx.in

Directions:

#29, 11th Main Road
Near Cluny Convent High School
Malleswaram
Bengaluru – 560 003
P: 901 409 1111
E: contact@rxdx.in
www.rxdx.in

Directions: